homework related to mental health

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August 16, 2021

Is it time to get rid of homework? Mental health experts weigh in

by Sara M Moniuszko

It's no secret that kids hate homework. And as students grapple with an ongoing pandemic that has had a wide-range of mental health impacts, is it time schools start listening to their pleas over workloads?

Some teachers are turning to social media to take a stand against homework .

Tiktok user @misguided.teacher says he doesn't assign it because the "whole premise of homework is flawed."

For starters, he says he can't grade work on "even playing fields" when students' home environments can be vastly different.

"Even students who go home to a peaceful house, do they really want to spend their time on busy work? Because typically that's what a lot of homework is, it's busy work," he says in the video that has garnered 1.6 million likes. "You only get one year to be 7, you only got one year to be 10, you only get one year to be 16, 18."

Mental health experts agree heavy work loads have the potential do more harm than good for students, especially when taking into account the impacts of the pandemic. But they also say the answer may not be to eliminate homework altogether.

Emmy Kang, mental health counselor at Humantold, says studies have shown heavy workloads can be "detrimental" for students and cause a "big impact on their mental, physical and emotional health."

"More than half of students say that homework is their primary source of stress, and we know what stress can do on our bodies," she says, adding that staying up late to finish assignments also leads to disrupted sleep and exhaustion.

Cynthia Catchings, a licensed clinical social worker and therapist at Talkspace, says heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression.

And for all the distress homework causes, it's not as useful as many may think, says Dr. Nicholas Kardaras, a psychologist and CEO of Omega Recovery treatment center.

"The research shows that there's really limited benefit of homework for elementary age students, that really the school work should be contained in the classroom," he says.

For older students, Kang says homework benefits plateau at about two hours per night.

"Most students, especially at these high-achieving schools, they're doing a minimum of three hours, and it's taking away time from their friends from their families, their extracurricular activities. And these are all very important things for a person's mental and emotional health."

Catchings, who also taught third to 12th graders for 12 years, says she's seen the positive effects of a no homework policy while working with students abroad.

"Not having homework was something that I always admired from the French students (and) the French schools, because that was helping the students to really have the time off and really disconnect from school ," she says.

The answer may not be to eliminate homework completely, but to be more mindful of the type of work students go home with, suggests Kang, who was a high-school teacher for 10 years.

"I don't think (we) should scrap homework, I think we should scrap meaningless, purposeless busy work-type homework. That's something that needs to be scrapped entirely," she says, encouraging teachers to be thoughtful and consider the amount of time it would take for students to complete assignments.

The pandemic made the conversation around homework more crucial

Mindfulness surrounding homework is especially important in the context of the last two years. Many students will be struggling with mental health issues that were brought on or worsened by the pandemic, making heavy workloads even harder to balance.

"COVID was just a disaster in terms of the lack of structure. Everything just deteriorated," Kardaras says, pointing to an increase in cognitive issues and decrease in attention spans among students. "School acts as an anchor for a lot of children, as a stabilizing force, and that disappeared."

But even if students transition back to the structure of in-person classes, Kardaras suspects students may still struggle after two school years of shifted schedules and disrupted sleeping habits.

"We've seen adults struggling to go back to in-person work environments from remote work environments. That effect is amplified with children because children have less resources to be able to cope with those transitions than adults do," he explains.

'Get organized' ahead of back-to-school

In order to make the transition back to in-person school easier, Kang encourages students to "get good sleep, exercise regularly (and) eat a healthy diet."

To help manage workloads, she suggests students "get organized."

"There's so much mental clutter up there when you're disorganized... sitting down and planning out their study schedules can really help manage their time," she says.

Breaking assignments up can also make things easier to tackle.

"I know that heavy workloads can be stressful, but if you sit down and you break down that studying into smaller chunks, they're much more manageable."

If workloads are still too much, Kang encourages students to advocate for themselves.

"They should tell their teachers when a homework assignment just took too much time or if it was too difficult for them to do on their own," she says. "It's good to speak up and ask those questions. Respectfully, of course, because these are your teachers. But still, I think sometimes teachers themselves need this feedback from their students."

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28 Mental Health Games, Activities & Worksheets (& PDF)

28 Mental Health Activities, Worksheets & Books for Adults & Students

Despite this, increasing mental health awareness is crucial as it can have many positive outcomes.

For example, one study examining a British anti-stigma campaign found that people who were more familiar with the campaign were more likely to feel comfortable disclosing mental health issues to family, friends, or an employer, and were also more likely to seek professional help (Henderson et al., 2017).

Fortunately, there are all sorts of ways to learn about mental health issues, whether one is an introvert, an extrovert, or somewhere in between.

This article will cover tools that can supplement mental health interventions, worksheets and activities that help people learn about mental health, books dealing with mental health for adults and children, Facebook groups for mental health issues, and finally World Mental Health Day activities and events.

Before you read on, we thought you might like to download our three Positive Psychology Exercises for free . These science-based exercises will explore fundamental aspects of positive psychology including strengths, values and self-compassion and will give you the tools to enhance the mental health of your clients, students or employees.

This Article Contains:

5 tools for mental health interventions.

5 Mental Health Worksheets & Awareness Activities (PDF)

5 Most Popular Books About Mental Health

5 Most Popular Children’s Books About Mental Health

Facebook Groups for Mental Health

World mental health day ideas for schools and workplaces, a take-home message.

Here are some tools that will help a psychotherapy treatment plan go more smoothly for both the client and the clinician:

1. Thought Record Worksheet

This PDF is a way to record one’s thoughts and reflect on them. It asks the user to log their emotions and thoughts as well as what was going on to make them feel that way, then has the user reflect on whether or not there is evidence to back up their automatic thoughts. This could be a valuable supplement to a psychotherapist-led CBT treatment, but could also help people teach themselves about CBT .

In fact, one study has shown that thought records are an effective way to modify beliefs, even when used by themselves and not in conjunction with a CBT treatment plan (McManus et al., 2012). Find the Thought Record Worksheet here.

2. The Feeling Wheel

The Feeling Wheel is a simple printout with 72 feelings sorted into 6 groups: angry, sad, scared, joyful, peaceful, and powerful. Represented as a colorful pie, it can be an excellent tool for psychotherapy clients who have difficulty articulating or expressing their feelings.

While this can make it easier for clients to describe their relationships and experiences outside of therapy, it can also help them give immediate feedback on how they feel during a session.

This technique is commonly used to help clients identify emotions, expand their emotional vocabulary, and develop their emotional regulation (Kircanski et al., 2012).

3. Daily Mood Tracker

This Daily Mood Tracker was developed for people dealing with anger management issues but can be helpful for anyone who wants to track their mood.

It splits the day up into several two-hour blocks and asks the user to track their emotions, as well as allowing for notes to explain these moods.

This can also be helpful for clients who have trouble expressing themselves but can provide valuable self-reflection opportunities for anybody. Interestingly, some research has even shown that depressed clients can improve their mood by tracking it (Harmon et al., 1980).

4. Self-Care Checkup

This worksheet is a self-report Self-Care Checkup that therapists can give their clients after each appointment, to fill in between the sessions. The client is meant to consider the activities they are engaging in to keep up good mental health and wellbeing.

While many could be considered routine, such as exercising or getting sufficient sleep, they can often be neglected when they matter most – during times of stress.

This way, the Self-Care Checkup invites clients to become more aware of the frequency with which they practice self-care, categorizing these activities into five groups:

Professional; and
Spiritual self-care.

By filling it out regularly, clients can compare their self-care practices from week to week, spotting areas for development and brainstorming more activities that might help them maintain their mental health.

5. Preventing Mental Health Relapse

This is a worksheet that can help clients learn more about possible mental health relapse. It can be used near the end of a therapy treatment plan to help the client recognize a relapse when it is coming, but can also teach strategies to avoid relapse.

This would likely be most helpful for mental health issues that flare up at specific times (as opposed to more chronic mental health issues), and can also be helpful during treatment changes.

For example, patients with anxiety disorders receiving both psychotherapy and antidepressants are at risk of relapse when they discontinue their antidepressant treatment (Batelaan et al., 2017).

Download and use this Preventing Mental Health Relapse activity here.

5 Mental Health Games & Awareness Activities (PDF)

5 Mental Health Worksheets & Awareness Activities (PDF)

One way to get around this is to have them complete worksheets or participate in activities related to mental health awareness, so they can learn in a more hands-on way.

These worksheets and activities are excellent for cultivating mental health awareness:

1. Mindfulness Exercises For Children

This article includes a huge collection of easy mindfulness exercises that children can do to learn more about mindfulness. It includes activities for teachers, parents, caregivers, and teenagers, along with a host of meditation scripts, books, quotes, and more.

Check out the following, too, for some great ways to get children thinking about mindfulness, while subtly introducing them to mental health issues more broadly: 18 Mindfulness Games, Worksheets and Activities for Kids .

2. Mental Illness: Myths and Reality

Mental Illness – Myths and Reality is a helpful lesson plan for teachers who want to educate students about mental illness stigma.

This activity requires less than 30 minutes and very little preparation – it’s also great for any class size and can be a useful talking point to start insightful discussions around mental health.

It includes 8 myths and 8 facts about mental illness for students to sort out in pairs, to distinguish between common misconceptions and objective facts about diagnosis and life with a mental health condition.

3. Exercise and Mental Health

Exercise and Mental Health introduces younger children to the importance of exercise and physical activity, illustrating how they go hand-in-hand before giving suggestions for students who want to get more active on a daily basis.

This informational resource is a great handout as part of a lesson about mental health.

4. Understanding Mental Health Stigma

Introducing youths to the concept of stigma can be quite tough, but it’s important.

This Understanding Mental Health Stigma sheet can be used as an aid to help raise awareness of the stigma that surrounds mental illness , as well as what it looks like.

5. Mental Health Management Bingo

Mental Health Management Bingo is a fun classroom game that can be played with slightly older students.

While it aims to raise awareness about the importance of positive coping strategies, it can also be a great way for students to bond with one another and discover new, healthy ways to look after their mental health..

To play, students require a copy of each sheet and a pencil, and each Bingo square worksheet contains 22 positive coping mechanisms that are related to maintaining good mental health. It’s easy for students to play, and just as easy for teachers or parents to join in!

Download 3 Free Positive Psychology Exercises (PDF)

Enhance wellbeing with these free, science-based exercises that draw on the latest insights from positive psychology.

Download 3 Free Positive Psychology Tools Pack (PDF)

By filling out your name and email address below.

We suggest picking at least one of these popular to broaden your understanding of mental health.

1. Mental Health Emergencies: A Guide to Recognizing and Handling Mental Health Crises – Nick Benas and Michele Hart

Written by a mental health associate and a social worker, this book aims to help people recognize mental health crises in the people around them.

This book also aims to teach the reader how to support people in the midst of a mental health crisis.

The authors targeted this book to teachers, human resources workers and other professionals who are concerned with the mental wellbeing of other people, but it can be helpful for anyone who wishes to know more about mental health.

Find the book on Amazon .

2. Ten Days in a Mad-House – Nellie Bly

This book details investigative reporter Nellie Bly’s exposé of a New York City insane asylum in the late 1800s.

In the book, the author details how she checked into a boarding house, feigned insanity and was promptly declared insane and sent to an insane asylum.

Bly spent 10 days in the asylum, during which she uncovered the horrific conditions that patients were subjected to, causing the city and the country to reevaluate how they treated the mentally ill.

This book illustrates how horribly mental health patients were treated in the late 1800s, but can also cause the reader to think about how society treats mental health issues today.

3. Stigma: The Many Faces Of Mental Illness – Joy Bruce M.D.

This book, from a doctor with a mood disorder, aims to educate people about mental health issues and ultimately destigmatize mental health issues.

The book describes various mental health disorders and the nuances of them, making it a great educational book.

The author also discusses a wide variety of people with mental health issues, breaking down stereotypes about mental health along the way. This is a great book for someone who wants to understand more about mental health issues in themselves or others.

4. Look Me in the Eye: My Life with Asperger’s – John Elder Robison

This memoir discusses the author’s experience of living with Asperger’s syndrome.

The author was not diagnosed with Asperger’s syndrome until he was 40 years old, so before then he just lived as someone who felt that he could not connect very well with others for some reason but displayed an affinity for machines and electronics.

This book is an excellent way to gain some insight into the world of Asperger’s syndrome and may help the reader better understand someone in their life who deals with Asperger’s syndrome.

5. Man Who Mistook His Wife For A Hat – Oliver Sacks and Jonathan Davis

This book from Oliver Sacks is a pop psychology classic. In it, Sacks discusses a few different cases of mental health disorders, focusing on the person rather than the disorder the whole way through.

This is an excellent book for learning about mental health disorders in a way that doesn’t necessarily otherize people with mental health issues. The book’s scope also makes it a great introduction to mental health disorders.

5 Most Popular Children’s Books About Mental Health

Nurturing an understanding of mental health from a young age can be done with these great reads.

1. Can I Catch It Like a Cold?: Coping With a Parent’s Depression – Centre for Addiction and Mental Health and Joe Weissmann

This book from the Centre for Addiction and Mental Health (CAMH) in Canada is aimed at children whose parents struggle with depression.

The book describes what depression is and is not, and gives the reader strategies to cope with the situation. It is aimed at children as young as five years old and can be a child’s first official introduction to mental health disorders.

2. Dear Allison : Explaining Mental Illness to Young Readers – Emma Northup Flinn

This book discusses mental health in an adventurous, conversational way that can help children start to understand the subject.

Written from the perspective of the reader’s cousin (who has teamed up with an ant to explore mental health issues across parts of the United States), this is another excellent book for introducing children to mental health.

The book is partially a collection of letters from the narrator to her nine-year-old cousin, “Allison”, so this book is definitely appropriate for children as young as 9 to start learning about mental health.

3. Marvin’s Monster Diary: ADHD Attacks! (But I Rock It, Big Time) – Raun Melmed, Annette Sexton, and Jeff Harvey

This book is an excellent way to teach children as young as 7 years old about attention-deficit hyperactivity disorder (ADHD), particularly if they have it.

Aside from helping children understand ADHD, it offers a mindfulness-based solution the author calls ST4 – “Stop, Take Time To Think”.

This book is an excellent resource for children with ADHD to learn more about themselves and strategies they can use every day to focus.

4. How Full Is Your Bucket? For Kids – Tom Rath, Mary Reckmeyer, and Maurie J. Manning

This book was written by Tom Rath, an important author in positive psychology and particularly strengths finding (as he wrote StrengthsFinder 2.0).

It is a children’s adaptation of another one of his popular books, How Full Is Your Bucket?, which claims that people can either “fill your bucket” with positivity or “dip from your bucket” with negativity.

This is an excellent book to show kids how social interactions can affect their self-esteem and wellbeing, and how the way they treat people can affect the self-esteem and wellbeing of others.

5. Please Explain Anxiety to Me! Simple Biology and Solutions for Children and Parents – Laurie E. Zelinger, Jordan Zelinger, and Elisa Sabella

This book, co-authored by a play therapist and a child psychologist, aims to explain anxiety to children in a simplified but still accurate way.

This means describing the physiology of anxiety in a way that children as young as 5 can start to understand.

It also includes some actionable exercises that children can use when they are feeling anxious. This book can help children deal with their own anxiety and learn some concrete psychology along the way.

Sometimes, the best thing for someone struggling with mental health issues is the ability to reach out to someone who will understand them.

Facebook is great for this, as people can start community-based groups focused around mental health issues.

That said, as is always the case with the internet, anybody can contribute to these groups, which has the potential to be harmful to members of that group.

For that reason, we have only highlighted closed groups (as opposed to open groups), which require admin approval to join. This way, it is more likely that someone will find a group full of people who only want to help.

Someone looking for a Facebook group to discuss mental health should try joining one of these:

Adult ADHD/ADD Support Group… By Reach2Change

This is a support group for adults with attention deficit hyperactivity disorder (ADHD), or attention deficit disorder (ADD).

Anxiety/Depression Mental Health Support Group

This is a support group for people (18+) who struggle with depression or anxiety .

Bipolar Disorder

This is a support group for people with bipolar disorder, people who know someone with bipolar disorder, or people who want to learn more about bipolar disorder.

Mental Health Inspiration (Support & Awareness)

This is a support group for people with all sorts of mental health issues, as well as people who wish to be an ally or learn more about mental health.

PTSD Buddies

This is a support group for people (19+) with post-traumatic stress disorder (PTSD).

30 Minute relaxing yoga for mental health – Jessica Richburg

October 10th is World Mental Health Day.

The objective of this important day is to spread awareness about mental health issues, express thanks to mental health care providers, and do more to make mental health care a reality for those who need it. Overall, the day represents a valuable opportunity to start a dialog about mental health with others in your life.

If you’re a teacher, manager, or principal looking for ways to start this conversation in your school or workplace, here are four ideas to get started.

Yoga and pilates have both been shown to reduce a range of mental health symptoms, such as fatigue and feelings of anxiety, while simultaneously increasing feelings of energy (Fleming & Herring, 2018; Hagen & Nayar, 2014).

To leverage these benefits, consider bringing in a yoga or pilates expert (or linking up with a nearby studio) to do a guided class with your staff or students.

Host a charity event

There are many charitable organizations around the world that are working hard to provide mental health support to those who may otherwise not have access to it.

To help, you can work with your students or staff to identify a cause they feel passionate about and run an event to raise money for a worthy cause. For example, consider hosting a raffle, games evening, cake stall, or fete open to the public.

Wellness gift exchange

A simple gift can do a lot to start a conversation, so consider hosting a wellness gift exchange.

To start, randomly assign your students or staff a ‘gift buddy.’ If you like, you can make the identity of gift-givers and receivers anonymous, much like a Secret Santa, by having your staff or students draw names from a hat.

