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Grand Poohbah
Member Since Sep 2013
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#61
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Health records should not be legal records. They should merely be notes and considered another persons opinion no different than if we were to write notes after our sessions. Unfortunately, it is the professional licensing that somehow grants mental health professionals the ability to write legal record - which in itself is EXTREMELY concerning and a conflict of interest, especially if and when they have harmed a client and litigation or complaints are filed. Everyone is scared of being subpoena'd. They do craftily alter and falsify notes in order to protect themselves and their professionalism in the notes. I have experienced this more than once and I am researching this very problem. Just wanted to add: EVERYONE SHOULD GET THEIR SESSION NOTES, PERIOD! Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" |
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doyoutrustme
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#62
I wouldn’t want mine.
My relationship with my therapist felt deeply personal and connected. It would be really painful to contrast that with cold clinical notes and pathology. |
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HD7970GHZ
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Grand Poohbah
Member Since Sep 2013
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#63
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You make a very valid point - but you don't have to read them, you could just get copies and rest in knowing they will not be altered after the fact should there ever be a supboena. The point is, they are legal record, no different then your birth certificate or your ID, tax forms, etc. In my opinion notes should be accessible to clients AT ALL TIMES without the 30 day wait period.. Knowing what is done to health records has opened my eyes to this. But I understand and validate your concerns - they are valid and completely understandable. Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" |
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Magnate
Member Since Oct 2018
Location: USA
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#64
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Perhaps you meant, everyone who feels they need their therapy notes should have access to them? |
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Grand Poohbah
Member Since Sep 2013
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#65
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Canadians with mental illnesses denied U.S. entry | CBC News Suicide profiling at US border investigated - National | Globalnews.ca It's Been Revealed That Canadians Diagnosed With Mental Health Issues Are Put On A List That Is Shared With The FBI And US Border Patrol - Narcity Down the rabbit hole we go. Apparently the APA even stepped in about this and has been working hard to abolish this kind of missuse of personal health information on police databases. Psychiatric Associations Release Statement on Cross-Border Sharing of Mental Health Information Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" |
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#66
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Magnate
Member Since Oct 2018
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#67
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Again, why do I want a copy of all of that? I haven't been in therapy or treated for anything remotely mental health related in going on 7 years. Heck, my records are probably headed to the shredder at this point. |
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Grand Poohbah
Member Since Sep 2013
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#68
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You are entitled to your opinion and I welcome it. But I refuse to engage in arguments with you. This is beginning to drift from the topic of the thread into a territory that will be ineffective and therefore, I will no longer engage in this conversation with you. However, you are more than welcome to private message me about this. While I understand your inability to agree with the importance of obtaining your health records, do not rule out the fact that many of us do have things written about us that are both misinterpretations and or lies. This can greatly impact future treatment in healthcare systems because those notes are typically transferred and shared between past and future healthcare professionals. If something is misconstrued - false diagnosis, misinterpretations or whatever - it can keep someone from getting the help they need. Classic examples are, "treatment resistant," therefore they are unable to enter programs for help. Another is, "drug seeker," in which case physicians no longer prescribe medications even if and when the client genuinely needs it. In extreme situations people have died as a result of poorly maintained health records and and clerical errors. At one point someone wrote that I was allergic to all the major pain killers... Pretty disturbing considering I am not. Would they have given me pain killers if I was in a serious accident and could not handle the pain? Probably not. I have heard of situations where individuals go in for surgery to have a right leg amputated only for the surgeons to amputate the left leg instead - this is due to negligence and inaccurate health records. In fact, I do believe in that situation they have also been caught trying to alter the health records to cover-up their mistakes. Say you have a divorce and custody battle and your therapy session notes are subpoena'd and your former therapist had written something like, "concerned for clients safety and anger towards others, potential risk to the safety of others." Good luck trying to battle that in court. That could ruin your chances of getting custody of your kids. Or something more inadvertent, like word choice; a therapist uses the word, "paranoid," instead of, "anxious." Your credibility is now in question if you ever land yourself in a situation where someone has harmed you and you have to defend yourself, or even if you are a witness and you have to provide testimony. These situations can and do happen - simply googling this stuff will show you the importance that health records can have whether we like to admit it or not. This is how legal records work and this is why it is important to obtain them and read through them. We as patients can request addendum and changes to health records if we see anything that is false. Doesn't mean they will change it, but they can add a note and correct it with an edit. Considering the weight that legal health records can have in MANY different areas - including insurance - which has already been alluded to earlier in this thread - there are many different reasons why obtaining your records is important whether you choose to believe it or not. It is a means to protect yourself if in the event something was to happen that was outside of your control, and believe me, those situations can and do happen. Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" Last edited by HD7970GHZ; Apr 12, 2019 at 01:26 PM.. |
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Grand Poohbah
Member Since Sep 2013
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#69
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The reason for getting your health records does not only come from wanting or needing to sue your therapist. Those are legal records that could be used against you for many different things, not just lawsuits. I am not assuming anything. I am sharing my insights from my own personal experience (and many others who have experienced this as well), in which case my notes were in fact altered and falsified with malicious material, even before threatening a lawsuit. (I threatened a lawsuit because of what was written in my charts). You can take my advice or leave it - but that is your choice and I am not forcing you to do anything. I hope you can appreciate my kind regard for your opinion and I would only hope for the same. Some organizations do have a waiting period for how long they usually hold onto records, however, I have heard that in some circumstances, records are held for a longer duration. That is up to an organizations discretion in some cases. At least that is what I have heard from individuals who work inside the healthcare profession in Canada. Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" |
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Magnate
Member Since Oct 2018
Location: USA
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#70
For clarification, I never stated what you say in the bolded section above. You are misrepresenting my point which is simply: your absolute statement that "everyone should . . . PERIOD" is a broad generalization that simply isn't true for most people. You've had a bad experience. I get that and understand your hypervigilance about this, but the broad generalization to "everyone . . . PERIOD" (no exceptions apparently) goes a bit too far for most people. I don't disagree that, particularly if you have questions about the professionalism of your medical personnel or if you tend toward disputes concerning competency with other people based on your history, having your own copy of your records may be important. Also important if you are working on filing for disability, etc. But for the average person who is stable in employment, without relationship issues that would end up in court, without mental health issues that have required treatment for many years, etc., having those files is generally not needed.
