Pat.-Code:                                         Datum:                                              Therapie-Std.:

 

 

Symptome/Stimmung:

 

 

 

 

 

Themen:                                                                                                                  Anmerkung

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interventionen/Techniken:

 

 

 

 

 

 

Gegenübertragung: