Headings
Agenda · Mood check · Homework review · Session focus · Cognitive and behavioral interventions · Client response · New homework · Plan
When to use it
Use it for structured cognitive behavioral therapy that follows the classic session shape: agenda, mood check, homework review, skill work, new homework. It keeps homework continuity visible from week to week, which a general DAP or SOAP note tends to lose. It suits anxiety and depression protocols where specific thoughts and experiments are tracked.
Example
Fictional example
Agenda
Review symptom-checking log. Work on catastrophic thoughts about headaches.
Mood check
K.S., 40, ICU nurse. Anxiety 6 out of 10, down from 8. GAD-7 is 11.
Homework review
Logged body checks on 5 of 7 days. Checked blood pressure 12 times on her worst day.
Cognitive and behavioral interventions
Thought record on “this headache means a brain tumor.” Estimated probability before and after reviewing evidence. Planned a behavioral experiment to delay checking by 30 minutes.
Client response
Belief in the thought dropped from 70 to 30 percent. Noticed that checking briefly lowered anxiety, then raised it.
New homework
Delay each urge to check by 30 minutes. Record anxiety before and after.
Plan
Weekly. Next session: reduce reassurance seeking from her partner.