The Mental Health Continuum Model moves from healthy to reacting to injured to ill. Healthy means: normal fluctuations in mood; takes things in stride; good sense of humor; consistent performance; normal sleep patterns; physically and socially active; behaving ethically and morally; confident in self and others; limited or no alcohol/gambling. Reacting means: nervousness, irritability; sadness, overwhelmed; displaced sarcasm; procrastination; forgetfulness; trouble sleeping; low energy, muscle tension, headaches; intrusive thoughts; occasional nightmares; decreased social activity; regular alcohol use/gambling. Injured means: anxiety, anger, pervasive sadness, tearfulness, hopelessness, worthlessness; negative attitude; difficulty concentrating; trouble making decisions; decreased performance or workaholic tendencies; restless, disturbed sleep; increased fatigue, aches and pain; recurrent vivid nightmares; recurrent intrusive thoughts/images; avoidance, withdrawal; increased alcohol use, gambling that is hard to control. Ill means: excessive anxiety; panic attacks; easily enraged, aggressive; depressed mood, numb; overt insubordination; cannot concentrate; inability to make decisions; cannot perform duties; cannot fall asleep/stay asleep; constant fatigue, illness; absent from social events; suicidal thoughts/intent; alcohol, gambling or other addictions.