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Build Meaning Between Your Notes

Link observations to treatment goals, connect supporting notes, mark contradictions; sharpen the clinical picture with 10 semantic connection types.

Clinical connections for therapists illustration: knowledge graph woven from 10 semantic relationship types between notes, goals, and breakthrough moments
Flow

Creating Connections Is This Easy

Select a sentence from your clinical note, choose a target, pick a relationship type; the connection is created instantly and appears in the right panel.

Session #5 β€” Behavioral Activation
January 7, 2026

Session Focus

Reviewed thought records from past two weeks. Sarah completed 5 entries and showed good understanding of cognitive distortions. Transitioned to behavioral activation and exposure planning.

Progress

Sarah voluntarily spoke up in a team meeting (exposure level 4/10). She reported initial anxiety (7/10) that decreased to 3/10 within 5 minutes.

GOALSShowing this client's goals
Reduce avoidance behaviors by 70%Sarah M.
Developing secure attachment patternsSarah M.
CLIENT NOTESNotes belonging to this client
Session #3 β€” Cognitive DistortionsSarah M.
Theme Tracking β€” Fear of Being SeenSarah M.
PERSONAL NOTESYour own notes (not tied to any client)
Exposure Hierarchy β€” Clinical TemplatePersonal
Supervision Notes β€” May Week 4Personal
Progress
Setback
Obstacle
Exploration
Intervention
Connection Created!

This "Sarah voluntarily spoke up in a team meeting (exposure level 4/10)" phrase signals progress toward the Reduce avoidance behaviors related to social/evaluative situations by 70% within 12 sessions goal.

Reduce avoidance behaviors related to social/evaluative situations by 70% within 12 sessionsActive
Select Text
Choose Target
Pick Type
Connected!

1. Select Text

Highlight the sentence in your clinical note you want to link; a floating toolbar appears and clicking "Create Connection" opens the target search menu.

1. Select Text

2. Choose a Target

The dialog confirms the source text and chosen target; pick a relationship type: Related, Progress, Setback, Obstacle, Exploration, Intervention, or Theme.

2. Choose a Target

3. See the Connection

The connection shows up both in the editor (highlighted phrase + detail popover on hover) and in the right panel (as incoming and outgoing connection lists).

3. See the Connection

Alternative: Note-Level Connections

For notes like treatment plans, case formulations, or initial assessments, the entire document targets a goal. Skip text selection and link the whole note via the "Create Connection" button in the right panel.

Alternative: Note-Level Connections
Between Notes

Note-to-Note Connections

Semantically relate two clinical notes or an excerpt within a note; strengthen your formulation, hypothesis-building, and treatment planning.

Related

A general, non-causal link between two notes; connect similar topics or observations from the same period.

Examples
Initial Assessment↔Symptom Analysis
Trauma Mapping↔Critical Life Event
Reflection↔Supervision Notes

Supports

A note or an excerpt confirms another's finding or hypothesis; link evidence that strengthens your formulation.

Examples
Session Note→Case Formulation
Trigger→Clinical Theme & Pattern
Breakthrough Moment→Treatment Plan

Opposes

A note or an excerpt presents a contradicting finding; mark counter-evidence to clarify the clinical picture.

Examples
Session Note↔Clinical Hypothesis
Process Evaluation↔Treatment Plan
Diary Card↔Treatment Plan
Goal Linking

Note-to-Goal Connections

Link observations or excerpts from your notes to treatment goals with 7 distinct relationship types; concrete evidence accumulates for each goal.

Related

A general link between an observation and a goal, connected without a specific category."Client shared their sleep schedule today" β†’ Sleep routine goal.

Progress

Concrete evidence of progress toward a goal; adds data to the goal progress chart."Client had no panic attacks this week" β†’ Decrease panic attack frequency goal.

Setback

A sign of regression away from the goal; a signal to revisit the treatment plan."Reported 3 panic attacks this week" β†’ Decrease panic attack frequency goal.

Obstacle

An external or internal barrier hindering goal achievement; shapes the intervention strategy."Workplace conflict continues" β†’ Work relationships goal.

Exploration

An observation exploring the origin or psychodynamic context of the goal."Childhood attachment pattern" β†’ Secure attachment goal.

Intervention

A therapeutic strategy, technique, or assignment deliberately applied to advance the goal."Exposure homework assigned" β†’ Social comfort goal.

Theme

A recurring underlying pattern or theme of the goal; adds depth to clinical formulation."Recurring fear of rejection" β†’ Secure attachment goal.

Breakthrough System

Breakthrough Moments

Mark and track turning points in the therapeutic process; visualize the client's story of change with concrete moments.

Mark the Moment

Select an important sentence or the whole session and mark it as a "Breakthrough Moment"; capture the meaning before it fades.

Link to a Goal

Connect the breakthrough to one or more treatment goals; see clearly which progress contributes to which goal, and track it over time.

Add Context

Explain why this moment is a breakthrough or add your reflection; use these records when preparing for supervision and clinical reflection.

πŸ“„SourceSession 8 β€” Post-Exposure Review

"I went to the store on my own, without my water bottle. Even when the panic came, I now know it won't kill me."

Your Note

Completed an exposure without any safety behavior for the first time. Clear softening in the "I'll lose control" catastrophic belief.

Linked Goal
Reduce the frequency of panic attacks and eliminate avoidance behaviorsActive
Saved: 2 Jun 2026
Breakthrough Moments
Overview

What You Can Do

Core capabilities of the connections module; the tools that bind clinical thinking to structure.

01

10 Semantic Connection Types

Not simple links, meaningful clinical relationships. 3 for Note→Note (related/supports/opposes) and 7 for Note→Goal (related/progress/setback/obstacle/exploration/intervention/theme).

02

Note-to-Note Connections

Link two notes or an excerpt as "related", "supports", or "opposes"; strengthen your formulation and hypothesis.

03

Note-to-Goal Connections

Link observations from your notes to treatment goals with 7 distinct relationship types (related, progress, setback, obstacle, exploration, intervention, theme); see progress with concrete evidence.

04

Sentence-Level Connections

Not just notes β€” select a word, sentence, or paragraph to link at any granularity; attribute it precisely ("this sentence is progress evidence for that goal").

05

Breakthrough Moments

Mark important insights in the therapeutic process as breakthrough moments; link them to goals and add your clinical context.

06

Auto-Linked Reflections

When you create a reflection from a session note, the source links automatically; the semantic type can't be changed, preserving therapist self-care.

07

Clinical Ethics & Context Safety

Clinical notes link only to the same client's notes, goals, or your personal notes; strict isolation rules protect client confidentiality and clinical ethics.

In Practice

Scenarios from Your Daily Practice

See how the connections module lives inside your clinical workflow.

Case Formulation

While writing a session note, you link today's finding to last week's note as "supports"; concrete evidence strengthens your formulation hypothesis.

Treatment Plan Tracking

After each session, you link observations to treatment goals as "progress", "setback", or "obstacle"; at month-end, the progress per goal is clearly visible on the chart.

Supervision Prep

Before supervision, you quickly surface breakthrough moments and contradicting notes; connections let you prepare a case presentation in minutes.

Resources

Learn More

Detailed guides about the connections system.

Common Questions

Frequently Asked Questions About Clinical Connections

Common questions about 10 relationship types, sentence-level @mention, knowledge graph visualization, breakthrough moments, and AI suggestion roadmap.

Couldn't find your answer?Find all the questions and answers on this topic in the Help Center.Go to the Help Center

Start Building Your Clinical Map

Create meaningful connections between your notes; bind your clinical thinking to structure and deepen your therapeutic processes.