Unhealthy Coping Mechanisms

Behaviours used to escape emotional pain that help short-term but harm long-term wellbeing.

1) What it is

Unhealthy coping involves behaviours used to numb, avoid, or escape emotional pain, such as over-drinking, binge eating, excessive scrolling, avoidance, isolation, self-harm, or risky behaviour.

2) What it feels like

  • “This is the only way I cope.”
  • “I feel relief, then guilt.”

3) Common signs & symptoms

  • repeated harmful patterns
  • short-term relief, long-term harm
  • shame and self-criticism
  • difficulty sitting with emotions
  • escalation over time

4) Why it happens

  • emotional overwhelm
  • trauma and dysregulation
  • lack of healthy coping tools
  • loneliness
  • burnout

5) Triggers

  • stress
  • emotional pain
  • boredom

6) What helps now

  • swap, don’t stop
  • HALT check
  • urge surfing
  • delay strategies
  • build a coping menu

7) Daily self-help support

  • practise alternatives
  • reduce shame
  • track patterns

8) Professional treatment options

  • CBT
  • DBT
  • addiction services
  • trauma therapy

9) Medication

Medication may support underlying conditions, GP-led.

10) Practical tips

  • coping behaviours make sense
  • change works best with support

11) When to seek urgent help

Urgent help if behaviours become unsafe or uncontrollable.

12) Where to get help (UK)

  • NHS Talking Therapies
  • GP support
  • Samaritans 116 123