I used Sessions Health for our 2026 EHR review updates, using it again alongside other leading mental health EHRs. Sessions Health still stands out as a streamlined EHR system that covers the essentials like telehealth, documentation, and billing without some of the more niche features that might be unnecessary for many practices.
With pricing starting at $39 monthly for a solo clinician, Sessions Health is one of the highest value EHRs for the cost that we’ve used. It’s especially well-suited for solo and small group practices that want a modern interface, straightforward setup, and responsive support. That said, teams that rely heavily on advanced automations, broad integrations, or enterprise-style reporting may eventually find its ecosystem limiting as they scale up.
Sessions Health At a Glance
Cost: $39+ monthly
Best For: Solo and small group practices that want a no-frills EHR with straightforward pricing and easy setup.
Pros & Cons of Sessions Health
Pros - Very clean, simple, and easy to use
- Easy-to-use form customizer
- Offers a free trial (for up to 3 active clients) with no time limit
Cons - Form customization is a bit basic
- Somewhat barebones, compared to other EHRs
- Not very useful for MDs or prescribers
Preview Sessions Health
Sessions Health is a mental health EHR designed to keep private practice workflows simple. Pricing starts at $39 per month for a solo clinician (a total of $49 monthly when you include telehealth), and Sessions also offers a rare free plan that you can use indefinitely with up to three active clients.
In hands-on use, Sessions Health tends to work best for solo clinicians and small groups that want a modern EHR with strong fundamentals and good customer support. It covers all of the basics of running a mental health practice: documentation, organzing a client caseload, billing clients and insurance plans. However, it intentionally skips some of the more advanced features you might see in more complex EHRs such as intensive client engagement features, advanced reporting, workflow automations, AI integrations and so on.
If your practice needs deep automation, a wide integration marketplace, or advanced reporting built for large multi-location organizations, a more feature-rich platform may be a better long-term fit. You can explore those options in our guide to the best mental health EHRs.
SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.
My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.
Detailed Review of Sessions Health
Sessions Health is an electronic health records (EHR) platform designed specifically for mental and behavioral health private practices. With pricing starting at $39 monthly, it simplifies core tasks like managing client caseloads, scheduling appointments, and handling clinical documentation and assessments.
Review our scoring criteria for EHRs, EMRs, and PMS for therapists.
Review our complete editorial policies here.
Client Records & Data Management
Sessions Health provides a clean, thoughtfully structured system for managing client records that prioritizes clarity and ease of use. Adding new clients is fast and flexible, with minimal required fields up front and multiple entry points throughout the platform, making it easy to onboard clients individually or in batches without friction.
Once a client is created, Sessions Health guides clinicians through a structured setup flow that covers key steps like inviting the client to the portal, assigning intake forms, configuring billing preferences, and adding related contacts. This guided approach helps reduce missed steps during onboarding and keeps client records consistent from the start. The platform also supports linking clients into couples, families, or group relationships, which is essential for many therapy practices.
Each client chart is clearly organized into distinct sections for documentation, billing, demographics, treatment planning, and activity history. A persistent sidebar surfaces quick-reference details such as upcoming appointments and outstanding forms, allowing clinicians to orient themselves quickly without digging through menus. Role-based permissions are flexible and easy to configure, giving practices strong control over who can view or edit sensitive information. Built-in activity logs and audit trails further support compliance and accountability.
For practices switching from another EHR, Sessions Health offers free data migration support, including the import of client records, progress notes, and even historical calendar events—an area where many competitors fall short or charge extra.
Overall, Sessions Health delivers a strong, intuitive client records system that covers the needs of most solo and small group practices while maintaining compliance and clarity. The lack of an advanced search feature within client records keeps it just below the most robust enterprise platforms, earning 4 out of 5 stars for Client Records & Data Management under our scoring criteria.
