A couple of years ago, an intriguing email landed in my inbox. It was from the award- winning journalist James Longman (of ABC News). He told me he was writing a book investigating his own father’s illness and how much of mental illness is inherited. His father died by suicide when he was just a child and had a diagnosis of schizophrenia and depression, but James did not know a huge amount about this mental health history at the time.
James wanted to delve deeper into the family and genetic side of mental illness. As he got older, James’s own bouts of depression spurred him to examine how his father’s mental health might have affected his own. He engaged with experts to uncover the science behind what is inherited, how much environmental factors can impact genetic traits, and how one can overcome a familial history of mental illness and trauma.
James had seen my own story of family illness with bipolar disorder, as my Dad and other relatives also have the same condition and so he reached out to interview me. With permission from my Dad, I had a wonderful chat over Zoom with James, talking about the links with certain types of mental illness in families and how these types of illness can cause suicidal thoughts and sadly in James’s fathers case, suicide. We also discussed the hopeful journey that can occur if you have access to the right support networks, medications and therapy. Medication in particular has helped to keep us well over the years as bipolar has a definite biological link too.
In The Inherited Mind, James invites readers to reflect on their own stories as he shares his quest to better understand himself and his family. Through speaking to mental health experts, to those who have had similar familial experiences, and about his own life stories, James shows us, with heart and humour, how much our bodies can empower and inform us about our own personal mental health histories.
We are honoured to have our story featured in James’s informative and essential book. Thanks again to him for featuring us as a case study. It will be out in January and you can pre order your copy here
Brigid and team very kindly gifted me a copy of her wonderful book for review. Although I have not yet finished it, I have found it very inspiring and such an important read. Here’s what Brigid and her publisher have to say:
Brigid Sheehan didn’t receive her bipolar diagnosis until early adulthood but, looking back, she realises how the condition may have affected her in so many pivotal moments. By writing this memoir and sharing her highs and lows, she hopes that her journey into the past will help others in the same position – and show them that they, too, can live full lives in spite of their bipolar diagnoses.
Brigid says, “I have chosen to tell the story of my lifelong experience as a bipolar sufferer because I think another person’s lived experience can help access knowledge, although no two situations are the same… Bipolar has not become a friend, but I have simply got to know it better and found the means to cope.”
Living with bipolar is never easy and Brigid documents the many highs and lows and how she lives with it.
We’ve all heard the phrase ‘change starts at the top’. And when it comes to building safe and secure work environments, this notion becomes vitally important. Employees are the ones who bear the brunt of a lack of strong, skilled leadership teams. Leaders, managers and HR teams have a duty to look after staff, and wellbeing is a crucial piece of the puzzle.
With appointing physical first aiders being a legal requirement, more and more businesses are beginning to recognise the need for mental health support to be given the same significance – and Mental Health First Aid training is the solution.
Nathan Shearman, director of training and therapy at Red Umbrella, explores the indispensable role of MHFA training for businesses’ leadership teams.
Why is Mental Health First Aid becoming indispensable to business culture?
“Mental Health First Aid is a powerful resource that allows certain individuals to become qualified with a basic understanding of how to provide mental health support – much like physical first aiders do for physical health issues,” explains Nathan.
“Overall, it’s an incredibly reliable solution to building happier and safer work environments. Most of us would hesitate to join a business without physical first aiders, so why would a lack of mental health support be any less concerning?
“Through MHFA, individuals are trained to identify early signs of mental health issues, and how to act in response. Knowledge and education are instrumental when it comes to mental health, and mental health first aiders can ensure individuals who are struggling are guided towards the right resources.
“Appointing MHFAiders can also help prevent issues from escalating, leading to individuals needing to take time off work, or experiencing a full-blown crisis.”
Why is MHFA vital for leadership teams in particular?
“Recent research shows that 31% of employees feel uncomfortable discussing mental health with their managers, which means that employees are less likely to come forward and start that discussion..We’re all familiar with the culture of stigma that dictates that if someone comes forward to voice their mental health struggles, they may be out of a job. This is extremely detrimental for a business.
“By being MHFA trained, leaders can recognise the signs that someone is not okay, and step in to start those conversations. It enables that vital early intervention that can be the difference between someone recovering to their normal levels of functioning and wellbeing quickly, and someone taking extensive time off, or suffering serious mental health issues.
“It also means leadership teams can be better equipped to manage their own mental health. There are significant pressures on leaders and managers, and often the more senior someone becomes in an organisation, the less likely they are to discuss their own wellbeing, or seek support if they need it. The more informed they are, the more equipped they are to respond.”
(image: Unsplash)
How does MHFA equip leadership teams to handle mental health issues within staff?
