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Therapy Documentation Software For Private Practice Group Practices
Notes

Therapy Documentation Software For Private Practice Group Practices

ByUsama Adeel

Therapists and mental health professionals work hard to support their clients, but one of the biggest challenges…

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Legal Risks of Poor Documentation, and how Therapists can Protect Themselves
Compliance & Security | Notes

Legal Risks of Poor Documentation, and how Therapists can Protect Themselves

BySilvi Saxena, MBA, LSW

Documentation is a key component of therapeutic practice and ethical professional practice. Therapists have an obligation to…

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group therapy notes
Group Therapy | Notes

Group Therapy Notes (With Group Note Template for Therapists)

ByDr. Salwa Zeineddine

Working through your struggles with the support of people facing similar issues can be a real game-changer….

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How can Therapists Improve Their Note-taking Efficiency?
Notes

How can Therapists Improve Their Note-taking Efficiency?

ByAdesuwa Olajire, LCP

Therapists play an important role in helping clients manage mental health challenges but their role goes beyond…

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AI clinical notes
AI in Mental Healthcare | Notes

AI Clinical Notes vs Manual Note-Taking

ByAdesuwa Olajire, LCP

For a long time, therapists have taken notes by hand during therapy sessions. However, this traditional method…

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ABA Session Notes
Notes

How to Write ABA Session Notes (Tips & Templates) For RBTs BCBA & BCaBA

ByDr. Salwa Zeineddine

Whether you’re an Registered Behavior Technician or any other kind of therapist, you’ve probably been jotting down…

Read More How to Write ABA Session Notes (Tips & Templates) For RBTs BCBA & BCaBAContinue

Social Work Documentation Cheat Sheet
Notes | Social Worker

Social Work Documentation Cheat Sheet

ByNuria Higuero Flores, Psychologist

In social work, documentation isn't just a tedious task—it's an important part of effective practice. Think of…

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Clinical Documentation Examples
Notes

Clinical Documentation Examples

ByAngela M. Doel, Psychotherapist

Clinical documents are essential for psychotherapists to maintain organized and confidential records of their clients' treatment and…

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Psychometric Test (A Complete Guide)
Diagnosing | Notes | Therapy Techniques

Psychometric Test (A Complete Guide)

ByCourtney Gardner, MSW

Have you ever been curious about the secrets behind those tricky multiple-choice questions in an assessment? Brace…

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Manipulative clients
Clinical Excellence | Notes

Client vs Patient (Do therapists have patients or clients?)

ByCourtney Gardner, MSW

You have patients, right? Or do you have clients? As a therapist, the words you choose hold…

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Occupational Therapy Assessments List (Mental Health)
Notes | Therapy Techniques

Occupational Therapy Assessments List (Mental Health)

ByCourtney Gardner, MSW

Curious about how occupational therapists assess and treat mental health conditions? Assessments play a crucial role in…

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How to Write a Biopsychosocial Assessment (With Template) – Mentalyc
Notes

How to Write a Biopsychosocial Assessment (With Template) – Mentalyc

ByAnn Dypiangco, LCSW

You’re not alone if you’re a therapist who feels utterly lost when writing a new client’s biopsychosocial…

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Mental Status Exam (MSE) Cheat Sheet & Checklist
Notes

Mental Status Exam (MSE) Cheat Sheet & Checklist

ByDr. Salwa Zeineddine

As helping professionals, our primary aim is to gain a thorough understanding of those who seek our…

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Collaborative/Concurrent Documentation (With Examples)
Notes | Therapy Techniques

Collaborative/Concurrent Documentation (With Examples)

ByCourtney Gardner, MSW

Are you ready to shake things up and transform the mental health field? Imagine a world where…

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How to Properly Identify and Document Impairment in Mental Health?
Notes

How to Properly Identify and Document Impairment in Mental Health?

ByCourtney Gardner, MSW

As a mental health professional, providing accurate and detailed documentation of a client’s case history and present…

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How to Take Effective Psychology Notes: Importance, Techniques & Best Practices
Notes

How to Take Effective Psychology Notes: Importance, Techniques & Best Practices

ByAngela M. Doel, Psychotherapist

A sometimes-overlooked skill, note-taking can significantly impact the quality of mental health professionals’ work. Effective notetaking helps…

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How to Write School Counselor Notes? (With School Counseling Notes Template & Forms)
Notes

How to Write School Counselor Notes? (With School Counseling Notes Template & Forms)

ByCourtney Gardner, MSW

The ABCs of Documentation for School Counselors: Notes, Forms, Templates, and More Welcome to school counseling, where…

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Occupational Therapy Documentation – OT Notes (With Examples)
Notes

Occupational Therapy Documentation – OT Notes (With Examples)

ByDr. Salwa Zeineddine

As occupational therapists and healthcare professionals, we know how important thorough documentationis. Not only does it protect us legally, but it allows…

