The Family Therapy Session Note documents the therapeutic process involving multiple family members as they work together to address shared concerns, relational conflicts, and communication breakdowns. It includes observations of family dynamics, individual contributions to issues, emotional responses, and progress toward identified treatment goals. This note also captures the therapeutic interventions used—such as reframing, role-playing, or boundary-setting—and any homework or recommendations provided.

For psychiatric nurse practitioners and therapists, this note is essential in tracking how the family system evolves across sessions. It highlights patterns of interaction, resistance, cooperation, and emotional shifts, providing a clear clinical record of how the family unit is engaging in the healing process. A well-written Family Therapy Session Note supports integrated care, helping all members feel seen, heard, and supported.