Implementations of a programmable interactive system to interact with a user to alter a user's behavioral patterns are provided. Such systems can include one or more of a processor, at least one input sensor operably coupled to the processor to sense at least one sensor input, at least one output device to output at least one stimulus to be observed by the user, a core unit to interact with the user, the core unit being operably coupled to the processor, and a non-transitory machine-readable medium embodying a set of machine readable instructions that, when executed by the processor, cause the system to detect one or more sensor inputs by way of the at least one sensor, analyze said at least one or more sensor inputs to identify a parameter describing the status of the user, and responsive to determining the parameter describing the status of the user, causing the at least one output device to change output of at least one stimulus that is observable by the user.