Explain why the items you included in the privileged note would not be included in the client family’s progress note.

Progress Note: Client family was seen for their fourth therapy session. The treatment modality used is cognitive-behavioral therapy and it appears to be an effective approach for helping the family understand and address their issues. Progress has been made toward the mutually agreed upon client goals, as outlined in the treatment plan, but there have been some modifications made due to lack of progress in certain areas. Clinical impressions show that the client family is making strides towards understanding each other’s perspectives and starting to empathize with one another’s views on various topics discussed during sessions. Relevant psychosocial information or changes since original assessment include a move to a new house/apartment, change of job by both parents, additional stressors related to schooling during pandemic times affecting motivations levels. Also no safety issues reported at this time. Treatment compliance has been good by all members of the family since initial sessions started so no clinical emergencies or actions taken necessary thus far No medications are being used by any member of this client family; however consultation with physician had occurred prior start of sessions Referral recommended to transition into couples counseling on completion individual therapy discussions continuing educational resources dealing parenting skills currently use utilize outside help supplementing existing home efforts . Consent granted treatments provided informed consent process followed Patient accepted recommendation termination planning initiated if insurance coverage lapse occur parties informed . No signs evidence abuse reported . Record reflects therapist exercised sound clinical judgment throughout entire course discussions between members agenda items addressed satisfaction level affected parties report acceptance general satisfaction regarding effect services delivered .

Privileged Note: Privileged note includes observations about dynamics between patient’s interactions as well any potential aspects personalities influencing discussing environment such subtle hints body language aiding understanding behavior perceived tactics used bring out latent feelings emotions unexpressed themes However details revealed particular conversations not viewable public documentation given trust factor necessarily involved allow person felt safe share further therefore contents privileged notes remain private domain only practitioner access activities seeking protect delicate nature often corresponding material conversation events Furthermore confidential exchange ideas needed permit consideration diverse ranges options order formulate action plans Additionally privileged notes serve protected document informative dialogue allows clinicians proper mental stimulation stay engaged continue improving professional level My preceptor does use privileged notes when appropriate allowing us gain insight into our work better comprehend clients’ mannerisms reactions interactions together relation larger picture community working within Certain situations require thoughtful critical contemplation order make decisions honor Serve Clients best interests sake searching uncover inner motives generally omitted regular records Think beyond context actively designing strategies empower individuals better themselves thus find viable solutions foreseeable obstacles life may present