This resource is a collection of evidence-based mental health coping strategies and techniques designed to assist individuals in managing common mental health issues, such as stress, anxiety, and depression.

It provides a wide range of strategies that have been supported by research and clinical evidence. Each coping strategy is accompanied by a brief description and instructions for implementation, empowering you to proactively enhance your well-being:

☐ Deep Breathing:

  • Description: Deep breathing is one of the most simple yet powerful mental health coping strategies that promotes relaxation and reduces stress and anxiety. It has been shown to activate the parasympathetic nervous system, inducing a state of calmness and reducing physiological arousal (Jerath et al., 2015).

  • Instructions: Find a comfortable and quiet place to sit or lie down. Inhale deeply through your nose, allowing your abdomen to expand. Exhale slowly through your mouth, releasing tension with each breath. Repeat for several minutes, focusing on the sensation of breathing.

☐ Progressive Muscle Relaxation (PMR):

  • Description: PMR is a technique that involves systematically tensing and relaxing different muscle groups to promote relaxation and reduce muscle tension. Research suggests that PMR can effectively reduce anxiety and improve sleep quality (Jacobson, 1938; Khanna & Romer, 2012).

  • Instructions: Find a quiet space and start by tensing the muscles in your toes and feet for a few seconds, then release the tension while focusing on the feeling of relaxation. Move upward, repeating the process with each muscle group, including legs, abdomen, arms, shoulders, and face.

☐ Cognitive Restructuring:

  • Description: Cognitive restructuring is a technique used to challenge and reframe negative or distorted thoughts that contribute to anxiety or depression. Numerous studies have demonstrated its effectiveness in reducing symptoms of anxiety and depression (Butler et al., 2006; Hofmann et al., 2012).

  • Instructions: Identify negative thoughts or beliefs and examine the evidence supporting or contradicting them. Replace negative thoughts with more balanced and realistic ones. For example, replace “I always fail” with “I have had successes in the past, and I can learn from setbacks.”

☐ Mindfulness Meditation:

  • Description: Mindfulness meditation involves focusing one’s attention on the present moment without judgement, cultivating a sense of awareness and acceptance. Research has shown that mindfulness meditation can reduce symptoms of stress, anxiety, and depression, while promoting overall well-being (Khoury et al., 2013; Keng et al., 2011).

  • Instructions: Find a quiet space and sit in a comfortable position. Bring your attention to the sensations of your breath, the sounds around you, or the sensations in your body. Whenever your mind wanders, gently redirect your focus back to the present moment.

☐ Imagery and the “Calm Place” Exercise:

  • Description: Research has shown that imagery can have a profound impact on emotional well-being, promoting relaxation and reducing stress (Holmes & Mathews, 2005; Holmes et al., 2006). The “Calm Place” exercise, a visualisation technique, helps individuals create a mental sanctuary where they can find solace and tranquility. Engaging in imagery exercises, including the “Calm Place” exercise, has been found to reduce anxiety and improve overall emotional well-being (Pearson et al., 2010; Shearer et al., 2016).

  • Instructions: Find a quiet and comfortable space where you won’t be disturbed. Close your eyes and take a few deep breaths to relax your body and mind. Visualise a place where you feel calm and secure, such as a beach or a serene forest. Engage your senses and imagine the sights, sounds, smells, and textures associated with this place. Allow yourself to fully immerse in the experience, experiencing a deep sense of relaxation and well-being.

☐ Journaling:

  • Description: Journaling provides a way to express and process thoughts, emotions, and experiences, promoting self-reflection and emotional well-being. Research has indicated that expressive writing, such as journaling, can have positive effects on psychological health, including reducing stress and enhancing emotional well-being (Pennebaker & Chung, 2011; Ullrich & Lutgendorf, 2002).

  • Instructions: Set aside dedicated time each day to write freely about your thoughts, feelings, or experiences. Explore your emotions, challenges, and successes. There are no rules or limitations—simply allow your thoughts to flow onto the pages.

☐ Social Support:

  • Description: Seeking support from trusted friends, family members, or support groups can provide comfort, understanding, and practical assistance. Research has consistently shown the positive impact of social support on mental health and well-being, including stress reduction and increased resilience (Cohen & Wills, 1985; House et al., 1988).