Next, allocate a spending limit and have each person purchase a gift for someone else. The focus of the gift should encourage the recipient to relax and take some time out for him or herself. Examples of good gifts include movie tickets, a pampering face mask, or a soap and candle gift basket.

Information sessions

Teaching children how to start a conversation with someone about mental health is a skill that can serve them for a lifetime. At the same time, the stigma associated with mental illness may act as a barrier for adults to start a conversation with someone they’re concerned about or seek help.

To help, consider bringing in a mental health speaker or expert and host an information session. The aim of the session should be to connect your students or staff to resources and give them the skills to check in with the mental health of those they care about.

Further, you can take this opportunity to remind your students or staff about internal support services in your school or office, such as forms of personal leave or internal counselors.

In addition to the ideas above, it is likely that public spaces around you, such as libraries and community centers, will have planned events around World Mental Health Day. So consider linking up with groups in your local community to support this important cause.

17 Top-Rated Positive Psychology Exercises for Practitioners

Expand your arsenal and impact with these 17 Positive Psychology Exercises [PDF] , scientifically designed to promote human flourishing, meaning, and wellbeing.

Created by Experts. 100% Science-based.

At the end of the day, nobody can know everything there is to know about mental health issues. The key is constantly being willing to learn, so that you know how to help when someone you love deals with mental health issues, and have the strategies to deal with your own mental health issues if and when they arise.

Some people prefer reading books, others prefer more hands-on learning such as worksheets, and still, others just prefer going out and talking to people. No matter what type of learning you prefer, the important thing is that you make an effort to make this world a better place for everyone, no matter what mental health issues they are or aren’t facing.

We hope you enjoyed reading this article. Don’t forget to download our three Positive Psychology Exercises for free .

Batelaan, N.M., Bosman, R.C., Muntingh, A., Scholten, W.D., Huijbregts, K.M., van Balkom, A.J.L.M. (2017). Risk of relapse after antidepressant discontinuation in anxiety disorders, obsessive-compulsive disorder, and post-traumatic stress disorder: systematic review and meta-analysis of relapse prevention trials. BMJ, 358(1) , j3927.
Fleming, K. M., & Herring, M. P. (2018). The effects of pilates on mental health outcomes: A meta-analysis of controlled trials. Complementary Therapies in Medicine , 37, 80-95.
Hagen, I., & Nayar, U. S. (2014). Yoga for children and young people’s mental health and well-being: research review and reflections on the mental health potentials of yoga. Frontiers in Psychiatry , 5.
Harmon, T.M., Nelson, R.O., Hayes, S.C. (1980). Self-monitoring of mood versus activity by depressed clients. Journal of Consulting and Clinical Psychology, 48(1) , 30-38.
Henderson, C., Robinson, E., Evans-Lacko, S., Thornicroft, G. (2017). Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem. British Journal of Psychiatry, 211(5) , 316-322.
Kaduson, H.G., Schaefer, C.E. (Eds.). (2003). 101 favorite play therapy techniques. Volume III. Lanham, MA: Rowman & Littlefield Publishers, Inc.
Kircanski, K., Lieberman, M. D., & Craske, M. G. (2012). Feelings into words: contributions of language to exposure therapy. Psychological Science, 23 (10), 1086.
Lambert, M.J. (2015). Progress Feedback and the OQ-System: The Past and the Future. Psychotherapy, 52(4) , 381-390.
McManus, F., Van Doorn, K., Yiend, J. (2012). Examining the effects of thought records and behavioral experiments in instigating belief change. Journal of Behavior Therapy and Experimental Psychiatry, 43(1) , 540-547.

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mind remake project

A therapy and mental health resource site

75+ Free Mental Health Worksheets & Handouts

75+ free mental health worksheets, handouts, and forms for mental health professionals or self-help.

(Updated 2/13/24) This is a list of nearly 100 mental health worksheets, handouts, forms, and more for substance use, mental health, and wellness.

Please repost and share with anyone who might benefit! New resources are added on a regular basis.

For more free downloads, click here for a list of PDF workbooks, manuals, and self-help guides.

For free mental health worksheets and resources from other sites, check out TherapistAid , GetSelfHelpUK , and Taking the Escalator .

Mental Health Worksheets & Handouts

Group ideas & topics.

A 3-page handout for group facilitators with strategies for managing resistance, disruptive behaviors, and a lack of engagement in group therapy.

A list of topics for substance use groups.

A 2-page handout for clinicians who facilitate group therapy with (adult) clients and their families. The questions were developed for an inpatient SUD setting.

A list of specific topics for substance use groups, such as refusal skills, the difference between a lapse and a relapse, and fun in recovery.

A list of group openers for substance use groups; can also be used in individual counseling sessions.

A list of questions for exploring the following topics: Conversation starters, mental health, addiction, personal development, values, family, relationships, and emotions. These questions can be used in a group setting, individually, or as journal prompts.

Group Activities

A worksheet with prompts for writing a short autobiography to be presented to the group.

Intended audience: Adults

A worksheet for clients to pass around to group members so each person can write a positive affirmation.

Intended audience : Adolescents, Teens, Adults

Good for newly formed groups. Each group member writes down their “first impression” of other group members. The facilitator then reads off the different categories and group members have the opportunity to share their answers.

Intended audience : Adults

An icebreaker activity, good for new groups. Give group members 15-20 minutes to collect signatures. The first person to collect all signatures wins.

Clinical Film Discussion Questions

Ben Is Back -Discussion Questions
Girl, Interrupted -Discussion Questions
Pay It Forward -Discussion Questions
The Perks of Being a Wallflower -Discussion Questions
Rachel Getting Married -Discussion Questions
When a Man Loves a Woman -Discussion Questions

A printable deck of cards with 128 coping skills for managing stress, anxiety, and other difficult emotions. Each card includes one simple coping skill.

Print/cut the cards, fold, and place in a container. Group members take turns drawing the cards and answering the questions.

A printable deck of cards with 40 positive quotes that can be used as affirmations.

A printable card deck with 27 affirmations for healing and empowerment.

These cards can be used in a SUD inpatient or outpatient setting to facilitate group discussions about recovery. Group members take turns drawing a card and answering questions. The facilitator can vary things up by letting group members pick someone else to answer their question once they’ve finished sharing. Alternatively, group members can take turns drawing cards, but all group members are encouraged to share their answers. This activity works best with a working group.

This is a revised version of the Recovery Question Cards.

Rumi Quote Cards

25 cards with Rumi quotes on love, suffering, and healing.

A card deck with 104 cards with thought-provoking questions intended to promote discussion. Topics include goals, values, emotions, relationships, spirituality, and more.

These cards can be used in a group or individual setting. The last page of the PDF includes additional values exercises for journaling, clinical supervision, couples, and groups. Tip: Print the cards on patterned scrapbook paper (blank on one side).

Mental Health Handouts

4 ways to stay calm before a stressful event.

A 1-page handout with simple “in-the-moment” calming strategies for anxiety-provoking events.

A simple 1-page handout that shows the 6 basic emotions.

A comprehensive list of 12-step and other support groups , such as AA, NA, SMART Recovery, Dual Recovery Anonymous, NAMI, etc.

A 1-page DBT-based handout with 25 examples of dialectics (i.e., two things that seem opposite and are at the same time both true).

These journal prompts can also be used in a group setting. The prompts include questions about values, potential, expectations, and more.

Instructions for Living from the Dalai Lama

A 1-page handout with 25 quotes from the Dalai Lama on topics such as kindness and happiness. Can be used in a group setting.

A 1-page handout that debunks five common grief myths and provides the truth about each one.

A 2-page handout with nine creative and soothing outlets for grief , such as music, dance, light therapy, and aromatherapy.

A 2-page handout with journal prompts for recovery, based on material from The Sober Survival Guide (created with the author’s permission).

Kindness To-Do List

A to-do list of kind deeds with blank spaces to write in your own ideas for spreading kindness.

A colorful 3-page handout with ideas for hobbies that fall under the following categories: Animals/nature, arts/crafts, collections, cooking/baking, entertainment, home improvement/DIY, outdoor/adventure, self-improvement, sports, travel, and misc.

A list with links to online grief support groups, forums, and communities.

A 1-page handout on PTG and how it may impact a person’s life, and the factors that contribute to PTG.

A 1-page handout with resources for suicide , including recommended books, apps, crisis lines, and suicide warning signs.

A 2-page handout that describes seven uncommon grief experiences, such as delayed or disenfranchised grief.

A list of 38 unique coping skills for managing difficult emotions.

A 2-page handout that lists values. Can be used as a standalone handout or with the values card deck .

A 2-page handout with two exercise routines, one designed for beginners and the other for more advanced exercisers.

Mental Health Worksheets

A 1-page worksheet for identifying things to be grateful for in different life areas.

A 1-page checklist with 30 ideas for spreading kindness.

A 1-page worksheet for exploring what makes someone a good friend.

Art Activity: H-T-P Test

In the House-Tree-Person Test, the picture of the house is supposed to represent how the individual feels about their family. The tree elicits feelings of strength or weakness. The person represents how the individual feels about themselves. (Source: How Projective Tests Are Used to Measure Personality – Simply Psychology )

Art Activity: Outer & Inner Masks

This art activity can be done in a group setting or individually. Clients design both outer – what the world sees – and inner – the hidden self – masks. The third page has questions for discussion. This activity can be used to target all sorts of issues from body image to values to character defects (in addiction) and more.

Art Activity: Self-Portraits

This worksheet can be used in groups or as a homework assignment. Encourage clients to be creative; instead of just drawing or coloring, they can use magazine cutouts, stickers, photos, etc. Suggested questions for discussion: How did you decide which identities to portray? Which portrait best represents your true self? Which portrait do others see the most? What, if anything, would you like to change about your portraits?

A 2-page worksheet for exploring the consequences of addiction.

Coping with Cravings

A 3-page worksheet with DBT-based skills for coping with cravings.

Coping with Jealousy

A worksheet for understanding jealousy, its impact, whether it’s pathological, and how to manage jealous feelings.

Couples Exercise: Affirmations

A 3-page worksheet for sharing self-affirmations and partner affirmations, including suggested questions for discussion.

Couples Exercise: Our Bucket List

A 3-page worksheet for couples to create a shared list of meaningful “bucket list” items to do together.

Couples Exercise: Our Bucket List (with dates)

A shared bucket list that includes spaces to write in when an item was added to the list and when it was completed.

A 1-page worksheet for affirmations, positive self-talk, and problem-solving strategies for daily challenges.

A basic mood tracker with emoji faces.

A blank schedule with hourly slots starting at 6:00 a.m. and ending at 10:00 p.m. Can be used as part of a relapse prevention, for depression management, or as a planner.

A 3-page worksheet for substance use recovery for planning leisure activities and enhancing wellness/spirituality.

A letter template for individuals entering long-term residential treatment for substance use, to be opened and read at treatment completion.

An 8-page goal-setting worksheet for health/wellness, relationships/social health, emotional wellness, intellectual wellness, education/career, financial health, spirituality, and leisure.

A 3-page worksheet for identifying and managing substance use relapse triggers.

A 1-page worksheet for identifying things that promote addiction and ways to get rid of or avoid these things.

A 3-page goal-setting worksheet for short-term and long-term goals.

A 12-step-based worksheet for identifying and exploring resentments.

A worksheet for creating poetry; print, laminate, and cut out the words.

A 1-page worksheet for examining past substance use relapses and strategies for avoiding future relapses.

A 5-page template for creating a substance use relapse prevention plan.

A 1-page worksheet for exploring ways to resist urges to use in early recovery.

A 1-page checklist with quick tips, self-soothing, and indulgent ideas for self-care.

A 3-page worksheet for developing a colorful self-care “map” to explore patterns and identify new practices.

A 3-page template for creating a self-care “menu.”

A 2-page writing assignment for self-discovery and awareness.

A 2-page worksheet for developing self-esteem.

A 1-page worksheet for exploring motivation for substance use recovery.

A fun worksheet for creating a bucket list of things that are only possible in sobriety.

Stress Management Worksheet

This 6-page worksheet helps with identifying and exploring stressors. From there, the worksheet can be used to build a stress management plan.

7 pages of feelings words.

A 6-page worksheet for describing problem areas, identifying goals, and exploring what has (and has not) been helpful in the past. This worksheet can be used to develop a collaborative treatment plan.

A 2-page worksheet for identifying and exploring wants and needs.

A simple form for tracking daily meals and snacks for one week.

A 2-page worksheet for identifying things that are controllable versus things that can’t be controlled.

A 3-page narrative therapy worksheet for exploring a past substance use relapse.

Laminate and use with fine-tip dry erase markers.

Workbooks & Bonus Materials

100-page printable workbook for working through grief and loss.

A companion workbook meant to be used with the book Staying Sober Without God (created with the author’s permission).

Daily Self-Inventory for Mental Health Professionals

A 10th step-based inventory for self-reflection for counselors and other mental health workers.

Free Coloring Pages for Adults

Links to 15 websites with free printable coloring sheets for adults.

Miscellaneous Printables

A list of 20 openers for individual therapy sessions.

A 2-page form for case conceptualization with sections for demographics, key findings, background info, case formulation, interventions/plans, and requested feedback or suggestions.

A list of interventions (action words) for clinical documentation.

A template for tracking attendance, cases discussed, and any other group topics.

A foldable coloring book with eight different designs.

28 thoughts on “75+ Free Mental Health Worksheets & Handouts”

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Thank you for giving away this valuable information. I am a Adult Mental Health Case Manager and I use things from here in my weekly group meetings!

I do also, but for juveniles. These tools are extremely helpful.

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Thank you so much for providing these free handouts. During these tough times, I find these handouts to be extremely useful. A million thank you’s!

These valuable materials are so much of a blessing, thank you so much for the gracious kindness!!!

I’m a drug and alcohol counselor and I find this site very helpful!

It is great to see that someone else wants to promote better care for clients and therapists alike using comprehensive resources (that are free!). Thank you!!!

I love this site i am a Mental Health Professional and I find these very helpful with my group sessions.

Thank you very much!! I have a son struggling with depression and suicide. This will help very much.

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This is a wonderful site. I deeply appreciate the effort and time it took to put this together. Thank you very much.

I can’t tell you how fortunate I am to have stumbled onto this. I am a Behavioral Health PSS in a drug and alcohol treatment facility and am looking forward to sharing some of these materials with our clients. I love the group activities and discussion prompts and will be using some in my next group. Fantastic resource! There is something for everyone here! Thank you so much for this. Be well 🙂

Hope you guys add a Domestic Violence section

Thank you for giving us free worksheets. It’s really helpful.

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Thank you!!

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I am a mental health therapist and I really struggle for group therapy ideas. Thank you for sharing. Your site has been very helpful for me to find new ideas.

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Homework Struggles May Not Be a Behavior Problem

Exploring some options to understand and help..

Posted August 2, 2022 | Reviewed by Abigail Fagan

Mental health challenges and neurodevelopmental differences directly affect children's ability to do homework.
Understanding what difficulties are getting in the way—beyond the usual explanation of a behavior problem—is key.
Sleep and mental health needs can take priority over homework completion.

Chelsea was in 10th grade the first time I told her directly to stop doing her homework and get some sleep. I had been working with her since she was in middle school, treating her anxiety disorder. She deeply feared disappointing anyone—especially her teachers—and spent hours trying to finish homework perfectly. The more tired and anxious she got, the harder it got for her to finish the assignments.

One night Chelsea called me in despair, feeling hopeless. She was exhausted and couldn’t think straight. She felt like a failure and that she was a burden to everyone because she couldn’t finish her homework.

She was shocked when I told her that my prescription for her was to go to sleep now—not to figure out how to finish her work. I told her to leave her homework incomplete and go to sleep. We briefly discussed how we would figure it out the next day, with her mom and her teachers. At that moment, it clicked for her that it was futile to keep working—because nothing was getting done.

This was an inflection point for her awareness of when she was emotionally over-cooked and when she needed to stop and take a break or get some sleep. We repeated versions of this phone call several times over the course of her high school and college years, but she got much better at being able to do this for herself most of the time.

When Mental Health Symptoms Interfere with Homework

Kids with mental health or neurodevelopmental challenges often struggle mightily with homework. Challenges can come up in every step of the homework process, including, but not limited to:

Remembering and tracking assignments and materials
Getting the mental energy/organization to start homework
Filtering distractions enough to persist with assignments
Understanding unspoken or implied parts of the homework
Remembering to bring finished homework to class
Being in class long enough to know the material
Tolerating the fear of not knowing or failing
Not giving up the assignment because of a panic attack
Tolerating frustration—such as not understanding—without emotional dysregulation
Being able to ask for help—from a peer or a teacher and not being afraid to reach out

This list is hardly comprehensive. ADHD , autism spectrum disorder, social anxiety , generalized anxiety, panic disorder, depression , dysregulation, and a range of other neurodevelopmental and mental health challenges cause numerous learning differences and symptoms that can specifically and frequently interfere with getting homework done.

The Usual Diagnosis for Homework Problems is "Not Trying Hard Enough"

Unfortunately, when kids frequently struggle to meet homework demands, teachers and parents typically default to one explanation of the problem: The child is making a choice not to do their homework. That is the default “diagnosis” in classrooms and living rooms. And once this framework is drawn, the student is often seen as not trying hard enough, disrespectful, manipulative, or just plain lazy.

The fundamental disconnect here is that the diagnosis of homework struggles as a behavioral choice is, in fact, only one explanation, while there are so many other diagnoses and differences that impair children's ability to consistently do their homework. If we are trying to create solutions based on only one understanding of the problem, the solutions will not work. More devastatingly, the wrong solutions can worsen the child’s mental health and their long-term engagement with school and learning.

