Generate BIRP Notes (Behavioral Health)

Last updated: Nov 2025

Generate BIRP notes from a recorded or live session—then review, finalize, and auto-fill your EHR using the Nudge Chrome extension.

Who this helps

• Therapists, counselors, psychologists

• Group practices standardizing documentation

• Admin teams reducing copy-paste and template errors
  
  

What you get

• Structured Behavior, Intervention, Response, Plan sections

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

• Formatting controls (bullets or paragraphs) + redaction

• EHR Copilot to map each section into the right fields
  
  

How it works with your EHR

Capture a session in Nudge (or upload audio). Your BIRP draft appears with clear B/I/R/P sections. Open a new note in your EHR, launch the Nudge extension, pick the client and note type, and confirm the field mapping (edit-before-save). No API keys or IT projects required.

Quick example

DBT skills session (BIRP):

• Behavior: client reports urges; logs show 3 episodes; observable affect constricted.

• Intervention: distress-tolerance coaching; chain analysis; skills rehearsal.

• Response: practiced STOP skill; reported 4/10 urge post-exercise; denies SI/HI.

• Plan: diary card homework; crisis plan reviewed; next session date; goals referenced from treatment plan.
  
  

Results (2025)

BIRP note ready in < 60 seconds after capture.
Typical teams report 4–6 hrs/week saved on documentation.
Higher consistency across clinicians and sites.

FAQs

Can I force bullets for B/I/R/P?
Yes. Choose bullets or paragraphs per note type and save those preferences team-wide.

Will it include medical necessity and continuity language?
Yes. Response/Plan can include justification and linkage to the treatment plan; you can edit before finalizing.

Can we require risk or outcome measures?
Yes. Admins can mark sections as required and prompt for risk screens or scales (e.g., PHQ-9, GAD-7).