Samna Care by MedEnc

Practice management for therapists & coaches

Run the practice.
Make the hour count.

Samna Care handles scheduling, telehealth, notes, and billing for relationship, sex, and couples therapists and coaches. It also shows you the week between sessions: homework, check-ins, and the data clients choose to share. You start the hour already briefed.

Join the waitlist See pricing

30-day trial for every practice. No credit card required.

HIPAA compliant, BAA included Zero-knowledge encryption Built by MedEnc Technologies
Alex & Jordan Thursday · 2:00 PM · Session 9
Briefing ready
Daily check-ins7 days
11 of 14
Sensate Focus · Stage 1
2 of 3
Repair after conflictGap 4.0
Partner A
7
Partner B
3
Sleep, Partner B−48 min
  • Partners rated Tuesday's argument differently. Worth starting there.
  • Partner B's sleep dropped after Monday. Stress check-ins rose the same days.
  • Love Maps worksheet returned with three open questions.
Shared with consent from SamnaSample data
50 minA typical weekly session
167 hrsOf the week the session never sees
300Worksheets included in every plan
15Therapeutic modalities covered

The product

One system for the front desk and the session.

Scheduling, telehealth, charting, and billing are table stakes. Samna Care covers them for coaches and licensed clinicians, then adds what a typical practice system cannot see: what happened since the last appointment.

A nightstand lamp, journal, and face-down phone in a quiet bedroom.

01 · Between sessions

Stop relying on recall as the record.

People forget or reshape what they felt days earlier, and memory tilts toward the last argument1. Ecological momentary assessment captures states closer to when they happen3, which tells you more than a week reconstructed on the couch2.

When clients share check-ins, sleep, or cycle phase from Samna, it appears next to the chart. You decide what to do with it.

[1] Murre, J. M. J., & Dros, J. (2015). Replication and Analysis of Ebbinghaus’ Forgetting Curve. PLOS ONE, 10(7). doi.org/10.1371/journal.pone.0120644
[2] Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K. (2009). Clinical assessment of affective instability. Psychological Assessment, 21, 425–436. doi.org/10.1037/a0016869
[3] Shiffman, S., Stone, A. A., & Hufford, M. R. (2008). Ecological Momentary Assessment. Annual Review of Clinical Psychology, 4, 1–32. doi.org/10.1146/annurev.clinpsy.3.022806.091415
[4] Kaplan, D. M., et al. (2023). Emotional change in its “natural habitat.” Journal of Psychotherapy Integration, 33, 123–140. doi.org/10.1037/int0000291

02 · Homework

Assign the exercise. See whether it happened.

Paper worksheets disappear into the week. Assign Sensate Focus stages, Gottman exercises, or somatic prompts straight into the client's Samna app, then review what was attempted before the next appointment.

  • Completion and responses sync to the case
  • Works for solo clients, couples, and multi-partner relationships
  • 300 ready-made worksheets, or write your own
A clinician's desk with an appointment book, pen, and tea in morning light.
A sunlit practice foyer with a bench, plant, and low table of books.

03 · Operations

Calendar, telehealth, notes, and billing.

A full practice system, not an add-on to someone else's. Book clients, see them by video, chart the session, and get paid in the same place.

  • Scheduling, reminders, and a client booking portal
  • Unlimited HIPAA-compliant video and audio sessions
  • SOAP, DAP, and BIRP notes with DSM-5 / ICD-10 coding
  • Invoices, card payments, CMS-1500 superbills, and optional insurance claims

Compared with a typical practice system

Same operations. A better-prepared hour.

Capability Typical PMS Samna Care
Scheduling & client portalIncludedIncluded
TelehealthOften a higher tierUnlimited, every plan
Notes, superbills, claimsIncludedIncluded
HomeworkPDF uploadAssigned in the client app and tracked
Between-session check-ins & wearablesNot availableShared with client consent
Partner perception gapsNot availableFlagged before the session
AI scribeSeparate productBuilt into the chart

Included library

300 client worksheets, ready to assign.

Twenty worksheets in each of fifteen modalities, from CBT and Gottman to sex and intimacy, EMDR, and somatic work. Assign one during the session. The client completes it in Samna and the responses are in the case before the next appointment.

