It can be challenging to talk about mental health with friends and loved ones, as there is often a fear of being judged or misunderstood. In this post, I will share five tips for starting a conversation with your friend about their mental health.

Why it’s important to have conversations about mental health

Before we dive into the tips, let’s take a moment to discuss why it’s important to talk about mental health. Mental health issues are incredibly common, yet they are still heavily stigmatized in our society. Those who struggle with mental health often feel isolated and alone, which can aggravate their symptoms and lead to a worsening of their condition. By having open and honest conversations about mental health, we can help break down the stigma and create a more supportive and understanding environment. But the question is, how do you know when a friend is struggling with their mental health?

The signs that someone might be struggling with their mental health

Changes in behaviour

  • No longer participating in activities they once enjoyed
  • Isolating themselves from friends and family, and communicating less than normal
  • Change in appetite
  • Sleeping more and still feeling tired
  • Increased use of substances
  • Changes in care of personal appearance or living space
  • Being less productive at work or school
  • Posting worrying messages on social media

Changes in mood

  • Significant changes in mood, from very high to very low
  • Overreacting to situations
  • Sounding hopeless
  • Feeling anxious, or worrying more

Changes in what they say to you or others

  • “I hate myself.”
  • “I’m messing up everything in my life.”
  • “What’s the point?”

Common barriers to talking about mental health

There are many reasons why people might be hesitant to talk about mental health. Some common barriers include:

Stigma

As I mentioned earlier, mental health issues are still heavily stigmatized in our society. This can make it difficult for people to open up about their struggles, as they may fear being judged or misunderstood.

Lack of knowledge

Many people simply don’t know enough about mental health to feel comfortable discussing it. They may not know the right words to use or the best way to approach the topic.

Fear of making things worse

Some people may worry that bringing up mental health will only make things worse for their friend. They may feel like they don’t have the skills or knowledge to offer the right kind of support.

Now that we’ve talked about why it’s important to have conversations about mental health and some common barriers to doing so, let’s dive into some tips for starting the conversation.

1. Choose the right time and place

It’s important to choose a time and place where your friend feels comfortable and safe. You want to make sure they have your full attention and that there are no distractions that might make them feel uncomfortable or vulnerable. It’s also a good idea to choose a time when you both have plenty of time to talk, so you don’t feel rushed or interrupted.

2. Use open-ended questions

When you’re starting the conversation, it’s important to use open-ended questions that encourage your friend to share more about their experiences. For example, you might ask, “How have you been feeling lately?” or “Can you tell me more about what’s been going on for you?” This can help your friend feel like you’re genuinely interested in hearing about their experiences, rather than just trying to get them to open up.

3. Be non-judgmental

It’s important to approach the conversation with an open mind and a non-judgmental attitude. Your friend may be hesitant to share their experiences if they feel like they’ll be judged or criticized. Instead, try to listen actively and offer support without trying to “fix” their problems.

4. Share your own experiences

If you’ve struggled with mental health in the past, it can be helpful to share your own experiences with your friend. This can help them feel less alone and more understood. However, be careful not to make the conversation all about you – remember that the focus should be on your friend’s experiences and needs.

5. Offer ongoing support

After the conversation is over, it’s important to offer ongoing support to your friend. Let them know that you’re there for them and that you care about their well-being. Check in with them regularly and offer to help them find professional support if needed.

Starting the conversation is just the first step – it’s also important to know how to continue the conversation and offer ongoing support to your friend. Here are some tips:

Be patient

Remember that your friend may not be comfortable opening up right away. It’s important to be patient and give them space to share at their own pace.

Validate their experiences

It’s important to validate your friend’s experiences and let them know that their feelings are valid and important. This can help them feel more comfortable opening up in the future.

Help them find professional support

If your friend is struggling with mental health issues, it’s important to help them find professional support. This might mean helping them find a therapist or a support group, or even just encouraging them to talk to their doctor.

Talking about mental health can be difficult, but it’s crucial for both your own well-being and that of your loved ones. By following these five tips, you can start the conversation and offer ongoing support to your friend. Remember to approach the conversation with an open mind and a non-judgmental attitude, and to offer ongoing support even after the conversation is over. Together, we can break down the stigma surrounding mental health and create a more supportive and understanding environment for all.


Originally posted on www.mentalhealthcommission.ca

Resiliency is close to the heart of what is needed to get sober and to stay sober. And Shawn C., an alum of EHN Canada’s Bellwood Treatment Centre, knows a thing or two about resiliency.

He learned a lot about along the bumpy life path leading to the centre in Toronto’s Sunnybrook area. He is learning even more about it since he left.

