How CBT helps Children deal with Anxiety: Guest blog by Leigh Adley, therapist at Set Your Mind Free

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(image: Pinterest)

As we know, children are also vulnerable to anxiety. Unfortunately, many parents believe that this type of mental health problem will only be temporary in nature. For example, they may think that their child’s shyness will disappear as they grow older. However, if this shyness is increasingly interfering with the child’s life as well as their family’s, then obtaining help is of paramount importance. If left untreated, a child’s severe anxiety will in all likelihood deteriorate as they will choose to avoid situations that make them anxious.   

People suffering from anxiety, including children, are often treated with medication, particularly antidepressants. However, there are alternatives available, such as cognitive behavioral therapy (CBT), which can help children deal with stress.  

Two decades of research has shown that CBT has been successful in reducing the symptoms of severe anxiety. This therapy also provides children with the tools to identify situations that trigger their anxiety. It also helps them manage the symptoms themselves.

What is CBT?

Cognitive behavioural therapy is used to help people manage their way of thinking and feeling. For example, it can help change distorted thoughts and dysfunctional behavior in order to alter an individual’s emotions. For children, therapists will often focus on getting them to unlearn their undesirable behaviour.     

 

Exposure and response prevention

This is the technique most therapists use for children with anxiety. It is a basic idea whereby a child is exposed to the situations that make them anxious. However, this exposure is structured and incremental and takes place in a safe environment. The goal is to make them accustomed to the triggers so their anxiety response is reduced. 

Exposure therapy has little in common with traditional talking therapy. CBT sessions generally involve talking to the patient to explore the root causes of their anxiety, and they then use this knowledge to alter their behaviour. Once they modify or change their response, the fear also disappears.

Exposure therapy is used for various types of anxiety, such as:

 

Treating anxiety as a person

It is helpful to go to a cognitive behavioral therapist as they will enable a child and their parents to think of the anxiety as an entity that is separate from their identity. The child may consider his or her anxiety to be a bully. To treat the anxiety as a person, the patient may give this bully a name, such as ‘Bossy’. Once the anxiety has been given a form, the CBT therapist can then teach the child how to control this ‘bully’. 

Children are also taught to recognize that anxiety can negatively affect their lives. By letting their fears control them, they miss important events such as:    

  • Sleeping in their own bed
  • Visiting their friends’ homes or going to a restaurant
  • Sharing meals with family or friends

It is also essential that the therapist gains the child’s trust so they can encourage them to face their fears.

 

Steps involved in exposure therapy 

The CBT therapist will firstly identify the triggers. The child will then confront a “pyramid of fears”, namely a sequence of incremental challenges. Every test that the child successfully accomplishes will help build their tolerance to the anxiety.

Before taking the challenges, the child will be asked to consider the degree of difficulty when encountering an uncomfortable situation. For example, a child who is afraid of touching dirt will be asked how difficult it would be (on a scale of 1–10) to write the word ‘dirt’. If they say ‘3’, then saying ‘I will touch dirt today’ could be a ‘5’, seeing a cartoon where a character picks up dirt may merit a ‘7’ and seeing an actual person touch dirt may go up to a ‘9’ on their difficulty scale.

By letting the child rate the scale of difficulty for their various fears, they can distinguish between the easy and extreme levels.

The first exposure trigger should come in its mildest form until the child’s anxiousness subsides. Fear is similar to any sensation; it decreases over time and the child will soon gain some control as the anxiety they feel goes away.

Depending on the severity of the child’s anxiety, a CBT session can take place several times a week, lasting several hours. The exposure often takes place in the CBT office, and then once the child feels comfortable, in an outside environment. For example, children with social anxiety may go outside wearing a funny hat. If they are afraid of germs, the exposure may involve:

  • Riding a bus or train
  • Shaking hands with strangers
  • Eating food without washing their hands

Once they have undergone several vulnerable situations and are feeling more confident, they can try some of the exposure sessions on their own. Parents have a vital role to play in this process. They should encourage their child to tolerate their anxious feelings rather than shielding them.

 

Duration of CBT sessions

It can take 8 to 12 sessions for a child to handle mild to moderate levels of anxiety. In addition, medication can help them reduce their stress while enabling them to engage in the CBT sessions.

 

Conclusion

CBT is a good way of helping children deal with their anxiety. CBT utilises various methods to overcome anxiety, and the exposure and response prevention techniques are particularly suitable for children. The child will confront their fears in increments until they can handle the stress on their own.

However, both the child and their parents need to understand that exposure therapy can be difficult. Nevertheless, once their fears diminish, the family can participate in activities that they previously found difficult.  

 

Author’s bio:

This blog was written by Leigh Adley, Hypnotherapist/Psychotherapist at Set Your Mind Free, based in the UK.

Talking for the Jami Mental Health Awareness Shabbat 2020 by Eleanor

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As some of you will be aware, back in 2017-2018, I helped as a volunteer with fellow volunteers (Lisa Coffman and others) to found the Mental Health Awareness Shabbat (Jewish sabbath) in our communities across the country here in the UK. The initiative, led by the mental health charity Jami and conceived by Rabbi Daniel Epstein, now runs in 150 Jewish communities.

