← Between
Guide

What Are Between-Session Check-Ins?

Most of a person's life happens in the days between therapy appointments — and most of it is forgotten by the time the next session starts. Between-session check-ins are a simple way to keep that experience from slipping away.

A between-session check-in is a short note a client captures in the moment — a sentence typed on their phone, or a quick voice memo — about how they are feeling or something that just happened. Instead of trying to reconstruct two weeks of ups and downs from memory at the start of a session, the client and their therapist can look at what actually occurred, when it occurred.

Why what happens between sessions matters

Therapy typically happens for an hour every week or two. That leaves roughly 167 hours where the real work of living — the arguments, the anxious mornings, the small wins — takes place with no one taking notes. By the next appointment, memory has flattened it all into a vague "it was okay, I think." The sharp, useful details are gone.

This is a well-known limitation of recall: we remember how something ended, or how intense it was, far better than what led up to it. Check-ins work with that reality instead of against it. They catch the moment while it is still specific.

What a between-session check-in looks like

The best check-ins are small enough that a person will actually do them. A few examples:

None of these take more than a moment. The point is not to journal at length — it is to leave a breadcrumb.

The benefits for clients

The benefits for therapists

A note on scope. Check-ins support care between appointments; they are not a medical or crisis service and do not replace professional judgment. Anyone in crisis should contact 988 (in the US) or their local emergency number.

Check-ins vs. traditional homework

Therapy "homework" — a thought record, an exposure task, a worksheet — is valuable, but it asks the client to remember to do a structured thing later. A check-in asks for far less: a few seconds, right now, when something is happening. Many people who never finish homework will happily fire off a one-line note. The two approaches complement each other rather than compete.

How to start — the consent-first way

Because check-ins touch sensitive, health-related experience, privacy and consent are not optional extras — they are the foundation.

  1. Keep it low-friction. If it takes more than a few seconds, it won't stick. Text or voice, on the phone the client already has.
  2. Make sharing the client's choice. Notes should belong to the client, and only reach a therapist — or be analyzed for patterns — when the client explicitly opts in.
  3. Review together. The value shows up when client and clinician look at the week's notes side by side and ask what the pattern is telling them.

Between is built around exactly this: clients send a quick note in the moment, it's summarized into the pattern, and — with consent — their therapist sees it before the next session. Private and consent-first by design.

See how Between works →

Frequently asked questions

What is a between-session check-in?

A short note a client captures in the moment between appointments — a sentence or a quick voice memo about how they're feeling or what happened — so the experience isn't lost to memory by the next session.

How are check-ins different from therapy homework?

Homework is usually a structured task to complete before the next session. A check-in is lighter and in-the-moment: a few seconds to jot a note when something happens. They complement each other.

Do check-ins replace therapy?

No. They're a support between appointments, not a substitute for professional care, and not a crisis service. In an emergency, contact 988 or your local emergency number.

Are between-session check-ins private?

With a consent-first tool they are: notes belong to the client and are only shared with a therapist, or analyzed by AI, when the client explicitly opts in.