What can your voice tell you?
Kintsugi is a smart voice journaling platform for mental health. We use voice biomarkers to measure and predict well-being.
Kintsugi measures your mood and well-being with your voice. Convenient and discreet, Kintsugi is available on smartphones and home devices and pairs well with earbuds at home, work, or in the car.
With increasing awareness of improving our physical health through wearables, we actively measure steps as a proxy for fitness. Stress, anxiety, and depression are pervasive across modern society costing American employers $500B annually in lost productivity, yet how can we make reasonable strides in mental health if we don’t measure it?
Kintsugi has developed a neural-network model specifically for journaling entries that can analyze raw text and audio from natural conversation to discover speech patterns indicative of depression. Beyond recognizing sentiment, people love learning about how their voice biomarkers are tied to sleep, nutrition, outdoor activities, and other physiological triggers and adjusting personal habits to track positive outcomes.
We support the highest level of encryption (256-bit AES, E2EE) and are HIPAA compliant for use with your primary care person. We take privacy seriously and will never share individually-identifiable information. Our priority is in your personal well-being and we thank you for purchasing a Kintsugi license or subscription and entrusting us as your advocate.
Isn’t it incredible that no one’s journey is exactly alike and even with the same set of circumstances, outcomes can vary wildly?
You are remarkable in every way, and your experiences shape your values, attitudes, and beliefs. How we perceive and understand the world around us can dramatically shape our well-being and even impact our future success.
Wouldn’t it be amazing to improve your well-being by taking unhelpful thoughts and modifying the thinking around that?
What is Expressive Journaling?
Expressive writing, a free-flowing expression not impinged by typical grammatical or punctuation editing, demonstrated through Pennebaker Paradigm and in 200 successful U.S. clinical trials in reducing stress, anxiety, and depression, has demonstrably shown improvements for people immediately following the practice and beyond 2 months.
Further, expression from voice annotated journaling entries and more frequent entries as a result of lower friction of use, provides a continuous feedback loop, much tighter than the current episodic physician or psychiatrist check-in.
Utilizing cognitive behavioral techniques and tight coupling with features from Apple Health Kit, a user from a few voice journaling entries from the Kintsugi application, can start to track physiological activities with sentiment analysis and emotion classifiers from the latest advancements in Natural Language Processing. Deep reinforcement learning is also being applied on a points system from the recommended actions and activities based on mood (e.g. meditation for anxiety, walking for anger, etc.) and provides an incredibly customized, mental wellness solution for individuals.
What is CBT?
Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking so you can view challenging situations more clearly and respond to them in a more effective way. CBT can be an effective tool to help anyone learn how to better manage stressful life situations.
CBT includes learning and practicing techniques such as relaxation, coping, resilience, stress management and assertiveness.
Kintsugi will encourage you to talk about your thoughts and feelings and what's troubling you. Don't worry if you find it hard to open up about your feelings. Your confidence and comfort grows with openness.
CBT generally focuses on specific problems, using a goal-oriented approach. As you work through your process, you may be asked to do exercises that build on what you learn from your sessions and we encourage you to apply what you’re learning in your daily life.
CBT follows these steps:
Identify troubling situations or conditions in your life. These may include such issues as a medical condition, divorce, grief, anger or symptoms of a mental health challenge.
Become aware of your thoughts, emotions and beliefs about these problems. Once you've identified the problems to work on, Kintsugi will encourage you to share your thoughts about them. This may include observing what you tell yourself about an experience (self-talk), your interpretation of the meaning of a situation, and your beliefs about yourself, other people and events.
Identify negative or inaccurate thinking. To help you recognize patterns of thinking and behavior that may be contributing to your problem, Kintsugi may ask you to pay attention to your physical, emotional and behavioral responses in different situations.
Reshape negative or inaccurate thinking. Kintsugi will encourage you to ask yourself whether your view of a situation is based on fact or on an inaccurate perception of what's going on. This step can be difficult. You may have long-standing ways of thinking about your life and yourself. With practice, helpful thinking and behavior patterns will become a habit and won't take as much effort.
Convenience and Health+
Kintsugi voice journaling is convenient, smart, and helpful in building a fuller picture of your health and well-being. Discover more about what makes you tick and reinforce positive behaviors for future success.
Always consult your primary care if you have an urgent issue and need live support. Kintsugi is not a substitute for seeing a therapist. We highly encourage strong relationships with your primary care provider and can also recommend qualified therapists near you. Our mission is to provide access to measuring our well-being and tools to promote positive holistic health. The Kintsugi community is here to support you and your journey.
Kintsugi App Features
1: Smyth JM, Johnson JA, Auer BJ, Lehman E, Talamo G, Sciamanna CN. Online Positive Affect Journaling in the Improvement of Mental Distress and Well-Being in General Medical Patients With Elevated Anxiety Symptoms: A Preliminary Randomized Controlled Trial. JMIR Ment Health. 2018 Dec 10;5(4):e11290. doi: 10.2196/11290. PubMed PMID: 30530460; PubMed Central PMCID: PMC6305886.