This year, my dad Mike and I were delighted to be asked to share our father and daughter journey with bipolar disorder to Chigwell and Hainault Synagogue.

I have social anxiety- which includes at times a fear of public speaking. In December, I had a breakthrough, where I spoke for a short time at a conference called Limmud alongside my Dad and read from my book Bring me to Light. So, when we were asked to do this talk at Chigwell, I felt it could be possible.

I armed myself with the fact that I knew kind people in the community including the Rabbi and his wife and friends of my husband Rob (its the community he grew up in). I also wanted to share my story to help other people.

So, we stayed with a lovely lady in the community and had friday night dinner with the Rabbi and his family. On Saturday morning, I woke up feeling a little nervous but took my trusted anxiety medication for when I need it- Propranolol, and walked to the synagogue with Dad.

I managed not to have a panic attack and the thought of speaking to help others got me through (as did distraction, deep breathing and drinking a glass of water).

So, at the end of the service, we were called up to speak. Dad went first and talked about his journey with bipolar disorder from when it started for him in 1991 to finding recovery. Then, it was my turn.

I stood up there in the pulpit speaking to a packed audience with a prepared speech. I felt scared but also empowered and began to relax into the talk. I knew that by sharing what happened to me, being sectioned and so ill and talking openly, that I could break stigma and touch others. I was also so proud of my Dad for speaking so openly.

It was only after, when talking to people after the service, that we realised that about 150 people came to listen to our talk! We had some important conversations with people after our talk including someone very newly diagnosed and someone else whose niece had bipolar and is currently very ill.

I couldn’t and still can’t believe I was able to do that. However, since I have been very tired so trying to de-stress and rest as much as I can!

We just want to thank everyone who came to hear our talk and supported us, to every person who thanked us for coming and shared their stories with us. We are so grateful for such a positive reception and thank Rabbi Davis and the Chigwell community for having us.

The Mental Health Awareness Shabbat has had events in communities all across the country. It runs yearly and you can find out more here 

How to Deal With Social Anxiety, Social Phobia and Depression: Guest post by CBT Toronto

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(image: the Funny Beaver)

Millions of people around the world suffer from social anxiety, social phobia, and depression. Unfortunately, due to the stigma that is still associated with mental illness around the world, many people try to hide their problems and suffer in silence. Left untreated, social anxiety, social phobia, and depression can lead to isolation, physical health problems, and even suicide. 

Fortunately, there are many treatment modalities available,. This can help sufferers obtain the support and relief that they need and deserve. Here, we will focus on some simple yet effective ways that you, or someone that you love, can alleviate social anxiety, social phobia, and depressive symptoms with tact, integrity, and verve.

 

Risks of Having Social Anxiety Disorder and Depression

Certain individuals may be genetically predisposed to social anxiety disorders or clinical depression, as well as seasonal affective disorder, chronic stress, anger, and generalized anxiety disorder. However, other non-genetic factors may influence whether or not a person develops a social anxiety disorder or depression in their lifetime.

For instance, if you are currently dealing with substance abuse issues, such as excess consumption of alcohol or narcotics, then you may be at an increased risk of developing a social anxiety disorder or chronic depression. Unfortunately, many people will turn to drugs and alcohol in an attempt to numb their pain. This puts their bodies at risk of developing a tolerance or resistance to such illicit substances; which can lead those individuals down a path of destruction.

If you are having trouble communicating with others, whether at home or work or are having trouble being productive in your day-to-day life, then you may be suffering from a cognitive impairment or mental health disorder. If you notice that you are not responding to the treatment that your doctor or mental health care professional has prescribed, whether it be cognitive behavioural therapy, psychotherapy, or medication. 

If so, please speak to your doctor, as they may need to adjust your treatment or try a new treatment method. Suicidal ideation is also a serious red flag, and if you have suddenly developed severe thoughts of harming yourself, please seek immediate medical attention.  

What Prevents Social Anxiety Disorder Patients From Accessing Mental Health Care?

Many people who suffer from social anxiety ,blame themselves for their issues. As such, they may refuse to seek outside help to address and rectify their health problems. Furthermore, many people who suffer from SAD are actually unaware that such a condition exists, or may not know who to turn to in order to receive the necessary treatment. 

In fact, it can be argued that many doctors, and most of the general public, are unaware of SAD or how to best tackle the matter. As such, there may be very little help available to those who suffer from the disorder; whether it be medical, moral, or emotional.

 

Does Social Phobia Run in Families?

There have been studies conducted indicating that a person’s risk of developing a social phobia disorder may be elevated if someone in their family has or had the same issue. Moreover, the correlation vs causation interplay between psychiatric and serotonin disorders is also something that many medical experts in the field are aware of. 

That is, while most agree that there is a marked connection between SAD, depression, and serotonin, medical experts are uncertain about which comes first in terms of driving said correlation between the disorders.

 

How to Deal With Social Anxiety Disorder

SAD can often be overcome by getting moral support from friends and family. The key is to interact with loved ones in a respectful and supportive environment so that the person can overcome their problem. Also, it should be noted that many people who suffer from chronic depression do not actually understand why they feel the way they do. 

