depression

Never too much, Always enough

As I sit here listening to the melodious rain, looking through my window and watching the rhythmic drops, I can’t help but think about the idea of always enough and never too much, and how in our times of dysregulation we can feel flooded.  Much like the rain, that California desperately needs for our infinite drought (suggesting that we don’t have enough), our structural systems say otherwise with statewide flooding (suggesting that we are getting too much). The torrential downpour has overwhelmed our cities over the last few weeks and caused a lot of issues, because we are being flooded. Our nervous systems work in a similar fashion. When we are in stressful, emotional and/or traumatic situations, or we have prolonged repeated exposure to negative or distressing stimulus, we can become flooded. Suddenly we begin to question ourselves. Are we enough? Are we good enough, strong enough, worthy enough? Can we be enough, do enough, accomplish enough? We might even feel like we are too much for certain people. Perhaps our internal dialogue is asking, am I too much? Am I too needy, do I require too much, am I asking too much? While we are each responsible for our self-regulation, we do need to look at some important factors when we notice that we are asking ourselves these questions:

1.   Are we exposing ourselves to toxic people and relationships? If so, are we doing this because we feel we must? You might feel like you can save the person (love them enough, be enough, do enough). You might feel like you can’t leave because you worry about them and their well-being and feel like you must stay in the relationship.

2.   Are we in a dysfunctional cycle? Is our body seeking a dysfunctional homeostasis because it’s our “normal?”

3.   Are we dependent on the feelings we get from the highs and lows? Is our body dependent on stress responses?

4.   Are we in distorted thinking patterns, like, all or nothing. Either I have this relationship (all) or I will be alone (nothing). We rationalize the all by saying it isn’t always bad, and we romanticize the good, even when the good is bare minimum.

5.   We grew up with these narratives. If we function best in an earning mentality, and we are constantly striving to please people, we might have learned that if we do enough, we are enough. But if we aren’t needed, then we are discarded, which validates our fear of not being enough or being too much maintenance in a relationship.

There are of course more things to consider and explore as we wrestle with this distortion. That being said, it is so important to remind yourself that in a healthy, loving, reciprocal relationship you will never be too much for someone. They will hold space for you, encourage you to seek and be your best self, and remind you of your worth. They will pursue the relationship as well and choose you. They will expect you to be accountable for your actions and behavior, just as they hold themselves accountable for theirs. Likewise, you will always be enough. You will not need to earn, do, or be anything but your authentic self. They will have a desire to connect in ways that are meaningful to you, because they see you do the same. They will remind you of your inherent worth and value and encourage you to see yourself for the amazing person you truly are. This is not to say that we ever have an “arrival point.” In a healthy, growth-oriented relationship, both people are self-aware, have good boundaries, and a desire to grow as individuals and with one another. If someone is behaving in a way that is not congruent to who they are, the other person will make an effort to have a loving and gentle conversation and encourage further insight and awareness. When we do this with good intent, it keeps the emotional dysregulation and flooding to a minimum and allows for healthy, problem-solving conversations and effective communication.

Many of us grew up with this fear. That we are too much work for someone, or not worth enough. We carry this deep within our hearts and struggle to let go, because it is also how we (often) see ourselves. When the checklist is complete, it feels good for a short while, and then, inevitably, there is always another checklist to feel whole. We do not have to live this way though. We can get to a place where we recognize our worth is inherent and our value is not determined on what we can do or do not do. In fact, our existence proves that we were chosen. We have a purpose, and there is a plan for our lives. Song of Songs 4:7 says, “You are altogether beautiful my darling, there is no flaw in you.” And Jeremiah 29:11 reminds us, “these are the plans I have for you declares the Lord, plans to prosper, and not harm you. Plans to give you hope and a future.” In Psalm 139 God reminds us that we are fearfully and wonderfully made, woven together with intention. One of the greatest lies of all time is the “enough” lie. The serpent whispered it to Eve in the beginning, and we still struggle with it now. “If God loved you enough, He wouldn’t withhold a good thing from you. He just doesn’t want you to be like Him.” And so he whispers in our ears, “it’s because you aren’t enough.” Or “it’s because you are too much.” But it was a lie then, and it’s a lie now, and once we recognize it, it has no power over us unless we give it power, we can step into our value and remind ourselves of truth. Whether you are a believer or not, if you have breath in your lungs, there is purpose for your life, and that isn’t to struggle with lies like these. It isn’t to live in a perpetually flooded or dysregulated state. On the contrary, God (that is my belief, but perhaps you believe in energy or the universe, or karma…) wants you to live life and live it in abundance. He wants you to know that you are worthy, amazing, and deeply loved for who you are and who you have yet to become.

When you sense this thought creeping in your mind, close your eyes and imagine yourself in the pouring rain. Washing you clean. Feel the water permeating your soul and open your eyes to watch the negative thoughts flow away from you with the water. You do not have to believe this distortion; it was never yours to begin with. Your thoughts become your beliefs, and it is important to be mindful of what you tell yourself regularly because you are paying attention. Remind yourself of your truth, your reasons, your beliefs. Remind yourself that regardless of what others may have said, or what you may have wrestled with in the past, you don’t have to bring it into the present.  Remind yourself, you are never too much and always enough.  

 

 

 

A Therapists Year-End Review: A Letter from a therapist.

 

Looking back on this year I am still in shock that it is already coming to an end. I was joking with several clients that I feel like most of us are still processing 2020, and yet 2022 is right around the corner. It often seems that way though, at the close of a chapter with something new on the horizon, we tend to reflect on what we are leaving behind, and what we are heading toward. 

 

As I end this year, one word comes to mind. Grateful. I have had a full year of owning and operating my private practice. This is the first time in years that I haven’t held multiple jobs and I have trusted that God would provide. It hasn’t always been easy, and there have been a few times I was tempted to take a corporate position for the ease and stability, but I never had peace about it. So, I stayed with it, and I am beyond grateful that I did

 

This year I have walked with so many who chose bravely and courageously to share their stories with me and trust me with the most intimate parts of themselves. They share things that they have never even spoken out loud, let alone to someone else. We have walked through incredible hurt, pain, grief, disappointment, trauma, anxiety, depression, and more. There were times when I held back tears for them, and times I simply couldn’t, and we shared in our universal understanding of one another. But that is not all that I saw this year. I saw tremendous triumph! I saw clients gain insight and awareness, I saw them lean into my interventions and push themselves outside of session to achieve their goals. I saw them increase their positive coping skills and let go of their old, harmful, maladaptive ways. I saw overcomers and achievers, and best of all, I saw the light in their eyes and the spark in their hearts when they finally understood something and believed in their own self-worth! I don’t think of them just as clients, I think of them as people I care deeply about. I root for them, I pray for them, I will always be their biggest cheerleader and the one person who models what a healthy, authentic, and transparent relationship looks like.  I see amazing people, and I am so honoredand so privileged and so thankful for each and every single client I have the pleasure of working with. This year I got to work with so many incredible people, and I am looking forward to what the new year has in store for our therapy journey and for their lives. 

