Understanding the inequities of mental health services for BIPOC: The first step for White Freedom Fighters

Understanding the inequities of mental health services for BIPOC: The first step for White Freedom Fighters

So July has been deemed “Minority Mental Health Awareness Month” but in my opinion this is information that everyone needs to discuss on a daily basis. Racial disparities within the mental health community are not a new concept. Black, indigenous and people of color (BIPOC) are much less likely to receive a high quality of care and more likely to abstain from receiving services all together due to the bias, bigotry, racism and unsafe space that a predominantly white mental health treatment culture continues to support. Implicit biases and negative assumptions that have been deeply rooted within our society regarding BIPOC persons continue to perpetuate stigmas and demonize those impacted most.

As we sit in the midway point of 2021, BIPOC continue to be less likely to seek out services or have access to providers they feel safe with. When treatment is provided, many times there is a poor quality of care due to prejudice and ignorance resulting in termination of service prematurely by the BIPOC client. I have seen this in action. My first years as a mental health provider were spent providing support to parents (primarily young women of color) and kids who had become involved within the state system for whatever reason. Most of the time their case workers were entry level social workers that were young, white women who had come from a rural community with skewed beliefs and concepts regarding BIPOC clients. Needless to say, that was an environment I didn’t do well in and decided to venture out on my own to support any client who trusted me enough to take a chance and begin the hard journey of healing.

Freedom Fighters not allies for BIPOC need to understand what steps to take within themselves, their families and communities to assist with not only closing the gap but getting rid of it all together when it comes to healing within a mental health context particular for the BIPOC community. As White people, here’s some things to think about: 

BRING AWARENESS TO THE USE OF STIGMATIZING LANGUAGE
AROUND MENTAL ILLNESS

The Diagnostic and Statistical Manual (DSM) currently in its fifth edition was initially created in 1952 through the APA (American Psychological Association). It covered about 60 disorders theorized from abnormal psychology and psychopathology exhibited from those who were confined to mental hospitals and institutions decades prior to the conception. Considering these disorders were developed from the observation and research of primarily white males, the DSM is rooted in bias, biological inferiority concepts and racism. How do you think that impacts the care given to BIPOC clients?

One of the huge stigmas of mental health is the diagnosis that inevitably comes with making the first step towards getting support. Now don’t get me wrong, there are times that having a diagnosis (label) can be empowering and helpful but let’s not forget that “making a diagnosis” is an incredibly subjective process. I believe people who receive a diagnosis tend to subconsciously enmesh themselves with their diagnosis and it becomes part of their identity, so I don’t provide one unless a client asks me specifically to render my professional opinion. Because I only have private pay clients, I don’t have to answer to big pharma and insurance companies so I’m able to utilize this practice, although I know there are some of my colleagues that would fiercely disagree.

We’ve all heard “jokes” regarding people of color and “craziness”. Now more than ever it’s important to speak up within your circle. Speak up and educate those around you on how harmful and untrue those beliefs are and how they perpetuate a racist culture against BIPOC who may or may not have mental health obstacles. You’ll get pushback but it’s up to you to stand your ground and be the change you wish to see. 

EDUCATE FAMILY, FRIENDS AND COLLEAGUES ABOUT THE UNIQUE CHALLENDGES OF MENTAL ILLNESS WITHIN BIPOC COMMUNITIES

I stay grounded in the philosophy to educate and empower others. No one is exempt and there’s always room to learn and grow. There are some great resources available that talk about mental health for marginalized communities as well as facts, research and places to find information. Here’s a few that I think are relevant: 

Challenging Multicultural Disparities in Mental Health (NAMI)

Racial Disparities in Mental Health Treatment

American Counseling Association

We are not OK: Mental Health Resources for BIPOC Communities

12 Books on Behavioral Health Written by Black People

Books by Black Therapists

Racism and Health: A Reading List

60 Digital Resources for Mental Health

Mental Health America BIPOC

Best Mental Health Podcasts

 This of course is not an exhaustive list. If you have other resources, I would love to hear about them in the comments or send me a direct email sharing your source!

BE AWARE OF PERSONAL ATTITUDES AND BELIEFS REGARDING BIPOC MENTAL HEALTH TO REDUCE IMPLICIT BIAS AND NEGATIVE ASSUMPTIONS

Do the work! Do the work! Do the work!

Be aware of your personal beliefs and attitudes. A very simple way to get some insight to self is know your biases. We all have them. Harvard created a great resource that is free to use. Go and complete one or all fourteen of the exams. Getting to really know and understand yourself is essential in this process.

Educate and understand how the construct of racism was developed, executed and is maintained within our country. This is not an complete list but it’s a great place to start.

Understanding terminology of race and ethnicity is essential to discussing and debating within your circle.  Be intentional about learning and evolving!

CONTINUE CONVERSATIONS

Once starting the very important work of personal evolution, it is equally important to begin and/or continue having difficult conversations within your circle as well as outside of it with people who cross your path. Here’s some suggestions by the American Negotiation Institute on how to get those important conversations going in a productive and assertive way:

1. What is your goal in having the conversation? Know your implicit biases. Don’t internalize or take things said personally.

