Axis ER · ER — Emotional Resilience
Stress isn't a feeling. It's a measurement.
Mood scales are 100 years old and the technology hasn't improved. We blend HRV, voice prosody, sleep architecture, sentiment of journal entries, and weekly self-report into a single resilience score — one that picks up burnout 3 weeks before the patient does.
Emotional regulation and recovery — pairs with relational support to form the third base of the equation.
Eighteen signals spanning autonomic state, voice tone, written sentiment, and self-report. The first three are passive; the fourth is a 30-second weekly check-in.
From signals to a single value.
Each signal contributes a weighted partial score. The axis aggregates them and clamps to 0–100. Here's a worked example for a real (anonymized) patient on this axis today:
Sample contribution
Where it lands in CH
In the equation, (ER × RS)C/3 is the resilience base. With ER=76.8, RS=68, C=2.1, this term contributes ~17.4 weighted points — and prevents the entire CH score from collapsing during a stressful month.
ER — Emotional Resilience
A typical week, on the axis.
No single day defines you. A consistent week does. Here's what consistent looks like — and the HCR you'd earn for it.
The pay ladder.
ER pays for both maintenance and recovery. The biggest payouts are for patients climbing out of clinical depression or burnout, verified by sustained signal change. Always free to receive — patients never pay to earn HCR, and clinics never see a bill for hosting it.
All payouts settle to the patient's HCR wallet within 24 hours of verification. HCR is redeemable for care, contributions to a Conceptual Health pharmacy account, or held as a long-term reserve.
For providers ordering on this axis.
For Conceptual Health-credentialed clinicians: this is the recommended order-of-operations on this axis. Free to use, no certification required, no software to install — the protocol lives inside the EHR you already use through us.
Emotional Resilience · clinical sequence
- Open the ER panel. Look at the rolling 90-day curve, not the spot value.
- A flat-line curve is rarely good. ER should breathe — high variability is healthy adaptation.
- Look at the joint trace with NM — combined drops are the burnout signature.
- Order: a structured talk-therapy referral, a sleep protocol, an activity prescription, or a medication review. All four work; the axis tells you which is moving the needle.
- Re-evaluate at 6 weeks. ER moves faster than PO — meaningful change is visible inside one cycle.
The peer-reviewed evidence base.
Every signal we score has a literature trail. These are the foundational papers we cite in our scoring model documentation. Our full bibliography (404 references) is available in the methodology appendix.
One real (anonymized) trajectory.
Names changed. Numbers verified. A composite from three patients with similar starting conditions — the chart, the intervention, and the outcome.
Priya S., 34, Brooklyn
"My OB said I was depressed but my chart said I was recovering. The ER axis showed me what I couldn't feel: my HRV was climbing, my journal sentiment was lifting. Two months later I felt it too."
What you can study, and how.
ER is co-managed with mental health domains. Voice and journal text NEVER leave the device. Researchers receive only derived scores, never raw content. Research access is available to credentialed institutions through the HCC research portal — pay-per-query, patient revenue-shared.
All fields below are time-aligned and de-identified to NIST 800-53 standards.
Standards we conform to.
No new yardsticks. We map every signal on this axis to existing peer-reviewed instruments and regulatory norms — the same instruments your clinician learned in residency.
PHQ-9 / GAD-7
Standard depression and anxiety screening instruments.
WHO-5
WHO Five Well-Being Index, validated across 30+ languages.
APA Clinical
Clinical reference ranges follow APA practice guidelines.
HIPAA · 42 CFR Part 2
Mental health data handled under enhanced confidentiality.
On-device ML
Voice and text inference is local-only; no audio or raw text leaves device.
The other seven axes
Eight axes. One score. Each pulls.
Health is multi-dimensional. ER is one of eight. The Master Equation weights them, multiplies them, and gives you and your clinician a single number — and the ability to see exactly which axis is moving it.