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Digital Therapeutics vs Wellness Apps

How prescription digital therapeutics differ from general wellness apps in evidence, FDA oversight and claims, with no universal winner and no advice to use or drop any app.

Content last updated . This page has not been medically reviewed.

Two kinds of health app

Both live on a phone and both can look alike. The difference is what they claim and what has been tested. A digital therapeutic delivers an intervention for a disease or condition through software that has been clinically evaluated. A wellness app supports general health habits such as relaxation, activity or sleep tracking. This page compares them as information only. Evidence labels: approved or cleared product, promising but limited, mixed and marketing claim (see how we label evidence).

Side by side

Digital therapeuticGeneral wellness app
AimTreat, manage or prevent a diseaseSupport a healthy lifestyle
Typical US statusFDA-regulated medical device softwareOften outside FDA device rules, if claims stay general
Evidence expectedClinical trialsVaries; many apps are untested
Who uses itPatients, often through a clinicianAnyone

Digital therapeutics: what the label means

A review describes digital therapeutics as software that delivers interventions directly to patients, using an evidence-based, clinically evaluated program to treat, manage or prevent disease. [1] A 2025 analysis of FDA-cleared prescription digital therapeutics reports they were identified through the FDA's De Novo or 510(k) pathways. [2] Clearance is for a named product and use, not for apps in general. See regulatory status of digital health products.

Evidence example, promising but limited: a meta-analysis of randomized trials of game-based digital therapeutics for children with ADHD found small improvements in rated inattention compared with control, by parents and teachers (standardized differences 0.28, 95% confidence interval 0.14 to 0.41, and 0.21, 0.03 to 0.39). [3] Indirect comparison found medication improved teacher-rated inattention more than the game-based therapy (-0.62, -1.04 to -0.20). [3] A cleared digital therapeutic is therefore evidence for a defined use, not a replacement for other care. For another defined use, see digital CBT for insomnia.

Wellness apps: what the label means

The FDA's general wellness policy defines such products by two factors: they are intended only for general wellness use and present a low risk. [4] Listed general wellness claims include relaxation or stress management, mental acuity and sleep management. [4] The FDA's software policy says it focuses on the software that could pose greater risk if it fails, and it does not expect premarket review for many minimal-risk functions, such as ones that help users self-manage a condition without giving specific treatment suggestions. [5]

Evidence is mixed and depends on the app. A meta-analysis of randomized trials of mindfulness apps in college students (2,974 participants across outcomes) found stress fell by about 0.44 standard deviations, with small effects on depression and anxiety. [6] Yet researchers also describe a research-to-retail gap: many publicly available well-being apps have yet to be empirically tested. [7]

Reading a claim

  • "Treats," "prescription" or a named condition: look for a named FDA decision and a matching trial.
  • "Supports," "relaxation," "healthy habits": a general wellness claim, which is not a medical claim.
  • Check the privacy policy, since health data may be shared. See digital health data privacy.

No universal winner

A cleared digital therapeutic has been tested for a specific condition. A wellness app may help with habits or stress, but its trial evidence varies. Neither is better in general. See also clinical validation of health software.

Frequently asked questions

Is every health app regulated by the FDA?

No. The FDA says it takes a risk-based approach focused on the subset of software functions that meet the definition of a device. [5]

Does "digital therapeutic" mean FDA approved?

Not automatically. The term is used for clinically evaluated software, and cleared products are identified through specific FDA pathways. [1][2]

Do wellness apps work?

Some have trial evidence, for example mindfulness apps and stress, but many have not been tested. [6][7]

Can an app replace medicine?

The ADHD analysis found medication improved teacher-rated inattention more than a game-based therapy in an indirect comparison. [3] Ask your prescriber before changing treatment.

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety note
Do not stop or change medicine or treatment because of an app. If you are in crisis, call or text 988 (US) or call 911.
References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.