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#71
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In cases where therapy ends badly, I can see how having access to notes might make the experience feel worse. Realistically many of us might not be able to just not read them. I really don’t want to know how my therapist perceived me or my issues. In cases where clients wish to move on, I think leaving notes behind offer a sense of catharsis. I don’t judge those who want or need their files - but don’t agree that it’s universally necessary or healthy for all. |
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ArtleyWilkins
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Member Since Mar 2019
Location: usa
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#72
So i have access to what i think are billing notes after every session. Every provider i see in network (pcp, dermatologist, etc) has acess to them which sucks. My dermatologist asked me if OCD causes me to pick at my face. And I was like how do you know i have OCD, my file says GAD (i know thos because when my pcp prints the aftercare page GAD comes up as other diagnoses and also GAD is my billing diagnosis). He got kinda sheepish so I'm pretty sure he read the therapy notes.
Anywho...It's basically a summary of what we worked on. The sucess of it. The status exam (well dressed, eye contact, mood, etc). And 1-2 sentences like: processed clients dislike of malls, client became tearful when recalling memory of trauma at mall age 6, agreed to process further next session. I'm guessing she shreds hand written notes - i think they are mostly so she can track EMDR to kind of identify patterns and associations. I think if you want your notes get them! Be prepared to feel a little embarassedand unfomfortable. I'm not saying they are bad, but it is a little uncomfortable at times to know what someone else wrote about your emotional experience. |
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#73
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Here in the US, I was under the impression that private information such as this could only be shared with a client’s written consent. I find this a bit chilling.... |
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Member
Member Since Mar 2019
Location: usa
Posts: 26
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#74
USA. Im guessing either i signed something saying it's ok or it's because my insurance is made up of core providers who are all employed by the insurance company? Not sure how to desribe it without giving away my location and employer - but I see almost all my doctors in the same building and they are all full time employees for the company who provides my insuance. The trade off is my therapy is free! I'm supposed to have 20% co insurance by my therapist's rate is less than the plan's max so free to me!
My guess is he wasn't supposed to read those notes, because I'm sure OCD only shows up in my chart in the notes. |
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Poohbah
Member Since Jun 2012
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#75
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What kind of attorney would one hire? How much would something like this cost? And what was with the likelihood be that I would win? |
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underdog is here
Member Since Sep 2011
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#76
Those things all depend upon your jurisdiction. If in the united states, try a general small practice plaintiff's attorney.
__________________ Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
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doyoutrustme
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Poohbah
Member Since Jun 2012
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#77
Yeah I’m in the states
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Grand Poohbah
Member Since Sep 2013
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#78
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Hi ArtleyWilkins, In regards to the bold: What I am hearing from you is that you have a problem with what I am saying because you see it as being a gross generalization. It sounds to me that you believe that I claim that everyone should have copies of their health records because they will be used against them like they were used against me... (When in actual fact, that is not what I am saying). I want to clarify something for you: I said, Quote:
1.) Get your health records because it is your right to do so. (Not assuming anything bad will happen) 2.) Get your health records because your health records are going to be used maliciously against you. (Assuming something bad will happen) I am not saying #2. However, I do believe you believe I am saying #2 because that is in fact my experience with health records. The entire point is - everyone should have their health records for many reasons for which I have previously alluded to. Claiming that I am making a gross generalization because I should say that everyone should have their health records is fallacious and unfounded logic; but now that I have clarified with you that I am not saying people should get their health records because I assume they will be used against them, can you not understand that I am actually saying #1? Thanks, HD7970ghz __________________ "stand for those who are forgotten - sacrifice for those who forget" "roller coasters not only go up and down - they also go in circles" "the point of therapy - is to get out of therapy" "don't put all your eggs - in one basket" "promote pleasure - prevent pain" "with change - comes loss" |
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doyoutrustme
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