The four pillars of mental health and wellbeing

The following are steps that we can all take to promote our mental wellbeing. It is not just those that have a recognised mental illness that should practice steps to protect and improve our well-being. Many today complain of non-descript “stress” and “overwork” that can be early warning signs of future problems. These steps will help many with a mental illness, but should not be seen as replacements for going to see a health professional. The strength of evidence lying behind each of these recommendations differs. In some cases research support is very high indeed, in others these are offered simply as ideas that some have found helpful.

What other ideas have you found that help you and would fit under one or other of these headings?

Physical (Biological)

  • Take regular exercise. Resolve to increase this, even if it is just taking a walk, physical and mental health benefits are strong.
  • Get out into the countryside and surround yourself with lots of green and other natural landscapes. The presence of green spaces in a city is associated with improved mental health of the population.
  • Eat healthily and take regular meals. Avoid in particular intakes of high glycemic index meals that boost your sugar levels too high and then lead to a crash which can be associated with bad moods.
  • Take regular sleep. Go to bed early enough that it is easy to rouse yourself when your alarm goes off. Get up at regular times, and allow your body to tell you when it is tired in the evenings and listen to it….dont burn the candle at both ends!
  • Stop drinking caffeinated drinks altogether or at least stop drinking them after lunchtime to improve sleep quality.
  • Resolve NEVER to drink alcohol to “make you feel better” it won’t, and this is the pathway to alcoholism.
  • Consider adding a small amount of dark chocolate to your diet every day
  • Eat fresh fruit and vegetables to ensure you get enough vitamins
  • Resolve that you will go to the doctor and not be afraid to take psychiatric medications if you ever need them.
  • Take good care of your physical health and ensure things like your thyroid function are normal. Any physical problem can lead to mental health issues.

Mental (Psychological)

  • Learn to think about your emotional state, and to analyze your day
  • If it helps you write a private journal and/or a public blog. Make sure you understand the difference between the two!
  • Identify and negative thought patterns you see in your regular thinking and challenge them.
  • Learn to have a virtual “sentry” in your mind that challenges any thought that flits through your mind and says “halt who goes there?” Don’t allow yourself to be driven along by random thoughts.
  • Make sure you “budget” your mental energy and don’t allow it to be wasted, nor over burdened.
  • Beware of thoughts that run away with themselves (i.e. beware of crazy plans and impulsive thinking)
  • Don’t allow your mind to get stuck in a rut, think about ways to stretch and exercise it.
  • Read a self-help book based on CBT ideas. Even if you are not sick, this could help build your resilience.
  • Resolve that you will be willing to attend a therapist if that seems necessary at some point in the future.


  • Build healthy supportive relationships with your family, and a couple of close friends
  • Join a healthy grace-filled church community and get fully stuck in.
  • Forge a pastoral relationship with an older wiser Christian who you can turn to for advice
  • Make sure your job is challenging enough not to bore you, but is not so stressful it leaves you empty at the end of each day for a prolonged period. Remember that everybody has busy periods at work, but this must have an end!
  • Don’t allow your work to take over your life: take your vacations, and don’t work ridiculous hours.
  • Ensure you allow yourself true recreation and relaxation. Do not fill every waking hour with “productive activity”
  • Watch a movie once in a while, or dare I say it turn on the TV! But make sure that you also do “fun” things with those that you love rather than just stare at a screen all day.
  • Listen to music that calms and/or stimulates you. Learn how music can affect your mood and use it to your advantage.
  • Reduce access to any way you or your family could potentially self harm. If you must own a gun, lock it up. Do not allow a build-up of dangerous medications (including pain killers) to form in your drug cabinet.
  • Think about ways you can help others in your social circle. For example, volunteering as a baby sitter could give you a sense of purpose and a struggling mum (and/or Dad!) a much needed day off.
  • Resolve to be more alert to the possibility of mental illness in those around you, learn to ask the right questions to identify potential cases, and be ready to speak about suicidal ideas without freaking out.
  • Develop a habit of gratitude rather than discontentment. Seeing the glass as half full rather than half empty is more potent than we realize. See for example Ann Voskamp’s work


  • Take some time to really pray. Make God your counselor and tell him honestly how you are feeling, and ask for his help.
  • Put your relationship with God right. Ask him for forgiveness if you know you have sinned.
  • Deal with any unforgiveness in your heart and as much as it lies within you fix broken relationships. Don’t beat up on yourself if despite your efforts someone won’t reconcile with you.
  • Don’t allow yourself to think that forgiveness means that you mustn’t discuss significant sin with the pastor, or if it is a crime that puts others at risk, the police.
  • Worship God. Listen to Christian music to help in that.
  • Read the Bible. Just sit and read it. Let it wash over you. Don’t worry about whether it is doing you any good…it IS!
  • But also make a list of specific verses that either jump out at you or that speak to problems you know you have
  • Meditate on those verses, repeat them again and again to yourself. Memorize them. Internalize them. When a negative thought comes into your mind, replace it with one of those verses.
  • Listen to good sermons. Especially ones that address issues you are dealing with. If you find one that helps you, listen to it again and again.
  • Resolve to learn from wiser older Christians and listen to their advice.
  • Make some new steps in fasting if your health allows.
  • Consider going on a retreat.

Over to you, what other helpful ideas can you suggest?




Premier's Leadership File Profile interview of Adrian Warnock
God's incredible care for us all, and especially those who are mentally ill
How to calm your mind with God's word
God's Word to the Self Assured: Bipolar Disorder Bible verses part 2
About Adrian Warnock

Adrian Warnock is a medical doctor, and a writer. Since 1995 he has been a member of Jubilee Church London. Adrian serves as part of Jubilee's leadership team alongside Tope Koleoso. Together they have written Hope Reborn - How to Become a Christian and Live for Jesus, published by Christian Focus. Adrian is also the author of Raised With Christ - How The Resurrection Changes Everything, published by Crossway.
Read more about Adrian Warnock or connect with him on Twitter, Facebook or Google+.


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  • Donna Carlaw

    Not sure how to express this. How about exercising one’s creative abilities as a 5th pillar? I suppose you could stuff things like gardening, playing music, crafting, painting, sculpting, writing, and so forth into other categories, but that may be a stretch. Our human ability to creat is one of the characteristics that most demonstrates the fact of our being made in the image of our Creator. You did mention writing in a journal and listening to music. More could be said on the importance of creativity, I think. Just a thought. Take it for what it’s worth.

    • Adrian Warnock

      Donna, I see that as part of the social pillar….something I forgot to say but to me, part of being a social being is knowing when to withdraw from others and spend time with ourselves, which for many (not me I am afraid!) includes artistic work. Have updated the post with this and some other stuff. Thanks!

  • Donna Carlaw

    Otherwise I think that this is a wonderful list.

  • ScriptureZealot

    Donna, that’s a great idea. Hobbies might go under “Watch a movie once in a while, or dare I say it turn on the TV! But make sure that you also do “fun” things”.

    I would put reading books in there, if people are able to. Whether it’s books on theology (preferable) in helping to understand the Bible, and know God and his character better, or even good Christian fiction.

  • sandra delemare

    Great post, Adrian, and great series. I’ve just posted a link to this on my blog.

  • Nate Smith

    Yes! All of these things have helped man! Thanks for writing this. The biggest breakdown for me was being prayed over by 20 people for 2 hours straight. It wasn’t planned. That broke the chains spiritually and I am proactive in all of the other areas.