SOVA Blog

Who are you?

July 27, 2016 in Educate Yourself

What words describe you? If someone did not know you at all – how would you describe yourself? You could probably make a long list of things. People are not one-dimensional. And even if most of the time you are one way, in certain situations you might be the opposite. Let’s say most of the time you are a peace maker – but if someone makes fun of your sister, you will pick a fight with them. There may even be things about you that seem to be opposites – but they are both there in you.

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Photo Credit: Tulane Publications via Compfight cc

You might have a lot of skill in math and science – but when it comes down to it, you could spend all your days just drawing with a charcoal pencil. I think you get it. People have many sides to them. And in one snapshot of their lives – they are one way – at another stage they might have left certain things behind and now there are new adjectives to describe who they are.

That being said, what does it mean to get a mental health diagnosis? Now is this something else that describes you? Does it put a damper on your life – what does it mean when someone uses a word to describe you? He’s a depressed guy. She is an anxious girl. Sometimes when people use labels on you – it feels like a condemnation. Maybe it feels like they are really saying – he’s depressed – that means he is weak, no good, a failure at life, and he’ll never amount to anything. Maybe it feels like they are really saying – she’s anxious – that means she worries too much for no good reason, she takes everything seriously, and cries and complains too much about everything.

Think – are those things true? How could you have been something else – and now this label makes you a one-sided person. Sometimes labels can make us feel so very small. Or feels like getting one means we are doomed. In medicine, a more humanizing way to talk about any illness is instead of saying: “Sally is a depressed 15 year-old girl” saying “Sally is a 15 year-old girl who has depression.” What’s the difference? The difference is that Sally is a multi-dimensional person and depression is only one part of the story.

Some people do not want to get help because they don’t want to own a label. Well, no one is a label. For the sake of figuring out how to help people, sometimes medical people will use labels so they can make a plan of what can help someone. But in reality, everyone’s illness is unique and different, has a different course, and could have been caused by different things. Using these labels is a simple way to talk to each other so we can communicate and try to help. Remembering each person is unique and not a label is always something to keep in mind.

Have you ever felt ashamed of being labeled as being sick? How did you cope with this?

Pain breeds pain

July 26, 2016 in Educate Yourself

In a post we wrote before, we talked about how some of the signs of depression or anxiety can be physical. In this post, I’d like to try to think about this a little deeper. What I mean is how does physical pain make emotional pain worse and vice versa.

Here are some examples:

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    You lack an appetite so you don’t eat much one day. Not getting good nutrition and being mildly dehydrated makes you have low energy and have trouble concentrating. You also become more irritable and snap at your friend. You start to feel really hungry all of a sudden and decide to stop and get fast food. You eat a big meal with a lot of fat and afterwards you start to feel nauseous because your stomach acid is refluxing and your body is working extra hard to break down the big meal you just had. When you get home, you go straight to your room and go to sleep until the next day. When you wake up, you feel guilty that you didn’t get anything accomplished yesterday. You drink a giant cup of coffee – and uh oh now your stomach is gurgling again…

Some patients are upset when they feel like someone is telling them their pain is “all in their head.” I like to tell them it is not in your head – but it is all connected. When we feel bad, we don’t take care of our physical needs – and when we don’t care of those, it makes us feel bad. Sometimes this cycle can get so bad, we can’t break it without a lot of support.

Here’s another example:

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Photo Credit: Nata Luna via Compfight cc

  • You are feeling very stressed about a conflict you are having with a friend and are holding your shoulders stiff all day. At the end of the day, your neck starts to throb. Uh oh – that’s your sign that a migraine is about to come on. You are not home yet and you don’t have your medication on you. By the time you get home, the migraine has already gotten bad – you take the medication and go straight to bed. Well it was unavoidable wasn’t it? Now thinking back, you realize there are more factors that contributed to your migraine. Migraines do not like someone who does very good self-care including staying hydrated, eating regular meals, exercising, getting enough sleep. Not only did your stress contribute to your migraine – the stress and worry also distracted you from the good self-care you usually are on top of.

This highlights the idea that mental health is dependent on so many things, including how we take care of our physical health.

Do these examples sound like something you’ve experienced? If not, do you have others?

You Matter To Me

July 11, 2016 in Be Positive

How do you make others know they matter?

