Showing posts with label computer assisted therapy. Show all posts
Showing posts with label computer assisted therapy. Show all posts

Mym3 – Validated Depression and Anxiety Monitor on iPhone




Mym3 is checklist that allows you to screen
yourself for potential depression and anxiety symptoms including bipolar and PTSD.
You can then have a personalized report shared with you about how your
depression is affecting you. This checklist is like a progress report to see
how well you’re coping over time.





This mobile version
of the checklist is adapted from M-3 Information's existing mymoodmonitor.com Web site. It
provides the same, scientifically validated, mental health questionnaire,
optimized for smart phones.




There is a very important feature, potential life saver - for people in deep
distress and at risk of suicide, mym3 provides a direct, one-button link to
call a national suicide hotline.




Interactive applications of this sort, offering users validated medical
assessment and feedback in real-time, has the potential to greatly improve the
dynamics of healthcare delivery for individuals who might otherwise suffer in
silence. The value of this technology to college and military populations,
among others, is considerable.




The "mym3 app" is available to iPhone (telephone and data) and iTouch
(data only) users through the Apple iTunes applications store, where it is for
sale for $2.99. M-3 Information contributes a portion of the proceeds to Mental
Health America.






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Main
Purpose of M-3 Checklist





The M3 website encourages
individuals to complete the M3 Screen, a private, self-rated checklist for
potential mood and anxiety symptoms. The checklist responses trigger a feedback
page indicating each individual’s relative risk for Depression, an Anxiety
Disorder, Bipolar Disorder and PTSD. The Screen responses and the resulting M3
analysis of risk may be printed, emailed, or securely accessed online by a
designated health care professional, all at the discretion of the user.



The information provided by the M3 expedites and organizes a discussion between
doctor and patient of relevant mental health issues at their next office visit,
helping to direct the clinician toward a more accurate diagnosis. By providing
parallel educational material for patients, the M3 encourages compliance and
long-range follow-up of progress.





The M3 is not designed to diagnose
illness on its own. Rather, it is meant to elicit symptoms that may indicate a
psychiatric illness. Physicians must use the symptoms checklist responses and
the risk assessment provided as a basis for formulating a diagnosis and
treatment. The M3 website does provide physicians with supplemental information
that guides them through this formulation, including relevant follow-up questions
to ask. A medication overview chart clearly matches the choices of medications
with the symptoms the drugs are intended to treat. There is an outline of each
drug’s side effects and potentially harmful drug interactions. Based on this
information, doctors can readily determine the most appropriate medication.





How
Often?





If you are under ongoing medical or
therapeutic treatment, you may need to monitor your progress. Once a treatment
has begun, whether psychotherapy or medication, it is recommended to record
your progress on a weekly basis for the first month, biweekly for months 2 and
3, and monthly thereafter. Checking in weekly for the entire duration of your
therapy will certainly do no harm, but M3 does not endorse monitoring your
symptoms more often than once a week.




M-3 Checklist Validation




Since the publication of the validation article in March, 2010 the M-3
Checklist has been taken by people in over 120 countries and all 50 states. The
M-3 Checklist was validated in a study performed at the University of North
Carolina and reported in the March 2010 issue of the Annals of Family Medicine.
The study was based on the responses of 647 patients at the University of North
Carolina Family Practice Medicine Clinic. Patients can track their M3 score on
Microsoft HealthVault via mymoodmonitor.com




About M-3 Information, LLC




The M3 was developed by a team of
mental health, strategic communications, and information management experts,
including Robert M. Post, MD, head of the Bipolar Collaborative Network;
Bernard M. Snyder, MD, assistant clinical professor of psychiatry at Georgetown
University and a cognitive behavioral therapist; Michael L. Byer, director of
M-3 Information; Larry Culpepper, MD, family practice program at Boston
University; Gerald Hurowitz, MD, assistant clinical professor of psychiatry at
Columbia University and a clinical psychopharmacologist. The free and private
screener is available at www.mymoodmonitor.com and is independently funded by
M-3 Information without pharmaceutical industry support.









Free online computerized cognitive-behavioral therapy for depression



Free? Then can it be worth much? Ah, that might depend on how hard you work. This is working with a computer, not a human.


Mind you, this may not work as well as seeing a real live therapist who knows the CBT approach well. But lots of people can't get real live CBT, because they:
  • Can't afford it

  • Can't find it

  • Don't like the whole idea of telling someone their problems (guys?)

  • Think they've already had it (but haven't)



So, if there was a way to get cognitive therapy for free, that would be pretty nifty. Well, there is.


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What is MoodGYM?


MoodGYM is an innovative, interactive web program designed to prevent depression. It consists of five modules, an interactive game, anxiety and depression assessments, downloadable relaxation audio, a workbook and feedback assessment.


Using flashed diagrams and online exercises, MoodGYM teaches the principles of cognitive behavior therapy – a proven treatment for depression. It also demonstrates the relationship between thoughts and emotions, and works through dealing with stress and relationship break-ups, as well as teaching relaxation and meditation techniques.


MoodGYM was designed and developed by staff at the Centre for Mental Health Research at the Australian National University, in collaboration with other researchers, mental health experts, web and graphic designers, and software engineers.


Each module explores issues such as:
  • why someone feels the way they do,

  • changing ‘warped’ thoughts,

  • changing the way they think, 

  • knowing what makes an individual upset,

  • assertiveness and interpersonal skills training.



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History


This idea originated, in a way, not with the internet but with another technology: telephone-based "interactive voice response" (IVR). Trying to make CBT more widely available, a team of researchers created an IVR system of therapy. I never got to try it, but apparently it worked as well as a live therapist.  Then, an intermediate form of computer-assisted therapy was tested at Harvard, in which a computer program was used to deliver some of the basic explanations and planning of CBT.  Therapist time was reduced accordingly. This worked as well as standard, "live" therapy. Now, there is a program in which all of your interaction is with your computer, none with a human.


Warning


Here are several ways in which this free program could harm you:
  • You try it, it doesn't work, and you conclude cognitive behavioral therapy doesn't work for you. Don't do that.

  • You try it, raise your hopes, it doesn't seem to help, you feel disappointed (especially if you tried hard)

  • You try this instead of a good, live therapist whom you could go see, within a few weeks, when you could afford it.

  • You stay up too late at night on your computer doing this homework instead of sleeping!

There is no evidence that this computer approach is better than a live therapist.  So since we know that good live CBT really works; and since we don't have a head-to-head comparison of computer versus live therapist yet; for now, you should only use this approach if for some reason it's clear: you need additional antidepressant help, and you are not going to be able to see a good, live therapist.


Why should you try it? If you really, for any reason, can't get CBT some other way; and if you need to add an additional antidepressant element into your treatment, and you want with all your hurt to make it work, the program might be quite useful for you and will help your recovery.  


Technical Requirements


Before using MoodGYM, please make sure that:
  • You have the flash 4.0 plug in (so that you can view graphics)

  • JavaScript is enabled (so that you can view extra content)

  • 'Cookies' are enabled (so that you can log in). If necessary, you can enable cookies using your browser's Help utility. Cookies are temporary and are deleted when you close your browser.

MoodGYM makes frequent use of multimedia presentations and graphics. If you are visually impaired, you may be using browser software that is unable to display some of this material.


Interface Languages


English and Norwegian


Cost


The program MoodGym is free and anonymous for all users. And there are no ads!








 
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