Therapy Note Formats

BIRP Notes

A behavior-focused therapy note format that emphasizes client actions, therapist interventions, responses, and the treatment plan.

Note Format Overview

A high-level overview of the BIRP note format.

BIRP notes are structured to help therapists capture core aspects of each session, with a special emphasis on the client’s behavior and the therapist’s interventions. Each part of BIRP highlights important elements of therapy work, creating a clear and organized record.

Behavior is where therapists document specific client actions observed during the session. This might include verbal and nonverbal expressions, body language, or notable behaviors that stand out, providing a foundation for understanding the client’s current state and needs.

Intervention focuses on the techniques, strategies, or approaches the therapist used to address the client’s behaviors or needs. This could involve therapeutic exercises, guiding questions, or specific interventions aimed at supporting the client’s progress.

Response captures how the client reacted to the interventions. Therapists record the client’s reactions, insights, or any progress, noting changes in attitude, understanding, or behavior as a result of the session.

Plan outlines the steps going forward. This section may include goals for upcoming sessions, assignments for the client, or therapeutic techniques to continue, creating a roadmap that supports ongoing progress.

BIRP Note Examples

A few examples of the BIRP format in action. But we have plenty more BIRP note examples too.

BIRP Note Template and Cheat Sheet

Quill can help you generate a BIRP Note in just a minute or two, organizing the information in the proper sections based off of a simple session summary from you, the therapist! But if you'd prefer to work off of a cheat sheet or template, here you go!

Frequently Asked Questions

A few common questions about BIRP notes (and their answers).

What does BIRP notes stand for?

BIRP stands for Behavior, Intervention, Response, and Plan, guiding therapists through a structured format for session documentation.

What is a BIRP note format?

BIRP is a note format often used in behavioral health to document therapy sessions. It provides a framework that helps therapists record specific behaviors, therapeutic interventions, client responses, and a plan for future sessions.

What does the "B" in BIRP notes stand for?

The "B" in BIRP stands for Behavior. This section includes the client’s behaviors and observable actions during the session.

What does the "I" in BIRP notes stand for?

The "I" in BIRP stands for Intervention. This part covers the therapist’s techniques or methods used during the session.

What does the "R" in BIRP notes stand for?

The "R" in BIRP stands for Response. This section includes the client’s reaction or response to the interventions used in the session.

What does the "P" in BIRP notes stand for?

The "P" in BIRP stands for Plan. This part outlines the next steps in therapy, including goals, assignments, or strategies for future sessions.

Do you have a sample BIRP note?

Yes indeed we do! Quill offers sample BIRP notes that show how each section can be filled out in real-life scenarios. These examples provide a helpful guide for anyone new to the BIRP format.

What other formats of therapy progress notes are there?

Besides BIRP, other common note formats include SOAP (Subjective, Objective, Assessment, Plan), DAP (Data, Assessment, Plan), PIRP (Presenting Problem, Intervention, Response, Plan), and Quill’s own SIMPLE note format.

How do I write BIRP notes faster?

Quill Therapy Notes simplifies the process by creating BIRP notes from a brief session summary. Quill’s AI quickly organizes each section (Behavior, Intervention, Response, and Plan) based on the that summary, saving time and ensuring accuracy in documentation.

Quill also doesn't record your client session, relying purely on the summary that the therapist provides afterward. So it protects the important client-therapist relationships.

Why do therapists use BIRP notes?

Therapists use BIRP notes because they provide a clear and structured way to focus on client behavior, therapeutic responses, and next steps. This format is especially useful in behavioral health settings, where tracking specific actions and responses is key.

What is the main difference between BIRP notes and SOAP notes?

While BIRP focuses on Behavior, Intervention, Response, and Plan, SOAP covers Subjective, Objective, Assessment, and Plan. BIRP places a heavier emphasis on the client’s behaviors and reactions, whereas SOAP includes more detail on observations and clinical assessment.

What is the main difference between BIRP notes and DAP notes?

BIRP and DAP differ in structure. BIRP includes a specific Behavior section, while DAP begins with Data, covering general observations. BIRP may be more beneficial for sessions that focus on tracking client behaviors and reactions to interventions.

What is the main difference between BIRP notes and PIRP notes?

PIRP notes start with a Presenting Problem section, addressing the main issue upfront, while BIRP begins with Behavior. PIRP can be useful when the primary focus is the client’s presenting concern, whereas BIRP is more behavior-focused.

What is the main difference between BIRP notes and SIMPLE notes?

BIRP is structured into four clear sections: Behavior, Intervention, Response, and Plan, whereas SIMPLE notes are unique to Quill and use a single-paragraph format without defined sections, offering a more free-form approach.


Send any other questions you might have to: hello@quilltherapynotes.com

Other Note Formats

These are all supported by Quill, letting you generate notes with AI!