In other words, many of the feelings or behaviours that they exhibit are automatic and deeply ingrained into their thought process and psyche. It is the responsibility of their loved ones to care and support them by sympathizing with their condition and helping them process their emotions in a safe and healthy manner.

In addition, many studies have found that patients with SAD who undergo cognitive behaviour therapy report a significant improvement in their anxious or depressive symptoms. In some cases, patients may be treated with a combination of cognitive behaviour therapy and medications. This could include Busperione, Remeron, Paxil, Celexa, Trintalex, or other medicines that are commonly used to help those who suffer from anxiety or depressive disorders.

Also, if your symptoms are relatively minor, then there are techniques that you can implement yourself to obtain near-immediate relief. For instance, if you find yourself in a situation that elevates your stress and anxiety levels, then you can practice deep-breathing exercises before the situation escalates.  

If you suffer from social anxiety, then you should try to slowly cultivate your social connections. Doing so can not only help you eventually overcome your social anxiety but may also help alleviate feelings of depression that often result from social isolation. This is known as exposure therapy and can be helpful.

There are other ways to help deal with anxiety and depression. For instance, studies have found that listening to music that you enjoy releases hormones that help promote relaxation. Exercise has many mental as well as physical health benefits. The release of oxytocin and endorphins can help counteract the release of cortisol and other harmful hormones that can exacerbate anxiety and depression.  A healthy and balanced diet can help rectify certain hormonal balances and nutritional deficiencies that can cause lethargy, depression, irritability, and anxiety in some people.

Most importantly get help from a GP doctor or therapist if things are getting too much. Don’t be ashamed to ask for help.

This guest post is by CBT Toronto, based in Canada.

If you would like to learn more about social anxiety treatments in Toronto or would like to obtain social anxiety treatments in Toronto, then please visit our website or give us a call at 416-817-8925. We specialize in PTSD, OCD, BDD, depression, couples therapy, and anxiety disorders.

 

A guide to Therapies and finding the right one for you: Guest blog by the Worsley Centre

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(image: Quotir)

If you find yourself at a point in life where you think you might need to seek some professional help, then the decision as to which therapy is right for you can be a daunting one. At its worst, depression and anxiety related disorders can take away our ability to make rational, informed decisions, so how could you possibly know which one is right for you? 

There’s no definitive way of knowing, and even if you start one course of therapy, only to discover it isn’t for you, it’s important to remember it’s not a one-size-fits all decision. If you’re trying to take a long-term approach to taking care of your mental health, then you need to take the time and effort to find the appropriate course of treatment to meet your needs. 

So here’s a basic guide to some of the most common therapies, and how they might be able to help you (although it’s worth bearing in mind that this isn’t an exhaustive list). 

Counselling 

This might sound like a catch-all term to describe all of the therapies below, but actually counselling is subtly different from other types of therapy. Counselling can often be a useful short term strategy to cope with events in our lives which can, quite understandably, cause mental health stresses. These can include bereavement, miscarriage, sudden redundancy, relationship problems or problems with infertility. Counselling sessions normally last for 6-12 weeks, though they can of course be tailored to every individual person’s needs. 

Psychotherapy 

Psychotherapy is primarily a talking therapy, but may also utilise art, writing, music or drama. Psychotherapy can help with a range of conditions, including anxiety, stress, depression, eating disorders, post-traumatic stress disorder, obsessive compulsive disorder. This therapy aims to teach you to manage painful emotions and relationships more successfully. 

Psychotherapy basically involves talking with the patient, discussing strategies to solve problems and changing behaviour. 

It’s worth noting that most of the other therapies in this post are forms of psychotherapy. 

Psychodynamic therapy 

This is a form of psychotherapy which focuses less on the patient-therapy relationship. Patients are told to speak freely and openly about any issues that come to mind, whether it be fears, anxieties or desires. It is a more short-term incarnation of psychotherapy. It’s often used to treat people with serious depressive disorders, or who may struggle to forge meaningful relationships in their lives. 

Interpersonal Psychotherapy 

Interpersonal psychotherapy is a short-term form of psychotherapy treatment. It’s very structured, and includes a lot of homework and continuous assessment. It primarily looks at ways depression can be triggered by changes in relationships to others, such as bereavement, or relocation. 

It will usually start with a 1-3 week assessment of symptoms, as wells as social history and the patient’s relationships. The therapy aims to come up with treatment strategies to deal with problem areas in a patient’s life; over the course of the treatment the emphasis of these problem areas might change, as will the therapist’s strategies. IPT is a relatively young form of psychotherapy treatments. 

 

Cognitive Behavioural Therapy 

Cognitive behavioural therapy is a short-term form of psychotherapy which puts its focus on problem solving as a way of breaking certain thought patterns and modes of behaviour. It’s very much a therapy which focuses on the here and now, as opposed to trying to look for explanations of present day behaviour in past events. CBT has proven to be effective in the treatment of anxiety and panic disorders, depression, post-traumatic stress disorder, phobias and obsessive compulsive disorder. 

CBT works on the concept that a person’s perception of a certain situation determines their and feelings, and hopefully break free of unhelpful patterns of behaviour. 

