Anxiety & depression support
Your mental health,
tracked every day.
Not just at appointments.
A simple daily check-in, your HRV and sleep from your wearable, and medication tracking - so you and your care team understand what's actually happening between sessions.
HIPAA compliant · Works with Apple Watch, Oura, Garmin & Whoop
How it works
From daily moments
to a picture that makes sense.
Anxiety and depression don't happen at appointments - they happen every day. Ziva connects your daily mood, your body's physiological signals, and your medication routine into one continuous record your care team can actually use.
1
Check in each day — you enter this
A daily Wellness Log - choose from Awesome, Happy, Okay, Tired, or Exhausted. You can also record a voice note, video, or write it out. No pressure, no numbers. Takes five seconds. Isabella builds your pattern over time and spots when things start to shift.
2
Connect your wearable — it does the rest
Apple Watch, Oura, Garmin, or Whoop passively captures HRV, resting heart rate, sleep quality, and daily activity. No extra effort. These physiological signals often shift before you consciously feel worse - giving Isabella an earlier picture than you have yourself.
3
Track your medication — you confirm each dose
Confirm each dose via the app or optional Tenovi smart pillbox which detects automatically. Isabella reminds you before missed windows and shows you how medication adherence correlates with your mood and HRV over time.
4
Isabella watches for patterns and deterioration
When mood, HRV, sleep, and activity all move in the same direction over multiple days, Isabella recognises it as more than a bad day. Your care team is notified. You also see your own patterns - which can itself be reassuring.
5
Monthly report shared with your provider
Mood trend, HRV and sleep trajectory, medication adherence, activity levels, and Isabella's observations - ready before every session. Your provider arrives informed.
Isabella · Your week at a glance
Mood — last 7 days
Happy
Mon
Okay
Tue
Tired
Wed
Exh.
Thu
Exh.
Fri
Exh.
Sat
Today
Sun
HRV ⌚
28ms ↓
Sleep ⌚
4.8 hrs
Resting HR ⌚
84 bpm ↑
Activity ⌚
Near zero
Medication
60% ↓
Isabella · Pattern insight
"Your Wellness Log has shown Tired or Exhausted for 5 days. Your body is showing the same thing — HRV down 34%, resting heart rate elevated, sleep under 5 hours, near-zero activity. Your glucose was also spiking midweek, which can amplify anxiety and fatigue directly. Medication adherence dropped to 60% — that gap matters. I've flagged this for your care team. You're being seen."
Understanding your patterns
Your mood and body
tell the same story.
When you're struggling, your HRV drops, your sleep fragments, your heart rate rises, and you stop moving - often before you're consciously aware of how low you are. Ziva connects these signals and shows you the pattern. Understanding your own picture can feel more grounding than it sounds.
✓HRV is the most validated physiological marker of psychological stress — your wearable captures it passively every night
✓Sleep disruption is both a symptom and a driver of anxiety and depression — tracking it separately from mood reveals the relationship
✓Activity decline often precedes mood crash by 1–2 days — Isabella uses this as an early signal, not a judgement
✓When medication begins working, HRV gradually recovers and sleep improves — the treatment response becomes visible before you fully feel it
How the signals connect
Everything is connected.
Isabella sees the full picture.
A real week - how the cascade looked for Aisha
Monday
🍬Glucose 148
Blood sugar spike after lunch. No immediate mood change yet.
😊 Happy
Tuesday
💓HRV 38ms ↓
HRV drops overnight. Resting HR elevated. Sleep disrupted.
😐 Okay
Wednesday
😴Sleep 4.2 hrs
Fragmented night. Respiratory rate elevated. Medication missed.
😓 Tired
Thursday
🛋️Activity zero
Steps near zero. BP elevated. HRV 32ms. Isabella flags pattern.
😞 Exhausted
Isabella acts
🧠Alert sent
Provider notified. Aisha prompted to take medication and rest. Care team schedules check-in.