300 worksheets · 15 modalities

Client worksheet library

Cognitive Behavioral (CBT) 20
  1. Thought Record & Restructuring
  2. Cognitive Distortion Identifier
  3. Behavioral Activation & Mood Tracker
  4. Core Belief Exploration
  5. Worry Time & Delay Scheduler
  6. ABCDE Emotional Model
  7. Decatastrophizing & Probability Matrix
  8. Fear & Exposure Hierarchy Builder
  9. Compassionate Self-Talk Reframer
  10. Automatic Thought Interceptor
  11. Problem-Solving 5-Step Worksheet
  12. Cognitive Flexibility Rating
  13. Perceived vs Actual Risk Matrix
  14. Coping Thought Cards Generator
  15. Anxiety Trigger & Response Log
  16. Socratic Questioning Guide
  17. Downward Arrow Core Probe
  18. Activity Mastery & Joy Log
  19. CBT Relapse Prevention Plan
  20. Balanced Thinking Weekly Review
Dialectical Behavior (DBT) 20
  1. PLEASE Skill Physical Health Check
  2. TIPP Distress Tolerance Log
  3. DEAR MAN Objective Interpersonal Request
  4. FAST Self-Respect Maintenance Log
  5. GIVE Relationship Nurturing Tracker
  6. Radical Acceptance Turning the Mind
  7. DBT Emotion Regulation Diary
  8. Opposite Action Decision Matrix
  9. STOP Skill Impulsivity Pause
  10. Wise Mind vs Emotion Mind Check
  11. Mindfulness of Current Emotion
  12. Distress Tolerance Pros & Cons
  13. Self-Soothe 5-Senses Plan
  14. ABC PLEASE Daily Wellness Tracker
  15. Validation Self & Other Log
  16. Dialectical Thinking & Both/And Matrix
  17. Interpersonal Conflict Post-Mortem
  18. Willingness vs Willfulness Reflection
  19. Crisis Survival Plan
  20. DBT Weekly Skills Reflection
Emotionally Focused (EFT) 20
  1. De-escalating the Negative Cycle
  2. Primary vs Secondary Emotion Unpacker
  3. Vulnerable Attachment Need Expressor
  4. Pursuer-Distancer Dynamic Reflection
  5. Attachment Injury Repair Worksheet
  6. Softening Request Generator
  7. Safe Haven Assessment
  8. Secure Base Relationship Checklist
  9. Withdrawer Re-engagement Roadmap
  10. Blamer Softening Reflection
  11. Emotional Responsiveness Rating
  12. ARE (Accessible, Responsive, Engaged) Scale
  13. Deep Emotional Trigger Map
  14. Rebuilding Trust Step-by-Step
  15. Expressing Fear of Abandonment / Rejection
  16. Attachment History & Early Models
  17. Intimacy & Emotional Reach Out Log
  18. De-escalation Timeout Protocol
  19. Shared Vulnerability Journal
  20. Bond Consolidation & Future Roadmap
Gottman Method 20
  1. Love Map Knowledge Quiz & Update
  2. Four Horsemen & Antidotes Tracker
  3. Turning Towards Bids for Connection
  4. Fondness and Admiration Deposit Log
  5. Stress-Reducing Conversation Checklist
  6. Dreams Within Conflict Explorer
  7. Compromise Circle & Two-Oval Matrix
  8. Emotional Bank Account Balance Sheet
  9. Aftermath of a Fight Process
  10. Shared Meaning & Rituals of Connection
  11. Softened Startup Re-framer
  12. Physiological Flooding & Pulse Pause
  13. Accepting Influence Assessment
  14. Relationship Appreciation Expressor
  15. Gridlock to Dialogue Exploration
  16. Weekly State of the Union Meeting
  17. Shared Goals & Life Purpose Alignment
  18. Positive Affect During Conflict Check
  19. Repair Attempt Effectiveness Log
  20. Sound Relationship House Annual Checkup
Sex & Intimacy 20
  1. Sensate Focus Stage 1 (Non-Genital Touch Log)
  2. Sexual Desire & Libido Spectrum Map
  3. Intimacy Barriers & Anxiety Unpacker
  4. Erotic Palette & Consent Boundaries
  5. Communicating Sexual Fantasies & Wishes
  6. Pleasure vs Performance Pressure Reflection
  7. Touch Preferences Inventory
  8. Sexual Grounding & Body Mindfulness
  9. Body Image & Intimacy Confidence Log
  10. Orgasmic Consistency & Expectation Journal
  11. Erotic Script & Preference Exploration
  12. Resolving Sexual Frequency Mismatch
  13. Post-Coital Aftercare & Connection Check
  14. Pain/Discomfort & Pelvic Awareness Log
  15. Sensate Focus Stage 2 (Genital Touch Log)
  16. Non-Sexual Physical Affection Log
  17. Vulnerable Sexual Communication Prompts
  18. Erotic Energy & Vitality Tracker
