Do you support prescription digital therapeutics (PDT)?

Yes. We have shipped FDA De Novo and 510(k)-track PDT pipelines including QMS documentation, design history files, and clinical endpoint data capture.

Can you integrate with Epic or Cerner for CoCM programs?

Yes. We deliver SMART on FHIR launches, registry sync for Collaborative Care, and CDS Hooks to surface behavioral-health context inside the PCP chart.

How do you handle suicidality and crisis escalation?

C-SSRS screening, Stanley-Brown safety planning, 988 warm handoff, and configurable clinician and care-team escalation are built into the core — not bolted on.

Healthcare / Mental Health App Development

Mental Health App Development

We engineer HIPAA-compliant mental health apps that pair licensed-clinician teletherapy with evidence-based CBT, DBT, and ACT programs — measurable outcomes, defensible clinical documentation, and a patient experience that people actually return to.

Talk to a Solution Engineer View Case Studies

3×

Higher 30-day retention vs. stock wellness apps

PHQ-9 / GAD-7

Validated measures wired into every journey

42 CFR Part 2

SUD-ready consent and disclosure controls

Trusted by global innovators

Industry Overview

Mental Health App Development: Engineered End-to-End

Behavioral health apps live or die on trust, continuity, and measurable clinical outcomes. We build platforms that treat therapists, psychiatrists, and care coordinators as first-class users — not afterthoughts — while giving patients a calm, low-friction experience backed by the same measurement-based care clinicians use in-practice.

Industry Challenges

What Stops Most Teams From Solving This Today

Common friction points we hear from healthcare teams scoping this kind of platform.

Clinical Validity Gap: Most consumer wellness apps lack validated instruments, so payers and health systems won't reimburse or adopt them.
Crisis Handling: Safety planning, suicidality screening (C-SSRS), and escalation paths are too often bolted on after launch — or missing.
42 CFR Part 2 Complexity: Substance-use disclosures demand stricter consent and redisclosure controls than standard HIPAA.
Therapist Drop-Off: Clinicians abandon tools that add documentation overhead instead of reducing it.

Our Approach

Our Engineering Approach

We engineer for the operational reality — not the demo.

Measurement-Based Care

PHQ-9, GAD-7, WHODAS, AUDIT, and C-SSRS instruments embedded directly into patient and clinician workflows.

Therapist-First Workspace

AI-assisted SOAP notes, caseload triage, and collaborative care-team messaging cut per-visit documentation time by 40%+.

Crisis & Safety by Design

Risk stratification, safety plans, 988 warm handoff, and configurable escalation — built into the platform, not the backlog.

Capabilities

Production-grade features the platform ships with from day one.

Teletherapy Video & Messaging

HIPAA-compliant WebRTC video with asynchronous secure messaging and voice-note support.

CBT / DBT / ACT Modules

Structured, evidence-based programs with homework, thought records, and behavior experiments.

Mood & Symptom Tracking

Daily mood, sleep, and behavior diaries that auto-feed clinician dashboards and measurement-based care.

Validated Clinical Instruments

PHQ-9, GAD-7, ACE, AUDIT, WHODAS, and C-SSRS with longitudinal scoring and trend views.

Psychiatry & e-Prescribing

DrFirst / Surescripts EPCS-ready flows for controlled substances and med reconciliation.

Crisis & Safety Planning

Stanley-Brown safety plans, 988 warm handoff, and configurable clinician escalation rules.

Group Therapy & Community

Moderated group sessions and peer-support rooms with abuse controls and clinician oversight.

Clinician AI Scribe

Ambient session transcription that drafts SOAP notes, CPT suggestions, and outcome summaries.

Payer & Superbill Flows

Eligibility checks, CPT 90834/90837/90791 billing, and superbill exports for self-pay patients.

How It Works

Reference Architecture

How data and decisions flow end-to-end.

Identity & Consent

OIDC sign-in with granular 42 CFR Part 2 consent capture, minor/guardian flows, and BAA-gated partners.

Clinical Core

Session, instrument, care-plan, and outcome services backed by a FHIR R4 data model.

