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Marriage & Family Therapy · Templates
Designed for marriage and family therapists documenting conjoint sessions—who attended, the interaction cycle, interventions used, each partner’s response, and between-session agreements.
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Couples Therapy Note Session Information - Attendees present/absent, modality, duration, and session focus. - Individual vs conjoint portions if any (and rationale). Presenting Concerns / Interval Events - Conflicts, closeness/distance, stressors, and progress since last session in each partner’s words when useful. - Relational goals addressed today. Interaction Patterns Observed - Pursue/withdraw, criticism/defensiveness, escalation cycle, or other systemic patterns enacted in session. - Strengths and moments of connection observed. Interventions - Techniques used (e.g., EFT enactments, Gottman interventions, communication skills, restructuring, psychoeducation). - Content themes facilitated. Partner Responses - Each partner’s engagement, affect, insight, and ability to try new behaviors in session. Safety - IPV, coercion, threats, or substance-related safety concerns if assessed; actions taken if indicated. - Individual SI/HI if disclosed—document and manage per protocol. Assessment / Progress Toward Relational Goals - Status relative to couples goals; alliance (within-system and with therapist). Plan / Homework - Between-session agreements, rituals, skills practice, individual referrals if needed, and next appointment.
What makes the structure useful, and which visits it fits best.
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Visit types and clinicians who use this format
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Session Information Conjoint session; both partners present via telehealth, 60 minutes. Focus: de-escalating evening arguments about chores/parenting. Interval Events Two escalations this week ending in stonewalling (Partner A) and raised voice (Partner B). Both want fewer fights before bedtime. Patterns Observed Pursue (B) / withdraw (A) cycle activated when discussing dishes; softened slightly when therapist slowed pace. Interventions Mapped conflict cycle on whiteboard; practiced speaker-listener with 3-minute turns; EFT-style reflection of underlying fear (left out vs criticized). Responses Partner B tearful then calmer; Partner A engaged after initial shutdown and named shutdown as overwhelm. Both completed one repair attempt in session. Safety Denied IPV, threats, and SI. No substances involved in conflicts per report. Plan Nightly 10-minute check-in using speaker-listener; pause rule if voice rises. Next session: parenting teamwork agreement. Follow-up in 1 week.
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Paste this content into My Templates, or start from a specialty-generated template and edit the sections.
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
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