Therapists Turning to AI for Session Notes and Admin Tasks

A growing trend among mental health therapists involves using artificial intelligence tools to record sessions and handle administrative tasks. Molly Quinn, a 31-year-old librarian from Fayetteville, Ark., felt disturbed when she realized her therapy session was recorded by an AI tool without her consent. This experience left her feeling violated and concerned about the privacy implications.

Increasing Use of AI in Therapy

Across the United States, many therapists are experimenting with AI tools to record sessions, generate transcripts, and draft clinical notes automatically. Companies like Berries aim to reduce therapists’ paperwork, allowing them more time to focus on their clients. CEO Tal Salman emphasizes that Berries’ system records conversations, transcribes them, and creates draft notes, which therapists can edit, revise, or save to medical records. Audio from sessions is automatically deleted post-session, and transcripts are stored securely, compliant with HIPAA regulations.

Patient Concerns and Privacy Issues

Despite these measures, privacy concerns remain prevalent. Surveys indicate hesitancy in using AI for mental health care, with only 11% of Americans showing openness and low trust levels at 8%. Concerns extend beyond therapy, as highlighted by a KFF survey stating that 77% of Americans worry about the storage and usage of health information by AI systems.

Kellie Owens from NYU Grossman School of Medicine points out that HIPAA compliance does not assure complete protection against data breaches, particularly in therapy settings where sensitive information is shared. Written consent forms may not lead to fully informed choices, highlighting the need for direct conversations about recordings.

Impact on the Therapeutic Experience

Marisa Cohen, a therapist in New York, believes that AI presence alters the therapeutic experience. Clients may be aware of a third party listening, which affects their disclosure. This technology raises questions of trust and privacy, which are crucial for effective therapy.

Embracing AI for Administrative Relief

Some clinicians welcome AI for the relief it offers from administrative burdens. Kym Tolson, “The Traveling Therapist,” uses AI to manage documentation, significantly reducing the time spent on administrative tasks. This change has improved her work-life balance, allowing more focus on clients. Research in healthcare supports the time-saving potential, as shown in studies at The Permanente Medical Group.

Maintaining Client Trust

Despite the benefits, Tolson emphasizes discussing the recording process in detail with clients and reviewing AI-generated notes. She acknowledges that digital systems carry risks but feels secure using them.

After her experience, Molly Quinn chose to find a new therapist, underlining the importance of clear boundaries in therapy sessions. Her story reflects widespread concerns about AI’s role in therapy, advocating for privacy and personal comfort.