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Deliver highly effective exposure. With the data to prove it.

Bia guides exposure both in session and between them, with pre-built hierarchies, real-time adaptive exposure, and enforced clinical best practices.

Get started for free

Try for free. HIPAA compliant, BAA included.

Your Bia portal: a sample client's activity feed, each practice listed with its date, exposure, SUDS ratings and time spent, ratings falling from 8 and 9 to 1 and 2 over four weeks
The Bia app on your client's phone: the exposure Feeling Sick asks for their current discomfort on a 0 to 10 scale, with 4 selected
Built for
EmetophobiaWhat Bia gives you

For emetophobia, Bia provides a graduated vomit-related exposure hierarchy (words, then images, then interoceptive nausea induction) you can assign, monitor, and adapt between sessions. Built-in response-prevention tracking gives you visibility into which avoidance and checking behaviors the client is dropping. SMSP-A is captured weekly so you can show measurable severity change at every session.

AgoraphobiaWhat Bia gives you

For agoraphobia, Bia builds the expanding-circles in-vivo exposure plan from wherever the client's safe zone currently sits, with safety-behavior reduction baked into each step. You see the ladder, you adjust step difficulty between sessions, and the client logs distress before, during, and after each exposure. Continuity of care without weekly clinic-only execution.

PanicWhat Bia gives you

For panic disorder, Bia structures the interoceptive-exposure ladder (spinning, breath-holding, brief hyperventilation) into daily assignable sessions. Attack frequency and severity are tracked separately so you can see severity drop before frequency follows, the typical clinical pattern. Pair Bia with your between-session check-ins to keep exposure dosing on target.

Social anxietyWhat Bia gives you

For social anxiety, Bia structures behavioral experiments and graduated social exposures with safety-behavior tracking (rehearsal, eye contact, scripted phrases) so dropping them becomes visible and measurable. Post-event rumination work and cognitive restructuring exercises are assignable between sessions. The client comes to session with data, not just a narrative.

Contamination OCDWhat Bia gives you

For contamination OCD, Bia structures the ERP hierarchy with explicit response-prevention windows, ritual-frequency logging, and mental-ritual tracking. The clinical-discipline burden ERP demands is offloaded to the app between sessions; you focus the session on case conceptualization and resistance work. SMSP-A and Y-BOCS-style measures are captured longitudinally.

School refusalWhat Bia gives you

School refusal is often a result of anxiety. Bia helps you identify the root cause of the anxiety and builds a plan to address it in incremental steps. This includes things like academic performance (grades, tests, presentations), social anxiety, fears of illness, separation anxiety, and more.

Test & performance anxietyWhat Bia gives you

For test and performance anxiety, Bia builds the graduated evaluation-exposure ladder (timed practice tests, practice presentations) alongside cognitive work on perfectionism and catastrophizing. Pre- and post-evaluation distress data is captured automatically so you can target the cognitive work to the specific belief that's driving avoidance.

Separation anxietyWhat Bia gives you

For separation anxiety, Bia helps you build step-by-step plan for growing your child's confidence. Sometimes doing this can be challenging, and it's hard to know the line between helpful and harmful. Bia guides you through this balance with personalized activities and tools.

Fear of flyingWhat Bia gives you

For fear of flying, Bia structures the full arc of air travel into assignable steps: check-in, security, boarding, the cabin, turbulence. Interoceptive exposure to motion and arousal sensations runs alongside imaginal and in-vivo work. Distress logging before, during, and after each step gives you clean data for the next exposure-planning conversation.

Fear of drivingWhat Bia gives you

For fear of driving, Bia structures the full arc of driving into assignable steps: familiar streets, traffic, highways, bridges, weather, and driving alone. In-vivo drives are planned and tracked on the exposure map, so you can see which routes a client has reclaimed between sessions.

Specific phobiasWhat Bia gives you

For specific phobias outside our standard programs, Bia adapts to the trigger you and the client define together. You build the hierarchy, assign the steps, monitor distress, and adjust between sessions. The same guided exposure algorithm behind our emetophobia and panic programs supports any specific phobia at the same level of structure.

Developed & presented with Research partner Clinical partner ADAA 2026 Symposium Presentation NASP 2026 Miniskills Presentation WCCBT 2026 paper talk

Exposure Tool and Directory

Get matched with clients, deliver highly effective exposure with Bia.

