Progress Note Templates & Examples for Therapists
Progress notes are the backbone of clinical documentation. They record what happened in each session, track client progress toward treatment goals, and create the legal record of care. Well-written progress notes satisfy insurance requirements, support continuity of care, and protect clinicians in the event of an audit or legal inquiry.
What You'll Find Here
This section contains templates, filled-in examples, and step-by-step writing guides for every type of progress note used in mental health practice:
- By format — SOAP, DAP, BIRP, GIRP, and other structured note formats with side-by-side comparisons
- By session type — intake notes, termination notes, group therapy notes, couples therapy notes, crisis session documentation, telehealth notes, and collateral contact notes
- By diagnosis — progress note examples written specifically for depression, anxiety, PTSD, ADHD, bipolar disorder, OCD, eating disorders, substance use, BPD, and grief
Each page includes a realistic filled-in example, a breakdown of what to include in each section, common documentation mistakes to avoid, and frequently asked questions.
Which Progress Note Format Should You Use?
The right format depends on your setting, training, and insurance requirements. SOAP notes are the most widely used across healthcare and are recognized by virtually all insurance companies. DAP notes are popular in community mental health and counseling settings because they focus on clinical data, assessment, and planning. BIRP notes are commonly required by agencies and community mental health centers, emphasizing behavior and intervention. If your employer or insurer doesn't mandate a specific format, choose the one that best supports your clinical thinking and documents the "golden thread" connecting assessment to treatment to progress.
All Progress Notes Templates
BIRP Note Template: Format, Examples & Free Guide
Complete BIRP note template with filled-in examples for mental health professionals. Learn the Behavior-Intervention-Response-Plan format used in community mental health, with realistic clinical samples and documentation tips.
View template →Collateral Contact Notes: Documenting Third-Party Communications
How to document collateral contacts with family members, schools, other providers, and attorneys. Covers consent requirements, what to include, what to leave out, and includes a filled-in example of a school counselor phone call.
View template →Couples Therapy Notes: How to Document Dual-Client Sessions
Complete guide to documenting couples therapy sessions for mental health professionals. Covers record-keeping challenges unique to dual-client treatment, billing considerations for 90847 vs 90834, confidentiality pitfalls, and includes a filled-in Gottman method session example.
View template →Crisis Session Documentation: How to Document Mental Health Crises
Learn how to document crisis sessions involving suicidal ideation, self-harm, and psychiatric emergencies. Includes risk assessment documentation, clinical reasoning for disposition decisions, and a filled-in crisis note example.
View template →DAP Note Template for Therapists: Examples & Writing Guide
Complete DAP note template with filled-in examples for mental health clinicians. Learn the Data-Assessment-Plan format, see realistic therapy session samples, and streamline your clinical documentation.
View template →GIRP Note Template: Goal-Oriented Progress Notes for Therapists
Complete GIRP note template with filled-in examples for mental health professionals. Learn the Goal-Intervention-Response-Plan format that keeps every session tied to treatment plan objectives, with realistic clinical samples and step-by-step writing guidance.
View template →Group Therapy Progress Note Template: Documentation Guide
Complete guide to documenting group therapy sessions for mental health professionals. Includes a filled-in DBT skills group example, templates for individual and group-level documentation, and guidance on navigating confidentiality, billing, and multi-client note-writing.
View template →Therapy Intake Note Template: First Session Documentation Guide
Complete intake note template for mental health clinicians with filled-in examples. Learn what to document in the first therapy session, from presenting problem to diagnostic impression, with a realistic clinical sample and step-by-step writing guide.
View template →Late Entry & Addendum Documentation: How to Correct Clinical Records
Learn the difference between late entries, addenda, and amendments in clinical documentation. Understand legal requirements for correcting records, why you must never alter or backdate notes, and see a properly formatted late entry example.
View template →Progress Notes for ADHD Therapy Sessions: Examples & Guide
How to write diagnosis-specific progress notes for ADHD therapy sessions. Includes executive function language, organizational and time management interventions, and a filled-in SOAP note example for adult ADHD.
View template →Progress Notes for Adjustment Disorder
Clinical documentation guide for Adjustment Disorder progress notes, including stressor identification, coping skill development, time-limited treatment documentation, and SOAP note examples for adjustment to life transitions.
View template →Progress Notes for Anger Management Therapy
Clinical documentation guide for anger management therapy progress notes, including trigger identification, cognitive restructuring, relaxation techniques, and court-mandated treatment considerations with SOAP note examples.
View template →Progress Notes for Anxiety: Examples & Documentation Guide
How to write diagnosis-specific progress notes for Generalized Anxiety Disorder. Includes GAD clinical language, GAD-7 tracking, cognitive restructuring and relaxation interventions, and a filled-in SOAP note example.
View template →Progress Notes for Autism Spectrum Disorder Therapy Sessions
Clinical documentation guide for ASD therapy progress notes, including social skills interventions, sensory considerations, executive function support, caregiver involvement, and SOAP note examples for adolescent ASD therapy sessions.
