mental-health

---

name: mental-health description: Mental health tracking - psychological assessments (PHQ-9, GAD-7), mood diary, therapy progress, and crisis management planning argument-hint: <operation_type+info, e.g.: assess phq9, mood anxious 7, therapy session 24, crisis plan create> allowed-tools: Read, Write schema: mental-health/schema.json

Mental Health Management Skill

Mental health assessment and tracking, including standardized scales, mood diary, therapy records, and crisis management.

Core Flow

User Input -> Identify Operation Type -> Extract Parameter Info -> Check Completeness -> [Need Supplement] Ask User
                                                      |
                                                   [Information Complete]
                                                      |
                                              Generate JSON -> Save Data -> Output Confirmation

Step 1: Parse User Input

Operation Type Recognition

Input Keywords	Operation Type	Description
assess, assessment	psychological_assessment	Psychological assessment
phq9, phq-9	phq9_assessment	PHQ-9 depression screening
gad7, gad-7	gad7_assessment	GAD-7 anxiety screening
psqi	psqi_assessment	PSQI sleep quality assessment
gds	gds_assessment	GDS geriatric depression screening
epds	epds_assessment	EPDS postpartum depression screening
mood	mood_diary	Mood diary
trigger	mood_trigger	Trigger factors
coping	coping_strategy	Coping strategies
diary	mood_diary_view	View mood diary
pattern	pattern_analysis	Mood pattern analysis
therapy	therapy_record	Therapy record
crisis	crisis_management	Crisis management
progress	therapy_progress	Therapy progress
goals	therapy_goals	Therapy goals

Mood Type Keywords

Input Keywords	Mood Value
happy	happy
calm	calm
anxious	anxious
sad	sad
angry	angry
tired	tired
frustrated	frustrated
excited	excited
depressed	depressed
irritable	irritable
nervous	nervous

Mood Intensity

• Numbers 1-10

Trigger Factor Keywords

Input Keywords	Trigger Factor
work	work_deadline, work_pressure
sleep	lack_of_sleep
pain	chronic_pain
relationship	relationship_issue
family	family_conflict
money, financial	financial_stress
crowd	crowd
weather	weather

Coping Strategy Keywords

Input Keywords	Coping Strategy
deep_breathing	deep_breathing
meditation	meditation
exercise	exercise
walk	walk
journaling	journaling
socializing	socializing
music	music
reading	reading

Effectiveness Keywords

Input Keywords	Effect
very_helpful	very_helpful
helpful	helpful
somewhat_helpful	somewhat_helpful
not_helpful	not_helpful

Therapy Type Keywords

Input Keywords	Therapy Type
cbt	CBT
psychodynamic	psychodynamic
humanistic	humanistic
family	family
group	group
dbt	DBT
emdr	EMDR

Crisis Warning Signs

Input Keywords	Signal
hopelessness	hopelessness
withdrawal	social_withdrawal
mood_swings	extreme_mood_swings
death	talk_of_death
self_harm	self_harm
suicidal	suicidal_thoughts

Risk Level

Input Keywords	Risk
low	low
medium	medium
high	high

Step 2: Check Information Completeness

Mood Diary Required:

• Mood type
• Mood intensity (1-10)

Psychological Assessment Required:

• Assessment type
• Total score

Therapy Record Required:

• Session number
• Session date

Crisis Plan Required:

• Plan type (create/update/view)

Step 3: Interactive Prompts (If Needed)

Scenario A: Missing Mood Intensity

How intense is this mood?
Rate on a scale of 1-10 (1 being mildest, 10 being most intense)

Scenario B: PHQ-9 Assessment

Please answer the following questions (In the past 2 weeks, how often have you been bothered by the following problems?)

1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless
3. Trouble falling or staying asleep, or sleeping too much
4. Feeling tired or having little energy
5. Poor appetite or overeating
6. Feeling bad about yourself - or that you are a failure
7. Trouble concentrating on things
8. Moving or speaking slowly, or being fidgety/restless
9. Thoughts that you would be better off dead or of hurting yourself

Each question scoring: 0=Not at all, 1=Several days, 2=More than half the days, 3=Nearly every day

Scenario C: Crisis Risk Assessment

If you have any of the following, please seek professional help immediately:

1. Having thoughts or plans of self-harm or suicide
   - Call psychological crisis hotline: 400-xxx-xxxx
   - Go to the nearest psychiatric emergency
   - Call emergency number: 120

2. Hallucinations, delusions
3. Completely out of control emotions
4. Severely impaired functioning

What is your current situation?

