What is self care in counseling


Defining Self Care: What Qualifies?

3 Min Read

Heather Lyons, Ph.D.

January 30, 2020

Self-care has acquired many different definitions as more and more people and organizations become aware of its importance to overall health and wellbeing. The American Psychological Association (APA) defines self-care as “providing adequate attention to one’s own physical and psychological wellness” and believes the practice so crucial that it is considered an “ethical imperative” of mental health professionals. The National Institute of Health (NIH) also promotes self-care from a physical health standpoint, defining it as “a person’s attempts to promote optimal health, prevent illness, detect symptoms at an early date, and manage chronic illness.” 

There are many more definitions for self-care out there, but in a nutshell, self-care is anything you do on your own to maintain or improve your physical, spiritual, mental, and emotional health. An effective self-care regimen is highly personalized and based exclusively on your individual needs. It’s just as important to understand what does NOT qualify as a self-care practice as it is to know what does.

Physical Self-Care

As the NIH’s definition implies, a crucial component of self-care is to know and address your body’s physical needs, like getting adequate rest and sleep. A minimum level of physical activity is imperative to keep your body’s systems functioning optimally, as is a well-balanced diet of healthy meals. You should also include regular check-ups with health care providers to keep tabs on every aspect of your physical health.

However, some people take these self-care suggestions a little too far. For example, you might exercise excessively in the hopes of achieving an unattainable body shape or blow off your appointment with your dentist to spend the day on the couch binging on Netflix with a gallon of ice cream. True self-care means knowing and respecting your body’s limits and understanding the difference between rest and laziness or over-indulgence.

The best way to practice physical self-care is to create a balanced, long-term wellness plan that includes manageable levels of physical activity, regular health care check-ups, time for productive rest and relaxation, and a balanced diet. Occasional indulgences (enjoying a dessert at dinner or an extra hour of sleep on a weekend morning) are great, but never at the expense of your other needs. True self-care will mentally and physically refuel and re-energize you, not deplete you or make you feel worse about your quality of life.

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Psychological Self-Care

Like physical self-care, psychological self-care encompasses self-care behaviors that keep your thoughts and emotions in an optimal state of wellbeing so you can live your best life. Your mental health and physical health are intertwined, and both are crucial to any self-care practice. Self-care activities like meditation, yoga, and deep breathing do double duty in refreshing and relaxing both your body and your mind.

Mental and emotional self-care includes maintaining a healthy emotional state. Find ways to eliminate sadness, loneliness, and negativity from your life. Maybe you find peace and happiness through solo endeavors like listening to uplifting podcasts, practicing a hobby, or journaling. Or perhaps you enjoy activities with others like participating in a book club or religious group or spending quality time with your friends and family members. Maybe self care means taking a mental health day.

Effective emotional, mental, and spiritual self-care will boost your self-image and self-esteem. When you’re paying attention to your own needs, you’re more productive, less stressed, and more confident. You recognize when your work and your life are out of balance and quickly take steps to get things back on track to prevent burnout. You also make better decisions without sacrificing your wellbeing.

Getting Help With a Self-Care Regimen

Self-care is not an indulgence; it’s a requirement. It’s not a short-term fix; it’s a long-term, comprehensive practice. Self-care is also not a selfish act. When you take better care of your own mental, emotional, spiritual, and physical needs, you’re in a better position to care for others. For many people, this is the most challenging hurdle to practicing self-care.

If you need help overcoming your objections to self-care, or creating a personalized plan to tend to your own needs, consider reaching out to a mental health professional through With Therapy. With Therapy’s unique service will match you with a counselor or therapist with whom you’re comfortable, no matter what your personal preferences or requirements. One of our qualified and caring therapists will help you explore your current thoughts and behaviors and create a self-care plan to achieve your best life.

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Taking care of yourself as a counselor

Anyone who has flown on an airplane and listened to the flight attendant before takeoff has been cautioned what to do in the event the oxygen masks fall from the ceiling: Put on your own mask first before trying to help someone else. Counselor wellness experts say that idea has mileage on the ground, too.

