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The hour
before

what you notice, and what your wearable does

Attacks that feel like they come out of nowhere usually have a lead-up: a tightness, a restless hour, a night that was short. AnxietyMe calls these early signs and keeps them apart from triggers. The ones you notice are one tap; the ones you cannot feel, a dip in HRV, a resting heart rate creeping up, faster breathing, come from a connected wearable and are noted for you.

why early signs?

Minute by minute, the last stretch before an attack was dominated by breathing changes: shallower breaths, then an abrupt rise in carbon dioxide.

Meuret et al., Biol Psychiatry 2011

Early signs are not triggers

A trigger is something that happened to you: a short night, a crowded room. An early sign is something happening in you: the chest that tightens an hour before, the breathing that gets shallow. The app keeps the two lists apart so the comparison stays honest, and both count towards your load. The wizard page is called early signs; in Quick Log the tile says Prodrome, the clinical word.

From your wearable, every morning

HRV, resting heart rate, respiratory rate, skin temperature and SpO2 come from Garmin, Oura, Polar or WHOOP directly, or from Apple Health and Health Connect. Each morning the app compares the night's value with your own 14-day baseline and a fixed line, and notes an early sign when it crosses. The app reads these numbers; it does not measure them.

Tested like everything else

What Happened in Insights compares each early sign with your attack days the same way as a trigger, so you find out whether a tight chest or a low HRV actually went before your attacks, or whether it did not. A link is not a cause, and the app says so on the screen.

Setup asks once

During setup you tick the physical, mood and sensory changes you tend to notice before an attack and how often. Those become favourites in Quick Log, with the weight you gave them. You can change any of it later in Manage Items.

Where it lives in the app

The Prodrome tile in Quick Log and the early signs page of the attack log for the ones you notice. Monitor and then Physical Health for HRV, resting heart rate, respiratory rate, skin temperature and SpO2, and Mental for unlocks, brightness and volume. What Happened in Insights for how each compared with your attacks.

What it needs from you

A tap for the ones you feel. A connected wearable, Apple Health or Health Connect for the body ones; the app reads them, it does not measure them. The phone ones need no permission beyond the app itself on iPhone, and usage access on Android for unlocks.

Questions

Do I need a wearable for early signs?

No. The ones you notice are one tap and work on any phone. A wearable, Apple Health or Health Connect adds HRV, resting heart rate, respiratory rate, skin temperature and SpO2; the phone adds unlocks, brightness and volume.

Does the app warn me an attack is coming?

No. An early sign is logged or collected and counts towards your load; nothing in the app is worded as a warning, and nothing is pushed unless you switch a notification on.

Where do I see them?

Quick Log on the Log tab for the manual ones, Monitor and Physical Health for the wearable ones, and What Happened in Insights for how each compared with your attacks.

Related

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