This was not on my bingo card.

The “fine print” you added doesn’t say the automated transcript will be used for training a model. I’d highly, highly doubt HIPAA protected clinic notes would be use for training an LLM. If they did, the clinic would go bankrupt from lawsuits.

Also, if they only use AI for automated transcription, would you feel the same instead of “AI” it were a dedicated automated transcription tool?

If you abhor all things AI, your feelings of not continuing with this clinic are valid. However, I don’t think they are using AI in ways you think they are.

Can you ask how AI is used in the app?

I knew some families with that behavior. They are rare, but extremely hurtful. Look into trauma therapy (and ask a therapist what makes them qualified for that, instead of taking their word). You may have developed some hidden coping mechanisms just to survive, and a (good) therapist can help you determine if those mechanisms help or hurt you.

Your brother’s behavior seems extremely uncommon, to say the least. I can’t imagine that behavior being tolerated in a (functional) work place.

I wish you the best.

Eat until you’re not hungry, not when you’re full. That may require eating more slowly. It will be an adjustment for sure.