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Mind Practices for Mental Health: Working With Your Thoughts, Not Against Them
Simple, evidence-based mind practices from CBT, ACT and self-compassion that can ease anxiety, rumination and harsh self-talk.

Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner and founder of Wellthy Psychiatry & Wellness
✓ Medically reviewed by Earl Johns, MSN, PMHNP-BC

Photos are illustrative and don’t show actual patients.
Your thoughts shape how you feel, but they aren’t always accurate. Mind practices help you notice your thinking, question it when it’s unhelpful, and relate to yourself with more kindness. These skills come from approaches like cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT) and self-compassion research.
Notice the thought
Start by catching thoughts as they happen. Try adding the phrase “I’m having the thought that…” before a harsh thought. “I’m a failure” becomes “I’m having the thought that I’m a failure.” That small shift creates distance, so the thought becomes something you observe rather than a fact you obey.
Check the evidence
Ask yourself: What’s the evidence for this? What’s the evidence against it? What would I tell a friend who thought this? Anxiety and depression tend to predict the worst and ignore everything else. Looking at the full picture often softens the story.
Name common thinking traps
All-or-nothing thinking, mind reading, catastrophizing and discounting the positive are common traps. Just naming the trap, “that’s mind reading,” can loosen its grip.
Practice self-compassion
Many LGBTQ+ people carry an inner critic shaped by years of rejection or stigma. Self-compassion means treating yourself the way you’d treat someone you love when they’re struggling. Try placing a hand on your chest and saying, “This is hard. Lots of people feel this way. May I be kind to myself right now.” Research shows self-compassion lowers anxiety and depression and supports motivation better than self-criticism does.
Schedule your worry
If worry follows you all day, give it a 15-minute appointment. When worries pop up outside that window, jot them down and save them for later. Many people find the list shrinks by the time they get to it.
Focus on values
ACT asks a helpful question: What matters to you, and what small step could you take toward it today, even with anxiety along for the ride? Living by your values builds a life that feels meaningful, which is one of the best protectors of mental health.
When thoughts become too heavy
If thoughts are constant, intrusive, or include thoughts of hurting yourself, please reach out for help right away. Therapy and medication can make these mind practices much easier to use.
A gentle next step
Wellthy Psychiatry offers judgment-free, LGBTQ+ affirming care by telehealth across California. A free 15-minute phone consult is an easy way to see if we’re a good fit.
This article is for general education and isn’t medical advice. If you’re in crisis, call or text 988, the Suicide & Crisis Lifeline, or call 911.

About the author
Earl Johns, MSN, PMHNP-BC
Board-certified psychiatric nurse practitioner · UCSF-trained · Founder of Wellthy Psychiatry & Wellness
Earl provides LGBTQ+ and neurodivergent-affirming psychiatric care, blending medication management, therapy and whole-person approaches. His background includes inpatient psychiatry and community mental health at Glenn County Behavioral Health and Equity Health, a federally qualified health center. He sees clients in San Francisco and by telehealth across California.
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