If you’ve ever played “Cards Against Humanity,” then you know the drill: the key to victory is personalizing your jokes to get your friends crying from laughter. But what if we flipped the script on our typical Friday night activity and made it about sharing our feelings and addressing mental health instead?


That’s Stuart Fitzwilliam’s idea, and it could change the way we think about dealing with anxiety. Cards for Calm is a game designed to help people address negative behavior patterns both on their own and in the company of friends and family. GOOD had the chance to talk to Fitzwilliam about his new product, which is currently available for pre-order on Kickstarter.

What gave you the idea to create this card game and start a crowdfunding campaign to support it?

The whole thing sprang out of my own experience. Almost exactly two years ago this month, I began treatment for depression. I [have been] in remission for over a year and a half now and all of the techniques that essentially went into the cards are various things I learned in therapy and things I’ve used since recovery to help me stay on track. One of the issues is always that little active negativity and habits can sometimes spiral… leading to relapse. So these are all things I use just to manage my own symptoms.

[quote position=”left” is_quote=”true”]I wanted to come up with a way that would help people think about these things and help them deal with their own personal issues and anxieties[/quote]

One of the real things I’ve found, especially before I found treatment, was that people don’t tend to talk about things like depression. Especially if you look specifically at the male demographic, we’re traditionally encouraged to not talk about our feelings. So I wanted to come up with a way that would help people think about these things and help them deal with their own personal issues and anxieties. But also try and find a way to let them either deal with it themselves or sit down with friends and create an environment where people would feel safe sharing little things that they wanted to work on about themselves. And that’s really where the idea of the card game sprang from.

How does it work and how do you use them?

There’s two variances of it for the one deck. So there’s a single player version and you can use that on a daily basis. The best way I’ve found to start is to shuffle the deck at night right before you go to sleep, and put the deck on top of the screen of your phone. Because we all wake up in the morning and the first thing we do is reach for our phones. I’m as guilty of that as anyone. It’s not the healthiest habit, so that way, putting it on the screen gives you the option of ‘oh, maybe I’ll take a card or maybe I’ll take a minute to myself to think about what I want to do today.’

The idea is that in the single player version, you can play however many times you want to in a day. It’s almost like a solitaire type of game I suppose where you keep track of the score—just of the number of cards you play—per day… It is a really good way of tracking how many times a day you’re creating these moments for yourself.

So, just to break it down, when you actually play a card, the deck is split into two. So there are behavior cards and action cards… Each behavior card has a corresponding action card, and the action card helps you think through your situation a little more and helps you think of creative ways to try and resolve it. And those ways can be either real-world actions you can take to try and resolve that or creative visualizations that help you reframe the situation.

What’s the benefit to making it a game and not another self-help book?

[Self-help books] work really well, but they tend to be things that I read once and I think, ‘That’s really good,’ and then put it back on the shelf or back beside the bed. And then I never quite remember to pick it back up, because if something’s 200 pages, it’s not always easy to jump in and grab the one thing that you want… But a deck of cards is the kind of thing you can carry with you easily. It’s a much more accessible format and the kind of thing where people can… flip over a card and read that while waiting for a coffee at Starbucks.

According to Newsweek, 1 in 5 Americans suffer from mental health problems in some capacity each year. Why do you think people still have hang-ups talking about mental health when it’s something many of us experience?

I mean, certainly the stigma around mental health is decreasing and people are getting generally a broader understanding that caring for your mental health is not dissimilar to caring for your physical health. But there is still so much overt and covert social pressure on men in particular that thinking about feelings isn’t something you do. There’s the phrase you hear a lot that you should just ‘man up,’ and it’s implicit that trying to deal with these things is in some way the antithesis of what you should be doing as a man. And those stigmas are beginning to slide, but they’re kind of endemic in our culture and I don’t see them going away for a few generations yet.

[quote position=”right” is_quote=”true”]there is still so much overt and covert social pressure on men in particular that thinking about feelings isn’t something you do[/quote]

In an attempt to change that negative aspect of our culture, would you encourage people to play the deck with other people?

There is a multi-player version, which is kind of like “Cards Against Anxiety”… In that scenario, each person takes turns controlling the deck… They read the behavior card along with the corresponding action card and, along with the other players, explain as much as they’re comfortable the problem they have. Each of the other players takes a turn trying to think of some kind of creative way they can deal with this… When each player’s made a suggestion, whoever’s controlling the deck awards the card to the player they feel made the suggestion that was most helpful to them… With the multi-player version, the way you win is by offering as much help to your friends as you can.

