Growlithing, if it's any help, my T directed a Univ counseling center,, so his practice there was largely traditional aged students. The philosophy with that age group, in particular, is to do the most conservative treatment possible: so, diagnoses tend to be the least stigmatizing, and interventions are as rare as possible while still meeting standards of good care and safety. There is also great care taken to limit future access to records as much as possible.

Part of this is because the clients are often adults legally, but there's a recognition that maturationally, they are young adults in transition. No one wants to burden anyone with a case history that could be lasting, for a condition that may very well be temporary.