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    fearbot

    CBT-based therapy for anxiety, depression, stress, and trauma.

    By @samoppakiks
    View on GitHub
    SKILL.md
    ---
    name: fearbot
    description: CBT-based therapy for anxiety, depression, stress, and trauma. Provides structured cognitive behavioral therapy using Beck's model with validated clinical assessments (GAD-7, PHQ-9, DASS-21, PCL-5). Includes crisis detection, thought records, differential diagnosis, and session tracking. Activate with "therapy mode", "fearbot", or "start therapy".
    version: 1.0.0
    author: Samoppakiks
    homepage: https://clawhub.ai/Samoppakiks/fearbot
    tags: [therapy, cbt, mental-health, anxiety, depression, ptsd, wellness, psychology]
    ---
    
    # FearBot 🧠
    
    > **CBT-based therapy for anxiety, depression, stress & trauma**
    
    A comprehensive Cognitive Behavioral Therapy skill that turns your OpenClaw agent into a structured therapy companion. Handles the full spectrum of common mental health concerns using evidence-based techniques.
    
    ## ⚠️ Important Disclaimers
    
    **THIS IS NOT A REPLACEMENT FOR PROFESSIONAL MENTAL HEALTH CARE.**
    
    - FearBot is a supportive tool, not a licensed therapist
    - For serious mental health concerns, please see a qualified professional
    - If you're in crisis, contact emergency services or a crisis helpline immediately
    - This skill is designed for mild-to-moderate anxiety, depression, stress, and trauma symptoms
    - Not appropriate for: active suicidality, psychosis, severe/treatment-resistant depression, eating disorders, substance abuse, or bipolar disorder
    
    **By using this skill, you acknowledge these limitations.**
    
    ## Why FearBot?
    
    Traditional therapy apps are isolated — they don't know your life context. FearBot works best as part of a fully-integrated OpenClaw agent that already knows:
    
    - Your daily stressors (from your messages)
    - Your sleep patterns
    - Your work pressures
    - Your relationships
    - Everything between sessions
    
    This context advantage is what makes AI-assisted therapy genuinely useful.
    
    ## Features
    
    - **Validated Assessments**: GAD-7 (anxiety), PHQ-9 (depression), DASS-21 (stress), PCL-5 (trauma)
    - **Differential Diagnosis**: Screens for GAD, social anxiety, panic, OCD, PTSD, depression
    - **Session Tracking**: Persistent session history, mood tracking, homework
    - **Thought Records**: Quick logging between sessions for any distressing moment
    - **Crisis Detection**: Three-tier safety system with automatic escalation
    - **CBT Techniques**: Cognitive restructuring, behavioral activation, exposure, grounding
    - **Full Transparency**: Shows scores, explains diagnoses, treats you like an adult
    
    ## Activation
    
    Say any of these to your agent:
    - "therapy mode" / "start therapy" / "therapy session"
    - "fearbot" / "fear bot"
    - "let's do therapy"
    
    For quick anxiety logging (without full session):
    - "I'm anxious" / "feeling anxious"
    - "thought record" / "log this anxiety"
    
    ## Session Flow
    
    ### First Session (Intake)
    1. Baseline GAD-7 + PHQ-9 assessment
    2. Differential diagnosis screening
    3. Clinical impression with full transparency
    4. Homework assignment
    5. All data saved to local database
    
    ### Ongoing Sessions
    1. Mood check-in (0-10)
    2. Bridge from last session + homework review
    3. Due assessments (GAD-7 weekly, PHQ-9 bi-weekly)
    4. Collaborative agenda setting
    5. Core CBT work (matched to presentation)
    6. Summary + new homework
    
    ## Crisis Safety
    
    FearBot includes a three-tier crisis detection system that monitors ALL messages:
    
    | Tier | Trigger | Response |
    |------|---------|----------|
    | HIGH | Active suicidal intent/plan | Stop therapy, safety protocol, helplines |
    | MODERATE | Passive ideation | Pause, assess, provide resources |
    | LOW | Distress markers | Acknowledge, screen, continue with awareness |
    
    **Included Crisis Resources:**
    - International Association for Suicide Prevention: https://www.iasp.info/resources/Crisis_Centres/
    - Crisis Text Line (US): Text HOME to 741741
    - Samaritans (UK): 116 123
    - Tele-MANAS (India): 14416
    - Lifeline (Australia): 13 11 14
    
    ## Data Storage
    
    All therapy data stays LOCAL on your machine:
    - `~/clawd/data/therapy/sessions.json` — Session history
    - `~/clawd/data/therapy/assessments.json` — Assessment scores over time
    - `~/clawd/data/therapy/thought-records.md` — Thought record journal
    - `~/clawd/data/therapy/mood-log.json` — Mood tracking
    
    Nothing is sent to external servers. Your mental health data is yours.
    
    ## Technical Requirements
    
    - OpenClaw 2026.1.0+
    - Bash shell (for therapy-db.sh script)
    - jq (for JSON processing)
    
    ## Professional Referral Triggers
    
    FearBot will recommend seeing a human professional when:
    - PHQ-9 ≥ 15 (moderately severe depression)
    - GAD-7 ≥ 15 (severe anxiety)
    - Any suicidal ideation with plan
    - No improvement after 4-6 weeks
    - Disclosure of: substance abuse, self-harm, psychosis, eating disorders
    
    ## The Philosophy
    
    > "Therapy shouldn't be a 1-hour/week information bottleneck. Your AI agent already knows your week. Use that."
    
    FearBot is built on the belief that:
    1. CBT is evidence-based and genuinely helps
    2. Access to mental health support shouldn't be gated by cost/availability
    3. Context-aware AI can provide something traditional apps can't
    4. Full transparency builds trust (we show you the scores, explain the diagnoses)
    5. You're an adult who can handle clinical information
    
    ## Credits
    
    - Built with CBT framework based on Aaron Beck's cognitive model
    - Assessments: GAD-7 (Spitzer et al.), PHQ-9 (Kroenke et al.), DASS-21 (Lovibond), PCL-5 (Weathers et al.)
    - Crisis protocol informed by Columbia Suicide Severity Rating Scale
    
    ## License
    
    MIT — Use freely, modify freely, help people freely.
    
    ---
    
    *Built by someone with anxiety, for people with anxiety.* 🧠