Now accepting beta therapists

What happens between sessions changes outcomes.

An AI-powered space to reflect, check in, and build skills between sessions, configured by your licensed therapist. Not therapy. Not a replacement. A companion for the work in between.

I'm a Therapist I'm a Patient

HIPAA Compliant Therapist-Directed AI RTM Billing Ready CBT, DBT, ACT & More

Therapist-directed care

Person working on laptop between sessions

Reflect between sessions

Better outcomes together

The Problem Nobody Talks About

Therapy is 1 hour a week.
What happens in the other 167?

Your patient leaves the session feeling hopeful. By Wednesday, the insights start fading. By Saturday, they haven't checked in with themselves once. By next Tuesday, you're re-teaching instead of progressing.

Tuesday 4pm

Therapy session.
Hope is high.

Wednesday

Skills start
to fade.

Thursday 2am

Anxiety spiral.
No one there.

Saturday

Old patterns
return.

Monday

Homework
not done.

Next Tuesday

Start over
again.

167

hours between sessions with no way to reflect, check in, or build on what you learned

How It Works

Three steps. Zero extra workload.

ExtendedSessions.ai works inside your existing practice. No platform migration. No new patients. Just better outcomes for the ones you already have.

Therapist Configures

Choose the modality (CBT, DBT, ACT), select exercises, set the tone, and define safety parameters. Takes 5 minutes per patient. The AI follows your clinical plan, not its own.

Patient Engages

Between sessions, your patient reflects, journals, and works through exercises with an AI that knows their treatment plan. Thought records, mood check-ins, exposure tracking — whatever you assigned.

Therapist Gets Insights & Bills RTM

Before your next session, get a summary: what they worked on, mood patterns, and engagement data. Walk in prepared and bill RTM codes for ~$120–180/month per patient.

Learn how RTM billing works →

Built for Both Sides of the Relationship

For therapists and patients, together.

For Therapists

Your patients engage.
Your revenue grows.
Your workload doesn't.

ExtendedSessions.ai is the only between-session tool that you control. Configure the AI to your clinical approach, not the other way around.

✓ Configure AI to your modality (CBT, DBT, ACT, MI)
✓ Pre-session summaries of patient activity
✓ Bill RTM codes: ~$120–180/month per patient
✓ Real-time crisis escalation to you and 988
✓ No patient data shared without your direction

Join the Therapist Beta

For Patients

Reflect, check in, and grow.
Between every session.

This isn't a generic chatbot or a therapist substitute. It's a personal space set up by your therapist where you can journal, work through exercises, and build on what you're learning together.

✓ Work through exercises your therapist assigned
✓ Available 24/7 to journal, reflect, and check in
✓ Personalized to your treatment plan
✓ Show up to your next session more prepared
✓ Private, HIPAA-compliant, therapist-governed

Ask Your Therapist About It

The Difference

Not another therapy app.
A growth tool your therapist controls.

Every other platform either replaces the therapist or connects you to one. We're the only one that helps patients reflect, engage, and build on the skills their therapist is already teaching.

Feature	BetterHelp / Talkspace	Woebot / Wysa	ExtendedSessions.ai
Between-session engagement	Messaging (therapists unpaid to respond)	Scripted chatbot	AI-guided reflections & exercises, directed by your therapist
Knows your treatment plan	Therapist-dependent	No	Yes — therapist configures it
Connected to your therapist	Platform owns the relationship	No therapist connection	Built around your existing therapist
Clinical personalization	Generic platform features	Algorithm-based	Therapist + AI co-directed
Therapist revenue impact	Pays therapists ~$30/hr	No therapist involved	Adds ~$120–180/mo per patient (RTM)
Data privacy	FTC settlement / Data mining	App collects data	Therapist-governed, HIPAA

The Evidence

Now patients can keep growing
between every session — guided by you.

The research is clear: patients who engage between sessions get better faster. We make that engagement effortless.

68%

of therapy outcomes improve when patients complete between-session assignments

Kazantzis et al., 2016 — Meta-analysis

20%

more likely to continue therapy when engaged between sessions

Talkspace Q4 2024 Earnings Data

167

hours per week with no way to reflect, check in, or build on what you learned

The gap ExtendedSessions.ai fills

Early Voices

What therapists are saying.

I've been looking for something exactly like this for years. My patients want to keep working on things between sessions but they don't. An AI that follows my treatment plan? That's not replacing me. That's giving me superpowers.

Licensed Clinical Psychologist

Private practice, CBT specialty — Beta tester

The fact that I can configure the AI to my clinical approach changes everything. Woebot does CBT regardless of what I'm doing with my patient. This does what I tell it to do. That's the difference.

Licensed Marriage and Family Therapist

Group practice, DBT specialty — Beta tester

The RTM billing alone sold me. I'm generating ~$150/month per patient in new revenue for data the platform generates automatically. My patients are more engaged and I'm more prepared for each session.

Licensed Professional Counselor

Solo practice, anxiety & depression — Beta tester

I used to dread Monday sessions because I knew my patients hadn't engaged at all between visits. Now they show up having worked through thought records all week. The sessions are deeper. We're actually making progress.

Licensed Clinical Social Worker

Community mental health, trauma specialty — Beta tester

FAQ

Common questions.

No — and it's not therapy at all. ExtendedSessions.ai is a space to reflect, journal, and work through exercises your therapist assigns. Think of it as a companion for the work between sessions — but your therapist is still the one providing your care.

Woebot and Wysa are standalone chatbots that run the same scripted programs for everyone. They have no connection to your therapist or treatment plan. ExtendedSessions.ai is directed by your therapist — it knows what modality you're working in, what skills you're building, and what to focus on next. It's the difference between a generic app and a tool your therapist personally set up for you.

For patients: nothing. Your therapist enrolls you and insurance covers the cost through RTM (Remote Therapeutic Monitoring) billing codes. For therapists: the platform generates more revenue than it costs — RTM billing adds ~$120–180/month per patient. During beta, it's free for both therapists and patients.

Yes. We are fully HIPAA-compliant with end-to-end encryption, BAAs with all infrastructure providers, and a therapist-governed data model. Your data is never sold, never mined for marketing, and never shared with anyone except your therapist. This is the opposite of what BetterHelp and Talkspace have done.

ExtendedSessions.ai is not a crisis intervention tool and does not provide emergency mental health services. However, it has built-in safety protocols: if the AI detects signs of distress, it immediately surfaces 988 Suicide & Crisis Lifeline information, alerts your therapist, and guides you toward appropriate emergency resources. It never attempts to handle a crisis on its own.

Join our beta below. We'll walk you through setup in a 15-minute call, help you configure your first patient, and provide white-glove support throughout the beta period. We're currently accepting licensed therapists in all 50 states.

The other 167 hours are waiting.

Join the therapists who are closing the between-session gap. Beta spots are limited.

Join the Therapist Beta

Request a Demo

Enter your email and we'll reach out to schedule a 15-minute walkthrough.

What happens between sessions changes outcomes.

Therapy is 1 hour a week.What happens in the other 167?