Eden Shaanan Attia

Step Out

Supportive service for depression treatment among teenagers

Introduction

Depression is a common disease worldwide, particular among teenagers. According to studies, one of the contributing causes of this phenomenon is the increased use of screens by teenagers. This often results in a lack of interpersonal social connections and seclusion at home. However, the smart device is constantly available in teenager's lives, and it also has different qualities.

The Challenge

A major method to aid in recovery is a return to normal outside activities. The problem is that a depressed teenager has little motivation to go out and be involved with others in a regular routine of outside activities.
The major challenge in this project was a way to use the smart device to coax its users back to an active and healthy routine.

Research Sources

Professional articles and personal blogs on the Internet

Family members of teenagers suffering from depression

Facebook groups dedicated to parents of problematic teens

Mental health
professionals:

Clinical Psychologist, Psychotherapist,
CBT Therapists

CBT

Cognitive Behavioral Therapy

CBT is an exposure therapy in which both the therapist and the patient identify those activities which the patient persistently avoids. They will define an exposure task aimed at having the patient deliberately participate in that activity. For example: If the patient avoids going outside during school recess and instead sits alone in the classroom, the task will be to go into the schoolyard and remain there for ten minutes. The ultimate goal is to increase the level of exposure until the patient feels comfortable doing it and returns to a more engaged and functioning lifestyle.

User Research

In order to understand the users, I spoke with family members and professionals in the field. Here is a list of questions I put to them.

  • What constitutes an average day in the life of a teenager dealing with depression?

  • What particular difficulties does he or she face?

  • What challenges do the teen’s parents and the therapist deal with?

  • What are the consequences in case of treatment failure or inability to complete a task?

  • What might motivate the patient to carry out the assigned task?

Meet The Users

Goals

Extricating herself from the depression and enabling herself to return to “normal” teenage activities like other girls of her age.

Pain Points

Sarah’s moods range from wishing to end her suffering and live a normal life to feelings of despair and desire to avoid doing anything positive to change the situation. She doesn’t really understand what she is going through, and she is discouraged about having the ability to improve matters.

Sarah Gordon

A 14 year old girl suffering from depression. During the past year, she has become increasingly withdrawn and isolated from family and friends. She is uncommunicative and usually in a very low mood. Being treated with CBT method at Abigail’s clinic.

Goals

Maintaining the stability, health and optimism of the family.
Keeping in close contact with Sarah and being aware of what she is going through. Doing whatever he can to help in her recovery.

Pain Points

Feeling of helplessness in his inability to ease Sarah’s problems. He very much wants to help her but has no idea how. It’s hard for him to accept not being included in the treatment process. He knows very little of what transpires at the clinic.

David Gordon

Sarah’s father.
A devoted and caring father who is deeply involved in the lives of his children and the cohesion of the family unit.

Goals

Help Sarah return to a healthy, normal lifestyle, give her the tools to help herself and guide her parents on how they can best support her in this process.

Pain Points

She is concerned that Sarah might refuse to cooperate in the treatment itself or in carrying out the tasks she is assigned to do during the week.
She worries that Sarah can be very passive or uncommunicative during the treatment, that she will not discuss or share what she is going through.

Abigail Neeuman

An experienced psychologist who uses the CBT method to treat depression symptoms. Meets with Sarah once a week at her clinic.

Pain Points

Needs and Opportunities

Pain Point

Feeling of being “lost”, lack of a regular routine or schedule

Need

Clarifying and specifying steps to be taken and what can be expected during the therapeutic process

Opportunity

Writing down the tasks during the application and receiving notifications of success or failure

Pain Point

Lack of motivation in the patient to carry out assigned tasks

Need

A sense that progress is being made and that the tasks have become enjoyable

Opportunity

Convert the task into a game with virtual feedback that the smart device can provide

Pain Point

Frustration at the lack of progress in the process

Need

A sense that progress is possible and even likely

Opportunity

A progress diagram which shows a rise in the level of difficulty and an increase in successful completion of tasks

Pain Point

Difficulty in communicating with the patient (parent and therapist)

Need

Trigger that facilitates easier communication

Opportunity

A shared interface between patient and therapist/parent. Something visual which can be looked at together

Pain Point

A feeling of helplessness

Need

Experience of successfully completing assigned tasks

Opportunity

Virtual feedback which is received only when the task is successfully completed. Encouragement in cases that result in failure

Research Conclusion

Creating an application which accompanies and supports the CBT treatment and is used in the treatment clinic. The service will allow the tasks to be re-written and utilize the technology of the smart device. In this way it becomes a game which calls for physical action. Patient will be motivated to perform the tasks by receiving a reward both in physical and virtual space. The application will include documentation of the activities and record any progress the patient makes. The patient receives support and encouragement from a “virtual friend” who accompanies her throughout the process.