2: Doherty JH, Wenderoth MP. Implementing an Expressive Writing Intervention for Test Anxiety in a Large College Course. J Microbiol Biol Educ. 2017 Aug 11;18(2). pii: 18.2.39. doi: 10.1128/jmbe.v18i2.1307. eCollection 2017. PubMed PMID: 28861135; PubMed Central PMCID: PMC5576769.
3: Dean J, Potts HW, Barker C. Direction to an Internet Support Group Compared With Online Expressive Writing for People With Depression And Anxiety: A Randomized Trial. JMIR Ment Health. 2016 May 17;3(2):e12. doi: 10.2196/mental.5133. PubMed PMID: 27189142; PubMed Central PMCID: PMC4887661.
4: Krpan KM, Kross E, Berman MG, Deldin PJ, Askren MK, Jonides J. An everyday activity as a treatment for depression: the benefits of expressive writing for people diagnosed with major depressive disorder. J Affect Disord. 2013 Sep 25;150(3):1148-51. doi: 10.1016/j.jad.2013.05.065. Epub 2013 Jun 18. PubMed PMID: 23790815; PubMed Central PMCID: PMC3759583.
5: Matthiesen S, Klonoff-Cohen H, Zachariae R, Jensen-Johansen MB, Nielsen BK, Frederiksen Y, Schmidt L, Ingerslev HJ. The effect of an expressive writing intervention (EWI) on stress in infertile couples undergoing assisted reproductive technology (ART) treatment: a randomized controlled pilot study. Br J Health Psychol. 2012 May;17(2):362-78. doi: 10.1111/j.2044-8287.2011.02042.x. Epub 2011 Jul 18. PubMed PMID: 22106842.
6: Sloan DM, Feinstein BA, Marx BP. The durability of beneficial health effects associated with expressive writing. Anxiety Stress Coping. 2009 Oct;22(5):509-23. doi: 10.1080/10615800902785608. PubMed PMID: 19333797; PubMed Central PMCID: PMC4842937.
7: Milbury K, Lopez G, Spelman A, Wood C, Matin SF, Tannir NM, Jonasch E, Pisters L, Wei Q, Cohen L. Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support. Psycho oncology. 2017 Sep;26(9):1361-1368. doi: 10.1002/pon.4148. Epub 2016 May 3.PubMed PMID: 27145447; PubMed Central PMCID: PMC5094904.
8: Horsch A, Tolsa JF, Gilbert L, du Chêne LJ, Müller-Nix C, Bickle Graz M. Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial. Child Psychiatry Hum Dev. 2016 Oct;47(5):780-91. doi: 10.1007/s10578-015-0611-6. PubMed PMID: 26659113.
9: Blasio PD, Camisasca E, Caravita SC, Ionio C, Milani L, Valtolina GG. THE EFFECTS OF EXPRESSIVE WRITING ON POSTPARTUM DEPRESSION AND POSTTRAUMATIC STRESS SYMPTOMS. Psychol Rep. 2015 Dec;117(3):856-82. doi: 10.2466/02.13.PR0.117c29z3. Epub 2015 Nov 23. PubMed PMID: 26595300.
10: Sayer NA, Noorbaloochi S, Frazier PA, Pennebaker JW, Orazem RJ, Schnurr PP, Murdoch M, Carlson KF, Gravely A, Litz BT. Randomized Controlled Trial of Online Expressive Writing to Address Readjustment Difficulties Among U.S. Afghanistan and Iraq War Veterans. J Trauma Stress. 2015 Oct;28(5):381-90. doi:10.1002/jts.22047. PubMed PMID: 26467326.
11: Reddy MK, Seligowski AV, Rabenhorst MM, Orcutt HK. Predictors of expressive writing content and posttraumatic stress following a mass shooting. Psychol Trauma. 2015 May;7(3):286-294. doi: 10.1037/a0037918. Epub 2014 Nov 3. PubMed PMID: 25961120.
12: Park D, Ramirez G, Beilock SL. The role of expressive writing in math anxiety. J Exp Psychol Appl. 2014 Jun;20(2):103-11. doi: 10.1037/xap0000013. Epub 2014 Apr 7. PubMed PMID: 24708352.
13: Meshberg-Cohen S, Svikis D, McMahon TJ. Expressive writing as a therapeutic process for drug-dependent women. Subst Abus. 2014;35(1):80-8. doi: 10.1080/08897077.2013.805181. PubMed PMID: 24588298; PubMed Central PMCID: PMC3942795.
14: Lorenz TA, Pulverman CS, Meston CM. Sudden Gains During Patient-Directed Expressive Writing Treatment Predicts Depression Reduction in Women with History of Childhood Sexual Abuse: Results from a Randomized Clinical Trial. Cognit Ther Res. 2013 Aug 1;37(4):690-696. PubMed PMID: 25484475; PubMed Central PMCID: PMC4255975.
