The Mental Health Continuum


The Mental Health Continuum is the standard way now of looking at how our mental health is fluid and can change over a period of time. Initially people described the state of someone’s mental health as a straight line; with good mental health at one end, and mental illness at the other. However this has changed as understanding of mental health develops, and we now look at mental health in quadrants (imagine a square divided into four).

1. Top-right quadrant


A person who has positive mental health and wellbeing, and no diagnosis of a mental health condition. A person in this quadrant is thriving, coping well with life, and can adjust to day-to-day challenges without being significantly overwhelmed.


2. Bottom-right quadrant


A person in this quadrant has no diagnosis, but whose mental health is deteriorating because they are becoming less able to cope with stresses and life events. This is where a person’s wellbeing is no longer positive. They might not realise they are unwell, or have been unable to access professional help, or don’t yet meet the criteria for help and support.


3. Bottom-left quadrant


A person in this quadrant has received a diagnosis but their mental health is not yet positive. However, a diagnosis now allows them to access support and the treatment needed to address their specific symptoms and difficulties.


4. Top-left quadrant


A person in this quadrant has received a diagnosis and is receiving appropriate support, medication and treatment, and can more easily manage their difficulties. They may still have symptoms, but are coping well and showing positive signs of recovery.