Month: November 2017

Guest Post: ‘Don’t count the days it may take for Recovery, make the days count’- On PTSD by Christina Hendricks at www.mentalhealthzen.com

~ Eleanor Segall ~ 13 Comments

Ptsd
(image: PTSDscreening.org)

Trigger warning: contains descriptions of PTSD symptoms

“Don’t count the days it may take for recovery, make the days count. Seeking timely professional help boosts healing, instills hope and ensures recovery,” said 51-year-old Michael Hughes (name changed), a highly decorated firefighting veteran from New York as he stepped out of the therapy room after an intense session of trauma-focused psychotherapy. “Mental health issues are just like any other disease where recovery takes time. You need to have faith, be positive and stay strong,” he said with a smile.

Michael revealed that his job gave him post-traumatic stress disorder (PTSD) and that he got the problem from what he had seen. His 25-year stint as a firefighter with the Homeland Security and Emergency Services fetched him multiple laurels, but at a great price, which he continued to pay for years. After 22 illustrious years of service, he was diagnosed with PTSD because of which he was discharged from service.

Years of attending innumerable incidents of horrendous fire and fatal high-rise blazes gave him nightmares later. Frequent flashbacks of infernal flames engulfing entire blocks of buildings, scenes of the injured and dying being pulled out of the debris, and thick, choking clouds of black smoke adding to the mayhem became an inevitable part of his life. The impact of his job was so powerful that even watching television shows involving fire accidents would send shudders down his spine, waking him up in either cold or hot sweats.

Soon the mental agony made him feel as though the entire world was crashing down on him. Moreover, the fear of becoming an object of scorn and ridicule was so overpowering that he hesitated to express what was going on in his mind. He feared what seemed very real to him, may seem illogical or unreal to others around him. He knew that each traumatic experience of the past was gradually taking its toll on his mental health. The truth was the post-traumatic stress was wreaking havoc on the inside, while he still managed to look seemingly fine on the outside.

But it was a matter of time that he reached a stage when he completely lost all control over his emotions. Even the smallest of fire sparks or the sight of someone hurt or injured would make him upset and depressed. Nevertheless, what was controllable once, had become uncontrollable. Even the smoke coming from a cigarette would trigger a series of vivid flashbacks of a major fire accident, evoking painful memories of the past.

However, it was one ear-deafening Fourth of July, which blew the lid off. The non-stop pompous bright flashes and earth-shattering aerial fireworks all around him became unbearable. The petrifying sounds brought gut-wrenching scenes repeatedly to his mind. The ghastly flashbacks unleashed chronic unrest and panic attacks. He felt so low he contemplated his own life and what it meant. But as fate had ordered it otherwise, a well-timed intervention by his wife Amy (name changed) made him rethink his decision. “Sometimes it’s okay not to feel okay,” were the precise words she used. Her comforting words encouraged him to fight his condition by seeking support. He finally felt assured that his wife wouldn’t view his vulnerability as a disgrace.

Michael’s involvement with numerous emergency situations in both natural and man-made disasters during the course of his career compelled him to bottle up an ocean of emotions, anger, sadness, losses and grief. Finally, on hitting rock-bottom, it was in the mental health rehab that he was diagnosed with depression and anxiety, in addition to PTSD. Besides, the most important lesson which he learnt was to speak his mind. He realized that his family needed to know what he was going through so that they could help in some way or the other. Secondly, he realized that any mental problem should be viewed as a chronic mental health condition, requiring regular visits and check-ups, monitoring of treatment adherence, effectiveness and tolerability, and spreading awareness about the disorder.

The mental health specialists at the rehab, recommended Prolonged Exposure (PE), Cognitive Processing Therapy (CPT) and Eye-Movement Desensitization and Reprocessing (EMDR), in addition to a PTSD K9, to help Michael cope with his condition. Additionally, he was advised to workout with a personal trainer six days a week. Michael knew that it would take a long time to heal the scars of more than two decades, but he was confident that soon the damage will no longer be able to control his life.

