NOW LIVEThe Gold-Standard Clinical Genogram Suite • All 22 Modalities Natively Built

The Clinical Genogram Suite
Built for Modern Therapy

Stop wrestling with generic whiteboards and hand-drawn intake charts. Genosm pairs the industry's most advanced clinical genogram maker with native support for every major therapeutic diagram, including Ecomaps, Window of Tolerance, Trauma Lifelines, and DBT chains.

Purpose-built for Therapists, Clinical Social Workers, MFTs, and Genetic Counselors. Stored 100% locally on your device with HIPAA-ready confidentiality.

See Examples & Diagrams
119 clinicians using Genosm•Saves 30-45 min per diagram•AI Genogram Maker + AI Analysis
SOURCE-BACKED CLINICAL CONTEXT
Clinical Genograms•Family Systems
Core Modality
genogram • canvasEXPLORE →
Clinical Genograms & Family Systems Assessment Screenshot
LIVE GENOGRAMMCGOLDRICK SYMBOLSCLINICAL EXPORT
Ecological Ecomaps•Social Systems
Core Modality
ecomap • canvasEXPLORE →
Ecological Ecomaps & Social Support Networks Screenshot
HARTMAN CONNECTORSENERGY EXCHANGESCOMMUNITY NODES
Medical Pedigrees•Genetics
Core Modality
pedigree • canvasEXPLORE →
Medical Pedigree Charts & Genetic Trait Tracking Screenshot
MENDELIAN PATTERNSCARRIER MARKERSCONSANGUINITY
Window of Tolerance•Trauma & Somatics
Autonomic Regulation
window_of_tolerance • canvasEXPLORE →
Window of Tolerance & Autonomic Regulation Curves Screenshot
REGULATION ZONESSOMATIC CUESAUTONOMIC TRACKING
IFS Parts Map•Internal Systems
Self & Multiplicity
ifs_parts • canvasEXPLORE →
Internal Family Systems (IFS) Parts Mapping Screenshot
SELF-LEADERSHIPMANAGERS & EXILESPOLARITY LINES
Polyvagal Ladder•Neurobiology
Nervous System
polyvagal_ladder • canvasEXPLORE →
Polyvagal Ladder & Nervous System States Screenshot
VENTRAL VAGALSYMPATHETIC TRIGGERSDORSAL COLLAPSE
CBT Formulation•Cognitive Behavioral
Beck 5-Factor
cbt_formulation • canvasEXPLORE →
CBT 5-Factor Formulation & Vicious Cycles Screenshot
5-FACTOR MODELVICIOUS CYCLESTARGET NODES
Schema Therapy•Schema Modes
Young Inventory
schema_therapy • canvasEXPLORE →
Early Maladaptive Schema Scale & Mode Mapping Screenshot
YOUNG 18 SCHEMASRADAR WHEELCHAIRWORK MODES
ABC Behavior Chart•Behavioral Analysis
FBA & REBT
abc_chart • canvasEXPLORE →
ABC Functional Behavior Analysis (FBA) Chart Screenshot
ANTECEDENTS & EVENTSBEHAVIOR CHAINSCONSEQUENCE AUDIT
Transactional Analysis•Relational Therapy
PAC Ego States
transactional_analysis • canvasEXPLORE →
Transactional Analysis & PAC Ego-State Diagrams Screenshot
PAC EGO STATESDRAMA TRIANGLECROSSED VECTORS
Moreno Sociogram•Group Dynamics
Sociometry
sociogram • canvasEXPLORE →
Moreno Sociograms & Group Dynamics Analysis Screenshot
ATTRACTION MATRIXPEER CLUSTERSISOLATION METRICS
The Johari Window•Self-Awareness
Blindspot Discovery
johari_window • canvasEXPLORE →
The Johari Window Disclosure & Blindspot Tool Screenshot
OPEN ARENABLIND SPOT57 CLINICAL TRAITS
Cycle of Abuse•Safety & Crisis
Safety Planning
cycle_of_abuse • canvasEXPLORE →
Cycle of Abuse & Coercive Control Assessment Screenshot
WALKER 4-PHASECOERCIVE CONTROLCRISIS SAFETY PLAN
Culturagram Assessment•Multicultural
10-Domain Ecology
culturagram • canvasEXPLORE →
Culturagram 10-Domain Immigrant Assessment Screenshot
10-DOMAIN RINGSRELOCATION REASONSCULTURAL VALUES
Narrative Externalizing•Narrative Therapy
Dual Landscapes
narrative_externalizing • canvasEXPLORE →
Narrative Therapy Externalizing & Dual Landscapes Screenshot
LANDSCAPE OF ACTIONSPARKLING MOMENTSRE-AUTHORING
Trauma Lifeline•Trauma & Lifespan
NET Lifeline
trauma_timeline • canvasEXPLORE →
Trauma Lifeline & Narrative Exposure Timeline Screenshot
STONES & FLOWERSSUDS DECAY CURVEACES SCORING
Triangle of Conflict•Psychodynamic
Malan Triangles
triangle_of_conflict • canvasEXPLORE →
Malan Triangle of Conflict & Persons Formulation Screenshot
DEFENSE & FEELINGS3 ANXIETY PATHWAYSDUAL TRIANGLES
DBT Chain Analysis•Dialectical Behavior
Linehan Chain
dbt_chain • canvasEXPLORE →
DBT Target Behavior Chain Analysis & Distress Curves Screenshot
MICRO-CHAIN LINKS16-SKILL CATALOGDISTRESS GATES
ACT Matrix & Hexaflex•Acceptance & Commitment
Hexaflex
act_matrix • canvasEXPLORE →
ACT Matrix & Hexaflex Flexibility Formulation Screenshot
4-QUADRANT SORTINGHEXAFLEX PROCESSSTUCK WORKABILITY
Somatic Body Map•Somatic & Interoception
EMDR AIP
somatic_body_map • canvasEXPLORE →
Somatic Body Map & AIP Trauma Networks Screenshot
24-REGION MAPEMDR TRAUMA AIPSOMATIC PENDULATION
Feelings Wheel•Emotional Literacy
Affect Taxonomy
feelings_wheel • canvasEXPLORE →
Feelings Wheel & Affect Taxonomy Tracker Screenshot
