Traditionally, the regime of mental healthcare has followed an episodic psychotherapy model wherein patients seek care from a provider through a prescribed treatment plan developed over multiple provider visits. Recent advances in wearable and mobile technology have generated increased interest in digital mental healthcare that enables individuals to address episodic mental health symptoms. However, these efforts are typically reactive and symptom-focused and do not provide comprehensive, wrap-around, customized treatments that capture an individual's holistic mental health model as it unfolds over time. Recognizing that each individual is unique, we present the notion of Personalized Mental Health Navigation (MHN): a therapist-in-the-loop, cybernetic goal-based system that deploys a continuous cyclic loop of measurement, estimation, guidance, to steer the individual's mental health state towards a healthy zone. We outline the major components of MHN that is premised on the development of an individual's personal mental health state, holistically represented by a high-dimensional cover of multiple knowledge layers such as emotion, biological patterns, sociology, behavior, and cognition. We demonstrate the feasibility of the personalized MHN approach via a 12-month pilot case study for holistic stress management in college students and highlight an instance of a therapist-in-the-loop intervention using MHN for monitoring, estimating, and proactively addressing moderately severe depression over a sustained period of time. We believe MHN paves the way to transform mental healthcare from the current passive, episodic, reactive process (where individuals seek help to address symptoms that have already manifested) to a continuous and navigational paradigm that leverages a personalized model of the individual, promising to deliver timely interventions to individuals in a holistic manner.

Current digital mental healthcare solutions conventionally take on a reactive approach, requiring individuals to self-monitor and document existing symptoms. These solutions are unable to provide comprehensive, wrap-around, customized treatments that capture an individual's holistic mental health model as it unfolds over time. Recognizing that each individual requires personally tailored mental health treatment, we introduce the notion of Personalized Mental Health Navigation (MHN): a cybernetic goal-based system that deploys a continuous loop of monitoring, estimation, and guidance to steer the individual towards mental flourishing. We present the core components of MHN that are premised on the importance of addressing an individual's personal mental health state. Moreover, we provide an overview of the existing physical health navigation systems and highlight the requirements and challenges of deploying the navigational approach to the mental health domain.