Praxical.Psych
Process & feedback

Session feedback & alliance check

Solicit the patient’s view of the session and of the alliance, so that drift and rupture are caught early.

Last two minutes of every session, or at minimum every third session.11 fields

How this document is used well

Feedback-informed treatment — collecting brief session-by-session ratings and acting on them — improves outcomes and reduces dropout and deterioration in randomised trials. The effect comes chiefly from catching non-responders and alliance strain that clinicians would otherwise miss: therapists identify only a minority of deteriorating cases without data.

Getting real answers

  1. 1Ask for the negative explicitly: "what was off today, or what did I miss?" — a neutral invitation reliably produces a polite 10.
  2. 2Respond visibly to what you are told, in the next session. Feedback that changes nothing stops being given.
  3. 3Treat a small drop as significant. Patients under-report dissatisfaction to the person they are dissatisfied with.

Complete it

Nothing you type leaves this browser. Do not enter real patient information.

Shows why each item is asked
Ratings
I felt heard and understood today*
Not at allCompletely—
We worked on what I wanted to work on*
Not at allCompletely—
The way we are working suits me*
Not at allCompletely—
Overall, today was useful*
Not at allVery—
How has the past week been overall?
Very poorVery good—
In their words
Clinician response
Will I raise this explicitly next session?

6 required fields outstanding: I felt heard and understood today; We worked on what I wanted to work on; The way we are working suits me …

Educational use only

Praxical.Psych is a teaching tool. It is not medical, clinical, psychological or legal advice, not a diagnosis, not treatment, not supervision, and not a credential. Nothing here creates a clinician–patient or solicitor–client relationship. Every patient, case, transcript and simulated session is fictional. Clinical and legal requirements vary by jurisdiction and change over time — verify anything that bears on a real decision against your own regulator, statute and current professional guidance, and consult a qualified professional.

Do not enter real patient information. If you or someone else is in crisis: US & Canada 988 · UK & Ireland 116 123 · Australia 13 11 14 · elsewhere findahelpline.com · immediate danger, your local emergency number.

Full disclaimerScope, method & limitsEthics & lawYour data

Praxical.Psych · © 2026 Moonlit Social Labs. All rights reserved.

Before you begin

What Praxical.Psych is, and is not

Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

  • Every patient, transcript and case in this app is fictional — a composite written for teaching. None depicts a real person.
  • Praxical.Psych is not therapy, not a substitute for supervision, and not a credential. Competence to practise comes from training, supervised hours and licensure.
  • Scores from the instruments here are for learning how they behave. They are not a diagnosis and not a risk assessment, and must not inform a decision about a real person.
  • Do not enter real patient information. Everything you type stays in this browser, but that is not the same as a compliant clinical record system.
If you are in crisis

In the US and Canada, call or text 988. In the UK and Ireland, call 116 123 (Samaritans). Elsewhere, find a local line at findahelpline.com. In immediate danger, use your local emergency number.

Read the full disclaimer