“Firstly, it’s about awareness. Being able to spot when someone isn’t okay, when they’re struggling, or just noticing when there are additional risks or stresses associated with a task, role or project.
“For example, having a leader say to their team ‘I know this project has tighter deadlines than usual and that might make some of us feel higher levels of stress, what can we do to support you?’ can go a long way to having employees feel seen, heard and supported.
“It also means when they do notice someone isn’t okay, that they know how to respond. They feel empowered to have those difficult conversations, they don’t worry about saying the wrong thing, and they feel confident that they can be the supportive leader they wish to be.
“Being MHFA trained doesn’t mean that issues won’t arise within a team, but if leaders know how to respond well, their team will have more confidence in them and the organisation itself.”
(image: Unsplash)
What are the short-term vs long-term benefits of implementing MHFA for leadership teams?
“Short-term benefits for leadership are greater awareness and therefore visibility of issues within their teams, which enables them to respond quicker to potential issues. It also allows them to immediately check in with their own wellbeing, and make adjustments to their lives so they are able to be the most effective and healthy version of themselves.
“In the long term, employees will feel more supported, will be more engaged and as a result more productive, creative and loyal to the organisation.
“The biggest benefit is if leaders in an organisation are MHFA trained, the culture around mental health shifts massively. It enables more people to come forward when they’re struggling and to access support, and it makes the company more attractive to current and potential employees, driving talent retention and acquisition.”
For more information on MHFA training and how it can benefit your organisation, please get in touch with Red Umbrella: https://red-umbrella.co.uk/contact
About Nathan Shearman
Nathan Shearman is the director of therapy and training at Red Umbrella, an organisation that’s improving the mental wellbeing of the UK workforce by working in partnership with large employers to deliver bespoke mental health training and support solutions.
Nathan is a qualified psychotherapist and counsellor with a background in private practice and 10+ years of experience in the field.
Eye health goes beyond just vision acuity; it can also offer a window into one’s mental and overall health. Recent studies have shown that comprehensive eye exams can uncover early signs of mental health conditions. In this post, we’ll discuss how certain eye tests can be indicative of broader health issues, shedding light on the intricate connection between eye and mental health.
Visual Field Test and Anxiety Disorders
A visual field test measures the entire scope of vision, including peripheral vision. Individuals with anxiety disorders may exhibit an unusually narrow visual field. This constriction is often linked to heightened alertness to threats, a common characteristic of anxiety disorders. By identifying these patterns, eye care professionals can recommend further psychological evaluation.
Retinal Screening and Depression
Retinal screening involves the examination of the back of the eye, including blood vessels. Changes in retinal blood flow and the thickness of retinal layers might correlate with depression. The retina is an extension of the brain, and its health could reflect the state of brain health. These findings at optometry clinics can prompt referrals for mental health assessments.
Pupil Response Tests and Schizophrenia
Pupil response tests evaluate how pupils adjust to light and darkness. Abnormalities in pupil reactions can be indicative of schizophrenia. Specifically, individuals with this condition may show an exaggerated pupil dilation when focusing on certain tasks. These variances in pupil response offer critical clues for early detection and management of schizophrenia.
Eye Movement Tests and ADHD
Tests that assess the rapidity and accuracy of eye movements can offer insights into Attention Deficit Hyperactivity Disorder (ADHD). People with ADHD tend to have difficulty maintaining steady visual focus, leading to rapid eye movements. This characteristic can help differentiate ADHD from other attention disorders, guiding appropriate treatment and support.
Color Vision Tests and Cognitive Health
Color vision tests do not just assess the ability to distinguish colors; they can also reveal cognitive health aspects. Certain neurological conditions, including dementia and Alzheimer’s disease, can impair color vision. Early detection of these changes in color perception can lead to timely cognitive assessments and interventions.
Contrast Sensitivity Test and Anxiety Levels
Interesting research has revealed a correlation between reduced contrast sensitivity and higher levels of anxiety. This might be due to the way anxiety can affect neural pathways related to vision processing. Identifying a decrease in contrast sensitivity could, therefore, suggest the need for a mental health check-up, underlining the complex interplay between visual function and mental well-being.
Optical Coherence Tomography (OCT) and Bipolar Disorder
Optical Coherence Tomography (OCT) is a non-invasive imaging test that provides detailed images of the retina’s various layers. Recent studies suggest that individuals with bipolar disorder may have certain retinal nerve fiber layer abnormalities detectable through OCT. These abnormalities in the eye’s structure could reflect alterations in neural pathways associated with bipolar disorder.
Eye tests provide valuable insights not only into one’s vision but also into overall mental health. The connection between the two underscores the importance of regular psychological assessments as well as consultations from optometry clinics like Calvert Ophthalmology Center. Surprisingly, eye exams can reveal early signs of mental health conditions, which can offer an opportunity for early intervention and support.
