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Mental Health Focus: How to support someone with Mental Illness

By Health, Thinking4 Comments
mental-health-focus Supporting someone with mental illness can be difficult. What should you say and not say? What should you do and not do?

First educate yourself around mental illness. Mental health charities Mind and SANE both have informative websites.

You can see General Statistics for Mental Health in the UK here. You can see a A list of Famous People who have experienced Mental Illness here. You can also see 15 Lies That Depression Would Have You Believe here.

Second: You must look after yourself. You can’t support anyone else if you are not well physically, mentally or emotionally. You may find my blog post 10 Easy Ways to Improve Your Mental Health useful.

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On to the practical advice to support someone with mental illness:

  • Stay in contact with them. Ask them how they would like you to keep in contact. Some may may prefer phoning or seeing; whereas others may prefer messaging or texting.
  • Unconditional love and care. Let them know that you love them unconditionally and care for them deeply. Don’t have any expectation that they will reciprocate.
  • Listen to what they say and don’t assume anything.
  • Ensure that there are no distractions when you are with them or on the phone to them. Put your phone on silent and make sure any loud children are pets are out of the way (if you have them).
  • Offer practical support. Go shopping for them or with them, help them to clean, cook them a meal. Whatever it is that they need. They maybe resistant to the idea of practical help, so reassure them that you are happy to help and that you know they’d do it for you.
  • Remind them to take their medication or when appointments are due. People with mental illness tend to have poor short term memories.
  • Ask them about their appetite and diet. If they have an appetite but are struggling to make anything (due to lack of energy and/or motivation), find out what there favourite meal is and cook it for them.
  • Offer distracting activities. Distracting activities that you can both do together can give someone a break from their own critical inner of voice. The activities can be something as simple as a walk around the park. Make sure you are always led by the person with mental illness though. If they say that they are too unwell or tired to do the activity, don’t take it personally. And certainly don’t judge them or take offence.
  • Help them access support. This could include going with them to GP, counselling sessions or mental health service appointments. Offer to sit in appointments with them, but let them know that it’s okay if they want to be seen alone.
  • Be understanding. Someone with mental illness may cancel plans at the last minute. You may arrive at their house to find it messy and them unclean. Don’t take it personally, let them know that you understand and ask if there is anyway that you can help.
  • Be patient. Like any illness, mental illness takes the right treatment, the right support and time for them to start to feel better.
  • Limit questions and time spent with them, if you feel they are exhausted and need to rest. You’ll be able to spot if they need to rest by: pulling on their hair, forgetting what you’ve said to them, being very slow to respond, unable to think of words, dropping of their head, shuffling of feet and other body language people use when they look like they are about to drop off to sleep.
  • Be aware of your own body language and theirs. Try and display open body language and avoid mirroring.
  • Try not to give advice, as often it is unrealistic and unhelpful. For example never advise someone with depression to exercise more or have an healthier diet. This person has probably used all of their energy and motivation to get out of the bed. This single action has left them more exhausted than they have ever felt in their life. So advising them to exercise, eat an healthier diet or make big changes to their life will seem unachievable and may come across as if you are blaming them for their depression.
  • Sign-post them to useful resources. Such as: NHS Choices, Time to Change, Mental Health Foundation, Mind, SANE, Anxiety UK and Bipolar UK.

This blog post is part of a series that focuses on mental health. Other posts in the series include: Mental Health Focus: Treatment & Recovery, Mental Health Focus: A List of Common Conditions and Mental Health Focus: 5 Brilliant TED Talks About Mental Health.

You can read about my experiences of mental illness here: Life Hiatus – My Mental Health In-Patient Admission and Diagnosis of a ‘Mood Disorder’, My Health Woes: Clinical Depression, Dental Abscesses, The Lump and The Emergency Surgery, Finally…in Recovery and getting Back to Life and Mental Health Focus: I’ve Been One of the 1 in 4.

Take care,

Antony

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Tips to help deal with Worry and Anxiety

By Health, Life6 Comments

I have been filled with worry and anxiety this last week. There were two main sources: my boiler breaking and money.