  19. Intimacy Renewal & Novelty Ideas
  20. Holistic Intimacy Wheel Assessment
Psychodynamic 20
  1. Transference & Projection Tracker
  2. Defense Mechanism Inventory
  3. Family of Origin Script Analysis
  4. Unconscious Relational Repetition Log
  5. Internalized Critic & Super-Ego Journal
  6. Early Attachment Memory Reconstruction
  7. Shadow Self Integration Dialogue
  8. Object Relations & Internal Images
  9. Resistance & Emotional Block Detector
  10. Dream & Symbolic Imagery Journal
  11. Splitting vs Integration Reflection
  12. Enactment & Acting Out Analysis
  13. True Self vs False Self Unpacker
  14. Counter-Transference Self-Reflector
  15. Mourning & Unresolved Loss Reflection
  16. Narcissistic Injury & Repair Log
  17. Separation-Individuation Progress
  18. Instinctual Drives & Emotional Need Balance
  19. Internal World Relationship Map
  20. Insight to Integration Action Journal
Acceptance & Commitment (ACT) 20
  1. Values Bullseye & Domain Alignment
  2. Cognitive Defusion & Thought Unhooking
  3. Choice Point Decision Diagram
  4. Willingness & Struggle Switch Matrix
  5. Leaves on a Stream Mindfulness Log
  6. Pain vs Suffering Differentiation
  7. Committed Action Step Generator
  8. Observing Self & Perspective Taking
  9. Hooked vs Unhooked Behavior Log
  10. Life Compass Alignment Check
  11. Acceptance of Difficult Sensations
  12. Mindful Presence & Contact with Now
  13. Values-Based Obstacle Course
  14. Self-as-Context Horizon Journal
  15. Passengers on the Bus Metaphor Log
  16. Expansion & Space Making for Emotion
  17. Willingness Action Protocol
  18. Vitality vs Avoidance Balance
  19. Personal Eulogy & Values Clarification
  20. ACT Matrix Daily Practice
Somatic Experiencing 20
  1. Nervous System State Self-Log
  2. Body Sensation Mapping & Interoception
  3. Pendulation Between Comfort & Tension
  4. Titration & Micro-Dosing Stress
  5. Grounding 5-4-3-2-1 Sensory Journal
  6. Fight/Flight/Freeze Trigger Tracker
  7. Somatic Discharge & Release Log
  8. Safe Place Imagery & Somatic Anchor
  9. Vagus Nerve & Diaphragmatic Breath
  10. Boundary Sensing & Spatial Awareness
  11. Posture & Bodily Alignment Reflection
  12. Motor Impulse & Defense Completion
  13. Resourcing Body Anchors
  14. Visceral Emotion Locating
  15. Tremoring & Shaking Release Reflection
  16. Heart-Rate Variability & Calm Check
  17. Somatic Voice & Throat Expansion
  18. Touch & Pressure Self-Soothing Log
  19. Orientation to Environment Practice
  20. Somatic Resiliency Daily Checklist
Internal Family Systems (IFS) 20
  1. Internal Parts Map & System Overview
  2. Manager & Protector Identification
  3. Firefighter Impulsive Behavior Log
  4. Unburdening Preparation Journal
  5. Self-Leadership & 8 Cs Check
  6. Exile Part Listening & Dialogue
  7. Trailhead Exploration Worksheet
  8. Protectors Gratitude & Appreciation Log
  9. Direct Access & Self-to-Part Dialogue
  10. Blending vs Unblending Reflection
  11. Polarized Parts Reconciliation
  12. Internal System Harmony Daily Log
  13. Unblending Exercises & Space Creation
  14. Part Fears & Permission Inquiry
  15. Healing Legacy Burden Worksheet
  16. Self-Presence in Relational Conflict
  17. Body Location of Parts Map
  18. Re-parenting Exile Parts Log
  19. Internal Council Meeting Worksheet
  20. Daily IFS System Check-In
Mindfulness-Based (MBCT) 20
  1. 3-Minute Breathing Space Log
  2. Body Scan Attention Journal
  3. Mindful Movement & Stretch Tracker
  4. Pleasant Events Mindfulness Calendar
  5. Unpleasant Events Mindfulness Calendar
  6. Automatic Pilot Detector
  7. Thoughts are Not Facts Reframer
  8. Mindful Eating & Sensory Exploration
  9. Acceptance of Current Experience Log
  10. Mindful Reaction vs Response Matrix
  11. Self-Compassion Break Journal
  12. Walking Mindfulness Reflection
  13. Early Warning Signs of Relapse Check
  14. Mindful Pause During Stress
  15. Sound & Thought Awareness Practice
  16. Letting Go & Non-Striving Journal
  17. Compassionate Body Connection
