Journalling for Mental Health: The Science of Journalling and Gratitude 

In an era where mental health is at the forefront of medical and psychological discussions, journalling for mental health has emerged as a simple yet profoundly effective tool for emotional well-being. Writing down thoughts, emotions, and experiences has been widely recognised as a powerful therapeutic practice that can aid in stress reduction, emotional regulation, and cognitive processing.  

More specifically, gratitude journalling for mental health — an intentional practice of recording things one is thankful for — has gained significant attention in psychological research for its positive impact. 

The Psychological Benefits of Journal Writing for Mental Health 

Research has consistently shown that expressive writing, particularly in the form of journalling, has numerous psychological and physiological benefits to mental health. Studies by Pennebaker and Beall (1986) demonstrate that writing about stressful or traumatic experiences can lead to improved mood, reduced stress levels, and even enhanced immune function. By externalising thoughts, individuals may experience cognitive restructuring, enabling them to reframe negative experiences in a more constructive light (Baikie & Wilhelm, 2005; Baikie et al., 2012). 

Further Studies That Show the Benefits of Journal Writing for Mental Health 

Recent studies have further supported these findings in how writing a journal can be good for mental health. A meta-analysis by Lai et al. (2023) highlighted that expressive journal writing significantly reduces symptoms of anxiety and depression, particularly in individuals undergoing therapy. Another study by Smyth et al. (2018) found that consistent journalling helps in cognitive flexibility, allowing individuals to process their emotions more effectively and adapt to challenging situations. 

Journal Writing to Improve Emotional Regulation 

Journalling has also been linked to improvements in emotional regulation. Writing about emotions allows individuals to process them more effectively, reducing symptoms of anxiety and depression (Ullrich & Lutgendorf, 2002). This is particularly useful for individuals undergoing therapy, as journalling can complement therapeutic interventions by providing additional avenues for self-reflection and insight. 

Identifying Patterns and Tracking Progress 

One of the most valuable aspects of journalling is its ability to help individuals identify patterns in their behaviour and emotions. When dealing with mental health conditions such as depression or anxiety, it can be difficult to notice gradual improvements. By keeping a journal, individuals can track their thoughts, triggers, and emotional states over time, allowing them to recognise small but meaningful changes in their well-being. 

A study by Carr et al. (2020) demonstrated that individuals who engaged in regular journalling were better able to identify behavioural patterns, which in turn helped them make informed decisions about their mental health treatment. Similarly, research by Urken and LeCroy (2020) found that journalling can provide a sense of agency and self-awareness, empowering individuals to take active steps towards their recovery. 

Gratitude Journals: A Gateway to Positivity 

Gratitude journalling focuses specifically on recording positive experiences and things one is thankful for, which has been shown to enhance well-being and resilience. Emmons and McCullough (2003) found that individuals who engaged in daily gratitude journalling reported higher levels of optimism, improved sleep quality, and greater overall happiness compared to those who did not practise gratitude. 

More recent research has reinforced these findings. A study by Kaczmarek et al. (2020) found that gratitude journalling reduces negative affect and increases life satisfaction, particularly in individuals experiencing chronic stress. (Enke et al., 2021; Geier & Morris 2022). Furthermore, a longitudinal study by Rash et al. (2011) revealed that practising gratitude consistently leads to long-term improvements in emotional resilience and interpersonal relationships. 

Journalling and Therapeutic Interventions: The Link to TMS 

Transcranial Magnetic Stimulation (TMS) is an emerging treatment for major depressive disorder (MDD) and other mental health conditions. It involves non-invasive magnetic pulses that stimulate specific areas of the brain associated with mood regulation (George, 2010). While TMS for mental health primarily addresses neurobiological aspects of depression, combining it with journalling - particularly gratitude journalling - may enhance overall treatment efficacy. 

A holistic approach that includes both TMS and journalling for mental health can be beneficial for patients undergoing therapy. Journalling provides a cognitive and emotional outlet that supports neural changes induced by TMS. Cognitive-behavioural therapies (CBT), which are often combined with TMS, emphasise cognitive restructuring; journal writing can serve as a self-guided CBT exercise, reinforcing positive thought patterns and emotional resilience (Kazantzis et al., 2017; Sathappan et al., 2018). Recent research by Fitzgerald et al. (2022) suggests that patients who engaged in journalling alongside TMS showed greater improvements in mood and cognitive function compared to those who received TMS alone.  

