SESK: Stuff Everyone Should Know · sesk.info/hipaa-psychotherapy-notes-definition
Which of these is NOT part of a patient's psychotherapy notes under HIPAA?
Medication prescriptions and monitoring.
- A therapist's analysis of a counseling session
- Notes on a family counseling session's conversation
- Medication prescription and monitoring records ✔
Why: Psychotherapy notes are a mental health professional's notes about counseling session conversations. Prescriptions, session times, test results, diagnoses and treatment plans are left out.
Huh, didn't know that: To qualify, the notes must be kept separate from the rest of the medical record.
What did the pen say to the notebook? You've got a lot of lines.
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References
Answer: Medication prescription and monitoring records. Psychotherapy notes are a mental health professional's notes about counseling session conversations. Prescriptions, session times, test results, diagnoses and treatment plans are left out.
- 45 CFR 164.501 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.501
Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times
Checked 2026-10-10. - 45 CFR 164.501 (eCFR) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-E/section-164.501
that are separated from the rest of the individual's medical record
Checked 2026-10-10.
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