CONCENTRIC WHEELSPLUTCHIK & WILLCOXDELTA TRACKING
Hero's Journey•Narrative Monomyth
Archetypal Quest
heros_journey • canvasEXPLORE →
Hero's Journey & Archetypal Quest Formulation Screenshot
12-STAGE MONOMYTH8 CAST ARCHETYPESELIXIR HUB
Clinical Genograms•Family Systems
Core Modality
genogram • canvasEXPLORE →
Clinical Genograms & Family Systems Assessment Screenshot
LIVE GENOGRAMMCGOLDRICK SYMBOLSCLINICAL EXPORT
Ecological Ecomaps•Social Systems
Core Modality
ecomap • canvasEXPLORE →
Ecological Ecomaps & Social Support Networks Screenshot
HARTMAN CONNECTORSENERGY EXCHANGESCOMMUNITY NODES
Medical Pedigrees•Genetics
Core Modality
pedigree • canvasEXPLORE →
Medical Pedigree Charts & Genetic Trait Tracking Screenshot
MENDELIAN PATTERNSCARRIER MARKERSCONSANGUINITY
Window of Tolerance•Trauma & Somatics
Autonomic Regulation
window_of_tolerance • canvasEXPLORE →
Window of Tolerance & Autonomic Regulation Curves Screenshot
REGULATION ZONESSOMATIC CUESAUTONOMIC TRACKING
IFS Parts Map•Internal Systems
Self & Multiplicity
ifs_parts • canvasEXPLORE →
Internal Family Systems (IFS) Parts Mapping Screenshot
SELF-LEADERSHIPMANAGERS & EXILESPOLARITY LINES
Polyvagal Ladder•Neurobiology
Nervous System
polyvagal_ladder • canvasEXPLORE →
Polyvagal Ladder & Nervous System States Screenshot
VENTRAL VAGALSYMPATHETIC TRIGGERSDORSAL COLLAPSE
CBT Formulation•Cognitive Behavioral
Beck 5-Factor
cbt_formulation • canvasEXPLORE →
CBT 5-Factor Formulation & Vicious Cycles Screenshot
5-FACTOR MODELVICIOUS CYCLESTARGET NODES
Schema Therapy•Schema Modes
Young Inventory
schema_therapy • canvasEXPLORE →
Early Maladaptive Schema Scale & Mode Mapping Screenshot
YOUNG 18 SCHEMASRADAR WHEELCHAIRWORK MODES
ABC Behavior Chart•Behavioral Analysis
FBA & REBT
abc_chart • canvasEXPLORE →
ABC Functional Behavior Analysis (FBA) Chart Screenshot
ANTECEDENTS & EVENTSBEHAVIOR CHAINSCONSEQUENCE AUDIT
Transactional Analysis•Relational Therapy
PAC Ego States
transactional_analysis • canvasEXPLORE →
Transactional Analysis & PAC Ego-State Diagrams Screenshot
PAC EGO STATESDRAMA TRIANGLECROSSED VECTORS
Moreno Sociogram•Group Dynamics
Sociometry
sociogram • canvasEXPLORE →
Moreno Sociograms & Group Dynamics Analysis Screenshot
ATTRACTION MATRIXPEER CLUSTERSISOLATION METRICS
The Johari Window•Self-Awareness
Blindspot Discovery
johari_window • canvasEXPLORE →
The Johari Window Disclosure & Blindspot Tool Screenshot
OPEN ARENABLIND SPOT57 CLINICAL TRAITS
Cycle of Abuse•Safety & Crisis
Safety Planning
cycle_of_abuse • canvasEXPLORE →
Cycle of Abuse & Coercive Control Assessment Screenshot
WALKER 4-PHASECOERCIVE CONTROLCRISIS SAFETY PLAN
Culturagram Assessment•Multicultural
10-Domain Ecology
culturagram • canvasEXPLORE →
Culturagram 10-Domain Immigrant Assessment Screenshot
10-DOMAIN RINGSRELOCATION REASONSCULTURAL VALUES
Narrative Externalizing•Narrative Therapy
Dual Landscapes
narrative_externalizing • canvasEXPLORE →
Narrative Therapy Externalizing & Dual Landscapes Screenshot
LANDSCAPE OF ACTIONSPARKLING MOMENTSRE-AUTHORING
Trauma Lifeline•Trauma & Lifespan
NET Lifeline
trauma_timeline • canvasEXPLORE →
Trauma Lifeline & Narrative Exposure Timeline Screenshot
STONES & FLOWERSSUDS DECAY CURVEACES SCORING
Triangle of Conflict•Psychodynamic
Malan Triangles
triangle_of_conflict • canvasEXPLORE →
Malan Triangle of Conflict & Persons Formulation Screenshot
DEFENSE & FEELINGS3 ANXIETY PATHWAYSDUAL TRIANGLES
DBT Chain Analysis•Dialectical Behavior
Linehan Chain
dbt_chain • canvasEXPLORE →
DBT Target Behavior Chain Analysis & Distress Curves Screenshot
MICRO-CHAIN LINKS16-SKILL CATALOGDISTRESS GATES
ACT Matrix & Hexaflex•Acceptance & Commitment
Hexaflex
act_matrix • canvasEXPLORE →
ACT Matrix & Hexaflex Flexibility Formulation Screenshot
4-QUADRANT SORTINGHEXAFLEX PROCESSSTUCK WORKABILITY
Somatic Body Map•Somatic & Interoception
EMDR AIP
somatic_body_map • canvasEXPLORE →
Somatic Body Map & AIP Trauma Networks Screenshot
24-REGION MAPEMDR TRAUMA AIPSOMATIC PENDULATION
Feelings Wheel•Emotional Literacy
Affect Taxonomy
feelings_wheel • canvasEXPLORE →
Feelings Wheel & Affect Taxonomy Tracker Screenshot
CONCENTRIC WHEELSPLUTCHIK & WILLCOXDELTA TRACKING
Hero's Journey•Narrative Monomyth
Archetypal Quest
heros_journey • canvasEXPLORE →
Hero's Journey & Archetypal Quest Formulation Screenshot
12-STAGE MONOMYTH8 CAST ARCHETYPESELIXIR HUB

Complete Suite of 22 Clinical Diagrams and Assessment Formulations

  • Clinical Genograms & Family Systems Assessment

    Map multi-generational family trees, hereditary medical risk factors, and complex emotional relationship dynamics.

