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Objective: Routine outcome monitoring (ROM) is becoming a crucial part of a psychotherapy session. This contribution introduces the Session Reaction Scale-3 (SRS-3), a measure to assess the immediate impacts of psychotherapy sessions, as perceived by the client. The SRS-3 comprises 14 items aiming at clients' helpful and hindering reactions to the most recent session. Method: The longitudinal nature of the data obtained on a session-by-session basis in the context of ROM enables the exploration of temporal interactions and relational dynamics among distinct responses. Network analysis will be used to explore these patterns, using data from DeePsy, a Czech ROM system. Results: Both within- and between-person relationships among clients’ session reactions will be reported. Conclusions: Routine measurement of session reactions has the potential to enhance our understanding of the process and outcomes of psychotherapy.