I think a game scenario is really something where people will sit down and talk about these things. It can be relatively minor or it can be something more deep and personal… but it’s a great way for people to begin to explore talking about their feelings.

At the very least, it’s nice to think of doing something with your friends and family that doesn’t revolve around screens. Do you have any other suggestions for people who are trying to disconnect more often to give themselves a mental break?

Sometimes it’s as simple as putting the phone in the other room, or if I’m at home, just pulling the power cord out for the Wi-Fi. I like that you have to physically make an effort to reconnect everything… I use Trello quite extensively just to manage everything going on in my life, and I found it really helpful when I made a self-care Trello board, which was just a list of six or eight tasks to do daily. And the goal was never to do each of them daily. If I could move over at least half of these cards each day from “to do” to “done” then I know I’ve made a reasonable amount of time for myself. And they’re things like doing yoga, going for a run, reading, sitting outside—things that are obvious that sometimes we miss. Just that simple little list… I found really beneficial.

  • Why some health professionals are recommending pet ownership for better health
    A dog rests on its owner's lap as they pet its head.

    Christine Abdelmalek for Pink Papyrus

    Research suggests that pet ownership is associated with higher life satisfaction, with some studies estimating its impact as comparable to that of a substantial increase in income. According to the paper The Value of Pets by Michael W. Gmeiner and Adelina Gschwandtner, this comparison reflects a modeled relationship between life satisfaction and income rather than a literal financial gain.

    Beyond the obvious companionship and social benefits, having a dog (or any other pet) waiting for you at home can also improve your health. Studies show that just 10 minutes of petting a dog while making eye contact can significantly reduce stress levels.

    The growing body of research is convincing enough that more U.S. health professionals are beginning to recommend pet ownership as part of treatment plans.

    Pink Papyrus explores research on the health benefits of pet ownership and why some professionals recommend it.

    Why Are Health Professionals ‘Prescribing’ Pets?

    A recent Human Animal Bond Research Institute (HABRI) report found that 1 in 5 pet owners say a doctor or therapist has recommended pet ownership to support their health. This reflects patient-reported experiences rather than a direct measure of how widely health professionals recommend pets.

    The Science Behind the Data

    Petting a dog for five to 10 minutes triggers the release of oxytocin, also known as the love hormone. At the same time, cortisol (the primary stress hormone) levels drop, leaving you feeling calmer and happier.

    The effect goes both ways: dogs also experience increased oxytocin levels during petting. And if you make eye contact with your pet while stroking their fur, the feeling of calm and general positivity can be even stronger.

    A study meta-analysis by the American Heart Association also shows that dog owners have a 31% lower risk of mortality from cardiovascular disease compared to those who don’t own dogs. This is largely due to increased physical activity (walks, play, grooming) and lower autonomic stress.

    Dog Walks Help Combat Loneliness

    Dog walks are great for more than just getting your daily steps; they’re a natural way to meet other dog owners and spend time outside, surrounded by people. For anyone feeling a bit isolated, that alone can make a real difference.

    Dog walking has quietly become a gateway into online communities, where people share routines, tips, and even creative spins on their daily outings.

    One trend that’s gained traction among more style-conscious pet parents is coordinating outfits with their dogs using playful accessories. Some brands have helped fuel this movement, turning a simple walk into a form of self-expression and something people love to share and bond over online.

    Emotional Support Animals

    While any pet can be an emotional support animal, dogs are usually on the front lines. These are not service dogs, trained to perform specific activities; their job is to provide therapeutic benefit through their presence alone.

    Due to our deep bond, dogs can act as a physiological regulator. Besides petting and mutual gazing, many owners practice deep pressure therapy, in which the dog lies across the owner’s lap or chest. This weight triggers the parasympathetic nervous system, helping to ground a person during a panic attack or high-anxiety episode.

    Furthermore, the daily routine of feeding, walking, grooming, bathroom breaks, etc., is beneficial for people who struggle with depression or anxiety. If you don’t have the motivation to get out of bed in the morning, you will do it for your dog.

    Seniors also feel that their pets provide a sense of purpose, which helps keep both mind and body engaged. Having a pet depend on you can provide a powerful sense of self-worth.

    The $22B Answer

    Further research from HABRI highlights another angle: the economic impact on the U.S. healthcare system. According to its latest report, pet ownership saves an estimated $22.7 billion annually in medical costs.

