Mindable FAQ - Wie können wir weiterhelfen?

As a user, do you have questions about using Mindable? As a doctor or therapist, do you need more information? Here we have compiled the most frequently asked FAQs.

FAQ for app users

General questions

Application, conformity, suitability

Account & Privacy

Registration, account deletion, data collection

Technical Support & Feedback

Technical problems, feedback, wishes

FAQ für Ärzt:innen und Therapeut:innen

General questions

Application, conformity, suitability

Test account for professionals

Registration, account deletion, data collection

Mindable in everyday therapy

Why and how to use Mindable?

Technical Support & Feedback

Technical problems, feedback, wishes

General questions

Mindable is an app for the treatment of panic disorder and agoraphobia (claustrophobia). Due to the anxiety disorder, everyday life and quality of life can be enormously limited. Quick help is needed, but often not possible due to long waiting times for a therapy place. The Mindable app offers immediate help here. In three treatment steps you learn to understand your fears, to trust your body again and to go through life independent of fear. The intuitive design of the app allows you to use it independently. However, you can also use the app in the context of psychotherapy together with a therapist, or give your family doctor insight into symptom progression and treatment progress.

You suffer from panic attacks and feel uncomfortable in crowds, narrow/wide spaces, or public transportation? You want to start treatment, but can’t find a therapy place or are on the waiting list? Then Mindable is just right for you.

Your doctor or psychotherapist can now prescribe Mindable for you with a confirmed diagnosis of agoraphobia (F40.0) and/or panic disorder (F41.0).

Mindable is not for you if you have been diagnosed with or are suspected of having any of the following mental disorders:

  • Schizophrenia and delusions (F20-24, F28, F29)
  • Bipolar affective disorder (F31)
  • Major depressive episode with psychotic symptoms (F32.3)
  • Recurrent depressive disorder, present severe episode with psychotic symptoms (F33.3)
  • Acute intoxication (F10.0 – F17.0)
  • Suicidality and suicide attempt (R45.8; Z91.8)

Individual exercises are only conditionally recommended for the following physical limitations and illnesses:

  • Pregnancy
  • cardiovascular diseases (e.g. hypertension at rest, cardiovascular disorders)
  • pneumological diseases
  • photosensitive epilepsy
  • substance dependence

The corresponding exercises are provided with warnings. Do not perform them without consulting your doctor.

If you have acute suicidal thoughts or urgently need help, please contact the telephone counselling service immediately.

0800 1110111

Here, someone is available for you around the clock.

The term “DiGA” stands for “digital health application” (digitale Gesundheitsanwendung). These are CE-marked Class I or IIa medical devices whose main function is based on digital technologies. This main function is to assist in the detection, monitoring, mitigation or treatment of disease or detection, mitigation, treatment or compensation of injury or disability through digital technologies. A DiGA are thus a “digital assistant” in the hands of the patient.

Mindable is also a DiGA and therefore listed in the official DiGA directory of the BfArM. Psychotherapists and doctors can prescribe Mindable by prescription. The costs are covered by the statutory health insurance.

A so-called health or wellness app can be any available digital application on the international market. Manufacturers can offer these freely and are not subject to any review or monitoring.

A digital health application (DiGA), on the other hand, is a selected app or web-based application that may only be offered on the German market after a strict government review process. They are tested, according to German law, by the Federal Institute for Drugs and Medical Devices (BfArM). In addition, DiGA are Class I MDD medical devices and are also subject to strict quality and safety requirements under the Medical Devices Act. Furthermore, only DiGAs can be prescribed on prescription by physicians and psychotherapists and can be billed via the statutory health insurance funds.

Your doctor or psychotherapist can prescribe Mindable for you. Alternatively, you can ask for a doctor’s letter (Arztbrief) with proof of your diagnosis.

If you already have proof of your diagnosis, you can also send your request directly to the health insurance company.

Yes. The statutory health insurance companies cover the costs for Mindable in full. You do not have to make any advance or co-payments.

People with private health insurance can apply for reimbursement. Many private health insurances (PKV) also cover the costs for DiGA. However, there is no uniform regulation and it is up to your health insurance company to decide whether it will cover the costs for Mindable. It is best to ask your health insurance company directly.

If you have the okay from your health insurance, you can first purchase access to the app as a self-payer and then have it reimbursed retroactively.

After successful registration, you will receive access to Mindable’s treatment program. This includes:

As its main feature, Mindable offers three treatment modules that build on each other:

1. Learning & Understanding: Learn all about the mechanisms of action of your fears so you can get to know and understand them better.

