What is Quenza?
Quenza is a digital therapy exercise platform that enables therapists to create, assign, and track therapeutic activities that clients complete between sessions on their smartphone or computer. Founded in 2018 in the Netherlands, Quenza addresses a fundamental limitation of traditional therapy: the 50-minute weekly session is a tiny fraction of the client's week, and what happens in the remaining 167 hours — whether the client practices skills, completes homework, engages with psychoeducation, or reflects on their progress — is often invisible to the therapist. Quenza bridges this gap by giving therapists a HIPAA and GDPR-compliant platform to send structured therapeutic content to clients outside of sessions and see their responses in real time. As of 2026, Quenza serves over 15,000 therapists across 30+ countries and has positioned itself as the leading platform for what it calls "blended care" — the integration of digital therapeutic activities into traditional face-to-face or telehealth therapy.
The core concept: a therapist builds or selects a therapeutic activity — a CBT thought record, a mindfulness exercise, a psychoeducation module on anxiety, a values clarification worksheet, a mood tracking journal — and assigns it to a specific client through Quenza. The client receives a notification on their phone, opens the Quenza client app (iOS or Android), completes the activity at their convenience, and submits it. The therapist sees the client's responses in their Quenza dashboard, can review them before the next session, and can incorporate the client's between-session work directly into the session conversation. This transforms the therapy dynamic: instead of the therapist asking "did you do the homework?" and relying on the client's (often vague) verbal report, the therapist can say "I saw your thought record from Tuesday — let's look at the automatic thought you identified and work on restructuring it together." The between-session work becomes visible, accountable, and actionable.
Key Features
Activity Builder & Template Library
Quenza's activity builder allows therapists to create custom digital therapeutic exercises using a drag-and-drop interface. Activity types include: psychoeducation modules (multi-page readings with images, videos, and reflection prompts), CBT worksheets (thought records, behavioral experiments, activity scheduling, cognitive restructuring exercises), assessments and screeners (PHQ-9, GAD-7, and custom Likert-scale questionnaires), mindfulness and relaxation exercises (guided audio recordings, body scan scripts, breathing exercises), journaling prompts (structured daily or weekly reflection exercises), and goal-setting and tracking activities (SMART goals, habit trackers, progress visualizations). The platform includes a library of pre-built, evidence-based activities organized by therapeutic approach (CBT, ACT, DBT, MI, positive psychology) and clinical issue (anxiety, depression, trauma, relationships, workplace stress). Therapists can customize any pre-built activity or build from scratch. Activities can include conditional logic — for example, if a client rates their anxiety above 7 on a 1-10 scale, the next screen presents grounding exercises; if below 4, the next screen shifts to exploring what is working well. Activities can be scheduled as one-time assignments, recurring activities (daily mood tracking), or sequential pathways (a 6-week CBT skills program where each week's activity unlocks after the previous one is completed).
Client App (iOS & Android)
The Quenza client app is the client's interface to their between-session therapy work. It is a clean, consumer-grade mobile app (not a clunky clinical portal) that clients access with a simple invitation code from their therapist — no account creation or payment required. When the therapist assigns an activity, the client receives a push notification (if enabled) and sees the activity in their app feed. They tap to open it, complete the activity at their own pace (activities can be saved in progress and returned to), and submit when done. The app tracks completion status, so both therapist and client can see which activities are done and which are pending. Beyond assigned activities, clients can use the app for self-initiated journaling, mood tracking, and accessing a library of self-help resources that the therapist has made available. The client's data is encrypted and associated only with their therapist's Quenza account — therapists cannot see clients registered with other therapists, and clients cannot see data belonging to other clients of the same therapist. The app supports both light and dark modes and is localized in multiple languages.
Therapist Dashboard & Progress Tracking
The therapist dashboard provides real-time visibility into each client's between-session engagement: which activities were assigned, which have been completed, when they were completed, and the client's responses. For quantitative activities (mood ratings, assessment scores), Quenza automatically generates graphs showing trends over time — a client's PHQ-9 scores plotted weekly, daily mood ratings over a month, anxiety triggers frequency charted by situation. These visualizations surface patterns that might be missed in session-by-session verbal reporting: a gradual but consistent decline in depression scores, a spike in anxiety every Sunday evening, a correlation between sleep quality and next-day mood. The therapist can review client responses before the next session and come prepared with specific data points rather than generic "how was your week?" questions. The dashboard also flags concerning responses — if a client reports suicidal ideation on a mood screener or indicates severe distress, Quenza highlights the response and can trigger an alert to the therapist (configurable). Quenza explicitly states that it is not a crisis intervention platform and does not replace emergency protocols; it alerts the therapist but does not intervene directly.
