christmas · mental health

It’s beginning to look a lot like F*%@ this

I’m going to be honest. I love Christmas. I am one of those nerds who loves the magic of Christmas. And I try and make Christmas the most wonderful time of the year for my kids. We bake, we do secret Santa, we wrap our Christmas presents, we decorate the tree together, and Elfie runs amok at night. Christmas is magical, and family-oriented, and based in Christianity (for us).

Elf on the shelf on candy cane sled on staircase bannister
Elfie running amok

And if you had to ask me about Christmas growing up, I will tell you the same. Christmas was a magical time. We went to Noddy parties, we decorated the tree (including fake snow), we listened to Christmas music, we wrapped gifts for our family, and the Christmas food was untouchable.

But the truth is, as a child in my family, all credit for experiencing the magic of Christmas is on my mom. She made it special. There were a lot of challenges in my childhood, a lot of sadness around Christmas. We lost my grandfather a week before Christmas, most of my family is divorced, or blended families, family members have been ostracized for bad life choices. It’s a hotbed of family dysfunction. But all I remember is magic.

But being an adult, and having the ability to see that, is very different. So, although I would always come home for Christmas when I lived away from home as an adult, I did so because of my love of Christmas. But as an adult, I know there is no Christmas magic, so yes, it’s a lot harder.

Christmas as an adult means spending time with people we don’t necessarily get along with for the sake of “family”. It means returning to toxic environments and situations and being catapulted back to all those challenging childhood feelings – regressing almost. Adults have expectations loaded onto us, and responsibilities to be a grown up in all situations.

Needless to say, what I’m getting at, is that Christmas, or the festive season, is hard for many people. For some it’s not the obligation of seeing family you don’t want to, but actually, the loneliness of not having a family around, or grieving loved ones, financial burdens, fatigue from a hard year. The end of the year is an emotional minefield.

With this in mind, I have curated some tips for surviving festive (with your mental health intact)

  • Plan ahead

I used to love, and I mean love, shopping on Christmas Eve. It gave me a rush, which I now know was actually related to ADHD and needing that dopamine hit, by gamifying my Christmas shopping – will I have all my gifts by the time the shops close or not? But in reality, the buzz and overwhelm of all the Christmas specials, the decorations, the people, is a lot. So, it’s best to plan out your shopping, and give yourself a deadline early in December to finish your Christmas stuff, and then you can sit back and relax while the rush continues around you.

Also, plan out your time, so that you don’t have to accept every social event that comes across your whatsapp – make time for the people you want to see, but also time for yourself to rest and recuperate. And if you don’t want to host Christmas lunch because it will give you too much anxiety, don’t say yes out of obligation. Hold yourself accountable to yourself and say no for your own mental health.

Gift in Christmas wrapping
Secret Santa gifts
  • Set a budget and stick to it.

We all joke about Janu-worry, because we all overspend at Christmas time and then don’t know how we are going to make it to the end of January. We feel obligated to buy everyone gifts, and big gifts (I mean, it’s Christmas). We also feel obligated to go to all the social events we are invited to. So, budget your resources so that you don’t have the post-Christmas financial burden stressing you out, and also your own time and energy to rest and recover before you return to work/school/university in the new year

Christmas plates with biscuits, hot chocolate and apple
Treats for Santa and his reindeer
  • Tis the season

It’s festive! Which gives us reason to eat and drink more than we should, but it doesn’t count because it’s over the festive period. And then 1 January hits, and we are hit with guilt for putting on weight, and all the things you said at the work year end, or to your mother-in-law because you did take on Christmas lunch and got drunk to manage your stress.

So two things, we all know our limits, and how they make us feel. If you don’t want to stay in bed for an entire day, don’t drink so much that you are forced to, but if you do, don’t feel guilty, because what’s done is done, all you can do is rest, recuperate, and remember that tomorrow is another day. What I’m saying is that don’t beat yourself up for a few extra kilos, or one too many drinks. Just remember to be true to you, and what is good for you.

I’m sure you would have read it all over the internet when it comes to advice about looking after yourself: Set your boundaries, and stay true to them – don’t do anything you don’t want to do. Remember that even if the festive season is hard, it does have an end, this is not forever. And think of that when you are spiraling because of negative interactions. Also, make sure you make time for yourself – you can take proper time out like going to a movie, take yourself to coffee, go for a run, read a book. Do things that take you out of your head.

  • Manage relationships

Like I said before, Christmas can be challenging because you may be forced to interact with family you don’t necessarily want to. There are, however, ways of managing difficult family members, and difficult conversations that you don’t want to answer about your weight, non-spouse, lack of children, lack of success at work etc.

Think of answers to questions you expect to get, in advance, so you are prepared to answer and aren’t thrown off by questions out of left field. If you do get stuck in a difficult conversation about topics you’d rather not talk about, prepare exit statements, or ways of changing the subject. If you really cannot get out of the topic, suggest an activity to be able to move on, like ‘hey I need to go help set the table’ for example.

Mom and daughter with painted nails in red and green
Me and my daughter getting our nails done together

You can also start your own traditions, things that make you happy. Once my kids were old enough, I was able to start my own family traditions. Through this I’ve been able to preserve the magic of Christmas, as an adult. But your tradition could be watching a movie by yourself on the 26th. Getting a special coffee by yourself on the 23rd of December. It can be anything.