To be clear, we aren’t talking about children who sometimes struggle with or skip homework—kids who can change and adapt their behaviors and patterns in response to the outcomes of that struggle. For this discussion, we are talking about children with mental health and/or neurodevelopmental symptoms and challenges that create chronic difficulties with meeting homework demands.

How Can You Help a Child Who Struggles with Homework?

How can you help your child who is struggling to meet homework demands because of their ADHD, depression, anxiety, OCD , school avoidance, or any other neurodevelopmental or mental health differences? Let’s break this down into two broad areas—things you can do at home, and things you can do in communication with the school.

Helping at Home

The following suggestions for managing school demands at home can feel counterintuitive to parents—because we usually focus on helping our kids to complete their tasks. But mental health needs jump the line ahead of task completion. And starting at home will be key to developing an idea of what needs to change at school.

Set an end time in the evening after which no more homework will be attempted. Kids need time to decompress and they need sleep—and pushing homework too close to or past bedtime doesn’t serve their educational needs. Even if your child hasn’t been able to approach the homework at all, even if they have avoided and argued the whole evening, it is still important for everyone to have a predictable time to shut down the whole process.
If there are arguments almost every night about homework, if your child isn’t starting homework or finishing it, reframe it from failure into information. It’s data to put into problem-solving. We need to consider other possible explanations besides “behavioral choice” when trying to understand the problem and create effective solutions. What problems are getting in the way of our child’s meeting homework demands that their peers are meeting most of the time?
Try not to argue about homework. If you can check your own anxiety and frustration, it can be more productive to ally with your child and be curious with them. Kids usually can’t tell you a clear “why” but maybe they can tell you how they are feeling and what they are thinking. And if your child can’t talk about it or just keeps saying “I don't know,” try not to push. Come back another time. Rushing, forcing, yelling, and threatening will predictably not help kids do homework.

Helping at School

The second area to explore when your neurodiverse child struggles frequently with homework is building communication and connections with school and teachers. Some places to focus on include the following.

Label your child’s diagnoses and break down specific symptoms for the teachers and school team. Nonjudgmental, but specific language is essential for teachers to understand your child’s struggles. Breaking their challenges down into the problems specific to homework can help with building solutions. As your child gets older, help them identify their difficulties and communicate them to teachers.
Let teachers and the school team know that your child’s mental health needs—including sleep—take priority over finishing homework. If your child is always struggling to complete homework and get enough sleep, or if completing homework is leading to emotional meltdowns every night, adjusting their homework demands will be more successful than continuing to push them into sleep deprivation or meltdowns.
Request a child study team evaluation to determine if your child qualifies for services under special education law such as an IEP, or accommodations through section 504—and be sure that homework adjustments are included in any plan. Or if such a plan is already in place, be clear that modification of homework expectations needs to be part of it.

The Long-Term Story

I still work with Chelsea and she recently mentioned how those conversations so many years ago are still part of how she approaches work tasks or other demands that are spiking her anxiety when she finds herself in a vortex of distress. She stops what she is doing and prioritizes reducing her anxiety—whether it’s a break during her day or an ending to the task for the evening. She sees that this is crucial to managing her anxiety in her life and still succeeding at what she is doing.

Task completion at all costs is not a solution for kids with emotional needs. Her story (and the story of many of my patients) make this crystal clear.

Candida Fink, M.D. , is board certified in child/adolescent and general psychiatry. She practices in New York and has co-authored two books— The Ups and Downs of Raising a Bipolar Child and Bipolar Disorder for Dummies.

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Health Hazards of Homework

March 18, 2014 | Julie Greicius Pediatrics .

A new study by the Stanford Graduate School of Education and colleagues found that students in high-performing schools who did excessive hours of homework “experienced greater behavioral engagement in school but also more academic stress, physical health problems, and lack of balance in their lives.”

Those health problems ranged from stress, headaches, exhaustion, sleep deprivation, weight loss and stomach problems, to psycho-social effects like dropping activities, not seeing friends or family, and not pursuing hobbies they enjoy.

In the Stanford Report story about the research, Denise Pope , a senior lecturer at the Stanford Graduate School of Education and a co-author of the study published in the Journal of Experimental Education , says, “Our findings on the effects of homework challenge the traditional assumption that homework is inherently good.”

The study was based on survey data from a sample of 4,317 students from 10 high-performing high schools in California communities in which median household income exceeded $90,000. Of the students surveyed, homework volume averaged about 3.1 hours each night.

“It is time to re-evaluate how the school environment is preparing our high school student for today’s workplace,” says Neville Golden, MD , chief of adolescent medicine at Stanford Medicine Children’s Health and a professor at the School of Medicine. “This landmark study shows that excessive homework is counterproductive, leading to sleep deprivation, school stress and other health problems. Parents can best support their children in these demanding academic environments by advocating for them through direct communication with teachers and school administrators about homework load.”

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Homework and Mental Health: Striking the Right Balance

low light photography of woman in gray knit sweatshirt writing on desk

In today’s fast-paced and competitive education landscape, students are often faced with overwhelming academic expectations that can significantly impact their mental health. The pressure to excel academically, coupled with the demands of homework, can lead to excessive stress, anxiety, and burnout. It is crucial to find the right balance between academic responsibilities and mental well-being to ensure that students thrive both academically and emotionally.

In this comprehensive guide, we will delve into the research surrounding homework and its effects on students’ stress levels and mental health. We will explore the link between homework and stress, examine the impact of excessive homework on students’ well-being, and, for those seeking relief, offer practical strategies to manage homework effectively or find support to do my homework for me . These insights are intended to help students, parents, and educators strike a balance that promotes both academic success and mental well-being.

The Link Between Homework and Stress

Numerous studies have investigated the relationship between homework and stress levels in students. One notable study conducted by Stanford lecturer Denise Pope found that students who reported spending more than two hours per night on homework experienced higher stress levels and physical health issues. This research highlighted the potential negative effects of excessive homework on students’ well-being.

Another study published in the Sleep Health Journal found that long hours of homework may be a risk factor for depression. This research suggests that reducing homework workload outside of class may benefit sleep quality and mental fitness. Additionally, a study presented by Frontiers in Psychology emphasized the significant health implications for high school students facing chronic stress, including emotional exhaustion and substance use.

These studies collectively indicate that excessive homework can contribute to increased stress levels among students, potentially leading to a range of negative psychological and physiological effects. It is crucial for educators and parents to be mindful of the workload they assign to students and prioritize their well-being.

The Impact of Homework on Mental Health and Well-being

Excessive homework can have far-reaching effects on students’ mental health and well-being. Understanding these effects is essential for developing strategies to mitigate the potential negative consequences. Let’s examine the psychological and physical effects of homework-induced stress on students:

Psychological Effects of Homework-Induced Stress

Anxiety: The pressure to perform academically and meet homework expectations can lead to heightened levels of anxiety in students. Constant worry about completing assignments on time and achieving high grades can be overwhelming.
Sleep Disturbances: Homework-related stress can disrupt students’ sleep patterns, leading to sleep anxiety or sleep deprivation. Lack of quality sleep negatively impacts cognitive function and emotional regulation.
Reduced Motivation: Excessive homework demands can drain students’ motivation, causing them to feel fatigued and disengaged from their studies. Reduced motivation may lead to a lack of interest in learning, hindering overall academic performance.

Physical Effects of Homework-Induced Stress

Impaired Immune Function: Prolonged stress from overwhelming homework loads can weaken the immune system, making students more susceptible to illnesses and infections.
Disrupted Hormonal Balance: Chronic stress triggers the release of hormones like cortisol, which can disrupt the delicate hormonal balance and lead to various health issues.
Gastrointestinal Disturbances: Stress affects the gastrointestinal system, resulting in symptoms such as stomachaches, nausea, and other digestive problems.
Cardiovascular Impact: The increased heart rate and elevated blood pressure associated with stress can strain the cardiovascular system, potentially increasing the risk of heart-related issues in the long run.
Brain Impact: Prolonged exposure to stress hormones may impact the brain’s functioning, affecting memory, concentration, and cognitive abilities.

It is evident that excessive homework can have detrimental effects on students’ mental and physical well-being. Balancing academic responsibilities with self-care and mental health is crucial for fostering a healthy and productive learning environment.

The Benefits of Homework

While the potential negative effects of excessive homework cannot be ignored, it is essential to recognize that homework also offers several benefits that contribute to students’ academic growth and development. Some of these benefits include:

Development of Time Management Skills: Completing homework within specified deadlines encourages students to manage their time efficiently. This skill extends beyond academics and becomes essential in various aspects of life.
Preparation for Future Challenges: Homework helps prepare students for future academic challenges and responsibilities. It fosters a sense of discipline and responsibility, qualities crucial for success in higher education and professional life.
Enhanced Problem-Solving Abilities: Homework often presents students with challenging problems to solve. Tackling these problems independently nurtures critical thinking and problem-solving skills.

While acknowledging these benefits, it is crucial to strike a balance between assigning meaningful homework and ensuring students’ overall well-being.

Striking the Right Balance: Strategies for Students, Parents, and Educators

Finding a balance between academic responsibilities and mental well-being is crucial for students’ overall success and happiness. Here are some practical strategies that students, parents, and educators can implement to strike the right balance:

For Students:

Effective Time Management: Create a structured study schedule that allocates sufficient time for homework, breaks, and other activities. Prioritize tasks and set realistic goals to prevent last-minute rushes and reduce feelings of overwhelm.

Break Tasks into Smaller Chunks: Large assignments can be daunting and contribute to stress. Break them into smaller, manageable parts. This approach makes the workload seem less intimidating and provides a sense of accomplishment as each section is completed.

Designate a Distraction-Free Zone: Establish a designated study area that is free from distractions like smartphones, television, or social media. This setting improves focus and productivity, reducing the time needed to complete homework.

Engage in Physical Activity: Regular exercise is known to reduce stress and enhance mood. Incorporate physical activity into your daily routine, whether it’s going for a walk, playing a sport, or practicing yoga.

Practice Relaxation Techniques: Engage in mindfulness practices such as deep breathing exercises or meditation to alleviate stress and improve concentration. Taking short breaks to relax and clear the mind enhances overall well-being and cognitive performance.

Seek Support: Reach out to teachers, parents, or school counselors when feeling overwhelmed or in need of assistance. Establish an open and supportive environment where you feel comfortable expressing concerns and seeking help.

For Parents:

Foster Open Communication: Create an environment where your child feels comfortable discussing their academic challenges and stressors. Encourage open communication about workload and provide support and guidance when needed.

Set Realistic Expectations: Recognize that each child is unique and has different capacities for handling academic pressures. Set realistic expectations for homework completion, considering their individual needs and responsibilities.

Encourage Healthy Habits: Promote a balanced lifestyle that includes sufficient sleep, physical activity, and relaxation. Encourage breaks and downtime to prevent burnout.

Collaborate with Educators: Maintain open lines of communication with teachers to stay informed about the workload and address any concerns regarding excessive homework. Advocate for a balanced approach to homework.

For Educators:

Assign Purposeful Homework: Ensure that homework assignments are purposeful, relevant, and targeted towards specific learning objectives. Emphasize quality over quantity and avoid assigning excessive workloads.

Provide Clear Instructions: Clearly communicate assignment expectations and deadlines to students. This clarity helps students plan their time effectively and reduces stress related to uncertainty.

Offer Support and Resources: Provide students with resources and support systems, such as study guides, online materials, or access to tutoring, to help them navigate their homework effectively.

Encourage Self-Care: Educate students about the importance of self-care and stress management. Incorporate discussions and activities related to mental health and well-being into the curriculum.

By implementing these strategies, students, parents, and educators can work collaboratively to strike a balance between academic responsibilities and mental well-being, fostering a positive learning environment that promotes both academic success and emotional well-being.

Finding the right balance between homework and mental health is crucial for students’ overall well-being and academic success. Excessive homework can lead to increased stress levels, negatively impacting students’ mental and physical health. By understanding the potential effects of homework-induced stress, implementing practical strategies, and fostering open communication between students, parents, and educators, we can create a supportive learning environment that prioritizes both academic growth and mental well-being. Let’s work together to ensure that students thrive academically and emotionally.

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August 23, 2022 , Filed Under: Uncategorized

How to Manage Homework-Related Stress

Ask students what causes them the most stress, and the conversation will likely turn to homework. Students have complained about homework for practically as long as it has existed. While some dismiss these complaints as students’ laziness or lack of organization, there’s more to it than that. Many students face a lot of pressure to succeed in school, sports, work, and other areas. Also, more teens and young adults are dealing with mental health problems, with up to 40% of college students reporting symptoms of depression and anxiety.

Researchers and professionals debate over whether homework does more harm than good, but at least for now, homework is an integral part of education. How do students deal with heavy homework loads? It’s become common for overwhelmed students to use an essay service to help them complete their assigned tasks. Pulling all-nighters to finish assignments and study for tests is another strategy busy college students use, for better or worse.

If you’re a student that’s struggling to get all your homework done, make sure to take care of your mental health. School is important, but your health is more important. Try the following tips to help you stay on top of your busy schedule.

Make a Schedule

Time management is an important skill, but you can’t learn it without effort. The first step to managing your time more effectively is to make a schedule and stick to it. Use a calendar, planner, or an app to write down everything you need to get done. Set reminders for due dates and set aside time each day for studying. Don’t leave assignments for the last minute. Plan to finish your work well ahead of the due date in case something unexpected happens and you need more time. Make sure your schedule is realistic. Give yourself a reasonable amount of time to complete each task. And schedule time for hobbies and social activities too.

Find a Study Spot

Doing homework in a dedicated workspace can boost your productivity. Studying in bed could make you fall asleep, and doing homework in a crowded, noisy place can be distracting. You want to complete as much work as possible during your study sessions, so choose a place that’s free of distractions. Make sure you have everything you need within arm’s reach. Resist the temptation to check your notifications or social media feeds while you study. Put your phone in airplane mode if necessary so it doesn’t distract you. You don’t need a private office to study efficiently, but having a quiet, distraction-free place to do your homework can help you to get more done.

Get Enough Rest

An all-nighter every once in a while probably won’t do you any lasting harm. But a consistent lack of sleep is bad for your productivity and your health. Most young people need at least 7 hours of sleep every night, so make it your goal to go to bed on time. You’ll feel better throughout the day, have more energy, and improve your focus. Instead of dozing off while you’re doing homework, you’ll be more alert and productive if you get enough sleep.

It’s also important to spend time relaxing and enjoying your favorite activities. Hang out with friends, take a walk, or watch a movie. You’ll feel less stressed if you take some time for yourself.

Don’t Shoot for Perfection

It’s tempting to try to get a perfect grade on every test or assignment. But perfectionism only causes unnecessary stress and anxiety. If you consider yourself a perfectionist, you might spend too much time on less important tasks. Prioritize your assignments and put more time and effort into the most important ones.

Most people struggle with perfectionism because they’ve been taught they should do their best at everything. But you don’t have to go above and beyond for every assignment. That’s not to say you should turn in bad work. But putting in just enough effort to get by isn’t a bad thing. Don’t put pressure on yourself to be the best at everything. Focus on your most important assignments, and don’t spend too much time and effort perfecting the others.

Almost all students deal with the burden of homework-related stress. No one enjoys the anxiety of having a lot of assignments due and not enough time to complete them. But take advantage of this opportunity to learn organization and self-discipline, which will help you throughout your life. Try making a schedule and don’t forget to set aside time to rest. When it’s time to study, choose a quiet place where you can concentrate. Don’t neglect your health; if you’re feeling anxious or depressed, talk to a counselor or your doctor. School stress is hard to avoid, but if you take these steps you can reduce homework anxiety and have better control of your time.

The real voyage of discovery consists not in seeking new landscapes, but in having new eyes — Marcel Proust

Does Homework Affect Mental Health?

Homework can be a source of frustration and stress for students, but how does it affect their mental health? As studies into this area continue to gather evidence, it is clear that there is a correlation between homework and mental health. In this article, we will explore the potential impacts of homework on students’ mental health, from the perspectives of both students and educators.

Yes, homework can affect mental health. It can lead to feelings of stress, frustration and even anger. Too much homework can also lead to sleep deprivation, which can have a negative impact on mental health. It’s important to balance homework with other activities such as exercise, spending time with family and friends, and participating in hobbies.

The Relationship Between Homework and Time Management

How to manage homework and mental health, the role of schools and parents, the impact of technology, can too much homework harm your child’s health, does homework impact mental health.

Homework can be a difficult task for students, especially when they are overwhelmed with the amount of work they have to complete. It is important to consider how homework impacts the mental health of students. While there is no single answer to this question, research suggests that homework can have a negative effect on mental health. Studies have found that students who spend a lot of time on homework have higher levels of stress and anxiety, as well as lower levels of academic performance.

One of the most common negative effects of homework on mental health is stress. Students who have too much homework can become overwhelmed, leading to feelings of frustration, hopelessness, and helplessness. This can lead to increased levels of stress, which can have a negative impact on mental health. Furthermore, stress can lead to difficulty concentrating, difficulty sleeping, and decreased motivation.

Another way that homework can negatively impact mental health is through academic performance. Research has found that students who spend too much time on homework have lower grades and are less likely to complete their assignments. This can lead to a decrease in self-esteem, as students may feel like they are not capable of achieving their academic goals. It can also lead to an increase in anxiety, as students may feel like they are not able to keep up with their peers.

Time management is an important skill for any student, and it can be difficult to manage when there is a lot of homework to complete. Students who have too much homework may find that they do not have enough time to complete their assignments, leading to feelings of frustration and helplessness. This can lead to poor time management skills, which can have a negative impact on mental health.

