# Columbia Psychiatry Pathways — The Depression Algorithm

> Interactive, evidence-based treatment algorithm for major depression. (iPhone/iPad app by AvoMD, Inc..)

- Source: https://appshunter.io/ios/app/columbia-psychiatry-pathways/id1589039286 (this page in markdown: same URL + `.md`)
- Developer: [AvoMD, Inc.](https://appshunter.io/developer/1504289347)
- Category: Medical
- Price: Free with in-app purchases
- Rating: 4.86/5 from 29 App Store ratings · 8 written reviews indexed
- Age rating: 17+
- Requires: iOS 13.0 · 34 MB
- Languages: English
- Released: 2021-10-14
- Data updated: 2026-07-07
- Monetization: free with in-app purchases
- User reviews in markdown: https://appshunter.io/ios/app/columbia-psychiatry-pathways/id1589039286/reviews.md

## What is Columbia Psychiatry Pathways?

Designed by expert psychiatrists from Columbia University and delivered via cutting-edge, interactive technology from avoMD, this evidence-based app provides a practical and easy-to-use treatment algorithm for major depression.

This app incorporates Columbia’s Accelerated Sequential Antidepressant Protocol (ASAP) © 2021 The Trustees of Columbia University in the City of New York. Complete with calculators to assess depression severity (PHQ-9 and Columbia Depression Scale), bipolar screening, and suicide risk assessment, this app puts all the information you need to treat depression at your fingertips. Also included are clinical pearls such as how to titrate antidepressants and manage common side effects. 

A revamp of the STAR*D Trial published in 2006, ASAP recommends rapid titrations and follow-up with a focus on the 7 best-tolerated generic antidepressants, providing a quicker and easier way to treat depression. 

Columbia Psychiatry Pathways is intended for use in outpatient settings by psychiatrists, primary care physicians, nurse practitioners, physician assistants, medical students, residents, and trainees as they treat patients with depression. 

FEATURES:
- Designed by experts from Columbia University's Department of Psychiatry and delivered via avoMD's next-gen decision support technology

- Regularly updated to reflect the latest research, with external links to the evidence

- Provides clinical pearls for depression treatment, including a walkthrough of titration recommendations, management of common side effects, and more

- Covers the 7 essential meds you need to know to effectively treat outpatient depression

- Includes recommendations on managing DSM-5 depression and screening for bipolar disorder and suicide risk

- Measure symptom severity using built-in calculators for Patient Health Questionnaire-9 item (PHQ-9) and the Columbia Depression Scale

- Intended for outpatient settings to aid psychiatrists, primary care physicians, nurse practitioners, physician assistants, and trainees make real-time psychopharmacologic decisions

- Functions as a teaching and learning tool for program directors, residents, med 
students, and other trainees

Ranked #3 in NIH funding and in the top 5 psychiatry hospitals in the country by US News, the Department of Psychiatry at Columbia University has been a preeminent academic psychiatry department for over 100 years. Columbia Psychiatry faculty have led the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and served as leaders in the field including the current National Institutes of Mental Health Director. The inventors of this clinical algorithm are J. John Mann, MD, co-director of Columbia’s Center for the Prevention and Treatment of depression and a leading researcher in the field of mood disorders, and Ravi N. Shah, MD, MBA, a pioneer in digital mental health and the department’s Chief Innovation Officer.

avoMD transforms clinical guidelines, pathways, and algorithms into interactive, next-gen decision support apps, made available as standalone mobile and web apps and via EHR integrations. Leading academic medical centers, urgent cares, and trainee programs are using avoMD to digitize their clinical content and put them in the hands of their providers or distribute them externally. In randomized control trials and usability studies, the software has been shown to save providers time while improving clinical accuracy. Current investors and supporters include Columbia University’s Lang Entrepreneurship Center, Mount Sinai Innovation Partners’ Elementa Labs, StartUp Health, and 500 Startups. The team is led by physicians and informaticians from Columbia, Harvard, and Yale.

Subscriptions ($19.99 / year) automatically renew unless auto-renew is turned off. Cancellations at least 24 hours prior to subscription renewal will not be charged. You can manage your subscription and auto-renewal from your Apple ID account settings after purchase.

