Therapy apps, coaching apps, relaxation apps: 13 apps compared
Headspace, Calm, 7Mind, HelloBetter, Selfapy, Wysa, Rosebud and more: what well-known psychology apps can and cannot do. With studies, consumer tests, the German DiGA directory and real user voices from the App Store, Trustpilot and Reddit.
In short
- Three categories: relaxation and meditation, therapy apps (DiGA) and therapy-oriented self-help, coaching and self-reflection.
- Prescription DiGA have the strongest evidence. Meditation apps help many people relax, but the trials are small and mixed.
- App Store stars are almost always high, while many people on Trustpilot complain about subscriptions. Together, both are more honest.
- No app replaces psychotherapy. Which one fits depends on whether you want to relax, be treated or understand yourself.
Type “therapy”, “psychology” or “mindfulness” into the App Store and you get hundreds of results, almost all with 4.5 stars or more. We cannot test them all. But we took a closer look at 13 well-known apps: what their App Store pages promise, what studies and consumer testers found, and what users actually write.
This article complements our basic guide Therapy app or coaching app?, which covers what apps can do in principle. Here we look at specific apps.
The overview: three categories
Relaxation
meditation, sleep, breathing- Good for
- winding down, sleeping better, everyday stress
- Evidence
- individual, mostly small trials with students
- Cost
- subscription, often €50 to €90 a year
Therapy
DiGA and therapy-oriented self-help- Good for
- symptoms such as depression, panic or insomnia, alongside treatment
- Evidence
- strongest, reviewed by the German BfArM9
- Cost
- free for you on prescription in Germany
Coaching
self-reflection, journaling, patterns- Good for
- understanding yourself, naming feelings, clarifying goals and conflicts
- Evidence
- so far very little for individual apps
- Cost
- from free to subscription
For context: a large meta-analysis led by the Australian psychologist Jake Linardon, the American psychiatrist John Torous and the Dutch psychologist Pim Cuijpers found small but reliable effects of apps on symptoms of depression and anxiety across 176 trials1. Individual apps may do better or worse. That is exactly why it pays to look at the specific app.
Category 1: Relaxation and meditation apps
Guided meditations, sleep stories, breathing exercises. They want to help you switch off. They do not deal with the causes of your conflicts.
Headspace
Headspace Inc., USA- Hundreds of guided meditations on stress, sleep and focus, plus short SOS sessions
- Randomised trial with students: modest improvements in depressive symptoms and resilience2
- No link to your specific conflicts; content is the same for everyone
- In the same trial, use dropped sharply once it was voluntary2
- Many complaints on Trustpilot about subscription renewals and refunds20
Calm
Calm.com, Inc., USA- Meditations from 3 to 25 minutes, over 100 sleep stories, breathing exercises
- Randomised trial with students: clearly less perceived stress after 8 weeks3
- The trial was small (88 people analysed); the lead author later became Director of Science at Calm3
- Trustpilot score 1.3 out of 5, mostly about billing and hard-to-reach support19
„The greatest enrichment for my everyday life.“Review in the German App StoreOpen in the App Store
7Mind
7Mind GmbH, Berlin- Over 1,000 audio sessions, including progressive muscle relaxation and autogenic training
- Prevention courses subsidised by German health insurers; free for BARMER members according to the App Store
- In an independent trial from Jena, the app course was no more effective than a communication course used for comparison4
- Users criticise that course units unlock only once a week
„You can find the right meditation for pretty much every situation here.“Review in the German App Store, May 2025Open in the App Store
Insight Timer
Insight Network Inc.- Thousands of free guided meditations, many in German
- Timer, sounds, community groups and statistics without a subscription
- We found no randomised trial of this specific app
- Quality varies because a great many different teachers upload content
In 2021, Stiftung Warentest tested ten meditation apps with German-language guidance, including Headspace, Calm, 7Mind and Insight Timer. It could recommend only two. Six apps were rated only “adequate”, often because of a missing coherent concept or weak evidence, and it found clear data protection shortcomings in all of them5. The test dates from 2021, and the apps have changed since. The individual ratings are behind a paywall.
