For Licensed Clinicians
The protocol delivers itself. You stay in the clinical seat.
Revago guides you session-by-session through a manualized HRV biofeedback protocol. The Revago Phenotype Engine classifies each client's autonomic profile — every breathing rate, somatic technique, and decision point is matched to their biology.
g = 0.00
Effect size for stress and anxiety across 24 RCTs (484 participants)
Goessl et al., 2017
0%
Average reduction in depression with HRV biofeedback + TAU
Blase et al., 2021
d = 0.00
PTSD symptom reduction in veterans after 8 HRV biofeedback sessions
Tan et al., 2011
0+
Clinical trials of the Lehrer-Gevirtz resonance frequency protocol
Lehrer & Gevirtz, 2014
Why HRV Biofeedback Underperforms in the Wild
~30%
Of clinicians delivering HRV biofeedback report no formal training in resonance frequency assessment
AAPB Practitioner Survey, 2023
4×
Greater effect sizes from personalized vs. universal mental-health interventions
Stratton et al., 2025
60+
Clinical trials of the Lehrer–Gevirtz resonance frequency protocol — rarely deployed with fidelity in routine care
Lehrer & Gevirtz, 2014
The evidence base is mature. The delivery is not. Revago closes that gap — manualized, phenotype-matched, and fidelity-scored on every session.
How Revago Works in Session
Phenotype
The Revago Phenotype Engine classifies each client's autonomic profile from a standardized stress test — including medication-aware interpretation.
Prescribe
Resonance frequency, breathing pacer rate, and somatic techniques are pre-loaded from phenotype. Override when clinically indicated — the deviation is logged for fidelity review.
Track
Live RMSSD, SDNN, and coherence during biofeedback. Pre/post deltas auto-saved. Every session produces a session completion score and a structured note for the treatment team.
Clinical Evidence
Peer-Reviewed Foundation
HRV biofeedback is one of the most studied non-pharmacological interventions in psychiatry and behavioral medicine. Revago operationalizes that evidence into a delivery system you can audit.
Who Uses Revago in Practice
Outpatient Therapists
- •Integrate HRV biofeedback into existing CBT, ACT, or DBT caseloads
- •Session timer, pre-check, prompts, and session checklist built in
- •CPT 90875/90876 supported documentation
Psychiatrists & APRNs
- •Medication-aware phenotype interpretation (beta-blockers, SSRIs, stimulants)
- •Objective autonomic data alongside symptom rating scales
- •Track autonomic shift across medication adjustments
Group Practices
- •Shared phenotype framework across clinicians
- •Supervisor dashboard with fidelity scoring
- •Standardized treatment plan templates
Training Programs
- •Manualized structured curriculum for trainee competency
- •Built-in supervision artifacts on every session
- •CE-eligible certification pathway
Not Another Wearable. Not Another Meditation App.
Generic Biofeedback Tools
- Generic breathing rates regardless of biology
- No phenotype classification
- No medication-aware interpretation
- No fidelity scoring or supervision artifacts
- Optimized for consumers, not licensed clinicians
- No structured note for the treatment team
Revago
- Resonance frequency and pacer rate matched to each client's phenotype
- Deterministic phenotype classification on every assessment
- Beta-blockers, SSRIs, and stimulants accounted for in interpretation
- Session completion score on every session — supervisor and auditor ready
- Built around the licensed clinician's workflow and documentation
- One-click structured note to psychiatrist, PCP, and program director
Measurable Clinical Outcomes
g = 0.81
Large effect size for stress and anxiety across 24 RCTs (484 participants).
Goessl et al., Psychological Medicine, 2017
64%
Average reduction in depression scores with HRV biofeedback added to treatment as usual.
Blase et al., 2021
d = 0.81
PTSD symptom reduction in veterans after 8 sessions of HRV biofeedback.
Tan et al., 2011
Revago turns a mature evidence base into a protocol your team can actually deliver — with the fidelity numbers to prove it.
Practice Integration Options
Option A
Solo / Small Practice
License Revago for one or a few clinicians. Includes the full session workflow, phenotype engine, and fidelity scoring.
Best for: Independent clinicians integrating HRV biofeedback into existing caseloads
Option B
Group Practice
Multi-clinician licensing with shared supervisor dashboard, group fidelity reporting, and onboarding cohorts.
Best for: Group practices, integrated behavioral health teams, training clinics
Option C
Revago-Certified Therapist
28–32 hours of hybrid training in HRV biofeedback fundamentals, autonomic phenotyping, and the structured protocol. Competency demonstration required.
Best for: Clinicians who want to deliver Revago as a primary specialty
Get in Touch
See Revago in a Live Clinical Session
Tell us about your practice and we'll set up a clinician-to-clinician walk-through with one of our supervising therapists.