- Analyze PHQ-9 scores at different time points
- Calculate score change rate (points/month)
- Identify severity changes (none/mild/moderate/severe)
- Detect changes in PHQ-9 Item 9 (suicidal ideation)
- Predict future trends (improving/stable/worsening)
- Correlate with treatment progress analysis

- Analyze time-series changes in GAD-7 scores
- Identify change patterns of anxiety symptoms
- Correlate triggering factors with anxiety levels
- Assess the effectiveness of coping methods
- Predict anxiety trends

- Correlation between PSQI scores and PHQ-9/GAD-7 scores
- Impact of sleep disorders on mood
- Relationship between sleep improvement and mental state improvement

- Identify severity escalation (requires attention)
- Identify severity de-escalation (positive signal)
- Detect rapid deterioration (≥5 points/month, crisis warning)
- Detect rapid improvement (reinforce effective strategies)

- Count the most common primary emotions (top 5)
- Calculate average emotional intensity
- Identify emotional distribution patterns
- Analyze emotional diversity

- Emotional change patterns throughout the day (morning/afternoon/evening)
- Emotional change patterns throughout the week (Monday to Sunday)
- Emotional fluctuation level (variance/standard deviation)
- Emotional stability assessment

- Count high-frequency triggering factors (top 10)
- Calculate the average impact of each triggering factor
- Identify high-risk triggering factors (high impact + high frequency)
- Correlate triggering factors with emotion types

- Calculate the effectiveness of each coping method (ratio of helpful/unhelpful)
- Identify high-efficiency coping strategies (>80% effective)
- Identify low-efficiency coping strategies (<50% effective)
- Analyze the matching between coping methods and emotion types

- Calculate the completion percentage of each goal
- Assess symptom improvement level (baseline → current → goal)
- Estimate goal achievement time
- Identify lagging goals (need adjustment)

- Treatment frequency and adherence
- Homework completion rate and quality
- Strength of therapeutic alliance
- Emotional changes before and after counseling

- Changes in PHQ-9/GAD-7 scores (pre-treatment → post-treatment)
- Symptom relief percentage
- Functional level improvement
- Quality of life changes

Risk Level Calculation (Total Score 0-20+):

1. PHQ-9 Item 9 Detection (Highest Priority)
   - Score=2 (often): +10 points, directly determine high risk
   - Score=1 (sometimes): +5 points
   - Score=0 (not at all): +0 points

2. Symptom Rapid Deterioration Detection
   - Rapid deterioration (≥5 points/month): +5 points
   - Deterioration (2-4 points/month): +3 points
   - Stable (-1 to 1 points/month): +0 points
   - Improvement (≤-2 points/month): -2 points

3. High-Intensity Negative Emotion Proportion Detection
   - Proportion>70%: +3 points
   - Proportion 50-70%: +2 points
   - Proportion<50%: +0 points

4. Emotional Fluctuation Detection
   - Variance>6 (high fluctuation): +2 points
   - Variance 4-6 (medium fluctuation): +1 points
   - Variance<4 (low fluctuation): +0 points

5. Crisis Plan Early Warning Signal Detection
   - Each early warning signal detected: +2 points

6. Social Withdrawal Detection
   - Severe withdrawal (alone time>80%): +3 points
   - Moderate withdrawal (alone time 50-80%): +2 points
   - Mild/no withdrawal: +0 points

7. Functional Impairment Detection
   - Severe impairment (≥5 days/week): +4 points
   - Moderate impairment (3-4 days/week): +2 points
   - Mild/no impairment: +0 points

Risk Level Determination:
- High Risk (≥10 points): Seek medical attention immediately, initiate crisis intervention
- Medium Risk (5-9 points): Monitor closely, consider seeking medical attention (within 48 hours)
- Low Risk (0-4 points): Continue monitoring, regular assessment

- Hopelessness (hopelessness)
- Social withdrawal (social_withdrawal)
- Extreme mood swings (extreme_mood_swings)
- Talk of death (talk_of_death)
- Giving away possessions (giving_away_possessions)
- Self-harm ideation (self_harm)
- Suicidal thoughts (suicidal_thoughts)
- Substance abuse (substance_abuse)

