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Mental health, co-designed

Kooth partners with young people to create Soluna, a mental health resource for California youth.

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Health
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AI & Emerging Tech

Increasingly, digital spaces are proving detrimental to youth mental health. By co-designing with youth, Kooth and IDEO set out to flip the script, creating a positive digital space for young people to safely explore their mental wellbeing. 

When Kooth, IDEO, and Blackbird, IDEO’s longtime development partner, first started working on the project, the window of opportunity was narrow, and the stakes were high. The group was up against a nine-week deadline to create a working proof of concept app. Also on the line: a $188 million contract with the Department of Health Care Services (DHCS)—one that would open an entirely new line of business for Kooth. 

The app needed to do more than demonstrate functionality—it needed to prove its value. To ensure that they were creating an asset that truly fit the needs of young people, the team turned to an initial cohort of 13-25 year-old co-designers who explored early features, created video diaries, and shared their questions about and experiences with mental health. These young people often gravitated toward self-service tools that helped them take action based on their feelings. With their feedback, the team created new expressions of clinically-validated behavioral health tools like journaling, breathwork and white noise—and built novel tools, such as Starboard, an expressive drawing tool and a nod to art therapy. 

The team took inspiration from content the co-designers liked to consume, such as story-driven video games that enable freedom of exploration, deepened by a unifying mythology. That led them to a constellation theme, which made the experience more intriguing and playful. The co-designers also recommended a dark color palette, because they preferred exploring the app at night. 

With these insights, the team refined the proof of concept, and then conducted a one-week pilot with another 50 young people across California. Their positive feedback gave the State the confidence to invest in a $188 million, four-year contract for Kooth to bring the app to a platform at scale. 

Over the next year, the team engaged another 150 young people to help design, shape, and test the app. At the same time, Kooth and IDEO created a clinical oversight group, which included a pediatrician, therapists, and other clinical specialists. This group anchored the platform in the practices of Acceptance and Commitment Therapy (ACT), cultivating psychological flexibility—the mindful acceptance of positive and negative emotions. Young people are invited to complete short reflections and surveys throughout their journey with the app, which includes rigorous, science-backed measurements to assess the therapeutic benefits.

Behind the scenes, the team developed a clinical-facing service and digital platform that empowers Kooth’s peer specialists, social workers, community curators, and clinicians to support the youth experience, all while protecting privacy and confidentiality. They also navigated a complex landscape of state requirements and government legislation, ensuring that the platform could cover topics like substance abuse and gender identity, and that users could access coaching within 24 hours, and choose from a diverse set of experts. 

The last step was to select a name that worked across multiple languages, trademarks, and competitor branding, and didn’t come off as a mental health service, something the youth co-designers believed was critical. IDEO and Kooth landed on Soluna, a name that alludes to the app’s presence in both the bright (“sol” for sun) and the dark times (“luna” for moon). 

Now, Soluna is available for free to all youth in California, and the state has set ambitious targets for reaching all young people at scale. Soluna is a living platform that will continue to receive product and design updates for years to come, all deeply rooted in youth co-design.

The US Surgeon General named mental health “the defining public health crisis of our time,” and cited social media, online bullying, and the isolation exacerbated by the COVID-19 pandemic as major drivers that have significant negative outcomes for youth.

In California alone, more than 284,000 youth cope with major depression. 66% of kids with depression do not receive treatment. Between 2019-2020, the suicide rate for kids ages 10-18 increased by 20%.

In 2022, California Governor Gavin Newsom’s Master Plan for Kids’ Mental Health set aside $4.6 billion to increase access to mental health and substance abuse support, the largest commitment to youth mental health ever made by a state.