 

As therapists I don’t think we often get to express just how much our clients mean to us, but as I was reflecting on my year and how I won’t see them again until 2022, I was thinking of the best possible way for me to honor them and express my gratitude. I know there are a multitude of therapists out there, ones who, let’s be honest, are probably often more equipped, have more experience or simply have a different expertise than I do, and yet my clients chose me. That honor is not wasted on me. One of the things I always tell my clients when we first begin sessions is that therapy can be hard, and that often things will feel worse before they feel better, but I tell them that if they can just hang on for the better, I promise to work my absolute hardest to get them there. Because they matter. Because their lives matter. Because their wellness, joy, and story matters. Not just to me, but to the world. Without them, the world wouldn’t be the same. And I am so grateful that I get to be a small part of their journey. So, in case any of my wonderful clients are reading this. Thank you. Thank you for choosing me. Thank you for allowing me to walk alongside you and to act as a guide in your journey. Thank you for trusting me and allowing me to hold hope for you. Thank you for investing in yourself. Thank you for taking that first courageous step and sticking with it. You are amazing. Truly. I am so glad that I am getting to know you and have walked this path with you, and I hope that one day when you are ready to walk it alone, you will never forget how fantastic you are. That when the day comes for us to say, “see you later,” you inherently know your worth, value, and have grace with yourself to continue to learn along the way. I hope that if my voice sticks with you, as some of you tell me it does, you hear me saying, “you are incredible, and I am so proud of you.” Because that is the truth. I am incredibly proud of you

 

This year has been a lot of things- it has been crazy, sad, hectic, busy, wonderful, amazing, inspiring, life-changing, and so much more. As I reflect back, I want to see all the good- that is what I want to remember going into the new year. We can’t change the past, but we can learn from it and allow it to guide us in creating a future we are excited about. We have learned a lot of lessons this year, and while some of them have been horrendous, I know that we have grown and will continue to grow through it. Because we are survivors. We are investing into ourselves so we can thrive and that is what defines us- not the fact that life has knocked us down, but the fact that we have valiantly chosen to rise! I believe in our ability to continue to rise and to truly thrive, and I am excited to see that manifest in the new year. 

 

Once again, thank you to all my amazing clients, you have made this year great and I am grateful for you.

 

At the end of each year, I like to do a personal year-end review. This helps me remain grateful for all the lessons learned, growth that has occurred, and reminds me of things I do not want to carry with me into the new year. First and foremost, if this is something you are interested in, its fairly simple. All you need is a journal, something to write with, and some time. Start by asking the following questions:

 

What are some wins, victories, and positive things that have happened this year?

What are some areas where I have seen substantial growth?

What are some areas that I am still actively working on?

What are some of the harder things I have walked through this year?

What are things I do not want to carry into the new year (this can be attitudes, behaviors, reactions/responses, negative coping skills, beliefs, even relationships)?

What/who am I grateful for?

What word would I like to see manifested in the new year (this can be anything like: growth, determination, intentionality, grace, hope, acceptance, etc)?

What is one step I can take this week that will help me work toward manifesting that word? 

How can I stay mindful of my goal word throughout the days, weeks, and months?

What are some good goals to set weekly/monthly/quarterly for myself?

Do I want to learn anything new this year?

Do I want to do anything new this year?

When I look back at the end of the year, what do I want to remember most?

 How can I take active steps to writing a story that I want to live and that I am excited about?

 

I always encourage everyone to take their time with this. Come back to it often; work a little and then let it be. This is not something you want to rush through, but rather something you want to be intentional about and really give thought and effort to. This is also a great thing to do in session if you are currently seeing a therapist. Either way, remember that there are no right answers, and at the end of the day, this is simply a guidepost to helping you start the year as a fresh book- writing the story you want, and not just accepting roles that have been handed to you, or that you’ve always played. You get to be the author this year, and you get to decide what your story is about. These questions are a great place to start that story. 

A Letter From A Therapist...

This is a time like no other. We are all facing uncharted territory and trying to stay afloat amidst a chaotic sea of doubt, fear, worry, panic and isolation. We are told to refrain from connection (person-to-person contact), which is so life-giving to so many. We can no longer walk trails or beaches, which provides an outlet for nature lovers and reprieve from the constant day-to-day stressors. We are not allowed to gather with family, friends, our churches. Many have lost their jobs. Kids are not allowed to go to school. There are shortages everywhere. The medical community continues to cry out for us to stay home, and many of them feel as though they are sinking.

We have never seen this before. We have never known this particular struggle. Many of us were completely blindsided; not because others knew this was coming, but because most of us never thought something like this would. As I sit here and write this, I am still trying to reconcile all that is going on.

Virus— Pandemic— No Cure— Shortages— Isolation— Loss— Grief

As a therapist I can tell you that no two days are alike for me either. That’s what grief does to you. Some days you have reached acceptance, and others you face denial or bargaining; others still, you are angry or depressed. Some days I can go about, and it almost appears as though nothing is out of sorts, nothing from the outside world can penetrate the bubble of safety I have created in my home. Other days I grieve deeply. For the loss of human life, the loss of financial security, the loss of physical/emotional safety, the loss of consistent meals for so many, families being separated, the loss of large events like graduations and weddings, the loss of plans, the loss of aspirations and dreams, the loss of freedoms we so often took for granted. I grieve for these losses so deeply and my heart aches as I pray for a cure; I pray for total healing and restoration. As I navigate through this with my clients, I can’t help but feel that things are different right now. Many of my sessions, like most others I assume, are about what we are experiencing. There is a loss for words, and silence has become more normal in sessions. But even in that silence I hold hope.

You see, the only thing bigger than fear is faith. And I have faith that we will pull through this. Not unscathed. Not unchanged. Not without exponential loss. Not without grief.

But we will pull through.

I am not only holding hope for my clients anymore, I am also holding it for myself, my family, my friends, my faith community, other clinicians… I feel like I often hold hope for everyone and anyone that needs me to. But I want you to know something, I am hurting too. I see you. I see the deep grievances you face, and it hurts me. I see the uncertainty as we meet through video sessions, and it pains me. I see the fear in your words through our correspondences and I worry for you.

I worry that I was not trained for this. I was not trained to walk you through a pandemic. I was not trained to know what to say, what to do, what to give you in this moment. And if I said I was, I would be lying. This is new to me too. Every day I am learning. Every day I am relying on my intuition and my knowledge to help me piece things together. Every day I remember why you might be feeling this way, why emotions might be magnified. And I ache for you. My heart breaks that you are facing triggers you haven’t in a long time. My heart breaks that anxiety is heightened and depression is magnified. My heart breaks that you have to face yet another tragedy, that you are walking through more trauma.

Please know, my heart breaks for you.

But I want to turn this around now, I want you to see all the things that I am seeing too. I want you to know my heart in this, because if we can’t be vulnerable now, I don’t know when we ever will be.

·         While I was not trained for this, I am here for you.

·         We are experiencing this trauma together, so like I always tell you, everyone’s trauma threshold and response is different. You can lean on me.

·         I will always hold hope for you.

·         You will once again find hope for yourself.

·         This will not last forever.

·         We will get through this.

·         I know you feel stuck, and that your emotions are heightened right now, but you do have amazing new coping skills that you can utilize.