2. Acknowledge and validate emotions of the other party. If you see emotions, then talk about them. Let the other person know you are seeking to understand and that you have compassion.

3. Ask open-ended questions with the desire to learn. Stay inquisitive and don’t make assumptions.

4. Utilize a problem solving framework as the mechanism for change. Collaborate with others for creative and alternative perspectives.

Shame and guilt do not provide a firm foundation for a productive conversation. These should never be used as most will take offense, clam up and get on the defensive. Instead use phrases like, “I feel”; “I have found” or “my understanding” to convey thoughts or confirm your understanding of a particular idea/topic.

FINAL THOUGHTS

I hate that we live in a society where we have to have specific awareness days/weeks/months to encourage individuals to think about hard subjects like mental health disparities within marginalized communities. But unfortunately this is where we are. I say all the time that this work is hard. If it were easy everyone would do it and all would be well and balanced in the world. However, we’re not there yet.

When I schedule a consultation with a new client, I encourage them to develop some questions they can ask regarding me, my philosophies and experiences as a clinician including my beliefs and values. I believe transparency is essential particularly when a White clinician is interviewed by a BIPOC for mental health services.  Download my guide, Ten Questions to Ask During a New Therapist Consultation, that includes questions for BIPOC individuals as well as those within the queer community to get an idea of the person/providers they are contemplating working with.

The first step is self-awareness. Take time to sit by yourself, in the quiet, reflecting on the type of person you are versus who you want to be. Educate yourself. I’m always available for that complimentary 30-minute consultation to support you. Take care!

 wh

RESOURCES:

“Racial Disparities in Mental Health Treatment”: https://online.simmons.edu/blog/racial-disparities-in-mental-health-treatment/

 “Black/African American”: https://www.nami.org/Your-Journey/Identity-and-Cultural-Dimensions/Black-African-American

 “The Role of Privileged Allies in the Struggle for Social Justice:: https://www.humanityinaction.org/knowledge_detail/jlf-16-the-role-of-privileged-allies-in-the-struggle-for-social-justice/

“Maybe it’s Time to Retire the Term White Ally”: https://marleyk.medium.com/maybe-its-time-to-retire-the-term-white-ally-438950dbe6e

 “How Important is the Psychiatric Diagnosis?” https://www.psychologytoday.com/us/blog/the-couch/201907/how-important-is-psychiatric-diagnosis

 “Mental Health Matters: 8 Stigmatizing Phrases to Stop Using”: https://www.goodtherapy.org/blog/mental-health-matters-8-stigmatizing-phrases-to-stop-using-050715

 “Challenging Multicultural Disparities in Mental Health:” https://www.nami.org/blogs/nami-blog/july-2017/challenging-multicultural-disparities-in-mental-he

The Benefits of Whole Person Healing

Let’s connect!

When someone reaches out to me for therapeutic services the very first thing we do is connect and talk!! Taking time to have a consultation is essential so I can learn more about the person, discover what they want to accomplish with therapy and if we’re a good fit to work together. I ask lots of questions so I can understand what is happening not just with their mental health but within their life! This consultation time allows someone to get to know me as well! In fact, I have some suggestions on questions you should ask in your therapy consultation that you can find here. This is the beginning phase of whole person healing.

Mental health support requires consideration of all aspects of who a person is and what’s happening in their life. This is extremely relevant to the process. I inquire about quality of sleep, water intake, work schedules and much much more. But why would water, sleep and schedules be important for mental health treatment. Let me tell you!!

I work within a Whole Person Framework. This means I take all aspects of a person’s life into consideration as I collaborate with the client to develop a treatment plan with specific goals that the client has established. What are these different aspects and why are they important?

Emotional Wellness
People who are emotionally healthy are in control of their thoughts, emotions and behaviors. There is an ability to successfully cope and manage life stressors. Emotional reactivity is minimal which reduces conflict and contributes to better quality relationships.

Physical Wellness
We’ve all heard more than once that physical activity is essential to an improved overall quality of life. Regular and consistent physical activity can have immediate and long-term health benefits. Lots of feel-good chemicals are released in the brain as well as the reduction of overall stress and anxiety.

Spiritual Wellness
At some point, we all try and figure out the meaning of life. We’re looking for “the point of it all” type of answers. Most want to be connected to a feeling of belonging as we look to a higher power of some kind. Understanding our values and beliefs acts as a compass that leads us to live what we believe through our actions in everyday life.

Intellectual Wellness
Curiosity is important to motivate each of us to try new things, develop a better understanding of self as well as within our interpersonal relationships and the world around us. Having a desire to learn helps us to be more well-rounded and contribute to the environment we live in.

Social Wellness
Human beings are social beings. We’ve come to understand that the stronger support system that a person is invested in that they experience a longer life, have a greater feeling of contentment, and enjoy better quality of life. Healthy relationships contribute to overall improved physical health.

