New Collection of Apps Can Reduce Depression and Anxiety by 50%

New Collection of Apps for Depression and Anxiety Can Reduce Symptoms by 50%

Technology is often criticised for its bulging intrusion into our lives, but researchers from Northwestern University have developed a collection of 13 clinical apps for depression and anxiety. Collectively, the apps are known as IntelliCare, and research has found that they can reduce anxiety and depression by up to 50%.

Anxiety and depression can hit hard, and too often. More than 20% of people have significant symptoms of anxiety or depression, but only 20% get the treatment they need to manage their symptoms. The good news is that research is finding powerful ways for people to self-support and improve their symptoms without medication or outside intervention.

For some people, medication makes an important difference, but any management of anxiety or depression has to include lifestyle factors that have been proven to strengthen the brain and support mental strong health. Two of the most profoundly important lifestyle factors are mindfulness and exercise. They have enormous potential to reduce the symptoms of depression and anxiety by changing the structure and function of the brain. When done together, they can reduce the symptoms of depression by up to 40% in two months. And then, there are apps …

‘Using digital tools for mental health is emerging as an important part of our future.’ David Mohr, Professor of Preventive Medicine and Director of the Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine.

So about these apps – what makes them special?

Clinicians at Northwestern University have developed a ‘suite’ of 13 apps, each based on techniques used by therapists. Each app strengthens a particular skill, and the idea is that users choose one or two apps to focus on each week to really strengthen the skills.

The apps are called IntelliCare, and research has found that they can significantly reduce anxiety and depression to levels that would be comparable to intervention with psychotherapy or antidepressants. 

The apps are based on different theories of psychology, and have been designed to be used frequently and briefly, in line with the way most people use a mobile phone (checking emails, texting, looking for a restaurant, making a call). 

One of the main challenges facing the developers of the app was to design something that people would stay with and use consistently. Many apps that are created to boost mental health work on one single strategy to improve symptoms, or they have too many features that make the app difficult to use. We humans tend to be fans of novelty and simplicity, so apps that become boring or that are complicated to navigate around can tend to lose people after a few weeks. The designers of IntelliCare took this on board. With thirteen apps in the IntelliCare suite, people have the opportunity to rotate the particular apps they are using to keep a sense of novelty and to reduce the potential for boredom and dropout. 

“We designed these apps so they fit easily into people’s lives and could be used as simply as apps to find a restaurant or directions.” David Mohr, Professor of Preventive Medicine and Director of the Center for Behavioral Intervention Technologie, Northwestern University Feinberg School of Medicine.

Let’s talk about the research.

The study is published in the Journal of Medical Internet Research. 96 people participated in the study (age 27-50). All had elevated symptoms of depression and anxiety. 82 had depression, 82 had anxiety, and 63 had both anxiety and depression.

95% of the participants downloaded five or more of the IntelliCare apps. By the end of the study, participants reported about a 50% decrease in their depression and anxiety symptoms. 

By the end of the treatment, of the people who had depression:

  • 37% met the criteria for full remission or no symptoms for depression,
  • 40% had only mild symptoms, and
  • 22% continued to need treatment.

And the ones who had anxiety, by the end of treatment:

  • 42% met the criteria for full remission or no symptoms,
  • 45% had only mild symptoms, and
  • 14% continued to need treatment.

Meet the IntelliCare apps for depression and anxiety …

The apps are available for free from the Google Play Store (find them here)Here’s a rundown on each individual app:

  • Intellicare Hub: The control tower that helps you to manage and personalise the IntelliCare apps. 
  • Aspire: Helps to identify the values that are important to you and the actions that can help you live according to those values. Helps to track those actions during the day to add purpose and increase satisfaction.
  • Boost Me: Encourages you to schedule activities that lift you when your mood drops. Keeps track of activities that make you feel good.
  • Day to Day: Tips, tricks and info to improve mood. Learn how to nurture gratitude, activate pleasure, increase connectedness – and plenty of other things that make life lovely.
  • Daily Feats: designed for motivation and to increase life satisfaction by adding rewarding activities into your day. (Also available for iPhone.)
  • Social Force: Helps to firm up your tribe.
  • My Mantra: Helps you to find the words that will lift you and motivate you. Create mantras that motivate you and highlight strengths and values.
  • Thought Challenger: Helps with the thoughts that dig in and cause trouble – the head hogs that exaggerate the negative, bring you down, and persuade you to be too tough on yourself. (Also available for iPhone.)
  • iCope: Lets you send yourself messages in your own words to help get you through the tough stuff.
  • Purple Chill: Audio recordings to help you unwind, de-stress and worry less. Teaches relaxation and mindfulness exercises.
  • MoveMe: Helps with exercises to boost your mood. Access to exercise videos and lessons to help you stay motivated exercise. Just like a coach in your pocket.
  • Slumber Time: For peaceful zzz’s – sleep diaries, bedtime checklist to make sure your mind is primed for sleep, audio recordings to get you relaxed. Oh, and an alarm clock.
  • Worry Knot: Helps you to ease up on worrying with lessons, daily tips, distractions and a worry management tool to deal with specific problems that won’t budge. Helps awith ‘tangled thinking’ and keeps you on track with progress stats. (Also available for iPhone.)

