How Can I Write Better Therapist SOAP Notes?

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As a therapist, there’s a variety of reasons why you want to take thorough subjective, objective, assessment and planning (SOAP) notes. You’ll be taking notes for a client’s electronic health record (EHR), which other healthcare providers will review. It’s critical to take accurate notes when different providers may be basing a client’s care on what you’ve written — your words have the potential to make a very big impact. Accuracy and reliability are especially important when it comes to mental health documentation.

In essence, SOAP notes are progress notes that help you keep track of how your clients will grow under your care. SOAP provides a framework that simplifies the process of note-taking and can make your documentation more thorough. Reviewing SOAP notes can also help you alter treatment plans and add goals along the way. Learn how to make the SOAP note-taking process more seamless for yourself and how it can benefit your clients.