Everything safety-related — crisis help, grounding tools, and Carmelita — works without signing in.
Your journal entries are private. This prototype stores them on this device only.
Prototype IDs — clients: RAMELI-3390, DELLUC-4821, REYMAR-5107. Clinicians: CAM-9001, CRI-9004. Non-clinical staff: ADM-9000 (front desk), ADM-9010 (practice manager). Parent: FAM-1001. In the live app each is paired with a password, and staff additionally with multi-factor authentication. Staff access is logged, and signing in to a staff account confirms you are an authorized workforce member on a secured device.
Setting up
Four steps, in order
Each one is optional except the first. You can stop after any of them and come back.
Nothing you write is visible to anyone — not your therapist, not a parent — until you send it, item by item. You can take any of it back later.
Connect
Connect to someone
Enter the Confianza ID of the person you support. They get a request and decide whether to accept it. Until they do, you see nothing at all.
Requests you have sent
What happens next
They see your name and can accept or deny it
If they accept, you also get linked to their provider
You see only what they choose to send you, never their journal
Either of you can unlink at any time, which revokes everything
Step 1 of 4 · New account
Create your account
This takes a minute and gives you a Confianza ID. Everything after this — your therapist, the people who support you — connects to that ID.
Your therapist (you can add this later)
If your therapist has already given you their provider ID, put it in and you will be linked as soon as the account exists. If not, skip it — step 2 comes back to this.
Your full name is used to build your ID and is never shown to anyone but you. Nothing you write is sent to a provider until you send it.
Hello
How are you feeling?
Tap a face for a tool, a resource, and a read that fit.
Daily goals
Small things that support how you feel. Tap one to log it and say how it went.
My account
Trusted people, resources, and settings
Mood check-in
How are you feeling right now?
Tap what's closest — you can always say more after.
Sad
Anxious
Neutral
Content
Joyful
Confianza Health
Thanks for telling me. Low days are heavy to carry — I'm glad you checked in instead of pushing through alone.
Want to try something short with me, or would writing it out feel better right now?
Why anxiety feels this way▾
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Grounding skills
Pick what fits right now
Different tools help with different feelings — try a few and see what lands.
Box breathing
Slow, paced breathing — good for anxiety and racing thoughts
Physiological sigh
Double inhale, long exhale — fastest way to drop acute stress
Cold reset
Uses temperature to interrupt overwhelming emotion
Muscle relaxation
Tense-and-release — good for physical tension or restlessness
☰
Shake it out
Two minutes of deliberate movement to discharge a braced body
≈
Hum it out
Long humming exhales — quiet, and works in a room full of people
❀
Butterfly hug
Slow alternating taps — settles a system that is running ahead of you
5-4-3-2-1 grounding
Uses your senses to anchor you in the present moment
Safe place visualization
Guided imagery — good for winding down or after distress
Body scan
Move attention through your body — good for numbness or tension
Guided meditation
Sit with a voice walking you through it — 3 to 12 minutes
Worry postponement
Set worry aside for a scheduled time instead of now
↻
Orienting
Slowly look around and let your body register where you actually are
▣
Name eight
Fill working memory with something other than the worry
■
The STOP skill
Four moves for the second before you do the thing you'd regret
Opposite action
Do the opposite of what the emotion urges — good for avoidance
Self-compassion break
Three steps for when you're being hard on yourself
Containment exercise
Set something aside safely when now isn't the time to process it
⋮
Step back from a thought
Put distance between you and a thought instead of arguing with it
∿
Urge surfing
Ride an urge out — they peak and fall, usually inside a few minutes
✓
Check the facts
Test what you concluded against what actually happened
⇆
Both things are true
Hold two things that seem to cancel each other out
●
Name it to tame it
A precise word for the feeling, and a number for how strong it is
Your practice — Avondale and Phoenix, in person or by telehealth.
These reach the practice during office hours. If it cannot wait, use the crisis help button at the top of the screen.
Grounding tool
Box breathing
Follow the circle. In for 4, hold for 4, out for 4, hold for 4.
breathe
Grounding tool
Name 5 things you can see
Look around slowly. Notice each one before moving to the next.
