Group CBT Session Note

Date of Service: [Date]

Session Time: [Start time – End time] (Include time zone if required.)

Modality: [in-person / telehealth]

Group/Program: [Group or program name]

Session Number: [Week X of Y / Not applicable]

Facilitator(s): [Facilitator name(s), credentials]

Attendance: [Present / Late / Left early / No-show] (If partial attendance, include minutes present and arrival/departure times.)

Group Size: [Number of participants present]

Group Session Content

• Theme/Agenda: [Session theme or agenda topic]
• CBT Skill(s): [Skill(s) taught or practiced]
• Materials: [Handouts, worksheets, or tools used] (Omit if none.)
• Therapist Interventions: [Key group-level interventions and exercises]

(Do not include other group members' identifying information or detailed personal disclosures. This is a progress note, not psychotherapy/process notes.)

Patient Participation & Response

[Patient-specific engagement and clinical response in 3–5 sentences] (Describe observable participation level, engagement with skill content, and barriers observed. Note whether prior homework was attempted and key learnings. Include brief symptom or function update tied to treatment goals. Avoid generic statements; do not reference other group members by name.)

Risk/Safety Assessment

• Suicidal ideation: [Denied / Endorsed / Not assessed]
• Homicidal ideation: [Denied / Endorsed / Not assessed]
• Self-harm urges: [Denied / Endorsed / Not assessed]

(If any item endorsed: document ideation characteristics, plan/intent/means, protective factors, risk level with rationale, and interventions taken. If not assessed: document reason and when it will be addressed. Never infer negative screening without explicit documentation.)

Assessment

[Clinical impression linking session to treatment goals] (2–4 sentences: progress toward goals as [improving / stable / worsening], response to CBT interventions, and whether group level of care remains appropriate. Ground in observable behavior.)

Plan

• Homework: [Specific between-session practice with frequency if applicable] (If none assigned, document rationale and alternative.)
• Next Session: [Planned topic and any patient-specific focus]
• Care Coordination: [Coordination completed or needed] (Omit if none.)

Clinician Signature: [Name, credentials] — [Date/time signed]