Furthermore, when students have too much homework, it can lead to procrastination. This can be a problem because it can lead to an inability to focus and get tasks done, which can have a negative impact on mental health. Poor time management skills can also lead to an inability to prioritize tasks, which can have a negative effect on overall performance.

It is important for students to find ways to manage their homework and mental health. One way to do this is to break up assignments into smaller chunks. This can help students to focus on one task at a time, which can reduce stress and anxiety. Additionally, students should try to take breaks while completing assignments, as this can help them to stay focused and motivated.

Furthermore, it is important for students to set realistic goals when it comes to completing their homework. Setting realistic goals can help students to stay motivated and can help them to avoid feeling overwhelmed. Additionally, students should try to find ways to make their homework more enjoyable, such as working with a friend or listening to music.

Schools and parents can also play an important role in helping students manage their homework and mental health. Schools can provide students with resources and support to help them manage their workload. Parents can also provide support and guidance to help students manage their workload. Additionally, both schools and parents can help students to set realistic goals and to develop good time management skills.

Technology can also have a positive impact on mental health when it comes to homework. Many students use technology to help them complete their assignments more quickly and efficiently. Additionally, technology can help students to stay organized and motivated. For example, many students use online calendars and to-do lists to help them keep track of their assignments.

Overall, homework can have a negative impact on mental health, but there are ways to manage this impact. Students should strive to find ways to make their homework more manageable, such as breaking up assignments into smaller chunks and setting realistic goals. Additionally, schools and parents can provide support and guidance to help students manage their workload. Finally, technology can be used to help students stay organized and motivated.

Related Faq

Q1: What is the purpose of homework? A1: Homework is typically assigned to students by their teachers as a way to review and practice the material learned in class. It is meant to reinforce the skills and knowledge taught in class and to help students develop good study habits, critical thinking, and problem solving skills.

Q2: What are the potential positive effects of doing homework? A2: Doing homework can potentially have positive effects on a student’s mental health. It can help to improve a student’s self-esteem and confidence by allowing them to practice their skills and gain a sense of accomplishment when completing their homework correctly. It can also help to reduce stress and anxiety by allowing students to work at their own pace and in the comfort of their own home.

Q3: What are the potential negative effects of doing homework? A3: The potential negative effects of doing homework can include an increase in stress and anxiety levels due to the pressure of completing assignments in a limited amount of time. It can also lead to feelings of frustration and dissatisfaction if a student is unable to complete the assignment correctly or quickly enough. Additionally, excessive amounts of homework can lead to a lack of sleep and decreased physical activity, both of which can contribute to mental health issues.

Q4: How can parents help their children manage their homework-related stress? A4: Parents can help their children manage their homework-related stress by creating a supportive environment in which their children feel comfortable and safe asking for help. Additionally, parents can ensure their children have a balanced schedule by limiting the amount of time spent on homework and encouraging physical activity and other activities. They can also help by providing a quiet, well-lit work area and allowing their children to break up their assignments into smaller tasks to make them seem more manageable.

Q5: How can teachers help their students manage their homework-related stress? A5: Teachers can help their students manage their homework-related stress by providing clear instructions and expectations for assignments. They can also ensure that the amount of homework assigned is appropriate for the student’s age and ability level. Additionally, teachers can provide resources for students who may need extra help, such as additional tutoring or study groups.

Q6: Is there a correlation between homework and poor mental health? A6: While there is no definitive answer to this question, there is evidence to suggest that excessive amounts of homework can be detrimental to a student’s mental health. Studies have found that too much homework can lead to increased stress and anxiety levels, as well as decreased physical activity levels. Additionally, it can lead to a lack of sleep, which can also have a negative effect on mental health.

The answer to the question of whether or not homework affects mental health is a resounding yes. Homework can have a positive effect on mental health when managed in a balanced and reasonable way, but when taken to extremes, it can become a source of stress, anxiety, and depression. The key is to ensure that homework is assigned in moderation and that students have the support they need to manage it. With the right balance, homework can help students build problem-solving skills, increase their confidence, and provide an opportunity to practice time management.

About The Author

Ronald Rivera

What Is Therapy Homework?

Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

Dr. Sabrina Romanoff, PsyD, is a licensed clinical psychologist and a professor at Yeshiva University’s clinical psychology doctoral program.

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Types of Therapy That Involve Homework

If you’ve recently started going to therapy , you may find yourself being assigned therapy homework. You may wonder what exactly it entails and what purpose it serves. Therapy homework comprises tasks or assignments that your therapist asks you to complete between sessions, says Nicole Erkfitz , DSW, LCSW, a licensed clinical social worker and executive director at AMFM Healthcare, Virginia.

Homework can be given in any form of therapy, and it may come as a worksheet, a task to complete, or a thought/piece of knowledge you are requested to keep with you throughout the week, Dr. Erkfitz explains.

This article explores the role of homework in certain forms of therapy, the benefits therapy homework can offer, and some tips to help you comply with your homework assignments.

Therapy homework can be assigned as part of any type of therapy. However, some therapists and forms of therapy may utilize it more than others.

For instance, a 2019-study notes that therapy homework is an integral part of cognitive-behavioral therapy (CBT) . According to Dr. Erkfitz, therapy homework is built into the protocol and framework of CBT, as well as dialectical behavior therapy (DBT) , which is a sub-type of CBT.

Therefore, if you’re seeing a therapist who practices CBT or DBT, chances are you’ll regularly have homework to do.

On the other hand, an example of a type of therapy that doesn’t generally involve homework is eye movement desensitization and reprocessing (EMDR) therapy. EMDR is a type of therapy that generally relies on the relationship between the therapist and client during sessions and is a modality that specifically doesn’t rely on homework, says Dr. Erkfitz.

However, she explains that if the client is feeling rejuvenated and well after their processing session, for instance, their therapist may ask them to write down a list of times that their positive cognition came up for them over the next week.

"Regardless of the type of therapy, the best kind of homework is when you don’t even realize you were assigned homework," says Erkfitz.

Benefits of Therapy Homework

Below, Dr. Erkfitz explains the benefits of therapy homework.

It Helps Your Therapist Review Your Progress

The most important part of therapy homework is the follow-up discussion at the next session. The time you spend reviewing with your therapist how the past week went, if you completed your homework, or if you didn’t and why, gives your therapist valuable feedback on your progress and insight on how they can better support you.

It Gives Your Therapist More Insight

Therapy can be tricky because by the time you are committed to showing up and putting in the work, you are already bringing a better and stronger version of yourself than what you have been experiencing in your day-to-day life that led you to seek therapy.

Homework gives your therapist an inside look into your day-to-day life, which can sometimes be hard to recap in a session. Certain homework assignments keep you thinking throughout the week about what you want to share during your sessions, giving your therapist historical data to review and address.

It Helps Empower You

The sense of empowerment you can gain from utilizing your new skills, setting new boundaries , and redirecting your own cognitive distortions is something a therapist can’t give you in the therapy session. This is something you give yourself. Therapy homework is how you come to the realization that you got this and that you can do it.

"The main benefit of therapy homework is that it builds your skills as well as the understanding that you can do this on your own," says Erkfitz.

Tips for Your Therapy Homework

Below, Dr. Erkfitz shares some tips that can help with therapy homework:

Set aside time for your homework: Create a designated time to complete your therapy homework. The aim of therapy homework is to keep you thinking and working on your goals between sessions. Use your designated time as a sacred space to invest in yourself and pour your thoughts and emotions into your homework, just as you would in a therapy session .
Be honest: As therapists, we are not looking for you to write down what you think we want to read or what you think you should write down. It’s important to be honest with us, and yourself, about what you are truly feeling and thinking.
Practice your skills: Completing the worksheet or log are important, but you also have to be willing to put your skills and learnings into practice. Allow yourself to be vulnerable and open to trying new things so that you can report back to your therapist about whether what you’re trying is working for you or not.
Remember that it’s intended to help you: Therapy homework helps you maximize the benefits of therapy and get the most value out of the process. A 2013-study notes that better homework compliance is linked to better treatment outcomes.
Talk to your therapist if you’re struggling: Therapy homework shouldn’t feel like work. If you find that you’re doing homework as a monotonous task, talk to your therapist and let them know that your heart isn’t in it and that you’re not finding it beneficial. They can explain the importance of the tasks to you, tailor your assignments to your preferences, or change their course of treatment if need be.

"When the therapy homework starts 'hitting home' for you, that’s when you know you’re on the right track and doing the work you need to be doing," says Erkfitz.

A Word From Verywell

Similar to how school involves classwork and homework, therapy can also involve in-person sessions and homework assignments.

If your therapist has assigned you homework, try to make time to do it. Completing it honestly can help you and your therapist gain insights into your emotional processes and overall progress. Most importantly, it can help you develop coping skills and practice them, which can boost your confidence, empower you, and make your therapeutic process more effective.

Get Help Now

We've tried, tested, and written unbiased reviews of the best online therapy programs including Talkspace, BetterHelp, and ReGain. Find out which option is the best for you.

Conklin LR, Strunk DR, Cooper AA. Therapist behaviors as predictors of immediate homework engagement in cognitive therapy for depression . Cognit Ther Res . 2018;42(1):16-23. doi:10.1007/s10608-017-9873-6

Lebeau RT, Davies CD, Culver NC, Craske MG. Homework compliance counts in cognitive-behavioral therapy . Cogn Behav Ther . 2013;42(3):171-179. doi:10.1080/16506073.2013.763286

By Sanjana Gupta Sanjana is a health writer and editor. Her work spans various health-related topics, including mental health, fitness, nutrition, and wellness.

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Does Homework Cause Stress? Exploring the Impact on Students’ Mental Health

How much homework is too much?

Homework has become a matter of concern for educators, parents, and researchers due to its potential effects on students’ stress levels. It’s no secret students often find themselves grappling with high levels of stress and anxiety throughout their academic careers, so understanding the extent to which homework affects those stress levels is important.

By delving into the latest research and understanding the underlying factors at play, we hope to curate insights for educators, parents, and students who are wondering is homework causing stress in their lives?

The Link Between Homework and Stress: What the Research Says

Over the years, numerous studies investigated the relationship between homework and stress levels in students.

One study published in the Journal of Experimental Education found that students who reported spending more than two hours per night on homework experienced higher stress levels and physical health issues . Those same students reported over three hours of homework a night on average.

This study, conducted by Stanford lecturer Denise Pope, has been heavily cited throughout the years, with WebMD eproducing the below video on the topic– part of their special report series on teens and stress :

Additional studies published by Sleep Health Journal found that long hours on homework on may be a risk factor for depression while also suggesting that reducing workload outside of class may benefit sleep and mental fitness .

Lastly, a study presented by Frontiers in Psychology highlighted significant health implications for high school students facing chronic stress, including emotional exhaustion and alcohol and drug use.

Homework’s Potential Impact on Mental Health and Well-being

Homework-induced stress on students can involve both psychological and physiological side effects.

1. Potential Psychological Effects of Homework-Induced Stress:

• Anxiety: The pressure to perform academically and meet homework expectations can lead to heightened levels of anxiety in students. Constant worry about completing assignments on time and achieving high grades can be overwhelming.

• Sleep Disturbances : Homework-related stress can disrupt students’ sleep patterns, leading to sleep anxiety or sleep deprivation, both of which can negatively impact cognitive function and emotional regulation.

• Reduced Motivation: Excessive homework demands could drain students’ motivation, causing them to feel fatigued and disengaged from their studies. Reduced motivation may lead to a lack of interest in learning, hindering overall academic performance.

2. Potential Physical Effects of Homework-Induced Stress:

• Impaired Immune Function: Prolonged stress could weaken the immune system, making students more susceptible to illnesses and infections.

• Disrupted Hormonal Balance : The body’s stress response triggers the release of hormones like cortisol, which, when chronically elevated due to stress, can disrupt the delicate hormonal balance and lead to various health issues.

• Gastrointestinal Disturbances: Stress has been known to affect the gastrointestinal system, leading to symptoms such as stomachaches, nausea, and other digestive problems.

• Cardiovascular Impact: The increased heart rate and elevated blood pressure associated with stress can strain the cardiovascular system, potentially increasing the risk of heart-related issues in the long run.

• Brain impact: Prolonged exposure to stress hormones may impact the brain’s functioning , affecting memory, concentration, and cognitive abilities.

The Benefits of Homework

It’s important to note that homework also offers many benefits that contribute to students’ academic growth and development, such as:

• Development of Time Management Skills: Completing homework within specified deadlines encourages students to manage their time efficiently. This valuable skill extends beyond academics and becomes essential in various aspects of life.

• Preparation for Future Challenges : Homework helps prepare students for future academic challenges and responsibilities. It fosters a sense of discipline and responsibility, qualities that are crucial for success in higher education and professional life.

• Enhanced Problem-Solving Abilities: Homework often presents students with challenging problems to solve. Tackling these problems independently nurtures critical thinking and problem-solving skills.

While homework can foster discipline, time management, and self-directed learning, the middle ground may be to strike a balance that promotes both academic growth and mental well-being .

How Much Homework Should Teachers Assign?

As a general guideline, educators suggest assigning a workload that allows students to grasp concepts effectively without overwhelming them . Quality over quantity is key, ensuring that homework assignments are purposeful, relevant, and targeted towards specific objectives.

Advice for Students: How to balance Homework and Well-being

Finding a balance between academic responsibilities and well-being is crucial for students. Here are some practical tips and techniques to help manage homework-related stress and foster a healthier approach to learning:

• Effective Time Management : Encourage students to create a structured study schedule that allocates sufficient time for homework, breaks, and other activities. Prioritizing tasks and setting realistic goals can prevent last-minute rushes and reduce the feeling of being overwhelmed.

• Break Tasks into Smaller Chunks : Large assignments can be daunting and may contribute to stress. Students should break such tasks into smaller, manageable parts. This approach not only makes the workload seem less intimidating but also provides a sense of accomplishment as each section is completed.

• Find a Distraction-Free Zone : Establish a designated study area that is free from distractions like smartphones, television, or social media. This setting will improve focus and productivity, reducing time needed to complete homework.

• Be Active : Regular exercise is known to reduce stress and enhance mood. Encourage students to incorporate physical activity into their daily routine, whether it’s going for a walk, playing a sport, or doing yoga.

• Practice Mindfulness and Relaxation Techniques : Encourage students to engage in mindfulness practices, such as deep breathing exercises or meditation, to alleviate stress and improve concentration. Taking short breaks to relax and clear the mind can enhance overall well-being and cognitive performance.

• Seek Support : Teachers, parents, and school counselors play an essential role in supporting students. Create an open and supportive environment where students feel comfortable expressing their concerns and seeking help when needed.

How Healium is Helping in Schools

Stress is caused by so many factors and not just the amount of work students are taking home. Our company created a virtual reality stress management solution… a mental fitness tool called “Healium” that’s teaching students how to learn to self-regulate their stress and downshift in a drugless way. Schools implementing Healium have seen improvements from supporting dysregulated students and ADHD challenges to empowering students with body awareness and learning to self-regulate stress . Here’s one of their stories.

By providing students with the tools they need to self-manage stress and anxiety, we represent a forward-looking approach to education that prioritizes the holistic development of every student.

To learn more about how Healium works, watch the video below.

About the Author

Sarah Hill , a former interactive TV news journalist at NBC, ABC, and CBS affiliates in Missouri, gained recognition for pioneering interactive news broadcasting using Google Hangouts. She is now the CEO of Healium, the world’s first biometrically powered immersive media channel, helping those with stress, anxiety, insomnia, and other struggles through biofeedback storytelling. With patents, clinical validation, and over seven million views, she has reshaped the landscape of immersive media.

Is it time to get rid of homework? Mental health experts weigh in.

It's no secret that kids hate homework. And as students grapple with an ongoing pandemic that has had a wide range of mental health impacts, is it time schools start listening to their pleas about workloads?

Some teachers are turning to social media to take a stand against homework.

Tiktok user @misguided.teacher says he doesn't assign it because the "whole premise of homework is flawed."

For starters, he says, he can't grade work on "even playing fields" when students' home environments can be vastly different.

Mental health experts agree heavy workloads have the potential do more harm than good for students, especially when taking into account the impacts of the pandemic. But they also say the answer may not be to eliminate homework altogether.

Emmy Kang, mental health counselor at Humantold , says studies have shown heavy workloads can be "detrimental" for students and cause a "big impact on their mental, physical and emotional health."

Cynthia Catchings, a licensed clinical social worker and therapist at Talkspace , says heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression.

And for all the distress homework can cause, it's not as useful as many may think, says Dr. Nicholas Kardaras, a psychologist and CEO of Omega Recovery treatment center.

"The research shows that there's really limited benefit of homework for elementary age students, that really the school work should be contained in the classroom," he says.

For older students, Kang says, homework benefits plateau at about two hours per night.

"Most students, especially at these high achieving schools, they're doing a minimum of three hours, and it's taking away time from their friends, from their families, their extracurricular activities. And these are all very important things for a person's mental and emotional health."

Catchings, who also taught third to 12th graders for 12 years, says she's seen the positive effects of a no-homework policy while working with students abroad.

The answer may not be to eliminate homework completely but to be more mindful of the type of work students take home, suggests Kang, who was a high school teacher for 10 years.

"I don't think (we) should scrap homework; I think we should scrap meaningless, purposeless busy work-type homework. That's something that needs to be scrapped entirely," she says, encouraging teachers to be thoughtful and consider the amount of time it would take for students to complete assignments.

The pandemic made the conversation around homework more crucial

Mindfulness surrounding homework is especially important in the context of the past two years. Many students will be struggling with mental health issues that were brought on or worsened by the pandemic , making heavy workloads even harder to balance.

But even if students transition back to the structure of in-person classes, Kardaras suspects students may still struggle after two school years of shifted schedules and disrupted sleeping habits.