Practical Tips for Incorporating Journalling into Daily Life 

For those looking to integrate journal writing for their mental health into a daily routine, consider the following approaches: 

• Expressive Writing: Set aside 15–20 minutes to write about personal experiences, emotions, or thoughts. 

• Gratitude Journalling: List three things each day that you are grateful for, along with reasons why they are meaningful. 

• Goal-Oriented Journalling: Write about personal aspirations and the steps needed to achieve them, which can enhance motivation and a sense of purpose. 

• Cognitive Restructuring Journalling: Challenge negative thoughts by writing about alternative perspectives and solutions. 

Beyond Pen and Paper: The Best Journalling Apps and Alternatives 

While traditional pen-and-paper journalling is effective, modern technology offers many alternatives that make journalling for mental health more convenient, accessible, and engaging. Whether you prefer typing, speaking, or even recording videos, there’s a method of writing that suits every lifestyle. 

Top Journalling Apps 

1. Day One – A beautifully designed app that lets you write journal entries, add photos, and even record audio. It includes reminders, encryption for privacy, and the ability to sync across multiple devices. 
2. Journey – A sleek, user-friendly app that allows you to write, track your mood, and add multimedia like images and videos. It also provides a calendar view to reflect on past entries. 
3. Penzu – Designed for privacy, Penzu offers password-protected journals with a customisable layout. It’s a great option for those who want a secure space to write. 
4. Reflectly – An AI-powered journalling app that provides daily prompts to help you reflect on your thoughts and feelings. It also tracks mood patterns over time. 
5. Diaro – Ideal for organisation, this app allows you to categorise journal entries with tags and folders while supporting photos and location tracking.
   

Alternative Mental Health Journalling Methods 

• Digital Bullet Journalling – Inspired by the popular Bullet Journal method, this approach involves using apps like Notion or OneNote to create a structured yet flexible journalling system with lists, goals, and reflections. 
  
  
• Voice Journalling – If writing feels overwhelming, voice recording apps like Otter.ai or even your phone’s built-in voice memo function can help capture your thoughts without the need for typing. 

• Video Journalling – Recording video entries allows you to document emotions, expressions, and surroundings, creating a more personal and dynamic record of your journey. 

• Junk Journalling – A creative alternative where you collect memorabilia like tickets, postcards, or notes and arrange them into a journal, blending scrapbooking with reflective writing. 

• AI-Assisted Journalling – Some modern apps, like Mindsera or Rosebud, use artificial intelligence to provide guided prompts and insights into your emotional patterns, helping you process thoughts more effectively. 

Exploring different journalling methods can help you find what works best for your lifestyle and mental health needs. Whether you prefer traditional writing, digital tools, or even multimedia approaches, the key is consistency and self-reflection. 

Conclusion 

Writing for mental health, particularly in the form of gratitude journalling, has been scientifically proven to enhance mental well-being, reduce stress, and improve emotional regulation. It also plays a crucial role in identifying behavioural patterns and tracking gradual improvements in mental health that may not be immediately noticeable.  

When combined with other therapeutic interventions like TMS, journalling can offer a comprehensive approach to mental health treatment. As research continues to explore the mind-body connection, simple practices like writing in a journal may prove to be a powerful, accessible tool in fostering psychological resilience and well-being. 

References: 

