Anxiety & Panic Disorder
Available Now

Anxiety & Panic Tracking That Empowers You

Panic attack timer with real-time Apple Watch heart rate overlay. Avoidance pattern tracking. Coping strategy effectiveness scoring. Breathing exercises with haptic guidance. Therapist-ready reports that make your sessions count.

These tools are available now in Leo. Download and set up your conditions to get started.

40M

American adults affected

#1

Most common mental illness

36.9%

Actually receive treatment

~10 min

Panic attacks peak

What is Panic Disorder?

Panic disorder is characterized by recurrent, unexpected panic attacks — sudden surges of intense fear that trigger severe physical reactions when there is no real danger. It is not "just stress." It is your fight-or-flight response firing when it shouldn't, flooding your body with adrenaline and cortisol.

Panic attacks can feel indistinguishable from heart attacks: chest pain, racing heart, shortness of breath, dizziness, and a terrifying sense of impending doom. The DSM-5 requires 4 or more symptoms peaking within minutes, plus persistent worry about future attacks or significant behavioral change.

Key Facts

  • Panic disorder affects 2-3% of Americans annually
  • Women are 2x more likely to be affected than men
  • Average age of onset: 20-24 years old
  • CBT is the gold standard treatment (70-90% respond)

The difference between panic disorder and generalized anxiety (GAD): panic disorder features acute attacks with sudden onset and intense physical symptoms, while GAD is chronic, persistent worry about many things without distinct attack episodes. Many people have both.

One of the most powerful tools in anxiety treatment is data. When you can see that every panic attack peaks and passes — when you can prove your heart rate was 95 bpm, not 200 — the catastrophic thinking starts to lose its grip. That's what Leo's anxiety tools are designed to do.

Anxiety Types

Panic Disorder

Recurrent unexpected panic attacks with persistent fear of future attacks. Often leads to agoraphobia.

Common treatment: CBT (especially exposure therapy), SSRIs, benzodiazepines (short-term)

Generalized Anxiety (GAD)

Excessive, uncontrollable worry about everyday things for 6+ months. Chronic muscle tension and restlessness.

Common treatment: CBT, SSRIs/SNRIs, buspirone, mindfulness-based therapy

Social Anxiety

Intense fear of social situations and being judged or embarrassed. Avoidance of social interaction.

Common treatment: CBT (cognitive restructuring + exposure), SSRIs, beta blockers (situational)

Health Anxiety

Persistent preoccupation with having or developing a serious illness despite medical reassurance.

Common treatment: CBT (response prevention), SSRIs, reducing reassurance-seeking

Agoraphobia

Fear and avoidance of situations where escape might be difficult — crowds, public transport, open spaces.

Common treatment: Graduated exposure therapy, CBT, SSRIs

PTSD-Related Anxiety

Hypervigilance, flashbacks, and anxiety triggered by trauma reminders. Overlaps with panic symptoms.

Common treatment: EMDR, prolonged exposure therapy, CPT, SSRIs/SNRIs

Anxiety disorders frequently overlap. Many patients meet criteria for multiple types.

Track Every Anxiety Symptom

Anxiety manifests across your entire body — physical, cognitive, behavioral, and gastrointestinal. Leo will track them all with severity ratings, trigger correlation, and trend analysis.

Physical

  • Racing heart / palpitations
  • Chest tightness or pain
  • Shortness of breath
  • Trembling or shaking
  • Excessive sweating

Cognitive

  • Racing thoughts
  • Catastrophizing
  • Derealization / depersonalization
  • Fear of dying or losing control
  • Difficulty concentrating

Behavioral

  • Avoidance of triggers
  • Safety behaviors / rituals
  • Reassurance seeking
  • Social withdrawal
  • Restlessness / fidgeting

Gastrointestinal

  • Nausea
  • Stomach pain / cramping
  • IBS-like symptoms
  • Loss of appetite
  • Difficulty swallowing

Other

  • Dizziness / lightheadedness
  • Tingling or numbness
  • Hot flashes / cold chills
  • Sleep disruption / insomnia
  • Muscle tension / aches
See That Panic Passes

Panic Attack Timer with Apple Watch HR Overlay

The single most powerful tool against panic: real-time proof that every attack peaks and passes. Start the timer at onset, track intensity at intervals, and overlay your actual heart rate from Apple Watch. Build an irrefutable library that panic is temporary.