    Standardized McGoldrick symbols with automated relationship lines, medical legend tracking, and HIPAA-compliant exports.

    Clinical Genograms & Family Systems Assessment Interface
  • Ecological Ecomaps & Social Support Networks

    Visualize client social environments, community energy flows, and institutional support systems in real time.

    Standard Hartman ecological connectors with directional energy exchanges, environmental stress weights, and agency nodes.

    Ecological Ecomaps & Social Support Networks Interface
  • Medical Pedigree Charts & Genetic Trait Tracking

    Standardized clinical genetics pedigree charts with Mendelian and non-Mendelian inheritance pattern tracking.

    Supports consanguinity double lines, carrier markers, multi-partner lineages, and high-resolution clinical vector exports.

    Medical Pedigree Charts & Genetic Trait Tracking Interface
  • Window of Tolerance & Autonomic Regulation Curves

    Plot hyperarousal, optimal regulation, and hypoarousal zones with live interactive somatic cues and session timelines.

    Interactive clinical tracking based on Dan Siegel and Pat Ogden nervous system regulation and sensorimotor frameworks.

    Window of Tolerance & Autonomic Regulation Curves Interface
  • Internal Family Systems (IFS) Parts Mapping

    Map Self-core leadership, Managers, Firefighters, and Exiles with dynamic polarity lines and trailhead tracking.

    Standardized unblending workflows and interactive cluster maps built specifically for IFS therapy practitioners.

    Internal Family Systems (IFS) Parts Mapping Interface
  • Polyvagal Ladder & Nervous System States

    Map Ventral Vagal safety, Sympathetic mobilization, and Dorsal collapse along with neuroceptive triggers and glimmers.

    Track blended physiological states and autonomic shifts using Stephen Porges and Deb Dana clinical models.

    Polyvagal Ladder & Nervous System States Interface
  • CBT 5-Factor Formulation & Vicious Cycles

    Construct Beck 5-factor hot-cross-bun case formulations connecting situations, thoughts, emotions, and behaviors.

    Identify cognitive distortions, vicious maintenance loops, and high-impact target nodes for clinical intervention.

    CBT 5-Factor Formulation & Vicious Cycles Interface
  • Early Maladaptive Schema Scale & Mode Mapping

    Assess Young 18 to 27 schema inventories across 5 core domains with radar wheel visualizations and domain profiles.

    Diagram Child, Coping, Parent, and Healthy Adult modes with structured chairwork dialogue formulations.

    Early Maladaptive Schema Scale & Mode Mapping Interface
  • ABC Functional Behavior Analysis (FBA) Chart

    Track Antecedents, Behaviors, and Consequences over longitudinal incident chains in an interactive clinical canvas.

    Calculate automatic behavioral hypothesis summaries and setting event modifiers for evidence-based interventions.

    ABC Functional Behavior Analysis (FBA) Chart Interface
  • Transactional Analysis & PAC Ego-State Diagrams

    Diagram Parent-Adult-Child structural ego states, transactions, and crossed vector collisions in relational therapy.

    Model Karpman Drama Triangle positions, psychological games, and life script protocols for couples and group work.

    Transactional Analysis & PAC Ego-State Diagrams Interface
  • Moreno Sociograms & Group Dynamics Analysis

    Map interpersonal attraction matrices, peer networks, subgroup clusters, and social isolation metrics.

    Interactive social network analysis designed for classrooms, therapy groups, team cohesion, and institutional cohorts.

    Moreno Sociograms & Group Dynamics Analysis Interface
  • The Johari Window Disclosure & Blindspot Tool

    Formulate Open Arena, Blind Spot, Hidden Façade, and Unknown quadrants with interactive personality trait tagging.

    Quantify self-awareness expansion and peer feedback vectors with 57 standardized clinical adjectives.

    The Johari Window Disclosure & Blindspot Tool Interface
  • Cycle of Abuse & Coercive Control Assessment

    Map Walker 4-phase abuse cycles, Evan Stark coercive control tactics, and Campbell lethality risk factors.

    Generate secure clinical crisis timelines and safety planning charts with confidential client-side encrypted storage.

    Cycle of Abuse & Coercive Control Assessment Interface
  • Culturagram 10-Domain Immigrant Assessment

    Assess 10 cultural dimensions for immigrant, refugee, and culturally diverse families using Congress ecological rings.

    Examine relocation reasons, legal status, language diversity, cultural values, and institutional racism barriers.

    Culturagram 10-Domain Immigrant Assessment Interface
  • Narrative Therapy Externalizing & Dual Landscapes

    Map Landscape of Action versus Landscape of Identity with zig-zag relational links and Statement of Position maps 1 & 2.

    Track sparkling moments (unique outcomes), model problem battlecards with deception ratings, and compile signed Re-Authoring Letters.

    Narrative Therapy Externalizing & Dual Landscapes Interface
  • Trauma Lifeline & Narrative Exposure Timeline

    Map Stones, Flowers, Sticks, Candles, Anchors, and continuous adversity bands with hot vs. cold memory dual networks.

