Well in California they are making about 600$ an hour. So for that kind of money you'd think they'd do more than notes or doodles.

Maybe they are listing all the ways to spend their money.

They're supposed to be writing/taking notes from what their patient is saying. I personally have no use for therapists. I still recommend them for others because most people seem to find successful help with therapists. I haven't had one worth thr tp I wipe my rear with.

Of course they're writing about you! Any crazy doodle  pertains to what you're saying.