Mindful Based Cognitive Therapy 

This is another form of cognitive therapy which incorporates mindfulness strategies and breathing exercises into courses of treatment. Mindfulness techniques use breathing and meditation to place people in the present moment, and MBCT uses these techniques to encourage patients to deal with overwhelming or stressful situations.  Again, it aims to break unhelpful thought patterns which can lead to recurrent episodes of depression or anxiety. As well as mindfulness, patients are taught to understand the relationship between how you think and how you feel. 

Neuro-Linguistic Programming Therapy 

Neuro-linguistic programming focuses on behaviour modification techniques to help improve a client’s sense of self-awareness, confidence and communication skills. Again, it helps people to understand that the way they operate in the world is in turn affected by how they view of the world. 

It’s often used to treat phobias, help people deal with self-esteem problems, post-traumatic stress disorder and is designed to help patients understand the workings of their own mind. 

Couples and Family Therapy 

The title of this therapy is relatively self-explanatory, but basically it encourages individuals to resolve problems in the context of family units, or as part of a couple. This helps people to better understand their role within a group dynamic, and how their actions affect the other person within a family or couple. 

During the therapy, family members are encouraged to work together to solve a problem which may be directly affecting a family member, with each person encourage to express their thoughts and feelings in an open and supportive forum. Family and couples therapy is geared towards making different family members empathise with one another, understand each other’s point of view, and switch roles where necessary. 

The ultimate goal of family and couples therapy is restore healthy relationships. This branch of therapy essentially believes that family life is like being part of a system, which is only as strong as the individual within it. Family and couple therapy ultimately aims to restore balance to this system. 

These are, arguably, the most well-known and high-profile forms of therapy. As outlined at the beginning of this article, it’s not an exhaustive list; there are many more specific types of therapy which may prove to be the right one for you. It’s also worth mentioning that it’s perfectly normal to try a few of the therapies on this list, as it might take a few referrals before you find the right one for you. 

The Worsley Centre offers counselling and psychotherapy sessions for couples, individuals and groups in the Greater Manchester area. 

https://theworsleycentre.com/ 

 

5 Tips for a Mental Health Emergency Plan: Guest blog by Emily Bartels

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(image: http://crmhfoundation.org/self-care/)

 

When it comes to emergency plans, usually we think in a more physical sense, but did you know that mental health emergency plans are important?

Mental health emergencies can be quite stressful, and if you’re in a mental health industry or have any personal concerns about your own health, providing the right help is important.  Here, we will outline important tips to help you create a mental health emergency plan that will suffice.

 

Have a Support system

If you tend to get overwhelmed when an emergency happens, a big way to help reduce the trauma from it is to have a support system. Whoever you are and whereever you work, your own personal triggers and issues are still there. If you’re having issues coping, find a support system- a friend, family member or therapist that can help.

You may want to come up with a plan to help your  responses to situations, especially when disaster strikes. If you do have anxiety and depression, do make sure that you have people that can help around you or reach out for help from a doctor or therapist.

 

Prepare For Emotional Reactions

Another big thing that emergency evacuation plan Melbourne  (in Australia) does point out, is you need to make sure that you have the right idea of what might happen.  You should know when you have chaotic reactions, and what you struggle with when disaster strikes.

Focus on what will help, what might happen when you do suffer from an incident, and make sure to communicate it to others.

Processing information is quite hard in a stressful situation, such as fear, anxiety, depression, or even a panic attack, and you should make sure that, with the group of people you trust or the medical profession, you do speak about what happens. It’s also important to make sure that you properly communicate to others.  While panic attacks and sad emotions do happen, you should know that you probably will be upset about whatever will transpire. But that its OK to feel this way.

 

Be Prepared to communicate

A large part of a mental health plan is to make sure that you communicate your needs. If you need to, make sure that you explain any mental health needs, such as medication you might need, in an emergency, with loved ones.  Its vital to your wellbeing  even when stressful to communicate. Letting others know can help them and you prepare for the worst and take action if needed. You aren’t alone.

 

Keep Contact information on hand

Pharmacies can help you get emergency medication, but making sure that you have the contact information for your provider, any diagnoses, and dosages of medication are important.  Make sure to let some people in your support system know, and also keep those phone numbers on hand in case if the emergency lines are overloaded.

 

Create a Recovery Bag

If you have extra medications, a comfort item, and anything that you can use to help in the case of an emergency or crisis, put it in a small emergency kit, which you can use if you need to attend hospital or appointments.  Remember, emergency kits aren’t just for physical health aspects, but also for mental health.  You need to make sure you’re prepared both physically and mentally for any issues that might transpire so that you’re not suffering.

Mental health during an emergency often isn’t focused on as much as say other aspects of your health. Depression, anxiety, and even suicidal thoughts don’t always go away, and you need to be prepared for that, and reach out for help so you can recover well.

Creating a plan to try and prevent or reduce this from happening with your medical team will help if a mental health emergency comes about. From there, you can get the help that you need in order to stabilise yourself, look after yourself and recover again.

 

This blog was written by Emily Bartels, freelance writer with an interest in mental health and wellbeing.