    On average, pet owners visit the doctor less frequently. Dog owners, in particular, tend to be more physically active, contributing to lower rates of obesity and cardiovascular disease.

    The benefits extend beyond physical health. Many seniors find meaningful companionship in their pets or use them as a bridge to connect with other pet owners, helping reduce the risks associated with social isolation. Veterans living with PTSD also benefit from emotional support animals, which can lower long-term treatment costs.

    A Healthier, Less Lonely Future

    Pets play a meaningful role in our well-being. As both companions and sources of emotional support, they deliver proven benefits for physical and mental health.

    The data also points to a measurable impact on public health. That said, these benefits depend on responsible ownership. Health professionals must weigh the advantages against an individual’s ability to provide a stable home and consistent veterinary care.

    This story was produced by Pink Papyrus and reviewed and distributed by Stacker.

  • Why ‘unwinding’ with screens may be making us more stressed – here’s what to try instead
    Photo credit: Riska/E+ via Getty Images Using multiple digital devices at once can be highly distracting and overstimulating.

    As Americans increasingly report feeling overwhelmed by daily life, many are using self-care to cope. Conversations and social media feeds are saturated with the language of “me time,” burnout, boundaries and nervous system regulation.

    To meet this demand, the wellness industry has grown into a multitrillion-dollar global market. Myriad providers offer products, services and lifestyle prescriptions that promise calm, balance and restoration.

    Paradoxically, though, even as interest in self-care continues to grow, Americans’ mental health is getting worse.

    I am a professor of public health who studies health behaviors and the gap between intentions and outcomes. I became interested in this self-care paradox recently, after I suffered from a concussion. I was prescribed two months of strictly screen-free cognitive rest – no television, email, Zooming, social media, streaming or texting.

    The benefits were almost immediate, and they surprised me. I slept better, had a longer attention span and had a newfound sense of mental quiet. These effects reflected a well-established principle in neuroscience: When cognitive and emotional stimuli decrease, the brain’s regulatory systems can recover from overload and chronic stress.

    Obviously, most people can’t go 100% screen-free for days, much less months, but the underlying principle offers a powerful lesson for practicing effective self-care.

    A nation under strain

    Americans’ self-rated mental health is now at the lowest point since Gallup started tracking this issue in 2001. National surveys consistently detect high levels of stress and emotional strain.

    Roughly one-third of U.S. adults report feeling overwhelmed most days. Sleep disruption, anxiety, poor concentration and emotional exhaustion are widespread, particularly among young adults and women.

    Chronic disease patterns mirror this strain. When daily stress becomes chronic, it can trigger biological changes that increase the risk of long-term conditions like heart disease and diabetes. The Centers for Disease Control and Prevention reports that 6 in 10 U.S. adults live with at least one chronic condition, and 4 in 10 live with multiple chronic conditions.

    How people try to cope

    Many Americans say they actively practice self-care in everyday life. For example, they describe taking mental health days, protecting personal time, setting boundaries around work and prioritizing rest and leisure.

    The problem lies in how they use that leisure time.

    Over the past 22 years, the U.S. Bureau of Labor Statistics’ American Time Use Survey has consistently found that watching television is the most popular leisure activity for U.S. adults. Americans spend far more time watching TV than exercising, spending time with friends or practicing reflection through activities like yoga. Other common self-care activities include watching movies and gaming.

    Modern leisure time increasingly includes smartphone use. Surveys suggest that mobile phones have become the dominant screen for many Americans, with adults spending several hours per day on their phones.

    For many adults, checking social media or watching short videos has become a default relaxation behavior layered on top of traditional screen use. This practice is often referred to as second screening.

    Although many people turn to screen-based activities to wind down, these activities may have the opposite effect biologically.

    Why modern screen use feels different

    Pre-internet forms of leisure often involved activities such as watching scheduled television programs, listening to radio broadcasts or reading books and magazines. For all of these pastimes, the content followed a predictable sequence with natural stopping points.

    Today’s digital media environment looks very different. People routinely engage with multiple screens at once, respond to frequent notifications and switch rapidly between several streams of content. These environments continuously require users to split their attention, engage their emotions and make decisions.

    This type of mental multitasking draws on the same neural systems people are often attempting to rest with leisure. The result is a far more fragmented and cognitively demanding environment than in the past.

    Americans now spend approximately six to seven hours per day on screens across multiple devices. Splitting attention between more than one screen at a time, such as using the phone while watching television, is common. This juggling exposes peoples’ brains to multiple streams of sensory and emotional input simultaneously.