An independent trial from the University of Jena led by Constance Karing stands out: students who practised with 7Mind for four weeks improved in mindfulness and stress. But so did all the other groups, including a communication course used for comparison4. Meditation can do you good. That the app itself makes the difference has not been shown.
Category 2: Therapy apps (DiGA) and therapy-oriented self-help
In Germany, DiGA are medical devices that the federal institute BfArM has reviewed for safety, data protection and a positive care effect. Doctors and psychotherapists can prescribe them, and health insurance pays9. Alongside them are apps that use therapeutic methods but are not DiGA.
HelloBetter
GET.ON Institut GmbH- Several programmes permanently listed as DiGA, e.g. panic, stress and burnout, sleep8
- Stiftung Warentest rated HelloBetter Panik “good”, with effectiveness shown in robust studies6
- Chat support from psychologists
- Requires a prescription or approval by the health insurer
- Not a replacement for psychotherapy; one user had expected video sessions, which are not part of it
„Quick first aid while waiting for a therapy place“Review in the German App Store, January 2025Open in the App Store
Selfapy
Selfapy, Berlin- Depression course permanently listed as DiGA since December 20208
- A personal psychological contact person accompanies the course
- Diary, symptom checks, text, audio and video
- Stiftung Warentest 2021 (panic course): “satisfactory”, proof of benefit only “adequate”7
- Users find the course very text-heavy
„A strong help for bridging the waiting time“Review in the German App Store, February 2022Open in the App Store
deprexis
GAIA AG, Hamburg- Permanently listed as DiGA8
- Meta-analysis of 12 randomised trials with 2,901 participants: medium effect on depressive symptoms (g = 0.51)10
- Adapts to your answers in a dialogue
- Two authors of the meta-analysis are employed by the manufacturer10
- Only on prescription or with insurer approval; runs as a web programme
MindDoc
MindDoc Health GmbH- Track mood and thoughts, regular feedback you can share with your clinician
- Over 70 courses and exercises based on cognitive behavioural therapy
- According to its App Store page, not a DiGA; a randomised trial of the prescription version was still running in 202311
- Users find the daily questions monotonous over time
„This app really helped me keep track of my mental state.“Review in the German App Store, September 2023Open in the App Store
Wysa
Touchkin eServices- Anonymous chat with an AI, CBT and DBT exercises, optional professionals at extra cost
- Granted “Breakthrough Device” designation by the US FDA in 2022, for people with chronic pain plus depression or anxiety13
- The designation is not an approval; the first evaluation with 129 users was preliminary and had no control group1213
- According to the provider, no diagnosis and no treatment advice; English only
In Stiftung Warentest’s 2021 test of nine apps for anxiety disorders, HelloBetter and Velibra were rated “good” because their concept is coherent and their effectiveness is shown in robust studies. The testers stress that such apps do not replace a session with a psychiatrist or psychotherapist, but can bridge the waiting time and complement therapy6. Many users in the App Store describe them in exactly this way.
An important difference between the apps is human support. Harald Baumeister and colleagues found that guided online programmes are completed more often and work better than programmes people work through entirely alone21.
Category 3: Coaching and self-reflection apps
These apps do not treat anything. They help you name feelings, sort your thoughts, see patterns and work on goals. This is where MindMotion belongs, which is why our prototype is on the list.
