Times Colonist

Your screen may be route to better mental health

- MARC AND CRAIG KIELBURGER Global Voices

The world can look grim through the window of a smartphone screen.

At its worst, the internet is a stream of depressing headlines, cyberbulli­es, trolls and political rants — and our data plans keep us constantly connected. One mental-health author recently referred to smartphone­s as “nightmare rectangles.”

But what if the LCD screen keeping you up nights could also be your gateway to better mental wellness?

With the growing strain on Canada’s health-care system, mobile mental health offers patient-driven solutions, potentiall­y relieving the system and its overworked staff.

Resources are wide-ranging, from guided meditation apps such as Headspace, to check-in apps for reaching out to friends in distress, to FaceTime sessions with licensed therapists and digital PTSD counsellin­g through the U.S. Department of Veterans Affairs.

These services look promising, especially for rural communitie­s where mental-health risks are higher and care options are fewer. Mental-wellness apps also have the power to reach youth, an at-risk demographi­c, where they already live — on their phones.

Research shows that online treatment can help remove barriers to health-care access, giving clients an experience on-par with in-person therapy. Many apps offer self-assessment to help patients seek early interventi­on before a condition escalates and requires more time, energy and resources to tackle.

“These apps have a significan­t place at the table,” says Sean Kidd, chief of psychology at the Toronto-based Centre for Addiction and Mental Health, and creator of A4i (App4Indepe­ndence), an app for patients with schizophre­nia or psychosis.

Kidd’s app was inspired by a former patient with schizophre­nia who used his phone to track appointmen­ts and detect audio to determine whether the sounds he heard at home were real or hallucinat­ions. The finished platform includes medication tracking, sleep data, curated newsfeeds featuring positive discussion­s, as well as patient diaries to encourage self-care and prediction tools that alert care providers of a potential relapse in recovery.

Kidd spent three years testing the app in developmen­t with CAMH. He warns that many privately funded apps focus more on slick marketing campaigns than research and quality control.

As with all of the internet’s offerings, these apps are a case of user beware. If someone in your life is seeking to improve their mental health, the right resource could be a milestone in their journey, but the wrong one could be a setback. Help them do their research. That dream-journallin­g app with the cute graphics could burn their limited energy for recovery, and distract from meaningful progress.

“You’ve got a certain amount of gas in the tank for a coping activity,” Kidd said.

If the app isn’t offering results, find a new option. Leave honest feedback for developers and reviews for future users.

There’s no replacing profession­al mental-health care, but given how much time we spend on our phones, mobile mental-health apps could be worth the screen time.

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