Technology increasingly supports self-care for understanding and improving one's own mental health. HCI is at the center of the turn towards self-care technology, yet we lack an account of who these interventions serve, what practices they support, how technology mediates those practices, and assumptions underlying design for self-care. In order to characterize the current landscape and inform future research, we analyzed 91 SIGCHI papers that contribute HCI interventions for mental health self-care from the ACM Digital Library from 2015 through June 2026. Then, we conducted an interpretive synthesis to surface six orientations of self-care, which describe how HCI self-care interventions constitute care through shared assumptions regarding self, care, and technology. Overall, our work provides an interconnected vocabulary for positioning HCI mental health self-care, highlights changing responsibilities of care towards users, and discusses implications for providing a more situated account of HCI self-care technology in addressing the 'general' user.

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