Mindshine
Greator GmbH- Courses on self-confidence, productivity and meditation, over 200 sessions
- Morning, midday and evening routines, mood tracker, “first aid” exercises
- We found no randomised trial of this specific app
- General courses with no link to your own conflict situations
Rosebud
Just Imagine, Inc., USA- Journal by text or voice; an AI asks follow-up questions and spots patterns over weeks
- Weekly reports, goals and habits, guided journals (e.g. CBT)
- According to the provider, the free plan is being retired on 30 September 202614
- According to the App Store, no diagnosis or treatment and no substitute for therapy; 18+
How We Feel
The How We Feel Project, Inc.- Developed with the Yale Center for Emotional Intelligence led by the American psychologist Marc Brackett15
- Mood matrix, short video strategies; data stays on your device unless you opt in
- Yale research uses the app’s data to study everyday emotions; we found no efficacy trial of the app itself15
- Not available in German
„How We Feel has made navigating my everyday thoughts and emotions so much easier.“Review in the US App Store, June 2024Open in the App Store
MindMotion
ScaleVanta AI LLC- Connects a specific everyday conflict with inner patterns (OPD conflict model) and small new steps
- A companion asks follow-up questions; you confirm or correct every step
- Still a prototype; there is no study of MindMotion yet
- Not therapy, no diagnosis, no replacement for help in a crisis
With AI apps in particular, it is worth looking at what people write in online communities. A team led by Sanguk Lee analysed 517 Reddit posts about AI and mental well-being. The most frequently named benefits were emotional support, companionship and accessibility. Among the challenges, possible adverse effects came first, followed by a lack of depth and emotional connection18. In mental health communities, a lack of depth was named about 2.5 times as often as in AI communities18.
All apps at a glance
| App | In German | DiGA (prescription) | Randomised trial of the app | Human support |
|---|---|---|---|---|
| Headspace | yes | no | yes | no |
| Calm | yes | no | yes | no |
| 7Mind | yes | no | yes | no |
| Insight Timer | yes | no | none found | no |
| HelloBetter | yes | yes | yes | yes |
| Selfapy | yes | yes | partly | yes |
| deprexis | yes | yes | yes | partly |
| MindDoc | yes | no | partly | no |
| Wysa | no | no | partly | partly |
| Mindshine | yes | no | none found | no |
| Rosebud | yes | no | none found | no |
| How We Feel | no | no | none found | no |
| MindMotion | yes | no | none found | no |
“Partly” for trials: evidence only for individual programmes, with limitations, only as an observational study, or without published results yet. “Partly” for support: optional or only at extra cost. As of 5 November 2026.
What users really write
In the App Store, almost all apps in this comparison have 4.6 stars or more. Only Selfapy is clearly lower at 3.1. On Trustpilot, the picture for the big meditation apps is very different:
Same app, different platform (out of 5 points)
The difference has a simple reason: in the App Store, it is mostly people who are using and enjoying the app who leave ratings. On Trustpilot, it is mostly people who are annoyed, usually about automatic subscription renewals, refused refunds and hard-to-reach support1920. Trustpilot itself notes that these reviews may not be representative19. The low scores say little about the content. They do say something about the business model.
Studies that systematically analyse large numbers of reviews paint a similar picture:
- Usability decides. An analysis of 13,549 reviews of 106 apps found that poor usability was the most common reason for giving up an app. People praised simple interfaces, variety and settings they could adapt16.
- Paywalls and ads annoy. In more than 750 App Store reviews of five mood and journaling apps, people mainly complained about technical problems after updates, paywalls, subscription prompts and ads17.
- Stars say little. The conclusion of the same study: star ratings alone are not enough to show whether an app meets users’ needs17.
- Recommendations keep people going. People who had an app recommended by friends, family or a therapist were more likely to stick with it, even despite technical problems17.
Which app suits you?
-
Are you in an acute crisis right now?
YesNo app. Get help now: crisis line or 112NoOn to the next question -
Have you been feeling bad for weeks, or is daily life barely working?
YesTalk to your GP or a psychotherapy practice. In Germany, they can also prescribe a DiGA such as HelloBetter, Selfapy or deprexis.NoOn to the next question -
What would you like?
To switch offRelaxation apps like 7Mind, Headspace, Calm or Insight TimerTo understand myselfCoaching and reflection apps like How We Feel, Rosebud or MindMotion
Before you sign up for an annual subscription, the checklist from the American Psychiatric Association’s evaluation model helps: who is behind it, what happens to my data, what is the app based on, and do I like coming back22? And a very practical tip from the Trustpilot reviews: note down when your free trial ends.
Where MindMotion stands
MindMotion is not a therapy app and does not provide psychotherapy. We are a tool for psychological self-reflection, closer to coaching. The difference from the apps above: MindMotion starts with a specific conflict in your daily life, at work or in your relationship for example, and looks for the inner pattern behind it together with you. Its foundation is the OPD conflict model; read more in Understanding inner conflicts.