Pathways: Structured Multi-Week Programs
Pathways are Quenza's feature for building structured, multi-week therapeutic programs that guide clients through a sequence of activities. A therapist can create a "6-Week CBT for Anxiety" pathway: Week 1 — psychoeducation on the CBT model of anxiety + mood tracking setup. Week 2 — identifying automatic thoughts + thought record practice. Week 3 — cognitive restructuring + behavioral experiment design. Week 4 — exposure hierarchy building + first exposure practice. Week 5 — reviewing exposures + identifying cognitive distortions. Week 6 — relapse prevention + creating a maintenance plan. Each week's activities unlock sequentially — the client completes Week 1 before Week 2 becomes available, creating a structured learning progression. Pathways can include assessments at the beginning and end to measure pre-post change. They can be fully automated: once the therapist assigns the pathway, Quenza delivers each week's activities on schedule, and the therapist monitors progress and intervenes as needed during sessions. Pathways are particularly valuable for: structured skill-building interventions (CBT, DBT skills, ACT processes), time-limited treatment models (6-12 session protocols), and group therapy or workshop settings where multiple clients follow the same curriculum. Therapists can build their own pathways or use pre-built pathways from Quenza's library.
Secure Messaging & Session Preparation
Quenza includes a HIPAA-compliant secure messaging feature that allows therapists and clients to communicate between sessions within the platform. Unlike email or SMS (which are not HIPAA-compliant for clinical communication), Quenza messages are encrypted and stored securely. Therapists can set availability boundaries — messaging hours, expected response times — directly in the platform, supporting ethical use of between-session communication. Secure messaging is often used for brief questions ("I'm confused about the thought record — can you clarify?"), scheduling changes, quick check-ins, and sharing resources. Quenza also supports session preparation: therapists can send a brief pre-session questionnaire ("What do you most want to focus on today? What progress did you notice this week? What felt difficult?") that the client completes before the session, allowing the therapist to enter the session with a clear agenda based on the client's stated priorities. This structured preparation improves session efficiency — less time spent on "what should we talk about today?" and more time on targeted therapeutic work.
HIPAA & GDPR Compliance
Quenza is HIPAA-compliant for US-based therapists and GDPR-compliant for European therapists, with data hosting options that support regional data residency requirements. Quenza's servers are located in the EU by default, with US-based hosting available for American therapists who require HIPAA-compliant infrastructure. Quenza will sign a Business Associate Agreement (BAA) with US covered entities. The platform includes: encryption in transit (TLS 1.3) and at rest (AES-256), role-based access controls (therapists see only their own clients), audit logging, automatic session timeout, and two-factor authentication support. For European GDPR compliance, Quenza supports Data Processing Agreements (DPA), provides data portability (clients can export their data), and supports the right to erasure (clients can request deletion of their data). Client data is never used for advertising, sold to third parties, or used to train AI models without explicit consent. The client app requires biometric or passcode authentication (configurable) to access therapy content, preventing unauthorized access if a client's phone is unlocked and accessible to others. Therapists should review Quenza's security documentation and determine whether their specific practice's compliance requirements are met — Quenza provides the technical infrastructure, but therapists remain responsible for their own compliant use of the platform.
How Therapists Use Quenza: Blended Care Workflow
Set Up Your Client on Quenza
After obtaining appropriate consent (Quenza use should be covered in your practice's informed consent and telehealth policies), invite the client by sending them a unique invitation code from the Quenza dashboard. The client downloads the Quenza app (iOS or Android), enters the code, and is connected to the therapist's account — no email, no payment, no account creation. The therapist can set the client's preferences: notification settings (push, email, or none), language, and accessibility options. Some therapists introduce Quenza during the intake session as a standard part of their practice: "Between our sessions, I will send you short activities through an app called Quenza. These are designed to help you practice the skills we discuss in session. You will get a notification when there is something new. You can complete them at your convenience." Setting this expectation early normalizes between-session work as a routine part of therapy, not an optional extra. Therapists who introduce Quenza as integral to their treatment model (rather than as an add-on) report higher client engagement — 70-80% activity completion rates versus 40-50% when it is presented as optional homework.
Assign Activities Between Sessions
After a session, the therapist selects or creates activities that reinforce the session's content and prepare the client for the next session. For a CBT session focused on cognitive restructuring: assign a thought record exercise where the client identifies a situation that triggered distress, records their automatic thought, identifies the cognitive distortion, and generates an alternative balanced thought. For a session introducing mindfulness: assign a 5-minute guided body scan audio exercise with a reflection prompt afterward. For a values-based session in ACT: assign a values clarification worksheet with domains (relationships, work, health, personal growth) for the client to explore between sessions. Activities should be targeted and manageable — a single thought record or one short exercise is better than a multi-activity assignment that feels overwhelming. The therapist schedules when the activity should be available (e.g., the day after the session, or spread across multiple days) and sets a suggested completion date. Quenza handles the delivery — the client receives a notification and the activity appears in their app. The therapist does not need to send manual reminders or follow up.