Skip the prep with 1,200+ ready exposures

Text, image, audio, and video exposures for many conditions, organized by theme and difficulty. No AI-generated content: every exercise is designed, implemented, and reviewed by clinicians and individuals who understand exposure.

11 conditions covered, from emetophobia to fear of driving

Build a hierarchy in seconds, drag and drop

Start from a graded hierarchy for the condition, or build your own from the library. Incremental steps help your client practice more often, and reduce drop outs.

  1. Graded steps from easiest to hardest, reorder or swap any of them
  2. SUDS target on every step: Bia adapts the pace to it
  3. Assign the next step and it appears in the client's app

Get found by clients looking for exposure therapy

Thousands of people search Bia for an exposure therapist every month. Your optional free profile is shown to individuals searching near you, and they can book with you in a few clicks. No per-client fees, and you own the relationship.

100+ client requests sent to providers in the last 90 days

Run exposure live, from your screen

Start an exposure from the portal and let Bia run it: it reads the client's SUDS as they go, and suggests clinical best practices for effective exposure. You monitor, adjust, and override at any point.

  1. Start any exposure from the library or the client's hierarchy
  2. SUDS is rated on screen and logged to the client's record
  3. Bia adapts the pace to the client's SUDS and suggests the next step, with you in control
The Bia client app, showing a guided exposure exercise

Keep clients practicing between sessions

Most exposure homework never gets done. Between sessions the Bia app guides each exposure step by step, enforces the best practices you would in the room (stay with it, no early exits, repeat until distress falls), and tracks safety behaviors, so clients keep working and it shows in their adherence.

Clients practice on average 2.2 times a week with the Bia app.

Automatically Chart Progress

Bia tracks adherence and severity in real time and recommends the next exposures for each client based on how they are doing. You approve or adjust as needed.

  1. Standardized measures (SMSP-A, PHQ-9, Y-BOCS, and more) scheduled and scored for you
  2. Severity over time, from every exposure and its SUDS ratings
↓67% average drop in SMSP-A severity across the program1

Paste reports straight into your notes

Session summaries, progress reports, and measure scores are formatted to paste into your clinical notes, or exported as PDF for the EHR and insurance claims. Your data, exportable at any time. No lock-in.

Our reports make it easy to justify the expert quality of your care.

Turn hard exposures into fun games

Games turn hard exposures into repeatable practice: word games with feared words, simulated conversations and video calls for social anxiety, daily challenges that keep a streak going. Built for kids and adults.

Effective exposure. Measured results.

Every exposure a client completes is logged and scored, and symptom severity is recorded on schedule. You set up the tool and get reports of progress.

67%1 average drop in SMSP-A severity as clients complete the Bia program
41%2 drop in peak distress (SUDS) over a client's first 12 exposures
80,000+3 exposures completed in Bia
SMSP-A severity over the Bia program0 to 40 scale · chapters 1 to 11
40 30 20 10 0 avg 30.4 at start avg 10.0 at end
Ch 13579Ch 11

Aggregate across 1,186 Bia clients with two or more SMSP-A ratings. Not a controlled trial; individual results vary.

Read our whitepaper

Why therapists choose Bia

The Bia therapist directory

Thousands of people search Bia for an exposure therapist every month. Your free profile is shown to people searching near you, and they can book with you in a few clicks.

  • Free to list
  • No per-client fees
  • You own the relationship with the client

100+ client requests sent to providers in the last 90 days

Get listed on Bia

Better adherence and reduced drop out

Most exposure homework never gets done. Bia's app is guided, engaging, and evidence-based, so clients keep working between sessions, and our data shows strong retention and follow through.

2.24practice sessions a week per client
~3exposures per session
18 minaverage session length
“Bia changed my life. It gives you small steps to take every day and tracks your progress. I'm not done, but I already feel so much better and am doing so much more.”
App Store Review
“I can tell this was built by someone who had phobia. They get it. The app lets you customize and take a little placement quiz. You can pause or exit whenever and it's very careful and explains every step. Thank you for making this”
App Store Review

Therapy with Bia

The modern solution to the challenges of exposure therapy.

