Turn rough therapy session bullets into a complete DAP or SOAP note.

What it does

Therapy notes are the highest-stakes documentation in private practice and the most common reason claims get denied, audits get triggered, and licensing boards get involved. This DAP and SOAP session note structurer takes the rough bullets you'd otherwise stare at after a 50-minute session and produces a complete, audit-tested note in the format you bill on — DAP for outpatient private practice (default), SOAP for medical-model settings, with the right vocabulary, the right risk documentation, and the medical necessity language insurers actually look for. It's built for licensed clinicians (LCSW, LMFT, LPC, PsyD, PhD) and pre-licensed associates (AMFT, ACSW, APCC) writing their own session notes between clients. The note translates lay bullets ('client was tearful, said she's been isolating') into the affect quality + congruence + range + intensity format that won't get flagged ('Affect was dysphoric, congruent with reported mood, restricted in range, of moderate intensity. The client reported social withdrawal over the past week with [functional impact]'). It names interventions in the modality-specific vocabulary auditors expect — DBT diary card and chain analysis, CBT cognitive restructuring and behavioral activation, ACT defusion and values clarification, EMDR bilateral stimulation and SUDS ratings, MI change talk and decisional balance. Five bundled references back the output: medical-necessity-language.md (audit-tested Assessment phrases by diagnosis cluster — MDD, GAD/Panic, PTSD, Bipolar, OCD, SUD, Adjustment Disorder), clinical-vocabulary-guide.md (affect, thought process, insight, judgment, modality-specific intervention naming), risk-documentation-guide.md (Columbia Protocol framework with sample language for passive SI, active SI with plan, NSSIB, HI, Tarasoff, mandated CPS/APS reporting), insurance-audit-proofing.md (cloning detection, goal reference requirements, CPT code time matching, telehealth documentation), and treatment-plan-integration.md (linking notes to SMART goals and PGO format). It will not write a note for a session you didn't describe — even thin bullets are fine, but it won't fabricate clinical content wholesale.

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