Case Study: Prescribing a mobile app to manage anxiety
Meet Dr. Mano Chikitsa, a psychiatrist with remarkable expertise in treating anxiety disorders, particularly generalized anxiety. As an integral component of his holistic and cutting-edge treatment approach, Dr. Chikitsa seamlessly integrates an approved mobile application named “Manaḥśānti” to enhance the therapeutic journey for his patients.
Disclaimer
  • The names used in this case study, such as “Manaḥśānti,” “Dr. Mano Chikitsa,” and “Rogiman,” are entirely fictitious and not based on real individuals, apps, or medical professionals. This case study is for illustrative purposes only, showcasing the process of prescribing a mental health app for anxiety management. Any resemblance to real people, apps, or medical professionals is coincidental.
  • The information provided in this case study is not a substitute for professional medical advice or mental health treatment. It is crucial to consult qualified healthcare professionals for personalized diagnoses, treatment plans, and recommendations for anxiety or any other mental health concerns.
  • The app “Manaḥśānti” mentioned in this case study is entirely fictional and not representative of any real mobile application. The features, benefits, and risk mitigation strategies attributed to this app are hypothetical and not based on any existing application.
  • Furthermore, the content related to potential risks and mitigation strategies associated with using mental health apps is for informational purposes only and may not cover all possible risks or scenarios. Mental health professionals and patients should conduct thorough research and exercise caution when using or prescribing any mental health app, ensuring it aligns with evidence-based practices and ethical standards.
  • For accurate and up-to-date information related to mental health, anxiety management, and the use of mobile applications in healthcare, it is essential to consult licensed mental health professionals and trusted medical resources.
Now, let’s delve into how this professional precisely prescribes this groundbreaking app, ensuring unparalleled benefits for those in his care.
List of FDA approved Apps
Endeavorrx – A prescription based video game for the treatment of ADHD.
Somryst – A prescription based app for managing Chronic Insomnia
NightWare – A prescription based app for managing Chronic Insomnia
reSET – CBT based app for Substance Use Disorder
reSET-O – CBT based app for Opioid Use Disorder
Chapter References

1. Dang A, Arora D, Rane P. Role of digital therapeutics and the changing future of healthcare. J Family Med Prim Care. 2020 May 31;9(5):2207-2213. doi: 10.4103/jfmpc.jfmpc_105_20.
2. Hilty DM, Chan S, Hwang T, Wong A, Bauer AM. Advances in mobile mental health: opportunities and implications for the spectrum of e-mental health services. Mhealth. 2017 Aug 21;3:34. doi: 10.21037/mhealth.2017.06.02. PMID: 28894744; PMCID: PMC5583042.
3. Chandrashekar P. Do mental health mobile apps work: evidence and recommendations for designing high-efficacy mental health mobile apps. Mhealth. 2018 Mar 23;4:6. doi: 10.21037/mhealth.2018.03.02. PMID: 29682510; PMCID: PMC5897664.
4. Diano F, Sica LS, Ponticorvo M. Empower Psychotherapy with mHealth Apps: The Design of “Safer”, an Emotion Regulation Application. Information [Internet]. 2023 May 27;14(6):308. Available from: http://dx.doi.org/10.3390/info14060308
5. Balcombe L, De Leo D. Evaluation of the Use of Digital Mental Health Platforms and Interventions: Scoping Review. Int J Environ Res Public Health. 2022 Dec 26;20(1):362. doi: 10.3390/ijerph20010362.
6. Miralles I, Granell C, Díaz-Sanahuja L, Van Woensel W, Bretón-López J, Mira A, Castilla D, Casteleyn S. Smartphone Apps for the Treatment of Mental Disorders: Systematic Review. JMIR Mhealth Uhealth. 2020 Apr 2;8(4):e14897. doi: 10.2196/14897.
7. Proudfoot J. The future is in our hands: The role of mobile phones in the prevention and management of mental disorders. Australian & New Zealand Journal of Psychiatry. 2013;47(2):111-113. doi:10.1177/0004867412471441.
8. Caldeira C, Chen Y, Chan L, Pham V, Chen Y, Zheng K. Mobile apps for mood tracking: an analysis of features and user reviews. AMIA Annu Symp Proc. 2018 Apr 16;2017:495-504. PMID: 29854114; PMCID: PMC5897660.
9. Kumar MS, Krishnamurthy S, Dhruve N, Somashekar B, Gowda MR. Telepsychiatry Netiquette: Connect, Communicate and Consult. Indian J Psychol Med. 2020;42(5_suppl):22S-26S. doi: 10.1177/0253717620958170.
