Progress Notes - CASE NOTE FORMAT - DAP CHARTING...

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CASE NOTE FORMAT - DAP CHARTING "D" - Subjective and objective data about the client Subjective - what client can say or feel Objective - observable, behavioral by therapist Standard I ' sentence, progress on presenting problem, review of HW Description of both the content and process of the session "A" - Intervention, assessment -what's going on? Working hypotheses, gut hunches "Depression appears improved this week" "more resistant . .. less involved. .. " "P" - Response or revision What you're going to do about it Next session date-"couple will call in four weeks" Any topics to be covered in next session(s), and HW given 1/27/97 (D)Met with Sally and Joe for one hour, 4' session, V. Thomas supervised. Joe reported that he was sleeping less and able to concentrate more at work, but does not think it is due to starting Prozac two weeks ago. Both Sally and Joe report and increase in the frequency and effectiveness of their communication due to their "speaker-listener" HW. Sally stated that "Joe still doesn't seem to open up that much." Joe disagrees with Sally's assessment and feels that he is really "spilling his guts." The rest of the session focused on their differing views of openness and possible relationship to family-of-origiri issues (note: you may want to list these). During this discussion Sally interrupted Joe four times to add to his statement; after the fourth time Joe sat quietly and stated Sally could finish for him. Sally shouted at Joe that he was a quitter and after a few moments apologized. (A) Joe's symptoms of depression appear to be lessening. Couple
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This note was uploaded on 09/12/2011 for the course MHS 6803 taught by Professor Staff during the Spring '11 term at University of Central Florida.

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Progress Notes - CASE NOTE FORMAT - DAP CHARTING...

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