managed care

When the Record Becomes the Treatment: Psychotherapy, Documentation, and the Clinician’s Double Bind

The 2026 Lindsay Clancy trial has placed mental health treatment under unusually intense public scrutiny. Testimony and cross-examination have raised questions about assessment, diagnosis, medication management, continuity of care, telehealth, documentation, and what clinicians recognized or failed to recognize before a catastrophic outcome. Those questions matter. Yet the case is most useful to the profession […]

Limor Ast, LMFT

October 28, 2026