Some guidelines for keeping psychotherapy progress notes

Note Designer note-taking software was developed to help you generate notes that capture the essential components of your sessions. (And, if your discipline or specialty area has additional or different requirements, you can customize your notes as needed.) The body of each note includes:

  • information about the client/patient's current emotional and mental state
  • the main themes of the session
  • the interventions provided
  • outstanding issues and the plan for ongoing treatment

Read our blog for excerpts from the document "Record Keeping Guidelines", from the American Psychological Association:

 

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