5
things you see
Grounding tool
Muscle relaxation
Tense each area for 5 seconds, then let it go completely. Notice the difference.
Shoulders
Tense
Grounding tool
Physiological sigh
Two short inhales through the nose, then a long slow exhale through the mouth. Follow the circle.
breathe in
Repeat 2–3 times. This is one of the fastest ways to bring down acute stress.
Grounding tool
Cold reset
A change in temperature can interrupt an emotional spike fast. Pick whichever is available to you right now.
💧
Cool water
Splash your face, or hold your wrists under a cold tap for 30 seconds
🥤
Cold drink
Sip something cold slowly, noticing the temperature as it goes down
🌬
Fresh air
Step outside or open a window; notice the air on your skin
Skip this one if you have a heart condition, an eating disorder, or if cold makes you feel worse — try breathing or the body scan instead.
Grounding tool
Safe place
Take your time with each step — there's no rush.
1
Grounding tool
Guided meditation
Pick one and press play. It reads itself aloud if your device allows it, and shows every line either way — so it works with the sound off.
None of these need you to clear your mind. Wandering off and coming back is the exercise.
Guided meditation
Meditation
Press play when you're ready.
—0:00
Grounding tool
Body scan
Move your attention slowly through your body. You're not trying to change anything — just notice.
Feet
Notice any sensation here
Grounding tool
Containment
Some things need attention, but not right now. This helps you set something down safely until you're ready — with a therapist, or when you have space for it.
1
Grounding skill
Butterfly hug
Cross your arms, hands on opposite shoulders, and tap slowly — left, right, left. Alternating touch settles a nervous system that is running ahead of you.
left
Tap along with the word. Slow is the point — about one tap a second.
If tapping brings up more than you expected, stop and come back to it with your therapist. That is what sessions are for.
Grounding skill
Stop
Four moves, in order, for the moment before you do the thing you will regret.
S
Grounding skill
Urge surfing
An urge is a wave, not a straight line. It builds, peaks, and drops on its own — usually inside a few minutes — if you stay with it instead of fighting it.
3:00
Press start, then just notice where you feel it and how strong it is.
Riding one urge is not the same as treating what is underneath it. If these come often, bring it to your therapist.
Grounding skill
Step back from a thought
You are not arguing with the thought or proving it wrong. You are putting a little distance between you and it.
Nothing typed here is saved. If you want to keep it, write it in your journal instead.
Grounding skill
Name it to tame it
Putting a precise word to a feeling measurably lowers its intensity. Vague distress is harder to work with than a named one.
Grounding skill
Worry postponement
Worry rarely responds to "stop thinking about it." Scheduling it works better — you're not dismissing it, just deciding when.
1
Grounding skill
Shake it out
Stress mobilises the body for action it never gets to take. Two minutes of deliberate movement gives it somewhere to go, which is why animals shake after a fright.
1
Grounding skill
Hum it out
A long hum makes the out-breath longer than the in-breath and adds vibration in the throat and chest. Both nudge the body toward its rest setting.
2:00
Do it quietly if you are not alone. It works at a volume only you can hear.
Grounding skill
Orienting
Slowly looking around a room tells a vigilant nervous system what it keeps asking: where am I, and is anything here a threat. It is the oldest grounding skill there is.
1
Grounding skill
Name eight
Recall takes up the same attention that worry is using. Pick a category and name eight, out loud or in your head, tapping one dot each time.
Name eight
Category
Grounding skill
Check the facts
Emotions fit some situations and overshoot others. This walks the gap between what happened and what you concluded, without arguing that the feeling is wrong.
1
If the facts do check out, the feeling fits and the next question is what to do about the situation, not the feeling.
Grounding skill
Both things are true
When a feeling and a fact seem to cancel each other out, the mind picks one and fights the other. Holding both usually settles it faster.
Nothing typed here is saved. If you want to keep it, write it in your journal instead.