PreEarly Warning

Recognize early signs: rising heart rate, shallow breathing, creeping dread. Start the timer before the wave hits.

0:00Onset

Timer starts. Rate initial intensity (0-10). Apple Watch begins continuous HR capture.

1:001 min

Log intensity. Breathing exercise prompt appears. Watch captures HR spike.

3:003 min

Log intensity. Compare perceived vs actual HR. Grounding exercise available.

5:005 min

Log intensity. Most attacks are nearing peak. Watch shows HR trend stabilizing.

10:00~Peak

Peak identification. Most panic attacks peak around 10 minutes. Intensity should plateau or begin dropping.

15:00Descent

Log intensity. The wave is receding. HR returning toward baseline. You survived the peak.

20:00Recovery

Attack subsiding. Final intensity rating. Generate post-attack review with HR overlay chart.

Post-Attack Review (Preview)

Duration: 18 min
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795
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10108
9104
796
488
280
0 min2 min4 min7 min10 min12 min15 min18 min20 min
Intensity (0-10)
HR (bpm)
Peak at ~10 min, resolved by 20 min

Compare Attacks

See attacks getting shorter and less intense over weeks

HR Reality Check

Perceived intensity vs actual heart rate — side by side

Share with Therapist

Export attack history as clean PDF for your CBT sessions

Your Complete Anxiety Toolkit

Everything anxiety and panic disorder patients need to understand, manage, and overcome their symptoms — available now in Leo.

Panic Attack Timer

Available

Start the timer at onset. Log intensity on a 0-10 scale at timed intervals. Apple Watch captures your actual heart rate throughout the episode and overlays it on your perceived intensity. Over time, you build an irrefutable library proving that attacks always peak and pass — usually within 20 minutes. Compare historical attacks side-by-side to see your progress.

  • Start timer at panic onset
  • Log intensity 0-10 at intervals
  • Apple Watch HR auto-capture overlay
  • Peak identification (~10 minutes)
  • Historical attack comparison
  • Post-attack review with HR chart

Heart Rate Reality Check

Available

During a panic attack, many patients are convinced their heart rate is 200+ bpm when it is actually 90-100. Leo overlays your Apple Watch heart rate data during panic episodes so you can see the truth in real time. Compare your panic HR to your exercise HR — and realize your body can handle far more than a panic attack asks of it. This data is a powerful tool against catastrophizing.

  • Real-time HR during panic episodes
  • Perceived vs actual HR comparison
  • Panic HR vs exercise HR chart
  • Reduces catastrophic thinking
  • Historical HR pattern analysis
  • Share data with your therapist

Avoidance Pattern Tracker

Available

Avoidance is the engine that keeps anxiety running. Log the places, situations, and activities you avoid because of anxiety. Watch your avoidance map grow or shrink over time. Work with your therapist to build gradual exposure hierarchies. Celebrate every time you face a fear — even partially. Leo tracks it all so you can see concrete progress.

  • Log avoided places & situations
  • Avoidance map over time
  • Exposure hierarchy builder
  • Celebrate wins when facing fears
  • Therapist-shareable progress
  • Track avoidance shrinking

Coping Strategy Scorer

Available

Not every coping tool works the same for every person. After each anxiety episode, rate the effectiveness of what you tried — breathing exercises, grounding techniques, medication, cold water, distraction, or talking to someone. Over time, Leo builds your personal effectiveness profile so you know exactly what works best for YOU. Build a ranked crisis toolkit backed by your own data.