Seek medical attention immediately (within 24 hours):
- PHQ-9 Item 9 score ≥2
- Total risk score ≥10 points
- Presence of hallucinations or delusions
- Having self-harm or suicide plans

Seek medical attention as soon as possible (within 48 hours):
- PHQ-9 ≥15 points or GAD-7 ≥15 points
- Total risk score 5-9 points
- Rapid symptom deterioration (≥5 points/month)
- Severe functional impact

Seek regular medical attention (within 1 month):
- PHQ-9 10-14 points or GAD-7 10-14 points
- Total risk score <5 points but symptoms persist
- Need professional support

- Correlation between sleep duration and PHQ-9 scores
- Correlation between sleep quality and GAD-7 scores
- Relationship between insomnia symptoms and emotional stability
- Temporal relationship between sleep improvement and mental state improvement
- Correlation between sleep disorder types and specific psychological symptoms

- Correlation coefficient and statistical significance
- Impact level of sleep on mental state (high/medium/low)
- Sleep improvement recommendations
- Analysis of the bidirectional relationship between sleep and mood

- Relationship between exercise frequency and average emotional intensity
- Relationship between exercise type and emotional improvement effect
- Relationship between exercise intensity and anxiety levels
- Relationship between exercise duration and emotional duration
- Emotional change patterns after exercise
- Relationship between exercise habits and depressive symptoms

- Positive impact level of exercise on mood
- Recommendations for the most effective exercise types
- Recommendations for optimal exercise frequency
- Relationship between exercise and coping methods

- Relationship between caffeine intake and GAD-7 anxiety scores
- Correlation between sugar intake and emotional fluctuations
- Relationship between eating regularity and emotional stability
- Specific nutrient deficiencies (vitamin D, Omega-3) and depressive symptoms
- Eating patterns and overall mental health

- Impact level of diet on mental state
- Nutrition recommendations (e.g., reduce caffeine intake, balanced diet)
- Possible nutrient deficiency prompts
- Dietary adjustment recommendations

- Relationship between chronic pain and depressive symptoms
- Relationship between disease control status and mental state
- Relationship between functional limitations and mental health
- Relationship between disease burden and anxiety levels
- Comorbidity pattern recognition
- Impact of medication side effects on mood
- Relationship between medication adherence and symptom improvement

- Impact level of chronic diseases on mental health
- Psychological issues requiring special attention
- Overall health management recommendations
- Benefits of psychological support for disease management

# Mental Health Analysis Report

**Report Date**: YYYY-MM-DD
**Analysis Period**: YYYY-MM-DD to YYYY-MM-DD
**Data Completeness**: Good

⚠️ **Important Note**: This report is for reference only and does not constitute a medical diagnosis. If you are experiencing severe psychological distress, please seek help from a professional psychologist.

---

## Crisis Risk Early Warning

**Current Risk Level**: 🟢 Low Risk | 🟡 Medium Risk | 🔴 High Risk

**Risk Score**: X/20

**Risk Factors**:
- [List detected risk factors]

**Recommended Actions**:
- [Provide specific recommendations based on risk level]

---

## 1. Mental Health Status Summary

[Overall Evaluation: Excellent/Good/Fair/Needs Improvement/Crisis]
- PHQ-9 Score: X points (severity)
- GAD-7 Score: X points (severity)
- Sleep Quality: X points (PSQI)
- Overall Trend: Improving/Stable/Worsening

## 2. Psychological Assessment Trend Analysis

### PHQ-9 Depression Score Trend
- Current Score: X points
- Baseline Score: X points
- Change: ±X points
- Change Rate: X points/month
- Trend: Improving/Stable/Worsening
- Severity Change: [Severity 1] → [Severity 2]

**Chart Description**:
- [Line chart showing PHQ-9 score changes]
- [Mark severity boundaries: 5, 10, 15]

**Special Attention**:
- Item 9 (Suicidal Ideation) Score: X
- Highest Scoring Item: [Item Name]
- Persistent Issues: [List items]

