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Session Type
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Appearance
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Behavior
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Mood
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Cognitions
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Affect
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Attention
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Insight
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Judgment
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Sleep
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Suicidality/Safety
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Appetite
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Summary of Complaints/Symptoms
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Alcohol Use
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Functional Status
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Progress
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Summary of Diagnosis
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Medication
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Treatment Plan/Recommendations
• • •
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Prognosis
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