Step
Without Bia
With Bia
Assigning an exposure
Worksheets, email
Picked from a pre-built hierarchy and sent to the client's app in one click
Between sessions
Client may or may not set aside time to do their exposure homework
Reminder emails, notifications, app on the phone makes exposure easy to practice daily
Knowing how it went
Remembering details a week later
Every exposure and its SUDS logged as it happens, client can leave notes during the exposure for review in session later
Measuring progress
When there is time
SMSP-A, PHQ-9, and Y-BOCS automatically scheduled and scored for you
Exposure in session
By feel
Guided by Bia: real-time suggestions from a guided exposure algorithm that encourage clinical best practice
Choosing what comes next
Brainstorm ideas in session
Bia recommends the next exposures from the client's hierarchy, based on hierarchies we have seen proven on thousands of other clients.
Notes and insurance
Written up afterwards
Summaries and measure scores ready to paste or export that show SUDs, session details, symptom severity, practice adherence, and more.
New clients
Your existing marketing channel
A free listing shown to motivated clients searching for exposure therapy

Bia is designed to enhance the care you provide, not replace it.

Get started

Get started in 5 minutes

Bia fits the way you already run exposure therapy, in session and between them.

Create your free account

Every account starts with a demo client, so you can explore hierarchies and run a full session before inviting anyone real.

Build a plan and assign it

Pick a pre-built exposure hierarchy or customize your own. Set your SUDS bounds and send it; Bia guides your client through it.

Monitor between sessions

Clients complete exposures and log SUDS. You watch adherence and symptom severity in real time and adjust as they progress.

Compliant. Secure. Simple.

You own the relationship with the client and you own your data, whoever pays.

HIPAA compliant A Business Associate Agreement is included at no cost, whoever pays.
Your call, always Bia guides the exposure and recommends what comes next. You set the bounds, approve the plan, and can override any step.
Encrypted Data is encrypted in transit and at rest. Privacy mode redacts every name on a shared screen.
Reports for insurance audits Each client's practice dates, distress ratings, measure scores and homework. Export your records any time.
Crisis alerts If a client writes something that suggests harm, Bia shows them crisis resources and emails you.

Pricing

Bia's pricing is designed to be flexible and supportive of your role as a therapist. Your client can purchase Bia themselves, or you can provide access through your own subscription. A subscription improves the offer we can make to clients looking for exposure therapists ("Bia included, free") and you get detailed reports, automatic charting, unlimited custom exercises, and more.

The client pays

$0for you

Each client subscribes to Bia, from $29.99/mo.

  1. Create your free account. It stays free.
  2. Invite a client. They unlock the app with their own subscription, or you buy a key for any one client.
  3. Assign and follow. Send exposures home and see every SUDS rating in your dashboard.
  • Unlimited clients
  • 1,200+ exposures and pre-built hierarchies
  • Directory listing
  • HIPAA compliant, BAA included
Create your free account

You pay

$59.99/mo per provider

Billed annually at $719.88. Or $89.99 month to month.

  1. Start your free trial. Cancel anytime.
  2. Invite clients. They use Bia free. 10 active clients are included. Add 10 more for $39.99/mo billed yearly, or $49.99/mo month to month. You can also mark a client inactive to free a spot.
  3. Get found. Your directory profile shows "Bia included, free" to people searching for a therapist.
  • Everything in the client pays
  • Live exposure from the portal
  • Unlimited custom exercises
  • PDF clinical and insurance reports
Start Free Trial
Group practice or clinic? Calculate your price
  • Each provider seat includes 10 active clients. Add more in blocks of 10.
  • Volume discount: 2 to 4 providers 5% off, 5 to 9 providers 10% off, 10 or more 15% off.
  • Share hierarchies, exercises, and client seats across your team.
Your practice pays
$269.95/mo

Billed annually at $3,239.40. Or $404.95 month to month.

You save $1,620 a year

5 providers × $53.99/mo (10% off $59.99), covering 50 clients

Academic? 50% off with a .edu email. Questions about a larger team? Email us or watch a demo.

How does Bia fit the condition you treat?

Pick a condition to see what Bia gives you for it.

For emetophobia, Bia provides a graduated vomit-related exposure hierarchy (words, then images, then interoceptive nausea induction) you can assign, monitor, and adapt between sessions. Built-in response-prevention tracking gives you visibility into which avoidance and checking behaviors the client is dropping. SMSP-A is captured weekly so you can show measurable severity change at every session.

