AI Scribes and (the lack of) Clinical Reasoning

You can’t extract a therapist’s intuition, training, or memory from a recording of a therapy session. Only the professional therapist can provide that.


There’s this trend with AI therapy scribes where companies are saying "Just record the whole session and we’ll generate the note for you!" Like that’s all a note is -- a transcript with a dash of AI to consolidate things.

But a real note reflects the therapist's clinical reasoning. Not just what the client said -- but what it meant. What mattered. What shifted. What carried over from the last session. What was new. What needs to happen next.

You can’t record that.

You can’t record a therapist’s intuition, training, or memory.

AI scribes for therapists don't include clinical reasoning... because they aren't clinicians. And sure -- there are tools out there that claim to transcribe, analyze, summarize, and structure everything automatically. But when it’s based on a raw recording, it can easily miss context, nuance, history, emotion -- all the things that make therapy... therapy. Something based on a real (and raw) human connection.

Jen and Jon went the other direction. No recording. No raw audio. Just the therapist's summary -- in their words -- after the session ends. Quill helps shape that into a clinical note, but the therapist decides what gets included and what doesn’t. AI assists. It doesn’t pretend to know better.

Therapists don't need a stenographer to help complete their notes quicker. Because therapists aren’t stenographers typing away at a little typewriter, and so they don't need an AI stenographer. Therapists are professionals. And a note should reflect that.

Published on June 2, 2025.

AI General

Quill Therapy Notes

What is Quill?

Quill streamlines progress notes for therapists, saving time by generating notes from a verbal or typed session summary. With privacy at its core, Quill never records client sessions, protecting the therapist-client relationship and avoiding ethical and confidentiality risks. Just record a summary, click a button, and Quill generates your notes for you.

Try Quill for free today, no credit card required. And for unlimited notes (and other types of therapy documentation), it's only $20/month. (Even less for teams.)

Try Quill and save time on notes.