It has not even been a year since Shawn woke up, or came to, at Bellwood. The previous years had been harsh, from childhood on, in and out of recovery. One step forward. Slipping down rungs and staggering backwards a bunch more. Bellwood was his line in the sand.

Over nine months later, he is still on track. Pushing forward, helping others, helping himself.

Family plays a big part in getting him to seek help

Shawn came to Bellwood last summer during the COVID pandemic’s dog days. It was his second formal attempt at treatment. Eleven years earlier, in his late 20s, he had been persuaded by his family to give it a shot after a near-fatal decision.

“I tried to pump the exhaust into the truck and go to sleep. The neighbour came home and caught me. I was passed out and they dragged me out, mouth-to-mouthed me, called the ambulance, and I was gone to the hospital,”  he recalls.

“At the hospital, I was woken up and the whole family is there, just bawling. I said alright, I will get clean. I had never thought of it before, didn’t want to do it and it was never even considered or on the table. But I went right into a treatment centre.”

Today, he knows he wasn’t ready, and wasn’t doing it for the right reasons. He lasted barely three weeks, broke some hard and fast rules, and found himself back in the throes of the helplessness that is substance use disorder.

It was a place he was familiar with. Raised in rural Southern Ontario, in part by loving grandparents, and in part by a father unable to provide stability and nurturing he needed, he turned to substances early and often. As a young teen, he was soon involved in using substances to gain acceptance in his peer groups. He was dealing drugs, getting into fights, and building a reputation in his community and law enforcement. He dropped out of high school after Grade 9. Through it all was alcohol.

“Alcohol is my best friend. Still my best friend. I just haven’t talked to it in a while,” he says today.

Spiralling out of control

His spiral post-treatment was epic, something he recalls as what he terms his “highlight reel.” Pot had begat chemicals, which begat cocaine and crack cocaine, and eventually, opiates, opioids, Fentanyl, and heroin.

“I am a construction worker, so you know how I drink – it is either we are drinking beers after work or hitting whiskey on the weekend, right? In the end, I had to have a cocktail. I needed so much dope so I could be good on the cocaine. But I needed so much down so I could keep it level. Then I needed the right amount of hard spirits, like whiskey or tequila or something to get me up to that level. But then I would need enough beer to carry it through the night. There was always cocktail by then.”

Shawn did learn one key staple by going to treatment. That old saying in recovery circles – that mutual support groups like Alcoholics Anonymous and Narcotics Anonymous will mess up your drinking and drugging plans – proved true in his case.

Recovery seeds are planted

“It is my belief that once the seed is planted, it is planted. Once you go into the rooms … once you get a bit of that Big Book in you, I believe thoroughly that you will never use right again ever. You are never, ever going to have a good time again. You have to get sober because it is in your head. It is planted. You know it is wrong.”

So, he began appearing at meetings again in his early 30s. Collecting a month of abstinence here, a month there. He fell in love and had a daughter. His lifestyle wasn’t conducive to maintaining sobriety, so that relationship didn’t last. He fell in love again, hard. For the next seven years, they both tried to stay sober but were in and out. When they were in recovery, things went swimmingly. They both worked their programs, volunteered at shelters, and helped make their community a better place. Their love story was passionate, but their recovery was bumpy, and tenuous.

Last spring, the last relapse ended her life. Families were shattered. Sober nearly two years, Shawn couldn’t keep handling the grief and went down hard one more time.

“I stayed out seven to 10 days then I showed up at work covered in blood and stinking of booze. They said ‘You are going to treatment, buddy.’”

A new beginning at the end of the road

In July of 2022, a month after his partner’s passing, he ended up at Bellwood. As messed up emotionally, mentally, and spiritually as he could be, “I was willing to give it a shot for everybody that got me there.”

“I will never make it through this one without crying,” he says shaking his head. “I was willing to give it a shot because I could feel her. She was everywhere and I could feel it. I knew it was what she would want.”

He has been sober since.

His Bellwood stay lasted 48 days. It was there he finally put the sack of rocks that he had been carrying throughout the traumatic and difficult years of his childhood, the scary and perilous years of his substance use. He faced his past and his present and began the ongoing process of grief.

Connecting with compassionate people

Shawn has a stack of rich memories of people who helped keep him accountable at Bellwood.

“When I went into Bellwood, they greeted me with the most beautiful girl right at the door that you could ever imagine. I don’t just mean looks. Her aura. Her presence. She was just wonderful. And so was the second one. They just made you feel good,” he says, almost shyly.