At the end of the day, Christmas is punted as a special magical happy family time, but for a lot of people it’s stressful, and lonely, and triggering. All we can do if we are obligated to be in situations we don’t want to be is to remember that we are in control of ourselves. We don’t have to engage in conversations or with people that we don’t want to. If we have left an event feeling deflated, we need to take time out for ourselves to return to ourselves, no matter what that looks like.

Be you, do you, love you.

Woman with earrings that look like baubles

Resources:

https://www.mind.org.uk/information-support/tips-for-everyday-living/christmas-and-mental-health/christmas-coping-tips/

feelings · mental health

Get real

I recently went on a bit of a rant with a friend, complaining about people who are not transparent or open, and how I’m just authentic to a fault and it’s important to me but maybe not to everyone else. But what I’ve learnt though, in the last few months, is the importance of authenticity within your mental health journey.

It was in a moment where I was joking with a colleague (followed by me questioning why I was oversharing to such a degree), about how I keep myself so busy to avoid my feelings. And then my psychologist red-carded me for doing the same with my therapy. So there it was. I avoid my feelings. And that is one of the things that was making my mental health journey inauthentic and stagnated.

I put a lot of work into my self-esteem and self-love journey, but for me to start healing in a big way, I need to stop running and start acknowledging those feelings.

Cartoon of characters representing different emotions in Inside Out movie.
Inside Out movie

We always hear how we have to be true to ourselves, but what exactly does that even mean? I was called out for not have “self-integrity” and while I consider myself to have a lot of integrity in normal everyday life, I was forced to admit that that was true.

It comes from being a people pleaser. We do and say whatever we think the other person wants to hear. And we deny ourselves. Zero integrity for self. Because what if what they are saying is against your values? What if it’s in direct contravention of your beliefs? Why are you not standing up for what you believe in?

And when it comes to your feelings, and your needs – are you denying these? Are you allowing the feelings and needs of others to be more important to yours, and thereby, denying yourself feeling your feelings? Are your behaviours in line with your values, and what you believe in and your needs and feelings?

For example, I hurt my wrist recently, and instead of resting, I have been doing all the things, because I don’t want people to think that I’m lazy or unhelpful. But the reality is, I am denying myself the healing process.

Woman posing with flowing dress.
What depression looks like – me looking happy just before a psychiatric clinic admission

And it’s the same with being our authentic selves and staying true to what we need. If we go against what we truly need in a moment, we are not being authentic towards ourselves. We are denying ourselves. And we don’t always consciously do it, sometimes, we do it out of habit, fears of rocking the boat, fears of not being liked. But if it costs our mental health, it’s not worth it.

And it’s not about being mean, or cruel, or hurting others – it’s just about staying true to yourself. So, if you need to rest on the weekend, and a friend invites you out, say that you cannot join, because your need is for rest and recovery. And that is more important than doing something for someone else’s reasons, and neglecting yourself.

A couple of years ago, a movie poster had the subtitle, “If you don’t stand for something, you’ll fall for anything”, and while it’s a cliché, I’ve never forgotten it. I was forced to remember it in this moment where I realized that the people pleaser within me was falling for anything. And for someone who has convictions as strong as I do, that was a hard pill to swallow.

Standing up for ourselves feels mean to us, because we spent our entire lives being mean to ourselves, by not standing up for ourselves.

I am pledging to look after my own needs and emotions. If I feel down, I am going to allow myself the space to feel that emotion, even though it may not be accepted by the people around me. I am not going to pretend to be happy just to appease everyone else. I need to experience the emotion to work through it.

I pledge to be truly authentic.

love yoself

Love yoself:

Self love is the best kind of love

Cartoon woman dancing surrounded by butterflies with text stating self love is the best love

I recently had a breakthrough in therapy, which, to be honest, while I’m going through it, feels like a breakdown. As I was speaking, all my psychologist said was, you can cry here, and as she spoke those words, I thought, ‘But I don’t need to cry’, and before I knew it, I was bawling about why I don’t matter.

But more important, than my incredibly vulnerable admission, is what came next. The realization that I do not love myself (more vulnerable admissions), and while for the longest time, I ‘knew’ this, I didn’t actually know it.

Following our appointment, where she allowed me to cry and talk for 15 minutes after my allocated time, she sent me multiple links about self-love, and how to develop self-love, which I then binge watched when I got home.

I think I had spent a lot of brain power rationalizing and trying to understand the origins of self-hatred and what happens when you don’t love yourself, and what it looks like. And a lot of cerebral thought analysing my behaviour, and relating it back to feelings of self-hatred. It was all educational and in my head.

But finally, in the month of love (when I said recently, I meant February), I realized what it felt like to not love yourself. And why I didn’t love myself. And how I allowed myself to remain in situations that continued to validate my feelings of self-unlove.