94%

of proof-of-concept app users would recommend the Soluna app to a friend, and believe that engaging with the app would be a positive addition to their daily/weekly routine

6 million

young people in California had access to Soluna at launch in January 2024
Young people in the United States are facing a mental health crisis. Depression, anxiety, and suicide rates are dramatically on the rise. Yet, there are significant barriers to finding support—like the stigma around seeking therapy and the high cost of care. To provide millions of young people with the vital and early help they need, the State of California invited Kooth, a global provider of behavioral health solutions for young people, to develop a digital mental health and wellbeing platform for 13-25 year-olds. Kooth partnered with IDEO to not just create an app for young people, but actually co-design it with them. Launched in January 2024, the app, called Soluna, encompasses behavioral health coaching, interactive tools and personalized content, and is now available for free for all youth in California.
Kooth works with young people in California to design Soluna, an app to enrich their mental health.
Kooth works to transform how young people enrich their mental health.
Kooth USA, LLC
North America
Kooth USA, LLC
Mental health, co-designed, family mental health, news experience, news consumption, Kooth USA, LLC, healthcare, health innovation, patient experience, public sector innovation, government services, civic innovation, technology innovation, digital products, AI, artificial intelligence, emerging technology, digital transformation, digital experience, digital product design, UX design, co-design, participatory design, community engagement, healthcare design, digital health, patient-centered care, design for children, family experience, youth experience, how to design a digital product, innovation, product design, transformation, government

A more comfortable Pap smear

Teal Health creates a system for at-home cervical cancer screening.

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Consumer Products & Retail

Creating a better cervical cancer screening experience is an important mission, but also a challenging one. Not only would Teal have to address the regulations that face healthcare device companies, it would also need to build a comprehensive telehealth platform and a physical product—a wand that could easily collect an adequate cell sample, even in the hands of an untrained person. 

The first challenge was to create the wand. The device would need to do a lot: It’s impossible for a person to see their own cervix, so the user would have to be able to find the cervix blind, collect the sample themselves, and remove the wand from their bodies without contaminating it on other parts of their anatomy. Because this is something users are likely to do in their bathrooms, where there is no space to lie down, they would need to be able to use the device while standing—and with one hand. From the beginning, the IDEO team set out to design functional, testable prototypes to make sure the idea was viable, and incorporate diverse voices into the research process, including trans, minority, and disabled women. 

The functional, testable 3-D printed prototypes.

Because the product is meant for people who aren’t medical professionals, the team worked to design something as simple, intuitive, and unintimidating as possible. They used a 3-D printer to create multiples of every prototype, autoclaves to make sure that the designs they were creating were sterile, and leaned into shapes women are already used to, like the cylindrical shape of a tampon. The wand they created has that same basic form, but with a soft sponge that the user can deploy with the turn of a dial to collect the sample, then close to protect it from contamination on the way out of the body.

With working prototypes in hand, Teal set out to test their efficacy. In an initial study with 220 participants varying in age, race, socioeconomic status, and geography, Teal found that not only were participants able to successfully self-collect samples, they also preferred them over the speculum, the device doctors typically use during a screening. Some 92 percent said if they knew the results were equal they would prefer self-collection, while 87 percent reported they would stay current with screening if Teal Wand was an option. Self-collection took the vast majority under two minutes to complete, and 97% of study participants reported it was very easy or easy to use. The Teal Wand recently received a patent for its unique design.

A close-up of the handle and main interaction point of the wand. It enables the novel one-handed cell collection to happen. A sliding thumb wheel both deploys the swab and allows for the swab to rotate to harvest the targeted cervical cells. The thumb can then retract the swab back into the device to preserve the sample during extraction.

The IDEO team also worked on the packaging and unboxing experience, which plays an important role in supporting the user through the self-screening process. The team built in thoughtful design cues to give users reassurance that they are using the wand correctly, and to provide the same level of confidence they would have in the results of an in-clinic screening. 

In January 2023, Teal raised an $8.8 million seed round from Serena Ventures, Emerson Collective, and Metrodora, and later that year, launched a nationwide clinical trial with leading health organizations including Johns Hopkins University, Yale University, the University of Colorado, Washington University, and others. In 2025, The Teal Wand became the first FDA-authorized device for at-home cervical cancer screening, with virtual medical provider support. Today, it's available in all 50 states. i’s an enormous step toward its North Star: catching cervical cancer earlier and saving lives.

