Disadvantages of Keeping Client Notes in Counselling

🕑 2 minutes read

What is my mental health counselor scribbling on that paper? Did I say or do something wrong?

Imagine that you’re in a session, and your client makes a little joke to relieve some tension that they are feeling, and instead of laughing, you make some notes. Jokes apart, patients have indicated a greater willingness to use the services of those mental health professionals that did not take notes during the sessions (Miller, 1992).

Let’s explore the dynamics of note-taking in counseling

It can be stressful for both the counselor and the patient.

Do you feel the stress of multitasking during a counseling session? A recent research has found that it can cause cognitive stress for the mental health counselor to scribble notes during the session, as it needs a constant engagement of the working memory (Bernardi & Francesco, 2015).

It is possible that the mental health counselor might miss out on some things that the patient is saying while they scribble and simultaneously debate whether they made a spelling error or scribbled something unintelligible.

HIPAA, PHIPA, SOC2 Compliance Logos

A potential obstacle to establishing rapport

Write less, focus more

Automate notes and treatment plans while keeping your clinical style and the Golden Thread.

  • SOAP, DAP, BIRP, EMDR notes and more
  • Alliance signals
  • SMART treatment plans
  • HIPAA & PHIPA compliant
Alliance Genie dashboard preview

The first session between a patient and a mental health counselor is incredibly important. As you seek to establish a rapport with them, you are basically holding out the space to help them talk about their distress, which can be truly personal in nature.

Watch real stories from Mentalyc users

Try Mentalyc for Free

According to Franklin (2003), taking notes might not be a good idea initially, as it might not help to form a good therapeutic relationship between the patient and the counselor. The patient may feel judged and evaluated instead of being heard and validated.

How does Mentalyc help?

Mentalyc is an AI-enabled note-generating solution for mental health counselors and psychology professionals. It will help you to extract information from a therapy session and create transcripts for you, which will eliminate the need for note-taking during the sessions, leaving you to fully focus on the clients.

In this digital age, we take your security very seriously, and Mentalyc is 100% HIPAA compliant and uses 256-bit encryption. Besides the mental health professional, only the qualified and authorized team of Mentalyc would have access to these records.

Want to learn more about the amazing AI note-taking software for mental health professionals that can take notes for you during your session?

Reviewed by: Brittainy Lindsey

Disclaimer

All examples of mental health documentation are fictional and for informational purposes only.

Ready to start your free trial?

15 free notes for 14 days • No credit card required

Why other mental health professionals love Mentalyc

Karen Martin
“Having Mentalyc take away some of the work from me has allowed me to be more present when I’m in session with clients … it took a lot of pressure off.”
Karen Martin
LPC
Jack Marchant
“By the end of the day, usually by the end of the session, I have my documentation done. I have a thorough, comprehensive note … It’s just saving me hours every week.
Jack Marchant
CDCII
Ileana OxleyIleana Oxley
“It takes me less than 5 minutes to complete notes … it’s a huge time saver, a huge stress reliever.”
Ileana OxleyIleana Oxley
Licensed Marriage and Family Therapist
Liliana Palacios
“A lot of my clients love the functionality where I can send them a summary of what we addressed during the session, and they find it very helpful and enlightening.
Liliana Palacios
Therapist

Compliant notes. Stronger care.

Automated notes, treatment plans, and insights that prove therapy works.

Try Mentalyc for FREE

Your Author

Salwa Zeineddine is an expert in the mental health and medical field, being a medical student and having worked as a medical researcher at the American University of Beirut Medical Center for many years.

She is highly knowledgeable about therapists’ needs and insurance requirements. Salwa has always considered herself a successful person, being the recipient of a full scholarship from the AUB Faculty of Medicine. Her achievements over the years made her realize that real success is one in which she can genuinely affect people’s lives, the reason why she became passionate about helping people better understand and manage their mental health.

Salwa is an advocate for mental health, is committed to providing the best possible care for her patients, and works to ensure that everyone has access to the resources they need.

More related posts

  • Writing Therapy Progress Notes For Insurance

    As a therapist, you know that documentation is an essential part of your job. Not only do you need to keep track of your client’s progress, but you also need to make sure that your documentation is compliant with payer and insurance requirements. Unfortunately, this can be easier said than done. It can be a […]
    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • Medicare Psychotherapy Documentation Requirements

    As a psychotherapist, you understand that accurate and thorough notes are essential to provide great patient care. But did you know that there are specific requirements for how you must document your patients’ mental health information if you accept Medicare? To be compliant with Medicare regulations, your psychotherapy notes must include certain elements related to […]
    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine
  • How to keep psychotherapy notes in a HIPAA-compliant manner?

    It’s no secret that therapists have to take careful notes during sessions with patients. But did you know that those notes are subject to the same federal privacy laws as other medical records? To protect the confidentiality of their patients, therapists must take care to write their psychotherapy notes in a HIPAA-compliant manner. That’s right: […]
    Dr. Salwa Zeineddine Avatar
    Dr. Salwa Zeineddine