Intake & Assessment
Sessions Health offers a solid, well-balanced intake and assessment system that emphasizes clarity. The platform includes a library of 35+ prebuilt forms and assessments, covering common needs such as PHQ-9, ASRS, safety plans, diagnostic evaluations, and general intake paperwork. All templates are fully editable, and clinicians can also build custom forms from scratch using the same form builder used throughout the platform.
Forms are enabled manually rather than automatically pushed to clients, which helps practices keep their form library intentional and uncluttered. Once enabled, forms can be sent during initial onboarding through the client setup wizard or later from within the client chart. Clients complete forms securely through the client portal on any device, and clinicians can also complete or review forms live during sessions when needed.
Sessions Health supports auto-scored assessments with visual progress tracking, allowing clinicians to monitor outcomes over time without additional tools. Completed forms are neatly organized within the client record, making it easy to reference historical responses or track changes across sessions.
Where the system stops short of the highest possible score is in automation depth. Intake packets are not dynamically tailored based on client type or service, and the form builder does not offer advanced conditional logic or the same level of refinement found in more documentation-heavy platforms.
Overall, Sessions Health delivers a reliable, easy-to-manage intake and assessment experience that covers the needs of most solo and small group practices without becoming overly complex. Its combination of editable templates, auto-scored assessments, and clean portal-based completion earns it 4 out of 5 stars for Intake & Assessment under our scoring criteria.
Scheduling & Calendar Management
Sessions Health delivers one of the strongest scheduling experiences we’ve used, balancing flexibility, automation, and ease of use in a way that works equally well for solo clinicians and growing group practices. The calendar interface is clean and readable, with multiple views and filters that make it easy to manage appointments by clinician, service type, and even physical room.
Creating and managing appointments is fast and intuitive. Clinicians can assign appointment types, link service codes, set custom fees by provider, and manage recurring sessions easily. Sessions Health’s automatic time zone handling is very useful—all appointment reminders adjust correctly to the client’s local time, which significantly reduces errors and confusion for telehealth-heavy practices.
Clients can request or book appointments directly through the client portal, and built-in waitlists help practices manage cancellations and fill openings efficiently. Email and SMS reminders are included at no extra cost—an area where many competing EHRs charge add-on fees.
The workflow feels thoughtfully designed throughout. New clients can be added directly during appointment creation, eliminating unnecessary backtracking, and two-way calendar sync with external systems like Google Calendar keeps schedules aligned without manual updates. Availability templates and provider-level controls make it easy to manage complex schedules as practices grow.
Between its automation, flexibility, and great day-to-day usability, Sessions Health clearly earns 5 out of 5 stars for Scheduling & Calendar Management.
Clinical Documentation & Treatment Planning
Sessions Health offers a fast, flexible documentation experience that supports efficient day-to-day clinical workflows. Progress notes can be launched directly from scheduled appointments or accessed from multiple areas within the client chart, keeping documentation closely tied to session flow.
Out of the box, Sessions Health includes seven ready-to-use progress note templates, including SOAP, DAP, BIRP, EMDR, Group Therapy, Discharge, and a general narrative format. All templates are fully editable and built using the same form builder used for intakes and assessments. That builder supports a wide range of field types, such as dropdowns, multiple choice, Likert scales, sliders, and file uploads, giving clinicians enough flexibility to match most documentation styles, even if the interface itself isn’t the most intuitive we’ve used.
Sessions Health includes a basic treatment plan structure that covers core needs, and clinicians can modify or build their own plans as needed. Treatment plan goals can be carried directly into progress notes, making it easier to document clinical progress without duplicating work. Reminders for treatment plan updates and assessments also help practices stay compliant over time.
Where Sessions Health currently lags behind some competitors is automation at the documentation level. There’s no built-in AI scribe or real-time note generation tool, which is becoming more common across modern mental health EHRs. However, documentation from Sessions Health suggests the company is working on developing an AI notetaking tool and will release it soon.
Overall, Sessions Health delivers a solid, reliable documentation system that prioritizes clarity, speed, and clinician control. While it doesn’t yet offer advanced automation or AI-assisted workflows, it covers essential documentation needs well without introducing unnecessary complexity. Based on our rubric, Sessions Health earns 4 out of 5 stars for Clinical Documentation & Treatment Planning.
