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Therapists

BIRP note

Headings

Behavior · Intervention · Response · Plan

When to use it

BIRP puts the client’s observable behavior first, then ties each intervention to how the client responded. It fits behavioral health, substance use and skills-based work where payers want proof that the service did something. Pick it over GIRP when the session was driven by what showed up that day rather than by a set goal.

Example

Fictional example

Behavior

J.T., 37, 70 days sober from alcohol. Arrived on time, tense, jaw clenched. Reported strong cravings after a family barbecue where drinks were offered. Did not drink. Rated craving 7 out of 10 at peak.

Intervention

Reviewed the barbecue as a chain of triggers, thoughts and actions. Practiced urge surfing. Role-played a short refusal line for her uncle.

Response

Identified hunger and her uncle’s teasing as key triggers. Delivered the refusal line with more confidence on the third try. Craving rated 3 out of 10 by session end.

Plan

Weekly sessions. Attend two peer support meetings this week. Eat before social events. Bring a list of July gatherings next visit.

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