⚡ Day 3 of cascade
🧠
Isabella · Why this matters
"None of these signals is the whole story on its own. A bad night's sleep isn't necessarily depression. One high glucose reading isn't a crisis. But when glucose is elevated, sleep is poor, HRV is low, activity has dropped, and mood has been Tired or Exhausted for 3 days - that convergence is what I flag. Your care team doesn't just see one number. They see the pattern."
For your care team
Your provider sees
the same picture.
Before every session.
When your psychiatrist or therapist is on Ziva, they arrive at each session already knowing how your week went - your mood trend, HRV, sleep, medication adherence, and Isabella's observations. The session starts where you actually are, not where you were 6 weeks ago.
Refer Ziva to my provider / care team
Your psychiatrist, therapist, or GP isn't on Ziva yet? Send them a link - they'll see your daily mood trend, HRV and sleep trajectory, medication adherence, and Isabella's monthly summary in the provider portal.
Send to my provider →Already seeing your provider?
Bring your 30-day report to your next appointment - mood trend, HRV, sleep, medication adherence, and Isabella's observations - ready to share from the app.
Get my report →What your provider sees
✓Daily mood trend — 7-day and 30-day view, streaks highlighted, transitions flagged
✓HRV trajectory — daily and 30-day trend, percentage deviation from personal baseline
✓Sleep duration and quality — nightly from wearable, weekly averages
✓Resting heart rate — daily trend, elevated days flagged as physiological stress signal
✓Activity levels — daily step count against baseline, low-activity streaks flagged
✓Medication adherence — daily log, missed doses flagged, 30-day percentage
RPM billing eligible
Anxiety and depression qualify for Remote Physiological Monitoring (RPM) and RTM billing. Daily BP and weight readings via Tenovi devices qualify for CPT 99454. Clinician review time qualifies for 99457 and RTM management codes. Share the provider page for full billing details.
Questions
Common questions
Numeric scales create pressure and friction - people over-think the number, compare today to yesterday, and often stop engaging after a few weeks. The Wellness Log uses natural language states (Awesome, Happy, Okay, Tired, Exhausted) plus optional voice note, video, or text. You can answer honestly in seconds. Isabella tracks the patterns over weeks - how long each state lasts, what precedes a shift, and how all your signals correlate together.
No. The daily mood check-in and medication tracking work without a wearable. A wearable (Apple Watch, Oura, Garmin, or Whoop) adds HRV, resting heart rate, sleep, and activity data - which gives Isabella and your care team a much richer picture and often catches deterioration before your mood check-ins do. It's recommended if you have one, but Ziva is genuinely useful without it.
Isabella processes your check-ins to identify patterns and generate clinical summaries. Your provider sees aggregated trends, weekly summaries, and Isabella's observations - not a raw transcript of every entry. You control what additional notes or context are shared. If you log "Very Low" for multiple days, Isabella will flag this for your care team - that's the point of the monitoring. If you're concerned about what's shared, talk to your provider about the data sharing settings for your account.
If you're in crisis, please contact your care team directly or call or text 988 (Suicide & Crisis Lifeline in the US). Ziva is a monitoring and adherence tool - it is not a crisis service. Isabella will flag deterioration patterns to your provider, but this is not a substitute for immediate clinical support. If you're in immediate danger, call 911.
Yes - over time, the combination of mood trend, HRV trajectory, sleep improvement, and activity recovery gives you and your provider a clear picture of treatment response. Antidepressants typically take 4–6 weeks to show effect; Ziva captures the gradual physiological recovery (HRV rising, sleep lengthening) often before you subjectively feel the full benefit. This can help your provider decide whether to adjust dose, switch medication, or maintain the current treatment.
No. Ziva is a monitoring and adherence tool - it does not provide therapy, clinical advice, or treatment. It helps you track your experience, stay on your medication, understand your own patterns, and give your care team a better-informed view between sessions. It works alongside therapy and medication management, not instead of them. Always follow your provider's clinical guidance.