"A new start and way to go" with stars at the top and bottom

But the real work begins now. I bought myself a beautiful journal with a motivational message about thriving on the cover, etched into a colourful image of plants and flowers (always start with a beautiful journal). And I took copious notes from the youtube videos from my psychologist. I did some desk research on sites like psychologies, and school of life, and this is what I learnt so far:

The academic stuff

According to Psychology today, self-love is comprised of four elements: self-awareness, self-worth, self-esteem, and self-care. What this means, is that we need to become aware of our bodies, and our feelings, and how they are expressed within us, and how to identify our emotions. Self-worth is then acknowledging what the good parts of us are – we all have them, but the world we grew up in tells us that it’s not enough, it’s reconnecting with what you deem to be your good parts (they’re in there). A high self-worth leads to a high self-esteem. Self-esteem is all about how comfortable you are with yourself and where you are in life. It’s being ok with yourself and your good (and bad) parts. Finally, self-care is all the activity we do to keep ourselves (both body and mind) healthy.

A journey starts with the first step

Pink background, with woman hugging herself, surrounded by bed of flowers, with text saying welcome to my self love journey

I’m in the beginning of my self-love journey, and so far, I’ve been focusing on getting to know myself, by doing things that I enjoy, or enjoyed in the past. It’s almost like starting to “date myself”, well at least, using the same principles of dating. When you start dating someone, you spend a lot of time getting to know them, and what makes them tick, figuring out if you like them or not. So, I need to spend time with myself, to learn who I am, and what I like and don’t like.  

Feel free to follow my monthly series of “Love yoself” posts, as I continue along my self-love journey, and share what I learn. Watch out for the first post of each month.  

Some further reading:

https://www.psychologytoday.com/za/blog/the-upside-things/201911/self-love

Uncategorized

“If there’s something weird and it don’t look good. Who you gonna call?” (Part 2)

If you do find that you are struggling with mental health issues or are feeling as though you can’t cope with life, what do you do? And where do you turn? This month, I’ve connected with some mental health practitioners to provide guidance as to what the different mental health practitioners do, to guide those of us seeking therapeutic help and guidance.

Interview with a Social Worker:

What does a social worker do?

People normally think of statutory social workers who are involved with the removal of children. This is only one area of social work, and you need to be designated to statutory social work.

Our goal within social work is about how to develop communities and to help communities thrive. We work with individuals, groups and families. We consider what are your resources – what are you lacking and what have you got. Social work is about developing and helping people thrive individually, group and community.

We look at using resources. For example, how do we help families, we try and work with what you have available to you. If you are struggling to move, we build in exercises to help you move within your environment. We play to your strengths and sensory capabilities. It’s about using the resources you have to manage mental wellness

What is the difference between a social worker and a psychologist?

Although social workers are not involved in any diagnostic work, they work with people, and can be your first source of therapeutic healing. We can refer for extra support or input around diagnosis if required. We help clients develop skills and help to manage symptoms, once they have a diagnosis. We look at the impact on your life, and what we can do with that. For example, what are your triggers for depression, and when you see that happening, what do you do, what are your options, and strategies in this space eg checking in with a friend.

Social work gives clients practical resources. What does your depression mean practically? Where is it stopping our life and what can we do

When would someone need to see a social worker?

There is no one size fits all when it comes to treatment. Depending on approach you’re needing, at the time, it will determine who you approach. At the end of the day, if you are struggling to function – you need to speak to someone. And you need someone who is going to listen and understand to help you pick up the different threads. If you feel like things are unravelling, you should seek help, before you feel like you’re too stretched. It’s hard for many people to admit that they’re not coping.

How do you find a social worker?

The best place is to look at the SAASWIPP Website, and search by interest topic. Social workers need to be registered to be on the website, and you will find information on whether they are cash only or you can claim medical aid. All this information will be available

Anything you would like to add?

Different people connect with different practitioners – this is about a process and a journey.  While there has historically been a hierarchical perception and at times, real division between psychologists, there is most definitely space and a need for both.  Even as mental health practitioners, we should always be working within the best interests of our clients, ethically and professionally.  This should always guide practice.

Finding Help

“If there’s something weird and it don’t look good. Who you gonna call?” (Part 1)

Psychologist making sense of what client is saying, when it appears to be scrambled in patient mind
Psychologist depression consultation advice patient sitting talking character design flat vector illustration

If you do find that you are struggling with mental health issues or are feeling as though you can’t cope with life, what do you do? And where do you turn? This month, I’ve connected with some mental health practitioners to provide guidance as to what the different mental health practitioners do, to guide those of us seeking therapeutic help and guidance.

Interview with a Clinical Psychologist:

What does a psychologist do?

You get different kinds, but it depends on registration category. As a clinical psychologist, I am trained to treat and diagnose all clinical disorders, but also to help people through all hurt and pain.

What is the difference between a psychologist and a psychiatrist?

A Psychiatrist is a medical doctor and manages mental disorders with medication.

A Psychologist is a mental health professional, but not medical doctor. We can diagnose, but cannot prescribe medication, so a treatment plan involves psycho-therapeutic methods. Including behaviour techniques for clients. But more importantly helping clients heal through a supportive and caring relationship.

How do I know I need to see a psychologist?

As a necessity, things to look out for are suicidal thoughts and feelings, but also a struggle to live, where you are struggling to feel joy and the need to connect with others.

If ever you feel you need some kind of support, you can see psychologist. There are many of us who don’t have adequate support in their lives, and a psychologist can help provide that and help them build that into their lives.

