Thought Process and Content

Use this section for concise language describing how the client’s thinking appears during session and whether any risk related content is present.

Thought Process

Common thought process descriptors may include:

• Logical
• Linear
• Goal directed
• Circumstantial
• Tangential
• Distractible
• Racing
• Concrete
• Disorganized

Thought Content

Thought content may include clinically relevant themes, concerns, beliefs, worries, or risk factors discussed during session.

Common content descriptors may include:

• Within normal limits
• Preoccupied with stressors
• Worry or rumination
• Negative self talk
• Hopelessness
• Trauma related content
• Substance use related concerns
• Safety related concerns

Risk Factors

Risk factors may include:

• None reported
• Suicidal ideation
• Homicidal ideation
• Self harm
• Other safety concerns

Example Documentation Language

• Client’s thought process appeared logical, linear, and goal directed.
• Patient’s thought content was focused on current stressors without reported safety concerns.
• Client presented with rumination and negative self talk related to current symptoms.
• Patient denied suicidal ideation, homicidal ideation, and self harm concerns during session.
• Client reported safety related concerns that required further assessment and support.