Join a Research Study for Anxiety and Depression: Comparing a new interactive AI digital treatment programme with Standard CBT Across the UK

We are recruiting 400 participants aged 16-64 experiencing anxiety or depression symptoms for research into the future of mental health treatment. This fully remote study compares a newly developed, clinically supervised AI-powered therapy platform with traditional CBT delivered by a qualified therapist. Eligible participants receive up to £97 for completing all questionnaires.

Think you might qualify? Complete a 5-minute questionnaire to check your eligibility.

Study overview

Your Participation

Participants will be randomly placed into one of two groups: either the Nook AI therapy platform or standard remote CBT with a qualified therapist. Participants will complete questionnaires about symptoms and wellbeing at the start, at weeks 3, 6 and 9, and for the last time at week 13. Each set takes about 25 minutes.

Compensation

Receive up to £97 for completing all study questionnaires.

Timeline

The treatment phase lasts approximately 9 weeks, with a follow-up assessment at 3 months. Total study participation is around 4 months from signing up to the final questionnaire.

Study Site

This study is fully remote. All appointments, therapy sessions and assessments are completed from home using your own phone, tablet or computer.

Next Steps

1. Pre-screening

Complete a short online questionnaire (approximately 5 minutes) to check if you may be eligible for the study. If you are a parent/guardian to teenager aged 16 or 17, you should complete this on their behalf. Start by clicking ‘Check Eligibility’ on this page.

2. Complete symptom specific questionnaires

Complete two questionnaires specifically about your depression and/or anxiety (approximately 5 minutes). All participants complete this themselves.

3. Consent and screening call

Book a video call with our research team to confirm eligibility, review your medical history and discuss the study in detail (approximately 30 minutes). Following this call a Doctor will confirm if you are suitable for the study. If you are a parent/guardian to a teenager aged 16 or 17, you will need to attend the first part of this call.

4. Baseline questionnaires

Complete 7 questionnaires about your symptoms, quality of life and general wellbeing before treatment begins (approximately 25 minutes).

5. Study Participation

Receive your allocated treatment (Nook AI therapy or CBT) over 9 weeks, and complete regular questionnaires at 5 timepoints.

Think you might qualify?

Complete a 5-minute questionnaire to check your eligibility.

Who is this study for?

You may be eligible if you meet the following requirements:
Sex
All
Age
16-64 years
Region
United Kingdom
Anxiety and/or depression symptoms as primary reason for seeking treatment
Your depression is considered moderate to moderately severe and/or your anxiety is considered moderate to severe, according to the questionnaires we will give you
Have reliable access to a phone, tablet or computer with internet
If taking medication for depression or anxiety, dose must be stable for at least 6 weeks
Willing to be randomised and participate in a clinically-supervised CBT-based AI programme
Under 25 and started or changed antidepressant medication in the past 12 weeks
Other diagnosis unsuitable for digital CBT, including PTSD, psychotic disorder, bipolar disorder, complex/treatment-resistant OCD, personality disorder, eating disorder or substance/alcohol use disorder
Currently receiving structured psychological therapy for anxiety or depression elsewhere
Current suicidal ideation with intent or plan, suicide attempt within 12 months, or ongoing self-harm Important: If you are currently in crisis, experiencing suicidal thoughts with a plan, or self-harming, please seek support before considering this study. You can contact the NHS crisis line on 111 (option 2) or call 999 in an emergency.
Referred to or managed by a mental health crisis team, or inpatient in psychiatric services in the past 12 months
Additional eligibility criteria will be reviewed during the screening process

Your questions answered

What is a clinical trial?

A clinical trial is a research study that helps develop and test new medical treatments, devices, or tests to determine if they are safe and effective. This study is comparing an AI therapy platform supervised by qualified clinicians  with standard CBT for treating depression and anxiety. Your participation helps us find out whether digital therapy works as well as traditional talking therapy. 

Who is PsyScale?

PsyScale Ltd is the sponsor and funder of this research. PsyScale has developed an AI-powered digital therapy platform called Nook that delivers proven therapy techniques including Cognitive Behavioural Therapy (CBT). The platform aims to provide therapy that is available when you need it, without long waits.

Who is Lindus Health?

Lindus Health is a contract research organization that manages clinical trials. The team coordinates study recruitment, virtual operations, and data collection. 

What is the Nook platform and how does it work?

Nook is a new  AI-powered digital therapy platform you access through an app or web browser. It delivers Cognitive Behavioural Therapy (CBT)  and Acceptance and Commitment Therapy (ACT)  based techniques through text-based chat and guided exercises. The programme covers values and behavioural activation, cognitive defusion, sleep regulation and graded exposure to mental health triggers to help with symptoms of anxiety and depression. Nook is clinician-supervised, meaning healthcare professionals will be monitoring your progress in the app during treatment . Sessions take about 20-25 minutes, with most people completing the programme in 7-8 weeks.

