1. Add the template
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PIRP note template
Use PIRP when the session is organized around a discrete clinical problem—relationship conflict, relapse urge, insomnia, crisis stressor—and you need a tight intervention/response trail.
Template content
Copy or download, then paste into Wavo under My Templates.
PIRP Progress Note Problem - Primary problem(s) addressed this session, including relevant symptoms, behaviors, and context. - Client-reported severity or change since last visit when available. Intervention - Therapeutic interventions and techniques used to address the problem. - Psychoeducation, skills training, processing, or motivational work provided. Response - Client’s verbal and behavioral response, insight, skill acquisition, and barriers observed. Plan - Next steps for the problem, homework, coordination/referrals, safety follow-up if indicated, and next appointment.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Leads with the problem so the note stays focused and easy to scan.
- Mirrors BIRP while emphasizing clinical problem language used in many BH EHRs.
- Makes intervention effectiveness visible for continuity across clinicians.
- Works for brief therapy, crisis follow-ups, and solution-focused sessions.
- 1Problem-focused counseling visits
- 2Crisis follow-up therapy sessions
- 3Behavioral-health clinics using PIRP policy
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Problem Increased marital conflict and sleep disruption after partner disclosed job loss. Client rates distress 7/10; reports two arguments escalating to yelling this week. Denies IPV or SI. Intervention Validated stress response; used emotion-focused reflection and time-out skill rehearsal. Mapped conflict cycle (pursue/withdraw). Practiced 10-minute structured check-in script for tonight. Response Tearful then calmer; recognized own criticism escalate. Willing to try time-out when voice rises. Remains ambivalent about couples referral but open to discussing next session. Plan Use time-out + check-in script once before next visit. Individual session next week; revisit couples therapy option. Crisis resources reviewed.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.