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Clinical Psychologist
30-45 minutes

Commitment and Acceptance Therapy

This Acceptance and Commitment Therapy (ACT) template, tailored for psychologists, facilitates efficient documentation of therapy sessions. It features sections for mental state examination, client updates, and detailed observations aligned with the ACT Hexaflex model, including avoidance, cognitive fusion, and value alignment. This template empowers clinicians to monitor client progress, interventions, and outcomes, ensuring a holistic therapeutic approach. Perfect for psychologists specializing in ACT, it promotes structured documentation and optimizes therapeutic results when integrated with s10.ai, the AI medical scribe. This template is ideal for those exploring 'psychotherapy notes vs progress notes' or seeking a 'mental health clinical summary example'.

4,440 uses
4.9/5.0
D
Dr. Jordan Matthews
Template Structure

Organized sections for comprehensive clinical documentation

Mental Status Assessment: [describe how client presents to session- Appearance and behaviour (Physical appearance, manner of interaction, activity level), Speech, Affect, Thought (speed, form, content), Perception (e.g., hallucination, depersonalisation), Cognition (alertness, orientation, attention, memory, ability), Insight & Judgement] (Use as many details as needed to describe the client's mental state examination).
Client Update: [mention client life updates or recent experiences] (Include any relevant updates).
Client history: [describe any relevant history or context] (Include only if relevant to the session).
Agenda: [describe request of client to work on in session or objectives set by therapist] (Detail the focus of the session based on the client's goals or therapist's objectives).
Hexaflex Observations:
Avoidance/Acceptance: [describe any signs of avoidance of experiencing emotions or avoidant behaviour versus any signs that the client is accepting of experiencing difficult emotions] (Include observations related to emotional regulation).
Fusion/Defusion: [describe any signs that the client is inflexible in their thinking around their experiences or their emotions, signs that they are controlled or compelled to act by their feelings rather than responding thoughtfully] (Provide insights into the client's cognitive flexibility).
Self-as-content/Self-as-context: [Describe signs that the client views their emotions as inherent or as experiences that they have. Indicate whether the client shows awareness that their thoughts shape their emotional responses] (Comment on the client's perspective on their emotions and thoughts).
Values/Remoteness from values: [describe whether the client is aware of their values and whether their actions are motivated by values or by avoidance of emotions/reactivity to emotions] (Discuss the client's relationship with their values and emotional responses).
Committed action/inaction or stuck: [Describe actions taken by the client and whether these are directed by values, whether the client is inactive due to difficult emotions or acting incongruently with values] (Detail any actions or lack thereof based on values or emotional states).
Interventions: [describe discussions, metaphors, or activities completed with the therapist to address concerns] (List interventions used in the session).
Outcomes: [describe client responses to intervention] (Include feedback or reactions from the client).
Follow-up: [Follow up date and details]
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes, or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or section blank.)
Sample Clinical Note

Example of completed documentation using this template

Mental State Examination: The client arrives at the session with a tidy appearance, maintaining good eye contact and a composed demeanor. Speech is articulate and coherent, with a normal pace and volume. Affect is consistent with the speech content, displaying a full spectrum of emotions. Thought processes are logical and goal-oriented, with no signs of delusions or hallucinations. The client is alert and oriented to time, place, and person, showing good attention and memory. Insight and judgment seem intact.
Client Update: The client has recently begun a new job, which has been a positive experience, although they report some anxiety about meeting new colleagues.
Client history: The client has a history of social anxiety, which has been a focus of previous therapy sessions.
Agenda: The client aims to work on strategies to manage anxiety in social settings, particularly in the workplace.
Hexaflex Observations:
Avoidance/Acceptance: The client exhibits signs of acceptance, acknowledging their anxiety without allowing it to control their actions.
Fusion/Defusion: The client shows cognitive flexibility, understanding that their anxious thoughts do not necessarily represent reality.
Self-as-content/Self-as-context: The client recognizes that their emotions are experiences rather than inherent traits, demonstrating an understanding of how thoughts influence feelings.
Values/Remoteness from values: The client is aware of their values, such as building meaningful relationships, and is motivated by these rather than avoiding anxiety.
Committed action/inaction or stuck: The client is taking steps to engage with colleagues, aligning actions with their values despite experiencing anxiety.
Interventions: Discussed the use of mindfulness techniques and role-played social interactions to build confidence.
Outcomes: The client responded positively to the interventions, expressing increased confidence in handling social situations.
Follow-up: Next session scheduled for two weeks from today.
Clinical Benefits

Key advantages of using this template in clinical practice

  • The Mental State Examination template is an essential tool for clinicians seeking to conduct comprehensive assessments of a client's psychological and emotional well-being. This template guides healthcare professionals through a detailed evaluation of the client's appearance, behavior, speech, affect, thought processes, perception, cognition, insight, and judgment. It also includes sections for client updates, relevant history, and session agendas, ensuring a holistic view of the client's mental health status. The Hexaflex Observations section provides insights into the client's emotional regulation, cognitive flexibility, self-perception, value alignment, and action orientation, offering a nuanced understanding of their psychological state. Clinicians can document interventions and outcomes, facilitating effective treatment planning and follow-up. By adopting this template, mental health professionals can enhance their diagnostic accuracy and therapeutic outcomes, ultimately improving client care and engagement.
Frequently Asked Questions

Common questions about this template and its usage

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Commitment and Acceptance Therapy