Address the following in a progress note (without violating hipaa
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals) Modification(s) of the treatment plan that were made based on progress/lack of progress Clinical impressions regarding diagnosis and/or symptoms Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.) Safety issues Clinical emergencies/actions taken Medications used […]