10. Parrish EM, Filip TF, Torous J, Nebeker C, Moore RC, Depp CA. Are mental health apps adequately equipped to handle users in crisis? Crisis: The Journal of Crisis Intervention and Suicide Prevention. 2022;43(4):289-298. https://doi.org/10.1027/0227-5910/a000785
11. Kumar MS, Krishnamurthy S, Gowda MR, Dhruve N. The dawn of eMental health professional. Indian J Psychiatry. 2019 Apr;61(Suppl 4):S730-S734.doi: 10.4103/psychiatry.IndianJPsychiatry_161_19.
12. Lui JHL, Marcus DK, Barry CT. Evidence-based apps? A review of mental health mobile applications in a psychotherapy context. Professional Psychology: Research and Practice. 2017;48(3):199-210.
13. Hwang WJ, Ha JS, Kim MJ. Research Trends on Mobile Mental Health Application for General Population: A Scoping Review. International Journal of Environmental Research and Public Health. 2021;18(5):2459.
14. Wang L, Fagan C, Yu C-l. Popular mental health apps (MH apps) as a complement to telepsychotherapy: Guidelines for consideration. Journal of Psychotherapy Integration. 2020;30(2):265–273.
15. Anthes E. Pocket psychiatry: mobile mental-health apps have exploded onto the market, but few have been thoroughly tested. Nature. 2016 Apr 7;532(7597).
16. Denecke K, Schmid N, Nüssli S. Implementation of Cognitive Behavioral Therapy in e–Mental Health Apps: Literature Review. J Med Internet Res. 2022;24(3):e27791.
17. Terry NP, Gunter TD. Regulating mobile mental health apps. Behav Sci Law. 2018;36:136–144.
18. Parker L, Halter V, Karliychuk T, Grundy Q. How private is your mental health app data? An empirical study of mental health app privacy policies and practices. International Journal of Law and Psychiatry. 2019;64:198-204.
19. Basavarajappa C, Chand PK. Digital platforms for mental health-care delivery. Indian J Psychol Med. 2017;39:703-6.
20. Moon K, Sobolev M, Kane J. Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review. JMIR Ment Health. 2022;9(2):e30810.
21. Moon K, Sobolev M, Kane J. Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review. JMIR Ment Health. 2022;9(2):e30810. DOI: 10.2196/30810.
22. Balcombe L, De Leo D. Digital Mental Health Challenges and the Horizon Ahead for Solutions. JMIR Ment Health. 2021;8(3):e26811. DOI: 10.2196/26811.
23. Torous J, Firth J, Huckvale K, Larsen ME, Cosco TD, Carney R, Chan S, Pratap A, Yellowlees P, Wykes T, Keshavan M, Christensen H. The Emerging Imperative for a Consensus Approach Toward the Rating and Clinical Recommendation of Mental Health Apps. The Journal of Nervous and Mental Disease. 2018;206(8):662-666. DOI: 10.1097/NMD.0000000000000864.
24. Ramos G, Ponting C, Labao JP, Sobowale K. Considerations of diversity, equity, and inclusion in mental health apps: A scoping review of evaluation frameworks. Behaviour Research and Therapy. 2021;147:103990. ISSN 0005-7967.
25. Marshall JM, Dunstan DA, Bartik W. Clinical or gimmickal: The use and effectiveness of mobile mental health apps for treating anxiety and depression. Australian & New Zealand Journal of Psychiatry. 2020;54(1):20-28. doi: 10.1177/0004867419876700.
26. Schueller SM, Torous J. Scaling evidence-based treatments through digital mental health. American Psychologist. 2020;75(8):1093-1104. https://doi.org/10.1037/amp0000654.
27. Bauman S, Rivers I. Mental Health in the Digital Age. Palgrave Macmillan London; 2015. doi:10.1057/9781137333179. eBook ISBN: 978-1-137-33317-9.
28. Khazaal Y. [Mental Health apps: innovations and challenges]. Revue Medicale Suisse. 2019 Sep;15(663):1650-1656. PMID: 31532115.
29. Wasil AR, Weisz JR, DeRubeis RJ. Three questions to consider before developing a mental health app. World Psychiatry. 2020 Jun;19(2):252-253. doi: 10.1002/wps.20757. PMID: 32394568; PMCID: PMC7215053
30. Spadaro B, Martin-Key N, Bahn S. Building the Digital Mental Health Ecosystem: Opportunities and Challenges for Mobile Health Innovators. J Med Internet Res. 2021;23(10):e27507. DOI: 10.2196/27507.