2. Get used to symptoms: Through numerous exercises and animations, you will be supported in getting your body used to panic symptoms.

3. Become independent again: Overcome your fear by confronting anxiety-provoking situations and places. Mindable guides you through this process.

In addition, the app includes a diary function and a weekly checkup to document changes in your symptoms. The app summarizes your entries and evaluates them statistically for you. This means you always have an overview of your treatment progress. If necessary, you can share the evaluations with therapists and doctors via PDF export.

No. Mindable is not a substitute for a psychotherapist or doctor. We recommend to use Mindable as an accompaniment and support to therapy. Mindable is also suitable to bridge the waiting time for a therapy place and to counteract a worsening of the symptoms. The confrontation with anxiety-provoking situations and places requires (at first) a great deal of overcoming, we guide and accompany you in this process. However, your self-motivation is an important prerequisite for success.

No. The prescription of Mindable and traditional psychotherapy are independent health insurance benefits. Your eligibility for psychotherapy is not affected.

Mindable is based on cognitive behavioral therapy (CBT) methods with a focus on confrontation techniques. This is considered the scientifically proven gold standard in the treatment of agoraphobia and panic disorder. It is based on the treatment manual “Exposure-based therapy for panic disorder with agoraphobia” (Lang et al., 2018). The app was developed in close collaboration with the authors.

Currently, clinical trials are being conducted on the use of Mindable. Preliminary studies already show significant improvements in clinical symptoms, quality of life, limitations in daily life, and self-efficacy in Mindable users.

Mindable a Class I MDD medical device. We are therefore compliant with the strict quality and safety requirements of the Medical Devices Act. In addition, Mindable has been reviewed by the German Federal Institute for Drugs and Medical Devices (BfArM) and provisionally included in the DiGA directory. More information can be found here.

No. Mindable explicitly does not see itself as a “panic button”. Mindable therefore does not offer any functions to counteract an acute panic attack. It is scientifically proven that so-called safety and avoidance behaviors perpetuate anxiety and panic. You can learn more about this in the app.

Mindable supports you through targeted confrontation with anxiety and panic to get your body used to anxiety symptoms step by step, in order to reduce them in the long term.

In principle, Mindable can be combined with taking medication. However, it is important that you do not take any medication before and during the interactive exercises (symptom provocations, confrontations, etc.), which serve to calm you down. In the exercises it is explicitly desired and necessary that you feel fear, so that you can get used to them. You can find out more about this in the app.

If you are having acute suicidal thoughts or need urgent help, please contact the crisis line immediately.

0800 1110111

Here, someone is available for you around the clock.

Account & Privacy

Mindable is compliant with the strict quality, safety and data protection requirements of the Medical Devices Act, the General Data Protection Regulation (DSGVO) and the Digital Health Applications Regulation (DiGAV). A corresponding formal audit was conducted by the German Federal Institute for Drugs and Medical Devices (BfArM).

Mindable offers:

  • Highest security standards and data economy
  • Confidential treatment of data according to European data protection standards
  • No use of data for advertising purposes
  • No commercial transfer of data to third parties
  • Server location only within Germany
  • Exclusively German service providers
  • Offline mode for use in insecure networks

You have the right to obtain information about their data at any time in accordance with the GDPR, as well as to request its deletion.

Here you can find the complete privacy policy of the Mindable website:
https://mindable.health/datenschutzerklaerung/

Here you can find the full privacy policy of the Mindable app: https://mindable.health/app-datenschutzhinweise/

Yes, Mindable creates statistical analyses of symptom progression and exercises. With your explicit consent, you can share this data digitally via PDF export or as a printout. Psychotherapists and doctors can get important information for your further treatment.

DiGA must ensure interoperability, i.e. the export of data according to common standards in the healthcare system in accordance with the DVG. And then, of course, we at Mindable do the same.

That’s why you can export your data (patient profile and observation data) both as a PDF, and in machine-readable form as a JSON file (according to FHIR standard). The machine-readable data is exported as a FHIR bundle (http://hl7.org/fhir/StructureDefinition/Bundle). The bundle contains a patient profile (http://hl7.org/fhir/StructureDefinition/Patient) and observation data (http://hl7.org/fhir/StructureDefinition/Observation).

You can find the data export in your profile within the app.

You can delete your account independently within the settings of the app. Your data will be deleted from our servers within the next 10 days. Your right to data portability according to Art.20 DSGVO will expire.

