Gamification in mental health: when play becomes therapeutic

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Mental health, that inner garden we must cultivate with care, can sometimes seem like a difficult terrain to maintain. The motivation to take care of oneself, to follow therapy, or to perform exercises recommended by a professional can fade in the face of fatigue, anxiety, or depression. This is where a powerful concept comes into play, drawn from a realm we more easily associate with entertainment than with care: gamification.Imagine for a moment that the tasks that seem the heaviest to you, like meditating for five minutes, jotting down your thoughts, or working on your memory, transform into missions to accomplish, challenges to tackle to earn points, badges, or unlock a higher level. The idea is not to minimize the importance of these actions, but rather to give them a more appealing context to help you carry them out. Gamification is the art of using game mechanics in contexts that are not games, such as education, marketing, and increasingly, health.This article invites you to dive into the world of gamification applied to mental health. We will see how simply "playing" can become a powerful therapeutic lever, exploring its mechanisms, benefits, limitations, and taking as a concrete example our cognitive training application, SCARLETT, your brain trainer.Before exploring its application in mental health, it is essential to understand what makes gamification so effective in influencing our behavior. It is not limited to making things "fun"; it directly feeds on the foundations of human psychology and motivation.

The mechanics of the game at the service of our brain

Gamification relies on the integration of game elements into a process or application. These elements are designed to stimulate our engagement in a predictable way. Think of the video games that captivate you: they all use a combination of these mechanics.
  • Points and scores: They provide immediate and quantifiable feedback on your performance. Each correct answer, each completed task earns you points, materializing your progress in a tangible way.
  • Levels and progression: Starting at level 1 and climbing the ranks creates a sense of mastery and accomplishment. Each new level is proof of your evolution and encourages you to continue.
  • Badges and rewards: These virtual trophies celebrate your successes, whether for regular use of the application ("7-day streak!") or for reaching a goal or mastering a new skill. They act as indicators of recognition.
  • Rankings (optional): Comparing yourself to others can be a powerful motivator for some people, introducing a spirit of friendly competition.
  • Challenges and missions: Transforming a simple task into a "mission of the day" gives it meaning and a clear objective, making it less abstract and easier to undertake.

The psychology behind the game: motivation and reward

If these mechanisms work, it is because they activate the reward circuit in our brain. When we complete a task and receive a reward (even virtual, like points), our brain releases dopamine, a neurotransmitter associated with pleasure and motivation. It is this same pleasant feeling that drives us to want to repeat the action.Gamification plays on two types of motivation:
  • Extrinsic motivation: This is the motivation that comes from outside, such as the desire to earn a badge or reach the top of a ranking.
  • Intrinsic motivation: This is the motivation that comes from within, the pleasure we feel in mastering a skill or the sense of pride after overcoming a challenge.
A well-designed gamification system starts by using extrinsic rewards to encourage you to begin, then gradually helps you develop intrinsic motivation. You will no longer do the exercise for the points, but for the well-being and sense of control it provides you.

More than just entertainment

It is crucial not to confuse a gamified application with a simple game. A game has the primary objective of entertainment. A gamified mental health application, like SCARLETT, your brain trainer, has a therapeutic or training goal. The game is not the end; it is the vehicle. It is the spoonful of sugar that helps the medicine go down, to borrow a famous phrase. Gamification is a design tool intended to promote positive and sustainable behavior.

The application of gamification in the field of mental health

Now that the foundations are laid, let’s see how these principles apply concretely to support your mental well-being. The game becomes a gateway to addressing sometimes difficult themes and building healthy habits.

Overcoming inertia and procrastination

One of the most common and debilitating symptoms of depression or anxiety is apathy, that difficulty in starting an action. The smallest task can seem like an insurmountable mountain. Gamification acts as a mountain guide. It divides the ascent into very small steps.Instead of setting the vague goal of "better managing your stress," a gamified application might propose a mission: "Complete 3 minutes of guided breathing and earn 50 experience points." This goal is clear, brief, and the reward is immediate. By completing this micro-task, you initiate a virtuous circle: the small victory generates dopamine, giving you a little more energy and motivation for the next task.

Making therapy more appealing

Cognitive-behavioral therapies (CBT), for example, are very effective but require significant personal work between sessions: keeping a thought journal, gradually exposing oneself to anxiety-provoking situations, etc. For many, these "tasks" can be boring and are often abandoned, reducing the effectiveness of therapy.A gamified companion app can transform these exercises. Completing your thought journal could unlock a new customization item for your avatar. Completing an exposure exercise could earn you a "Courage" badge. This playful coating does not change the content of the exercise but radically alters its perception and encourages long-term adherence to treatment.

Developing cognitive and emotional skills

Mental health is not just the absence of illness; it also involves having strong skills to cope with life's challenges. This includes cognitive skills such as attention, working memory, mental flexibility, and problem-solving. These functions are like the muscles of your brain. Lack of training can weaken them, which can exacerbate ruminations, difficulty concentrating, or decision-making.This is precisely where tools like SCARLETT, your brain coach come into play. Our app is designed to transform the training of these essential cognitive skills into a stimulating and playful experience. Instead of forcing you to perform repetitive and austere exercises, SCARLETT offers you engaging mini-games, each targeting a specific cognitive function. By playing, you are not just passing the time: you are actively strengthening the foundations of your mental resilience.

