What is a Psychotherapy Note Template?
A psychotherapy note refers to a therapist’s private notes regarding a session or general encounter with a patient. Psychotherapy notes differ from progress notes in their status as non-legal, optional documents that are not made to be shared. In turn, a progress note is a legal, required document that is frequently shared between all members of a patient’s care team, insurance providers, and even lawyers. In order for psychotherapy notes to be properly differentiated from progress notes, there are a few things that they aren’t supposed to contain: diagnosis, symptoms, clinical test results, and treatment plans. If your document has any of this information, it will be legally considered a progress note.
So what exactly do psychotherapy notes contain? This is evidently fairly dependent on the encounter that you have with a patient, but the general purpose of a psychotherapy note is to consolidate your own knowledge and memory regarding a specific patient. You may want to record an observation, hypothesis, or generalized notes to help provide context to your treatment and ensure you remember all important details of the patient’s health condition. To help healthcare practitioners write efficient and effective psychotherapy notes, we’ve created a PDF template that can be downloaded and utilized for free.