  • Rate coping strategies 0-10
  • Track effectiveness over time
  • Build personal crisis toolkit
  • See which tools work for YOU
  • Compare strategies head-to-head
  • Evidence-based personalization

Breathing Exercise Library

Available

Built-in guided breathing exercises scientifically shown to activate the parasympathetic nervous system: 4-7-8 breathing, box breathing, diaphragmatic breathing, and the physiological sigh (the fastest way to calm down, per Stanford research). Haptic guidance via Apple Watch so you can breathe without looking at a screen. Track which technique works best during attacks versus general anxiety.

  • 4-7-8, box, diaphragmatic breathing
  • Physiological sigh technique
  • Apple Watch haptic guidance
  • No-screen guided sessions
  • Track technique effectiveness
  • Quick-launch during attacks

Worry Journal

Available

Structured worry logging based on CBT thought record format. Log what you feared would happen, what actually happened, and the cognitive distortions involved (catastrophizing, mind reading, fortune telling, black-and-white thinking). Over weeks and months, build overwhelming evidence that your worst fears almost never come true. This is CBT homework, automated and tracked.

  • CBT thought record format
  • Feared vs actual outcome tracking
  • Cognitive distortion identification
  • Evidence against catastrophizing
  • Weekly worry pattern analysis
  • Therapist-shareable journal

Therapist Report Card

Available

Generate a PDF report organized the way therapists and psychiatrists want to see data: panic attack frequency and duration trends, trigger patterns, avoidance behavior changes, coping strategy effectiveness ratings, and GAD-7/PHQ-9 scores over time. Stop trying to remember your last 4 weeks from memory — let your data speak in your next session.

  • Attack frequency & duration trends
  • Trigger pattern analysis
  • Avoidance behavior changes
  • Coping effectiveness summary
  • GAD-7 / PHQ-9 score trends
  • Export as PDF or share directly

Safety Plan

Available

An offline crisis plan you can access anytime — no internet required. Includes your personal coping strategies ranked by anxiety severity level (mild, moderate, severe, crisis), trusted support contacts, therapist and psychiatrist contact info, crisis hotline numbers (988 Suicide & Crisis Lifeline), and step-by-step de-escalation instructions you wrote during a calm moment.

  • Works offline — no internet needed
  • Strategies ranked by severity level
  • Support contacts & crisis hotlines
  • Therapist & psychiatrist info
  • Step-by-step de-escalation
  • Share via AirDrop or screenshot

How Leo Compares

Most anxiety apps offer basic breathing exercises. Leo goes far deeper — with attack-level tracking, biometric overlays, and therapist-ready data.

FeatureLeoOther Apps
Panic Attack Timer
HR Overlay During Attacks
Avoidance Pattern Tracking
Coping Effectiveness Scoring
Guided Breathing Exercises
Cognitive Distortion Tracking
Multi-Condition Support
Apple Watch Integration
Therapist-Ready PDF Reports
GAD-7 / PHQ-9 Scoring
Gamification & Rewards
Free (No Premium Paywall)

= available in some apps

Identify Your Triggers

Anxiety triggers are deeply personal. Leo helps you log panic episodes and heightened anxiety alongside situational, physical, emotional, and medical factors — so you can spot patterns to share with your therapist or doctor.

Situational

  • Crowded places
  • Social events
  • Driving (especially highways)
  • Confined spaces
  • Public speaking

Physical

  • Caffeine
  • Alcohol
  • Poor sleep
  • Hyperventilation
  • Hunger / low blood sugar

Emotional

  • Conflict / arguments
  • Work pressure / deadlines
  • Financial stress
  • Health anxiety spirals
  • Uncertainty / ambiguity

Medical

  • Medication changes
  • Hormonal fluctuations
  • Stimulant medications
  • Withdrawal effects
  • Chronic pain flares

Understand Your Patterns. Share Them With Your Care Team.

Leo's anxiety and panic disorder tools — episode logging, coping tools, urge tracking, grounding exercises, breathing exercises, and therapist-ready reports.

Download Leo and set up your conditions now — anxiety tools are available today.