Tag Archives: tracking

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“Who knew I was happy?”​

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 (or Evidence Driven Therapy- it’s hard to argue with facts.)

One of our customers didn’t know he was happy. We’ll call him Bob. We’ll also make some of the facts a bit more generic, after all we want to maintain Bob’s privacy.

Bob suffers from bi-polar disorder and has been in therapy to help him learn to deal with it. Bob’s swings from manic to depressive have had a huge impact on his life and marriage, and like many who suffer from bi-polar disorder his own impression of his well-being tends to depend on where he currently falls between manic and depressive phases. Bob also happens to be one of WeFeel’s testers and has been using it since our early releases last year.

With Bob’s and his wife’s input we’ve been able to add features to WeFeel to help him both in his personal life and with his marriage. At the end of last year we added what we call dual customizable sliders to track things like where you fall between manic and depressive phases. Instead of just a Bipolar slider it’s completely customizable so you can specify what each end of the slider means…you want to track where you are on the scale of Homer Simpson to Elon Musk, you can do that.

My favorite “Bob” story so far is when he came in during a depressive phase, just a month or two after beginning to use WeFeel. As he started to speak with his psychologist, he was surprisingly upbeat. The first thing they did was pull out WeFeel’s dashboard for a quick look at his latest trends.

“Hey Bob, there’s a lot of yellow here.” (Yellow is the color WeFeel uses for Joy)

“I know, right! Who knew I was happy?”

Bob had been going through life assuming that, in general, he was a miserable person. It’s really easy to get stuck in that mindset, especially when you are fighting something like Bipolar Disorder. But then evidence was presented to him in a way that he couldn’t deny. After all, Bob created all of the emotion entries showing he was happy. When confronted with the facts, he was able to begin to shift his world view. Turns out in general, Bob’s a pretty happy fellow.

When when we talk about Evidence Based Therapy, or Evidence Based Mental Health care we mean practices and techniques that have been proven to work via recognized scientific research. But I think we can (and should!) take things one step further. In the business world we have business intelligence tools that can aid in evidence based decision making. WeFeel is essentially an expansion of those concepts adapted to individual mental health care. Previously it has been really difficult to gather and visualize empirical evidence about what has happened with a patient in between sessions. Instead, mental health care professionals have had to rely on not only their patient’s ability to recall past events, but also their ability to convince them to share.

Just like with Bob, you only need the first 3-5 minutes of a session for WeFeel to show facts and trends from events gathered as they transpired. We know that even with something as convenient as a phone, it’s still hard to remember to journal and track things. To help build the habit of capturing data, WeFeel helps patients to remember to track their emotions, moods, and pretty much anything you can think of by providing up to 10 random reminders throughout the day, and to schedule up to 3. That’s a lot of data points.

The good news is we sum it all up for you so that you just need to spend a few moments to check out the Discussion Points and Dashboard pages to identify important issues. Finally, you use those facts in helping to provide talking points, diagnosis, and treatment during your session. WeFeel doesn’t do the diagnosing, it simply provides an easy way to gather evidence. You then use it to help drive therapy forwards- Evidence Driven Therapy. It’s just an extra tool to put in your tool belt, but if you ask Bob, it’s one that makes you happy…or rather, one that shows you the happiness you’ve always had inside.


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WeFeel: Therapist’s Toolbox vs. Therapy Substitute

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It’s hard to believe that it was almost two years ago that we came up with the idea for WeFeel. Despite there being hundreds of “mental health” apps already on the market we saw a huge hole that no one seemed to be interested in or willing to fill. Organizations have been racing to create apps that help treat specific issues, and there’s even some really cool tech out there that is trying to automatically diagnose individuals using machine learning and artificial intelligence to analyze an person’s environment, and physical response.

I think those are all great things. In fact, as someone on the autism spectrum, the idea of getting help without having to actually go get help is very appealing. But as we looked at things back at the beginning of 2015, we found the same results that have been reported in articles published more recently: many, if not most mental health care apps aren’t backed by any studies or clinical evidence, and worse…many are flat out damaging to an individual’s mental health. The problem, as we saw it, was that most of the apps and services being created were designed to be a substitute for therapy,

So what did we do? We went out and talked to psychologists, psychiatrists, marriage counselors, certified therapists and anyone else willing to provide input to find out what physical tools they already used, what proven techniques existed that merely needed to be converted to a mobile format, and then we got to work. Our philosophy became how do we help therapists by augmenting what they already do, instead of how can we replace them with an app.

We were lucky enough to have found Dr. Scott Seaman, a forward thinking psychologist based out of Orem, UT who was willing to test WeFeel with his patients (with their consent of course!). We spent six months or so refining WeFeel in a clinical setting, adding tools to help a therapist treat things like depression, anxiety, and addiction, and to help with couples therapy, and autism spectrum disorder.