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Psychological Assessment Report
Diagnosing | Notes

Psychological Assessment Report

ByCourtney Gardner, MSW

A Therapist’s Guide to Crafting Useful Psychological Assessment Reports Are you tired of preparing assessment reports that…

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How to Write a Psychosocial Assessment (With Examples)
Notes | Social Worker

How to Write a Psychosocial Assessment (With Examples)

ByCourtney Gardner, MSW

Are you a mental health professional looking to enhance your skills and dive deeper into the world…

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Supervision Notes Template
Notes | Supervision

Supervision Notes Template

ByCourtney Gardner, MSW

As a mental health practitioner, we understand that providing the best possible care for your clients is…

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What is Case Conceptualization & How to Write it (With Examples)
Notes

What is Case Conceptualization & How to Write it (With Examples)

ByCourtney Gardner, MSW

The Ultimate Guide to Case Conceptualization: Our Top Tips, Outlines, and Real-life Examples As a mental health…

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What is a Mental Health Intake Assessment?
Intake | Notes

What is a Mental Health Intake Assessment?

ByCourtney Gardner, MSW

As a mental health professional, the intake assessment is one of the most crucial moments in your…

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self-esteem treatment plan
Notes

What are IGBIRP Notes?

ByAngela M. Doel, Psychotherapist

IGBIRP Introduction Within the mental health field, effective documentation and structured treatment planning are essential elements of providing…

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SBAR Mental Health With Examples
Notes

SBAR Mental Health With Examples

ByCourtney Gardner, MSW

As mental health professionals, we all know how crucial it is to communicate our client's condition effectively….

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Time management counseling
Notes

What are Mental Health FIRP Note?

ByCourtney Gardner, MSW

Do you feel overwhelmed by how many progress notes you have to write as a mental health…

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What Is E-Prescribing What are it Benefits and How Does It Work in Mental Health?
Notes

What Is E-Prescribing What are it Benefits and How Does It Work in Mental Health?

ByCourtney Gardner, MSW

Are you keeping up with the latest trends in healthcare? If not, you should know that e-prescribing…

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Clinical Documentation Cheat Sheet
Notes

Clinical Documentation Cheat Sheet

ByCourtney Gardner, MSW

Are you tired of drowning in paperwork as a mental health professional? Do you wish there was…

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How to Document a Mental Health Prognosis?
Notes

How to Document a Mental Health Prognosis?

ByAngela M. Doel, Psychotherapist

In the mental health field, the term ‘prognosis’ refers to a prediction of the course, duration, severity,…

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Supervision Notes: Documenting and Enhancing Clinical Practice
Notes | Supervision

Supervision Notes: Documenting and Enhancing Clinical Practice

ByAngela M. Doel, Psychotherapist

Supervision is widely recognized as a cornerstone of a psychotherapist’s professional development and the delivery of high-quality…

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What Are SIRP Notes and How to Write Them?(With Example)
Notes

What Are SIRP Notes and How to Write Them?(With Example)

ByDr. Salwa Zeineddine

Mastering SIRP Notes: Your Ultimate Guide to Crafting The Perfect Note (With Examples!) In the labyrinth of…

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Play Therapy Notes: Best Practices for Documentation
Notes

Play Therapy Notes: Best Practices for Documentation

ByCourtney Gardner, MSW

If you are considering a career in play therapy and are passionate about working with children, this…

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Efficiently Documenting Symptoms & Diagnosis: Steps, Benefits, & Tips for Therapists
Diagnosing | Notes

Efficiently Documenting Symptoms & Diagnosis: Steps, Benefits, & Tips for Therapists

ByAnn Dypiangco, LCSW

As a therapist, your primary focus is to provide adequate care, maintain a strong therapeutic bond, and…

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Tools and Strategies for Accurate Clinical Assessment
Notes

Tools and Strategies for Accurate Clinical Assessment

ByAngela M. Doel, Psychotherapist

Accurate clinical assessments are of paramount importance in the mental health field. Clinical assessment and diagnostic accuracy…

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How to Write Effective Psychiatry notes? (With Psychiatric Note Example)
Notes | Psychiatry

How to Write Effective Psychiatry notes? (With Psychiatric Note Example)

ByDr. Salwa Zeineddine

Psychiatric Notes The art of note-taking is a finely honed craft, cultivated through one’s professional journey. Among psychiatrists,…

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What are Family Therapy Notes & How to Write Them?
Marriage & Family Therapy Session | Notes

What are Family Therapy Notes & How to Write Them?

ByAnn Dypiangco, LCSW

Family therapists are the superheroes of the therapeutic world. They therapeutically join with multiple people in a…

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How to Document Suicidal Ideation?
Notes

How to Document Suicidal Ideation?

