Do you coach online? Only in person? Do you record your coaching sessions?

Hey All, I'm curious about this.

For context, when I meet psychedelic therapists, they often express surprise when I tell them that I work 100% online, including medicine sessions. I understand the shock and concern about ethics and safety, but so far it's been surprisingly effective and safe. In my case, I've adjusted the way I do medicine sessions with people to account for the lack of in person presence by adjusting a range of things, from dose to bringing in support people from the person's life, to getting emergency contact info in their local area ahead of time.

More broadly, I know that "normal" coaching and therapy are often largely online these days, which is I think is good. What I don't know is how common it is for people to record their coaching sessions.

So how do you do things?

Me:
I record (audio & video) every coaching session with a client, I generate a transcription and session notes both for my own records and for them. I often make the recordings available after the fact so if there's something they wanted to remember from the session, it's available to them. I feel it's really helpful both for learning and analyzing my own work, as well as for legal safety and ethical transparency.

Would love to know how you all work...
All in person?
Mix of online and in person?
All online?
Recorded or just "what happens in the room"?
Do you set up accountability structures for yourself?
How do you ensure that your skills and approach stay on track, ethical, and progressing?

Posted Dec 7, 2025, 3:18 PM UTC

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