Curious about how occupational therapists assess and treat mental health conditions? Assessments play a crucial role in occupational therapy, guiding personalized interventions for individuals. With various assessments available, occupational therapists can identify specific areas of need and create treatment plans accordingly. In this enlightening article, learn about occupational therapy mental health assessments’ purpose, benefits, and limitations. Whether […]
Are you looking to revolutionize your client assessments? Introducing the Daily Living Activities-20 (DLA-20)! This powerful tool is renowned for its convenience, reliability, and effortless scoring, making your assessment, treatment planning, and tracking a walk in the park. Whether you're in community mental health or private practice, the DLA-20 is a game-changer. Our comprehensive guide […]
Confidentiality is the cornerstone of the therapeutic relationship, offering clients a safe space to explore their most intimate thoughts and feelings without fear of judgment or exposure. Confidentiality is foundational to the trust required for effective therapeutic work. However, there are specific, carefully defined circumstances under which a therapist may ethically and legally break confidentiality. […]
As a mental health pro, your main focus is to help people rather than being overwhelmed by paperwork. However, there are times when it is crucial to focus on paperwork, especially when it comes to meeting the requirements set by the Centers for Medicare and Medicaid Services (CMS) for documenting psychotherapy sessions. Maintaining proper documentation ensures compliance, […]
SOAP notes are a widely adopted method of progress note documentation used by mental health professionals to write down and organize information clearly, concisely, and systematically. The SOAP method offers a structured framework to document therapy sessions, track client progress, and support clinical decision-making. This method fosters a holistic view of the client while focusing on specific […]
What strategies do you have in mind to engage your clients and improve your occupational therapy practice? As an occupational therapist, setting meaningful goals for your clients is essential. However, covering all aspects, such as physical, cognitive, self-care, and work-related goals, can be overwhelming. In this blog, we will provide you with a step-by-step guide […]
You won’t believe the transformation your SOAP notes will undergo when you start working with kids! It’s time to take your pediatric SOAP notes to the next level. Get ready to learn how to make your notes to fit the needs of your little clients, including what to include, examples, templates, and expert tips. We’ll […]
You've likely heard the term "patient confidentiality" before, but do you know what it means for you as a mental health professional? In your role, you're privy to extremely sensitive information about your clients' lives, so maintaining confidentiality is crucial. But it's also complex. There are exceptions. In this article, we'll cover the ins and […]
Imagine entering your office and discovering a voicemail from a prospective client eager to schedule an initial session with you! This client heard about your therapy practice from a friend and is ready to dive in. But wait, they are concerned about leaving personal details on a recording. As therapists, our voicemails are often the […]
Mental health professionals face relentless administrative burdens. Documentation shouldn’t be one of them. This article compares Mentalyc and Autonotes, two prominent AI-powered documentation solutions, to help you choose the platform that best elevates your practice. While Autonotes offers a basic option, Mentalyc goes beyond, empowering you to deliver exceptional care with greater efficiency and accuracy. […]
What’s this sudden “AI” buzz? Artificial Intelligence (AI) isn't new but its recent advancements and growing accessibility have sparked a surge of interest, particularly in the competitive mental health landscape. Unlike before, AI today isn't just theoretical. With increased processing power, sophisticated algorithms, and vast datasets, AI applications are now practical and demonstrably valuable. This […]
How to Write DAP Notes There are a variety of methods therapists can use to write progress notes. With various ways to document client sessions, mental health professionals may have difficulty choosing which documentation format to use. DAP notes have three clearly defined sections, which help therapists cover the necessary information in their therapy progress […]
How many times have you stared at your notes thinking, ‘What exactly do I need to include so this is compliant and makes sense later? You may wonder what a progress note should include or what mental health progress note templates to use. When you are writing therapy progress notes, there isn’t one template that […]
Have you ever stared at a blank screen, wondering how to even begin a new client’s biopsychosocial (BPS) assessment? You’re not alone. Many therapists across the U.S. say that this report is the single most overwhelming piece of clinical documentation. Unlike progress notes such as GIRP or SOAP notes, which are brief and tied to […]
Imagine you’ve had a long day, and your practice is full. You have a day’s worth of progress notes to write but do not know where to start. Maybe you’re struggling to remember what happened in your first session this morning or have fallen behind and feel overwhelmed. You may do something else entirely because […]
Note-taking can be a tedious process for many mental health professionals. It can be time-consuming and knowing what information goes into your notes to protect against insurance audits and prove medical necessity can be overwhelming. If you’re writing progress notes, the challenges, and limitations associated with neurodiversity can make documenting therapy intakes and psychotherapy sessions difficult. Holding attention and space […]
Are you tired of feeling intimidated by the maze of complex CPT codes associated with psychiatry? Don't worry, you're not alone! Understanding psychiatry and CPT codes can be demanding. However, with our exclusive cheat sheet, you'll have everything you need to confidently navigate psychiatry's most common behavioral health codes, from diagnostic and evaluation codes to […]
Mental health clinicians use various therapeutic modalities to help treat their clients. Some therapists are rigid in their practice, and others are more laid-back. Many times, mental health professionals gravitate towards modalities and methods of treatment that match their style. Despite the modalities used, the therapeutic relationship is one of the most essential elements of […]
Mental health outcome measures are valuable instruments used to assess the progress of individuals' mental well-being. These measures effectively capture a range of metrics, including various aspects of client functioning, symptomatology, and treatment experiences. Such assessments capture baseline data at the commencement of services, as well as progress documented as support continues. What Are We […]
Description Current Procedural Terminology (CPT) Code 90846 is used within mental and behavioral health services to denote a specific type of therapeutic interaction. This code is important in the coding and billing process as it helps categorize mental health professionals' services. CPT code 90846 is used for 50-minute face-to-face or telehealth family psychotherapy sessions when […]
The GAD-7 is a user-friendly, self-administered questionnaire for screening and measuring generalized anxiety disorder severity. The Generalized Anxiety Disorder 7-Item Questionnaire (GAD-7) The GAD-7 score is obtained by adding the scores for each of the 7 questions (total points) (range: 0-21) Scoring & Interpretation Now that you’ve completed the GAD-7 questionnaire, it’s important to understand […]
We've all been there. Your heart starts racing as you think about having to give a presentation in front of the class. Or maybe the idea of making small talk at a party makes you break out in a cold sweat! Social anxiety is something most people can relate to on some level. But for […]
You’ve probably heard about CPT codes, but how familiar are you with the nitty-gritty details? If you’re a mental health professional interested in couples and family therapy, it’s time to get up close and personal with CPT code 90847. When used correctly, this code is the key to unlocking insurance reimbursement for couples and family […]
CPT Code 90838 Description CPT Code 90838 refers to individual psychotherapy sessions that last 60 minutes, with the patient physically present for the session. This code is essential to the billing and documentation process for mental health professionals, including psychologists, clinical social workers, psychiatrists, psychotherapists, and counselors – any mental health professional providing and paying […]
