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Top 25 Mental Health Articles on Substack

Best Mental Health Articles




Healing While Parenting: Foster Your Capacity to Stay Grounded

Where Parental Healing Meets Nervous System Regulation
Parenting reaches into the most tender layers of who we are.
Mental Health for Parenting7 LIKES2 RESTACKS
The EMHP's avatar
The EMHP
The idea is simple. Parents who look after their own emotional world become better parents. Not revolutionary. Just true.
There's a bit in the article that stopped me. It compares two parents. One sees their child's tears as a threat to be stopped. The other sees the same tears as an invitation to connect. The difference isn't love. It's regulation. And that's quite a lot to sit with.
Because most of us love our children unreasonably and still sometimes run from their feelings like they're a tax return.
What I liked most is that it doesn't ask for perfection. Just presence. And somewhere in that difference fits, possibly, a better life for everyone involved including the small people who look at us like we know what we're doing.
We don't. But apparently we can learn.

How to Hold Loving Limits With Your Kids Without Falling Into Permissive Parenting

A warm, secure-attachment guide to setting boundaries with calm, consistency, and compassion
Permissive parenting often begins as a tender wish. We want our kids to feel deeply loved, fully seen, and safe to express every feeling they carry. Many of us were raised in homes where our emotions…
Mental Health for Parenting18 LIKES5 RESTACKS
Frank Sterle Jr.'s avatar
Frank Sterle Jr.
The African proverb “It takes a village to raise a child” has long appealed to me. Similarly, in the movie K-PAX the visiting extraterrestrial ‘Prot’ says to the clinical psychiatrist interviewing him: “On K-PAX, everyone’s children’s wellbeing matters to everyone, as everyone takes part in rearing everyone else’s offspring.”
At the risk of being deemed Godless or socialist thus evil, I strongly feel that the wellbeing and health of all children needs to be of genuine importance to us all — and not just concern over what other parents’ children might or will cost us as future criminals or costly cases of government care, etcetera — regardless of how well our own children are doing.
Mindlessly ‘minding our own business’ often proves humanly devastating. Yet, largely owing to the Only If It’s In My Own Back Yard mindset, the prevailing collective attitude (implicit or subconscious) basically follows: ‘Why should I care — my kids are alright?’ or (the even more lamely self-serving) ‘What’s in it for me as a taxpayer?’
As liberal democracies, we cannot prevent anyone from bearing children, not even the plainly incompetent and reckless procreators. We can, however, educate all young people for the most important job ever, even those high-school teens who plan to remain childless. If nothing else, such child-development curriculum could offer students an idea/clue as to whether they’re emotionally suited for the immense responsibility and strains of parenthood.
In the book Childhood Disrupted: How Your Biography Becomes Your Biology and How You Can Heal, the author writes that even “well-meaning and loving parents can unintentionally do harm to a child if they are not well informed about human development” (pg.24). I’ve talked to parents of dysfunctional/unhappy grown children who assert they’d have reared their cerebrally developing kids much more knowledgeably about child-development science.
Given what's at stake, they at least should be equipped with such valuable science-based knowledge!
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“The way a society functions is a reflection of the childrearing practices of that society. Today we reap what we have sown. Despite the well-documented critical nature of early life experiences, we dedicate few resources to this time of life. We do not educate our children about child development, parenting, or the impact of neglect and trauma on children.”
—Dr. Bruce D. Perry, Ph.D. & Dr. John Marcellus

Parable: The Man with the Dull Axe

You were not built for endless output. And the healthiest version of you is not the one who never stops.
Over 600 new subscribers joined this month! Welcome! For those of you who have been around, thank you for sharing this with people you care about; that is the only reason this grows. If you want to go deeper, we launched a paid tier where a portion of every subscription goes directly to domestic violence shelters. Glad you are here either way.
Mental Health 4 Men10 LIKES4 RESTACKS
/365's avatar
/365
Amen. This needs to be blasted from the mountaintops, probably with that Ricola guy bookending the proclamation.
Business used to have seasons. There was a summer, and a winter. Now it's just grind nonstop, and it's up to the individual to self-regulate.
You can quite literally never stop working once your work has been divorced from the circadian rhythm.
We've confused grinding with consistency.
Hustling with persistence.
Pleb Millennial's avatar
Pleb Millennial
First time I've heard that parable, and love it. I focused on the work parable (work smarter, not harder; slow down to improve your tools and that speeds you up overall), but will add your interpretation and will try to get more rest.
I think of night as "me" time, and some of it I think I'm bearing my health and family load: working out on the bike trailer if I didn't get a ride in the day, stretching and reading, Substack reading and drafting, doing the laundry, tidying the house, and every night I think tomorrow I'll go to bed earlier and in the morning I think I should have gone to bed earlier.
The laundry piles up: so what? I get one 3 bike rides instead of 5, so what? I've got another few days where I don't know the cycling results, so what?
Thanks