Technical Support & Feedback

The Mindable Tech Tip:

Most problems can be solved by logging out and logging back in. The Mindable app goes through a reset each time. However, this does not mean that previous entries are deleted, they are of course retained.

If that doesn’t help:

If this doesn’t help or you have other technical problems, you can always contact us. Please use the feedback function in the Mindable app settings or send us an email to support@mindable.health.

We will take care of your issue as soon as possible. Your feedback is essential to improve Mindable. We are therefore happy about any feedback.

Through your valuable feedback we can significantly improve our product and adapt it to the needs of our users.

To do so, either use the feedback function in the settings of the Mindable app or write an email to  team@mindable.health

We are looking forward to your suggestions.

No. Mindable is designed to be need-based, user-friendly, and intuitive. Technical knowledge beyond the everyday operation of a smartphone and apps in general, is not required.

To use Mindable, a working smartphone or tablet with internet access is required.

The Mindable app can be used with all smartphones/tablets that have the operating systems iOS 12 and greater, and Android 6 (API Level 23) and greater.

A valid email address is required to create an account. This does not have to include a clear name and identity.

A stable internet connection is only required during account creation and login. All other functions are also available offline.

General questions

The digital health application “Mindable: Panic Disorder and Agoraphobia” is aimed at people aged 18 and over who suffer from the symptoms of agoraphobia and/or panic disorder. The treatment program is based, according to S3 guidelines for the treatment of anxiety disorders, on methods of cognitive behavioral therapy with an emphasis on confrontation techniques.

Mindable aims to support users in addressing their anxiety proactively. Therefore, the treatment modules consist of psychoeducation, habituation of body symptoms through targeted symptom provocation, and in-vivo confrontation exercises.

In addition, Mindable enables the systematic recording of symptoms, anxiety trajectories and behavior. Treatment progress can thus be optimally documented and, if necessary, shared with treating physicians and psychotherapists.

Mindable is aimed at patients 18 years of age and older with a confirmed diagnosis of a

Agoraphobia (ICD-10 F40.0) and/or panic disorder (ICD-10 F41.0).

We recommend Mindable in particular:

  • to bridge the waiting time for a therapy place
  • in case of regional lack of supply offers
  • as a low-threshold offer for patients who do not wish to undergo therapy for the time being for fear of stigmatization

Prescription of Mindable is not indicated in patients with the following mental disorders:

  • Schizophrenia and delusions (F20-24, F28, F29)
  • Bipolar affective disorder (F31)
  • Major depressive episode with psychotic symptoms (F32.3)
  • Recurrent depressive disorder, present severe episode with psychotic symptoms (F33.3)
  • Acute intoxication (F10.0 – F17.0)
  • Suicidality and suicide attempt (R45.8; Z91.8).

Individual exercises are only conditionally recommended for the following physical limitations and illnesses:

  • Pregnancy
  • cardiovascular diseases (e.g. high blood pressure at rest, cardiovascular disorders)
  • pneumological diseases
  • photosensitive epilepsy
  • Substance dependence

The corresponding exercises are marked with warnings. Advise your patients not to perform these marked exercises.

The term “DiGA” stands for “digital health application” (digitale Gesundheitsanwendung). These are CE-marked Class I or IIa medical devices whose main function is based on digital technologies. This main function is to assist in the detection, monitoring, mitigation or treatment of disease or detection, mitigation, treatment or compensation of injury or disability through digital technologies. A DiGA are thus a “digital assistant” in the hands of the patient.

Mindable is also a DiGA and therefore listed in the official DiGA directory of the BfArM. Psychotherapists and doctors can prescribe Mindable by prescription. The costs are covered by the statutory health insurance.

A so-called health or wellness app can be any available digital application on the international market. Manufacturers can offer these freely and are not subject to any review or monitoring.

A digital health application (DiGA), on the other hand, is a selected app or web-based application that may only be offered on the German market after a strict government review process. They are tested, according to German law, by the Federal Institute for Drugs and Medical Devices (BfArM).

In addition, DiGA are class I or IIa medical devices and are also subject to the strict quality and safety standards of the Medical Devices Act within this framework. Furthermore, only DiGAs can be prescribed on prescription by physicians and psychotherapists and billed via the statutory health insurance funds.

All information about the DVG and DiGA can be found at Website of the Federal Institute for Drugs and Medical Devices (BfArM).

The entry in the DiGA directory of the BfArM for Mindable can be found here.

Mindable is prescribed on a panel prescription (Muster 16).*

The prescription must contain the PZN 17454202 and the name Mindable. Diagnosis and prescription duration do not have to be indicated on the prescription.

