Therapy software, from both sides
Therapy is one hour a week.The other 167 are the problem.
This is a story about two people who found that out from opposite ends, and the thing they built because of it.
Peter
Co-founder. Had NHS therapy for panic disorder and agoraphobia.
The client’s side
You wait months for therapy. Then you get a folder.
Peter waited for NHS therapy with panic disorder and agoraphobia. What arrived was good treatment delivered on photocopies: a thought record to fill in, an exposure ladder to work through, a mood scale to score each day.
The folder went in a drawer. The worksheets became photographs in a camera roll, somewhere under four hundred other photographs. He was meant to do the exposure task twice that week. He thinks it was twice.
Then you sit down and get asked how the week went, and you are reconstructing it from memory while the clock runs. The first ten minutes go on remembering rather than working.
The week is where the therapy actually happens. It is also the part you do alone, with a folder.
The therapist’s side
You set the homework. You never find out what happened to it.
Fiori was delivering CBT in the NHS, and watching the same thing every week. Clients meant to do the work and could not keep track of it. Forms came back half finished, or on paper to be scored by hand, or not at all.
Progress between sessions was invisible until someone described it out loud. Her own record of it lived across notes in one system, worksheets in another, letters in a third and the diary somewhere else again.
She was losing the same week Peter was, from the other chair. He could not remember what he had done, and she had no way of seeing it.
Fiori
Co-founder and CEO. CBT therapist, trained and practised in the NHS.
Therasize closes that week.
One workspace you both sign into, where the session, the homework, the record and the documents are the same objects seen from whichever chair you are in.
Your client fills in a thought record on Tuesday. It is on their record by Tuesday evening, scored, next to last week’s. You open Thursday’s session already knowing how the week went, and the first ten minutes go on the work instead of the recap.
What that actually gives you
Green is what your client sees. Blue is what you see. Most of these are one feature looked at from two sides, which is the whole idea.
For the client
Homework they can actually do
Build any worksheet from scored questions, scales, multi-select and information blocks, or start from ours. Your client fills it in on their phone, in the moment it matters, and the answers land on their record straight away.
For the client
Their therapy, in their pocket
Clients install Therasize to their home screen and open it like any other app. Their next session, their worksheets, their assessments and their documents are all there, wherever they are.
For the therapist
A diary that fills itself
You set the hours you work and Therasize turns them into bookable slots. Clients pick from what is left, propose new times themselves, and pay before the session opens. Connect Google Calendar and anything already in your diary is blocked out too.
For the client
Meet where the work already lives
Video sessions run inside Therasize with in-session chat, so you can open last week’s worksheet while you are talking about it.
For the therapist
The whole clinical record, in one place
Session notes linked to the appointment, pre- and post-session forms, case formulation, correspondence and bulletins. Open a client and everything you have ever done together is there.
For the client
A private drive for each client
Handouts, letters and uploads live in a shared space scoped to the two of you, so a client can find the thing you sent them in March.
For the therapist
Work as a clinic
Organisation workspaces with admin, therapist and supervisor roles, a shared resource library, and workspace-scoped client management for teams.
Your own booking page, free.
Set the hours you work once. Share one link. Clients pick a time from what is actually free, and the appointment appears in your diary and theirs.
- Set the hours you work; connect Google Calendar to block the rest
- Take payment at the point of booking, or run sessions free
- Set your own refund rules and let cancellations settle themselves
- Clients book without creating an account
Your link
therasize.com/book/your-name
AI helps you build the tools. It never meets your clients.
Plenty of tools now pipe session notes and client records through a language model. We do not, and we do not intend to. AI in Therasize only ever helps you author things before a client is anywhere near them. Describe the worksheet you want and it drafts the structure. Describe a letter and it writes a reusable template with [Client First Name] placeholders for you to fill in yourself.
What AI sees
- The prompt you type, and nothing else
- Worksheet and assessment structures you are drafting
- Blank correspondence templates with placeholders
What it never sees
- Session notes and case formulations
- Client responses, scores and assessment history
- Names, emails, uploaded documents, any client record at all
Workspaces that want none of it can switch AI features off entirely.
Built for records people cannot afford to lose
Clinical records carry a duty that ordinary software does not. Here is what that means in practice, and what we are still working towards.
Identifiers held apart from the record
A client’s name, date of birth and contact details are encrypted and stored separately from their therapy content. Every lookup is checked and logged, so there is a record of who saw what and why.
UK GDPR, and data that stays in the UK and EU
We process under UK GDPR and the Data Protection Act 2018, with a published privacy notice and a data protection impact assessment. All production data sits in UK and EU regions, encrypted in transit and at rest.
Privacy mode
One toggle replaces every client identifier across the app with a stable pseudonym, for shared screens, supervision and hot-desking.
Export the whole record
Any client record exports as a portable archive: printable HTML, structured JSON and CSV. Clients can export their own copy too.
Access that ends when it should
Two-factor authentication, idle sign-out, role-aware permissions, and audit logging on sensitive access.
Cyber Essentials certified
Our information governance is built with an external assurance partner. We hold Cyber Essentials. The NHS Data Security and Protection Toolkit and DTAC are in progress, and we say which is which rather than blurring the two.
Policies, sub-processors and current certification status are published in our Trust Centre.
Start with one client. It’s free.
The free plan connects you to one client with every feature turned on. No card, no trial clock. Add more when your caseload needs it.
Works in the browser on desktop and mobile. Nothing to install.