  18. Daily Mindfulness Practice Tracker
  19. Mindfulness in Difficult Conversations
  20. MBCT Maintenance & Wellness Blueprint
Narrative Therapy 20
  1. Externalizing the Problem Journal
  2. Alternative Storyline Authoring
  3. Unique Outcomes & Sparkle Moments
  4. Definitional Ceremony Reflection
  5. Landscape of Action vs Consciousness
  6. Letter to the Problem
  7. Deconstructing Cultural & Social Myths
  8. Re-authoring Identity Map
  9. Certificate of Resistance & Resilience
  10. Tree of Life Identity Map
  11. Problem Tactics & Strategies Log
  12. Re-membering Conversations Journal
  13. Documenting Personal Victories
  14. Outsider Witness Inquiry
  15. Counter-Documenting Alternative Story
  16. Tracing Problem History & Origins
  17. Audience of Support Identifier
  18. Reclaiming Preferred Values
  19. Future Story Chapter Writing
  20. Narrative Summary & Integration Log
Solution-Focused (SFBT) 20
  1. Miracle Question Deep Dive
  2. Scaling 1-10 Progress Tracker
  3. Exception Finding Journal
  4. Coping Questions in Hard Times
  5. Preferred Future Blueprint
  6. Personal Resources & Strengths Inventory
  7. Small Change & Domino Effect Tracker
  8. Compliment & Self-Affirmation Log
  9. What is Working Well Analysis
  10. Step-by-Step Goal Ladder
  11. Fast-Forward Success Visualization
  12. Relational Miracle Question
  13. Scaling Confidence & Commitment
  14. Difference-Making Discovery Log
  15. Previous Success Re-activation
  16. One-Degree Course Correction
  17. Notice What Works Between Sessions
  18. Solution-Focused Signs of Progress
  19. Future Self Advice Journal
  20. SFBT Wrap-Up & Milestone Log
Imago Relationship Therapy 20
  1. Imago Couples Dialogue Script
  2. Childhood Wound & Partner Selection
  3. Frustration to Desire Converter
  4. Caring Behaviors Wishlist
  5. Re-romanticizing Practice Log
  6. Parent-Child Dialogue Reflection
  7. Zero Reactivity Zone Agreement
  8. Daily Appreciations Dialogue
  9. High-Frustration Holding Exercise
  10. Shared Relationship Vision Map
  11. Mirroring, Validating, Empathizing Log
  12. Stretching Outside Comfort Zone
  13. Fun and Surprises Action Plan
  14. Safe Conversation Rules Check
  15. Healing Childhood Longings
  16. Deep Empathy Unpacker
  17. Conscious Relationship Commitments
  18. Imago Dialogue Self-Rating
  19. Transforming Defense to Connection
  20. Imago Relational Sacred Space
EMDR & Trauma 20
  1. Safe/Calm Place Installation Journal
  2. Container Visualization & Storage Log
  3. Negative vs Positive Cognition Matrix
  4. Subjective Units of Distress (SUD) Tracker
  5. Trigger & Body Sensation Location
  6. Resourcing & Butterfly Tapping Log
  7. Future Template Rehearsal Journal
  8. Trauma Memory Timeline Mapping
  9. Post-Session Integration Journal
  10. Grounding & Anchor Inventory
  11. Validity of Cognition (VOC) Rating
  12. Interweave Strategy Self-Reflection
  13. Body Scan & Residual Tension Check
  14. Tipping Point & Breakthrough Log
  15. Float-Back Memory Discovery
  16. Self-Regulation Resource Installation
  17. EMDR Target Sequence Plan
  18. Post-Processing Dream & Insight Log
  19. Dual Awareness Grounding Practice
  20. Trauma Recovery Milestone Tracker
Integrative & Other 20
  1. Integrative Wellness Assessment
  2. Biopsychosocial Daily Balance Log
  3. Healthy Lifestyle & Habits Adjuster
  4. Healthy Boundary Setting Matrix
  5. Daily Gratitude & Growth Journal
  6. Sleep Hygiene & Circadian Tracker
  7. Comprehensive Relapse Prevention
  8. Social & Support Network Map
  9. Major Life Transition Action Plan
  10. Interpersonal Rights Bill of Rights
  11. Time Management & Priority Balance
  12. Stress Audit & Coping Inventory
  13. Emotional Intelligence Self-Check
  14. Financial & Relational Stress Log
  15. Grief & Loss Healing Journal
  16. Anger & Agitation Warning Signs
  17. Self-Esteem & Worthiness Builder
  18. Burnout Recovery & Pace Plan
  19. Spiritual & Philosophical Alignment
  20. Comprehensive Life Balance Wheel

