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How to Practice Self-Care When You’re Struggling

Clinically Reviewed By Dr. Jeremy Dubin

Every July 24th, people around the world observe International Self-Care Day, a time dedicated to recognizing the importance of taking care of ourselves. For many, self-care might conjure images of spa days and bubble baths, but actual self-care runs deeper. It’s about nurturing your physical, emotional, and mental well-being in ways that support your overall health and recovery journey.

If you’re struggling with substance use, mental health challenges, or both, the concept of self-care might feel overwhelming or even impossible. You’re not alone in feeling this way. Nearly 60 million Americans live with mental illness, while substance use disorders affect approximately 48.5 million people annually. These overlapping challenges create a pressing need for accessible and effective self-care strategies.

The encouraging news is that appropriate self-care can reduce mortality and morbidity from alcohol, substance, and tobacco abuse. Research shows that even simple practices, such as regular physical activity, can avert an estimated 3.9 million premature deaths each year worldwide. Self-care doesn’t have to be complicated or expensive—it’s about making small, intentional choices that honor your needs and support your journey toward healing and wellness.

Understanding Self-Care in Recovery and Mental Health

Self-care isn’t selfish—it’s essential. When you’re dealing with substance use disorder, mental health conditions, or both, your body and mind need extra support to heal and maintain stability. Self-care becomes a fundamental part of your recovery toolkit, helping you build resilience, manage stress, and create healthy coping mechanisms.

Self-care goes beyond surface-level activities. It involves:

  • Meeting your basic physical needs consistently
  • Processing emotions in healthy ways
  • Setting boundaries that protect your well-being
  • Seeking support when you need it
  • Practicing self-compassion instead of self-criticism

For many people in recovery, learning to practice self-care can feel foreign. Years of substance use or mental health struggles often involve neglecting basic needs, experiencing guilt and shame, or feeling unworthy of care and attention. Recognizing your worth and practicing self-love in recovery from addiction is a crucial step in building a sustainable, healthy lifestyle.

Practical Self-Care Strategies for Daily Life

Self-care works best when it’s woven into your daily routine rather than treated as an occasional luxury. The following strategies are organized into different areas of well-being—physical, emotional, and social—but remember that these areas are interconnected. Taking care of your physical health supports your emotional well-being; nurturing your emotional health strengthens your relationships, and healthy connections with others reinforce your commitment to self-care. Start with one or two strategies that feel manageable and build from there.

Physical Self-Care: Building Your Foundation

Your physical health has a direct impact on your mental and emotional well-being. When you’re in recovery or managing mental health challenges, maintaining physical health becomes even more critical.

Sleep Hygiene: Quality sleep is one of the most powerful tools for maintaining mental health and promoting recovery. Poor sleep can worsen anxiety, depression, and cravings. Establish a consistent sleep schedule by going to bed and waking up at the same time each day, including weekends. Limit screen time before bed, keep your bedroom cool and dark, and avoid caffeine late in the day.

Nutrition and Hydration: Your brain needs proper fuel to function optimally. Focus on eating regular, balanced meals that include protein, healthy fats, and complex carbohydrates. Stay hydrated by drinking plenty of water throughout the day. If you’re in recovery, your body may still be healing from the effects of substance use, making proper nutrition even more important.

Movement and Exercise Physical activity releases natural mood-boosting chemicals called endorphins. You don’t need to become a marathon runner—even a 10-minute walk can make a difference. Find activities you enjoy, whether it’s dancing, gardening, swimming, or playing with pets. The key is consistency rather than intensity.

Medical Care: Regular check-ups with healthcare providers help identify potential issues early and ensure you receive appropriate care for any ongoing conditions. If you’re receiving medication-assisted treatment (MAT) or other prescribed medications, following your treatment plan consistently is a crucial form of self-care.

Emotional and Mental Self-Care: Nurturing Your Inner World

Your emotional and mental well-being form the foundation of how you experience life and cope with challenges. When you’re dealing with substance use or mental health struggles, developing healthy ways to process emotions and manage stress becomes especially important.

Mindfulness and Meditation: Mindfulness practices help you stay present and manage difficult emotions without turning to substances or unhealthy coping mechanisms. Start with just five minutes of deep breathing, or use a guided meditation app. These practices can help reduce anxiety, improve focus, and increase self-awareness.

