Comprehensive mental health monitoring with automatic cross-dimensional correlation analysis. Tracks mood, anxiety, stress using validated scales (PHQ-9, GAD-7, PSS). Provides crisis risk screening, CBT techniques, and automatically analyzes correlations with sleep, exercise, nutrition, and chronic conditions. Triggers on: mental health, mood, anxiety, stress, depression, feeling sad, worried, overwhelmed, panic, therapy, emotional, burnout.
Compassionate mental health monitoring with automatic correlation analysis to identify how sleep, exercise, nutrition, and physical health affect your emotional well-being.
This analysis runs automatically when mental health concerns are detected. No manual trigger needed.
| Correlation | Typical r-value | Clinical Significance | Action |
|---|---|---|---|
| Sleep duration ↔ PHQ-9 | -0.6 to -0.8 | Strong negative | Each 1-hour increase → 0.5-1 point PHQ-9 reduction |
| Sleep quality ↔ GAD-7 | -0.6 to -0.7 | Strong negative | PSQI improvement → anxiety reduction |
| Sleep latency ↔ Next-day mood | 0.5 to 0.6 | Moderate positive | Longer latency → worse mood |
| REM sleep ↔ Emotional regulation | -0.5 to -0.6 |
| Moderate negative |
| REM disruption → emotional dysregulation |
Recommendations based on correlation:
| Correlation | Typical r-value | Clinical Significance | Action |
|---|---|---|---|
| Exercise frequency ↔ PHQ-9 | -0.5 to -0.7 | Strong negative | Each session/week → 1-2 point PHQ-9 reduction |
| Exercise intensity ↔ Anxiety | -0.4 to -0.6 | Moderate negative | Moderate intensity optimal |
| Outdoor exercise ↔ Mood | -0.5 to -0.6 | Moderate negative | Nature exposure amplifies benefit |
| Exercise consistency ↔ Stability | -0.6 to -0.7 | Strong negative | Regular schedule → mood stability |
Exercise Prescription for Mental Health:
| Nutrient | Correlation | Mechanism | Recommendation |
|---|---|---|---|
| Omega-3 (EPA+DHA) | r = -0.4 to -0.6 | Anti-inflammatory, neurotransmitter function | 1-2g daily (fish, supplement) |
| Vitamin D | r = -0.4 to -0.5 | Neuroprotection, serotonin synthesis | 1000-2000 IU daily, sun exposure |
| B vitamins (B6, B9, B12) | r = -0.3 to -0.5 | Methylation, neurotransmitter synthesis | Leafy greens, legumes, animal products |
| Magnesium | r = -0.4 to -0.5 | GABA activation, muscle relaxation | 300-400 mg daily (nuts, seeds, greens) |
| Zinc | r = -0.3 to -0.4 | Neurotransmitter modulation | 10-15 mg daily (meat, shellfish, legumes) |
| Caffeine | r = 0.4 to 0.6 (anxiety) | Adenosine blockade, cortisol elevation | Limit to ≤400mg/day, avoid after 2 PM |
| Sugar/Refined carbs | r = 0.4 to 0.5 (mood swings) | Blood glucose fluctuations | Choose complex carbs, fiber |
| Alcohol | r = 0.5 to 0.6 (depression) | GABA/glutamate disruption, sleep fragmentation | Limit to ≤1 drink/day, avoid when depressed |
| Condition | Correlation | Bidirectional? | Management Implication |
|---|---|---|---|
| Chronic pain | r = 0.6 to 0.8 | Yes | Treat both simultaneously |
| Diabetes | r = 0.4 to 0.6 | Yes | Depression screening essential |
| Hypertension | r = 0.3 to 0.5 | Partial | Stress management helps both |
| Thyroid disorders | r = 0.5 to 0.7 | Yes (thyroid → mood) | Rule out thyroid dysfunction |
| IBS/Gut issues | r = 0.5 to 0.6 | Yes | Gut-brain axis, consider probiotics |
| Autoimmune conditions | r = 0.4 to 0.6 | Partial | Inflammation link, anti-inflammatory diet |
| Medication Class | Potential Effect | Monitoring |
|---|---|---|
| Corticosteroids | Mood swings, anxiety, insomnia | Monitor mood during taper |
| Beta-blockers | Fatigue, depression (controversial) | Assess if temporal relationship |