### GAD-7 Anxiety Score Trend
- Current Score: X points
- Baseline Score: X points
- Change: ±X points
- Change Rate: X points/month
- Trend: Improving/Stable/Worsening

**Chart Description**:
- [Line chart showing GAD-7 score changes]
- [Mark severity boundaries: 5, 10, 15]

**Main Anxiety Symptoms**:
- Highest Scoring Item: [Item Name]
- Main Triggering Factors: [List]

### PSQI Sleep Quality
- Total Score: X points
- Sleep Quality: [Evaluation]
- Main Issues: [List problem components]

## 3. Emotional Pattern Analysis

### Common Emotions
1. [Emotion 1] - X% proportion, average intensity X/10
2. [Emotion 2] - X% proportion, average intensity X/10
3. [Emotion 3] - X% proportion, average intensity X/10

**Chart Description**:
- [Pie chart showing emotion distribution]
- [Radar chart showing multi-dimensional emotions]

### Time Pattern
- Morning: Main emotion [Emotion], average intensity X/10
- Afternoon: Main emotion [Emotion], average intensity X/10
- Evening: Main emotion [Emotion], average intensity X/10

### Weekly Pattern
- Monday to Friday: Main emotion [Emotion], average intensity X/10
- Weekends: Main emotion [Emotion], average intensity X/10

### Emotional Stability
- Fluctuation Level: High/Medium/Low
- Emotion Variance: X

**Chart Description**:
- [Line chart showing time-series changes in emotional intensity]
- [Fluctuation range visualization]

## 4. Triggering Factor Analysis

### High-Frequency Triggering Factors (Top 10)
| Rank | Triggering Factor | Frequency | Average Impact |
|------|-------------------|-----------|----------------|
| 1 | [Triggering Factor 1] | X times | High/Medium/Low |
| 2 | [Triggering Factor 2] | X times | High/Medium/Low |
| ... |

### High-Risk Triggering Factors (High Impact + High Frequency)
- [Triggering Factor 1] - X frequency, high impact, recommendation: [Coping recommendation]
- [Triggering Factor 2] - X frequency, high impact, recommendation: [Coping recommendation]

**Chart Description**:
- [Bar chart showing triggering factor frequencies]
- [Heatmap showing correlation between triggering factors and emotion types]

## 5. Coping Method Effectiveness Assessment

### Coping Method Ranking (By Effectiveness)
| Coping Method | Effective Times | Ineffective Times | Effectiveness Rate | Rank |
|---------------|-----------------|-------------------|--------------------|------|
| [Coping Method 1] | X times | X times | XX% | 1 |
| [Coping Method 2] | X times | X times | XX% | 2 |
| ... |

### High-Efficiency Coping Strategies (>80% Effective)
- [Strategy 1] - XX% effectiveness rate, recommended for use
- [Strategy 2] - XX% effectiveness rate, recommended for use

### Low-Efficiency Coping Strategies (<50% Effective)
- [Strategy 1] - XX% effectiveness rate, recommend adjustment or discontinuation
- [Strategy 2] - XX% effectiveness rate, recommend adjustment or discontinuation

**Chart Description**:
- [Bar chart showing coping method effectiveness ranking]
- [Pie chart showing effective/ineffective proportion]

## 6. Psychotherapy Progress

### Treatment Overview
- Treatment Type: [CBT/Psychodynamic/Humanistic, etc.]
- Treatment Frequency: [Weekly/Every two weeks, etc.]
- Number of Counseling Sessions Conducted: X times
- Treatment Duration: X months

### Treatment Goal Progress
| Goal | Baseline | Current | Target | Progress | Estimated Achievement Date |
|------|----------|---------|--------|----------|---------------------------|
| [Goal 1] | X points | X points | X points | XX% | YYYY-MM-DD |
| [Goal 2] | X points | X points | X points | XX% | YYYY-MM-DD |

**Overall Progress Evaluation**: [Excellent/Good/Fair/Needs Improvement]

### Symptom Improvement
- PHQ-9 Score Change: X points → X points, XX% improvement
- GAD-7 Score Change: X points → X points, XX% improvement
- Overall Functional Level: [Improving/Stable/Worsening]

