My therapist always had a pen and paper ready when we did family therapy, but rarely wrote more than a word or two. In my individual therapy she held pen and paper for the first few sessions then they disappeared. She video tapes all of her couples therapy (she mainly sees couples), and reviews each tape from beginning to end just in case she missed any nuances. She will also, request to tape if its a big family. Early on, I had her video tape one of my sessions, but it was hard to look at, I was preverbal in it.

Since June I have audio taped all my sessions.

I did read some of my notes once, and they were boring as heck. She only put the bare minimum of what the licensing board will accept. My hundreds of emails are not a part of my records.