EndeavorOTC®: Outplay ADHD 17+

Proven Adult ADHD Treatment

Akili Interactive Labs, Inc.

    • 3.9 • 1.4K Ratings
    • Free
    • Offers In-App Purchases



The only FDA-authorized digital therapeutic for ADHD available without a prescription.

Start your subscription today to begin treatment with EndeavorOTC, the game-based ADHD treatment clinically designed to improve symptoms, attention and focus, designed with the same technology as the world’s first FDA-authorized game-based treatment. The treatment includes Focus Score, a first-of-its-kind personalized metric where you can track attention progress.

EndeavorOTC is for adults 18 years and older with ADHD experiencing inattention-related challenges that affect their quality of life such as diminished focus, inability to complete projects or tasks, keep track of important items, and more. Built with the same technology as EndeavorRx, the world's first FDA-authorized video game treatment. EndeavorOTC is available now by subscription. No prescription needed.

EndeavorOTC was studied in more than 220 participants over a 6-week period. In the clinical trial, 88% of participants saw improvement in their attention and 73% of participants reported quality of life improvements, including an increased ability to balance projects, get things done on time and keep track of important items like phone, wallet, and keys. There were no lasting or serious side effects in any clinical trials for EndeavorOTC. (1,2)

How EndeavorOTC improves focus: The gameplay challenges you to tap targets and navigate obstacles to boost your attention and focus. As you progress through the game, the technology is continuously measuring your performance and using adaptive algorithms to adjust the difficulty and personalize the treatment experience.

How to Play EndeavorOTC: Playing EndeavorOTC can fit into your daily routine. The more you play, the better your results.

Playing the game every day for an initial six weeks can improve your attention and other functions that make up your ability to focus. Users will be given a target Focus Score increase which should be achievable in six weeks. Based on clinical trial data, the target increase provided directly relates to improvement in ADHD-related symptoms and overall quality of life. And, for the vast majority of people, this will leave room for continued improvement in Focus Score and cognitive abilities as well as ADHD symptom management beyond the initial six week course of treatment.

EndeavorOTC is made available under the U.S. Food and Drug Administration’s (FDA) current Enforcement Policy for Digital Health Devices for Treating Psychiatric Disorders During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency. EndeavorOTC has not been cleared or authorized by the FDA for its indications.

It is recommended that patients speak to their health care provider before starting EndeavorOTC treatment, and before making any medical decisions.

© 2024 Akili Interactive Labs, Inc. All Rights Reserved. Akili, EndeavorRx, Endeavor, Akili Care, ADHD Insight, Insight, EndeavorRx Insight, EndeavorOTC, SSME, and Akili Assist, as well as the logos for each, are trademarks or registered trademarks of Akili Interactive Labs, Inc. Other trademarks are trademarks or registered trademarks of their respective owners.

For full instructions for use, please visit https://www.endeavorotc.com/IFU/.
For more information, visit EndeavorOTC.com.
Questions? Email Support@EndeavorOTC.com

Terms of Use: https://my.akili.care/terms
Privacy Notice: https://www.akiliinteractive.com/privacy-notice

1 Stamatis, C. A., Mercaldi, C., & Kollins, S. H., J Am Acad Child Adolesc Psychiatry, 62, S318 (2023). As measured by average percent change in the Test of Variables of Attention-Attention Comparison Score (TOVA-ACS).
2 As measured by the validated Adult ADHD Quality of Life Scale (AAQoL)

What’s New

Version 2.7.0

We have improved the tutorial, added more Goals and costumes, updated the look and feel of the first Baseline environment, and made updates to the Focus Score screens to more clearly communicate information to users.

Ratings and Reviews

3.9 out of 5
1.4K Ratings

1.4K Ratings

A1738@$& ,

Be cautious.

I was just charged $130 after only 6 days when they say you get a week free. I was under the impression I had 7 days to cancel, not 5. This is intentionally misleading. The day even said the 24th was when I would be auto renewed however today is the 23rd. I was charged at 4pm so it’s not like it was close to midnight or anything. I will be reaching out to Apple as this is unacceptable.

