National PTSD Awareness Day: What is PTSD?

What is PTSD? Can you recover from this kind of mental injury? Find out in this post by the Bipolar Parent!

Show me some love!

Shell shock. Combat fatigue. Posttraumatic stress disorder (PTSD).

These are all names for the same psychiatric condition, as the terminology has evolved over time. Posttraumatic stress disorder (PTSD) is a common psychiatric condition developed in people who have seen or experienced a traumatic event.

These events can be directly experienced, such as combat or war, rape, or a natural disaster. But indirect exposure, such as the violent death of a close family member, can also trigger PTSD to develop.

PTSD can occur in people of all races, ages, nations, or cultures. Approximately 1 in 11 people will develop PTSD in their lifetimes. Women are 2 times as likely as men to suffer from PTSD.

June 27th is National PTSD Awareness Day in the US. Started in 2010 by Congress, the awareness day supports mental health organizations which target PTSD in educating communities and families about PTSD symptoms. Later, in 2014, Congress declared June National PTSD Awareness Month.

These organizations also encourage people who suffer from PTSD to get treatment. The US Department of Defense is majorly involved, as June has many awareness days celebrating the military.

Symptoms of PTSD affect people in four different ways. Each symptom differs in severity. People with PTSD can suffer:

  1. Arousal and reactive symptoms, which may include irritability; reckless and self-destructive decisions; extreme jumpiness at loud noises or accidental touches; inability to concentrate or sleep; and angry outbursts.
  2. Intense, distressing intrusive thoughts and worries related to the traumatic event long after it has ended; repeated, involuntary memories; disturbing dreams; and flashbacks which are so evocative that people feel like they are reliving the traumatic experience.
  3. Avoidance of reminders of the traumatic event, which may include avoiding people and situations that create intrusive thoughts or disturbing memories. People may avoid talking about the event and how it makes them feel.
  4. Distorted negative beliefs about themselves or others including things like, “I am an awful person,” or “I can’t trust anyone.” These negative thoughts and feelings can include anger, guilt, fear, shame, anhedonia (inability to enjoy usually enjoyable activities), or detachment or estrangement from others.

People who experience a traumatic event can suffer from these symptoms for days after the event, but to be diagnosed with PTSD, symptoms must persist for months or even years. Symptoms usually develop within three months of the event, but some may appear much later.

Final Thoughts

Posttraumatic stress disorder can be a devastating psychiatric condition, impacting every facet of people’s lives. While PTSD is a mental injury and not a mental illness, it interferes with the ability to function in daily life similar to conditions like bipolar disorder.

People who suffer from PTSD often also deal with other conditions, such as depression, substance abuse, and memory problems.

If you or a loved one suffer from PTSD, there is hope. Recovery programs abound nationwide, and processing your feelings with a therapist can help. There are even medications which can treat PTSD, such as clonidine for nightmares.

(For a post on getting a psychiatric evaluation, click here. For a post on how to start seeing a therapist, click here.)

Don’t give up hope. PTSD can be overcome with time and proper therapeutic treatments. You can heal from your traumatic event.

I wish you well on your journey.

Related:

 

 

Show me some love!

Father’s Day: Why the Mental Health of New Fathers Matters

Do you have a new father in your life? Read how to support him and his family on this post by the Bipolar Parent!

Show me some love!

Most everyone has heard of postpartum depression, the devastating mental health condition that affects many mothers after giving birth. But did you know that some researchers estimate that up to 25% of new fathers suffer depression in the first year after their child’s birth? And the number jumps to 50% if mom is also depressed.

We hear quite a bit about women’s transition to new motherhood, but very little about men’s transition to fatherhood. While supporting maternal mental health is a worthy goal and should continue, we need to support paternal mental health as well.

Immediately following Father’s Day on June 21st, 2020, is International Father’s Mental Health Day. Founded by Postpartum Support International’s Dr. Daniel Singley as well as paternal postpartum depression survivor Mark Williams, the awareness day aims to create social media buzz about the mental health of dads.

Father's Day: Why the Mental Health of New Fathers Matters - Cassandrastout.com

New Fatherhood Has Its Own Changes and Challenges

Having a new baby doesn’t just change the biology of women. Men undergo massive hormonal and biological changes as well. Testosterone goes down, prolactin goes up, and entire areas of a man’s brain grow. This equips the father to care for his newborn.