The phrase that hurt my mental health the most

For those who struggle, and for the people trying to love them well.
This weekend, The Christian Post published an op-ed I wrote about depression, faith, and one of the most painful phrases Christians hear when they finally admit they are struggling:
Sam Eaton | Mental Health6 LIKES2 RESTACKS
Sheryl Cooper's avatar
Sheryl Cooper
I asked God to truly send me some encouragement, and then your article came across my phone. I don’t know if I’ve ever seen your substack before, but I will subscribe now! Thank you, Sam! Know that your work is so very valuable!!

Rethinking the Mental Health Care Continuum

A new report for philanthropy that highlights opportunities for investing in our workforce
It’s summer time, folks. That means the kids are out of school, vacations have started, and there seems to be more daylight to try and cram in all the activities that summer only really allows. Enjoy it, take time for you, and find time to connect to something that maybe never happens the rest of the year.
Ben Miller7 LIKES2 RESTACKS
Chris Tilden's avatar
Chris Tilden
I couldn't agree more with the urgent need to better equip community members who are play vital roles in our "behavioral health system" who are not clinicians and therefore not recognized for the role they do play in this system. First responders are one of the groups deserving special focus in this discussion. They are often a point of "first contact," especially in crisis situations, and given the stressful nature of their occupations often experience behavioral health challenges. I've been involved in this work for a number of years now, and it's been rewarding to see the positive impacts it has made.



Mental Health AI Does Not Need a Licence. It Needs Clinical Standards It Cannot Fake.

The field is debating credentials. It should be demanding clinical grounding. There is no viable alternative.
Scott Wallace, PHD2 LIKES
Laurentiu Lupu MD's avatar
Laurentiu Lupu MD
Permission and safety as different questions feels like the right spine of the piece, and “clinically grounded” versus “clinically decorated” may be the distinction the field has been avoiding.
The place where I still get stuck is auditability. You ask regulators to follow foreseeable function rather than branding, behavior over marketing, but the standard you finally demand is partly internal: builders showing where clinical judgment constrained the architecture before users ever touched it. That evidence lives inside the team, which is precisely where it can be retrofitted, narrated selectively, or asserted after the fact. Function is observable from outside. Architectural grounding mostly is not. A company that optimized for engagement and one that genuinely let a clinician redraw a population boundary could produce a very similar account afterward.
Your point about model updates sharpens this. If behavior after an update need not resemble behavior before one, then grounding demonstrated at ship time does not necessarily bind the system a user actually meets six months later. The foundation you are right to insist on is established at the moment it is hardest to verify, before deployment, and may become least constraining at the moment it matters most, in production, post-update, at midnight.
None of this argues against clinical grounding. It argues that grounding may be necessary, correct, and still insufficient on its own terms, because the thing that makes it trustworthy, that it shaped the system from the inside, is also what makes it difficult to confirm from outside and hard to hold stable over time.
I would be very interested in what you see as the strongest external signal for it: independent red-teaming, clinical incident reporting, version-specific safety cases, post-market behavioral audits, or something closer to named human accountability for each deployed system state.


Mental Health *Is* Physical Health

When you pay attention to what your body needs, you send yourself the message that you are precious and deserve to be cherished. Many of us love that idea but we still don't live it.
Drunk Woman Is Tired (1902), Pablo Picasso
Heather Havrilesky212 LIKES20 RESTACKS
Asha's avatar
Asha
I am here for this and for the Ottolenghi patties. I don't want to be that woman either, but since I hit middle age, my body hits me with a killer headache if I touch alcohol, coffee, or sugar, or mess with my sleep. Would love to hear from people who were non-exercisers who have managed to build exercise into their schedules in a sustainable and low cost way - this is what I find the most challenging.
Kim's avatar
Kim
I kind of needed this today. Thank you!