Happy Third Blog Anniversary! : On Our Third Birthday by Eleanor

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(image : etsy)

Earlier this week, on the 1st March, Be Ur Own Light turned 3 years old! I still remember starting this blog as an outlet for my fears, thoughts and emotions after leaving a job in 2016 due to acute anxiety and panic ( part of my bipolar) . Writing the blog and sharing thoughts has been so therapeutic and it has taken me on  a journey that I could not have imagined when I started writing. As many of you know, this blog led to me writing for big media outlets and to my book deal (book hopefully will be out in November) and I am so grateful for the confidence it has given me too- and the chance to connect with people all over the world.

However, this year (as with the past 2), the blog has attracted a horde of talented writers wanting to spread their messages about mental health and wellness. Some have shared their personal stories of hope and recovery, others have given useful tips on health and wellness  and we have covered topics as wide ranging as Borderline Personality Disorder (BPD), Post Traumatic Stress Disorder (PTSD) and addictions to drugs and alcohol. We have talked about pet therapy, writing therapy, mindfulness and yoga, amongst other therapies.

My guest bloggers have written about their recovery from mental illnesses like anorexia and bipolar disorder. National campaigns like the Diana Award also got in touch with us to discuss bullying and LGBT issues too and Jami charity asked us to cover their mental health awareness campaign (which I helped set up). Furthermore, Be Ur Own Light has also covered World Mental Health Day and Time to Talk Day this year, featuring personal mental health stories as a way to raise awareness and fight misconceptions.

Thank you to my amazing guest bloggers March 2018-2019 for your fantastic content:   

Donna at Wildwoman Book Club for Self care

Lynn Crilly- Hope with eating disorders (book)

Cordelia Moor- Living with Quiet BPD for Time to Talk Day

Sarah- On Depression for Time to Talk Day

Peter McDonnell-  Managing anxiety and psychosis for TTD

Cara Lisette- Recovery from anorexia and bipolar disorder for TTD

David Welham- Depression and Recovery/  Being a parent of children taking exams

Rachelle Wilber- Treatment for PTSD (post traumatic stress disorder)

Brandon Christensen- What is mental health stigma?

Charlotte Underwood- Overcoming Adversity/ The Saviour Complex

Ralph Macey- Managing Bipolar in the workplace

Manmohan Singh- Benefits of Yoga

Alex Sabin- Enjoying the Holidays after Addiction

Spela Kranjec- How to Accept Yourself/ My Journey in surviving Anorexia

Jami charity- Mental Health Awareness Shabbat campaign

Brookman- Avoiding a relationship crisis at Christmas

Sarah Cardwell-  Womens health awareness

Anti Bullying Week, the Diana Award and Everyones Talking about Jamie

Allen- Recovery from alcoholism and mental illness

Lizzie Weakley- How to combat your eating disorder

Posy and Posy- Flowers for wellness

N- Poem on depression- Copy of my Mask

Dan Brown at My Therapy- Suicide prevention on social media- World MH Day

Lydia- On complex PTSD and recovery

Ashley Smith- how Physiotherapy helps with stress and anxiety

Amy Hutson- How Writing Therapy helps

Christine H- What family therapy is really like

Meera Watts- How Yoga enhances your lifestyle

Dawn Prime- How can Animal and Pet therapy help

Bill Weiss- Mental Health Stigma and Drug addiction

Dr Nancy Irwin- Signs your loved one is abusing drugs

Eve Crabtree- The MIND diet for Dementia

James Kenneth- Overcoming mental health challenges

Ellie Willis- A guide to mood disorders

AXA PPP- is social media bad for our health?

Lori Longoria- How baths and spas help relaxation

Tomas Sanchez- can alcohol raise stress levels and affect mental health

Dr Janina Scarlet- Therapy quest book

Cloe Matheson- tips to reduce stress

Paul Matthews- fitness and how it helps depression

Katie Rose- How to help anxiety and panic attacks

Anonymous- on sexual abuse

Kayla Clough- coping with post partum depression

Kara Masterson- 4 tips to begin the fight against drug addiction

Michelle Hannan- 5 tips to boost your immune system

Kevin Morley- Satori Mind- Tips to boost mindfulness

Sara Whitehouse at Stadia Sports-How sport can help mental health

Amy Boyington- How holistic medicine helps mental health

 

Thank you so much to all of you and I am excited to see what 2019 brings for the blog!

2018 was a very special year for me and my writing- being published in Metro.co.uk, Glamour, The Telegraph, Happiful magazine, the Jewish News and several other media outlets. I was featured in articles in Cosmopolitan, Elle, Prima, Yahoo News, Prevention magazine and Refinery29 and guest blogged on other mental health blogs too.

This year on the blog I wrote about my life with social anxiety and work anxiety, winter blues and SAD/ depression, I shared my articles about being plus size and a bride and about my recovery from bipolar disorder. Furthermore, I wrote about the Twitter hashtags I started #mydepressionmeans and #myanxietymeans, to help people feel less alone and share their own experiences online.

On the blog I also reviewed the brilliant book ‘Love and Remission‘ by Annie Belasco by Trigger Publishing, about breast cancer and mental health. Triggers mental health books are great and I read so many that I was unable to review due to time constraints including Depression in a Digital Age by Fiona Thomas and books by Paul McGregor and Ruth Fox.