'Get organized' ahead of back-to-school

In order to make the transition back to in-person school easier, Kang encourages students to "get good sleep, exercise regularly (and) eat a healthy diet."

To help manage workloads, she suggests students "get organized."

"There's so much mental clutter up there when you're disorganized. ... Sitting down and planning out their study schedules can really help manage their time," she says.

Breaking up assignments can also make things easier to tackle.

"I know that heavy workloads can be stressful, but if you sit down and you break down that studying into smaller chunks, they're much more manageable."

If workloads are still too much, Kang encourages students to advocate for themselves.

More: Some teachers let their students sleep in class. Here's what mental health experts say.

More: Some parents are slipping young kids in for the COVID-19 vaccine, but doctors discourage the move as 'risky'

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The Mental Health Impact of Excessive Homework on Students

By Happy Sharer

Introduction

Homework has been an integral part of the educational system for decades. While it is important for students to do their homework, excessive amounts of homework can have a negative impact on their mental health. The purpose of this article is to explore how too much homework affects mental health, what strategies can be used to manage the problem, and the role of parents in preventing homework-related mental health issues.

Examining the Mental Health Impacts of Excessive Homework

It is no surprise that too much homework can lead to stress and anxiety. Studies have shown that when students are given too much homework, they are more likely to experience symptoms of depression, including feeling overwhelmed, unmotivated, and isolated. In addition to these psychological effects, too much homework can also lead to physical ailments such as headaches, fatigue, and poor sleep.

When it comes to children, the effects of too much homework can be even more severe. Children may feel pressure to complete assignments quickly and accurately, leading to feelings of inadequacy and frustration. They may also feel like they are missing out on important social activities with their friends due to their heavy workloads.

How Balancing School Work and Social Life Can Help Manage Mental Health

Maintaining a healthy balance between school work and leisure activities is essential to managing mental health. It is important to remember that while homework is important, it should not take precedence over other aspects of life. Taking regular breaks and engaging in enjoyable activities can help reduce stress levels and improve mental wellbeing.

In addition, setting realistic expectations and creating a schedule for completing assignments can help students manage their workload. Allowing for some flexibility in the schedule can also be beneficial, as it allows for unexpected changes or delays. Furthermore, establishing a quiet, distraction-free workspace can help students stay focused and motivated.

The Role of Parents in Preventing Homework-Related Mental Health Issues

Parents can play an important role in helping their children prevent homework-related mental health issues. Talking to children about expectations and limits can help ensure that assignments are completed on time and without undue stress. It is also important to encourage communication about any difficulties children may be having with their homework. Parents should be supportive and understanding if children express feeling overwhelmed or frustrated.

In addition, parents should be mindful of the amount of time their children are spending on homework. If a child is consistently struggling to complete assignments within the allotted timeframe, it may be necessary to reassess the amount of homework given. Parents should also monitor their children’s activities to ensure that they are still engaging in leisure activities and socializing with their peers.

In conclusion, excessive homework can have a detrimental effect on students’ mental health. It is important for students to find a balance between schoolwork and leisure activities, and parents can play an important role in helping their children manage their workloads. By discussing expectations and setting limits on homework, parents can help ensure that their children are able to complete their assignments without feeling overwhelmed or stressed.

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Increase Students’ Mental Health Literacy

What to know.

Mental health literacy is having knowledge and understanding of mental health as well as skills that help people reach out for support when they need it. Mental health literacy means:

Knowing how to develop and maintain good mental health.
Reducing stigma (negative attitudes and beliefs) about mental distress and mental illness.
Being aware of common mental health disorders and how they can be treated.
Knowing how to get help for mental health concerns.

What Can Schools Do?

Deliver classroom-based mental health education curricula.

Schools can teach about mental health in core classes or include mental health in the overall school health education program.

Lessons are most helpful when they are interactive and help students practice skills. They might include personal stories from young people about their mental health journeys. Lessons might also have in-class group activities and homework assignments. The goal is to increase mental health literacy by:

Teaching about mental health, emotional distress, and the causes and symptoms of mental illnesses.
Describing stigma about mental illness and explaining how to reduce it.
Emphasizing that mental illnesses are treatable.
Discussing reasons why people do not ask for help.
Encouraging students to talk with trusted adults and seek support when they have a mental health concern.

Teaching mental health lessons in school can reduce stigma and improve students’ knowledge and attitudes about mental health. Students are also more likely to ask for help.

NAMI Ending the Silence
Adolescent Depression Awareness Program
Eliminating the Stigma of Differences

Use Peer-Led Modeling Programs

Peer-led modeling programs train teen leaders to model positive attitudes, skills, and behaviors. Peer leaders learn about healthy coping strategies they can use and teach to their peers. These include:

Participating in healthy activities.
Having friends who help others.
Finding and using medical and mental health resources.
Talking to trusted adults.

Peer leaders share their own stories with other students. They explain how they got help and learned to cope with difficult feelings and situations. Peer leaders can also encourage students to find adults they can trust and can talk to if they need help or are worried about a friend.

Peer-led modeling programs can help improve students’ coping skills and increase their understanding of how to get help for mental health concerns.

Sources of Strength

Focus on Equity

Think about ways to make mental health support more available by partnering with local, state, and regional organizations and community-based groups. For example, find organizations with experience supporting diverse student populations and mental health providers who reflect the demographics of the students in your school.
Consider how parents, caregivers, and community members view mental health and how these views might affect students’ ability to find or ask for mental health support. For example, include information about mental health in school newsletters and emails to connect mental health to academics and normalize information about mental health. Provide information to parents and caregivers using multiple formats (email, paper flyers, workshops, and guest speakers).

Support from school administrators is critical for implementing programs, practices, and policies to address mental health literacy. Specifically, leaders can:

Identify ways to let teachers and staff know that they understand and support the need for programs, practices, and policies to increase mental health literacy.
Create consistent guidelines and practices to support any type of mental health training, including mental health literacy training. For example, make sure that school staff know how to support students in distress, how to get help when a student has an immediate need for support, and how to communicate concerns to families.
CDC’s Health Education Curriculum Analysis Tool provides guidance and tools to help schools select or develop quality health education curricula that supports behavioral and mental health across grade levels.
The National Institute of Mental Health’s Resources for Students and Educators offer learning resources for students and teachers about mental health and the brain.

Want to Learn More?

For more details on increasing students’ mental health literacy, see Promoting Mental Health and Well-Being in Schools: An Action Guide for School Administrators [PDF - 3 MB]

Increase Students’ Mental Health Literacy
Promote Mindfulness
Promote Social, Emotional, and Behavioral Learning
Enhance Connectedness Among Students, Staff, and Families
Provide Psychosocial Skills Training and Cognitive Behavioral Interventions
Support Staff Well-Being

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Open access
Published: 27 June 2023

The relationship between homeworking during COVID-19 and both, mental health, and productivity: a systematic review

Charlotte E. Hall 1 , 2 , 3 ,
Louise Davidson 2 , 4 ,
Samantha K. Brooks 1 , 3 ,
Neil Greenberg 1 , 3 &
Dale Weston 2

BMC Psychology volume 11 , Article number: 188 ( 2023 ) Cite this article

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As of March 2020, the UK public were instructed to work from home where possible and as a result, nearly half of those in employment did so during the following month. Pre-pandemic, around 5% of workers chose to work from home; it was often seen as advantageous, for example due to eliminating commuting time and increasing flexibility. However, homeworking also had negative connotations, for example, blurred boundaries between work and home life due to a sense of constant connectivity to the workplace. Understanding the psychological impact of working from home in an enforced and prolonged manner due to the COVID-19 pandemic is important. Therefore, this review sought to establish the relationship between working from home, mental health, and productivity.

In January 2022, literature searches were conducted across four electronic databases: Medline, Embase, PsycInfo and Web of Science. In February 2022 grey literature searches were conducted using Google Advanced Search, NHS Evidence; Gov.uk Publications and the British Library directory of online doctoral theses. Published and unpublished literature which collected data after March 2020, included participants who experienced working from home for at least some of their working hours, and detailed the association in terms of mental health or productivity were included.

In total 6,906 citations were screened and 25 papers from electronic databases were included. Grey literature searching resulted in two additional papers. Therefore, 27 studies were included in this review. Findings suggest the association between homeworking and both, mental health and productivity varies considerably, suggesting a complex relationship, with many factors (e.g., demographics, occupation) having an influence on the relationship.

We found that there was no clear consensus as to the association between working from home and mental health or productivity. However, there are indications that those who start homeworking for the first time during a pandemic are at risk of poor productivity, as are those who experience poor mental health. Suggestions for future research are suggested.

Peer Review reports

Within the UK, the COVID-19 pandemic led to several behavioural interventions being implemented by the government with the aim to reduce transmission of the virus. As of March 2020, the public were instructed to work from home and as a result, nearly half of those in employment did so during April 2020 [ 1 ]. As of January 2022, 36% of workers still reported homeworking at least once in the last seven days [ 2 ]. Pre-pandemic, only around 5% of workers chose to work from home [ 3 ] and findings on the impact of doing so is inconsistent. For some, homeworking was seen as a positive way of overcoming issues (e.g., decreasing commuting time [ 4 ]). However, homeworking also had negative connotations, for example, blurred boundaries between work and home life due to a sense of constant connectivity to the workplace [ 5 ]. Considering the potential disadvantages of homeworking pre-pandemic, understanding the psychological effect of enforced and prolonged working from home due to the COVID-19 pandemic is important.

Unsurprisingly, since the onset of the pandemic, the association between working from home and various aspects of health have been the subject of much research. Literature reviews, including papers from pre-pandemic, have reported mixed findings. For example, a rapid review conducted by Oakman (2020), contained 23 studies published between 2008 and 2020, explored the link between working from home and mental and physical health. For mental health specifically, the relationship was reported to be complex with many conflicting findings (e.g., increased stress and increased well-being; [ 6 ]). Varied findings have also been reported by a systematic review conducted by Lunde (2022) which sought to establish the relationship between working from home and employee health (examined outcomes included: general health, pain, well-being, stress, exhaustion and burnout, satisfaction, life and leisure) using studies published between 2010 to 2020 [ 7 ].

A scoping review focused on more current pandemic related research was conducted by Elbaz (2022) and aimed to establish the association between telework (i.e., a working arrangement that allows individuals to engage in work activities through information and communication technologies from outside the main work location [ 8 ]) and work-life balance using studies published between January 2020 and December 2021. 42 papers were included, and the review concluded that teleworking resulted in a mixed relationship. However, the link between teleworking and psychological health was typically more negative than positive [ 8 ].

Thus, the purpose of this review is to establish if there is an association between working from home and both, mental health, and productivity; specifically, for those who experienced working from home during the COVID-19 pandemic. This systematic review seeks to, first, contribute to the evidence base by being the first review to collate findings from published and grey literature research originating from economically developed countries (as indicated by membership of the Organisation for Economic Co-operation and Development; OECD) into the link between working from home and both, mental health, and productivity during the COVID-19 pandemic. Second, to establish risk or resilience (as defined as positive adaptation in response to adversity [ 9 ]) factors that make an individual more likely to adapt well to homeworking during a pandemic. Third, to provide findings and conclusions that can be used to establish implications and future research suggestions for improving the experience of homeworking for those doing so during a future public health emergency.

This systematic review is designed in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [ 10 ]. This results in the method section describing and explaining the process of criteria selection, use of information sources, the search strategy, study selection, data collection, quality assessment and the analytical method used during the review.

Eligibility criteria

The development of inclusion and exclusion criteria for the current review was iterative and developed alongside literature familiarisation, preliminary database searches, and research team meetings. The final inclusion and exclusion criteria for the current systematic review can be found in Table 1 .

Information sources

Electronic database searches.

Search terms were created in relation to population/context, intervention, and outcome of the research question, as recommended by Cochrane’s Handbook for Systematic Reviews [ 11 ]. Terms were developed a priori from current literature and developed iteratively by the research team using preliminary searches to ensure a manageable and focused scope of investigation.

The final search was conducted on the 25 th of January 2022 across the following databases:

Ovid®SP MEDLINE.® 1946 to January 18, 2022

Ovid.®SP Embase 1974 to 2022 January 14

Ovid.®SP APA PsycINFO 1806 to January Week 2 2022

Web of Science™ Core Collection

The final search involved two strings of terms: firstly, those relating to homeworking, and secondly, psychological terms encompassing mental health, resilience, and productivity. Where possible, databased controlled vocabulary was used. Free text terms remained consistent across all four searches, only differing on database specific truncation and use of punctuation. Free text terms were searched within titles and abstracts on Medline, Embase and APA PsychINFO. Free text terms were searched within title, abstract, author keywords and Keywords Plus in Web of Science Core Collection. All searches were limited to 2020 – current, to only capture data related to working from home during the COVID-19 pandemic. Full search strategies for all databases, including filters and limits used can be found in Supplemental Table 1 .

Grey literature searches

The following sources were searched on the 1 st of February 2022: Google Advanced Search, NHS Evidence; Gov.uk Publications; and the British Library directory of online doctoral theses (EThOS).

The following search was used for the Google Advanced Search, NHS evidence, and EthOS. For the Google Advanced Search, the results were ordered by most relevant, and the first 20 pages (totalling 200 hits) were screened. The NHS search was limited to primary research only.

(“work from home” OR “telework” OR “homework”)

(“mental health” OR “productivity” OR “resilience”)

The remaining searches were kept relatively simple due to small numbers of papers available shown during preliminary searches. Gov.uk Publication searches were limited to: ‘research’ or ‘statistics’ or ‘policy papers and consultations’, including the terms “homework”, “telework”, or “work from home”. Office for National Statistics searches were “homework”, “telework” or “work from home”. Full search strategies for all registers and websites, including filters and limits used can be found in Supplemental Table 2 .

Study selection

Results of the literature searches were downloaded to EndNote X9 reference management software (Thomson Reuters, New York, United States (US)). Initial screening was carried out for all titles and abstracts against the inclusion and exclusion criteria by one author (CEH). Each study was categorised into one of the following groups: “include”, “exclude” or “unsure”. A 10% check of excluded papers (~ 400 records) was carried out by a second reviewer (LD), any papers marked as potentially relevant by LD were then rescreened by CEH. Both of the “include” and “unsure” categories then were subject to full text screening. To provide robustness to the review process, 10% of the papers were also full text screened by a second reviewer (LD). When there were disagreements between reviewers (i.e., on 3/12 papers), a third reviewer (SKB) was used, and the majority decision taken. Articles were then categorised into “include” or “exclude”. A PRIMSA flowchart of the screening process is presented in Fig. 1 .

PRISMA flow diagram

Data extraction and synthesis

Data was extracted using a data extraction spreadsheet by one author (CEH). Article data and information extracted included: authors; title; type of document (e.g., publication, governmental report); publication year; publication origin; aims and hypotheses; size of sample; sample demographics and characteristics; variables of interest examined, outcome measures; key findings, limitations, and recommendations. Extraction of this data allowed for study characteristics (e.g., date of publication, country of origin, sample characteristics, outcome measures) to be reported alongside key findings, whilst considering reported study limitations and recommendations/implications suggested by the authors. A 20% check of extracted data relating to key findings was carried out by LD, no discrepancies found between reviewers. Narrative synthesis was used to collate findings from the retained papers [ 12 ]. Research findings were firstly grouped by variables examined (e.g., productivity or mental health focused), and a narrative was synthesised.

Quality assessment

The Mixed Methods Appraisal tool [ 13 ] was used to appraise the quality of included studies based on the information provided in the papers. This tool was chosen due to its ability to appraise both qualitative and quantitative studies whilst also accounting for the differences between types of study. Many reviews have used this tool for quality assessment, for example [ 14 , 15 , 16 ]. Papers were checked for suitability using the following screening questions: “Are there clear research questions?”; “Do the collected data allow to address the research questions?”. Each study was then assessed using five questions relevant to the methodological approach used within the paper [ 13 ]. One author carried out the quality appraisal (CEH).

In total 6,906 search results were extracted from electronic databases. Post duplication screening, 4,233 papers remained for title and abstract screening. 119 papers were sought for retrieval, one paper [ 17 ] was deemed potentially relevant to the review, but after exhausting all means of accessing the full text the paper had to be excluded from the review. Following title and abstract screening, 118 full texts were screened, and 25 studies were retained as they aligned with the inclusion criteria. Two additional studies were included as a result of grey literature searches. Therefore, 27 studies were included in this review (refer to Fig. 1 for flow diagram).

Study characteristics

Date of publication.

No papers included in this review were published prior to 2020, as per the exclusion criteria. Only one paper was published in 2020 [ 18 ], 25 papers were published in 2021 [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ], and one paper was published in 2022 [ 44 ].

Country of origin

Data extracted relating to the location of the first authors institution at the time of publication was extracted to display geographical spread of the papers retained within this review. As per the inclusion criterion, all paper origins are from OECD countries. The location of papers is relatively varied, with four papers originating from each of the USA [ 21 , 28 , 30 , 43 ], the UK [ 19 , 39 , 40 , 42 ] and Japan [ 32 , 33 , 34 , 38 ]. Three papers originated from Turkey [ 26 , 27 , 37 ], and Italy [ 18 , 22 , 24 ]. Two papers originated from Columbia [ 23 , 35 ]. The remaining papers originated from Canada [ 31 ], Germany [ 44 ], Luxembourg [ 36 ], the Netherlands [ 41 ], Portugal [ 20 ], Spain [ 25 ] and Sweden [ 29 ].

Study design

The majority of the retained papers used similar methodological approaches to collect data; 24 out of 27 of the papers used online surveys [ 18 , 20 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ]. It is necessary to note that, three of these papers used additional qualitative elements in their surveys [ 39 , 40 , 42 ], and four surveys collected data at multiple time points [ 36 , 38 , 41 , 44 ]. Of the remaining three papers, two used secondary data analysis [ 26 , 44 ], and one paper [ 19 ] used semi-structed interviews to collect data.

