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The most widely-used format. Required by most insurance and EHRs.
Best for: General psychotherapy, all settings
Generate SOAP notes with AI1. Subjective
2. Objective
3. Assessment
4. Plan
Generic example for an anxiety-focused session. Real notes are generated from your actual session recordings.
subjective
Client reports increased anxiety this week, particularly when thinking about upcoming job interview. States 'I can't sleep more than 3 hours' and rates anxiety 8/10. Reports using grounding techniques learned last session with partial success.
objective
Presents alert and oriented x3, well-groomed. Affect anxious, congruent with mood. Speech rapid but coherent. Demonstrated 5-4-3-2-1 grounding technique during session. No SI/HI.
assessment
Client showing progress with anxiety management skills. Performance anxiety predominant. Generalized Anxiety Disorder (F41.1) — moderate symptoms. Treatment response is adequate. Working alliance strong.
plan
Continue CBT focus on cognitive restructuring re: interview catastrophizing. Practice diaphragmatic breathing daily. Homework: thought record for 3 anxiety-triggering events this week. Next session: 1 week.
What is a SOAP note?
A SOAP note (Subjective, Objective, Assessment, Plan) is a clinical documentation format used in mental health. The most widely-used format. Required by most insurance and EHRs.
When should I use SOAP notes?
General psychotherapy, all settings. SOAP works well for most settings but check your supervisor or insurance requirements.
How long should a SOAP note be?
Most clinical SOAP notes are 3-5 sentences per section. Total length typically 200-400 words. Long enough to capture clinical reasoning, short enough to be efficient.
Can AI write SOAP notes for me?
Yes — NoteScribe takes your session recording and generates a complete SOAP note in 30 seconds. You review and edit before saving. Most therapists save 6+ hours per week.
Is SOAP the same as DAP?
No. SOAP = Subjective, Objective, Assessment, Plan. DAP = Data, Assessment, Plan. Different sections, different emphasis. NoteScribe supports both — switch with one click.