I'm amazed that session notes in any US practice would be available to anyone except the therapist and any clinical supervision personnel. There are separate provisions in HIPAA for therapy notes, which are very different from the ones that apply to physician's clinical notations and any other medical records. The only things that HIPAA allows to be available to others (and then only with written permission) are "any summary of diagnosis, functional status, treatment plans, symptoms, prognosis or progress."

My family physician and other medical providers have absolutely no business knowing the content of my therapy sessions. They should know about diagnoses, treatment plans, progress, etc, but the specific things I share with T (like details of my CSA) are not and should not be their concern unless I choose to share with them.

I completely understand your no longer feeling safe with your T, Yang. I hope she can rebuild your trust.