    Survey data also suggests that Americans may check their phones roughly 200 times per day. In doing so, they repeatedly pull their attention back to screens during routine moments.

    Modern digital platforms are designed to maximize engagement. Algorithms tend to prioritize emotionally arousing content, particularly anger, anxiety and outrage. These feelings drive clicks, sharing and time spent on platforms. Research has shown that this design is associated with higher stress, distraction and cognitive load.

    When ‘rest’ doesn’t restore

    Against the backdrop of daily hassles and competing demands, it can feel like relief to flip on the TV. Practices such as streaming or so-called bed-rotting – spending extended periods in bed while scrolling – often are framed as a form of radical rest or self-care.

    Other common coping behaviors include leaving the television on as background noise, scrolling between tasks throughout the day or using phones during meals and conversations. These strategies can feel restful because they temporarily reduce external demands and decision-making.

    However, pairing rest with screen use may undermine the very restoration that people are seeking. Digital media stimulate attention, emotion and sensory processing. Even while people are sitting or lying still, being onscreen can keep their nervous systems in a heightened state of arousal. It may look like downtime, but it doesn’t create the biological conditions for restoration.

    How to wind down

    Evidence suggests that mental relief comes not from adding new coping strategies, but from reducing the number of demands placed on the brain.

    Here are some evidence-based strategies that support genuine restoration:

    The goal is to intentionally reduce mental load, not to abandon all digital devices.

    To improve well-being in our overstimulated society, it’s important to understand the difference between feeling as though you are unwinding and actually allowing your brain and body to recover. In my view, fewer screens, fewer inputs, fewer emotional demands and more protected time for genuine cognitive rest are important components of an effective wellness strategy.

    This article originally appeared on The Conversation. You can read it here.

  • Antibiotic resistance could undo a century of medical progress – but four advances are changing the story
    Photo credit: wildpixel/iStock via Getty Images Plus Scientists are fighting back against antibiotic resistance with new strategies and tools.

    Imagine going to the hospital for a bacterial ear infection and hearing your doctor say, “We’re out of options.” It may sound dramatic, but antibiotic resistance is pushing that scenario closer to becoming reality for an increasing number of people. In 2016, a woman from Nevada died from a bacterial infection that was resistant to all 26 antibiotics that were available in the United States at that time.

    The U.S. alone sees more than 2.8 million antibiotic-resistant illnesses each year. Globally, antimicrobial resistance is linked to nearly 5 million deaths annually.

    Bacteria naturally evolve in ways that can make the drugs meant to kill them less effective. However, when antibiotics are overused or used improperly in medicine or agriculture, these pressures accelerate the process of resistance.

    As resistant bacteria spread, lifesaving treatments face new complications – common infections become harder to treat, and routine surgeries become riskier. Slowing these threats to modern medicine requires not only responsible antibiotic use and good hygiene, but also awareness of how everyday actions influence resistance.

    Since the inception of antibiotics in 1910 with the introduction of Salvarsan, a synthetic drug used to treat syphilis, scientists have been sounding the alarm about resistance. As a microbiologist and biochemist who studies antimicrobial resistance, I see four major trends that will shape how we as a society will confront antibiotic resistance in the coming decade.

    1. Faster diagnostics are the new front line

    For decades, treating bacterial infections has involved a lot of educated guesswork. When a very sick patient arrives at the hospital and clinicians don’t yet know the exact bacteria causing the illness, they often start with a broad-spectrum antibiotic. These drugs kill many different types of bacteria at once, which can be lifesaving — but they also expose a wide range of other bacteria in the body to antibiotics. While some bacteria are killed, the ones that remain continue to multiply and spread resistance genes between different bacterial species. That unnecessary exposure gives harmless or unrelated bacteria a chance to adapt and develop resistance.

    In contrast, narrow-spectrum antibiotics target only a small group of bacteria. Clinicians typically prefer these types of antibiotics because they treat the infection without disturbing bacteria that are not involved in the infection. However, it can take several days to identify the exact bacteria causing the infection. During that waiting period, clinicians often feel they have no choice but to start broad-spectrum treatment – especially if the patient is seriously ill.