And aside from biological and hormonal changes, fatherhood brings its own unique stresses.

First, the partnership between the parents have changed. Sex is off the table, at least for a while, and sleep deprivation makes handling conflicts over parenting, finances, and other issues more difficult to handle–right when the conflicts ramp up.

The lack of emotional and physical intimacy, especially for men who depend entirely on their partner for emotional closeness, is a bitter pill to swallow for many new fathers.

Speaking of finances, a mother who has just given birth needs at least six weeks to recover, maybe more if she’s had a C-section. She will be out of work for at least that time. Since parental leave in the US is so abysmal, and new parents have very little support on a state and federal level, the stress for keeping the family afloat while the mother is recovering falls to the other parent.

The father may also feel that his bond with the new baby is not as strong as the mother’s bond, so he may feel left out of building a relationship with his newborn.

In addition, there are psychological stresses to parenting. The new dad must resolve conflicts about his own childhood and his own father, looking for a model for his own parenthood. If the new dad has a bad relationship with his own father, he may have to seek role models elsewhere–something few people do before impending fatherhood.

All of these stresses and conflicts impact a new dad’s mental health. As I said in the first paragraph, up to 25% of new fathers suffer depression in the first year of their baby’s life.

How to Support Our Fathers

The mental health of our fathers matters, and not just for the father himself.

If the father of the household is emotionally healthy, he can better respond to a newborn’s cries and model emotional resilience to his children. When a father is emotionally supported, he can be a better partner, and maternal mental health improves.

But a dad, especially a new dad, should not be supported just because his mental health impacts others. The father is a human being with his own unique struggles who needs help from not only the people around him, but state and federal governments.

If you have a new dad in your life, offer him and his parenting partner a meal. Check in with the parents on a regular basis, especially after the first two months, when most support around them has usually dried up. Offer an ear to the new father (and mother) if your relationship is close–and even if it isn’t.

Join organizations such as Postpartum Support International, and see what you can do to advocate for new parents, especially fathers, who are often left out of mental health conversations. Include new dads in these conversations as much as possible.

As for the governmental level, write your senator or representative to insist on paternal leave policies in your state. There are many benefits to paternity leave:

  • Fathers who stay home with their newborns develop a greater bond with their babies, which lasts long into the child’s life.
  • Children whose dads stayed home with them have better mental health and cognitive test scores than those children whose fathers stayed away.
  • And the mental and physical health of mothers whose parenting partners stayed with them–and set up an equal parenting relationship–was greatly improved.

Paid parental leave policies are crucial for the mental health of both parents and their children.

Washington state has just passed a state-wide policy requiring three months of paid leave for fathers who work at large companies, occurring any time within the first year of infancy.

My brother-in-law, a new dad himself, is taking two months off of work in June and July to spend time with his wife and baby. (He took one off earlier, when the policy was less robust.)

My sister told me that having her husband work at home during the coronavirus outbreak was wonderful for their little family. He helped her cook and clean, bonded with their baby, and supported her mental health by opening up communication on tough issues they’d been facing in their relationship.

Paid paternity leave is a wonderful way to support our new fathers.

Final Thoughts

Our dads, especially new dads, need our help. Society has neglected them and told them that in order to remain strong, they must stuff their anxiety and depression. This does a disservice to the men in our lives.

The benefits to emotionally supporting a father are numerous. Fathers need support not only on a personal level, but also governmental. We need to advocate for them and include them in mental health conversations.

With a concentrated effort, we may be able to lower the incidence rate of depression among new fathers.

I wish you well in your journey.

Related:

Father's Day: Why the Mental Health of New Fathers Matters - Cassandrastout.com

Show me some love!

Men’s Health Week: Bipolar Disorder in Men

How does bipolar disorder manifest in men? Find out with this post for Men’s Health Week on the Bipolar Parent!

Show me some love!

June 10th-16th is Men’s Health Week, celebrated the world over. The week is meant to heighten awareness of conditions that disproportionately affect men, and to encourage those affected to seek treatment for their physical and mental health issues.

