How to Build a Mental Health App for Anxiety: Features & Considerations

We’ve talked about mental health apps a lot.

Seriously—a lot. 

But if there’s one query that keeps popping up, it’s about anxiety apps. And we get it. 

Anxiety is one of the most common mental health struggles out there, affecting 264 million adults worldwide. 

In Canada, over 6.7 million people deal with mental health issues, and in the U.S., 1 in 5 adults live with a mental health condition.

The problem? Getting help isn’t always easy. 

Therapy can be expensive, waitlists are long, and not everyone feels comfortable seeking face-to-face support. 

That’s why mental health apps are taking off—offering on-the-go, private, and cost-effective ways to manage anxiety. 

During the pandemic, downloads for top mental health apps skyrocketed, proving just how much people need accessible mental health support. 

Plus, 75% of people already believe technology is important for managing their health.

But here’s the catch: not all anxiety apps are created equal. 

Some lack real science, some feel impersonal, and others just don’t keep users engaged. 

So, if you’re thinking about building a mental health app for anxiety, you need to do it right—with evidence-based strategies, engaging features, and a strong user experience.

That’s exactly what this guide is about. 

Explore Mental Health App Market and What Users Really Need

With over 10,000 mental health apps available, people dealing with anxiety now have more options than ever. 

The demand for these apps surged during the COVID-19 pandemic, as more people sought remote mental health support. 

This proves that users are open to using digital tools for managing anxiety.

But here’s the challenge: most apps don’t keep users engaged. Studies show that after downloading a mental health app, only 4% of users open it again after 15 days. 

That’s a huge drop-off. 

So, just creating an app isn’t enough—it has to be engaging, useful, and personalized to keep users coming back.

What’s Wrong with Many Anxiety Apps?

Not all anxiety apps are effective. Some lack scientific backing, while others offer generic advice that doesn’t feel personal. Common issues include:

• Inaccurate or unverified content
• Data privacy concerns
• High costs to unlock full features

Users want evidence-based solutions—apps that use proven techniques like Cognitive Behavioral Therapy (CBT) and mindfulness. Without this, trust is lost, and engagement drops.

What Do Users Actually Want?

People expect mental health apps to be:

• Easy to use – Complicated apps turn people away.
• Engaging – A mix of content like guided exercises, journaling, and videos keeps users interested.
• Personalized – Anxiety isn’t the same for everyone. Users want recommendations tailored to their struggles, whether it’s panic attacks, social anxiety, or general stress.

Many users complain about repetitive content and generic responses. They want an app that learns from their behavior and adapts to their needs.

Why This Matters for Developers

Before building an anxiety app, it’s crucial to study the competition and understand what users really need. 

A great app isn’t just about fancy features—it’s about helping people in moments of stress and keeping them engaged long-term.

By focusing on user needs, personalization, and evidence-based strategies, you can create an app that actually makes a difference in people’s lives.

Top 5 Anxiety Management Apps to Learn From

If you're planning to build an anxiety management app, learning from the best can help. Here are five popular apps that stand out:

1. Calm

One of the most well-known apps for stress, sleep, and mindfulness. 

It offers guided meditations, sleep stories, and soothing nature sounds. 

It follows a freemium model with subscription options.

2. What’s Up? A Mental Health App

A free app that uses evidence-based techniques like Cognitive Behavioral Therapy (CBT) and Acceptance Commitment Therapy (ACT). 

It includes mood tracking and habit-breaking exercises.

3. MindShift CBT 

Designed to help users manage anxiety using CBT principles. 

It features goal-setting, thought reframing, and guided exercises. The app is free but has optional in-app purchases.

4. Shine 

Created by Women of Color, this app focuses on culturally inclusive mental health support. 

It offers meditation, self-care podcasts, and a supportive community. It operates on a subscription model.

5. Sanvello

Uses self-monitoring and AI-driven recommendations to help users manage stress and anxiety. 

It combines meditation, relaxation exercises, and social support features.

Each of these apps takes a unique approach to mental health. By studying their features, business models, and user engagement strategies, you can build an app that truly helps people manage anxiety.

