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Old Mar 03, 2007, 12:35 AM
Hopefull Hopefull is offline
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Member Since: Nov 2005
Posts: 732
My T takes notes. She seems to be vague at times. She has read one of her progress notes to me and stated that she was writing that I shared my performance review from work with her in a different session.
Last session she seemed to write more than usual and annoyed me a bit because she wouldn't look at me for a bit. I couldn't figure out what the heck she felt was important enough to write down.
As for me, I have not mastered how to write progress notes yet. My school prefers the DAP methods. D stands for describe. I would describe what we talked about in a few sentences. A stands for assess. I might talk about any observations that I made and any thoughts that I have of interest. Then, P stands for plan. This would probably be where I might mention a homework assignment. But, I have only just begun to try to learn how to write progress notes. I suspect that they are rather short and somewhat vague (I hope because my insurance company demanded them for three of my sessions due to T's failure to pre-certify). I tend to think that they are memory aids, proofs that a session to took place, a way to protect self in case of possible suicidality or homicidality. I'll say one thing, talking about a thought of sucide can really get a T writing. My former T really wrote for a while during that session. I would small talk while she wrote. But, one must correctly assess whether or not the person is at risk for commiting suicide. So, it must be documented!
As for dreams, I mentioned that I tend to remember dreams. My T got rather curious and ask me about any re-occuring dreams. I shared some nude dreams (I worry at work about what everyone thinks of me). She interpreted it and then I told her my interpretation. I can interpret my own dreams. Thank you very much, T.