If you print prescriptions via the practice management system (PVS), you can find Mindable via the PZN: 17454202.

Alternatively, you can also issue a doctor’s letter (Arztbrief) with a confirmed diagnosis. Simply use our GKV template and our PKV template.

You can find more about the prescription process here.

*Psychotherapists can apply for prescription pads at their association of panel doctors.

Your patient submits the prescription/diagnosis certificate to their respective health insurance company. This can be done online, via the health insurance app, by mail or by phone.

Important: Not in the pharmacy.

The health insurance company will send your patients a 16-digit activation code within a few working days, which they can use to register in the app and start treatment immediately.

The statutory health insurance companies cover the costs for Mindable in full. Patients do not have to make any advance or co-payments.

Private health insurants can apply for reimbursement, many private health insurances (PKV) also cover the costs for DiGA. However, there is no uniform regulation and it is up to the respective PKV to give this instead. Here it is advisable to inquire in advance directly with the respective PKV.

Self-payers can also get access to Mindable. You can find more information here: www.mindable.health/selbstzahler

 

After successful registration, your patient:s will receive access to Mindable’s treatment program. This includes:

Psychoeducation: Users are first informed about the general mechanisms of anxiety and panic. Subsequently, maladaptive thoughts, safety and avoidance behaviors are identified and reflected upon through interactive exercises. The goal is to understand their perpetuating effect in order to actively reshape them in the next modules.

Symptom provocation (interoceptive exposure): Users are guided through animations to actively generate panic symptoms. Habituation desensitizes body memory and lowers the alertness of the central nervous system to panic stimuli. The goal is to reduce the number of panic attacks, as well as their severity.

Confrontation (in-vivo exposure): Users deliberately put themselves in fear-inducing situations through confrontation exercises. Here, too, habituation takes effect and conditioned stimulus-response patterns can be softened. More than 350 exercises are available for individualization, as well as the option to create your own exercises. During the exercise, a life recording of the anxiety level is made. Distorted perceptions can thus be corrected.

Checkup: enables weekly recording of symptom progress using targeted questions based on DSM-5 criteria. Progress in treatment becomes measurable and visible.

Diary: regular reflections in the diary serve to raise awareness of maladaptive patterns. Patients learn to relate panic attacks and symptoms to corresponding cognitions and behaviors.

Statistics & Histories: visualize the course of treatment. Patients are empowered in their self-efficacy and health literacy.

No. Mindable is not a substitute for psychotherapy. We recommend using Mindable as an accompaniment and support to therapy. Mindable is also suitable to bridge the waiting time for a therapy place and to counteract an aggravation of the symptoms. The confrontation with anxiety-provoking situations and places requires (at first) a great deal of overcoming; we guide and accompany users in this process. However, self-motivation is an important prerequisite for success.

No. The prescription of Mindable and traditional psychotherapy are independent health insurance benefits. This does not affect the entitlement of your patients to psychotherapy.

Mindable is based on the evidence-based and S3 guideline-compliant methods of the treatment manual “Exposure-based therapy for panic disorder with agoraphobia” (Lang et al., 2018) and was developed in close collaboration with the authors. It is currently being evaluated in a prospective, multi-center, randomized control group trial (RCT) with symptomatic participants. Preclinical data already show significant changes. For more information on our current studies, please click here.

Mindable a Class I MDD medical device. We are therefore compliant with the strict quality and safety requirements of the Medical Devices Act. In addition, Mindable has been reviewed by the German Federal Institute for Drugs and Medical Devices (BfArM) and provisionally included in the DiGA directory. More information can be found here.

In principle, Mindable can be combined with taking medication. However, it is important that no medication is taken before and during the interactive exercises (symptom provocations, confrontations, etc.). In the context of the habituation, it is explicitly desired and necessary that users experience anxiety. Within the app, users are informed about habituation and the role of medication as a safety signal.

No. Mindable explicitly does not see itself as a “panic button”. Mindable therefore does not offer any functions to counteract an acute panic attack, as these are to be considered as avoidance and safety behavior in the approach of confrontation therapy. In the app, users are informed about the perpetuating mechanisms of avoidance and safety behaviors and learn to reflect on them and refrain from them.
Mindable supports the long-term reduction of fear and panic through targeted confrontation.

App access for professionals

Yes. Simply write to us at fachkreise@mindable.health and receive an activation code for professionals. This is valid for 6 months.

