this post was submitted on 30 Mar 2026
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I'm a therapist. I use HIPAA compliant AI to generate my (editable) case notes for my sessions now. Not only is it a huge time saver to simply edit a generated note as opposed to making one from scratch, but in many cases it takes more detailed notes, including quotes from clients.
I have heard of other therapists and medical doctors also using AI to help with diagnosing.
The danger is when therapistsdon't review the content to check for accuracy. Because occasionally it will generate something not really reflective of what the therapist might have been doing, or it might lack detail that the therapist might have otherwise inclused. But more often the stuff it comes up with is surprisingly accurate.And editing is even easier when you can just tell the AI something like, "include more details about how the client noticed their pattern of putting their own feelings last," and it just does what you asked. You don't necessarily have to edit manually, though you can.
So how does that work? Do you just have an AI listening throughout the session like a note-taker?
Yes basically, but since it is HIPAA compliant the recording is automatically destroyed when the note is saved. Also no protected recordings are used to teach the AI. The therapist can also choose from a number of different case note formats that might focus on different things
How do you know for certain?
A HIPAA violation is a death sentence to a company, along with massive fines.
Thereβs no incentive for them to fuck around
I can't know for certain, as I'm not on the product side of things. But I do know that HIPAA standards are very rigorous and if it were discovered that they were intentionally misleading therapists and clients then it would invite a class action lawsuit that would be insanely large.
I do ask for and document my clients' consent, though, so if anyone is not comfortable with it that's fine. I just write the note the old fashioned way. Most are fine but a few have said they don't want to and it's not a big deal.
People conflate security with risk mitigation. It's not secure in the way that you can confirm the data has been deleted. The risk however is mitigated due to vendor attestations reinforced by contracts.
Yep, so you can't actually know if the recording is destroyed, it's just contractually required to be destroyed. Big difference in my book.
Wished these sensitive audios would be processed locally and never leave the therapist's network instead.