    In-session exposure pacer timer with live SUDS decay habituation curves, automated ACEs scoring, and formal NET testimony documents.

    Trauma Lifeline & Narrative Exposure Timeline Interface
  • Malan Triangle of Conflict & Persons Formulation

    Dual-triangle matrix mapping Defense, Somatic Anxiety, and Core Feelings alongside Transference, Current, and Past relationships.

    3 somatic anxiety pathways (striated, smooth muscle, cognitive disruption), McCullough affect phobias, and dynamic linking note generation.

    Malan Triangle of Conflict & Persons Formulation Interface
  • DBT Target Behavior Chain Analysis & Distress Curves

    Micro-chain link sequencing across sensations, thoughts, emotions, urges, and actions with continuous 0-100 SUDS distress curves.

    16-skill Linehan DBT catalog binding, 70-SUDS crisis pulsing gates, 4-gate Missing Link analysis, and automated SOAP/BIRP note exports.

    DBT Target Behavior Chain Analysis & Distress Curves Interface
  • ACT Matrix & Hexaflex Flexibility Formulation

    4-quadrant functional sorting (Inner vs Outer, Away vs Towards) paired with 6 core psychological flexibility processes.

    CompACT-23 psychometrics, stuck loop workability tracking, Relational Frame Theory defusion, and values-based crisis safety planning.

    ACT Matrix & Hexaflex Flexibility Formulation Interface
  • Somatic Body Map & AIP Trauma Networks

    24-region somatosensory topography mapping tension, pain, numbness, and dual-pole somatic pendulation.

    EMDR AIP trauma memory network clusters, SIBAM interoceptive tracking, and integrated bilateral stimulation (BLS) pacing.

    Somatic Body Map & AIP Trauma Networks Interface
  • Feelings Wheel & Affect Taxonomy Tracker

    Gloria Willcox (6-sector) and Robert Plutchik (8-sector) concentric emotional literacy mapping with SUDS intensity rings.

    4-stage affect reflection (Trigger, Somatics, Needs, Coping), multi-session delta tracking, and tabular PDF diff reports.

    Feelings Wheel & Affect Taxonomy Tracker Interface
  • Hero's Journey & Archetypal Quest Formulation

    Joseph Campbell 12-stage monomyth, Maureen Murdock Heroine quest, and Trauma & Addiction Recovery formulation.

    8 therapeutic archetype cast entities, SUDs radial spline wave curves, central elixir boon hub, and printable worksheets.

    Hero's Journey & Archetypal Quest Formulation Interface
The Clinical Workspace Architecture

Built for Clinical Practice. Not Disconnected Doodles.

Generic whiteboards and charting tools treat therapy formulations like temporary sketches. Genosm provides an auditable, database-backed clinical workspace engineered for multi-session continuity and strict diagnostic standards.

Pillar 01 • Diagnostic Flagship

Genogram-First Precision

Gold-standard McGoldrick symbols, 34 emotional relationship patterns, and multi-quadrant hereditary risk tracking. Converts clinical notes into comprehensive multi-generational family trees in seconds.

Standardized McGoldrickCPT 90846/7 Ready
Pillar 02 • Breadth of Practice

22 Native Clinical Modalities

The only therapy suite uniting Ecomaps, Window of Tolerance curves, IFS Parts Maps, Beck CBT loops, Polyvagal Ladders, and Medical Pedigrees under one roof. Zero fragmented subscriptions.

Full Clinical EnginesUnified Workspace
Pillar 03 • Zero-Compromise Security

Context-Aware AI & 1-Click PHI Scrub

Not a generic LLM wrapper. Our intelligent pre-processor detects names, dates of birth, and medical record numbers, de-identifying client text in one click before parsing. Data stays isolated on your device.

Client-Side Anonymization100% HIPAA-Ready
Pillar 04 • Multi-Session Dossiers

Sheet Architecture & Version Timeline

Maintain multi-sheet client cases: Sheet 1 = Genogram, Sheet 2 = Ecomap, Sheet 3 = CBT. Compare intake vs session 10 with visual version diffs, tracking disclosures and relational shifts longitudinally.

Unlimited Sheets per FileSession Diff Markers
Pillar 05 • Interoperability

Universal Exports & EHR Markdown

Export high-resolution vector PDF (with auto-attached clinical legend), scalable SVG, 300 DPI PNG, GEDCOM 5.5, and structured JSON. Instantly copies narrative SOAP/BIRP blocks formatted for SimplePractice, Epic, or TherapyNotes.

PDF, SVG, GEDCOM, JSONEHR Narrative Blocks
Pillar 06 • Clinical Governance

Strict Clinical Standards & Data Model

Not a generic vector canvas where circles and lines drift out of alignment. Genosm is backed by a structured relational database model enforcing clinical lineage logic, consanguinity validation, and validated diagnostic taxonomies.

Structured Data ModelAcademic Literature Validated
Detailed Framework Explorer•Full Diagnostic Depth

Explore the Specialized Clinical Frameworks

Select a clinical category below to inspect its dedicated notation standards, supported symbols, and diagnostic capability profile.

Core Platform FlagshipStandard: McGoldrick, Gerson & Petry Standard100% Local-First

Clinical Genograms Maker & Multi-Generational Systems

Genosm Clinical Genogram Studio Canvas Preview
3-Generation Assessment Workspace
McGoldrick & Minuchin NotationsCPT 90846 / 90847 Audit-ReadyZero PHI Cloud Transmission
Open Interactive Studio →

Engineered for Complete Diagnostic & Systemic Depth

Every clinical scenario—from complex multi-generational trauma to modern assisted kinship—supported natively with diagnostic precision.

01
Zero Rigidity & Full Visual Freedom

Build genograms your way with zero constraints: ask AI to generate from notes, use smart auto-layout (click to instantly add partner, parents, or child nodes with automated alignment), or freely drag-and-drop components. Fully customize colors, stroke thickness, relationship line styles, text labels, fonts, and node fills however you prefer.

