How Horses can help Mental Health issues through Equine Therapy: Guest post by Lyle Murphy

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(image: Unsplash.com)

Modern medicine continues to reveal new complementary treatment methods that enhance the health care solutions we rely on every day. Equine assisted therapy is one of the most exciting and versatile treatment methods available. Research published in medical journals support the use of equine assisted therapy as an essential part of holistic mental health treatment for conditions as varied as autism spectrum disorder, cerebral palsy, and anorexia.

Despite longstanding success in using therapeutic horseback riding and other equine assisted therapy techniques in health care treatment, many people aren’t familiar with the benefits. This information is especially relevant for parents caring for children who have mental health problems. Read on to find out exactly how therapeutic riding can make a huge difference in a patient’s quality of life.

Understanding Equine Assisted Therapy 

Equine assisted therapy actually covers a wide range of activities and therapeutic techniques that leverage the unique dynamics between a patient and a horse. Treatment methods are supervised and directed by a medical professional, differentiated from recreational equine activity through a local ranch or social club.

Horseback riding has been shown to contribute to the development of improved coordination and balance, directly aiding the physical rehabilitation process. Additionally, activities like grooming and feeding can help to improve motor skills and problem solving. More advanced treatments may be performed under the direction of an equine therapy specialist.

Equine Assisted Therapy Treats Several Mental Health Issues 

This list is by no means an exhaustive account of all the medical conditions that can be treated with equine therapy. Instead, it provides a sense of the how broadly the treatment is already being utilized.

Across the country, equine therapy has already been incorporated into mental health treatment plans for adults dealing with:

       

  • Mood and behavioral disorders
  • Autism spectrum disorder
  • Trauma and grief
  • Bipolar disorder
  • Depression
  • Sex and gambling addictions

Holistic Mental Health Care Through Equine Therapy 

Successful engagement with a horse is a physical, social and emotional challenge. That’s why it’s such an ideal complementary treatment for patients dealing with mental health issues. By working through the demands of horsemanship under the guidance of an experience medical professional, patients are able to work to build better habits and develop strategies for managing their symptoms.

 

Identifying Emotional Triggers 

One of the most important benefits of equine assisted therapy is the relationship between a patient and their horse. Horses are extremely sensitive to human emotions, making it difficult to ride if a person’s emotions are running wild. The plus side is that this sensitivity can also be used to identify emotional triggers and help patients discover the root of their mental health issues.

Building Communication Skills 

Due to their sensitivity to emotion, herd animal social dynamics, and relatively high intelligence, horses are strong communicators. They can also be easily agitated, making it important for patients doing equine assisted therapy to practice keeping their emotions in check. These lessons in self-control help the patient build skills they will likely rely on for the rest of their lives.

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(image: Unsplash.com)

Overcoming Physical Challenges 


Even the act of getting into a saddle requires are certain level of coordination. Unrefined motor skills are a very common symptom of a wide range of mental health problems. As a result, equine assisted therapy puts a focus on refining physical skills.

Gaining Confidence Through Goal Setting 

Ultimately, becoming a good horseback rider requires individuals to master a long list of skills. The step-by-step process of learning to ride also naturally provides a set of goal posts for patients to reach for and overcome. The opportunity to set goals and achieve them is an important part of the emotional development process and a key perk of equine assisted therapy.

Explore More Equine Assisted Therapy Benefits 

Another advantage of equine assisted therapy is that it offers patients an alternative, promoting holistic care. There is a time and place for medication, but  I believe that the current cultural climate pushes for treating most conditions with pills and often fails to take a more holistic approach.

About the Author:
Lyle Murphy is the founder of Alternative to Meds Center, a holistic medication tapering and addiction treatment facility in Sedona, AZ. Lyle has dedicated his life to holistic mental health.

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World Bipolar Day is Tomorrow!

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Tomorrow, join in and learn what you can about bipolar disorder.

As many of you know, I have bipolar 1 disorder and when not on medication, have episodes of high mood- mania/ psychosis and low mood- severe depression. Thankfully I am in recovery but it affects so many people and is thought to run in families.

Remember you are not alone.

