The Amnesia Loop
Your client or patient cried. Had a revelation. Then forgot everything.
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.
PathwayNotes keeps the work alive between sessions, in the modality you already practice. You walk in prepared. They walk in ready.
For LPCs, LMFTs, LCSWs, and psychologists in private practice.
Free is not a trial. Nothing expires and there is no card. The complete product, for a limited caseload. BAA included.
It’s not your clinical skills. It’s the dead air between Tuesday and next Tuesday. Here’s what’s really happening.
The Amnesia Loop
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.
The Quiet Gap
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.
Client Ghosting
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.
Set up once. Three steps repeat every week.
Your notes stay yours. PathwayNotes never listens to a session and never touches your EHR.
1 Send the link
2 Pick your approach
3 Tick what they are practising
Change the ticks any time. That is the whole admin.
Their words stay theirs. It quotes what they said and names the technique. It never diagnoses.
Twenty seconds is plenty.
The nightly check-in
The meeting moved again, and your mind went back to the rehearsal. This time you noticed it was a rehearsal.
You had prepped the whole thing and it got pushed anyway. You said it is not even about the meeting.
You named the thought as a thought and let it keep playing without answering back.
I do not have to win the argument with my own head.
The morning reflection
You see every nudge before it goes out. Edit it, or hold it back.
Did a sticky thought show up today? Naming it counts, even if it kept playing.
What did your head try to convince you of this week?
Walk me through one of my techniques
Notice and name, one step at a time. Say ready when you are.
Wording follows the techniques you ticked in step 1.
Two nudges a week is the cap.
Anxiety peaked midweek around the review. She used defusion on three of five nights.
Session-prep brief from this week's entries.
Review moved again after full preparation. Named the thought once. No rehearsal after midnight.
Slept through. Attributes it to the walk, not the technique.
Flat day. Re-ran the notice and name steps in Ask before bed.
Weekly Clinical Read
Inactive for 3+ days
Clients can only be nudged once within a 24-hour window.
Who has gone quiet, and for how long
Next session, the loop starts again at step 2.
Setup was once.
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 use, from CBT and ACT to DBT, IFS, or EMDR, so between-session support stays connected to the work in the room.
Guided reflections give clients somewhere to put what happens during the week, so useful moments make it back into the next conversation.
See recent engagement, themes, and patterns before the appointment, so you spend less time rebuilding context and more time picking up where you left off.
PathwayNotes reinforces the work you already did and gives you a clearer read of the week. It does not diagnose, prescribe, or make clinical decisions for you.
PathwayNotes can turn the same session context into your progress note, client recap, and the between-session work that follows, without creating another workflow to manage.
Review assessment results alongside prior scores, so changes are easier to see alongside what the client has been sharing between sessions.
Group practice and solo offices. Already live — not a waitlist.
“My no-show rate dropped 34% in the first two months. Clients who are engaged between sessions actually show up.”
“I used to spend the first 20 minutes of every session just getting back to where we left off. Now I walk in already knowing.”
“Finally, something that respects my modality instead of giving clients generic advice.”
SIMPLE PRICING
Start PathwayNotes free with a limited caseload. No credit card. No expiry. No awkward sales call.
Everything below runs on its own between appointments, on both sides of the app.
Your client gets one hour in the room. The amnesia loop gets the rest. PathwayNotes shows up in the other 167, so Thursday's work is still there on Monday.
Not an EHR, not a scribe. Nothing is recorded in the room, and nothing changes in the system you already use.
There isn't a time catch. Free is a full account with no card, no countdown, no expiry, and a limited caseload. The full PathwayNotes loop is included, so you can use the core session-to-follow-up workflow on Free. Upgrade when you need more client capacity.
Very little. You can dictate, paste session notes, or use a transcript, then review the generated progress-note draft and client follow-up context. The same workflow is available on Free for a limited caseload, and paid access lets you use it across more clients.
For a one-off summary, a general-purpose AI can help. PathwayNotes is built around the clinician-led workflow: session input, progress-note drafting, client-ready summaries, approved follow-up, between-session reflections, and context that comes back into the next session. The summary is only one part of the loop.
No. PathwayNotes never diagnoses, prescribes, or assigns exercises. It reinforces the work you already did and gives you a clearer read of the week. Every clinical decision stays yours.
Yes, that's how the summary reaches them. You invite them by text or email and they're set up in about thirty seconds. It's free for them, it's under a minute a day, and it's the reason this works instead of becoming another email they archive.
Data is encrypted at rest and in transit, with a BAA included on every plan, including Free. Dictated audio is transcribed and discarded. PathwayNotes does not diagnose or make treatment decisions. Relevant risk language can be surfaced to the clinician, but PathwayNotes is not a crisis-monitoring service or suicide-risk assessment, and clinical and safety decisions remain with the clinician.
There's no direct integration, and that's deliberate. PathwayNotes is not an EHR and does not replace your legal record. You can generate and review a progress-note draft in SOAP, DAP, or BIRP, then copy the finalized note into the EHR you already use. Nothing to migrate.
$66 a month billed annually, or $79 month to month, for one clinician. Paid access removes the Free caseload limit so you can use the full PathwayNotes workflow across more clients. Cancel paid access any time and you move back to Free rather than losing access to PathwayNotes.
Keep the breakthrough alive between sessions, ethically, with you in control.
Free forever · No card, no expiry · HIPAA-compliant
Ready for every client? Starter is $66/mo, billed annually