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[–] 30 points 1 year ago (1 child)

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)

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

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  • [–] 14 points 1 year ago* (10 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.

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  • [–] 8 points 1 year ago (8 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).

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  • [–] 1 point 1 year ago (7 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?

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  • [–] 7 points 1 year ago (5 children)

    Signal is not HIPAA compliant

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  • [+] 0 points 1 year ago* (2 children)
  • [–] 8 points 1 year 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.

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  • [–] 13 points 1 year 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.

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  • [–] 10 points 1 year 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.

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  • [–] 6 points 1 year ago (1 child)

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

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  • [–] 2 points 1 year ago

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

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  • [+] -1 points 1 year ago (2 children)
  • 2 comments in c/privacy@programming.dev view that post
    [–] 5 points 1 year ago

    Get a therapist that handwrites notes, and has a furnace trap when it gets maliciously pried. It’s better to keep clients’ lives private and restart sessions, than to risk getting details stolen. Digital notes are also copy-able, so 🙅‍♀️.

    Bonus points if the therapist encrypts their notes, every session.

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  • [–] [S] 2 points 1 year ago

    Thank you @PhilipTheBucket@piefed.social (FYI this community is the most active after the lemmy.ml one)

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