Bipolar UK-  https://www.bipolaruk.org/

Bipolar in USA: http://www.mentalhealthamerica.net/conditions/bipolar-disorder

Understanding PTSD by Gender: Guest blog by Dale Vernor

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(image: Kennington Osteopaths)

Post traumatic Stress Disorder, better known as PTSD can occur in a person who has experienced or been a witness to an event that is traumatic enough to affect their lives in a negative way. Witnessing a death, a serious accident, war, abuse, being a victim of a crime, natural disasters and childhood trauma can all be causes of PTSD. Many people only associate PTSD with war and veterans, but the truth is an estimated 3.5 percent of the US population suffers from PTSD.

Research has shown that there are differences in the brain when it comes to how men and women process and deal with PTSD. Science is admittedly behind on truly understanding the gender differences when it comes to PTSD and how it is expressed, but there have been some findings.

Men and women respond to stress differently. Men are more likely to respond with a fight-or-flight response in a stressful situation and women are more likely to use a more calming response known as tend-and-befriend.

This is an emotion-focused coping mechanism. It should be noted that there is so little data that stereotypes should not be formed, however, there is enough data to support differences in the genders.

PTSD in Men

Men are more likely to have PTSD due to combat trauma, trauma from natural disasters and disasters caused by human force, some sort of violence and accidents. Based on studies and research men actually suffer more traumatic life events than women on average, however, only 5-6% of men will experience lifetime PTSD. Lifetime PTSD is less prevalent in men than in women. Double the rate of women will experience lifetime PTSD at 10-12%.

PTSD in Women

Women are at a substantially higher risk for PTSD than men. Biology and psychology play a part in why those differences exist. Women are more likely to experience what is considered “high-impact trauma” at a younger age than men.

Women are more likely to experience sexual abuse, domestic violence and sexual assault that leads to their PTSD. It is sexual trauma that puts women at a higher risk for PTSD than men.

Women who suffer from PTSD will also tend to do so longer in comparison to men; on average 4 years to 1. When it comes to seeking help for PTSD women are more likely to seek support for their illness amongst a group. They tend to look for social support.

Symptoms of PTSD Same in Men and Women

The women and men who have this condition often express similar symptoms. Men may display their symptoms in a more aggressive expression where women have shown to retreat internally and avoid the outside world.

Some of the symptoms of someone suffering from PTSD are:

Re-experiencing nightmares, having flashbacks and frightening thoughts that appear real, avoiding people, places and things that may remind a person of the trauma and avoiding feelings and thoughts to cope with the trauma, signs of heighten anger and anxiety expressed physiologically, being hyper-vigilant against threats, difficulty sleeping, experiencing an onslaught of negative feelings, thoughts and judgments, unreasonable blaming of yourself, excessive guilt and a negative perception of yourself in the world, and disinterest in regular every-day activities.

PTSD and Substance Abuse

According to the U.S. National Library of medicine 50-66 % of people who have PTSD simultaneously suffer from addiction. What begins as a means to cope with the symptoms of PTSD, which are distressing, usually turns into a full-blown addiction.

Substances like drugs and alcohol can decrease anxiety in the moment, escape the pain , distract from negative emotions and increase pleasure in the short term. The coping mechanism of substance abuse affects both women and men. There are dual diagnosis treatment centers for people who are suffering from PTSD and substance abuse.

Post traumatic stress disorder, wherever you live in the world and whatever gender you are, can be hard to cope with. Please seek support if you need it and know you are not alone.

This post was written by Dale, a freelance writer specialising in mental health, based in the USA.  He can be found on Twitter https://twitter.com/DaleVernor

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.

How is Massage Therapy useful when recovering from an Anxiety Disorder? Guest Blog by Ashley Smith

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(image: Ashley Smith)

Massage therapy, which is often sought by people for relaxation, is not only offered by luxurious spas but it’s also becoming a mainstream treatment technique for boosting mental and physical health. Nowadays, healthcare professionals especially physical (physio) therapists are using this age-old and unique healing technique to relieve pain that stems from a wide range of physical and mental health issues.

Yes, massage therapy is not only essential for improving the mood and offering relaxation to those who live an utterly busy life where they have to deal with tight deadlines all the time, but it’s also beneficial for people struggling with conditions like stress, anxiety disorders, depression and post-traumatic stress disorder apart from musculoskeletal injuries and illnesses.

