Psychotherapy templates

A structured template for documenting an adult client’s initial psychotherapy assessment. It covers presenting concerns, relationships, living situation, education or employment, physical and mental health history, therapy goals, initial impressions, and the plan for the next session.

A psychotherapy session documentation template covering presenting concerns, progress and setbacks, current functioning, presentation, risk assessment, interventions, treatment planning, and supervision points. It supports structured tracking of therapy goals and clinically relevant session details without adding information that was not explicitly provided.

A structured template for documenting a patient’s mental health treatment plan, including the diagnosis, goals, medications, therapies, lifestyle guidance, follow-up, education, and referrals. It supports consistent recording of comprehensive care and ongoing treatment planning.

A structured initial-assessment template for documenting presenting concerns, symptoms, psychosocial history, relationships, cultural and spiritual factors, legal and educational background, employment, health, substance use, and prior treatment. It supports a holistic understanding of the client and informed treatment planning.

A comprehensive structure for documenting psychotherapy and art therapy sessions, including presenting concerns, current functioning, risk, mental state examination, formulation, interventions, progress, and treatment planning.

A structured template for documenting ongoing psychotherapy sessions, including presenting concerns, current functioning, mental state examination, session content, progress, risks, formulation, treatment planning, and follow-up actions.

A reusable template for documenting psychotherapy sessions, including the patient’s presentation, interventions, progress, and response to treatment. It supports concise tracking of mental health concerns, therapeutic changes, ongoing difficulties, and future areas of focus.