The Psychotherapy Documentation Primer

About the Course:

Everything a therapist needs to know to record client intake, treatment, and progress. It fully incorporates the latest managed care, accrediting agency, and government regulations.


Donald E. Wiger, Ph.D.

Dr. Wiger, a psychologist, runs a large mental health clinic in St. Paul, Minnesota, and is an adjunct professor at Argosy University, The Minnesota School of Professional Psychology. He is the author of numerous books.

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about clinical record keeping. It is appropriate for introductory to intermediate levels of participants’ knowledge.

Course Objectives:

  1. Discuss the purpose and steps involved in conducting a biopsychosocial assessment

  2. Discuss current documentation procedures and third-party requirements

  3. Provide an effective mental status exam

  4. Describe important aspects of the diagnostic interview

  5. Discuss aspects of “good” treatment plans and “bad” treatment plans

  6. Discuss what constitutes a “good” progress note

  7. Describe the process for documenting the need for additional services

Course Material

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Exam Questions

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Course Number: 100271
Credit Hours: 6cr
Exam Fee: $41.82
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Format: Book
4.5 out of 5
Popularity: 168 members have taken this course