Category: Session Documentation

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

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

    Documentation is a key component of therapeutic practice and ethical professional practice. Therapists have an obligation to keep comprehensive, up-to-date, and accurate session records with their clients. Poor documentation exposes therapists to the risk of lawsuits such as malpractice action, complaints with licensing boards, and denial of claims. This piece explains the legal ramifications of […]

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    Silvi Saxena, MBA, LSW Avatar
    Silvi Saxena, MBA, LSW
  • Group Therapy Notes (With Group Note Template for Therapists)

    Group Therapy Notes (With Group Note Template for Therapists)

    Working through your struggles with the support of people facing similar issues can be a real game-changer. The whole give-and-take of help can really bring out the best in us. After all, humans have been tackling life’s challenges together in squads since the dawn of walking on two legs. Penning progress notes in group therapy, however, is a […]

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    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • 15 SOAP Note Examples and Templates (2025)

    15 SOAP Note Examples and Templates (2025)

    As a mental health professional, do you struggle to keep track of your client’s treatment progress? Do you have difficulty remembering the details of your last session when a client asks about their progress? Look no further than SOAP notes! They are the perfect solution to your documentation woes. SOAP notes provide a quick and […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Clinical Supervision Models in Counselling

    Clinical Supervision Models in Counselling

    Clinical supervision models provide various approaches based on our stage of development as therapists, the challenges we encounter, and the feedback that best supports our growth. Clinical supervision isn’t a one-size-fits-all process. In fact, the type of supervision that helps a brand-new therapist build confidence isn’t necessarily what a seasoned clinician needs to refine their […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • How can Therapists Improve Their Note-taking Efficiency?

    How can Therapists Improve Their Note-taking Efficiency?

    Therapists play an important role in helping clients manage mental health challenges but their role goes beyond holding sessions with clients. Note-taking is one of their most essential yet time-consuming tasks. Clear and organized notes enable the tracking of clients progress after each session. It also ensures continuity of care. Still, many therapists find documentation […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Trauma Symptom Checklist (TSC) for Children

    Trauma Symptom Checklist (TSC) for Children

    Psychological trauma in children doesn’t always show up in the ways we would expect. Sometimes, children may have typical responses, like nightmares, panic attacks, or mood swings. Other times, they appear to be just fine, but a noticeable shift follows. They start isolating themselves from their friends; their academic performance declines, and the little things that used to be shrugged off quickly […]

    Reading Time: 4 min.

    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • AI Clinical Notes vs Manual Note-Taking

    AI Clinical Notes vs Manual Note-Taking

    For a long time, therapists have taken notes by hand during therapy sessions. However, this traditional method can be overwhelming and time-consuming. To address this, AI clinical note generators were introduced to help therapists save time and improve productivity. These tools assist therapists in writing progress notes and managing their documentation more efficiently. Some therapists […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Common Mistakes Therapists Make in Progress Notes

    Common Mistakes Therapists Make in Progress Notes

    Progress notes are vital aspects of mental health care. They keep track of the therapeutic process and provide a record of the client’s progress. However, therapists can make mistakes during the documentation, which compromises the effectiveness of client treatment. This can subject clinicians to vulnerabilities related to professional liability. These errors include using unclear language […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Time Management Counseling (Techniques, Tips and Tools)

    Time Management Counseling (Techniques, Tips and Tools)

    As psychologists and therapists, we’re in the business of helping others manage their mental health, relationships, and life challenges. Yet one of the most common struggles I encounter among my clients—and frankly, among colleagues as well—is the seemingly simple yet profoundly challenging task of managing time effectively. In my practice, I’ve found that time management […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • How to Write ABA Session Notes: Tips, Templates & Best Practices for RBTs, BCBAs & BCaBAs

    How to Write ABA Session Notes: Tips, Templates & Best Practices for RBTs, BCBAs & BCaBAs

    Ever catch yourself thinking, “Am I doing ABA notes the right way?” Whether you’re a Registered Behavior Technician (RBT) or another kind of therapist, you’ve probably been writing notes since your very first client. Yet most of us never received clear guidance on how to make ABA notes both efficient and meaningful for the client’s […]

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    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • Progress Notes in Mental Health (2025)

    Progress Notes in Mental Health (2025)

    In Case You Are Wondering About “What Are Progress Notes in Mental Health and How to Write Them?”, This Blog Is for You! When interviewing new clients, most therapists insist on delving deep into the famous question: “What were the effects and upshots of previous counseling, if any?” This is one of the smartest ways […]

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    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • Therapy Intake Questions

    Therapy Intake Questions

    When we meet with a client for the first time, we are not just checking boxes on an evaluation sheet; we are witnessing someone’s courage in seeking treatment and sharing their story. Every question we ask serves two purposes: gathering vital clinical information while also creating connection and demonstrating genuine empathy. Through careful investigation and […]

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    Ehab Youssef, Psychologist Avatar
    Ehab Youssef, Psychologist
  • Therapy Shelf vs Note Designer