To be honest: MindMotion is still a prototype, and there is no study of it yet. Which change factors we implement and where we are still weak is shown openly in What makes change work. What the app looks like can be seen in How MindMotion works.
Frequently asked questions
Which therapy app is the best?
It depends on what you need. If you have been under heavy strain for weeks, prescription DiGA such as HelloBetter, Selfapy or deprexis are the tested choice in Germany, ideally together with a doctor or psychotherapist. For relaxing, meditation apps like 7Mind, Headspace, Calm or Insight Timer fit. If you want to understand yourself and recurring conflicts better, coaching and self-reflection apps are the right place.
Which apps does health insurance pay for?
In Germany, statutory health insurers pay for digital health applications (DiGA) listed in the BfArM directory when they are prescribed or approved by the insurer. In the mental health field these include HelloBetter, Selfapy and deprexis. Some insurers also subsidise prevention courses in meditation apps such as 7Mind.
Are App Store star ratings meaningful?
Only to a degree. A study of more than 750 App Store reviews concluded that stars alone do not show whether an app meets users’ needs. On Trustpilot, by contrast, Headspace and Calm have very low scores, mostly because of frustration with subscriptions and refunds. Together, both give a more honest picture.
Can an AI chat replace therapy?
No. AI companions such as Wysa state themselves that they make no diagnosis and offer no treatment. In an analysis of Reddit posts, people named emotional support and accessibility as benefits; the most frequent challenges were possible adverse effects and a lack of depth.
Is MindMotion a therapy app?
No. MindMotion does not provide psychotherapy. The app is a tool for psychological self-reflection and is closer to coaching. It is still a prototype, and there is no study of it yet.
Try our prototype
The prototype is free and works without sign-up. Start the Mind-Check, pick a conflict from your daily life and see which pattern lies behind it. And tell us honestly what is better than in other apps and what is worse.
Sources
- Linardon, J., Torous, J., Firth, J., Cuijpers, P., Messer, M. & Fuller-Tyszkiewicz, M. (2024). Current evidence on the efficacy of mental health smartphone apps for symptoms of depression and anxiety. A meta-analysis of 176 randomized controlled trials. World Psychiatry, 23(1), 139–149. Vrije Universiteit Amsterdam
research.vu.nl/en/publications/current-evidence-on-the-efficacy-of-mental-health-smartphoneapps- - Flett, J. A. M., Hayne, H., Riordan, B. C., Thompson, L. M. & Conner, T. S. (2019). Mobile mindfulness meditation: A randomised controlled trial of the effect of two popular apps on mental health. Mindfulness, 10, 863–876. University of Otago
www.otago.ac.nz/news/newsroom/otago-study-finds-mindfulness-apps-can-improve-mental-health - Huberty, J., Green, J., Glissmann, C., Larkey, L., Puzia, M. & Lee, C. (2019). Efficacy of the mindfulness meditation mobile app “Calm” to reduce stress among college students: Randomized controlled trial. JMIR mHealth and uHealth, 7(6), e14273. JMIR
mhealth.jmir.org/2019/6/e14273 - Karing, C. (2024). Long-term effects of combined mindfulness intervention and app intervention compared to single interventions during the COVID-19 pandemic: a randomized controlled trial. Frontiers in Psychology, 15, 1355757. Frontiers
www.frontiersin.org/articles/10.3389/fpsyg.2024.1355757 - Stiftung Warentest (2021). Meditation apps tested: only two out of ten convince. test 08/2021 (German consumer testing foundation). test.de
www.test.de/Meditations-Apps-Test-5771056-0 - Stiftung Warentest (2021). Apps for anxiety disorders: from good to poor. Press release, 20 Oct 2021 (German consumer testing foundation). test.de
