Somryst是一款由Pear Therapeutics推出的CBT-i应用程序，旨在帮助人们克服失眠问题。与传统的认知行为疗法相比，Somryst更便捷，用户可以通过手机应用程序进行治疗，但需要医生开具处方才能激活使用。虽然Somryst的有效性得到了研究证实，但这种需要处方的模式引发了人们对医疗保健体系和应用程序可及性的质疑。

😨 Somryst是一款由Pear Therapeutics推出的CBT-i应用程序，旨在帮助人们克服失眠问题。传统的认知行为疗法需要患者定期前往医院或诊所接受治疗，而Somryst则可以通过手机应用程序进行治疗，更便捷且更易获得。

🤔 Somryst的有效性得到了研究证实，其效果与传统的CBT-i治疗相当。然而，Somryst需要医生开具处方才能激活使用，这引发了人们对医疗保健体系和应用程序可及性的质疑。

🤨 医生通常难以获得CBT-i治疗的资格，这导致许多患者无法获得这种有效的治疗方法。Somryst的出现为患者提供了一种新的选择，但需要处方的模式也限制了其可及性。

😔 这种需要处方的模式可能会加剧医疗保健体系中的不平等现象，那些没有医疗保险或难以获得医疗服务的患者可能无法使用Somryst。

😥 Somryst的出现也引发了人们对应用程序未来发展的思考，是否所有应用程序都应该需要医生开具处方才能使用？这将对应用程序的开发和推广带来哪些影响？

https://astralcodexten.substack.com/p/welcome-to-the-terrible-world-of

 

Trouble falling asleep? You could take sleeping pills, but they've got side effects. Guidelines recommend you try Cognitive Behavioral Therapy For Insomnia (CBT-i), a medication-free process where you train yourself to fall asleep by altering your schedule and sleep conditions.

The journals are full of articles begging doctors to use CBT-i instead of potentially-dangerous sleeping pills. Doctors rarely comply: getting patients CBT-i is hard. The usual sound bite is that “there are 60 million people with insomnia in the US but only 75 licensed CBT-i therapists.” What can you do? Not much.

Until now! Late last year, Pear Therapeutics released a CBT-i app (formerly “SHUT-i”, now “Somryst”) which holds the patient’s hand through the complicated CBT-i process. Studies show it works as well as a real therapist, which is very well indeed. There’s only one catch: you need a doctor’s prescription.

Wait, you can prescription-gate an app? Yes! Although you can download Somryst off your normal App Store, it won’t work until a doctor writes you a prescription to “activate” it. Until then, it just shows you ads for how great CBT-i would be if you could get it.

And it’s not just Somryst. I know of at least three other prescription apps. reSET and reSET-O are 12-week courses to help addiction and opioid addiction, respectively. EndeavourRx is a video game which is supposed to help manage ADHD in kids. I guarantee you there are a lot more of these in the pipeline.

In theory, an app is a great solution to accessibility issues. Some people can’t afford to see a professional. Or they have complicated schedules that make it hard to see a professional. Or they’ve been traumatized by the medical system and don’t want to see a professional. Or they have executive function problems and can’t schedule a appointment with a professional. Or they have bad insurance that doesn’t have many professionals in-network, and all of them have six month wait lists. Freddie de Boer, who has more resources and know-how than most people, describes his experience trying to get a therapist here: