Clients capture episodes the moment they happen, clinically structured and in real time. By session, you both already know what the week looked like.
Opens in a new tab · illustrative data, not a real person
Your client does the tracking. What reaches you is a single self-contained file: one encrypted HTML report that opens in any browser you already use, and never connects to the web. Nothing to install, no login, no portal, no new system to learn.
Chrome, Safari, Firefox, Edge. Double-click the file, enter the password, and the full dashboard loads, on the HIPAA-aligned workstation you already have.
Charts, filters, and the full entry log are baked into the one file. No internet connection needed or used, ever. Nothing loads from a server, nothing is sent anywhere.
No app to install, no account to create, no subscription. Your client installs Surfacing; you simply open what they hand you.
Episodes are logged within seconds of occurrence using condition-specific fields. All data stays on their device, encrypted.
Before the appointment, they export a password-protected HTML file covering whatever date range they choose. They share it via any method they prefer.
Open the file in any browser on your HIPAA-aligned workstation and enter the client's password. It decrypts entirely on your machine into a full, filterable, chartable history. No internet, no app, no PHI on external servers.
The report goes directly from your client to you, peer-to-peer, the same as any document a patient hands you in session. It is PHI, and you handle it under the HIPAA obligations you already operate under. But no Surfacing server and no cloud vendor ever receives it, so there is no new business associate and no added breach surface, and you decide whether to retain the file. Review our full compliance documentation.
Retrospective self-report is the outpatient baseline. But memory is reconstructed, trauma compresses timelines, and high-affect states dominate recall. You decide treatment on incomplete data.
Surfacing changes the input. Clients log in real time (intensity, trigger, location, skill, outcome), so every entry is effectively a mini chain analysis: antecedent, response, skill, result. Session starts with a structured record of what actually happened.
Ecological Momentary Assessment is the gold standard for mental health data. Surfacing delivers it in a consumer app: no IRB, no study cost, no technical barrier.
Most journaling tools fail your highest-need clients first. Login screens and blank text fields are barriers mid-panic or mid-shutdown. Surfacing's premise: an episode has to be capturable in under 30 seconds, near-zero cognitive overhead.
A client with ADHD forgets because executive function collapses under load, not because they don't care. A structured tap-flow takes less effort than a text and captures more than any open-ended diary.
Standard journals capture the episodes clients remember to write about later. Surfacing captures episodes while they're still in them - which is exactly the data that changes treatment planning.
Condition-specific taps, sliders, and quick-picks. Built for capture speed in high-affect states.
No blank page, no "where do I start?" Each field is a specific, answerable question that bypasses the executive load of open journaling.
No WiFi, no signal, no account. Episodes happen in the car or a parking lot at 11 PM, and Surfacing is there for all of them.
Face ID or fingerprint opens the app instantly. No login flow between distress and capture, so the moment gets logged while it's still real.
Every episode automatically becomes part of a formatted, filterable report. No narrative from the client, no summarizing from you.
Surfacing ships with evidence-informed field sets for over 30 conditions. Each adapts to what's diagnostically meaningful - not just generic "mood" tracking.
Captures known trigger (yes/no), flashback type, and contextual factors. Helps track episode clustering around specific triggers or times.
Logs worry topics with customizable categories, avoidance behavior, and skill outcome. Reveals content patterns in anxious thinking.
Distinguishes anticipatory vs. reactive anxiety, records situation type, and whether the client avoided entirely - critical for exposure hierarchy work.
Records phobia type, exposure occurrence, and avoidance behavior. Supports tracking between-session exposure homework compliance.
Logs episode duration, whether the client left the situation, and context type. Supports both interoceptive and situational exposure tracking.
Tracks specific feared situations (transport, crowds, open spaces), avoidance, and safety behavior use - essential for graduated exposure planning.
Tracks energy level (inverted scale: high = green), sleep hours, self-care completion, and social isolation - the behavioral markers of depressive episodes.
Logs mood state across the full spectrum (depressive → manic), energy level, racing thoughts, and impulsive behavior - critical for phase tracking.
Captures trigger type (abandonment cue, rejection, invalidation), whether the client acted on the emotion, and regret level - ideal for DBT chain analysis.
Logs cycle phase, symptom type (irritability, depression, anxiety, fatigue), and functioning impact. Reveals luteal phase patterns over months.
Records episode type (hyperfocus, shutdown, RSD, impulsivity) and medication adherence. Supports identifying patterns vs. meds-on/off days.
Logs episode type (meltdown vs. shutdown), sensory trigger, and estimated recovery time - useful for understanding capacity and accommodation needs.
Tracks perceived trigger source, episode duration, and whether the client acted on the emotion - supports identifying RSD as distinct from BPD reactivity.
Captures whether the urge was acted on, duration, body location, and awareness level (automatic vs. focused). Supports HRT/ACT progress tracking.
Logs urge, duration, body location, awareness, and trigger (mirror, stress, boredom) - enables behavioral pattern analysis for ERP and HRT.
Tracks checking behavior type (mirror, photo, comparison), avoidance behavior, and time spent on appearance concerns - core ERP targets.
Logs hours in significant pain and functional impact on daily activities. Supports pain-psychology integration and medical co-management.
No condition listed? Build your own with custom field types: ratings, number wheels, single-select, multi-select, and free text. Ideal for less common presentations.
Data stays on the client's device until they share it. When they do, it arrives as a password-protected, AES-256 encrypted file that opens in your existing secure tools. No third party touches it. No Surfacing server receives it.
Data is AES-256 encrypted on the client's device, encrypted in the export file, and decrypted only locally on your machine when you enter their password. It never passes through a server.
Open the report in any browser on your existing HIPAA-aligned workstation. It integrates with your current setup - no new software, no new compliance surface, no exceptions to file.
You receive a file directly from your client, the same as any document they bring to session. It is PHI you handle under your existing HIPAA obligations, but it enters no new system: if you do not save it after review, it is not added to your records. Always consult your privacy officer on retention obligations in your jurisdiction.
⚠️ How to use it responsibly
We work with private practitioners, group practices, and outpatient programs. Get in touch to discuss your setup.