### Homework Completion Status
- Average Completion Rate: XX%
- High-Quality Completion: XX%
- Areas Needing Strengthening: [List]

## 7. Crisis Risk Assessment

### Risk Level
**Current Risk Level**: 🟢 Low Risk | 🟡 Medium Risk | 🔴 High Risk

**Risk Score**: X/20

### Risk Factor Analysis
| Risk Factor | Score | Details |
|-------------|-------|---------|
| PHQ-9 Item 9 | X points | Score X, [Details] |
| Symptom Change | X points | [Rapid deterioration/Deterioration/Stable/Improvement] |
| Emotional Intensity | X points | High-intensity negative emotion proportion XX% |
| Emotional Fluctuation | X points | [High/Medium/Low] fluctuation |
| Early Warning Signals | X points | X early warning signals detected: [List] |
| Social Withdrawal | X points | [Severe/Moderate/Mild/No] withdrawal |
| Functional Impairment | X points | [Severe/Moderate/Mild/No] impairment |

### Detected Early Warning Signals
- [List if any]

### Recommended Actions
- [Provide specific action recommendations based on risk level]

### Emergency Resources
- Psychological Crisis Hotline: 400-xxx-xxxx (24/7)
- Psychiatric Emergency Department: Nearest tertiary hospital
- Emergency Call: 120

## 8. Correlation Analysis with Other Health Factors

### Sleep-Psychology Correlation
**Correlation Strength**: High/Medium/Low

**Key Findings**:
- Correlation between sleep duration and PHQ-9 scores: r=X.XX
- Relationship between sleep quality and emotional stability: [Description]
- Main Sleep Issues: [List]
- Potential Benefits of Sleep Improvement on Mental State: [Description]

**Recommendations**:
- [Specific sleep improvement recommendations]

### Exercise-Emotion Correlation
**Correlation Strength**: High/Medium/Low

**Key Findings**:
- Relationship between exercise frequency and emotional improvement: [Description]
- Most Effective Exercise Types: [List]
- Emotional Changes After Exercise: [Description]

**Recommendations**:
- [Specific exercise recommendations]

### Nutrition-Psychology Correlation
**Correlation Strength**: High/Medium/Low

**Key Findings**:
- Relationship between caffeine intake and anxiety: [Description]
- Relationship between sugar intake and emotional fluctuations: [Description]
- Possible Nutrient Deficiencies: [List]

**Recommendations**:
- [Specific nutrition recommendations]

### Chronic Disease-Psychology Correlation
**Correlation Strength**: High/Medium/Low

**Key Findings**:
- Relationship between [Chronic Disease] and mental state: [Description]
- Impact of disease burden on mental health: [Description]
- Relationship between functional limitations and mood: [Description]

**Recommendations**:
- [Specific overall health management recommendations]

## 9. Comprehensive Recommendations

### Immediate Actions (If Applicable)
- [List immediate actions if there are urgent issues]

### Weekly Action Plan
1. [Action Item 1] - Priority: High/Medium/Low
2. [Action Item 2] - Priority: High/Medium/Low
3. ...

### Monthly Goals
1. [Goal 1]
2. [Goal 2]
3. ...

### Areas to Continue Maintaining
- [List areas that are well-done, encourage continued maintenance]

### Areas Needing Improvement
- [List areas needing improvement, provide specific recommendations]

### Recommended Resources
- [Books/Apps/Support Groups/Online Resources, etc.]

## 10. Data Quality Description

- Data Completeness: [Excellent/Good/Fair/Needs Improvement]
- Number of PHQ-9 Assessments: X times
- Number of GAD-7 Assessments: X times
- Number of Mood Journal Entries: X entries
- Time Span: X days

---

**Report Generation Time**: YYYY-MM-DD HH:MM:SS
**Next Recommended Assessment Time**: YYYY-MM-DD

⚠️ **Disclaimer**: This report is automatically generated by the Mental Health Analysis Skill, for reference only, and does not constitute a medical diagnosis or treatment recommendation. If you have any mental health issues, please seek help from a professional psychologist or psychiatrist.

