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“I Love Writing Psychotherapy Notes”

June 13, 2019 by Beth Rontal

writing psychotherapy notes and what mental health prfessionals think about documentation

If you …

  • experience doing your notes as a never-ending and tedious task,
  • find it clinically irrelevant, and
  • would rather clean the bathroom

I get it! You…

  • don’t know what or how much to write.
  • resent the time it takes.
  • wonder how to maintain client confidentiality.
  • worry about legal issues
  • lose sleep about passing audits and losing income.

Psychotherapy documentation should not be a confusing and dreaded evil. It should not only pass an audit, it should contribute to good clinical practice.

It’s no wonder you’re confused. Graduate schools don’t teach you how to write your notes because every clinic you work at after school has a different system based on different needs or populations served.

But there are standards that need to be met whether you work in a clinic, have a private practice, see adults, elders, teens, children, babies, or families.

Having spent 1000’s of hours over 15 years of supervising and teaching 1000’s of clinicians how to write clinically relevant notes that pass audits, I have heard it all and developed a workshop to clear up the mystery.

Effective documentation is not rocket science. It is a formula that once learned, completely demystifies the process.

My workshop, Misery or Mastery: Documenting Medical Necessity for Psychotherapists, simplifies and clarifies the documentation process so that you …

  • know what and how much to write
  • save time
  • maintain client confidentiality
  • avoid legal issues
  • protect your income
  • reduce your anxiety

After 7 years of teaching this workshop nationally, it is finally available online.

Misery or Mastery: Documenting Medical Necessity for Psychotherapists, has been carefully created to help you master clinical documentation as a simple and repeatable formula. You will learn how to write treatment plans, session notes, consultation notes, discharge and diagnostic summaries, and avoid the red flags that trigger audits. Divided into five distinct modules with the length of time it takes to view each one, you can easily plan your viewing time. Watch it all at once or watch a module per day.  Designed to engage all learning styles you will see, hear, read, and practice the material, which reinforces each lesson in multiple ways, systematically building your knowledge base.

No matter what system you use, you can start to implement the skills immediately. Learn more or get your copy of Misery or Mastery: Documenting Medical Necessity for Psychotherapists now.

Clinical Documentation,  Documenting Mental Health,  Passing Audits,  Psychotherapist Notes audits,  golden thread,  progress notes

Reader Interactions

Comments

  1. Donna werling says

    November 30, 2020 at 3:52 pm

    I need help learning what to put in my therapy notes.

    • Beth Rontal says

      December 29, 2020 at 3:42 pm

      Please feel free to contact me! Or take my online training video.

    • Beth Rontal says

      January 16, 2021 at 7:05 pm

      Hi Donna, You are not alone!!! Lots of people need help with their therapy notes. Have you looked into my online course?

  2. Magdalene Acquah says

    February 28, 2021 at 11:29 am

    I don’t know if i am putting too much or less… i need help

    • Beth Rontal says

      March 1, 2021 at 6:27 pm

      Magdalene,
      You are not alone! This is the number one frustration therapists tell me. My training, Misery or Mastery: Documenting Medical Necessity, addresses what and how much to write, and much more. You may want to take a look at the testimonials.
      Be well,
      Beth

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