Category: Session Documentation

  • CPT Code 90875

    CPT Code 90875

    Incorrect Current Procedural Terminology (CPT) code usage and documentation errors cost mental health care providers thousands of dollars annually. One of the most complex codes to bill correctly is CPT code 90875. This is specifically for psychophysiological therapy with biofeedback. Learning the correct protocols for this code can revolutionize your practice, improve your reimbursement rates, and deliver the best possible care for your clients. Understanding CPT Code 90875: Description and Core Components CPT Code 90875 falls under “Other Psychiatric Services.” This code represents […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Brief Symptom Inventory (BSI) – A Complete Guide

    Brief Symptom Inventory (BSI) – A Complete Guide

    In the fast-paced and increasingly demanding world of mental health care, having efficient tools to screen for psychological distress is essential. The Brief Symptom Inventory (BSI) is one such tool—a concise, reliable instrument designed to measure psychological symptoms and distress. For therapists, psychologists, and psychiatrists, the BSI can play a pivotal role in identifying areas […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • Therapynotes Vs TherapyAppointment

    Therapynotes Vs TherapyAppointment

    TherapyNotes and TherapyAppointments are popular Electronic Health Records and PMS software used by mental health professionals. They are essential tools for therapists who seek to improve client care in their private practices. These EHRs and PMS have features that simplify administrative tasks. They help therapists automate repetitive tasks and increase productivity. What is TherapyNotes? TherapyNotes […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • Behavioral Health CPT Billing Codes in 2025: A Complete Guide

    Behavioral Health CPT Billing Codes in 2025: A Complete Guide

    Accurate billing is the backbone of thriving therapy practices. Understanding Behavioral Health CPT Codes is essential, whether you’re writing your own case notes or reviewing supervisee notes. These codes not only ensure reimbursement for your services but also safeguard compliance, streamline operations, and provide critical protection during audits. In this guide, we’ll break down the Behavioral Health […]

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    Brianna Keefe, MA, LPC Avatar
    Brianna Keefe, MA, LPC
  • 10 Fun and Effective Substance Abuse Group Activities for Adult Recovery

    10 Fun and Effective Substance Abuse Group Activities for Adult Recovery

    Substance abuse group activities are essential to the recovery process, providing a supportive, structured space for individuals to connect with others who have faced similar challenges. Research shows that group therapy activities for addiction can be as effective as individual treatment for substance use disorders (Substance Abuse and Mental Health Services Administration, 2005). Support groups […]

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    Angela M. Doel, Psychotherapist Avatar
    Angela M. Doel, Psychotherapist
  • How to Find Client Strengths In Therapy (with Examples)?

    How to Find Client Strengths In Therapy (with Examples)?

    Do you ever feel stuck in a pattern with your clients, constantly feeling like you are concentrating on what's wrong instead of right? This is a common challenge in therapy, but there's a powerful alternative! Transform your therapeutic approach and outcomes by shifting your focus to client strengths. This article will discuss effectively identifying and […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • DSM 5 Diagnostic Criteria for Eating Disorders

    DSM 5 Diagnostic Criteria for Eating Disorders

    Eating disorder is much more than a loss of appetite or an unwillingness to eat. It is an abnormal eating behavior that affects an individual’s physical and mental health. Eating disorders often involve extreme behaviors related to food, such as severe restriction, binge eating, or purging. They can affect individuals across all cultural backgrounds, genders, […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • DSM-5 Criteria for Substance Use Disorders

    DSM-5 Criteria for Substance Use Disorders

    The term ‘Substance Use Disorder’ has become a buzzword on social media. From influencers to laymen, people attribute Substance Use disorder to mean different things. However, The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), categorically highlights that a substance use disorder is a combination of several symptoms which affect thinking or reasoning, behavior and […]

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    Adesuwa Olajire, LCP Avatar
    Adesuwa Olajire, LCP
  • DAP Note Cheat Sheet

    DAP Note Cheat Sheet

    In mental health care, effective communication is important. A psychologist’s responsibility goes beyond understanding and helping the clients to also include maintaining precise and comprehensive records of their interactions. The value of adequate documentation in psychology cannot be emphasised enough. The session notes serve several important functions: Clinical tool: DAP notes serve as a therapy […]

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    Gargi Singh, Psychologist Avatar
    Gargi Singh, Psychologist
  • Social Work Documentation Cheat Sheet

    Social Work Documentation Cheat Sheet

    In social work, documentation isn't just a tedious task—it's an important part of effective practice. Think of it as the backbone of quality client care, ensuring everything runs smoothly, stays accountable, and meets legal standards. For social workers managing multiple cases and navigating complex support systems, keeping detailed records is both challenging and essential. This […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • What’s the Difference Between ICD and CPT Codes?

    What’s the Difference Between ICD and CPT Codes?