Environmental Wellness
The place in which we live dictates the quality of life we will have. This includes within the family, community and globally. Adequate food, water and shelter is the foundation for each person to live.

Occupational Wellness
Feeling independent, valued and having a purpose are essential to an overall sense of well-being and health.

Financial Wellness
Having the resources to take care of individual personal life needs requires having an income of some sort as well as a general understanding of how to manage money affairs. Financial independence is critical for maintaining a sense of independence and autonomy.

Using this visual of Maslow’s Hierarchy of Needs, let’s dig deeper into why whole person healing is essential. If a person is struggling to meet their physical and physiological needs they are basically in survival mode. Nothing else matters but survival so my job is to direct the dialogue and provide resources for this person to solve their issues regarding those basic needs. To add an extra layer, if someone has experienced trauma and not processed those experiences the brain might continue to interpret being in survival mode and working on anything else will be next to impossible.

When I meet with a new client and begin to peel back the different areas of their life and discover they are struggling to meet those bottom level needs, there is an aha moment for the client when I describe this as survival mode. It’s impossible to do work on anxiety, self-esteem or even trauma when the brain is in survival mode. Basic needs have to be met and I focus on getting clients somewhat stabilized prior to digging in too deep regarding issues and goals.

Benefits of Whole Person Healing include:

• Improved interpersonal relationships

• More frequent use of healthy communication

• Better work-life balance

• Self-discovery and personal growth

• Increased ability to regulate emotions and stress management

• More consistent use of self-care behaviors

• Improved physical wellness

• Increased self-awareness

The interconnection of life

As you know and experience on a daily basis, each of these realms is very interconnected to one another. Think about this. There are eight people standing on a trampoline. If everyone is being still then there’s balance and harmony but what happens when one of those people begins to jump? Now there’s imbalance and chaos. If only one person moves everyone on the trampoline feels it! That’s exactly what happens within our life as well. When one area of our life is jolted and impacted by life events there is a ripple effect to other areas within our lives. When clients begin to connect those dots we call them aha moments!

As a therapist that practices whole person healing, understanding each area of a person’s life is essential for me to provide the support, resources and dialogue that is necessary for individual growth to happen. So when I ask about your water intake, sleep quality and work schedule, now you understand why!

Growth never stops! I encourage my clients to consistently evaluate these areas of their lives because knowing what isn’t working means you’re one step closer to understanding how to find the joy we all desire within our day-to-day lives! I practice what I teach and am constantly looking at my life trampoline to see what needs some balancing.

If you’d like to talk more about this concept, I’d love to chat with you in a complimentary 30-minute consultation to figure out if my practice and philosophies are a good fit for you. Click here or email me at info@wendyhawkins.net. Wishing you great things in life. Take care!!

wh

Challenging the stigma of trauma

Anytime someone experiences trauma, getting through the aftermath can be even more difficult than the actual trauma that is experienced. We all respond to trauma differently but the stigma surrounding the experience can be equally if not more traumatic for many survivors.

Misconceptions or stigmas surrounding trauma can be devastating for many of those who have actually experienced the trauma. Because of fear or insufficient information, people tend to make assumptions to form an opinion around particular trauma or survivors. Our culture often supports and has deep-rooted stereotypes and “myths” regarding trauma as well as those who have experienced the trauma. This of course has shown to perpetuate stigmas attached to trauma.

Unfortunately, many who have at some point encountered that kind of stigmatization struggle with healing making the process even more difficult. Many are even re-traumatized as they maneuver through and encounter the stigmas associated with trauma particularly within hospital, law-enforcement or judicial settings. 

So given that we’ve just scratched the surface of stigma associated with trauma, wouldn’t you agree that this is something we all should take very seriously? Each of us has a responsibility to impart change. Here are some things we all can work towards doing: 

Stop victim blaming!

Stop blaming the person who is the victim. No exceptions. Period. Many who experience trauma subsequently struggle with their own self-esteem and self-worth. There are thoughts and beliefs that “I could have or should have done something different” which caused or failed to prevent the trauma from happening in the first place. Of course this is false!!

When a survivor is blamed for trauma, it can bring an avalanche of emotions to the surface but also bury some deep within. Feeling worthless and confused are quite common for many trauma survivors. Too much of that negative self-talk can start to control an internal dialogue with self which ultimately brings feelings of isolation and loneliness. 

Anyone who has experienced a traumatic event is at great risk to develop anxiety as well as depression. Understanding the myths and stigmas associated with trauma is the first step to supporting those who have survived trauma. 

Understanding Trauma Stigmas

For someone who has experienced trauma, there are usually “triggers” or things that present as a reminder to a previous trauma. The more we know means the more we can understand what these triggers might look like. “Popular” stigmas include:

• It was your fault.

  • You shouldn’t have worn that type of clothing!

  • You were too drunk!

  • Why were you even there?

• You’re exaggerating your story.

  • It couldn’t have been that bad!

