Using treatment plan for a reference, write a clinical progress note using progress, intervention, response, plan method. Write each section in paragraph form.  Josh discussed things going pretty good and saying he has not been fighting with his girlfriend or his mother as much. Reduce anxiety as evidenced by a decrease in GAD-7 score from 18 to 12 in 6 months.
Implementation
12/03/2024
Target
06/03/2025
 	Objective	Dates
	A
 	
Josh will practice at least two relaxation techniques (such as deep breathing, progressive muscle relaxation, or mindfulness meditation) for a minimum of 10 minutes each, three times per week for the next month to help manage anxiety symptoms. 
Start
12/03/2024
Target
06/03/2025
 	Intervention	Modality
	A
 	
osh will participate in therapy sessions focusing on cognitive-behavioral therapy (CBT) to identify and challenge negative thought patterns contributing to his anxiety. These sessions will also include skills training for coping strategies that he can implement in his daily life. 
CBT
	B
 	
Josh will create a weekly activity planner that includes time slots specifically dedicated to self-care activities, such as exercise, engaging in hobbies, or spending time with supportive friends or family. This structured approach aims to provide him with a sense of routine and purpose, which can alleviate anxiety levels. 
Individual Therapy
	2
 	
Reduce depression as evidenced by a decrease in PHQ-9 score of 22 to 15 in 6 months.
Implementation
12/03/2024
Target
06/03/2025
 	Objective	Dates
	A
 	
Josh will engage in at least three self-care activities per week for the next month to promote emotional well-being and establish healthier coping mechanisms.
Start
12/03/2024
Target
06/03/2025
 	Intervention	Modality
	A
 	
Josh will attend weekly therapy sessions with a therapist to work on cognitive-behavioral strategies for managing depressive symptoms. During these sessions, he will focus on identifying negative thought patterns and developing healthier coping skills. 
CBT
	B
 	
Josh will create a weekly schedule that includes designated times for self-care activities, such as physical exercise, mindfulness practices, or social interactions with supportive friends or family. This planning will help him stay accountable and encourage consistent engagement in activities that can improve his mood. 
 
	3
 	
To reduce instances of angry outbursts by 50%, down to 5 per week, over the next three months as measured by self-report and journaling, tracking the frequency of anger episodes and using alternative coping strategies. 
Implementation
12/03/2024
Target
06/03/2025
 	Objective	Dates
	A
 	
Josh will use an anger management strategy (such as deep breathing, counting to ten, or taking a break) during at least 75% of situations that trigger his anger for the next three months, as documented in his anger journal. 
Start
12/03/2024
Target
06/03/2025
 	Intervention	Modality
	A
 	
Josh will participate in bi-weekly therapy sessions focused on recognizing triggers for his anger and developing cognitive restructuring techniques. He will learn to identify and challenge irrational thoughts that contribute to his emotional responses, enabling him to respond more calmly when he feels anger rising. 
CBT
	B
 	
Josh will engage in skills training sessions to practice specific anger management techniques, including role-playing scenarios where he can rehearse appropriate responses to anger triggers. He will develop a personalized toolbox of coping strategies that he can implement in real-life situations, such as using "I" statements or practicing mindfulness techniques to reduce immediate anger responses.