1-Click Auto-AddDrag & DropCustom Colors & Fonts
02
Multi-Dimensional Clinical Lenses

Construct specialized genograms across every clinical dimension: trauma lifelines, cultural backgrounds, spiritual affiliations, sexual identity & gender journeys, social networks, and career histories. Whatever systemic lens your practice requires, Genosm models it seamlessly.

TraumaCulturalSpiritualCareer
03
Inclusive Modern & Traditional Kinship

Full fidelity for all family structures: inclusive gender identities, polyamorous relationships, consecutive remarriages, cohabitation, legal separations, formal adoptions, consanguinity, and assisted reproduction (surrogacy, sperm/egg donor links, IVF, and gestational carriers).

LGBTQ+ InclusivePolyamoryAssisted Reproduction
04
Systemic Dynamics & Structural Boundaries

Fully models clinical markers and family boundary patterns: triangulation, detouring, cross-generational coalitions, enmeshment, emotional cutoffs, hostile bonds, and abuse indicators, alongside shaded household boundaries and subsystem envelopes.

TriangulationCoalitionsHousehold Envelopes
05
Custom Symbol Studio & Fully Editable Legend

Tailor diagrams to your practice: build and reuse custom clinic symbols, add inline narrative annotations, and customize color quadrants for multi-condition medical tracking. Edit legend keys as you like, toggle on/off visibility of any key from final exports, or add new custom keys easily with live dynamic synchronization.

Edit & Add KeysToggle Export VisibilityCustom Symbols
06
Diagnostic Coding & Automated EHR Notes

Streamline billing, insurance, and compliance workflows: assign ICD-10, ICD-11, DSM-5, and social determinants codes directly to family nodes. Auto-compiles audit-ready SOAP, DAP, DIRP, and BIRP narrative progress notes ready for your EHR.

ICD-10/11 & DSM-5SOAP/DAP/BIRPInsurance Billing
07
Zero-Server Privacy & Local Storage

Your clients' sensitive health data never leaves your device: stored in local IndexedDB / RxDB and local files via File System Access API. Privacy-first AI scrubs PHI in one click. Export anytime to vector PDF, SVG, high-res PNG, GEDCOM 5.5, and JSON.

IndexedDB / RxDBLocal FilesGEDCOM & PDF
08
40+ Standardized McGoldrick Symbols

Full fidelity to official clinical literature: male squares, female circles, non-binary diamonds, transgender transition notation, deceased strikes, index client / proband double borders, multiple-birth twinning connectors, and spontaneous/induced termination markers across multi-generational generations.

McGoldrick StandardProband OutlinesGenerational Tiers
09
34 Emotional & Relational Vectors

Map interpersonal relational dynamics with formal line notation: close, enmeshed, fused & hostile, conflictual, emotional cutoff, alienation, physical abuse, emotional abuse, sexual abuse, and distant bonds with customizable directional arrows and tension weights.

Enmeshment & CutoffAbuse NotationDirectional Tension
10
AI Intake Parsing & 1-Click PHI Scrub

Transform messy consultation notes, intake transcripts, or narrative session records into complete 3-generation family systems in seconds. Our context-aware pre-processor detects and strips names, dates of birth, and identifiable health markers in one click before generation.

Notes to Tree in 2s1-Click PHI De-IDContext-Aware AI
11
Universal Multi-Format Clinical Exports

Export publication-grade vector PDF (with auto-attached clinical diagnostic legend, clinic branding, and confidentiality notices), scalable SVG, 300 DPI PNG, industry-standard GEDCOM 5.5, structured JSON, and EHR Markdown narrative blocks for direct integration into any electronic records system.

Vector PDF + LegendGEDCOM 5.5 & SVGEHR Markdown
12
Essential Workflow & Analysis Tools

Equipped with full clinical productivity utilities: infinite undo-redo history, precision snap-to-grid alignment, session version timeline to track case shifts longitudinally, 1-click fake name auto-fill for presentations, intelligent family system analysis, and bidirectional import of GEDCOM 5.5 and Genosm JSON formats.

Undo/Redo & Snap GridSession Version DiffSystemic Family Analysis
Fully compliant with HIPAA, GDPR, and clinical professional guidelines. Data remains 100% on your machine.
Start Building Clinical Genograms Free →
COMPLETE WORKFLOW

Create → Analyse → Document → Export

Everything you need for genograms, ecomaps, pedigrees, and family trees in one seamless workflow

1

Create

Describe family history in plain clinical language

AI Generates Diagram

2

Analyse

Review patterns and detect clinical risk factors

AI Extracts Insights

3

Document

Generate professional SOAP notes automatically

Clinical Ready Notes

4

Export

Download as PDF with full clinical legend

HIPAA-Ready Output

All in one place. All in Genosm.

From clinical description to professional documentation in minutes

Start Free Trial
Clinical AI Studio • Zero-Cloud PHI Shield

Clinical Intelligence That Listens. Synthesizes Without You Prompting It.

Other tools force you to manually diagram every node, or expect you to spell out clinical jargon like “triangulation” or “IFS firefighters”. Genosm's unified Clinical AI reads your natural session narrative, infers underlying systemic patterns, renders exact McGoldrick diagrams in seconds, and writes audit-ready progress notes, while your client's PHI never leaves local browser memory.

Live Pipeline Inspection Console
Client-Side Cryptographic Shield

What Actually Crosses the Wire (Zero PHI Payload)

Air-Gap Active: 0 PHI Transmitted
1. Client-Side Entity Detection (Browser RAM)Never Leaves Device

• Sarah Vance → [SUBJECT_INDEX_IP_F_37]
• DOB 03/14/1987 → [AGE_NORMALIZED_37]
• Austin TX → [REDACTED_LOCATION]
• David Vance → [PARTNER_01_M]
• Evelyn → [MATERNAL_PARENT_F]

🛡️ Real identities stored in an ephemeral in-memory lookup table. Discarded immediately after local re-attachment.