This year we were given the accolade of being a Top 10 UK Mental Health Blog by Vuelio and were a shortlisted finalist in the 2018 UK Blog Awards (Health and Social Care category). I was also invited to the Mind Media Awards which was an incredible experience and this year, we have been nominated for Blogger of the Year in the Mental Health Blog Awards.

Be Ur Own Light continues to be read globally and I love receiving your messages about the blogs and finding new writers too.  Blogging makes me happy and I hope it helps so many of you too and you love what we do here.

Heres to a productive, wonderful, fun and exciting year of educating and battling mental health stigma too 🙂

Happy 3rd birthday Be Ur Own Light!  ❤ May this be a special year for us

Love and gratitude,

Eleanor    

xxx

eleanortwit

 

4 Helpful Treatment Options for those who suffer from PTSD- Guest post by Rachelle Wilber

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Post-traumatic stress disorder (PTSD) is a serious mental health condition that affects people who’ve experienced major trauma events. Common among military service members who’ve fought in combat zones, PTSD can also affect people who’ve lived through other terrifying episodes that have resulted in physical and/or mental harm. If you believe that you suffer from PTSD, you can work with a therapist and try any of these four different treatment methods to overcome the condition.

Cognitive Behavioural Therapy (CBT)

This type of therapy works to alter thought patterns that often cause people to relive the traumatic events in their minds. As Mayo Clinic states, the goal of cognitive behavioural therapy is to make you more aware of negative or inaccurate thoughts so that you can adopt a healthier perspective of challenging situations and respond in a better way. Undergoing this therapy may also help prevent relapses that could jeopardise your mental health.

Exposure Therapy

Your therapist may also try exposing you to things that trigger traumatic thoughts as a way to alleviate them. This is done in a safe way, and your mental health care provider will be there to help you process your thoughts and feelings and give you tools to overcome your anguish. You may be shown pictures, see writings or even revisit a place where the traumatic episode occurred. Gradually, these negative thoughts should lose their power and cause you less mental grief the more that you’re exposed to them.

Eye Movement Desensitizing and Reprocessing (EMDR)

Also known as EMDR therapy, this treatment method involves recalling distressing thoughts while a therapist’s fingers move in front of your face. You’ll be asked to follow these finger movements with your eyes while discussing your feelings, however, you generally won’t be required to talk about your thoughts in great detail.

Some therapists use foot or hand tapping or musical notes instead of finger movements in front of the face. This more active approach to therapy is intended to minimise the effects of bad thoughts.

Medication

Medication is sometimes prescribed by mental health professionals to work in conjunction with other types of therapy. Prozac, Zoloft and similar antidepressant medications are formulated to boost serotonin levels in the brain to alleviate negative thoughts and emotions. Your doctor may also prescribe Depakote to stabilize your moods. Prazosin often works well in stopping nightmares.

You don’t have to continue letting PTSD dominate a large part of your life. Seeking professional help and undergoing any of these therapies will likely give you positive results.

 

This article was written by freelance writer Rachelle Wilber from San Diego, California

5 Years, Anxiety and Keeping Well (by Eleanor)

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(image https://mandibelle16.wordpress.com/2016/08/10/poem-free-verse-hope-scarred-amwriting-poetry/:)

Thanks to all who voted for this article on Facebook and who have supported me these past 5 years and beyond. I love you all.

I cannot believe that this year (in March) is 5 years since I was hospitalised as a 25 year old for my bipolar disorder. For those of you who know my story, I became unwell with an episode of severe mania within a number of days, which featured psychosis-losing touch with reality and agitation. Its likely that my old medicines stopped working and I started believing delusions that werent real.

When I was hospitalised, I eventually went to the QE2 hospital in Welwyn, Hertfordshire (which has now been knocked down and now based in Radlett!). The support I had from the psychiatrist, nursing team, OTs, ward manager and all the staff was incredible and they   really believed that I would get well again. I cannot have been easy to deal with, due to the mania and the fact I was pacing around all the time, singing and in my own little world. Their kindness and help really helped me recover properly- as did the visits and love from family and friends.

I spent 4 months as an inpatient at Welwyn and then a further 4 months in outpatient treatment at a Day Hospital unit in Watford. The day hospital was very beneficial to me and helped me to start on my new medication and process all that had happened. I had help from a very special care coordinator and support worker once I had been discharged from day hospital. My care coordinator helped me so much and was so kind and caring.

Recovery is never linear and its something I have to work at every single day. There will always be life stresses that can trigger my anxiety and depression (and potentially a lesser manic episode, although the mania hasn’t happened yet thank g-d). I still struggle with my anxiety disorder and panic attacks in the mornings sometimes. I believe this is as a result of all the trauma that is involved with being sectioned, being an inpatient and having to rebuild my life after. I had social anxiety anyway, as part of the depressive part of the bipolar, but I still believe that even though I have had talking therapy, that my brain is still processing the trauma. Mental health wards are not fun places to live, as you can imagine and despite the staff trying to make it as calm as possible.

