Therapist First Session Form

Therapist First Session Form

Status of Session
Pre- Session Checklist : Did You
Read Intake Form
Read Preliminary Call Notes
Did the session start and end on time?
How did the session happen?
Does the client come with a diagnosis
What are their diagnoses?
Provisional Diagnosis: Organic & Symptomatic Mental Disorders
Provisional Diagnosis: Mental & Behavioural Disorders due to Psychoactive Substance Use
Provisional Diagnosis: Schizophrenia, Schizotypal, & Delusional Disorders
Provisional Diagnosis: Mood [Affective] Disorder
Provisional Diagnosis: Neurotic, Stress-Related, & Somatoform Disorders
Provisional Diagnosis: Behavioural Syndromes Associated with Physiological Disturbances & Physical Factors
Provisional Diagnosis: Disorders of Adult Personality & Behaviour
Provisional Diagnosis: Intellectual Disability
Provisional Diagnosis: Disorders of Psychological Development
Provisional Diagnosis: Behavioural & Emotional Disorders with Onset in Childhood and Adolescence
Provisional Diagnosis: Unspecified Mental Disorder
What primary concern did the client come with?
What secondary occupational concern did the client come with?
What secondary financial concern did the client come with?
What secondary Social concern did the client come with?
What secondary Environmental concern did the client come with?
What secondary Spiritual concern did the client come with?
What secondary Intellectual concern did the client come with?
What secondary Physical concern did the client come with?
What secondary Self & Personhood concern did the client come with?
What secondary Geriatric concern did the client come with?
What secondary Medical &/or Physical Health concern did the client come with?
What secondary Emotional concern did the client come with?
What secondary Supervision (Psychology) concern did the client come with?
Is the client at risk of suicide
Who encouraged the client to come for therapy?
What was the client goals for therapy?
What was the focus of the session?
What stage is the client at?
Homework This Session
What type of homework you have been given
What kind of Behaviour Focused Homework you are given
What kind of Thought Focused Homework you are given
What kind of Written Homework you are given
What kind of Psychiatric Homework you are given
Did you speak to the client about: You
Care Plan
Care Packages
Care Buddy Role
Progress Tracker
User Dashboard
Welcome Kit
Next Session Date & Time
Focus for Next two sessions
Is there a barrier for the client to continue therapy?
Was this session observed
Did you experience transference or counter transference?
Do you need supervision for this client / concern
Do you think you should refer this client to another therapist?
What primary feelings are you left with post-session?
What is your energy level post-session?