Diving In

How We Measure Severity

Bia tracks user progress with validated clinical scales tailored to their journey. For phobias, we use the Severity Measure for Specific Phobia. For contamination OCD, we use the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).

Every user begins with a baseline severity score, and is prompted to update their severity every two weeks or at specific checkpoints.

Results

On average, Bia users show a steady reduction in severity. Timelines differ slightly between adult and children users:

• Adults: Adults report significant improvement within the first six weeks, with continued but slower gains in the following months. Adults frequently take breaks of over 30 days during their journey.


• Children: Children report faster recovery timelines, with some reporting noticeable improvements within the first few days. Children complete more exercises in less time and take fewer breaks. We attribute this likely to the fact they have a care taker encouraging practice.

Averages don't always tell the full story. Individual experiences can very widely. We use these insights to update our exposure hierarchies, refine our real-time adaptive exposure engine, and expand our interactive therapy toolbox. We are always striving to make Bia more effective and easier to use.

Looking Ahead

Over the few months we will continue to grow and improve Bia in a few key ways:

• This fall we launched Bia for Schools, a specialized set of modules designed to help anxious children get back to attending school confidently and consistently. We are looking for a school to partner with as a publishable case study.


• Bia is designed to be an extension of therapy, not a replacement. We continue to expand our provider portal functionality to give providers the tools they need to start, deliver, and adapt their ERP treatment for improved client outcomes.


• Our academic collaboration with the University of Utah is nearing completion and we are excited to publish the first data on the effectiveness of Bia, the first self-guided tool for exposure practice.

Our vision remains the same: to make recovery from fear and anxiety accessible, measurable, and supported at every step.

Summary

Thousands of people have used Bia to face their fears. The data shows a clear trend: with continued use, severity scores decrease. We are excited to continue improving and helping people around the world take their life back from fear.

Questions, feedback, or ideas? We'd love to hear from you.