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Use Case

Reinforcing therapy goals between sessions

Personalized daily Nudges help patients practice coping skills, reflect on mood, and stay connected to care between therapy appointments.

Mental wellness use case
Challenge

The gap between sessions

Most therapy happens in a 50-minute window, once a week. Between sessions, patients are on their own. They forget coping strategies, losing motivation, or spiraling without support.

Research shows that up to 80% of therapeutic gains depend on what happens outside the therapy room, yet clinicians have limited tools to stay connected without adding hours to their week.

48%

Adults 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, 2024
70%

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, 2021
<1%

Patient 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, 2024
Solution

How Nudge helps

Structured between-session support that fits into existing clinical workflows.

Evidence-based exercises

Breathing, PMR, grounding, thought reframing, body scan, and guided visualization. Ready to assign.

CBT, DBT, and MET support

Reflection prompts, cognitive restructuring, and motivational check-ins tailored to your approach.

Mood and symptom tracking

Brief emotional check-ins feed into your Insights dashboard to spot patterns between sessions.

Adaptive workflows

Skip logic branches to calming exercises or escalation prompts based on patient responses.

Workflow

A week in the life of a patient

From enrollment to session prep. All automated, all personalized.

Step 1

Enrollment

Patient completes intake, selects contact method and preferred time.

Step 2

Daily micro-intervention

Brief daily Nudge: breathing, thought reframing, or gratitude reflection.

Step 3

Mid-week check-in

Mood screen with auto-branching to grounding exercises if distress is flagged.

Step 4

Pre-session summary

Clinician receives engagement, mood trends, and flagged responses.

Step 5

Session debrief

Therapist adjusts the workflow to reinforce new skills from that week.

Outcomes

Expected outcomes

Reduce skill decay

Keep therapeutic concepts active in daily life between sessions.

Increase engagement

Improve patient session preparedness, leading to more productive appointments.

Improve clinician visibility

See real-world symptom patterns without manual outreach.

Generate new revenue

RTM billing for between-session monitoring and intervention.

"Between sessions, our patients used to lose momentum. Now they get a breathing exercise or a reflection prompt right when they need it."
Anthony Como
Anthony Como

Founder, KuduCare

Anthony Como company logo

Next up

Let's talk

Contact us to explore how Nudge can strengthen engagement, adherence, and between-visit support.

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