PTSD Coach vs DBT Distress Tolerance Tools
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
PTSD Coach
This app offers educational resources and self-help tools for individuals experiencing posttraumatic stress disorder (PTSD). It includes a self-assessment, information on professional care, and customizable tools for managing daily stress, such as relaxation techniques and anger management.
- PTSD education
- Self-assessment tool
- Professional care information
- Stress management tools
- Customizable features
- Relaxation skills
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PTSD Coach was designed for those who have, or may have, posttraumatic stress disorder (PTSD). This app provides you with education about PTSD, information about professional care, a self-assessment for PTSD, opportunities to find support, and tools that can help you manage the stresses of daily life with PTSD. Tools range from relaxation skills and positive self-talk to anger management and other common self-help strategies. You can customize tools based on your preferences and can integrate your own contacts, photos, and music. This app can be used by people who are in treatment as well as those who are not. PTSD Coach was created by VA’s National Center for PTSD and DoD’s National Center for Telehealth & Technology.
DBT Distress Tolerance Tools
Learn DBT distress tolerance skills to manage intense emotions without worsening situations. This app provides an overview of DBT, details seven key skills, and offers interactive tools like a suicide prevention hotline, temperature adjustment, and personalized distress-relief activities.
- DBT overview
- 7 Distress Tolerance Skills
- Interactive Tools
- Suicide Prevention Hotline access
- Temperature adjustment tool
- Personalized distress activities
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DBT Distress Tolerance Skills are meant to: - Get through moments of intense emotion WITHOUT MAKING THINGS WORSE - Sometimes you can't make things better, but you can brave the storm. DBT Distress Tolerance Skills are NOT for: - Making your life worth living - Long-term changes In DBT, we recognize that not every situation can be made better in the moment. Maybe you're having a fight with someone. Or maybe you're road raging. Whatever the situation, you may not be able to remember your DBT skills and suddenly become saint-like. You're human, and you have emotions. You might not be able to stop being angry when you're in a fight with someone, but you can at least not make things worse by saying every negative thing on your mind until you really hurt the other person. How this app will help you: Like all our 'Tools' apps, we'll start you off with a description of what DBT is. While DBT is a set of skills, there is also a sort of culture around it. And a way of teaching/learning it. Getting an overview of what DBT is, you can more easily see where the skills fit in, and where you can most effectively integrate them into your day-to-day. Then we'll go over the 7 DBT Distress Tolerance skills: • TIP • Pros & Cons • Distract/Soothe/Improve • Radical Acceptance • Willingness • Mindfulness of Current Thoughts • Half-Smiling Finally, we'll start you off using the Interactive Tools: • Suicide Prevention Hotline: While many of us come to DBT with no suicidal thoughts, some of us do. If you aren't already using this hotline as a resource, you may want to consider it. Use this tool to quickly connect to a real person when you are in moments of High Distress. Or even if you have someone else you are worried about, this can be used as well. We'll help dispel some of the stigmas and answer some of the FAQs in this tool as well. • Fix My Temperature: Did you know that your temperature can have a huge impact on your emotions, and thus thoughts and actions? Use this tool to become more aware of what temperature settings can help trigger you, and what you can do to recognize and remedy this when it does happen. • My Exercises: One of the fastest ways to deflate distress is through exercise. Not only does it result in your brain creating feel-good chemicals, but it often just gets you physically out of a bad situation temporarily. Use this tool to help you come up with exercises that you can do when you feel Distressed. What you do is important for your activity level. • My DSI Activities: By going through this set of steps, you can easily go from negative to positive. Use this tool to create a list of activities that work for you in moments of Distress. • Mental Willingness: Every notice that some days, you feel like you don't want to be doing what you're doing? And as a result, you just make a bad situation worse? By on another day, you just don't care? So suddenly a negative situation becomes neutral, or even positive? Use this tool to help you create that sense of willingness and openness created even in negative situations. • A Week of Half Smiling: Do you know how to Half-Smile? Do you already practice it? If not, you can use this tool to give yourself challenges when it comes to Half-Smiling. Learn not only how to Half-Smile, but learn through experience how it affects you and your mood. Many of these tools are powerful while you're first learning DBT. But they are also incredibly powerful as a refresher. Beginners and Advanced DBT practitioners will find value in this app now, and for years to come should they remember to use it. * Note that this app can integrate with the Health App by adding 'Mindful Minutes' by completing 'Mental Willingness' entries.. This is optional and giving permission will not affect your ability to use this app.
Screenshots
Verdict
The clearest difference is price: PTSD Coach at Free against DBT Distress Tolerance Tools's $5.99. PTSD Coach also leads on rating (4.7 vs 3.0) and ratings volume (4.3K vs 6). DBT Distress Tolerance Tools's advantage is update cadence (every 6 weeks vs every 11 months) and iOS requirement (10.0 vs 13.0). On ads, in-app purchases and device support 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
PTSD Coach is free to download; DBT Distress Tolerance Tools costs $5.99 up front. Neither carries in-app purchases, so what you see is what you pay.
PTSD Coach holds the better App Store score, 4.7 against 3.0. That said, the two scores are not equally well evidenced: PTSD Coach has 4.3K ratings behind it against 6, so its average is the more settled of the two. Written reviews point the same way: 81% of PTSD Coach's written reviews are positive against 57% of DBT Distress Tolerance Tools's.
PTSD Coach ships an update every 11 months, DBT Distress Tolerance Tools every 6 weeks. The most recent releases landed on November 8, 2026 and November 3, 2026 respectively.
| Parameter | PTSD Coach | DBT Distress Tolerance Tools |
|---|---|---|
| Price | Free — better | $5.99 |
| Rating | 4.7 (4.3K ratings) — better | 3.0 (6 ratings) |
| Positive reviews | 81.1% of reviews — better | 57.1% of reviews |
| Number of ratings | 4.3K — better | 6 |
| Update frequency | Every 11 months | Every 6 weeks — better |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | Free — better | Paid |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 13.0 | 10.0 — better |
| Further details — not scored | ||
| Size | 83 MB | 79 MB |
| Age rating | 17+ | 4+ |
| Developer | US Department of Veterans Affairs (VA) | POP POP LLC |
Customer experience
PTSD Coach
DBT Distress Tolerance Tools
Bugs and requests
PTSD Coach
Reported bugs
2 issues- History data being deleted after updates
- Symptom assessment reminders not working as expected
Requested features
5 requests- Multi-language support
- Ability to customize or add personal content
- Integration with mental health professionals
- Expanded resources for non-veteran PTSD
- Improved symptom tracking and data visualization
DBT Distress Tolerance Tools
Not enough reviews yet to summarise bugs or requests.
In-app purchases
PTSD Coach
No in-app purchases
DBT Distress Tolerance Tools
No in-app purchases
Questions
Is PTSD Coach free?
Is DBT Distress Tolerance Tools free?
Which has better reviews, PTSD Coach or DBT Distress Tolerance Tools?
Do PTSD Coach or DBT Distress Tolerance Tools have ads?
Which is updated more often, PTSD Coach or DBT Distress Tolerance Tools?
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