Cervical cancer is nearly 100% preventable when it’s caught early, yet one in four women in the US are not up to date on their screenings.

More than 12,000 people in the US are being diagnosed with cervical cancer every year, and more than 4,000 people die of the disease, which disproportionately impacts Black, Asian, and Hispanic women.

More than half of cervical cancer cases are found in women that are not up-to-date on their screenings.

97%

of clinical study participants said the Teal Wand was very easy or easy to use.

87%

of participants said they would be more likely to stay current with screening guidelines if Teal Wand was an option.

94%

of participants said they would choose to collect their own sample from home rather than the current standard of care where a clinician collects it in-office.

2025

The Teal Wand becomes the first FDA authorized device for at-home cervical cancer screening, with virtual medical provider support.
Cervical cancer was once the number one cancer killer of women in the US—until the invention of the Pap smear in the 1940s. Over the last seven decades, the mortality rate from cervical cancer has dropped some 60 percent, thanks to better screening. But the procedure itself, which must be performed in a doctor’s office, is uncomfortable at best and inaccessible at worst, and the percentage of women in the US without an up-to-date screening has been increasing—from 14 percent in 2005 to 24 percent in 2019. Kara Egan, one of the cofounders behind Teal Health, wanted to change that. She had a vision for a medical device and health platform that would make it possible for women to collect their own cervical cancer screening sample from the comfort of their own homes. Teal came to IDEO for help designing an applicator and testing experience that would allow users of all body types to safely and accurately collect a sample at home and be inclusive for anyone with a cervix.
Teal Health creates a system for at-home cervical cancer screening, making it easier and more comfortable for women to get the care they need.
Teal Health creates a device for patients to safely collect their own samples at home.
Teal Health
North America
Teal Health
A more comfortable Pap smear, cervical cancer screening, at-home screening, Pap smear, Teal Health, healthcare, health innovation, patient experience, consumer products, retail, consumer experience, retail innovation, digital transformation, digital experience, digital product design, UX design, product design, industrial design, new product development, inclusive design, accessible design, equitable design, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, employee experience, workplace design, team collaboration, how to design a digital product, innovation, research, prototyping, product development, transformation

Amplifying a movement

Cities United rebrands to create safe, healthy, hopeful communities for Black men and boys.

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Public Sector

Cities United already had a strong foundation with its stated mission, vision, and values. IDEO brought those to life with a new visual and verbal brand identity system that celebrates Cities United’s inclusive approach to building relationships and reimagining public safety.

To help Cities United with its verbal identity, the IDEO team defined the organization's voice, tone, and key messages, making it easier to tell its story more consistently and clearly, a crucial step toward engaging stakeholders.

To define the new visual identity, the team created a new logo, a letter C composed of interwoven shapes that represent the three tenets of their vision—“safe, happy, and hopeful;” a new design language that references city grids; and a typographic system anchored by the typeface VTC DuBois, inspired by W.E.B. DuBois’s own custom lettering and designed by the Black-owned Vocal Type Co. The team also designed a color palette that embodies the textures of city life with hues reminiscent of asphalt, sunrise, and brick. 

To amplify the refreshed branding, the team designed a new responsive website, citiesunited.org. The intuitive site shares the organization’s mission, resources, ongoing projects, and partner network, inviting stakeholders to join in their transformative work. IDEO also created a video to humanize Cities United’s mission and showcase its nationwide impact. It underscores the unity, resilience, and hope embodied by the organization through a chorus of voices.

This comprehensive rebranding widens Cities United’s reach and impact, helping the organization share its goal of creating safe, healthy, hopeful communities for young Black men, boys, and their families, and reintroduces the organization to a national audience. 

The Cities United work was supported by IDEO’s Racial Justice Impact Fund, part of a commitment IDEO made in 2020 to ​​address systemic racism and advance equity within our own organization, our client work, and beyond.

Cities United is committed to reducing the epidemic of homicides and shootings among young Black men and boys ages 14-to-24 by 50%.