The IntelliCare algorithm suggests new apps each week to keep things fresh and avoid the experience becoming stale.

We now have evidence these approaches will likely work. They are designed to teach many of the same skills therapists teach patients. Different apps are expected to work for different people. The goal is to find what’s right for you. David Mohr

And finally.

Depression and anxiety have a way of stealing people’s personal power and putting helplessness and disempowerment in their place. The truth is that people with depression and anxiety are strong and resourceful – they have to be to live their lives and function day to day with symptoms that swipe the way depression and anxiety do. Now technology is finding ways to help people use that strength and resourcefulness and find a way through. 

UPDATE:  The developers of Intellicare have advised that three apps are now available on iOS for iPhone users. These are Thought Challenger, Worry Knot, and Daily Feats. They are hoping to continue to releasing their apps on iOS, and I will post updates as I receive them.

32 Comments

Nicholas Chelsom McCormick

To put it bluntly, finding your website and these apps I plan to use have brought me to tears!
Of joy more than anything…
Finally something that speaks to me and helps me to not feel alone, I have been seeking this type of technology for many months now and so glad to find it!
It gives me hope, which I lost in my depths of my mental health crisis I have been in for nearly two years..
Thank you and gratitude!

Reply
Elaine

What exactly CAN I download it on and what if I don’t want to give access to my contacts?

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Louise

I downloaded the hub, but couldn’t open it because i wouldn’t grant access to my contacts. I don’t want the app to have access to my contacts. I’m disappointed.

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Karen

Thanks Karen. I am always looking for options for my clients and appreciate your work, often referring clients to your site. As many have indicated above, the availability of the apps for iPhone will probably see downloads go through the roof! I’ll look forward to updates as I’d like to test the apps myself, although I’ll certainly be encouraging my ‘Apple’ clients to do so right along with me! And will encourage my ‘android’ clients to do so from now on.

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Sara

I’m not able to find the app suite in the Apple App Store. Any suggestions? I just search “intellicare”

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Mary

It says the app is available at the Google Store. What about the majority of the population that uses the Apple iPhone? Is this app also available for that platform?

Reply
Stephen

It is wonderful how technology can reach out to so many people. Having apps available when feeling blue provides immediate assistance. As you say, the people who feel blue are in fact very capable. We are all connected by the period of time we share together.

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Karen - Hey Sigmund

Angela if you are looking for something for kids, I love the Smiling Minds app. It’s free and gives guided mindfulness exercises for kids to adults. There is so much research showing how powerful mindfulness can be for anxiety by changing the structure and function of the brain. There are so many other benefits too, and the research just keeps finding more. Here is the link for the Smiling Minds app https://smilingmind.com.au/smiling-mind-app/.

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pam

This is very interesting Karen, I am trying to download them but so far no luck. I will keep working on it and let you know how they work for me. Thanks

Reply
Karen - Hey Sigmund

Ange not yet but the developers are in the process of testing the apps for iPhone and hope to release them one by one over the year. Will keep updates posted to the site.

Reply
Susan

When will this be available in the app store? I have apple products and can’t find them. They sound really great, so hopefully people’s access will improve soon!

Reply
Karen - Hey Sigmund

At the moment they are only available on for Android phones but the developers are currently testing the apps for iPhone and are hoping to release the apps one by one over the next year.

Reply
Cristina Riesgo

Excellent article! This kind of information makes the difference on comparisson with other things that people share on the internet. From Uruguay, South America, thank you very much for share this kind of things.

Reply
Karen - Hey Sigmund

I have asked the developers of this app about an Apple version and am waiting for a response. There is such a huge need for this and I hope their great work is able to reach more people. I will post here when I hear anything.

Reply
Karen - Hey Sigmund

Heather I have an update – the developers have advised me that that they hope to release the apps for iPhone one by one over the next year. I’ll be posting updates on the site as I receive them.

Reply

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‘Brave’ doesn’t always feel like certain, or strong, or ready. In fact, it rarely does. That what makes it brave.♥️
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#parenting #mindfulparenting #parentingtips
We teach our kids to respect adults and other children, and they should – respect is an important part of growing up to be a pretty great human. There’s something else though that’s even more important – teaching them to respect themselves first. 

We can’t stop difficult people coming into their lives. They might be teachers, coaches, peers, and eventually, colleagues, or perhaps people connected to the people who love them. What we can do though is give our kids independence of mind and permission to recognise that person and their behaviour as unacceptable to them. We can teach our kids that being kind and respectful doesn’t necessarily mean accepting someone’s behaviour, beliefs or influence. 