2. Sanitized Structural Vector to AI100% HIPAA Safe

“[SUBJECT_INDEX_IP_F_37] married to [PARTNER_01_M]. Marital conflict dynamics. Triangulation pattern identified: Partner routes dispute through [MATERNAL_PARENT_F], deflecting dyadic resolution. Substance/compulsive coping detected (binge-eating = [IFS_FIREFIGHTER], workaholism = [IFS_MANAGER]). Lineage: Maternal sibling [MATERNAL_AUNT_F] diagnosed [DSM_MDD]; maternal parent deceased CA breast at 54.”

🔒 The AI model receives only clinical algebra. It does not know who your client is, where they live, or their identity.

Re-hydration happens inside your browser DOM: names and dates re-appear seamlessly on your private canvas.

Cryptographic PHI Shield

Names, dates, and locations are tokenized client-side in RAM before AI inference. Your client's real health records never touch external model training sets.

Zero Prompt-Jargon Needed

You never need to explicitly instruct: “add a Bowen triangle” or “add IFS exiles”. Our diagnostic engine infers clinical structures naturally from ordinary intake prose.

Conversational Edit & Undo

Single AI interface to modify existing trees, add siblings, update medical notes, or ask supervision questions. Full rollback history safeguards your manual adjustments.

1-Click EHR Clinical Notes

Instantly converts diagram topology and case narratives into compliant SOAP, BIRP, DAP, and DIRP progress notes with copyable clinical syntax ready for any EHR.

Longitudinal Case Continuity • Patent-Grade Architecture

One File. Your Entire Clinical Picture. Track Every Session, Every Change.

Therapy unfolds across months and years, yet generic software forces you to overwrite your diagrams or juggle 10 scattered files. Genosm is the first clinical platform featuring a Git-style Version Timeline with live session diffing, and a Multi-Sheet Case Architecture that unifies your genogram, ecomap, CBT, and polyvagal charts into a single exportable case dossier.

Interactive Case Dossier: Vance_Family_Case.gsm
Audit-Grade Git Diff for Therapy• 3 Checkpoints Recorded

Session-by-Session Visual Comparison

Click any checkpoint below to inspect how the client's systemic picture evolved between intake and advanced therapy.
Critical Disclosurev3 (Current)
Oct 24, 2026

Session 6: Family Disclosure & Triangulation

Disclosed maternal secret; confirmed triangulated dynamic between David, Sarah, and Evelyn. Added maternal aunt with depression diagnosis.

18 nodes•+3 added~2 modified
Medical Trackingv2
Oct 10, 2026

Session 3: Medical Lineage & Oncology Audit

Mapped maternal grandparent generations. Confirmed BRCA1 breast cancer diagnosis in grandmother (deceased at 54).

15 nodes•+4 added~1 modified
Intake Baselinev1 (Baseline)
Sep 26, 2026

Session 1: Initial Intake & 3-Generation Tree

Initial clinical assessment. Established nuclear core: Sarah Vance (IP), David Vance, and two dependent children.

11 nodes•+11 added~0 modified
Diff Inspector: v3 (Current) vs Baseline
Local-First RxDB Vault

Systemic Modifications Detected in this Session:

+ Added: Maternal Aunt Helen (F, 49) with Major Depressive Disorder (DSM-5)
+ Added: Triangulation dynamic vector (Sarah <-> David <-> Evelyn)
~ Modified: Marital bond changed from "Strained" to "Fused-Conflicted Zigzag"
Clinical Supervisor Significance:Audit-Ready

Instead of relying on fuzzy recall, supervisors and clinicians can review exact longitudinal shifts over a 6-month treatment arc. Every snapshot preserves node coordinates, medical quadrant shading, and notes without destructive overwrites.

Non-Destructive Session History

Never worry about client changes overwriting historical context. Create discrete session snapshots with clinical milestone tags and instant rollback capabilities.

Multi-Modality Sheet Architecture

House your Genogram, Ecomap, CBT Formulation, and Polyvagal charts in a single case file. No duplicate data entry; zero file fragmentation across therapy modalities.

Audit & Court Presentation Ready

Export merged multi-page dossiers with high-resolution vector diagrams, medical legends, and progress notes ready for peer supervision, insurance audits, or legal testimony.

Workflow Outcome: Diagnostic Intelligence & Scribing

From Diagram Patterns to Complete Progress Notes in Seconds

Eliminate repetitive EHR documentation time. Genosm synthesizes systemic patterns (such as triangulation loops, relational enmeshment, multi-generational cutoffs, and coalitions) directly into structured, publication-grade clinical summaries and compliant progress notes.

Systemic Pattern Recognition

Auto-detected from active canvas geometry

Live Analysis
Bowenian Triangulation Detected

Marital tension between parents is consistently deflected through the eldest daughter, relieving dyadic friction at the cost of the child's anxiety.

Enmeshment & Diffuse Boundaries

Over-involved fused relationship style between maternal grandmother and index person impairs emotional individuation.

Intergenerational Cutoff Pattern

Paternal grandfather estranged following divorce; complete communication cutoff replicated in sibling subsystem.

Clinical Insights

AI-powered analysis

Executive Summary

Three-generation family presenting with complex relational patterns. Notable intergenerational themes of substance use and close-conflicted relationships identified across paternal line.

Family Patterns Detected
Substance use pattern across 2 generations (paternal line)
Close-conflicted relationships between parents and adult children
Strong sibling support system in current generation
Risk Factors
Intergenerational substance use vulnerability
Relationship cutoff patterns under stress
Strengths & Resilience
•Strong marital bond in current generation
•Active family communication patterns
•Willingness to seek professional support

Compliant EHR Progress Notes

Audit-ready format for clinical records

SOAP Formulation Record

Subjective: Client reports escalating tension in marital relationship and chronic somatic fatigue. Expresses guilt regarding mother's declining health.

