What you won’t find is any evidence of
-the therapist doing a comprehensive assessment or getting my history (even basic stuff like have I ever been diagnosed with a mental illness, have I been in therapy before)
-my giving informed consent to any particular therapy approach or technique
-setting therapy goals, creating a plan and a timeline
-monitoring or assessing progress
There is no evidence because these things didn’t happen. They should happen; they are all considered best practices. They are also required by the therapist’s regulating agency, but as we know from the complaint, the Agency doesn’t actually care about them (but I’m supposed to keep all that secret, remember).
All of the notes were written the day after the session. She never took any notes during sessions. She didn’t so much as hold a pen. Day-after notes strike me as pretty unreliable. Think back to your student days. Would you write notes for a lecture the day after and expect them to be useful and accurate later? Of course not. And there is a reason why many business meetings have an assigned minute-taker: greater accuracy.
Now, I don’t necessarily think day-after notes are so terrible, one one condition: The therapist must always be aware of their limitations. I.e. know what they don’t know and remember that the notes don’t tell anywhere near the whole story. However, I now feel that ALL therapy sessions should be recorded. It is the only way to ensure accuracy. (That is, if you see a therapist at all, which I don’t recommend and which you probably don’t need.)
Sure, you could ask: How is your memory any more reliable than hers? For one thing, I was journalling a lot at the time, and I still have emails I sent to a friend at the time in which I discussed some of these issues. And of course I know all the details of my own family, and I tend to pay quite a bit of attention to any relationship where I have sex with the person. So I am very confident that I know more than any therapist about the facts and events of my life.
I’ll comment in other posts on the various omissions and inaccuracies I see in the individual notes. In general I find her notes LIGHT YEARS away from what actually went on in the sessions. She didn’t note her defense of women who have affairs with married men, for one thing. (I hope she gets karmic retribution for that bit of bullshit. See how she feels about adultery when it’s her husband doing the cheating.) Also, I find it disturbing how little she actually wrote. The sessions were an hour long, we discussed complex issues, and yet she feels she’s captured all the relevant info in less than a hundred words? Yikes.