Kontexa START
In development · Pre-CE · Targeting Class I DiGA

A 90-day clinical program for the part of recovery
nobody does.

Two daily check-ins, a weekly clinical module, an on-demand skills library, and a growing recovery audio library. Designed for the DiGA pathway — prescribable via PZN and reimbursable by all GKV insurers once listed. This page describes the product as designed, not one available to prescribe today.

Daily Rhythm
Morning · 2–3 minutes
Affect labeling, scaffolded.

A 0–10 self-rating, then scaffolded emotional vocabulary. Body-first anchors in weeks 1–4 for users without a ready vocabulary for feeling. Emotion words and the HALT framework in weeks 5–9. Open-ended with earned confidence in weeks 10–13. Putting a name to an emotion is itself a validated regulation exercise.

Evening · 2 minutes
Continued inventory.

A day score, a binary craving question, one reflection tied to the week's module skill, a brief close. Generates the daily binary consumption data that reconstructs the Timeline Followback with a 7-day backfill protocol.

Weekly Modules · 13 Weeks · Fixed Order

Four evidence-based skills
rotated through escalating situations.

01
Urge surfing

Observe a craving without acting. Fifteen to twenty minutes and it passes. The single most impactful content block in the program.

02
Cognitive restructuring

"I need a drink" is recognised as a thought, not a fact. Identify, evaluate, generate alternatives.

03
Problem-solving

Define, generate, evaluate, act, review. A structured alternative to substance use under acute stress.

04
Social action

Real human contact via deep links to native phone and messaging apps. The skill with the strongest evidence for sustained recovery.

The 2am Feature

A human voice
when nothing else is open.

Thirteen weekly recordings of people in recovery, each around twenty minutes. Three to five short comfort recordings for acute moments. The library grows weekly. The same mechanism that makes group sharing work — shared suffering diminishes shame — delivered on demand, without requiring attendance.

Urge surfing audio
3-min guided exercise, 24/7
HALT self-check
Hungry · Angry · Lonely · Tired
Breathing exercise
On-demand, user-initiated
Call someone
Deep link to pre-configured contacts
Crisis pathway
Hard-coded · keyword-triggered · national line
Clinical Architecture

The LLM is a delivery interface.
It is not a clinical reasoning engine.

Does
  • — Deliver fixed psychoeducation in a warm, conversational tone
  • — Collect check-in data through natural conversation
  • — Offer emotional vocabulary during affect labeling
  • — Maintain within-conversation coherence
Does Not
  • — Compare scores across days
  • — Infer clinical state or risk
  • — Adapt program structure
  • — Make diagnostic, prognostic, or treatment-selection decisions
Target Profile

The product as designed.
The profile we are building toward.

Reimbursement, PZN, and DiGA listing activate once CE marking and the BfArM listing are in place. Everything below is the product specification we are building today.

Summary
What
90-day structured digital program for the addiction therapy waitlist
For whom
Adults diagnosed with a substance use disorder, waiting for outpatient or residential therapy
How to prescribe (target)
Single PZN code, Muster 16 prescription, ~30 seconds — once listed
Cost to practice
Zero. No IT integration, no staff training, no follow-up
Reimbursement (target)
§33a SGB V via the BfArM DiGA-Verzeichnis — once listed
Primary endpoint
PHQ-ADS at weeks 0, 6, 13
Secondary endpoint
Percent days abstinent via TLFB
Classification
Designed as CE Class I (MDR) — certification in progress
Status
In development · pre-CE · pre-DiGA listing
What this is not
Not a therapy replacement

It explicitly prepares patients for therapy. It does not treat addiction.

Not a wellness app

No meditation, no gratitude journals, no gamification. Clinical mechanisms only.

Not adaptive

Every patient gets the same program in the same order. The Class IIa product comes later.

Not a monitoring tool

No alerts, no clinician dashboard, no risk scores. The patient uses it independently.