Subjective
- Client’s reported thoughts, feelings, or concerns
- Statements that reveal their perspective on challenges
Objective
- Observable information like mood, appearance, or behavior
- Any measurable details noticed in the session
Assessment
- Therapist’s clinical interpretation of the session
- Analysis of client progress, challenges, or key themes
Plan
- Outline of next therapeutic steps
- Recommended interventions, goals, or assignments
- Focus areas for upcoming sessions