Review Client Responses & Integrate into Sessions
Before the next session, the therapist reviews the client's completed activities in the Quenza dashboard. For a thought record: review the situation, the automatic thought, the cognitive distortion the client identified, and the alternative thought they generated. Note strengths (good identification of cognitive distortions, balanced alternative thoughts) and areas for further work (alternative thoughts that are positive but not evidence-based, difficulty identifying emotions, avoidance of distressing situations). At the start of the session, reference the between-session work explicitly: "I looked at your thought record from Wednesday — the situation with your manager clearly triggered a lot of anxiety. You identified mind-reading and catastrophizing — that's great pattern recognition. Let's work on that alternative thought together and see if we can make it more specific and evidence-based." This integration validates the client's between-session effort (reinforcing engagement), makes the session content directly relevant to the client's life (not abstract skill discussion), and creates continuity between sessions. Over time, the accumulated activity data provides a richer picture of the client's progress than session notes alone — the therapist can see that the client initially rated their anxiety as 8/10 in triggering situations but, after 6 weeks of CBT worksheets, now rates it as 5/10 with more balanced automatic thoughts.
Quenza Pricing (2026)
| Plan | Price | What You Get |
|---|---|---|
| Starter | $49/month ($41/month annual) | 1 clinician, up to 15 active clients. Activity builder, template library, client app access, basic progress tracking, secure messaging, standard support. Best for solo practitioners with a small caseload testing blended care. |
| Professional | $79/month ($66/month annual) | 1 clinician, up to 50 active clients. Everything in Starter plus: Pathways (multi-week programs), conditional logic in activities, automated assessments, advanced analytics and progress graphs, white-label client app (your practice branding), priority support. Best for solo practitioners fully integrating Quenza into their practice. |
| Team | Custom pricing | 2+ clinicians, unlimited clients. Everything in Professional plus: multi-clinician dashboard, shared activity library, supervision tools (supervisor view of supervisee client engagement), team analytics, dedicated account manager. Best for group practices and organizations. |
Pricing verified June 2026. Active clients are those who have logged into the client app within the past 30 days. Quenza offers a 30-day free trial with full Professional plan features — no credit card required. Annual plans save approximately 17%.
Pros & Cons
Pros
- Bridges the gap between sessions with structured, trackable activities: The core problem Quenza solves is real — therapy is 50 minutes per week, and what happens in the other 167 hours matters enormously. Making between-session work visible, structured, and accountable improves therapeutic outcomes.
- Client app is polished and consumer-grade — not clinical-feeling: Clients interact with an app that looks and feels like other consumer wellness apps (Calm, Headspace), not a clinical portal. This reduces the stigma or resistance some clients feel about "homework" and increases engagement.
- Pathways feature enables structured, evidence-based programs: The ability to build multi-week skill-development sequences that unlock progressively supports manualized treatment approaches (CBT, DBT, ACT) in a digital format. This is particularly valuable for time-limited therapy models.
- Makes between-session progress data visible and actionable: Graphs of mood ratings, assessment scores, and activity completion rates provide data that enriches session conversations and demonstrates progress (or stagnation) to both therapist and client. Clients find visual progress data motivating.
- GDPR compliance and EU-based infrastructure for European therapists: Quenza is one of few therapy platforms that was designed with GDPR compliance from inception, making it a strong choice for European practitioners who cannot use US-centric platforms that treat GDPR as an afterthought.
Cons
- Active client limits on pricing tiers are restrictive: The Starter plan's 15-client limit and Professional's 50-client limit may surprise therapists with larger caseloads. Not every client will use Quenza, but if a therapist has 60 clients and wants to offer blended care to all of them, they need the Team plan — even as a solo practitioner.
- Not a full EHR — does not replace practice management: Quenza is exclusively a between-session activity platform. It does not handle scheduling, billing, progress notes, treatment plans, or insurance claims. Therapists need a separate EHR (TheraNest, TherapyNotes, SimplePractice) alongside Quenza, which means managing two platforms and two subscriptions.
- Client app adoption requires therapist investment: Getting clients to download, set up, and consistently use another app requires active therapist encouragement and integration into the therapy process. Clients who are less tech-savvy, have limited phone storage, or are ambivalent about therapy may not engage. Therapists should expect 60-80% client engagement rates among those who agree to use the platform — and some clients will decline entirely.
- Activity builder has a learning curve for complex activities: Building a multi-step activity with conditional logic, multimedia elements, and assessment scoring requires time and experimentation. Therapists without an interest in instructional design may find activity creation burdensome. The pre-built library helps, but therapists who want fully customized activities should budget time for learning the builder.
