Words Matter

AI tools that are present in the therapy session should be described accurately: A third-party service is recording, transcribing, and processing the conversation between therapist and client.


Words matter.

And if the use of AI during a therapy session is truly harmless, the process should be described accurately... not bundled up under an amorphous term like "AI".

These "AI" tools do three things in sequence:

1) Record the audible conversation that takes place in the therapy session.
2) Transcribe that recording into a text of the conversation.
3) Process that transcription to do things like generate progress notes, update treatment plans, etc. And yes, this part uses AI.

If the AI tool or feature is being used during the session, it's doing these three things. And it's doing them through a third-party service located elsewhere.

Words matter when asking for permission to use an AI tool during a therapy session.

We're seeing too many references to generic "AI" (or "ambient listening"...) being tossed around, and it jeopardizes what should be an informed decision made between therapists and clients about whether they are comfortable with sessions being recorded and transcribed and processed by a separate entity.


And remember: You don't need to go through that hassle if you use tools like Quill, which stays totally outside of the therapy session. We don't want any part of that. It's between the therapist and the client.

Published on April 22, 2026.

Ethics General Privacy

Quill Therapy Solutions

What is Quill?

Quill streamlines progress notes for therapists, saving time by generating notes from a verbal or typed session summary. With privacy at its core, Quill never records client sessions, protecting the therapist-client relationship and avoiding ethical and confidentiality risks. Just record a summary, click a button, and Quill generates your notes for you.

Try Quill for free today, no credit card required. And for unlimited notes (and other types of therapy documentation), it's only $20/month. (Even less for teams.)

Try Quill and save time on notes.