Yes, the mental health benefits of massage therapy are endless, so you shouldn’t hesitate to seek it. Divided into several sub-categories such as Swedish massage, deep tissue massage, sports massage, prenatal massage, and infant massage, etc., massage therapy is one of the most crucial techniques that make it easier for you to live a pain-free and fulfilling life.

If you talk specifically about anxiety disorders which include generalized anxiety disorder, phobias, social anxiety disorder, panic disorder, separation anxiety disorder, and selective mutism, they can interrupt your life completely.

Characterised by common symptoms like sweating, trembling, sadness, restlessness, excessive worry, fatigue, insomnia, fear, and nausea, etc., an anxiety disorder makes it difficult for you to focus on both your personal and professional life. For example, if you are struggling with a panic disorder, you will keep on experiencing frequent episodes of intense anxiety and fear that prevent you from concentrating on your work. And when your fear reaches a peak, you encounter a panic attack.

Similarly, if you talk about Generalised Anxiety Disorder, you will keep on worrying about day-to-day activities.

According to The National Institute of Mental Health (NIMH), people who suffer from Generalised Anxiety Disorder (GAD) experience excessive worry for a minimum of 6 months about various areas of their life like activities of daily living, interacting with people, and personal health, etc. And this fear makes it difficult for them to do good in these areas.

Experiencing anxiety is normal; the problem comes when you suffer from an anxiety disorder. Yes, there is a vast difference between experiencing anxiety and suffering from an anxiety disorder; the former is quite healthy for you, but the later is a mental illness. That’s true. Normal anxiety helps you prepare for future events and situations, whereas an anxiety disorder like panic disorder and social anxiety disorder, make it difficult for you to face those events.

The fear that stems from normal anxiety disappears soon; however, the worry that attacks you due to an anxiety disorder stays with you until you recover from your problem. And what’s concerning is it can  worsen with the passage of time in the absence of professional help.

Yes, seeking professional help is the only way to recover from this mental illness.

According to Anxiety and Depression Association of America (ADAA), “Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older, or 18.1% of the population every year.” It further states that “Anxiety disorders are highly treatable, yet only 36.9% of those suffering receive treatment.

So, here is how massage therapy can help you battle an anxiety disorder.

 

In Reducing Stress

The stress that stems from facing tough situations can lead to further health complications if you fail to take professional help for it at the right time. You should take corrective steps to minimise your stress levels if you can. Consulting a licensed physical (physio) therapist to seek massage therapy can bring tremendous change in your health.

I believe that since people struggling with an anxiety disorder also experience high-level of stress, they should seek massage therapy to address anxiety, alongside other methods.

When you are stressed out, your body releases a hormone called Cortisol, which affects several areas in your life such as public speaking, social interactions, performance at work, and happiness.

Since you always feel stressed out, you can’t experience happiness in your life. Therefore, to deal with the problems that you face in different areas of your life, it’s essential that you work on improving your mental health, and one of the best ways to start in this direction is to control your stress levels and promote relaxation by seeking massage therapy.

Your therapist might use Swedish massage to reduce your stress level. According to Gulf Shore Physical Therapy Center, “Swedish massage is more gentle and targets more superficial tissues, perfect for anyone looking to relax and relieve mental as well as physical stress. As the best-known type of bodywork performed today, one of the primary goals of the Swedish massage technique is to relax the entire body.

 

In Minimising Muscle Tension

Muscle tension and muscle pain are the symptoms of elevated stress level, and hence, people living with an anxiety disorder also experience them. Seeking massage therapy, wherein your massage therapist uses hand techniques to reduce muscle tension and pain, can have significant benefits for your mental health.

Since it offers relaxation, it not only helps in improving your performance at work but also allows you to spend quality time with your loved ones at home.

 

In Improving Sleep

Sleep problems are one of the most common signs of an anxiety disorder, and massage therapy is in our opinion, the best way to address it. Whether you stay awake the whole night because you find it difficult to fall asleep or you are someone who wakes up frequently from your sleep, massage therapy will deal with these issues by offering relaxation and addressing the problem of muscle tension and pain.