Helping yourself first is a principle that applies directly to counseling, says Sandra Rankin, a member of the American Counseling Association who runs a private practice in Austin, Texas. “If you’re gasping for air, you can’t help other people,” says Rankin, who is also earning her doctorate in health psychology from Walden University. “Counselors who neglect their own mental, physical and spiritual self-care eventually run out of ’oxygen’ and cannot effectively help their clients because all of their energy is going out to the clients and nothing is coming back in to replenish the counselors’ energy.”

Although most counselors are familiar with self-care — even preaching the concept religiously to clients — many find it a challenge to put the concept into practice in their own lives. Wellness experts say as life gets busy, counselors may tend to assume that they can, or even should, handle problems and stress on their own. But, these experts caution, counselors who ignore their own needs will find their outlook on the profession going quickly downhill.

“Wellness is one of the critical factors in being a healthy counselor,” says Stephanie Burns, an adjunct professor of counseling at Heidelberg University in Tiffin, Ohio. “We are asked as professionals to provide a tremendous amount of empathy to our clients. We often listen to very tragic and emotionally difficult stories. We are offering this empathy to the client and offering a place to share these stories, yet our profession is not meant to be a two-way street — the client is not there to provide us empathy. So, somehow, when you do that work on a daily basis, you have to have an outlet to receive things back. Otherwise, you end up depleting yourself and you don’t have anything more to give.”

Elizabeth Venart, a private practitioner in Ambler, Pa., who served on the ACA Task Force on Counselor Wellness and Impairment, says offering empathy is imperative in the profession, but this also opens the counselor up to feeling the client’s pain. “While vital, being emotionally attuned and available to clients increases our vulnerability in the work,” she says. “And, yet, we cannot be effective in our work if we are not emotionally attuned and available. Within the counseling relationship and within the moment-by-moment interplay of each session, this is the ultimate balancing act — finding ways to stay attuned to clients while maintaining a strong and deep connection with our own experience.”

The path to finding that balance begins with recognizing warning signs and not feeling ashamed of them, Venart says. “It is important for counselors to understand that there are risk factors inherent in the work and that noticing signs of stress or distress is a sign of health, not impairment. None of us is immune to the effects of the work. When counselors can view their emotional responses to their work as an expected part of empathic engagement rather than something they are doing wrong, they are more likely to seek support, talk about stress with colleagues and engage in self-care practices to support their overall wellness.

Wellness is especially important because counselors are one of the primary instruments in their own work, says Gerard Lawson, associate professor of counselor education at Virginia Tech. “It’s impossible to separate who I am as a person from the work I do as a counselor,” says Lawson, who chaired the ACA Task Force on Counselor Wellness and Impairment. “If I’m not well, that’s going to get in the way of me being able to tune into the needs of my clients.”

Venart, who is also founder and director of the Resiliency Center, a community of private practitioners offering healing services, community education programs, professional development trainings for helping professionals and other services, echoes Lawson’s sentiment. “Counseling is a profession dependent upon our ability to be authentic and attune empathically because it is through this process of careful attunement that healing and growth occur,” she says. “Research consistently demonstrates that the quality of the therapeutic relationship is more predictive of counseling outcome than any other factor. Since the self of the counselor is an essential component of effective counseling, it is vital that we nourish our own wellness. When we are well, we are better able to connect with our clients, more attentive and creative in our work, and less likely to make clinical errors or violate boundaries.”

Counselors should make it a priority to walk the talk and model wellness for their clients, Lawson says. “It’s not to say we need to be perfect all the time, but we need to be aware. If you’re telling your clients to do it, do it yourself.”

Venart agrees. “We need to be aware of the messages we teach clients when we honor boundaries or neglect to set them, when we take a day off to nurture our health or come into work sick, or when we model joy and curiosity or unintentionally share the flat affect of our unresolved grief or depression.”

It’s important that counselors make a habit of checking in on themselves, Venart adds. “Because counselor wellness and impairment are on a continuum from well to stressed to distressed to impaired, it is critical that we continually monitor where we are on that continuum and address any early signs of stress so we don’t move further down the continuum. We are instruments of healing. If we don’t keep our own instrument tuned, we won’t be useful in promoting wellness in others.”