I will get triggered with my panic by certain things- like social events or job interviews and I may not always know fully why- it could be subconscious, or I realise it after. I am still rebuilding my self esteem and the love for myself. Anyone who goes through a severe episode of mental illness will tell you that its hard to separate the illness from yourself. Bipolar from Eleanor.

I have incredible friends, my fiance and family who can separate it. Yet, there are times where we all don’t feel good enough. Where  we want to hide even though we are capable of more than we know.

So in these 5 years I have been learning to love me, to think and act on hope, recovery and the future. I have learnt to build self care tools and relaxation into my days if I feel overwhelmed or to stop me from getting too stressed. I have been blessed to have found my life partner and developed my career- although my illness has put my career on hold many times and I have had to reinvent myself. However, I am starting slowly to find the light in the dark.

This is where the phrase ‘Be Ur Own Light’ comes from- to find the inner strength to carry on.

There have been many times when I have wanted to give up. Where I have been hurting and have felt inadequate. When I felt no one would want to date me  or that I wasn’t good enough for a career. Because how could I tell people what had happened to me without them thinking I was a ‘fruitloop’? That was my logic.

Thats why I started to write. I write to heal. I write to explain, educate and battle stigma. I write to make sense of my own mind. I write as a job but also to make a difference in the world and I hope I will do that through my book and blogs/ articles.

In the past 5 years, aside from work and my mental health advocacy, I have been travelling again which always brings me joy. I have been to Rome (Italy) , Prague (Czech Republic), Madeira (with Charlotte), Israel (with Rob), Portugal and Romania. I have stayed at my Dads and explored the Cotswolds and gone on holiday to the beach at Broadstairs with Anna and family. I have seen theatre shows, amazing movies and read some fantastic books. I have found a life partner. I have secured a book deal, volunteered for Jami to launch their mental health shabbat, worked with the Judith Trust and my blog is growing. Being published in Glamour, Metro, Happiful, the Telegraph and the Jewish News were major highlights and finding an incredibly supportive community on Twitter too.

Life is not all hard and sad. Yes, there are times when I have found it a nightmare with my anxiety disorder. I am 100% still a work in progress- recovery isnt easy.

I have had to work on my self esteem in therapy. I have had 6 months of psychodynamic therapy. I read self help books. I should exercise and go out more (working on this).

But:

I am not severely depressed or manic. I can hold down part time work, often from home. These 5 years have taught me that I may always have some degree of anxiety- particularly about past events which effect how I react currently. I need to learn how to heal from this and I hope in time I will.

If you had told me 5 years ago I would be writing a book of my life story and been published in national newspapers I would have laughed at you. I am getting married in July and I can’t wait (and also would have probably laughed at you too).

Anxiety is horrible by the way. Your heart races, you get flooded with adrenaline, you fixate on the fear and want it to go away. You feel sweaty and clammy and you may shake. You need to rush to the toilet. It stops you from sleeping. It stops you from living your best life. So I don’t want to trivialise it here. Its a struggle at times and its disruptive to life.

The pain of anxiety, depression and bipolar is matched by my hope and my belief that I will still achieve despite it. Yes there will be difficulties and bumps along the way, but today I am choosing to look towards the sun. 

          

Metro article extract by Eleanor: ‘My Dad and I have helped each other through our Bipolar disorder’

Our founder Eleanor and her Dad shared their story with Metro.co.uk for Fathers Day and Dads Mental Health Day. Here is an extract:

I am the child of a father with bipolar disorder. I was diagnosed with the same condition aged 16 in 2004 – this was only four years after my dad was diagnosed at the age of 44. Our story is a special and unique one, and dad and I have a strong bond as a result.

However, it has not always been easy for me and my family.  Growing up with my mum, dad and younger sister in Hertfordshire, I didn’t fully know that my dad had serious mental health issues until my teenage years. I was largely sheltered from it by my mum and my loving grandparents as a child. My grandparents would look after us when dad was ill with depression and mum had to work.

I am the eldest, and being the child of someone with a mental illness did bring its own challenges. I have always felt a sense of duty and responsibility to look after my sister and both my parents, despite receiving a lot of love and care. This sentiment has meant that I have always felt a need to look after those around me, and make sure my dad is stable with his health.

Many children of those with serious mental health issues are exposed to a lot more than I was. My childhood was largely happy. My dad was never sectioned or hospitalised and never experienced the psychosis that I have experienced with my own bipolar. There were no alcohol or drug issues in my home but dad did experience mood fluctuations with both mania and depression.

He also experienced panic attacks that stopped him from working. Dad remembers having these when I was just four-years-old. In 1996, he had his first bout of severe depression and anxiety. His panic attacks meant that he had to stop working at his job in finance after collapsing there.

Mum became the breadwinner, with two children under seven. My sister was only five-years-old. I know this wasn’t easy for anyone though I don’t fully remember it. I have been told that dad was often not around during the day due to his depression. He would retreat into his bed and sleep, but would come and see us in the evenings, once we came home from school.

I do remember visiting him in hospital one time after his severe panic made him collapse in the street. He was having his heart monitored to rule out a heart attack and was eventually discharged home.

