Clinician-designed mental health tools

Strua is designed for adults aged 18 and over.

People learn skills in your office. They forget them at 2 AM. This fixes that.

Dr. Nicholas Gehle, Psy.D. · Licensed Clinical Psychologist

60+ psychologist-built tools informed by established coping frameworks · 41 Why This Works articles · 90+ peer-reviewed citations

One tap. A coping tool starts in seconds.
Psychologist-built tools adults can use independently when they want to practice coping skills.

Designed to support therapy — not replace it.

BUILT FOR THE MOMENTS COPING SKILLS ARE HARDEST TO REACH.

4
Inhale

Breathe with this. We'll wait.

Psychologist-built Not a chatbot No ads, no data selling On-device data only CBT / DBT / Grounding

What someone sees at 2 AM

Strua showing rituals, meditations, and the full tool suite
Strua tool library showing psychologist-built tools organized by category

Tools, rituals, and guided meditations — all clinician-authored, structured, and accessible in 2 minutes.

Why this exists

The crisis amnesia gap

People learn diaphragmatic breathing, cognitive restructuring, the 5-4-3-2-1 grounding sequence. They can recite the steps in a session. Then the panic hits at 2 AM and the skills evaporate. They say at the next session: "I couldn't remember what to do." This is the gap between acquisition and retrieval that every clinician sees — and it's the gap Strua was built to close.

Why I rejected the chatbot model

I do not currently believe AI chatbots have the clinical guardrails to act autonomously in mental health care, and I've chosen not to include them in Strua. The user experience is entirely structured, deterministic, and clinician-authored. No generative AI in the user-facing experience. No hallucination risk. No sycophancy. No manipulation. If that calculus ever changes, it'll be because the guardrails meet a standard I'd accept for my own clinical work — not before.

What I built instead

Strua is a library of structured, psychologist-built coping tools — breathing protocols, grounding sequences, CBT thought records, DBT distress tolerance skills, mindfulness practices — delivered through a guided, deterministic interface. When someone opens Strua, they're using exercises informed by clinical practice — as a self-guided tool, not as care delivery. No improvisation, no generative content.

Built for the work between sessions.

Four things I kept coming back to while designing Strua.

Bridge the Gap

Your clients practice CBT, DBT, grounding, and mindfulness skills in their own environment, in the moment they actually need them.

Privacy by Design

Personal reflection content is designed to remain on the user's device. Strua is designed as a consumer self-support tool and is not designed to receive or store PHI.

Light-touch entry

A brief walkthrough on first login, then a short check-in that suggests a starting point. No referral codes, no profile build. Users can skip the check-in and go straight to any tool.

Clinical Integrity

Every tool is designed by a licensed clinical psychologist and cites its peer-reviewed evidence base in the references library.

What users get access to

Personalizable tools

Users can personalize tools — adjust a breathing pattern, choose a grounding sequence, or tailor a cognitive worksheet to their preferences — and use them whenever they want.

No chatbot in the user experience

Every interaction is clinician-authored content delivered structurally. No generative AI in the user-facing experience.

Full psychologist-built tool library

CBT (Thought Record, Decatastrophizing, Problem-Solving Steps), DBT skills (STOP, Cold Splash on Wrists, Pause and Breathe), breathing protocols (Box Breathing, 4-7-8, Diaphragmatic, Mindful Breathing), grounding (5-4-3-2-1 Senses, Anchoring Phrase, Object Focus), mindfulness (Body Scan, Loving-Kindness Minute), sensory regulation (Warm Drink Ritual, Soothing Music Session), movement (Five-Minute Walk), and sleep (Wind-Down Routine, Soothing Breath Count). Every tool references established coping frameworks and peer-reviewed literature.

On-device session data

Core reflection content is designed to remain on the user's device. Only authentication information syncs to our servers. No third-party tracking, no advertising, nothing sold to data brokers.

No engagement loops

No streaks, no guilt notifications, no shame mechanics. Used when needed, not daily-use habituated.

Light-touch entry

A short check-in suggests a starting tool. No profile build required. Can skip anytime.

Early clinician feedback

Strua is an amazing resource that I recommend for my clients to help them build emotional resilience. Strua offers practical tools that help my clients stay engaged in their mental health journey, especially in between therapy sessions.
RC

Dr. Roxanne Cole, Psy.D.

Licensed Clinical Psychologist · Florida

Clinician Access Program

Complimentary ongoing Strua Pro access for licensed clinicians.

Approved licensed mental health clinicians receive complimentary ongoing Strua Pro access — the full tool library, Sleep Suite, Psychoeducation Library, and any new modules we ship — for professional familiarity with the platform.

This is a professional access program. Not a referral system. Not an affiliate program. There's no client-to-clinician linkage, no attribution tracking, no commissions. What you do with Strua in your practice is between you and your clients.

If you choose to share Strua with a client, the public code STRUAWELCOME gives them a free first month of Pro. That code is public and not linked to you or your practice.

Approval is manual and open to licensed mental health clinicians globally — psychologists, psychiatrists, counsellors, social workers, and comparable regulated credentials in your jurisdiction. For students, trainees, or adjacent roles, email Dr.G@strua.app directly and we'll figure out what makes sense.

Available to licensed clinicians globally. Verification is manual — please apply with the credential from your jurisdiction.

Our confirmation and approval emails occasionally land in junk or spam. If you don't see ours within a few minutes of applying, please check there.

About me

Dr. Nicholas Gehle, Psy.D.

Licensed Clinical Psychologist · Founder, Strua

I'm a licensed clinical psychologist. My full-time job is in psychological assessment and diagnostic evaluations, where I see the downstream consequences of untreated and undertreated mental health every week. I built Strua because I kept watching patients walk out of sessions equipped with skills they couldn't retrieve when they needed them most, and because the AI therapy products filling the gap are missing the clinical safeguards that I believe are necessary for that type of engagement. Strua is my attempt at what an evidence-based, clinician-designed alternative actually looks like.

Have questions? Want to talk?

I read every email. If you're a clinician evaluating Strua for your practice or want to discuss Strua's approach to AI in mental health, I'd like to hear from you.

Strua is a self-guided wellness tool designed by a licensed clinical psychologist. It is not a medical device, does not provide therapy, and is not a substitute for professional mental health care. If you are in crisis, please call 988 (Suicide & Crisis Lifeline) or visit our crisis resources.