Your therapist uses the Evinotes application for recording and monitoring the effects of their work. For the protection of personal data and client privacy, no identifiable information should be entered or is entered into the application. This includes: name, surname, place of birth, place of residence, date of birth, workplace, travel destinations, occupation, names of friends, business colleagues, and family members. Gender/sex, age expressed in years, and level of education are the only data entered into the application. Clients are identified in the application using a randomly assigned code generated by the computer program and encrypted labels assigned by the therapist. The code is kept with other printed client documentation (record) in accordance with applicable regulations. All data in the application are secured by an SSDL system and encrypted.

Data from the Evinotes system are subject to confidentiality rules and confidentiality between the client and therapist. The therapist may only use them for supervision purposes and to ensure the quality of their work. In the event of using your data for research purposes alongside this, the psychotherapist must obtain your additional consent for each individual research.

The therapeutic process may involve completing questionnaires and meetings discussing therapy outcome and changes related to the therapy goals, which include symptoms the client came into therapy with, relationships with others, client behavior in various life situations, perception of daily life experiences, perception of internal processes, and personality. Additionally, discussions may include potential worsening or harmful consequences of therapy. During feedback sessions, the therapist will record the client’s conclusions and document them in the Evinotes application report. Together with the client, they will assess the level of change in the mentioned change categories.

To ensure the accuracy of data for possible use in research, the client must sign a therapy results report and a special informed consent form prepared by your psychotherapist in that case. These reports and informed consent will be kept strictly in accordance with the prescribed method of storing printed documentation and may only be provided to scientists and/or supervisors committed to protecting the privacy and confidentiality of the data from the reports.

It is important to emphasize that by using the Evinotes application correctly, the therapist fully protects your privacy because no data identifying your identity are entered into the application or report. By signing this informed consent, you will significantly increase the possibilities for conducting scientific research and contribute to the further development of the psychotherapy profession. Refusing to sign this informed consent cannot have any negative consequences for the client and does not affect the therapist-client relationship. You are not obliged to sign this informed consent, and you can withdraw it at any time.

Name and surname: Date:

By signing over the appropriate consent, you indicate your consent to each statement.

1. I consent to the use of the Evinotes application for recording and monitoring the therapist’s work.
2. I give my general consent to the use of notes, questionnaire results, and therapy results reports that DO NOT INCLUDE any data that could identify my identity, for research and supervision purposes.

General Guidelines for Discussing Therapy Results – Feedback Session

Feedback sessions are conducted periodically, depending on the process and agreement with the client. There may be multiple feedback sessions during one therapeutic cycle. During a feedback session, the progress of therapy so far is discussed, achieved changes are recorded, and potential deteriorations are noted, with goals being adjusted as needed. Changes are evaluated from the perspective of achieved/unachieved therapy goals set by the client at the beginning and any need to change them. The final feedback session may be held as part of therapy closure, while follow-up feedback can occur up to several years after therapy completion.

Below is a depiction of the interview process according to the CHAP (Change after therapy) model by R. Sandell, which can serve as inspiration for feedback discussions. In the case of research and follow-up feedback, an independent interviewer should conduct the conversation. For regular feedback purposes, the therapist can also conduct the discussion.

Interviews focus on the client’s subjective experience of change or lack of change in their condition. Clients are encouraged to talk about how they currently feel compared to how they felt before and their current life situation compared to before therapy. They should discuss how their life has changed since starting or finishing therapy. Clients should be asked about their perceived benefits of therapy, changes in themselves, whether others have noticed these changes, external events that may have contributed to changes, memorable events from therapy, etc. Interviews are informal and unstructured, aimed at gathering information rather than inducing further changes. To gather more information, clarification should be sought through questioning, summarizing, drawing conclusions, and asking the client to interpret their experiences. Interviewers should adopt a slightly naive or even foolish attitude to encourage clients to explain themselves clearly. Interviewers should never accept abstract or general statements about various types of change but persistently ask for specific examples or descriptions of concrete events or incidents. Clients may resist by being vague or using stereotypes. Interviewers should also avoid suggesting certain topics from personal life (family, work, symptoms, etc.) or therapeutic issues (therapist as a person, termination, disappointment, etc.) until they are sure the client has had enough time to mention them. The possibility that the client is no longer actively thinking about their problems is important information in itself.

CHAP Model Interview Process:

Introductory question followed by allowing the client to speak freely:
“I’m interested in your experience and current feelings about your psychotherapy, how your life has changed since you’ve been in therapy, whether and how you’ve changed as a person, what different types of benefits you think you’ve gained from therapy, what you’ve lost, what your expectations were, and how they were fulfilled. I’m also interested in any unexpected gains and losses you’ve experienced.”

Possible direct questions as needed:

• In what ways, if any, have life circumstances and lifestyle changed during or after their therapy?
• In what ways, if any, has the client changed as a person after therapy?
• In what ways, if any, has the client noticed that significant others (spouse, children, parents, friends, colleagues) perceive or consider them differently than before?
• In what ways, if any, does the patient think therapy has affected their life course, what benefits and losses has therapy brought?
• What were their expectations before therapy and to what extent were they met
• What unexpected consequences, good or bad, can the client associate with therapy?
• What does the client currently think about the problems that led them to start therapy, to what extent have they been resolved or not?
• In the client’s opinion, which events, processes, or conditions in therapy have contributed most to positive therapy outcomes, and which to negative outcomes?
• What significant events outside therapy have occurred during and after therapy, especially events the client believes may have contributed to positive and negative changes during and after therapy?
• What is the client’s current opinion of the therapist, and how do they feel about the therapist as a professional?

The interview should not be interrupted until the interviewer feels that the respondent is ready to stop. As a lead into ending the interview, the interviewer should briefly summarize the main information and conclusions about therapy, partly to check with the client if he has correctly captured the essence of what the client wanted to say, and partly to announce that the interview is nearing its end. At the very end, the interviewer should focus on the interview itself and ask the client how he felt as a respondent and how it was for him to talk about therapy. The interview should be concluded with thanks and an expression of respect.