Advice on finding a psychologist

My experience as a client and a therapist, is that race and culture matters. So I would recommend, that you seek out someone that you think would have sufficient lived experience that they could understand your context. Besides that, someone who is referred by a mental health professional is a good bet. And I would encourage you to look at people’s website, social media, to get a sense of the psychologist and their areas of interest.

Other types of psychologists

Counselling – They are not trained in diagnosing severe mental illness, but are able to offer psychological support and treatment for less severe emotional struggles.

Educational – They are involved in conducting psycho-educational assessments, diagnosing barriers to learning and helping to provide practical support and treatment plans for these learning barriers.

Neuropsychologist – They look at the impact of brain trauma on neuropsychological functioning.

Research psychologist – They conduct social science research in the area of social psychology in particular.

Other mental health professionals

Registered counsellors – They are not able to diagnose, but they are able to offer psychological and emotional support, to those suffering with less sever mental health concerns.

Clinical social workers – They are well trained in family and child work.

What is the therapeutic process like

Initially, the therapist needs to gain an understanding of why the client is struggling at this particular time, with these particular issues, given the unique path they’ve walked in life. The therapist is able to gain an understanding of the challenges they have, and what might be helpful in order to help them overcome these.

Anything else?

Prevention is better than cure, and while it might seem as though it is unnecessary, or even over pathologizing a situation to seek out therapy, if addressed early, things need a lot less therapy, and result in less emotional trouble. Even if one or two sessions can rule out what is causing trouble, it is better than leaving things ferment and causing other trouble.

mental wellness

MENtal Health

The other day my son told me that they can’t cry because they are not babies any more, and I leapt at the opportunity to tell him that it’s always ok to cry. If you are feeling hurt, or sad, or angry, or even happy. It’s always ok to cry. I went on to say that even I cry, and his dad cries. Everybody cries.

Male with scribbles over head, and shoulder cracking

I’ve alluded to it before, how we are socialized differently, and how little boys are taught that it’s not ok to cry, or get hurt. And as men grow older, they are taught that it’s not ok to feel big emotions. No one wants to be accused of being hysterical (a word which has its origins in the anatomy of a woman – the Greek word for uterus). Historically, for a man to do anything like a woman is bad, don’t run like a girl, or throw like a girl, or cry like a girl.

But when it comes to mental health, the rate of suicide amongst men is double the rate it is amongst women, however, the rate of depression diagnosis amongst men is half the rate it is amongst women. Surely, there is something wrong here?

If so many men are in such despair that the only way they see out is to end their lives, why are there not more male diagnosis of depression, of feeling empty? If we could treat more men for depression, then we could reduce the rate of suicide amongst men.

Cartoon of drowning hand and "society" highfiving saying be a man

But to do this, we need to change our view of mental health amongst men. Seeking help in the form of therapy or other methods of mental health treatment should not be seen as something only women do. Men need to know about the benefits of talk therapy, and share it with their friends. Men need to learn the symptoms of mental illness, so that they can recognize it in themselves, but also in their friends.

There was a great campaign in the UK on bar coasters, where it asked questions like, “are you feeling a lot more angrier than usual?”; “do you not enjoy the things you used to enjoy?”; “are you feeling like you don’t fit in with your friends?”. These are the type of questions men should be asking themselves.

Depression isn’t only about sadness, and feeling weak, and something that only women experience. Depression is also increased anger and irritation. Feeling nothing. Decreased motivation. Just feeling off. Feeling like you don’t want to be with your friends, or that something is just different when you’re with them.

We need to teach men that it’s ok to not be ok. That it’s ok to cry. That it’s ok to ask for help. And to seek professional help.

The societal expectations of men are to be the heroes, the ones who stay strong for their families. But struggling with a mental illness leaves you feeling weak. And unable to take care of yourself, let alone your family. And because they’ve been raised to not talk about these feelings, and these fears of not living up to these societal expectations, all of these feelings are repressed and turned inwards. They may come out as anger or irritation, or the utter despair that leads to suicide.

Men learn early on, that it’s not ok to be introspective, to journal to dissect your thoughts, so why would talk therapy work? Women spend hours talking to their friends to solve problems and to discuss their lives “ad nauseum”. But for men, when there is a problem, they are taught that they need to man up, and punch things and fight. But the fact is, you cannot punch your mental illness.

We need to challenge the toxic masculinity that says we need to mock our friends for seeing a therapist, or for expressing emotions. Because that is what is causing the underrepresentation of male mental illness. Men are not doing well, and don’t want to express it to anyone for fear of being judged, or accused of “acting like a woman”.

We need to raise our boys to teach them that it’s ok to cry, no matter what age they are. It’s ok to feel sad, but it’s also ok to feel lonely, to feel empty. But most importantly, we need to teach them that when life is too much, we should seek help, from our family, our friends, or professional help if that’s what we need.

Uncategorized

Black Mental Health Matters:

Two black women surrounded by space and stars

For a moment in time, we have stopped talking about COVID-19, and focused on humanity, and the current discourse is about how none of us should be silent about racism. There is a call for us all to be anti-racist. As people of colour, if you do not speak up, you are agreeing with racism. As white people, you are colluding with racists by not speaking up.