A self-checkup

Determining how “well” you are as a counselor can start with only a few clicks of the mouse, says Burns, an ACA member who has offered wellness workshops for counselors. She points to resources that came out of the Task Force on Counselor Wellness and Impairment, including handouts on risk factors, assessment tools and more, all available on the ACA website at counseling.org under the “Resources” tab. “It can be hard because of our work schedules and the fast pace of life to know how we’re doing,” Burns says. “All those resources are free, and counselors can download them 24/7. It’s a way for counselors to check in with themselves and figure out where they’re at.”

Leslie Kooyman, an assistant professor in the Counseling and Educational Leadership Department at Montclair State University, says mild feelings of resentment toward certain clients or feeling burdened by certain clients can be a subtle indicator that something isn’t right. Other indicators, Kooyman says, particularly for experienced counselors, are regularly feeling lost in terms of what direction to take with clients and sloppy logistics, such as starting sessions late or allowing sessions to go past their scheduled end time.

Unexpected events can throw a schedule off course, but that should be the exception, not the rule, says Kooyman, a member of ACA. “We all have good days and bad days, good sessions and bad sessions. You’re not always 100 percent, certainly.” But, he cautions, a pattern of such issues might signal the beginning of burnout.

Rankin says other warning signs include feeling irritated about clients, experiencing a low level of energy, having problems develop at home, viewing the world and the people in it as unsafe and losing your sense of humor. Paying attention to the physical and mental symptoms of stress is important, she says, as is taking action to alleviate those symptoms instead of ignoring them and simply hoping the situation will fix itself. “Unfortunately, many counselors use stress as an indicator of the quality of work they are doing, believing they are being ineffective if they experience even a hint of stress,” she says. “What counselors need to remember is that stress and the accompanying symptoms are indicative of how the work is affecting them.”

One of the ways Rankin keeps her wellness in check is by participating in a peer support group with a handful of other counselors. The group meets at someone’s office or goes out for lunch or coffee roughly once every other week, although group members meet more frequently when they feel the need. They are careful to go someplace neutral so whoever is having the worst week can get away from his or her work environment, Rankin says.

In one instance, a counselor in the group was experiencing explosive growth in her practice and was seeing between 40 and 50 clients per week. Some of these clients were outside of the counselor’s specialty and were not as enjoyable for her to work with. The counselor found herself exhausted and with precious little time left over for herself or her family. “When we as a group confronted her, she said it had happened before she knew it and [she] didn’t know how to get out of it,” Rankin says. “Being counselors, we probed into why she was ’suddenly’ overwhelmed with clients she did not want and was constantly working. Like our clients, she used every excuse in the book, including the very real ’If I don’t work, I don’t get paid’ argument.” The group helped her brainstorm options and potential solutions, and after she chose a few, the group gave her deadlines and held her accountable.

“She hired a local company to do her insurance reviews, started referring clients not in her specialty, set boundaries with her existing clients so she was not taking their calls at all hours of the day and night, and went for her own personal counseling to address issues she was using work to avoid,” Rankin says. “It took about a month for all of these changes to be put in place, but by the end of the second month, she was experiencing some relief and returning to her old self. It’s been over a year now, and she actually has more free time than ever.”

Making room for life

When Lawson worked as a counselor in an inpatient setting, he remembers rehashing each day in his mind during the car ride home from work. He would go over the clients he had seen, what he had done well and the things that hadn’t worked. “I was literally taking it home with me,” Lawson recalls.

That winter, Lawson repeatedly found himself getting sick, which previously had been a rare occurrence for him. It took a little while, but he eventually realized stress was taking a toll on him physically, so he determined to make a change. On his drive home, it was necessary for Lawson to cross a river. He decided that crossing the river would signify the end of his work day, at which point he would shut off and leave thoughts of the counseling office behind. “It sounds corny,” he says, “but it was a cleansing moment for me at the end of each day.”

A variety of ways exist to improve self-care, and Venart contends that self-awareness is the first step in creating lasting change. “Create and pay ongoing attention to the balance in your life — balance between work and play, giving and receiving, accomplishing tasks and doing nothing,” she says. “Learn simple strategies to nurture yourself within your day, including nourishing [yourself] with enough water, good nutrition and movement and exercise.”