ByDr. Salwa Zeineddine

Evaluating Risks & Addressing Suicidality in Therapy Notes: An Expert’s Guide for Mental Health Practitioners Suicide, a…

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Difference in Note-taking Among Mental Health Professionals
Notes

Difference in Note-taking Among Mental Health Professionals

ByAnn Dypiangco, LCSW

Mental health professionals such as psychiatrists, psychologists, social workers, marriage and family therapists, and licensed professional counselors…

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Psychiatric Nursing Notes (Psych Mental Health Nurse Note Example Included)
Notes | Psychiatry

Psychiatric Nursing Notes (Psych Mental Health Nurse Note Example Included)

ByDr. Salwa Zeineddine

So… What Are Psychiatric Nursing Notes? Basically, psychiatric nursing notes stand as the quintessential instrument you’ll ever have as…

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Contact (service) Note: Documenting Between-Session Communication
Notes

Contact (service) Note: Documenting Between-Session Communication

ByMarissa Moore, LPC, LCPC

If you’re a mental health clinician, there will be times when you have to reach out to…

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Conducting a Comprehensive Mental Status Exam: Tips and Techniques
Notes

Conducting a Comprehensive Mental Status Exam: Tips and Techniques

ByAnn Dypiangco, LCSW

The mental status examination (MSE) is a crucial tool used by mental health professionals to assess a…

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Discharge (Termination) Notes: Ensuring a Smooth Transition for Clients
Notes

Discharge (Termination) Notes: Ensuring a Smooth Transition for Clients

ByAnn Dypiangco, LCSW

Therapists don’t stop caring about their clients when services end. We continue to hold them in our…

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Social Work Notes (With Example and Template)
Notes | Social Worker

Social Work Notes (With Example and Template)

ByDr. Salwa Zeineddine

As a social worker, it’s critical to have the ability to write detailed and factual case notes. Your…

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PIE Notes Mental Health (With Examples)
Notes

PIE Notes Mental Health (With Examples)

ByMarissa Moore, LPC, LCPC

Mental health documentation is an essential aspect of psychotherapy sessions. Documentation helps mental health professionals track progress from…

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Documenting Mental Health Interventions
Notes

Documenting Mental Health Interventions

ByMarissa Moore, LPC, LCPC

If you’re a psychotherapist, you must document your psychotherapy sessions. One piece of the pie when you’re…

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An Overview of Mental Health Notes
Notes

An Overview of Mental Health Notes

ByMarissa Moore, LPC, LCPC

If you’re a mental health professional, you may feel overwhelmed with all the different types of mental…

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Case Management and Case Notes
Notes

Case Management and Case Notes

ByDr. Salwa Zeineddine

That incident still resonates in my head. I was in the elevator heading to my clinic when…

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What is a Therapy Intake Note & How Should I Write one?
Intake | Notes

What is a Therapy Intake Note & How Should I Write one?

ByMarissa Moore, LPC, LCPC

If you’re a mental health clinician, documenting client intake appointments is an essential first step that you…

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How to Write Couples Therapy Notes? (With Examples and Tips)
Couple Therapy | Notes

How to Write Couples Therapy Notes? (With Examples and Tips)

ByDr. Salwa Zeineddine

Setting the Stage: What Is Couples Therapy? Think about your relationship with your partner. Is there a…

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How to Write PIRP Note? (With Example)
Notes

How to Write PIRP Note? (With Example)

ByMarissa Moore, LPC, LCPC

If you’re looking for a problem-focused note format, consider writing PIRP notes to document your therapeutic sessions….

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How to Write BIRP Notes (With Examples & Templates)
Notes

How to Write BIRP Notes (With Examples & Templates)

ByMarissa Moore, LPC, LCPC

BIRP notes are a type of note format used by many mental health professionals. BIRP notes have…

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How to Write GIRP Notes (with Examples)
Notes

How to Write GIRP Notes (with Examples)

ByMarissa Moore, LPC, LCPC

GIRP Notes GIRP notes are a form of progress note documentation that mental health professionals can use…

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What are EMDR Therapy Notes and How to Write Them?
Notes

What are EMDR Therapy Notes and How to Write Them?

ByDr. Salwa Zeineddine

EMDR Notes: All Your Queries Answered! Have you ever found yourself scuffling with upsetting events that negatively…

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Why is documentation important in Mental health Treatment?
Notes

Why is documentation important in Mental health Treatment?

ByDr. Salwa Zeineddine

Documentation is a crucial part of mental health treatment in today’s age of accountability. It is the…

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Should I take notes during therapy? Yay or Nay?
Notes

Should I take notes during therapy? Yay or Nay?

ByBrittainy Lindsey, LMHC, LPC

Should I Take Notes During Therapy? There’s no simple “yay or nay” answer to taking notes during…

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Disadvantages of Keeping Client Notes in Counselling
Notes

Disadvantages of Keeping Client Notes in Counselling

ByDr. Salwa Zeineddine

What is my mental health counselor scribbling on that paper? Did I say or do something wrong?…

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