I am a believer in justice and standing up for the disenfranchised, because I know what it is like to not have your voice heard. Without systemic justice, though, nothing will be fixed. Within a system that is just, individuals all have access to all opportunities. And no one is discriminated against for individual characteristics such as race or gender or socioeconomic status. Or, mental health.

Historically, mental health has been developed by white males, and still today, the majority of the field is still white, so where does that leave the unique challenges of suffering with a mental illness as a person of colour. A lot of research has gone into the diagnosis of mental illness and the development of the diagnostic tools. And these are reviewed to ensure that our definitions are relevant to the context within which we live. However, we are still using diagnostic tools, which are predominantly developed with a Euro-centric, Western understanding of human behaviour.

As an example, there is still an underdiagnosis of girls with ADHD because the symptoms were initially based on boys, and hyperactivity may look different for a girl, which is why many women are only diagnosed with ADHD in mid to late adulthood. The same goes for Autism. And because women are socialized differently in society, women on the Autism spectrum, are able to hide their symptoms, because there is a societal expectation to fit in, and behave in a certain way to be regarded as a woman in this society.

There is also an underrepresentation of men with mental illness, because there is still the stigma of mental illness being an indication of weakness. Men are not readily willing to admit that they are suffering, and also willing to seek help, for fear of not “manning up”, or appearing weak. Boys are taught that they are not to ask for help, or cry.

What about the cultural meaning of “hearing voices”, such as when the ancestors are speaking? Or when you are called to be a sangoma? There are a number of beliefs within the African, South American or Asian cultures, which can be explained away as a symptom of a mental illness. So how do we differentiate between cultural understanding and mental illness symptoms?

Aside from the stigma of mental illness, there is the stigma of seeking help for mental illness, and seeing a psychologist for a “white” disease. As a person of colour your family might not understand or agree with you struggling with a mental illness, and you might be judged, or ostracized for seeking help for a mental illness. And being that many causes of mental illness relate to family dynamics and triggers as a result of lack of family support, this presents quite the predicament.

And finally, access to mental health practitioners. The majority of psychologists are white, and the majority of therapy is conducted in English, and Afrikaans. When searching for a psychologist, you may want to see someone who fits the same demographic as you do, or speaks the same language as you. How difficult must it be to undergo therapy to uncover deep-seated emotional and identity issues in a second, or third, language?

 Also, the socioeconomic barrier for people of colour in having access to the mental healthcare professionals that they may need. A number of studies have been conducted on the inequality of healthcare systems, and mental health care is a privileged form of care, which further creates a barrier between the races and socioeconomic classes. Healthcare systems in South Africa have been shown to be unequally distributed within the country.

It’s also important to consider the fact that certain behaviours are prevalent amongst the impoverished, and when impacted by mental illness, they are not subtyped as being afflicted by mental illness, but are viewed as criminals or deviants. Because of unconscious bias in regards to race, there are certain characteristics attributed to certain races, like violence, which have the potential to result in misdiagnoses, or underdiagnosis. As an example, being lazy is attributed to being black, but one of the key symptoms in ADHD or depression is reduced productivity. This will be missed as a diagnosis, if it is assumed that the person is inherently lazy.

When considering mental wellness within the context of race (or gender, or sexuality), we need to acknowledge further layers of challenge, and stigma associated as a result. And ultimately the fact that anyone with mental illness, regardless of demographic wants to be heard and cared for, and understood.

Sources:

Counselling Psychology in South Africa by Jason Bantjies, Ashraf Kagee, and Charles Young

HPSCA Report of the Working Group on Promulgation of Regulations

Synergi Collaborative Centre briefing paper on priorities to address ethnic inequalities in severe mental illness

mental wellness · Uncategorized

Mental health in the time of Corona

The global pandemic has us all a little fearful, and paranoid, and stressed and anxious. And as someone for whom this is a daily experience, I thought I would share some ideas for maintaining mental health during these very uncertain times. Partly from my own experience, and partly from the advice from my psychologist:

  1. Routine routine routine

It may sound boring, but one of the best things that has worked for me, has been maintaining a routine, albeit very different from my pre-global pandemic life. During these uncertain times, there is not much that we can control, but how we structure our days is something we can (relatively) control. Having that structure lessens my anxiety because I know what is coming. There is a lot to be said for having a plan. And look, it doesn’t always look the same, but if we have this plan, and try and stick to it, it gives us one less bit of uncertainty in our lives. And a small semblance of peace.

2. Yoga/Meditation/Mindfulness

Our minds are overwhelmed with work, the Corona statistics, home schooling, staying fit and healthy, but also wanting to eat everything in sight (which is rarely a carrot stick), concerns about the health of our family, the general paranoia of not being able to touch anything before you’ve washed your hands and sterilized.

Spending some mindful time doing yoga or meditation will do wonders for your mental health. The key objectives of the yoga or meditation is to spend some time focusing on your body, and allowing thoughts in and then letting them go. These types of mindfulness activities, allow us to clear our heads, by making us focus on our breathing and body position. An easy meditation you can do for a few minutes a day, is body scanning: start at your head, feel its position in space, tense and release your face/jaw, and then continue to tense and release as you move down your body, from your shoulders, arms, chest, abs, legs, to your feet.

