Honest Conversations about AI Tools

Some AI tools for therapists are reshaping therapy in ways that aren’t being clearly disclosed, especially around recording of therapy sessions. It’s time for more honest conversations -- and better options.


Therapists aren't being told the full story about some other AI note-taking tools. And clients are being told even less.

There are already clear guidelines about recording therapy sessions. So why does that suddenly get fuzzy the moment someone says "AI"?

Many AI tools for therapists require a session to be recorded but they aren't very clear about that. A lot of these so-called "AI scribes" are just recording the whole session and shipping it off to their servers to be stored, transcribed, and processed. But they rarely say that part out loud. Truly, you'd be surprised how infrequently the word "recording" shows up. (And don't get us started on "de-identification" and training data.)

Instead, you get vague phrases like "ambient listening" or "passive documentation" -- as if the AI is magically taking notes without first hitting record.

That's not how it works.

Even big professional organizations are releasing AI guidelines now... and somehow skipping the part where most of these tools start with recording everything.

Professional organizations for therapists are now publishing guidelines around AI, but they're leaving out their previously-published session recording guidelines. (Truly, you take a look at the recently-published AI guidelines, and there's not a reference to the existing guidelines on recording sessions! These AI startups have won this first battle by getting everyone to use this very generic "AI" term and hoping people don't care about the details.)

Here's the thing:

You can absolutely use AI without recording your sessions.

You can streamline the boring stuff and keep the therapy space sacred.

Please, let's push back on this. It's worth it.

Published on July 11, 2025.

Ethics 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.