/mental trend 3months

# Mental Health Trend Analysis (Last 3 Months)

## Overall Trend
- PHQ-9: 14 points → 8 points, 6 points improvement, trend: Improving ✓
- GAD-7: 12 points → 6 points, 6 points improvement, trend: Improving ✓
- Change Rate: Approximately 2 points/month

## Severity Changes
- PHQ-9: Moderate depression → Mild depression ✓
- GAD-7: Moderate anxiety → Mild anxiety ✓

## Positive Signals
- Symptoms continue to improve
- PHQ-9 Item 9 score: 1 → 0 ✓
- Treatment is effective ✓

## Recommendations
- Continue current treatment
- Maintain exercise and sleep habits
- Next assessment: In 1 month

/mental pattern

# Emotional Pattern Analysis

## Common Emotions (Top 3)
1. Anxiety - 35% proportion, average intensity 7/10
2. Fatigue - 25% proportion, average intensity 6/10
3. Calm - 20% proportion, average intensity 7/10

## Time Pattern
- Morning: Calm (intensity 7/10) 😌
- Afternoon: Anxiety (intensity 7/10) 😰
- Evening: Fatigue (intensity 6/10) 😴

## Main Triggering Factors (Top 5)
1. Work pressure - 12 times, high impact
2. Sleep deprivation - 8 times, medium impact
3. Exercise - 6 times, positive impact
4. Social interaction - 5 times, positive impact
5. Traffic congestion - 4 times, medium impact

## High-Efficiency Coping Strategies
1. Exercise - 90% effectiveness rate ✓
2. Meditation - 85% effectiveness rate ✓
3. Deep breathing - 75% effectiveness rate ✓

## Recommendations
- When work pressure is high in the afternoon, use deep breathing or short walks
- Maintain regular exercise, which has a significant effect on mood improvement
- Improving sleep helps reduce anxiety and fatigue

/crisis assessment

# Crisis Risk Assessment

## Current Risk Level: 🟢 Low Risk

**Risk Score**: 3/20

## Risk Factor Analysis
| Risk Factor | Score | Details |
|-------------|-------|---------|
| PHQ-9 Item 9 | 0 points | Score 0, no suicidal ideation ✓ |
| Symptom Change | -2 points | Improving trend ✓ |
| Emotional Intensity | 2 points | High-intensity negative emotion proportion 45% |
| Emotional Fluctuation | 1 points | Medium fluctuation |
| Early Warning Signals | 0 points | None detected ✓ |
| Social Withdrawal | 0 points | Good social activities ✓ |
| Functional Impairment | 0 points | Normal function ✓ |
| **Total Score** | **3 points** | **Low Risk** ✓ |

## Recommended Actions
- Continue monitoring mental state
- Maintain healthy lifestyle habits
- Conduct regular mental health assessments (once a month)
- Continue psychotherapy (if applicable)

## Emergency Resources (Backup)
- Psychological Crisis Hotline: 400-xxx-xxxx (24/7)
- Psychiatric Emergency Department: Nearest tertiary hospital
- Emergency Call: 120

⚠️ If any of the following situations occur, please seek professional help immediately:
- Having self-harm or suicide thoughts or plans
- Hallucinations, delusions
- Complete loss of function
- Uncontrollable emotional outbursts

/mental therapy progress

# Psychotherapy Progress Analysis

## Treatment Overview
- Treatment Type: CBT (Cognitive Behavioral Therapy)
- Treatment Frequency: Once a week
- Number of Counseling Sessions Conducted: 24 times
- Treatment Duration: 5 months

## Treatment Goal Progress
| Goal | Baseline | Current | Target | Progress | Estimated Achievement Date |
|------|----------|---------|--------|----------|---------------------------|
| Reduce anxiety levels | 14 points | 8 points | 5 points | 57% | 2025-08-01 |
| Improve sleep quality | 10 points | 6 points | 4 points | 60% | 2025-07-15 |
| Increase enjoyable activities | 2 times/week | 5 times/week | 7 times/week | 50% | 2025-07-01 |