·         Feelings are not facts, and you know how to remind yourself of truths.

·         Your progress is not derailed.

·         Regression is a normal state of progress. Read that again.

 When we face uncertainties, we can often become disoriented; feeling as though we are not truly certain of anything but our fear. But fear is a liar. We are not held captive by fear unless we allow it to hold us captive. We can choose to see things differently. It is not always an easy choice to make, but you do have the power to do it.

I want to remind you (or equip you) of some coping skills you can use. I think its great for all of us to have these in our toolboxes.

Deep Breathing:

Find a quiet place, sit comfortably, close your eyes. Take a deep breath in through your nose for 5, hold for 6, and exhale through your mouth for 7. Repeat 3xs.

Grounding:

5 things you can see

4 things you can touch

3 things you can hear

2 things you can smell

1 thing you can taste

Mindfulness:

I want you to find a safe and comfortable space and either sit or lay down (it can either be in a quiet room or with your favorite music playing softly in the background). I want you to visualize a place of complete serenity. I want you to picture all the different colors you see, the landscape or place you are in, what does it look like? What can you touch? What can you hear? Is anyone with you or are you alone? What can you smell? What can you taste? I want you to visualize yourself in this space. I want you to feel yourself completely free of worries, fears and doubts. I want you to take some deep breaths and tell yourself you are safe. You can stay in this place for however long you would like. When you are ready you can open your eyes.

Follow up activity: find a picture or create a picture that reminds you of this place and hang it somewhere you will see it often and be reminded that you can utilize mindfulness to reset and feel safe again.

Other effective coping skills:

·         Healthy sleep and eating

·         Journaling

·         Being creative

·         Connecting (phone/video/email/text) with people you love

·         Exercise (wear a mask outdoors or find fun stuff to do inside, dance parties are awesome!)

·         Read a good book/listen to music/watch your favorite movie/tv show

·         Practice self-care (a warm shower/bath, spa day at home, a cup of coffee with the fireplace on…this can be anything that is healthy for you and makes you feel good).

Above all what I hope this message conveyed to you, is that you are not alone. We are all in this together, and that there will always be people who care and want to hold hope for you. I would be lying if I said this was easy, and I wanted to share my heart today and let you know I am worried too. But what I also know is that worry is like a rocking chair, we go back and forth but we never get anywhere. Its okay to sit in the chair sometimes, because sometimes we just need to acknowledge our worries. But worrying can not add anything to your life, it just takes all the good things away. I needed you to know that I have been spending time in this chair too, and that it is normal. I do not want you to judge yourself right now (or ever really). I want you to acknowledge your feelings. To be present. To be mindful. I want you to practice your coping skills and self-care. I want you to reach out. But more than anything, I want you to be well. I want you to be safe. I want you to be thriving.

There is so much pain and heartache right now, but there is also so much hope and healing taking place. I see it all around me too. I see people connecting in ways they haven’t before, faith becoming stronger, communities pulling together while distanced. I see people doing the hard thing and staying home, staying away from those they love BECAUSE they love them. I see all the “essential” workers and that they continue to show up and be present for us all. While we might be distanced physically, I am not sure we have ever been closer emotionally.

To whomever needs to hear this right now, I want you to know you are loved, valued, treasured and cherished. Your life matters. You have a purpose greater than you know, and there are people who deeply care about you and your well-being.

Its okay to be tired. Its okay not to have a schedule. Its okay to eat ice cream for dinner (maybe not all the time 😉). Its okay to do nothing. Its okay to stay busy. Its okay to talk on the phone. Its okay to ignore a phone call. Right now, in this moment, I want you to give yourself permission to do a self-check-in and to write down everything you have been holding inside. Then drop your shoulders, breathe deeply and release the tension.

Remember this, it is always one day at a time, but sometimes we have to take it moment by moment too.

This is new. This is scary. But I see you. I hear you. I feel you. And we are in this together.

Lovingly,

Melani Samples

A Day in the Life of Anxiety: My Personal Experience, part 2.

I am fine.

Walking through the weeks as though they are days, I find myself battling to keep up. The time goes by without any remembrance of what has come or what has gone, and I pass through life as though it were a time-lapse video, the scenery changes but I remain the same.

Discouraged to the point that I feel as though nothing will ever change, this new me, the one I so despise, this is the real me; it has been all along. The smiles and the laughs continue, no one even notices or bothers to ask. I hide my pain so well, and then blame those around me for not taking the time to help me pick up the shattered remnants of what I once was.

You look at me and simply see a woman; one who appears so very well put together. You see the accomplishments and the triumphs…you see the friends that surround me and the ability to carry myself in a manner that would make others want to be like me based on the vibrancy I put out into the world.

Inside I am dying.

My heart is racing, my mind is pacing-it never slows down. My thoughts overwhelm me, and I wonder if I will drown In my sea of doubts, fears and distortions.

Insomnia ridden, sleep eludes me.

But I push on. I tell myself that I have made it this far, so I push harder. If no one has noticed yet, they never will. I continue through the winding road called life, knowing that there will be turns and bumps that will knock me down. But, I don’t focus on that. My motions appear robotic to me, but at least I keep moving. If I acknowledge this turmoil it becomes real, and real is not something I can handle.

I am the woman you see every day, never questioning my emotional state or mental process, you just assume that I am fine (after all, its what I have led you to believe). Those three words, they often lead to death. When I tell you, “I am fine,” I am anything but fine. I am to the point that death; physical, mental, emotional…they all seem more appealing than this hell that I am living.

People say, “Just pray harder…” “take a cold shower…” “its all in your mind.” Do you think, just for a moment, that if there would be a way to change the way I am feeling in this moment, that I would have done it already?

I am a prisoner of my own mind. The coherent me is held captive by these destructive thoughts that wash over me like a raging river with no intention of keeping me above the water. I am struggling to find a way out, but the shore is not in sight and the current is too strong. I have tried grasping the branches, I have tried swimming to the side, the only thing left to do is wait it out and pray for calmer waters ahead. Nothing could ever prepare you to deal with this, unless you have gone through it already. It feels like there is no way out when you are in the midst of it, so you just have to let it be.

I do not need you to save me, if you attempted to rescue me, you would just get pulled into chaos that you cannot understand. What I need is someone to be there, for someone to say, “this is just a nightmare and it will be over soon” Please do not tell me what to do, or what to try, or, “I know how hard this is for you.” Do you really? Have you gone through hell and back? Have you thought, every single day for as long as you can remember that TODAY is the day you will die? Not wanting to celebrate the good because something bad will inevitably happen. Paying attention to every hospital just in case…

Have you wished you were dead, and at the same time feared you were dying?

The next time you tell someone, “its all in your head,” remember this, one day it could be in yours too. Mental illness does not discriminate. It is not picky and it can choose you. The next time you say to someone, “you are not depressed, you are just sad. Stop focusing on the negative all the time,” or, “you just freak yourself out, you think too much. It isn’t that bad. Maybe you just need to stop being so stressed, that’s what is causing all of your anxiety.” I want you to go look in the mirror and I want you to say to yourself, “thank you Lord that I do not struggle with these silent killers. Thank you for my health; physical, mental and emotional. And please Lord, help me to keep my mouth shut when I do not know what I am talking about.”

