A complete collection of 10 sample essays on psychological consultation record form

The following 10 record sheets cover 3 major counseling genres and 8 types of high-frequency counseling scenarios. They are practical versions that I have iterated after 3 years of front-line psychological counseling and following up on 127 visitors. There are no empty clichés. All items are content that can be really used in counseling. Novice counselors can use it by simply replacing the header information. Senior practitioners can also adjust it according to their own counseling habits.

To be honest, last week I met a junior student who had just entered the industry to complain to me, saying that the general templates found online were too useless, that the automatic thinking notes for CBT visits were not enough, and that the records for long-distance intensive care visits were full of useless blank columns, and filling out the form every time was like doing an irrelevant homework. In fact, the recording logic of different genres is inherently different, and rigidly applying a unified template will only disrupt the rhythm of consultation. This is also my original intention of creating these adapted versions of the forms.

1. CBT genre initial consultation reception record form (general adult emotional version)

Contents of the table: Basic information (name/age/time of consultation/number of times) | Brief description of the main complaint | Current mood score (0-10 points) | Sorting out the triggering events | Automatic thought capture column | Initial assumptions of core beliefs | Next consultation plan | Remarks

Practical thoughts: When I use it myself, I deliberately leave the "automatic thought capture column" twice as wide as the other columns. Many visitors cannot express their emotions face to face for the first time, but writing them down can dig out the unspoken details. Last month, an Internet operator came to visit me. He wrote, "When the leader said my plan was not good, my mind went blank," followed by a crooked sentence, "It's like when my dad tore up my award certificate when I was a child." This directly dug into the core childhood trigger point, saving at least two consultations.

2. Record form of long-term consultation process of psychoanalytic school

Contents of the table: basic information | core issues of this consultation | core content of free association | transference/countertransference observation | clues to unconscious conflicts (slips of the tongue/dreams/abnormal silence records) | review and reflection | direction for next consultation

Practical thoughts: You really don’t need to fill this form completely. Sometimes when visitors are silent for a long time, or suddenly say something without beginning or end, I just jot it down in the blank space without forcing logic. There was a long-term visitor who mentioned "the plane tree at the entrance of the elementary school" three times in a row. I didn't take it seriously at the time. After looking through the previous records two months later, I realized that it was a clue to the location where he was bullied on campus. It was 10 times more useful than the "core conflict" I had imagined at the time.

3. Short-term consultation record form of the humanistic school (self-growth orientation)

Contents of the table: Basic information | Core of self-expression for this visit | Resource mining for the visit (highlight moments/personal strengths) | Self-awareness points for the visit | Follow-up support directions

Practical thoughts: I never fill in the "problem assessment" related content in this form. Human nature does not advocate labeling visitors. I usually only remember small highlights such as "I finally dared to refuse my colleague's unreasonable request this week." If I mention this during the next consultation, I will be particularly motivated. There was controversy when talking with colleagues before. Some CBT-oriented counselors felt that this method did not have a clear problem anchor and was too inefficient. However, I have used it myself and found that this recording method makes it easier for them to put down their guard when visiting people who want to explore themselves.

4. Consultation record form for emotional problems of children under 14 years old (joint parent version)

Contents of the form: Basic information | [Children’s privacy file] Core content of communication with children/Children’s emotional expressions | [Parent communication file] Contents that need to be fed back to parents/Family adjustment suggestions | Arrangements for next consultation

Practical thoughts: The two positions of this watch must be locked separately, and little secrets told by children must not be disclosed to parents casually. I once had a colleague who was new to the industry and wrote the child's "I hate my mother's reading of my diary" into the feedback to the parents, which almost directly led to the breakdown of the counseling relationship. It is best to confirm with the child in advance whether the content of the feedback to the parents can be shared, so as not to be troublesome.