Step 4: Generate JSON

Mood Diary

{
  "id": "mood_20250620083000001",
  "date": "2025-06-20",
  "time": "08:30",
  "mood": "anxious",
  "intensity": 7,
  "triggers": ["work_deadline"],
  "coping_strategies": ["deep_breathing"],
  "effectiveness": "somewhat_helpful",
  "notes": "Work pressure causing anxiety"
}

PHQ-9 Assessment

{
  "assessment_date": "2025-06-20",
  "scale": "phq9",
  "total_score": 8,
  "max_score": 27,
  "severity": "Mild depression",
  "items": [0, 1, 1, 2, 1, 0, 1, 1, 1],
  "recommendation": "Observe for two weeks, seek medical help if no improvement"
}

GAD-7 Assessment

{
  "assessment_date": "2025-06-20",
  "scale": "gad7",
  "total_score": 12,
  "max_score": 21,
  "severity": "Moderate anxiety",
  "items": [2, 2, 2, 1, 2, 2, 1],
  "recommendation": "Recommend medical consultation, consider psychotherapy"
}

Therapy Record

{
  "session_number": 24,
  "date": "2025-06-20",
  "duration_minutes": 50,
  "therapy_type": "CBT",
  "topics_discussed": ["anxiety", "work_stress"],
  "mood_before": "anxious",
  "mood_after": "calmer",
  "homework_assigned": "thought_record"
}

Crisis Plan

{
  "created_date": "2025-06-20",
  "warning_signs": ["hopelessness", "social_withdrawal"],
  "emergency_contacts": [
    {"type": "spouse", "phone": "***-****-1234", "availability": "24/7"}
  ],
  "coping_strategies": ["deep_breathing", "grounding_technique"],
  "current_risk_level": "low"
}

Complete schema definition: see schema.json.

Step 5: Save Data

1. Read data/mental-health-tracker.json
2. Update corresponding sections based on operation type
3. Update statistics
4. Write back to file

Execution Instructions

1. Identify operation type
2. Extract parameter information
3. Check required field completeness
4. If missing, ask user to supplement
5. Generate JSON compliant with schema.json
6. Save to data/mental-health-tracker.json
7. Output confirmation and recommendations

Example Interactions

Example 1: Record Mood

User: mood anxious 7 work stress

AI: Mood diary recorded
Time: 2025-06-20 08:30
Mood: Anxious
Intensity: 7/10 (High intensity)
Triggers: Work stress

Recommendation: Try deep breathing or meditation to relieve anxiety

Example 2: PHQ-9 Assessment

User: assess phq9 score 8

AI: PHQ-9 assessment result recorded
Total score: 8/27
Severity: Mild depression

Assessment: Mild depressive symptoms
Recommendations:
- Increase exercise
- Improve sleep
- Reduce stress
- Observe for two weeks, seek medical help if no improvement

Note: If item 9 (self-harm thoughts) score >= 1, recommend medical consultation

Example 3: Therapy Record

User: therapy session 24 cbt anxiety work_stress

AI: Therapy session recorded
Session number: 24
Therapy type: Cognitive Behavioral Therapy (CBT)
Topics discussed: Anxiety, Work stress

Next therapy reminder: Please record this week's thought diary

Example 4: Crisis Plan

User: crisis plan create

AI: Let's build your crisis intervention plan together

1. Warning Sign Identification
   What signals indicate you might need help?
   - Feelings of hopelessness
   - Social withdrawal
   - Extreme mood swings

2. Emergency Contacts
   Please add reachable family or friends or therapist

3. Coping Strategies
   What methods help when warning signs appear?

4. Professional Resources
   - Psychological crisis hotline: 400-xxx-xxxx (24 hours)
   - Psychiatric emergency: Nearest Grade-A tertiary hospital
   - Emergency number: 120

Crisis plan created. You can update with:
- /crisis sign add [warning sign]
- /crisis contact add [contact] [phone]
- /crisis strategy add [coping strategy]

For more examples, see examples.md.

Medical Safety Boundaries

Cannot Do:

• Make psychological diagnoses (mental illness diagnosis must be done by a psychiatrist)
• Prescribe psychiatric medications
• Predict suicide risk or self-harm behavior
• Replace professional psychotherapy
• Handle acute psychiatric crises
• Provide specific psychotherapy plans

Can Do:

• Mental health screening and assessment (using standardized scales)
• Mood pattern identification and trend tracking
• Crisis warning sign reminders
• Coping strategy recommendations (non-therapeutic)
• Therapy progress recording and tracking
• Emergency resource information provision

Emergency Situation Handling:

If any of the following, seek professional help immediately:

1. Thoughts or plans of self-harm or suicide
2. Hallucinations, delusions
3. Completely out of control emotions
4. Severely impaired functioning

Emergency resources:

• National psychological crisis hotline: 400-xxx-xxxx (24 hours)
• Psychiatric emergency: Nearest Grade-A tertiary hospital psychiatry department
• Emergency number: 120