Therapy notes aren't a variant of a SOAP note.
Behavioral health and mental health practices run on documentation and privacy requirements that general medical EHRs handle poorly at best: DAP-format progress notes, standardized assessments tracked longitudinally, group session documentation, and — for substance-use treatment — 42 CFR Part 2 privacy rules that are stricter than baseline HIPAA. We build custom EHRs and integrations specifically around these realities, so your clinicians document the way they actually work instead of forcing therapy notes into a template built for a fifteen-minute physical.
Treatment planning & progress notes
DAP/SOAP note formats built for therapy sessions and psychiatric visits, not adapted from a primary-care template.
Elevated privacy for sensitive records
Granular access controls and audit logging that go beyond baseline HIPAA where behavioral health records demand it, including 42 CFR Part 2 considerations for substance-use treatment records.
e-Prescribing for psychiatric medication
EPCS-enabled e-prescribing for controlled substances, integrated with the same charting workflow as therapy notes.
The gaps we hear about most from behavioral health practices.
- Group therapy session documentation that most general EHRs don't model well
- Measurement-based care — PHQ-9, GAD-7, and other standardized assessments tracked over time
- Sliding-scale and package billing models common in private practice and community mental health
- Telehealth as a first-class visit type, not an add-on — a large share of behavioral health visits are now virtual
Outgrowing a generic EHR?
Tell us what your current system gets wrong for behavioral health — we'll scope a build or integration that gets it right.