Therapy in the Age of AI Startups

As AI startups flood the mental health space, therapists are being asked to trust tools that may not be built to last. What happens to sensitive client data when companies pivot, shut down, or change hands?


AI startups are flooding the therapy market with tools to supposedly help therapists. The age of AI being integrated into therapists' workflows has only just begun, and not all startups will survive. So what happens when a startup that records and transcribes therapy sessions gets acquired, pivots, or shuts down?

What happens when AI mental health startups crash? Therapists and clients are being asked to trust that this incredibly sensitive data is handled responsibly -- not just now, but forever. But companies change. Priorities shift. A VC-backed startup might sunset, get sold, or quietly morph into something else entirely.

And unlike your notes, your client's voice (and/or transcript) might still be on a server somewhere.

If you’re a therapist using a tool that records sessions, it’s worth asking:

  • What happens to that data if the company disappears?
  • Can you delete it?
  • Can your client?
  • What does the fine print actually say?

Quill does not record therapy sessions to help therapists with their therapy notes. With Quill, we decided from day one not to record anything. We know it's not necessary to have that recording to still save time on notes. Therapists simply summarize the session in their own words, after it ends. No session recordings. No audio files. No transcripts. No ticking time bombs on a server somewhere.

We're not saying this because we're paranoid. We're saying this because we build software for a living. (Or at least Jon does!) And startups come and go and pivot all the time. And when priorities shift, that promised "privacy" -- and how you thought this data will be handled forever -- might be overlooked.

Published on June 9, 2025.

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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.)

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