| Hormonal contraceptives | Mood changes (individual) | Track cycle + mood |
| Stimulants | Anxiety, sleep disruption | Dose timing, consider adjustment |
| Statins | Muscle pain → secondary depression | Address pain, consider alternative |
Week 1-2: Sleep Foundation
Week 3-4: Sleep Optimization
Expected Outcome: 2-4 point PHQ-9 reduction with 1-2 hour sleep improvement
Week 1-2: Activation
Week 3-4: Building
Week 5-8: Consolidation
Expected Outcome: 3-5 point PHQ-9 reduction with consistent exercise
Week 1-2: Elimination
Week 3-4: Addition
Week 5-8: Optimization
Expected Outcome: 2-3 point PHQ-9 reduction with dietary improvement
Integrated Approach:
Expected Outcome: Variable; focus on quality of life, acceptance, coping
# Mental Health Report — March 20, 2026
## 🚨 Crisis Screening
**Risk Level**: 🟢 Low (Score: 3/20)
- ✅ No suicidal ideation (PHQ-9 Item 9 = 0)
- ✅ Symptom trend: Improving
- ✅ Social connection: Good
---
## 📊 Assessment Results
### PHQ-9 (Depression)
| Date | Score | Severity | Trend |
|------|-------|----------|-------|
| Mar 20 | 6 | Mild | ↓ Improving |
| Feb 20 | 9 | Mild | → Stable |
| Jan 20 | 12 | Moderate | ↑ Worsening |
### GAD-7 (Anxiety)
| Date | Score | Severity |
|------|-------|----------|
| Mar 20 | 5 | Mild |
| Feb 20 | 8 | Mild |
---
## 🔗 Automatic Correlation Analysis
### Key Finding: Sleep Duration ↔ Depression
**Correlation**: r = -0.78 (Strong Negative)
**Interpretation**: When you sleep <7 hours, PHQ-9 averages 4 points higher
**Action Plan**:
- Priority #1: Increase sleep to 7-8 hours/night
- Expected impact: 3-4 point PHQ-9 reduction
- Strategy: CBT-I techniques, consistent wake time, no screens after 9 PM
### Secondary Finding: Exercise ↔ Anxiety
**Correlation**: r = -0.52 (Moderate Negative)
**Interpretation**: Exercise days show 30% lower GAD-7 scores
**Action Plan**:
- Maintain 3x/week exercise routine
- Add 10-min walk on non-exercise days
- Track mood before/after each session
### Nutrition Factor: Caffeine ↔ Sleep
**Correlation**: r = 0.61 (Moderate Positive)
**Interpretation**: Afternoon caffeine → 45 min longer sleep latency
**Action Plan**:
- No caffeine after 12 PM (moved from 2 PM)
- Switch to decaf/herbal tea after noon
- Reassess in 2 weeks
---
## 📋 Integrated Treatment Plan
### This Week
- [ ] Sleep: Consistent wake time at 7 AM (±30 min)
- [ ] Exercise: 3 walks (30 min each)
- [ ] Nutrition: No caffeine after 12 PM
- [ ] Therapy: Complete 3 thought records
### Next 2 Weeks
- [ ] Sleep: Implement pre-sleep routine (60 min, no screens)
- [ ] Exercise: Add 1 yoga session
- [ ] Nutrition: Omega-3 supplementation (1g EPA+DHA)
### Follow-Up
- PHQ-9/GAD-7 reassessment: April 3, 2026
- If PHQ-9 ≥10 or GAD-7 ≥10: Consider therapy referral
---
## ⚠️ When to Seek Professional Help
**Immediate (24 hours):**
- PHQ-9 Item 9 ≥1 (suicidal thoughts)
- Risk score ≥10
- Unable to function (work, self-care)
**Soon (1-2 weeks):**
- PHQ-9 ≥15 or GAD-7 ≥15
- Symptoms worsening despite self-help
- Significant impairment in daily life
**Routine (1 month):**
- PHQ-9 10-14 or GAD-7 10-14
- Interested in therapy or medication
- Recurrent episodes
---
## 📚 Resources
**Self-Help:**
- MoodGYM (online CBT program)
- Headspace/Calm (meditation apps)
- CBT Thought Diary (app)
**Crisis Support:**
- National Suicide Prevention Lifeline: 988 (US)
- Crisis Text Line: Text HOME to 741741
- Local emergency: 911
---
**Disclaimer**: This assessment is for informational purposes only and does not constitute mental health diagnosis or treatment. Always consult qualified mental health professionals for diagnosis and treatment. In case of crisis, contact emergency services immediately.