Factors that prevent individuals from seeking help

“The brave men and women, who serve their country and as a result, live constantly with the war inside them, exist in a world of chaos. But the turmoil they experience isn’t who they are; the PTSD invades their minds and bodies” – this excerpt from Robert Koger’s 2013 bestseller Death’s Revenge is probably what Michael experienced during a significant chunk of his firefighting years. Apart from the existing confusion and lack of awareness, other reasons that force most individuals employed in emergency services battling similar mental conditions to not seek professional help are:

  • Seeking help could lead to undesirable consequences: The fear of being denied promotions or being ignored due to the stigma surrounding mental health could be a major reason for many to keep quiet.
  • Avoiding any form of discreditable dismissals: Studies suggest that being branded as mentally ill could lead to dismissal, negatively impacting the benefits of such individuals, including their chance to secure employment elsewhere.
  • Being cut off from access to treatment: Postings of emergency services staff across isolated locations worldwide could be another reason.
  • Screening for mental health is viewed in poor light: Popular notions of stigma, guilt and shame that surround mental disorders can prevent many individuals from seeking the required support.
  • Facing problems is a manly thing: “PTSD affects only non manly men,” is one of the biggest misconceptions nurtured by most men in uniform. This attitude need to change completely or else things could blow up to devastating proportions.

Acknowledging mental disorders is the first step to recovery

Living in a socio-cultural set-up where any symptom of mental problem is viewed as a sign of weakness often tends to reinforce the stigma surrounding mental ailments. In fact, even near and dear ones, including family members, don’t seem to prioritise mental health disorders as they would other physical illnesses. According to the National Alliance on Mental Illness (NAMI), around one in five adults (approximately 43.8 million people) in the United States experiences mental health disorders in a given year. Moreover, one in 25 American adults (approximately 9.8 million) is also known to experience a chronic mental health problem, interfering with major life activities.

But the support of family members can work wonders in eradicating the stigma linked to mental health. In fact, studies suggest mental health disorders, such as depression and anxiety, have their own way of hoodwinking even the most cheerful of people into believing that their existence is good for nothing and disgraceful. It can drain energy and happiness, shatter sleep patterns, eat up vigour and vitality, disrupt concentration and hamper functioning, leaving the individual in a constant state of dejection.

Mental health professionals insist on managing mental illness just like other chronic physical health ailments like hypertension and diabetes. The need of the hour is to encourage family members to stand with their loved one’s in providing the support and strength. Acknowledging the truth that there is a serious problem, and that their loved one is fighting a battle within is the first step to recovery. In fact, it is another way to direct people to professional mental health care services.

This article was written by mental health blogger Christina Hendricks at www.mentalhealthzen.com . Featuring case studies of real people with Post Traumatic Stress Disorder.

On Developing Positivity and Hope: A Self Development Journey

~ Eleanor Segall ~ 13 Comments

stars1
(image: motivation grid)

Its a brand new week. I have of late been struggling with anxiety attacks again (when I go to sleep sometimes the feared situation pops up in my mind and stops me from doing what I want to do) so I am taking time to heal myself and be more positive. I want to find hope and live a more positive life so I can live the life I want to live.

This prompted me to start my friend Holly Matthews 21 Day Happy Me Project. This blog is not an advert for it, but the course is something I am doing for me, using positive affirmations and thinking, the law of attraction and goal setting to find techniques to live a happier, healthier life. So, I have printed off my work book, listened to the first webinar and audio and aim to set a few mini goals and start work. Also, Holly is awesome and a big inspiration to me!

My anxiety disorder is  a struggle- I still can’t seem to get it under control, its like taming a beast. However I hope that through finding a more positive mindset and talking out my feelings in therapy (separate to this project) that I will start to feel better again.

I am working on self development at the moment, however long it takes but must remember to be kind to myself and keep going through the storms.

Guest Post by Reviews Bee: How to Prevent the Negative Impact on Child Mental Health

~ Eleanor Segall ~ Leave a comment

child1

(image: http://acelebrationofwomen.org/2015/02/childrens-mental-health-matters-take-action/)

The physical health of children has always been an important aspect. Nowadays with the increase of stressful situations, modern medicine is concerned about the importance of childrens mental health, as it plays an important role in their personal development, upbringing and growth into adulthood.

There can be negative impacts on a child’s mental  health, which can be demonstrated as depression, anger, addictions or other mental health conditions.  If you notice behavioural changes in your child, you should take important steps to reach out and help them.

First, identify the reasons.

Everyone faces daily problems and children are not an exception, but in contrast to adults, they are not always able to cope with the relevant issues or take steps to get out of the situation. At times, they may be unable to properly express their feelings appropriate to the situation.

It should be noted that psychological health is formed by the interaction of internal and external factors, including environment. Amongst the most common situations causing mental disorder are tense situations in the family, problems at school such as bullying or low grades and sometimes internet bullying via social media.

As soon as the problem is identified, you, as a parent, should go forward and help your child as much as you can . The following steps are good approaches to the problem:

  1. Communicate with your child

Always have time to talk to your child. Be interested in their problems and show that you care, ask them to tell you about their day and try to understand troubling points in their daily life. You should be able to give advice, but understand their rights to make their own decisions and respect their opinions. Learn to treat the child as an equal partner, so they will share their sincere feelings and problems- so you can help.

