Free Initial Treatment Plan Template
Initial Treatment Plan
|
Prepared by: |
[YOUR NAME] |
|
Date: |
[DATE] |
I. Client Information
Name: Jane Doe
DOB: January 1, 2025
Contact Information: janedoe@example.com
II. Diagnosis
Primary Diagnosis: Generalized Anxiety Disorder (F41.1)
III. Treatment Goals
-
Reduce frequency and intensity of anxiety episodes
-
Improve coping mechanisms for anxiety triggers
-
Enhance overall daily functioning and quality of life
IV. Objectives and Interventions
|
Objective |
Intervention |
Frequency |
|---|---|---|
|
Teach relaxation techniques |
Guide sessions on deep breathing and meditation |
Weekly |
|
Identify anxiety triggers |
Conduct cognitive behavioral therapy (CBT) sessions |
Bi-weekly |
|
Develop coping strategies |
Work on personalized action plans to handle anxiety |
Monthly |
V. Progress Evaluation
Progress will be evaluated every three months to measure the effectiveness of the interventions and adjust the treatment plan as necessary.
VI. Follow-Up Schedule
|
Visit Type |
Scheduled Date |
Purpose |
|---|---|---|
|
Initial Follow-Up |
October 15, 2050 |
Review progress and adjust treatment plan |
|
Second Follow-Up |
January 15, 2051 |
Evaluate effectiveness of new strategies |
|
Quarterly Review |
April 15, 2051 |
Ongoing assessment of overall progress |
VII. Provider Information
Treatment provided by: Dr. John Smith, LPC
