It begins, as many things do now, with a scroll. A 23-year-old nestled in bed with curtains drawn declares, “I’m bed rotting and recharging.” Another whispers into the camera about her latest dopamine detox, a screen-free day designed to “reset her nervous system.” A third walks viewers through her shadow work journal prompts, confronting past traumas through aestheticized introspection. These aren’t isolated practices—they’re the new vernacular of mental health, circulating widely on platforms like TikTok, Instagram, and Reddit.
Such practices as “shadow work,” “bed rotting,” and “dopamine detox” are becoming trendier on social media, with individuals finding new ways of coping with stress and promoting mental health. But are any of these terms actually clinical—or merely semantics attributed more to trends in healthcare consumerism?
When Wellness Becomes Language
The rise of wellness-oriented self-care has reshaped not only how people tend to their psychological needs, but how they speak about those needs. “Shadow work,” a concept originally rooted in Jungian psychoanalysis, once referred to the rigorous introspective process of confronting the repressed parts of the psyche. In its TikTok form, it’s often shorthand for journaling or doing self-reflection exercises accompanied by lo-fi beats and pastel filters.
Likewise, “dopamine detox,” a term popularized in Silicon Valley circles, has evolved from a niche neurohacking technique into a mainstream self-care ritual. Yet neurologists like Dr. Anna Lembke at Stanford have pointed out that dopamine cannot actually be detoxed in the traditional sense, since it’s a naturally occurring neurotransmitter involved in a wide range of functions. What these practices accomplish is more behavioral regulation than neurochemical reset—though the former doesn’t sound nearly as viral.
“Bed rotting,” perhaps the most recent addition to the canon, is a deliberately provocative term describing the practice of spending extended periods in bed doing little to nothing. It’s often framed as resistance to hustle culture or a necessary balm for burnout. While this may resonate with younger audiences, especially Gen Z, psychologists caution against pathologizing or romanticizing avoidance behaviors, especially when they become a substitute for structured rest or therapy.
The Semantics of Self-Care
The common denominator in these trends is language—language that borrows the appearance of clinical authority while rarely being rooted in professional consensus. This creates what sociologists might call semantic inflation: ordinary behaviors get rebranded with quasi-medical terminology, lending them both gravitas and marketability.
As the wellness industry continues to balloon—now estimated at over $4.5 trillion globally, per the Global Wellness Institute—there’s a growing incentive to package personal behaviors as therapeutic products. Platforms, influencers, and brands alike benefit from presenting these acts as interventions rather than mere habits.
What once might have been described as “a day off” becomes a “dopamine fast.” Journaling becomes “shadow work.” Resting in bed becomes a mini mental health revolution. While these terms may help normalize self-care, they also risk obscuring the line between healing and branding.
Clinical Grounding vs. Consumer Psychology
To understand whether these trends hold therapeutic value, it’s useful to consult clinical psychology and psychiatry literature. Terms like “shadow work” do originate from analytical psychology, particularly Carl Jung’s theory of the “shadow self”—a psychological framework for integrating the unconscious.
However, formal shadow work in clinical settings often takes the form of guided therapy, usually under the care of a licensed practitioner trained in trauma-informed modalities. The social media version, while sometimes insightful, rarely adheres to any structured or validated therapeutic method.
Similarly, dopamine detoxing is not a recognized psychiatric or neurological treatment. The underlying behaviors—reducing screen time, limiting overstimulation, practicing mindfulness—are certainly beneficial. But the framing of these actions as a detox, as if flushing out a harmful substance, is a misapplication of biological science. As Harvard neuroscientist Dr. Michael Craig Miller notes in Psychology Today, the real utility lies in behavioral moderation, not neurochemical “cleansing.”
“Bed rotting” presents a more nuanced dilemma. It could reflect intentional rest—a meaningful response to a hyper-productive society—or signal the early stages of depressive withdrawal. Without context or guidance, it’s impossible to tell which. What’s problematic is that the trend often valorizes this behavior without qualification, potentially validating avoidance patterns in vulnerable audiences.
The Marketization of Inner Work
What makes these trends especially potent—and potentially problematic—is their entanglement with healthcare consumerism. In the same breath that a TikToker shares their shadow work journey, they may promote a digital journal, an energy-balancing tea, or a course on self-healing.
This convergence of wellness and e-commerce is not incidental. The wellness economy thrives on personalization, emotional appeal, and the illusion of transformation. It capitalizes on an increasingly health-aware, therapy-positive audience that may not have the time, access, or funds for traditional mental healthcare. These trends offer an appealing alternative: aesthetic therapy, one that feels both empowering and consumable.
Yet, as pointed out in the Journal of Consumer Psychology, when self-care becomes transactional, it often shifts the focus from systemic reform to individual responsibility. The solution to burnout becomes a $40 self-help kit. The remedy for anxiety is a mood supplement, not therapy or workplace change.
The Gray Zone of Therapeutic Language
This isn’t to say that these trends are inherently bad. On the contrary, they often reflect genuine efforts to cope, connect, and care—especially in a generation more likely to face climate dread, job precarity, and mental health stigma.
The danger is not in the existence of these practices but in their imprecision and commercialization. When self-care becomes self-treatment without guidance, and when every psychological concept becomes a content category, we risk trivializing real conditions and oversimplifying complex therapies.
The Path Forward: Mindful Engagement and Media Literacy
The solution lies not in rejecting these trends, but in approaching them with critical media literacy. Ask:
- Is this term rooted in clinical psychology, or is it repurposed for engagement?
- Does the practice offer structured guidance, or is it performative?
- Is there a sales pitch disguised as support?
- Most importantly: Would this behavior be encouraged by a therapist—or just an algorithm?
Consumers need not be cynical, but they should be informed. Therapists and clinicians, for their part, must be willing to engage these cultural shifts—not just critique them from a distance. Integrating popular self-care language into formal mental health discourse might be the bridge that empowers without misleading.
Conclusion: Semantics Matter in Self-Care
As wellness trends continue to shape how people talk about and approach mental health, the line between supportive behaviors and superficial solutions remains thin. The language of healing is powerful—but when borrowed without accountability, it can obscure more than it reveals.
Mental health deserves depth, not just virality.