31. Alqahtani F, Orji R. Insights from user reviews to improve mental health apps. Health Informatics Journal. 2020;26(3):2042-2066. doi: 10.1177/1460458219896492
32. Alqahtani F, Al Khalifah G, Oyebode O, Orji R. Apps for Mental Health: An Evaluation of Behavior Change Strategies and Recommendations for Future Development. Frontiers in Artificial Intelligence. 2019;2:30. doi:10.3389/frai.2019.00030. Available from: https://www.frontiersin.org/articles/10.3389/frai.2019.00030
33. Kim HM, Xu Y, Wang Y. Overcoming the Mental Health Stigma Through m-Health Apps: Results from the Healthy Minds Study. Telemedicine and e-Health. Oct 2022;1534-1540.
34. Fleming T, Poppelaars M, Thabrew H. The role of gamification in digital mental health. World Psychiatry. 2023 Feb;22(1):46-47. doi: 10.1002/wps.21041. PMID: 36640378; PMCID: PMC9840502.
35. Chan AHY, Honey MLL. User perceptions of mobile digital apps for mental health: Acceptability and usability – An integrative review. J Psychiatr Ment Health Nurs. 2022;29:147-168. https://doi.org/10.1111/jpm.12744.
36. Wang Q, Peng S, Zha Z, Han X, Deng C, Hu L, Hu P. Enhancing the conversational agent with an emotional support system for mental health digital therapeutics. Frontiers in Psychiatry. 2023;14:1148534. DOI: 10.3389/fpsyt.2023.1148534. ISSN: 1664-0640. URL: https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1148534.
37. Iwaya LH, Babar MA, Rashid A, Wijayarathna C. On the privacy of mental health apps: An empirical investigation and its implications for app development. Empirical Software Engineering. 2023;28(2). https://link.springer.com/article/10.1007/s10664-022-10236-0.
38. Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM. mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice. 2011;42(6):505-512. https://doi.org/10.1037/a0024485.
39. Betton V, Woollard J. Teen mental health in an online world: Supporting young people around their use of social media, apps, gaming, texting and the rest. Jessica Kingsley Publishers, London; 2019. ISBN: 9781784508524, 1784508527.
40. Ellis DM, Draheim AA, Anderson PL. Culturally adapted digital mental health interventions for ethnic/racial minorities: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology. 2022;90(10):717-733. https://doi.org/10.1037/ccp0000759.
41. Amagai S, Pila S, Kaat A, Nowinski C, Gershon R. Challenges in Participant Engagement and Retention Using Mobile Health Apps: Literature Review. JMIR Mental Health. 2022;24(4):e35120. URL: https://www.jmir.org/2022/4/e35120. DOI: 10.2196/35120
42. Kaveladze B, Wasil A, Bunyi J, Ramirez V, Schueller S. User Experience, Engagement, and Popularity in Mental Health Apps: Secondary Analysis of App Analytics and Expert App Reviews. JMIR Hum Factors. 2022;9(1):e30766. URL: https://humanfactors.jmir.org/2022/1/e30766. DOI: 10.2196/30766.
43. Armontrout JA, Torous J, Cohen M, McNiel DE, Binder R. Current Regulation of Mobile Mental Health Applications. J Am Acad Psychiatry Law. 2018;46:204-211. DOI:10.29158/JAAPL.003748-18.
44. Kotlo A, Muragundi PM, Ligade VS, Udupa N. Regulation of the Mobile Medical Apps in India: Need of the Hour. Journal of Current Pharma Research. 2015;5(4):1600-1606.
45. Torous J, Luo J, Chan SR. Mental health apps: What to tell patients.Current Psychiatry. 2018;17(3):21-25.
46. Chan S, Torous J, Hinton L, Yellowlees P. Towards a Framework for Evaluating Mobile Mental Health Apps. Telemedicine and e-Health. Dec 2015;21(12): 1038-1041. http://doi.org/10.1089/tmj.2015.0002
47. Aryana, B., & Brewster, L. (2020). Design for mobile mental health: Exploring the informed participation approach. Health Informatics Journal, 26(2), 1208-1224. doi:10.1177/1460458219873540
48. Stoyanov SR, Hides L, Kavanagh DJ, Zelenko O, Tjondronegoro D, Mani M. Mobile App Rating Scale: A New Tool for Assessing the Quality of Health Mobile Apps. JMIR Mhealth Uhealth. 2015;3(1):e27. doi: 10.2196/mhealth.3422. PMID: 25760773; PMCID: 4376132.
49. Nwe K, Larsen ME, Nelissen N, Wong DC. Medical Mobile App Classification Using the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies: Interrater Reliability Study. J Med Internet Res. 2020;22(6):e17457. doi: 10.2196/17457. PMID: 32501271; PMCID: 7305556.
