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Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review. Progress ...
Mindfulness-based stress reduction is an eight-week program that helps train people to help with their stress, anxiety, depression, and pain. It was developed by Jon Kabat-Zinn in the 1970s. The program uses a combination of mindfulness meditation, body awareness, yoga, and exploration of patterns of behavior, thinking, feeling, and action. One ...
The BAI can be described as a measure of "prolonged state anxiety", which, in a clinical setting, is an important assessment. A version of the BAI, the Beck Anxiety Inventory-Trait (BAIT), was developed in 2008 to assess trait anxiety rather than immediate or prolonged state anxiety, much like the STAI.
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
The My Mood Monitor Screen (aka M3 Checklist) is a quick, validated, self-rated, multi-dimensional mental health symptom checklist that screens for and monitors changes in potential mood and anxiety symptoms.
In children or adolescents, CBT is an effective part of treatment plans for anxiety disorders, [64] body dysmorphic disorder, [65] depression and suicidality, [66] eating disorders [7] and obesity, [67] obsessive–compulsive disorder (OCD), [68] and post-traumatic stress disorder (PTSD), [69] tic disorders, trichotillomania, and other ...
As many treatments will incorporate several goals, GAS can be used to track multiple goals. The goals can be prioritized and differentially weighted to reflect treatment objectives. This goal-oriented measurement tool creates specific operational indicators of progress and can focus case planning and treatment. This often results in better ...
This framework became widely used in both medical and mental health settings, offering a structured yet flexible approach to documentation that supported clinical reasoning and treatment planning. [64] [65] Progress notes also gained prominence in mental health, tracking clients’ clinical status and treatment progress across sessions.
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