  • Are you sure you’re remembering it correctly?

  • You’re just being extra!

• You must have deserved it.

  • Things like that don’t happen to “good” people.

  • You put yourself in that position or situation.

  • You were being too flirty.

• You should learn how to move on and get over it.

  • Go on with life.

  • It’s over already.

  • Just put it behind you.

• The trauma wasn’t “that bad” and you should be grateful it wasn’t worse.

  • You just need to pray about it.

  • Was it really that bad?

  • This happened to me and I got over so can you.

People mean well when they say these things but it perpetuates the stigmas associated with trauma not to mention minimizes what the survivor has experienced. It’s important to remember that we’re all different so that means different experiences are going to impact each of us differently. Don’t assume. Don’t believe stereotypes. Don’t be silent.

Education begins the process to understanding! 

As a trauma survivor, you have more strength and courage than you’ll ever know!! Fighting against these stigmas may be a challenge especially if you’re already feeling so bad about yourself and what you’ve experienced. One of the best ways to begin the healing process is to educate yourself and others about trauma in general and the stigmas that have latched on. The more people know and understand how trauma impacts someone the more the myths begin to be questioned and rejected.

I truly believe knowledge really is power! Being a survivor of trauma puts you in a unique place meaning you have the ability to take the negative and horrific experience and turn it around to educate others and stop the overwhelming cycle of misconceptions and stigmas around trauma. You empower yourself as well as others! Which is always a key ingredient to the healing process.

Share with others how your trauma has impacted you. Tell them what symptoms you experience and talk about the things that trigger you. The more and more that you share the easier it becomes. Talking about it gives your power, exposes the truth and can be a real shot of confidence to boost your overall perception of self and your healing spirit. Check out some additional resources here.

If you’re ready to begin the healing journey from your trauma, I would be honored to talk with you. I always offer a 30-minute consultation to see if we’re a good fit. Be kind to yourself and take care!

wh

You are not alone…

Racial Trauma and Mental Health #blacklivesmatter

“There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds.”
― Laurell K. Hamilton

Racial trauma is one of those wounds that many of us don’t see because the wound is inside of the mind and spirit but definitely impacts the body. Racial trauma is very real and we all need to know and understand the impacts of how system oppression and racism impacts people of color.

wh

End white silence!!

Do you know how to support people of color?

Either you’re part of the problem or you’re part of the solution. Which one are you? We have to take a deep dive inwards to figure out the answer to that question. I’m still on my journey to understanding my privilege and biases with the hope to continue growing and evolving. I share that information here for other white people to begin the quest or for people of color to know this is a safe space and that I’m here to support you.

wh

Is There a Connection Between Childhood Emotional Neglect and Adult PTSD?

childhood emotional neglect

Time and age share the same forward trajectory. Though it might seem that neither time nor age carries a significant enough relevance to help you live free from the past. Furthermore, your past experiences could haunt you or impact you in unexpected ways. And you might not even realize it. The way you feel or react could catch you off guard. You might even have trouble identifying why you feel the way you do. Many people experiencing symptoms from Post-Traumatic Stress Disorder (PTSD) have that problem. If that's you, here's how your past and PTSD may be connected.

Who Is the Young Trauma Victim?

Childhood emotional neglect sounds like a very serious and intense experience. And it is. The thing about it is that it happens in little bits at a time, and it can be very subtle. Many people imagine neglect as withholding food or water from a child. While it certainly can be failing to provide the basics, it can also be a lot more. For instance, emotional neglect also includes not giving a child appropriate emotional support. This could mean failing to answer a child's cry for help, ignoring them when they were talking, or not validating their feelings. Overly critical parents or the absent parent also fail to provide emotional support. Many victims of emotional neglect often weren't hugged or shown physical affection. One of the most significant forms of childhood emotional neglect is the failure to form secure attachments. For one reason or another, a parent or caregiver isn't emotionally available for the child. In turn, that child goes about life with a shattered sense of trust because they weren't able to form a healthy attachment to the parent or caregiver.

When Flashbacks Debilitate

Those who face emotional neglect in their childhood often have developmental struggles. It can impact you so greatly that you may not have physically or cognitively developed properly. On the other hand, you may have appeared perfectly normal on the outside all the way to adulthood. It's on the inside where you most likely feel abnormal. But, eventually, these unseen effects slowly begin to overflow into other areas. Certain situations, turn of phrases, or even smells could trigger what are known as "flashbacks." You may feel like you did as a child during these flashback moments. Feelings of worthlessness or anger are common ways people with PTSD react when experiencing those flashbacks. Moreover, flashbacks have a way of interfering with your relationships, too. When you weren't able to form an attachment to your parents or caregiver, it conditioned you to approach all other relationships the same way. That's why, throughout your life, you may have always felt distant or detached from people. In short, flashbacks are a key element in identifying PTSD and many survivors of childhood emotional neglect experience them.

