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The Advanced Skills report breaks down specific clinical communication techniques you used — how often, how well, and with concrete examples pulled directly from your session.

Skills the AI evaluates

Core communication skills

  • Active listening — demonstrating attention and understanding through verbal and behavioral cues
  • Empathy — recognizing and validating the patient’s emotions
  • Open-ended questions — encouraging detailed responses rather than yes/no answers
  • Reflective statements — mirroring the patient’s thoughts and feelings back to them
  • Summarization — condensing information effectively to check understanding

Clinical assessment skills

  • History taking — systematic gathering of background information
  • Symptom exploration — thorough investigation of the patient’s presenting complaints
  • Risk assessment — identifying safety concerns (suicidality, self-harm, danger to others)
  • Differential diagnosis — considering multiple possible explanations

Therapeutic techniques

  • Motivational interviewing — enhancing readiness for change through OARS (open questions, affirmations, reflections, summaries)
  • Psychoeducation — teaching effectively about conditions or treatment
  • Goal setting — collaborative planning with the patient
  • Problem solving — structured approach to challenges

Understanding your skills report

Skill ratings

What’s included for each skill

  • Frequency — how many times you used the technique
  • Quality rating — how effectively you applied it
  • Examples — specific transcript moments linked to the annotation
  • Improvement suggestions — concrete next steps

Common skills to develop

Open-ended questions

Closed questions cut off exploration:
“Are you feeling sad?” → Try instead: “How have you been feeling emotionally?”
Avoid multiple questions at once:
“Are you sleeping okay and eating well and do you have support?” → Try instead: Ask one, wait, then follow up.

Empathic responses

Dismissive responses move on too quickly:
“That’s normal, don’t worry about it.” → Try instead: “It sounds like this has been really difficult for you.”

Reflective listening

Moving on without reflecting misses the opportunity to validate:
“Okay, what happened next?” → Try instead: “So what I’m hearing is that you felt overwhelmed when that happened.”

How to use the skills report

  1. Identify your 2–3 lowest-rated skills
  2. Review the specific transcript examples for those skills
  3. Read the improvement suggestions
  4. In your next session, practice those skills deliberately — tell yourself before you start: “I’m going to use more reflective statements today”
  5. Track how your ratings change across sessions
Skill ratings consider context: appropriateness of timing, the patient’s needs, and the clinical phase (assessment vs. intervention). A technique that’s excellent in one moment may not be appropriate in another. If you disagree with a rating, use Chat with Feedback to understand the AI’s reasoning.
Check out the Annotated Transcript to see your skills highlighted in context, or Theory Analysis to see how your approach aligns with clinical frameworks.