When you enjoy a good night’s sleep, you will wake up feeling fresh and energetic in the morning, which plays a crucial role in improving your entire day.

 

In Enhancing Your Emotional Well-Being

People with an anxiety disorder often struggle with their mental health and some have depression alongside it. Massage therapy can promote relaxation and boost wellbeing. Experts believe that it has several benefits for mental health, you shouldn’t underestimate its potential to improve your emotional well-being.

Since it reduces stress and anxiety, it eventually stabilises your mind which improves your emotional well-being.

 

In Reducing Chronic Pain

If you are also living with pain due to an injury or illness apart from an anxiety disorder, massage therapy can help reduce your pain. Since it helps in enhancing circulation, you will see a tremendous improvement in the reduction of pain after a massage therapy session.

It will also accelerate the natural healing process by supplying nutrients to injured tissues.

Massage therapy will also help in enhancing your mind-body connection, which is extremely useful for your overall well-being. It can be used alongside conventional therapies, to support relaxation and good mental health. Try it today.

 

This article was written by Ashley Smith, freelance writer in the USA

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

 

What is Stigma? Guest post by Brandon Christensen

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What is Stigma?

Stigma is a mark of disgrace that sets a person apart from others. When a person is labelled by their mental illness they are often no longer seen as an individual, but as part of a stereotyped group. Negative attitudes and beliefs toward this group create prejudice, which can lead to negative actions and discrimination.

The sad truth is that mental illness is widely misunderstood. Those who suffer have been called names, been blamed for their condition, and isolated. Stigma, and the feeling of shame that it brings, often prevents people from seeking help and treatment for their disorder, even when it is desperately needed. It is crucial that all of us in the mental health community raise our voices and fight to eliminate stigma. If you are not sure where to get started, here are some of the best ways you can work towards reducing stigma in your community.

Ways to Reduce Stigma

1. Become educated and teach others about mental health

Educate yourself about mental health needs so that you are best equipped to discuss them openly! By learning the facts instead of the myths, you will be able to educate others. As you learn more, keep an eye out for opportunities to pass on the facts with friends, family members, or coworkers. If you see someone struggling, encourage them to seek the help of a professional therapist.

2. Encourage equality between physical and mental illness

Unfortunately, not everyone sees mental illness as important as it is, which is why it is so widely misunderstood. People would never shame someone who has the flu, so why does this happen with mental illness? Reminding people of the equality between physical and mental illness is a great way to reduce the stigma and find parity of esteem!

3. Show compassion and get involved

Always remember to treat people who have mental health problems with dignity and respect. Think about how you’d like others to act towards you if you were in the same situation. A simple act of asking a friend or family member how they are doing can make their day and remind them that you care. One of the best ways to show compassion within your community is to get involved with a local non-profit organization that’s working on Stigma Free initiatives!

4. Fight stigma when you see it

You probably see and hear stigma in the public more than you realize. Start paying attention to situations that might be perpetuating this. For example, if you see something online or out in your community that sheds negative light on mental illness, take action and say something rather than turning the other way. Make sure your words and language come from a place or caring and concern, rather than confrontation.

It is so important to the mental health community that progress is made in eliminating the stigma that still surrounds something everyone deals with in one way or another – mental health.

By coming together to fight this common cause, we can make a global impact on how disorders are perceived in society. No matter how you contribute to the movement, you can make a difference by following just one of the tips above and committing to live stigma free!

Author Bio

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(image: Brandon Christensen)

Brandon Christensen is a passionate business leader and mental health advocate who is on a mission to leave the world a better place than he found it. Brandon is the co-founder of Modern Therapy, a tele-mental health company. Brandon has been featured as a keynote speaker onmental health topics at colleges like NYU, Skidmore College, and Columbia University. He holds a bachelor’s degree in Business Administration from Ramapo College of New Jersey.

Website: www.moderntherapy.online

Instagram: @moderntherapyonline Facebook: moderntherapyonline Twitter: @_moderntherapy

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. 

          

How to Manage Bipolar Disorder in the Workplace: Guest blog by Ralph Macey

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(image: bphope.com)

People with bipolar disorder face a major problem in maintaining a good job performance at work due to frequent mood shifts (from high moods to extremely low moods). High moods are characterised by mania and hypomania. On the other hand, low moods are characterised by depression. These mood shifts create several types of challenges in the social, professional, and personal life of the people.

