What AI Therapists Can't See

AI therapists like Ash can't capture the emotion, body language, and unspoken context that make real therapy work. And any progress notes generated straight from a session transcript have the same flaw -- just the words, with none of the insight, reflection, or nuance a human therapist brings.


It's funny -- there's been a lot of talk about these new "AI therapists" like Ash. And all the criticism is valid: they can't really capture or respond to the emotion, the body language, or the shared human experience that makes actual therapy… therapy.

And here's the big M. Night Shyamalan* twist:

The same thing is true for any progress notes generated straight from a session transcript. The AI is only getting half the story -- literally just the words. No tone. No emotion. No pauses. No backstory or context. Just… words.

Oh, and just like the output of "AI therapists", these auto‑generated notes also miss the observations, assessments, and reflections of a real (human) therapist -- insights that are never even spoken out loud in session.

AI note generators that rely on recording and transcribing therapy sessions rely on just that... the transcripts. This meme from Sixth Sense helps illustrate that, maybe.

(*Yes, I know. A reference from 1999.)


At Quill, we rely on the human therapist to tell us what's important about a session. Details that may or may not have been verbally uttered during the session. And then we write the therapy note. (And remember, we don't record the session at all -- for so many reasons.)

Published on July 31, 2025.

AI General

Quill Therapy Solutions

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.