Telehealth & Client Engagement Tools
Sessions Health offers a reliable but straightforward telehealth experience that prioritizes ease of use over advanced in-session tools. Telehealth is available as an optional add-on at $10 monthly per practitioner and is fully integrated into the platform, allowing clinicians to host sessions directly through the EHR without relying on external apps or downloads.
Joining sessions is simple for clients. Secure telehealth links are automatically included in appointment reminders and accessible through the client portal, with built-in time zone handling that helps prevent scheduling confusion. Sessions support multi-participant video sessions for couples and family therapy (up to four participants), along with standard features like virtual waiting rooms, in-session chat, screen sharing, and optional virtual backgrounds. Connectivity during testing was stable, and the overall experience felt dependable for routine telehealth use.
That said, the telehealth experience remains fairly basic compared to higher-scoring platforms in this category. There’s no picture-in-picture mode or side-by-side documentation view, meaning clinicians typically need to switch tabs if they want to reference records or take notes during a session. Engagement tools beyond live video, such as structured client resources, courses, or interactive assignments, are also limited. Secure messaging is available through the client portal, but asynchronous engagement features are minimal.
One point worth noting is that Sessions Health does not lock practices into its built-in telehealth tool. Clinicians can use a third-party telehealth platform if preferred and simply attach their own video link to appointments, which will still be sent automatically to clients through reminders. This option is useful for practices already invested in another telehealth solution.
Overall, Sessions Health delivers a stable, easy-to-use telehealth solution that works well for individual, couples, and family sessions, but stops short of offering advanced engagement or in-session productivity tools. It’s a dependable option for practices that want telehealth to “just work,” rather than serve as a centerpiece of their clinical workflow. Based on our scoring criteria, Sessions Health earns 3 out of 5 stars for Telehealth & Client Engagement Tools.
Billing & Payments
Sessions Health offers a well-rounded billing system that effectively supports both insurance-based and private-pay practices. Insurance claims can be created and submitted directly through the platform, with support for batch claims, secondary claims, and real-time eligibility checks. ERA auto-posting is included, helping reduce manual reconciliation work and speed up payment tracking.
For private-pay workflows, Sessions Health performs especially well. Practices can accept online payments through the client portal, enable Autopay to reduce late payments, and automatically generate invoices and superbills using existing CPT and diagnosis codes. Client balances, payment history, and outstanding charges are clearly displayed, making it easy to stay on top of collections without relying on external tools.
Sessions Health delivers a capable, thoughtfully implemented billing system that covers the full revenue cycle without overwhelming users. It strikes a strong balance between functionality and usability, earning 4 out of 5 stars in the Billing & Payments (RCM) category of our scoring criteria.
Reporting & Administrative Tools
Sessions Health provides a strong set of administrative tools that work well for both solo clinicians and growing group practices. The platform supports role-based permissions for clinicians, supervisors, billers, and administrative staff, making it easy to control access to sensitive clinical and financial data without overcomplicating setup. Permission controls are intuitive to configure and flexible enough for real-world team structures.
On the reporting side, Sessions Health offers clear, practical dashboards covering core operational metrics such as revenue trends, appointment activity, billing status, and outstanding balances. These reports are well suited for day-to-day oversight and financial tracking, though they lack the deeper customization and advanced analytics found in more enterprise-focused systems. For most small to mid-sized practices, however, the available reports cover what matters without introducing unnecessary complexity.
Overall, Sessions Health strikes a solid balance between usability and administrative control. It delivers dependable reporting and practice management tools that scale reasonably well as a practice grows, earning 4 out of 5 stars in the Reporting & Administrative Tools category of our scoring criteria.
Support, Onboarding, & Training
Sessions Health stands out for its strong support infrastructure and unusually smooth onboarding experience. Email support is responsive, with typical reply times within a few business hours, and users can also schedule live demos or training sessions for more hands-on guidance.