Among Venart’s other recommendations are venting and problem solving with colleagues, taking a walk, journaling, practicing mindfulness and taking advantage of clinical supervision and peer support groups. Venart keeps herself motivated by maintaining a folder of thank-you notes and success stories from her work with clients. “I refer back to them regularly as a way to remind myself that this work really makes a difference, especially on those difficult days.”

Career-sustaining behaviors are often unrelated to work itself, Lawson points out. Aim for a rich life outside of work, which might include taking vacations or “staycations,” spending time with family or a significant other and making time to meditate or pray. Lawson sometimes asks counselors what they do for leisure outside of work, and he routinely hears responses such as volunteering with the American Red Cross or hospice care. “Those are wonderful things to do but very similar to the rest of their professional lives,” he says. “At some point, you need to do something with another part of your brain, not something where you’re caring for others or putting others’ needs ahead of your own.”

Kooyman advocates integrating relaxing activities such as yoga, deep breathing and listening to music after sessions but says counselors should protect their well-being in session, too. “Wellness is also about being able to take care of yourself in the moment,” he says, “and that’s a little more challenging.” He provides the example of counselors being honest about the days they’re available to be in the office instead of stretching to accommodate a particular client.

Another example is setting limits when negotiating fees with clients. Kooyman, who worked in private practice for 10 years, did pro bono work but was also realistic about having to make a living. At times, he says, counselors can be too client-centered and end up giving more than they should. “If we’re not really comfortable with what we’ve decided, it’s going to eat away at us,” he says.

Maintaining boundaries is a crucial element of self-care, Rankin says. “A lack of professional boundaries can create feelings of being overwhelmed, bitter and angry. Too many counselors have not learned what boundaries are, so they meet with or take calls from clients outside of office hours, do not set office hours or work overtime when there is no real need. Basically, they put clients before their own family, friends and self.”

Setting boundaries means taking vacations and holidays, Rankin adds. That can be a tough decision, especially for private practitioners who aren’t bringing in income if they take a day off, but getting away from work is extremely important, she says. “Long or unusual work hours, large caseloads, caseloads with a high amount of trauma, no vacation or off days and no holidays all contribute to counselors becoming unhealthy in mind, body and spirit and therefore impacts the quality of care provided to clients.

Keeping up with the literature in the field can also promote wellness, Lawson says. When counselors read the latest research and understand new aspects of a concept or problem, it can remind them to view clients as people rather than the problems they represent. Reading the professional literature can also help counselors guard against taking cookie-cutter approaches with clients, Lawson says. Also a proponent of journaling, Lawson says research has shown that people who journal on a regular basis are less susceptible to illness.

Rankin points to research showing that personal therapy and/or clinical supervision can help counselors stay happy and healthy in their work. However, she says, many supervisors are unaware of the importance of self-care, and many counselors don’t seek supervision beyond their internships. “For example, many counselors I have worked with, as well as counselors I have had as clients, do not understand the difference between emotional attachment and empathy. Learning the difference while in clinical supervision would have decreased their risk of compassion fatigue and burnout. Those that were my clients may not have needed therapy had they learned the difference.” If clinical supervision is not an option, Rankin recommends finding a peer consultation group.

Venart recommends that counselors sort their to-do lists into tasks that are truly essential and those that are not. She recalls a counselor in one of her peer consultation groups who told a story about resenting her husband’s ability to relax and informing him there were no days off in their household. “While believing this assertion wholeheartedly as she was expressing it to him, she had to laugh at herself as she was recounting the story aloud in our group,” Venart says. “She realized it wasn’t OK with her for him to have a ’day off’ because she had never considered the possibility that she, too, might be entitled to regular downtime. We explored the undercurrent of beliefs that drive so many of us to push hard without resting, to put others before ourselves and to deny our basic needs for rest, nourishment and pleasure. Yes, some of the tasks of work and parenting and taking care of a home are essential, but some are not. Counselor wellness is sustained when we take an ongoing inventory of what’s truly important and make sure we’ve made ourselves a high priority on our running list of things requiring care.”

In the process, Venart adds, don’t forget to appreciate the lighter side. “Infuse a sense of play into your life. A sense of play can help you and your clients remember that life need not always be so serious. I have a playful little wire figure of a girl sticking out her tongue that reminds me that humor is healing. Clients love this little figure and have commented that her silly irreverence inspires them to speak their mind and see the humor in situations.”

