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Why reviews here look different

Section 133 of the Health Practitioner Regulation National Law prohibits using testimonials to advertise a regulated health service. A review Open Therapy publishes on your profile is our advertising of your service — and yours. The line the law draws is clinical content. A review may describe the service, but not the treatment.
This cuts both ways: a review can’t say therapy helped, and it can’t say it didn’t.

Screening

Nothing reaches a profile until it has been screened: a word list, then a model that reads the review against the boundary above. A review is published only when both stages agree it’s clean. Every other path leaves it unpublished — a clinical verdict, an unclear verdict, a word-list hit the model didn’t see, a malformed response, an unreachable model, screening not being configured at all. There is no path that publishes on a timeout. The reason a review is held or rejected is recorded as one or more of: mentions a symptom, condition or diagnosis; describes treatment, technique or medication; describes a clinical outcome or improvement; recommends the practitioner for a clinical need. Implication counts. “I can finally sleep through the night” is an outcome even though it names no diagnosis. The word list is blunt and is not the decider. It catches roughly one clinical mention in ten. A hit on its own never publishes and never rejects — it sends the review to a person.
Screening is built and running, but the client-facing way to write a review isn’t live yet. Review writing is being rolled out — until it is, no new review can be submitted against your profile.

What you can’t do

You have no moderation, reply or takedown control over reviews. You can’t remove one, respond publicly, or ask for one to be reconsidered because you disagree with it.
Screening is Open Therapy’s responsibility and is applied identically for everyone. Published reviews appear under Feedback in your workspace, next to any private session notes. When one is published you’re also told — “You’ve got a new review”, with the star rating — and a link to your public profile.
The Feedback page in the workspace, with cards for private notes over 30 days, private notes over 90 days, and a public profile rating of 4.9 from four reviews, plus an empty Recent list saying clients can leave private stars after a session

Feedback lists your public rating, and any private notes from sessions

What you can do

Write to support@opentherapy.app if a published review names a diagnosis, describes treatment, or otherwise shouldn’t have cleared screening. Use the same address if a review is abusive or identifies a third party.

Don’t solicit reviews

Asking clients for testimonials about your clinical care can itself breach the s133 advertising requirements, independently of anything Open Therapy publishes. Don’t ask clients to review your treatment, and don’t offer anything in exchange for a review.
A written review can run to 2,000 characters, and a rating is one to five stars.

Your rating

Your star rating and review count are recomputed from your approved reviews each time one is published. They feed Highest rated, one of three directory sort options alongside Soonest available and Lowest price. Two therapists with the same average are separated by the number of reviews behind it.

Further reading

Ahpra publishes guidance on advertising a regulated health service, including the testimonial prohibition: ahpra.gov.au. It applies to your own website and social media as well as your Open Therapy profile.