FOR COACHES AND CLINICIANS
What happens to your client on Wednesday.
You have fifty-five minutes a week with someone whose difficulty is doing the thing when you are not in the room. This page is what we do in the other six days, and the longer list of what we will never do.
The part of the week you do not get paid for
Most ADHD coaches already work between sessions. In Sibley and colleagues’ 2026 national survey of 481 US ADHD coaches, 82.7% reported providing client support between sessions (text, email, a check-in) at a median caseload of ten clients, four sessions a month each, an hour at a time.
The survey does not ask how that between-session work gets paid for. As far as we can tell, nobody has asked.
It is also the part nobody has built for. The tools that exist are built for the session: notes, scheduling, assignments, and a completion status you can look at afterwards. The six days in the middle are held together by whichever coach is willing to answer a text at nine at night.
Reminders do not work. Here is the study.
We should say this before we describe anything we do, because it is the obvious objection and it is correct.
In 2022, Nordby and colleagues ran a randomised test of SMS reminders inside a self-guided intervention for adults with ADHD. Their finding: “SMS reminders do not improve number of logins, module completion rates or practice of coping strategies.” The study was small and had real limitations: 109 people, an imbalanced sample, and every participant received some baseline notification. But the authors’ explanation of the null result is the important part. Reminders, they wrote, “do not target the specific barriers to adherence in psychological interventions for adults with ADHD.”
That is the whole design brief. A reminder tells a person about a task they already knew about, which is the one thing they did not need. It hands the problem back with a timestamp on it.
So the brief we took from that finding is not to build a better reminder. It is to hand back less of the problem than we were given.
How far along that we actually are, per capability, is the next section, and where we are not there yet, it is not listed.
What she actually does between Tuesday and Tuesday
She holds the thing that was decided in your session, and brings it back at the hour it has to happen rather than at the hour it was agreed. Text, forward, photograph or say it out loud. The lightest interaction is not a shorter message, it is not composing one at all.
She cuts a task down until the first step is too small to refuse, and hands over one piece at a time so the rest of it is never in the room.
She turns a deadline into a sequence that starts today, not on the night before. Time is the thing that is not being felt; a countdown is the accommodation for that.
She says when to leave, not when to arrive. Travel time against the hour it starts, so the warning lands while there is still something to do about it.
She takes the thing that was bought at eleven at night and holds it for a day, then asks whether it is still worth it. No shopping, no cheaper alternatives, nothing that talks anyone back into it.
One message, as it actually arrives:
Time to go for the insurance form.
The difference that matters for you
Tools in this category are built around assigning work and tracking whether it got done, which produces a completion record and reports it upward to the practitioner. That is a compliance frame, and it changes what the client is doing: performing for a record. There is no record here, because there is nothing to report to.
What she will never do
Each refusal names what makes it true: a code path, a design decision, or an absence.
- She will neverGive medication advice.Not a dose, not a missed dose, not a side effect, not whether to take it today.
- The refusal is deterministic and sits ahead of the model, in the same layer as the carrier keywords. It does not depend on the model behaving. PAAC’s code draws the same line at 2.5, for the coaches it credentials: “PAAC-Credentialed Coaches do not recommend medications or give medical advice.”
- She will neverDiagnose, screen, or assess.
- There is no instrument in the product. No symptom inventory, no severity scoring, no verdict of any kind. PAAC 2.4: “Being a PAAC-Credentialed Coach does not qualify one to diagnose ADHD.” Being a text message does not either.
- She will neverProvide therapy or treat a mental health condition.
- She does logistics. Clinical disclosures route to the crisis path (below) or to a plain statement that this is not what she is for. PAAC 2.6.
- She will neverCoach.
- No goal-setting, no strategies, no reframing, no accountability conversations. She executes what has already been decided, in your session or in the client’s head. She does not decide.
- She will neverContradict your plan, or offer an alternative one.
- She does not know your plan, and she is not built to have one. The absence is the mechanism.
- She will neverUpsell your client to human coaching.
- There is no human coaching to sell. One subscription, one product, no tier that adds a human being.
- She will neverContact you, their prescriber, their employer, their school, or their family.
- Not on their instruction to do it once, and never on ours. There is no outbound path to a third party in the system at all.
- She will neverReport on your client to anyone.
- Not a dashboard, not a digest, not a summary, not a paid feature, not with an opt-out.
- She will neverCount your client.
- No streaks, no scores, no meters, no percentages, no allowances, shown to you and shown to them. A number that makes someone hesitate to ask for help is the exact behaviour this exists to remove, so it is not built rather than not displayed.
- She will neverMake your client feel bad about a missed thing.
- Every outgoing message is checked before it leaves. A message that would have felt bad to receive is treated here as the most serious class of bug there is, and the check is code, not a guideline. She never references how long something sat.
- She will neverClaim to have helped.
- We have measured nothing. See below.
Status as of August 2026. We update this page when we test on a phone, not when we merge.
What you can see
Nothing.
