Comparison

Cerina vs AltoThought

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

Cerina

Features
Read full description

Cerina is a digital therapist, a class 1 medical device in GB. Through a personalised programme, we offer a full course in Cognitive Behavioural Therapy (CBT). Train yourself to manage your worries and anxiety through 7 sessions of therapy. The structured therapy offers a range of CBT exercises including a worry diary, worry tree, worry script, testing your own beliefs and managing uncertainty. Track your progress with our unique therapy log, allowing you to read your thoughts from previous sessions. Retake the screening tool to see how your symptoms have reduced over time. Review your therapy goals and see your efforts in your final session summary. Relax in our self-care section with mindfulness audio tapes, podcasts, and articles. Find external resources that will lead you to support groups and helplines. All our sessions are backed by science and research. Every session was developed by our in-house cognitive psychologist with 20 years of experience in CBT. Our sessions have been reviewed by multiple psychologists to ensure that all content is clinically rigorous. This product has a UKCA mark for use as software as a medical device in Great Britain but does not yet have a CE mark for use as software as a medical device in Northern Ireland and Europe. Therefore this product cannot be used by users outside of Great Britain. ` The app is partially compliant with the WCAG standard 2.1 AA. Terms of use: https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

About

AltoThought

This app helps you reframe negative thoughts and develop a healthier mindset. It guides you through identifying thoughts, exploring alternative perspectives, and tracking your emotional progress. It's a tool to enhance your cognitive processes and achieve a more balanced outlook.

Highlights
  • Identify and log negative thoughts
  • Explore alternative perspectives
  • Track emotional evolution
  • Enhance cognitive processes
  • Develop balanced thought patterns
Features
Read full description

AltoThought is designed to guide you through reframing negative thoughts, enhancing your cognitive process. Originally created to support my own cognitive behavioral therapy journey, it is now available to assist you in reshaping your mindset. Here's how AltoThought works: Begin by jotting down your initial thought, whatever it may be, and note your current feelings. Next, visit the Alternative tab to explore a new perspective on that thought. This helps you add nuance and reshape any cognitive patterns that may be holding you back. Analyze your progress with insightful statistics that reveal how your feelings evolve through the practice of alternative thinking. Let AltoThought be your companion in developing a healthier and more balanced thought process.

Screenshots

Cerina4 screens
AltoThought4 screens

Verdict

The call

The clearest difference is iOS requirement: Cerina at 15.1 against AltoThought's 18.0. On price, update cadence, ads and in-app purchases there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Cerina sells 7 in-app purchases, starting at $9.99 per month and AltoThought sells 4 one-off in-app purchases. Whichever you choose, the download price is not the number that matters.

UpkeepUpdate frequency

Cerina ships an update every 5 weeks, AltoThought every 6 weeks. Both last shipped on October 27, 2026.

Scorecard1 real difference · 9 level
Cerina versus AltoThought: the parameters behind the verdict, then further details
ParameterCerinaAltoThought
PriceFreeFree
Rating—4.3 (3 ratings) — better
Positive reviews—33.3% of reviews
Number of ratings—3 — better
Update frequencyEvery 5 weeks — betterEvery 6 weeks
AdsNoNo
In-app purchasesYesYes
Monetization—Free with in-app purchases
DevicesiPhone, iPad, iPod — betteriPhone, iPad
Requires iOS15.1 — better18.0
Further details — not scored
Size113 MB15 MB
Age rating17+4+
DeveloperNosufferingFrank Solleveld

In-app purchases

7 purchases

Cerina

Subscriptions7
  • Monthly Subscription7 Days trial$9.991 Month
  • Three Monthly Subscription7 Days trial$17.993 Months
  • Monthly Subscription7 Days trial$19.991 Month
Show 4 more
  • 6 months subscription7 Days trial$24.996 Months
  • Three Monthly Subscription7 Days trial$59.993 Months
  • 6 months subscription7 Days trial$99.996 Months
  • Yearly Subscription$349.991 Year
4 purchases

AltoThought

One-time4
  • Small Tip$0.99
  • Coffee XL$2.99
  • Donation$3.99
Show 1 more
  • Donation XL$8.99

Questions

Is Cerina free?
Cerina is free to download, with in-app purchases available.
Is AltoThought free?
AltoThought is free to download, with in-app purchases available.
Do Cerina or AltoThought have ads?
Neither Cerina nor AltoThought shows ads.
Which is updated more often, Cerina or AltoThought?
Cerina ships an update every 5 weeks, and AltoThought every 6 weeks. Most recently, Cerina was updated on October 27, 2026 and AltoThought on October 27, 2026.

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