What makes it different: Qualified healthcare professionals actively monitor your progress throughout treatment. The AI adapts its communication style to you whilst delivering standardised, evidence-based therapy content. This combines the accessibility of digital technology with the clinical oversight of traditional therapy.

What therapeutic approaches does the Nook therapy platform use?

This study combines CBT and ACT - two evidence based approaches recommended by the NHS. 

CBT helps you manage problems by changing how you think and behave. It focuses on the connection between your thoughts, feelings and actions, teaching practical techniques to break negative patterns. CBT is recommended by the NHS for treating anxiety and depression.

ACT teaches psychological flexibility – accepting difficult thoughts and feelings whilst taking values-based action. It includes techniques like cognitive defusion and behavioural activation.

Combining these approaches can be particularly effective, even if you've tried CBT alone before.

What is traditional CBT? 

Participants randomised to the traditional therapy group receive CBT delivered remotely by qualified therapists via video sessions. This represents the current standard of care for digital mental health treatment.

Your therapist will work with you to identify unhelpful thought patterns and behaviours, develop coping strategies and work towards your personal goals. 

How is AI used in this study?

Nook is a clinician-supervised, AI enabled digital mental health tool. The therapy content and exercises in the Nook platform are standardised, so they don't change. What the AI personalises is how it talks to you, the questions it asks to help you reflect, and how it introduces and reminds you about exercises. The AI doesn't learn from conversations or change its therapy approach, clinical decisions, or safety features while you're using it.

Can I withdraw from the study?

Yes, at any time without penalty or effect on your medical care. You can request your samples be destroyed at any time during the study.

Accordion

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What is a clinical trial?

A clinical trial is a research study that helps develop and test new medical treatments, devices, or tests to determine if they are safe and effective. This study is comparing an AI therapy platform supervised by qualified clinicians  with standard CBT for treating depression and anxiety. Your participation helps us find out whether digital therapy works as well as traditional talking therapy. 

Who is PsyScale?

PsyScale Ltd is the sponsor and funder of this research. PsyScale has developed an AI-powered digital therapy platform called Nook that delivers proven therapy techniques including Cognitive Behavioural Therapy (CBT). The platform aims to provide therapy that is available when you need it, without long waits.

Who is Lindus Health?

Lindus Health is a contract research organization that manages clinical trials. The team coordinates study recruitment, virtual operations, and data collection. 

What is the Nook platform and how does it work?

Nook is a new  AI-powered digital therapy platform you access through an app or web browser. It delivers Cognitive Behavioural Therapy (CBT)  and Acceptance and Commitment Therapy (ACT)  based techniques through text-based chat and guided exercises. The programme covers values and behavioural activation, cognitive defusion, sleep regulation and graded exposure to mental health triggers to help with symptoms of anxiety and depression. Nook is clinician-supervised, meaning healthcare professionals will be monitoring your progress in the app during treatment . Sessions take about 20-25 minutes, with most people completing the programme in 7-8 weeks.

What makes it different: Qualified healthcare professionals actively monitor your progress throughout treatment. The AI adapts its communication style to you whilst delivering standardised, evidence-based therapy content. This combines the accessibility of digital technology with the clinical oversight of traditional therapy.

What therapeutic approaches does the Nook therapy platform use?

This study combines CBT and ACT - two evidence based approaches recommended by the NHS. 

CBT helps you manage problems by changing how you think and behave. It focuses on the connection between your thoughts, feelings and actions, teaching practical techniques to break negative patterns. CBT is recommended by the NHS for treating anxiety and depression.

ACT teaches psychological flexibility – accepting difficult thoughts and feelings whilst taking values-based action. It includes techniques like cognitive defusion and behavioural activation.

Combining these approaches can be particularly effective, even if you've tried CBT alone before.

What is traditional CBT? 

Participants randomised to the traditional therapy group receive CBT delivered remotely by qualified therapists via video sessions. This represents the current standard of care for digital mental health treatment.

Your therapist will work with you to identify unhelpful thought patterns and behaviours, develop coping strategies and work towards your personal goals. 

How is AI used in this study?

Nook is a clinician-supervised, AI enabled digital mental health tool. The therapy content and exercises in the Nook platform are standardised, so they don't change. What the AI personalises is how it talks to you, the questions it asks to help you reflect, and how it introduces and reminds you about exercises. The AI doesn't learn from conversations or change its therapy approach, clinical decisions, or safety features while you're using it.

Can I withdraw from the study?

Yes, at any time without penalty or effect on your medical care. You can request your samples be destroyed at any time during the study.