 

  1. Help your child with their lifestyle

If home or school is a difficult environment, try and make it as calm as possible for your child. It is good to balance work and relaxation for the child. Make sure that they sleep on time, as proper sleep is required for their nervous system to calm down. You can even help the diet of the child with good nutrition and include more food rich in protein, vegetables and fruits. It is also good to encourage positive activities and hobbies.

 

  1. Teach positive thinking

Help your child to find and see sources of positive emotions. Positive thinking will also help the child to find inner peace in different situations. Encourage the child to build plans for the future, set goals and develop ways of reaching them. Being a role model for your child is so important with this.

 

  1. Boost the childs self-esteem

You should help your child to increase self-esteem, as this can be at the core of unhappiness or mental health issues at home or school. Your task is to prove their worth and how good they truly are. You should assist the child in finding their confidence and improving their self esteem so they can thrive. If you struggle with this, it may help to contact a therapist to help them.

 

  1. Work with a psychologist.

Many parents decided to get their child referred to work with a psychologist. If your child is truly struggling, this can be helpful. Some tips and guidance granted on the specific needs of your child may prevent future problems and boost their mental health.

This article was written by Reviews Bee at http://www.reviewsbee.com/

Hitting the Pause Button: Taking a step back to promote Wellness

~ Eleanor Segall ~ 4 Comments

pause1
(image: https://blogrhiaepoitiers.wordpress.com/2015/04/23/il-est-temps-de-faire-une-pause/)

Last week was particularly tough for me as I have written about and I felt really down. So this week, I decided to hit the pause button and just relax as best as I could, before attending job interviews next week. I am staying at my Dads in the countryside this week and while I have been doing a little bit of job hunting/ applying, I have mainly been resting and trying to promote as much relaxation as possible. I felt so drained and stressed out last week when I received some difficult news and knew I should take a step back in order to promote my wellbeing. I am feeling so much better, after having lots of sleep and not beating myself up over what went wrong.

Sometimes, I think that when we go through hard times, it can be all consuming. Your brain replays the upsetting event and tries to analyse it and think where you went wrong or if you could have done something differently. This week, after several days of this, I have chosen to pause. I have had to, for my own sanity. I am also lucky that even though financially things can be hard, I have the support of my family. Not everyone has that. That has made me be able to be more positive as well. I know that I am one of the lucky ones in that.

Last night, I went to the cinema to see Paddington 2 which was adorable. A very sweet, happy, family movie. Just what was needed really!

I know that things will get better again and am trying to draw on my strength and past experiences to be resilient and move forward. It is never easy. I am hopeful this week that I will get there, and part of that is from pausing and regrouping.

Raising our Voices: Stigma and Bipolar Disorder (For Equilibrium Magazine Issue 63)

~ Eleanor Segall ~ 15 Comments

I was asked by Equilibrium magazine, an online magazine dedicated to mental health and wellbeing by those with lived experience, to write an article for them. I chose to write it on stigma and bipolar disorder and here it is. You can also read it online at :   https://issuu.com/antz333/docs/equilibrium_2063

illness1

I am very excited to be writing my first article for Equilibrium. In this article I
will discuss stigma and life with bipolar.

I have lived with bipolar disorder for thirteen years, having been diagnosed at just
sixteen years old. The illness runs in my family, but it was still a shock when I
found myself unwell in hospital as a teenager. Bipolar disorder is a mood disorder,
which means moods can oscillate between depressive lows and manic highs that
can be treated with medication and therapies. When depressed, one might find
oneself feeling extremely negative and unable to do activities previously enjoyed
or, in bad cases, suicidal and unable to cope with life. When in a manic state, one
may be in a heightened hyperactive state, talking fast/not making sense and
unable to sit still. A person may act in ways they would not usually behave when
in a typical state. This can then spill over into psychosis, with delusions and a loss
of touch with reality, which can eventually lead to hospitalisation in severe cases.
There is currently no cure for the disorder; however, mood stabilising medications
such as Lithium, prescribed by a psychiatrist, and courses of therapy can very
much help. It is believed that bipolar may be caused by a chemical imbalance in
the brain, but there is still so much we do not know. It is for this reason that
stigma about the disorder and other mental health conditions, pervades across
the world.

So, what is stigma? Stigma can be defined by the Oxford dictionary as a ‘mark of
disgrace associated with a circumstance, quality or person’. In terms of mental
illness, people fear what they have not experienced, do not know and do not
understand. It is the fear and ignorance that then perpetuates myths about those
who struggle with their mental health.