Grounding skill
Opposite action
Emotions come with urges. When the urge keeps you stuck, doing the opposite — gently — tends to shift the feeling faster than waiting it out.
This is for emotions that are out of proportion or keeping you stuck — not for feelings that fit the situation. Sadness after a real loss doesn't need opposing.
Grounding skill
Self-compassion break
Three steps, about two minutes. Useful when the voice in your head has turned harsh.
1
Journal
A place to let it out
0 words
Only you can see this unless you choose to share it.
Journal
Your entries
Each entry shows up as an emoji on the day you wrote it.
Month Year
SMTWTFS
Tap any past day to add an entry for it.
Every entry you've written, newest first.
How your check-ins have moved over time.
Learn
Understand what you're feeling
Provider portal
Assessments
Structured, validated questionnaires to support your clinical assessment — not a replacement for it. Only a signed-in clinician can administer and complete these.
Clinical screening
PHQ-9 depression screening
A validated 9-item questionnaire, used with the standard PHQ-9 diagnostic algorithm to flag symptom patterns consistent with a depressive disorder. Walk through it as if with a client, then review the result together with your own clinical judgment.
Step 1 of 11
Question
Screening result
PHQ-9 result
0/27
Minimal
Algorithm interpretation
This screening result supports — but does not replace — a full clinical evaluation and diagnosis by a licensed clinician. Confirm findings using your own clinical judgment before making any diagnostic or treatment decision.
Clinical screening
Screening
Step 1
Question
Screening result
Result
0/0
Band
Interpretation
This screening result or checklist supports — but does not replace — a full clinical evaluation and diagnosis by a licensed clinician.
Carmelita · Confianza Health
Ask Carmelita about what you're going through
New patients
Begin services with Confianza Health
Fill out the form below to request an appointment. A member of our team will follow up with you.
📝
Prospective patient form
Tell us a bit about what you're looking for and we'll follow up to get you scheduled.
Prefer to call? Reach us at (623) 439-7472, Monday–Friday 9am–5pm. Se habla español.
Our locations
📍
Avondale
919 N Dysart Rd, Suite F Avondale, AZ 85323
Directions →
📍
Phoenix
11225 N 28th Dr, Suite C-206 Phoenix, AZ 85029
Directions →
Your account
?
Your profile
Your activity
Quick actions
Your people & resources
Everything you want one tap away when things get hard — people you can reach, plus support lines, groups, and anything else. These all appear on your crisis screen.
Two kinds of access, managed separately. Neither one can see the other, and you can take either back at any time.
◎
Parent access
A parent or guardian sees only what you send them
Open
Privacy
⚿
Privacy & security
How your information is handled and your rights
Read
Saved on this device only in this prototype. In the full app these would sync securely to your account.
Between-session messages
Message your provider
Before your first message
A copy of what you just signed is kept in the practice’s consent register — you only do this once. Messages are office hours only and not for emergencies. In a crisis, get help now.
Office hours only, and not for emergencies. In a crisis, get help now.
Provider portal
Messages
Every client thread, newest activity first.
Message thread
Client
Visible only to you and this client. Not for crisis communication — direct clients to 988 or the office for anything urgent.
Daily goals
Your progress
Each dot is something you did that day.
Month Year
SMTWTFS
Tap any past day to log for it.
Today — tap anything you did. Nothing here is a requirement — it's a record, not a scorecard.
How often you've done each of these.
Member account
Your Confianza Health account
Everything in this app is open to you already. Linking your account to your provider adds one thing: the ability to send what you write to your therapist or a parent.
What linking adds
Send your journal, mood, and goal history to your therapist
Share a single entry, or everything, in a couple of taps
Give a parent or guardian their own limited sign-in
See exactly who opened what, and take any of it back
Your connection code comes from the office when you start services.
Not a client yet?
You can still use all of this
Sharing is the only part that needs a provider on the other end. Request an appointment and the office will send you a connection code.