Dad was never referred to a psychiatrist and he believes this is why his bipolar was undiagnosed for so long. He gradually recovered with antidepressant medication and support from the GP and my mum.

He slowly coaxed himself out of bed and out the house to walk down the road to buy a paper. This would take several hours. His depression lifted and he eventually went back to work. Life was easier for our family for a while, although financially, things were tight and there was always a risk my dad might not be able to work.

 

 

Read the rest of the article : https://metro.co.uk/2018/06/17/my-dad-and-i-have-helped-each-other-through-bipolar-disorder-heres-our-story-7627817/?ito=cbshare

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Guest Post: An Introduction to Trichotillomania- Hair Pulling Disorder by Ariel Taylor at trichstop.com

trichot
(image: eleMINT)

Trichotillomania is a hair pulling disorder that affects millions, though many are not even aware of the fact that they suffer from this condition. It’s a well-known emotional illness and if you punch in the keyword Trichotillomania on the Internet, you’ll be bombarded with blogs, journals, and, essays discussing this hair-pulling habit.

However, when it comes to analyzing this disorder, it’s more than just a case of perpetual hair-pulling. This urge to tug or pluck hair defines Trichotillomania but one needs to know the warning signs and instances that could lead to this emotional upheaval.

Trichotillomania comes under the obsessive-compulsive spectrum and is akin to Obsessive Compulsive Disorders – OCD. When it comes to OCD, Trichotillomania too is defined by compulsions i.e. the sudden need to pull or pluck out hair. Nonetheless, Trichotillomania stems more from an impulsive side while OCD is a repetition of a particular habit – more along the lines of obsession.  The main area that’s most affected is the scalp however, people don’t shy away from tearing out their eyelashes, eyebrows or other hair for that matter. A person feels at ease after hair is uprooted or successfully pulled from the skin. Chronic Trichotillomania can lead to hair loss resulting in bald patches. It’s a source of great concern to people who have family members dealing with this condition especially if they have never encountered or been familiar with an issue before.

 

Early Signs Of Trichotillomania

 

Sense Of Comfort

In times of stress and agony, individuals pull their hair inadvertently which is followed by a feeling of relief and comfort. For instance, Sally, a fifteen-year-old, starts pulling her hair when she hears her parents get into a verbal altercation with each other. For some kids, parents who quarrel often can be a reason of great discomfort. Many aren’t aware of ways to deal with such situations and resort to things or activities that give them temporary solutions. Trichotillomania happens to be one of them. The intense tugging and twisting of hair is a sign of silent suffering and pain. Somehow, that very pain turns into relief until the awkward moment of distress has passed.

Perpetual Pulling

The urge gets the better of an individual and they pull away not realizing the pain it would cause. There’s a lot of embarrassment and shame that comes with Trichotillomania. Initially, there’s denial and quite a few take a while to come to terms with accepting the fact that yes, there’s a problem. They resort to covering their bald patches by donning a hat or wearing scarves. Any unevenness on legs or hands is covered with extra layers of clothes or tattoos. People dealing with this problem either pull their hair for brief or long periods of time.  The impulsive behavior cannot be controlled and hair is pulled, no matter what.

Comparatively more than men, women are prone to get diagnosed with Trichotillomania. It brings with itself other emotional problems such as bipolar mood disorders and depression. Uneven patches of hair on the body makes many wary of social interaction since the fear of being bullied or ridiculed tends to seep in.

 

What Causes Trichotillomania?

There isn’t a specific reason that leads to Trichotillomania but there are several biological, psychoanalytical and behavioural theories associated with this disorder. For instance, neurochemical imbalance, as well as trauma connected with childhood or stressful events. Trichotillomania that occurs under psychoanalytic model denotes an unconscious unsettled past – an unfortunate incident of abuse by an acquaintance or a complete stranger.

The behavioural model for Trichotillomania stresses on painful events. For example, loss of a parent, or constant family skirmishes precedes the onset of hair pulling. An attempt to release tension is caused by such distressing instances and moments. This behavior becomes perpetual and later turns into a habit. The person may not even be aware of any initial triggers. However, it only has to be one event in response to what someone may perceive as the urge for pulling hair. The biological model for Trichotillomania purports neuro-chemical imbalance, mostly with serotonin. Levels of altered dopamine too play a vital role in aggravating Trichotillomania. It still isn’t sure if genetics need to be taken into consideration. Although some studies do suggest a rise in the percentage of Trichotillomania in people whose relatives suffer from different psychiatric disorders.

 

Plan Of Action

Continuous tugging of hair needs to be reported medically and if Trichotillomania seems an underlying cause then psychiatric as well as a medical treatment has to be initiated. Not many are aware that the earlier the intervention, the better the probability of the behavior being in control. However, it is essential to note that a person – child or an adult, sometimes do not present for treatment for Trichotillomania until two years since hair-pulling takes place. Psychological behaviour therapy and medication help with treatment for this condition. Habit reversal training as well has done wonders to people who have been suffering from this emotional ordeal.

Lastly, acceptance and patience are key factors in addressing this psychological disorder. With time along with medical help and the support and love of family and friends, Trichotillomania can surely be managed.

For more please see http://trichstop.com