Which statement about psychotherapy notes access is true?

• A. Access may be restricted
• B. Access must always be granted
• C. Access is never restricted
• D. Access is always released publicly

Answer: (A)

Psychotherapy notes have special protections and are kept separate from the normal patient record. They contain the clinician’s reflections and analysis from therapy sessions, and access to them is not automatic. In practice, these notes may be restricted and disclosed only with the patient’s explicit authorization, or under very limited circumstances defined by law. That’s why the statement that access may be restricted is correct. The other options would imply universal access or public release, which is not how psychotherapy notes are handled.