It's hard to tell your therapist it isn't working.
So many clients don't. They stay polite in the room, then quietly stop booking.
For therapists and group practices · BAA on every plan
Know which clients are drifting, and why.
After every session, your client answers four quick taps in the app. Acceptance Path shows you who's slipping, the reason in plain words, and what to say next time, before they cancel.
Built for LPCs, LMFTs, LCSWs, psychologists and the practices they work in.
Free for up to 5 clients: every feature, no card, no expiry, and a Business Associate Agreement included.
Nov 30The Session Pulse, risk and tips arrive November 30, 2026. Start free today.
1 in 5
adults end therapy before it's finished.
Swift & Greenberg, 2012: a meta-analysis of 669 studies.
35%
of new clients had stopped coming by month two.
One group practice's own records. A single practice, not a study.
$1,050
is what seven more sessions from one client are worth.
At a $150 session rate.
Why clients leave
Therapy happens in the session. Dropout happens between them.
It's rarely about the quality of your work. It's what goes unsaid, and the quiet week in between.
Nobody announces they're about to stop coming.
It looks like a rescheduled appointment, a skipped week, a slower reply. By the time it's obvious, they're already gone.
Practice owners find out from the schedule.
In a group practice, early dropout shows up weeks later as an empty slot, long after anyone could have reached out.
How it works
Four taps after every session. You see who's drifting.
Set it up once for each client. Then the same loop runs after every session.
01
Once
Invite your client
Send a link by text or email. Anything you send waits for them, and the app opens right on it when they join.
02
After every session
They answer four quick taps
Did they feel understood, did you focus on what matters to them, are they leaving with something useful, and what would they like next time. Answers are words, not grades, and it takes about 20 seconds.
03
Right away
You see who's drifting, and why
Each client is On track, Watch or At risk, always with the reason in plain words. A client leaving because they're better shows as a planned ending, not a dropout.
04
Before the next session
Walk in knowing what to say
A short brief with a tip for raising it well: thank them, ask with curiosity, and change something they'll notice.
What's inside
Everything you need to catch it early.
Arriving November 30, 2026, on every plan, including Free.
Session Pulse
Four taps after every session, built so clients can be honest: it asks about the session, not about you, and the answers are words, not grades.
Risk, with reasons
On track, Watch or At risk, flagged from dips against each client's own usual answers, always with the reason in plain words.
Tips for the conversation
What to bring up and example words, based on rupture and repair. Tips never pressure, and when the fit stays poor, they say so.
Treatment change proposals
Add your last two progress notes and get one to three suggested changes, each with its reason. Suggestions only; you decide.
Your client's path
The practices you assign, the session summaries they keep, and their PHQ-9, GAD-7 and AAQ-II trend, in one calm place in the app.
Owner's retention view Group
Dropout by clinician and clients at risk across the practice, as support for your team, not a scorecard.
Works beside your EHR.
Acceptance Path doesn't record your sessions or replace your EHR. It covers what happens between them.
Pricing
Start free. Pay when your caseload grows.
These plans open November 30, 2026. You can start on the free plan today.
Free
Everything, for up to 5 clients.
$0forever
- Every feature: the Session Pulse, risk and tips, treatment proposals, and your client's path
- Up to 5 active clients
- Business Associate Agreement included
- No card and no expiry
Pro
Everything, for your whole caseload.
$39a month
- Unlimited active clients
- Every feature in Free
- Business Associate Agreement included
Group
For practices with a team.
$49a month for the admin seat
+ $29 a month for each additional clinician
- Everything in Pro, for every clinician
- The owner's retention view
- One bill for the whole practice
Example: a practice with 6 clinicians pays $194 a month.
Start freePrices are in US dollars. The admin seat includes the owner's own caseload. Every plan includes a Business Associate Agreement.
Is this another AI note-taker?
No. Acceptance Path doesn't record your sessions or replace your EHR. It asks your clients how each session went, and shows you who's drifting, why, and what to do about it.
Won't clients just tell me what I want to hear?
The Session Pulse is built for honest answers. It asks about the session, not about you, and the answers are words, not grades. A note from the app, never from you, explains that most therapists want to hear what isn't working. Because most clients answer near the top, it flags dips from each client's own usual answers, not just low scores.
What if a client says they want to stop?
Nothing gets cancelled. A client can ask to talk about a break or wrapping up at the next session, and you see why. "I'm feeling better" shows as a planned ending, not a dropout. Cost and scheduling come with options to offer, and "it's not helping" comes with a tip about fit, including a referral when that's right.
Do you sign a BAA?
Yes. Every plan, including Free, includes a Business Associate Agreement. Read the BAA.
What does my client see?
A calm app: four quick taps after each session, the practices you assign, the summaries you send, their assessment trend, a private journal, and messages with you. Clients never see a risk label, and they only ever see their own information.
What happens if a client writes something concerning?
Crisis language is flagged to you in the app right away, and clients can reach crisis resources, including the 988 Suicide & Crisis Lifeline, from inside the app. Acceptance Path isn't an emergency service and doesn't replace your own safety planning.
When do the Session Pulse and the new plans start?
November 30, 2026. You can start on the free plan today, and the new features arrive in the same account.
How does Group pricing work?
$49 a month for the admin seat, which includes the owner's own caseload, plus $29 a month for each additional clinician. Two clinicians pay $78, the same as two Pro plans, with the owner's retention view included.
Can I cancel anytime?
Yes. If you cancel a paid plan, your account moves back to the free plan instead of closing.
Is Acceptance Path the same as PathwayNotes?
Yes. Acceptance Path is the new name for PathwayNotes: same app, same account, same data. You may still see the old name in a few places, like sign-in, while we finish the switch.
Find out who's drifting before they cancel.
Start free in about two minutes. Every feature for up to 5 clients, and a BAA on every plan.