Not second nature

If wellness is ingrained in the foundation of counseling, why doesn’t self-care come more naturally to counselors? First and foremost, Lawson says, people who end up in the helping professions are naturally inclined to take care of others. Plus counseling, by design, is a one-way caring relationship. At times, Lawson says, counselors let that work mentality “leak over” into the rest of their lives, allowing every relationship to become a caretaking relationship.

“Those drawn to work in counseling may have learned at an early age to become other-focused rather than self-focused,” Venart confirms. “As a result, they may not feel they need or deserve the same nurturing [that] they accept others need and deserve. They may have exceptionally high standards for themselves and yet be compassionate and forgiving of the shortcomings, mistakes or inconsideration of others.”

There’s also a deeply rooted idea that as Americans, we should be self-sufficient and pull ourselves up by our bootstraps, Lawson says. “I would argue it’s good practice to say, ’I need help.’ Asking for help isn’t a sign of weakness. It really is a sign of the commitment to the work that we do.”

The work itself can stand in the way of wellness, Rankin says. “Many counselors struggle just to get through the day, so self-care takes a backseat to limited time and fatigue. Plus, some work environments make it difficult for therapists to engage in self-care because of unusual or long work hours, large caseloads and little or no support.”

In addition, like most people, counselors can grow “comfortable” in their discomfort. Even when their work environments are filled with stress, fatigue, anger and resentments, it can still feel “safe” simply because they know what to expect, Rankin says. Trying to change that work environment, even if for the better, can move counselors out of their comfort zones. “But, as I tell my clients, while you’re helping others, who is helping you? Your work should be only a part of your life,” Rankin says. “Boundaries, including a commitment to self, must be in place so there is a balance and distinction between your work life and your personal life.”

Counselors who have children can feel as though there’s even less time to think about personal wellness, Venart notes. “Counselors who are parents may struggle with feelings of guilt for not being more emotionally or physically available for their children,” she says. “As a result, they may tell themselves they must devote all their nonwork time to their children and that it would be wrong to take time away from the kids to nurture themselves. Yet, when we pay attention to and nourish our own needs, it is far easier to be mindfully present with those we love.”

Although counselors may be full of wellness tips for others, knowledge doesn’t always translate into action for themselves. “We are not so different from our clients when it comes to this,” Venart says. “There is often a gap between what we know in our heads to make sense and how we live our lives.”

“Counselors may have more information about effective self-care practices, but they are as vulnerable to internalized negative messages that discourage or discount self-care as their clients,” she continues. “In addition, counselors may have a false belief that they should be able to heal themselves, that their training as a counselor somehow means they don’t need outside support and that the wellness practices that work for everyone else are somehow too simple for them or just not necessary.

How can counselors infuse what they know into their day-to-day lives? There’s no easy fix, Burns says, but it can be done. “It’s just like we tell our clients: If we want to see a change occur, we have to take ownership of what we want to see happen and do it. We have to make a choice, take ownership of it and then act on it.” Set a goal, but make it an attainable one, Burns recommends. “We can overwhelm ourselves [if we think] that we have to implement all of these things instead of just focusing on one thing and taking it from there.”

Taking a step toward wellness doesn’t equate to doing everything perfectly from here on out, Lawson says. “I don’t really care that you’re doing it just right,” he says. “I’m more concerned that people are paying attention and making efforts toward it.”

Having a supportive environment can help immensely in improving counselor wellness, says Lawson, who recommends that counselors talk with colleagues about their personal needs and struggles and solicit support for the changes they are trying to make. At Virginia Tech, Lawson came up with a rule to support wellness and life balance: No shop talk over meals. “It’s a small thing, but it can make a huge difference in a work setting,” he says. “But you need someone else to buy in as well. It’s awfully hard to do alone.” Start by finding one person to make changes with, but don’t be surprised if two people turn into a trio and then a culture of wellness catches on, he says.

Venart concurs that peers can make all the difference. “Peer support can be incredibly effective in improving self-awareness and supporting positive growth and wellness,” she says. “Creating personalized wellness goals and committing to them in the company of colleagues can support counselors in turning plans into reality.”

