What are your favorite/most used phrases in documentation?
I work for a small private practice and I worry about my lack of clinical language and giving too much/too little info in my documentation. One of my (incredibly brilliant) veteran co-workers can write notes that say everything beautifully clinical without really giving much detail about the client and I feel like I’m lacking that skill.
What are some of your favorite phrases? Example: “therapist helped clt identify negative thought patterns” vs “clt shared their belief that they are a terrible wife and mother.”