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Mental Health? Yes, There’s an App for That

Are mental health apps worth the money?

It seems there are apps for everything these days. There are apps to manage your money, to make lists, to talk to friends, and to track calories. There are even apps that could help with your mental health. This is an area of software development that has been on the rise for years and there are now several apps that could be a great adjunct to therapy and may even be beneficial in and of themselves.

Pixabay License Free for commercial use No attribution required
Apps for mental health
Source: Pixabay License Free for commercial use No attribution required

There are several types of apps that could be classified as “mental health apps.” First there are apps that can be used to promote relaxation or mindfulness meditation. Some apps can help one become more mindful of their breath or encourage regular practice of meditation and relaxation. These can range in price but could be useful if you are assigned by a therapist to begin relaxation practices, or just want to see how beneficial the addition of relaxation or meditation could be to your life. There are many studies that suggest that adding these practices to your daily routine could be beneficial and some focus specifically on relaxation apps (Kappert, Wuttke-Linnemann, Schlotz, & Nater, 2019). One study, in particular, reported that relaxation apps that include visualization are particularly beneficial (Chittaro, & Sioni, 2014) and others have found them helpful for managing pain and migraines (Mikolasek, Witt, & Barth, 2018). Overall relaxation and mindfulness apps appear to be helpful to people suffering from stress and could be used in combination with therapy or while waiting for a therapy appointment to become available (Tunney, Cooney, Coyle, & O'Reilly, 2017).

Other apps are more focused on specific types of therapies, particularly Cognitive-Behavioral Therapy. These apps can help you record your thoughts and feelings and even determine what kind of dysfunctional thoughts you are having. The Veterans Administration pioneered some of this approach by developing apps to reach more veterans who were waiting for care or in-between visits. Some newer research confirms that these CBT apps can be beneficial when used in addition to face-to-face CBT for insomnia (Koffel et al., 2018), while other research found that using CBT apps may be beneficial for overall well-being (Bakker, Kazantzis, Rickwood, & Rickard, 2018).

Finally, there are even apps to help you connect with a therapist to provide you with direct one-on-one psychotherapy. Some of these apps connect you with a therapist to chat via phone, text or email, while others connect you through videoconferencing. It really depends on the app and service you use and some insurance companies are beginning to partner with these services to provide more affordable care. For more information on the efficacy of telepsychology please see my prior post.

It is important to note that none of these apps should be used as a replacement for face-to-face intervention, especially when someone is in crisis. It does appear, however, that some mental health apps may be helpful for people with mild anxiety or depression or those who feel they need assistance in coping. They also appear to be beneficial when used in addition to therapy or medicine and both therapists and clients report benefit from using them (Stawarz, Preist, Tallon, Wiles, & Coyle, 2018).

References

Bakker, D., Kazantzis, N., Rickwood, D., & Rickard, N. (2018). A randomized controlled trial of three smartphone apps for enhancing public mental health. Behaviour Research and Therapy, 109, 75-83. doi:10.1016/j.brat.2018.08.003

Chittaro, L., & Sioni, R. (2014). Evaluating mobile apps for breathing training: The effectiveness of visualization. Computers in Human Behavior, 40, 56-63. doi:10.1016/j.chb.2014.07.049

Kappert, M. B., Wuttke-Linnemann, A., Schlotz, W., & Nater, U. M. (2019). The aim justifies the means-differences among musical and nonmusical means of relaxation or activation induction in daily life. Frontiers in Human Neuroscience, 13, 36-36. doi:10.3389/fnhum.2019.00036

Koffel, E., Kuhn, E., Petsoulis, N., Erbes, C. R., Anders, S., Hoffman, J. E., . . . Polusny, M. A. (2018). A randomized controlled pilot study of CBT-I coach: Feasibility, acceptability, and potential impact of a mobile phone application for patients in cognitive behavioral therapy for insomnia. Health Informatics Journal, 24(1), 3-13. doi:10.1177/1460458216656472

Mikolasek, M., Witt, C. M., & Barth, J. (2018). Adherence to a mindfulness and relaxation self-care app for cancer patients: Mixed-methods feasibility study. JMIR mHealth and uHealth, 6(12), e11271-e11271. doi:10.2196/11271

Stawarz, K., Preist, C., Tallon, D., Wiles, N., & Coyle, D. (2018). User experience of cognitive behavioral therapy apps for depression: An analysis of app functionality and user reviews. Journal of Medical Internet Research, 20(6), e10120-e10120. doi:10.2196/10120

Tunney, C., Cooney, P., Coyle, D., & O'Reilly, G. (2017). Comparing young people's experience of technology-delivered v. face-to-face mindfulness and relaxation: Two-armed qualitative focus group study. The British Journal of Psychiatry : The Journal of Mental Science, 210(4), 284-289. doi:10.1192/bjp.bp.115.172783

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