Variables examined and measures

Of the 27 papers, 13 focused specifically on mental health outcomes [ 22 , 24 , 25 , 26 , 28 , 29 , 33 , 34 , 36 , 37 , 41 , 42 , 43 ], six on productivity outcomes [ 20 , 21 , 23 , 27 , 31 , 32 ], and eight included both mental health and productivity outcomes [ 18 , 19 , 30 , 35 , 38 , 39 , 40 , 44 ]. All measures used varied across studies with many being unvalidated. Table 2 shows more in-depth details about variable measures.

Study sample

There was substantial variation in the sample characteristics across the included papers. Sample size varied highly between papers, ranging from n = 32 [ 19 ] to n = 20,395 [ 34 ]. In relation to job role, many papers included participants from difference sectors and occupations within their study [ 19 , 21 , 22 , 23 , 25 , 27 , 28 , 31 , 32 , 33 , 37 , 38 , 39 , 41 , 43 , 44 ], two included a representative participant group [ 26 , 36 ], some targeted specific occupations or groups (e.g., Alumni from the Portuguese AESE Business School [ 20 ]; Italian professionals [ 24 ]; university staff [ 29 , 42 ]; behaviour analysists [ 30 ]; administrative workers [ 18 ]) and, some did not provide information on job role but focused on home working populations [ 34 , 35 , 40 ]. Table 3 displays extracted data in relation to sample size and characteristics including location and job role details.

Quality appraisal

Overall quality of papers varied across the 27 that were retained, with an average score of 62%. The MMAT quality scores as a percentage can be found in Table 2 . The included papers within this systematic review varied in quality. Many were cross-sectional, quantitative in methodology, and recruited participants using snowball or opportunistic sampling. This resulted in some unclear sample characteristics (e.g., not knowing where a percentage of participants were from), and uncertainty as to how often the sample were working from home. Only three of the retained papers within this review used qualitative research elements, and there was no common method for measuring mental health, or productivity across homeworking research.

To allow comparisons across and between research, findings relating to mental health and productivity will be separated and reported on separately in the following section.

Mental health

This following section details outcomes relating to mental health and synthesises the following outcomes from 21 papers: ‘depression’ [ 20 , 22 , 33 , 37 , 42 ]; ‘anxiety’ [ 20 , 22 , 33 , 37 , 42 ]; ‘stress’ (including work stress) [ 18 , 22 , 28 , 29 , 35 , 37 , 38 ]; ‘psychological distress’ [ 24 , 34 , 41 ]; wellbeing [ 36 ] (including ‘subjective wellbeing’ [ 24 ], ‘psychological wellbeing’ [ 25 ]; ‘mental wellbeing’ [ 26 , 42 , 43 ]); ‘health’ [ 29 ]; ‘burnout’ [ 28 , 30 , 44 ]; and general ‘mental health’ [ 39 , 40 ]. Table 2 provides additional information on how these outcomes are measured, and it is necessary to note that there are overlap in how outcomes are described (i.e., ‘mental wellbeing’, ‘psychological wellbeing’, ‘health’, and ‘psychological distress’ were all measured using the same questionnaire).

The findings in relation to mental health varied across the retained papers. Many of the papers reported a negative relationship between homeworking and mental health and wellbeing [ 19 , 24 , 25 , 26 , 29 , 30 , 33 , 36 , 37 , 38 , 39 , 40 , 41 , 43 , 44 ]. For example, one paper established that the transition to homeworking during the pandemic increased psychological strain due to increased work intensification, poor adaptation to new ways of working, and online presenteeism [ 19 ]. Another paper reported that out of those who continued to work during the COVID-19 pandemic (i.e., not furloughed, or unemployed), teleworkers experienced less self-perceived wellbeing than those who continued working at their pre-COVID-19 workplace [ 25 ].

Some of the retained papers concluded a mixed findings in relation to home working and mental health. For example, despite a main finding that working from home during the COVID-19 pandemic results in lower levels of well-being, Schifano et al., also concluded that when the sample only includes those who switched to homeworking from office working, there is a small fall in anxiety levels when moving to working from home [ 36 ]. Additionally, Taylor et al., reports that around 40 per cent believe that their mental health had worsened either a lot or a little since working from home, compared to around 30 per cent that believed their mental health had improved [ 39 ]. Similarly, Moretti et al., reports that around 40 per cent of participants declared a reduced stress level since they have worked remotely, around 30 per cent reported an unchanged level, and one-third of participants experienced increased stress [ 18 ].

Homeworking was found to have no association with burnout by one retained paper [ 30 ]. Shimura et al., provides evidence that remote work does decrease psychological and physical stress responses when controlling for confounding factors such as job stressors, social support, and sleep status [ 38 ]. Working from home was also considered to be better for wellbeing in comparison to being furloughed or unemployed [ 25 , 36 ].

Factors affecting mental health when homeworking

Demographics.

When considering age, findings were mixed. One paper reported being older [ 36 ] resulted in poorer mental health outcomes. Additionally, another paper focused on stress and burnout specifically reported that being a young male [ 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 ], an older male (55 +) or a middle aged or older woman (45 +) resulted in increased stress, and being a middle-aged man [ 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 ] increased burnout [ 28 ].

Being female was reported to result in increases of depression, anxiety, and stress [ 37 ]. Females were also reported to experience two or more new physical or mental health issues were provided in comparison to male workers [ 43 ]. In this study, nine types of physical issues were assessed, these included, but are not limited to, musculoskeletal discomfort or injury, headaches or migraines, cardiovascular issues. Eight types of mental health issues were assessed, these included, but are not limited to, anxiety or nervousness, mental stress, rumination or worry, depression, sadness, or feeling blue [ 43 ].

Those considered better-educated were reported to have worsened mental health outcomes [ 36 ]. Those working in the field of “education and research” judged their telework experience to be much worse than participants working in other fields (e.g., ‘IT and telecommunication’, ‘Public administration and law enforcement agencies’, ‘Health and social services’ and ‘Legal and administrative services’) and were less willing to replicate the telework experience, there were also higher levels of stress and anxiety apparent [ 22 ].

Living arrangements

Living and working in a home which is considered crowded or confined resulted in poorer mental health [ 33 , 36 ]. Having a larger house and living with a partner, or with one or two housemates, was also found to be protective of mental health [ 22 ].

Results are mixed in relation to working in a household that includes children. On one hand, having young children in the home was considered to have a negative link to wellbeing, supposedly related to increased demands [ 36 ]. Whereas other research reported having infants (less than two years old) or toddlers (two to five years of age) at home as protective of wellbeing but were also associated with more mental health issues [ 43 ]. These conflicting findings were reasoned to be due to working parents being able to spend more time at home with their children, resulting in better mental wellbeing. However, due to work-life strain caused by increased demands and lack of support (i.e., from babysitters) during working hours there is an increase in new physical and mental issues apparent [ 43 ].

Isolation or loneliness

Spending more time remote working was considered to increase perceptions of isolation, and isolation and psychological distress were reported to mutually affect each other over time [ 41 ]. Additionally, having frequent contacts with work colleagues was considered protective factors of mental health [ 22 ].

Homeworking preference

Workers who preferred to work from home experienced less psychological distress with increasing telecommuting frequency, while those who preferred not to telecommute experienced more psychological distress with increasing telecommuting frequency [ 34 ].

Length of time homeworking

The association between working from home and mental health and wellbeing was found to differ depending on frequency and length of time home working [ 26 , 29 , 33 , 44 ].

One paper found working from home for a short duration was considered no different on mental well-being in comparison to those always working at the employer’s premises [ 26 ]. Niu et al., found that there was initially no difference in the mental health between workers who continued working in the office and those who switched to telework, but participants who teleworked for a longer period showed more severe anxiety and depression in comparison to those who teleworked for a short period. [ 33 ]. Similarly, those working from home for a high percentage of their weekly hours reported more negative psychological symptoms than employees who work from home for less hours [ 44 ], and higher ratings of stress were also reported in those working from home several times per week in comparison to those who worked from home less than once per month [ 29 ].

Productivity

This following section details outcomes relating to productivity and synthesises the following outcomes from 14 papers: ‘productivity’[ 18 , 21 , 27 , 30 , 31 , 32 , 35 , 40 ], ‘performance’ [ 23 , 39 ], ‘percieved productivity’ [ 20 ], ‘level of work ability’ [ 44 ], ‘presenteeism’ [ 38 ]. Table 2 provides additional information on how these outcomes are measured.

The findings in relation to productivity varied across the retained papers. Some of the retained papers concluded a negative relationship between home working and productivity [ 19 , 30 , 32 , 40 ]. For example, Adisa (2021) found that the transition to home working from office-based work caused increased work intensification, online presenteeism and employment insecurity – which resulted in psychological strain and poor levels of work engagement [ 19 ]. Similarly, increased work intensity (e.g., receiving more information from teams and engaging in more planning activities) due to working from home also resulted in decreased worker productivity [ 30 ]. Morikawa et al., concludes that productivity whilst working from home was about 60–70% of the productivity at business premises, and was especially low for employees and firms that started homeworking after the onset of the COVID pandemic [ 32 ]. A UK-wide survey of office workers (including telecom, local government, financial services and civil service staff) who were working from home during the COVID-19 pandemic reported that since the onset of homeworking, 30% reported of workers that it is now more difficult to meet targets, and they had concerns of underperforming [ 39 ].

Some studies concluded that working from home was in fact no different in comparison to office working in terms of productivity [ 23 ]. This was reported for those who worked at home pre-COVID-19 and tended to practice working from home frequently [ 32 ]. Additionally, other research concluded that 90% of new teleworkers reported being at least as productive (i.e., accomplishing at least as much work per hour at home) as they were previously in their usual place of work [ 31 ].

Moretti et al., reported that working at home resulted in productivity decreasing in 39.2% and an increasing in 29.4% of participants [ 18 ]. However, Guler et al., established that participants who worked from home were more relaxed, more efficient, and they produced better quality work [ 27 ]. Despite reported increased or no change to levels of productivity, some research studies did find that those working from home were reporting longer working hours [ 21 , 27 ].

Factors affecting productivity when homeworking

Two papers reported that males were less productive than females when working from home [ 20 , 21 ]. Those who are older and have higher levels of income are also more likely to be productive when homeworking [ 21 ], as were those who are unmarried with no children [ 31 ]. Those who are highly educated, high wage employees, long distance commuters, tended to exhibit a relatively small reduction in productivity [ 32 ]. Having an appropiate workspace was also associated with higher levels of productivity [ 21 ].

In terms of occupation, “scientists” were most likely to have the highest level of productivity, in comparison to “engineering and architecture,” “computer sciences and mathematics” and “healthcare and social services.” [ 21 ]. Other research also supported that those who work in in information and communications industry only displayed a relatively small reduction in productivity [ 32 ]. Higher levels of productivity in were also apparent in public administration (41%) as well as in health care and social assistance (45%). In contrast, the corresponding percentage was lower in goods-producing industries (31%) and educational services (25%) [ 31 ].

Mental health and productivity

A few of the retained studies looked at the interaction between mental health and productivity whilst homeworking [ 21 , 27 , 35 ]. In a sample of staff that had been working from home for more than 6 months, it was reported that they were less stressed, more efficient, and had better quality of work during working from home period according to self-report data [ 27 ]. Other research reported that having an appropiate workspace, and better mental health was also associated with higher levels of productivity [ 21 ]. Stress was also found to lessen the positive association between working remotely on productivity and engagement [ 35 ].

This systematic literature review sought to 1) explore the association between working from home and both, mental health, and productivity, and 2) establish potential risk factors. Literature searches encompassed both peer previewed published literature and grey literature, 27 papers were retained post screening and included within this review. The results established that relationship between homeworking and both, mental health and productivity varies considerably, suggesting a complex association with many mediating and moderating factors.

Prior to the COVID-19 pandemic and the introduction of enforced and prolonged homeworking, working from home was often considered advantageous. Research often concluded that homeworking had multiple advantages [ 4 , 45 , 46 , 47 ]. There were also potential concerns reported with homeworking [ 45 , 48 ], for example in relation constant connectivity to the workplace [ 5 ], but these were not considered to outweigh the benefits [ 48 ]. This review revealed conflicting findings, with the majority of the research suggesting a negative or mixed link to mental health, which is supported by current literature [ 6 ].

This suggests that homeworking as a choice is considered largely beneficial (i.e., as shown by research prior to the pandemic), but when homeworking is instead mandatory there is potential that it may have a more negative association for certain individuals and occupations over others.

The relationship between working from home and productivity was also mixed, in that some papers found that home workers could be more productive, whereas others found the opposite. However, most studies reviewed show that homeworking for both new starters (e.g., has only worked from home) and those transitioning to homeworking for the first time, were particularly likely to report low levels of productivity along with concerns about meeting targets. There was also consistency amongst reviewed papers that homeworkers who reported better mental health (e.g., were less stressed) were more productive which is consistent with previous research showing an inverse relationship between stress levels and productivity [ 49 , 50 ]. Taken together, findings from the current review suggest that prolonged homeworking can negatively affect mental health, and in turn, lower levels of mental health can negatively affect productivity. Therefore, there should be a focus on maintaining and mitigating workers mental health when they are asked to work from home for a prolonged period.

Feelings of isolation or loneliness in homeworkers were also considered to have a consistent link to poorer mental health. This finding is well supported as the negative association isolation and loneliness have on mental health is widely reported across research (e.g., [ 51 , 52 ], and as demonstrated in an overview of systematic reviews [ 53 ]). The ability to create a shared sense of social identity with colleagues, which is protective of workplace stress [ 54 ] and burnout [ 55 ], may be hindered by homeworking [ 56 ] which can result in feelings of isolation or loneliness. This finding suggests that opportunities for social integration should be promoted by managers and team leaders. For example, through team meetings, in person events, or where possible, office working days.

As the findings relating to both mental health and productivity were varied, examination of factors which have potential to affect this relationship were explored. Personal and practical factors such as, being female, older in age, living and working in a crowded or confined home, or having young children at home were consistently associated with worsened mental health. Literature also concludes, being female, older in age, a highly educated high wage earner, being unmarried with no children, or someone with an active advantage towards homeworking (e.g., long distance commuters), and an appropiate workspace were associated with higher levels of productivity. These findings highlight the importance of considering practical factors that could be targeted by potential interventions (e.g., exploring how to manage work and having children at home, having an appropriately sized workspace, and managing overcrowded housing situations) as well as tailoring interventions to suit the target demographic (e.g., by considering gender, age, and occupation).

Limitations

Limitations for the current review these can be split into retained paper limitations and review process limitations. In terms of retained paper limitations, quality screening established that the retained papers varied in quality. Many were cross-sectional (only four studies within the current review collected data from multiple time points), quantitative in methodology, and recruited participants using snowball or opportunistic sampling. This resulted in some unclear sample characteristics (e.g., not knowing where a percentage of participants were from), and uncertainty as to how often the sample were working from home. These elements limit the generalisability of the findings, and this should be considered when conclusions are drawn from this data.

For this review specifically there are a number of limitations to consider. Firstly, limiting the search to English only may have resulted in the exclusion of potentially relevant papers. Secondly, this review did not seek to collate findings from studies which only directly compared those who had to work from home during the pandemic vs. those who could not, or did not, work from home, which could have potentially provided clearer results. However, where papers provided comparisons (e.g., [ 25 , 36 ]) they were extracted and presented in the results. Thirdly, current literature has established that working throughout the pandemic can be negatively related to mental health [ 57 , 58 , 59 ], which makes it difficult to disentangle the impact of working from home specifically. However, in the current review, three papers indicated that homeworking has potential to be negatively linked to mental health when carried out, or continued, for a long period of time (in comparison to hybrid working or working from home for a short period). This could possibly be due to the previously reported benefits of homeworking (e.g., flexibility, eradicating commuting time, and work life balance) no longer feeling advantageous when constantly working from home. This is an area that requires more research and is discussed in more detail in the following section.

Implications and future research

The current review found that working from home is neither positively or negative related to mental health or productivity, suggesting that a one size fits all approach to tackling the mitigation and management of workers mental health and productivity whilst they work from home is not suitable nor fit for purpose. However, there are indications that those who start homeworking for the first time during a pandemic are at risk of poor productivity, as are those who experience poor mental health. This suggests that employers should aim to help those who are new to home working, for example through training or mentoring programs. Additionally, those at risk of having poor mental health should be more closely monitored and provided with early support to ensure productivity.

The varied nature of the findings also calls for more in-depth research into why homeworking has such wide-ranging effect on individuals, and what factors have potential to mitigate and moderate this relationship. Due to the wide-ranging findings, it may be sensible to focus on specific occupational contexts and qualitatively explore barriers and facilitators to working from home to provide in depth rich data. Such work is currently underway as a PhD project focused on response organisations that worked from home during the COVID-19 pandemic conducted by the first author of the current review.

Considering the impact of working from home for different durations is also important, as the current review establishes that three papers indicated that homeworking has potential to be negatively associated with mental health when carried out, or continued, for a long period of time. Further empirical research is needed to provide more detail into, this finding along with examination into the factors that could impact this relationship (e.g., isolation, pre-existing mental health concerns). Resilience factors and characteristics associated with growth and flourishing whilst working from home should also be the subject of future research.

Methodologically, future research should seek to employ qualitative or mixed method designs to collect more in-depth and complete data in relation to the psychological effect of homeworking. Additionally, there should be a focus on using similar research measures when adding to the homeworking evidence base, as this would allow for research finding to be accurately compared. Similar suggestions were reported in a recent rapid review [ 60 ].

