Cerina vs AltoThought
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Cerina
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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/
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.
- Identify and log negative thoughts
- Explore alternative perspectives
- Track emotional evolution
- Enhance cognitive processes
- Develop balanced thought patterns
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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
Verdict
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
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.
Cerina ships an update every 5 weeks, AltoThought every 6 weeks. Both last shipped on October 27, 2026.
| Parameter | Cerina | AltoThought |
|---|---|---|
| Price | Free | Free |
| Rating | — | 4.3 (3 ratings) — better |
| Positive reviews | — | 33.3% of reviews |
| Number of ratings | — | 3 — better |
| Update frequency | Every 5 weeks — better | Every 6 weeks |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Monetization | — | Free with in-app purchases |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 15.1 — better | 18.0 |
| Further details — not scored | ||
| Size | 113 MB | 15 MB |
| Age rating | 17+ | 4+ |
| Developer | Nosuffering | Frank Solleveld |
In-app purchases
Cerina
- Monthly Subscription7 Days trial$9.991 Month
- Three Monthly Subscription7 Days trial$17.993 Months
- Monthly Subscription7 Days trial$19.991 Month
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- 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
AltoThought
- Small Tip$0.99
- Coffee XL$2.99
- Donation$3.99
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- Donation XL$8.99