Spending time focused on something other than the thoughts running through your head will give you a space to think more clearly, and help with that feeling of overwhelm. Meditation has been scientifically proven to calm anxiety, so I definitely recommend spending some time out of your head.

3. Self Care

Ok, so right now, we’re able to go to meetings in our pajamas and slippers and no one would know. My advice here is to get dressed for work. And yes, for most of the week you will wear your apocalypse gear (stretchy pants /workout gear/ day pajamas), but try at least 2 days in the week to dress up for work, do your hair and make-up, wear shoes you can go outside in. Getting up and getting dressed is sometimes one of the easiest ways to alleviate anxious feelings. Look good, even if you aren’t feeling great. It helps, in a weird way, but it does.

Include some selfcare activities into your day. Selfcare isn’t always big activities like sitting in your bath, with a face mask, reading a magazine, with a glass of bubbly. It can be something as small as rolling your shoulders a few times at your desk to relax your body if you are feeling tense. Spend a few seconds deep breathing to calm down. Looking at a photo of your family. Micro selfcare is about anything, no matter how small, that is going to aid your feelings of anxiety or uncertainty.

4. Exercise

So before the global pandemic, I had fitness goals, which have subsequently been put on pause. But nonetheless, exercise gives me energy. And in the moments when I’ve felt awful, lethargic, and demotivated,  doing some form of exercise gives me those endorphins and energy to get me through the day. It doesn’t have to be a lot, I am currently doing about 15 minutes of basic functional fitness, using my body weight and things I have around the house, like chairs, and my children’s board books.

You don’t need to come out of this global pandemic fit enough to complete an Ironman, but doing a few minutes of exercise a day, will definitely help with the stress, anxiety, paranoia, loneliness, and general overwhelem.

5. Limit social media and news coverage

Social media is like a lifeline to the outside world, and if we stop, what are we going to do with our time? And if we stop scrolling, where are we going to see all those Corona memes? All true. But being on social media, and reading the worldwide corona stats daily will function to make you more paranoid, and feeling less than you are. Seeing all these super moms out there with perfect home school routines, and time to make their own playdough and paint, and making nutritious meals and snacks for their children, while your child ate cereal and a chicken nugget for supper while watching his 100th episode of Paw Patrol, is bound to make you feel like a failure. Not something you need right now. Also, try and limit your intake of news on Corona. We need to know what is happening in the world right now, but try to not go down a Corona media black hole, it’s just not healthy. Another tip, is to read/watch serious news in the mornings/early afternoon, going to sleep with those hard hitting news stories, can cause undue stress, and impact your sleep.

But stay on social media, we need those memes. Humour is so valuable in a time of crisis. So keep reading and sharing, but try and limit the time you spend there, to protect your mental health.

6. Video calls

Video calls is an awesome way to keep your distance, while staying connected. I’ve been able to stay in touch with my family and friends, and my kids are able to show them their toys and art that they’ve made. My kids have used Zoom for classes with their teachers, and parties with their friends.

Also, I happened to celebrate my birthday a few weeks ago, and we took to Zoom to party. We shared drinks, danced to music, it was one of the best birthdays I’ve had. I don’t know when last I’d laughed like that, since social distancing. It helped me to feel close to family and friends… healthily.

When you’re feeling lonely, video call a friend or family member or five. That’s one of the most difficult things we are going to experience during a pandemic that requires us to stay away from people. And we humans are social beings. Even us introverts. We all need our people time. So reach out when you need to.

7. Calming hobbies (reading, writing, knitting etc)

For me, one of my favourite things to do is to sit with a good book, or spend some time writing creatively. These type of activities have come in handy while I’m staying home. A few suggestions are reading, colouring in, knitting, painting, playing with playdough, sewing, drawing etc. Activites that will allow you to sit quietly for an hour or two. These type of activities are also mindful activities that enable you do move outside of your mind, and focus on doing something practical.

Another suggestion here, is to dance. It may not be a calm activity, but who feels stressed after having a dance party in your lounge? (knowing that you can literally dance like no one is watching). So move that coffee table out of the way, put on your favourite tunes, and dance it out.

8. Writing – even if you don’t normally

Even if you don’t consider yourself a writer, it is really helpful to journal right now. We are all overwhelmed by what is happening around us, stress about the “new normal”, fear for ourselves and our families, having to fill multiple roles, and feeling lonely and distant from our friends and families. And it is so useful to get those thoughts down on paper. If you are lying awake at night, get out that journal and write down the thoughts that are keeping you awake. It may start out as a grocery list, but then evolve, like “buy tomatoes. Replace remote batteries. Why does my life suck right now? Is it because my dad never showed me enough affection?”

Hey, who knows, maybe you’ll find a hidden talent you didn’t know you had.

9. Sleep and wake times and meals

One thing that has become so easy is eating all day, but then also staying up all night because we’re binge watching Netflix, and then we wake up late. My advice here is to try and maintain the same bed time and wake up time. It won’t necessarily be the same as before, but it will relate to that routine you have set up for yourself. It sounds simple, but once again, something that you can control during a time when there is so much that is out of our control.