Bipolar disorder can make it very difficult for a person to get or keep a job especially if the symptoms are hampering day-to-day functioning, and if they also have anxiety.

In a recent survey, it has been found that 88% of the individuals with bipolar disorder face problems in maintaining a decent work performance. Around 58% of the people have stopped working altogether.

It’s a fact that bipolar disorder brings many challenges that can hamper work productivity. However, qualified psychiatrists specialising in bipolar disorder say that it’s possible to get and maintain a job while having a bipolar disorder by following a few tips. Let’s talk about them today.

 

How to get and maintain a job with bipolar disorder

1. Don’t volunteer to disclose your medical information to the employer during the interview. Employers have full right to decide if you can do the job properly. But they can’t ask confidential questions to you.

2. As per the Americans with Disabilities Act, (and other disability legislation around the world like her in the UK), employers can’t force you to give a medical exam or check your medical records. They also can’t ask you questions regarding your medical history. Moreover, this Act forbids any kind of discrimination on the basis of perceived or actual disability. So it’s better you read the rules and regulations of this Act before going for a job interview.

3. Try to avoid talking about your past. Instead, talk about your current capability of doing a job properly.

4. Ask about health insurance after getting a job. Just review the benefits information before accepting the job officially.

5. If your mental illness becomes an issue for the employer once in the job, then bring a letter from your psychiatrist that gives a general outline of the treatment you’re undergoing. Request that the psychiatrist issues a letter where it’s clearly written how much you can cope with at work. You can read the letter before giving it to the employer. 

How to keep a job with bipolar disorder

It’s a myth that you can’t be successful at work with a bipolar disorder. There are several things you can do to control your mood swings and manage your work. Let’s talk about them in detail now.

1. Take medicines as instructed: Even if you’re extremely productive during a manic high, don’t skip your medicines. That is not advisable as you can become unwell too with your mania.  Don’t stop taking medicines even when you feel well for several months. Remember, medicines keep all your symptoms under control. When you stop taking medicines, your symptoms can reappear and aggravate your mental illness.

Bipolar disorder medications have some side effects. Some medications cause drowsiness. This makes it quite difficult to focus on work. Speak to a psychiatrist specialising in bipolar disorder about this issue if you feel too sleepy at work. Ask if you can change the time you take the medication. Learn about the various strategies to combat drowsiness so that you can give your 100% at work.

2. Relax a little bit: Take short breaks between work regularly. Take a short walk during the lunch break. Listen to music that uplifts your mood. Take deep breathing. All these things help you to relax, especially if you are low or have anxiety .

3. Lead a healthy lifestyle: Exercise regularly to keep your mind and body fit. Eat healthy and nutritious food. Have adequate sleep at night. If possible, try to sleep for 8-12 hours at home. Try to avoid eating unhealthy food. A healthy lifestyle can help you manage bipolar disorder both at home and work, by making you feel at your best.

4. Organise your tasks:   Bipolar can at times interfere with work functioning.This means your mind may not cooperate with you on a regular basis. Try to organise your tasks. I

Create a ‘to-do’ list on the Google calendar and check if each task has been completed. Whenever you fail to finish a particular task on a specific date, move it to the next date on the calendar. This way you’ll remember about the unfinished task. Divide big projects into small tasks. It will be easier for you to manage them.

If you are struggling, you can speak to your work HR if they are understanding.

 

Should you inform your employer? The eternal dilemma

Let’s accept it. There is a social stigma attached to mental health, however many employers are becoming more understanding and the stigma is lessening. Your medical information is something confidential and private. Obviously, you may not want to share it with everyone. You don’t need to talk about your mental health openly at work if you don’t want.

However, if your boss or line manager is cooperative and a good human being, then you can have a conversation with him or her. When you need to take leave for doctor appointments, your boss will understand and give you a day off without issue.

 

Conclusion

Don’t panic. Don’t feel that you’re less than anyone because of your bipolar. Your mental disorder doesn’t define you. Your work is not the only thing you have in your life. Spend quality time with your friends and family and volunteer to help others.

