Mental Health and Boundaries Mental health issues are not the cause of an inability to say no, be assertive, and advocate for ourselves. But this inability can certainly be exacerbated by mental health problems. For example, ruminating, which is replaying thoughts over and over in our heads, is a behavior that comes with some diagnoses. Focusing on how others might respond is one way we ruminate, which impacts our ability to act. Boundary issues are more pronounced with the following mental health problems.
holy dog poop! i ruminate like crazy!!
