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Oh dang - I actually know the answer here.

TL:DR - Regulations are changing / unclear around prescribing medications online and this is them trying to get ahead of it.

Headway’s new facial-scan requirement is probably less about one company getting weird with biometrics and more about where telehealth regulation is heading: with COVID-era prescribing flexibilities, companies like Done abused controlled substance prescribing to the point that the DEA is now signaling that they will demand stronger identity proofing for controlled-substance prescribing.

But the implementation matters. Could you do all this through other means? Definitely. Would it scale as easily / get in Peter Thiel and VC's good graces by using their tool? Who knows.

All to say this is probably more about changing regulations in how care is provided online - and more companies should be expected to follow suit when it comes to prescribing controlled substances.

Xealth | Healthcare | Seattle, WA | Full-Time | Onsite

Xealth is solving the last mile of digital health. We’re improving healthcare for everyone by enabling doctors and patients to easily access digital content and services that are relevant, timely, and targeted. We build scalable applications, develop custom recommendation engines, and run on a modern cloud-based platform - all while integrating tightly into 3rd party EMR and practice management systems.

Open Roles:

Principal Software Engineer - https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

Senior Software Engineer - https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

Software Engineer - https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

Xealth | Healthcare | Seattle, WA | Full-Time | Onsite

Xealth is solving the last mile of digital health. We’re improving healthcare for everyone by enabling doctors and patients to easily access digital content and services that are relevant, timely, and targeted. We build scalable applications, develop custom recommendation engines, and run on a modern cloud-based platform - all while integrating tightly into 3rd party EMR and practice management systems.

Open Roles:

Principal Software Engineer https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

Senior Software Engineer https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

Software Engineer https://hire.withgoogle.com/public/jobs/xealthio/view/P_AAAA...

One of the most common frameworks to thinking about anxiety is CBT (Cognitive-Behavioral Therapy). Basically there are both things that you’re doing and things that you’re thinking that trap you in a cycle of anxiety.

The symptom tsunamifury talked about is what we call Catastrophizing – that is you over-estimate / over-value negative consequences over positive or neutral ones. It’s not just “If I stop working or slow down, I might not make as much money,” it is instead, “If I even take time to slow down, all my peers will be better than me or I might miss that one opportunity that’s going to make or break my career and then my professional life will be over and I might as well spend my time making software for businesses in the middle of Oklahoma.”

What I’d try and get patients to do is to rationally evaluate the evidence that any or all of these might happen. Is one missed connection really going to make or break your career? Is one failed pitch? Do you know of any founders/devs who failed big and recovered? What makes you think you couldn’t do the same.

If you want to know more, here are some good places to start – mix of websites and articles. (Apologies in advance for the potato quality on some of these links – I’m slowly dragging my field into the 21st century.) I’d also recommend going to see a therapist – even if it’s just for a few sessions. It might be helpful to get an outside viewpoint on your current situation.

https://www.psychologytoday.com/blog/in-practice/201212/cogn... http://www.getselfhelp.co.uk/step1.htm http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263389/ http://www.apa.org/helpcenter/anxiety-treatment.aspx

(Source: Me, I'm a psychologist who's done therapy with clients and now makes mobile apps. I tried to make this as HN-oriented as possible)

As someone who also works on this, and thinks about startup possibilities, I understand what you're going through. Sometimes I wonder if it's possible to sustain a business like this at all or if you just have to work toward an insurance company buyout.

Maybe we should all start a therapy group!