</font><blockquote><div id="quote"><font class="small">Quote:</font>
Rapunzel said:
...therapy notes are written about your flaws and shortcomings - the things that you go to therapy because you can't live with it the way it is.
</div></font></blockquote><font class="post">
I think this is an excellent point to mention. Anyone reviewing their medical records should remember that main purpose these records is document potentially pathological conditions and changes seen during treatment. They are not to provide a complete summary of the whole person. These notes are intended to be short, concise, and very specific. Other members of the health care team don't want to know about all the stuff the patient doesn't have or how detailed your comprehensive your examination was. They want to know what the writer thinks the pathology (condition) is and the supporting evidence found to support the diagnosis. Rehab notes then also contain key information or measurements that demonstrate improvement or lack there of. Again I am not a T, but I would think their notes would be somewhat similar.
I may be TOTALLY off here. (T's out there I would appreciate the correction if I am wrong). I IMAGINE a treatment log entry something like: Pt. showed signs of dissociation, avoidance, anxiety when x topic was raised. Based on information provided during previous sessions this is suggestive of potential PSTD. Plan is to attempt to develop tolerance and reduce anxiety through the use EMDR technique before probing this topic further.
This thread makes me want to see actual therapy notes. I am now very curious about them. Not curious enough to request my own person records though. Having just experienced a major falling out with my own T and quitting, I don't think this would be a good time for me to say, "And... I want to see my records." I don't think it would help mend the riff at this point.
__________________
"Joy is your sole's knowledge that if you don't get the promotion, keep the relationship, or buy the house, it's because you weren't meant to.You're meant to have something better, something richer, something deeper, Something More." (Sara Ban Breathnach)
|