Anxiety. The episodes, the triggers, the things that helped.
A simple episode log — severity, triggers, what coping action helped — plus in-the-moment tools for breathing, grounding, worry-dumps, and urge tracking. Built for keeping a record between therapy sessions, not for replacing them.
A family of disorders — that share a fight-or-flight loop.
Anxiety disorders are the most common mental-health diagnosis in the US, affecting roughly 19% of adults in any given year. Generalized anxiety, social anxiety, panic disorder, health anxiety, and agoraphobia all share the same underlying loop: a threat signal that fires when it shouldn't, an avoidance behavior that briefly relieves it, and a slow reinforcement of the original signal.
Leo doesn't treat anxiety, classify your disorder, or interpret your symptoms. It's a log. The job is to make the loop visible — episodes over time, what triggered them, what helped — so you and your clinician have something better than “rough week” to work from.
One entry per wave — severity, triggers, what helped.
Every anxiety or panic episode gets its own structured record. The point isn't to capture every detail in the moment — it's to capture enough later so you can show your therapist or psychiatrist what your month actually looked like.
Four small tools — open them when the wave hits.
These aren't therapy. They're short, structured surfaces for moments when you need something simple to do. They live in the Mental Health Tools menu and across the Anxiety, OCD, PTSD, and Depression hubs.
Built-in guided sessions — 4-7-8, box breathing, physiological sigh. Apple Watch haptic guidance so you can keep your eyes closed.
5-4-3-2-1 sensory grounding, body-scan, and orienting prompts. Each one finishes in under three minutes.
A structured journal for the spiral — write the worry down, log the feared outcome, come back and log what actually happened.
For urges around safety behaviors and compulsions: log the urge, the trigger, whether you rode it out, how long it lasted.
Six cards on one screen, two pinned labs.
Open the hub and the month-to-month numbers land first — episodes, panic-level count, days since last, average severity. Underneath are your top coping actions and triggers, derived from your own log. Quick actions sit at the bottom: log an episode, open a tool, jump to the journal.
Count of episodes (grouped) for the current month — the visit-to-visit comparison your psychiatrist asks about.
How many episodes hit severity 7 or higher this month. Severity ≥7 is treated as a panic-level wave.
Days since your most recent episode. Useful when you’re between flares.
Mean severity across the month. Doesn’t replace the underlying distribution but anchors the conversation.
Which things you logged as helpful, ranked. Your personal list, derived from your own data.
Which triggers you’re tagging most often this month. Useful as a question for your next session.
Labs pinned to the anxiety pack: TSH · CMP. Thyroid dysfunction can present as anxiety and is a standard rule-out; CMP catches a handful of metabolic causes. Anxiety-specific drug-level panels aren't pinned by default.
What anxiety support in Leo doesn't do.
Mental-health surfaces are the area we're most conservative about. The list below is what we don't ship today, with a brief honest note on why or where it currently lives.
A standalone in-attack timer (start at onset → log intensity at intervals → overlay Apple Watch HR on perceived intensity) is on the backlog. Today, episodes are logged after the fact with severity and duration.
Watch HR is captured in the vitals pipeline; it's not currently overlaid on episode logs in the anxiety hub. Cross-referencing requires you to open both views.
A structured place-and-situation avoidance log with an exposure-hierarchy builder isn't shipped. Triggers are captured per episode; an avoidance map view isn't.
The hub shows top helpful actions ranked. A per-strategy effectiveness chart with a 0–10 rating dimension isn't a separate surface yet.
A pre-formatted PDF summary for therapist/psychiatrist visits — episode frequency, severity trend, trigger distribution, coping summary — runs through the general health report path today rather than a dedicated anxiety export.
Epilepsy ships a safety planner; the anxiety hub doesn't have an in-Leo crisis plan with 988 / contacts / stepwise de-escalation. Use the resources in the crisis pill at the top of this page.
Worry dumps capture worry → feared outcome → actual outcome. Tagging the entry with specific distortions (catastrophizing, mind-reading, etc.) isn't a built-in dimension yet.
Leo is a tracking and journaling companion. It is not intended to diagnose, treat, cure, or prevent any condition, and it is not a substitute for medical or mental-health care. The tools on this page support the work you do with your clinician — they do not replace it.
If you are in crisis or thinking about harming yourself, call or text 988 (US Suicide & Crisis Lifeline), text HOME to 741741 (Crisis Text Line), or call 911.
A record of the month you can actually point to.
Episode log with severity / triggers / helpful actions, four in-the-moment tools (breathing, grounding, worry dump, urge tracker), and a hub built for the conversation with your therapist.