[weego]

I have an informal background in learning and cognitive psychology and a decade in volunteer crisis support and mental rehabilitation back into a modified normal life.

The pointlessness of online, self-motivated, CBT has been a constant source of anger and frustration in mental health communities for years. Granted I most likely only see the people these tools fail for and are then further down the track so I can't claim of any knowledge on what % of people CBT or DBT works.

I wish you well of course, but mental health is not an area that 'scales' well in this way. Self-motivation and reflection are usually the first tools to fall away when someone is in need of mental health support. I think too much emphasis is placed on replicating academic 'truths' in the absence of the actual issues people face.

[phowson83]

Thanks for your comment and sharing your experience. I think you make a number of valid points - CBT is sometimes incorrectly seen as a panacea for treatment of many disorders, but even face-to-face CBT does obviously not achieve a 100% recovery rate (I would argue no treatment does), and in fact 50% durable recovery rates are generally considered good. The UK in-person IAPT system which uses CBT to treat people has a target of 50% and achieves something around this level ( https://www.nuffieldtrust.org.uk/resource/improving-access-t... ).

As mentioned in the original post, we do not see app-based solutions being appropriate for individuals at the moderate to severe end of the spectrum, and I think this is also reflected in your personal experience. I also don't feel that app based exercises and a human therapist are mutually exclusive, and our users have self-reported that about 15% of them are also seeing a therapist (most declined to answer that question).