How Therapists Can Talk to Clients About Using an AI Note Taker with Dr. Elisabeth Morray
Wed Feb 04 2026
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
Need more clients to help fill your private pay practice in 2026? Join us inside the Practice Accelerator to learn how to build a private pay practice that leaves you feeling abundant and at ease in this economy. Podcast Listeners get $100 off using code ALLIN at checkout: https://www.theentrepreneurialtherapist.com/practice-accelerator-sales-page
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/
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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 Need more clients to help fill your private pay practice in 2026? Join us inside the Practice Accelerator to learn how to build a private pay practice that leaves you feeling abundant and at ease in this economy. Podcast Listeners get $100 off using code ALLIN at checkout: https://www.theentrepreneurialtherapist.com/practice-accelerator-sales-page 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/