Guide each client with their modality
Clients reflect inside the framework you already trust, whether that is CBT, ACT, DBT, IFS, or EMDR, so the work between sessions reinforces the work in the room.
Therapy happens once a week. Life happens every day. PathwayNotes supports your clients in between, using the approach you already practice.
Welcome back! Here's your practice at a glance.
Paste your note and pick up the rest on Retention.
Content awareness language detection is AI-powered. Follow clinical protocols.
Inactive for 3+ days. Clients can only be nudged once within a 24-hour window.
"Personalized nudges increase re-engagement by 40%."
THE UGLY TRUTH
It’s not your clinical skills. It’s the dead air between Tuesday and next Tuesday. Here’s what’s really happening.
By the next session, they can barely remember what they talked about. So you spend 25 minutes rebuilding context that already existed. Every. Single. Week.
That’s when old patterns come back. That’s when insight gets tested. And that’s when most clients are on their own. PathwayNotes keeps the work connected between sessions with a clear recap and timely follow-up.
Clients drop off after 2–4 sessions, not because therapy failed, but because momentum faded in the gap. The Retention Tool adds a clear touchpoint and next step before silence turns into a cancellation.
It’s the one app your clients keep using between sessions. They write a little, it responds in your approach, and you walk in prepared. Here’s how the reflection experience works in three screens.
The summary sends now, while it is still fresh.
Two nudges land mid-week, day 2 and day 5.
Next session's opener waits on their profile.
Thirty seconds a day. Tap a feeling, then type or speak a line.
Their week sounds like your room, not a generic app.
A session-prep read lands before they sit down.
You see it coming
Slipping shows up in their entries first.
Steadier weeks
Fewer surprise cancellations.
Breakthroughs that hold
The week moves on. Their progress doesn't.
This is why they come back
This is what your client opens between sessions: a reflection guided by the framework you already practice, so they come back ready to go deeper.
"My no-show rate dropped 34% in the first two months. Engaged clients actually show up."
M. Lawson, LMFT, Group Practice Owner
How are you handling the urge to say yes when you mean no?
Reflect on a small choice that lined up with what matters to you.
Tap and talk. We will type it out for you.
The modality runs invisibly. Your client just sees a reason to return. That is retention.
Clients do not drop off because therapy failed. They drop off when momentum dies in the gap between sessions. PathwayNotes closes that gap inside the framework you already trust, so more clients stay, and you never carry more work.
Clients reflect inside the framework you already trust, whether that is CBT, ACT, DBT, IFS, or EMDR, so the work between sessions reinforces the work in the room.
Guided reflections help clients process what came up and notice patterns, so momentum carries into the next session instead of fading by Monday.
See engagement, themes, and emerging patterns before the appointment, so you begin with clarity instead of spending the first 20 minutes catching up.
You review every summary and check-in before it reaches the client. PathwayNotes supports your follow-up without diagnosing, prescribing, or replacing your judgment.
The Retention Tool turns the note you already wrote into a client-ready recap and two timely check-ins, so clients feel supported without adding more work to your day.
Return with a clear view of what shifted, what the client practiced, and a private opener that helps the next session begin with continuity.
FROM CLINICIANS
"I used to spend the first 20 minutes of every session just getting back to where we left off. Now my clients walk in already warmed up. It's like they never left."
"My no-show rate dropped 34% in the first two months. Clients who are engaged between sessions actually show up. Turns out, that's not a coincidence."
"Finally, something that respects my modality instead of giving clients generic 'take a deep breath' advice. The ACT pathways are clinically sound."
SIMPLE PRICING
Try PathwayNotes free for 14 days with up to 10 clients. No credit card. No awkward sales call.
During the 14-day free trial, you can add up to 10 clients. After the trial, paid plans include 30 active premium client slots.
FAQ
Not even a little. PathwayNotes does not do therapy. It extends your work between sessions with structured, modality-specific reflection, then gives you useful context so you can walk in prepared. The Retention Tool can draft a client summary and follow-up, but you review and edit every part before it is sent. The AI never diagnoses, prescribes, or overrides your judgment. You are always the clinician in control.
The difference is you. A journaling app hands every user the same generic prompts. With PathwayNotes, you choose the therapeutic approach for each client, CBT, ACT, DBT, IFS, EMDR, or your own, and every reflection is shaped around the approach you selected and the patterns showing up over time. It is not a generic diary. It is a clinician-led reflection experience built around how you already practice.
After a session, the Retention Tool turns the progress note you already wrote into a client-ready summary and two timely check-ins. It also saves a private opener for the next appointment. You can review and edit every part before anything reaches the client.
PathwayNotes works inside the therapeutic approach you selected and uses supportive, non-directive language. It reflects patterns from what the client actually shared without diagnosing, prescribing, or replacing your judgment. When the Retention Tool drafts a client summary or check-in, you review and edit it before it is sent. The goal is to help you and your client carry useful context from one session into the next.
CBT, ACT, DBT, IFS, EMDR, psychodynamic, solution-focused, and more. You can also build fully custom modalities and techniques, and we recommend it if you have your own spin on an approach, so the reflections match exactly how you practice rather than a textbook version. Whatever you choose stays invisible to the client.
Yes, fully. PathwayNotes is HIPAA-compliant, with client data encrypted at rest and in transit and a signed BAA included during onboarding on every plan, Starter and Practice alike. There's no Enterprise tier to unlock it, because there's no Enterprise tier at all. And privacy here isn't a checkbox. PathwayNotes was built by a practicing mental health provider who knows firsthand what's at stake when client information isn't protected, so it's built privacy-first from the ground up.
PathwayNotes isn't monitoring your clients or flagging their words back to you. What it does: when it detects sensitive information, like language that points to crisis or risk, it directs that client to the appropriate resources right in the moment. Think of it as a safety net for the time between sessions. It never replaces your clinical judgment, it just makes sure no one is left without a next step.
No. The behavioral analysis, selected modality, techniques, and private next-session opener remain in the clinician-only layer. Clients can see their own journal, reflections, and any session summaries or check-ins you approve. They never see the analysis running behind the scenes or the clinical approach you selected.
Yes. Your clients journal in the PathwayNotes app, free on the App Store and Google Play. For you it's flexible: sign in to the same app to message clients and check summaries on the go, or open the web app when you want the full picture, with deeper data and the complete dashboard behind every client.
Under two minutes per client. Invite them by email or text, pick the modality you already use, and you're done. In a hurry? Paste your intake notes or a first-session transcript and PathwayNotes builds the client's profile on the spot, instead of waiting weeks for it to fill in.
Starter is $66 per month billed annually, or $79 month to month, and includes 30 active premium client slots for clients receiving AI insights and guided journaling. You choose who fills them and can swap clients anytime. The Retention Tool is included in Starter and is also available to Practice users through everything included in Starter. Additional active clients are 50¢ per month each, and client messaging remains free whether or not the client uses a premium slot.
Not right now, and we won't pretend otherwise. PathwayNotes doesn't connect to EHR systems or calendars today, and that's not on the near-term roadmap. It's built to do one thing extremely well: own the space between sessions.
You get the full 14 days for up to 10 clients, with no credit card required to start. We send reminders as your trial winds down, so you're never caught off guard. Like it? Add your payment details before day 14 to keep your plan active without interruption. Decide it isn't for you? Just let the trial expire, or cancel anytime, and you won't be charged. Stay, and your data carries over without missing a beat.