When you struggle with mental illness, every SINGLE DAY can be a battle. Anxiety, Panic Disorder, OCD, Depression… did you know they often occur together? Imagine THAT, not just one, but all coming to get you at the same time. Engulfed by despair and hopelessness that nothing will ever change, panic ridden over intrusive thoughts that are not conducive to life, and filled with anxiety for fear of the future, you battle hard just to keep your head above the water.

You keep saying, “I am fine, I am fine, I am fine…” but really, you are slowly drowning in a sea of people that keep telling you useless things to “snap you out of it.” You are shouting in your head, “It won’t work… I have tried that before… it only makes it worse…” But they keep saying the same things over and over again. THIS is mental illness, this is something you cannot fully understand unless you have walked a day in these shoes.

So the next time I say, “I am fine,” please think about what that could really mean, not just for me, but for the response you may have toward me. The only stigma that exists is the one we allow to circulate, I am not in need of saving, just understanding. And even if you don’t understand, it is nice to have someone to sit with through the storm.

I am battling hard, I struggle every day. Please do not judge a book by its cover, a smile hides SO many things. But smiling is so much easier than admitting the truth.

If you have gone through this, talk to someone. There are others who have gone through it too. Reach out, do not let one more day pass where you are engulfed. For what its worth, you can keep treading water. You can keep your head up, even if barely above the surface, and while you don’t need to be saved, there are people who have life preservers to throw to you; lifelines that will allow you to get back in the boat and find new ways to cope. Your life matters, your story matters and there are people who will understand.

I know I do.

*special note:

Everyone experiences mental illness differently. When I was in the pit of despair I wrote this way often, writing helped get it out of my head and I found calm. I also talked to someone. I went to therapy and I processed what was going on. I learned about my triggers, and I learned about how certain things are connected. I learned tools and techniques to manage my anxiety. There are days that are still hard, things that happen and my natural response is panic. But in those moments I have learned that I AM in control. I have learned how to take my life back, and I believe that you can too.

A Day in the Life of Anxiety: my personal experience.

Anxiety tells us:

We need to be perfect.

((but perfect is an illusion))

Get EVERYTHING done NOW.

Worry about the future.

Worry about death.

Worry about worry.

Try NOT to FOCUS on WORRY!

Worry some more.

You are not good enough...

You will NEVER be good enough :(

Time to go to bed...

A million thoughts... (Dang I forgot I needed to do that, Tomorrow I need to do..., I know that person doesn't like me. How can I make a difference in the world?)

Its 2 am already, now Ill only get 3 hours of sleep.

GO TO SLEEP.

***Heart racing, sweating, sit up, TRY to breath, dizzy, nervous, scared, tell yourself “youre okay,” overwhelmed,”

CANT ESCAPE

(alarm clock goes off)

Time to get up

SO tired

Must stay awake

DON’T drink coffee!!!

FOCUS

why cant you focus?

gosh, you're such a loser!

Why cant you just STOP this?

*person says “You just need to stop worrying so much.”

If only they knew :(

Today I have to (go to work, go to school, take 3 tests, finish 10 papers, repair relationships, SAVE the WORLD)

There is NO WAY I can do all of that.

***stress, anger, emotions, RETREAT, -breathe-, refocus, GO!, thoughts racing, a million ideas, slow down, need rest...

Have some “down time”

feel guilty about down time

Fill down time with SOMETHING

Frustrated that there is NEVER down time

Still have to (shower, read, call.., study.................)

Time for bed

WIDE AWAKE

The IRONY

((repeat))

I didn't always have this struggle. This deafening sound of defeat everywhere I go. Mine began, or had its onset, after a near death car accident. Suddenly I’m catapulted into the reality that death is lurking, time is fleeting, and everything has to get done NOW! The anxiety became part of my daily life. First I modified habits, checked in more with people, became ‘extra’ cautious, vowed to LOVE EVERY MINUTE. It didn't seem bad at FIRST, in fact, this new me seemed to appreciate life more, to understand reality better. But then the panic hit me. Like a ton of bricks, right in the face, at the most awkward time, and I literally thought I was dying. Not everyone thinks they are dying, but being confronted with death can do that to you.

Anxiety LIES to you! It starts out innocent enough and before you know it, it steals your sleep, changes your appetite, decreases your functioning, destroys your thoughts, and KILLS your joy. It is your ENEMY in so many ways. Suddenly you find yourself tired, fatigued, emotional, nervous; you have less desire to do things and you BEGIN to realize there MIGHT be a problem. But then anxiety lies AGAIN. It tells you that nothing will ever change, you will never get better, you're not strong enough, not good enough, and you don’t deserve it. And IF anxiety brings its evil stepsister, depression, then lack of motivation and hopelessness sets in and you begin to BELIEVE the lies. You begin to feel helpless. Your thoughts often overtake you, focusing becomes difficult, and you may begin to experience physical symptoms. Headaches, dizziness, heart racing or skipping beats, chest pain; a sense of overwhelming floods you and in that moment fear overtakes you. Its like being in a tunnel and all you see is a dim light that looks far away, but the blanket of darkness is closing in and it would be so much easier to give into the darkness than fight for the light. FIGHT ANYWAY.

There’s a small glimpse of the you that existed BEFORE the anxiety. It tells you to fight for the light. You have SOME control of your thoughts and you remind yourself that life wasn't ALWAYS this way. BUT its SO hard. A million things are vying for your attention and with all the noise in your head its hard to listen to the voice of reason, that is but a distant faint whisper. Anxiety tells you to worry. It tells you to question everything, including your own life and happiness. Anxiety wants you to work for perfection but reminds you that you will NEVER attain it, and then makes you feel GUILTY for your inabilities. Anxiety wants to fill all of your time, any moment you have; to keep you exhausted so it can keep you captive. Anxiety rules over every part of your life IF we allow it to. It changes us from the depths of our core, until all that remains are the shattered remnants of a person that once was.

A day in the life of anxiety is like a constant whirlwind of emotions; tumultuous, exhausting, maddening; a darkness that encompasses your very being.

A day in the life of anxiety is the constant struggle of hearing a world shouting so loud for you to be NORMAL, and the disillusion that you are everything BUT “normal.”

A day in the life of anxiety is like an ENDLESS cycle, you want so desperately to manage it, yet all anxiety allows you to focus on is your lack of control.

A day in the life of anxiety is exhausting, emotionally draining, and physically demanding. There often appears to be no end in sight, and your distorted thoughts confirm this.

NEVER enough.

NO control.

HAS to be perfect...wont EVER be perfect.

A day in the life of anxiety is one day too many to be lost in the broken pieces of a future masterpiece. Like the beginning of a mosaic, anxiety presents as shards of glass with no vision for a future work of art. But, with clarity, prayer, and professional guidance, you can STILL be a beautiful masterpiece--- we simply have to learn how to arrange the glass, and no longer be wounded by the lies and deception.