While bipolar disorder strikes men and women about equally, there are several differences between the two genders. In previous posts, I’ve covered bipolar disorder in women, bipolar disorder in children, and the differences between children and adults when it comes to the mental illness. It’s high time I covered how bipolar disorder tends to manifest in men.

 

Symptoms of Bipolar Disorder and Overall Differences

Bipolar disorder, formerly known as manic-depressive disorder, is a severe mental illness where people with the condition cycle through two types of mood episodes. To fully explain bipolar disorder in men, we must first look at the two “poles” of the disease: mania and depression.

Symptoms of mania can include:

  • racing thoughts
  • elevated mood
  • over-excitement
  • a lack of a need to sleep
  • irritability
  • impulsive decisions
  • delusions, occasionally.

Symptoms of depression can include:

People with bipolar disorder can swing between these two states over periods of days, weeks, months, or even years. Rapid cycling occurs when four or more mood episodes happen over the course of a year. Men are only about 1/3 as likely as women to have rapid-cycling bipolar disorder.

There are also different forms of bipolar disorder. Bipolar disorder I involves depression, but also the presence of severe manic episodes, which sometimes require hospitalization. Bipolar disorder II sufferers deal with severe depressive episodes, but only have hypomania, a less intense form of mania.

Men are more likely to have bipolar I disorder than women. The tendency to have a manic episode rather than a depressive episode as the first onset of bipolar disorder is more prevalent in men than women. Conversely, women tend to have depressive episodes first. In addition, these first manic episodes in men are often severe, sometimes leading to prison.

People with bipolar disorder also suffer from mixed states, where they feel symptoms of depression during manic or hypomanic states, or symptoms of mania during depressive episodes. A 2006 study showed that 72% of women presented depressive symptoms during hypomanic episode, while only 42% of men did.

However, these overall differences are all tendencies. Men can have rapid-cycling bipolar disorder 2 with mixed states, and women can have standard-cycling bipolar I with the first onset that was manic.

Denial of a Problem

Unfortunately, many people deny that bipolar disorder and other mental illnesses exist. Men are more likely to be in denial that they have problems, and therefore don’t seek help as often as women.

Women are more likely to be prescribed antidepressants when being treated for bipolar disorder. This is possibly because women more often express their feelings to doctors. Socially, men are encouraged to stuff their emotions. As bipolar disorder is disease that primarily affects emotions, diagnosing bipolar disorder in men who deny there’s a problem can be more difficult.

Similarly, manic states cause men and women to feel euphoria, which can be expressed as extreme confidence. Men are expected to feel more confidence than women in society, so diagnosing a manic state becomes harder.

Violence and Aggression

Mania can include symptoms of irritability, which encourages angry outbursts. Bipolar rage is a real thing.

One of the ways bipolar disorder manifests in men, especially during manic episodes, is through violence and aggression. Violence during manic episodes is rare for bipolar disorder sufferers overall, but is more common in men than women.

This leads men to be imprisoned more often than women. Studies show that men with mental illnesses are 2-4 times more likely to be incarcerated than their representation in the population.

Substance Abuse

Substance abuse is a serious problem with men who have bipolar disorder. At least 72.8% of men with bipolar disorder struggled with some sort of substance abuse problem at some point in their lives, compared to 27.2% of women with the same mental illness.

Men with bipolar disorder are twice as likely than women with the condition to be currently addicted to illegal drugs and/or alcohol, according to a 2004 study published in the journal Bipolar Disorder.

No one knows why men and women with bipolar disorder differ so much when it comes to substance abuse issues. One argument is that men use drugs and alcohol to cope with bipolar mood episodes rather than traditional medication.

Final Thoughts

While bipolar disorder affects men and women at equal rates, there are several differences between the two genders when it comes to this mental illness. Men  with bipolar disorder are more likely to have more severe manic episodes, less likely to seek help, have more violent outbursts than women, and often struggle with substance abuse.

Bipolar disorder is a serious problem, especially in men who self-medicate with drugs and alcohol. We must raise awareness of this issue, and encourage the men with bipolar disorder symptoms in our lives to seek treatment.