The more we worked together, the more flexible WeFeel became. Our initial idea of having WeFeel prompt you once or twice a day to create an entry grew into adding up to 10 random prompts and three scheduled ones. Early concepts like the ability for a couple to share their emotion entries turned into the ability for a patient to securely share their data with a care provider, who then could remotely monitor the status of their patient. A quick and simple way to enter core emotions became a fully customizable interface that could track anything from a single item to 19 separate items- the 19th was because a customer emailed us and asked for just one more custom slider to help her track an item that would help her meet her goals.

Once we had data, we found that we could do really cool stuff with it. There were the obvious things like Dashboards to help visualize and narrow down patterns and triggers, and we used a bit of if computing power to be able to find topics to discuss via word clouds and sorting through entries to find those with the deepest feelings.

But, as we got results from real world use, we found that while it was nice to have all that data, data without action is only part of the solution. We knew that a common treatment step is to give the patient a plan or “coping strategy” like counting to ten whenever you are angry, or calling a friend when you are feeling depressed. We were missing that ability to help treat symptoms, and so we took a look at how we could help a therapist work with their patient to provide customized action prompts. We wanted to create a generic toolbox for the therapist to use to treat anything. It was just a matter of converting this existing and proven technique into something a mobile device could perform.

WeFeel already knew when a person was angry, since they already created an emotion entry for it, so it was just a matter of adding the ability to provide the therapist’s directions as a reminder. The solution was to just take that existing practice and simply add Coping Strategies to our toolbox. Now, the therapist can work with their patient to devise an action or behavior and enter it into the toolbox. Then when the patient logs that they are feeling a certain way, WeFeel will automatically prompt them to follow the strategy that matched. It can even have up to 16 different strategies to match different situations.

The next thing we knew we had patients using WeFeel to help them overcome addiction by prompting them to take action at the early states of feeling a craving. In this case, we made a super-customizable tool, and Scott came up with an awesome way to use it.

It turns out, as we created WeFeel, we were giving hope to people as they worked with their therapist to come up with their own unique way to use it. We helped enhance the bond between care provider and patient, instead of isolating them from their therapist. By working in clinical setting, getting real world feedback, and most importantly listening to our customers WeFeel is now making a difference, and I think that’s pretty cool.

 


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I Got to be on the Radio

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and it wasn’t as scary as I thought it might be.

There are things in life that are unknown, and because they are unknown they are scary. About a month ago I was contacted by someone I followed on twitter and was asked to be on her radio show. That was something that I’d never done before.

For a moment, when I read that my heart jumped up in my throat and I thought “Gack!” There was a little bit of fear. (and yes, I acknowledged it and recorded it in WeFeel).

However, I really believe in WeFeel and what we can offer to therapists and the general public so I wrote back and said, “Yes” because this would be a good way to get the message out there. At that point it was easy — the date was set a month away so I didn’t even really have to think about it. So I didn’t, because when I did there was that little bit of fear again. And then the day was upon me and it wasn’t so bad.

The host of Moments of Clarity, Tiffany Werhner, put me at ease and we had a great conversation about where WeFeel came from and how it can help.

If you’d like to listen to the interview, here’s the podcast:

 

or download it


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What makes us different?

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There are thousands, if not tens of thousands, of apps out there that claim to make a difference in mental health. Many of them have a very different focus than WeFeel — they want to bring therapy and therapists closer to the people, or provide low-cost virtual therapy options. Some of them are trying to use various biometric data points like breathing, heart rate, and voice modulations to say how you feel. And a few of them let you track emotion in ways that might be similar to WeFeel.

So, what makes us different?

  • A core principle of WeFeel is that emotions mix and combine, and aren’t polar opposites of each other.  You don’t have to be somewhere on a scale of sad to happy.  You can be both.
  • We allow customization of what you track and when you are reminded to track those things.
  • We store data in the cloud so you can have it synced on ALL your devices.
  • WeFeel is as secure as you want to make it.
  • The dashboard provides visualization of your emotions through charts, graphs, word clouds, and more. This visualization can jumpstart therapy and make it more effective.
  • Users can opt-in to share their entries for research.

 

These differences are important to making WeFeel a solution that you can use to improve your life by increasing your emotional awareness. WeFeel isn’t a solution for all the mental health issues out there all on its own. It is a tool that you can use as an individual to better understand yourself. With better understanding you can improve your life and the lives around you. More importantly, WeFeel is a tool you can use with your therapist, whether you are in addiction recovery, individual therapy, marriage or family therapy, or in recovery from other mental health challenges. When you use WeFeel with your therapist you can make sessions more effective, and, we hope, reduce the  number of sessions needed to get to your desired outcome.

 


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