Measures Bia schedules and scores for you: SMSP-A, OCI-R, SHAI, DTS.

For agoraphobia, Bia builds the expanding-circles in-vivo exposure plan from wherever the client's safe zone currently sits, with safety-behavior reduction baked into each step. You see the ladder, you adjust step difficulty between sessions, and the client logs distress before, during, and after each exposure. Continuity of care without weekly clinic-only execution.

Measures Bia schedules and scores for you: SMA-A, SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For panic disorder, Bia structures the interoceptive-exposure ladder (spinning, breath-holding, brief hyperventilation) into daily assignable sessions. Attack frequency and severity are tracked separately so you can see severity drop before frequency follows, the typical clinical pattern. Pair Bia with your between-session check-ins to keep exposure dosing on target.

Measures Bia schedules and scores for you: SMPD-A, SMSP-A, SHAI, DTS, SMPD-C.

Outcome data for this condition is being collected. Ask us for early numbers.

For social anxiety, Bia structures behavioral experiments and graduated social exposures with safety-behavior tracking (rehearsal, eye contact, scripted phrases) so dropping them becomes visible and measurable. Post-event rumination work and cognitive restructuring exercises are assignable between sessions. The client comes to session with data, not just a narrative.

Measures Bia schedules and scores for you: SMSAD-A, SMSP-A, DTS, SMSAD-C.

Outcome data for this condition is being collected. Ask us for early numbers.

For contamination OCD, Bia structures the ERP hierarchy with explicit response-prevention windows, ritual-frequency logging, and mental-ritual tracking. The clinical-discipline burden ERP demands is offloaded to the app between sessions; you focus the session on case conceptualization and resistance work. SMSP-A and Y-BOCS-style measures are captured longitudinally.

Measures Bia schedules and scores for you: OCI-R, SMSP-A, DTS, Y-BOCS.

Outcome data for this condition is being collected. Ask us for early numbers.

School refusal is often a result of anxiety. Bia helps you identify the root cause of the anxiety and builds a plan to address it in incremental steps. This includes things like academic performance (grades, tests, presentations), social anxiety, fears of illness, separation anxiety, and more.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For test and performance anxiety, Bia builds the graduated evaluation-exposure ladder (timed practice tests, practice presentations) alongside cognitive work on perfectionism and catastrophizing. Pre- and post-evaluation distress data is captured automatically so you can target the cognitive work to the specific belief that's driving avoidance.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For separation anxiety, Bia helps you build step-by-step plan for growing your child's confidence. Sometimes doing this can be challenging, and it's hard to know the line between helpful and harmful. Bia guides you through this balance with personalized activities and tools.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For fear of flying, Bia structures the full arc of air travel into assignable steps: check-in, security, boarding, the cabin, turbulence. Interoceptive exposure to motion and arousal sensations runs alongside imaginal and in-vivo work. Distress logging before, during, and after each step gives you clean data for the next exposure-planning conversation.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For fear of driving, Bia structures the full arc of driving into assignable steps: familiar streets, traffic, highways, bridges, weather, and driving alone. In-vivo drives are planned and tracked on the exposure map, so you can see which routes a client has reclaimed between sessions.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

For specific phobias outside our standard programs, Bia adapts to the trigger you and the client define together. You build the hierarchy, assign the steps, monitor distress, and adjust between sessions. The same guided exposure algorithm behind our emetophobia and panic programs supports any specific phobia at the same level of structure.

Measures Bia schedules and scores for you: SMSP-A, DTS.

Outcome data for this condition is being collected. Ask us for early numbers.

Frequently Asked Questions

Yes. Bia is HIPAA compliant, and every provider account includes a Business Associate Agreement. Data is encrypted in transit and at rest, sessions time out automatically, and you can export or delete records at any time. See how we protect client data.

Yes. You can review our Business Associate Agreement and are required to accept it during the account creation process.

Clients use Bia to complete guided exposure sessions, where they read text, view images, watch videos, play games, answer questions, and more. As a provider, you can view your clients progress, assign custom exposure activities, and share notes. Bia's curated exposure library and controlled environment make getting started and following through ERP easier for clients.