  • Instructions: Reach out to someone you trust and share your feelings or concerns. Engage in activities or join support groups where you can connect with others who may be experiencing similar challenges.

☐ Engaging in Physical Activity:

  • Description: Regular physical activity has been extensively studied and shown to reduce stress, improve mood, and increase overall well-being. Research suggests that exercise can have positive effects on mental health by increasing endorphin levels, reducing inflammation, and enhancing cognitive function (Stubbs et al., 2017; Schuch et al., 2016) making it one of the most attainable mental health coping strategies available to all.

  • Instructions: Choose activities you enjoy, such as walking, running, yoga, or dancing. Aim for at least 30 minutes of moderate exercise most days of the week. Start with activities that are feasible and gradually increase intensity or duration.

☐ Setting Boundaries:

  • Description: Setting boundaries involves defining limits and communicating them assertively to protect your psychological well-being. Although research specifically on boundary-setting techniques is limited, studies on assertiveness training have shown positive effects on self-esteem, communication skills, and overall well-being (Richmond & Kehoe, 1999; Womble et al., 2008).

  • Instructions: Identify your needs and priorities. Clearly communicate your boundaries to others, expressing your limits and expectations. Learn to say “no” when necessary, and prioritise self-care.

These mental health coping strategies represent a diverse range of interventions that have demonstrated efficacy in addressing psychological challenges. Understanding their key principles and the notable theorists behind them can help you make informed decisions about the technique that aligns best with your needs and goals.

Note: This resource provides a general overview and should not be a substitute for professional advice or guidance.

References:

Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive-behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427-440.
Holmes, E. A., & Mathews, A. (2005). Mental imagery and emotion: A special relationship? Emotion, 5(4), 489-497.
Holmes, E. A., Coughtrey, A., & Connor, A. (2008). Looking at or through rose-tinted glasses? Imagery perspective and positive mood. Emotion, 8(6), 875-879.
House, J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology, 14(1), 293-318.
Jacobson, E. (1938). Progressive relaxation. University of Chicago Press.
Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2015). Physiology of long pranayamic breathing: Neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical Hypotheses, 84(2), 87-90.
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-1056.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2013). Mindfulness-based stress reduction for healthy individuals: A meta-analysis. Journal of Psychosomatic Research, 78(6), 519-528.
Pearson, D. G., Deeprose, C., Wallace-Hadrill, S. M., Heyes, S. B., & Holmes, E. A. (2010). Assessing mental imagery in clinical psychology: A review of imagery measures and a guiding framework. Clinical Psychology Review, 30(6), 617-631.
Pennebaker, J. W., & Chung, C. K. (2011). Expressive writing: Connections to physical and mental health. Oxford Handbook of Health Psychology, 417-437.
Richmond, V. P., & Kehoe, C. M. (1999). Coping, social skills, and psychopathology at the start of university life. Journal of Clinical Psychology, 55(6), 795-809.
Schuch, F. B., Vancampfort, D., Rosenbaum, S., Richards, J., Ward, P. B., & Stubbs, B. (2016). Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response. Psychiatry Research, 241, 47-54.
Shearer, A., Hunt, M., Chowdhury, M., & Nicol, L. (2016). Effects of a brief mindfulness meditation intervention on student stress and heart rate variability. International Journal of Stress Management, 23(2), 232-254.
Stubbs, B., Vancampfort, D., Rosenbaum, S., Firth, J., Cosco, T., Veronese, N., … & Schuch, F. B. (2017). An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Research, 249, 102-108.
Ullrich, P. M., & Lutgendorf, S. K. (2002). Journaling about stressful events: Effects of cognitive processing and emotional expression. Annals of Behavioral Medicine, 24(3), 244-250.
Womble, S. P., Williams, N. I., McNabb, W. L., Sturkie, C. D., & Zervakis, J. (2008). A comparison of two modes of stress management: Daily hassles and uplifts versus major life events. Journal of Behavioral Medicine, 31(4), 366-377.