Mental Health Counselor Template

BIRP

A professional Mental Health Counselor template for healthcare professionals.

About this template

The BIRP note template is a structured documentation tool used by mental health counselors to record therapy sessions. It stands for Behavior, Intervention, Response, and Plan, providing a comprehensive framework for capturing patient interactions and therapeutic progress. This template is ideal for mental health professionals seeking to document behavioral observations, therapeutic interventions, patient responses, and future plans. When used with Heidi, the AI medical scribe, it ensures accurate and efficient note-taking, enhancing the quality of mental health care. This template is particularly useful for tracking patient progress and planning ongoing treatment strategies.

Preview template

Behavior: - The patient presented with a calm demeanor, exhibiting a stable mood and neutral affect. No significant changes in behavior were observed during the session. The patient reported a minor incident of anxiety earlier in the week but managed it effectively using breathing techniques. Intervention: - Cognitive-behavioral therapy was employed to address the patient's anxiety. - Mindfulness techniques were introduced to help the patient manage stress. - The patient was guided through a progressive muscle relaxation exercise. - Discussed the potential benefits of starting a low-dose SSRI medication, which the patient agreed to consider. Response: - The patient responded positively to the interventions, expressing relief after the relaxation exercise. - Verbally acknowledged the usefulness of mindfulness techniques. - Noted a slight improvement in mood following the session. Plan: - Continue with weekly cognitive-behavioral therapy sessions. - Schedule a follow-up appointment in two weeks to assess the effectiveness of the mindfulness techniques. - Assign the patient daily mindfulness practice as homework. Stage of Change: - The patient is currently in the action stage, actively working on managing anxiety.

Behavior: - [describe patient's current behavior, mood, and affect] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [mention any observed changes in behavior] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [note any relevant behavioral incidents or episodes] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Intervention: [include a minimum of four interventions] - [describe therapeutic interventions used during the session] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [mention any specific techniques or strategies employed] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [note any medications administered or discussed] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Response: - [describe patient's response to the interventions] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [mention any verbal or non-verbal feedback from the patient] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [note any changes in patient's behavior or mood following the intervention] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Plan: - [outline the plan for future sessions or interventions] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [mention any follow-up appointments or referrals] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) - [note any homework or tasks assigned to the patient] (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Stage of Change: - [Identify client's stage of change being maintenance, action, preparation, contemplation, precontemplation]

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