    Therapy Shelf vs Note Designer

    Therapy Shelf and Note Designer are note-writing software platforms used by mental health professionals. They both offer reliable organizing features that provide efficient documentation for therapists. The two software tools help therapists to easily write accurate progress notes seamlessly. Therapy Shelf and Note Designer enables therapists efficiently manage their workflow and provide better services to […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Exploring ChatGPT for Therapy Notes: Benefits, Limitations, and HIPAA Concerns

    Exploring ChatGPT for Therapy Notes: Benefits, Limitations, and HIPAA Concerns

    The use of AI in therapy is an emerging field, and one application that has been discussed among therapists is the use of ChatGPT for therapy notes. While the idea of using AI to assist with the tedious task of writing therapy notes is appealing, there are also concerns about the ethics and legality of […]

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    Ehab Youssef, Psychologist Avatar
    Ehab Youssef, Psychologist
  • Conducting a Successful Therapy Intake With Your Clients

    Conducting a Successful Therapy Intake With Your Clients

    That therapy intake session is where everything begins—part art, part science, and completely essential to get right. In those initial 45-50 minutes, we’re not just gathering information; we’re setting the foundation for the entire therapeutic relationship. The questions we ask (and how we ask them) determine whether clients will share what’s truly going on or […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • Compare ICANotes vs Kareo Clinical – A Detailed Comparison

    Compare ICANotes vs Kareo Clinical – A Detailed Comparison

    ICANotes and Kareo Clinical are web-based electronic health records (EHR) software designed for therapists. They are helpful for therapists by simplifying documentation processes and reducing administrative tasks. Knowing the best EHR software to use in your practice will enable therapists deliver quality and excellent client care. Selecting the right EHR software as a therapist is […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • How to Bill Insurance for Couples Therapy?

    How to Bill Insurance for Couples Therapy?

    When it comes to billing, couples therapy can be more challenging than individual therapy sessions. Unlike individual therapy, insurance companies hardly cover couples therapy unless it is considered “medically necessary”. As a result, therapists often face difficulties with insurance policies. This includes using the right CPT codes, and understanding the necessary billing requirements. This article […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Clinical Supervision in Counselling

    Clinical Supervision in Counselling

    Clinical supervision represents a crucial element of professional development in mental health fields. It is far more than a mere administrative requirement – it is a dynamic, collaborative process that intertwines professional skill enhancement, emotional support, and ethical accountability. Clinical Supervision – Supervisory Relationships Supervisory relationships are a complex blend of professional, education and therapeutic […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • ICANotes vs SimplePractice

    ICANotes vs SimplePractice

    Electronic Health Records and Practice Management Softwares has become vital tools for behavioral health practice. These tools help therapists manage documentation and streamline administrative tasks. Despite the numerous EHRs in the market, ICANotes and SimplePractice stand out for their efficiency. They both have an array of features that simplify your tasks as a therapist. In […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • 10 Best Social Work Case Management Software in 2025

    10 Best Social Work Case Management Software in 2025

    Social workers aim to improve the well-being of people dealing with mental health and social challenges. These people come from different cultural backgrounds. To embrace this diversity, it becomes vital to automate their social services for enhanced client care. The tasks handled by social workers have been made simpler by social work case management software. […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • 20 Best Icebreakers for Group Therapy

    20 Best Icebreakers for Group Therapy

    Group therapy sessions can feel daunting for a new client which is why well thought out ice breakers are crucial to help break the ice and to make the client feel at ease. The ice breakers will also facilitate building of connections and belongingness amongst the group members. The Role of IceBreakers In Group Therapy […]

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    Gargi Singh, Psychologist Avatar
    Gargi Singh, Psychologist
  • Behavioral Health Diagnosis Codes in 2025: A Complete Guide

    Behavioral Health Diagnosis Codes in 2025: A Complete Guide

    Behavioral health diagnosis is constantly evolving as new trends unfold yearly. The advent of new research has brought about changes to behavioral health codes. These codes are essential in the classification and treatment of mental health conditions.   One crucial challenge faced by mental healthcare providers is ensuring that fees for services are paid in […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Symptom Checklist-90-R (SCL-90-R)

    Symptom Checklist-90-R (SCL-90-R)

    The Symptom Checklist-90-Revised (SCL-90-R) is a powerful tool for uncovering the complexities of psychological distress. Widely used in both clinical and research settings, this self-report questionnaire helps therapists identify and measure symptoms across nine critical dimensions, from depression to anxiety. Its versatility and ease of use make it a go-to assessment for gaining a deeper […]

    Reading Time: 4 min.

    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • Trauma Symptom Checklist for Children (TSCC)

    Trauma Symptom Checklist for Children (TSCC)

    Childhood trauma leaves deep emotional and psychological scars, often manifesting in ways that can profoundly affect a child’s development and well-being. It can shape the way they regulate emotions, form relationships, and even impact their physical health. For therapists, the stakes are high—early identification and intervention can make all the difference in helping a child […]

    Reading Time: 4 min.

    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist