Free Printable Therapy Treatment Plan

1. Client Information

• Client Name: ________________________________________

• Date of Birth: ______________________________________

• Client ID/Case Number: ______________________________

• Session Date: ______________________________________

• Therapist Name: ____________________________________

• Therapist Contact Information: ________________________

2. Reason for Treatment

• Primary Concern(s):

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• Secondary Concern(s):

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3. Diagnosis (if applicable)

• ICD-10/DSM-5 Code(s): _____________________________

• Diagnosis Description: ______________________________

4. Treatment Goals

A. Short-Term Goals

1. Goal: ___________________________________________

   • Objective: _____________________________________

   • Timeline: ______________________________________

   • Measurement Criteria: ____________________________

2. Goal: ___________________________________________

   • Objective: _____________________________________

   • Timeline: ______________________________________

   • Measurement Criteria: ____________________________

B. Long-Term Goals

1. Goal: ___________________________________________

   • Objective: _____________________________________

   • Timeline: ______________________________________

   • Measurement Criteria: ____________________________

5. Therapeutic Interventions

• Primary Treatment Modality: (e.g., CBT, EMDR, DBT)

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• Specific Techniques/Strategies:

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6. Client Strengths & Resources

• Internal Strengths (e.g., resilience, motivation):

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• External Resources (e.g., support system, community services):

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7. Session Progress

• Progress Achieved Since Last Session:

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• Challenges Identified:

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• Adjustments to Treatment Plan:

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8. Plan for Upcoming Sessions

• Next Session Goals:

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• Homework/Practice for Client:

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9. Summary and Review

• Therapist Observations:

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• Client Feedback:

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10. Signatures

• Therapist Signature: _________________________________

• Date: _____________________________________________

• Client Signature: ____________________________________

• Date: _____________________________________________

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