Anxiety / Worry Depression / Low mood Trauma processing Grief / Loss Relationship conflict Work stress / Burnout Parenting / Family stress Anger / Irritability Self-esteem / Identity Life transitions Substance use Sleep difficulties OCD / Intrusive thoughts ADHD / Focus Boundary setting Suicidal ideation Safety planning Treatment planning / Goal review Progress review Medication check-in

CBT DBT skills EMDR ACT Motivational Interviewing Narrative therapy Somatic work Psychoeducation Parts work / IFS Play therapy Exposure / ERP Thought challenging Mindfulness / Grounding Crisis intervention Psychodynamic exploration Supportive counseling Coordination of care Structural family therapy Gottman method EFT (couples) Solution-focused Strength-based Reality therapy Trauma-focused CBT CPT Prolonged exposure Interpersonal therapy Behavioral activation Schema therapy Attachment-based Anger management Relapse prevention 12-step facilitation Psychopharmacology consult Case management Psychosocial assessment

Good engagement Insight demonstrated Mood improved by end Tearful / Emotional Guarded / Resistant Limited verbal response Receptive to intervention Activated / Dysregulated Motivated for change Ambivalent Denial present Progress toward goals

Thought record Mindfulness practice Journaling Between-session reading Safety plan review Behavioral activation Grounding practice Coping skills practice Communication exercise Self-monitoring log Exposure practice DBT diary card Values clarification exercise Relaxation / breathing practice Sleep hygiene plan Activity scheduling Worry time practice Anger log Substance tracking Self-compassion exercise Positive data log Assertiveness practice Grief ritual / letter writing Referred to support group Medication follow-up Referral provided No homework assigned