1. There’s an App for That Nicole J. Rafanello, Ph.D.

2. Why Recommend Apps to Patients? Generalization of treatment benefits and fostering of skills across environments Data collection is easy and fast Pocket resource-24/7 Balances out ill-effects of phones Helps with resourcing in PTSD patients Can sometimes engage hard to reach clients (e.g. teens, socially anxious, spectrum disorders, adhd) Practice Apps Mindfulness Diary Card Distractor Apps Behavioral Types of Apps we are presenting Nicole J. Rafanello, Ph.D.

3. Purpose of Mindfulness Apps Promote attention, impulse control, forethought, planning, and insight-executive functioning Promote relaxation, breathing control, and well-being Can schedule reminders and ticklers to prompt a moment to pause, check your mood, and use metacognitive skills Mindfulness Daily - $1.99 – offers in app purchases, IOS only 7’s Meditation - Free – offers in app purchases, IOS only SoundsTrue - Free – offers in app purchases, IOS only Zen Friend – Free – IOS and Android, multiple languages Breathe 2 Relax – Free – IOS and Android SoundCloud – Free – IOS and Android Mindfulness Apps Nicole J. Rafanello, Ph.D.

4. Purpose of Diary Card Apps Ability to foster insight and self- awareness Data collection – baseline and change Gradiation of emotions and behaviors to allow for earlier detection, intervention, and insight Ability to identify patterns and antecedents to behavior over time- can be used in conjunction with behavioral chain analyses Easy to collect Offers charts and easy to email results to therapist automatically Encourage and reinforce use of skills Offers interactive temporary skills coaching Can describe, quantify, and manage target behaviors- cutting incompatible with using the phone Can provide data and information for insurance reimbursement Nicole J. Rafanello, Ph.D.

5. Diary Card Apps Stop, Breathe, and Think – Free - IOS and Android DBT Diary Card – $4.99 - IOS only Pacifica – Free - IOS and Android Recovery Key - $5.99 - IOS only Nicole J. Rafanello, Ph.D.

6. Purpose of Behavioral Apps Education Awareness Pocket Resource 24/7 One-stop shopping- incorporates many aspects of the other apps Many adhere to a theory of treatment Recovery Key - $5.99 – IOS only PTSD Coach – Free – IOS and Android Behavioral Apps Nicole J. Rafanello, Ph.D.

7. Purpose of Fun/Distractor Apps Moment to pause Distraction/Imagery Distress Tolerance Delay of Response/inhibition Relaxation/well-being Planning pleasant activities Self-soothing with senses Deep Calm – Free - IOS only, multiple languages Puzzler – Free - IOS only Multiple Mindless/Strategy Games various prices ITunes – Free - IOS only White Noise and/or Relaxing Sounds - Free – IOS, other versions for Android Fun/Distractor Apps Nicole J. Rafanello, Ph.D.

8. Warnings/Disclaimers Never to be used instead of or to replace professional help but instead to enhance its effects - it’s not a pocket therapist Connection to a human is better! There are many problematic apps and apps that can be destructive Social media Blogs that promote violence/self-harm Nicole J. Rafanello, Ph.D.