Skip to content

Note Designer’s Ethical AI

ai options

Our Commitment to Ethical AI

An Official Statement from Note Designer Inc.

At Note Designer Inc., we believe that the use of artificial intelligence in clinical practice demands more than just technological innovation—it demands ethical responsibility. As a company founded, owned, and operated by licensed clinicians with decades of experience in psychotherapy and healthcare, we are committed to setting the highest standard for the responsible use of AI in mental health documentation.

We proudly define and uphold the principles of what we call Ethical AI.

What Is Ethical AI?

Ethical AI means:

  • No Recording or Transcription of Sessions: We do not—and will never—“listen in” on therapy sessions. Our AI does not rely on recordings, transcripts, or real-time data capture. We believe that such practices fundamentally compromise the therapeutic process, the clinician-patient relationship, and the trust that forms its foundation.
  • No Patient Data Storage: Information entered into Note Designer is never stored, mined, or repurposed for training. Our AI does not learn from your notes.
  • No Exposure to Third Parties: Unlike many platforms that route your input through external systems such as OpenAI or other vendors, our AI operates through a private, secure model hosted on HIPAA-compliant servers. This ensures that Protected Health Information (PHI) remains confidential and insulated from commercial AI systems.
  • No Algorithmic Intrusion into Clinical Work: We view AI as a supportive tool, not a clinical authority. Clinicians maintain full control over their documentation. The AI supports your professional judgment; it does not override or replace it.

We built this system with intention: to serve clinicians without compromising ethics, client confidentiality, or professional integrity.

Why It Matters

Many current AI-powered tools—including those embedded within EHR systems—record, transcribe, or analyze sessions in real-time, often with the goal of generating notes automatically. While convenient, these practices raise serious ethical concerns. When clinicians surrender control of their documentation to such systems, they may inadvertently violate both HIPAA guidelines and the principles of professional ethics that govern therapeutic practice.

We urge clinicians to reflect on the long-term consequences of outsourcing clinical reasoning to commercial algorithms, and to recognize the risks of commodifying the therapeutic hour. There is no shortcut to thoughtful, ethical documentation.

Our Promise

At Note Designer, we refuse to cut corners. Our mission is to empower clinicians to write faster, better notes while protecting the integrity of their work and their relationships with clients. Our software is designed by clinicians, for clinicians—grounded in a deep respect for the profession and the people it serves.

We stand firm in our commitment to Ethical AI, and we invite you to read our blog post on why listening-based AI undermines the very heart of therapy.

Patricia Csank Baldwin, Ph.D. FIPA
Clinical Psychologist
President
Note Designer Inc.

Recent articles

delicious Pie

Posted on January 8, 2026

How to Write a PIE Note: A Therapist’s Guide

Of all the different therapy note types, this is certainly the one that sounds the most delicious (tastier than a SOAP note for sure)! In mental health documentation, the PIE note format is a streamlined option that emphasizes clarity, brevity, and connection between therapeutic work and outcomes. “PIE” stands for Problem, Intervention, and Evaluation. Though […]

Read more
January 1st Calendar Image

Posted on January 1, 2026

Rethinking New Year’s Resolutions: A Psychological Perspective on Lasting Change

Every January, New Year’s resolutions arrive with a familiar sense of urgency. The calendar turns, and suddenly there is pressure to change: exercise more, eat better, be more organized, finally get everything together. For some, this feels motivating. For many others, it quietly adds stress. The American Psychological Association has addressed this pattern directly. In […]

Read more
exchange of friendly handshake

Posted on December 30, 2025

The Benefits of Clear Boundaries in Clinical Practice: A Guide for Psychotherapists

This past year, I came across an excellent article by Heather Stringer (American Psychological Association website, July 2025) on the importance of healthy boundaries in psychotherapy. In it, several clinicians describe how setting expectations early helps protect therapist well-being while also supporting patients’ capacity to develop healthier relational patterns. This blog expands on those insights […]

Read more