You remain the treating clinician of record, and every decision is yours to make or override. Inside the bounds you set, Bia does real clinical work: it adapts each exposure to the client's live SUDS, enforces exposure best practices (stay with the step, no early exits, repeat until distress falls), recommends the next exposures from the client's data, and surfaces progress and adherence for your review. You assign, set the SUDS thresholds, approve the plan, and can change any step at any time.

Clients can pause at any point. Bia first offers to make the step easier, and they can always stop. Exercises with physical risk open with a safety check. If a client writes something that suggests harm, Bia shows them crisis resources right away and alerts you by email.

Yes. We support custom EHR integrations, email us about the system you use. In the meantime, session summaries, progress reports, and assessment scores (SMSP-A, PHQ-9, Y-BOCS, and more) copy into your clinical notes or export as PDF for your EHR or insurance claims.

Account creation is free and takes a couple of minutes. Every new provider account ships with a pre-loaded demo client so you can explore the dashboard, preview hierarchies, and run a guided exposure session end to end before inviting a single real client. No card required to start.

Bia never shares your account data with third parties. You can view and delete your data at anytime. Good privacy is simple, you own your data.

No. Every exercise, hierarchy, and lesson is written and reviewed by people who know exposure. Guided exposure and recommendations are rule-based algorithms described in our whitepaper, not generative AI.

Who we are

We lived with phobia for decades and built the tool we wished we had. Our clinical advisory board of licensed psychologists and therapists reviews the clinical work, and we work with the University of Utah (research) and the Center for Anxiety and Behavior Therapy (clinical).

Our clinical advisors

Licensed psychologists, clinical counselors, and research scientists. Decades of treatment experience across all age groups.

  • Dr. David RussPsychologist
  • Dr. Laura BerssenbruggePsychologist
  • Jaime RocheTherapist
  • Jacob ReiterResearch Scientist
  • Kaitlyn PetersTherapist
  • Nancy LagunasTherapist
  • Ira HaysTherapist

Founders

  • Headshot of William Schaller, founder of Bia
    William SchallerFounder
  • Headshot of Elizabeth Fullerton, co-founder of Bia
    Elizabeth FullertonCo-Founder

Read our full story

Research, talks, and partners

The evidence and the people behind Bia.

Mini-skills presentation - NASP 2026
Bia at the NASP 2026 conference

Filling the Gaps: Emetophobia Assessment and Treatment in Schools

Lagunas, N., Thompson, A., Schuler, C., Arenare, L., & Schaller, W.

National Association of School Psychologists, 2026

Symposium - ADAA 2026
Bia at the ADAA 2026 conference

Innovations in Digital Care for Emetophobia: Findings from Bia, a Self-Guided Program

Kaur, K., Asnaani, A., Lagunas, N., Franklin, B. E., Yusko, D., & Schaller, W.

Anxiety and Depression Association of America, 2026

Research Partner

University of Utah

Research Partner, Manuscript under Review

Paper presentation - WCCBT 2026
Bia at the WCCBT 2026 congress

Overcoming emetophobia with a journey through Bia: Examining the effectiveness and uptake of an online self-guided, evidence-based treatment program

Lagunas, N., Schaller, W., Kaur, K., Franklin, B. E., Yusko, D., & Asnaani, A.

World Confederation of Cognitive and Behavioral Therapies Congress, 2026

Clinical Partner

Center for Anxiety and Behavior Therapy

Clinical Partnership, The Emetophobia Institute

Interested in partnering on research?

We collaborate with clinicians and researchers advancing exposure therapy. Bia's powerful client app and clinician portal provides significant data and opportunities to improve exposure. Please reach out anytime.

willy@biajourney.com

Start with exposure that works.

Create your free account and send the first measured exposure home today.

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HIPAA compliant · Free to start · Your clients, your plan, your call

Data notes

  1. Aggregate SMSP-A severity across the 1,186 Bia clients with two or more SMSP-A ratings, averaging 30.4 at the first chapter down to 10.0 by the final chapter (a 67% reduction) on the 0 to 40 SMSP-A scale. Not a controlled trial; individual results vary.
  2. Average peak distress (SUDS) on a client's first Bia exposure was 5.11, falling to 3.01 by their twelfth exposure, a 41% reduction on the 0 to 10 SUDS scale.
  3. Total exposures completed across Bia clients.
  4. Bia app usage data: average practice sessions a week per active client, exposures per session, and session length. See the whitepaper.