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Session Mode and MSE

Learn how to use Session Mode and Mental State Examination (MSE) to document clinical observations for each session.

8 min
Intermediate

What are Session Mode and MSE?

Session Mode and MSE (Mental State Examination) are clinical documentation tools that help therapists track the nature of each session and the client's observable mental state. This data supports treatment planning, progress monitoring, and clinical reporting.

Where Can You Use Them?

Session Detail

Open any session to find Session Mode and MSE cards. Click to select options.

Client Flow

In the client detail page, use the client flow timeline to quickly update modes and states for multiple sessions.

Session Mode

Session Mode categorizes your therapy session from multiple therapeutic perspectives. You can select up to 3 modes per session.

Process-Oriented

Describes how the session unfolded.

Productive

Session goals were met, concrete progress was made, and the flow was smooth.

Challenging

Difficult topics were addressed, or resistance/intense emotional challenges were encountered, but these were an important part of the process.

Routine

A standard follow-up, assessment, or progress review session that was calmer in nature.

Structuring

The session was focused on setting goals, creating a treatment plan, or structuring future steps.

Termination

The session focused on the closure process, reviewing overall progress, and preparing for the end of therapy.

Content & Emotion

Describes what was discussed and experienced.

Breakthrough

A significant insight, awareness, or 'aha!' moment occurred for the client or therapist that could change the direction of the therapy process.

Emotional

The session involved intense emotional release, catharsis, or moments where the client was very emotionally open.

Exploratory

The session was focused on exploring new themes, hypotheses, and possibilities rather than reaching a specific conclusion.

Psychoeducation

The session was focused on providing information to the client about a specific topic, model, or theory.

Skill Building

The session was focused on actively practicing coping strategies, techniques, or behavioral exercises.

Crisis

The session was focused on intervening in an urgent crisis situation or creating a safety plan.

Therapeutic Alliance

Describes the nature of the client-therapist relationship.

Collaborative

There was a strong collaboration and harmony between the client and therapist. The therapeutic alliance felt strong.

Resistant

The client showed resistance in the process, had difficulty exploring topics, or was distant towards the therapeutic work.

Alliance Repair

The session focused on addressing ruptures, conflicts, or meta-communication about the therapeutic relationship itself.

Tip
You can select a maximum of 3 session modes. Choose the ones that best describe the session's character.

Mental State (MSE)

Mental State captures the client's observable mental and emotional state during the session. Unlike session modes, you can select multiple mental states without limit.

Primary State

Dominant emotional mood observed

Euthymic (Calm, Balanced)

Low

Mood in the normal range; calm, balanced. Neither depressed nor elevated.

Dysphoric (Sad, Depressed)

Critical

Appearance of being sad, gloomy, depressed, mournful, tearful, or hopeless.

Anxious (Worried, Tense)

High

Worried, tense, anxious, fearful, or in a state of panic.

Irritable (Tense, Hostile)

High

Tense, easily annoyed, impatient, agitated, or hostile.

Elevated (Euphoric)

Medium

Overly cheerful, euphoric, with a noticeably increased energy level (inappropriate for the situation).

Quality of Affect

Nature of emotional expression

Restricted (Flat Affect)

Medium

Significant reduction in the intensity or variety of emotional expression. Responses are diminished or expressionless.

Labile (Rapid Shifts)

High

Sudden, rapid, and intense shifts in affect (e.g., quickly starting to cry, sudden anger).

Incongruent (Mismatched)

High

The observed emotional expression does not match the content being discussed.

Tip
Mental states have severity levels (Low, Medium, High, Critical) shown with color indicators. This helps track client wellbeing over time.

Interactive Demo

Click on the options below to see how selection works. Session modes are limited to 3, mental states have no limit.

Session Mode
2 of 3
Mental State (MSE)
1 Selected

Best Practices

Document After Each Session

Update session mode and MSE immediately after the session while observations are fresh.

Be Consistent

Use the same criteria for selecting modes and states across all sessions for reliable tracking.

Use Client Flow for Review

The client flow timeline provides a quick overview of patterns across multiple sessions.

Consider Treatment Goals

Session modes should align with your treatment plan objectives.