      ICD VS CPT difference between cpt and icd-10 pcs icd vs cpt vs hcpcs difference between diagnosis code and procedure code   Clear communication is very important in healthcare. Medical coding systems act as a universal language, enabling healthcare providers, insurance companies, and researchers to work together seamlessly. For mental health professionals, mastering these […]

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    Nuria Higuero Flores, Psychologist Avatar
    Nuria Higuero Flores, Psychologist
  • SOAP Note Cheat Sheet

    SOAP Note Cheat Sheet

    Think about it this way – you just came out of a very intense therapy session and your mind is full of insights and observations. However, when you sit down to write about the session, writer’s block hits you. Does this sound familiar? Well, don’t fret my fellow mental health warriors! SOAP notes are here to rescue us today […]

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    Gargi Singh, Psychologist Avatar
    Gargi Singh, Psychologist
  • CPT Code 96127 Complete Description (+Reimbursement Details 2025)

    CPT Code 96127 Complete Description (+Reimbursement Details 2025)

    Feeling overwhelmed by the sea of CPT codes? Get ready to explore one of the most crucial ones: CPT Code 96127. Whether you're an experienced therapist or a newly minted counselor, understanding this code is essential for your practice. It's all about those rapid emotional and behavioral assessments that can genuinely make a difference for […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • TheraPlatform vs TherapyNotes: A Comprehensive Comparison

    TheraPlatform vs TherapyNotes: A Comprehensive Comparison

    Are you feeling overwhelmed by mountains of paperwork and struggling to keep your practice in order? You're not alone. In today's digital age, having the right Electronic Health Record (EHR) and practice management software is crucial for mental health professionals to run their practices efficiently and maintain their sanity. Let's deeply dive into two popular […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Golden Thread Mental Heath Documentation (The Golden Thread Approach to Progress Notes)

    Golden Thread Mental Heath Documentation (The Golden Thread Approach to Progress Notes)

    Clinical documentation… Ugh! Just hearing those words makes me want to crawl back into bed and pull the covers over my head. I often hear colleagues say, “I hate paperwork”. And honestly, who can blame them? The thought of sitting down to meticulously document every session can feel like a chore, especially after a long […]

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    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • Private Practice Intake Form For Counseling Clients

    Private Practice Intake Form For Counseling Clients

    In private practice counseling, the first step in getting to know a new client is often through the intake form. This form is like a friendly questionnaire that helps the therapist understand the client's background and what they're seeking help for. A good intake form makes the process smoother and helps the therapist be more […]

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    Angela M. Doel, Psychotherapist Avatar
    Angela M. Doel, Psychotherapist
  • Tips for Supervising MFT Interns in Mental Health Private Practice

    Tips for Supervising MFT Interns in Mental Health Private Practice

    Are you ready to start an exciting journey as a supervisor for MFT interns? This article is your perfect guide to offering top-notch supervision that helps shape the next generation of therapists and greatly impacts their careers. It covers important topics like handling legal and ethical duties, making sessions meaningful, and trying out new methods. […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • 30 Best Group Therapy Activities

    30 Best Group Therapy Activities

    In mental health therapy, creating a supportive environment is important, especially during challenging times. Group therapy is vital in promoting communal healing, allowing individuals to connect with others facing similar struggles. Guided by dedicated professionals, participants find comfort in shared experiences, forming connections that reduce feelings of isolation and stigma. This article offers a practical […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Telepsychiatry (Telemental Health)

    Telepsychiatry (Telemental Health)

    Telemedicine has made it possible to access healthcare services from the comfort of your home, regardless of location or mobility level. The good news is that telepsychiatry enables online counseling, therapy, and medication management, making mental health care more accessible. This guide will provide a detailed overview of telepsychiatry, including its effectiveness, benefits, regulations, applications, […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Icd 10 Code for Autism 2025: F84.0

    Icd 10 Code for Autism 2025: F84.0

    Have you ever wondered what the ICD-10 code for autism covers? Get ready for an in-depth exploration of this critical tool for mental health professionals. This article delves into the ICD-10 criteria for autism spectrum disorder (ASD), revealing the significance of the F84.0 code. We examine its clinical implications by comparing it with the DSM-5 […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • TheraNest vs TherapyNotes (A Detailed Comparison (Features, Cost & Reviews)

    TheraNest vs TherapyNotes (A Detailed Comparison (Features, Cost & Reviews)

    Comparing practice management software options can help mental health professionals seek efficient ways to manage their practices. TheraNest and TherapyNotes are two electronic health records systems that provide excellent value for the mental health practices. TherapyNotes offers straightforward efficiency with its core features. TheraNest, on the other hand, includes Wiley integration and also offers an […]

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    Angela M. Doel, Psychotherapist Avatar
    Angela M. Doel, Psychotherapist
  • Free Forms Needed for Counseling Private Practice

    Free Forms Needed for Counseling Private Practice

    You’ve done it – you leaped private practice! Congratulations! It’s time to get organized and take your practice to the next level. The key to success is having all the essential documents and templates from day one to run your practice smoothly and professionally. In this article, we’ll guide you through the process, from creating […]

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    Courtney Gardner, MSW Avatar
    Courtney Gardner, MSW
  • Clinical Documentation Examples

    Clinical Documentation Examples

    Clinical documents are essential for psychotherapists to maintain organized and confidential records of their clients' treatment and progress. Clear, accurate, and comprehensive documentation supports mental health professionals in providing better care, tracking progress and change, and ensuring compliance with ethical and legal standards. The Vital Role of Clinical Documents in Psychotherapy Clinical documents are truly […]

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    Angela M. Doel, Psychotherapist Avatar
    Angela M. Doel, Psychotherapist
  • F43.23: 2025 ICD-10-CM Diagnosis Code for Adjustment Disorder

    F43.23: 2025 ICD-10-CM Diagnosis Code for Adjustment Disorder

    In the US healthcare system, F43.23 is a specific code used for billing within the ICD-10-CM system (effective October 2023). This code signifies a diagnosis of Adjustment Disorder with Mixed Anxiety and Depressed Mood. Remember, international versions of ICD-10 may use different codes for this diagnosis. What does the ICD 10 Code F43.23 stand for? The ICD 10 […]

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    Marissa Moore, LPC, LCPC Avatar
    Marissa Moore, LPC, LCPC