I am delighted to be collaborating with Twinkl on their mental health resources for children in schools.
Twinkl say , ‘We must recognise the need to improve understanding of children’s mental health. A person’s mental health is determined by a complex cocktail of different factors interacting. Some of these factors come from a person’s biology, while others come from external factors. Further complicating things, young children don’t always have a full understanding of why they feel they way they do. They can also be reluctant to talk about it, which only adds to the challenge if you’re a teacher trying to support good mental health care at your school. Ultimately, though, if you have concerns that one of your students is struggling with something related to mental health, you should report your concerns to the appropriate authority.’
Twinkl creates resources for teachers and their students, to provide excellent mental health education. This includes resources such as a morning physical and mental health check in, mental health discussion cards, mindfulness colouring pages, and the emotions iceberg to help children understand their feelings.
(image: Twinkl)
Sometimes children come to school unable to express their emotions or what is going on at home. That’s why its so important for teachers to use these tools to help children at school.
Click here to look at the amazing resources and read this blog by Twinkl.
Today is World Bipolar Day and its a day where we raise awareness globally about living with bipolar disorder and battling social stigma
When I had my first depressive and manic episodes in 2004; I was a teenager and had no idea what was happening to me. I was helped not only by family support (my dad was diagnosed 4 years before me) but also by some amazing psychiatry health professionals (shout out to Dr Mark Berelowitz at the Royal Free and the team at the Priory North London).
Bipolar changed my life as a young person in both good and difficult ways. It made me stronger; more resilient and more empathetic. But it also made me depressed, manic; anxious and fearful. There were times where I was scared of my own brain and didn’t know where bipolar started and Eleanor ended.
20 years later, I take daily medicines and engage in therapy and I go long periods between episodes due to finding the right medications. This is my own experience and some people with bipolar rapid cycle or have more regular episodes.
Remember it’s ok not to be ok but reach for support and never give up. There is a future and a way forward. I will keep talking about bipolar to help others and raise vital awareness and funds for our condition. Please also support charities like Bipolar UK and have a read of my book Bring me to Light.
Some of you will know that I have been really quiet on this blog for a long time about certain aspects of my life.
Being mid thirties and married, I often get asked, ‘Do you have any children?’ or ‘How many kids do you have?’.
I often explain that I don’t have kids yet but I have 2 fur babies, my guineapigs Midnight and Nutmeg.
The truth is I have wanted to be a Mum since I was a young girl. Ive had lists of baby names since I was age 12. If it was up to me, I would be a mother already. Mothering is a huge part of my heart and soul. I am blessed to be an auntie, which is incredibly special.
This summer, after various symptoms including weight gain, irregular periods and a scan revealing ovarian cysts, I was diagnosed with PCOS (Polycystic ovarian syndrome). This syndrome can cause irregular periods, irregular ovulation and sometimes infertility as a result. It is a hormonal condition where your body produces too many androgens (male hormone) and its very common.
I got the diagnosis one month before I turned 35, in June this year. Why is this significant? Some will know that 35 is seen for some as a cut off point, when your eggs either start to decline or reduce in amount. There is also a greater risk as you get older for certain things like miscarriage and disabilities in the foetus. Being overweight as well with the PCOS (and other bipolar medication) means that the PCOS is worsened and my period cycle is not normal. I need to lose the weight, to help my fertility too.
I called my book ‘Bring me to Light’ because I had come to a place of light after darkness. I didn’t know a new challenge would be coming my way.
So- I have started to take supplements to help me ovulate more regularly and get my body ready (myo-inositol and folic acid, vitamin d, fish oils with omega 3). I am also trying to lose some weight and gain better health and regular ovulation, through regular exercise. Recently, I have signed up with a nutritionist and I am in process of changing my diet so less carbs, less sugar. Soon, I may need to speak to my GP to get further intervention re making sure I am regularly ovulating, but until then, I am trying to overhaul things.
This isn’t easy. I crave sugar. I crave chocolate. I love pasta. I love fruit juice. I can’t completely cut them out yet to help my health conditions but I will get there in time (reduction is key).
My nutritionist has highlighted to me that when you have raised cortisol (stress hormone) levels, your body finds it holds on to weight. I am doing a lot better with my PTSD panic attacks but when they do happen I get raised cortisol. I also take heavy medications and my metabolism is affected too.
I have been coming to terms with so much. I know one day soon, I will be a Mum and Rob and I will be parents. Its just going to take a little longer.
Just wanted to say a big shout out to all friends who have supported me with this, especially those on instagram going through their own struggles too. You have held my hand, comforted me and helped to wipe my tears. My therapist has been helpful too- and our faith and prayers keeps us going.