If you suspect you or a loved one has bipolar disorder, don’t delay. Call your doctor today, and ask for a referral to a competent psychiatrist. He or she can confirm a diagnosis of bipolar disorder and start prescribing medications to help you manage your mood episodes. You deserve help.

For a post on getting a psychiatric evaluation, click here. For a post on how to start seeing a therapist, click here.

I wish you well in your journey.

Related:

Show me some love!

How to Find Motivation to Clean During a Bipolar Depressive Episode

Are you depressed? Here’s how to find motivation to clean your house, in this post by The Bipolar Parent!

Show me some love!

Neglecting your environment–along with yourself–goes hand in hand with depression. When you’re suffering from overwhelming feelings and low energy, picking up around the house can rank last on your list. Trust me, I’ve been there. When I’m depressed, as I am now, I want to load the dishwasher about as much as I want to put my hand into a box of tarantulas.

But a messy house can prolong and deepen feelings of depression. Overwhelming feelings breed messes, and messes bring overwhelming feelings. The depression-messy house cycle is real, and vicious.

So how do you overcome your paralysis and start cleaning up? Read on for some tips that have helped me conquer my inactivity during my current episode and others.

How to find motivation to clean during a depressive episode - CassandraStout.com

Crank Up the Tunes

Listening to some fast or inspiring music is a psychological trick that encourages you to move more quickly. You may end up dancing your way through your chores. I blast a Pandora Radio station based on bands like Pendulum, an energetic electronic rock band, in headphones to really get going. The Pandora app is free, and there are several other free options, like Spotify and I Heart Radio.

Commit to Nine Minutes

Set a timer for nine minutes to clean. Just nine. Nine minutes is easier to commit to than a longer period. You’re not going to clean your whole house. You’re not even going to get the entire kitchen clean. But nine minutes, even if you’re working slowly, is enough time to:

  • Make your bed.Your bed, even if the mattress is small, takes up a huge percentage of floor space. All you need to do is pull up the sheets and covers. The action takes two minutes, tops, and will instantly elevate the rest of the room.
  • Throw away a bag of trash. Picking up one bag of trash from the floor will improve the room immensely. Throwing away big items, like last night’s pizza boxes and soda bottles, will have the most visible impact.
  • Unload the dishwasher. Unloading the dishwasher will take up to three minutes to complete, or five if you’re working slowly. But once you’ve started to conquer Dish Mountain, the kitchen will look a whole lot better, and you’ll have clean dishes to eat off. If you have an empty dishwasher, load it. If you don’t have a dishwasher at all, wash as many dishes as you can in the time you have left.

Take Breaks

After you’ve completed your nine minutes of cleaning, you can sit down on the couch. The feeling of accomplishment you get might spur you on to more cleaning. That’s great, but take a break first. In the long run, this actually keeps your house cleaner by avoiding bad associations and burn out.

On the other side of bipolar disorder, manic episodes strike. Marathon cleaning can contribute to mania. This kind of marathon cleaning may be great for your house, but it’s terrible for your mental health. Then you’re exhausted. And your brain begins to associate cleaning with illness. Don’t fall into that trap. Take breaks.

Reward Yourself

Rewards aren’t just for potty-training toddlers. You need to reward yourself. Teens and adults can be driven by the pleasure centers of the brain just as effectively. After a morning of cleaning, I often go out to lunch. The association of pleasure with resting after work is a powerful one for me.

Tell Yourself Why You’re Cleaning

Why do the dishes or make your bed? They’re just going to get dirty again, right? If you’re thinking of chores as pointless, you’re looking at them all wrong. Think of cleaning as being kind to yourself.

I know, I know, you don’t want to be kind to yourself when you’re crippled by low self-esteem and feelings of worthlessness. It’s the box of tarantulas problem again. But think of it this way: would you let your friend live in filth? You deserve a clean house, because you are a worthy human being.

Final Thoughts

Cleaning your house won’t cure your depression. But it can help. Crank up the music, clean for nine minutes, take breaks, reward yourself, and tell yourself why you’re cleaning, and you’ll have a clean house (or cleaner) in no time. And you might even feel better, too.

Related:

How to find motivation to clean during a depressive episode - CassandraStout.com

Show me some love!