Journaling: Writing about your thoughts and feelings can help you process emotions and identify patterns in your thinking. You might write about your day, express gratitude, or explore your goals and values. There’s no right or wrong way to journal—the important thing is that it feels helpful to you.

Creative Expression: Engaging in creative activities, such as art, music, writing, or crafts, can provide an outlet for emotions and help you connect with joy and purpose. These activities can be particularly beneficial during recovery, offering healthy ways to express feelings that might otherwise feel overwhelming.

Stress Management: Learning healthy ways to manage stress is crucial for achieving long-term recovery and maintaining mental health. This might include deep breathing exercises, progressive muscle relaxation, or finding healthy outlets for frustration, such as physical activity or talking to a trusted friend.

Social Self-Care: Building Supportive Connections

Human connection plays a vital role in recovery and mental health, yet relationships can feel complicated when you’re struggling with substance use or mental health challenges. You may feel isolated, worry about being judged, or struggle to trust others. Social self-care isn’t about surrounding yourself with lots of people—it’s about cultivating meaningful, supportive relationships that honor your recovery journey and well-being while learning to set healthy boundaries that protect your progress.

Healthy Relationships: Surrounding yourself with supportive and understanding people is crucial for recovery and maintaining good mental health. This might mean strengthening relationships with family members who support your recovery, connecting with others who share similar experiences, or working with a therapist or counselor.

If you’re supporting a loved one with substance use disorder, remember that taking care of yourself enables you to be more present and helpful to them. Setting boundaries and seeking your support are essential forms of self-care.

Setting Boundaries: Learning to say no to situations, people, or activities that threaten your well-being is a vital skill. This might mean declining invitations to events where substance use is central, limiting time with people who are unsupportive of your recovery, or simply taking breaks when you feel overwhelmed.

Community Connection: Finding a sense of belonging and purpose can have a profound impact on your mental health and recovery. This might involve joining a support group, volunteering for a cause you care about, participating in community activities, or connecting with others who share your interests and values.

Self-Care During Recovery: Special Considerations

Recovery presents unique challenges that require specific self-care strategies. Understanding these challenges and preparing for them can help you maintain your well-being throughout your recovery journey.

Managing Triggers and Cravings 

Developing healthy coping strategies for triggers and cravings is essential. This might include calling a trusted friend, engaging in physical activity, practicing deep breathing, or using other techniques you’ve learned in treatment. Having a plan in place before you experience triggers can help you respond more effectively.

Dealing with Difficult Emotions 

Recovery often involves experiencing emotions that may have been numbed by substance use. Learning to sit with difficult emotions without immediately trying to escape them is a crucial skill. This may involve mindfulness practices, journaling, speaking with a therapist, or engaging in creative expression.

Preventing Relapse 

Self-care plays a crucial role in addiction relapse prevention. Maintaining consistent self-care practices helps build resilience and provides healthy alternatives to substance use when facing stress or challenges.

Celebrating Progress 

Acknowledging and celebrating your progress, no matter how small, is an essential form of self-care. This might mean recognizing days of sobriety, celebrating improvements in relationships, or acknowledging personal growth and insights.

Self-Care for Mental Health: Beyond the Basics

When dealing with mental health conditions like depression, anxiety, or trauma, self-care takes on additional importance and may require specialized approaches.

Working with Professional Support 

While self-care practices are valuable, they’re not a substitute for professional mental health treatment when needed. Therapy, medication, and other skilled interventions can provide crucial support for mental health conditions. Seeking this support is an act of self-care in itself.

Managing Symptoms 

Different mental health conditions may require specific self-care strategies. For example, if you’re dealing with depression, you might need to focus on maintaining basic routines even when motivation is low. If you’re managing anxiety, you might benefit from specific relaxation techniques or gradual exposure to feared situations.

Creating Structure and Routine 

Mental health conditions can disrupt daily routines and make it difficult to maintain consistency. Creating structure through regular meal times, sleep schedules, and daily activities can provide stability and support mental health.

Building Sustainable Self-Care Habits

The key to effective self-care is consistency rather than perfection. Building sustainable habits takes time and patience, both with yourself and others.