Between 2009 and 2019, the number of Black children who “did not go to school at least one day in the past month because they felt unsafe at school or on their way to or from school” increased by 84%, according to Cities United.

Homicide is the leading cause of death for Black men and boys from birth to age 44, according to the Centers for Disease Control and Prevention.

2023 SF Design Week Award

In recognition of IDEO’s brand work with Citizens United
Cities United is on a mission to reduce gun violence and create safe, healthy, hopeful communities for young Black men and boys, their families, and their communities. The Louisville-based organization takes a holistic public health approach, working with mayors, leaders, community organizations, and young people nationwide to reduce homicides and shootings and redefine public safety in our country. Because it works with both leaders and young people, the organization needed a brand identity that could speak to a wide range of stakeholders. As Cities United was preparing to celebrate its 10th anniversary, the organization approached IDEO for help refreshing its brand, a critical tool to better express its movement to end the gun violence epidemic.
Cities United adopts a new verbal and visual identity to bring momentum to its movement to create safe, hopeful, healthy communities for young black men and boys.
Cities United rebrands to amplify its mission to end gun violence.
Cities United
North America
Cities United
Amplifying a movement, Cities United, public sector innovation, government services, civic innovation, brand strategy, brand design, brand identity, brand experience, product design, industrial design, new product development, creative leadership, leadership development, co-design, participatory design, community engagement, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, education innovation, student experience, future of education, design for children, family experience, youth experience, how to build a brand, innovation, strategy, product development, leadership, creativity, healthcare, education, government

Balancing work and sleep

Somni’s personalized sleep program helps workers maintain their health.

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Sleep is a critical resource for shift workers—and their employers, too. Together, IDEO and Somni worked directly with people with acute and chronic sleep challenges to create concepts that could support their sleep goals, and provide employers with the means to improve employee health.

When IDEO and Somni first partnered, the startup was an early-stage company, so the team started small, with focused sprints and workshops to redesign the core aspects of the company and product offerings. The team interviewed shift workers about their sleep patterns, which can vary quite a bit. Even when people keep to a specific schedule on work days, they often have to change their patterns on days off to spend time with family and friends, leading to a very disruptive sleep cycle. Research revealed that many third shift workers were dealing with sleep and health issues, but also a pervasive “machismo” culture,  pressure to “tough it out,” and a reliance on energy drinks to deal with lack of sleep. 

To address those issues, the team designed a digital experience for sleep cohorts, support groups where members could share their experiences and sleep strategies, and work with a coach and sponsor who already had been through the program. The platform analyzed workers’ data, and provided AI-enabled recommendations for improving their sleep. The big takeaway? Data by itself wasn’t necessarily helpful, and could be confusing for folks who were less digitally-fluent. Providing context, like a calendar that displayed sleep experiments at a glance, was crucial. 

The IDEO team also created a new user experience for a genetic testing program that could uncover factors associated with sleep issues. Somni aims to use a saliva-based genetic test to monitor for DNA damage caused by circadian disruption, then leverage its sleep improvement program to prevent further damage. Because biomarker testing is a differentiating offer for Somni, it was extremely important that the team get it right, both to make sure that users could understand its utility, and for Somni to provide real value. The design challenge was unique—and not just because of data privacy concerns. Presenting data about DNA damage in a non-human-centered way could increase the anxiety workers had around their sleep.

At the end of the project, Somni leveraged the insights the IDEO team surfaced to improve products like its sleep coaching service, and to refine its biomarker testing offering. Based on this work, Somni has also created a pilot with a Fortune 100 company, which is currently in progress, as it works to mitigate the ill effects of disrupted sleep for employees and the companies they work for.

In the short-term, circadian rhythm disruption leads to an array of jet-lag-like symptoms, and in the long-run, it may contribute to weight gain, obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease.

It also impairs people’s ability to work, affecting productivity, creativity, and the overall work environment. Productivity loss can lead to employer baseline healthcare costs that are 26% higher, and over time, insomnia can result in an average cost of $4,267 more per employee per year.