Closely linked to this is sticking to meal times. And yes, we are snacking an inordinate amount, but we need to ensure that we have our regular meals. If this is out of control     , it can negatively impact your mental health. One thing I try and focus on, as a sufferer of anxiety, is to limit my coffee and sugar intake, and to ensure that I have regular meal times and snack times.

10. Time outside (Vitamin D)

Finally, spend some time outside, in the sun. We need to make sure that we get our vitamin D. Maybe have your lunch outside, or when you are journaling, do that outside in the sun. Also, something simple that you can do for your general physical health that will aid your mental health.

There is not much that we can control right now, so try focusing on what you can control.

Stay Safe. Stay Home.

mental wellness

In the feels

When my good friend passed away last year, something struck me, related to my mental health journey. Whenever any of my colleagues, and family have approached me to express their condolences, and support, my response was, “I feel sad, because I miss her, but I’m glad she is no longer suffering.”

And that is what I realized the day after she passed. I’d been feeling sad. And I’ve been able to acknowledge that. And as I was walking into the office on that Monday, I was thinking about it. People will often say, “I feel so depressed…” but what you’re actually feeling is sadness. And while yes, I was going through a depressive episode at the same time, but, regarding my friend’s passing, I felt sad. And I was able to differentiate between the two emotions.

And while that may seem so minor, for someone who struggles to express emotion because for her entire life she was told that nice girls don’t get angry, and good girls don’t feel bad emotions, it’s a massive step to tease out sadness from depression. To be able to say that yes, I am depressed, but what depression feels like is a weight on my body, resulting in me not being able to get out of bed, or wash my hair, or eat. Whereas sadness, is a feeling of sorrow, of wanting to be around my friend, or wishing to hear her jokes, or spend time dancing with her, or looking at old photos, and realizing we will never have another photo together, nor share a birthday together again. It’s a feeling of longing.

Yes, this is a small win, but if this is you, give yourself a pat on the back. A lot of us have grown up being told things like,  “Do not throw a temper tantrum” (when you did not have enough words to express your anger as a toddler), or “Oh come on, it’s just high school, it will be over soon” (when something made you sad as a teenager). And of course, “Nice girls don’t get angry” and “You would be much prettier if you smiled”. Let’s not forget, “Man up” and “Boys don’t cry”.

We’ve been taught, especially as women, that we always need to be happy, and that nice girls don’t get angry, so we never learn how to express anger in an appropriate way. And boys are taught that you need to man up, and that the best way to resolve a conflict is to fight it out, so they never learn the appropriate way to express anger either.  And the same goes for other emotions. “Boys don’t cry”, but also, women shouldn’t be “too emotional”. How do I know what too emotional is? If I never learnt what the correct amount of emotion to express is?

And then as adults, we don’t even understand what is going on in our bodies when we feel emotion. And we have to re-learn how emotions feel, and how to express them, and the words for the different emotions, and also, how emotions feel in our bodies.

Last year, I learnt about expressing different emotions, and how to differentiate them from thoughts. So I may be mentally exhausted from working too hard, so it feels like tired, but instead of taking a nap, maybe I need to watch a silly show on TV to rest my brain. Or, know that I think that you your actions are unfair, but the emotion I am feeling is rejection.

The next step that I’m currently learning, is how my emotions feel in my body. We feel anger long before it erupts in shouting, for example. I have acknowledged that my anxiety is in my gut, and in the tension in my jaw and in my shoulders. But what I am learning is to pick up on the building of the anxiety before it’s a full-blown panic attack and then I have to take a lot more drastic measures to return to normal functioning, rather than picking it up while it’s still manageable. And maybe all I need to do is roll my shoulders or breathe deeply three times.

Another example, is knowing that when your partner starts making a statement that is a trigger for you  and before he’s completed the sentence, your stomach is already in knots, and reading that feeling in your body, and being able to say to yourself that you are feeling anger, and frustration. So that instead of responding in anger, you respond by expressing the emotion that you are feeling, and stating that you cannot respond to the content of what he is saying, until you have a moment to calm down and think rationally again.

What’s also important to know, is that we don’t just experience emotions in our heads. Emotions are felt throughout our bodies, and we can pick up the signs in our bodies first sometimes. A small tingling in your fingertips, to suggest that you don’t feel comfortable somewhere. Before it becomes panic in your mind, and a sinking sensation in your gut, before you are in full-blown fight or flight mode. So start paying attention to your body, it’s more intone than you think. And it alerts you to your emotional state before you recognize the emotion.

It’s so important to be able to express emotions, and that means being able to name them, and to know the difference between sadness, and anger. And to know that expressing emotion is not bad, if done correctly. What we’ve convoluted, as a society, is expressing emotion with how that emotion is expressed. And that is where the problem lies.   

Photo Credit: The Mighty

It’s acknowledging that your partner, for example, is allowed to be angry with you for something you said or did, but not allowing them to degrade you, or violate you because of their anger. And then for you to depersonalize the anger, by saying to yourself that they are angry with something you did as it upsets them, and it has nothing to do with who you are as a person. It’s feeling anger yourself, but not allowing the anger to forever colour your feelings towards another person.

All feelings are ok. It’s what we do with them that matters.

