What should a progress note include?

• A. Billing details and insurance.
• B. Therapist mood.
• C. Client's progress, changes in symptoms, artwork processes, and feedback from the client.
• D. Session location.

Answer: (C)

Progress notes should capture the client’s progress in therapy, including changes in symptoms, the artwork process, and feedback from the client. This combination documents how treatment is affecting functioning, what interventions are helping, and the client’s own perspectives on their experience with art-making. Such details support tracking progress toward goals, guide future sessions, and help coordinate care with other professionals.

Administrative items like billing details or insurance belong in separate records, not the clinical note. Recording the therapist’s mood isn’t a standard clinical data point and can bias interpretation, and the session location is not essential to understanding clinical progress unless it directly affects safety or context. The emphasis should be on observable changes, the client’s experience, and how art processes relate to therapeutic goals.