Ten-session summary form
The Ten-Session Summary Form is used to summarize and rate therapy sessions. Once a form is completed, a new one can be started for the same patient.
For each session, the form records the date, a brief summary of the main themes of the session, the core affective conflict focused on in the session, and a 1-10 rating of the intensity at which the patient experienced the adaptive affect. In addition to that, there is a separate space to rate a number of items three times at regular intervals over the course of the ten sessions. These items include the five-axis diagnosis, ratings of target problems (1 = no longer a problem, 10 = very severe problem), and ratings of the core conflicts.
The ratings of the target problems and core conflicts can be done by the patient and the therapist together in the last five minutes of a therapy session. This can be helpful to the therapy process.