Realtime Layer

WebRTC SFU for video, WebSocket messaging fabric, and push notifications over APNs/FCM.

AI & Measurement

Risk-scoring models, measurement-based-care engines, and LLM-assisted clinician documentation.

Patient & Clinician Apps

React Native patient app and a Next.js clinician workspace that share a single GraphQL contract.

Engineering Stack

Technology Stack

A pragmatic stack chosen for reliability, speed, and ease of operation.

Standards

FHIR R4SMART on FHIRUSCDI v3HL7 v2LOINCSNOMED CT

Realtime

WebRTCLiveKit / Twilio VideoWebSocketAPNs / FCM

AI / NLP

WhisperPyTorchLangGraphPrivate LLM endpoints

Apps

React NativeNext.jsTypeScriptTailwind

Data

PostgreSQLTimescaleDBRedisS3 (PHI-scoped)

Infra

AWS HIPAAAzure HIPAAKubernetesVaultOpenTelemetry

Measured Impact

Quantified outcomes from production deployments.

3×

30-day patient retention

40%+

Reduction in clinician documentation time

27%

PHQ-9 score improvement at 12 weeks

100%

HIPAA + 42 CFR Part 2 audit-ready

Payer-Backed Teletherapy Network Launch

A national behavioral health startup needed to scale from 200 to 5,000 clinicians inside 9 months, while securing contracts with three major commercial payers. We rebuilt the platform around a FHIR-native clinical core, added embedded PHQ-9/GAD-7 measurement-based care, and shipped an AI scribe that drafts SOAP notes from the session audio.

At month 12 the platform served 180,000 active patients, cut clinician documentation time by 43%, and delivered audit-grade clinical outcome evidence that closed two more payer contracts worth $22M ARR.

Case Study

Use Cases

Where This Earns Its Keep

Common deployment patterns we see across customers.

Direct-to-Consumer Teletherapy

On-demand and scheduled sessions with licensed therapists and psychiatrists.

Employer & EAP Programs

Sponsored behavioral health benefits with eligibility file ingestion and reporting.

Collaborative Care (CoCM)

PCP-led CoCM workflows with psychiatric consultation and registry tracking for CPT 99492-99494.

Substance Use Disorder Programs

42 CFR Part 2-compliant outpatient SUD journeys with contingency-management support.

Adolescent & Family Therapy

Minor consent flows, guardian access controls, and family session scheduling.

Digital Therapeutics (PDT)

Prescription digital therapeutics pipelines for FDA De Novo / 510(k) programs.

Integrations

Integrates With Your Existing Stack

We connect to the systems your teams already know.

EHR

EpicCernerAthenahealth

e-Prescribing

DrFirst / Surescripts

Payments

Stripe

Comms

Twilio

Video

LiveKit

Eligibility & Claims

Availity

CRM

Salesforce Health Cloud

Compliance-First Development Services Backed by Global Standards

We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.

Health Insurance Portability and Accountability Act

Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.

General Data Protection Regulation

Implement lawful consent flows, data minimization, and secure processing for global data privacy.

Service Organization Control 2

Verified controls for security, availability, and confidentiality of enterprise data systems.

Health Information Trust Alliance

Healthcare-specific security controls and risk management practices trusted by global partners.

Fast Healthcare Interoperability Resources

Enabling standardized health data exchange through robust, modern API mappings.

Our Edge

Why Global Leaders Choose Us

We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.

Enterprise-Grade Security

We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.

High-Performance Scaling

Our architectures are built to handle massive data loads and user bases, ensuring seamless performance whether you're serving ten or ten million.

Accelerated Time-to-Market

Leveraging our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.

Embedded AI Integration

Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.

Engagement Model

Predictable, structured delivery from kickoff through long-term ownership.

Discovery & Scoping

We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.

Architecture & Pilot

A working slice on a representative environment — proving the data flow end-to-end before scaling.

Production Engineering

Hardened services, observability, access controls, and audit logging go live behind your IAM.

Operate & Iterate

We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.

Voices of Success

We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.

"I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly."

Aaron Phelan

Founder, Benchmark

"Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together."

Kim Smith

Founder, My Lauren

"Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective."