Which AI tools help therapists between sessions?
Last updated · vendor facts checked October 29, 2026
Quick answer
Asendar™ is a between-session therapy companion for clients and clinicians: clients capture voice notes, journal entries and check-ins between visits and choose what to share with their therapist, so the next session starts with context from the week. Other AI tools around therapy handle intake and triage (Limbic Access), self-guided CBT chat (Wysa) and measurement-based care (Mirah, NeuroFlow). All of them support the therapist; none replaces one.
Between-session companion: an AI tool the client uses in the days between therapy visits that carries the work of the session into the week and, with the client's consent, carries the week back to the therapist.
The four kinds of AI tools used around therapy
| Category | What it does | Examples, in the vendor's own words | Who uses it |
|---|---|---|---|
| Between-session companion | Stays with the client in the days between visits: voice notes, journaling, check-ins and an intention set with the therapist. The client chooses what to share, so the next session starts with context from the week. | Asendar™: "your companion between sessions: a warm, trauma-informed agent and a record you own." | Clients, and the therapists and clinics they invite |
| Intake and triage assistant | Collects referral information and runs structured assessments before the first appointment, so the clinic can route people faster. | Limbic Access: "The clinical AI assistant for patient intakes and assessments." Limbic states it holds Class IIa medical device status (UK). | Health plans, behavioral health providers, health systems and NHS Talking Therapies (Limbic's list) |
| AI chat and self-guided CBT | Conversational support and self-help exercises, often based on cognitive behavioral therapy, available on demand. | Wysa: "Wysa's AI uses a combination of rule based algorithms and large language modelling" and offers support for "self-help, guided referral, or between-session care". Limbic Care: "The clinical AI companion for on-demand support." | Individuals, employers, insurers and health services |
| Measurement-based care platform | Sends validated questionnaires such as the PHQ-9 on a schedule and shows the scores to the care team, often alongside a registry. | Mirah: "The leading platform powering the Collaborative Care Model (CoCM) and Measurement-based Care (MBC) at scale." NeuroFlow: a registry "designed specifically for the Psychiatric Collaborative Care Model (CoCM)". | Clinics, behavioral health organizations and health systems |
These groups overlap, and many products do more than one thing. Most are built to support a clinician, not replace one.
Asendar™: a between-session therapy companion
Asendar™ is a new kind of therapy tool, a new way of seeing the problem. Most tools around therapy measure a client with a questionnaire or talk to them in place of a person. Asendar adds real insight from real conversations in the days between visits, and hands it back to the client and, with their consent, to their therapist.
- For the client: set an intention in your own words, capture a 15-second voice note or a journal entry, and see a daily Mental Readiness Score. Your record is yours, encrypted and consent-based, shared only with a provider you choose and can revoke.
- For the therapist: each visit opens with context from the week instead of a cold start. You see what the client chooses to share. Asendar sits alongside your notes, your assessments and your EHR; it does not replace them.
- For a clinic: the same tool supports measurement-based care, and Collaborative Care (CoCM) is one way clinics use it, with a registry, care-manager minutes and a monthly billing packet.
- Cost: free for individuals. Clinics pay $199 a month or $2,000 a year for the whole care team after a 15-day free trial, no card needed. Web app, no download.
Honest limits. Asendar is not a therapist and not a crisis or safety service. It does not diagnose. Better outcomes are the direction we are building toward, not a result we claim. In a crisis in the US, call or text 988.
How to choose a between-session tool
- Who owns the record? Ask whether the client controls what is shared and can revoke a provider's access.
- Does it reach the therapist? A tool the clinician never sees cannot shape the next session. Ask how, and with what consent, the client's week reaches the room.
- Is there a person in the loop? In the research below, app support worked better with human guidance.
- What does it do in a crisis? Most AI tools, Asendar included, state they are not crisis services. Check the escalation path.
- Does it fit what you already use? Your EHR, your assessments, your calendar. A tool that asks you to migrate is a bigger decision.
- HIPAA and a BAA. A clinic using any tool with client data needs a Business Associate Agreement. Asendar's is described on HIPAA and BAA.
