Blog
How to Document Dialectical Behavior Therapy (DBT) Sessions
A practical guide for DBT therapists on documenting individual therapy, skills group, diary cards, chain analysis, behavioral targets, consultation team notes, and phone coaching contacts without reducing the treatment to a checklist.
How to Document Eating Disorder Treatment Sessions
A practical guide for clinicians treating eating disorders on how to document sessions involving medical monitoring, weight tracking, meal plan coordination, body image work, level of care decisions, and multidisciplinary team communication.
How to Document EMDR Therapy Sessions
A practical guide for EMDR-trained therapists on what to capture at each phase of the 8-phase protocol, how to document SUD and VOC ratings, bilateral stimulation parameters, target memory tracking, and between-session observations that satisfy insurance reviewers without over-documenting trauma content.
How to Document Employee Performance Reviews and Improvement Plans
A practical guide for HR professionals on documenting performance conversations, annual reviews, PIPs, and disciplinary discussions in a way that is consistent, defensible, and useful to managers and employees alike.
How to Document Exposure and Response Prevention (ERP) Therapy for OCD
A practical guide for therapists providing ERP for OCD and related anxiety disorders on documenting exposure hierarchies, SUDS ratings, response prevention adherence, habituation tracking, and progress notes that meet both clinical and insurance standards.
How to Document Forensic Mental Health Evaluations and Court-Ordered Therapy
A practical guide for forensic psychologists, clinical social workers, and therapists on documentation standards for forensic evaluations, competency assessments, custody evaluations, risk assessments, and court-ordered therapy progress reports.
How to Document Gestalt Therapy Sessions
A practical guide for Gestalt therapists on translating experiential, process-oriented work into clinical records. Covers phenomenological observation, empty chair technique, body awareness, contact experiments, and how to satisfy insurance requirements without gutting the Gestalt framework.
How to Document Gottman Method Couples Therapy Sessions
A practical guide to Gottman Method documentation for couples therapists. Learn how to capture Sound Relationship House assessments, Four Horsemen observations, Gottman Relationship Checkup results, and interventions like Dreams Within Conflict using SOAP and DAP formats that reflect relational patterns rather than individual pathology.
How to Document Grief and Bereavement Counseling Sessions
A practical guide for therapists on documenting grief counseling sessions. Learn how to handle non-linear progress, complicated grief screening, cultural considerations, and write clear SOAP and DAP notes for bereavement work.
How to Document Group Therapy Sessions
A practical guide to group therapy documentation for licensed clinicians. Learn what to include in group notes, how to handle confidentiality, and how to document therapeutic factors and critical incidents.
How to Document Informed Consent in Therapy and Clinical Practice
A comprehensive guide to informed consent documentation for therapists and clinicians. Covers required elements, ongoing consent, minors, telehealth, and how template-based approaches prevent gaps.
How to Document Intensive Outpatient Program (IOP) and Partial Hospitalization Sessions
A practical guide for therapists, counselors, and social workers working in IOP and PHP programs. Covers documentation requirements for insurance authorization, group and individual notes, treatment plan updates, step-down criteria, and audit-proofing your records.