www.test.de/presse/pressemitteilungen/Apps-gegen-Angststoerungen-Von-gut-bis-mangelhaft-5802076-0 - Stiftung Warentest (2021). Apps for anxiety disorders, individual rating “Selfapy Panik”. test.de
www.test.de/Apps-gegen-Angstoerungen-5802432-5803783/detail/330000016730!11 - DiGA directory: DiGAs for mental health (based on the BfArM directory, accessed 5 Nov 2026). diga-verzeichnis.de (DUX Healthcare)
www.diga-verzeichnis.de/en/digas/mental-health - German Federal Ministry of Health: Digital health applications (DiGA). bundesgesundheitsministerium.de
www.bundesgesundheitsministerium.de/themen/krankenversicherung/online-ratgeber-krankenversicherung/arznei-heil-und-hilfsmittel/digitale-gesundheitsanwendungen.html - Twomey, C., O’Reilly, G., Bültmann, O. & Meyer, B. (2020). Effectiveness of a tailored, integrative Internet intervention (deprexis) for depression: Updated meta-analysis. PLOS ONE, 15(1), e0228100. PubMed Central (NIH)
pmc.ncbi.nlm.nih.gov/articles/PMC6992171 - Improving mild to moderate depression with an app-based self-guided intervention: Protocol for a randomized controlled trial (2023). JMIR Research Protocols, 12, e46651. JMIR
researchprotocols.org/2023/1/e46651 - Inkster, B., Sarda, S. & Subramanian, V. (2018). An empathy-driven, conversational artificial intelligence agent (Wysa) for digital mental well-being: Real-world data evaluation mixed-methods study. JMIR mHealth and uHealth, 6(11), e12106. PubMed (NIH)
pubmed.ncbi.nlm.nih.gov/30470676 - Wysa (12.05.2022). Wysa receives FDA Breakthrough Device Designation for AI-led mental health conversational agent. Business Wire
www.businesswire.com/news/home/20220512005084/en - Rosebud Help Center: Changes to the free plan. help.rosebud.app
help.rosebud.app/account/changes-to-the-free-plan - Yale Center for Emotional Intelligence: How We Feel Longitudinal Study. Yale School of Medicine
medicine.yale.edu/childstudy/services/community-and-schools-programs/center-for-emotional-intelligence/research/current-research/how-we-feel-longitudinal-study - Alqahtani, F. & Orji, R. (2020). Insights from user reviews to improve mental health apps. Health Informatics Journal, 26(3), 2042–2066. PubMed (NIH)
pubmed.ncbi.nlm.nih.gov/31920160 - Talekar, R., Arevalo, I., Macareno, B. & Garney, W. (2026). Using App Store reviews to explore user experiences and perceptions of mental health mobile apps: Qualitative study. JMIR Formative Research, 10, e97517. JMIR
formative.jmir.org/2026/1/e97517/PDF - Lee, S., Rheu, M. & Zhuang, J. (2025). The ChatGPT effect: Investigating shifting discourse patterns, sentiment, and benefit–challenge framing in AI mental health support. Behavioral Sciences, 15(9), 1172. MDPI
www.mdpi.com/2076-328X/15/9/1172 - Trustpilot: reviews of Calm (accessed 5 Nov 2026). trustpilot.com
nz.trustpilot.com/review/calm.com - Trustpilot: reviews of Headspace (accessed 5 Nov 2026). trustpilot.com
au.trustpilot.com/review/headspace.com?page=5 - Baumeister, H., Reichler, L., Munzinger, M. & Lin, J. (2014). The impact of guidance on Internet-based mental health interventions – A systematic review. Internet Interventions, 1(4), 205–215. ScienceDirect (Elsevier)
www.sciencedirect.com/science/article/pii/S2214782914000244 - American Psychiatric Association: The App Evaluation Model. psychiatry.org
psychiatry.org/psychiatrists/practice/mental-health-apps/the-app-evaluation-model - TelefonSeelsorge Deutschland. telefonseelsorge.de
www.telefonseelsorge.de
All links were checked at the time of publication.
This article is for information only. MindMotion is a tool for psychological self-reflection and does not provide psychotherapy. Neither this article nor the app replaces assessment or treatment by a psychotherapist or doctor. If you have been struggling for a while, talk to your GP or a psychotherapy practice. If you are in an acute crisis in Germany, the TelefonSeelsorge is available free of charge around the clock at 0800 111 0 111 or 0800 111 0 222. In an emergency, call 112.