Open to everyone, always
Crisis resources, 911, 988, and your saved contacts
Journal, diary, mood check-ins, and all their history
Daily goals — logging, calendar, and progress charts
Ask Confianza Health, including crisis detection
The whole Learn library, every section
Every grounding skill, all thirteen
Parenting toolkit and requesting an appointment
Membership
Confianza Health membership
Everything in the app, for you and the people you have linked.
Codes & requests
Link your people
Two things happen here: linking your therapist with the provider ID they gave you, and answering anyone who has asked to connect to you.
Prototype provider IDs for testing: CAM-401, ROD-402, NAV-403, CRI-404. In the live app this is single-use, expires, and is issued from the practice's system.
Provider access
Your therapist
What you can do
What you've sent
Who opened your records
Every time your provider opens, downloads, or sends one of your shares, it is recorded here.
Send to your therapist
Choose what to share
Send only what you want them to see. Anything you leave unchecked stays private to you.
Send to
Date range
Include
A note for your therapist (optional)
Your authorization
They receive a snapshot of what you selected — not ongoing access to your app.
Shared record
Share
What you sent
Access history
Member accounts
Member usernames
Nobody signs themselves up. You issue the username here, hand it to the person, and that is what they use to open the app. It is built the same way their name appears on your caseload.
Issue this to the person, not about them
Give the username directly to the client or their guardian. It is how they reach their own record, so treat it like any other credential.
Issued accounts
For Confianza Health staff
Provider portal
Restricted to credentialed Confianza Health staff. Access is logged. You will only see clients who have linked their account to you and chosen to share.
Protected health information
By continuing you confirm you are an authorized workforce member and that this device is secured under the practice's policies.
Prototype codes: CAM-9001, ROD-9002, NAV-9003, CRI-9004. Production requires unique named accounts with multi-factor authentication — never a shared code.
Your clients
Client record
Client
Phase & intention
Case formulation
Progress they shared
Check-ins
Assessments you completed
Shared record
Record
Access history
Case conceptualization
Formulation
Work down from the emotional injury to the symptoms it produced, then name what has to be stable before any of it can be processed.
Clinical orientation
Intentional Progression Framework™
Privacy & security
How your information is handled
Confianza Health is a covered entity under HIPAA. Anything you send your provider becomes part of your clinical record and is protected by the same rules as anything you say in session.
What this app does
Nothing is sent to your provider unless you send it
You choose the exact items and date range — the minimum necessary
You sign an authorization before anything is released
You can revoke a share, which removes your provider's access
Every open, download, and send is logged and shown to you
Providers see only clients linked to them
The portal locks itself after 5 minutes of inactivity
Regular email is off unless you specifically allow it
Parent & guardian access
A parent or guardian sees only what you send them, never the app itself
What you send a parent is separate from what you send your therapist
Your therapist does not see what you sent your family, and vice versa
Every time a parent opens something, it shows in your access history
Removing someone's access revokes everything you sent them
Parenting tools and crisis resources are free with or without a code
If you are a minor, what a parent or guardian is entitled to see is also set by Arizona law and by Confianza Health policy, not only by this app. Your therapist can walk you through how it applies to you. Questions about your record: (623) 439-7472 or info@confianzahealth.org
Assessments
Screening instruments are administered by a clinician, not self-completed
A score on its own is not a diagnosis and is not meant to stand alone
Results are recorded against the provider's portal session
Your rights
You may see and get a copy of your record
You may ask for corrections to it
You may ask for a list of disclosures
You may revoke an authorization in writing at any time
Revoking does not undo what was already relied on
You may file a complaint without any effect on your care
This build is a prototype, not a compliant system
It stores everything unencrypted in this browser, has no real authentication, and is not covered by a business associate agreement. Do not enter real client information. See the production checklist below before this is used with anyone's actual health information.
Before go-live
HIPAA-eligible hosting with a signed BAA
Server-side storage, encrypted at rest and in transit
Named accounts, MFA, role-based access, automatic lockout
Server-side immutable audit log with retention
Routing shares into the EHR rather than a separate store
Signed authorization retained per state and HIPAA rules
Breach detection, notification procedure, and incident log
Security risk analysis and workforce training on file
Device-level protections: no PHI cached, remote wipe
Linked account
✧
Feature
Why this one needs linking
Sharing needs a real provider or guardian on the other end. Everything else in the app is already open to you.
