Reading a therapist export
What the four-week therapist export looks like, what each section means, and what you can reasonably infer from it. Two-minute read for the start of a session.
This page is for clinicians whose clients use Open Heart and want to share their journaling between sessions. The export is plain text, deliberately short, and structured to be readable in two minutes.
Format
Plain text. No PDF. No formatting markup. Designed to render in any email client or session note.
Sections, in order
1. Header
OPEN HEART — THERAPY SESSION SUMMARY
Prepared for: Sam
Period: Last 4 weeks (April 19 to May 10)
Generated: May 10, 2026
The "Prepared for" name is whatever your client entered as their name in the app. It may be a nickname or first name only.
2. Per-week breakdown
For each of the past four weeks:
- Total entries / shared entries. "Shared" means the entry was part of the weekly couples reveal (in couples mode). "Total minus shared" is private journaling.
- Feeling distribution. Each feeling (happy, sad, anxious, frustrated, grateful, hurt, loved, lonely) with count and average intensity (1-5 scale).
- Topics. Each entry was tagged into a category (feeling, appreciation, growth, moment) when written. The breakdown shows what kinds of reflection dominated the week.
- Shared reflections. Up to about 100 characters from each shared entry, prefixed with the category.
3. Four-week trends
- Most frequent feeling across the period
- Total entry count
- Average entries per week
4. Footer
A note that private and "unsend" entries are never exported. This is a hard rule of the export — your client controls what's shared with you.
What it tells you
- Engagement level. A client journaling 1-2 entries per week is engaged differently than one journaling 8 per week. Neither is "right."
- Emotional baseline. The dominant feeling and its average intensity is a useful starting point. "Anxious 8x at average 4.0/5" reads differently than "Anxious 8x at average 2.0/5."
- Topic drift. A client who was writing mostly "appreciation" entries shifting to mostly "growth" entries is signaling something — often readiness to address harder material.
- Shared vs. private ratio. A client where one partner writes 6 entries with 1 shared is being selective. Worth gentle exploration: is shared feeling like exposure?
What it doesn't tell you
- The other partner's content. Your client's export is their data only. Their partner has their own.
- Anything you didn't see. Private entries stay on their phone. The body of "unsend" entries was never written down anywhere.
- Crisis events. If your client wrote something the app's crisis check caught, the entry is still in the export — but the app doesn't escalate to anyone, including therapists. (Crisis resources)
- Timing within a day. The summary is per-week. You won't see "wrote at 3am."
How to talk about it in session
Some clinicians use the export as a five-minute "here's what's been on your mind" opener. Others reference specific excerpts during deeper work. Some never reference it directly but read it before the session for context.
We're not prescriptive about how to use it. The export is a tool, not a session structure.
Privacy
- The export is generated on your client's phone from their decrypted entries.
- Open Heart never sees the content of the export.
- Your client can share it however they want — email, paste into a session note, hand-deliver. We never proxy or log the share.
Sample (lightly redacted)
OPEN HEART — THERAPY SESSION SUMMARY
Prepared for: J.
Period: Last 4 weeks (April 19 to May 10)
Generated: May 10, 2026
────────────────────────────────────────
WEEK: May 3 – May 9
Entries: 5 total, 3 shared
Feelings this week:
Anxious: 3x (avg intensity: 4.0/5)
Grateful: 1x (avg intensity: 3/5)
Hurt: 1x (avg intensity: 4/5)
Topics:
feeling: 4
growth: 1
Shared reflections:
[feeling] "Replayed the conversation again. Still don't know..."
[growth] "I keep going quiet when I'm overwhelmed. I want to..."
[feeling] "Couldn't sleep. The thing he said keeps coming..."
[ ... 3 more weeks ... ]
4-WEEK TRENDS:
Most frequent feeling: Anxious (9x)
Total entries: 18
Average entries per week: 4.5
Related
Read this page as plain markdown: /docs/for-therapists/reading-export.md