How the Trickle Qualifies as PTSD

Professionals used to believe that a diagnosis of PTSD was only fitting for those individuals who had an intense emotional response to the traumatic event. This meant that a person had to go through a jolting and extreme event to trigger PTSD symptoms. But childhood neglect is more like a trickle or continuous little drops. Kind of like a faucet that never turns off. Eventually, it overtakes you like a flood, but it doesn't happen all at once. Yet, at the same time, victims of childhood emotional neglect display many of the same symptoms as those experiencing PTSD—avoidance, a negative outlook of the world, and feeling detached from other people. As mentioned before, flashbacks are also a key symptom. Today in the field of mental health care, the ongoing trickle of childhood emotional neglect now qualifies as a cause for PTSD. In fact, the two are connected in a cause and effect sort of relationship that can have a an impact for many years. If you'd like to learn more about the connection between children emotional neglect and PTSD, please contact me for your 30-minute complimentary consultation. Together, we can uncover the hidden causes for why you feel the way you do and find a way to empower you to reclaim your life.

wh

Trauma and Ethnic Mental Health

Trauma and ethnic mental health

Trauma and ethnic mental health

There's a direct connection between trauma and ethnic mental health. There's no getting around it or sugar-coating the facts. Due to racial trauma, the mental health among communities of color continues to decline due to a very specific social injustice that still exists in America.

Racial trauma, which is similar to post-traumatic stress, is a psychological trend experienced by black and brown people of America. Likely factors leading to this type of race-related stress include re-experiencing historic trauma, experiencing or witnessing current racially-motivated violence or being within a community of poverty that perpetuates institutional racism.

Traumatic interactions can happen directly, as victims of racial violence and discrimination or even by continuously witnessing it in public. Trauma and ethnic mental health can be related to experiencing police brutality (real or on TV/social media) living in institutional poverty, being subjected to stereotypes and hate crimes. Results of such experiences as the victim or the witness, include depression, anxiety, paranoia and anger management difficulties. Mental health professionals have also found that racial trauma also perpetuates the divide among races that creates the problem in the first place.

Declining mental health

Many experiencing racial trauma tend to have a distrust against the oppressing race, a hyper-vigilance to threats and even the attribution of their own race as reason to be failures. Such distress over a lifetime often leads to mood disorders that bolster unhealthy coping mechanisms such as substance abuse or violence, further leading to problems with addiction and crime. This creates a direct correlation between trauma and ethnic mental health. The trauma can behave as a trap across generations that only further internalizes the self-hate broiling among the traumatized on the sole factor of their race creating additional historic trauma. Feelings of hopelessness discourage any break in the cycle of trauma and failure among people of color. Although the effects of racism are identifiable in people of color, the racial trauma has yet to be recognized as a diagnostic label in the mental health community.

Advocate and Educate

Responding to hate crimes and racial acts of violence with a mission of advocacy is one way to feel accomplished and purposeful. Rather than demonstrate apathy and acceptance that its “just the way it is” for a person of color, standing up in the name of one’s race scrapes away at the self-hatred that can contribute to certain mood disorders and unhealthy coping. Feeling a sense of contribution instills a feeling of empowerment, and with empowerment comes a will to live and serve in the name of race and humanity as a whole.

Educating yourself and others about the detriments of racial trauma also reassures the confidence-building necessary to face these social injustices while spreading awareness. Teaching children, relatives and friends builds an advocacy network that slowly creates the dent toward breaking down the infrastructure of racial unfairness. For many of these groups, obstacles like poverty and lack of insurance prevent access to professional help, yet the act of educating to promote awareness may spark a desire to seek healing through online communities. There are also several online sources from professional organizations that educate on how ethnic inequality adversely affects our society, and ways to address the issue.

Self-Empowerment

Evolving the societal consciousness as a whole could still take several lifetimes before racism against ethnic groups is obsolete, there are ways to cope with this form of PTSD. Committing to self-care and obtaining professional help with the self-awareness of racial trauma can also act as a weapon against racism.

Whether it’s building a Mental Health Toolbox, speaking with a licensed social worker specializing on race-related stress or learning the process of proactive coping, equipping yourself with the right strategies can ensure the mental evolution necessary for a productive life.

There are also areas of racism exposure that can controlled, as to not perpetuate the trauma within oneself. Disconnecting from certain explosive social media pages, limiting the consumption of news and redirecting energy from getting angry into self-care can be helpful in combating race-related stress.

If you are a person of color, do you feel that ethnic inequality has contributed to any mental health imbalances within yourself? If so, how are you coping now? I’m interested in hearing how you’ve learned to evolve from discrimination based on your race and community, with the intention to help others in your very unique situation. I’m always available for a 30-minute consultation!

wh

Building the Mental Health Toolbox

Building the Mental Health Toolbox

As with all tasks, having the proper tools empowers one to be prepared, knowledgeable and ultimately successful. When thinking of mental health and developing one's sense of well-being there is no difference. Building a Mental Health Toolbox is essential to the positive evolution of one's mental health overall. If we all adapt this mindset, then we're all under construction. So grab your hardhat and let's get busy! 

