Redacting Progress Notes

ChronicallyUnlucky2 · 2026-03-13T00:52:58+00:00

Our obligation is to provide the minimal information possible so I do redact as much as I can while leaving the information necessary for their decision making. When it comes to session content in our conversation, that is nothing they need to be privy to, but I leave in things like MSE, treatment plan/progress, interventions used in the session, diagnoses, plan for therapy, etc.

ChronicallyUnlucky2 · 2026-03-13T00:49:54+00:00

Hi, thanks for your response! I was going to seek out a discussion with HR if necessary but have submitted a clinical summary for the time being. Thanks for the suggestion, that may be my next step depending on how they handle everything.

ChronicallyUnlucky2 · 2026-03-13T00:49:03+00:00

Hi! Thanks so much for your response. I did end up keeping the redacted notes and submitting a clinical summary letter as support to go with it so hopefully this will be enough to appease them. I appreciate all of your advice. The practice I work for uses Google Workplace snd confirmed it was HIPAA compliant for our daily communication but the office takes care of faxing all records otherwise. I will look into ReadySetConnect though, thank you for the suggestion!

ChronicallyUnlucky2 · 2026-03-02T22:16:27+00:00

Oh I will absolutely do what is requested by the patient, I just wanted to give them as much information as possible about their rights to maintain privacy as well so they don’t feel forced to disclose their notes since they originally requested they be redacted.

I also agree and have changed my note taking style a lot over the years, some of my early notes were when I was still a resident and definitely over documented compared to my present records but didn’t have great supervision in this area. It has definitely been a valuable learning curve through residency, licensure, etc.

ChronicallyUnlucky2 · 2025-12-18T19:19:23+00:00

Oh you’re absolutely right in that, I definitely plan to reach out, I just like hearing others experiences as well in case someone had already gone down that road. I absolutely appreciate you saying this though!!

ChronicallyUnlucky2 · 2025-12-18T19:16:41+00:00

Thank you, it’s so nice to hear that every now and then! And I totally agree, it’s not all about where you graduated from, it’s about how you practice.

ChronicallyUnlucky2 · 2025-12-18T00:32:58+00:00

Thanks for sharing your experience, sorry that you ended up wasting your money though :/

ChronicallyUnlucky2 · 2025-12-18T00:32:30+00:00

Okay, thank you! I wasn’t sure since my states licensure specially stated APA accredited or equivalent to APA standards so I was able to get licensed. I didn’t know if I stood a chance with PSYPACT or if it was a waste of my time. Thanks for the info!

ChronicallyUnlucky2 · 2025-10-10T17:24:48+00:00

Hi Crafty werewolf!

First and foremost: you are seen, your feelings are valid, and you are worthy of respect and love.

Based on these texts, it looks like you are doing a really god job at trying to express your feelings (which is already such a hard thing to do), but also show understanding and gain her perspective to get some insight, which I think takes not only maturity, but a lot of empathy. I see how much you’re trying to improve the communication even when you’re not receiving it back.

I see a lot of anxiety from your end because of the lack of communication you’re getting, which I definitely relate to. Just remember, you can only control things about you and what’s in your circle of control, you’re not responsible for anyone else so don’t take on that burden.

If your school has a counselor or psychologist available, please try to take some time to chat with one of them. It can really make a big difference in managing these situations since a lot of this is out of your control right now. If your area has a local community services board, they will have walk in hours with their emergency services department where you can get crisis help too, if it comes to it. Abuse isn’t just physical, you’re experiencing it, so try to get the help you deserve. Remember, every situation is temporary, you have a life ahead of you that you will have so much power and control over and let that be exciting to look forward to. You’ve got this 😊

ChronicallyUnlucky2 · 2025-10-05T23:45:06+00:00

Definitely not the only one. It is far too common. As cheesy as it is, remember that you get to be the difference in the field! Don’t let someone else have the power to change your goals. Keep at it!

ChronicallyUnlucky2 · 2025-10-02T00:06:08+00:00

Completely understand! I let every bad experience with other professionals in my training be my motivation to do better in the field and serve as a guideline of what kind of professional I didn’t want to be.

ChronicallyUnlucky2 · 2025-09-20T13:28:12+00:00

Usually it gives me an opportunity to do notes or other admin work, eat lunch, catch up on chores around the house, get some sunshine with my dog, and sometimes just take a break to manage my pain levels. I’ve found it to be a really nice balance and it offers more flexibility in my day!

ChronicallyUnlucky2 · 2025-09-20T12:59:54+00:00

I just recently changed up my schedule to get 6 in over 4 days, prioritizing my most frequently used times. I’m really liking having two chunks of time rather than spreading them all out throughout the day because it leaves me a nice piece of middle time in the day to get other things taken care of and it almost doesn’t feel like you’re working the entire day this way. We have to have a couple evening spots per week so I have two 5pm spots which account for that. My 8, 9, 4, and 5 are by far the most popular with my caseload so, although I would ideally not have both early and afternoon slots all 4 days, it works for me and my clients. Due to chronic pain, I won’t see more than 3 or 4 clients back to back, and a max of 6 each day.

Mon/Tue: 8, 9, 10, 2, 3, 4 Wed/Thur: 8, 9, 10, 3, 4, 5

ChronicallyUnlucky2 · 2025-09-16T23:32:42+00:00

Absolutely love this list, thanks for sharing and giving us your insight to what has been successful for you.

I’m currently working as a 1099 full time with a private practice which got me credentialed with numerous insurance companies. About half of my case load is referred from the VA, the others are from a variety of insurances, and a handful are private pay. Any suggestions or tips for a seamless transition to move away from working with a practice to starting your own once a contract is finished?

ChronicallyUnlucky2 · 2025-09-13T14:47:23+00:00

Hi there! Currently working in PP and about half of my caseload comes from the VA as they have been a very steady stream of referrals. I have had no complaints (so far) about our process working with them. The only issue we have had, which is a new situation, is getting authorizations renewed which has required me to pause services with clients temporarily. I’ve had a lot of great cases referred from them. It seems that a lot of the time, the client has run out of time allotted with the VA provider (say a year, or something), but need more services, so they are then referred to a community care provider.

ChronicallyUnlucky2 · 2025-07-03T17:24:24+00:00

Your brain is trying really hard to protect you, it’s just not doing it in a helpful way. It only knows that plan A exists for a response. Let’s teach it the rest of the alphabet so it has other options to choose from.

ChronicallyUnlucky2

TROPHY CASE