In June 2019, the International Agency for Research on Cancer classified shift work as a probable carcinogen.

75%

user retention in Somni's sleep program

$2,450

savings per year per employee for users who complete the program

33%

improvement in sleep quality, and 41 more minutes per night
Somni was founded to help people improve their sleep. The company offers personalized, evidence-based sleep health programs alongside sleep coaching and sleep aids like melatonin, blue light blocking glasses, tea, and eye masks. In 2021, Somni wanted to expand its program to create a more human-centered experience for people with challenging sleep-work patterns. More than 15 million Americans have evening, night, rotating, or irregularly-scheduled shift work that disrupts their circadian rhythm. This can lead to metabolic, hormonal, and mental health problems, and even DNA damage. In 2021, Somni reached out to IDEO for help integrating genetic testing into their sleep program, and redesigning the digital user experience for employees and the employers who want to help them stay healthy.
Somni works to create a resource that helps employers support third shift workers.
Somni creates a personalized support system for third shift workers.
Somni
North America
Somni
Balancing work and sleep, tea, tea packaging, tea brand, pediatric obesity, obesity care, diabetes care, diabetes management, genetic testing, consumer genomics, sleep health, sleep analytics, DNA, genomics, personalized medicine, mental health, family mental health, Somni, healthcare, health innovation, patient experience, customer experience, user experience, experience design, service design, digital transformation, digital experience, digital product design, UX design, human centered design, design thinking, customer centricity, AI, artificial intelligence, innovation, product design, research, startup, transformation, creativity

Change By Design

Tim Brown, CEO of IDEO, shows how the techniques and strategies of design belong at every level of business.

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Tim Brown, CEO of IDEO, shows how the techniques and strategies of design belong at every level of business.

The myth of innovation is that brilliant ideas leap fully formed from the minds of geniuses. The reality is that most innovations come from a process of rigorous examination through which great ideas are identified and developed before being realized as new offerings and capabilities.

In this revised and updated edition of Change By Design, Tim Brown reintroduces design thinking, the collaborative process by which the designer’s sensibilities and methods are employed to match people’s needs with what is technically feasible and a viable business strategy. In short, design thinking converts need into demand. It’s a human-centered approach to problem-solving that helps people and organizations become more innovative and creative.

Change by Design is not a book by designers for designers; it is a book for creative leaders seeking to infuse design thinking into every level of an organization, product, or service to drive new alternatives for business and society.

Purchase

Know someone who might love this book? Purchase Change By Design here.

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change by design

A 5-Point Checklist for Complex Challenges

Every time we board an airplane, we assume our pilots aren’t going on instinct alone. They’ve worked their way through a checklist—fuel levels reviewed, the flap setting confirmed—to ensure the plane is ready for takeoff. They may be pros, but they’re human, and the complexity of the job makes it easy to forget a step.‍

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Our checklist made all the difference when the Wellcome Trust tasked us with designing a way to cut down on unnecessary antibiotics use in middle-income countries. The world’s antibiotic misuse has staggering implications: By 2050, antimicrobial resistance is expected to kill 10 million people every year. That’s more people than we lose annually to cancer.

What became known as Project Marvelous took us to Kenya and India, where we encountered patients who self-diagnose and prescribe for themselves and their friends, community health workers with very little training, and pharmacies that dole out antibiotics without a prescription in order to make a sale.

As far as complex systems challenges go, it was an extreme one, but after testing several rounds of concepts rooted in behavior change, we found an intervention with real potential. Smart Prescriptions, as we called it, was an endpoint that varied drastically from where we began. The original hypothesis was that the intervention should be designed for pharmacists. But after following the checklist, we found we had to start with doctors.