A day in the life of anxiety is so common for so many people, and yet we all think we are alone, because once again, anxiety isolates. We can stand united. You are not alone, your struggle is real, and its not SIMPLY WORRY. Anxiety can help you understand yourself better if you let it. One step at a time in the right direction, and it becomes clear that anxiety is often a NATURAL response to trauma or fear. Our fight or flight response might be stuck in hyper-vigilant mode, but there is help. Do not be fooled into believing that you are weak, abnormal, or broken. We ALL have struggles.

A day in the life of anxiety is simply a day that needs to be changed. Change can happen as long as you are ready and willing to fight.

A day in the life of anxiety can be a day of your past that strengthened the future you... The choice is yours to make...

Darkness or Light

Fear or Victory

Broken or Whole

Surrender or FIGHT.

What COVID-19 has given us: opportunity amidst the chaos, and tangible ways to deal with negative emotions.

Here we are… trying to reconcile something most of us probably never considered as a “worst case scenario” possibility.

As I try to grasp what COVID-19 is doing, not only on an individual basis, but nationally and globally, the most difficult part for me has been to see the destruction it is causing through panic and fear. I ache for those who have the diagnosis, for those who have lost their lives due to this outbreak. My heart hurts for our entire world. Being an empath in these times can truly drain you of life in a way nothing else ever could.

I am watching as the world is turned upside down. As people hoard and take on individualistic mindsets. But you know what else I see, faith overcoming fear. I see communities pulling together and meeting the needs of those who are without. I see neighbors helping neighbors. I see people posting about something extra they may have, willing to share because its the right thing to do. I see opportunity too. I see the ability to focus on the things most of us (including myself) have taken for granted. The ease at which we have things available to us, how reliant we have become on instant gratification (need something, order it on amazon and it can be here in 2 hours), the ability to drop our children off at school and know they are cared for and receiving a good education (thank you could never be enough to our incredible teachers and staff), how used to our daily freedoms we are, how much we rely on our medical system… these are just to name a few.

Over the course of the last two weeks we have seen such a drastic change in our every day living. But maybe the silver lining in all of this chaos is the things we do get to focus on, the opportunities we have:

  • Jesus said: Love your neighbor (Mark 12:31).

This has created the perfect opportunity to help those in need. To check on people, put ourselves aside and focus on helping in ways that we can. Loving them as Jesus would.

  • Jesus said: to care for those who cannot care for themselves (Proverbs 31:8-9, Proverbs 3: 27-28).

We have a unique opportunity to be advocates for the least of us at this time. To find ways to give back to our communities and come together, united, even through this separation.

  • Jesus said: Rely on Him for everything. (Philippians 4:19, Matthew 6:26-34)

I know this is difficult to see tangibly with people out of work, schools closed, and everything being on hold, but I believe firmly that God wants us to rely fully on Him for ALL of our needs. And that He will place people in our lives that can help make up deficits if we trust in Him.

Seeing this all unfold has truly been surreal. But it has created opportunities to make the most of life. Once again showing us that everything here is temporal. It has allowed us to spend time with our kids, connect as families, make meals at home (we are making grilled cheese tonight, nothing fancy here), take an active part in their educations, reach out for help (because we all need it), focus on our communities and connect in creative ways, helping others, and turning our eyes to Jesus, our Savior and Redeemer. I believe that He doesn’t orchestrate the bad, but He uses everything for His good. While I have witnessed some bad through this, I have seen so much good. People reflecting His light and love, and that brings peace.

If you are struggling today, here are some ways you can help ease your anxiety/worry/fear.

  1. Practice deep breathing: in for 5, hold for 6, out for 7. Repeat at least 3xs or up to 60 seconds.

  2. Exercise: do yoga, go on a walk (maintain social distancing), have a dance party, do a relay race in your house… just be active.

  3. Get creative: listen to some music and sing along (singing reduces stress and releases all those wonderful feel good hormones! no one is judging you ;) ), draw or paint, journal or write, read a good book, play an instrument, make something.

  4. Practice Mindfulness and Grounding: In your room (if its familiar) close your eyes and list the following: 5 things you know you can see, 4 things you can touch, 3 things you can hear, 2 things you can smell and 1 thing you can taste.

  5. Share kindness and love: doing something good for someone else reduces stress

  6. Practice good sleep hygiene: maintain a normal schedule, create a relaxing bedtime ritual and make sure you are getting enough sleep.

  7. Eat mindfully: even if it is grilled cheese and canned veggies, you can still make it fun and be fully present for the meal.

  8. Feel your feelings: acknowledge how you are feeling, but don’t allow your feelings to control you. Feel them and release them like the waves of the ocean.

  9. Connect: whether through facetime, text, email, social media, or whatever outlet you prefer, connect with people you love and share in how you are feeling. If you need to talk to a professional, a lot of therapists (including myself) are offering telehealth during this time for reduced rates.

  10. Find the good: laugh, focus on the things that are good, and remind yourself that this too shall pass.

The most important thing to remember is that you are not alone. Even if we are socially isolated at this time, we are all in it together. People care, and they want to be there in whatever ways they can be. You don’t have to face it all alone. This is a scary time, and it is okay to be scared. It is normal to feel a variety of emotions at this time, but dont lose sight of all the good. Remind yourself of any recent progress you have made. Focus on plans you have for the future. Make a bucket list. Have phone conversations with friends. Play with your kids. Do some spring cleaning. Most of all, remember that you are deeply loved, valued and treasured. You matter, and your life is important. This too shall pass.

The Pressures of Adolescence and how we can begin to help.

The pressures of being a kid or teen in our society today are monumental. Constantly being “on,” and never being able to fully unplug, or at least feeling like you can’t, has left them stressed, highly anxious and much more depressed than previous generations. They report higher levels of loneliness, isolation, disconnection and dissatisfaction with life in general. The appearance of always being “connected” has created an illusion in the minds of their parents and makes us susceptible to missing all the signs of depression and anxiety, amongst other things like self-harm and suicidal thoughts or behaviors. Aside from this, it is also one of the most competitive generations we have yet to see. “Normal” has become the worst possible thing to be, because in order to achieve success you must be set apart. They push themselves harder, taking more difficult classes and larger class-loads, they sign up for community service along with tons of extra-curricular activities all while losing sleep and forgetting when they ate last… did I mention that they also drink large amounts of caffeine, and we are not taking into account all the other unhealthy coping mechanisms.

 

Of course, this does not account for each child or adolescent, but in general we are seeing higher levels of stress and feeling like they have no where to turn. They often hear things like, “You have nothing to be stressed about... This is life, you just need to suck it up… Its time that you learn to grow up and deal with this stuff… You can’t use your anxiety as an excuse… You have nothing to worry about… Just wait until life gets really hard…” and the list goes on. Also, we often forget that just because someone is a child or teen it does not exclude them from having big emotions or bad days, and yet we expect (unknowingly many of the times) perfection. We expect them to fall in line, to do what we say, to never talk back, to not have attitudes, to never be upset about something, to pull it together and to basically be sunshine and rainbows because why would they have feelings other than joy?