There is no coach view. No dashboard, no weekly digest, no completion feed, no “your client has been quiet since Thursday.” It is not a paid tier and it is not an opt-in, because a visibility feature in a product like this gets used the way visibility features get used, and because a client who knows they are being reported on is managing their record instead of their week.
Your client knows this too; it is written where they can read it, in the same words. Nobody is operating on a different understanding of the arrangement. If you want to know how it is going, the person to ask is sitting in front of you for fifty-five minutes.
Data, and which rules actually bind us
Are you a covered entity here?
Quite possibly not, and neither are we. HIPAA attaches to health plans, clearinghouses, and providers who transmit health information electronically for standard transactions. In Sibley and colleagues’ 2026 survey of 481 US ADHD coaches, 95.2% accepted self-pay and 4.4% accepted health insurance. If your practice never submits an electronic claim, HIPAA generally does not reach it, but that is a fact about your practice, and you should confirm it about yours rather than take it from a survey median.
Is this a business associate relationship?
Not by default. HHS draws the line at whether a party acts on behalf of a covered entity:
- Your client signs up and pays us directly, and we act for them: No.
- An individual is not a covered entity.
- You recommend us and your client signs up themselves: No.
- A recommendation is not a delegation of a covered function.
- You, as a coach who is not a covered entity, contract us: No.
- There is no covered entity in the chain.
- A covered clinician contracts us to handle protected health information on their behalf, or data flows back into their record: Yes.
- That needs a signed business associate agreement. We would tell you that rather than let it happen quietly.
Not HIPAA is not the same as not accountable
The FTC’s Health Breach Notification Rule covers consumer health services outside HIPAA. It obliges notification without unreasonable delay and within 60 calendar days of discovering a breach, and simultaneous notice to the FTC for breaches affecting 500 or more people. That clock runs whether or not anyone asks.
What we keep, and for how long
Cancelled accounts are kept for 30 days, so somebody who comes back finds everything intact, and are deleted after that. A deletion request is honoured within 30 days and usually much faster. Both are stated in the privacy policy, and either can be started by texting her.
We do not sell your client’s data, share it with advertisers, or use it for ad targeting, and we do not train AI models on their messages.
What happens in a crisis
Distress language is matched by a pattern, not by a model. That check is the first thing that runs on an incoming message: ahead of the carrier keywords, ahead of billing, ahead of everything, so it still works with the model API completely down.
It outranks every other instruction in the same message. If someone writes something that matches it and asks to delete their account in the same text, the crisis path answers and returns; the deletion is not carried out by that message.
What she sends is one fixed message, identical every time, naming the 988 Suicide and Crisis Lifeline and saying plainly that she is not the right kind of help. No model writes it. Then she stops initiating anything for twenty-four hours, so nothing of ours arrives on top of it.
We do not notify you. You are not on call for this and we have not asked you to be, and a service that pages a coach at eleven at night has quietly made the coach responsible for something they did not agree to and cannot act on.
One person is alerted: us. It is a two-person company and the alert goes to the founder, so that a real human knows a real thing happened and can read the thread. We would rather tell you that than let you find it out later.
Sources
- Sibley et al. (2026). Demographics, Services, and Practices in ADHD Coaching in the US. JAMA Network Open.
- Nordby et al. (2022). The Effect of SMS Reminders on Adherence in a Self-Guided Internet-Delivered Intervention for Adults With ADHD. Frontiers in Digital Health.
- Ahmann, Tuttle, Saviet & Wright (2018). A Descriptive Review of ADHD Coaching Research. Journal of Postsecondary Education and Disability.
- Field et al. (2010). The Impact of ADHD Coaching on College Students. Edge Foundation / Wayne State University.
- PAAC Code of Ethics.
- ICF Code of Ethics.
- HHS. Business Associates.
- FTC. Complying with FTC’s Health Breach Notification Rule.
Nothing here has been proven, including by us
There are no users besides the founder. No study, no pilot, no outcome data, no retention curve. If you are evaluating whether to say our name to someone who trusts you, that is the fact that matters most and we would rather you have it from us.
The evidence behind coaching itself is thinner than the field usually says out loud. All nineteen studies in the field’s own 2018 review report a positive result, and the people who wrote that review note in it that the studies “were mostly quite small in size and lacked control groups.” The largest controlled study (159 college students across ten institutions, funded by a coaching foundation) found large within-group gains on self-reported self-regulation, and no significant difference between groups on GPA. We think that distinction is worth stating rather than leaving for you to find.
What we want in the next ninety days is ten real people, sixty days, and one number: how many are still texting her in week eight. We would rather say that plainly than write around it.
What we are actually asking for
Not a referral. It is too early and you would be putting your name on something nobody has used.
What is worth twenty minutes is the other direction: what actually happens to your clients between sessions, what you end up absorbing, and which of the refusals above is the one that would still stop you. If something on this page is wrong, that is the most useful thing you could tell us; we would rather hear it now than find it in six months.
And if you want to use her yourself, for your own week, that is free and there is nothing attached to it. No expectation, no follow-up sequence, no reason to mention it again.
support@textmags.com reaches a person, not a queue. There are two of us, so it is one of the two.