Psychotherapy With group
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
Using the Group Therapy Progress Note in this weeks Learning Resources, document the family session.
Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.
Group Therapy Progress Note
American Psychological Association | Division 12 http://www.div12.org/ 1
Client: __________________________________________________ Date: ___________
Group name:________________________________________________ Minutes:________
Group session # ______ Meeting attended is #:______ for this client.
Number present in group _____ of _____ scheduled Start time:________ End time: ________
Assessment of client
1. Participation level: Active/eager Variable Only responsive Minimal Withdrawn
2. Participation quality: Expected Supportive Sharing Attentive Intrusive
Monopolizing Resistant Other: _____________________________________
3. Mood: Normal Anxious Depressed Angry Euphoric Other: _______________
4. Affect: Normal Intense Blunted Inappropriate Labile Other:_______________
5. Mental status: Normal Lack awareness Memory problems Disoriented Confused
Disorganized Vigilant Delusions Hallucinations Other:__________________
6. Suicide/violence risk: Almost none Ideation Threat Rehearsal Gesture Attempt
7. Change in stressors: Less severe/fewer Different stressors More/more severe Chronic
8. Change in coping ability/skills: No change Improved Less able Much less able
9. Change in symptoms: Same Less severe Resolved More severe Much worse
10. Other observations/evaluations:________________________________________________________
In-session procedures:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
__________ _____________________________________________________________________
Homework:
1.
2.
3.
Other Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Signatures Date