I managed to get my boiler repaired. But it took all week and almost everything that could go wrong with getting it repaired did. Moneywise, I’m skint. In the last two months I’ve had to find more than £700 for unexpected but essential expenditure.

I’ve been meditating for years. But I was so worried and anxious this week that I have been unable to meditate each of the three times I’ve tried.

Of course recognising that you’re anxious is the first step to addressing it.

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Here are the signs and symptoms of anxiety according to MIND:

Effects on your body:

  • a churning feeling in your stomach
  • feeling light-headed or dizzy
  • pins and needles
  • feeling restless or unable to sit still
  • headaches, backache or other aches and pains
  • faster breathing
  • a fast, thumping or irregular heartbeat
  • sweating or hot flushes
  • problems sleeping
  • grinding your teeth, especially at night
  • nausea (feeling sick)
  • needing the toilet more or less often
  • changes in your sex drive
  • having panic attacks.

Effects on your mind:

  • feeling tense, nervous or unable to relax
  • having a sense of dread, or fearing the worst
  • feeling like the world is speeding up or slowing down
  • feeling like other people can see you’re anxious and are looking at you
  • feeling like you can’t stop worrying, or that bad things will happen if you stop worrying
  • worrying about anxiety itself, for example worrying about when panic attacks might happen
  • wanting lots of reassurance from other people or worrying that people are angry or upset with you
  • worrying that you’re losing touch with reality
  • rumination – thinking a lot about bad experiences, or thinking over a situation again and again depersonalisation – feeling disconnected from your mind or body, or like you’re watching someone else (this is a type of dissociation)
  • derealisation – feeling disconnected from the world around you, or like the world isn’t real (this is a type of dissociation)
  • worrying a lot about things that might happen in the future

From: MIND – Anxiety symptoms, Last Accessed: Saturday 21st October 2017.

There’s lots of advice out there about what you can do to deal with worry and anxiety. But what actually helped me deal with my worry and anxiety? Doing these:

  1. Off-load to a supportive friend – This gave a voice to my worries. The simple act of telling someone helped me sort through my worries and realise what was and wasn’t within my control.
  2. Remind yourself what is outside of your control – I was worried about a lot of things outside of my control. It helped to constantly remind myself to try not to worry about things I had no control over. That I should focus on doing things that were within my control.
  3. Double or triple relaxation time – This was something I did to reduce my heightened stress levels because of the worry and anxiety. At first I did feel guilty spending so much of my time relaxing. But each time I felt guilty, I reminded myself that this self-care was essential in order to prevent mental illness.
  4. Distraction – This is something I did repeatedly during my relaxation time. Intruding thoughts and emotions of worry and anxiety would often enter my head and it was my job to ignore those thoughts and distract myself from them.
  5. Write down all worries – It helped to get the worries out out of my head where they were going round and round like a circulating CD stuck on repeat. It also put my worries into perspective, helped me face them and sort through them. This cleared my mind, giving me clarity that allowed me to start planning what needed to be done. Anyone that’s been worried or anxious will know that the emotions make it difficult to think clearly. So this strategy was really helpful.

I’m proud I managed to get through this week. I’m hoping I wont have another week like it for some time.

Take it easy and write soon,

Antony

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Charitable Donations 2015

By Health, Money / Finances, The Web, ThinkingNo Comments

Having struggled with my own mental health this year (see Finally…in Recovery and getting Back to Life), it’s unsurprising that two of my charitable donations have been to mental health charities:

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SANE

SANE is a UK mental health charity, which aims to improve the lives of people affected by mental illness.

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Mind

Mind is a UK mental health charity that states that it won’t give up until everyone experiencing a mental health problem gets support and respect.

JDRF-logo I gave another donation to JDRF who are an international charity that fund research into a cure for type 1 diabetes. Currently one of the things they’re funding is smart insulin, which could be life-changing for diabetics.