Availability of data and materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Abbreviations

Organisation for Economic Co-operation and Development

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Acknowledgements

This study was funded by the National Institute for Health and Care Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response, a partnership between the UK Health Security Agency, King’s College London and the University of East Anglia. The views expressed are those of the author(s) and not necessarily those of the NIHR, UKHSA or the Department of Health and Social Care. For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising.

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Charlotte E. Hall, Louise Davidson & Dale Weston

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CEH, DW, SKB and NG conceptualised the review, created aims and established inclusion criteria. CEH, LD and SKB conducted the database searches and all screening in accordance with the inclusion criteria. CEH conducted quality appraisal of included papers. CEH carried out the analysis, and CEH drafted the initial manuscript; all authors provided critical revision of intellectual content. All authors reviewed and approved the final manuscript.

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Supplemental Table 1. Search Strategy. Supplemental Information Table 2. Grey literature Searches.

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Hall, C.E., Davidson, L., Brooks, S.K. et al. The relationship between homeworking during COVID-19 and both, mental health, and productivity: a systematic review. BMC Psychol 11 , 188 (2023). https://doi.org/10.1186/s40359-023-01221-3

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The relationship between homeworking during COVID-19 and both, mental health, and productivity: a systematic review

Charlotte e. hall.

1 Department of Psychological Medicine, King’s College London, Weston Education Centre, London, SE5 9RJ UK

2 Evaluation & Translation Directorate, Science Group, Behavioural Science and Insights Unit, UKHSA, Porton Down, Salisbury, SP4 0JG UK

3 Health Protection Research Unit, Institute of Psychology, Psychiatry and Neuroscience, King’s College London, 10 Cutcombe Road, London, SE5 9RJ UK

Louise Davidson

4 School of Psychology, University of Sussex, Brighton, BN1 9QH UK

Samantha K. Brooks

Neil greenberg, dale weston, associated data.

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Supplementary Information

The online version contains supplementary material available at 10.1186/s40359-023-01221-3.

Eligibility criteria

Inclusion and exclusion criteria

1 Any study methodology/design (i.e., qualitative, quantitative, or mixed) including primary research was eligible for inclusion

2 Resilience as defined as ‘positive adaptation in response to adversity’ [ 9 ]

Information sources

Electronic database searches.

The final search was conducted on the 25 th of January 2022 across the following databases:

Ovid®SP MEDLINE.® 1946 to January 18, 2022
Ovid.®SP Embase 1974 to 2022 January 14
Ovid.®SP APA PsycINFO 1806 to January Week 2 2022
Web of Science™ Core Collection

Grey literature searches

The following sources were searched on the 1 st of February 2022: Google Advanced Search, NHS Evidence; Gov.uk Publications; and the British Library directory of online doctoral theses (EThOS).

(“work from home” OR “telework” OR “homework”)
(“mental health” OR “productivity” OR “resilience”)

Study selection

An external file that holds a picture, illustration, etc.
Object name is 40359_2023_1221_Fig1_HTML.jpg

PRISMA flow diagram

Data extraction and synthesis

Quality assessment

The Mixed Methods Appraisal tool [ 13 ] was used to appraise the quality of included studies based on the information provided in the papers. This tool was chosen due to its ability to appraise both qualitative and quantitative studies whilst also accounting for the differences between types of study. Many reviews have used this tool for quality assessment, for example [ 14 – 16 ]. Papers were checked for suitability using the following screening questions: “Are there clear research questions?”; “Do the collected data allow to address the research questions?”. Each study was then assessed using five questions relevant to the methodological approach used within the paper [ 13 ]. One author carried out the quality appraisal (CEH).

Study characteristics

Date of publication.

No papers included in this review were published prior to 2020, as per the exclusion criteria. Only one paper was published in 2020 [ 18 ], 25 papers were published in 2021 [ 19 – 43 ], and one paper was published in 2022 [ 44 ].

Country of origin

Data extracted relating to the location of the first authors institution at the time of publication was extracted to display geographical spread of the papers retained within this review. As per the inclusion criterion, all paper origins are from OECD countries. The location of papers is relatively varied, with four papers originating from each of the USA [ 21 , 28 , 30 , 43 ], the UK [ 19 , 39 , 40 , 42 ] and Japan [ 32 – 34 , 38 ]. Three papers originated from Turkey [ 26 , 27 , 37 ], and Italy [ 18 , 22 , 24 ]. Two papers originated from Columbia [ 23 , 35 ]. The remaining papers originated from Canada [ 31 ], Germany [ 44 ], Luxembourg [ 36 ], the Netherlands [ 41 ], Portugal [ 20 ], Spain [ 25 ] and Sweden [ 29 ].

Study design

The majority of the retained papers used similar methodological approaches to collect data; 24 out of 27 of the papers used online surveys [ 18 , 20 – 25 , 27 – 43 ]. It is necessary to note that, three of these papers used additional qualitative elements in their surveys [ 39 , 40 , 42 ], and four surveys collected data at multiple time points [ 36 , 38 , 41 , 44 ]. Of the remaining three papers, two used secondary data analysis [ 26 , 44 ], and one paper [ 19 ] used semi-structed interviews to collect data.

Variables examined and measures

Of the 27 papers, 13 focused specifically on mental health outcomes [ 22 , 24 – 26 , 28 , 29 , 33 , 34 , 36 , 37 , 41 – 43 ], six on productivity outcomes [ 20 , 21 , 23 , 27 , 31 , 32 ], and eight included both mental health and productivity outcomes [ 18 , 19 , 30 , 35 , 38 – 40 , 44 ]. All measures used varied across studies with many being unvalidated. Table Table2 2 shows more in-depth details about variable measures.

Extracted information relating to outcome variable and measure, and quality appraisal score

Study sample

There was substantial variation in the sample characteristics across the included papers. Sample size varied highly between papers, ranging from n = 32 [ 19 ] to n = 20,395 [ 34 ]. In relation to job role, many papers included participants from difference sectors and occupations within their study [ 19 , 21 – 23 , 25 , 27 , 28 , 31 – 33 , 37 – 39 , 41 , 43 , 44 ], two included a representative participant group [ 26 , 36 ], some targeted specific occupations or groups (e.g., Alumni from the Portuguese AESE Business School [ 20 ]; Italian professionals [ 24 ]; university staff [ 29 , 42 ]; behaviour analysists [ 30 ]; administrative workers [ 18 ]) and, some did not provide information on job role but focused on home working populations [ 34 , 35 , 40 ]. Table Table3 3 displays extracted data in relation to sample size and characteristics including location and job role details.

Extracted information relating to sample characteristics

Quality appraisal

Overall quality of papers varied across the 27 that were retained, with an average score of 62%. The MMAT quality scores as a percentage can be found in Table Table2. 2 . The included papers within this systematic review varied in quality. Many were cross-sectional, quantitative in methodology, and recruited participants using snowball or opportunistic sampling. This resulted in some unclear sample characteristics (e.g., not knowing where a percentage of participants were from), and uncertainty as to how often the sample were working from home. Only three of the retained papers within this review used qualitative research elements, and there was no common method for measuring mental health, or productivity across homeworking research.

To allow comparisons across and between research, findings relating to mental health and productivity will be separated and reported on separately in the following section.

Mental health

This following section details outcomes relating to mental health and synthesises the following outcomes from 21 papers: ‘depression’ [ 20 , 22 , 33 , 37 , 42 ]; ‘anxiety’ [ 20 , 22 , 33 , 37 , 42 ]; ‘stress’ (including work stress) [ 18 , 22 , 28 , 29 , 35 , 37 , 38 ]; ‘psychological distress’ [ 24 , 34 , 41 ]; wellbeing [ 36 ] (including ‘subjective wellbeing’ [ 24 ], ‘psychological wellbeing’ [ 25 ]; ‘mental wellbeing’ [ 26 , 42 , 43 ]); ‘health’ [ 29 ]; ‘burnout’ [ 28 , 30 , 44 ]; and general ‘mental health’ [ 39 , 40 ]. Table Table2 2 provides additional information on how these outcomes are measured, and it is necessary to note that there are overlap in how outcomes are described (i.e., ‘mental wellbeing’, ‘psychological wellbeing’, ‘health’, and ‘psychological distress’ were all measured using the same questionnaire).

The findings in relation to mental health varied across the retained papers. Many of the papers reported a negative relationship between homeworking and mental health and wellbeing [ 19 , 24 – 26 , 29 , 30 , 33 , 36 – 41 , 43 , 44 ]. For example, one paper established that the transition to homeworking during the pandemic increased psychological strain due to increased work intensification, poor adaptation to new ways of working, and online presenteeism [ 19 ]. Another paper reported that out of those who continued to work during the COVID-19 pandemic (i.e., not furloughed, or unemployed), teleworkers experienced less self-perceived wellbeing than those who continued working at their pre-COVID-19 workplace [ 25 ].

Factors affecting mental health when homeworking

Demographics.

When considering age, findings were mixed. One paper reported being older [ 36 ] resulted in poorer mental health outcomes. Additionally, another paper focused on stress and burnout specifically reported that being a young male [ 25 – 34 ], an older male (55 +) or a middle aged or older woman (45 +) resulted in increased stress, and being a middle-aged man [ 35 – 54 ] increased burnout [ 28 ].

Living arrangements

Isolation or loneliness

Homeworking preference

Length of time homeworking

The association between working from home and mental health and wellbeing was found to differ depending on frequency and length of time home working [ 26 , 29 , 33 , 44 ].

Productivity

This following section details outcomes relating to productivity and synthesises the following outcomes from 14 papers: ‘productivity’[ 18 , 21 , 27 , 30 – 32 , 35 , 40 ], ‘performance’ [ 23 , 39 ], ‘percieved productivity’ [ 20 ], ‘level of work ability’ [ 44 ], ‘presenteeism’ [ 38 ]. Table Table2 2 provides additional information on how these outcomes are measured.

Factors affecting productivity when homeworking

Mental health and productivity

Prior to the COVID-19 pandemic and the introduction of enforced and prolonged homeworking, working from home was often considered advantageous. Research often concluded that homeworking had multiple advantages [ 4 , 45 – 47 ]. There were also potential concerns reported with homeworking [ 45 , 48 ], for example in relation constant connectivity to the workplace [ 5 ], but these were not considered to outweigh the benefits [ 48 ]. This review revealed conflicting findings, with the majority of the research suggesting a negative or mixed link to mental health, which is supported by current literature [ 6 ].

Limitations

For this review specifically there are a number of limitations to consider. Firstly, limiting the search to English only may have resulted in the exclusion of potentially relevant papers. Secondly, this review did not seek to collate findings from studies which only directly compared those who had to work from home during the pandemic vs. those who could not, or did not, work from home, which could have potentially provided clearer results. However, where papers provided comparisons (e.g., [ 25 , 36 ]) they were extracted and presented in the results. Thirdly, current literature has established that working throughout the pandemic can be negatively related to mental health [ 57 – 59 ], which makes it difficult to disentangle the impact of working from home specifically. However, in the current review, three papers indicated that homeworking has potential to be negatively linked to mental health when carried out, or continued, for a long period of time (in comparison to hybrid working or working from home for a short period). This could possibly be due to the previously reported benefits of homeworking (e.g., flexibility, eradicating commuting time, and work life balance) no longer feeling advantageous when constantly working from home. This is an area that requires more research and is discussed in more detail in the following section.

Implications and future research

Acknowledgements

Abbreviation, authors’ contributions.

Availability of data and materials

Declarations.

Not applicable.

The authors declare no competing interests.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Research Identifies Characteristics of Cities That Would Support Young People’s Mental Health

Survey responses from global panel that included young people provide insights into what would make cities mental health-friendly for youth

As cities around the world continue to draw young people for work, education, and social opportunities, a new study identifies characteristics that would support young urban dwellers’ mental health. The findings, based on survey responses from a global panel that included adolescents and young adults, provide a set of priorities that city planners can adopt to build urban environments that are safe, equitable, and inclusive.

To determine city characteristics that could bolster youth mental health, researchers administered an initial survey to a panel of more than 400, including young people and a multidisciplinary group of researchers, practitioners, and advocates. Through two subsequent surveys, participants prioritized six characteristics that would support young city dwellers’ mental health: opportunities to build life skills; age-friendly environments that accept young people’s feelings and values; free and safe public spaces where young people can connect; employment and job security; interventions that address the social determinants of health; and urban design with youth input and priorities in mind.

The paper was published online February 21 in Nature .

The study’s lead author is Pamela Collins, MD, MPH, chair of the Johns Hopkins Bloomberg School of Public Health’s Department of Mental Health. The study was conducted while Collins was on the faculty at the University of Washington. The paper was written by an international, interdisciplinary team, including citiesRISE, a global nonprofit that works to transform mental health policy and practice in cities, especially for young people.

Cities have long been a draw for young people. Research by UNICEF projects that cities will be home to 70 percent of the world’s children by 2050. Although urban environments influence a broad range of health outcomes, both positive and negative, their impacts manifest unequally. Mental disorders are the leading causes of disability among 10- to 24-year-olds globally. Exposure to urban inequality, violence, lack of green space, and fear of displacement disproportionately affects marginalized groups, increasing risk for poor mental health among urban youth.

“Right now, we are living with the largest population of adolescents in the world’s history, so this is an incredibly important group of people for global attention,” says Collins. “Investing in young people is an investment in their present well-being and future potential, and it’s an investment in the next generation—the children they will bear.”

Data collection for the study began in April 2020 at the start of the COVID-19 pandemic. To capture its possible impacts, researchers added an open-ended survey question asking panelists how the pandemic influenced their perceptions of youth mental health in cities. The panelists reported that the pandemic either shed new light on the inequality and uneven distribution of resources experienced by marginalized communities in urban areas, or confirmed their preconceptions of how social vulnerability exacerbates health outcomes.

For their study, the researchers recruited a panel of more than 400 individuals from 53 countries, including 327 young people ages 14 to 25, from a cross-section of fields, including education, advocacy, adolescent health, mental health and substance use, urban planning and development, data and technology, housing, and criminal justice. The researchers administered three sequential surveys to panelists beginning in April 2020 that asked panelists to identify elements of urban life that would support mental health for young people.

The top 37 characteristics were then grouped into six domains: intrapersonal, interpersonal, community, organizational, policy, and environment. Within these domains, panelists ranked characteristics based on immediacy of impact on youth mental health, ability to help youth thrive, and ease or feasibility of implementation.

Taken together, the characteristics identified in the study provide a comprehensive set of priorities that policymakers and urban planners can use as a guide to improve young city dwellers' mental health. Among them: Youth-focused mental health and educational services could support young people’s emotional development and self-efficacy. Investment in spaces that facilitate social connection may help alleviate young people’s experiences of isolation and support their need for healthy, trusting relationships. Creating employment opportunities and job security could undo the economic losses that young people and their families experienced during the pandemic and help cities retain residents after a COVID-era exodus from urban centers.

The findings suggest that creating a mental health-friendly city for young people requires investments across multiple interconnected sectors like transportation, housing, employment, health, and urban planning, with a central focus on social and economic equity. They also require urban planning policy approaches that commit to systemic and sustained collaboration, without magnifying existing privileges through initiatives like gentrification and developing green spaces at the expense of marginalized communities in need of affordable housing.

The authors say this framework underscores that responses by cities should include young people in the planning and design of interventions that directly impact their mental health and well-being.

“ Making cities mental health friendly for adolescents and young adults ” was co-authored by an international, interdisciplinary team of 31 researchers led by the University of Washington Consortium for Global Mental Health, Urban@UW, the University of Melbourne, and citiesRISE. Author funding is listed in the Acknowledgements section of the paper.

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“I want to give the lessons that I’ve learned from my mentors, my friends, my family, and faculty back to other youth who are going through similar experiences,” Roberts said.

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As a high school senior in 2020, Colin Roberts thought leaving Virginia for college was how he would make a name for himself. His mother encouraged him to apply to Virginia Tech in addition to other schools, and after considering financial aid packages, it was obvious Virginia Tech was the best choice.

“Tech gave me enough money to attend, which I’m really very grateful for,” Roberts said.

Throughout his first year, Roberts thought he might eventually transfer, but what he found in Blacksburg was something more than a cost-efficient education. He quickly developed a “strong sense of community and a strong network” that included friends as well as supportive administrators and faculty.

“At the end of the day, I didn’t want to lose the friends that I’ve made here. I wanted to see what I could do, and I’ve stuck with it ever since,” said Roberts.

At Virginia Tech, Colin Roberts not only excels as a student in the College of Science majoring in psychology and minoring in human-computer interaction , but he takes an active role in extracurricular activities. Currently, Roberts is the president of the Class of 2024, co-director of community engagement for Students of Hip-Hop Legacy , liaison for the Student African American Brotherhood group, and an active member of Alpha Phi Alpha fraternity, where he serves as director of education and Alpha Ball chairman.

Roberts’ campus involvement and service to others has not gone unnoticed. He was recognized with the Community Builder Award at the Black Excellence Gala in 2023, the National Pan-Hellenic Council Member of the Year award in 2024 from the Southeastern Greek Leadership Association, and a nomination for a 2023-24 Aspire! Award from Student Affairs.

He is also one of the first recipients of the Preston and Catharine White Endowed Diversity Scholarship . Roberts had the opportunity to thank the Whites for their generosity at the launch of Virginia Tech Advantage , a universitywide, multiyear commitment to offer a broad educational experience to undergraduate students from Virginia who demonstrate financial need.

In his speech , Roberts said the scholarship was more than financial assistance. It represented his ability “to make a meaningful impact on our society through my education and future career.” This desire to make a difference has guided Roberts from day one and continues to shape his future.

Roberts plans to continue his education by focusing on a master’s degree in human-computer interaction with aspirations to create his own programs, consisting of websites or apps, focused on mental health in the Black community and encouragement for young Black people to pursue degrees in STEM fields.

