What is a BIRP note?
A BIRP note is a progress note format used in mental health, substance use treatment and social work. It follows the session in four steps:
- Behavior: what the client reported and what you observed. Presenting concerns, mood, affect, symptoms, and risk statements such as “denies SI”.
- Intervention: what you did. The techniques, skills, topics and exercises you used in session.
- Response: how the client responded to those interventions. Engagement, resistance, a rating before and after, a skill they could or could not use.
- Plan: homework, goals you set, referrals and the next session.
The separate Intervention and Response sections are the point of BIRP: they show what you did and whether it helped, which supervisors and payers often want to see. Our BIRP notes guide covers the format in more depth.
BIRP note example
A fictional session in rough shorthand, and the BIRP note the generator on this page wrote from it, unedited.
Therapy / counselling · BIRP
Therapy: BIRP note
Rough notes
Session 5. Client reports drinking 2-3 nights this wk, down from 5. Cravings worst after work. Calm, engaged, denies SI. Reviewed triggers, built a coping card for after-work cravings, urge surfing practised in session. Client said urge surfing was hard but rated craving 7/10 to 5/10. HW: use coping card, track drinks. Next session 1 wk.
- Behavior
- Session 5. Client reports drinking 2-3 nights this wk, down from 5. Cravings worst after work. Calm and engaged. Denies SI.
- Intervention
- Reviewed triggers. Built a coping card for after-work cravings. Practised urge surfing in session.
- Response
- Client said urge surfing was hard. Rated craving 7/10 to 5/10.
- Plan
- HW: use coping card and track drinks. Next session 1 wk.
How to write a good BIRP note
- Describe behavior, don't label it. “Fidgeting, avoided eye contact when discussing work” is more useful than “anxious” on its own. Quote the client where their words matter.
- Name the intervention. “Practiced paced breathing” or “cognitive restructuring of catastrophic thoughts about deadlines”, not “provided support”.
- Record the response you saw. Did the client engage, push back, rate their distress lower, complete the exercise? If you did not note a response, the note should not pretend you did.
- Make the plan specific. Homework, the next session date or interval, and any referral.
- Document risk every time. Including negatives such as “denies SI/HI”.
How this BIRP note generator works
Paste your notes or press Speak instead, then generate. The generator sorts what you wrote into the four sections and adds nothing: no invented symptoms, techniques or homework. If your notes do not say how the client responded, Response reads “Not documented” rather than a guess. A diagnosis is only included when you named it, and it appears under Behavior in your words. Identifiers are left out even if you include them. Review the draft, edit anything that is off, then copy it into your record.
The same generator also writes DAP notes and SOAP notes, and our progress notes guide compares the formats.
Skip the notes altogether
PatientNotes records the session and writes the note for you. You can build your own BIRP template, or start from one of the built-in templates for 37 specialties and edit it. See how it compares with other therapy notes apps.