Learn what the Perceived Stress Scale (PSS) measures, how to score and interpret it, and how to use the PSS-10 in clinical practice.
Provider resource center
Compliance & documentation
Sharpen up on compliance practices, including taking great notes and navigating insurance requirements.
How to have a successful client discharge (with discharge summary template)
Every discharge situation is different, but a few best practices can help ensure the discharge note documentation process is successful.
How to write progress notes
Progress notes are the core piece of documentation a provider should write after each client session, but it’s more than just a record of what happened.
How to write a mental health treatment plan
Whenever you want to change the goal of your therapy care, or the path you want to take with the client to reach that goal, you’ll want to document a treatment plan.
How to write therapy intake notes (with examples)
The intake assessment is your chance to get a deep understanding of your patient — and maybe connect some elements from their journey that they wouldn’t connect themselves.
How to write SOAP notes
Here’s how SOAP notes can help you write better, faster notes — and effectively document your work as a clinician.
A clinician's guide to the MDQ. See the full questionnaire, scoring criteria, sensitivity and specificity, and when to use it during intake and assessment.
Here’s what actually matters when taking stock of AI-notes software, plus a comparison of the leading tools.
Learn how to administer, score, and interpret this seven-item tool that measures severity and tracks treatment progress.
Learn what projective tests are, how they work, and where they fit in modern therapy practices.
Learn how to write PIE notes (Problem, Intervention, Evaluation) with examples, best practices, and tips to keep your therapy documentation fast and compliant.
Learn how the Hamilton Anxiety Rating Scale (HAM-A) works, including its 14 items, scoring, administration, and how it compares to tools like the GAD-7.
Learn what the MMPI test measures, what taking it is like, and how results are interpreted. Headway covers all versions, plus how to access legitimate testing.
Use a couples therapy intake assessment to quickly capture history, risks, and goals so relationship therapists can plan focused, evidence-based treatment.
Save time with a psychiatry evaluation template that organizes patient data, reduces stress, and helps to ensure accurate documentation.
Write psychiatry progress notes faster with templates and examples designed to save time while meeting clinical and insurance requirements.
Learn how to create effective psychiatry treatment plans that balance patient goals, evidence-based care, and insurance documentation needs.
Discover an effective framework for therapy risk assessment to enhance client safety evaluations, advance clinical decision-making, and improve documentation.
With our guide, discover essential HIPAA guidelines, best practices, and tools for a compliant practice.
Here’s what to steer clear of during a process that can feel confusing.
Learn how to choose a HIPAA-compliant email service for your therapy practice, what features to look for, and which providers meet legal and ethical standards.
Interested in using the State Trait Anxiety Inventory with clients? This guide helps you interpret scores, ensure accuracy, and streamline your documentation.
The Beck Anxiety Inventory is a trusted 21-item self-report assessment tool for measuring the severity of anxiety.
Our guide covers scoring ranges, practical applications, and more for mental health professionals.
Scales and questionnaires can be valuable for screening, diagnosis, and symptom monitoring with your clients.
Pediatric clients have different considerations, which further complicates documentation. Let’s discuss the differences to make the process easier.
GIRP notes are a format for therapy progress notes. These examples can help you effectively document your work as a clinician.
Learn about how to write SOAP notes, DAP notes, BIRP notes, and more therapy notes.
Learn about CMS health documentation requirements and how mental health providers can stay on top of billing private insurance.
HIPAA compliance isn’t just about penalties. It helps improve the way you work as a therapist.
Compliance for therapists is imperative in behavioral health. Unsure if HIPAA applies to you? Our guide helps clarify compliance expectations.
SIRP notes are concise yet thorough, allowing therapists to make detailed assessments of their clients.
Here are some precise language examples and effective techniques for improving therapy progress notes and documentation.
Learn more about DARP notes and how you can incorporate them into your therapy practice.
Here’s how to decide which progress note-taking style is right for you.
Learn more about the ADNM-8 assessment and how you can incorporate it into your practice.
Learn more about the IES-R assessment and how you can incorporate it into your practice.
You can make writing the “objective” section of SOAP notes even easier.
These tips can help you stay focused.
Here are the documentation and notes requirements you’ll want to remember as a psychiatric provider.
Administering assessments to diagnose and treat a client’s evolving symptoms can provide a picture of how your client is doing over time.
Biopsychosocial assessments allow therapists to understand the most important components affecting clients’ mental health symptoms.
Learn more about the ASRS assessment and how you can incorporate it into your practice.
Here's what you need to know to safeguard patient privacy and ensure the security of sensitive mental health information.
Learn more about the World Health Organization-Five Well-Being Index and how you can use it in your practice.
Learn more about the PCL-5 assessment and how you can incorporate it into your practice.
Here’s what you need to know about medical necessity — like how to make sure your 90837 and 99205 notes are compliant.
Learn more about the ISI assessment and how you can incorporate it into your practice.
EMR cloning may initially seem like a time-saving technique, but it poses serious risks.
Understanding why audits happen, and preparing for a potential audit of your client records, can help you set your best foot forward.
When it comes to family therapy and group therapy, progress notes can become more complex due to the multiple parties involved.
The GAD-7 can help you narrow down a diagnosis if your client is experiencing anxiety symptoms, along with allowing you to track their progress over time.
The Patient Health Questionnaire-9 helps screen for, diagnose, and track progress with depression.
The “golden thread” helps connect the dots between your clinical and administrative work.
The BIRP note template focuses on how the client appears to think and feel before and after your therapeutic intervention.
We’ll demystify how to write and structure DAP notes — plus provide DAP notes examples and templates to help guide you.
Based on our conversations with insurers, here are 10 of the items most commonly missing from charting documentation, including examples of what it takes to meet the requirements for each.