The Therapy Follow-Up Session Note is a clinical documentation tool used to record the content, progress, and outcomes of ongoing psychotherapy sessions. It typically includes updates on the patient’s emotional state, therapeutic goals, interventions used, patient insights, and any changes in symptoms or functioning. This note helps track clinical progress and ensures continuity between sessions.
For psychiatric nurse practitioners and therapists, this documentation supports treatment planning, monitors response to interventions, and provides legal and ethical accountability. It also facilitates communication with other providers when integrated care is involved. A well-written follow-up note reflects the therapeutic process, maintains consistency in care, and ensures patient safety and goal alignment throughout treatment.