![]() She spoke 1-2 times and didn’t offer information about her personal life. Individual participant’s behavior: Jane was subdued during the session. Assisted with setting boundaries and identifying healthy coping mechanisms. Led conversation away from triggering topics. Interventions by group leader: Facilitated group discussion and ensured all group members had the opportunity to speak. They spoke about their cravings and then discussed different coping mechanisms to prevent relapsing. Group participants were first asked to share any recent changes in their lives. Group topic: The session was concerned with maintaining sobriety and drug use. Here is an example of an individualized group therapy progress note: Plan: Jane is to continue with her current medication dosage. Compliance with medication is improving anxiety symptoms. She is seeking practical ways to reduce her feelings of anxiety and applies these to her personal life. Her affect has improved since her last session and she shows increased attentiveness and engagement.Īssessment: Jane is responding well to treatment. Jane has actively included stress relieving methods into her daily life. Objective: Jane shows reduced anxiety and mild depressive symptoms. Jane reports being compliant with her medication and has been practicing replacing negative self-talk with positive self-talk. She has been sleeping 7-8 hours per night and has been exercising 1-2 times during the week. Subjective: Jane stated that she is “feeling better”. Here is an example of an individual progress note, written using the SOAP format: Where an individual note will focus on the specific client’s behaviors and responses during the session, a group note will also include information regarding the purpose of the session, the group leader’s interventions and some comments about each participant’s behaviors and responses. Essentially, all progress notes should include information regarding the patient/s current health condition and relevant details from the specific session. ![]() While the general purpose of group and individual therapy notes is the same, their layout and content differs in certain ways. Examples of individual and group therapy notes ![]()
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