For clinicians

Someone has handed you a page.

Here is what it is, who made it, and what the tool behind it does and does not do. About two minutes to read.

Session prep

Maya

Thursday, March 14  ·  Mar 7 – Mar 14  ·  13 entries

To talk about

  1. 1The thing my mother said on the phone on Sunday. I keep replaying it.9
  2. 2I said yes to the extra project again and I do not know why.7
  3. 3Slept four hours Tuesday. Not anxious exactly. Just awake.6
  4. 4Good Thursday. Worth saying that out loud for once.3

What came up

my mother · 6×, avg 7.8work · 4×, avg 6.5sleep · 3×, avg 5.7

Hard to bring up

I think I have been agreeing with you in sessions to be done with the subject.

An example sheet. Every line is the patient’s own words, in the order they chose.

In short

What the page is

A one-page agenda your patient wrote and put in order themselves.

  • Every line is verbatim. Nothing is paraphrased, summarized or softened.
  • The number beside a line is their own rating, one to ten, of how loud it was when they wrote it.
  • Not a scale, not an instrument, and not validated as either.

What the page is not

An assessment, a screening result, or a clinical impression.

  • No diagnosis, no severity rating, no risk score.
  • The app is not permitted to produce any of those.
  • If a page ever reads like a clinical judgement, that is a defect, and we want to hear about it.

Access

Who controls it

The patient, entirely. Nothing reaches you that they did not put there deliberately. You never need an account, and you are never asked to make one.

Your patient can see whether a page has been opened. Nothing more: no count, and no record of coming back to it.

A single page

One document for one session, and nothing else. It expires on the schedule your patient chose, and they can withdraw it at any time.

A standing link

Every page your patient has chosen to send you that is still live, in one place. A standing link is ongoing access, and we would rather say so plainly. It can only show pages they added one at a time, never the app. When they send a newer page the link changes and the previous one stops working.

There is only one kind of summary, and it is counted

Counted, not generated

Short plain counts, like “about half of what you have written is about your mother”, each showing the arithmetic it rests on.

  • No model is involved. The same writing always gives the same sentences.
  • A sentence without enough evidence behind it does not appear.
  • On only when the patient includes it, and frozen when they share the page.

Nothing is written for them

There is no second kind of summary here, because nothing in this product composes a sentence about a patient. What reaches you is their own words and counts of those words.

  • Nothing a patient writes is sent to an outside service to be summarized, interpreted or scored.
  • So there is no generated text to check for a claimed condition, a severity or a piece of advice. None of it can arise.

Between sessions

A prompt twice a week by default, one question and never a form. Your patient can set it to daily, before sessions only, or off.

No monitoring

Nothing your patient writes is read by a person or scanned for risk. The app says so at sign-up, in settings, and on every page, alongside the 988 line.

Records

A consumer notebook, not an EHR, and it does not integrate with one. Whether a shared page belongs in your own record is your professional call.

Asked by a practice or an IT contact?

How access is enforced, what third parties are involved, and what is not in place yet, stated plainly.

How it is secured
For therapists · The Other 10K