Findings from a peer-reviewed study of 200,000+ patients — and what they mean for your practice.

If you’re a therapist working in digital care, you already know that early dropout is real and that alliance matters. What’s less obvious is how much the choices patients make before they ever book with you — and how you show up in a directory — may shape what happens next. That’s what this data gets at.

In January 2026, Grow Therapy published its first peer-reviewed outcomes study in JMIR Formative Research, drawing on deidentified data from more than 200,000 patients with clinically elevated depression or anxiety symptoms who received care on the platform between 2022 and 2024. The findings offer a rare large-scale look at what actually happens in digital mental health care — not just as a measure of platform performance, but as a window into the variables that shape care trajectories in digital settings.

This report pulls out the findings most relevant to providers and pairs them with practical implications for your work. Whether you’re thinking about how you structure early sessions, how you present yourself in a directory, or how you use routine outcome measures in the room, there’s something here worth applying.

In this report:

  • What a peer-reviewed study of 200,000+ patients revealed about symptom improvement rates for depression and anxiety
  • Why the first three sessions may be the highest-stakes window in digital care — and how to approach them intentionally
  • How the choices patients make before booking are associated with clinical outcomes, and what that means for your profile
  • The areas most within your control that this data links to better engagement and outcomes

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This article is not meant to be a replacement for medical advice. We recommend speaking with a therapist for personalized information about your mental health. If you don’t currently have a therapist, we can connect you with one who can offer support and address any questions or concerns. If you or your child is experiencing a medical emergency, is considering harming themselves or others, or is otherwise in imminent danger, you should dial 9-1-1 and/or go to the nearest emergency room.