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Session Information
Coaches Session Form
Appointment Id:
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Session Date
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Session Time
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Status of Session
Yes it happened
Cancelled
Rescheduled
No Show
Admin Session
Supervision session
What is the primary concern of the client?
What are the client’s goals for therapy?
What was the client’s emotional state and behaviour during the session? (eg. crying, anxious, fidgeting etc)
Does the client come with a diagnosis? If yes, mention the diagnosis.
Please summarise the session in short!
What was the focus of the session?
Solution
Awareness
Venting
Other
Please specify what was the focus of the session:
What stage is the client at?
Orientation - learning, little to no insight
Identification - Laying out problems in different areas
Exploration - finding deeper connections, making progress
Resolution - making decisions, staying active
Maintenance - no clinical issues, healthy states
What are some thought and behavior patterns of the client?
Negative self talk
Cognitive distortions
Anxiety symptoms
Depressive symptoms
Self destructive behaviour/self harm
Avoidance tendencies
Rumination/compulsive behaviour
Lack of emotional regulation
Impulsive behaviours
Behavioural addictions
Sleep and appetite disturbances
Other
Please specify if you selected "Other"
What are the challenges/barriers experienced by the client? (eg. difficulty implementing strategies, unresolved trauma, lack of routine etc).
Was this the termination session?
Yes
No
Referred to another therapist
Who is the therapist and why?
Have you taken an emergency contact from the client? If yes, please mention the name and contact.
Any homework/exercise assigned after the session?
Daily mood log (track emotions through the day)
Meditation
Breathing techniques
Grounding techniques
Reframing negative thoughts
Grief letter
Maintain a schedule/routine
Affirmations/self compassion
Gratitude list
Other
Specify Other Homework
What is the plan for the next session?
What date have you given the client for a follow up session?
Do you need supervision?
Yes
No
How do you feel after the session?
Exhausted af
Meh, tired
I feel okayish
Going with the flow
On top of the world!