Creating Realistic Mental Health Goals
How We Can Set Attainable Milestones for Greater Well-Being
At Open Arms Wellness — with locations in St. Louis, MO, and surrounding communities — we’ve witnessed firsthand how the journey toward improved mental health transforms lives. Throughout our work with patients, we’ve learned that setting realistic mental health goals not only provides clarity and direction, it fosters hope, resilience, and a sense of agency. Yet many people struggle with where to begin, how to measure progress, and how to stay motivated when challenges arise.
In this article, we will explore how to create meaningful, achievable mental health goals. We will share insights from our clinical experience, grounded guidance based on evidence, and practical strategies for making mental wellness goals part of your everyday life.
Why Goal Setting Matters in Mental Health
Goal setting is a cornerstone of therapeutic progress. It gives shape to abstract hopes like “feeling better” or “managing anxiety” by turning them into actionable steps. When goals are well-defined, people are more likely to:
- Track progress and notice improvements over time.
- Build confidence through small successes.
- Adapt plans when challenges arise without losing momentum.
Research supports the power of structured goal setting. For example:
- People who write down their goals are 42% more likely to achieve them than those who do not.
- Structured behavioral goals increase the odds of sustained change in mood disorders by approximately 30–40% compared to unstructured approaches.
- Consistent mental health routines — such as weekly check-ins or mindfulness practices — can reduce symptoms of stress by up to 25% within 8 weeks when followed regularly.
These statistics underline a simple truth: intentional planning matters.
The Difference Between Aspirations and Goals
Aspirations are broad desires — “I want to feel less stressed” — but without clear action steps, they can remain distant hopes. Goals are specific, measurable, and grounded in behaviors we can influence.
Our team at Open Arms Wellness often uses the SMART framework to help patients translate aspirations into achievable goals:
- Specific — What exactly do you want to accomplish?
- Measurable — How will you know when you’ve succeeded?
- Achievable — Is the goal realistic given your current situation?
- Relevant — Does it align with your values and needs?
- Time-bound — What is your timeline for achieving it?
By following SMART criteria, we help individuals break down large challenges into manageable steps.
Step 1: Clarify Your Priorities
Before setting goals, it’s essential to understand your priorities. Ask yourself:
- What area of my mental health feels most urgent?
- What change would make the biggest positive difference in my daily life?
- What has prevented progress in the past?
For some, the goal may involve reducing symptoms of anxiety or depression. For others, it might focus on building healthier relationships, improving sleep, or increasing participation in meaningful activities.
At Open Arms Wellness, we often ask patients to identify values — core parts of life that matter most. When goals reflect values, motivation increases and persistence improves.
Step 2: Start Small and Be Specific
Big goals can be inspiring, but they can also feel overwhelming. Starting with small, specific targets builds momentum.
Instead of:
➡️ “I want to feel happier.”
Try:
🎯“I will practice a 10-minute breathing exercise every morning for the next 14 days.”
Instead of:
➡️ “I want to reduce stress.”
Try:
🎯“I will take a 20-minute walk after work three times this week.”
Notice the difference? A big aspiration becomes manageable when we attach clear actions and timelines.
Step 3: Create a Supportive Plan
Realistic goals require thoughtful planning. This means identifying:
A. When and where you will act
Choose specific times and places that fit your routine. For example:
- Meditate at 7:30 a.m. before leaving for work.
- Journal for 10 minutes in bed each night.
- Attend a weekly support group on Tuesdays at 6 p.m.
B. What resources you need
Support may include:
- Therapy or counseling sessions.
- Books, apps, or worksheets.
- Accountability partners or support groups.
- Access to spaces for exercise or relaxation.
C. Potential Obstacles and Solutions
Anticipate roadblocks:
- Obstacle: “I’m too tired after work.”
Solution: Schedule the activity earlier in the day or simplify it. - Obstacle: “I forget to practice mindfulness.”
Solution: Set reminders on your phone or place notes in visible areas.
By planning both actions and obstacles, we make setbacks less surprising and easier to navigate.
Step 4: Track Your Progress
Measuring progress transforms feelings into data you can reflect on. Use tools that resonate with you:
- Journals or apps to log moods, habits, or behaviors.
- Weekly check-ins with a therapist, coach, or friend.
- Visual progress charts or simple checklists.
Tracking helps in two ways:
- It reveals patterns — You may notice triggers for stress or moments of improvement.
- It reinforces success — Even small achievements become real when you look back at the record.
Remember: Progress is often nonlinear. There will be good days and tough days. The key is consistency over perfection.
Step 5: Review and Adjust Your Goals
Goals are not set in stone. Life changes, and so should our strategies. Regularly review your goals:
- Are they still relevant?
- Do they feel achievable?
- Do they reflect your priorities?
