Quick answer: no app can diagnose burnout — burn-out has no clinical diagnostic criteria in ICD-11 and no validated consumer instrument exists. What a phone can do honestly is track signals associated with chronic stress against your own baseline and show whether they are drifting the wrong way. That is genuinely useful for catching drift early. It is not a diagnosis, and any app claiming otherwise is overselling.

We build one of these apps, so treat this page with the appropriate suspicion. That is exactly why it is worth writing down the limits explicitly — a category full of confident wellbeing scores with no stated method deserves a page that says what the ceiling is.

What a phone can actually measure

Modern phones and watches, via Apple Health, give reasonable access to a handful of things that research links to chronic stress:

Signal Quality on a phone/watch What the literature supports
Sleep duration & timingGood, and improvingAdults should sleep 7+ hours per night on a regular basis (AASM/SRS consensus).
HRVNoisy, but usable as a trendJob stress and burnout associated with reduced HRV, specifically lower parasympathetic activity (PLOS ONE).
Resting heart rateGood, low noiseMoves with the same autonomic load, more slowly and more stably.
ActivityGoodWHO: 150–300 min moderate activity per week; activity reduces anxiety and depressive symptoms.
Phone use, late-night screensApproximateEvening light-emitting screens suppress melatonin and delay the circadian clock (PNAS).
Work hoursSelf-reported55+ hours/week: est. 35% higher stroke risk, 17% higher risk of dying from ischaemic heart disease (WHO/ILO).
Mood, stress, energySelf-reported, and that is fineTwo of burnout's three WHO dimensions are subjective. Asking is the correct method.

What a phone cannot measure — at all

The baseline problem — the thing most apps get wrong

Between-person variation is enormous compared with the effect being detected. HRV can differ threefold between two equally healthy adults; habitual sleep need varies; resting heart rate spans a wide range. Score someone against a population average and you will tell half your users they are in crisis and the other half that they are fine, for reasons that have nothing to do with stress.

The only defensible approach is within-person: build each user's own rolling baseline and measure the deviation from it. Statistically this argues for robust estimators — a median and a median absolute deviation rather than a mean and a standard deviation — so that one wild night after a flight does not shift the reference for a fortnight. And each signal's influence should be capped, so no single bad reading can swing the whole score.

What an honest forecast looks like

A 7-day projection from two weeks of noisy daily data carries real uncertainty. Presenting it as a confident line is a design decision made against the user. An honest forecast:

Seven questions to ask before trusting any wellbeing score

  1. Is the method published? If you cannot find out how the number is computed, it is a mood ring.
  2. Does it compare me to myself? Population percentiles are close to meaningless for HRV.
  3. Does it show what is driving the score? A number with no attribution cannot be acted on.
  4. Does it state its uncertainty? Confidence without calibration is a red flag.
  5. Does it cite sources for health claims? Or does it assert that a number means something with nothing behind it?
  6. Where does my data live? On-device with no account is a strong answer. An account requirement means the data leaves.
  7. Does it claim to diagnose? If it does, it is wrong, and everything else it says is suspect too.

How Pulse answers those seven

In the interest of being judged by our own checklist:

When to close the app

Tracking is for drift. If a score is making you anxious, if you are checking it several times a day, or if a bad number ruins a day that was otherwise fine, the tool has become the problem — stop using it. And if your symptoms are severe, persistent, or extend beyond work, that is a conversation with a doctor, not with a chart.

Judged by its own checklist

Published method, personal baseline, ranked drivers, honest confidence band, cited sources, nothing leaves the device. Free on the App Store.