- Limited integration with EHRs: Quenza does not integrate directly with major EHR platforms — client lists must be managed separately, and activity data does not flow into clinical notes automatically. Therapists must manually transfer insights from Quenza into their EHR documentation, adding a documentation step to their workflow.
Frequently Asked Questions
Is Quenza a replacement for therapy or just a supplement?
Quenza is explicitly designed as a supplement to therapy — a tool that enhances and extends the work done in sessions, not a replacement for the therapeutic relationship. Quenza does not provide AI therapy, chatbots, or automated treatment. It is closer to a digital workbook that the therapist assigns and monitors. This distinction is important both clinically (the therapeutic alliance and therapist expertise remain central) and ethically (Quenza is not making clinical decisions or providing treatment independently). In the "blended care" model that Quenza advocates, the therapist is the clinical decision-maker who determines which activities are appropriate, reviews client responses, and integrates the between-session data into the therapy. Quenza is the delivery and data-collection infrastructure. Regulatory classification: Quenza is a communication and engagement platform, not a medical device, and does not require FDA clearance. It does not diagnose, treat, or provide clinical recommendations. Therapists should describe Quenza to clients as a tool that supports the therapy work, not as the therapy itself. This framing also sets appropriate expectations: the client's engagement with Quenza activities contributes to their progress, but the therapy happens in the session with the therapist.
Do clients actually use Quenza between sessions?
Client engagement with between-session digital tools varies significantly and depends primarily on how the therapist introduces and integrates the tool. Based on Quenza's published data and therapist reports: when Quenza is introduced as an optional, separate add-on ("here's an app you can use if you want"), engagement rates are around 40-50% of assigned activities completed. When Quenza is integrated as a core part of the therapy model — the therapist consistently references between-session work in sessions, reviews client responses together, and treats the activities as integral to progress rather than optional homework — engagement rates rise to 70-80%. Factors that increase engagement: (1) starting with short, easy activities (a 2-minute mood rating) that build the habit before introducing longer exercises, (2) explicitly connecting each activity to the client's stated goals ("this thought record will help us test the belief that your manager thinks you are incompetent"), (3) reviewing and validating client responses in session — if a client completes a thought record and the therapist never mentions it, the client quickly stops completing them, (4) being selective — assigning one targeted activity between sessions is more effective than assigning three activities that the client cannot complete, and (5) matching activity type to client preferences — some clients prefer audio exercises, others prefer writing, others prefer structured worksheets. Therapists should expect to experiment with activity types and scheduling to find what works for each client.
What if a client reports crisis-level distress in a Quenza activity?
Quenza is not a crisis intervention or emergency response platform. It does not monitor client responses in real time with human oversight, does not contact emergency services, and does not intervene directly if a client reports suicidal ideation, self-harm, or other crisis-level content. Quenza's role is to alert the therapist so the therapist can respond according to their clinical protocols. Configurable alerting: therapists can set thresholds that trigger email or in-app notifications — for example, if a client scores above a certain threshold on a PHQ-9 item related to self-harm, or if a client writes certain keywords in a free-text response. The therapist is responsible for monitoring these alerts during their working hours and responding according to their professional obligations and crisis protocols. Best practices for therapists using Quenza: (1) During informed consent, explicitly explain that Quenza is not monitored 24/7 and should not be used for crisis communication. (2) Provide clients with crisis resources — the National Suicide Prevention Lifeline (988 in the US), Crisis Text Line, local emergency services — in the Quenza app and in their intake paperwork. (3) Configure alerts to go to an email or phone that the therapist checks during working hours. (4) Have a clear protocol for what happens when a crisis alert is received: who contacts the client, through what channel, within what timeframe. (5) Document this protocol in the client's chart. (6) For high-risk clients, consider whether digital between-session tools are appropriate — some clients with active suicidality or severe instability may not be suitable for a platform that is not continuously monitored. This is a clinical judgment the therapist must make on a case-by-case basis.
Can I share Quenza activities across multiple therapists in a group practice?
Yes, on the Team plan only. The Team plan includes a shared activity library where therapists in the practice can create, share, and reuse activities and pathways. A practice can develop a standardized set of activities — for example, a CBT for anxiety pathway, a depression monitoring protocol, a postpartum adjustment program — that all therapists in the practice can assign to their clients. This ensures consistency across clinicians and saves each therapist from building the same activities independently. The shared library supports version control (who created the activity, when it was last updated) and role-based permissions (senior therapists can edit shared activities; associates can use but not modify them). On the Professional and Starter plans, activities are private to the individual therapist — they cannot share activities with colleagues. For group practices with multiple therapists, the shared library is one of the most valuable features of the Team plan, as it enables the practice to build a proprietary library of therapeutic content that reflects the practice's clinical approach and specializations. It also supports continuity of care — if a client transitions from one therapist to another within the practice, their activity history and assigned pathways transfer with them.