u/millenialangst

Hello! I am an LCSW and I just started with a new therapist. She sent me her paperwork and among the things she wanted me to sign were two releases to allow AI software to listen and provide note taking functions for our sessions. (IMT Consent for Use of Artificial Intelligence (AI) Tools in Therapy Services and Consent for Use of AI Tools with De-Identified Transcript Retention)

I responded that I would like to opt out of AI tools, and she didn't respond. Five days later, I followed up and she responded with:

>You may opt out of the AI stuff. However, I have seen a substantial benefit for clients who do allow the use of AI. If you have specific questions or concerns about the use of AI tools, we can review them during our session. I can completely understand being hesitant to use AI in therapy, so I would be happy to provide more information about how it is used. In the end, it is 100% your choice, and your comfort is the most important thing to me!

I am feeling really uncomfortable with this response. First of all, even if the transcript is "de-identified" I don't trust it. In recent years, we have seen the US government try to use health records to find undocumented immigrants and put them in camps. I personally have had clients with loved ones consumed by AI psychosis. There are cities losing access to clean water due to AI servers. I am someone who love technological advances, I love gadgets, I love science. But I don't think that giving all of the transcripts of my personal therapy session to some random corporation is a "substantial benefit."

As a therapist myself, I work for a place where I could use the same tools and I choose not to use them. I write note that are vague enough to protect my client. I don't see how this would be a benefit to anyone but the therapist who is overwhelmed by notes. I too would love a shortcut. I have both ADHD and Autism, writing notes is difficult, I get that. But I am frustrated that she framed it as a "substantial benefit for clients"

What would you all suggest?

It's happening. I'm so over this. I've been in and out of therapy forever. I've tried so many antidepressants (at least 7). I've done maca root (still do) and Chinese medicine and every other supplement under the sun. (I quit chaste berry because I think it made me worse?). I've done the broad spectrum antihistamines (Pepcid + Zyrtec). I exercise daily. I meditate daily. I take ADHD meds. I have a support group. I DO EVERY GD THING "RIGHT". and I still feel awful. Today I started saying to myself "This is just the time of the month that I feel like this." and I actually felt my body relax. Like I can't fight it. I just need to feel like this.

Unfortunately, "like this" means I want to quit my job and I don't want to be on the planet anymore. But I know that it will pass within a week. I don't know. It helps when I don't resist feeling badly I guess. Like, before I was feeling badly and on top of that I was feeling badly about feeling badly. Now I'm just feeling badly, which is somehow slightly less bad.

I (38 f) have had extremely unstable shoulders since I was 11 years old. I got an MRI about 10 years ago that showed I my labrum had thousands of micro-tears and baby cysts. I was also told that the cavity was shallow so I just am prone to having my shoulder outside of the socket.

I am in PT and I would like to eventually be able to take a surfing class-- I know this may never be possible, but the dream keeps me going.

I am looking for a brace that will help keep my shoulder in when I try to do PT exercise. I've tried quite a few of the cheap ones, but never shelled out the money for a body braid or Bauerfiend for my shoulder. Kinesio tape causes a mast reaction.

Does anyone have any advice?