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do you over analyze every little thing you write in a note and write sentences and think about it and then delete those sentences and rewrite things and worry that that note is never going to be good enough for whomever may read it in the future well if you do you are definitely not alone because we are talking about how mental health impacts progress notes and doing your paperwork as a therapist and guess what i have found from working with thousands of therapists were kind of an anxious group of people yes we tend to be more high anxiety and yes that impacts how well we do our paperwork hi i am dr melissa mccaffrey founder of the free private practice paperwork crash course and today im going to give you some tips on how you can manage this anxiety and im going to outline exactly how it might be impacting you okay so one of the first things i see with therapists who tend to be a little bit higher on the anxiety scale is that they might spend hours doing paperwork so if you tell me