Surfacing gives clients a low-friction, effortless way to capture episodes the moment they happen — clinically structured, in real time. When they walk in, you both already know what the week looked like.
Finally — a completely free, HIPAA-compliant way for your clients to track symptoms and events between sessions.
No subscriptions. No upsells. No paywalls. Your clients get the full app. You get the data.
Retrospective self-report — "how was your week?" — is the baseline in most outpatient practice. But memory is reconstructed, trauma compresses timelines, and high-affect states are disproportionately recalled. You make treatment decisions on incomplete data.
Surfacing changes the input. Your clients log in real time — intensity, trigger, location, skill used, skill outcome — so when they arrive at session, there's a structured record of what actually happened.
Ecological Momentary Assessment is the gold standard for mental health data collection. Surfacing delivers that methodology in a consumer app — no IRB, no study cost, no technical barrier.
Most journaling tools fail your highest-need clients first. Login screens, blank text fields, and paragraph prompts are barriers — not tools — for someone mid-panic, mid-dissociation, or mid-shutdown. Surfacing was built around one premise: an episode has to be capturable in under 30 seconds, with near-zero cognitive overhead.
A client with ADHD doesn't forget to track because they don't care — they forget because executive function collapses under emotional load. A client mid-flashback can't compose a journal entry. Surfacing meets them with a structured tap-flow that requires less effort than sending a text, and captures more clinically relevant information than any open-ended diary ever could.
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 tap selectors, sliders, and quick-pick fields — minimal typing required. Built for capture speed in high-affect states, not reflective journaling after the fact.
No blank page. No open-ended prompts. No "where do I start?" Clients open the app and the structure is already there — each field is a specific, answerable question that bypasses the executive demand of unstructured self-reflection entirely.
No WiFi needed. No data signal. No account to stay logged into. Episodes happen in the car, in a waiting room, in a parking lot at 11 PM — and Surfacing is there for all of them.
Face ID or fingerprint opens the app instantly. Clients in active distress aren't navigating a login flow before they can capture what's happening — the moment gets logged while it's still real.
Every logged episode automatically becomes part of a formatted, filterable clinical report. No narrative needed from the client. No summarizing required from you. The data structure does the documentation.
Every piece of data your client logs stays on their device until they choose to share it. When they do, it arrives as a password-protected, AES-256 encrypted file — designed to open within your existing secure communication tools, EHR attachments, or direct peer-to-peer transfer. 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-compliant workstation. It integrates with your current setup — no new software, no new compliance surface, no exceptions to file.
You are reviewing a file, not storing PHI in a new system. If you do not save the file after review, no patient data enters your records system. Always consult your privacy officer for guidance on retention obligations in your jurisdiction.
⚠️ Disclaimer: Surfacing is a self-report tracking tool intended to supplement clinical assessment, not replace it. Logged data reflects patient perception and self-report accuracy. Clinical decisions should never be made solely on the basis of app data. Surfacing is not a medical device and makes no diagnostic or treatment claims.
Interactive, filterable, fully offline. Decrypts with the client's password and loads instantly — no internet, no app, no account.
Illustrative sample. Actual report contains all logged entries, custom charts, and skill effectiveness analysis.
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.
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 locally in any browser on your HIPAA-compliant workstation. Enter the client's password — the data decrypts entirely on your machine. You see a full, filterable, chartable view of their episode history. No internet, no app, no account, no PHI stored on external servers.
The export file is encrypted and password-protected. If you do not save it locally (and you don't need to), no PHI ever passes through your systems. The data lives on the client's phone, shared peer-to-peer. This is the core HIPAA advantage — review our full compliance documentation.
We work with private practitioners, group practices, and outpatient programs to onboard Surfacing as a between-session tool. Get in touch to discuss your setup.