Assessment framework

Four spheres of relationship life.

Samna Care organizes assessment around MedEnc's evidence-based map of relationship life. Spheres describe where friction sits. Connection channels describe how care is offered and received this week.

Sphere 1

Core Foundations

Money, family planning, faith, civic values, and morals. Misalignment here tends to be structural.

Shared Meaning Theory

Sphere 2

Emotional & Physical Connection

Conflict, intimacy, vulnerability, romance, and crisis. The safety that makes the rest of the work possible.

Attachment · Sound Relationship House

Sphere 3

Daily Logistics & Lifestyle

Labor, rhythms, extended family, and screens. Small unfairness, compounded, becomes resentment.

Social Exchange · Mental Load

Sphere 4

Growth, Leisure & Independence

Work, social energy, health, travel, and curiosity. Room for each person to keep growing.

Self-Expansion Model

Homework and in-session bids travel through five connection channels: somatic presence, verbal affirmation, dedicated sanctuary, devoted support, and thoughtful tokens. Assess on the element, then intervene through the channel the client can receive. Read the full framework.

Client companion app

Your clients use Samna. You see what they share.

Samna is MedEnc's app for individuals, couples, and partners, available now on iOS and Android. Clients log check-ins and complete homework during the week. With their consent, that data reaches your Samna Care briefing.

Samna app icon

Samna

For individuals, couples & partners · iOS and Android

Clients use Samna on their own schedule. Nothing reaches the practice until they grant it.

  • Check-ins and moodDaily entries logged close to the moment, from each partner independently.
  • Assigned homeworkSensate Focus stages, Gottman exercises, and worksheets, with attempts and sticking points.
  • Cycle and hormonal contextMenstrual cycle, perimenopause, HRT, and TRT logs alongside libido and mood.
  • Wearable trendsSleep, resting heart rate, and HRV from Apple Health and Health Connect.
App Store Google Play About Samna

How data reaches your desk

  1. You invite the client

    Send a private link or QR code from the case. The client connects their Samna account in one step.

  2. The client chooses what to share

    Each field is a separate grant. Personal journals can stay private while homework and check-ins sync.

  3. Data stays encrypted

    Records are encrypted with AES-256 using keys MedEnc never stores, and filed under shadow identifiers.

  4. The briefing is ready before the session

    Completed exercises, partner perception gaps, and trends appear next to the chart.

A brass key, sealed envelope, and leather notebook in soft window light.
HIPAA compliantBAA signed with every practice
Clients hold the keys. The practice sees only what they grant.

Privacy & security

Built so we can't read your clients' records.

Sexual health and relationship logs are among the most sensitive records a person keeps. Samna Care runs on MedEnc's zero-knowledge architecture: keys stay with the client, timelines sit under a shadow identifier, and every share can be narrowed or revoked.