Shedding the day

A foundation for wellness should be built before counselors even enter into their professional lives, Lawson says. “In counselor education, we don’t do as good of a job teaching about risks and how to avoid them or manage them if you bump into them,” says Lawson, who makes an extra effort to talk with his students about wellness in the hopes the message will stay with them when they become professionals.

To help establish this mind-set, Lawson encourages his students to change their clothes after they return home from their internships at the end of each day. “You’re [figuratively] shedding the day, and you can move on to the evening with your family,” he says. “It’s a tiny ritual, but it’s those sorts of things that help us separate our professional life from our home life. The ritual becomes a habit and, over time, that habit becomes part of maintaining your own wellness.”

Kooyman, who teaches school and community counselors, often asks his students to make a list of activities they enjoy doing and then to be deliberate about incorporating enough of those activities into their daily lives. Burns also brings up wellness with her students, asking them how they give attention to the many facets of their lives. Creating a supportive atmosphere for counselor wellness in graduate school is crucial, she says. “That’s a good sandbox. If it can be incorporated there, then those skills can be transferred over when they’re working full time as a counselor.

As a whole, counselor education programs must do more to promote and teach counselor wellness strategies, Venart says. “While current programs or individual professors may discuss the importance of self-care, I believe it is vital that this focus be interwoven throughout graduate training programs and that students and professors alike be challenged to engage in wellness practices and modify behaviors that clearly impair their functioning, including workaholism. I have a friend currently enrolled in a holistic nursing program where practitioner wellness has been integrated into every aspect of their training. The importance of self-care is overtly discussed and modeled by faculty, and the curriculum of each course includes an emphasis on self-assessment and reflection as well as the development and implementation of concrete wellness plans and practices.”

Venart reminds students and professionals alike that although self-care can appear large and looming at times, the process begins with just one step. “As we see with clients, it doesn’t usually require a heroic effort or a complete life makeover to generate really positive results. Sometimes the smallest changes can make the biggest impact. Never underestimate the power of a restful eight hours of sleep, exercise and good nutrition throughout the day. Lunch with a friend can lift our spirits, and taking a Sunday off to rest and play can help us recharge for the week.”

 

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What is self-care?

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Don't confuse self-care with selfishness. The point is not that we think only about our needs, but that, only by taking care of ourselves, we will be able to give attention and energy to loved ones.

What is self-care?

Self-care can be considered any activity through which we consciously invest energy, time, money in our mental, emotional and physical health. In theory, everything is simple, but in practice we often miss a lot. Proper self-care is essential to maintaining a good mood and reducing anxiety. It is also important so that we can properly build relationships with ourselves and others. nine0003

What is not self-care?

Perhaps it is even more important to understand what is not self-care. If we have to force ourselves to do something and we do not get joy from it, this activity can no longer be considered self-care. According to clinical psychologist Agnes Wainman, “Self-care is what recharges us, it shouldn’t take energy away.”

Taking care of yourself is the key to balance in life

Where to start? Here are three golden rules:

• Start simple - sleep, relaxation, pleasant hobbies, going to the doctor. Over time, you will find a rhythm that suits you and understand in what form self-care is most suitable for you personally.

• Self-care is only something we plan on purpose, not something that happens on its own. It is always our conscious choice. If you are planning something, add it to your schedule, tell others about it to solidify your intention. Actively look for opportunities to invest energy in yourself. nine0003

• I often stress the importance of mindfulness when talking to clients. In other words, if you do not see something as taking care of yourself, then you will not get the corresponding effect. Be aware of what you are doing, why you are doing it, how you feel about it and what result you get in the end.

Only by taking care of ourselves will we be able to give attention and energy to loved ones

What you can do for yourself:

• Write down everything you don't like or don't want to do. For example: do not check email late at night and at night, do not go to events and parties that you do not like, do not answer calls during lunch and dinner. nine0003

• Eat a healthy and balanced diet.

• Get enough sleep. An adult needs 7-8 hours of sleep per day.

• Exercise or exercise. Many do not know this, but physical activity benefits our emotional health, not just physical. It increases serotonin levels, which in turn improves mood and energy. Keeping in mind the rules of self-care, choose the type of physical activity that you enjoy. nine0003

• Do not put off the necessary preventive examinations and visits to the doctor.