The kindness and respect we teach our children to show to others should never be used against them by those broken others who might do harm. We have to recognise as adults that the words and attitudes directed to our children can be just as damaging as anything physical. 

If the behaviour is from an adult, it’s up to us to guard our child’s safe space in the world even harder. That might be by withdrawing support for the adult, using our own voice with the adult to elevate our child’s, asking our child what they need and how we can help, helping them find their voice, withdrawing them from the environment. 

Of course there will be times our children do or say things that aren’t okay, but this never makes it okay for any adult in your child’s life to treat them in a way that leads them to feeling ‘less than’.

Sometimes the difficult person will be a peer. There is no ‘one certain way’ to deal with this. Sometimes it will involve mediation, role playing responses, clarifying the other child’s behaviour, asking for support from other adults in the environment, or letting go of the friendship.

Learning that it’s okay to let go of relationships is such an important part of full living. Too often we hold on to people who don’t deserve us. Not everyone who comes into our lives is meant to stay and if we can help our children start to think about this when they’re young, they’ll be so much more empowered and deliberate in their relationships when they’re older.♥️
When we are angry, there will always be another emotion underneath it. It is this way for all of us. 

Anger itself is a valid emotion so it’s important not to dismiss it. Emotion is e-motion - energy in motion. It has to find a way out, which is why telling an angry child to calm down or to keep their bodies still will only make things worse for them. They might comply, but their bodies will still be in a state of distress. 

Often, beneath an angry child is an anxious one needing our help. It’s the ‘fight’ part of the fight or flight response. As with all emotions, anger has a job to do - to help us to safety through movement, or to recruit support, or to give us the physical resources to meet a need or to change something that needs changing. It doesn’t mean it does the job well, because an angry brain means the feeling brain has the baton, while the thinking brain sits out for a while. What it means is that there is a valid need there and this young person is doing their very best to meet it, given their available resources in the moment or their developmental stage. 

Children need the same thing we all need when we’re feeling fierce - to be seen,  heard, and supported; to find a way to get the energy out, either with words or movement. Not to be shut down or ‘fixed’. 

Our job isn’t to stop their anger, but to help them find ways to feel it and express it in ways that don’t do damage. This will take lots of experience, and lots of time - and that’s okay.♥️
The SCCR Online Conference 2021 is a wonderful initiative by @sccrcentre (Scottish Centre for Conflict Resolution) which will explore ’The Power of Reconnection’. I’ve been working with SCCR for many years. They do incredible work to build relationships between young people and the important adults around them, and I’m excited to be working with them again as part of this conference.

More than ever, relationships matter. They heal, provide a buffer against stress, and make the world feel a little softer and safer for our young people. Building meaningful connections can take time, and even the strongest relationships can feel the effects of disconnection from time to time. As part of this free webinar, I’ll be talking about the power of attachment relationships, and ways to build relationships with the children and teens in your life that protect, strengthen, and heal. 

The workshop will be on Monday 11 October at 7pm Brisbane, Australia time (10am Scotland time). The link to register is in my story.
There are many things that can send a nervous system into distress. These can include physiological (tired, hungry, unwell), sensory overload/ underload, real or perceived threat (anxiety), stressed resources (having to share, pay attention, learn new things, putting a lid on what they really think or want - the things that can send any of us to the end of ourselves).

Most of the time it’s developmental - the grown up brain is being built and still has a way to go. Like all beautiful, strong, important things, brains take time to build. The part of the brain that has a heavy hand in regulation launches into its big developmental window when kids are about 6 years old. It won’t be fully done developing until mid-late 20s. This is a great thing - it means we have a wide window of influence, and there is no hurry.

Like any building work, on the way to completion things will get messy sometimes - and that’s okay. It’s not a reflection of your young one and it’s not a reflection of your parenting. It’s a reflection of a brain in the midst of a build. It’s wondrous and fascinating and frustrating and maddening - it’s all the things.

The messy times are part of their development, not glitches in it. They are how it’s meant to be. They are important opportunities for us to influence their growth. It’s just how it happens. We have to be careful not to judge our children or ourselves because of these messy times, or let the judgement of others fill the space where love, curiosity, and gentle guidance should be. For sure, some days this will be easy, and some days it will feel harder - like splitting an atom with an axe kind of hard.

Their growth will always be best nurtured in the calm, loving space beside us. It won’t happen through punishment, ever. Consequences have a place if they make sense and are delivered in a way that doesn’t shame or separate them from us, either physically or emotionally. The best ‘consequence’ is the conversation with you in a space that is held by your warm loving strong presence, in a way that makes it safe for both of you to be curious, explore options, and understand what happened.♥️
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#mindfulparenting #positiveparenting #parenting

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