Here are the five steps we followed to address this complex systems challenge:

1. Define your ecosystem

We can’t claim to have reached an understanding of the whole ecosystem by a longshot—the sheer number of stakeholders involved is what makes it such a complex problem. So at the outset, we defined our ecosystem, drawing a line at pharmaceutical companies, which seemed beyond the scope of the design challenge Wellcome had set. We then set out to interview antibiotic users, doctors, and pharmacists. In doing so, we realized there was a category we had overlooked: India’s tens of thousands of registered medical practitioners (RMPs). They typically aren’t licensed to prescribe antibiotics but have studied Ayurvedic medicine. Being willing to pivot and expand (or contract) the ecosystem is key: We began interviewing RMPs after realizing the huge impact their population has on antibiotics consumption.

2. Adopt a beginner’s mindset

In interviews, we positioned ourselves as people who didn’t know much about the topic. We were there to learn about them as people—their motivations, their struggles, their day-to-day. We listened. We made sure our questions were free of judgement and left our assumptions at the door. What we came to understand is that a primary motivator for doctors is to succeed as a business. They depend on patients coming back.

This insight made it through to the final design. Smart Prescriptions is, at its core, a tool to improve the doctor-patient relationship. Features like automated advice for patients and medication reminders increase the personal interactions doctors have with patients. The antibiotics recommendation is a Trojan horse, tucked inside the features doctors were really clamoring for.

3. Lead with empathy

Continually put yourself in your user’s shoes and make sure you’re seeing the situation from their perspective. We quickly came to understand, for instance, that many people working in pharmacies aren’t actually pharmacists, and that their financial motivations eclipse any duty of care. They dole out antibiotics without a prescription because refraining from doing so means sacrificing a sale and possibly losing a customer to a rival. Rather than slapping a “bad” behavior label on this, we accepted it as their reality and used it as a design constraint.

4. Consider your language

Systems challenges are often as sensitive as they are complex (consider homelessness or mental illness). As designers we are outsiders, so in designing Smart Prescriptions, we needed to make sure doctors were upheld as the experts. We weren’t creating a diagnostic tool, but rather an intervention that offers a recommendation based on their diagnosis. The tool doesn’t actually change the way they prescribe, it just offers guidance. It’s tough to remember every antibiotics guideline, especially as they update. The language that was used was consciously designed to be light and supportive of their expertise.

5. Generate unlimited ideas, then co-create

Don’t fall in love with your first good idea. Every assumption we made was challenged in our first trip, which ended up being more exploratory than we expected. We made a point to talk to every stakeholder and actor about our sacrificial concepts—early ideas we put in front of people to spark reactions. We gauged whether they had a positive or negative response, then iterated accordingly. After the discovery phase, we came up with seven concepts to test with participants and gauged their reactions. Smart Prescriptions was the clear standout, generating the most interest and excitement. We refined the concept back home, then returned to India and Kenya to gather more feedback. This allowed us to design something that spoke to doctors’ primary motivation, and to add features that the doctors felt would make it even more useful.

Unlike pilots, we don’t have the benefit of a known destination. Our checklist doesn’t just guarantee a smoother ride, it plays a major role in mapping the route itself. When the ecosystem is unfamiliar and the complexity is vast, it is a must.

Every time we board an airplane, we assume our pilots aren’t going on instinct alone. They’ve worked their way through a checklist—fuel levels reviewed, the flap setting confirmed—to ensure the plane is ready for takeoff. They may be pros, but they’re human, and the complexity of the job makes it easy to forget a step.


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a 5-point checklist for complex challenges

A Day in the Life of a Business Designer

It starts with a walk in the park and ends with a design sprint

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While I occasionally geek out over numbers, I spend most of my time going deep with clients, sketching business models, and building prototypes to test our ideas with real people.

I’m currently working on a project to create a new taxi experience for Japan. We’re working to help our client, a taxi equipment supplier, stay relevant when taxis themselves are being disrupted.

There’s really no typical day for me at IDEO, but here’s a little peek at what a recent one looked like.

8:30am: Commute

On nice days I walk to work through Yoyogi Park, one of Tokyo’s largest. It’s hard to believe that I live in a concrete jungle with views like this! Most days, though, I take the train. It’s exactly 16 minutes to get to work. (Perk of living in Tokyo: Trains run like clockwork.)