Start Small 

Rather than trying to overhaul your entire lifestyle at once, focus on one or two small changes that feel manageable. This might be drinking an extra glass of water each day, taking a five-minute walk, or writing down three things you’re grateful for before bed.

Be Realistic 

Select self-care practices that align with your current circumstances, schedule, and abilities. If you’re a busy parent, your self-care might look different than someone with more flexible time. Balancing motherhood and recovery requires specially tailored approaches that acknowledge the unique challenges parents face.

Practice Self-Compassion 

There will be days when you don’t follow through on your self-care intentions, and that’s okay. Instead of criticizing yourself, practice self-compassion by acknowledging that you’re human and tomorrow is a new opportunity to care for yourself.

Adapt and Adjust 

Your self-care needs may change over time, and that’s normal. What works during early recovery might be different from what you need after years of sobriety. Stay flexible and willing to adjust your self-care practices as needed.

When Self-Care Isn’t Enough: Seeking Professional Support

While self-care is vital, it’s not a cure-all. Sometimes, despite your best efforts at self-care, you may need additional support. This is not a failure—it’s a recognition that healing often requires professional help.

Signs that you might benefit from professional support include:

  • Persistent feelings of hopelessness or thoughts of self-harm
  • Inability to function in daily life despite self-care efforts
  • Worsening symptoms of mental health conditions
  • Increased substance use or intense cravings
  • Isolation from friends and family
  • Significant changes in sleep, appetite, or energy levels

Professional treatment can complement your self-care efforts and provide additional tools and support for your recovery journey. Treatment options may include individual therapy, group counseling, medication-assisted treatment, or intensive outpatient programs.

Creating Your Personal Self-Care Plan

Effective self-care is personal—what works for one person may not work for another. Consider creating a personalized self-care plan that includes:

Daily Self-Care: Simple practices you can do every day, like drinking enough water, taking medications as prescribed, or spending a few minutes in quiet reflection.

Weekly Self-Care: More involved activities you can do regularly, like meal planning, calling a friend, or engaging in a hobby you enjoy.

Emergency Self-Care: Strategies for challenging days, like having a list of people you can call, activities that bring you comfort, or places you can go for support.

Seasonal Self-Care: Adjustments to your self-care routine based on seasons, holidays, or other predictable challenges. For example, you might need additional support during holiday seasons or anniversaries of difficult events.

Moving Forward with Self-Care

International Self-Care Day serves as a reminder that taking care of yourself is not just beneficial—it’s necessary. Whether you’re in recovery, managing mental health challenges, or supporting someone who is, practicing self-care is an ongoing process of learning what you need and taking steps to meet those needs.

Remember that self-care isn’t always easy or comfortable. Sometimes, it means making difficult choices, such as setting boundaries or seeking help when you’d rather handle things on your own. Sometimes, it means doing things that feel challenging in the moment but support your long-term well-being.

The journey of recovery and mental health is not one you have to travel alone. Professional support, combined with consistent self-care practices, can help you build a life that feels meaningful, stable, and fulfilling.

Take the Next Step Toward Wellness

If you or a loved one is struggling with substance use disorder, mental health conditions, or both, know that help is available. Self-care is an integral part of the journey, but professional support can provide the additional tools and guidance needed for lasting recovery.

At Porch Light Health, we understand that each person’s journey is unique. Our compassionate team offers comprehensive addiction treatment and mental health services throughout Colorado and New Mexico, including medication-assisted treatment, individual counseling, and specialized programs tailored to various populations.

You don’t have to face these challenges alone. Whether you’re taking your first steps toward recovery or looking for additional support along your journey, we’re here to help. Contact Porch Light Health today to learn more about our treatment services and how we can support you or your loved one on the path to wellness. 

References

1. National Institute of Mental Health. (2024, September). Mental illness. https://www.nimh.nih.gov/health/statistics/mental-illness

2. Substance Abuse and Mental Health Services Administration. (2024). Highlights for the 2023 National Survey on Drug Use and Health. Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. https://www.samhsa.gov/data/sites/default/files/NSDUH%202023%20Annual%20Release/2023-nsduh-main-highlights.pdf3. World Health Organization. (n.d.). Self-care for health and well-being. https://www.who.int/news-room/fact-sheets/detail/self-care-health-interventions

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