50. Lagan S, Emerson MR, King D, Matwin S, Chan SR, Proctor S, Tartaglia J, Fortuna KL, Aquino P, Walker R, Dirst M, Benson N, Myrick KJ, Tatro N, Gratzer D, Torous J. Mental Health App Evaluation: Updating the American Psychiatric Association’s Framework Through a Stakeholder-Engaged Workshop. Psychiatric Services. 2021;72:1095–1098. doi: 10.1176/appi.ps.202000663.
51. Yardley L, Morrison L, Bradbury K, Muller I. The Person-Based Approach to Intervention Development: Application to Digital Health-Related Behavior Change Interventions. J Med Internet Res. 2015;17(1):e30. doi: 10.2196/jmir.4055. PMID: 25639757; PMCID: 4327440.
52. Torous J, Andersson G, Bertagnoli A, Christensen H, Cuijpers P, Firth J, Haim A, Hsin H, Hollis C, Lewis S, Mohr DC, Pratap A, Roux S, Sherrill J, Arean PA. Towards a consensus around standards for smartphone apps and digital mental health. World Psychiatry. 2019 Feb;18(1):97-98. doi: 10.1002/wps.20592. PMID: 30600619; PMCID: PMC6313231.
53. Neary M, Bunyi J, Palomares K, et al. A process for reviewing mental health apps: Using the One Mind PsyberGuide Credibility Rating System. DIGITAL HEALTH. 2021;7. doi:10.1177/20552076211053690.
54. Garland, A. F., Jenveja, A. K., & Patterson, J. E. (2021). Psyberguide: A useful resource for mental health apps in primary care and beyond. Families, Systems, & Health, 39(1), 155–157. https://doi.org/10.1037/fsh0000587
55. Lipczynska, S. (2019). Psyberguide: a path through the app jungle. Journal of Mental Health, 28(1), 104. doi: 10.1080/09638237.2017.1417574. PMID: 29265897.
56. Schueller, S. M. (n.d.). Navigating the Digital Mental Health Landscape: One Mind PsyberGuide. Value & Outcomes Spotlight. Retrieved from https://www.ispor.org/publications/journals/value-outcomes-spotlight/vos-archives/issue/view/wearables-making-a-mark-in-digital-health/navigating-the-digital-mental-health-landscape-one-mind-psyberguide
57. Agarwal, S., Jalan, M., Wilcox, H. C., Sharma, R., Hill, R., Pantalone, E., Thrul, J., Rainey, J. C., & Robinson, K. A. (2022). Evaluation of Mental Health Mobile Applications (Technical Brief, No. 41). Rockville, MD: Agency for Healthcare Research and Quality (US). Report No.: 22-EHC016.
58. Goodwin J, Cummins J, Behan L, O’Brien SM. Development of a mental health smartphone app: perspectives of mental health service users. Journal of Mental Health. 2016;25(5):434-440. DOI: 10.3109/09638237.2015.11243.
59. Friis-Healy EA, Nagy GA, Kollins SH. It Is Time to REACT: Opportunities for Digital Mental Health Apps to Reduce Mental Health Disparities in Racially and Ethnically Minoritized Groups. JMIR Ment Health. 2021;8(1):e25456. doi: 10.2196/25456.
60. Parker L, Bero L, Gillies D, Raven M, Mintzes B, Jureidini J, Grundy Q. Mental Health Messages in Prominent Mental Health Apps. The Annals of Family Medicine. Jul 2018;16(4):338-342. DOI: 10.1370/afm.2260.
61. Remington B, Upchurch DF. Considerations For Developing Effective Mobile Mental Health Applications. Multidisciplinary Psychology: A Journal of Collaboration. 2023;3(2):Article 1. Available from: https://repository.ulm.edu/mp-ajc/vol3/iss2/1.
62. Marley J, Farooq S. Mobile telephone apps in mental health practice: uses, opportunities and challenges. BJPsych Bulletin. 2015;39(6):288-290.
63. Marshall JM, Dunstan DA, Bartik W. Smartphone psychology: New approaches towards safe and efficacious mobile mental health apps. Professional Psychology: Research and Practice. 2020;51(3):214-222. https://doi.org/10.1037/pro0000278.
64. Torous J, Bucci S, Bell IH, Kessing LV, Faurholt-Jepsen M, Whelan P, Carvalho AF, Keshavan M, Linardon J, Firth J. The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry. 2021;20:318-335. doi: 10.1002/wps.20883.
65. Hamdoun S, Monteleone R, Bookman T, Michael K. AI-Based and Digital Mental Health Apps: Balancing Need and Risk. IEEE Technology and Society Magazine. 2023;42(1):25-36. doi: 10.1109/MTS.2023.3241309.

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