Session Note Template:
The Acceptance and Commitment Therapy (ACT) template produces a progress note for a therapy session recorded on or uploaded to NovoNote.
It focuses on the six core processes of ACT and is attuned to its core principles. It includes an overview of the client’s presentation and concepts such as acceptance, values and committed action.
Template Structure
Example Output
Template Structure
Client Presentation and Context
- Summarise presenting concerns, changes in symptoms or mood, relevant life events, values or goals, and reflections on progress or homework.
- Cognitive Fusion: Thoughts the client is entangled with.
- Experiential Avoidance: Attempts to suppress or avoid inner experiences.
- Unworkable Action: Behaviours moving the client away from values.
- Acceptance: Work on willingness to experience thoughts and feelings.
- Cognitive Defusion: Techniques to help the client observe thoughts without getting caught up in them.
- Contact With The Present Moment: Mindfulness or grounding exercises.
- Self-as-Context: Fostering a broader sense of self beyond experiences.
- Values: Clarifying core values and exploring valued living.
- Committed Action: Steps toward meaningful, values-based goals.
- Brief summary of interventions used, their purpose, and how they were tailored to the client.
- Record reactions, insights, emotional responses, rapport, and any evidence of psychological flexibility.
- Describe client’s progress and any barriers encountered, including how challenges were addressed.
- Outline any agreed tasks, experiments, or mindfulness practices between sessions.
- Clinician reflections, any changes to the treatment plan, and focus for the next session.
Example Output
Client Presentation and Context:
The client discussed ongoing struggles with workplace stress and anxiety. They reported an increase in self-doubt but noted improved communication with their manager after practicing assertiveness. Reflections on previous homework showed increased willingness to stay present during difficult conversations, aligning with their value of authenticity.
ACT Conceptualisation of Problems:
- Cognitive Fusion: The client described the thought, “I’m not good enough,” as an unquestionable truth.
- Experiential Avoidance: They reported frequently avoiding difficult conversations by taking sick days.
- Unworkable Action: The client noted withdrawing from valued activities, such as team projects, due to fear of criticism.
- Acceptance: Explored willingness to experience anxiety in work settings rather than avoiding it.
- Cognitive Defusion: Practiced the “Leaves on a Stream” exercise to observe anxious thoughts without attachment.
- Contact With The Present Moment: Completed a brief mindfulness exercise to ground attention during emotional distress.
- Self-as-Context: Introduced the idea that thoughts are passing events, not defining truths.
- Values: Clarified the client’s value of growth and contribution in the workplace.
- Committed Action: Identified specific actions, such as participating in the next team meeting, that align with these values.
- Cognitive Fusion: The client described the thought, “I’m not good enough,” as an unquestionable truth.
- Experiential Avoidance: They reported frequently avoiding difficult conversations by taking sick days.
- Unworkable Action: The client noted withdrawing from valued activities, such as team projects, due to fear of criticism.
- Acceptance: Explored willingness to experience anxiety in work settings rather than avoiding it.
- Cognitive Defusion: Practiced the “Leaves on a Stream” exercise to observe anxious thoughts without attachment.
- Contact With The Present Moment: Completed a brief mindfulness exercise to ground attention during emotional distress.
- Self-as-Context: Introduced the idea that thoughts are passing events, not defining truths.
- Values: Clarified the client’s value of growth and contribution in the workplace.
- Committed Action: Identified specific actions, such as participating in the next team meeting, that align with these values.
- Template Type
- Session Note
- Note Dictation
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