The Seismic Shift

What Heart Health Gets Right That Mental Health Still Gets Wrong

Written by Todd Feldman | Aug 11, 2025 11:56:05 AM

When it comes to heart health, we’ve built a system that knows how to prevent problems before they start.

We check cholesterol. We track blood pressure. We talk about sleep, stress, nutrition, and exercise. Doctors catch early risk factors long before symptoms appear. Small changes make a big difference. And those small changes are what keep people well.

We accept this as common sense. It’s how we manage physical health for all kinds of people—kids, adults, professionals, aging seniors. Across every population, the logic holds: the earlier you act, the easier it is to prevent serious problems later.

But when it comes to mental health, we throw that logic out.

Most support starts too late. We wait for symptoms. We wait for distress. And then we scramble to respond; often with long delays, high costs, or nowhere to turn. Therapists are at capacity. Insurance doesn’t cover what’s needed. And the opportunity to prevent has already passed.

Imagine if we managed heart health the same way.

“Let’s wait until the heart attack, then we’ll figure out a plan.”

No one would accept that.

Yet this is exactly how most mental health systems operate.

This is true across the board. It applies to students, parents, employees, and older adults. Mental health risk shows up in every population.

But our systems rarely catch it early enough. That’s the gap we need to close.

At BrainDash, we’re starting in schools. Not because students are the only ones affected, but because the window for impact is wide open. Mental illness often begins in adolescence. Schools still lack the tools to detect risk before it escalates.

That’s where we’re beginning. But it’s just the beginning.


At BrainDash, we map these stages to five critical points.

Stage 1 is Thriving. This is where we all want students to be. The brain is healthy. The student is well. This is the ideal time to reinforce protective factors, just like a doctor would tell you to keep eating well and staying active. Why it matters: it sets the foundation for lifelong brain health. BrainDash’s role: reinforce wellness. Market tools: none. BrainDash leads at this stage.

Stage 2 is Initial Risk. The student appears okay, but there are early, modifiable markers. This is the rising cholesterol phase. Still no visible symptoms, but action here can make the biggest difference. Why it matters: it’s the best opportunity to prevent distress. BrainDash’s role: identify risks. Market tools: still none. BrainDash leads.

Stage 3 is Vulnerable. The student is starting to feel off. They’re not in active distress, but something’s shifting. They may be emotionally overloaded, socially disconnected, or starting to disengage. Why it matters: you can still reverse course before symptoms deepen. BrainDash’s role: define vulnerabilities. Market tools: Panorama, Maro, Sonar, EmpowerU.

We respect what these tools bring to the table. They support social-emotional learning and school climate measurement. But they don't operate in the earliest stages, and they aren't built to detect clinical-grade mental illness risk. And most critically, none of what's in the market today is individualized.

That’s what we do.

Stage 4 is Active Distress. By the time a student gets here, they’re already struggling. Symptoms are visible or reported. Most systems finally act here. Why it matters: you can still help the student, but the effort required skyrockets. BrainDash’s role: monitor responses. Market tools: Hazel Health, Invo, MindRight, Gaggle, Securly, GoGuardian.

These platforms have an important role. They help schools respond in real time to flagged behavior or urgent need. But that’s the point. They respond. They don’t prevent. Their systems engage after the student is already in pain.

Stage 5 is Crisis. This is the equivalent of a heart attack. The student is in acute distress. This is an emergency. It’s no longer about prevention. Market tools: Care Solace, hospital systems. At this point, the cost—emotional, financial, and human—is highest.

Here’s something most people don’t know: the brain is highly responsive to early intervention. If you catch rising risk in time, you can not only stop the progression but actually reverse the distress.

“Mental health risk is not a straight line to crisis. In the early stages, targeted support can fully interrupt the decline and bring students back to a place of stability. That window closes fast. But if you act early, the brain responds.”
— Dr. David Cifu, Chief Science Officer, BrainDash

This is the case BrainDash is built on. The earlier you act, the greater the impact. And the higher the likelihood that the student never needs outside care, never reaches diagnosis, never falls behind.

If this sounds like a medical model, that’s intentional. Brain health is health. Just like we’ve built systems to catch cardiovascular risks before heart failure, we now have the science and tools to catch mental illness risk before a student breaks down.

That kind of upstream visibility leads to stronger outcomes, fewer escalations, and more days when students feel like themselves.

Want to see what that looks like at your school?
We’ll show you how upstream action leads to downstream impact.

Reach out. Let’s talk.