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Counseling Session Summary Progress SOAPNotes

This document provides guidelines for completing SOAP notes for counseling sessions. SOAP notes involve documenting the client description, subjective complaint, objective findings, assessment of progress, and plans for the next session. The client description and subjective complaint focus on information from the client's perspective, while the objective findings, assessment of progress, and plans are from the counselor's perspective and involve evaluation and conceptualization of the client.

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mohd hafeez
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1K views2 pages

Counseling Session Summary Progress SOAPNotes

This document provides guidelines for completing SOAP notes for counseling sessions. SOAP notes involve documenting the client description, subjective complaint, objective findings, assessment of progress, and plans for the next session. The client description and subjective complaint focus on information from the client's perspective, while the objective findings, assessment of progress, and plans are from the counselor's perspective and involve evaluation and conceptualization of the client.

Uploaded by

mohd hafeez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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COUNSELING SESSION SUMMARY NOTES (SOAP Notes)

Counselor: _______________________ Session Date: ________________


Time: _____

Client(s) Name: ___________________________________________________


Session #: ______

************************************************************************
Client Description:

Subjective Complaint:

Objective Findings:

Assessment of Progress:

Plans for Next Session:

Needs for Supervision:


GUIDE TO SOAP NOTES

Client Description: Manner of dress, physical appearance, illnesses,


disabilities, energy level, general self-presentation. (Only
update after first session)

Subjective Complaint: Presenting problem(s) or issue(s) from the client’s point of


view. What the client says about causes, duration, and
seriousness of issue(s). If the client has more than one
concern, rank them based on client’s perception of their
importance.

Objective Finding: Counselor’s observation of the client’s behavior during the


session. Verbal and nonverbal, including eye contact, voice
tone and volume, body posture. Especially note any
changes and when they occur (such as a client who
becomes restless in discussing a topic or whose face turns
red under certain circumstances). Note discrepancies in
behavior.

Assessment of Progress: Counselor’s view of the client, beyond what the client said
or did. Continual evaluation of client in terms of emotions,
cognitions, and behavior. Identification of themes and
patterns in what client says and does. Use of
developmental (Erikson, social learning theory) or mental
health models (DSM-IV). Include your hypotheses,
interpretations, and conceptualization of client.

Plans for Next Session: Plans for client, not for the counselor. Short and long-term
goals. How you want to interact with client; what you may
plan to respond to in next session with client (follow-up on
family issues discussed). Do you plan to help client focus
on thoughts, feelings, or behaviors? What particular
strategy or theoretical approach might you use? What do
you base your plan on?

Plans for Counselor: What reading or research do you need to do in preparation?


Practice? What help do you need from your supervisor?

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