He stayed on the job but says the note-taking tools he needed to do it never came
A UPMC therapist says the health system agreed he needed help to do his job, then spent about a year failing to deliver it.
That is the account laid out in a complaint filed August 20, 2026, in federal court in Pittsburgh against the University of Pittsburgh Medical Center. The plaintiff, a behavioral health therapist who works fully remote seeing psychotherapy patients over telehealth, brings claims for disability discrimination, retaliation, mishandling of his medical leave, and a hostile work environment. He remains employed at UPMC.
The therapist has several cognitive conditions, according to the filing, including ADHD and a severe working-memory impairment that testing in May 2025 placed at roughly the first percentile. His treating provider certified the condition as chronic and lifelong. For a stretch, the complaint says, the arrangement worked: UPMC approved reduced patient loads and hours across 2024 and early 2025.
The dispute was over technology. In June 2025, the filing says, he asked for speech-to-text tools to help him transcribe sessions and write up clinical notes - the documentation side of the job that his memory impairment made difficult - and his provider backed the request. According to the complaint, UPMC approved a narrower version limited to a single pilot tool that his provider and the health system's own IT staff regarded as a poor fit for psychotherapy notes.
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