Group Hypnotherapy Session Note

Date: [Date]

Start Time: [Start time]

End Time: [End time]

Duration: [Duration in minutes]

Service Type: Group Hypnotherapy

Setting: [Setting]

Modality: [in-person / telehealth]

Location: [Location]

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

Group Name/Program: [Group name or program]

Session Number: [Session number]

Primary Clinical Focus: [Primary clinical focus]

Group Session Documentation

(This section contains shared content identical across all participants' charts. Do not include participant names or uniquely identifying information.)

Longitudinal Purpose and Session Objectives: [Group's longitudinal purpose and today's session theme/objectives]

Attendance Summary: [Scheduled: #] [Present: #] [Late arrivals: #] [Early departures: #]

Safety Considerations: [Pre-session safety check completed: yes / no] [Environmental factors, if any] [Adverse events or incidents with response actions taken, or explicitly state no safety concerns or adverse reactions occurred]

Interventions Delivered: [Induction method, imagery/deepening approach, therapeutic suggestions, and any adjunctive techniques used]

Overall Engagement and Response: [General themes in engagement, receptivity, and tolerance across the group] (Describe without identifying individuals.)

Plan for Next Session and Home Practice: [Next session topic and general home practice expectations]

Participant Addendum

(This section is individualized for each patient. If required information is not available, document "Not documented" rather than leaving blank.)

Attendance and Participation: [Attendance status: present / late / left early / partial] [Participation level: active / appropriate / limited / minimal] (Include brief behavioral anchors.)

Subjective Report: [Symptom check-in and response to prior home practice] (If not obtained, write: "Not elicited in group format.")

Objective Observations: [Affect, attention, and behavioral/physiological response during session]

Safety/Risk Status: [Suicidal ideation, dissociation, ability to safely participate, other acute risks] [Actions taken if concerns present] (Never omit; explicitly document absence of acute concerns when applicable.)

Assessment of Progress: [Trajectory: improving / unchanged / worsening] [Brief clinical justification linking response to patient's individual treatment goals]

Individualized Plan: [Home practice instructions] [Continue in group: yes / no] [Individual follow-up or referral if indicated]