What is My Therapist Writing About Me?

Have you started therapy and become aware your therapist is taking notes? Have you found yourself wondering, ‘what is my therapist writing about me?’ Not all therapists take notes in therapy sessions, but it’s very common and nothing to be concerned about.

I see about 10-15 clients a week. For treatment sessions to flow, it’s helpful to use notes as a reminder. Generally, I take notes as I get to know someone during the first few sessions, and tend to write less as the weeks go on. If I can tell someone is uncomfortable about me taking notes, then I won’t. Instead, I’ll make write my treatment notes after their session to make sure I get the most out of the session; if you want to do the same, here’s how you can get more out of your therapy How to Get the Most Out of CBT

The aim is to remind me of important things we’ve discussed, any themes I’m noticing, areas I think it would be useful to return to and most importantly for me, a short plan for the next session.

Why Does My Therapist Take Notes?

Therapy notes are legal documents and are kept for 7 years, although only a minimum number of notes are required by law (or by insurance companies). Nonetheless, writing notes after each session and storing them in a GDPR-compliant system is essential for the safety and protection of my clients and myself in the event of an emergency or litigation. If I haven’t recorded it, it didn’t happen!

Well written notes allow health professionals to communicate easily with one another. They also serve as a refresher for clinicians who have a lot of cases and might struggle to remember details from the last therapy session. Notes also allow us to track your progress, both in terms of treatment goals and your overall treatment plan.

Ultimately, I believe notes make me a more effective therapist as I’m more likely to remember details between sessions, helping me build trust and rapport with clients. Everyone wants to feel like their therapist is really listening to them and the ability to recall past sessions plays a big part in this.

What Is My Therapist Writing About Me?

Here are some of the things therapists typically write in their notes:

  1. Key Issues Discussed During the Session

Your therapist will probably make a note of the main topics discussed during your session. This can help them keep track of your progress over time and ensure they understand the issues you are facing.

  1. Any Insights or Breakthroughs

If you have a breakthrough or make a significant insight during your session, your therapist may make a note of it in your file. This can help them track your progress and provide more targeted support in future sessions.

  1. Goals and Treatment Plans

Your therapist may write down any goals or treatment plans discussed during your session. This can help them provide the most effective support possible and ensure they are guiding you towards your specific goals.

  1. Observations About your Mood or Behaviour

Your therapist may note any observations they have about your mood or behaviour during the session. This can help them identify patterns or triggers contributing to your challenges.

  1. Details of Any Homework or Exercises Assigned

If your therapist assigns homework or exercises to complete between sessions, they may make a note of this in your file. This can help them track your progress and ensure they are providing appropriate support during your next session.

Are My Notes Private?

Yes! Therapists are bound by strict confidentiality rules. This means the information in your file will generally not be shared with anyone outside the therapeutic relationship without your express permission. However, a court can order a therapist to release notes if there is a court case where this is deemed necessary.

In Conclusion…

The notes your therapist takes during your sessions serve several important purposes. They can help them track your progress, provide a record of what was discussed and guide your treatment plan. By understanding what your therapist is likely to write in your file, you can better understand the therapeutic process and feel more empowered to participate fully in your treatment.

Useful Links

What is Cognitive Behavioural Therapy?

Everything You Need to Know About Online Therapy

What Are You NOT Saying in Therapy?

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Comments

  1. Mr Phillip says

    A very helpful website, people definitely get benefited from this site, thank you so much for thinking something like that and helping peoples.

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Sarah Rees

Sarah is a fully accredited Cognitive Behavioural Therapist and mental health writer delivering Modern Mental Health for you and with you in Mind. Sarah is the author of ‘The CBT Journal’ which helps you write for your wellbeing incorporating CBT techniques. For more information and to keep in touch have a look at sarahdrees.co.uk.