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Standard Progress Note

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4 comments

  • John Clark Echols

    And I would love to hear about the meanings of the terms in the Standard Progress Note Observation section.

    What do others understand by the terms in the Observations section (some are obvious but they all warrant conversation)? I would love an expanded conversation about them. Perhaps there is a manual out there somewhere, but I could not find it.

    Cognitive Functioning:
    Oriented/Alert
    Disorganized
    Preoccupied
    Circumstantial

    Affect:
    Appropriate
    Inappropriate
    Labile
    Constricted
    Blunted
    Flat

    Mood:
    Euthymic
    Depressed
    Dysphoric
    Anxious
    Angry
    Euphoric

    Interpersonal:
    Interactive
    Intermittently Interactive
    Guarded
    Withdrawn
    Hostile

    Functional Status:
    Intact
    Impaired
    Variably Impaired

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  • Reginald Dorsey

    Why is it that sometimes I only have an option for progress notes and not standard notes?

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  • Ruth

    Hi Reginald, the Standard Progress Note is a Progress Note Template, within SimplePractice, that you can use when entering a Progress Note for a client's appointment. You can add a Psychotherapy Note to the bottom of the Progress Note if you want to mention something that you don't want included in the client's official medical record. There are also Administrative Notes and Chart Notes in SimplePractice, you should be able to enter both in any clients' files. Administrative Notes are like post-it notes that appear at the top of the client's file. They're not included in a client's official medical record, but are used to communicate things with other staff members or as an internal reminder for you. Chart Notes aren't attached to any particular date of service, but are part of the client's medical record.

    Here's more on all the notes you can enter for your client: 

    Progress Notes and Psychotherapy Notes 

    Chart Notes

    Administrative Notes

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  • Nichomi Higgins

    Hi all, just curious, did SP remove the "load previous note" feature? That was such a life saver

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