With COVID still raising havoc across the province, “I went upstairs (into isolation) for a few days. I am ADHD so that was not good. They said you can have a guitar, so they went downstairs and brought me up a guitar. They brought me up some weights to work out. I didn’t even end up being three days and I was down in a room with a couple of the boys, and I was on my way.”

He began attending various classes and lectures on the truth of substance use issues, the evidence-based solutions that can be applied to combat it.

“I started listening in classes. Cognitive Behavioural TherapyDialectical Behavioural TherapyTrauma Therapy, concepts like “Hungry, Angry, Lonely, Tired – I was just taking it all in,” he says with a smile.

Mostly there was the importance of connecting with others as a means of getting through without relapsing, especially in those early days, weeks, and months.

“They were trying to help me along. I wouldn’t ask for help, right? Too much pride and ego. But they kept on me. There were a couple of counselors, they weren’t my counselors, but they took me on for whatever reason. One of them, Joanne … took the time to say ‘Shawn – unclench your jaw,’ while just walking by through the hall. ‘Shawn. Take a deep breath. You’re not breathing.’ I’d take that deep breath.”

The grief work was difficult and remains so, though not in the same vein as it was in the early days.

“I did not know how to cry yet. It would get so bad that it physically hurt. Then I would have to go punch a tree or hurt myself, not cutting or that, but I had to physically hurt myself to get it going (crying) and then it would release, right?”

It is just nine months later. Today he is rebuilding, working hard, playing hard. Grieving hard. Becoming the person he always wanted to be.

Gratitude & Resiliency

As spring break offers its annual hope of warmer, softer times following another cold harsh winter, Shawn is playing in the snow with a couple of kids out in the hills around Barrie, Ont. His eight-year-old daughter is laughing, his late partner’s son is also having fun. Sure, it is not necessarily the ideal situation, as his daughter lives seven hours round trip away, while the boy resides on the other side of town with his grandparents.

But just for today the threesome is in the moment of gratitude and joy. Giggles, snowballs and dunks in the white banks, rosy, red cheeks, and bright white teeth. Recovery.

The resiliency is growing.

He picked a sponsor he fondly refers to as Ned Kelly, for his straight up approach. He drives newcomers to meetings, takes their phone calls, takes them through the Big Book, the same one that messed up his drinking. He works hard as a carpenter on the Go Line transit system to Barrie, and he lives with a pair of close friends with several years in recovery. Mostly, he remains grateful for Bellwood.

“How do I say it? Everything that was supposed to happen in there happened. You’ve just got to be ready for it and open. They gave me everything I needed, as much as it drove me nuts and I drove them nuts,” he says with a smile.

“I am still connected to 35 or 40 people that I was in there with. We talk to one another, we put each other together, we say go check on that person because we are in different towns, cities, and provinces.”

He knows in his heart he is sober because of the people who had faith in him, the ones who remain, the ones who have passed.

“I wouldn’t have made it and there are so many people that don’t have it,” he says quietly.

If connection is the opposite of addiction, as many do believe, then Shawn is doing his part, staying in the solution. Showing his resiliency.

“I try to connect with everybody I can, and whether I will be able to help somebody through you, this story, or whatever, it is all good. I’ve still got lots of work to do.”


Originally posted on www.edgewoodhealthnetwork.com

The brain is one of the most complex and fascinating parts of the human body. It is responsible for all functions of the body including how we move, communicate, make decisions and interpret our surroundings. Our brain also processes our thoughts, behaviours, feelings, and emotions. This is why we can’t talk about mental health without looking at brain health.1

According to the World Health Organization, brain health is the state of brain functioning across cognitive, sensory, social-emotional, behavioural and motor domains, allowing a person to realize their full potential over their life course. 2

Looking after our brain health can improve our overall cognitive functioning, resilience, and our psychological well-being. It helps us cope with day-to-day stress and live a meaningful life.

Here are things we can do to protect our brain and promote good mental health.