## Key features

- Expert-designed treatment algorithm for major depression
- Calculators for depression severity, bipolar screening, and suicide risk
- Guidance on antidepressant titration and side effect management
- Incorporates Columbia's Accelerated Sequential Antidepressant Protocol (ASAP)
- Regularly updated with latest research and external evidence links
- Aids in real-time psychopharmacologic decisions for clinicians

## Pricing and in-app purchases

Base price: Free.

**Subscriptions**

| Subscription | Price | Period |
| --- | --- | --- |
| Individual Plan | $19.99 | per year |


## Recent user reviews (8 of 8)

All indexed reviews: https://appshunter.io/ios/app/columbia-psychiatry-pathways/id1589039286/reviews.md

### 5/5 — Extremely helpful and educational!

*2021-10-20*

A user-friendly app that makes treating depression in the primary care setting easier, and makes mental health treatment more accessible to patients. The app can be tailored to each physician’s comfort level. The evidence-based algorithm also serves as a valuable educational tool.

### 5/5 — Amazing clinical tool

*2021-10-20*

This app is an amazing tool in helping physicians manage depression on their own, to their own comfort level. Their treatment pathways, backed by evidence in the app, are easy to use and make a complex topic manageable. Would recommend this to any internist or specialist who is looking for a helpful adjunct to their practice!

### 5/5 — Great app. Easier to navigate than up to date.

*2021-10-19*

With a few clicks I can get recommendations for anti depressant initiation and titration. Would be great for pcps to use.

### 5/5 — Amazing UI

*2021-10-16*

omg this is crazy

### 5/5 — Game changing tool!

*2021-10-16*

Super intuitive UI that walks you through each step- an amazing tool!

### 5/5 — Very helpful for primary care

*2021-10-16*

This app is easy to use and provides the level of detail I need as I need it. It helps make managing complex patients easy. I recommend this to any doctor as we all ultimately treat patients with depression.

### 5/5 — Great app for depression

*2021-10-14*

Many of my patients are on SSRIs, this is incredibly helpful! Thank you

### 5/5 — Easy, Informative, Best App for Depression

*2021-10-14*

Have been looking for this for years to help me treat patients. This is a game changer. So glad it exists!!! Please add pathways for anxiety, sleep disorders, substance abuse disorders

## Frequently asked questions about Columbia Psychiatry Pathways

### What is Columbia Psychiatry Pathways?

Columbia Psychiatry Pathways is an evidence-based app designed by expert psychiatrists to provide a practical treatment algorithm for major depression. It incorporates tools for assessing depression severity, screening for bipolar disorder, and evaluating suicide risk.

### Who developed Columbia Psychiatry Pathways?

The app was designed by expert psychiatrists from Columbia University's Department of Psychiatry and delivered via interactive technology from avoMD. Key inventors include J. John Mann, MD, and Ravi N. Shah, MD, MBA.

### What specific tools are included in Columbia Psychiatry Pathways?

The app includes calculators for depression severity (PHQ-9 and Columbia Depression Scale), bipolar screening, and suicide risk assessment. It also provides clinical pearls on titrating antidepressants and managing common side effects.

### What is the ASAP protocol mentioned in Columbia Psychiatry Pathways?

ASAP stands for Accelerated Sequential Antidepressant Protocol, developed by Columbia University. It recommends rapid titrations and follow-up focusing on 7 well-tolerated generic antidepressants for a quicker and easier treatment of depression.

### Is Columbia Psychiatry Pathways updated regularly?

Yes, the app is regularly updated to reflect the latest research. It also provides external links to the evidence supporting its recommendations.

### What devices does Columbia Psychiatry Pathways support?

Columbia Psychiatry Pathways is available on iPhone, iPad, and iPod, indicated by its compatibility with iOS devices.

### What is the age rating for Columbia Psychiatry Pathways?

The app has an age rating of 17+, suggesting it is intended for adult users and healthcare professionals.

### Does Columbia Psychiatry Pathways offer a subscription plan?

Yes, there is an Individual Plan available for $19.99 per year, which includes a one-month free trial.

## Version history (last 5 releases)

### 3.28.7 — 2023-04-21

- minor features and improvements

### 3.25.9 — 2023-03-09

- fixes and improvements

### 1.2 — 2021-12-16

Forgot password added

### 1.1 — 2021-12-14

Text formatting and design improvements.

### 1.0 — 2021-10-14

No release notes.

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*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-07-07.*