10:00am: Team stand-up

Our team has daily morning and evening stand-ups. We’re supposed to plan the day, but we get sidetracked and spend most of it playing with our taxi prototype.

10:30am: Business model review

I sketch out our current idea using our Business Model Tiles. They’re a quick, visual way to bring our plan to life, and they make it easy enough for anybody to come in and iterate with me. (The team liked this version.)

12:00pm: Monday lunch meeting

The entire studio gets together every Monday for lunch. The food is amazing—we have different caterers provide freshly cooked, seasonal dishes every week. Usually, we share silly photos from the previous week and studio/project updates. Everybody takes a turn as host, and shares personal inspiration. This week it's Ryo, introducing one of our new D4V (Design for Ventures) portfolio companies, Tabi Labo, to the studio. (More on that later!)

1:00pm: Crash course in graphic design

Outside of work, I run a pop-up curry shop with some friends. We make curry with a Japanese twist, using seasonal ingredients or flavoring that you might not usually find in curry. I’m lucky to be surrounded by talented graphic designers who helped me transform my very analogue potato stamp logo into a digital masterpiece.

2:00pm: Video shoot

We’re making a short user journey video to showcase what our taxi service might look and feel like. As a business designer, making things tangible is important, because it makes the service feel real, and empowers clients to take risks and launch new businesses. Our client got really into it, and even starred in the video as the taxi driver!

5:00: Design sprint

IDEO Tokyo is co-located with D4V (Design for Ventures), our in-house venture capital fund. I really enjoy working with the startups, which have different needs from our typical clients, and move really fast. Here, we’re helping Famzon (a company that makes shoes with interchangeable heels) create its first pop-up store in the Haneda Airport.

6:30pm: Heading home

It’s been a long day. Can’t wait to go home, eat dinner, and recharge for tomorrow.

When people ask me what I do for a living, I say, “I find innovative ways for companies to transform and grow.” I think a lot about the intangible parts of creating a new service. How do we make money? Who do we partner with? What resources do we need to begin?

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a day in the life of a business designer, creating a new service, design sprint, prototyping, testing new ideas, facilitation

Turns Out Emotions Do Belong in the Workplace—Here’s Why

How and why feelings make a more functional, productive workplace

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IDEO organizational designer Mollie West Duffy doesn’t buy it. “By ignoring our feelings at work, we overlook important data and risk preventable mistakes,” she says. “We send emails that cause unnecessary anxiety, we fail to make work meaningful, and we are more likely to burn out.”

Last month, West and her coauthor Liz Fosslien released No Hard Feelings: Emotions at Work and How They Help Us Succeed, which argues for harnessing emotions to push your career forward. “Most of us have never learned how to do this in our professional lives, let alone been allowed to admit how much feelings at work matter,” she says. IDEO’s Anna Moore Silverstein sat down with Mollie to learn more.

What inspired you to write this book?

The inspiration for this book came from the fact that when Liz and I started our first jobs, we thought professionals did not fail, did not fuss, and certainly did not feel. But we soon realized this view was not only unrealistic, it stood in the way of our sense of fulfillment—and of our success. Our goal as we began researching No Hard Feelings was to better understand our emotions—when are they useful and when are they just noise? Can we mold them to change how we experience work?

Can you explain the concept of an emotional work culture?

Emotional culture is how and to what extent employees of a company express feelings at work. Every office has one, though few companies talk about emotional norms. Emotional culture affects how much we enjoy our jobs, how stressed we might feel, and our ability to do work well and on time.

To instantly get a sense for a particular office’s emotional culture, Wharton professor Adam Grant suggests you say to an employee,“Tell me a story about something that would only happen here.” For example, at IDEO’s New York studio, Thursday lunches are dedicated to Make(believe) time. Creative activities like aromatic fingerpainting, writing group haiku poems, and blind contour drawing help employees get goofy. You can also look for more subtle cues that indicate what kind of emotions are acceptable in a work space. Do your coworkers seem more comfortable expressing frustration or joy? Are there tissues in meeting rooms (which might indicate it’s okay to cry)? Is it cool to respond to emails with a funny cat GIF?