 

When I Grow Up, I Don’t Want To Be Like You

June 28, 2016 in Educate Yourself

Photo Credit: Jose Chavarry via Compfight cc

Photo Credit: Jose Chavarry via Compfight cc

Do you have friends or family members who have a mental illness and have had a lot of trouble dealing with it or did not get treatment? Many of us do. It can be tough to watch them suffer. Maybe they are someone you enjoy spending time with sometimes, but other times you feel let down because they neglect you or hurt your feelings. Having a mental illness that is not treated often means you are not doing things to be good to yourself – and if you’re not being good to yourself, it is hard to cultivate quality relationships with others.

What if then someone tells you that you also may have a mental illness? Your immediate thought might be – no, that’s not me. I’m not like my family member at all, and there’s no way my life will turn out like theirs. It’s understandable that you might worry or be upset. But then take some time to think about it a little more. It’s true that mental illness can run in families, yet every person is unique and it affects each person in a different way. Also, we are learning more and more about treating mental illness. Some of our older family members maybe did not receive enough treatment when they were younger, and we know getting treatment when you are younger helps more.

If you feel this way, remember we are like our family and then we are not like our family. Focus on yourself. Sometimes when we do that, others notice and in time, help themselves as well.

Have you experienced worries your life would be similar to a family member’s who did not get treatment for their mental illness? How did you cope with these concerns?

Grr!

June 8, 2016 in Educate Yourself

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Photo Credit: DimitraTzanos via Compfight cc

Some people are really annoying, right? Other people just don’t mind their own business. What is that person looking at? What is their problem? What is up with this phone…shirt…car…computer…nothing works right. Everything always breaks on you. Nothing goes your way. Everything is such crap.

Sometimes some things just don’t work out. Some days are just rough. But for adolescents who have depression, every day can be like this. And they run out of explanations for why it is like this. Its called irritability. And for adolescents, it can be a major part of their depression. Sometimes it makes depression hard to identify in them because a lot of people can be irritable…sometimes… But not all of the time. They might be called by other people angry, uncooperative, insubordinate, impolite, antisocial – but under it all, under how other people react to them – is this feeling of irritability that they can’t shake off although they don’t understand why.

To diagnose a major depressive episode in adults, you need to have symptoms which make you not function well and are not because of abusing a substance or another medical problem.

You need to fit these criteria:

  • have symptoms for a 2 week period
  • these symptoms are a change from how you were functioning before
  • you have at least 5 of these symptoms:
    • a depressed mood most of the day, nearly every day
    • losing interest
    • a change in appetite
    • change in sleep
    • feeling like your body is slowed down or agitated
    • feeling a lack of energy
    • feeling worthless
    • trouble concentrating or making decisions
    • thinking about ending your life

To have depression, one of the symptoms you have to have is either a depressed mood or a

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Photo Credit: Tom Simpson via Compfight cc

loss of interest in life.

But if you are an adolescent, you can have depression if you have a depressed OR irritable mood.

Irritable depression can be tough to diagnose, but it is still depression, and the same treatment can help. To get to the right help, making the right diagnosis is important. Feeling irritable all the time is no fun and its important to know that you are not just doomed to be a Scrooge for life.

Have you dealt with irritable depression? If you had treatment, did it help your irritability?

A’s and B’s

June 1, 2016 in Educate Yourself

Thinking about starting therapy can be overwhelming if your grades are suffering. How can you afford to go to all of the sessions? Especially if you have to miss school? Do you really have time for it? Is it worth it?

If you already have good grades maybe you don’t think you need to go to therapy, because good grades means everything is ok, right? Well…grades are only one part of your life.  Are other parts of your life also working out? Like your relationships with others and your relationship with yourself? Some people also try working harder at school as a way to deal with their emotions. There are other important ways of functioning – see our past article talking about this.

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Photo Credit: Robin Hutton via Compfight cc

If your grades are getting worse because of your symptoms, can you afford to miss school for therapy?

The problem is if you don’t get therapy your grades are likely to get worse. That is because depression can make you feel not motivated to do your work or go to class, you can have trouble concentrating, and anxiety might make you too worried about going to class or getting through a test without second guessing yourself.

So there you have it: grades would get worse without therapy, but therapy could take you away from school so how does that help your grades?

