EP 212: How Therapists Can Talk to Clients About Using an AI Note Taker with Dr. Elisabeth Morray

Are you using or considering using AI note takers in your therapy sessions and wondering how to introduce it ethically, confidently, and without damaging the therapeutic relationship?

In today's episode, I sit down with returning guest Dr. Elisabeth Morray, VP of Clinical at Alma, to unpack what it actually looks like to have real conversations with clients about AI in the therapy room. We talk about informed consent, client autonomy, fear-based reactions to AI, and how to frame this technology as an optional, collaborative experiment rather than a forced change. Dr. Morray shares her experience as an early adopter and explains how therapists can center presence, trust, and relationship-building while still benefiting from time-saving tools.

We also dive into the practical and ethical side of implementation, including when to bring it up, what language to use, how to respond when clients opt out, and why separate consent processes may be safer than burying AI language in long intake forms. You'll hear powerful insights on how AI-generated notes can sometimes become therapeutic tools themselves by supporting reflection and continuity between sessions. If you have been feeling stuck between wanting efficiency and protecting the integrity of your clinical work, this conversation will give you a grounded, thoughtful framework to move forward.

Topics Covered in this Episode:

• 2:45 - Why informed consent with AI is different than anything we have done before

• 6:10 - The mindset shift that makes client conversations smoother

• 9:30 - What to say when clients feel hesitant or fearful about AI

• 13:20 - A surprising way AI notes can support the therapeutic process

• 16:40 - When not to bring AI back up after a client opts out

• 19:15 - The consent mistake that could create ethical gray areas

• 22:05 - What widespread AI adoption could mean for therapy in the next year

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Resources Mentioned:

Find out more about Alma here: helloalma.com/danielle

Take 50% off your first 4 months of Simple Practice + a 7 day free trial using the link: simplepractice.com/danielle

Connect with Dr. Elisabeth on LinkedIn: linkedin.com/in/elisabeth-morray/