A measurement tool that captures the rhythm between you and your patients, not just what you talk about, but how you say it.
What is the Psychotherapy Attunement Scale?
Psychotherapy is most effective when the therapist and patient are in sync. The Psychotherapy Attunement Scale measures this synchronization using linguistic analysis — tracking function words, syntax patterns, and communication rhythms to assess the strength of the therapeutic alliance in real time.
How It Works
CarePaths uses AI to analyze therapy session transcripts and calculate a Psychotherapy Attunement Score. The system compares linguistic patterns between therapist and patient, measuring how similarly they use function words, sentence structure, and conversational style. This creates a session-level attunement score that can be tracked over time.
The Psychotherapy Attunement Scale is grounded in peer-reviewed research on language style matching (LSM) — the finding that when therapists and patients converge on how they use language, therapeutic alliance and outcomes improve:
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CarePaths is a one stop shop for our practice. We are able to submit claims, write clinical notes, send appointment reminders to clients, and have clients pay their bill all in one place.
Katerina Rios
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CarePaths’ MBC has transformed my ability to track clinical outcomes over time. I can actually see when a treatment is working — and when it isn’t — in real time.
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The Psychotherapy Attunement Scale (PAS) is a measurement tool that assesses the strength of the therapeutic alliance by analyzing linguistic patterns in therapy session transcripts. It measures how similarly therapists and patients use language — function words, syntax patterns, and conversational rhythms — to identify moments of strong or weak attunement.
The PAS is calculated automatically from AI-generated therapy session transcripts. The system compares linguistic patterns between therapist and patient, measuring alignment in function-word usage, sentence structure, and communication style. This produces a session-level attunement score that can be tracked over time.
No. The PAS is generated automatically from AI session summaries or teletherapy transcripts. Once enabled, every session produces an attunement score and report without any manual input from the therapist.
A low PAS score indicates a potential disruption in the therapeutic alliance. The report pinpoints specific moments in the session where attunement dropped, helping therapists identify and address possible misunderstandings, patient resistance, or unspoken concerns before they escalate.
Yes. The PAS is grounded in peer-reviewed research on linguistic attunement and language style matching (LSM) in psychotherapy. Studies have shown that higher linguistic alignment between therapist and patient correlates with stronger therapeutic alliance.
PAS makes supervision concrete by identifying specific moments in sessions where the alliance weakened. Supervisors and trainees can review these moments together, turning abstract discussions about alliance into targeted, actionable feedback.
Yes. The PAS report tracks attunement session-by-session over the full course of treatment. This longitudinal view helps therapists and supervisors spot patterns, measure improvement, and identify patients who may be at risk of dropout due to weakening alliance.
No. Individual session data is never used to retrain or improve the PAS algorithm without explicit, informed consent. The algorithm was developed using de-identified research transcripts and does not learn from your clinical practice.