Understand the diagnostic label

Whether it’s a therapist, a close friend or even your own research that finally attributes your troubles to a mental illness or disorder of sorts, it can be a challenge to integrate the diagnostic label as a part of your existence. Although many find relief in finally understanding why a happy life has been so hard to come by, accepting the new label may be as difficult as adjusting to a third arm or sixth toe. And that’s okay. That extension of your persona has likely been in existence for a large part of your life. A new name for a characteristic of your psyche doesn’t make you less of a human and most certainly doesn’t define you. A diagnostic label is meant to classify you by a set of observable traits to determine the treatment most suitable for you. But in no way is this meant to segregate all clients with one label as the exact same – each person is an individual with specific challenges, experiences and varying degrees of these traits. Every client living with anxiety, PTSD or depression is unique beyond the diagnostic label used in doctor and insurance offices across the country and its important that they are treated as such.

By embracing your label, you take the first step in acceptance of who you are, a key element of the self-love necessary to evolve. There is a possibility that you, or those close to you have subconsciously adopted a stereotype of certain labels, and working through the stigma can also sometimes be a part of learning how to utilize your mental health toolbox. Imagine yourself without the label and any of the characteristics that may have come of it. Would you be as strong of a person? Would your emotional intuition be as fine-tuned? Would your resilience be as elastic? Though you may feel that your label contributed to unpleasant experiences and traits, the silver lining is that you had several opportunities to develop important survival skills in the process. Now that you’ve arrived at the phase of your life to want to evolve from your mental problems, your subsequent emotional intelligence continues to stick around to catapult you through life’s never-ending challenges. Love yourself and embrace your label, because as troublesome as it’s been in the past, it has made you beautifully strong enough to take on this evolution.

Maintaining physical well-being

The body can act as a remote control for the mind with buttons for relaxation, mood boost, patience, energy and the list goes on, as both are directly linked. To maintain the well-being of your body is to ensure a balanced foundation for the mind to solve life’s challenges. Efforts into continuous well-being automatically propel the mind’s evolution, clarity and awareness, so it’s well worth the daily undertaking.

Sleep

A set bedtime with plenty of hours to sleep can begin the habitual process of physical well-being. Everyone’s needs for adequate rest vary, but 6-8 hours should be the daily minimum to ensure physical and mental health fitness. A good night’s rest goes beyond feeling refreshed in the morning, with benefits building up in your heart, weight and of course your mind. During those hours of shut-eye your brain is also working to remove mental waste, like the toxic byproducts that contribute to degenerative brain disorders. It’s also working hard to cement memories and new skills you may have learned (like learning to battle anxiety!) Refreshing rest also contributes to better emotional regulation, an essential within the Mental Health Toolbox.

Cognition, attention and decision-making is enhanced with the right amount of zzz’s, making life that much less challenging just by closing your eyes every night. Loving yourself means loving your body, and that can be as easy as cuddling up under your covers and drifting to dreamland. There is empowerment in pillows when it comes to evolution!

Healthy Nutrition

Once you’ve absorbed a solid amount of rest and the sun has begun tickling your skin with its first rays of Vitamin D, nourishment should be the next priority to feed the body, as it’s likely been more than 8 hours since your last meal! Regenerating with the right nutrition is just as important as rest, and making time for eating right impacts your energy and mood for the day. Taking a little bit of time each day to understand your body and adopting healthy eating habits adds another strengthening layer of physical well-being. A good rule of thumb is to remember that the Earth herself provides many of the nutrients you need to feel optimal, so it’s easier to differentiate from the processed, sugary, greasy weaknesses that slow your body’s flow.

Exercise and physical activity

Another essential tool in the Mental Health Toolbox is exercise. The daily challenges of stress can be immediately combated with weapons of feel-good hormones. These are generated with the physical demands of exercise, and it doesn’t take an expensive personal trainer to get the job done. If your life is too busy and working out is an intimidating schedule shift, take a step back and identify areas in your daily tasks that can easily convert into a mini cheat exercise. Something as simple as opting for the stairs at your office building, or a nice 15-minute stroll during lunch can make the difference in your brain boosting chemicals. Even squeezing in 10 squats in the bathroom stall every time you make a run to the loo can get the blood going. A 30, 15 or even 10-minute commitment to muscle movement beats hours-long mental drains that affect your mood, productivity and sense of well-being.

Life Balance

Understand that your mind and body are one, and the two constantly communicate to ensure optimal existence. The key is to learn the language of your physical self to establish ongoing well-being. Become aware and listen internally. One of the most effective tools in your toolbox is developing a healthy sense of balance in all areas of your life. The Wheel of Life is a great place to start!!

Healthy lifestyle choices

When making the conscious decision to prioritize mental health, what is your motivation? Taking a holistic approach to a mental evolution? Reducing your depression or anxiety? Feeling like life is worth living? Better relationships with your loved ones? Maintaining employment? The get-up-and-go reasoning varies, but it’s important to keep a list of your reasons in constant visibility to serve as a reminder in making healthy lifestyle choices daily. Your lifestyle choices are those that you make determining your life and behavior, with a direct association to your preferences and values. Your motivation to prioritize your mental health is a strong indicator of your values.