“I was inspired by the Black College Institute at Virginia Tech to hopefully develop my own program,” said Roberts. “I want to give the lessons that I’ve learned from my mentors, my friends, my family, and faculty back to other youth that are going through similar experiences.”

Throughout the past four years, Roberts will admit that there have been “stressful points,” but behind him is an incredible support system of family and friends, including his mother, Felicity Ashiadey-Dougan, whose advice to “keep moving forward” plays continuously in the back of his mind.

“With all the work that I do and the accompanying success and failures, I have always remembered these three words because they not only remind me of her, but they snap me back into reality, allowing me to continue forward,” said Roberts. “Knowing that the goals, dreams, and success that I have for myself won’t be achieved if I let the weight of the world take over is what makes me take that step to keep moving.”

Roberts credits his mother for instilling in him a strong work ethic, and he is grateful for the sacrifices she made to give him this educational opportunity. His cultural heritage, as the child of immigrants from Africa, also plays a part in his drive to succeed.

“It is ingrained within us in both Ghanaian and Nigerian culture to be hard workers, to be the top of our class, and to support our families once we become of age,” said Roberts. “When it comes to all that I want to do and have in store for myself, it is to continue this legacy that I am a part of and bring nothing but the highest honors to my family name and history.”

The circle of friends that surrounds Roberts includes many who share his West African heritage, but all, regardless of heritage, are driven by their strong commitment to family.

“We all share the same cultural backgrounds, we’re all aspiring to be successful, not just for ourselves but for our families as well. Those shared goals and interests have been a big motivation for me,” said Roberts.

Caleb Callender ’23 is among those friends who support and encourage Roberts. The political science graduate is pursuing a master’s degree in public policy at George Washington University, and Roberts said even though Callender graduated, he can always reach out for guidance. Callender said this willingness to seek the advice of others is one of Roberts’ greatest leadership qualities.

“I think the thing that truly makes Colin a tremendous leader is his willingness to learn from those around him. He doesn’t pretend to know everything like many leaders do,” said Callender. “I feel that a leader who is willing to listen is one who is destined for great things, and that is what I see in Colin’s future.”

Roberts’ friendships with Callender and many others stem from active involvement in campus life at Virginia Tech. He encourages all students to get involved, be active within their community and be active on campus within their organizations. However, he also advises all Hokies to “work within your means.”

“All I do is within my means,” said Roberts. “People say if you work on too many things at a time, not everything you work on is going to be the best, but I know what I do is within my means. Everything that I do work on, I put in my best effort toward everything to make sure that it’s done properly.”

After Roberts gives his speech at the commencement ceremony in May, crosses the stage, and turns his tassel, he knows the reality of this chapter ending will hit him. However, Roberts said he feels like part of him will always stay at Virginia Tech.

“I feel like I’ve definitely left my mark here at Virginia Tech,” said Roberts. “I feel like I’ve made a name and path for myself, and that’s what I want to do with the rest of my life, make my own legacy and make my own path.”

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Increasingly popular 'high-functioning' label uses success at work or in school to mask poor mental health, psychologist says

On TikTok you'll find millions of users diagnosing themselves using the term "high-functioning" — high-functioning anxiety, high-functioning depression, high-functioning autism.

The term "high-functioning" isn't actually clinical, but, generally, it refers to those who perform well in work and in school. So if someone has high-functioning depression, it means they are excelling at their job, despite being in poor mental health.

After the pandemic, when levels of depression and anxiety both spiked, people became more aware of the fact that you can have depression or anxiety and still be excelling in certain parts of your life, says Irina Gorelik, a psychologist with Williamsburg Therapy Group.

"After Covid, the focus on mental health has been much more significant," she says. "And people are much more aware of signs that might have been subtle in the past."

While the idea of a high-functioning depressed or anxious person isn't new, our recent obsession with the term is. And experts believe it might signal a shift in how we believe mental health presents.

You're 'masking' your struggles with high performance

Gorelik likens high-functioning tendencies to masking. A person will work extra hard in the office in order to cover up their poor mental health.

"You're masking something you're struggling with with performance," she says. "You're able to maintain the basic aspects of your life without people noticing a significant change, but you're using a lot more mental effort to sustain that high performance."

Saying your "high-functioning" also signals that you have economic value to society, says John T. Maier, a psychotherapist in Cambridge Massachusetts,

"When people say 'high-functioning,' they aren't saying, 'I'm doing a great job at raising my family' or 'I'm doing a great job at going to church,'" he says. "It means 'I'm doing a great job at work.'"

Historically, admitting you have mental health struggles might suggest you have trouble holding down a job or performing well in school. The spike in use of this term shows that people are rethinking what depression or anxiety look like.

"It's implicating that you are somehow different from someone else with this label," he says.

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Pilot study shows ketogenic diet improves severe mental illness

A small clinical trial led by Stanford Medicine found that the metabolic effects of a ketogenic diet may help stabilize the brain.

April 1, 2024 - By Nina Bai

A study led by researchers at Stanford Medicine showed that diet can help those with serious mental illness. nishihata

For people living with serious mental illness like schizophrenia or bipolar disorder, standard treatment with antipsychotic medications can be a double-edged sword. While these drugs help regulate brain chemistry, they often cause metabolic side effects such as insulin resistance and obesity, which are distressing enough that many patients stop taking the medications.

Now, a pilot study led by Stanford Medicine researchers has found that a ketogenic diet not only restores metabolic health in these patients as they continue their medications, but it further improves their psychiatric conditions. The results, published March 27 in Psychiatry Research , suggest that a dietary intervention can be a powerful aid in treating mental illness.

“It’s very promising and very encouraging that you can take back control of your illness in some way, aside from the usual standard of care,” said Shebani Sethi , MD, associate professor of psychiatry and behavioral sciences and the first author of the new paper.

Making the connection

Sethi, who is board certified in obesity and psychiatry, remembers when she first noticed the connection. As a medical student working in an obesity clinic, she saw a patient with treatment-resistant schizophrenia whose auditory hallucinations quieted on a ketogenic diet.

That prompted her to dig into the medical literature. There were only a few, decades-old case reports on using the ketogenic diet to treat schizophrenia, but there was a long track record of success in using ketogenic diets to treat epileptic seizures.

“The ketogenic diet has been proven to be effective for treatment-resistant epileptic seizures by reducing the excitability of neurons in the brain,” Sethi said. “We thought it would be worth exploring this treatment in psychiatric conditions.”

A few years later, Sethi coined the term metabolic psychiatry, a new field that approaches mental health from an energy conversion perspective.

Shebani Sethi

In the four-month pilot trial, Sethi’s team followed 21 adult participants who were diagnosed with schizophrenia or bipolar disorder, taking antipsychotic medications, and had a metabolic abnormality — such as weight gain, insulin resistance, hypertriglyceridemia, dyslipidemia or impaired glucose tolerance. The participants were instructed to follow a ketogenic diet, with approximately 10% of the calories from carbohydrates, 30% from protein and 60% from fat. They were not told to count calories.

“The focus of eating is on whole non-processed foods including protein and non-starchy vegetables, and not restricting fats,” said Sethi, who shared keto-friendly meal ideas with the participants. They were also given keto cookbooks and access to a health coach.

The research team tracked how well the participants followed the diet through weekly measures of blood ketone levels. (Ketones are acids produced when the body breaks down fat — instead of glucose — for energy.) By the end of the trial, 14 patients had been fully adherent, six were semi-adherent and only one was non-adherent.

The participants underwent a variety of psychiatric and metabolic assessments throughout the trial.

Before the trial, 29% of the participants met the criteria for metabolic syndrome, defined as having at least three of five conditions: abdominal obesity, elevated triglycerides, low HDL cholesterol, elevated blood pressure and elevated fasting glucose levels. After four months on a ketogenic diet, none of the participants had metabolic syndrome.

On average, the participants lost 10% of their body weight; reduced their waist circumference by 11% percent; and had lower blood pressure, body mass index, triglycerides, blood sugar levels and insulin resistance.

“We’re seeing huge changes,” Sethi said. “Even if you’re on antipsychotic drugs, we can still reverse the obesity, the metabolic syndrome, the insulin resistance. I think that’s very encouraging for patients.”

The participants reported improvements in their energy, sleep, mood and quality of life.

The psychiatric benefits were also striking. On average, the participants improved 31% on a psychiatrist rating of mental illness known as the clinical global impressions scale, with three-quarters of the group showing clinically meaningful improvement. Overall, the participants also reported better sleep and greater life satisfaction.

“The participants reported improvements in their energy, sleep, mood and quality of life,” Sethi said. “They feel healthier and more hopeful.”

The researchers were impressed that most of the participants stuck with the diet. “We saw more benefit with the adherent group compared with the semi-adherent group, indicating a potential dose-response relationship,” Sethi said.

Alternative fuel for the brain

There is increasing evidence that psychiatric diseases such as schizophrenia and bipolar disorder stem from metabolic deficits in the brain, which affect the excitability of neurons, Sethi said.

The researchers hypothesize that just as a ketogenic diet improves the rest of the body’s metabolism, it also improves the brain’s metabolism.

“Anything that improves metabolic health in general is probably going to improve brain health anyway,” Sethi said. “But the ketogenic diet can provide ketones as an alternative fuel to glucose for a brain with energy dysfunction.”

Likely there are multiple mechanisms at work, she added, and the main purpose of the small pilot trial is to help researchers detect signals that will guide the design of larger, more robust studies.

As a physician, Sethi cares for many patients with both serious mental illness and obesity or metabolic syndrome, but few studies have focused on this undertreated population.

She is the founder and director of the metabolic psychiatry clinic at Stanford Medicine.

“Many of my patients suffer from both illnesses, so my desire was to see if metabolic interventions could help them,” she said. “They are seeking more help. They are looking to just feel better.”

Researchers from the University of Michigan; the University of California, San Francisco; and Duke University contributed to the study.

The study was supported by Baszucki Group Research Fund, Keun Lau Fund and the Obesity Treatment Foundation.

About Stanford Medicine

Stanford Medicine is an integrated academic health system comprising the Stanford School of Medicine and adult and pediatric health care delivery systems. Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. For more information, please visit med.stanford.edu .

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Growing number of men in outback mining hub of Mount Isa turning to yoga for mental health

Perched atop a rocky outcrop in outback Queensland, Shane Butler sits cross-legged, meditating as the sun sets over his home town.

As a burly, bearded underground miner, he is not who people might expect to be the face of yoga in the bush.

Living in the outback Queensland mining centre of Mount Isa, Mr Butler is among many men who spend years working underground, clocking in and out of exhausting 12-hour days.

Fatigued and trying to provide for his family, Mr Butler never spoke about the mental toll of mining in an isolated town.

"The working culture is taxing mentally and physically," he said.

"It's an 84-hour week without much break and then you have to balance that with your life, being a good dad, and running a budget — something has to give."

Statistics show Mr Butler is not alone.

According to suicide prevention group Mates In Mining, suicide rates in the mining and construction industry are higher than the general working population.

That rings true for Mr Butler, who says that for years he struggled to deal with feelings of anxiety.

"There's a huge stigma when it comes to men and mental health."

After trying yoga, Mr Butler found it so effective he decided to get his accreditation so he could start running classes for men.

"It was always about getting more men into it, helping to spread the word and share what I have felt. I had to put myself out there in order to gain that trust."

More men on the mats

Mr Butler's budding yoga program "naMANste" is growing in popularity as word spreads among other male miners.

Class attendee and fellow underground miner Renata Carlson said it was hard to come to the first session.

"I had made every excuse not to come," he said.

"The old 'I can't be bothered', or 'there'll be too many people and I'll be out of my comfort zone' but now that I've done it, it's been really great."

After spending a decade working underground in the Mount Isa mine, Mr Carlson said he was finally making his mental health a priority.

"I'll look at this as another tool to help, like exercise and other stuff, this here is another tool in the old belt."

Outback mental health gap

Self-described "knockabout" bloke Tony "Tonka" Toholke has lived in the mining town for almost two decades.

After a personal mental health battle, he became an advocate for empowering other men to get help.

"In personal experience, the existing support for men in the outback is terrible," he said.

"We need a greater focus on how to help men, and men need to be more open about seeking help."

a man in hi-vis clothing smiles leaning against a truck

Mr Toholke said outback mining communities needed "all they could get" when it came to mental health services, particularly for men.

"What Shane and the guys are doing is bloody outstanding," he said.

"I'd encourage anyone to go and have a crack [at yoga]. Have some fun with it and you might meet someone that you're able to talk with."

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Dr Saurabh Mehrotra on how air pollution impacts mental health

Bigger topic of climate change and mental health needs to be addressed

Interview/ Saurabh Mehrotra, associate director, neurology and neurosciences, Medanta, Gurugram

Given that mental health is a continuum, how do you isolate pollution as a contributor to mental health challenges?

The World Health Organization has ranked air pollution as one of the major environmental health risks accounting for about 4.2 million premature deaths. The WHO guidelines implicate PM2.5, PM10, ozone, nitrogen dioxide, sulphur dioxide and carbon monoxide in poor air quality. The strongest evidence for adverse health is for PM2.5. These particles can reach the deepest parts of the lung, causing local and systemic inflammation and oxidative stress. They also find their way to the brain. All these are ultimately responsible for effects on physical and mental health.

What are the most common manifestations of mental health challenges caused by pollution?

Most of the world population breathes unsafe air. In our experience, we have seen how smog makes us feel depressed, anxious and irritable. This, although a superficial association, still conveys a point.

From research, there is emerging evidence that exposure to outdoor and indoor air pollutants may affect mental health and lead to neurocognitive disorders such as dementia. Outdoor air pollutants are risk factors for depression, anxiety, personality disorders and schizophrenia. Furthermore, there may be problems in concentration and cognitive function.

Indoor air pollution is also of great significance, since almost 90 per cent of our time is spent indoors, at work and home. Poor indoor environment may lead to fatigue and sick building syndrome, which comprises a host of physical and psychological symptoms. It also reduces work efficiency and leads to absenteeism. There are reports of brain fog, anxiety and depression related to indoor pollution. It must be emphasised that the findings are preliminary and future research will provide more information including causal mechanisms.

What about the effects of air pollution on pregnancy and newborns?

The effects of air pollution during pregnancy and on newborns are still being studied. Children exposed to poor indoor air quality in schools perform worse on math and reading comprehension tests. It is important to understand that half of adults with mental illness show symptoms by 11 years of age and 75 per cent do so by 24 years. Research suggests that psychotic experiences were more common among adolescents with the highest level of annual exposure to nitrogen dioxide and PM2.5. There is also evidence of association with depression. Reviews show an association of exposure to PM2.5 and PM10 to depression, anxiety, bipolar disorder, psychosis and suicide in adults.

What is the wider issue of air pollution and its impact on mental health that we must be addressing?

The bigger topic of climate change and mental health needs to be addressed. Extreme weather events are becoming common and faced by all of us. This is leading to job loss, forcing migration, harming social cohesion, depleting resources, and having serious mental health consequences. A new vocabulary has developed to describe such effects. Ecological grief and eco-anxiety are terms describing the sense of loss or anxiety people feel related to climate change.

Solastalgia is a term coined to capture the nostalgia we can feel for a traditional way of life or childhood landscape destroyed by environmental change. People also describe emotional burnout and despair when we fail to make progress in improving such issues.

The effects on mental health are a consequence of being in a situation like this, as well as the deeper effects on the brain because of the pollutants or toxins or stress.

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28 Mental Health Games, Activities & Worksheets (& PDF)

This Article Contains:

5 Most Popular Books About Mental Health

Facebook Groups for Mental Health

1. Thought Record Worksheet

2. The Feeling Wheel

3. Daily Mood Tracker

4. Self-Care Checkup

5. Preventing Mental Health Relapse

5 Mental Health Games & Awareness Activities (PDF)

1. Mindfulness Exercises For Children

2. Mental Illness: Myths and Reality

3. Exercise and Mental Health

4. Understanding Mental Health Stigma

5. Mental Health Management Bingo

Download 3 Free Positive Psychology Exercises (PDF)

Download 3 Free Positive Psychology Tools Pack (PDF)

1. Mental Health Emergencies: A Guide to Recognizing and Handling Mental Health Crises – Nick Benas and Michele Hart

2. Ten Days in a Mad-House – Nellie Bly

3. Stigma: The Many Faces Of Mental Illness – Joy Bruce M.D.

4. Look Me in the Eye: My Life with Asperger’s – John Elder Robison

5. Man Who Mistook His Wife For A Hat – Oliver Sacks and Jonathan Davis

5 Most Popular Children’s Books About Mental Health

1. Can I Catch It Like a Cold?: Coping With a Parent’s Depression – Centre for Addiction and Mental Health and Joe Weissmann

2. Dear Allison : Explaining Mental Illness to Young Readers – Emma Northup Flinn

3. Marvin’s Monster Diary: ADHD Attacks! (But I Rock It, Big Time) – Raun Melmed, Annette Sexton, and Jeff Harvey

4. How Full Is Your Bucket? For Kids – Tom Rath, Mary Reckmeyer, and Maurie J. Manning

5. Please Explain Anxiety to Me! Simple Biology and Solutions for Children and Parents – Laurie E. Zelinger, Jordan Zelinger, and Elisa Sabella

Adult ADHD/ADD Support Group… By Reach2Change

Anxiety/Depression Mental Health Support Group

Bipolar Disorder

Mental Health Inspiration (Support & Awareness)

PTSD Buddies

30 Minute relaxing yoga for mental health – Jessica Richburg

Host a charity event

Wellness gift exchange

Information sessions

17 Top-Rated Positive Psychology Exercises for Practitioners

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