Sunrise Behavioral Health
Dr. Rebecca Liu, Psy.D., Licensed Clinical Psychologist
4200 Wellness Drive, Suite 102, Portland, OR 97201 · (503) 555-0388
Session Plan
Session 12 of 16
Client Name
Sample Client
Date of Birth
08/15/1992
Session Date
April 14, 2026
Diagnosis / Code
F41.1
1 Treatment Goals & Objectives
Goal Objective Target Status
Reduce frequency of panic attacks from 3x/week to 1x/month Client will practice diaphragmatic breathing for 5 minutes daily Reduce panic episodes by 75% In Progress — currently at 1.5x/week (50% reduction)
Develop adaptive coping strategies for workplace stressors Client will identify and reframe 3 cognitive distortions per session Successfully apply CBT techniques independently In Progress — can identify distortions with prompting
Improve sleep quality and establish consistent sleep hygiene Client will maintain a sleep diary and follow a wind-down routine Achieve 7+ hours of sleep on 5+ nights/week Met — averaging 7.2 hours, 6 nights/week
2 Session Activities
Cognitive Restructuring Exercise
20 min
Review thought log from past week. Identify automatic negative thoughts related to work performance. Practice generating balanced alternative thoughts.
Progressive Muscle Relaxation
15 min
Guided PMR session targeting areas where client reports holding tension (shoulders, jaw). Practice with eyes closed, therapist narrating.
Exposure Hierarchy Review
15 min
Review and update anxiety exposure hierarchy. Plan next exposure task: giving a presentation to a small group at work.
3 Progress Notes
Client demonstrates improved awareness of cognitive distortions. Panic frequency has decreased significantly. Sleep goal has been met. Next focus: workplace exposure exercises and preparing for a team presentation.
4 Client Response
Client reported feeling 'more in control' this week. Identified 4 cognitive distortions independently in her thought log. Expressed nervousness but willingness to attempt the presentation exposure.
5 Plan for Next Session
Begin in-session role-play for workplace presentation. Review exposure hierarchy progress. Introduce assertiveness techniques for workplace boundaries.
Dr. Rebecca Liu, Psy.D., Licensed Clinical Psychologist
Date
Supervisor (if applicable)
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Unauthorized disclosure is prohibited under HIPAA regulations. · Sunrise Behavioral Health · (503) 555-0388