This design features a graphic design with a white background and text in various colors. At the top, in green, the text reads, "I'M THE MENTAL HEALTH NURSE ELF." Below this, in bold red letters, the text states, "MENTAL HEALTH NURSE ELF." The text is framed by a red banner with a white border, and there are small green stars scattered around the edges of the banner. At the bottom of the image, there are two green elf shoes, one on each side of the text, giving the impression that the text is being held by the shoes. The overall style of the image is playful and colorful, with a clear focus on promoting mental health services.