Almost immediately after the coronavirus pandemic began, it became clear a parallel mental health crisis would accompany it.

By early April, a Kaiser poll showed, nearly half of Americans were already feeling the mental and emotional toll of Covid-19. According to more recent federal data, symptoms of anxiety and depressive disorders have more than tripled among U.S. adults compared to this time last year—with women and Black and Latinx communities most acutely impacted. Other research and reporting suggest the pandemic has exacerbated symptoms for people with disordered eating, substance use disorder, obsessive compulsive disorder, schizophrenia and bipolar disorder, and other diagnoses.

Self-care no longer looks like the millennial pink, relaxing version we’ve been sold. This radical version may be harder or more uncomfortable, but experts say it’s also essential to living right now. Some people may feel like they need to take more drastic measures to protect their mental health; there are also a few other meaningful and radical steps we can all take more immediately.

Here’s what practicing self-care can look like in 2020:

Identifying and acknowledging your feelings: You can’t begin to take care of yourself until you accept where you’re at. That’s why Andre encourages her clients to write down all the different emotions they’re having — from fear and rage to sadness and desperation.