I also pay out of pocket and one thing that I absolutely love about it is that my therapy is just between my T and I. She took notes once after asking, and it was for a course she was taking. She also will write down dreams but that is different and is about wanting to capture every detail and in the order that I tell it, because dreams are important in analysis. I don't mind at all and in fact I kind of like it, as if it is THIS important, so it needs to be written down.

Especially now in the big push for electronic medical records, computerized records that follow you for life, like your credit report, I am glad that I bypass the nosy insurance company whose motives are not my well-being.