Due to the sometimes unpredictable nature of mental illness, in our case, bipolar
disorder, fear and stigma are most definitely generated. When people haven’t
been through the suicidal, heart-wrenching lows, and the sometimes equally
terrible highs, they will comment that the person is ‘attention-seeking’ and just
doing it to get a reaction from other people. We have seen this recently when
depressed celebrities, for example singer Sinéad O’Connor (who has bipolar), open
up to the world about their demons. They get criticised, shot down, told they are
being drama queens, silenced, as if their problems are trivial. There is nothing
trivial about serious mental illness or how the brain can trick you into feeling.
There is nothing trivial about feeling so unwell you can’t get out of bed, wash,
live. There is nothing trivial about experiencing suicidal tendencies and not having
support, because support networks are the one thing that keep bipolar sufferers,
and those with other conditions, going. Without my support network, I know I
would find things so much harder.

So, how do we tackle this stigma? In one word: talking. Telling people about our
experiences. Sharing the world of people who have mental health issues and
reflecting it back to wider society, through explaining to non sufferers what its
like to live with a mental health condition. It Is so important to show wider
society the world inhabited by people with mental health conditions. Everyone
is different. Its vital to explain the unexplainable. Talking about our symptoms
but showing how we can reach recovery or what recovery means to us.

I began speaking about my experiences online via my WordPress blog ‘Be Ur Own
Light’ (www.beurownlight.com) about a year and a half ago. The blog began as a
diary, as I was navigating life with a difficult anxiety disorder which made it
difficult for me to hold down a job long term. I still live with this anxiety and am
learning how to manage it. When I first began writing, I did it secretly and only
showed it to close family members and wrote under pseudonyms. I was effectively
testing the waters to see the reaction. I was frightened I would get negative
feedback.

I began writing for charities such as Rethink Mental Illness, Time to Change and
Bipolar UK, under pseudonyms, because I didn’t yet feel able to associate my name
with the illness. I was scared, and I suppose was experiencing some self-stigma. In
thirteen years I had never written about my illness or mental health online,
though I had explained it to close friends. I remember the day when my first
article for Rethink was published –‘Being Jewish and Bipolar’- and getting hundreds
of likes, shares and positive comments. This built my confidence, and, over the
course of a year, I wrote for more charities and even started writing for the
Huffington Post Lifestyle blog and other websites/magazines under my real name.

A month or two ago, I decided to write all my mental health blogs under my real
name. There is still so much work for us all to do to bring down the stigma, but it
starts from raising our voices. We deserve to be heard and we need to talk in order
to make mental health issues ‘normal’ in society and to fight for better treatment.
One in four people suffer, although I would argue the figure is more like one in
two. Together we can battle, speak out and one day beat the stigma.

Eleanor Segall is a mental health writer and advocate, who has written for many
charities and magazines. She currently works for mental health and learning
disability charity The Judith Trust. Her blog ‘Be Ur Own Light’
(www.beurownlight.com) is read globally and tackles her life with mental health
issues and those of guest bloggers. Eleanor can be found on Twitter and Instagram

Mental Health Stigma and the Workplace: Part Two

~ Eleanor Segall ~ 12 Comments

timetochangestigma
(image: Time to Change Wales)

I am going through a particularly challenging, and at times, upsetting period in my life at the moment. This involves job applying and interviewing and facing job rejection. I was recently rejected for a job that I really wanted and knew I could do, having interviewed there and had a positive reaction. It is really hard when you try your best and put yourself out there to follow your dreams, to have it thrown back in your face. There is a blessing in every lesson – as India Arie would say.

For me, in the past, I have had times where I have had periods of sickness off work. These have been due to anxiety and panic attacks as I have written about before. However, I am working on this in therapy at the moment and feeling so much more positive and resilient about work and life in general. I love working, I am good at it and I am able to hold down work and hope I start in a job I love soon.

I have a goal and know I will get there. Its very difficult sometimes when you have time off because it doesn’t matter what its for, the workplace penalises against you for it via sickness records. You are seen as unreliable, incapable and not a good employee, there is job stigma- even if you woke up and had a panic attack and had to force yourself in, it has a knock on effect for the job search and life in general. There is still a stigma as to how you are seen.

So- I have been seeking support to help me in the past month and I feel I know what I am, where I am going and what I want to be. I will keep being resilient in the face of setback and I will achieve my dreams of being a teacher, with the support of loved ones.

It is really tough, it makes me feel low and down on myself- but I will emerge stronger. I hope that one day the workplace changes to see employees with mental health issues as an asset and not a burden. I am also really thankful for my new therapist at the moment- everything will be alright in the end.