Hello
Your daily goals
Small, repeatable things that change how a week goes. Tap one to log it and say how it went.
Messages
Conversation
Parent messages
What parents have written in
Front-desk threads for anyone who can send a notice, and clinical threads for your own caseload only.
Parent message
Parent
Child record
Child
Progress they shared
Check-ins
Shared with you
Record
Access history
This is a personal record the client keeps between sessions. It is not a clinical assessment. Please handle it the way you'd want your own kept.
Family
Conversation
Your people
Who is connected
Anyone who supports you asks by entering your Confianza ID. You decide. They never see your app — only the specific things you send them.
Waiting on you
Connected to you
What you can do
What you've sent them
What they can and can't do
They can open only the records you send them
They cannot see your journal, diary, mood, or goals otherwise
They cannot see what you send your therapist
Every time they open something, it shows up in your access history
You can remove their access at any time, which revokes everything
They get parenting tools and crisis resources whether you share or not
Daily parenting goals
Your progress
Each dot is something you did that day.
Month Year
SMTWTFS
Tap any past day to log for it.
Today — tap anything you did. Nothing here is a requirement.
How often you've managed each of these.
Parenting toolkit
Practical things that work
General parenting strategies, not treatment or a substitute for it. Nothing here is recorded or shared, and your child never sees that you used one. If something isn't working, bring it to your child's therapist — that's what sessions are for.
Parenting toolkit
Topic
Parent & guardian
Resources
Crisis numbers, guides on getting help, and organisations worth knowing. Search, or pick a section.
Outside organisations are listed for convenience. Confianza Health doesn't control their content, and none of them replace your child's therapist.
This app can't handle emergencies — these resources can.
For Confianza Health staff
Practice administration
Restricted to authorized practice staff. Every notice you send is signed with your name and kept in the audit trail.
This is not clinical messaging
Notices reach many people at once and are not read by a clinician. Never put protected health information in one, and never use one to respond to a crisis.
Prototype codes: ADM-9000 (Front desk), ADM-9010 (Practice manager). Production requires named accounts with multi-factor authentication.
Staff accounts
What should they be able to do?
The invitation carries all of this, so it is decided now rather than after they already have an account.
Type of account
Permissions
Sending to groups
A group send reaches every member, parent, or provider at once and cannot be unsent. Most front-desk work only needs notices to one person.
You can revoke it any time before it is used.
Practice administration
Notices
Send a practice notice to everyone, to one group, or to a single person.
Waiting on you
Membership requests
What you've sent
Rules for notices
No protected health information — notices are not clinical records
Nobody is on the other end; replies go to the office phone
Crisis resources stay reachable no matter what you send
Every send and every open is recorded and attributed to you
Users & records
Client accounts
Everyone the practice has issued an account to. Open anyone to see their record, what they have signed, and their access.
Client account
?
Client
Staff
Who works here
Who can do what, and who has been invited.
Staff
?
Staff member
New notice
Who is this for?
The notice
Plain language. Say what changed and what the person needs to do.
Attach a PDF (optional)
Forms, flyers, notices of privacy practices — anything you would otherwise hand across the front desk.
Before you send
A notice cannot be unsent — it can only be withdrawn, which hides it from anyone who has not opened it yet. Read it once more for anything that identifies a specific person's care.
Add a subject and a message.
From the office
Notices
Practice announcements from Confianza Health. These are not clinical messages and nobody is monitoring replies.
Attachment
Document
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100%
Before you begin
Screening tool
This is a screening tool, not a diagnosis. Results indicate whether symptoms are consistent with a pattern — only a licensed clinician can diagnose.
Results are not a substitute for a clinical evaluation and should not be used alone to make treatment decisions.
These instruments are intended for use by licensed clinicians as part of a full assessment.
A low score does not rule out a condition, and a high score does not confirm one.
If you or someone else is in crisis, stop and use the crisis resources in this app, or call 988 or 911.
