Why lifestyle factors matter for mental health

Lifestyle factors do not cause mental health problems in isolation, but they can:

  • Increase vulnerability to stress, anxiety or low mood
  • Worsen existing symptoms
  • Reduce recovery and resilience

GPs view lifestyle as part of the overall picture, not a substitute for medical or psychological care when needed.

Sleep and daily routine

Sleep disruption is closely linked to mental wellbeing.

Poor sleep may lead to:

  • Reduced emotional regulation
  • Increased anxiety
  • Lower mood and motivation
  • Difficulty concentrating

Regular sleep and wake times, even on non-working days, are often more important than total hours slept.

Physical activity

Movement has a direct effect on mental health through:

  • Stress hormone regulation
  • Improved sleep quality
  • Enhanced mood and energy levels

This does not need to mean intense exercise. Walking, stretching or gentle activity can be beneficial, particularly during periods of low motivation.

Alcohol and substance use

Alcohol is commonly used to cope with stress, but it can:

  • Worsen anxiety and low mood
  • Disrupt sleep
  • Increase emotional reactivity

Recreational drugs and excessive caffeine may also worsen anxiety or mood instability. Reducing intake can improve symptoms over time.

Nutrition and regular meals

Irregular eating patterns can affect:

  • Energy levels
  • Concentration
  • Mood stability

GPs often encourage:

  • Regular meals
  • Adequate hydration
  • Avoiding long gaps without food

Dietary perfection is not required for mental health benefit.

Workload, boundaries and rest

Chronic overwork and lack of recovery time are common contributors to stress and burnout.

Helpful considerations include:

  • Taking regular breaks
  • Setting realistic expectations
  • Protecting rest time
  • Reviewing workload where possible

Burnout often develops when recovery is consistently delayed.

Social connection and isolation

Human connection plays a protective role in mental wellbeing.

Social factors include:

  • Supportive relationships
  • Feeling understood
  • Reduced isolation

Quality of connection often matters more than quantity.

Screen use and digital overload

Excessive screen time, particularly in the evening, can:

  • Disrupt sleep
  • Increase anxiety
  • Reduce mental rest

Simple boundaries around device use may improve sleep and stress levels.

How GPs discuss lifestyle and mental wellbeing

  • Understand current routines
  • Identify what feels manageable
  • Prioritise small, achievable changes
  • Avoid overwhelming recommendations

When lifestyle changes may not be enough

Lifestyle changes are supportive, but additional help is important if:

  • Symptoms are persistent or worsening
  • Daily functioning is affected
  • There is significant anxiety or low mood
  • Safety concerns are present

In these cases, further assessment or treatment is appropriate.


When to seek GP review

You should consider GP review if:

  • Mental health symptoms persist despite self-care
  • You feel stuck or overwhelmed
  • Lifestyle changes feel unmanageable
  • Symptoms affect work, relationships or sleep

Support can be offered at any stage.


If mental wellbeing is affected and you would like support exploring contributing factors or next steps, an online GP appointment can help.

Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 23 January 2026