Message clients between sessions without handing out your personal number or letting sensitive things pile up in email. Encrypted conversations inside the clinical record, a client journal that is private by default, live text sessions filed on the booked session, and optional risk alerts that never send a word of client content off the platform.
Every exchange is a conversation you open and close. While one is open your client replies freely; once you close it, whether they can start a new one, and how many times a week, is your setting, not their assumption.
Clients write for themselves, with entries private by default and never read by any AI feature or included in any export. If you allow sharing, an entry reaches you the day before the client's next session, and they can take it back at any time.
Turn on risk alerts and client messages are screened for safety-relevant wording the moment they arrive. An urgent flag reaches you immediately, even out of hours, and the screening runs entirely inside the platform.
Messaging between sessions only works when it has a shape. In My-Therapy-Suite every exchange is a conversation: you can always write first, your client replies freely while it is open, and you close it when it has run its course.
Whether clients can start a conversation themselves is your call, as a practice default and per client, along with a weekly allowance of new conversations. When a client is at their limit, the portal explains it in a friendly bar rather than a disappearing text box.
Forgotten threads close themselves: a quiet conversation is closed automatically after 24 hours, so no client is left replying freely forever.
Some sessions happen in writing. Start a text session and link it to the booked session it belongs to: your client chats freely for the duration, and the whole exchange is filed on that session in the client file as a read-only transcript.
The transcript is never copied into a note, so what you read later is always the real conversation record. Take it off the session at any point and the exchange simply returns to being part of the messaging history.
An idle text session ends itself after 12 quiet hours, and the client's usual messaging rules apply again.
Clients keep a journal in their portal: an entry for the day, an optional mood, written for today or a day they missed. Entries are private by default, and private means private: not visible to you, not read by any AI feature, never part of any export.
Sharing is something a practice turns on deliberately. When it is on, a client can share an entry ahead of their next session, and it becomes visible to you the day before, so you walk in already knowing the week. They can take it back at any time, and it disappears from your view immediately.
A morning digest names the clients who shared entries overnight. The email never contains what they wrote.
With risk alerts on, client messages and shared journal entries are screened for safety-relevant wording as they arrive. The screen reads the context around a phrase the way clinical screening rules do, so a denial, a figure of speech, somebody else's story or a mention of something watched on television is not treated as a disclosure.
An urgent flag alerts you immediately by notification and email, cutting through your mute settings. You review the flagged wording where it sits, then dismiss it or confirm it into the client's risk log. Nothing is ever blocked or delayed, and no client content is sent to any external AI service.
Deterministic and entirely on-platform: the same text always produces the same verdict, and every flag names the wording that raised it.
Practice-wide defaults apply to every client without an override; each client record can override them individually.
| Boundary | Default | Where it lives |
|---|---|---|
| Clients starting conversations | Off | Settings > Secure messaging, per-client override on the client record |
| New conversations per client per week | 3 | Settings > Secure messaging, per-client override on the client record |
| Client journal | On | Settings > Secure messaging, per-client switch on the client record |
| Sharing journal entries | Off | Settings > Secure messaging, per-client switch on the client record |
| Risk alerts | Off | Settings > Secure messaging |
Yes. Message bodies, journal entries and risk-flag reasons are encrypted at rest, and attachments live in the same protected storage as your other client documents. Everything stays inside the clinical record rather than scattered across a personal inbox.
Only within the boundaries you set. While a conversation you opened is open, they reply freely. Once it is closed, whether they can start a new one is a setting (off by default), and starts are limited to a weekly allowance you choose, three by default, per client if you like.
A client at their limit sees a clear explanation in the portal, with their journal suggested as the place to write in the meantime.
A live chat you start for a booked session. Your client writes freely for the duration, and when it ends the whole exchange is filed on that session in the client file as a read-only transcript, so a written session is documented like any other.
Only the entries they chose to share, and only if your practice has sharing turned on. Private entries never leave the client's portal: they are not visible to you, not read by any AI feature, and excluded from every export.
A shared entry becomes visible the day before the client's next session, and the client can take it back at any time.
No. The screening runs entirely inside the platform, using deterministic clinical wordlist-and-context rules, so no client content ever leaves it. It reads negation, someone else's risk, past episodes and idioms, and every flag names the exact wording that raised it.
It covers English phrasing and is a prompt for your judgement, not a clinical assessment. It never blocks or delays a message.
No. Notification emails are content-free: they say a new message is waiting and link to the portal, at most once per hour. The content is only ever readable inside the platform.
Yes. Pick "All clients" when composing and every active client with messaging enabled receives it as a normal message from you, in their own private conversation. Recipients never see each other, and each can reply to you directly.
The platform closes it for you: a conversation with no message for 24 hours is closed automatically overnight, and an idle text session ends itself after 12 quiet hours. Your boundaries apply again without you having to remember.
No. Read receipts flow one way: you see when a client has read your messages, clients never see whether you have read theirs, so reading a message late at night creates no expectation of a late-night reply.
Free for 30 days, no card required. Most therapists are taking new bookings the same afternoon they sign up, and cancel any time without writing an email.