The platform’s self-service resources are equally robust. The help center includes a well-organized library of articles and more than 50 searchable video tutorials covering nearly every core workflow, allowing most users to find answers without needing to contact support. During onboarding, Sessions Health also offers free data imports from other EHRs, including client records, notes, and even historical calendar data.
Sessions Health delivers one of the more supportive onboarding and training experiences we’ve seen among mental health EHRs. Between responsive human support, thorough documentation, and hands-on migration assistance, it earns 5 out of 5 stars in the Support, Onboarding, & Training category.
Cost & Pricing Plans
Sessions Health uses a simple pricing model. The base cost for their Professional plan is $39 monthly, with an extra $29 monthly for each additional provider. Telehealth costs an extra $10 monthly, so most solo, cash-pay clinicians will end up paying $49 per month.
Sessions Health also offers a free plan for up to three active clients, allowing newer practices to use the full platform indefinitely before upgrading. A 30-day free trial of the Professional plan is also available, with no credit card required.
Optional Add-Ons & Other Fees
While most core features are included, there are a few optional costs to be aware of:
- Integrated telehealth platform: $10 monthly, per practitioner
- Payment processing:
- Stripe: ~2.9% + $0.30 per transaction
- ACH payments: 1% per transaction
- Insurance claims submissions: $0.25 per claim
- Insurance eligibility checks: $0.15 per request
- Additional clinicians: $29 monthly, per additional practitioner
What Sessions Health Costs in Real-World Scenarios
For a solo, cash-pay practice offering both in-person and telehealth sessions, total software costs typically land at $49 monthly ($39 base + $10 telehealth).
For a solo practice billing insurance occasionally, monthly costs increase gradually based on actual claim volume. At roughly 20–30 insurance sessions per month, total costs generally fall in the $55–65 range, depending on eligibility checks and payment processing.
SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.
My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.
User Reviews
Across user review platforms, Sessions Health receives overwhelmingly positive feedback, though there are fewer reviews to pull insights from than with some competitors. Reviewers consistently praise its ease of use, fair pricing, and highly responsive customer support, often framing it as a simpler, more clinician-friendly alternative to larger, more expensive EHRs.
Many users mention switching from other platforms due to rising costs or complexity and describe Sessions as easier to learn, easier to maintain, and less stressful to use day to day.
Capterra | 4.9 out of 5 stars | ~100 reviews
Positive reviews on Capterra overwhelmingly emphasize simplicity, affordability, and support. Users frequently describe Sessions Health as intuitive, uncluttered, and quick to learn, with many noting that it was the smoothest part of launching or transitioning a private practice. Customer support is repeatedly highlighted as a standout strength, with reviewers citing fast response times, helpful onboarding, and a team that actively listens to clinician feedback. Pricing stability also comes up often, especially among users who switched from other EHRs after repeated price increases.
Critical reviews on Capterra are relatively rare and tend to focus on scope rather than reliability. A small number of reviewers note that Sessions Health can feel limiting as practices grow, particularly once teams reach around ten clinicians. These critiques are usually framed as tradeoffs rather than dealbreakers, reinforcing the platform’s strong fit for solo and small-group practices.
Alternatives & Competitors
Sessions Health is a strong fit for solo clinicians and small private practices that value simplicity, predictable pricing, and responsive support. That said, practices with more complex needs such as intensive client engagement features, or deeper workflow customization may find that other EHRs are a better long-term fit. Below, we compare Sessions Health to several popular alternatives: SimplePractice, TherapyAppointment, and My Best Practice.
SimplePractice
Cost: $49–$99+ monthly
Compared to Sessions Health: More feature-rich and scalable, but significantly more expensive and complex.
Both Sessions Health and SimplePractice offer clean, approachable interfaces that appeal to therapists who want an all-in-one system. SimplePractice differs in scope somewhat: it includes more advanced reporting, enterprise-style controls, built-in marketing tools, and a broader add-on ecosystem. These features can be valuable for growing or insurance-heavy practices, but they also come with higher costs and a steeper learning curve.
