Now Accepting Pilots

Complete session notes before your next patient.

AI-powered clinical documentation that understands CBT workflows. Capture, structure, and finalise notes in minutes - not hours.

How it works

Backed by

app.openingmind.co/session/2024-0892

Opening Mind/Sessions/J. Mitchell

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Session Notes

Session 12 - CBT for Anxiety

45 min

Presenting Concern

Patient reports increased anxiety around work presentations. Sleep disturbance noted (4-5 hrs/night). PHQ-9 score: 8 (mild). Reports avoiding team meetings.

Session Content

Reviewed thought record from previous week. Identified automatic thought: "Everyone will notice I'm nervous." Explored evidence for/against. Practised cognitive restructuring using Socratic questioning.

Interventions Used

Thought RecordSocratic QuestioningBehavioural Experiment

Homework Assigned

Complete 3 thought records before next session. Practice brief grounding exercise before meetings. Schedule one 5-min check-in with colleague.

CBT Formulation

Trigger

Upcoming team presentation

Thoughts

"I'll freeze up and embarrass myself"

Feelings

Anxiety (8/10), Dread

Behaviours

Avoidance, Over-preparation

Risk Assessment

Low Risk

No SI/SH. Good social support.

Next Session

Review behavioural experiment outcomes. Introduce graded exposure hierarchy.

Scheduled: Feb 14, 2024 at 10:00 AM

Features

Everything you need for clinical excellence

Structured Clinical Documentation

Generate comprehensive session notes with proper clinical structure, terminology, and formatting standards.

Therapy Essentials

Built-in templates for progress notes, treatment plans, and session summaries tailored for mental health professionals.

Clinical Formulation Cues

Intelligent prompts that guide you through case conceptualisation, ensuring nothing important is missed.

Risk Management Support

Automatic flagging of risk indicators with structured documentation for safety planning and crisis protocols.

How It Works

The Workflow

From session to signed note in minutes, not hours.

Step 01

Capture

Securely record the session (in-person or tele-health).

Step 02

Draft

The system generates a structured note with key fields and clinical highlights.

Step 03

Review

Clinician reviews, edits, and approves the draft.

Step 04

Sync

File directly to the EHR or export via structured data formats.

Step 05

ContinuityOptional

Integration with patient mobile app pulls between-session activity into a concise brief before the next appointment.

Built for CBT

Documentation that speaks your language

Purpose-built for cognitive behavioural therapy practitioners with frameworks you actually use.

Formulation Scaffolding

Structured prompts guide you through the CBT formulation model, ensuring comprehensive case conceptualisation.

Trigger

Situation or event

Thoughts

Automatic thoughts & beliefs

Feelings

Emotional responses

Behaviours

Actions & coping strategies

Goal-Action Alignment

Track treatment goals and link session activities directly to therapeutic objectives for clear progress documentation.

Reduce anxiety in social situationsActive

Session 8: Practised exposure hierarchy level 4

Challenge cognitive distortionsActive

Session 8: Introduced thought records

Develop coping strategiesActive

Session 8: Reviewed breathing techniques

Projected Impact

Designed for measurable outcomes

Estimated improvements based on clinical workflow analysis and early testing.

~70%

Estimated Time Saved

Projected reduction in documentation time per session

~95%

Same-Day Completion

Target note completion rate with streamlined workflow

100%

Audit Ready

Documentation designed to meet compliance standards

* Estimates based on workflow modelling. Actual results may vary during pilot programme.

FAQ