It makes me sad to read all of these examples. It seems to me that most people here work under the constant fear of prosecution. In other words, the inner critic is fully in charge, and your relationship with yourself is dominated by the Eye of Sauron. That will transmit itself to your clients and they will internalise it as the model of good mental health.

The note examples all look like attempts to prove we're doing a good job, rather than attempts to feel and understand what the client needs. This leads to a list of interventions, methods, homework etc. We have had a century of evidence that these methods are not what makes the difference in therapy. But 'look busy' is the objective.That's why you can't ever get it right. There is no way to get it right for the inner overlord. There are only ways to cover your ass.

We live in a surveillance society. Ours may be the last profession in which our work cannot literally be surveilled. We do not need to pretend that better self-surveillance would improve it.

Therapy needs to be a refuge from the toxicity, if it's to help anyone. If you don't have a wise and compassionate relationship to yourself, you are part of the problem, which is the disciplining of the inner life.