**Overall Progress Evaluation**: Good ✓

## Symptom Improvement
- PHQ-9 Score Change: 14 points → 8 points, 43% improvement ✓
- GAD-7 Score Change: 14 points → 6 points, 57% improvement ✓
- Overall Functional Level: Significant improvement ✓

## Homework Completion Status
- Average Completion Rate: 85%
- High-Quality Completion: 60%
- Areas Needing Strengthening: Cognitive restructuring exercises

## Treatment Highlights
- Significant improvement in anxiety symptoms
- Significant improvement in sleep quality ✓
- Good effect of behavioral activation
- Improved ability to recognize cognitive distortions

## Continue Maintaining
- Weekly psychological counseling
- Daily relaxation exercises
- Behavioral activation (exercise, social interaction)
- Thought recording

## Needs Strengthening
- Cognitive restructuring exercises
- Application of coping skills
- Maintenance of sleep hygiene

/mental analysis correlations

# Mental Health Correlation Analysis

## Sleep-Psychology Correlation (Correlation Strength: High)

### Key Findings
- Negative correlation between sleep duration and PHQ-9 scores (r=-0.72, p<0.01)
- Positive correlation between sleep quality and emotional stability (r=0.68, p<0.01)
- For every 1-point improvement in PSQI score, PHQ-9 score decreases by an average of 1.2 points

### Impact of Sleep Issues
- Difficulty falling asleep → 40% increase in next-day anxiety
- Frequent nighttime awakenings → 35% increase in next-day low mood
- Sleep deprivation → Poor concentration, increased emotional fluctuations

### Recommendations
- Maintain regular schedule, go to bed before 23:00 every night
- Improve sleep hygiene: Avoid caffeine intake in the afternoon
- Continue relaxation exercises to promote sleep

## Exercise-Emotion Correlation (Correlation Strength: High)

### Key Findings
- Positive correlation between exercise frequency and proportion of positive emotions (r=0.75, p<0.01)
- Average emotional intensity on exercise days is 1.5 points higher than on non-exercise days
- Anxiety levels decrease by an average of 50% after exercise

### Most Effective Exercise Types
1. Aerobic exercise (running, swimming) - 85% improvement rate
2. Yoga - 80% improvement rate
3. Outdoor walking - 75% improvement rate

### Recommendations
- Maintain 3-5 exercise sessions per week, each lasting more than 30 minutes
- Prioritize aerobic exercise
- Take an outdoor walk when feeling anxious

## Nutrition-Psychology Correlation (Correlation Strength: Medium)

### Key Findings
- Positive correlation between caffeine intake and GAD-7 scores (r=0.52, p<0.05)
- Positive correlation between high-sugar diet and emotional fluctuations (r=0.48, p<0.05)
- Insufficient Omega-3 intake may be associated with depressive symptoms

### Recommendations
- Reduce caffeine intake (≤2 cups per day)
- Reduce added sugar intake
- Consider supplementing Omega-3 (consult a doctor)

## Comprehensive Recommendations
Based on correlation analysis, the following lifestyle changes are most effective for improving mental health:
1. **Regular exercise** (3-5 times per week, 30+ minutes)
2. **Adequate sleep** (7-8 hours, bed before 23:00)
3. **Balanced diet** (reduce caffeine and sugar)
4. **Continuous treatment** (CBT psychotherapy)

The combined contribution of these 4 aspects to your mental health improvement is **75%**.

/mental report

Error: Mental health data file not found
Recommendation: Please first use the /mental assess or /mental mood command to create data

Warning: Insufficient data for trend analysis
Recommendation: At least 3 PHQ-9/GAD-7 assessments or 7 days of mood journals are required
Current Data: X PHQ-9 assessments, X mood journal entries

🔴 Crisis Warning: High-risk factors detected

Immediate Actions:
1. Contact the psychological crisis hotline: 400-xxx-xxxx (24/7)
2. Go to the nearest psychiatric emergency department
3. Dial emergency call: 120
4. Contact family or friends for company

Detected High-Risk Factors:
- [List high-risk factors]

Do not hesitate, seek professional help immediately!