I’m updating my review as I have received a full refund. As someone with adhd I did notice a change after using the app after only 1 week. I must admit however I could be biased as it is the only video game I have played within the last 3 years. I will give them credit as this game did get increasingly difficult the more I played which I felt played I significant part the increase I felt in my attention and awareness. My only complaint is the $130 price tag which is billed annually. If it was half the price I would have kept it. Unfortunately $130 a year billed after a week is still too steep for me. The only alternative is $21 a month which ends up being close to double to $130 annual price. I do feel this subscription model preys on neurodivergent people as there is no reminders of the upcoming renewal. I even put it in my calendar to cancel a day before yet still was charged. If this app were free with ads I would use it every day to help my symptoms. I just can’t justify the current price tag.

****hew ****sky ,

Fun and engaging

The game is fun and I appreciate the accessibility of being OTC.

I think there’s also room to explore other games, but I think the baseline gameplay challenge needs to be super smooth. Like Super Mario is popular for both casual players and speed running because the gameplay is both accessible but also *feels* nice to play so you can grind away at it. My impression is EndeavorOTC works by getting me into flow state playing a continuous attention/motion game, while still requiring me to pay attention for quick visual pattern recognition. I think the pattern matching challenge is fine, except it’s hard to watch for patterns on a tiny screen while I’m physically shaking my phone around and need to also keep my thumbs off the screen to avoid false inputs. (Games like DDR address this by being edge-triggered rather than level-triggered; you don’t get penalized for continuing to stand on a button after activating it, and high skill players rely on this.)

I’d like to be able to play with a video game controller though. For example, let me play on tvOS using a PS5 controller. I’d have a much easier time looking at a stable screen, using a joystick to pilot, and multiple available physical buttons to press whichever is most convenient (or make it an extra difficulty at higher levels that there are separate buttons to press for different obstacles )

Developer Response ,

Hi hew, thank you so much for the excellent feedback - we'll share this with the team. If you'd like to continue to give us more detailed feedback, please reach out to support@endeavorotc.com. Thank you so much for the review!

Rachel Perry. ,

Truly life changing

Don’t rely on the negative reviews from people who forgot how the App Store works with free trials and automatic subscriptions, or the people complaining that the game isn’t the most fun. It’s definitely fun for treatment and I noticed a difference after my very first session. It gets harder as you improve to keep challenging you, the harder the game gets the easier my life gets. One of my biggest struggles with ADHD is executive disfunction and all the extra time it takes me to start and complete tasks due to all my dilly dallying, committing to this treatment plan has cut down that time DRASTICALLY as well as all of the anxiety and depression that used to result from the struggle. Now I just plan something and I do the thing? I feel so efficient and my confidence has significantly improved. Bonus tip: if you meditate or have a brief period of non-sleep deep rest within four hours of a session (or any kind of study session) it helps your brain to really rewire all of those changes in your brain aka it makes your brain a better sponge for everything you are learning.

Developer Response ,

Hi Rachel - this is amazing! We are so happy you are seeing great results with EndeavorOTC. We would love to hear more about your story and experience. If you're open to speaking more with us, please contact support@endeavorotc.com. Keep it up and we are here if you need anything. Thank you for sharing!

App Privacy

The developer, Akili Interactive Labs, Inc., indicated that the app’s privacy practices may include handling of data as described below. For more information, see the developer’s privacy policy.

Data Used to Track You

The following data may be used to track you across apps and websites owned by other companies:

  • Usage Data

Data Linked to You

The following data may be collected and linked to your identity:

  • Health & Fitness
  • Contact Info
  • User Content
  • Usage Data
  • Diagnostics

Privacy practices may vary, for example, based on the features you use or your age. Learn More

More By This Developer

You Might Also Like

Inflow - Manage your ADHD
Health & Fitness
FitMind: Mental Fitness
Health & Fitness
Sensa - Mental Coach
Health & Fitness
Numo: Cringe-Free ADHD App
Health & Fitness
Shmoody: Mood & Habit Tracker
Health & Fitness
Ahead: Emotions Coach
Health & Fitness