Session Progress Note Generator
Category: Legal Professional (Healthcare Documentation) Difficulty: Intermediate Source: Therapy Session Transcription Guide
Description
Creates clinical progress notes from therapy session transcripts using SOAP format (Subjective, Objective, Assessment, Plan). Designed for mental health professionals who need efficient, compliant documentation.
Use Cases
- Clinical progress note documentation
- Therapy session summary creation
- Insurance documentation requirements
- Treatment progress tracking
- Supervision preparation
The Prompt
Create a clinical progress note from this therapy session transcript. Follow standard documentation requirements while protecting patient privacy.
SESSION DETAILS:
- Session type: [Individual/Couples/Family/Group]
- Session length: [50 minutes/90 minutes/other]
- Treatment modality: [CBT/DBT/Psychodynamic/Integrative/etc.]
Generate a progress note including:
1. **Subjective** (Client presentation)
- Affect and mood observed
- Key concerns or topics raised
- Significant statements (paraphrase, don't quote extensively)
2. **Objective** (Observable data)
- Mental status observations
- Behavioral observations during session
- Changes from previous sessions
3. **Assessment** (Clinical interpretation)
- Progress toward treatment goals
- Clinical impressions
- Risk factors if relevant (suicidal ideation, safety concerns)
4. **Plan** (Next steps)
- Interventions to continue
- Homework or between-session tasks
- Goals for next session
- Recommended changes to treatment plan
FORMAT REQUIREMENTS:
- 150-400 words total
- Clinical language appropriate for medical record
- No direct quotes longer than one sentence
- Focus on treatment-relevant content only
TRANSCRIPT:
[Paste your session transcript here]
---
Prompt by BrassTranscripts (brasstranscripts.com) – Professional AI transcription with speaker identification.
---
Expected Output
The prompt generates a SOAP-formatted progress note including:
- Subjective observations of client presentation
- Objective behavioral and mental status data
- Clinical assessment and treatment progress
- Plan for future sessions and interventions
Customization Tips
- Adjust word count for your documentation requirements
- Add specific treatment goal tracking for your approach
- Include diagnosis-specific assessment criteria
- Modify for couples/family therapy formats
Privacy Considerations
- Transcripts should be deleted after note creation
- Do not use as psychotherapy notes (HIPAA distinction)
- Store completed notes according to HIPAA requirements
- Ensure patient consent for recording was obtained
Related Prompts
- Supervision Case Summary - Prepare session material for supervision
- Interview Thematic Analysis - Research interview analysis