Objective: 3-generation assessment reveals cross-generational triangulation (mother-in-law involvement in marital disputes) and enmeshment with maternal family of origin.

Assessment: Symptoms consistent with chronic systemic triangulation. Current distress is maintained by poor boundary differentiation rather than primary intrapsychic pathology.

Plan: Introduce structural boundary interventions; establish clear dyadic communication rules for next two weeks. Follow-up scheduled for next Tuesday.

Zero Cloud Storage: All notes compiled in local browser memory.

Clinical note: Genosm automated scribing assists documentation speed and pattern discovery. It does not replace independent clinical judgment or diagnostic evaluation.

Multilingual Clinical Workspace

AI Genogram Maker Works in Your Language. Interface Localized in Spanish, Portuguese, and French.

Use AI or build manually: create clinical genograms, ecomaps, and formulations in your own language. Our clinical AI understands all major languages. You can input messy case notes in Italian, German, Japanese, or Dutch, conceptualize in any language you want, generate notes, and export high-resolution PDFs without formatting breaks. The full application user interface is currently localized in English, Spanish, Portuguese, and French, with additional languages on the way.

AI Understands All Major Languages

Paste raw clinical intake notes, therapy transcripts, or family summaries in Spanish, Portuguese, French, German, Italian, or other world languages. Our diagnostic engine infers kinship structures and 34+ emotional dynamics naturally without breaking.

Zero Linguistic Barriers

Localized Workspace UI

Every button, contextual modal, symbol legend, and clinical menu is meticulously localized for Spanish, Portuguese, and French speaking clinicians. Experience a native workflow tailored for international practices, with more interface translations actively in development.

Native UI: ES, PT, FR

Export & Notes in Your Language

Generate SOAP, BIRP, and DAP progress notes translated directly into your clinical terminology. Export multi-page vector PDFs with localized diagram keys, medical indices, and relationship legends ready for local health authorities.

Court & EHR Ready

Access Genosm in Your Region

Select your preferred locale below to explore localized tools, templates, and clinical documentation guides.

Regulated Healthcare Architecture • 100% Local-First

Your Clients' Data Never Leaves Your Device. Not Even When You Use AI.

Generic platforms store sensitive psychological profiles, trauma histories, and family secrets on unencrypted public servers. Genosm is engineered with an air-gapped, local-first database so you remain fully compliant with HIPAA, GDPR, PIPEDA, and provincial confidentiality laws without extra administrative burden.

Local Browser Storage & Offline Vaults

All diagrams, notes, and medical records are stored strictly in client-side IndexedDB memory or encrypted local disk folders. We operate zero central databases.

Zero Protected Health Information (PHI) Cloud Leakage

Before any systemic AI inference executes, identifying attributes (names, dates, locations) are scrubbed in RAM. AI processing handles structural geometry only.

Complete Data Sovereignty & Open Exports

You own 100% of your records. Export files anytime as open JSON or standard multi-page PDF packages without vendor lock-in.

Zero Model Training on Client Records

Client clinical sessions and intake details are never used to train public machine learning algorithms. Zero telemetry touches client files.

Data Flow Verification Engine
Encrypted in Browser RAM

HIPAA-Ready Data Flow

Your client data never leaves your control

User Input

Data entered locally

Local Storage

Stored on your device

PHI Scrubbing

Sensitive details removed

AI Analysis

Privacy-first processing

Data Sovereignty

You own your data

Local-First

Privacy-by-Design

Full Control

Clinical Credibility:

Trusted by therapists, genetic counselors, and mental health clinics bound by HIPAA, GDPR, and provincial privacy mandates across three continents.

Clinical Benchmark & Feature Comparison

Why Healthcare Professionals Choose Genosm

Generic drawing tools charge $15 to $25 monthly for non-clinical shapes, while legacy desktop software relies on outdated 1990s interfaces. Genosm is purpose-built for clinical depth, diagnostic speed, offline PWA mobility, and zero-cloud patient privacy.

Clinical Genograms with ICD-10/11 & DSM-5

Natively tracks 100+ clinical data points per node across medical, cultural, and social histories with 1-click EHR progress note generation.

100+ Data Points Per Person

Native Offline PWA: Fast with 1000+ Nodes

Install as a native desktop or mobile PWA. Operates 100% offline with zero latency, rendering complex multi-generational trees smoothly.

Lightning Fast Offline PWA

Comprehensive Exports: PDF, GEDCOM, JSON, EHR

Export to PNG, SVG, JSON, GEDCOM, multi-page vector PDF with automated diagnostic legends, 1-click EHR clipboard, and Markdown (.md).

7 Professional Export Formats

$9.99/mo All-Inclusive vs $15 to $25 Generic Tools

Unlimited genograms and exports on both Free and Pro tiers. No 1-diagram limits, locked licenses, or surprise per-seat fees.

