Your Therapists’ Notes Could Become Fodder For AI

https://jacobin.com/2025/09/therapy-artificial-intelligence-data-privacy/

93 points · 18 comments · view on lemmy.world

18 Comments

PennyRoyal@sh.itjust.works · 30 pts · 321d (1 reply)

Ha, nope, because I internalise my trauma with destructive coping strategies due to being unable to afford a therapist, like a real man (or woman, or gender of choice, being fucked up doesn’t have gender-based borders)

AntiBullyRanger@ani.social · 7 pts · 321d

😭🫂

gravitas_deficiency@sh.itjust.works · 21 pts · 321d

Mine won’t, because she hates that shit at about the same level that I do.

TubularTittyFrog@lemmy.world · 14 pts · 321d (10 replies)

Aren't the ethics rules that notes are only for the therapist?

Not even clients get to see their own notes.

That said, I dated a therapist once. And she was glad to share with me the notes on her patients. Lots of unethical therapists out there.

BanMe@lemmy.world · 8 pts · 321d (8 replies)

Law now says clients have to be given access to their notes, you can probably access them through a web portal or by asking. That said I do not encourage people to do so regularly because it creates the wrong kind of feedback loop where you're trying to influence the notes instead of following your therapist's (hopefully) guidance.

But HIPAA rules apply to notes, for instance the therapists I support have 365 HIPAA or better (self hosting has its own problems and most therapists aren't scaled for it).

BuoyantCitrus@lemmy.ca · 2 pts · 321d (7 replies)

So I suppose I'd have no hope of finding a therapist where notes are local-only on airgapped (eg. no nic, never online) devices and remote sessions, if offered, are over Signal?

hddsx@lemmy.ca · 7 pts · 321d (5 replies)

Signal is not HIPAA compliant

Atelopus-zeteki@fedia.io · 1 pts · 76d (1 reply)

Please explain.

sunzu2@thebrainbin.org · 0 pts · 321d (2 replies)
[ removed ]
hddsx@lemmy.ca · 3 pts · 320d (1 reply)

HIPAA affects the technical implementation because the law requires certain features that signal lacks. Without those features, signal cannot be used for healthcare in the US.

https://www.hipaajournal.com/is-signal-hipaa-compliant/

sunzu2@thebrainbin.org · -1 pts · 320d
[ removed ]
iii@mander.xyz · 2 pts · 320d

Mine simply doesn't take notes. We just walk and talk.

iii@mander.xyz · 8 pts · 321d

that notes are only for the therapist?

They might think that they're doing so, yet still use onedrive / google docs. Ignorance - inexcusable ignorance if you ask me - but sadly not rare.

BanMe@lemmy.world · 13 pts · 321d

I am the IT support for my SO's therapy business and we've already reviewed and rejected these tools, and I'm expanding out to start to advise other therapists as well. So, it's not happening everywhere nor is it unnoticed.

plz1@lemmy.world · 10 pts · 320d

Cool, so do we get to sue the therapists for HIPAA violations, the AI company, or both? "I didn't know" isn't a legal defense, last I checked.

medem@lemmy.wtf · 6 pts · 321d (1 reply)

That looks EXACTLY like Backroom Casting Couch, I'm sorry 😂😂😂.

Fuck_u_spez_@sh.itjust.works · 4 pts · 321d

Even the expression on her face is almost as enthusiastic

ChexMax@lemmy.world · 3 pts · 320d

Jokes on them, my therapist doesn't take notes. She's not very good

sunzu2@thebrainbin.org · -1 pts · 321d (2 replies)
[ removed ]
3abas@lemmy.world · 2 pts · 320d (1 reply)

Capitalism replaces friends with acquaintances.

sunzu2@thebrainbin.org · 1 pts · 320d
[ removed ]