this post was submitted on 17 Sep 2025
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privacy

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[–] PennyRoyal@sh.itjust.works 29 points 2 days ago (1 children)

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)

[–] plz1@lemmy.world 9 points 2 days ago

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.

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

[–] BanMe@lemmy.world 12 points 2 days ago

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.

[–] TubularTittyFrog@lemmy.world 14 points 2 days ago* (last edited 2 days ago) (2 children)

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.

[–] iii@mander.xyz 8 points 2 days ago

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 6 points 2 days ago (1 children)

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 points 2 days ago (2 children)

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 points 2 days ago (1 children)

Signal is not HIPAA compliant

[–] sunzu2@thebrainbin.org 0 points 2 days ago (1 children)

i am not singal simp but whatever HIPAA complaint means, does not mean shit from tech perspective lol

singal can at least deliver data encrypted end to end unlike a lot of these SAAS

[–] hddsx@lemmy.ca 3 points 2 days ago (1 children)

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 points 2 days ago

I don't think you understand the law making processes within the us

[–] iii@mander.xyz 2 points 2 days ago

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

[–] medem@lemmy.wtf 6 points 2 days ago (1 children)

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

[–] Fuck_u_spez_@sh.itjust.works 4 points 2 days ago

Even the expression on her face is almost as enthusiastic

[–] ChexMax@lemmy.world 3 points 2 days ago

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

[–] sunzu2@thebrainbin.org 0 points 2 days ago (1 children)

I never understood people trusting these quacks... back in my day a network of friends did this function.

sure sometimes gossip would leak but at least it was not recorded for the government and corpos to exploit.

[–] 3abas@lemmy.world 1 points 2 days ago (1 children)

Capitalism replaces friends with acquaintances.

[–] sunzu2@thebrainbin.org 1 points 2 days ago

It doesn't have but it do BC we let it