CBT Progress Note Example and Drafting Workflow

A strong CBT progress note focuses on the relationship between thoughts, feelings, and behaviors. Essential sections include the current presenting problem, specific cognitive distortions identified (such as catastrophizing or all-or-nothing thinking), the interventions used during the session, and a clear record of homework assigned or reviewed. Documentation should explicitly link the session's activities to the overarching treatment plan and behavioral goals.

Using an AI scribe to draft these notes eliminates the need to recall specific phrasing from memory hours after a session. By recording the encounter, Aduvera captures the nuance of the patient's cognitive shifts and the clinician's prompts, providing a first pass that includes the necessary CBT structure. This allows the clinician to spend their review time verifying the accuracy of the clinical interventions rather than formatting a blank page.