Sessions Health, by contrast, is often easier to learn, easier to maintain, and less prone to surprise pricing changes, making it a better fit for clinicians who want to stay focused on clinical work rather than system management.
For more information, read our SimplePractice review.
Pros & Cons
Pros - Broader feature set and add-on ecosystem
- Strong reporting and insurance tools
- Built-in marketing and client-facing features
Cons - Higher long-term costs
- More features than many small practices need
TherapyAppointment
Cost: $10–$59+ monthly
Compared to Sessions Health: More budget-oriented, but less refined and intuitive overall.
Sessions Health and TherapyAppointment both appeal to cost-conscious clinicians, but they take different approaches. TherapyAppointment emphasizes affordability, which can be appealing for very small or early-stage practices. However, its interface and workflows feel more utilitarian, and setup can take more effort.
Sessions Health offers a more intuitive experience, with stronger support and a smoother day-to-day workflow. For clinicians who want a low-friction system that “just works,” Sessions often feels easier to live with long term.
For a deeper look at our thoughts, take a look at our TherapyAppointment review.
Pros & Cons
Pros - Pricing is based on client volume and doesn’t restrict features
- Automated insurance claims
- Automated client intakes and client self-scheduling
- Very affordable compared to alternatives
Cons - Free trial requires credit card
- Few options for customizing treatment plan and note templates
- Telehealth platform requires extra fee
- Doesn’t support electronic prescriptions
My Best Practice
Cost: $39+ monthly
Compared to Sessions Health: More powerful documentation and automation tools, but more involved set up.
My Best Practice is often a better fit for clinicians who want to build more structured workflows as their practice evolves, particularly around documentation standards, session planning, and outcome tracking. It rewards upfront setup with more control over how clinical work is organized.
Sessions Health tends to work best for clinicians who want a more low-effort system that doesn’t require ongoing configuration, but may not have as many features to support growing practices.
Learn more about it in our full My Best Practice review.
Pros & Cons
Pros - Strong clinical documentation and session-planning tools
- Large assessment library with customization options
- Robust reporting and analytics
Cons - More setup and complexity than Sessions Health
- Some features add cost or require configuration
- Less minimal, more “hands-on” system overall
Why You Can Trust My Review
“I’ve used Sessions Health several times since 2023. Putting it to test in real-world scenarios, I worked through common practice workflows such as client intake, documentation, scheduling, billing, and telehealth. I also reviewed user feedback across major review platforms and spoke with members of the Sessions Health team.
This review reflects both direct product testing and broader market research, with an emphasis on how Sessions Health performs in real-world use compared to other mental health EHRs we’ve reviewed. Our goal is to highlight where the platform fits well, where it may fall short, and which types of practices are most likely to benefit.”
History & News
- Founded: 2018
- Headquarters: Minneapolis, MN
Sessions Health was founded in 2018 in Minneapolis, Minnesota, with a mission to provide simple, affordable, and accessible practice management tools for behavioral health professionals. The company is privately held and has intentionally kept its focus tight, prioritizing the needs of therapists, counselors, and mental health providers over pursuing larger, more generalized healthcare markets.
Over the years, Sessions Health has gradually expanded its capabilities based on customer feedback, adding insurance claims processing, improving reporting, and launching its integrated telehealth platform (now supporting up to four participants). Notably, they’ve made a point to maintain a clean, intuitive interface while regularly releasing new features without bloating the system.
A representative I was able to consult with states the company emphasizes ethical responsibility, inclusivity, and customer-centric development, actively incorporating suggestions from its user base. According to the Sessions Health team, they are currently developing AI-driven features such as note and treatment plan suggestions, signaling ongoing investment in automation to reduce clinician workload.
Today, Sessions Health serves practices of all sizes, from solo clinicians to groups with over 100 providers, and continues to grow steadily through word-of-mouth and practitioner referrals.