To make the right choices, you must take a step back and determine first the areas in which you recognize your self-love practices. Are you sleeping enough and eating well? Is your monthly gym membership going to good use and are the dog leashes constantly missing from their wall hooks? Then think to yourself, in which areas can your lifestyle decisions improve to better align with your values and motivation for improving your mental health? Here’s a quick quiz to get you thinking and reflecting on your lifestyle choices.

Once you see your results, an easy start to making better lifestyle choices is to make a list of the obvious not-so-great choices. Things like drinking excessively, eating fast food multiple times a day or going through a pack of cigarettes in 48 hours. You’ll find that integrating better habits like exercise and good rest make the removal of the bad list much easier, all while boosting your mood, health and progress toward a better lifestyle! Even more eye opening, as your bad list habits fade, so do your chances of chronic diseases like obesity, heart disease, cancer and many other conditions. That life balance that you’ve begun to work on will be an incredibly important tool within your Mental Health Toolbox.

A good way to structure your mental health maintenance is by relying on daily routines to keep these lifestyle choices in check. Aside from reinforcing good habits, they give you a sense of control that gradually makes these choices automatic. Just as your bad habits once required no effort, your new, healthy habits will become second nature! This further ensures longer bouts of mental stability refined and ready to tackle obstacles that perhaps once debilitated you.

Remember that learning to utilize the tools within your Mental Health Toolbox is a gradual process and it’s okay to feel overwhelmed but just don’t quit! Starting small is okay! Thankfully, good habits get stronger with each repetition, while the bad ones shrivel away with each neglected urge. Here are a few tricks to overcoming the challenges that sometimes come with learning new skills and retraining your brain.

Yoga

Science and personal experience can reinforce your faith in exercise, but one particular activity has begun to make a name for itself in the realm of mental health. Yoga, an ancient Indian practice integrating breathing techniques and postures has been associated with improved health and happiness. The practice promotes health throughout the body while reinforcing self-awareness, two of the most important tools in your Mental Health Toolbox for self-care.

Yoga is to the mind what cardio is to the body. From a mental health standpoint, yoga trains the brain circuits involved in stress response. Most people respond to stress with adrenaline and/or cortisol in the blood, which in turn create the rapid heartbeat, breath and other nervous system symptoms that we feel during stress. In a person who practices yoga regularly, the relaxation signal in the brain can be turned on by engaging in a pose to slow or even stop the stress response. This tool can then be used to counter stress on demand when combined with awareness, which is bolstered with the regular breathing and meditation techniques learned in yoga.

Regular yoga practice is a self-soothing ritual that promotes an ongoing relaxation and slowed thought process that inhibits anxiety and other negative feelings. Connecting the breath to the body via yoga also enhances the internal listening process with the body, so your mind is more in tune with your physical needs to stimulate consistent well-being. In addition, regular mindfulness practice is also a healthy way to release built-up emotional energy that tends to calcify and clog our efforts to mental health maintenance. By integrating yoga into your mental health routine, you ensure a regular cleansing that complements your self-care routine utilizing and important tool within your Mental Health Toolbox. Try some of these easy poses to get the blood flowing!!

Brain cardio, grounding techniques and meditation

The beautiful unraveling of life happens in this very moment. Unfortunately, it’s easy for many of us to get entangled in past stress or worries of what lies ahead. The reality of present life moments is robbed by the thief of thoughts, holding our minds prisoners to invisible imaginations. Try to picture life as a tightrope with no net. It’s obvious that one would have to journey through with a carefully balanced, inch-by-inch forward progression to survive, right? Now think, how often are your eyes off the tightrope? How often are your letting the present moment slip away? Is your reality surviving?

To stay on the tightrope mindfulness is the star tool within your Mental Health Toolbox. It is a strategy that peels your identity from your thoughts, as your thoughts can sometimes be an unreliable source in the sphere of mental illness. With mindfulness, rather than be your thoughts, you are above them as their creator and observer. Your higher self goes beyond the mental noise that can sometimes overwhelm your body and soul. An easy way to remind yourself to slow the thoughts is to take a deep, long breath, then follow the next five to ten breaths thereafter. If you do this constantly, you may start noticing how often you actually hold your breath unconsciously when intense anxiety or PTSD thoughts start clouding the mind. Observing the breath helps brings you back to the present moment. Mindfulness and a healthy state of mind go hand in hand.

There are various techniques that promote and preserve this present-moment awareness. They are the basis of yoga and several other Eastern religions and spiritual practices. Grounding is a technique that helps to bring you out of the sea of thoughts and into the present moment reality. These are especially helpful in moments of stressful emotions and feelings. There are several skills you can try and regardless of your diagnostic label, each one has a different level of effectiveness so it’s important to try several before finding your present-moment solution. The great thing about grounding techniques is that they’re so easy they’re almost effortless, yet they work wonderfully by acting as a net to fish you out of the turbulence of thoughts that sweep you from the present.