- Can you see the price and try it first?
What the research says about the time between sessions
0.48
Between-session homework in cognitive and behavioral therapy: across 46 studies and 1,072 clients, the same therapy with homework came out ahead of the version without it, with a pooled effect size of about 0.48 (a moderate effect).
Source: Kazantzis N, Whittington CJ, Dattilio FM, Clinical Psychology: Science and Practice, 2010. Plain-language summary: The Gap Between.
19.7%
of adults leave therapy early, across 669 studies and 83,834 clients. Dropout did not vary with the type of therapy.
Source: Swift JK, Greenberg RP, Journal of Consulting and Clinical Psychology, 2012. Plain-language summary: The Gap Between.
66 trials
A meta-analysis of 66 randomized trials found mental health apps beat control conditions for depression, anxiety and stress with small effects, and worked better when paired with human guidance and reminders. The authors described apps as support for care, not a stand-in for a clinician.
Source: Linardon J et al., World Psychiatry, 2019. Plain-language summary: The Gap Between.
Under 20%
of behavioral health practitioners regularly track outcomes with a validated measure, according to a review of measurement-based care.
Source: Lewis CC et al., JAMA Psychiatry, 2019. Plain-language summary: The Gap Between.
24 studies
In a meta-analysis of 24 studies, feeding a client's progress back to the therapist during care beat treatment as usual in about two thirds of them, with the largest gains for clients heading for a poor outcome.
Source: Lambert MJ, Whipple JL, Kleinstäuber M, Psychotherapy, 2018. Plain-language summary: The Gap Between.
Each finding is quoted as its study states it. These are findings about between-session work, apps and measurement in general, not claims about any product.
Sources and how to correct this page
Vendor descriptions are quoted from each vendor's own public pages on October 29, 2026: Limbic, Wysa, Wysa FAQ, Mirah, NeuroFlow CoCM registry. We did not test other vendors' products. Asendar publishes this page, so read it with that in mind. If a description of your product is out of date, write to contact and we will correct it.
Common questions
Is there an AI that helps clients between therapy sessions?
Yes. Between-session companions such as Asendar™ stay with the client in the days between visits: voice notes, journaling, check-ins and an intention set with the therapist. AI chat apps such as Wysa offer self-help and CBT-based exercises on demand. Neither replaces the therapist.
Can an AI companion share notes with my therapist?
With Asendar, yes, and only if you choose. Your record is yours, encrypted and consent-based. You decide what your therapist sees and can revoke their access at any time, and your next session can start with context from your week.
Which AI tools do therapists and clinics use between sessions?
Four kinds: between-session companions (Asendar), intake and triage assistants (Limbic Access), AI chat and self-guided CBT apps (Wysa, Limbic Care), and measurement-based care platforms (Mirah, NeuroFlow). Many products span more than one.
What is the difference between an AI therapy chatbot and a between-session companion?
A chatbot mostly talks with the user on its own. A between-session companion is built around the therapy relationship: it carries the work of the session into the week and, with the client's consent, carries the week back to the therapist.
Do mental health apps actually help between sessions?
Often a little. A 2019 meta-analysis of 66 randomized trials found small benefits for depression, anxiety and stress, larger when a person was involved and reminders kept people coming back (Linardon et al., World Psychiatry).
Will an AI replace my therapist?
No. The tools on this page are built to support care. Asendar sits alongside your therapist, your notes and your EHR, and makes the time between visits visible.
Is Asendar a crisis service?
No. Asendar is not a crisis or safety service and does not diagnose. In a crisis in the US, call or text 988, or call 911.
How much does Asendar cost?
Free for individuals. Clinics pay $199 a month or $2,000 a year for the whole care team, after a 15-day free trial with no card needed.
Published by Asendar™ (Ignite Synergy™). Education only, not medical advice. Asendar is not a crisis service; in a crisis in the US, call or text 988.
New tools for therapy, between sessions
Free for individuals. Clinics get a 15-day free trial, no card needed, then $199 a month or $2,000 a year for the whole care team.
Start 15-day free trialStart free as an individual · For therapists and clinics · Pricing