Therapeutic Lifestyle Changes

Therapeutic Lifestyle Changes  TLC

Nutrition & Diet
Time in Nature
Relaxation & Stress Management
Religious & Spiritual Involvement
Contribution & Service to Others

TLC are health maintenance practices for 
lifetime of self-care.

Abstracted from the landmark article Lifestyle and Mental Health, by Dr. Roger Walsh … 

Read the whole article . . .  

Mental health professionals have significantly underestimated the importance of lifestyle factors (a) as contributors to and treatments for multiple psychopathologies, (b) for fostering individual and social well-being, and (c) for preserving and optimizing cognitive function. Consequently, therapeutic lifestyle changes (TLCs) are underutilized despite considerable evidence of their effectiveness in both clinical and normal populations. TLCs are sometimes as effective as either psychotherapy or pharmacotherapy and can offer significant therapeutic advantages. Important TLCs include exercise, nutrition and diet, time in nature, relationships, recreation, relaxation and stress management, religious or spiritual involvement, and service to others. This article reviews research on their effects and effectiveness; the principles, advantages, and challenges involved in implementing them; and the forces (economic, institutional, and professional) hindering their use. Where possible, therapeutic recommendations are distilled into easily communicable principles, because such ease of communication strongly influences whether therapists recommend and patients adopt interventions. Finally, the article explores the many implications of contemporary lifestyles and TLCs for individuals, society, and health professionals. In the 21st century, therapeutic lifestyles may need to be a central focus of mental, medical, and public health.

TLC Questions ... 


  • What exercise do you do?
  • When do you exercise?
  • How much exercise do you do?
  • How much exercise would you like to do?


  • What do you eat?
  • What do you need to give up?
  • What do you need to eat?
  • When do you eat?
  • How much do you eat?
  • How often do you eat?


Time in Nature

  • Do you spend time in nature?
  • Where do you spend time in nature?
  • How do you spend time in nature?
  • How often do you spend time in nature?
  • How long do you spend time in nature?



  • Who do you relate well with?
  • Who would you rather not relate with?
  • Who would you like to relate with?



  • Who are your best friends?
  • Who are your old friends?
  • Who are your new friends?



  • When do you take time out?
  • How do you take time out?
  • Where do you take time out?
  • Who do you take time out with?



  • Do you intentionally relax?
  • Can you relax?
  • How do you relax?
  • Where do you relax?
  • When do you relax?


Stress Management

  • Are you stressed?
  • What do you do to manage stress in your life?
  • How do you manage stress in your life?

Religious and Spiritual Involvement

  • Do you have a spiritual practice?
  • What is your  spiritual practice?


Contributing and Service to Others.

  • Do you contribute & serve others?
  • What do you do to contribute & serve others?
  • How would you like to contribute & serve others?
  • When would you like to contribute & serve others?