The questions we actually get.
Answers to the twelve questions clinicians, patients, researchers, and partners ask most often. Links drop you to the relevant section of the model card for fuller treatment.
Is Peacefull a replacement for therapy?
No. Peacefull is a companion between sessions, designed as an adjunct to active therapy with a supervising licensed clinician. It does not claim non-inferiority to therapy, and it will not be asked to. Details in the model card.
Who can use it?
Adult outpatients (18+) engaged in active therapy with a supervising licensed clinician. We do not serve minors. We do not serve people without an active clinical relationship. The supervising clinician determines appropriate scope for each patient and may suspend the companion at any time.
What happens in a crisis?
Escalation is deterministic, not model judgment. Rule-based signals surface 988 (Suicide and Crisis Lifeline) and 741741 (Crisis Text Line) as one-tap actions in the session, alongside an immediate hand-off to the supervising clinician. Every escalation is audit-logged. See the escalation section. Peacefull is not a substitute for emergency services — in immediate danger, call 911.
Do you use my conversations to train the model?
Not without explicit, granular, revocable consent. Never under any condition for users under 18 — who are out of scope in any case. You can export or delete your data at any time. Details in the data & privacy section and the privacy notice.
Is Peacefull FDA-cleared?
No. Peacefull is in BETA-1 — supervised live use with a capped cohort of licensed practices, not a regulatory status. Not cleared or authorized by the FDA, not a medical device under current scope. We track the device boundary deliberately and will pursue clearance when the product crosses it. We follow the structure of an FDA Predetermined Change Control Plan today so the governance is already in place. See change governance.
What clinical evidence do you have?
Our own outcome evidence is not yet published. Our research program — pre-registered, IRB-approved, and described at /research — begins with a 90-day observational study (Peacefull-OBS-90) and moves to a hybrid effectiveness-implementation trial and a micro-randomized trial in months 4–6. We commit to publishing null and negative results as prominently as positive ones.
How is the model evaluated before each release?
Every change passes a six-layer evaluation before reaching a patient: document adherence, instruction adherence, named failure modes, tone and modality fidelity, independent clinical review, and bias and equity. Below-threshold scores block the deployment. A clinical advisor who did not participate in the change under review must sign off. Details: six-layer evaluation.
What about AI dependency? Won't people use this instead of seeing real humans?
The APA's November 2025 advisory named this as a primary concern, and we take it seriously. Peacefull is designed against dependency: no human name, no human persona, explicit AI self-identification on first interaction, active surfacing of the supervising clinician and support people, and monitoring for dependency signals that get flagged to the clinician. The clinician, not the model, decides what to do with that signal. See Designed against dependency.
Is it HIPAA-compliant? Do you sign BAAs?
Yes. HIPAA-aligned architecture, BAA in place with every supervising clinical practice. Patient conversation data is never used for advertising, personalized marketing, or sale to third parties. We do not collect biometric, voice-biometric, or neural data. Full detail in the data & privacy section and the Notice of Privacy Practices.
What languages do you support?
English only, United States, adults. Our evaluation is constrained to that population. Performance outside those bounds is not claimed and is not the product's scope today. Spanish-language coverage is in clinical evaluation but not yet generally available.
How much does Peacefull cost?
Peacefull is priced per clinician. Room is $165/mo for solo clinicians with 20 active patient seats. Rounds is $210/mo for small practices. Wing is $255/mo for larger teams. System is custom-priced for health systems. Patients pay nothing — the companion is clinician-paid by design. Practices joining the Texas Founding Cohort enter at the Founders' rate. See full pricing.
Who can I reach with a safety concern, a model card question, or a press inquiry?
Safety reports — safety@peacefull-ai.io. Model card concerns — modelcard@peacefull-ai.io. Clinical partnerships and BAAs — clinical@peacefull-ai.io. Privacy — privacy@peacefull-ai.io. Press — press@peacefull-ai.io. General — hello@peacefull-ai.io.
Ask us directly.
If we have not answered your question here, the fastest way to reach the right team is our contact page. We read every note. In a crisis, please use 988 or text HOME to 741741 — not email.