The concrete benefits for the user

Gamification Adopting a playful approach to mental health is not a gimmick. The benefits for you, as a user, are real and measurable. They influence both your engagement in your care process and your self-perception.

Better adherence to care programs

The main challenge of many mental health interventions, whether digital or face-to-face, is dropout. It is estimated that the dropout rate in psychotherapy can be significant. Gamification increases user retention. The desire to maintain a "streak," unlock the next reward, or see your progress bar fill keeps the user engaged day after day. This regularity is key to successfully building new neural and behavioral habits.

A sense of accomplishment and control

In the face of disorders like anxiety or depression, one can easily feel passive, as if the illness is controlling us. Gamification reverses this paradigm. You are no longer a patient undergoing treatment, but an active player advancing in your own quest.Every level gained, every challenge overcome is a tangible proof of your efforts and abilities. It is a powerful metaphor: you are building your "skill tree" for your well-being. This sense of agency, feeling that you have control and that your actions have a direct impact, is deeply therapeutic in itself.

The designation of mental disorders

Talking about "playing" to train the brain or manage emotions helps to designate mental health. It brings it closer to other areas where training is perceived positively, such as sports or learning a musical instrument. Using an app like SCARLETT on your phone is a proactive, personal, and discreet step. It normalizes taking care of your mind, just as one takes care of their body by going to the gym.

SCARLETT, your brain coach: a practical example of successful gamification

To concretely illustrate how these principles come to life, let’s focus on our app, SCARLETT, your brain coach. SCARLETT has been entirely designed around the idea that cognitive training should be both motivating and effective.

How SCARLETT transforms cognitive training into play

The goal of SCARLETT is to strengthen your key cognitive functions. To do this without it becoming a burden, we have integrated different game mechanics at the heart of the experience.
  • A personalized program in the form of daily missions: Every day, SCARLETT offers you a series of mini-games, presented not as a list of exercises, but as your "mission of the day."
  • A visual and encouraging progress tracking: After each game, you immediately see your score, and your progress is shown in clear graphs. This way, you can visualize your improvements over time, which is extremely rewarding.
  • Points and a leveling system: Each session earns you experience points that level you up. This simple yet effective system gives you a short-term goal and materializes your investment.
  • Constant feedback: SCARLETT guides and encourages you. The instructions are clear, and the tone is always supportive, creating a safe learning environment where mistakes are part of the process.

The skills that SCARLETT addresses

The games of SCARLETT are not chosen randomly. Each is designed to address one or more executive functions essential to your mental balance. For example, a working memory game will help you better retain short-term information, a useful skill for following a conversation or organizing your thoughts. A cognitive flexibility game will train you to switch from one task to another more easily, which can help you break out of negative thought loops (ruminations). By strengthening these core skills, you provide yourself with fundamental tools to better regulate your emotions and navigate the complexities of daily life.

The importance of adaptive difficulty

A key feature of SCARLETT, inspired by the best game designs, is adaptive difficulty. The games adapt to your performance level in real-time. If you succeed easily, the difficulty increases to keep challenging you. If you encounter difficulties, it decreases slightly to avoid frustration and demotivation. This keeps you in a state of "flow," that optimal concentration state where the challenge is perfectly balanced with your skills, making the experience both enjoyable and effective.
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The limits and ethical considerations

Despite its many benefits, it is important to maintain a realistic and critical view of gamification in mental health. Like any tool, it has its limits and should be used wisely.

Gamification is not a miracle solution

It is absolutely crucial to understand that a gamified application, no matter how well-designed, does not replace therapy with a psychologist or psychiatrist, nor medication treatment when necessary. These applications are support tools, valuable allies in your journey. They can complement therapy, help maintain results between sessions, or serve as an accessible first step for those who are not yet ready to consult. They should be seen as a piece of the puzzle of your well-being, not as the complete puzzle.

The risk of purely extrinsic motivation

The danger of gamification is that it may cause the user to depend on external rewards (points, badges) at the expense of internal motivation. If a person performs their breathing exercises solely to earn the badge of the day, what happens on the day when the reward no longer seems motivating enough? A good gamification design should gradually lead the user to feel the intrinsic benefits of the practice itself, so that motivation becomes self-sustaining.

Data protection and privacy

Mental health applications handle extremely personal and sensitive data. It is the developers' responsibility to ensure impeccable confidentiality and security. Before using an application, always check its privacy policy. Ensure that your data is anonymized and not shared without your explicit consent. Serious applications like SCARLETT place the protection of your data at the heart of their priorities.In conclusion, gamification is much more than a trend. It is a thoughtful approach based on a deep understanding of human psychology to make the journey towards mental well-being more accessible, engaging, and less intimidating. By transforming efforts into challenges and progress into rewards, it gives you back the leading role in your story.Tools like SCARLETT, your brain coach, embody this promise: to offer you a fun and effective way to build the cognitive skills that are the foundation of your resilience. So, the next time you hesitate to take a few minutes for yourself, remember that playing can be one of the most serious acts you can accomplish for your mental health. You are the hero of your adventure, and these tools are just travel companions to help you win the game.

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