Economists and Mental Health

A short series on my work on mental health. This is the first part.
I feel like a bit of an interloper working on mental health.
Jishnu Das6 LIKES1 RESTACKS
Jishnu Das's avatar
Jishnu Das
I think that this question of what happens in the household is very important--and understudied because most work on mental health takes the clinic as the starting point, both for treatment and for data collection. Will write on this shortly!
VEENA DAS's avatar
VEENA DAS
Very nicely explained . I wonder if there are any studies that compare what happens at the household level after someone in the family has been treated and becomes stable enough to resume ordinary life? This is because unlike say TB where the treatment can cure for many mental health conditions it is management of the disease that makes quite a difference


Mental Health at NIH

Announcement: I have spent the past few years writing a book on NIH, and it is under contract with MIT Press. The manuscript is in the editing process right now, and there is a ~7,000-word section on mental health that we’re going to cut for the sake of word count.
Stuart Buck44 LIKES12 RESTACKS
CleverBeast's avatar
CleverBeast
In general, this article seems very well-supported, but some of the conclusions seem either too hasty or undersupported. In particular:
> From a structural perspective, it seems like a bad idea to give an NIH Institute Director the power to make radical changes in any one direction, turning the entirety of a given scientific field into his or her personal plaything.
The alternative suggested here seems to be ever-more layers of bureaucracy or more decentralized leadership. The tradeoff, of course, is that these sorts of government styles—which seem to be increasingly common in large institutions—dilutes responsibility and while promoting groupthink and increasing institutional inertia. An individual leader who is responsible for all decisions and actions, whether taken or not taken, does have advantages.
Insen had a plan, executed on it, was criticized for it, and has admitted at least some degree of error.
His mistake was obviously undesirable for NIMH. But we’re only seeing one side of the ledger here. When designing mass health systems, or public institutions in general, we have to weigh the risks of bad leadership against the risks of weak or no leadership.
I’d like to see the latter set of risks discussed more before people get too excited about changing structures in addition to leadership.
Steven S's avatar
Steven S
Larger point taken, but if you're going to ding NIMH research for leaving out behavior, the self, society etc. in favor of genetics and imaging, why rag on the ABCD Consortium, which as you noted *does* include behavioral/social factors? You cite the 2021 NY Times op-ed by a mental health journalist formerly of Science, whose one reference to the study is his complaint that it involved *too many* behavioral/developmental variables. Looks like the researchers can't win!


Living as an Outfluencer

Integration
At some point, the work shifts. From awareness, reflection, and interruption to integration. Because understanding influence is one thing. Living differently within it is another.
The Thrive Guide31 LIKES

MENTAL[IZING] HEALTH: BERGNER ARTICLE STIRS A DEBATE

Newsletter# 76
In today’s newsletter, I want to dwell on Daniel Bergner’s recent piece in the New York Times [https://www.nytimes.com/2026/05/15/magazine/rfk-jr-antidepressants-ssris-psychiatry.html?unlocked_article_code=1.ilA.5lIn.-YzgmeS4D7Q8&smid=nytcore-ios-share&utm_source=substack&utm_medium=email], a piece that has aroused a min…
Elliot Jurist4 LIKES

The Empty Chairs

When joy and grief arrive together at life’s celebrations
Joy and sadness, excitement and sorrow, pride and longing.
Dr Deborah Vinall22 LIKES7 RESTACKS
Mimi's avatar
Mimi
I feel this on such a deep level. Several of my friends are experiencing extended estrangement from their children. Me too.
It burns the heart like a scalding poker. Though I have made new friends and consider this one young woman as a daughter, I still miss my own flesh and blood. It hurts so bad.
Andrea Stoeckel's avatar
Andrea Stoeckel
Yesterday was the first "anniversary" of my divorce. Sometimes I still wish she was here but so much has been given back to me since the split 2 years ago. And as a LGB+TQIA2S ordained UCC minister albeit retired I get exactly what you are saying


Stolen Futures

The hidden trauma of child marriage—and the coercion we fail to see
“Do you do premarital counseling for minors?” the voice on the line wanted to know.
Dr Deborah Vinall26 LIKES12 RESTACKS
Dr. Bronce Rice's avatar
Dr. Bronce Rice
Sexual violence is an extraordinarily difficult thing for any adult, at any age, to come to terms with. And beneath that adult pain is often the younger part of the psyche that still carries what happened. I certainly hope healing is possible, but the road toward psychological repair, or redemption if you will, is not an easy one, whatever the hell it means for the individual.
So why would we ever willingly place children in harm’s way simply because some man wants what he wants, then tells us it is God’s will or that love doesn't see age? Yes, we all need laws on the books to protect ourselves, and of course our children, from such predatory behavior.
Suzie Alexander's avatar
Suzie Alexander
This is so eye opening reading these statistics and so incredibly sad. I’m happy that you are able to listen & support those who desperately need to be heard.