Stress & Mental Health
How you feel is real. Let's give it the care it deserves.
You are not too much. You are carrying a lot, in a body that is also changing, and your mind is asking for the same care as the rest of you.
Your mental health is not separate from your physical health. They are the same conversation. What you'll find below starts with what you might be feeling, then quietly hands you the science and the exact tool that helps.
Personalize this page
Tell Keza what's true for you today, no editing, no performing
Whatever you choose stays with you across the app, your log, your cycle view, your Roxi conversations, your doctor export. You don't have to explain it. You just have to name it.
Your conditions
Select all that apply. You can change this any time.
Saves to your profile and syncs to the Conditions and Sleep pages, Keza will pull real research for it.
Stress symptoms you experience
These auto-pre-select on today's log. The more honest you are, the sharper your patterns get.
Body
Mind
Mood
Sleep
Behavior
Your top stress triggers
Naming the source is the first intervention. These will pre-select on your log too.
Selections sync automatically. Open the log and you'll see them already checked.
Personalize race/ethnicity context
One thing for tonight
Sunday, stress-and-flare pattern reflection
Pull up your last 14 logs. Notice: did your worst flare or mood day land in the 5-7 days before your period? Name the pattern out loud.
Mental-health assessments
Five clinically validated screens you can take, save, and bring to your mental-health team
These are screening tools, not diagnoses. They give you and your clinician a shared starting point and a way to measure change over time. Your results save privately to your profile.
What's the difference between PHQ-9, GAD-7, BDI, BAI, and HAM-D?
PHQ-9, quick 9-item depression screen, maps to DSM-5 criteria, free and public domain. Best for primary care and self-tracking.
GAD-7, 7-item anxiety screen, free and public domain. Best first step for any worry, panic, or anxious symptom.
BDI-II, 21-item depression inventory by Aaron Beck, licensed (Pearson). More granular than PHQ-9 on cognitive/affective items; widely used by psychologists.
BAI, 21-item anxiety inventory by Aaron Beck, licensed (Pearson). Emphasizes somatic anxiety symptoms (palpitations, dizziness, tingling). Useful when the question is "is this anxiety or is this something medical?"
HAM-D (HDRS-17), 17-item clinician-administered depression scale, public domain. The gold-standard outcome measure in research; more sensitive than PHQ-9 to somatic features.
Therapists use multiple measures because depression and anxiety overlap, and no single tool catches everything. A PHQ-9 + GAD-7 pair is the most common starting combination in primary care; psychiatrists often add HAM-D or BDI-II for treatment tracking.
PHQ-9
Patient Health Questionnaire-9
Depression severity · 9 items · ~2–3 minutes
A 9-item self-report screening tool for depression. Each item maps directly to a DSM-5 criterion for major depressive disorder, which is why clinicians use it both to screen and to track change over time.
Why it matters: PHQ-9 is one of the most validated depression measures in primary care worldwide. A meta-analysis of 17 studies (n=5,026) found sensitivity 0.85 and specificity 0.85 for major depression at the standard cutoff of ≥10.
GAD-7
Generalized Anxiety Disorder-7
Anxiety severity · 7 items · ~1–2 minutes
A 7-item self-report scale for generalized anxiety, originally validated for GAD but also a reliable screen for panic, social anxiety, and PTSD.
Why it matters: GAD-7 has sensitivity 0.89 and specificity 0.82 at the cutoff of ≥10 for generalized anxiety disorder (Spitzer et al., 2006, n=2,740). It is the most widely used anxiety screen in primary care.
HAM-D (HDRS-17)
Hamilton Depression Rating Scale (17-item)
Depression severity (clinician-style, more granular than PHQ-9) · 17 items · ~5–8 minutes
A 17-item depression rating scale developed by Max Hamilton in 1960. It is the gold-standard outcome measure in depression research and is commonly used by psychiatrists to track response to treatment week-to-week.
Why it matters: HAM-D is more sensitive than PHQ-9 to somatic and biological features of depression (sleep architecture, weight, libido, agitation). Bringing a HAM-D score to a psychiatrist gives them a richer starting picture than a single global rating. Note: traditionally administered by a clinician, your self-rating is a useful starting point, not a diagnosis.
BDI-II
Beck Depression Inventory-II
Depression severity (cognitive-affective focus)
A 21-item self-report inventory developed by Aaron Beck. Each item rates a specific symptom 0–3, total 0–63. Severity bands: 0–13 minimal, 14–19 mild, 20–28 moderate, 29–63 severe.
Why it matters: BDI-II is widely used by psychologists because it weights the cognitive features of depression (hopelessness, self-criticism, worthlessness) more heavily than PHQ-9. Many therapists use BDI-II + HAM-D together to track response to CBT.
Where to get it administered
- Serenity in Heart, Jasmine Matthews, LPC , Keza-trusted clinician who administers standardized assessments
- Psychology Today therapist finder , filter by "uses standardized assessments"
- Pearson product page (clinicians only)
BAI
Beck Anxiety Inventory
Anxiety severity (somatic focus)
A 21-item self-report inventory developed by Aaron Beck. Each item rates an anxiety symptom 0–3 over the past week, total 0–63. Severity bands: 0–7 minimal, 8–15 mild, 16–25 moderate, 26–63 severe.
Why it matters: BAI was deliberately designed to separate anxiety from depression, most items are physical (palpitations, dizziness, hot/cold flashes, tingling). It's especially useful in midlife and perimenopause where somatic anxiety can be mistaken for cardiac, thyroid, or hormonal issues.
Where to get it administered
- Serenity in Heart, Jasmine Matthews, LPC , Keza-trusted clinician who administers standardized assessments
- Psychology Today therapist finder , filter by "uses standardized assessments"
- Pearson product page (clinicians only)
Crisis & clinician resources
- 988 Suicide & Crisis Lifeline (US, 24/7)
- Crisis Text Line, text HOME to 741741
- Serenity in Heart, Jasmine Matthews, LPC
- Psychology Today therapist finder
- Open Path Collective, sliding-scale therapy $30–80
- Inclusive Therapists, identity-affirming directory
- Therapy for Black Girls
- Boris Lawrence Henson Foundation
- Therapy for Latinx
- Asian Mental Health Collective
- SAMHSA National Helpline, 1-800-662-HELP (4357)
These screening tools do not diagnose any condition. If you are in immediate danger, call emergency services. For persistent symptoms, please speak with a licensed mental-health professional.
See also your daily log for quick links back to your saved results.
The mood, depression, and postpartum patterns described here come from these peer-reviewed studies. Tap any source to open it on PubMed.
Depressive Symptoms During the Menopausal Transition: The Study of Women's Health Across the Nation (SWAN)
Late perimenopause associated with ~2.5× higher odds of clinically significant depressive symptoms (CES-D ≥16) vs premenopause in SWAN; Black women had highest absolute depressive symptom burden.
Major Depression During and After the Menopausal Transition: Study of Women's Health Across the Nation (SWAN)
Perimenopause independently elevates risk of major depressive episode even in women with no prior depression history.
Trends in Postpartum Depression by Race, Ethnicity, and Prepregnancy Body Mass Index
PPD rates rose across all racial/ethnic groups 2015–2021; steepest increases in Black and Asian/Pacific Islander women; N > 2.9 million births.
This is educational information. For persistent or significant mental health symptoms, please speak with a licensed mental health professional.