The notes you can’t put in someone else’s cloud.

• Drafts SOAP, DAP, BIRP notes. Type or paste your shorthand from a session and get a structured draft you can edit. The text stays on your Mac, so there is no BAA to negotiate and no audio captured to a vendor.
• Reads intake forms and treatment plans. Ask questions across long PDFs, summarise prior episodes of care, draft a treatment plan from intake.
• Anonymises before you forward. Strip names, addresses, contacts, and identifying details before you share a vignette with a supervisor or a written summary with another provider. Each redaction is logged in a Word comment with the original value.
• Translates intake materials. For clients you see in a second language. The intake never leaves your Mac for an online translator.
• Edits letters and reports. Tracked-change drafts of court letters, school accommodation letters, treatment-summary correspondence to GPs, insurance appeals.

HIPAA treats psychotherapy notes as a separate, more protected class of record. They are excluded from a patient’s right of access by default, and disclosure requires a specific written authorization that names the recipient. Pasting them into consumer ChatGPT, Claude, or Gemini is a disclosure. None of those services have a BAA on the consumer tier, and the preservation order in NYT v. OpenAImeans that “deleted” chats and temporary chats are still retained.

APA’s June 2025 guidance puts the responsibility on the psychologist: informed consent before any AI scribe records a session, and the practitioner remains accountable for whatever the AI produces. Cloud scribes turn this into a paper trail problem and a vendor-management problem. Keeping the file on your Mac removes both.

• Drafting progress notes from your own session shorthand.
• Reviewing intake assessments and prior treatment records.
• Anonymising vignettes for supervision, consultation, or teaching.
• Drafting treatment plans, discharge summaries, court reports.
• Letters to schools, employers, GPs, and insurers.
• Reading research studies and applying them to a current case.
• Bilingual practice where intake forms arrive in a second language.

Mentalyc, Blueprint, Upheal, Eleos and similar services do sign BAAs and they do help with the typing. The trade-off is that the session content travels to their servers, usually as audio. A signed BAA means the vendor accepts responsibility if it leaks; it does not mean the content stayed with you. Several of these services reserve a licence to use de-identified data for product improvement.

Muet’s position is different. There is no audio capture, no recording, no third party in the path. You type, the Mac processes, the file stays. There is no BAA because there is no business associate.

For a solo or small-group practice that bills 40–100 sessions a week, the licence is recouped in the first month if it saves twenty minutes a day on documentation.