Guest Post: Mental Health and Money Worries: ‘The Perfect Storm’ by Consumer Money Worries

~ Eleanor Segall ~ 4 Comments

consumer1

When supporting clients with financial difficulties, not only is it essential we take in to consideration vulnerabilities for regulation purposes but CMW prides itself on the quality of care and diligence taken to support our clients. Mental Health and Money Worries is perfect for us and you- as we are here to ride the storm with our clients.

Our objective is to understand mental health problems and the impact on effective decision making; allowing us to support and signpost to the best of our ability. CMW aims to identify a sustainable pay and plan, ensuring we can positively contribute towards long term mental wellness.

Mental Health and Money Worries is the perfect storm

Mental Health presents unique challenges, this invisible illness can often be difficult to evaluate and understand for both ourselves and indeed the client!  When we support a client with Mental Health and Money Worries we need to understand… ‘1) Is it debt triggering the mental health issues. 2) Mental health issues triggering the debt. 3) Combination of both, fuelled by other factors – We recognise Mental Health and Money Worries go hand in hand.

It’s vital that we address these questions at the point of first contact with the client. We can then develop solutions to best meet their needs and take in to consideration any triggers and special considerations, such as working with a supporting carer.

Creating a Client Support Network to Weather the Storm

There are infinite reasons why a client may be facing mental health related money worries.

In some cases a client may not have previously suffered from or recognised mental health related symptoms or issues, such as anxiety, stress or depression. However, a build of debts and money worries over time may have brought on such issues. It’s therefore important we understand the debt related ‘triggers’ and support the client accordingly, for example they may have bailiffs knocking on the door or pressure from aggressive creditors. Our solutions must address these issues.

Conversely, a client may have built up debts due to time off or loss of work due to long term mental illness. Over time debts have built through no fault of their own.

Finally there is the co existing storm, where both money worries and mental health issues exist and are fuelled by other vulnerabilities and contributing factors such as gambling, alcohol/substance abuse and relationship problems.

All such factors can have significant negative impact on both mental health and debt level and therefore it is vital that our debt counselling solutions are delivered hand in hand with specialist organisations and charities whom can support a clients unique challenges.

 Educate, Inspire and Support – The Journey from Mental Illness to Mental Wellness

From first contact we focus on understanding the unique challenges and vulnerabilities of each client.

We partner with specialist mental health organisations and charities to create a support network for our clients that will provide the education, support and inspiration they need to address their money worries, mental health and vulnerabilities. Guiding them from Mental Illness to Mental Wellness.

Mental Health and Money Worries, riding the storm together!

Letter to my MP: On Mental Health and Talking Therapy Waiting Lists

~ Eleanor Segall ~ 10 Comments

house1
(image: Imperial College)

I have just responded to a letter that my MP replied to me today. The other day I wrote to my MP here in London about the Mental Health Units (Use of Force) Bill which aims to stop dangerous restraint in mental health hospitals. This was a campaign through the charity Rethink Mental Illness.

I was sadly less than impressed with the response I received even though it was quick, my MP quoted a lot of figures at me. Now, one of these figures, ‘750,000 more people accessing talking therapies since 2009/10’ really got to me. In 2015, I had a short course of NHS cognitive behavioural therapy which was useful but didnt help my anxiety. However, since late 2015/ early 2016, I have been on the therapy waiting list for talking therapy to help me process the trauma I have been through, Almost 2 years later, I am still on the list and have had to go privately which is less than ideal as you will see in my letter below. I hope it resonates with you and that my MP will use my case study in parliament ( one can only hope):

Dear MP,

Thank you for your swift response to my letter regarding the Mental Health Units Use of Force Bill. In your letter to me, you stated ‘more people accessing mental health services every day….as well as around 750,000 more people accessing talking therapies since 2009/2010’.

As someone with Bipolar disorder who was hospitalised (and sectioned) in 2014 for 4 months, with another 4 months in day hospital due to psychosis and mania, I have been on the waiting list for talking therapy since 2015- almost 2 years ago. When I recently went to a review with my psychiatrist, he said he would speak to psychology for me but that because the service is over stretched I may have to seek therapy via local charities or go privately. Being that I am currently waiting to start work and on ESA, I couldn’t afford private therapy without help from my family and I have had to go private which is grossly unfair due to the trauma I have faced. However, as you state, more people are accessing mental health services meaning that even in someone with a case such as mine, I have had to wait for talking therapy and effectively given up on NHS support in that regard.

I hope you will use my case study as an example in parliament when discussing mental health with Theresa May and your party and would appreciate a response. 

Yours sincerely,

Eleanor Segall