  1. Prioritize connection 
    Humans are social creatures. That’s why connecting with people and our community doesn’t just feel good, it’s good for our mental health. When we spend time with people we care about, our brain releases higher levels of feel-good neurochemicals including oxytocin – also known as the love hormone. Whether it’s a phone call, a coffee chat or a walk with a friend, these simple dates can help manage stress and promote positive feelings.
  1. Move for your mood
    Physical activity is the ultimate mood booster and a key player in fostering good mental health. When you exercise, your brain releases endorphins that reduce feelings of pain and increase feelings of pleasure. Exercise can also help you cope with stress, reduce anxiety and depression, help you think clearer and increase self-esteem.
  1. Engage in a new hobby
    Hobbies such as painting, playing an instrument, gardening, or reading have been shown to improve mental health by combatting stress and reducing anxiety and depression. Learning new skills not only keeps your brain active and engaged, but it strengthens the brain’s neuroplasticity which promotes overall cognitive functioning and healthy aging.
  1. Practice sleep hygiene
    Quality sleep is not only an important aspect of our well-being, but it’s also fundamental to our brain health. While we sleep, our brain processes memories, repairs and reorganizes cells, removes toxins, and releases important molecules such as proteins and hormones. Practicing healthy sleep habits like setting a bedtime, maintaining a consistent sleep schedule, and finding ways to unwind before bed can go a long way towards keeping us healthy.
  1. Get help if you need it
    If you or a loved one needs support, there are many programs and resources that are available to you:
    – Please contact your local CMHA or visit the Government of Canada’s Wellness Together portal.
    – If you’re a young person, try the youth peer-to-peer online community.
    – If you are thinking of suicide, please call Talk Suicide at 1-833-456-4566 toll free in Canada (1-866-277-3553 in Quebec) or dial 911.

Want to do more? Advocate for mental health care.

Canadians need and deserve mental health care. But only some of us will get it. That’s because it’s either unavailable or isn’t covered by public health insurance. It’s time we invest in community mental health supports to protect and promote brain health across Canada. Join us in asking to federal government to Act for Mental Health.

 

[1] Levitt, D. A. (2022, October 6). Why Mental Health is Brain Health. Your Health Matters. Retrieved March 9, 2023, from https://health.sunnybrook.ca/mental-health/why-mental-health-is-brain-health/

[2] World Health Organization. (n.d.). Brain health. World Health Organization. Retrieved March 9, 2023, from https://www.who.int/health-topics/brain-health#tab=tab_1

 


Originally posted on www.cmha.ca

There is a misconception that being mentally healthy means being happy all the time. The expressions are well-known: keep your chin up, or your upper lip stiff. Who hasn’t heard the advice: when life hands you lemons, make lemonade?

We’re here to suggest that you keep your chin where it is and do whatever you want with the lemons in your life. Good mental health comes from feeling a full range of emotions, comfortable and uncomfortable, “positive” and “negative”. Let’s not reinforce the unhealthy notion that adversity should be met with a smile. That might just be taking us down the wrong road. Let’s break it down.

There are many benefits of a positive outlook on life and seeing the glass as half full. A positive attitude can help you cope better with stress, build resiliency and even improve your immune system.1 Positive thinking plays an important role in positive psychology, a branch of psychology that focuses on what makes people thrive 2, but that doesn’t mean that everything should always be seen through a rose-coloured lens.

Toxic positivity is being positive at all costs. It is the mindset that even when faced with hardship, people should always maintain a positive attitude. While toxic positivity is often shared with the best intentions, it lacks compassion and can shut down opportunities for connection. Toxic positivity can exist in your own self-talk as well as when connecting with others.

Here are some signs that positivity has turned toxic:

  • You dismiss or brush off feelings that aren’t “positive”
  • You feel guilt or shame for experiencing “negative” emotions
  • You’re avoiding or hiding from uncomfortable feelings
  • You only focus on the positive aspects of a painful situation

Another face of toxic positivity is what could be called compulsory happiness. It is the expectation that we be cheerful and upbeat regardless of what we’re really feeling. It’s the idea that showing up with a smile is polite, and that your personal hardships and difficult feelings should be kept to yourself.

Many of us have learned to swallow feelings of sadness, fear and anger. To keep calm and carry on. But when it comes to emotions, here are four good reasons to name it, not numb it:

1. Suppressing unpleasant feelings can lead to poor mental and physical health

When you ignore an uncomfortable feeling, it doesn’t just disappear into thin air. It might just build up beneath the surface and increase stress.

In fact, studies show that suppressing emotions can lead to increased anxiety and depression, disrupted sleep, and overall worsening of mental health.3

Suppressing uncomfortable emotions might feel like the easiest way forward, but it can actually make them last longer. By accepting the discomfort and understanding your feelings, you can begin to work through the stressors and heal from them.

2. Blind optimism can actually be dangerous

Emotions aren’t just things that happen to us. They are sent from our body and mind to deliver important information. It’s how we understand and evaluate life’s events. Feelings of fear, sadness and anger might not be the easiest feelings to experience, but they exist to guide us. By always looking on the bright side, we block out useful information that can help us navigate life.4

Yes, optimism can give us hope, but blind optimism can be problematic.

