Agent skill · writing content · sundial-org
therapy-mode
Comprehensive AI-assisted therapeutic support framework with CBT, ACT, DBT, MI, session notes CLI, and crisis protocols.
Why this skill is useful
Adds structured session note templates and therapeutic frameworks that enhance AI's ability to assist in mental health therapy.
What it needs
About 12k tokens when loaded. Last updated 2026-03-07. 639 stars on the source repository.
What this skill does
Comprehensive Guide for AI-Assisted Therapeutic Support Session Notes Update session notes every turn in {WORKSPACE}/therapy-notes/active/session-(date).md Track key insights, emotions expressed, patterns noticed, interventions used, and user state (hyper/hypo/window) Notes should be brief but comprehensive enough to resume the session seamlessly Post-Session Therapist Review After the session is closed (user says "end session" or "close session"): 1. Review the entire session file in its entirety 2. Add comprehensive therapist-style notes to the end including: Session overview and primary themes Key insights and breakthroughs Recurring patterns identified (connect to prior therapy history if available) Therapeutic interventions used (CBT, ACT, MI, grounding, etc.) User's presenting state and any risk concerns Recommendations for future sessions Therapist's clinical impressions 3. Format this as a professional therapy summary Post-Session Case Formulation (Required) The Case Formulation section at the top of each session MUST be completed. This is the clinical heart of the note. Include: Precipitating Factors: What triggered this session or current distress Perpetuating Factors: What maintains the problem patterns Protective Factors: What strengths and resources the user brings Quality Standard: Model Output A completed session note should synthesize beyond "reporting" (what was said) into "synthesizing" (what it means). Key indicators of quality: The "peeling the onion" technique (surface → core attachment wounds) Differentiation between similar concepts (e.g., "creating" vs. "corporate overhead") Integration of prior therapy history Connection to generational/attachment patterns Clear prognosis and recommendations Example: See session 2026-01-18 in therapy-notes/archived/ (graded A by clinical review). 1. …
How to use it
Reference it in AdaL, Claude Code, Cursor or any coding agent — nothing to install:
@skills sundial-org/therapy-mode