They have great Christmas cards and wrapping paper in their shop, all the proceeds of which go to them. So I stocked up.

the-brick-project-wigan-logo My final donation was to The Brick Project, which supports homeless people in the Wigan borough (my hometown). Through circumstances and life events anyone could end up homeless. I’d never want to be homeless and like to support any charities that help people to rebuild their lives.

Blog soon,

Antony

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Finally…in Recovery and getting Back to Life

By Health, Life, ThinkingNo Comments
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Me Drinking Coffee. Slowly Getting Back to Life 🙂

In January, everything stopped. I stopped being able to function and was ill. The truth is that I had been ill for a long time before this, but that I had continued to solider on – hoping that I would start to feel better.

Here were some of my symptoms:
Tick Box Bullet Point No concentration span. I wasn’t able to watch TV or films, read or write. I didn’t feel safe to drive, so I didn’t.
Tick Box Bullet Point Short term memory loss.
Tick Box Bullet Point Feeling constantly exhausted despite sleeping for many, many hours.
Tick Box Bullet Point Some insomnia and night terrors.
Tick Box Bullet Point Back pain – despite resting and regularly completing physiotherapy exercises.
Tick Box Bullet Point Head aches.
Tick Box Bullet Point Stomach ache/constipation despite eating a reasonably good diet.
Tick Box Bullet Point Poor personal hygiene and not cleaning my home environment.
Tick Box Bullet Point Overeating or forcing myself to eat despite feeling that I didn’t want to.

Tick Box Bullet Point No motivation – I found it extremely difficult and tiring to do the smallest of tasks.
Tick Box Bullet Point Reckless spending of money – mostly through online shopping.
Tick Box Bullet Point Any extremely variable mood which changed throughout the day and night. From being void of any feelings to a tornado of fast swirling feelings including: guilt, inadequacy and feeling like a failure.
Tick Box Bullet Point Anxiety – resulting in becoming antisocial and finding it difficult to leave home.
Tick Box Bullet Point Worry and panic about what people would think of me.
Tick Box Bullet Point Feeling hopeless, which is the worst feeling in the world.
Tick Box Bullet Point Feeling like I was loosing my mind.
Tick Box Bullet Point Feeling like I was falling down a dark bottomless pit.
Tick Box Bullet Point Feeling frustrated at not being able to snap out of it and that nothing I did made a difference to how I felt or my ability to function.
Tick Box Bullet Point Overly self-critical thoughts and zero self esteem. A critical inner voice that was loud and repetitive.
Tick Box Bullet Point At two particularly bad points I suffered from compulsions to end my life.
Tick Box Bullet Point In short, feeling like my mind, body and soul were being devoured and destroyed by this illness.

So I went to see my GP who completed the PHQ depression test and diagnosed me with severe clinical depression. At several points throughout my treatment, this test was repeated to check on my progress. At one point, I was scoring 24 out of a possible 27. My GP started me on antidepressants and encouraged me to self-refer for counselling.

The first antidepressant didn’t work, despite gradually increasing the dose to the maximum. Apparently this is really common, happening to at least 50% of people. So my GP gradually withdrew the first antidepressant and then started me on another – which thankfully is working. I self-referred to counselling, had an assessment and to this date am still on the waiting list.

January to May has felt like a write-off in every sense of the word. But I feel extremely lucky to have made it through this dark and difficult time. What’s that phrase? Ah yes…I believe I made it through by the skin on my teeth.

Looking back, I’ve had depressive tendencies for at least the last few years. I’ve been rubbish at spotting the symptoms in myself, but am much more aware of signs, symptoms and triggers now.

I’m still in recovery and it is a gradual process. I’m still on the antidepressants and will be for sometime. I’ve started taking multivitamins to make sure my body and mind is getting what it needs. But now I’m feeling good, better than I have felt in years. I’ve even started laughing again, proper belly laughs, which I haven’t done for what feels like forever.

Now I’m getting back to life. I’ve thanked those close to me for their support, love, care and kindness. I’ve gone back to work and realised that I have the most brilliant, amazing and fantastic work colleagues. They’ve been so supportive and I feel so lucky to work with such wonderful people.

Blog soon,

Antony

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