AI for Therapists

Draft a BIRP-format session note for an individual psychotherapy session billed as CPT 90837. Sections: behavior (the observable client presentation, affect, mental status, the content the client brought, the relational dynamic in session), intervention (the specific interventions the clinician used with the framework or modality referenced, the evidence-base for the choice), response (the client's response to the intervention, the within-session shift if any, the client's engagement and resistance pattern), plan (the homework or between-session-assignment, the focus for the next session, the relevant clinical-risk monitoring). Voice: professional, specific, the format that holds up in chart audit and supervision review. Session content (deidentified): [paste].

Generate a biopsychosocial assessment section from this intake. Sections: biological (the medical history relevant to mental health, psychiatric medication history, substance use history, sleep-and-physiology pattern), psychological (the developmental history, cognitive pattern, affective regulation, behavioral pattern, attachment-and-relational history), social (the family-of-origin context, current support system, occupational and educational and economic context, cultural and identity context per the DSM-5-TR Cultural Formulation Interview framework), strengths-and-resources inventory, risk-and-protective-factor inventory. Intake data (deidentified): [paste]. The licensed clinician verifies before finalizing.

Build a treatment plan with measurable goals for [presenting problem and diagnostic impression]. Sections: 2-3 long-term goals tied to the presenting problem and the client's stated goals, 4-6 short-term objectives that ladder up to each goal with the measurement-based-care instrument that tracks progress (PHQ-9 for depression goals, GAD-7 for anxiety goals, PCL-5 for trauma goals, the practice's preferred instrument otherwise), the evidence-based-treatment intervention plan with the modality (CBT, DBT, ACT, EMDR, IFS, MI, TF-CBT, ERP) and the session-by-session structure across the first 12-16 sessions, the frequency and duration of sessions, the criteria for treatment-plan revision, the criteria for discharge or referral. Client collaboration and informed-consent discipline applies. Case context: [paste].

Draft an insurance-authorization request letter for continued psychotherapy with [payer]. Sections: the DSM-5-TR diagnosis with the functional-impairment evidence, the treatment plan with the long-term goals and the short-term objectives and the measurement-based-care progress to date, the evidence-based-treatment modality with the framework citation, the requested visit count and the rationale, the alternative levels of care considered and the reason for the current level. Voice: substantive, the format utilization-management reviewers at the major payers recognize as supporting the requested authorization. Case context: [paste]. The licensed clinician verifies before submission.

Research the evidence base for [treatment modality] for [diagnosis or presentation] in 2026. Output: the SAMHSA Evidence-Based Practices Resource Center citation, the APA Division 12 Society of Clinical Psychology treatment classification (well-established, probably efficacious, possibly efficacious, experimental), the most recent Cochrane systematic review with the effect size and the confidence interval, the controlling treatment-developer resources (Beck Institute for CBT, Linehan Institute for DBT, EMDR International Association for EMDR, the IFS Institute for IFS, the relevant TF-CBT developer resources), the indexed primary literature in PsycINFO and PubMed from the last 5 years. The clinician verifies the citations against primary sources before relying on them in supervision or in audit.

Draft 3 psychoeducation handouts for the client population presenting with [condition]: handout 1 the condition explained in plain language at the appropriate literacy level, handout 2 the evidence-based self-management strategies the client can practice between sessions, handout 3 the warning signs that warrant clinical contact between sessions plus the crisis resources. Constraints: trauma-informed framing, identity-affirming language, the practice's branding, the client population's literacy level. The clinician personalizes against the client relationship before printing.

Generate the supervision case-presentation summary for an upcoming supervision hour. Sections: the case identifier (deidentified), the presenting problem and the working diagnosis, the relevant assessment and treatment-plan summary, the session-by-session progress to date, the clinical question or dilemma the supervisor's guidance addresses (countertransference, treatment-plan revision, risk-management consideration, scope-of-practice or referral question, ethical or cultural-competency consideration), the supervisee's working hypothesis on the question, the specific feedback or guidance the supervisee is requesting. Voice: substantive, the format that builds the supervised hours toward licensure board approval.

Help me think through the risk assessment for [client presenting with suicidal ideation or self-harm]. Walk through: the assessment framework the clinician uses (the C-SSRS or the SAFE-T framework or the practice's framework), the specific findings the assessment surfaces (ideation intensity, plan specificity, access to means, prior attempts, protective factors, intent), the safety-planning intervention if the clinician determines outpatient continuation is appropriate, the criteria for higher level of care, the documentation discipline the licensure-board and the malpractice carrier expect, the consultation and supervision the case warrants. The risk assessment, the decision, and the responsibility remain the licensed clinician's. Frame as advice from an experienced clinical supervisor.

Draft a couples-therapy-session note billed as CPT 90847. Sections: the presenting couple-dynamic pattern observed in the session, the relational intervention the clinician used with the framework reference (Gottman Method, EFT, IFS-informed couples therapy, Imago, Discernment Counseling, the practice's framework), each partner's response and the shift if any, the homework or between-session-assignment for the couple, the focus for the next session, the relevant individual-and-relational-risk monitoring. Session content (deidentified): [paste].

Generate the case-conceptualization summary for this client. Inputs: the intake biopsychosocial data, the session-note history, the outcome-measurement instrument scores trend, the client's stated goals. Output: the case conceptualization that integrates the developmental, cognitive, affective, behavioral, relational, and cultural-and-identity context into a coherent narrative about the etiology and the maintaining factors of the presenting problem, the working hypothesis about the leverage points the treatment plan targets, the predicted course of treatment, the risk-and-resilience factors that shape the prognosis. Voice: substantive, the format clinical supervisors and consultation groups recognize. Case data (deidentified): [paste].

Draft the after-session communication to the client. Constraints: the within-scope-of-practice communication only (no clinical content delivered outside the session, no advice the client would interpret as substituting for the session work), the practice's policies on between-session contact, the appropriate timing and channel, the limits of confidentiality if the communication touches mandated-reporting or risk content. Voice: warm, professional, the format that maintains the therapeutic alliance without expanding the scope of contact. Session and message context: [paste].

Help me think through this scope-of-practice or referral question. Inputs: the client's presentation, the licensure boundaries of my [LCSW / LPC / LMHC / LMFT / clinical psychologist] license in [state], the practice's specialty areas and the practice's referral relationships, the specific question or symptom that raises the scope concern. Walk through: whether the presentation falls inside or outside my scope of practice, whether the case warrants consultation with a [psychiatrist / addiction specialist / specialized trauma clinician / specialized eating-disorder clinician / other specialty], the referral conversation script with the client, the documentation discipline. Frame as advice from an experienced clinical supervisor who knows the state-board scope-of-practice rules.