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Documentation

AI Therapy Documentation Blog: SOAP, DAP and Progress Notes

Guides for therapists and counselors on writing clinical notes. To have a note drafted from a recorded session, see AI SOAP notes for therapists, AI progress notes and AI therapy documentation with MentalNote (HIPAA-compliant, BAA on every plan). You review and sign every note.

The Complete Guide to SOAP Notes in Mental Health (2026)

Learn what SOAP notes are, master all four components (Subjective, Objective, Assessment, Plan), and discover best practices for writing effective clinical documentation.

7 min read

Further Reading

  • HHS HIPAA — Official guidelines on HIPAA compliance critical for protecting patient health information.
  • APA Documentation Guidelines — Comprehensive standards for clinical documentation tailored to mental health professionals.
  • DSM-5-TR — Authoritative diagnostic manual used in clinical documentation and mental health assessments.

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