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Therapy progress note template
Emphasizes treatment goals, interventions, and patient response—the workflow therapists need—rather than medication and diagnostic complexity.
Template content
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Therapy Progress Note Session Information - Modality, attendees, and session focus. Subjective / Patient Report - Symptoms, stressors, functioning, and progress toward treatment goals in the patient's words when useful. Interventions - Techniques used (e.g., CBT restructuring, exposure, DBT skills, motivational interviewing) and themes explored. Patient Response - Engagement, insight, skill practice, and emotional response in session. Risk - Suicidal ideation / safety assessment if indicated this visit. Assessment / Progress Toward Goals - Status relative to treatment goals and any goal updates. Plan - Homework, next-session agenda, referrals/coordination, and follow-up.
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
- Separates therapy workflow from psychiatric medication documentation.
- Keeps goals and interventions visible across longitudinal care.
- Compatible with custom clinic language and modalities.
- 1Psychologists and therapists
- 2Ongoing outpatient psychotherapy
- 3Teletherapy progress documentation
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.
Session Information Individual psychotherapy, in-person, 50 minutes. Focus: social anxiety around team meetings. Subjective Client reports attending 2 of 3 standups this week; anticipatory anxiety 7/10 before speaking. PHQ-9 = 8; GAD-7 = 11. Sleep adequate. No new medications. Interventions Reviewed cognitive model of social anxiety; practiced brief cognitive reframe and 4-7-8 breathing. Planned graded exposure: one verbal contribution in next standup. Patient Response Engaged, initially skeptical of breathing then noted decreased chest tightness. Committed to exposure step with anticipated SUDS 6/10. Risk Denies SI/HI/self-harm. Risk low. Assessment / Progress Goal 2 (reduce meeting avoidance) partially met—attendance improving; verbal participation still limited. Therapeutic alliance strong. Plan Complete one verbal contribution; log SUDS. Next session: review exposure and introduce interoceptive basics. Follow-up in 1 week.
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.
Related templates
Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.