AI Scribe for Psychotherapy

Last updated: Nov 2025

AI scribe for psychotherapy that’s HIPAA-compliant: capture sessions or upload audio, generate structured notes (SOAP/DAP/BIRP/GIRP) and treatment plans, then auto-fill your EHR via the Nudge Chrome extension.

Who this helps

• Individual, couples, and family therapists

• Group practices standardizing documentation across clinicians

• Clinical directors reducing copy-paste and rework
  
  

What you get

• Therapy intakes, progress notes (SOAP/DAP/BIRP/GIRP), and treatment plans

• Carry-forward of diagnosis, goals, and prior response

• Formatting controls (bullets or paragraphs) + redaction

• EHR Copilot to map sections into the correct fields (edit-before-save)
  
  

How it works with your EHR

Record live or upload audio in Nudge. Review your draft, then open a new note in your EHR and launch the Nudge extension. Select the client and note type—the structured content maps into the right fields for final review and sign-off. No API keys or IT projects required.

Quick examples

• CBT session (DAP): Data captures triggers and SUDS; Assessment summarizes cognitive distortions; Plan assigns thought records and exposure steps.

• EMDR session (SOAP): Subjective logs target memory and SUD; Objective records bilateral stimulation sets; Assessment tracks desensitization; Plan sets next target and homework.

• Couples session (BIRP): Behavior logs conflict pattern; Intervention uses speaker-listener; Response notes de-escalation; Plan sets practice and revisit date.
  
  

Results (2025)

Note ready in < 60 seconds after capture.
Typical teams report 4–6 hrs/week saved on documentation.
Cleaner, more consistent notes across locations and modalities.

FAQs

Can I lock a preferred note style (e.g., DAP for all therapists)?
Yes. Admins can set organization-wide defaults (SOAP vs DAP vs BIRP vs GIRP), bullets vs paragraphs, and required sections.

Does it handle outcome measures?
Yes. Common measures (e.g., PHQ-9, GAD-7, PCL-5) can be included and carried forward for continuity.

Can I enforce treatment plan linkage?
Yes. Goals/objectives from the plan can be referenced automatically in subsequent notes for audit-ready continuity.