Meditation, a regular practice of yoga, can be also be practiced independently as part of your mental health routine. It is the practice of focusing your attention on a single point of reference, oftentimes the breath. Some like to focus on a mantra or intention. Ultimately, it is a way to pull your mind out of the stream of thought and observe rather than follow for a set amount of time. This sort of focused mental training helps rewire the brain patterns of entangled thoughts that pull you from the present moment. By training yourself to observe, the mind begins to silence itself from these thoughts and you become present. Once the session is over, your ability to remain focused on the present in real-life becomes easier, and you begin to experience life on the paradigm of the now, as life should be lived. Meditation is a helpful tool for mental health because it not only reduces stress by hushing the mental noise, but such effectiveness has shown it to work against the progression of illnesses like depression and anxiety. Regular meditation practice can actually change your brain’s stress response to promote you’re the effectiveness of your Mental Health Toolbox.

So....what's next?

Now that you’ve been educated and empowered with your very own set of tools, you can take charge in your mental health journey by applying your own personal strategy to evolving into the best version of you. Remember, we're all under construction and need to constantly add new tools to our arsenal. I’d love to hear from you on how you’ve adapted this basic concept and made it your own! Subscribe and like my blog to stay up-to-date on future additions to the Mental Health Toolbox.

~wh

Teen Dating Violence and Mental Health

teen dating awareness

February is Teen Dating Violence Awareness Month

Happily ever after---or not? It’s easy for our teens to become enamored with an idea that’s been told over and over again during story time and Disney movies for most of their childhood. What isn’t so easy for them, is to recognize that an unhealthy relationship may not quite be the puppy love story they believe. Teen dating violence and the shadows of mental health illness linger among victims as well as abusers.

Many types of abuse

Teen dating violence involves several types of abuse ranging from physical, emotional/psychological or even sexual. It can be delivered to the victim ever so subtly in the form of bullying, humiliation and jealousy, or it can be visibly obvious on their body or through their behaviors. Sadly, abusive relationships among teens is prevalent, occurring in 1 in 10 teens by way of physical or sexual violence. Even more frequent are the moments of verbal or emotional abuse. In other words, there’s a good chance your teen may have friends involved in teen dating violence or worse, be in an abusive relationship themselves.

Such violence, regardless of the degree of severity, negatively impacts overall mental health. When intimacy is confused with violent or abusive behavior, the seed of abuse and mental illness has likely been planted within the victim and most likely the abuser. The cycle will continue unless the problem is recognized and those negative seeds of intimacy are addressed. Ideally, prevention of teen dating violence is the first step, particularly by dealing with underlying mental health issues.

Why does it happen?

There are factors in a potential abuser's behavioral patterns that can increase the likelihood of teen dating violence which include depression, anxiety and other trauma symptoms. Instances of aggression towards others, the use of drugs or alcohol and being sexually active at a young age are also among those circumstances. Parents and peers involved in relationship violence also influence the probability of teen dating violence. And so, this continuous cycle creeps into its surroundings until the recognition and desire to evolve from it arises.

Some of the very same factors affect a potential victim’s risk of getting caught up in teen dating violence, shining light on the need to address depression, anxiety and trauma issues early on before intimate abuse degrades mental health further. If you see any of the signs of mental health illness (such as anxiety or depression) in your children, there are resources and steps you can take to help them evolve from a state of mind vulnerable to teen dating violence.

What can I do as a parent?

Proactively approaching the situation can steer a potential bad situation from ever happening at all. The most effective tool you have in this situation is communication! Next important step is to provide your teen with a safe place to talk with you. It doesn't happen over night but it will happen if you're consistent and patient. Finally, work on empowering your child or teen with problem solving skills. Even though you're the parent and can "demand" your teen stop seeing someone who is abusive, the reality is unless your teen understands why they are in an unhealthy relationship the possibility of them continuing to engage in those behaviors and relationships are very likely. Information is key!!With technology being so prevalent within our culture, many teens experience dating violence through their social media and electronic devices. Again, talk with your teen. When my kids were teens, I advised them that my job was to protect them and if I had a suspicion or concern regarding their electronics and/or social media that I would randomly ask to see their device content. Many might think this is an invasion of privacy, however, if you have the conversation and are forthright with that message then teens know what to expect and will respect the honest between you.

Last but not least...

At the core of this social problem is the quality of mental health among individuals and their families. It’s important to take a deep breath as a parent and know there are resources within reach to address concerns within your teen’s psyche, or even be proactive about maintaining balance. School counselors, social workers, and online education are all support reserves waiting to be tapped to ease the pressures of effective parenting. Learn more!! You’ll become empowered by educating yourself and asking for help! Don’t forget, I’m always available for more conversation if you have a concern. Contact me for your 30-minute complimentary consultation. Take care!

wh