Unlimited Files on Free & Pro
Filter Matrix:
Capability / FeatureGeneric ToolsLucidchart, Canva, VisioLegacy Genogram AppsGenoPro, Desktop DrawGenosm Free Tool100% Free Web CanvasGenosm ProClinical AI & 22 Modalities
Clinical Genograms & Diagnostic Coding
Clinical & Diagnostic
✕ Generic flowchart boxes only~ Basic text notes without coding standards✓ Standard symbols and basic medical labels✓ Native ICD-10/11, DSM-5, and social codes with 1-click EHR copy and longitudinal tracking
Specialized Genogram Modalities
Clinical & Diagnostic
✕ Generic organizational charts only~ Basic family genealogy only✓ Standard multi-generational family trees✓ Cultural, Clinical/Medical, Sexual, Social, Career, Trauma, and General family systems
Data Collection Depth Per Node
Clinical & Diagnostic
✕ 1 to 2 basic fields (label, name)~ Basic name, birth, and death dates✓ 15 core demographic and kinship fields✓ 100+ clinical data points across general, cultural, social, and medical history
Emotional Relationship System
Clinical & Diagnostic
✕ Basic solid or dashed connector lines~ 8 to 12 legacy line styles✓ 12 core McGoldrick relationship types✓ 34 comprehensive systemic types: triangulation, cutoffs, enmeshment, and fused bonds
Genogram Creation Speed
Creation & Drawing
✕ Manual shapes: 30 to 45 minutes~ Manual mouse dragging: 40+ minutes✓ Manual clinical builder: 15 to 25 minutes✓ AI from session notes: under 2 minutes
Custom Symbols Builder
Creation & Drawing
✕ Fixed shapes only; cannot assign clinical meaning~ Not supported✓ Standard McGoldrick symbol palette✓ Build custom symbols, name for legend key, and reuse forever across case files
Freehand Annotations & Canvas Shapes
Creation & Drawing
✕ Limited rigid connectors~ Fixed grid lines only✓ Basic text callouts and labels✓ Natively freehand annotate anything, draw systemic boundaries, and drag-drop shapes
Multi-Sheet Case Architecture
Case Management & Documentation
✕ Separate disconnected documents~ Single file per diagram✓ Single active canvas✓ Multiple sheet architecture: Genogram, Ecomap, and CBT formulations combined in one case file
Longitudinal Version Timeline
Case Management & Documentation
✕ Basic browser undo stack~ Manual file re-saving✓ In-session undo and redo history✓ Git-style session snapshots with visual diffing across therapy appointments
Clinical Progress Notes (EHR)
Case Management & Documentation
✕ Not supported~ Not supported✓ Manual copy and paste✓ 1-click automated SOAP, BIRP, DAP, and DIRP notes generated from diagram geometry
Export Formats Supported
Exports & App Performance
✕ Low-res raster image export only~ Print to PDF (often misaligned)✓ SVG vector and PNG graphic exports✓ PNG, SVG, JSON, GEDCOM, PDF, EHR Copy, and Markdown (.md)
Native Offline PWA Application
Exports & App Performance
✕ Cloud-only; fails without active internet~ Desktop OS locked; slow performance on large trees✓ Browser-based web canvas✓ Installable PWA: runs 100% offline, lightning fast even with hundreds of nodes
Data Privacy & AI Model Ethics
Security & Pricing
✕ Stored on cloud servers; data may train public models~ Unencrypted local files; vulnerable to data loss✓ 100% client-side memory; zero server storage✓ Zero-cloud local vault, RAM air-gap tokenization; client data never trains AI
Monthly Pricing & Value
Security & Pricing
✕ $15 to $25 / month just for visual non-clinical diagrams~ $99+ one-time for outdated 1990s desktop software✓ $0 forever (100% free web tool)✓ $9.99 / month (all-inclusive 22 modalities, AI co-pilot, and version diffing)
Diagram & Export File Quotas
Security & Pricing
✕ Strictly capped at 1 to 2 diagrams on free tiers~ Single user license lockouts✓ Unlimited genogram files and unlimited exports✓ Unlimited genograms, 7-day full trial, and unlimited exports
CHOOSE THE RIGHT TIER FOR YOUR PRACTICE

Looking for a 100% Free Genogram Maker?

Use our free web tool for manual drawing, standard McGoldrick symbols, and instant SVG/PNG exports without creating an account. Upgrade to Genosm Pro ($9.99/mo) for AI narrative generation, 22 clinical frameworks, offline PWA access, custom symbols, GEDCOM/JSON/PDF exports, and automated SOAP progress notes.

Use Free Tool (No Sign-Up)

Choose Your Plan

All plans include unlimited access to all 14 clinical diagram modalities, AI usage, and priority support

Monthly Plan

$9.99/month

Billed monthly

  • ✓Full access to all 22 clinical diagram types
  • ✓Genograms, Ecomaps, Pedigrees & 19 Therapy Formulations
  • ✓IFS Parts, CBT, Polyvagal, Schema & Window of Tolerance
  • ✓Unlimited AI generation & clinical insights
  • ✓Unlimited vector PDF, SVG, GEDCOM & PNG exports
  • ✓Standardized symbols, legends & clinical scoring
  • ✓Multi-version snapshot timeline & diffs
  • ✓Custom Pattern & Legend Builder
  • ✓Priority clinical support

1-week free trial, then $9.99/month

💎 BEST VALUE

Yearly Plan

$99.99/year
Save $27.89/year • 2 months FREE!
  • ✓Everything in Monthly
  • ✓Full suite of 14 clinical diagram engines included
  • ✓Save 2 months annually
  • ✓Locked-in pricing
  • ✓Unlimited creation across all diagram modalities
  • ✓Unlimited AI narrative extraction & generation
  • ✓Unlimited AI clinical insights & SOAP notes
  • ✓Unlimited vector PDF, SVG, GEDCOM & PNG exports
  • ✓Multi-version snapshot timeline & diffs
  • ✓Custom Pattern & Legend Builder

1-week free trial, then $99.99/year

🔒 1-week free trial • All plans require credit card • Cancel anytime • Fair usage policies apply

Search & AI Intelligence Answers

Frequently Asked Questions

Direct answers to the most common questions clinicians, practice managers, and genetic counselors ask about AI speed, HIPAA privacy, and workspace capabilities.

AI & Speed

Paste unstructured intake notes, clinical interview transcripts, or bullet-point family histories directly into Genosm's AI studio. The engine automatically de-identifies client identities in local RAM, computes generational levels, draws standard McGoldrick symbols, and renders the complete 3-generation family tree without any manual node dragging.

Have a question specific to your clinical institution or team licensing? Contact our clinical support team

Ready to Transform Your Clinical Practice?

Join healthcare professionals who are saving hours on documentation while gaining deeper clinical insights into family systems.

Free 1-week trial with all Pro features • Credit card required • HIPAA-ready security