15: Meston CM, Lorenz TA, Stephenson KR. Effects of expressive writing on sexual dysfunction, depression, and PTSD in women with a history of childhood sexual abuse: results from a randomized clinical trial. J Sex Med. 2013 Sep;10(9):2177-89. doi: 10.1111/jsm.12247. Epub 2013 Jul 22. PubMed PMID: 23875721; PubMed Central PMCID: PMC3775987.
16: Chu Q, Wong CCY, Lu Q. Acculturation Moderates the Effects of Expressive Writing on Post-Traumatic Stress Symptoms Among Chinese American Breast Cancer Survivors. Int J Behav Med. 2019 Jan 17. doi: 10.1007/s12529-019-09769-4. [Epub ahead of print] PubMed PMID: 30656609.
17: Gallagher MW, Long LJ, Tsai W, Stanton AL, Lu Q. The unexpected impact of expressive writing on post traumatic stress and growth in Chinese American breast cancer survivors. J Clin Psychol. 2018 Oct;74(10):1673-1686. doi: 10.1002/jclp.22636. Epub 2018 May 4. PubMed PMID: 29727480.
18: Expressive writing for mental health. Putting an experience into words may ease stress and trauma. Harv Ment Health Lett. 2011 Jul;28(1):6. PubMed PMID: 27024111.
19: Proctor SL, Hoffmann NG, Allison S. The effectiveness of interactive journaling in reducing recidivism among substance-dependent jail inmates. Int J Offender Ther Comp Criminol. 2012 Apr;56(2):317-32. doi:
10.1177/0306624X11399274. Epub 2011 Feb 28. PubMed PMID: 21362642. 20: Unsworth KL, Rogelberg SG, Bonilla D. Emotional expressive writing to alleviate euthanasia-related stress. Can Vet J. 2010 Jul;51(7):775-7. PubMed PMID: 20885836; PubMed Central PMCID: PMC2885125.
21: Tavakoli S, Lumley MA, Hijazi AM, Slavin-Spenny OM, Parris GP. Effects of assertiveness training and expressive writing on acculturative stress in international students: A randomized trial. J Couns Psychol. 2009 Oct;56(4):590-596. doi: 10.1037/a0016634. PubMed PMID: 20357910; PubMed Central PMCID: PMC2847408.
22: Pachankis JE, Goldfried MR. Expressive writing for gay-related stress: psychosocial benefits and mechanisms underlying improvement. J Consult Clin Psychol. 2010 Feb;78(1):98-110. doi: 10.1037/a0017580. PubMed PMID: 20099955.
23: Giannotta F, Settanni M, Kliewer W, Ciairano S. Results of an Italian school-based expressive writing intervention trial focused on peer problems. J Adolesc. 2009 Dec;32(6):1377-89. doi: 10.1016/j.adolescence.2009.07.001. Epub 2009 Jul 31. PubMed PMID: 19647311.
24: Shen L, Yang L, Zhang J, Zhang M. Benefits of expressive writing in reducing test anxiety: A randomized controlled trial in Chinese samples. PLoS One. 2018 Feb 5;13(2):e0191779. doi: 10.1371/journal.pone.0191779. eCollection 2018. PubMed PMID: 29401473; PubMed Central PMCID: PMC5798770.
25: de Moor JS, Moyé L, Low MD, Rivera E, Singletary SE, Fouladi RT, Cohen L. Expressive writing as a pre-surgical stress management intervention for breast cancer patients. J Soc Integr Oncol. 2008 Spring;6(2):59-66. PubMed PMID: 18544285.
26: Davidson JU, Robison B. Scrapbooking and journaling interventions for chronic illness: a triangulated investigation of approaches in the treatment of PTSD. Kans Nurse. 2008 Mar;83(3):6-11. PubMed PMID: 18524339.
27: Sloan DM, Marx BP, Epstein EM, Dobbs JL. Expressive writing buffers against maladaptive rumination. Emotion. 2008 Apr;8(2):302-6. doi: 10.1037/1528-35220.127.116.112. PubMed PMID: 18410204.
28: Smyth JM, Hockemeyer JR, Tulloch H. Expressive writing and post-traumatic stress disorder: effects on trauma symptoms, mood states, and cortisol reactivity. Br J Health Psychol. 2008 Feb;13(Pt 1):85-93. doi: 10.1348/135910707X250866. PubMed PMID: 18230238.
29: Mackenzie CS, Wiprzycka UJ, Hasher L, Goldstein D. Does expressive writing reduce stress and improve health for family caregivers of older adults? Gerontologist. 2007 Jun;47(3):296-306. PubMed PMID: 17565094.
30: Koopman C, Ismailji T, Holmes D, Classen CC, Palesh O, Wales T. The effects of expressive writing on pain, depression and posttraumatic stress disorder symptoms in survivors of intimate partner violence. J Health Psychol. 2005 Mar;10(2):211-21. PubMed PMID: 15723891.
31: Smyth J, Helm R. Focused expressive writing as self-help for stress and trauma. J Clin Psychol. 2003 Feb;59(2):227-35. Review. PubMed PMID: 12552631.