Category: Therapy Documentation
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Psychiatric Nursing Notes (Psych Mental Health Nurse Note Example Included)
So… What Are Psychiatric Nursing Notes? Basically, psychiatric nursing notes stand as the…
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Contact (service) Note: Documenting Between-Session Communication
If you’re a mental health clinician, there will be times when…
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Conducting a Comprehensive Mental Status Exam: Tips and Techniques
The mental status examination (MSE) is a crucial tool used by…
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Goal Setting in Counseling and Therapy
Mental health professionals must document goals in their treatment plans and progress notes.…
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Discharge (Termination) Notes: Ensuring a Smooth Transition for Clients
Therapists don’t stop caring about their clients when services end. We…
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Social Work Notes (With Example and Template)
As a social worker, it’s critical to have the ability to…
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PIE Notes Mental Health (With Examples)
Mental health documentation is an essential aspect of psychotherapy sessions. Documentation helps…
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An Overview of Mental Health Notes
If you’re a mental health professional, you may feel overwhelmed with…
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Treatment Plan: What It Is, Examples & How to Write One
As a therapist, I’ve seen firsthand how the simple act of planning can…
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Case Management and Case Notes
That incident still resonates in my head. I was in the…
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Process Notes (Psychotherapy notes / Private notes) vs Progress Notes – Key Difference
Mental health clinicians have to document all counseling sessions that they…
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What is a Therapy Intake Note & How Should I Write one?
If you’re a mental health clinician, documenting client intake appointments is…
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How to Write Couples Therapy Notes? (With Examples and Tips)
Setting the Stage: What Is Couples Therapy? Think about your relationship…
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How to Write PIRP Note? (With Example)
If you’re looking for a problem-focused note format, consider writing PIRP…
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How to Write BIRP Notes (With Examples & Templates)
BIRP notes are a type of note format used by many…
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How to Write GIRP Notes (with Examples)
GIRP Notes GIRP notes are a form of progress note documentation…
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What are EMDR Therapy Notes and How to Write Them?
EMDR Notes: All Your Queries Answered! Have you ever found yourself…
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The BEST BIRP Note Generator (Write BIRP Note Faster)
Mental health BIRP notes are an important part of the therapeutic…
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Why is documentation important in Mental health Treatment?
Documentation is a crucial part of mental health treatment in today’s…
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Cures Act Psychotherapy Notes
The Cures Act (short for the 21st Century Cures Act) Psychotherapy…
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Medical Necessity: A Therapist’s Guide to Utilization Review, Authorizations & Documentation
As someone who’s worked on both sides of healthcare in the…
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Maximizing Your Productivity as a Therapist with an AI Tool
Being a therapist can be a demanding job, requiring long hours…
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Should I take notes during therapy? Yay or Nay?
Should I Take Notes During Therapy? There’s no simple “yay or…
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Writing Therapy Progress Notes For Insurance
As a therapist, you know that documentation is an essential part…