The IA audit came first. I mapped the existing navigation and flagged the structural problems before touching any visual design. Stripping the 'Manage' prefix from nav items sounds like a small change but it immediately made the sidebar more scannable. Reorganizing by frequency of use and moving key actions like adding a new user to modals and inline flows reduced the number of steps for the most common tasks. The new patient onboarding flow was the most complex UX problem. Five screens with a high volume of inputs, used by clinicians who are often context-switching between administrative tasks and patient care. I restructured the field order and introduced progressive disclosure so that certain inputs only appeared when contextually relevant. The goal was to reduce cognitive load without removing anything required. The iPad app required a different mindset entirely. Therapists use it during live sessions with young patients, so speed and minimal friction were the priority over feature depth. I designed the measurement tools, behavior logging, frequency tracking, and duration recording to be accessible in as few taps as possible. The constraint of in-session use shaped every interaction decision. I met with the CEO and PM twice a week throughout, using those sessions to walk through the existing app, pressure test new flows, and course correct quickly.