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24 Tul. J. Tech. & Intell. Prop. 1 (2022)
Assessing Anonymity: Privacy in Online Mental Healthcare and Support Groups

handle is hein.journals/tuljtip24 and id is 9 raw text is: TULANE JOURNAL OF TECHNOLOGY
AND INTELLECTUAL PROPERTY
VOLUME 24                                                             SPRING 2022
Assessing Anonymity: Privacy in Online
Mental Healthcare and Support Groups
Nick Feldstern*
Confusion surrounding data privacy laws and the vulnerable cybersecurity of many major
technology platforms has created an environment where those most in need of remote mental
healthcare are uncomfortable seeking it. The methods of digital treatment that cropped up during
the COVID-19 pandemic proved effective and are likely here to stay long after a return to normalcy.
While there will always be a market for in-person therapy and support groups, the increase in access
to mental healthcare is simply too beneficial to ignore. This Article examines the patchwork of
federal and state privacy laws and proposes that the current system is insufficient to sustain the
expansion of remote mental healthcare. Until the federal government develops a more robust digital
privacy scheme, state legislators and technology developers alike must consider the privacy needs
of those seeking mental health treatment through professional services and online support groups.
I. INTRODUCTION ......................................................................................2
II. BACKGROUND .......................................................................................3
A. How Personal Information is Collected and Shared
by Online Therapy Applications......................................   7
B. Online Therapy and Support Groups Become the
New Normal During the COVID-19 Pandemic................9
C. Dominant Platforms in the Digital Mental
H ealthcare   F  ield..............................................................  10
III. LEGAL FRAMEWORK FOR DIGITAL PRIVACY .....................................11
A.    Federal Privacy Law ...................................................... 12
1.    HIPAA and Mental Healthcare.........................................12
* © 2022 Nick Feldstern. J.D. 2021, George Washington University Law School; BA in
History, 2017, University of California, Santa Barbara. Mr. Feldstern is clerking at the United
States Civilian Board of Contract Appeals, assisting the Board with the adjudication of federal
contract disputes. The author would like to thank Professor Dawn Nunziato for her support and
encouragement throughout the drafting of this article.
1

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