View template →Progress Notes for Bipolar Disorder: Documentation Guide
How to write diagnosis-specific progress notes for Bipolar Disorder. Includes mood episode language, IPSRT and psychoeducation interventions, mood monitoring, and a filled-in SOAP note example for a depressive phase session.
View template →Progress Notes for Borderline Personality Disorder (BPD)
Clinical documentation guide for BPD treatment sessions. Covers DBT-specific documentation, diary card review, chain analysis, crisis documentation, ICD-10 F60.3, and a filled-in SOAP note example for a DBT individual session.
View template →Progress Notes for Chronic Pain and Psychology
Clinical documentation guide for psychological treatment of chronic pain, including pain catastrophizing assessment, activity pacing, ACT interventions, functional goals, and SOAP note examples for pain management sessions.
View template →Progress Notes for Depression: Examples & Clinical Language Guide
How to write diagnosis-specific progress notes for Major Depressive Disorder. Includes MDD clinical language, PHQ-9 tracking, behavioral activation interventions, and a filled-in SOAP note example.
View template →Progress Notes for Eating Disorders: Clinical Documentation Guide
Clinical documentation guide for eating disorder treatment sessions. Covers ED-specific language for anorexia, bulimia, and BED, CBT-E documentation, medical monitoring coordination, ICD-10 F50.x codes, and a filled-in SOAP note example.
View template →Progress Notes for Grief & Bereavement Counseling
Clinical documentation guide for grief and bereavement counseling sessions. Covers grief-specific language, prolonged grief disorder (DSM-5-TR), narrative reconstruction, continuing bonds interventions, and a filled-in SOAP note example.
View template →Progress Notes for Insomnia / Sleep Disorders (CBT-I)
Clinical documentation guide for CBT-I progress notes, including sleep diary review, sleep restriction therapy, stimulus control documentation, and SOAP note examples for insomnia treatment sessions.
View template →Progress Notes for OCD Treatment: ERP Documentation Guide
Learn how to write clinically sound progress notes for OCD treatment sessions. Includes ERP-specific documentation language, Y-BOCS tracking, SUDS ratings, and a filled-in SOAP note example for contamination OCD.
View template →Progress Notes for PTSD: Trauma-Informed Documentation Guide
How to write diagnosis-specific progress notes for Posttraumatic Stress Disorder. Includes trauma-informed clinical language, PCL-5 tracking, CPT and PE interventions, and a filled-in SOAP note example for a CPT session.
View template →Progress Notes for Relationship Issues (Individual Therapy)
Clinical documentation guide for individual therapy progress notes addressing relationship issues, including communication patterns, attachment styles, boundary-setting, and SOAP note examples for sessions focused on relationship conflict.
View template →Progress Notes for Self-Harm and Suicidal Ideation
Clinical documentation guide for progress notes addressing self-harm and suicidal ideation, including safety assessment documentation, chain analysis, means restriction counseling, and SOAP note examples.
View template →Progress Notes for Social Anxiety Disorder
Clinical documentation guide for Social Anxiety Disorder therapy progress notes, including exposure hierarchy documentation, safety behavior elimination, cognitive restructuring, and SOAP note examples for exposure sessions.
View template →Progress Notes for Substance Use Disorder: Documentation Guide
Clinical documentation guide for substance use disorder treatment sessions. Covers SUD-specific language, motivational interviewing documentation, 42 CFR Part 2 confidentiality, ICD-10 F10-F19 codes, and a filled-in SOAP note example.
View template →Psychotherapy Notes vs Progress Notes: HIPAA Rules Explained
Understand the critical HIPAA distinction between psychotherapy notes and progress notes. Learn what belongs in each, legal protections, subpoena rules, and see side-by-side examples showing the same session documented both ways.
View template →SOAP Note Template for Therapists: Examples & Writing Guide
Complete SOAP note template with filled-in examples for mental health clinicians. Learn the SOAP format, see realistic samples, and avoid common documentation mistakes.
View template →SOAP vs DAP vs BIRP Notes: Which Format Should You Use?
A comprehensive comparison of SOAP, DAP, and BIRP progress note formats for mental health professionals. Includes side-by-side examples of the same session documented in all three formats, pros and cons of each, and guidance on choosing the right format for your clinical setting.
View template →Telehealth Session Notes: Documentation Requirements & Template
Complete guide to documenting telehealth therapy sessions. Covers platform requirements, client location, consent verification, technical issues, and includes a filled-in telehealth CBT session note template.
View template →Termination & Discharge Notes for Therapy: Template & Guide
Complete guide to writing termination and discharge notes for mental health professionals. Covers planned and unplanned termination documentation, treatment summaries, aftercare planning, and includes a filled-in example for successful CBT completion with step-by-step writing guidance.
View template →Therapy Progress Note Template: Complete Writing Guide
A comprehensive guide to writing therapy progress notes for mental health clinicians. Learn what every progress note needs regardless of format, with filled-in examples, common mistakes, and documentation best practices.
View template →External Resources
Authoritative references and tools related to this documentation type.
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