Keep patients engaged between sessions. See what's happening in real time.
Nudge gives therapists a structured way to deliver between-session exercises, track symptoms, and monitor progress without adding hours to their week.
What happens between sessions matters most
Therapy works best when patients practice skills outside the session room. But most clinicians have no structured way to deliver exercises, check in on mood, or know if a patient is struggling before the next appointment.
The result is skill decay, disengagement, and dropout. Therapists spend the first 15 minutes of each session catching up on what happened during the week instead of building on progress.
Therapy dropout after first visits
Over 70% of all mental health treatment dropout occurs after the first or second visit, before therapeutic gains can take hold.
World Mental Health Surveys / PMC, 2021Adults with mental illness receive no treatment
Among 61.5 million U.S. adults with any mental illness, 48% did not receive any mental health treatment in the past year.
SAMHSA NSDUH, 2024Patient time spent in clinical settings
With an average visit lasting 20 minutes and 2-4 visits per year, patients spend less than 1% of their time with a clinician and the rest managing health alone.
Annals of Internal Medicine, 2024How Nudge works for therapists
Automated between-session support that extends your clinical reach without extending your workday.
Therapeutic exercises
Breathing, grounding, PMR, thought reframing, body scan, and guided visualization. Assigned through automated workflows.
Symptom monitoring
Brief mood and symptom check-ins feed into your dashboard. Spot deterioration before the next session.
Adaptive branching
Workflows adjust automatically based on patient responses. Distress triggers calming exercises; stability reinforces progress.
Pre-session summaries
Walk into every session knowing what happened during the week. Engagement trends, mood patterns, and flagged responses.
Built for the way therapists work
From intake to session prep, Nudge fits into your existing clinical workflow.
Design the care journey, then let it run
Build multi-step workflows with branching logic, delays, and adaptive content. Patients receive the right exercise at the right time without manual intervention.

See patterns across your caseload
Track engagement, symptom trends, and risk flags across all patients. Filter by status to focus on who needs attention this week.

Create micro-interventions in minutes
Build check-ins, reflections, and exercises with skip logic and multiple screen types. No code required.

Evidence-based exercises, ready to assign
A library of therapeutic exercises patients complete between sessions. Delivered automatically through workflows, timed to when patients need them most.
Guided breathing
Structured patterns like box breathing and 4-7-8 to support relaxation and emotional regulation.
Progressive muscle relaxation
Step-by-step tension-and-release sequences targeting major muscle groups.
Grounding (5-4-3-2-1)
Sensory-based grounding technique for managing acute anxiety and dissociation.
Thought reframing
Structured prompts for identifying and challenging cognitive distortions.
Body scan
Guided attention through body regions to build interoceptive awareness.
Bilateral stimulation
Alternating sensory input exercises used in EMDR-informed protocols.
Gratitude prompts
Brief daily prompts to support positive psychology and mood tracking.
Guided visualization
Narrative-led imagery exercises for stress reduction and emotional regulation.
A week in the life of a patient
From enrollment to session prep. All automated, all personalized.
Enrollment
Patient completes intake, selects contact method and preferred time for daily check-ins.
Daily micro-intervention
Brief Nudge delivered at their chosen time: breathing exercise, reflection prompt, or gratitude practice.
Mid-week check-in
Mood and symptom screen with auto-branching to grounding exercises if distress is flagged.
Pre-session summary
Clinician receives engagement data, mood trends, and flagged responses before the appointment.
Session debrief
Therapist adjusts the workflow to reinforce new skills introduced in that session.
Get reimbursed for between-session care
RTM and BHI codes make between-visit monitoring a billable service. Nudge tracks eligibility criteria automatically so you can focus on clinical work.
"We went from chasing patients with phone calls to having every patient get the same quality of follow-up without anyone on the team touching it. RTM finally feels sustainable."

Founder, KuduCare
Automated eligibility tracking
Nudge monitors days of engagement and interaction minutes to determine when patients meet CPT code thresholds.
Structured clinical reviews
Built-in timer and documentation tools for recording treatment management services.
Monthly billing reports
PDF-ready summaries of eligible patients, monitoring days, and interaction time for claims submission.
Provider-scoped visibility
Each therapist sees only their assigned patients. Admins see everyone. Enforced at the API level.
BHI code support
Behavioral Health Integration codes for practices providing collaborative care or psychiatric consultation.
Expected outcomes
Reduce skill decay
Keep therapeutic concepts active in daily life between sessions.
Reduce dropout
Patients who feel supported between sessions are more likely to continue treatment.
Better session quality
Walk into sessions with real data instead of spending time on recall.
New revenue stream
RTM and BHI billing for between-session monitoring and intervention delivery.
See how Nudge works for your practice
Book a walkthrough and we'll show you how Nudge fits into your clinical workflow and your patients' lives between sessions.
Get in touch