• Do relaxation exercises and/or meditate. You can do this at any time of the day.

• Spend enough time with loved ones.

• Do something every day to relax, whether it's a short walk or 30 minutes of quiet time.

• Do something nice for yourself every day: go to the movies, cook your favorite meal, arrange a meeting with friends. nine0003

• Look for opportunities to laugh.

Make a 15-day self-care schedule and compare how you feel before and after. And remember, as with everything else in life, taking good care of yourself comes with experience.

About the author: Rafailla Michel, counseling psychologist.

Text: Nikolai Protsenko

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psychology — Here and Now

The author of the article: Gilmanova Aigul

Everyone understands and expresses care in their own way. Perhaps someone sees in caring a desire to shelter themselves or loved ones from adversity and difficulties, but for someone it is just a kind, sweet gesture towards themselves or others. For some, this is taking a bubble bath after a hard day's work, buying something pleasant or tasty, someone is happy to take care of someone by sharing, and for someone, care is the rejection of something harmful to oneself and your health. But you can certainly find common associations to this concept. For example, about the fact that care is associated with action, as well as with the concept of love, the desire for well-being for those who are cared for. What is concern for you? nine0003

External and internal

Externally, even on a physical level, taking care of yourself is sometimes very simple, for example, wrap yourself in a blanket or drink a hot drink when it's cold or close the window when it's windy, undress when it's hot, eat ice cream, put on cream to stay out of the sun, avoid unhealthy foods, allow yourself to rest when needed, or even just walk away from a bad movie to a movie. We can say that the outer side of self-care is the satisfaction of our physical needs. But there is also an equally important, inner side - psychological . Satisfying our psychological needs is very often not so easy for us, primarily because we do not always know about them, we cannot understand, or we consciously or unconsciously ignore them.

Contact with yourself

The key to taking care of yourself is in contact with yourself, with your thoughts, feelings and needs. It is precisely because of the lack of this contact, ignorance and misunderstanding of ourselves, of what happens to us at any level (emotional, psychological and sometimes even physical), that it is sometimes so difficult to satisfy our deepest needs and take care of ourselves, protecting ourselves from depreciation. , humiliation, non-constructive criticism, declaring their personal boundaries and defending them. Stop ignoring and suppressing your own inner impulses, desires, opportunities and meet the real you, with each of your sides, the most frightening and most beautiful, and make yourself known is not easy, but this is precisely what is genuine self-care in the full sense of the word. This is the realization that everything that is in you is important and necessary. nine0003

Own permission to take care of ourselves care. The reasons for this are individual and often related to the parenting model in childhood. All this can be learned and worked through in therapy.

There is also the belief that taking care of yourself is selfish, and this thought can also inhibit self-expression and prevent you from talking about your feelings and needs or thinking about yourself in general. This judgment occurs due to a misinterpretation of this concept, its perception in a purely narrow or distorted sense. Accepting this statement, people begin to feel guilty, deciding to put their feelings first. But, in fact, it works just the opposite. Without knowing how to take care of ourselves first of all, without understanding ourselves, we will not be able to fully help another. Without knowing yourself, it is impossible to understand another. No one like us knows and will not be able to recognize us and, accordingly, will not be able to take care, based on our needs, exactly as we would do it for ourselves. Allowing yourself to be taken care of is a conscious choice and personal responsibility. nine0003

One of my friends often complained about dissatisfaction with life, countless family problems, disagreements and misunderstandings in her relationship with her daughter. She was a fairly wealthy woman and was convinced that she took good care of herself, regularly spending huge amounts of money to maintain her external gloss and beauty. When we talked about the possibility of resolving her personal problems and changing the quality of life in therapy, she said with a smile that she spends enough time maintaining her image in the eyes of others. nine0003


Taking care of yourself is often not about pleasant things and goodies. In most cases, it's about finding the courage to face your fears, doubts, anxieties and worries and realize their causes, as well as why it is so difficult to allow ourselves what is given to us by birth right - to be ourselves and with ourselves, to be on your side, choosing yourself, your comfort and safety, without infringing on the rights of others.


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