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The Mental Health Continuum Model
Text equivalent
Healthy Reacting Injured Ill
Normal mood fluctuations
Calm & takes things in stride
Irritable/ Impatient
Nervous
Sadness/ Overwhelmed
Anger
Anxiety
Pervasively sad/ Hopeless
Angry outbursts/ aggression
Excessive anxiety/ panic attacks
Depressed/ Suicidal thoughts
Good sense of humour
Performing well
In control mentally
Displaced sarcasm
Procrastination
Forgetfulness
Negative attitude
Poor performance/ Workaholic
Poor concentration/ decision
Overt insubordination
Can't perform duties, control behaviour or concentration
Normal sleep patterns
Few sleep difficulties
Trouble sleeping
Intrusive thoughts
Nightmares
Restless disturbed sleep
Recurrent images/ nightmares
Can't fall asleep or stay asleep
Sleeping too much or too little
Physically well
Good energy level
Muscle tension
Headaches
Low energy
Increased aches and pains
Increased fatigue
Physical illnesses
Constant fatique
Physically and socially active Decreased social activity/ socializing Avoidance
Withdrawal
Not going out or answering phone
No/ limited alcohol use/ gambling Regular but controlled alcohol use/ gambling Increased alcohol use/ gambling - hard to control Alcohol or gambling addiction
Other addictions
Use Big Four+
Employ healthy coping
Nurture support system
Recognize limits, take breaks
Get adequate rest, food, exercise
Identify and resolve problems early
Tune into own signs of distress
Talk to someone, ask for help
Get help sooner, not later
Know resources and access them
Follow care recommendations
Remember treatment works

The Big Four+

Goal Setting

Goal Setting
  • Specific: your behaviour
  • Measurable: quantify progress
  • Attainable: challenging and realistic
  • Relevant: Want it or need it
  • Time-bound: set finish line
  • What’s Important Now

Visualization

Visualization
  • Be calm and relaxed
  • Use all senses
  • See positive mental images
  • Keep it simple
  • Use movement
  • Rehearse it first to improve performance

Self-Talk

Self-Talk
  • Become aware of self-talk
  • Stop the unhelpful messages
  • Replace with Task
  • Relevant Instructional Self Talk (TRIST)
  • Replace with positive messages
  • “I can do this.” “Focus.”

Arousal Control

Arousal Control

Tactical Breathing:

  • Breathe into diaphragm
  • Inhale, hold, exhale to the count of 4

Progressive Muscle Relaxation (PMR):

  • Find optimal muscle tension
  • Tighten muscle group for 5 seconds.
  • Release tension

+Attention Control

Attention Control

Refocusing Strategies:

  • Cue statements
  • Goal setting
  • Take brief breaks
  • Tactical breathing

Shifting Attention

  • Attention Control Drills
  • Visualization
  • Tactical breathing
  • What do you see? Hear?

If you are concerned about signs of a mental health issue in yourself or in someone else, seek help sooner not later.

Resources include:

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