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Luke Row is a BACP registered psychodynamic therapist (#197852) in Croydon, South London, currently undertaking advanced training at Tavistock Relationships. He works with individuals who've tried to reason their way through things and couples tired of managing each other, people ready to understand what's underneath. Book a session

Defences & Patterns
You want connection more than almost anything. And every time you get close to having it, you find a way to destroy it.

Defences & Patterns
Someone asks how you feel about something that just happened - a breakup, a job loss, your father's cancer diagnosis - and you go blank.

Defences & Patterns
You know all the words now. Gaslighting. Narcissist. Triggered. Boundaries. And somehow your relationships still aren't working.

Photo by Shiromani Kant on Unsplash
Mental health has become another performance. Another thing to optimise, track, and improve. We measure it in apps, rate it on scales, and chase it through wellness trends like it's a productivity metric.
The problem isn't that you're not mentally healthy enough. The problem is that you're exhausting yourself trying to be.
You've been told that mental health means having coping strategies, emotional regulation skills, and positive thinking patterns. What you actually need is the capacity to stop coping so hard all the time.
We've turned mental health into another self-improvement project. Another area where you're supposed to optimise yourself into a better version. You're supposed to have emotional intelligence, resilience, mindfulness, boundaries, self-compassion, all while maintaining relationships, careers, and the appearance of having it together.
You're performing mental health instead of actually being mentally well.
And the cruel irony? The harder you try to be mentally healthy, the more mentally exhausted you become. Because you're adding another layer of self-monitoring, another standard to meet, another way to fail at being human.
Real mental health isn't about having the right capacities. It's about understanding why you developed the ones you have and whether they're still serving you.
Maybe your hypervigilance isn't a disorder. It's evidence that you learned to survive in an environment where attention kept you safe. Maybe your people-pleasing isn't a character flaw. It's proof that you figured out how to earn love when being yourself felt too risky.
Maybe your emotional numbness isn't dysfunction. It's a brilliant strategy for getting through circumstances that would have overwhelmed you otherwise.
The question isn't whether you have the "right" mental health capacities. The question is: what were you adapting to, and is that adaptation still necessary?
There's a capacity that rarely gets named: the ability to exist without constantly trying to improve yourself.
Most people come to therapy wanting to add more capacities to their collection. More emotional regulation. Better boundaries. Improved communication skills. Enhanced resilience.
You're already working too hard. The struggle isn't that you lack capacities. It's that you're exhausted from using the wrong ones.
You need room to be imperfect, inconsistent, occasionally unreasonable. Room to disappoint people sometimes. Room to have needs without immediately trying to manage them away.
We've pathologised discomfort. Every difficult emotion gets labelled as something to be regulated, managed, or overcome. The capacity to feel terrible about terrible things is often functioning perfectly.
Your depression might not be a mental health deficit. It might be an appropriate response to living a life that doesn't fit you. Your anxiety might not be dysfunction. It might be your nervous system's accurate assessment that something isn't right.
Your anger might not need to be managed. It might need to be listened to.
The capacity to feel bad when things are bad isn't a bug in your mental health system. It's a feature. You're not broken for struggling. You're human for responding.
Most mental health advice teaches you to be better at relationships. Better at communication, boundaries, conflict resolution. The problem isn't that you're bad at relationships. The problem is that you're performing them instead of living them.
You've learned to be emotionally available without being emotionally real. To be supportive without being supported. To be understanding without being understood.
The capacity you need isn't better relationship skills. It's the ability to show up as yourself instead of who you think others need you to be.
This means risking being inconvenient sometimes. Having opinions that create friction. Taking up space even when it's uncomfortable for others.
Even therapy has become another performance. You show up trying to be a "good client": insightful, motivated, making progress at the right pace. The capacity to be a difficult client is often exactly what needs developing.
You need room to be confused, resistant, contradictory. To not know what you're feeling. To regress sometimes. To be more complex than any therapeutic framework can contain.
Real therapy happens when you stop trying to be mentally healthy for your therapist and start being authentically messy instead.
The wellness industry sells certainty. Do these five things and you'll be mentally healthy. Practice these skills and you'll be resilient. Mental health is often about tolerating uncertainty.
It's the capacity to not know what you're doing sometimes. To make decisions without guarantees. To live with questions instead of rushing toward answers.
You're more complex than any diagnostic category, more contradictory than any self-help framework, more mysterious than any therapeutic model can fully explain.
Therapy isn't about helping you develop better mental health capacities. It's about understanding why the capacities you have developed make perfect sense, and exploring whether they're still necessary.
It's about creating space for the parts of yourself you've been trying to optimise away. The inconvenient emotions. The difficult needs. The aspects of your personality that don't fit the mental health ideal.
It's about developing tolerance for your own complexity instead of constantly trying to simplify yourself into something more manageable.
This work doesn't make you mentally healthier in the way wellness culture defines it. It makes you more authentically yourself. And sometimes, being authentic feels worse before it feels better.
If you could develop only one mental health capacity, let it be this: the ability to be real instead of right, present instead of perfect, complex instead of convenient.
The capacity to exist without constantly monitoring your mental health performance. To have bad days without treating them as evidence of personal failure. To struggle without immediately trying to fix yourself.
To be human instead of optimal.
Mental health isn't about having the right capacities. It's about understanding why you developed the ones you have, and choosing which ones still serve the life you actually want to live.
You don't need to cultivate anything. You need to stop performing so hard.