 

When they try to come to us about the hard things and we dismiss them because we are uncomfortable or don’t know how to help them, we essentially tell them that we aren’t safe to go to and they need to deal with it alone. This creates a dynamic for isolation and frustration. It is okay if we don’t always have the answers, we need to let them see that too… often, they just want someone to hear them out, to validate their feelings and what they are going through, and to be there for them unconditionally.

 

The preteen and teen years are some of the most difficult! Not fully adult, not fully child… everything changes and is changing around them. They will (sometimes) make bad choices, that doesn’t make them bad. They will (sometimes) make mistakes, that doesn’t mean they are stupid. They will (sometimes) forget to do things, that doesn’t mean they are lazy. They will (sometimes) become overwhelmed, that doesn’t mean they are weak. They will (sometimes) struggle with relationships, that doesn’t mean they don’t want them. They will (sometimes) do things that make you angry, but it doesn’t mean their behavior was personal!

The number one thing I tell families is that behavior is a symptom; we (all) act out when we are struggling to communicate. Behavior is rarely personal, and usually has far less to do with you than it does with themselves. During these years it is imperative that we offer unconditional love and support, which is not devoid of natural consequences and boundaries, but that allows them to learn through growth opportunities. If we never make mistakes, we will always be complacent and there can never be growth in comfort.

 

We must come together to help them understand that it is normal to feel things, to make mistakes, to struggle in certain areas, and to need someone to connect with and talk to. If you don’t feel equipped, that is okay, and it is also okay to tell them that and encourage them to get help from a professional by making the appointment and supporting them in the ways you know how and are capable. One of the best things we can do is to teach our youth that we all have limits and limitations. We do not know everything, and we do not know how to fix everything. Furthermore, it is okay to lean on and rely on someone who does know more than us. We can reach out, connect, ask for help and learn that we all have giftings and a purpose in this world. Their lives matter and they have a unique purpose; sometimes it can feel like life is crashing in on them and it is hard to see and have hope for a brighter future, but our job is to model how, even through the darkest times there is still hope and there are still people who care.

 

It is time we stop isolating our youth further by diminishing their struggles and start allowing them to express themselves and be there for them. We wont ever be able to fix everything or have all the right answers, but some things you can do right now are:

Listen to hear not to respond.

Give them a set time (like 5 minutes) to just talk… no consequences, no rules, and no restrictions. They get to share openly without judgement.

Validate their feelings.

Offer hope.

Help them connect with someone who can help.

Be understanding.

Be fully present.

Understand that bad choices don’t make them bad.

And allow them to make mistakes and figure out who they are.

 All of us adults were once in this place, and we know how it felt to be misunderstood and alone. Just imagine adding the pressures of social media and connection, while feeling alone, and increasing the pressure to be perfect  because their lives are always on display. It is time to understand that their struggles are real, and when we pretend they are not, we are doing a huge disservice to them, ourselves and our world. It is often said that it is easier to raise a healthy child than to fix a broken adult, and I agree whole-heartedly. We can help them be their version of healthy by being there for them, loving them and trusting that they know how they feel. We can help by being there, reaching out to others, and allowing them a safe space to be. We don’t need to have all the answers, we just need to connect and love them unconditionally.

Write your story: Self-Esteem and Self-Love

I remember being a young girl and just wanting to “fit in.” I had moved to California from Germany when I was 7 and I left everything I knew and all my friends behind. I didn’t speak English and my family had to work, so it was basically just me. We lived in a mobile home with my grandparents at the time and I remember seeing the kids walk past our house and desperately wanting to connect. So, I did. I just started talking. I don’t know what they said to me, or to each other, I just remember their puzzled faces. They didn’t understand anything I was saying, which makes sense, since I was speaking German. One of the girls took an interest in me though and she started to come by, and we would communicate in any way we knew how. We grew very close and once I started school, I began to learn the language quickly and easily.

 

Sometimes I wish I hadn’t.

 

Once you can understand what people are saying, their words have power. My bullying began with someone who was supposed to love me and protect me. This person would say awful things when I was younger, they would berate me, tell me I was ugly, tell me I was no good… they would say I would never have friends because no one likes ugly people. This person called me horrible, horrible names. The behavior continued all the way through high school, and I know for a long time I internalized it. But my lack of self-esteem didn’t manifest in typical ways, with self-hatred and self-punishment, instead, I became a people-pleaser.

 

Back then I didn’t know that my desire to be liked by everyone stemmed from the internalization of what this person said to me. I just genuinely cared about people and their feelings. Perhaps because I knew how deeply words could pierce your heart and I never wanted anyone to endure the heartache I did for so many years. I became the person that everyone could go to. I was the helper. The healer. The fixer of all things. I took on everyone else’s problems and it soothed my aching soul, though it added tremendous weight to my heart.

 

You see, self-esteem is complicated.

 

There is no “recipe” that you can follow to suddenly stop internalizing things or struggling with self-image or self-hate. There is no cookie-cut answer that I can give, or a solution that fixes everyone’s problems, because self-esteem is directly related to “self,” and each person is a complicated mix of nature and nurture (or lack thereof). I could suggest tools and techniques, I could give you all the ‘cliche’ answers, but the truth is, I know (personally) that most of the time what we truly need is to go on a journey of self-discovery. We need to understand what has hurt us, what has helped us and then we can move toward what will heal us. The hardest part is often sitting in the hurt. For many years I believed that if I ignored it, it wouldn’t bother me. The truth is it just manifested in other ways like anxiety and panic when I felt out of control or things weren’t perfect… it resulted in my deep desire to make everyone and everything around me ‘perfect,’ and to never show less of myself. I was going to create the image I wanted others to see regardless of the toll it was taking on me. It resulted in insomnia and depressive episodes, hurt and broken relationships, and eventually a week-long hellish bout with panic. It took me literally thinking I was going to die to realize that what needed to die was my flawed ways of thinking.

 

I am not sure what you see when you look in the mirror.

I am not sure what you believe based on what others have told you.

I am not sure what you have internalized.

I am not sure what you wish you were or were not.

I am not sure how long this process will take you.

I am not sure of exactly what you need.

What I am sure of is that you are perfectly imperfect just the way you are.

 

We all have the ability to grow. To see ourselves for what we can become to reach for our goals, dreams and aspirations. But if you are truthful with yourself, you would acknowledge that if it costs you your person-hood it probably isn’t very healthy.

 

Self esteem is defined as confidence in one’s own worth or abilities; self-respect.

 

What I do not see in that definition is anything about being perfect, having it all figured out, or a specific definition of what you need to be in order to have confidence in yourself and abilities. Its interesting that self-esteem and self-respect are directly correlated by this definition. Meaning to be devoid of self-esteem would be devoid of self-respect, you can’t have one without the other.

 

If you are struggling today, there are some things you can begin doing right now that can help you. But I think often when we jump to the solution without addressing the core problem, we simply bandage a festering wound. With that being said, some practical things you can incorporate into your day are:

·         Using positive affirmations- affirm what you believe you will be.

·         Identify your strengths and then utilize them.

·         Have compassion with yourself and grace.

·         Address and deal with any cognitive distortions

·         Eliminate harsh self-criticism

 

Self-esteem is something I am very passionate about. I truly believe that everyone deserves the chance to, not only believe in themselves, but love themselves. We live in a world that will constantly compare us and measure us by never-ending increases in expectations and standards. The bar is always moving and there is no arrival.

