Data
In this section, you should include objective and subjective observations from the therapy session. For example, you can outline anything you talked about during the sessions, your general observations about the client’s mood and overall presentation, and any other details that will help you assess the client’s current state.
While this section can include subjective data, be careful to focus on observable behaviors and avoid speculation or assumptions. For example, rather than saying “The client must have had a bad day because she seems down,” you could say “The client presents with a low mood, evidenced by short responses and lack of eye contact."
Assessment
The assessment section of DARP notes should include your clinical interpretation of the above information. You can use this section to reflect on the client’s progress and highlight areas that may require further intervention.
Avoid personal opinions or emotional responses in this section. For example, rather than saying “I think the client is being too hard on herself,” you could say “The client demonstrates self-critical thoughts, which may contribute to her avoidance of social interactions.”
Response
In this section, include your interventions and how the client reacted and responded. This is a space to outline the response in a particular session as well as the client’s overall progress. It should help you better understand your client’s needs so you can adjust your treatment plan if needed.
Try to be as specific as possible in this section, using descriptive but concise language rather than therapy jargon. For example, instead of writing “I applied CBT-based exposure therapy hierarchy to social phobia manifestations,” you could write, “I introduced a step-by-step approach to help the client gradually face social situations with less anxiety.”
Plan
Lastly, include next steps and follow-up actions based on your current intervention and the client’s response. It may include possible future interventions, client homework, or even referrals to other resources.
In this section, avoid vague statements like “The client will work on being more social.” Instead, be as specific as you can with measurable goals like “The client will initiate a short conversation with a coworker or acquaintance before our next session.”