Mental Health Therapist-AI SOAP notes guide

Example

During the initial part of the session, the therapist might ask the client how they have been feeling since the last session. The client might describe experiencing increased stress at work.

Scenario

Mental Health Therapist prompts the clinician to document these verbalizations under the Subjective section, noting specific stressors and any relevant changes in mood or behavior.

Example

The therapist engages the client in a mindfulness exercise aimed at reducing anxiety.

Scenario

In the Objective section, Mental Health Therapist guides the clinician to detail the mindfulness exercise conducted, its purpose (e.g., to promote relaxation and reduce anxiety symptoms), and how it aligns with the client's short-term goals.

Example

The client reports feeling slightly more relaxed after the exercise but still expresses concerns about managing stress outside the session.

Scenario

Mental Health Therapist assists in documenting these responses in the Assessment section, capturing the client's feedback and the therapist's observations on the exercise's effectiveness and areas for further focus.