Adjusting goals is not failure — it’s adaptation. For example, if your original timeline was too ambitious, extend it. If a method isn’t working, try a new one.
At Open Arms Wellness, we encourage monthly “goal check-ins.” These structured reflections help patients celebrate wins, reassess challenges, and revise goals with renewed clarity.
Common Types of Mental Health Goals
Here are categories of goals that many people find helpful:
1. Emotional Regulation
Goals that help manage emotional responses:
- Practice deep breathing for 5 minutes when feeling overwhelmed.
- Pause before reacting to stress, allowing a 10-second mindful breath.
2. Behavioral Activation
Increasing engagement in meaningful activities:
- Engage in one activity you enjoy each week.
- Schedule a social outing or community event once every two weeks.
3. Cognitive Awareness
Developing healthier thought patterns:
- Write down distressing thoughts and reframe them using cognitive restructuring techniques.
- Use a mood tracking app daily.
4. Physical-Mental Connection
Habits that support both body and mind:
- Walk 30 minutes, 4 times per week.
- Sleep for at least 7 hours five nights a week.
5. Social Support
Enriching relationships and connection:
- Call or meet a friend or family member at least once a week.
- Attend a peer support group every Saturday.
The specific numbers above (e.g., 30 minutes, 4 times per week) are examples — feel free to personalize based on your schedule and capacity.
Practical Examples of Realistic Goals
To illustrate what well-structured mental health goals look like, here are a few examples that span common challenges:
Example 1: Reducing Anxiety
🎯 Goal: Practice a grounding exercise for 7 minutes, 5 days per week, for one month.
📌Why it works: It’s specific, measurable, and builds a routine that supports anxiety management.
Example 2: Improving Mood
🎯 Goal: Take a 20-minute walk outdoors at least 3 times per week for 6 weeks.
📌Why it works: Physical activity boosts mood and can be tracked easily.
Example 3: Enhancing Social Connection
🎯 Goal: Connect with a friend or loved one by phone or in person at least once a week for 8 weeks.
📌Why it works: It encourages consistent social support, a known protective factor for mental health.
When to Seek Professional Help
While personal goals are valuable, professional support can deepen progress and provide safety, structure, and tailored strategies. At Open Arms Wellness, we specialize in helping people navigate complex mental health challenges including:
- Anxiety disorders
- Mood disorders (such as depression and bipolar spectrum challenges)
- Trauma and stressor-related conditions
- Relationship and family dynamics
- Behavioral patterns affecting daily functioning
Our team of clinicians and care providers collaborates with each individual to shape goals that are realistic, personalized, and grounded in sound therapeutic principles.
If you notice any of the following, consider scheduling a professional consultation:
- Persistent feelings that interfere with daily functioning.
- Goals that feel overwhelming despite adjustments.
- Frequent setbacks that cause distress or discouragement.
- Symptoms that significantly impact work, relationships, or self-care.
We’re here to support you every step of the way.
The Role of Community and Routine
One of the most powerful predictors of sustained mental health improvement is routine. Structure helps regulate mood, increases predictability, and reduces decision fatigue. Your routine might include:
- Consistent sleep and wake times.
- Meals with balanced nutrition.
- Daily movement or exercise.
- Scheduled time for relaxation and hobbies.
Community — whether through family, friends, support groups, or therapeutic relationships — adds a sense of belonging and accountability. It reminds us that we are not alone in our journeys.
At our St. Louis, MO location and other Open Arms Wellness sites, we’re committed to building supportive environments where people can grow, connect, and thrive.
Celebrating Progress — Even Small Wins
One of the biggest mistakes people make is waiting for big breakthroughs before acknowledging progress. But mental health improvement is often a series of small shifts — many of which deserve celebration.
Ask yourself at the end of each week:
- What went well?
- What challenge did I navigate more skillfully than before?
- What new insight did I gain?
Even modest improvements — like noticing a reduction in negative self-talk or sticking to a morning routine for several days — are real and meaningful.
Celebrating small wins fuels motivation and reinforces the belief that change is possible.
Conclusion: Mental Health Goals as a Pathway to Growth
Creating realistic mental health goals is not about perfection or quick fixes. It’s about clarity, intention, and consistent action. By setting goals that are specific, meaningful, and attainable, we empower ourselves to move forward — step by step — even when the path feels difficult.
At Open Arms Wellness, with locations in St. Louis, MO and beyond, we see the power of goal setting every day. We work with people from all walks of life who have taken these principles and used them to build routines, reshape thinking patterns, strengthen relationships, and enhance their overall well-being.
Your mental health goals can be a compass guiding you toward a more fulfilling life. Start where you are. Build with intention. And remember: progress — no matter how small — is worth honoring.
If you’d like personalized guidance on creating and achieving mental health goals, our team at Open Arms Wellness is here to help.