Ep 172: Is It Ethical for Therapists to Use AI in Private Practice?

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Ep 172: Is It Ethical for Therapists to Use AI in Private Practice?

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AI for Therapists: HIPAA Compliance, Therapy Notes, and Keeping Your Clinical JudgmentLet's be honest. Most of us are either all in on AI or convinced it's the beginning of the end for our profession. I think the truth lives somewhere in the messy middle, and that's exactly where this episode sits.This is a replay of episode 137, and I'm bringing it back because the AI conversation in our field hasn't slowed down one bit. I'm not here to convince you to use AI or to scare you away from it. I'm sharing what I've seen, where I have real concerns, and how an AI documentation tool helped me catch up on notes during a postpartum season with a baby who wasn't sleeping and a military move on the horizon. If you've been curious but cautious, or you've felt judged for even thinking about it, this one's for you.What You'll Learn in This EpisodeWhy the AI conversation feels so loaded for therapists, and how fear of the "ethics police" can shut down the nuance we needThe difference between consumer AI and healthcare grade AI, and why the real ethical question isn't "is it AI?" but "who controls the data?"My non-negotiable checklist for choosing an AI tool, including HIPAA compliance, a BAA, encryption, and making sure it isn't training on your client dataWhere I use AI in my practice and where I never will (spoiler: clinical judgment stays with me)A simple script for talking to clients about AI note taking, plus what to do if a client says noEpisode Timestamps[00:52]: Why this episode isn't about convincing therapists to use or avoid AI in private practice[04:16]: Confidentiality fears, ethics anxiety, and when caution tips into paranoia for therapists[05:01]: How big box therapy platforms earned our distrust around client data[07:00]: Consumer AI tools like ChatGPT vs. HIPAA compliant AI built for healthcare[08:24]: The real ethical question about AI in therapy: who controls the data[12:11]: How an AI note template improved my documentation for insurance clients[14:43]: The boundaries I keep around AI in my private practice[16:42]: What to look for in an AI tool for therapists: HIPAA, BAA, encryption, and data training[20:23]: Therapist judgment, working mom realities, and the systems that squeeze our time[21:49]: How to talk to therapy clients about AI note taking and consent[23:15]: Staying sustainable, ethical, and judgment free as a professionTop Takeaways on AI for Therapists1. The Ethical Question Is About the Data, Not the TechnologyChatGPT and other consumer tools are not HIPAA compliant, and they should never touch client information. But healthcare grade AI tools exist, and they're built around encryption, access controls, and a signed BAA. Before you decide AI is off limits, ask the questions that actually matter: Where does the data go? Who can see it? Who controls it?2. What to Look for in an AI Documentation ToolIf you're considering AI for therapy notes, here's your starting checklist:HIPAA compliant: Anything touching your notes has to protect client informationA BAA available: Same standard you hold your EHR toData encryption: Non-negotiableNo training on your client data: Your sessions should never be teaching the AIBuilt for healthcare: Not a general tool with a healthcare feature tacked on3. AI Is a Productivity Tool, Not a ClinicianI use AI to help draft documentation, write letters to other providers, and make sure I'm capturing what matters. I review and edit every note. What I don't use it for is diagnosing, choosing a treatment approach, or any clinical decision. I went to school for that. The AI didn't. Keeping that line clear is what keeps me inside my ethical boundaries.4. Talking to Clients About AI Doesn't Have to Be ComplicatedYou don't need to over explain. Something like, "I'm looking at using a secure tool to support documentation so I can stay more present in sessions. I'll send you a letter with more detail and a consent form if you're open to it." And if a client says no? That's their right. You can still dictate a summary after session and get a stronger note than typing it from scratch.Resources Mentioned in This EpisodeBerries AI (the AI documentation tool I use): Use code RAISEDTOEMPOWER for $50 off⭐️ You don’t have to figure this out alone. Ashley Comegys specializes in helping therapist moms build private practices that allow them the time freedom, flexibility and autonomy they need in their careers. Looking for support in either starting your practice, or looking to revamp your marketing and systems? Let’s chat, book a free consultation here🫶🏼 Join us for Therapist Mom Networking Meetup — a casual space to connect with other therapist moms, share what’s working in your practice, talk through challenges, and build real community. No pressure, no pitching — just support and connection. Register at https://www.raisedtoempower.com/networking🩵 This episode is sponsored by Jane, the all-in-one practice management software I use and love. Book your FREE ...

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