Episode 621: Beyond CBT, Documenting the Therapy You Actually Practice with Dr. Maelisa McCaffrey

Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech.

In our latest episode, we chat with Dr. Maelisa McCaffrey about how to properly document your therapy sessions.

We discuss:

• Normalizing why documentation is such a struggle for clinicians
• Dispelling the myth that it is necessary to translate what you're doing into CBT language for insurance reimbursement and why
• The danger of only considering insurance when documenting
• Documenting what actually happened in session
• Acknowledging that progress notes are never going to fully capture the depth of therapeutic transformation
• AI documentation: is it better?
• What fundamentals need to be in place for AI to be clinically useful
• Mistakes Maelisa has seen AI make in clinical documentation
• Maelisa's upcoming CE training on documentation, featuring live coaching demos to help with skill-building

Listen here: https://personcenteredtech.com/group/podcast/

For more, visit our website.

PCT Resources:

• New CE Training: Beyond CBT: Documenting Somatic, Creative, and Culturally-Informed Interventions Presented by Dr. Maelisa McCaffrey | 3 CE Credit Hours | Live (7/hours 27) and On-Demand
  • This workshop is designed for therapists who want their documentation to reflect the work they're actually doing. Participants will learn a practical framework for connecting contemporary therapeutic interventions to medical necessity, develop personalized intervention language for treatment plans and progress notes, and watch live documentation coaching sessions that demonstrate the documentation process in real time. Includes downloadable worksheets, intervention templates, and on-demand self-study CE course access following the live event.
• Explore Dr. McCaffrey's PCT CE course collection on Documentation & Clinical Use of AI
  • Dr. Maelisa McCaffrey is one of the leading educators on ethical, clinically meaningful documentation for mental health professionals. Explore her complete collection of PCT continuing education courses on progress notes, treatment plans, medical necessity, insurance audits, contemporary documentation practices, and the ethical use of AI in clinical work.

Resources:

• Dr. McCaffrey's book: Stress Free Documentation for Mental Health Therapists
• Dr. McCaffrey's company: QA Prep
  • Want to continue learning from Dr. Maelisa McCaffrey? Visit QA Prep, her educational platform dedicated to helping mental health professionals create documentation that is clinically meaningful, ethical, efficient, and far less stressful. Explore free resources, self-paced courses, consultation, practical tools, and her Stress-Free Documentation book covering progress notes, treatment planning, medical necessity, AI, supervision, and more.