Insights for mental health professionals
Posted on July 18, 2025
Working with Survivors of Sexual Abuse in the Context of the Epstein File Controversy: Conflict, Collusion, and Coverups
Trigger Warning: This post discusses sexual abuse, trauma, suicide, and systemic betrayal. Please read with care. Many therapists are themselves survivors of abuse, and this content may evoke strong emotional responses. Working with Survivors of Sexual Abuse in the Context of the Epstein File Controversy: Conflict, Collusion, and Coverups As therapists we are trained to […]
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Posted on July 9, 2025
Therapists Need a Break Too! – The Therapeutic Benefits of a Vacation
Why Mental Health Providers Need to Take Vacations Too The season of summer holidays is upon us – a time that usually brings rest, play, and long-awaited moments in the sun. For many, it’s an opportunity to step away and recharge. But for therapists, taking time off can come with mixed feelings. Alongside the desire […]
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Posted on June 27, 2025
APA’s New Ethical Guidance for Using AI in Clinical Practice: What we need to know
The American Psychological Association (APA) has released an important and timely resource: Ethical Guidance for AI in the Professional Practice of Health Service Psychology (APA, June 2025). As artificial intelligence becomes more common in clinical work, psychologists and other mental health providers are being asked to balance innovation with ethics. This new guidance helps clarify […]
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Posted on June 18, 2025
Why “Medical Necessity” Matters in Therapy Documentation
If you’ve ever felt a little uncertain about what “medical necessity” really means in the context of therapy notes, you’re not alone. Even as seasoned clinicians, we don’t always receive formal training on how to translate the rich, nuanced work we do with clients into the kind of language that meets the expectations of insurance […]
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Posted on May 17, 2025
What We Lose When We Outsource Our Minds: The hidden cost of AI scribes in therapy documentation
What We Lose When We Outsource Our Minds: The Hidden Cost of AI Scribes in Therapy Documentation Let’s talk about AI Scribes – software systems that record your therapy session, produce a transcript and create a summary or progress note based on its transcription. AI scribes are currently being offered as part of many EHRs […]
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Posted on April 14, 2025
Note Designer’s Ethical AI
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 […]
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Posted on March 6, 2025
False Comfort: The Dangerous Rise of AI “Therapists”
I recently came across an excellent article in The New York Times by Ellen Barry titled “Psychologists Warn of Chatbots Masquerading as Therapists” (Feb. 24, 2025), which highlights a troubling development in the mental health space: the rise of AI chatbots falsely claiming to be licensed therapists. This is clearly something we should all be […]
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Posted on March 1, 2025
The Silent Third Party: Ethical Dilemmas of AI-Powered Transcription-Based Documentation and its Potential Threat to the Therapeutic Process
The rapid advancement of artificial intelligence has led to the emergence of documentation software that “listens in” on therapy sessions, automatically transcribes them, and then generates clinical notes, progress reports, treatment plans and more. While this may seem like an innovative solution to reduce the administrative burden on therapists, I believe it raises some profound […]
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Posted on March 23, 2024
Stress-Awareness: Insights and perspectives from Psychoneuroimmunology
Stress – A challenge for mind and body In recognition of stress awareness month, here is a short summary of a recent podcast featuring an interview with Dr. George Slavich, a prominent figure in stress research. He is a professor and the director of the laboratory for stress assessment and research at the University of […]
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Posted on December 6, 2023
Understanding Protected Health Information (PHI): What we need to know 🔎
As a fellow clinician and co-founder of Note Designer software, I take data privacy issues and concerns very seriously and have been working to find a balance between easing clinical burden while safeguarding the confidentiality of our work. Protected Health Information (PHI) is a critical concept for mental health professionals to understand, as it is […]
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