ly found out through my insurance profile online. Should I confront him on this?
Hi, Luke! Yes, for your own peace of mind you probably should discuss it with your doctor, but be aware that ethically she/he is not required to disclose information that she/he feels may be detrimental to your treatment. Also, legally, HIPPA does not regulate a psychiatrist's psychotherapy notes. You have a right to factual information regarding your health but not to the doctor's personal opinions. They are strictly his property.
"Federal law provides that patients and family members shall have access to medical records pursuant to the privacy section of the Health Information Portability and Accountability Act (HIPAA). However, there is an exception which allows health care providers to withhold certain records including psychiatric records. The psychiatric records that can be excluded from disclosure to the patient are the psychiatrist’s psychotherapy notes. Psychotherapy notes are defined as “notes recorded in any medium by a health care provider who is a mental health professional documenting or analyzing the contents of a conversation during a private counseling session or a group, joint, or family counseling session.
The basis for this is that these notes are not the product of the patient but those of the mental health professional. They are personal notes belonging to the the professional."
Also, often times a "diagnosis" is required for continued insurance coverage which may not, in reality, be the case. Your doctor may have felt that it would be detrimental to you, but an open and honest atmosphere is also essential in psychiatric treatment. I would ask in a non-confrontational way if the two of you can discuss this matter.
Best regards and good luck! Wildcat
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