    Close-up of two pill capsules inscribed AOMXY 500 in a blister packet
    Amoxicillin is a commonly prescribed broad-spectrum antibiotic. TEK IMAGE/Science Photo Library via Getty Images

    But new technology may fast-track identification of bacterial pathogens, allowing medical tests to be conducted right where the patient is instead of sending samples off-site and waiting a long time for answers. In addition, advances in genomic sequencingmicrofluidics and artificial intelligence tools are making it possible to identify bacterial species and effective antibiotics to fight them in hours rather than days. Predictive tools can even anticipate resistance evolution.

    For clinicians, better tests could help them make faster diagnoses and more effective treatment plans that won’t exacerbate resistance. For researchers, these tools point to an urgent need to integrate diagnostics with real-time surveillance networks capable of tracking resistance patterns as they emerge.

    Diagnostics alone will not solve resistance, but they provide the precision, speed and early warning needed to stay ahead.

    2. Expanding beyond traditional antibiotics

    Antibiotics transformed medicine in the 20th century, but relying on them alone won’t carry humanity through the 21st. The pipeline of new antibiotics remains distressingly thin, and most drugs currently in development are structurally similar to existing antibiotics, potentially limiting their effectiveness.

    To stay ahead, researchers are investing in nontraditional therapies, many of which work in fundamentally different ways than standard antibiotics.

    One promising direction is bacteriophage therapy, which uses viruses that specifically infect and kill harmful bacteria. Others are exploring microbiome-based therapies that restore healthy bacterial communities to crowd out pathogens.

    Researchers are also developing CRISPR-based antimicrobials, using gene-editing tools to precisely disable resistance genes. New compounds like antimicrobial peptides, which puncture the membranes of bacteria to kill them, show promise as next-generation drugs. Meanwhile, scientists are designing nanoparticle delivery systems to transport antimicrobials directly to infection sites with fewer side effects.

    Beyond medicine, scientists are examining ecological interventions to reduce the movement of resistance genes through soil, wastewater and plastics, as well as through waterways and key environmental reservoirs.

    Many of these options remain early-stage, and bacteria may eventually evolve around them. But these innovations reflect a powerful shift: Instead of betting on discovering a single antibiotic to address resistance, researchers are building a more diverse and resilient tool kit to fight antibiotic-resistant pathogenic bacteria.

    3. Antimicrobial resistance outside hospitals

    Antibiotic resistance doesn’t only spread in hospitals. It moves through people, wildlife, crops, wastewater, soil and global trade networks. This broader perspective that takes the principles of One Health into account is essential for understanding how resistance genes travel through ecosystems.

    Researchers are increasingly recognizing environmental and agricultural factors as major drivers of resistance, on par with misuse of antibiotics in the clinic. These include how antibiotics used in animal agriculture can create resistant bacteria that spread to people; how resistance genes in wastewater can survive treatment systems and enter rivers and soil; and how farms, sewage plants and other environmental hot spots become hubs where resistance spreads quickly. Even global travel accelerates the movement of resistant bacteria across continents within hours.

    Together, these forces show that antibiotic resistance isn’t just an issue for hospitals – it’s an ecological and societal problem. For researchers, this means designing solutions that cross disciplines, integrating microbiology, ecology, engineering, agriculture and public health.

    4. Policies on what treatments exist in the future

    Drug companies lose money developing new antibiotics. Because new antibiotics are used sparingly in order to preserve their effectiveness, companies often sell too few doses to recoup development costs even after the Food and Drug Administration approves the drugs. Several antibiotic companies have gone bankrupt for this reason.

    To encourage antibiotic innovation, the U.S. is considering major policy changes like the PASTEUR Act. This bipartisan bill proposes creating a subscription-style payment model that would allow the federal government up to US$3 billion to pay drug manufacturers over five to 10 years for access to critical antibiotics instead of paying per pill.

    Global health organizations, including Médecins Sans Frontières (Doctors Without Borders), caution that the bill should include stronger commitments to stewardship and equitable access.

    Still, the bill represents one of the most significant policy proposals related to antimicrobial resistance in U.S. history and could determine what antibiotics exist in the future.

    The future of antibiotic resistance

    Antibiotic resistance is sometimes framed as an inevitable catastrophe. But I believe the reality is more hopeful: Society is entering an era of smarter diagnostics, innovative therapies, ecosystem-level strategies and policy reforms aimed at rebuilding the antibiotic pipeline in addition to addressing stewardship.

    For the public, this means better tools and stronger systems of protection. For researchers and policymakers, it means collaborating in new ways.

    The question now isn’t whether there are solutions to antibiotic resistance – it’s whether society will act fast enough to use them.

    This article originally appeared on The Conversation. You can read it here.

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