5. PTSD Trauma Intervention Record Form (EMDR Adapted Version)

Table content: Basic information | Traumatic event sorting | Positive and negative cognitive assessment | Pre-intervention emotional/physical reaction score | Intervention process record | Post-intervention emotional/physical reaction score | Follow-up intervention plan

Practical thoughts: I will not force the visitor to drop the score here to 0. I have discussed it with some colleagues who specialize in CBT before. They believe that the goal is to reduce the trauma-related emotional score to 0, but I prefer to prioritize the subjective feelings of the visitor - some traumas do not need to be "completely eliminated". It is enough that it does not affect normal life. There is no need to put additional pressure on the visitor just because of the numbers on the form.

6. Intimate Relationship Partner Counseling Record Form

Contents of the form: Basic information | Core demands of both parties | Core analysis of this conflict | Record of consensus points between both parties | Commonly agreed homework | Direction for next consultation

Practical thoughts: I usually write down the man’s speech in blue and the woman’s speech in black to avoid confusion later in the review. Also, be sure to pay attention to the proportion of speeches made by both parties, and don’t listen to partial beliefs. Last time I met a couple, the man was talking all the time. When I remembered, I marked "The man spoke 80% of the time, and the woman stopped talking many times." Next time during the consultation, I will set aside time for the woman to express herself first to avoid a lack of information.

7. Special consultation record form for workplace stress management

Contents of the table: Basic information | Sorting out core stressors | Inventory of existing coping methods | Sorting out personal/external resources | List of small actions that can be implemented | Feedback points for next time

Practical thoughts: Most workplace visitors have a strong sense of purpose, and empty emotional counseling is not as effective as a small action that can be implemented immediately. I usually only list 1-2 things in my action list that I can do this week, such as "try to refuse a job that is not yours" and "write a summary of the day 10 minutes before leaving get off work to avoid overtime anxiety." The feedback is particularly good.

8. Bereavement Counseling Record Form

Contents of the form: Basic information | Initial assessment of the grief stage | Core emotional expression of the visitor | Contents of this supportive feedback | Follow-up intervention plan

Practical thoughts: I never fill in this form during consultation, I always fill it out after the consultation is over. When you were crying to the point of trembling during the visit, you lowered your head and wrote something. You were really indifferent. Empathy is always more important than filling out a form. Don’t put the cart before the horse. Sometimes I even write in the notes, "I brought the sweet-scented osmanthus cake made by my mother when I visited today. I said that I used to eat it with my grandma every Mid-Autumn Festival." These details are much more useful than "a mood score of 7".

9. Special consultation record form for teenagers who are tired of studying

Contents of the table: Basic information | Duration of study weariness/occurrence point | Sorting out the triggers at the family/school/individual level | Internal demands of the visit | Home-school collaboration plan | Next consultation plan

Practical thoughts: Don’t believe what parents say, “Children are just lazy and don’t want to go to school.” 80% of students who are tired of studying have reasons at the school level. I specially added the sub-item of “school relations/teacher evaluation”. Several times, I have relied on this to find out the core causes of school bullying and being publicly humiliated by teachers. Otherwise, it is useless to talk to parents about “the child’s learning attitude”.

10. Consultation conclusion summary record form (universal version for all schools)

Contents of the form: Basic information | Total consultation time | [Visit self-evaluation] Core changes/gains | [Consultant evaluation] Completion of consulting goals | Description of unfinished issues | Follow-up self-support suggestions | Visitor signature/consultant signature

Practical thoughts: I have used this watch for almost two years without changing it. It is very practical. It should be noted that the client's self-evaluation is always more important than the consultant's evaluation. I have encountered several consultations that I thought were "averagely effective." The client felt that he had gained a lot, and even said, "I still remember a certain sentence you said at that time." Don't use your own standards to describe the client's feelings.

Finally, I would like to say that all recording forms are tools, not shackles. When I first entered the industry, I was always worried that the forms were not filled out in a standardized manner. Later, I discovered that the most important thing is whether you really heard what the visitor was saying, rather than whether the form was written beautifully or not. When you really don't know what to fill in, even if you write in the remarks, "I wore a bright yellow sweatshirt when I came to visit today, I smiled when I walked in, and my condition is better than last time," it is better than just following a template and writing a bunch of useless clichés.