If you have a good conversation with your employers and/or your doctor/ occupational health, you may be able to manage at work.

Do I need Outpatient or Inpatient Treatment for Addiction? Guest post by Alek Sabin

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If you are struggling with addiction, or have a loved who deals with substance abuse, making the decision to seek treatment can be the most empowering decision you make in your life or theirs. Failing to do so can lead to lives and families being torn apart, and even runs the risk of an overdose. Of course, there are a variety of treatment options available, and many who are considering seeking treatment wonder whether outpatient or inpatient treatment is better suited for them. Here is a look at the key differences between outpatient and inpatient treatment.

Outpatient Treatment

This article here does a very good job at describing how well outpatient addiction recovery treatment works. Basically, outpatient treatment is an option that allows individuals to receive treatment that is less intensive than inpatient treatment. It is well suited for individuals who are seeking comprehensive treatment for alcohol or drug addiction, who need more support than weekly counseling but less support than inpatient treatment, and/or who have completed an inpatient programme and need continued support in recovery.

 

How Outpatient Works

Outpatient treatment typically draws on a variety of approaches in order to offer recovering addicts the healing they need. A comprehensive outpatient treatment might involve individual therapy, group therapy, education, and relapse prevention training. Recovering addicts will also explore a variety of therapy approaches, including cognitive behavioral therapy, motivational interviewing, and recreational therapy.

 

Benefits of Outpatient Treatment

Outpatient treatment can offer several benefits. For starters, individuals can receive treatment while protecting certain aspects of their current lifestyle, such as a job, education, or family responsibilities. Outpatient treatment also tends to be more affordable than inpatient treatment since you are not paying for room and board. It can also grant you more access to your family and friends, who might serve as a valuable source of support as you navigate recovery.

 

Different Levels of Treatment

Every outpatient program is different, and there are various types of outpatient programs, each offering a specific level of support. Three of the most common types of outpatient treatment are partial hospitalisation (day treatment), intensive outpatient treatment, and general outpatient treatment.

Partial hospitalisation, or day treatment, is a more intensive form of outpatient treatment that allows individuals to meet for to five days a week for several hours each day in order to receive intensive treatment. Intensive outpatient treatment is somewhat less intensive, and it is primarily for individuals who need an organized treatment program but who can navigate recovery in the course of their everyday activities. General outpatient treatment, meanwhile, is for individuals who require moderate support in order to achieve sobriety.

 

Inpatient treatment

Inpatient treatment, also known as residential treatment, involves the same treatment techniques as outpatient treatment, but it is more intensive because you typically check into a facility and live there throughout the duration of your program.

 

How Inpatient Works

Inpatient treatment draws on the same individual therapy, group therapy, and educational approaches as outpatient treatment, but it can include some more intensive techniques as well. Many recovering addicts seeking inpatient treatment, for example, will first undergo a medically assisted detoxification process in order to manage withdrawal symptoms. Inpatient treatment also involves around-the-clock care, which may be necessary for individuals who are recovering from abuse, trauma, or a co-existing mental disorder.

 

Benefits of Inpatient Treatment

Inpatient treatment can also offer several unique benefits. First, it gives recovering addicts the opportunity to focus on their recovery, without the distractions of everyday life. In addition, since individuals live within the care facility, there is no access to drugs or alcohol, reducing the chances of relapse significantly. Because it is a live-in facility, there may also be more specialized services available, such as a gym facility, yoga classes, acupuncture, or nutritional education.

 

One potential drawback to inpatient care is that it can limit your access to support from family and friends. For this reason, many inpatient programs include a specialized family program where family members can participate in the recovery of their loved ones—all while receiving the healing they need as well.

 

So What Is Right for You?

If you are seeking treatment for an alcohol or drug addiction, it’s important to consider not only the level of care that you need, but also those factors that might try to draw you away from your recovery. If you are living in an environment that is not conducive to a successful recovery, for example, then inpatient treatment may be the option for you, even if you think you may not require that level of care. When in doubt, you should always consult an addiction recovery facility. Many offer free assessments to help match you with the precise level of care that you need.

Please note: each country will have its own differing treatments and care.