Individualized Substance Abuse Group Therapy Note Sample
Jenny will develop a written relapse prevention plan. NOTES AND RISK FACTORS: History of Subst. Abuse 90853 Group psychotherapy Time spent face to face with patient and/or family and coordination of care: 60 min Sessi on start: 10:00 AM Session end: 11:00 AM John Jones, LCSW Electronically Signed By: John Jones, LCSW
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Mental Status Exam Checklist - ICANotes
www.icanotes.comPerception Is your client experiencing: No hallucinations Auditory hallucinations Visual hallucinations Tactile hallucinations Derealization Depersonalization Olfactory hallucinations Illusions 5. Thought and Perception Thought Process Would you describe your client's thought process as: Suicidal ideation Homicidal ideation Distortions
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www.icanotes.comNote: This Progress Note was created in ICANotes in 2 minutes. Only two sentences were typed, those highlighted in yellow. The rest of the content was generated by clicking buttons to generate personalized narrative text.
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www.icanotes.comThe following pattern of use is described: *Alcohol is often taken in larger amounts or over a longer period than was intended. *There is a persistent desire or unsuccessful efforts to cut down or control alcohol use. *A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
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