Useful Resources:

The emotions wheel (useful for identifying emotions):

https://themighty.com/2018/11/i-feel-nothing-wheel-of-emotions/

mental wellness

The symptoms of mental illness that no one talks about

My illness is invisible, not imaginary

Even though it’s 2020, mental illness is still very misunderstood. Everyone who has low self esteem or feels nervous, has anxiety. Everyone who feels sad sometimes has depression. Everyone who is obsessed with having a neat desk is OCD. And everyone who cannot focus has ADHD. And not all thin women are anorexic.

But to actually suffer with mental illness is not as romantic as movies would have you believe. Every day is hard. Because every day, you are trying to function like a “normal” human being. And people assume that everyone with a mental illness has to look the same way. And that incredibly confident CEO could never suffer with bipolar, right? Although this is not a post about the difficulties of being on the mental illness spectrum. This is about those symptoms that we don’t talk about.

Laziness. Well, actually, perceived laziness. Sometimes people who suffer with mental illness struggle to complete tasks. And while you are motivated to complete tasks, you actually physically cannot for a number of reasons. Fear of failure. Perfectionism. Lack of motivation. Inability to concentrate. Sure, not all laziness is as a result of mental illness, but we need to start digging a little deeper when someone seems to be lazy and unproductive. It isn’t always as a result of lack of effort or desire.

Unemployment. Even though many companies will have mental health and wellness policies these days, and mental illness is starting to have its time in the sun, like wearing green on mental health day in October, when someone is actually suffering, and it’s affecting their work, it’s chalked up to poor performance. Especially in big corporate companies, poor performance is very rarely connected to mental illness. And a lot of the time, if we can give people the support and time to heal from mental illness, as we do with physical illness, we’ll improve productivity in our organisations.

Divorce/Singleness. Mental illness affects relationships. For many years, I suffered with undiagnosed anxiety, and a lot of disagreements between my husband and I were fueled by my negative outlook. I’d always been an optimistic person, and here was one of the closest people to me, telling me that he couldn’t handle my negativity. Now that we know about my anxiety and how it manifests, we are able to manage symptoms, and he is better able to understand me. But for many people, who suffer with mental illness, they struggle to maintain relationships, with romantic partners, but also friendships. We spend a lot of time in a vicious cycle of wanting to be social, but not having the energy to be social as a result of spending all day fighting mental illness to be perceived as a normal/likeable/successful individual.

Unidentified physical illness. I have a number of friends and acquaintances who have experienced random physical conditions like carpel tunnel, bowel and bladder issues, and other conditions. And most of these are directly related to their mental illness. Now, don’t get me wrong. Not all physical illness are manifestations of mental illness, and even if they are as a result of physical illness, they are serious, and need to be treated as such. But what needs to be done is treat the mental illness and not just ignore it, because, if we do, the physical illness will continue. Also, some physical conditions are caused by the excess of cortisol in our systems as a result of anxiety for example. We need to start viewing  the body holistically. The brain is an organ just like the heart or lungs or liver. And it can get sick just like those other organs.

Lack of confidence. I mention this separately, because a lot of people experience the symptoms of a mental illness, but with people who do not understand, they attribute these symptoms to be part of that person’s character. So we get labelled as aloof, or lazy, negative, aggressive. And if the person feels that this is not true to their character, there is the potential to feel unconfident and insecure in who you are. And if people don’t like you because of symptoms like your negativity, or perceived self-absorption, it can leave you wondering, what is so wrong with me? And then lack of confidence in abilities, because you can never do anything right because of unproductivity as a result of depression for example. Or not doing well at school or work, and wondering what it is about you that is making you so incapable of success, when it could possibly be ADHD that is affecting your work, as an example.

Failure. It goes without saying considering all the above, that people who suffer with mental illness suffer a lot from failure. Perceived failure sometimes as a result of impossible standards. Actual failure as a result of lack of productivity, or poor motivation, absenteeism, missed dealines etc. And that is the challenge, to separate the symptoms from character, and understanding yourself, to know where your symptoms are making you fall short, and what you can manage, and what you can change.

Ultimately, mental illness is an invisible illness, no one knows how much you’re suffering from the outside. They cannot read your thoughts, nor can they see the related emotional stress, or the physical tax mental illness takes on your body. But also, it is not clear how this invisible illness, which a lot of people don’t really understand, and cannot conceive of how it impacts your life, has these other impacts on your life, causing that vicious cycle of having mental illness, struggling, having it impact your life negatively, and thereby creating difficult life experiences which would impact anyone’s emotional stability, let alone someone who is already suffering.

Mental illness is complex. And while having a diagnosis can be liberating, operating in a world that doesn’t understand you and what that diagnosis means is difficult. And then the result of this lack of understanding is these “invisible symptoms” that do not appear on the DSM.

I am very open about my illnesses, and symptoms, and how they impact my life. And my husband has now gained more understanding so he has a better grasp of how my anxiety impacts both me, and our relationship. I have also joined a group at work to support sufferers and carers of mental illness, and my main objective of joining this group is to spread the awareness and understanding of mental illness, and how it impacts the working life of employees. The only way to counter these invisible symptoms that I’ve mentioned here is through knowledge, if you ask me. To have knowledge of ourselves, and our mental illness, but then also for non-sufferers, or carers to have the information to develop their understanding.