Using treatment plan for a reference, write a clinical progress note using progress, intervention, response, plan method. Write each section in paragraph form.  Katie-discussed being in a place of darkness and wondering if she should go inpatient.  She stated she is safe and is not having thoughts of self harm but is exhausted, has a bad relationship with her mother, and wants a recharge.  Is feeling really down because of the holidays. Within six months, Katie will effectively process and cope with her grief, as evidenced by a 50% reduction in the frequency and intensity of reported distressing emotions
Implementation
12/27/2024
Target
06/11/2025
 	Objective	Dates
	A
 	
The client will reduce the frequency and intensity of overwhelming grief-related emotions (such as sadness, anger, and hopelessness) from a daily basis to no more than twice a week, as measured by self-reported mood tracking and the Grief Experience Inventory, within six months. 
Start
12/27/2024
Target
06/11/2025
 	Intervention	Modality
	A
 	
Clinician will utilize CBT techniques to help the client identify and challenge negative thought patterns related to their loss. This will include helping the client reframe irrational thoughts, develop healthier perspectives, and practice self-compassion. 
CBT
	B
 	
The therapist will guide the client through expressive writing exercises aimed at exploring and expressing their emotions related to the loss. This may include letter writing to the deceased or journaling about their feelings and memories. 
Individual Therapy
	2
 	
Katie will reduce her symptoms of post-traumatic stress disorder (PTSD) as evidenced by a decrease in her PTSD Checklist for DSM-5 (PCL-5) score within the next 6 months
Implementation
12/27/2024
Target
06/11/2025
 	Objective	Dates
	A
 	
Katie will develop and utilize three coping strategies to manage flashbacks or intrusive thoughts within the next 3 months, as reported in her therapy sessions.
Start
12/27/2024
Target
06/11/2025
 	Intervention	Modality
	A
 	
Clinician will teach and Katie will learn and practice various grounding techniques, such as the 5-4-3-2-1 method (identifying five things she can see, four things she can touch, three things she can hear, two things she can smell, and one thing she can taste) during therapy sessions and as homework. 
Individual Therapy
	B
 	
Clinician will help Katie identify common triggers for her flashbacks and intrusive thoughts. Together, they will develop and practice cognitive restructuring techniques to address these triggers.
Individual Therapy
	3
 	
Katie will reduce her depressive symptoms, as evidenced by a decrease in her Patient Health Questionnaire (PHQ-9) score from 18 to 10 within the next 4 months.
Implementation
12/27/2024
Target
06/11/2025
 	Objective	Dates
	A
 	
Katie will engage in daily physical activity for at least 30 minutes, 5 days per week, to improve her mood and energy levels within the next 2 months, as tracked by her activity log.
Start
12/27/2024
Target
06/11/2025
 	Intervention	Modality
	A
 	
Katie will work with her clinician to identify and schedule pleasurable and meaningful activities that she can engage in daily. This might include hobbies, social activities, or exercise. Katie will keep an activity log to track her participation and reflect on her mood changes after these activities. 
Individual Therapy
	B
 	
Clinician will teach mindfulness meditation, body scanning, and mindful movement exercises. Katie will also practice mindfulness techniques to stay present and reduce rumination.
 
	C
 	
Clinician will refer to TMS
Individual Therapy
	4
 	
Katie will reduce her anxiety symptoms, as evidenced by a decrease in her Generalized Anxiety Disorder (GAD-7) score from 15 to 8 within the next 6 months.
Implementation
12/27/2024
Target
06/11/2025
 	Objective	Dates
	A
 	
Katie will practice relaxation techniques for at least 15 minutes daily, and will use these techniques to manage acute anxiety episodes, as reported in her weekly therapy sessions over the next 2 months. 
Start
12/27/2024
Target
06/11/2025
 	Intervention	Modality
	A
 	
Teach mindful breathing and other breathing techniques
Individual Therapy
	B
 	
Teach progressive muscle relaxation techniques
 
	5
 	
Improve focus and time management skills in daily tasks and responsibilities within six months per self report
Implementation
12/27/2024
Target
06/11/2025
 	Objective	Dates
	A
 	
Katie will consistently use a time management system
Start
12/27/2024
Target
06/11/2025
 	Intervention	Modality
	A
 	
The therapist will work with Katie to identify and restructure any maladaptive thoughts related to time management and focus. This can include setting realistic goals, breaking tasks into smaller, manageable steps, and developing problem-solving skills. 
Individual Therapy
	B
 	
Introduce and train Katie in the use of organizational tools such as planners, calendars, and digital apps. Emphasize techniques like the Pomodoro Technique (working in focused bursts with regular breaks) and prioritization of tasks.