Being an adult really is hard and this will be an ongoing journey. People have worse things than me too, but as someone once told me, we are not given more than we can handle….
I wrote it to explain how I turned the darkness that bipolar episodes can bring, into light. And so people reading feel less alone, so stigma can fall. So important to talk about our illnesses once we are better, so that it isn’t so hard to understand.
Living with severe mental illness like bipolar psychosis. mania or suicidal depressions can be very challenging. However, they do not have to be your entire life. For me, medication and therapy over time have helped me. Its different for everyone.
If you would like to read my story or gift it to a friend to help them, please see Amazon or other well known bookshops.
And remember- we are never truly alone although being ill can feel unbearable- hold on to hope if you can:
Most people know at least a bit about bipolar disorder. It has come into the mainstream more in recent years and many people have it.
BPD treatment is available for those who want or need it. There are many clinics and doctors who are willing to help those who are showing signs of this disorder.
If you have a bipolar disorder diagnosis or you know someone who has, there are some takeaways on treatment options about which you should know.
More is Known About Bipolar Disorder than Ever Before
First, it’s crucial to know that medical science has advanced to the point where more is known about bipolar depression. The brains of individuals who have it have been studied. This has led to a wealth of information that doctors and clinicians can use when developing more advanced and effective treatments.
Those Who Have It Can Often Live Normal Lives
It’s also true that those who have received a bipolar disorder diagnosis can usually live normal lives. They can often take care of themselves. However, there is a much better chance of this if the person who has received the diagnosis is willing to communicate regularly with a medical professional or team of professionals who can help them when needed.
Refusing Treatment Can Lead to Serious Problems for the Diagnosed Individual
It’s worth mentioning that if someone who has received this diagnosis does not want to get help, they could then become unwell. Part of bipolar disorder is that sometimes, those with it can suffer from the depths of depression. They can also experience dizzying highs of a manic phase.
Mania can be quite a dangerous time for the person with bipolar and treatment such as Lithium will be needed to return them to wellness.
A Medicine Regime Can Help
Most medical doctors agree that the medications that are available now can help someone who has received a bipolar disorder diagnosis. A mix of medicines including mood stabilisers, anti psychotics and anti depressants is usually what it takes to keep such a person on an even keel.
These medicines might not be the first choice of the person who has received the diagnosis. Sometimes, those who have bipolar disorder may not want to take medication.
This World Mental Health Day, clinical experts in bipolar have today announced that successive failings in government policy could have led to a significant reduction in quality of care for those living with bipolar in the UK.
Despite vast improvements in key areas of mental health, the average age for people to get a diagnosis of bipolar is 34 if someone was diagnosed within the past five years, compared to 26 if someone was diagnosed 30 or more years ago.
“It is shocking that today people are living with undiagnosed bipolar for longer than they were when the charity was formed 40 years ago. The current average delay to diagnosis is 9.5 years. That’s nearly a lost decade where people are struggling with confusing symptoms without getting the vital bipolar-specific treatment and support they need,” said Simon Kitchen, CEO of leading charity Bipolar UK.
“This delay is having catastrophic consequences, with the Bipolar Commission finding that more than a third of the 2,458 people surveyed had attempted suicide because of this delay. This is backed up by research which shows that ‘time to treatment’ is significantly associated with hospitalisations and lifetime suicide attempts.
Tragically, global research estimates that up to 1 in 5 people will take their own life and 60% of people with bipolar will attempt suicide at least once during their lifetime.
It is well established that bipolar has the highest risk of suicide of any mental health condition, yet it is only mentioned once in the Government’s recently published national suicide prevention strategy.
CEO of Bipolar UK CEO, Simon Kitchen, said, “Since Bipolar UK was founded as a charity 40 years ago, we have never stopped campaigning on behalf of those living with bipolar and their families.
“To help prevent the high rate of suicide in those with bipolar and to reduce this unacceptable waiting time for a diagnosis, we are currently campaigning for the Government to commit to prioritising bipolar in the implementation of their national suicide prevention strategy and to commit to reducing the average delay to diagnosis to five year within five years.”
The Bipolar Commission’s Bipolar Minds Matter report launched in parliament in November 2022 includes several recommendations that experts in bipolar and clinicians believe will reduce diagnosis time, improve the quality of life and reduce the high risk of suicide for those living with bipolar.
Kitchen added; “The current care system for bipolar is broken, resulting in an ineffective and inaccurate pathway to diagnosis.
“It is shocking that diagnosis delays are worse now than when Bipolar UK was founded 40 years ago.
“Although we are providing as much support as we can, we desperately need the government to sit up and take action before we lose even more people to suicide.”
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