Liz, LCSW - Chill Therapist 🌈
Region: US
Wednesday 23 September 2026 17:56:57 GMT
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dr. Hegedüs Eszter :
As a mental hygienist to be (in progress): would you include drug/alcohol use?
2026-09-23 18:09:13
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FartFitTubin :
If it's relevant to what's going on, it goes in the notes. If gender is a big part of the conversation, it goes in the notes. I don't care how you want to be defined but if I need to look back and see a full picture of the situation, it goes in the notes.
2026-09-23 23:28:23
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🇨🇦🇨🇦LizVirtue🇨🇦🇨🇦 :
Correction… as an American therapist.
2026-09-25 16:23:38
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Kasey Arthur :
Half of y’all don’t realize she’s meaning insurance notes
2026-09-25 05:05:13
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Emily :
Just curious since I’ve always wondered this as a person who’s been in therapy for over 10 years. Do you keep notes for yourself about your clients, their issues, their lives so you can refresh your memory before sessions? Since I presume you have multiple clients and sometimes may forget certain details? Thanks!
2026-09-23 23:19:34
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moonbeamsss :
Genuine question but if notes are confidential, I always thought they can’t be released to a 3rd party, is there any circumstance in which they could and therapists need to be cautious?
2026-09-23 18:29:13
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caro :
Thank you for this reminder to use gender, neutral pronouns when writing client notes
2026-09-23 23:16:05
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Lindsey :
I requested my records when I changed providers and most of them just said “alert oriented and participating in therapy”
2026-09-23 22:29:58
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redneckveg❌ :
Basically- if it isn’t needed for billing insurance or to remind me of something it doesn’t go in the note. Diagnosis, goal tied to the diagnosis, what goal we worked on and how we worked on it, progress made and response, mental status and risk assessment, goal for next session, discharge plan.
2026-09-23 19:57:10
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Anne N :
“Psychosocial stressors,” “coping efforts,” “social environment,” etc are plenty specific. Tbh even if the political landscape were neutral, names and specific events still wouldn’t be the insurance company’s business!
2026-09-30 03:25:37
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Salvador Diaz :
Why are we clients and not patients?
2026-09-23 19:47:22
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Jenn O’ Saurus :
As an OCD therapist, I would never include any type of taboo/harm themed intrusive thoughts in my notes.
2026-09-23 23:07:24
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Justluvluv :
I call every single patient..pt. No gender at all.
2026-09-24 09:34:47
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linaschaossecrets :
I’m so sorry that in US you have to do notes. In my country it would be at this moment seen as horrible for peoples privacy and data. :( sadly, seeing the direction where the world and the society is moving towards right now, I am not sure if it will stay this way forever.. :( but right now? We can’t and shouldn’t keep notes here..
2026-09-24 07:02:41
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╰┈➤ ❝ [Vox Rants] ❞ :
Honestly, i think the pronoun one depends, but it makes sense. My therapists would ask me what pronouns i wanted in the notes for my comfort
2026-09-23 22:19:55
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peanutbutterandjenny :
oh this is very American
2026-10-24 22:52:15
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*ੈ🐦🔥ꫝviary𓆃ℬeau❤️🔥𓅰𓅛𓅍 :
ok but something like pronouns can be very very helpful in getting gender affirming care. stuff like that should probably just be asked about first.
2026-09-24 09:40:46
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Comrade Paige🦘 :
Also concerning that a lot of psychs are using AI notetakers because those notetakers will include everything
2026-10-23 07:36:15
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Gem✨️in I🌘 :
idk you but I love this. It's reassuring. I wish we had this available for all. I know so many of us would be mich more open to seeking therapy. It makes me feel like in a much safer space.
2026-10-18 00:17:33
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Lilli berardinelli :
You should get your license for pa
2026-09-23 18:07:25
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eab :
I would mind opening up but I don't want my life being on paper
2026-09-24 11:28:56
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Carly | Page by Page 📚 :
Same. I’m so careful to protect them best I can!
2026-09-23 18:14:37
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Comp2k :
I love finding workarounds for how to say these kinds of things. My recent fave is saying “client engaged in social activities within the community” for activism stuff because… that’s not incorrect!
2026-09-25 04:48:38
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Serotonin 🍉 :
and reproductive healthcare!
2026-09-24 04:54:58
2
corrisky7 :
oh I appreciate you 😊 I caught myself censoring myself with my therapist
2026-09-24 04:37:09
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