Headings
Session information · Participants · Presenting concerns · Relationship dynamics · Interventions used · Response · Risk · Plan
When to use it
Use it when two partners attend together and the relationship is the client. It records each partner’s view, the patterns between them, and a risk check that screens for intimate partner violence and coercion as well as self-harm. It differs from a family note by focusing on one dyad and how the two interact.
Example
Fictional example
Session information
Conjoint session 4, 60 minutes, in office.
Participants
L.B., 34, and S.B., 36, married six years, first child born in January.
Presenting concerns
Frequent arguments about night feedings and household tasks. L.B. feels unseen. S.B. feels criticized.
Relationship dynamics
Pursue and withdraw cycle. L.B. raises complaints sharply, S.B. goes quiet and leaves the room.
Interventions used
Mapped the cycle on the whiteboard. Guided each partner to name the softer feeling under the complaint.
Response
S.B. said he withdraws because he fears failing her. L.B. became tearful and reached for his hand.
Plan
Weekly sessions. Each partner writes out the night schedule they want and brings it next week.