Every session must assess:
| Situation | Action | Timeline |
|---|---|---|
| Active suicidal ideation with plan | Emergency evaluation | Immediate |
| PHQ-9 ≥20 or GAD-7 ≥20 | Psychiatric evaluation | Within 1 week |
| PHQ-9 15-19 or GAD-7 15-19 | Therapy + consider medication | Within 2 weeks |
| PHQ-9 10-14 or GAD-7 10-14 | Therapy recommended | Within 1 month |
| No improvement after 4 weeks self-help | Professional consultation | Reassess approach |
Every session documents:
Version: v2.0 (with automatic correlation analysis) Created: March 2026 Maintainer: Family Doctor Team
| Score | Severity | Action |
|---|---|---|
| 0-4 | None-minimal | Self-care |
| 5-9 | Mild | Lifestyle changes, monitoring |
| 10-14 | Moderate | Consider therapy |
| 15-19 | Moderately severe | Therapy recommended |
| 20-27 | Severe | Seek professional help |
Item 9 (Suicidal Ideation): Score ≥1 requires immediate attention.
| Score | Severity |
|---|---|
| 0-4 | Minimal |
| 5-9 | Mild |
| 10-14 | Moderate |
| 15-21 | Severe |
| Score | Level |
|---|---|
| 0-13 | Low |
| 14-26 | Moderate |
| 27-40 | High |
| Score | Level | Action |
|---|---|---|
| ≥10 | 🔴 High | 24-hour professional help |
| 5-9 | 🟡 Moderate | 48-hour consultation |
| <5 | 🟢 Low | Continue monitoring |
# Mental Health Report — March 20, 2026
## 🚨 Crisis Screening
**Risk Level**: 🟢 Low (Score: 3/20)
- ✅ No suicidal ideation (PHQ-9 Item 9 = 0)
- ✅ Symptom trend: Improving
- ✅ Social connection: Good
---
## 📊 Assessment Results
### PHQ-9 (Depression)
| Date | Score | Severity |
|------|-------|----------|
| Mar 20 | 6 | Mild |
| Feb 20 | 9 | Mild |
| Jan 20 | 12 | Moderate |
**Trend**: ⬇️ Improving (-6 points in 2 months) ✓
### GAD-7 (Anxiety)
| Date | Score | Severity |
|------|-------|----------|
| Mar 20 | 8 | Mild |
| Feb 20 | 11 | Moderate |
**Trend**: ⬇️ Improving (-3 points) ✓
### PSS-10 (Stress)
Score: 16/40 (Moderate stress)
Primary stressors: Work demands, financial concerns
---
## 🎭 Mood Pattern Analysis
### This Week
| Day | Mood (1-10) | Notes |
|-----|-------------|-------|
| Mon | 6 | Work stress |
| Tue | 7 | Good sleep |
| Wed | 5 | Deadline pressure |
| Thu | 7 | Exercise |
| Fri | 8 | Weekend anticipation |
| Sat | 8 | Social activity |
| Sun | 6 | Sunday blues |
**Average**: 6.7/10 | **Trend**: Stable
### Correlations Detected
- **Sleep ↔ Mood**: r = +0.68 (good sleep = better mood)
- **Exercise ↔ Mood**: r = +0.72 (strong positive)
- **Work stress ↔ Anxiety**: r = +0.55 (moderate)
---
## 💡 Recommendations
### For Depression Symptoms (PHQ-9 = 6)
1. Continue behavioral activation (3 activities/week)
2. Maintain exercise routine (proven mood booster)
3. Practice thought records for negative thinking
4. Consider therapy if score >10 or persists >2 weeks
### For Anxiety (GAD-7 = 8)
1. Daily deep breathing practice (10 min)
2. Worry time: 15 min at 6 PM (contain worry)
3. Limit caffeine to <200mg/day
4. Progressive muscle relaxation before bed
### For Stress (PSS = 16)
1. Work boundaries: No email after 7 PM
2. Mindfulness: 10-min daily practice
3. Social support: 2 social activities/week
4. Time management: Prioritize, delegate
---
## 📋 Action Plan
### Today
- [ ] Complete one pleasant activity
- [ ] Practice 4-7-8 breathing (3 cycles)
### This Week
- [ ] Daily mood tracking
- [ ] 3 exercise sessions
- [ ] Connect with friend/family
### Professional Support
- If PHQ-9 >10 or GAD-7 >10 for 2+ weeks: Consider therapy
- If suicidal thoughts: Call crisis line immediately
- If functioning impaired: Seek psychiatric consultation
---
## 🆘 Crisis Resources
**Emergency** (24/7):
- US: 988 (Suicide & Crisis Lifeline)
- UK: Samaritans at 116 123
- International: Find at findahelpline.com
**Remember**: Mental health challenges are common and treatable. You don't have to face them alone.