PRIVACY

Confidentiality has limits, and you should know where they are. Sessions are not recorded, and nothing said in them is transcribed. I see people alone, in a closed room, with no one else present or within earshot. I write my own notes; no language model reads, drafts, or summarizes them. They are brief and general: when we met, what we worked on, and my clinical reasoning. I keep them limited to what is clinically necessary.

Your record is kept in a HIPAA-compliant system, with encrypted copies on equipment I control. If your care is billed to insurance, a diagnosis goes out with the claim. Insurers sometimes ask for more than that. When they do, I will tell you and send a copy of what I provide. If you pay privately, there are no claims to submit and no insurance disclosure. You can request access to your record and ask what diagnosis I have assigned and why.

Once information is sent to an insurer, I can no longer control how it is handled. Otherwise, your record is handled by me alone. The software I use is chosen for what it does not do. This site sets no cookies, runs no analytics, and makes no request to any third party. If anything changes, you will hear it from me first.

The full limits of confidentiality, including mandated reporting and court order, are set out in the practice policies provided before a first session.