Problem
- Client’s main concern or presenting issue
- Any specific goals or challenges mentioned
- Immediate focus of the session
Intervention
- Techniques, strategies, or approaches used by the therapist
- Therapeutic exercises or coping methods introduced
- Guidance or questions aimed at addressing the problem
Response
- Client’s reaction to interventions
- Shifts in perspective, mood, or insight
- Progress made in response to therapeutic approaches
Plan
- Next steps or follow-up goals
- Homework assignments or focus areas for the client
- Specific strategies for addressing the client’s main problem in future sessions