A guided gut-brain programme. Now in your practice.
Integrate Nerva's guided gut-brain programme into your practice. Referral, onboarding and support are handled for you.
8,000 active US providers connect patients to Nerva
Clinical outcomes
81%
of people saw significant improvements in symptom management¹
Results were maintained at
6 months¹
maintained
Trusted by
8,000
active US providers
Our research
71%
of participants had a clinically significant decrease in abdominal pain at 6 weeks, vs 35% on active control¹
- Clinical studies
- 15+
- People helped
- 300,000+
- Randomised controlled trial
- AJG 2025
Help patients practise a calmer gut-brain connection
Guided techniques designed to help patients practise a calmer response to an oversensitive gut-brain connection.
- A trigger sets the gut on edge
- The gut and brain amplify the signals
- The symptoms patients feel are real
Practise a calmer connection
Guided practice can support a calmer connection and change how those signals are felt.
Less worry.
More freedom.
When symptoms take up less space in your patients' days, appointments can focus on what matters.
Recognised in the latest clinical guidelines. View clinical guidelines
The Nerva program
A program that fits into your patients' real lives: sit down and press play, wherever they are.
Gut-directed hypnotherapy audio
Your patient's core 15-minute daily session: guided audio that helps them practice a calmer response to gut sensations.
CBT-informed education
Short daily lessons on how the gut and brain interact, using cognitive behavioural therapy (CBT) techniques to build practical coping skills.
Track progress
Patients see their progress week by week, and can opt in to share it with you.
Flare-up toolkit
Guided breathing exercises for the hard moments, wherever your patient is.
- Daily 15-min audio sessions
- Structured 6-week program
- Research-backed program
- Specialist support team
Patient eligibility
Nerva suits a broad range of patient profiles. It may be particularly appropriate for individuals who:
- Are 14 years or older
- Have discussed their digestive health with a clinician
- Are receptive to a guided gut-brain approach
- Would benefit from integrating evidence-based behavioural strategies
Referred patients automatically receive 25% off, and the Patient Assistance Program can help when cost remains a barrier.
The referral process
- 1
Refer a patient
Share patient info via our secure webform. Referred patients get 25% off.
- 2
We onboard
We contact your patient within 24 hours and guide them through intake.
- 3
You receive updates
The self-reported IBS-SSS and PHQ-4 check-ins your patient chooses to share reach you through our secure reporting system.
Clinical resources to support your consult
Complimentary printed resources for your next consult, developed by Nerva's clinical specialists.
Patient brochure
In-consult guide
Nerva's Advisory Board
Dr. Simone Peters
Psychophysiologist and Adjunct Research Fellow, Department of Gastroenterology, School of Translational Medicine, Monash University and Alfred Health
Dr. Brooks D. Cash, MD, FACG
Chief of Gastroenterology, Hepatology, and Nutrition at The University of Texas Health Science Center at Houston
Dr. Lin Chang, MD, FACG
Vice Chief, Division of Digestive Diseases at UCLA; Program Director GI Fellowship, and Co-Director, Center for Neurobiology of Stress and Resilience
Dr. William D. Chey, MD, FACG
Professor of Gastroenterology and Nutrition Sciences at Michigan Medicine; Chief of Gastroenterology & Hepatology, and president elect (2026) of the American College of Gastroenterology
Dr. Megan Riehl, PsyD, AGAF
Clinical Associate Professor in Clinical Psychology, Health Psychologist and Clinical Director of the GI Behavioral Health Program at Michigan Medicine
Dr. Kyle Staller, MD, MPH
Director, GI Motility Laboratory at Mass General Assistant Professor of Medicine at Harvard Medical School
Dr. Leila Neshatian
GI Program Director, Neuro-Gastroenterology Fellowship, Stanford; Director, Neurogastroenterology and Motility and GI Director, Pelvic Health Center
Prof. Peter Gibson
Professor of Gastroenterology at Monash University, widely known for co-developing the low-FODMAP diet and leading luminal GI research in Australia
Nancee Jaffe MS, RDN
Founder, UCLA Division of Digestive Diseases GI Nutrition Program
Dr. Justin Brandler
Neurogastroenterologist at Virginia Mason Franciscan Health
Amy Stewart, NP
Lead APP at Capital Digestive Care specializing in IBD & IBS
Prof. Spenser Dorn, MD, MPH, MHA
Professor of Medicine & Vice Chair, Care Innovation at UNC, expert in how artificial intelligence is redesigning speciality care
Assoc. Prof. Emma Halmos
Associate Professor of gastroenterology research and senior research dietitian at Monash University, Alfred Health
Dr. Mark Salvatore, MD, MS
Founder and Clinical Director, Pediatric Mind-Body Medicine Program at Mass General Brigham for Children. Assistant Professor of Pediatrics, Harvard Medical School. Associate in Pediatrics, Division of Pediatric Gastroenterology & Nutrition
Prof. Brennan Spiegel, MD, MSHS
Director of Health Services Research for Cedars-Sinai, Director of the Cedars-Sinai Master's Degree Program in Health Delivery Science, and the George and Dorothy Gourrich Chair in Digital Health Ethics
Get in touch with a clinical specialist
Book a brief call to discuss Nerva, referral options, EMR integration, or a lunch and learn for your clinic.
Emily Mahadeo
Doctor of Clinical Nutrition (DCN) & Registered Dietitian Nutritionist (RDN)
Common questions
What research supports Nerva?
Nerva builds on the Monash University gut-directed hypnotherapy protocol. In a randomized controlled trial, 81% of participants achieved significant improvement in symptom management, with results maintained at 6-month follow-up¹. An earlier Monash trial found gut-directed hypnotherapy worked as well as the low FODMAP diet for managing IBS symptoms². Nerva was co-founded by Dr. Simone Peters, one of that study's lead researchers.
How do I explain gut-brain therapy?
Guided relaxation and visualization help the brain respond more calmly to gut signals, like calming an overactive alarm system. For more detail, see our Mechanism of Action page.
How do I refer patients and track progress?
Referrals take seconds through Nerva's secure online form, and Nerva handles onboarding, follow-up, and support. The self-reported IBS-SSS and PHQ-4 check-ins your patient chooses to share reach you through our HIPAA-compliant reporting system.
How does this fit into my workflow?
Referrals take under 30 seconds, and the Nerva team manages patient communication and support. It can sit alongside dietary, pharmacological, or psychological care.
How is user data protected?
Nerva meets HIPAA and SOC 2 compliance standards. All patient data is encrypted in transit and at rest, and never shared without consent.
How does Nerva fit alongside clinical care?
Nerva is not a diagnostic device. It is a self-guided programme of guided audio sessions and practical tools, without making specific care recommendations.
- Anderson, Ellen J. BNutSci, MDiet1,2; Peters, Simone L. BSc (Psychophysiology) (Hons), PhD1; Gibson, Peter R. MBBS(Hons), MD1,2; Halmos, Emma P. BNutDiet, PGradDipBSc, PhD1,2. Comparison of Digitally Delivered Gut-Directed Hypnotherapy Program With an Active Control for Irritable Bowel Syndrome. The American Journal of Gastroenterology 120(2):p 440-448, February 2025. DOI: 10.14309/ajg.0000000000002921
- Peters, S. L., Yao, C. K., Philpott, H., Yelland, G. W., Muir, J. G., & Gibson, P. R. (2016). Randomised clinical trial: the efficacy of gut-directed hypnotherapy is similar to that of the low FODMAP diet for the treatment of irritable bowel syndrome. Alimentary pharmacology & therapeutics, 44(5), 447–459. https://doi.org/10.1111/apt.13706