An unqualified guide to bullet journaling for mental health

This guide was requested by a friend but in all honesty, this is something I’ve been thinking about writing for a while. This is no replacement for actual honest to god therapy, so please do seek a counselor if you struggle with some of the issues I vaguely allude to! Also, naturally, content warning for discussions of mental health and vague references self-harm and such.

To relatives who might be reading this – I promise, I’m good and well-adjusted and happy, and I’m okay weathering awkward questions if it means someone might find some use in this guide!


When I started bullet journaling last December, I didn’t realize how much it would help my anxiety and generally facilitate a more organized existence. While I was never a mess, I wasn’t necessarily organized either. Bullet journaling helped me keep track of all my deadlines, my daily tasks, weekly tasks, monthly tasks – whatever I needed from it – in a space that was as accessible as it was a creative outlet for me. Moreover, I found that it was incredibly helpful in tracking my mental health concerns; primarily my anxiety and complex PTSD.

Initially, I used it to log things I wanted to discuss with my therapist. I could only afford therapy every other week and didn’t want to forget anything important/catastrophic that happened during the days betwixt. I also started making a point of writing down important takeaways FROM therapy. I explained to my therapist what I was doing and why, and she encouraged me to write notes, doodle, scribble during our sessions. Keeping notes also helped my mindfulness and concentration. My mind tended to wander a lot – still does – but bullet journaling and my journal itself served as a focal point to remain present and not dissociate wildly.

The most destructive manifestation of my complex PTSD has been a tendency to self-harm. Proximity to a therapist was an easy way to work through what led to self-harm and how to avoid it, but upon moving to the Netherlands for a few months, I needed to find an alternative way of coping. After a few disastrous near-brushes with self-harm and anxiety attacks, I tried to look at ways I could “weaponize” my bullet journal against my mental health issues. Understanding the enemy is part of the fight, so I Googled ways that people used their bullet journal to track mental illnesses.

This was a huge preamble, I know, but I wanted to make a convincing argument! Here are the strategies I use to aid my mental health (also this guide assumes you know the basics of bullet journaling):

  • Mood tracking: Granted, I’m not great at this and I often fall asleep without filling in my mood tracker – but for the two months that I did religiously, it was really interesting to see my mood throughout a given month at a glance. With my monthly calendar filled in, and by referencing the daily tasks associated with any day I was curious about, I began to make associations e.g., dealing with finances was an immediate downgrade to my mood, as a general rule of thumb I was a distinctly happy person but days that started off as being coded “mixed” would often be coded “anxiety” during the latter part of the day – and days that started anxious ended up turning into angry days. The codes I used were: anxious, happy, sad, hyped, angry, mixed, and meh. You can use whatever codes you’d like. I fully intend to get back to mood tracking starting November and I’m considering switching to mood tracking as part of checking off my tasks at the end of the day instead of flipping back through to the mood tracking page.
  • Master-list of symptoms and manifestations of anxiety: Another really frustrating manifestation of my complex PTSD is a reduced capacity for memory. While this is annoying on a day-to-day level, let alone as a tie-in to dissociative amnesia, it’s really hard to learn anything about your mental illness when you can’t remember you learnt anything. This is a bit vague, so I’ll give an example: in the first few weeks of realizing what CPTSD was, I read pretty widely about it and the symptoms associated with it. In the months after, I would often forget that something I was doing persistently was a symptom of my CPTSD and would get really afraid and concerned, only to rediscover or be told by a friend that I had already identified action x as a symptom of CPTSD. Cue feeling really stupid and being upset that my memory had gotten so bad – which, incidentally, has triggered self-harm before. You see the utility of this. So in order to alleviate this feeling, I’ve identified all the symptoms of CPTSD that I’ve experienced before in order to have a single point of reference (eg., emotional flashbacks, hypervigilance, concentration issues, trouble breathing). Everything is a bit more palatable, once written down.
  • Master-list of tried and true self-care or preventative strategies: This is pretty self-explanatory. I tend to forget everything in my rush of panic, including what strategies calm me down. Listed self-care techniques include: watching make-up tutorials, taking a shower, drawing something beautiful and then destroying it (very therapeutic), working out (nothing like burpees to distract you!), grounding strategies including meditation, deep breathing, being mindful of my body, counting off sensory triggers, etc. Preventative strategies include: covering my arms and legs as soon as possible, getting fresh air, drinking or feeling something cold, turning off my phone, calling someone.
  • Self-harm tracking: This is a two-part tracker. The first part of the tracker is tracking days without any self-harm. For every two weeks I go without self-harming, I make a conscious effort to treat myself – whether to a smoothie or something decadent I wouldn’t normally let myself get, or a new piece of make up, whatever you want. It’s something to look back at and be proud of accomplishing. I’m a bit prideful, so seeing the tally end suddenly because I’ve self-harmed bruises my ego. This works in my favor; often, right at the cusp of self-harming, I’ll think to myself but you were doing so well! You had just a few days to go before the next two-week bench mark! and it honest to god works (for me). I’ve also written right at the top of my tracker “no shame, just move on” for if I do self-harm. You can adjust this for panic attacks or whatever you want, and have the benchmark be as long or short of a timespan as you’d like. The second part to this is logging instances of self-harm. I took this template from Lindsay Braman and if I do self-harm, I list events that transpired before the breakdown and identified symptoms/emotions leading up to it as well. Hopefully you won’t have to fill this out, but if you do, it’s a good way to foster awareness of yourself. Eventually, I would like to create a similar log for emotional flashbacks. I will say, I don’t create a monthly log for self-harm tracking, mostly because I (on average) self-harm once a month so I don’t personally find utility in that.

I hope all of that makes sense and that you can see some value in tracking your mental health. Some other points to note – please make time TO update your bullet journal! Whether it’s five minutes a night or in one big chunk at the end of the week, you get out of your bullet journal what you put into it. You don’t have to make it look excessively creative or pretty. The aesthetics of my bullet journal have deteriorated significantly since I started it (I’m on my second bullet journal now) but I absolutely love it still, and I’m not lying when I say it helps keep me sane. Also, your bullet journal doesn’t just have to be geared towards mental health! I use it as a commonplace notebook for literally everything, including books I want to read, research interests, goals for the year, plans for the future (grad school, etc), assignments for the semester my measurements/sizes because I always forget – whatever you want! The most important thing is to not make your bullet journal a burden on yourself. Don’t overtax your bullet journal, and don’t overtax yourself. Good luck!

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