PsychDesk
Therapist organizing a practice

Therapy Writing

Therapy Writing is where you write and keep your session notes. Notes are organised in folders, usually one per client, and you can start any note from a ready-made clinical format such as SOAP or DAP.

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What this does for you

  • Every client's notes in one place, in order, instead of spread across notebooks and files.
  • A consistent structure for every note, so nothing important gets missed.
  • Notes save automatically as you type, so you do not lose work if you close the tab.

Before you start

  • The client exists in PsychDesk. Notes are saved into a client's folder, so add the client first. See the Bookings guide for registering a client.
  • Pick the note format you normally use. PsychDesk offers seven; see the table below.

The Therapy Writing page

Click Therapy Writing in the left-hand menu.

Therapy Writing page with the notes panel on the left, an empty note in the middle, and Note Templates on the right

The page has three parts.

Your Notes (left)

  • A list of folders. Click the arrow beside a folder to open it and see its notes.
  • The number beside each folder is how many notes it holds.
  • Filter notes finds a note by its name.
  • The two icons at the top create a New Folder and a New Note.

The editor (middle)

  • The note title at the top. Click it to rename the note.
  • A line showing the folder, the date, the word count, and Auto-saved once your changes are stored.
  • A formatting toolbar: undo and redo, headings, font, line spacing, lists, quote, tables, images, Import, bold, italic and more.
  • Templates, PDF and Save buttons.

Note Templates (right)

Opens when you click Templates. Close it with × to give the editor more room.

Note templates

Click a template to insert its headings and prompts into the current note.

TemplateSectionsCommonly used for
SOAP NoteSubjective, Objective, Assessment, PlanRoutine session notes
DAP NoteData, Assessment, PlanShorter session notes
BIRP NoteBehavior, Intervention, Response, PlanBehaviour-focused work
GIRP NoteGoal, Intervention, Response, PlanGoal-focused work
Intake AssessmentPresenting problem, history, initial impressionsA client's first session
Treatment PlanGoals, objectives, interventionsPlanning a course of therapy
Progress ReviewProgress against treatment goalsPeriodic reviews

Things to know:

  • Inserting a template replaces the note's title with the template name. Rename the note afterwards.
  • Insert the template before you start writing, since it is added to the note body.
  • The prompts, such as "Client reports mood as...", are there to guide you. Write your notes after them, or delete them.

Write a note for a client

1. Create a folder for the client (once per client)

  1. 1
    Click the New Folder icon at the top of Your Notes. A folder called "Untitled Folder" appears.
  2. 2
    Right-click the folder and choose Rename.
  3. 3
    Type the client's name and press Enter.

2. Start a note in their folder

  1. 1
    Right-click the client's folder.
  2. 2
    Choose New Note.
Right-click menu on a client folder with New Note, Add to Favorites, Rename and Delete

The editor opens with the folder name shown above the title.

3. Add a template and write

  1. 1
    Click Templates and choose a format, for example SOAP Note.
  2. 2
    Click the title and rename the note, for example "Session 1 - SOAP Note".
  3. 3
    Write your notes under each heading.

4. Save it to the client's folder

  1. 1
    Click Save.
  2. 2
    Choose Save for Client. Choose Save for Self instead for personal notes that do not belong to a client.
Save Note window with Save for Self and Save for Client
  1. 3
    Search for the client, click their name so it shows a tick, and click Save to Folder.
Client list in the Save Note window, with one client selected and Save to Folder ready

The note now appears under the client's folder with its date, and the folder count goes up by one.

A saved SOAP note open in the editor, listed under the client's folder

Work with folders

Right-click any folder to:

  • New Note: start a note inside it.
  • Add to Favorites: keep it easy to find.
  • Rename: change the folder name.
  • Delete: remove the folder. Check what is inside first.

A My First Folder is created for you. You can rename it or use it for your own notes.

Other tools in the editor

  • PDF: download the note as a PDF, for example to share with a supervisor.
  • Import: bring in text from an existing document.
  • Insert Image and Table options: add a diagram or a table, such as a mood tracker.
  • Hide Notes Panel (the icon left of the folder name): hides the folder list to give you a larger writing space.

Keeping notes private

  • Notes contain some of the most sensitive information you hold. Do not leave a note open on a shared screen.
  • Only download a PDF when you need one, and delete the downloaded copy once it has been shared.
  • Keep to the minimum needed for clinical care. Clients may be able to request access to their records.

Check it worked

  1. 1
    Open the client's folder in Your Notes.
  2. 2
    Confirm the note is listed with today's date.
  3. 3
    Click it and check the content is all there.

Common problems

ProblemLikely causeFix
The note title changed on its ownA template was inserted after naming the noteRename the note again after inserting the template
Save to Folder stays greyNo client is selectedClick the client's name so a tick appears
The client is not in the save listThey are not registered yetAdd them first through Bookings > Book Session > Register New Client
A note is hard to findFolder is collapsed or the name is unclearUse Filter notes, and give every note a date or session number in its name

What to set up next

  • Share worksheets and exercises with clients: see the Therapy Worksheet guide.
  • Track follow-up tasks after a session: see the Follow Up guide.
A calm, sunlit therapy space

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