One way is talking to your parent, teacher, and guidance counselor about whether you need special accommodations at school to help give you some space to catch up as you get better.  This website from a Baltimore initiative has links to several resources for schools. Your school can also set up an education accommodations plan for you called a 504 plan or if you need more intensive accomodations which might require you to be out of the classroom with a support staff, an IEP may be better. See kidshealth.org for an easy to understand summary about 504 plans and IEPs. This helpful site from Michigan has multiple resources explaining what a 504 plan is and how to ask your school for one. If you are in college check out the American Psychiatric Association and the Jed Foundation’s project Transition Year for help with resources that help you take care of your emotional health while keeping up with work in college.

If you have had special accommodations because of your emotional health, let us know below – especially if you have advice for others on how to go about it!

Nah, therapy is not for me

May 18, 2016 in Educate Yourself

Photo Credit: JustLikeWasabi via Compfight cc

Photo Credit: JustLikeWasabi via Compfight cc

Studies show when people have a bad experience with therapy it can make them have a bad attitude about therapy in general. Sometimes I tell my patients that therapy could help them, and they tell me, “nah, not for me.” It totally makes sense, though, if they had a bad experience before. One time, I had a bad experience at a fast food restaurant which shall remain nameless, and I do NOT want to go back there!

What are some reasons you or others have had negative experiences with therapy?

Here are a few examples you may relate to:

The first time you went, it wasn’t your decision.

Going to therapy can help with a lot of different problems you may have – but if you were made to go or it felt like it was a punishment versus a decision you made to become more healthy, you might have a negative attitude about it. My mom used to make me pick weeds in our driveway, and I kind of have a bad attitude about gardening! Even though a lot of people enjoy it.

The therapist and you did not seem to connect.

We know a big reason therapy works is the therapeutic alliance, which we wrote about in a prior post. If you feel like you didn’t connect with your first therapist—or especially if you didn’t feel like they cared about you, that might have been a tough experience for you. Telling someone your deepest thoughts makes you vulnerable and if it didn’t work the first time, maybe you don’t want to take that risk again.

Your parent was too involved.

Maybe you think therapy wasn’t helpful if your parent was always around. You couldn’t let yourself be honest with the therapist.

You felt betrayed.

If you received therapy as a child and the therapist was worried about abuse, that is something that they have to report to the state for your safety. But when you are a kid in the mix of it, sometimes you feel like your trust was betrayed. That can be hard to deal with.

The thing is – one bad experience does not mean the next one will be. And your experience as a young person or child may be different when you are older. There are things you can do to help make sure that your next therapy experience is a good one. We know therapy works and can get you to better mental health.

If you had a bad experience before, but want to try therapy again, try these ideas:

  • make a list of the pros and cons about going to therapy—go over your list with someone you trust like a supportive adult or your primary care doctor and together, make a decision if this is a next best step for you
  • at the first session, tell your therapist what your expectations and hopes are from therapy
  • if you feel like you and your therapist don’t connect, ask for a referral to see someone else – therapists are used to this as everyone is different and sometimes certain personalities don’t click
  • if your parent is involved, talk to them about what you expect out of therapy and how you’d like them to be involved. if they would like to be very involved, talk to your therapist about whether it would be a better idea to have a family therapist in addition to individual therapy
  • at the first session, talk to your therapist about the limits of confidentiality—what do they always keep private and what if anything, are they not allowed to keep private

Do you have any other examples of negative experiences you have had? Or tips you have about making the next experience positive?

 

 

The Physical Signs of Mental Health

May 4, 2016 in Educate Yourself

Many people are surprised to learn that the diagnoses of depression and anxiety include physical symptoms as well as mental symptoms.

Depression includes psychomotor retardation – which means that your body moves at a slower pace than normal. You might talk slower and not be quick to react.

Anxiety includes feeling restless, easily fatigued, muscle tension, and unsatisfying sleep.

Have you ever noticed if you feel wound up about something, and then try to take some deep breaths to calm down, only then do you realize that you have been holding your shoulders tight all day. Over and over, our mental health symptoms can be expressed in our bodies – on the outside and even on the inside through stress hormones, our immune system, and our gastrointestinal system.

We’ve posted a few times now about self-care. But why is it so important to our mental health? One reason is self-care can help us take care of our bodies and mind. Its helpful to think about our minds in the context of our bodies. When we feel strong emotions, what happens to our physical bodies? You might feel your chest get tighter, your breathing quicken, or your stomach churning. In the same way, when we take care of our bodies by relaxation methods, deep breathing, or eating healthy, we can also help our minds be healthy.

Have you found this applies in your life? What ways have you noticed that your mind and body are connected?