Yes, Mindable creates statistical evaluations of symptom progression and exercises. Your patients can share these with you, with explicit consent, via PDF export digitally or as a printout. This not only provides you with important information for the sessions, but also for applications and patient reports.

You can delete your account independently within the profile settings of the app. Your data will be deleted from our servers within the next 10 days. Your right to data portability according to Art.20 DSGVO thus expires.

Data protection & data security

Mindable is compliant with the strict quality, safety and data protection requirements of the Medical Devices Act, the General Data Protection Regulation (DSGVO) and the Digital Health Applications Regulation (DiGAV). A corresponding formal audit was conducted by the German Federal Institute for Drugs and Medical Devices (BfArM).

Mindable offers:

  • Highest security standards and data economy
  • Confidential treatment of data according to European data protection standards
  • No use of data for advertising purposes
  • No commercial transfer of data to third parties
  • Server location only within Germany
  • Exclusively German service providers
  • Offline mode for use in insecure networks

You have the right to obtain information about their data at any time in accordance with the GDPR, as well as to request its deletion.

Here you can find the complete privacy policy of the Mindable website:
https://mindable.health/datenschutzerklaerung/

Here you can find the full privacy policy of the Mindable app: https://mindable.health/app-datenschutzhinweise/

 

Mindable in everyday therapy

Your benefits as a physician:

  • A low-threshold, S3 guideline-compliant treatment offering.
  • For immediate support and help
  • To bridge the waiting time for a therapy place
  • And can also be used as an adjunct to therapy
  • Strengthens self-efficacy and health competence
  • As an alternative or supplement to drug therapy
  • Easy to use and attractively designed
  • No additional time and effort for you as a doctor
  • 24/7 technical support for Mindable patients
  • Extrabudgetary prescription at the expense of health insurances

Your benefits as a psychotherapist:

  • Behavioral therapy and S3 guideline compliant
  • Effective support during the waiting period
  • Can also be (further) used during therapy
  • Easy to use and appealing design
  • Strengthens self-efficacy & health literacy
  • Animations guide through the interoceptive exposure
  • Over 350 in-vivo exposure exercises
  • Live recording of anxiety trajectories during the expo
  • Processing of data in statistic sks & histories
  • Measured & visible treatment progressions
  • Clear homework tool – everything in one place
  • Objective information for applications & reports
  • 24/7 technical support for Mindable patients

Mindable is designed to be needs-oriented, user-friendly and intuitive. Your patients should therefore quickly find their way around the app themselves.

However, if you have any questions, please feel free to contact us at any time: fachkreise@mindable.health.

If you would like to get an idea of the Ap yourself, we recommend a test access.

We are also happy to offer you information material, consultations and product demonstrations.

Yes, you can order free information material and flyers for your colleagues and patients.

Simply fill out our convenient form or send us an e-mail to: fachkreise@mindable.halth

Within 3-5 working days you will receive your information package by mail.

Yes, we are happy to give you an online product demo. Please choose a suitable date for one of our online seminars: https://calendly.com/mindable/mindable.

Would you like a personal consultation? That is also possible, send us an email with your request to fachkreise@mindable.health and we will find a common date.

Mindable works according to behavioral therapy guidelines. If you practice according to a different guideline procedure, just take a look at the app via trial access and then decide for yourself whether you want to prescribe and use Mindable.

Psychotherapists of all guideline methods can prescribe Mindable.

Technical Support & Feedback

The Mindable Tech Tip:

Most problems can be solved by logging out and logging back in. The Mindable app goes through a reset each time. However, this does not mean that previous entries are deleted, they are of course retained.

If that doesn’t help:

If this doesn’t help or you have other technical problems, you can always contact us. Please use the feedback function in the Mindable app settings or send us an email to support@mindable.health. We will take care of your request as soon as possible.

Your feedback is fundamental to improving Mindable. We are therefore happy to receive any feedback.

Through your valuable feedback, we can significantly improve our product and best adapt it to the needs of our users.

To do so, either use the feedback function in the Mindable app settings or write an email to fachkreise@mindable.health

We are looking forward to your suggestions.

No. Mindable is designed to be need-based, user-friendly, and intuitive. Technical knowledge beyond the everyday operation of a smartphone and apps in general, is not required.

To use Mindable, a working smartphone or tablet with internet access is required.

The Mindable app can be used with all smartphones/tablets that have the operating systems iOS 12 and greater, and Android 6 (API Level 23) and greater.

A valid email address is required to create an account. This does not have to include a clear name and identity.

A stable internet connection is only required during account creation and login. All other functions are also available offline.