Desired User Scenario

Receiving virtual feedback of the success or failure of the task

Attempts by the patient to perform and complete the task

During the week the patient receives a reminder and incentive to perform the task

Following the session, the therapist will enter the defined task into the application

In the therapy meeting: Definition and explication of the first task

Patient's Wireframe

Therapist's Wireframe

User Scenario

Add New Activity

After defining the task orally, Abigail the therapist will enter it in the app

Personal Customization

Abigail will be able to select the activity and adjust it according to what has been defined in the session

Pending Activity

Now an activity awaits Sarah that she needs to perform! Bella- the virtual friend who accompanies her during the experience will support and encourage her

Performance

When Sarah performs the activity, virtual feedback will be received that encourages her to continue being active

Save & Share

Sarah can share the feedback results with Abigail or with her parents and return to watch it again

Emotional Support

Sometimes there are activities that are more difficult to perform or Sarah goes through difficult days. When Bella recognizes this, she will share that she, too, sometimes faces a similar difficulty

Suggestions For AI Based Activities

The service offers activities according to data collection and identification of tasks that Sarah has been avoiding

Expanding Task's Database

Abigail can add new tasks, thereby increasing the range of options for other therapists

Conclusion And Farewell

At the end of the treatment, Sarah and Abigail will be able to observe together the process which Sarah has gone through. They will be able to write a farewell letter to Bella and summarize the process

eden.shaanan.attia@gmail.com | +972 52 6923427​

Step Out

Supportive service for depression treatment among teenagers

Introduction

Depression is a common disease worldwide, particular among teenagers. According to studies, one of the contributing causes of this phenomenon is the increased use of screens by teenagers.  This often results in a lack of interpersonal social connections and seclusion at home. However, the smart device is constantly available in teenager's lives, and it also has different qualities.

The Challenge

major method to aid in recovery is a return to normal outside activities. The problem is that a depressed teenager has little motivation to go out and be involved with others in a regular routine of outside activities. 
The major challenge in this project was a way to use the smart device to coax its users back to an active and healthy routine.

Research Sources

Mental health professionals:
Clinical Psychologist, Psychotherapist,
CBT Therapists
Family members of teenagers suffering from depression
Facebook groups dedicated to parents of problematic teens
Professional articles and personal blogs on the Internet

CBT

Cognitive Behavioral Therapy

CBT is an exposure therapy in which both the therapist and the patient identify those activities which the patient persistently avoids. They will define an exposure task aimed at having the patient deliberately participate in that activity. For example: If the patient avoids going outside during school recess and instead sits alone in the classroom, the task will be to go into the schoolyard and remain there for ten minutes. The ultimate goal is to increase the level of exposure until the patient feels comfortable doing it and returns to a more engaged and functioning lifestyle.

Users Research

In order to understand the users, I spoke with family members and professionals in the field. Here is a list of questions I put to them.
  • What constitutes an average day in the life of a teenager dealing with depression?
  • What particular difficulties does he or she face?
  • What challenges do the teen’s parents and the therapist deal with?
  • What are the consequences in case of treatment failure or inability to complete a task?
  • What might motivate the patient to carry out the assigned task?

Meet The Users

Sarah
Gordon

A 14 year old girl suffering from depression. During the past year, she has become increasingly withdrawn and isolated from family and friends. She is uncommunicative and usually in a very low mood. Being treated with CBT method at Abigail’s clinic.

Goals

Extricating herself from the depression and enabling herself to return to “normal” teenage activities like other girls of her age.

Pain Points

Sarah’s moods range from wishing to end her suffering and live a normal life to feelings of despair and desire to avoid doing anything positive to change the situation. She doesn’t really understand what she is going through, and she is discouraged about having the ability to improve matters.

David
Gordon

Sarah’s father. A devoted and caring father who is deeply involved in the lives of his children and the cohesion of the family unit.

Goals

Maintaining the stability, health and optimism of the family.
Keeping in close contact with Sarah and being aware of what she is going through. Doing whatever he can to help in her recovery.

Pain Points

Feeling of helplessness in his inability to ease Sarah’s problems. He very much wants to help her but has no idea how. It’s hard for him to accept not being included in the treatment process. He knows very little of what transpires at the clinic.

Abigail
Neeuman

An experienced psychologist who uses the CBT method to treat depression symptoms. Meets with Sarah once a week at her clinic.

