Therapist's Session Notes Accidentally Submitted as Novel, Shortlisted for Literary Award
The 400-page document, described by judges as 'an unflinching portrait of the human condition,' is actually anonymized clinical documentation from 2019 to 2024.

A set of anonymized therapy session notes spanning five years has been shortlisted for the National Book Award after being accidentally submitted to a publisher by clinical psychologist Dr. Rachel Narrative, who had intended to send them to a professional archival service.
'I mixed up the email addresses,' Dr. Narrative said. 'I sent five years of session notes to Farrar, Straus and Giroux instead of Iron Mountain Records Management. They called me the next day and said it was the most compelling manuscript they'd read all year.'
The document, titled 'Process Notes: 2019-2024' and now published under the name 'Every Session,' consists of 400 pages of clinical observations, treatment reflections, and thematic analyses of her anonymized caseload.
Reviewers have praised the work's 'unflinching honesty,' 'structural innovation,' and 'deeply humane attention to the small moments that define a life.' The New York Times Book Review called it 'a masterwork of observational prose that reads like fiction but carries the weight of lived experience.'
'It is lived experience,' Dr. Narrative confirmed. 'It's just not my lived experience. It's my patients' lived experience, filtered through my clinical lens and stripped of identifying information. I didn't write a novel. I wrote notes. Good notes, apparently, but notes.'
The ethical implications have been debated within the therapeutic community. All patient information has been thoroughly anonymized, and a review by the practice's ethics board concluded that 'no individual could be identified from the text.' However, several of Dr. Narrative's patients have recognized themselves.
'I'm Chapter 7,' said one patient, who asked not to be named. 'She changed my name and my job and my city, but she kept the thing about the avocados. I know it's me because of the avocados.'
Dr. Narrative has donated all royalties to mental health charities and has begun locking her filing cabinet. 'This will not happen again,' she said. 'My next five years of notes are going directly to Iron Mountain. I have triple-checked the email address.'
AI-generated satirical fiction. Not real news.
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