Recommended Apps

Cognitive and Behavioral Practice‘s apps are reviewed with the idea of providing guidance to clinicians in choosing apps that allow them to best serve the needs of their clients. Reviews will often cover cost, targeted clients, basic purpose, the research data behind them, as well as quick overviews of their utility.

Anxiety Coach

Anxiety Coach is an app for iOS devices ($4.99 at time of publication; Mayo Clinic, 2016) marketed as a self-help program for anxiety for children and adults. The primary focus is to help individuals understand and identify anxiety symptoms, create a hierarchy, and develop plans for exposure tasks. The program was designed by clinical researchers with expertise in CBT for anxiety. There is potential to support ongoing therapy, such as to allow patients to provide real-time data when reviewing between-session anxiety and exposure details with a therapist. Whiteside and colleagues (2014) have published case studies and reported feasibility/acceptability data which are promising. Our expert reviewer felt that the focus of the app on helping users conduct exposure tasks is unique and valuable, and the program had good navigation and an easy to follow user interface.

https://www.sciencedirect.com/science/article/pii/S1077722916300785

SuperBetter

SuperBetter is an iOS app and website that is marketed to help users pursue goals, which can include mental health goals. The app was developed using game theory and mechanics that mimic “behaviors and techniques that have been clinically shown to give individuals more control over their thoughts and feelings” according to the developer, Jane McGonigal, who has authored books on the subject of leveraging gaming to increase well-being. There are video-game features like “power-ups,” “quests,” “Power Packs” and a “Community” where individuals can join in to engage in forums or play together as “Allies.” Our reviewer found a strong development team and breadth of content, but felt the overall quality of the content lacking in terms of potential to promote clinically significant levels of improvement without active or guided practice with real-world behavior change. Preliminary RCTs have shown feasibility, though attrition rates continue to be a concern. Our reviewer recommends caution if considering this as a stand-alone option for depression or as an adjunct to face-to-face therapy without further data on effectiveness and further development of human safety plans.

https://www.sciencedirect.com/science/article/pii/S1077722916300773

Sleepio

Sleepio is a 6-week treatment program for insomnia delivered online and through mobile app. The program includes evidence-based components including psychoeducation, relaxation techniques, cognitive thought challenging sleep scheduling and sleep tracking compatibility (with other wearable trackers). Our reviewer felt the navigation was easy to use and the platform engaging. The program has been tested in a large RCT and smaller trials with promising results. The program is more costly than online competitors ($300 for a 1-year subscription). Our reviewer felt it was a good option as stand-alone first-line intervention and a model internet-based CBT intervention.

https://www.sciencedirect.com/science/article/pii/S1077722917300986

TicHelper.com

TicHelper.com is an 8-week online treatment program for Tic Disorders in youth (8-adolescence) based on the empirically-supported Comprehensive Behavioral Intervention for Tics (CBIT) protocol and developed in collaboration with experts who developed and tested CBIT. The program includes evidence-based components including psychoeducation, training in developing competing responses and multiple videos to illustrate concepts. There is also some parent-focused content. Our reviewer felt the program was age-appropriate, appealing and easy to navigate. While the online program does not offer the tailoring allowed in face-to-face individual therapy, there are branching structures which allow some tailoring of content. There is pilot feasibility data on the prototype but no research trials published at the time of this review. Our reviewer notes that the strengths outweigh the weaknesses and the program is unique in the market of targeting this condition and using evidence-based treatment components.

https://www.sciencedirect.com/science/article/pii/S1077722917300226

Triple P Online

Triple P Online is an online self-help parent training program aimed at reducing child behavior problems through evidence-based “positive parenting practices.” The program is available through the website, www2.tripleponline.net, at time of review for $79.95. The program is comprised of 8 video-based modules. Our expert reviewer found the program to include high-quality content with relevant and easily locatable resources, and felt the navigation was easy-to-use and appealing. The program’s main weakness lies in its lack of monitoring and adaptation to the user’s state (e.g., child’s and parent’s behaviors), and real-time reminders for desired actions. Overall the program was found to be a valuable parent training resource for addressing child behavior problems by our reviewer.

https://www.sciencedirect.com/science/article/pii/S1077722917301001

Psychotherapy.net

Psychotherapy.net is an online magazine and video library and production company targeting clinicians, educators, and clinical trainees. At present, the website offers two video steaming subscription plans for individual use: 1) a “Choice plan”, which allows access to 2 monthly videos for a fee of $39 each month; and 2) an “Unlimited plan” for $79 monthly, which allows unlimited access to the full online library of over 200 training videos. The primary strength of the website is the breadth of available psychotherapy training videos, which cover several major theoretical orientations, modalities, and clinical populations. However, our expert reviewer notes that the resource is limited by the current absence of information related to evidence-based practice recommendations.

https://www.sciencedirect.com/science/article/pii/S1077722915000772

Headspace | Calm | Reflectly | Daylio | Replika | Wysa

This review focuses on three common categories: meditation and mindfulness, journaling and self-monitoring, and AI chatbots. These six apps accounted for 83% of monthly active users of mental health apps. Four domains are targeted for review: intervention content, features that may contribute to engagement, the app’s target audience, and differences between the app’s free version and its premium version.

https://doi.org/10.1016/j.cbpra.2021.07.001