For clinicians

Cathexis gives your clients a structured way to work between sessions. It’s built on standard questionnaires and an open clinical framework.

  • Open framework, CC BY 4.0
  • Full questionnaires, scored as their authors score them
  • Client chooses whether to share
Download on the App Store

Between sessions

What your client does

  1. Morning and evening

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    Each morning, your client marks what they notice in their body and how they’re feeling as the day starts. Each evening, they mark how the day actually went. The app puts the two side by side, so over a few weeks your client can see what they expected and what happened.

  2. One pattern

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    In a program, your client picks one pattern to work on. They repeat one short practice and take small steps in their own life, marking what they notice in their body before and after each step.

  3. The clinician document your client can share

    It presents information for a professional to read. The clinician document diagnoses nothing and suggests no treatment.

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    The clinician document shows the main pattern in your client’s answers, marked as a reading that can change, never as a diagnosis. It shows the questionnaires with their dates, and the pages of your client’s program. Your client chooses whether to share it, and with whom.

What you get is a record of the days between sessions, in your client’s own answers, to read together if they choose to share it.

What you can read

The full questionnaires

The app gives the questionnaires clinics use everywhere, word for word, as their authors publish them. So you can read them the way you always do.

  • PHQ-9
  • GAD-7
  • PC-PTSD-5
  • PCL-5
  • UCLA-3
  • MAIA-2
  • WSAS
  • ACE
  • ECR-RS
  • BAM-R
  • PEG-3
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Some are given only after a related answer, like the PCL-5 after the PC-PTSD-5.

Each questionnaire is scored the way its authors score it. The scores are in the clinician document your client can choose to share with you.

Safety

What the app does about risk

When a client’s answers show risk, the app points them to a person who can help, and it never tries to manage the risk itself. Any answer of 1 or more on the PHQ-9’s item 9 opens the crisis sheet. This is HEF Chapter 28’s rule: detect and escalate, never manage.

Following the HEF, practices that turn attention inward aren’t right for a person in acute crisis, psychosis or mania, an elevated or mixed state, unsettled trauma intrusions, active dissociation, or withdrawal. When a client’s answers show one of these, the app offers a practice that turns attention outward instead, like Looking Around.

The app never manages withdrawal. It tells the client to call a doctor.

The app never suggests starting, stopping or changing a medication. Any change is for your client and whoever prescribes it.

The framework

The Human Experience Framework

The HEF names sixteen territories. Each one is a pattern a person’s nervous system has learned. For each territory, the HEF describes how the pattern shows up, what keeps it going, and how it can change.

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The HEF also shows how each territory compares with DSM-5-TR and ICD-11 categories. It’s a formulation aid, not a diagnostic tool. It’s free to read and use, under CC BY 4.0.

Read the HEF

Training

The Practitioner Manual

The Practitioner Manual cover, on Payhip

The Practitioner Manual teaches you how to use the HEF in a session.

The Manual assumes you have HEF 3.0 open beside it, which is free.

$129 on Payhip.

Your client’s record

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Your client’s record is kept on their phone, and it belongs to them. There’s no account. No one at Cathexis Health can see it, and nothing in it is sold. Your client can export it or delete it any time.