  • Ephemeral AES-256 keysKeys are supplied at request time, held in memory, and never written to disk.
  • Shadow identifiersClinical timelines are not filed under the login identity used for email and billing.
  • Field-level consentMoods, symptoms, libido, and activity logs each require an explicit grant.
  • HIPAA & PIPEDAEncrypted audit trails and a signed Business Associate Agreement for every practice.

Pricing

Plans for coaches and clinicians.

Every plan includes unlimited telehealth, the worksheet library, the Samna client connection, and one practitioner seat.

Coach

Relationship, intimacy, and somatic coaches. No insurance or CPT tooling.

$29.99/ month

Billed monthly

Join the waitlist
  • Calendar, scheduling & booking portal
  • Unlimited HIPAA telehealth
  • Homework assigned into Samna
  • Client progress and habit tracking
  • Coaching packages, invoices & card payments
Most popular

Therapist

Licensed clinicians: LMFTs, LCSWs, LPCs, psychologists, and certified sex therapists.

$59.99/ month

Billed monthly

Join the waitlist
  • Everything in Coach, plus:
  • SOAP, DAP & BIRP progress notes
  • Treatment plans with DSM-5 / ICD-10 coding
  • Encrypted charts and client records
  • Consented client data: sleep, HRV, cycle phase
  • CMS-1500 superbills for out-of-network clients

All-In Clinical Suite

The full system: Therapist plus every clinical add-on, at a lower combined price.

$119.99/ month

Billed monthly · $129.96 if bought separately

Join the waitlist
  • Everything in Therapist, plus:
  • Insurance clearinghouse EDI
  • Clinical AI and perception-gap alerts
  • Ambient voice scribe with draft notes

Add-ons

Available on Coach and Therapist. Included in the All-In Clinical Suite.

Insurance Clearinghouse EDI

Electronic claims (837P), remittance posting (835), and real-time eligibility checks (270/271), with pre-submission claim scrubbing.

+$9.99 / mo25 claims included, then $0.20 each

Clinical AI

Flags where partners' check-ins diverge, stress spikes across a couple, and cycle-related friction windows. Every flag is presented for your review.

+$29.99 / mo

Ambient Voice Scribe

Records telehealth or in-person sessions, separates speakers, and drafts SOAP or DAP notes. You edit before anything is charted.

+$29.99 / moFlat rate, no hourly fees

Additional clinician seat

For group practices. Admin and support staff accounts are free and don't use a seat.

+$29.99 / moper clinician
30-day trial with full access No credit card to start BAA included on every plan Prices in USD.

FAQ

Common questions

Anything else? Write to sales@medenc.com.

How is Samna Care different from SimplePractice or TherapyNotes?

Samna Care covers the same operations: scheduling, telehealth, notes, superbills, and claims. The difference is the week between sessions.

Clients who consent share check-ins, completed homework, and wearable trends from Samna. Partner perception gaps are flagged before you sit down, so the session starts with a briefing.

Can coaches use Samna Care?

Yes. The Coach plan is built for relationship, intimacy, and somatic coaches. It includes scheduling, a booking portal, unlimited telehealth, the homework engine, and invoicing, without insurance or CPT tooling coaches can't use.

What do the plans cost?

Coach is $29.99/month, Therapist is $59.99/month, and the All-In Clinical Suite is $119.99/month. Annual billing brings these to $24.99, $49.99, and $99.99 per month.

Add-ons: Insurance EDI (+$9.99/month, 25 claims included, then $0.20 per claim), Clinical AI (+$29.99/month), Ambient Voice Scribe (+$29.99/month), and extra clinician seats (+$29.99/month).

Is there a free trial?

Every new practice gets 30 days of full access, add-ons included. No credit card is required to start.

Is Samna Care HIPAA compliant?

Yes. Samna Care uses MedEnc's zero-knowledge architecture. Encryption keys are supplied at request time and never stored. Clinical timelines are filed under shadow identifiers separate from billing identities, and every practice signs a Business Associate Agreement.

How do clients connect?

Clients install Samna from the App Store or Google Play, then accept a private invitation link or QR code from your practice. They choose, field by field, what you can see.

Samna Care

Spend the session on the work, not on catching up.

Join the waitlist for early access and a guided setup for your practice.

Join the waitlist Talk to us