How to Plan and Strategize Your Anxiety Management App

To create an app that people actually use, you need a solid plan. Here’s how to get started:

1. Pick Your Niche

Anxiety isn’t one-size-fits-all. Your app should have a clear focus:

• General Anxiety – For a broad audience managing everyday stress.
• Specific Disorders – Target conditions like social anxiety or panic disorder.
• A Particular Group – For example, an app designed for young adults or the LGBTQ+ community.

The more focused your app is, the more useful it will be.

2. Choose the Right Features

People expect anxiety apps to be helpful and easy to use. Some must-have features include:

• Mood & Anxiety Tracking – Helps users see patterns in their stress levels.
• Guided Meditations – Quick relief for anxious moments.
• CBT & ACT Tools – Scientifically backed techniques to manage negative thoughts.
• Personalized Content – Suggestions based on user activity.
• Goal Setting & Progress Tracking – Encourages users to stick with the app.
• Safety Plans – A go-to guide for handling panic attacks.

3. Keep Users Engaged

Most people stop using mental health apps after a few days. Here’s how to keep them coming back:

• Customization – Let users tailor their experience.
• Fresh Content – Regular updates to avoid repetition.
• Friendly Reminders – Gentle nudges to check in without being annoying.
• Gamification – Points, badges, or rewards to make progress feel fun.
• Community Support – Carefully designed features for safe peer interactions.
• Simple, Accessible Design – A clean, easy-to-use interface.

4. Decide How to Monetize

Your app needs a business model. Here are some options:

• Freemium – A free basic version with paid premium features.
• Subscription – A monthly or yearly fee for full access.
• Paid Consultations – If your app connects users with therapists.

Avoid intrusive ads—mental health apps should prioritize user experience.

5. Budget Wisely

Building a high-quality app isn’t cheap. Here’s what to consider:

• Development Costs – Expect at least $40,000+ in North America.
• MVP Approach – Start with essential features and add more later.
• Cross-Platform Development – Saves time by using one codebase for iOS & Android.
• Marketing Expenses – Your app won’t succeed if people don’t know about it.

6. Plan Your Launch

A strong go-to-market strategy will set your app up for success:

• App Store Optimization – Make sure your app is easy to find.
• Social Media Marketing – Reach your audience where they are.
• Content Marketing – Blogs, videos, and guides to educate users.
• Partnerships – Work with therapists or mental health organizations.
• PR & Word-of-Mouth – Get featured in media and encourage users to share.

A well-planned app isn’t just another download—it becomes part of someone’s mental health journey. With the right strategy, your anxiety app can truly make a difference.

Choosing the Right Tech Stack & Development Process

Tech Stack: The Foundation of Your App

Your tech choices will impact how smooth, secure, and scalable your app is. Here’s what we recommend:

• Frontend (User Interface): React Native or Flutter. These frameworks let you build for both iOS and Android with a single codebase, saving time and cost. Plus, they offer great UI components to create a calm and easy-to-use design.
• Backend (Data & Logic): Node.js or Python. Both are powerful, secure, and great for handling user data.
• AI & NLP: TensorFlow or OpenAI API. If you want smart features like a chatbot or personalized recommendations, these AI tools can help.
• Database (Data Storage): Firebase or PostgreSQL. Firebase is a cloud-based solution, while PostgreSQL is a reliable open-source option.
• Compliance (Privacy & Security): Your app must follow HIPAA, PIPEDA, and GDPR rules. Secure data storage, encryption, and access controls are non-negotiable.

Development Process: Step-by-Step Guide

1. Market Research & Wireframing: Study existing apps, understand what users need, and create basic blueprints of your app’s layout.
2. UI/UX Design: A simple, visually calming design is key. The easier it is to use, the better the engagement.
3. MVP Development: Start with the core features. Launch quickly and gather real user feedback.
4. Testing & Iteration: Test for usability, security, and performance. Improve the app based on feedback.
5. Deployment & Maintenance: Launch on the App Store and Play Store. Regular updates, bug fixes, and new content will keep users engaged.

With the right tech and a well-planned process, your anxiety app can truly make a difference.