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SECTION A: Weekly record of professional practice

Direct
observation Psychological practice: Psychological practice:
Session Duration Duration
session? Client contact Client-related activity

Place of practice, client information Date/s of activity and psychological Client Date/s of activity and type of activity Client related
and presenting issue(s). assessment and/or contact activity hours
intervention/prevention/evaluation. hours

Location: Surry Hills. 08/05/2017 3 08/05/2017, 09/05/2017 4


Client D: 30 year old female for Psychological assessment: administration Test scoring and interpretation, report
assessment of learning difficulties of WAIS-IV writing
Location: Surry Hills.  09/05/2017 1 09/05/2017 1.5
Client D: 30 year old female for Psychological assessment: semi- Problem formulation; referencing DSM-5
assessment of learning difficulties structured interview and literature; writing case notes
Location: Redfern 10/05/2017 & 11/05/2017 1.5 10/05/2017 1
Client U: 15 year old boy with Intervention/Prevention and evaluation: Writing case notes (45min)
anger management problems session 5 of intervention using CBT model 11/05/2017
(60 min). Additional case notes (15min)
Telephone call with the client’s father:
Discussed strategies to assist in managing
problematic behaviour (30 min)
Location: Surry Hills 11/05/2017 1.5 11/05/2017 2
Clients - couple: H & A with Psychological assessment: semi- Problem formulation; referencing DSM-5
relationship problems structured interview and literature; writing case notes
Location: Surry Hills  12/05/2017 1 12/05/2017 3
Client L: 40 year old woman with Intervention & evaluation: final session of Test scoring and interpretation; writing
depression CBT; re-administration of BDI case notes; writing report to GP
Please insert additional rows as required

Total hours this week Client contact: 8.00 Client related activities: 11.50 Total weekly hours: 19.50

Previous cumulative hours Client contact: 80.00 Client related activities: 162.00

Current cumulative hours Client contact: 88.00 Client related activities: 173.50 Total cumulative hours: 261.50