Self-Discovery Month: Looking Back on My Diagnosis with Bipolar Disorder

Self-Discovery Month: Looking Back on My Bipolar Diagnosis - CassandraStout.comTrigger warning: This post contains a brief mention of suicide. If you or someone you know is at risk of suicide, please call the U.S. National Suicide Prevention Lifeline at 800-273-8255, text TALK to 741741 or go to SpeakingOfSuicide.com/resources for additional resources.

May is self-discovery month. One of the most crucial ways to encourage self-discovery is to reflect on what you’ve been through. If you have bipolar disorder, examining the contrast between the pre-diagnosis version of you and the post-diagnosis version of you can be helpful, because looking back on how you got here helps orient you to the future.

The time surrounding my diagnosis was fraught; I suffered a postpartum psychotic manic episode, and committed myself to a mental hospital. I spent a week there, and, unwilling to miss any more of my infant’s first days, I checked out against medical advice. I covered all of this in my upcoming book, Committed.

My marriage was in flux. I alienated people from my church by my wild, unreasonable behavior. I was considered a danger to my infant by those people, and was threatened with a call to the Child Protective Services. I suffered a horrible postpartum depressive episode, during which I was suicidal. I was often suicidal from the age of fifteen, when I likely developed bipolar disorder, to the age of twenty-four, when I was prescribed lithium.

Prior to my diagnosis at twenty-two, ever since I was a teen, I suffered from intense depressive episodes interspersed with hypomania. I spent almost all of my time that wasn’t taken up with school on the internet, chatting with online friends, even at all hours of the night. I didn’t sleep, which worsened my bipolar symptoms–symptoms which I didn’t recognize as being those of mental illness. I was clearly addicted to the internet, an addiction which took many years to break. I worked two to three jobs at a time during the summers because I was running on manic energy and was described by my supervisors being difficult to control. I ate copious amounts of sugar and refined carbohydrates, which worsened my symptoms.

One of the biggest obstacles to adequate treatment for bipolar disorder is stigma–especially self-stigma, where you absorb the inaccurate, negative messages around you about your mental illness. This leads you to limit yourself and limit the impact of therapy and medication, because you may decide not to take steps towards getting treatment.

My self-stigma was difficult to handle; everyday post-diagnosis, I faced the hard decision to take my medication. Every week, I faced the hard decision to drag myself to therapy. But I succeeded at working on myself. When I was first diagnosed, I fought self-stigma by recognizing that I was accepting medication not just for myself, but for the benefit of my newborn son. I realized that I needed to be my best self for him, regardless of what others might say about my needing medication for life. Now, I can proudly say that I am stable, as I haven’t experienced a mood episode for years. The medication and therapy literally saved my life.

The post-diagnosis version of me is much healthier. I am no longer driven by frenetic, difficult-to-control energy, or suffer long-lasting depression. I sleep well, and am able to dedicate myself to my writing and mothering my children. I have advised other mothers about the postpartum period, and advocated against their self-stigma for their mental health. I have a few friends, and I’m looking for more. Because of my medication and years of therapy, I actually have the mental stamina and energy to handle pursuing new friends at a Mothers of Preschoolers (MOPS) group. I now have an extremely strong marriage, tested and proven in the fires of mental illness.

You, too, can fight self-stigma. You, too, can succeed in getting treatment like I have. You, too, can minimize the effect that bipolar disorder has on your life. I wish you luck in your journey.

Related:

Self-Discovery Month: Looking Back on My Bipolar Diagnosis - CassandraStout.com

Show me some love!

National Maternal Depression Month: 9 Tips for Coping with Postpartum Depression

Do you suffer from postpartum depression? Find out what the symptoms are, as well as 9 tips for coping with it from a woman who’s been there in this post on the Bipolar Parent!

Show me some love!

Trigger Warning: This post contains a brief mention of suicidal ideation. If you are suffering from suicidal thoughts, please talk with someone from the Suicide Prevention LifeLine at 1-800-273-8255 or www.suicidepreventionlifeline.org.

Postpartum depression is a special kind of hell. You’ve been told that the time with your newborn is fleeting and magical. That you should be bonding with your baby. That every mother has the blues, so there shouldn’t be anything wrong with you.