Take studying for a big test as an example. Being optimistic about the outcome is bound to relieve stress and help you focus on the test. But hoping for great results without studying or understanding the material will set you up for failure.

It’s not to say that everyone should live their life seeing the glass as half empty, but avoiding unpleasant emotions at all costs doesn’t do us any favours.

3. Pain is part of the human experience

It may not always be comfortable, but most of us have experienced grief, frustration, sorrow and danger, as well as the more pleasant emotions. It’s healthy to experience a range of emotions. In fact, it’s an important part of the human experience. It’s natural to feel grief when experiencing a loss, and it’s natural to feel frustrated after weeks and months of pandemic lockdown. As human beings, it’s near impossible to avoid unpleasant emotions Life is full of ups and downs, bumps in the road and obstacles to overcome.

Feelings of sadness, fear and anger are necessary to truly connect with one another. We simply cannot empathize and fully support others if we shy away from anything but happiness.

Uncomfortable feelings help us make sense of life events. Emotions guide us in decision making, help us develop empathy, and above all else, emotions are simply necessary for survival. Fear helps us avoid dangerous situations, anger can help us confront the uncomfortable, and grief can help us see what’s most important to us.

Even emotions that are sometimes referred to as “negative” are incredibly important to living a healthy life. They encourage self-reflection and can even be a catalyst for social change.

4. Compulsory happiness upholds oppression

If everyone is looking on the bright side, nobody is raising concerns about racism, misogyny, homophobia, or other social injustices. The quest for social justice can be powered by anger, fear and discomfort. After all, if everyone were happy all the time, nobody would feel motivated to make positive changes in the system.

By asking people to smile through the pain of discrimination and oppression, we are also asking them to ignore the injustices they face. If we want to promote positive change, we must create space in our society for anger, grief, fear and pain in general.

 


Originally posted on www.cmha.ca

One of the most traumatic and difficult events we can experience is the death of someone we know.

News of a death can cause intense emotions. Even if the loss is not a surprise (due to illness), it can feel shocking. Grieving is the period of coming to terms with the realization that the deceased is no longer with us. For some people, it can bring about strong and sometimes delayed reactions.

What reactions can be expected during the grieving process?

  • Grieving is a normal process, but people grieve for different amounts of time, in different ways. These things depend on your relationship with the deceased and your history of personal loss.
  • Part of the grieving process is coming to terms with the fact that the deceased will not come back. Over time, the person’s loved ones learn to live with the memories that remain.
  • For many, grief is experienced through different stages. These can include denial, sadness, anger, disorganization, acceptance, and reorganization. Some of these stages may affect your normal day-to-day functioning.
  • The stages of grief don’t happen in any set order. Instead, they often happen in cycles. You may move in and out of different stages at different times. In the very early stages, after hearing the news, you may go from feeling numb to feeling intense waves of grief. Over time, these waves may return when certain events rekindle the feelings of loss. This could be the person’s birthday, the first office party without the person, etc.
  • Your reactions may include feelings of sadness or anger. You could be questioning the meaning of life in general, or of your own life. You may need more solitude or more social support than usual. You could also experience concentration problems, irritability, or fatigue.
  • You may find it harder to work while grieving. Many people experience problems such as difficulty focusing and making decisions.
  • Everyone works through the grieving process in their own unique way and at their own pace. Although it’s different for everyone, over time, you will start to come to terms with what has happened. You will begin to regain a sense of stability, though you may still feel different than you did before.

How can you best manage your grief?

  • First, do not try to neglect or minimize your emotions. It is normal to need time to accept loss. The time required for dealing with loss is unique to every person.
  • Give yourself permission to share your feelings with those people you feel comfortable with. This could be your family, friends, or others.
  • Stay as active as you can. Structured activities and some form of exercise are proven to be very helpful for coping through grief. Even 10–20 minutes of walking a day can help. Walking with someone you are comfortable with can be good for both of you.
  • Resume your favourite activities, particularly those that energize you. Consider trying new activities that may support your well-being. It’s easier to choose positive behaviours than it is to change our thoughts or emotions.
  • As much as you can, reflect on how this event has impacted you. Share these thoughts with the people closest to you.
  • Give yourself permission to move forward and gradually regain your normal sense of self.

It’s natural to be affected by the news of a death. But eventually, we all need to get back to our regular lives. The path to “normal” may take days, weeks, or months. If you are finding it difficult to carry out your responsibilities, consider addressing this with your manager. You could also talk to a trusted coworker. If you hold a job where other people’s safety might be impacted by your grieving process, discuss this immediately with your manager.

 


Originally posted on www.wellnesstogether.ca