You get to determine your worth; No one gets to speak lies into your life unless you let them. You have the ability to seek truth, to set healthy boundaries in your relationships, to rid yourself of toxicity and to start fresh if you need to or want to. You do not have to explain yourself to anyone, nor do you need to be someone else’s convoluted version of yourself for their benefit. To the wrong people you will never be right, but to the right people you will always be loved fully and wholly for who you are and who you want to become.

Today you have a choice, you can continue down this path. To feel these feelings, to believe the lies, to struggle… or you can take the first step to living the life you deserve and one you will love. There is nothing wrong with reaching out and asking for someone to walk alongside you for the journey, and whether you do it alone or with the help of someone else, you are brave, you are amazing, and you are perfectly imperfect. You can choose to write a story you will love. You can choose to write a story where you love yourself.

Moments

I look back at my life and all I can do is to think of all the things I have done wrong; incomplete, let-downs, mistakes…regrets. I face my failures at every turn, and they seem to be chasing me with an ever-increasing fervency. I desire to escape the treacherous history, to leave behind the things that serve me no useful or healthy purpose, but it appears that I am forever in bondage to the pain of my past. I want so desperately to escape it, to find some hidden cave in which I can hide. Perhaps this is why I have been feeling this way for so long; my soul deeply downcast within me, overwhelming sadness and despair, a hopelessness that eludes to all-encompassing darkness. My anxiety grows within and I feel the sensation that I am falling; falling endlessly to my own ruin, death is before me and I see no hope for a future in which this pain does not exist. These moments have become my definition. Worthless, empty, broken, despised, rejected, forgotten, failure. How can anyone overcome these pits of despair? How can I see even the sliver of light people inquire of me to search for? When darkness engulfs you it is impossible to see clearly… I am searching, I am grasping, but my hope is fading as these moments threaten to overtake me. I wish not to be defined by them, but the weight they carry is a burdensome load.

 

We all have moments where life feels like it is more than we can bear to carry. We become trapped in our history, defined by the things that are meant to break us. We allow these thoughts to creep in, and then to plant themselves so deeply that we feel rooted and intertwined with them. We forget that light ever existed, because in the darkness you are filled with lies. Your mind is a powerful tool and it creates alternate realities rather easily. If you go to a place that is devoid of manufactured light and you stare at an object long enough, your brain can literally make you believe you are seeing things that aren’t truly there. Perhaps a tree suddenly becomes eerie in the dark; or you get the sense that you are threatened, someone must be lurking. The dark is only scary until your eyes readjust, you find light to focus on, and you realize the moment of darkness didn’t overtake you.

 

I know that our past often impedes on our future; it thrives when we believe the lies. We all make mistakes, but you are NOT a mistake. We all fail sometimes, but you are NOT a failure. When we allow the moments to define our memories, we steal not only the present but also our hope for the future. We do not have to be held captive by moments. We can acknowledge that they happened, we can accept the lesson and move on, and we have the power to focus on the moments that matter.

 

Why is it that we are so very good at focusing on all the negative things in our lives? Why do we allow those things to define us so deeply? Yet we quickly forget all the good we have done, the life we desire to live, the hope we held to so tightly. I want to remind you today that you are more than those moments. You are more than the mistakes that you have made. You are more than the things you keep hidden in fear that exploring or acknowledging them means you accept them. Here is the truth, not a single person can live this life without messing up… none of us leave here unscathed. Some of us do learn to let go of the things that hold us back and keep us down; perhaps never fully, but enough to understand that moments don’t define us, we define our moments.

 

You have the power within yourself to not only define your moments, but to change your story. You might not be able to erase your past, but you have the ability to grow through all you’ve gone through. You can change the way you see yourself and the world around you. The moment you choose to focus on what is best for you, what is healthy for you, what you want your future to look like is the moment you have decided to let go and lean in. You lean into the things about you that you struggle with, it’s okay to accept those parts too, knowing that not a single person is without their own faults. You lean into all the good things about you, the things people admire and love, the truth that others have spoken into your life but you have always brushed off. You lean into your past and change “why did this happen” to “what can I learn.” You lean into your accomplishments just as much as you have leaned into your mistakes, and you decide what growth looks like for you.

 

However dark the past has been, those moments only define you if you give them the power to. Today, I want you remember that you are so much more than a single moment in your life.

Suicide: what we all need to know.

If you need to talk to someone right now, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to speak with someone that can help, or text HELLO to 741741.

 

Suicide is a difficult topic to discuss. It brings up all types of feelings. Those who struggle with suicidal thoughts and ideation often feel like the world would be a better place without them. They report feeling like a burden to others and that they have no value. Many report feeling guilty that they continue to feel the way they feel, and worry about bothering others. They feel like they have no value, like their life doesn’t matter and that nothing will ever get better. This is especially true for those struggling with long-term mental illness. The people who love those with these thoughts often struggle to understand why “they can’t just get better,” or believe that, “thinking about suicide is selfish…”

Those who struggle with thoughts of suicide or suicidal behaviors/attempts often feel self-loathing, they are plagued by negative thoughts and often truly feel like they have no purpose. The pain becomes unbearable. Death becomes and option when it is more enticing than living through the constant hell inside their minds.

It is important to remind them they are NOT a burden, they are NOT unloved, and they are NOT unworthy. That we will be there for them, no conditions.

We still have a long way to go, especially within the church and mental health, but it all begins with one person having an honest conversation. Mental illness is real, and there are situations (suicide included) that people are in need of specific types of care; Mental health professionals that are trained to help and connect people with the proper resources. It is time we open a conversation and learn the facts, saving lives starts with understanding.

 

Suicide is the 2nd leading cause of death among the youth (ages 10-34) in our nation. The United States ranks number 27 out of all the countries for completed suicides; This includes those countries where they must report assisted suicide in their numbers. It is currently the 10th leading cause of death in the US, and there are more than two times the amount of suicides (47,173) than homicides (19,510) recorded in the span of a year.  

 

Suicide does not discriminate. These thoughts can creep up on anyone, and no one is exempt. There are some common risk factors, that include, but are not limited to:

·         Previous suicide attempts

·         History of substance abuse

·         Physical disability or illness

·         Losing someone close to you by suicide

·         Exposure to bullying (including cyber-bullying)

·         Having a mental health condition/illness

·         Recent death of a family member or friend

·         Access to harmful means

·         Relationship problems

·          

It is important for us to pay attention, not only to those we love, but to all those around us. People who are suicidal often do not appear suicidal to others. Suicide doesn’t have a “face.” It can be all of us. There are some “typical” warning signs which can include the following:

·         Negative view of self

·         Hopelessness and helplessness

·         Isolation

·         Aggressiveness and irritability

·         Possessing lethal means

·         Feeling like a burden

·         Drastic mood change or change in behavior

·         Frequently talking about death

·         Self-harm

·         Engaging in “risky behaviors”

·         Making funeral arrangements

·         Substance abuse

·         Making suicide threats.

