CBT Assessment
Name......................................ID........................
3
Risk – self-harm: thoughts, plans, likelihood to act etc.
Other risks
(neglect, aggression/violence, abuse etc)
Previous therapy / treatment
What have you tried before? What helped? What didn’t help?
Problem summary
Initial formulation
(or use separate sheet)
Give brief explanation of CBT
Homework?
Check out understanding, any questions etc
Arrange next appointment