Frequently Asked Questions
Is Sessions Health Good?
Yes. Sessions Health is a solid, and generally well-regarded EHR for mental health professionals, especially solo clinicians and small practices. While it doesn’t offer advanced marketing tools or deep automation, it performs very well as a reliable, therapy-first EHR.
How Much Does Sessions Health Cost?
Sessions Health uses simple, transparent pricing based on the number of clinicians in a practice. Plans typically start around $39 monthly for solo providers, with discounts for group practices as additional clinicians are added. All plans include core features like scheduling, documentation, telehealth, and billing, with no long-term contracts required. Compared to many competitors, pricing is predictable and doesn’t rely heavily on paid add-ons.
How Secure is Sessions Health?
Sessions Health takes security and privacy seriously. The platform is HIPAA compliant and includes safeguards such as encrypted data storage, secure client portals, role-based access controls, and audit logs. These features help ensure that client information is protected and that practices can maintain compliance with healthcare privacy regulations. Sessions Health also hosts its data on secure servers and follows industry-standard security practices. As with any piece of software, how you use it also has a big effect on how secure it is.
What is the Difference Between SimplePractice and Sessions Health?
The biggest difference comes down to complexity and focus. SimplePractice offers a broader feature set, including built-in marketing tools, a website builder, and a larger ecosystem of integrations, which can be helpful for growing or highly customized practices. Sessions Health, by contrast, emphasizes simplicity, clinical clarity, and ease of use, with fewer add-ons and a more streamlined interface. For clinicians who want a straightforward, therapy-centric EHR without extra bells and whistles, Sessions Health often feels easier to work with day to day.
Is Sessions Health HIPAA-Compliant?
Yes, Sessions Health is fully aligned with HIPAA regulations. Keep in mind that the way you use a piece of software can affect compliance.
How Do I Cancel My Sessions Health Subscription?
To cancel your Sessions Health subscription, simply log in to the platform, navigate to account settings, scroll to the bottom, and select “Close this account.”
Does Sessions Health Offer Refunds?
No, Sessions Health does not offer refunds.
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Sessions Health. (n.d.). Features. Retrieved from: https://www.sessionshealth.com/#features
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Sessions Health. (n.d.). Pricing. Retrieved from: https://www.sessionshealth.com/pricing
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Sessions Health. (n.d.). Questions about compliance. Retrieved from: https://support.sessionshealth.com/article/82-questions-about-compliance
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Church, M. (2026). SimplePractice Review: Is It Right for Your Practice? Retrieved from: https://www.choosingtherapy.com/simplepractice-review/
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Church, M. (2026). TheraPlatform Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/theraplatform-review/
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Church, M. (2026). My Best Practice Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/my-best-practice-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Matthew Church, M.S. (No change)
Medical Reviewer: Melissa Boudin, PsyD. (No change)
Primary Changes: Entire article updated with fresh hands-on testing, revised pricing and insurance cost analysis, and structural improvements for clarity. Updated star rating to reflect new scoring criteria. We refreshed user review insights, updated comparisons to key alternatives, and refined the article to better reflect real-world practice workflows and long-term value.
Author: Matthew Church, M.S. (No change)
Medical Reviewer: Melissa Boudin, PsyD. (No change)
Primary Changes: Used and reevaluated Sessions Health, assessing all features and comparing to our scoring criteria. Retained Sessions Health’s 4 out of 5 star rating. Added new insights and experience, as well as screenshots of our time using Sessions Health. Updated pricing structure to reflect current features offered. Added insights provided by company spokesperson. Revised and rewrote most of article to enhance readability and clarity.
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added review summary block, new format for star rating breakdown, and all related page features.
Author: Matthew Church, MS (No change)
Medical Reviewer: Melissa Boudin, PsyD (No change)
Primary Changes: Added key takeaways, reviewed current app features, rewrote some sections for clarity and brevity.
Author: Matthew Church, MS
Medical Reviewer: Melissa Boudin, PsyD
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