Why does emotional culture matter so much?

When we feel supported and motivated by our colleagues, we are happier, more productive, and stick around longer. We’re also healthier and better able to cope with job stress. And when our bosses respond to our mistakes with patience instead of fury, we trust them more.

As an org designer, you help people design and scale change in their organizations, and change can be challenging. How do you account for emotions in client work?

Something we say a lot at IDEO is “Change is beautiful.” But change is also uncomfortable, and can be an emotional roller coaster

To help with this emotional journey, we try to set time for weekly check-ins. On my last project, we had a retrospective every Friday that included the client team. We asked everyone to go around and share one thing that went well, one thing they’d like to change, and their overall feelings about the week. This helped us all share our feelings in a dedicated time, so it felt less awkward.

I also have had to work on my own emotions with clients. I tend to be an under-emoter, which means I process my feelings inside. (You can take our emotional expression tendency assessment to see if you are an over-emoter or an under-emoter). So I’m working on trying to warm more quickly. I try to verbalize how excited I’m feeling about a project and a team, to help get our energy up. I also try to verbalize when I’m feeling overwhelmed and I need more help. It’s an ongoing process!

Are there other exercises you would recommend to help a company build a better emotional culture?

Awareness is a really powerful communication tool. Many of the CEOs interviewed by New York Times columnist Adam Bryant create “user manuals” or “how to work with me” guides to make collaboration easier. It’s one of the best ways to pre-empt potential misunderstandings—or hurt feelings. To achieve the same with your team, Adam recommends blocking off an hour to answer the questions below.

What everyone should know about you:

  1. What are some honest, unfiltered things about you?
  2. What drives you nuts?
  3. What are your quirks?
  4. What qualities do you particularly value in people who work with you?
  5. What are some things that people might misunderstand about you that you should clarify?

How to work with you:

  1. What’s the best way to communicate with you?
  2. What hours do we want to work together? Where and how do we want to work (same room, what kinds of meetings, what kinds of file sharing, etc)?
  3. What are our goals for this team? What are our concerns about this team?
  4. How will we make decisions? What types of decisions need consensus? How will we deal with conflict?
  5. How do we want to give and receive feedback (one-on-one, in a group, informally, or during a specified time each week)?

For me, answering these questions was about revealing that I warm up to people slowly. Once people get to know me, I think they find that I’m warm, generous, and even silly. But I can come across as more reserved and serious at first. For Liz, it was about showing people that she loves to be left alone when she works. For people who enjoy frequently emailing or messaging one another, her behavior could come across as antisocial, but she’s a person who needs to put her head down to work—cognitive switching is a productivity sinkhole.

Exercises like these make it easy for people to be honest up front, and set an emotional tone for your team or office. By sharing early, you can make it easier to meet people where they are, and set the stage for sharing of feelings and preferences throughout the process.

Emotions affect so many parts of work, from collaboration to decision-making, motivation, and communication between employees and managers. But in American work culture, “emotional” can be a dirty word. There’s a misconception that expressing feelings is unprofessional or out of place in the office.

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turns out emotions do belong in the workplace-here's why, team collaboration, decision making, workplace design, employee experience, future of work

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.

Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.

My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.

I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
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Rachel Young

My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it

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For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?

My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.

Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.

I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
Consumer Products & Retail
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Brian Pelsoh

I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.

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My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.

I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.

I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.

Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.

I love a good crit.
An inclusive, hands-on approach
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Tony Wong

I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.

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I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.

I advise global leaders on developing China-led innovation and capabilities.

In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.

Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
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Building a personal AI for the messiness of life: Sida Li

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Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.

In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.

The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.

This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.

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Designing GenAI for the emotional side of money: Johannes Seemann

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Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.

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The curious leader's edge in uncertainty: Scott Shigeoka

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Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.

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How constraints make us more creative: David Epstein

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Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.

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