Progress notes

GIRP Note

Starts from the treatment goal addressed, which keeps every note tied back to the plan.

Supports:IndividualCouplesFamily4 sections

What it is

GIRP opens with the treatment-plan goal addressed, so every note states up front why the session mattered. It's an easy way to keep the thread from plan to session visible.

When to use it

Goal-driven treatment with a current, measurable plan
Settings where reviewers check notes against treatment plans
When you want each session to name the goal it served

Sections

What Tidemend writes in each section. You can rename, reorder or adjust any of these in a custom template.

Goal
The treatment-plan goal(s) and objectives addressed in this session.
Intervention
Interventions used to work toward the goal.
Response
Client response and progress toward the stated goal.
Plan
Next session date/frequency, homework or between-session tasks, referrals, and what will be addressed next time.

Example GIRP note

Individual · 45 min · CBT · fictional example

Goal

Goal 2: Reduce avoidance of social situations. Objective 2a: Attend one social event per week with anxiety rated 5/10 or lower.

Intervention

Clinician reviewed last week's exposure, used cognitive restructuring to challenge the prediction “everyone will notice I'm nervous,” and planned the next step on the exposure hierarchy.

Response

Client attended a team lunch and rated peak anxiety 6/10, lower than predicted. Client identified the prediction as overestimated and agreed to the next exposure. No safety concerns reported.

Plan

Continue weekly CBT. Client will attend a colleague's birthday gathering and record predicted vs. actual anxiety.

Fictional example written for illustration. It doesn’t describe a real person or session.

Other note formats

Draft your next GIRP note with Tidemend

Record, dictate or type the session and get a draft in this format, ready to review, check and sign.

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A therapist leaving her office in the evening light, smiling