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TREATMENT PLAN
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Stated Goal & date
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Long term goals
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Short Term
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Stated Goal
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Long Term Goals
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Short Term goals
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PLAN
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Future Plan Comments
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HOMEWORK
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General
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Bibliotherapy
• • •
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Bibliotherapy Comments
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Exercise
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Exercise comments
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Relaxation skills
• • •
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Relaxation skills other
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CBT
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CBT other
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Communicate
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Practice
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Journal
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Journal comments
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Diet
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Medication
• • •
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Contact PCP
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Referrals
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