HOPE is a type of conversation that differs from the medical SOAP framework.  Simple, systematic approaches during a client session can help tap into their inherent healing capacity. The HOPE note is a different way to have a dialogue between client and therapist. It stands for Healing Oriented Practices and Environments. The simple questions/tools used with HOPE can quickly move toward more client-centered, integrative healthcare and enhance healing for anyone with chronic pain or other causes of suffering and dis-ease. HOPE focuses specifically on the underlying determinants of health and allows a therapist to weave a whole-person, kosha-based approach to care planning.