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The subjective nature of "wellness" can be illustrated by the hypothetical example of an individual who avoids food additives and is selective in choosing foods to prolong health, but thinks nothing of getting in a car and driving hundreds of miles. Statistically, the known risk of mortality or morbidity from automobile usage is far greater than the risk of mortality or morbidity from food additives, but avoiding certain foods and food additives feels "healthy," whereas avoiding automobile use feels merely inconvenient.

Even when the techniques used are not scientifically proven, the pursuit of wellness can enhance health by a placebo effect. Someone who feels "well" may lower stress and enhance their sense of well-being, achieving an enhanced psychological state with proven beneficial effects on various body systems, including blood pressure, gastrointestinal system functioning, and immune response. The field of psychoneuroimmunology explores these linkages in a scientific manner, and is also a part of medicine proper. However it is new, and still exploring the biology, and has little or no clear advice to offer other than to avoid unnecessary stress or that which is out of one's control or capacity.

The most solid aspects of wellness that fit firmly in the realm of medicine are the environmental health, nutrition, disease prevention, and public health matters that can be investigated and assist in measuring well-being.