Free CBT Therapy Note Template
Therapy Note
Record Date and Client ID
The therapy session was conducted on June 10, 2050. The client is Carlos Martinez, identified by the client ID: CM5001.
CBT Methods Utilized
During the session, several techniques of CBT were employed. Primarily, the focus was on cognitive restructuring. Martinez was encouraged to challenge his negative thought patterns and self-dialogue to develop more rational, positive, and constructive notions.
We also concentrated on mindfulness-based cognitive therapy, which has helped Carlos to shift his focus from negative thoughts to the present moment, providing a greater sense of calm and control.
Discussed Issues
The primary issues discussed during the Hospital Therapy session were related to Carlos' heightened levels of anxiety and the anticipatory stress related to recent medical diagnoses. He revealed difficulties in prioritizing tasks at work and managing relationships due to his distracted mental state.
Mood Assessment
Mr. Martinez presented a distressed mood at the beginning of the session but gradually opened up. As the therapy advanced, the client showed significant signs of mood stabilization and expressed feelings of relief from sharing his concerns.
Therapy Progress
Carlos has shown progress in acknowledging his negative self-dialogue and has demonstrated an improvement in his ability to reroute negative thinking. The consistent engagement in daily mindfulness activities he was encouraged to practice has shown promising results in his coping abilities. However, more work remains to manage his anxiety effectively.
Future CBT Strategies
In future sessions, we will continue focusing on strengthening Carlos's cognitive restructuring skills and practicing mindfulness. Exposure therapy techniques will also be introduced. This approach will help Carlos to face his fears gradually and reduce his anxiety responses.
Confidentiality and Ethics
This document and the information contained within it are confidential, following standards ethical practice in the therapy profession. Information will only be disclosed with Carlos's knowledge and explicit consent.