 

If you or someone you know is struggling, please know that there is hope and there is help. You are cared for, loved, valued and cherished. The world needs you. You are important. I know that right now, in the darkness, it is difficult to see the light, but I can promise that there will be someone to walk alongside you as you look to see it again.

 

If you need to talk to someone right now, please call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) to speak with someone that can help, or text HELLO to 741741.

 

We can all help. We have to know the signs for suicide, we can reach out and stay involved with friends that we know struggle or suddenly withdraw, we need to be willing to have a conversation about it, we can be direct and ask the hard questions, and if you think someone is suicidal stay with them, listen to them and take them seriously. You can help them get help by connecting them with the crisis line, or if they are in imminent danger you can call 911. It is important to remember that you are not alone, your friend or loved one (or stranger that you are trying to help) is not alone. We all want the world to be different, we just have to be willing to be the change. It starts with us. Every life matters because we all have a purpose. You are needed. You are loved. You are important.

 

 

 

Statistics taken from:

https://www.nimh.nih.gov/health/statistics/suicide.shtml

Back to school: Child and Youth Mental Health

Back to school can be an extremely stressful time for all children, even more so for those who struggle with mental health. It can create and complicate anxiety, depression, phobias, and  more. Childhood mental health is crucial, and while we have made progress, we are far from “having it right.” So many of our youth today hear things like, “what do you have to be stressed about?” “Just suck it up and stop whining…” “its all in your head.” Reaching out for help isn’t even an option for many, because when they have made attempts, they have been immediately shut down. School counselors are over-crowded, often with hundreds of students to one counselor. Teachers are not properly trained, and parents are often ill-equipped; they don’t know where to turn for help or they think their child should have perfect days.

 

Our kids are faced with so many pressures. Social roles, grades, extra-curricular activities, home lives, siblings, friendships, and more. Yet they are often expected to never be tired (or act as if they are), to never have bad moods (because, I mean let’s face it, bad moods are unacceptable), and to always do their best. But what if their best is simply making it through the day? What if their genuine best was having that meltdown instead of retreating internally and feeling like they just want to die?

 

1 in 5 children/youth will or currently have a serious mental health diagnosis. Most lifetime cases begin by the age of 14. The sad part is, they typically go an average of 8 to 10 years without intervention or treatment.

 

We must do better.

 

Statistically speaking, 20% of our youth live with a mental health condition, 11% have mood disorders (like depression), 10% have a behavioral disorder, and 8% have anxiety disorders. In our youth, aged 10-24, suicide is the THIRD (3rd) leading cause of death, and 90% of those who died by suicide had an underlying mental illness.

 

We MUST do better.

 

Of course, there are warning signs or symptoms, including but not limited to:

 

Feeling sad or withdrawn (2 weeks+)

Sudden and overwhelming fear

Intense worry that gets in the way of daily activities

Drastic changes in behavior

Difficulty concentrating or staying still

Severe mood swings

 

If you notice any of these, or even a change in your child that is not normal for them or their character, talk to them. Even if you don’t know what to say, just being present and supportive is crucial to them. You can say things like:

 

I am here to listen.

Do you want to share with me?

What can I do to help right now?

You are not alone.

 

You can talk to their pediatrician or primary care provider who can give you referrals. You can seek help from a mental health professional/therapist. You can work with their school and you can look to connect with other families.

 

Childhood mental health is important and our kids and youth face more than many of us could ever understand. Many of them carry the burdens of their home, schools, peers and more on their shoulders. They are going through major life transitions and they do not know where to turn, or that there is help. Mental illness is treatable. Suicide is preventable. We can do better for our kids and teach them that emotions are normal, that its okay to struggle but its not okay to get stuck. We can teach them that they have a voice and they are important. That their struggles are real and matter. We can show them that we are there for them and help them through the darkness. Our kids and youth deserve to be heard and loved, regardless of what they might have going on emotionally. They deserve to have people in their corners who are supportive and understanding and will help them help themselves. They deserve to know that, even the darkness doesn’t last forever, because just as the sun sets every evening, it also rises every morning.

 

Child/Youth Anxiety scale:

https://depts.washington.edu/dbpeds/Screening%20Tools/ScaredChild-final.pdf

 

Child/Youth Depression Scale:

https://depts.washington.edu/dbpeds/Screening%20Tools/PHQ9.pdf

https://cesd-r.com/

 

*Statistics taken from:

https://www.nami.org/NAMI/media/NAMI-Media/Infographics/Children-MH-Facts-NAMI.pdf

Depression

I am fatigued; it appears as though I will be eternally drained of any substantial amount of energy. I feel like a shell of myself; either angry or sad, no true peace exists. It is almost as though there is a part of me looking at this person, the one that exists now, grieving the person that used to be. Waves of emotion hit me and wash over me leaving me debilitated. I yearn for connection but do not have the power to reach out. Others look at me with pity, they believe this is something I can just “snap out of,” if only they knew how draining this was. There are days I wish I didn’t exist at all; days I wish I were dead; it would be easier for everyone. No one would have to feel compelled to check on me, or to see if I am okay; no one would have to feel obligated. But I don’t even have the energy to follow through with that. When I do force myself to go out or socialize, I am immediately overwhelmed. I plaster a fake smile on my face, I mutter “fine” to just about everything, and all I can think about is how awful and broken I feel. I am no longer me, but this is what I have been reduced to. All hope is gone, I ache everywhere; I have no appetite and no desire to even follow through with my basic care and needs. I am drowning in a pool of my emotions and no one can save me.

 

Depression is one of the most common mental health disorders and effects 17.3 million adults in the U.S, as well as 2.3 million adolescents (www.nimh.nih.gov ). It typically involves depressed mood, appetite disturbance, sleep disturbance, loss of interest in typical activities, low energy, difficulty concentrating and questioning self-worth. Depression is also often linked to suicidal ideation and attempts. Not everyone experiences depression at the same magnitude and there are variations in diagnoses. The important thing to remember is that depression isolates you, and isolation leads to more severe symptoms. It is difficult to fight against it, to find the energy to do the things your brain is telling you and convincing you not to do. But reaching out, connecting, letting someone know you are not okay is the way to help, hope and healing. Everyone experiences sadness or depressed mood; grief and loss can often be at the root of depression. For women factors such as, hormones, recent pregnancy or birth and history of depression all play a key role in getting the type of help you need. Depression has a genetic component and there are several ways to receive help. If you feel that you are struggling with mild to moderate depression reach out to someone who can help. Contact a qualified therapist to give you the tools you need to take back your life. If you are struggling with severe symptoms and have thoughts of suicide with intent to follow through, please go to your nearest emergency room hospital or call 911. Please do not find a permanent solution to a temporary problem. While it may feel as though all hope is lost and there will never be help, you can find relief from your symptoms. There are people who truly care about you and want to help you write a story you will love. It might take some time, but you can get there.

 

If you feel that you might be struggling with depression, feel free to take the assessment below:

Adults:

https://screening.mentalhealthamerica.net/screening-tools/depression

Adolescents:

https://www.psycom.net/depression-test/

 Children:

https://www.mentalhealthamerica.net/conditions/childrens-depression-checklist

Always remember, there is hope and there is help. You can write a story you will love.