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CCPT Progress Note Example

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69 views2 pages

CCPT Progress Note Example

Uploaded by

amanda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Child-Centered Play Therapy Session Clinical Notes

Client name __________________________________________ Date _______________________ Time of session ____________


Counselor ____________________________________________ Session no. ______________ Length of session ____________
Transitioned into session
, enthusiastically , wearily , anxiously , irritably , tentatively , excitedly
, boastfully , begrudgingly , calmly , inquisitively , merrily , _____________
as evidenced by ________________________________________________________________________________________________
Toys used
, action heroes/soldiers , cars/trucks , a nimals: domestic, zoo, dinosaurs,
___________________________________
, bop bag/egg cartons/socker bopper , dress-ups/masks , water
, baby dolls/bottle , telephone , camera
, dollhouse/small figures , guns/handcuffs/rope , puppets
, crayons/markers/whiteboard/paint , swords/noodles/shields , kitchen/dishes/food
, sand/miniatures , doctor kit , money/cash register
, blocks/Legos , basketball/hoop/balls , ___________________________________
Themes
, helpless/inadequacy , loneliness , aggression/revenge
, confusion , self-esteem/self-worth , fears/anxiety
, safety/security/protection , good versus evil , nurturing/self-care/healing
, anger/sadness , death/loss/grieving , trust/betrayal

, _________________________________ , ________________________
Subjective feelings expressed
HAPPY: relieved, satisfied, pleased, delighted, excited, surprised, silly, _______________________________________
SAD: disappointed, hopeless, pessimistic, discouraged, lonely, _______________________________________________
ANGRY: impatient, annoyed, frustrated, mad, mean, jealous, _________________________________________________

AFRAID: vulnerable, helpless, distrustful, ____________________________________________________________________


Session narrative
Include subjective feelings and themes, significant verbalizations, “firsts,” additive or cycling play, descrip-
tion of role, or other content.
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

From Child-Centered Play Therapy Workbook, © 2014 by J. A. Mullen and J. M. Rickli, 133
Champaign, IL: Research Press (www.researchpress.com, 800-519-2707).
Prosocial behaviors displayed
, manners , care taking , self-control
, sharing , respect , picking up
, empathy , mutuality , apologizing
, problem solving , ________________________ , ________________
Limits set and response of the child
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

Transitioned out of session


, enthusiastically , wearily , anxiously , irritably , tentatively , excitedly
, boastfully , begrudgingly , calmly , inquisitively , merrily , _____________
as evidenced by ________________________________________________________________________________________________
Reminders/other notes
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________

134 Child-Centered Play Therapy Session Clinical Notes (page 2 of 2)

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