Quote:
Originally Posted by Perna
I think there are notes and then there are notes. If the therapist is in private practice and writes "personal" notes (the interesting ones :-) those probably would not be discussed with the client, or ever be shared, could be similar to if we were keeping a therapy journal ourselves and what we wrote about our T, etc. Think of Yalom's books based on his notes? I don't think his therapy notes on people were boring?
Clinic notes or those for insurance are bound to be dull/just the "facts" because they do have others reading them so have to be understandable by all those who do.
My T and I use to joke that my notes (I saw her twice, for 9 years each time) took up an entire file cabinet drawer (along with the poems, letters, "stuff" I sent her over time). I don't think therapy in depth, over time, can have he said/she said sorts of notes like CBT/DBT sorts of therapy might as there is no "plan" or agreed-upon goal that could be discussed and which might stay constant. "Client gave therapist poem, therapist thanked client for poem and asked what it was about. . ." just does not convey it?
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My T is in private practice. If I give T something (a card with a poem, she takes it home rather than filing it. She said she had a special place at home where she keeps cards from anyone (clients, friends, and family).
She doesn't keep personal notes on clients. What little she writes down in session gets copied over to an official form for the practice. That is the note the insurance company gets. And they are like the ones in the original post.