Process notes are detailed records maintained by healthcare professionals to document the therapeutic process and progress of a patient over time. These notes capture the clinician’s observations, reflections, and analysis of each session, including the patient’s emotional and behavioural responses, significant events, and any changes in the treatment plan. Unlike more formal clinical documentation, process notes are often used for the therapist’s personal use to track therapeutic progress and inform future sessions. They are essential for ensuring continuity of care, enhancing therapeutic outcomes, and supporting the clinician’s reflective practice and professional development.