Goals

Help Sarah return to a healthy, normal lifestyle, give her the tools to help herself and guide her parents on how they can best support her in this process.

Pain Points

She is concerned that Sarah might refuse to cooperate in the treatment itself or in carrying out the tasks she is assigned to do during the week.
She worries that Sarah can be very passive or uncommunicative during the treatment, that she will not discuss or share what she is going through.

Pain Points

Needs and Opportunities

Pain Point

Frustration at the lack of progress in the process

Need

A sense that progress is possible and even likely

Opportunity

A progress diagram which shows a rise in the level of difficulty and an increase in successful completion of tasks

Pain Point

Lack of motivation in the patient to carry out assigned tasks

Need

A sense that progress is being made and that the tasks have become enjoyable

Opportunity

Convert the task into a game with virtual feedback that the smart device can provide

Pain Point

Feeling of being “lost”, lack of a regular routine or schedule

Need

Clarifying and specifying steps to be taken and what can be expected during the therapeutic process

Opportunity

Writing down the tasks during the application and receiving notifications of success or failure

Pain Point 

A feeling of helplessness

Need

Experience of successfully completing assigned tasks

Opportunity

Virtual feedback which is received only when the task is successfully completed. Encouragement in cases that result in failure

Pain Point

Difficulty in communicating with the patient (parent and therapist)

Need

Trigger that facilitates easier communication

Opportunity

A shared interface between patient and therapist/parent. Something visual which can be looked at together

Research Conclusion

Creating an application which accompanies and supports the CBT treatment and is used in the treatment clinic. The service will allow the tasks to be re-written and utilize the technology of the smart device. In this way it becomes a game which calls for physical action. Patient will be motivated to perform the tasks by receiving a reward both in physical and virtual space. The application will include documentation of the activities and record any progress the patient makes. The patient receives support and encouragement from a “virtual friend” who accompanies her throughout the process.

Desired User Scenario

In the therapy meeting: Definition and explication of the first task
Following the session, the therapist will enter the defined task into the application
During the week the patient receives a reminder and incentive to perform the task
Attempts by the patient to perform and complete the task
Receiving virtual feedback of the success or failure of the task

Therapist's Wireframe

Patient's Wireframe

User Scenario

Add New Activity

After defining the task orally, Abigail the therapist will enter it in the app

Personal Customization

Abigail will be able to select the activity and adjust it according to what has been defined in the session

Pending Activity

Now an activity awaits Sarah that she needs to perform! Bella- the virtual friend who accompanies her during the experience will support and encourage her

Performance

When Sarah performs the activity, virtual feedback will be received that encourages her to continue being active

Save & Share

Sarah can share the feedback results with Abigail or with her parents and return to watch it again

Emotional Support

Sometimes there are activities that are more difficult to perform or Sarah goes through difficult days. When Bella recognizes this, she will share that she, too, sometimes faces a similar difficulty

Suggestions For AI Based Activities

The service offers activities according to data collection and identification of tasks that Sarah has been avoiding

Expanding Task's Database

Abigail can add new tasks, thereby increasing the range of options for other therapists

Conclusion & Farewell

At the end of the treatment, Sarah and Abigail will be able to observe together the process which Sarah has gone through. They will be able to write a farewell letter to Bella and summarize the process

Sarah Gordon

As a child Sarah was sociable and energetic. However, in recent years she has become reclusive. She no longer participates in classes or other social activities she used to enjoy. When she began to lose weight, her parents sent her for treatment.
 
Sarah comes to the treatments with mixed feelings. On one hand she feels unable to open up emotionally to express her feelings. On the other hand, she understands that this is her only opportunity to get help and experience relief from her pain. She dreads carrying out the tasks she is assigned but when she successfully achieves them, it gives her a sense of self confidence and self-esteem.

David Gordon

David and his wife Naomi are quite involved in their children’s lives. When they noticed Sarah’s increasing isolation, withdrawal from her usual activities and weight loss, they tried to discuss it with her to find out what was going on and offered her quality time alone, but she refused. As a result, they sent her for treatment at Abigail’s clinic. After each session at the clinic David tries to question Sarah to find out if or how her condition is improving, but Sarah usually refuses to share any information about her treatments. He would like to be better informed because not knowing what is going on with Sarah increases his anxiety.

Abigail Neeuman

At their first meeting Abigail will try to get to know Sarah as a person and become familiar with her inner world and behavior patterns. Subsequently, she will try to discover and analyze the causes of her depression. As well as trying to grasp the source of her depression she will learn how it manifests itself during her day. If Sarah doesn’t succeed in carrying out her assigned task, Abigail will try to discover why that happened and how she can proceed differently the following week.