1. Baikie, K. A., & Wilhelm, K. (2005). Emotional and physical health benefits of expressive writing. Advances in Psychiatric Treatment, 11(5), 338-346. 
2. Baikie KA, Geerligs L, Wilhelm K. Expressive writing and positive writing for participants with mood disorders: an online randomized controlled trial. J Affect Disord. 2012 Feb;136(3):310-9. doi: 10.1016/j.jad.2011.11.032. Epub 2011 Dec 30. PMID: 22209127. 
3. Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Chinseallaigh, E., & O’Dowd, A. (2020). Effectiveness of positive psychology interventions: a systematic review and meta-analysis. The Journal of Positive Psychology, 16(6), 749–769. https://doi.org/10.1080/17439760.2020.1818807 
4. Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377. 
5. Enko, J., Behnke, M., Dziekan, M., Kosakowski, M., & Kaczmarek, L. D. (2021). Gratitude texting touches the heart: challenge/threat cardiovascular responses to gratitude expression predict self-initiation of gratitude interventions in daily life. Journal of Happiness Studies, 22, 49-69. 
6. Fitzgerald, P. B., Hoy, K. E., & Daskalakis, Z. J. (2022). Combining transcranial magnetic stimulation with cognitive interventions: A review of efficacy. Neuropsychopharmacology, 47(2), 300-312. 
7. Fitzgerald PB, Gill S, Breakspear M, et al. Revisiting the effectiveness of repetitive transcranial magnetic stimulation treatment in depression, again. Australian & New Zealand Journal of Psychiatry. 2022;56(8):905-909. doi:10.1177/00048674211068788 
8. Geier MT, Morris J. The impact of a gratitude intervention on mental well-being during COVID-19: A quasi-experimental study of university students. Appl Psychol Health Well Being. 2022 Aug;14(3):937-948. doi: 10.1111/aphw.12359. Epub 2022 Apr 5. PMID: 35384320; PMCID: PMC9111205. 
9. George MS. Transcranial magnetic stimulation for the treatment of depression. Expert Rev Neurother. 2010 Nov;10(11):1761-72. doi: 10.1586/ern.10.95. PMID: 20977332. 
10. Kaczmarek, L. D., Kashdan, T. B., & Datu, J. A. D. (2020). The impact of gratitude interventions on psychological well-being: A meta-analysis. Applied Psychology: Health and Well-Being, 12(3), 393-418. 
11. Kaczmarek, L. D., Kashdan, T. B., Behnke, M., Dziekan, M., Matuła, E., Kosakowski, M., ... & Guzik, P. (2021). Positive emotions boost enthusiastic responsiveness to capitalization attempts. Dissecting self-report, physiology, and behavior. Journal of Happiness Studies, 1-19. 
12. Kazantzis N, Brownfield NR, Mosely L, Usatoff AS, Flighty AJ. Homework in Cognitive Behavioral Therapy: A Systematic Review of Adherence Assessment in Anxiety and Depression (2011-2016). Psychiatr Clin North Am. 2017 Dec;40(4):625-639. doi: 10.1016/j.psc.2017.08.001. PMID: 29080590. 
13. Lai, J., Song, H., Wang, Y., Ren, Y., Li, S., Xiao, F., Liao, S., Xie, T., & Zhuang, W. (2023). Efficacy of expressive writing versus positive writing in different populations: Systematic review and meta‐analysis. Nursing Open, 10(9), 5961–5974. https://doi.org/10.1002/nop2.1897 
14. Park, J., & Lee, H. (2021). Self-reflective journalling as a tool for emotional regulation and personal growth. Journal of Positive Psychology, 16(1), 45-60. 
15. Pennebaker, J. W., & Beall, S. K. (1986). Confronting a traumatic event: Toward an understanding of inhibition and disease. Journal of Abnormal Psychology, 95(3), 274–281. https://doi.org/10.1037/0021-843X.95.3.274 
16. Rash, J. A., Matsuba, M. K., & Prkachin, K. M. (2011). Gratitude and Well‐Being: Who Benefits the Most from a Gratitude Intervention? Applied Psychology Health and Well-Being, 3(3), 350–369. https://doi.org/10.1111/j.1758-0854.2011.01058.x 
17.  Sathappan, A. V., Luber, B. M., & Lisanby, S. H. (2018). The Dynamic Duo: Combining noninvasive brain stimulation with cognitive interventions. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 89, 347–360. https://doi.org/10.1016/j.pnpbp.2018.10.006 
18.  Smyth, J. M., Johnson, J. A., Auer, B. J., Lehman, E., Talamo, G., & Sciamanna, C. N. (2018). Online Positive Affect Journaling in the Improvement of Mental Distress and Well-Being in General medical patients with Elevated Anxiety Symptoms: a preliminary randomized controlled trial. JMIR Mental Health, 5(4), e11290. https://doi.org/10.2196/11290 
19.  Ullrich, P. M., & Lutgendorf, S. K. (2002). Journaling about stressful events: Effects of cognitive processing and emotional expression. Annals of Behavioral Medicine, 24(3), 244–250. https://doi.org/10.1207/S15324796ABM2403_10 
20.  Urken, D., & LeCroy, C. W. (2020). A randomized controlled trial of a Self-Compassion Writing intervention for adults with mental illness. Research on Social Work Practice, 31(3), 254–266. https://doi.org/10.1177/1049731520972779