FEATURES
Everything that happens between your sessions.
Not a CRM. Not just a note-taking app. PathwayNotes is the only tool built to make the 10,030 minutes between sessions actually count.
Modality Pathways
Choose the care style you already use — CBT, ACT, DBT, IFS, EMDR, or a custom approach — so client reflections stay aligned with your approach.
AI Reflections
Clients get structured prompts and thoughtful insights that help them process what's happening between sessions.
AI-Assisted Messaging
Draft supportive replies faster while staying fully in control of what gets sent to your client.
Client Analytics
See patterns, themes, and engagement signals without digging through scattered notes or messages.
Session Prep
Walk into each appointment with a clear summary of what your client has been processing.
HIPAA Compliant
Built for clinical use with privacy, safety, and clinician oversight at the center of the experience.
Your client doesn't need more homework. They need a clearer path back to the work you're already doing together.
Start free. Keep the full PathwayNotes loop.
Use PathwayNotes with a limited caseload on the free tier. You still get the full loop, and you can upgrade whenever you need more client capacity or want to unlock more.
MODALITY-MATCHED PATHWAYS
Your approach stays in charge.
Choose the modality and techniques for each client. PathwayNotes uses them to shape reflections, follow-up, and session prep.
CBT, ACT, DBT, IFS, EMDR, and more
Custom modalities and techniques
Priority techniques per client
AI follows your clinical direction
The work doesn't have to disappear.
AI-GUIDED REFLECTIONS
Clients keep working between sessions.
PathwayNotes gives clients short reflection prompts based on what you’re already working on in therapy.
They reflect for a few minutes.
You get the patterns, progress, and session prep.
Guided prompts after sessions
Reflections tied to your treatment focus
AI summarizes what changed
You walk in prepared
AUTO SESSION PREP
Two minutes before session. You already know the landscape.
Before every session, PathwayNotes generates a prep summary: what your client reflected on, what themes emerged, engagement levels, and suggested focus areas. You walk in with context instead of scrambling for notes.
Auto-generated before each session
Highlights patterns and themes across reflections
Flags engagement drops and emerging concerns
Gives you a clear starting point for the next session
Walk in already caught up.
Data encrypted at rest and in transit
Clinicians see only their own clients
Business Associate Agreement on every plan
Every access event tracked and reviewable
You decide what stays and what goes
Regular third-party security audits
Designed for healthcare data from day one — not retrofitted.
HIPAA-ALIGNED SECURITY
Built for clinical reality.
PathwayNotes was designed from the foundation for clinical data. This isn’t a wellness app that slapped a padlock icon on the landing page. Encryption, access controls, and compliance architecture are baked into every layer.
Encryption at rest and in transit
Role-based access controls for group practices
BAA included on every plan
Regular security audits and penetration testing
Data retention policies you control
COMPARE
It's not apples to apples. But people
ask anyway.
Other tools manage your practice. PathwayNotes manages the space between sessions. Here’s how they stack up.
| Feature | PathwayNotes | SimplePractice | Generic Journaling Apps |
|---|---|---|---|
| Between-session client engagement | Built-in | No | Generic |
| AI-guided client messaging | Unlimited | No | No |
| Auto session prep summaries | Yes | No | No |
| Between-session analytics | Deep | No | Basic |
| Pattern & theme detection | AI-powered | No | No |
| HIPAA-aligned architecture | Yes | Yes | Rarely |
| Scheduling & billing | Not our lane | Yes | No |
| Starting price | Free · Limited caseload | $49/mo | $0–$15/mo |