But postpartum depression is not fleeting or magical. It interrupts the bond with your baby and leaves you a compromised mess. And it’s not just the typical blues “every” mother gets; if you have postpartum depression, there is definitely something wrong.

May is National Maternal Depression month. The awareness month is intended to acknowledge the seriousness of depression and psychosis during and after pregnancy. Studies show that up to 20% of mothers suffer from some form of depression in the postpartum period.

And you know what they say: “when Mama ain’t happy, ain’t nobody happy.” The damage that can be dealt to families when a mother suffers from depression or psychosis is tremendous.

9 tips for coping with postpartum depression - CassandraStout.com

Symptoms of Postpartum Depression and Psychosis

Postpartum depression symptoms can show up anytime within the first year, though most tend to show up soon after your baby’s birth. If you or your loved ones are feeling three or more of these symptoms, call your doctor right away.

Symptoms of postpartum depression can include:

  • Persistent sadness or anxiety
  • Irritability or anger, especially for no reason
  • Sleeping too much
  • Changes in eating patterns, either too much or too little
  • Mood swings
  • A lack of ability to focus
  • Changes in memory (can’t remember things)
  • Feelings of worthlessness
  • Suicidal thoughts
  • Anhedonia – Lack of pleasure in usually enjoyable activities
  • Isolating yourself
  • Feelings of hopelessness
  • Unexplained aches, pains, or illness
  • Interrupted bond with the baby

Postpartum psychosis, however, usually shows up within 2 weeks of the birth. The most significant risk factors for postpartum psychosis are a family history of bipolar disorder or a previous psychotic episode.

Symptoms of postpartum psychosis can include:

  • Delusions or strange beliefs
  • Auditory or visual hallucinations
  • Enormous irritability
  • Feeling pressured to go, go, go all the time
  • High energy
  • Inability to sleep, or decreased need for sleep
  • Paranoia
  • Extreme mood swings that cycle quickly
  • Inability to communicate at times

Postpartum psychosis is a serious disorder of the mind. Women who experience postpartum psychosis die by suicide 5% of the time and kill their infants 4% of the time. The psychosis causes delusions and hallucinations to feel real and compelling. They are often religious. Postpartum psychosis requires immediate treatment. If you or a loved one are feeling any of these symptoms, head to your nearest emergency room.

My Story

After my son was born, I suffered a postpartum psychotic break and committed myself to a mental hospital, where I was diagnosed with bipolar I disorder. I later wrote a book about the experience. After I recovered from the break, a manic episode with psychotic features, I suffered postpartum depression.

By the two-and-a-half year mark, I was writing daily suicide notes and making plans to die. It wasn’t until I weaned my son and took lithium that the clouds parted. My full recovery took a long time after that, but I was able to recover. I have since had a second child with no ill effects.

But if you have postpartum depression, how do you cope with it? Read on for 9 practical tips from a woman who’s been there.

Tip #1: Get Professional Help

Postpartum depression is a beast that screams for professional help. If you don’t already have a treatment team including a therapist, psychiatrist, and a primary care physician, then make the effort to get one.

(For a post on getting a psychiatric evaluation, click here. For a post on how to start seeing a therapist, click here.)

I know calling and vetting doctors at a time when you can barely hold your head above water sounds about as appealing as sticking your hand into a box of tarantulas. But trust me: the sooner you get help, the better off you’ll be. If you have a friend or a partner willing to support you, delegate the task of finding doctors and making appointments to your helpers.

A therapist can teach you coping skills to better handle your depressive episode. And a psychiatrist can prescribe you medication which can improve your mood and anxiety tremendously. And your primary care physician can give you referrals to a therapist and a psychiatrist.

If you don’t have a primary care physician, go to urgent care or call Postpartum Support International at 1-800-944-4773. Their website, postpartum.net, enables you to find local resources to get treatment, and support groups for new moms like you. You can also ask your ob-gyn if the hospital in which you delivered offers services to treat postpartum depression.

Tip #2: Take Your Medications

If you’ve been prescribed medication, then do take it. There’s no shame in using the tools that you’ve been given specifically to help you.

I know that you may not feel an effect for a couple of weeks, and the first medication may not even work the way you want it to, but I promise, if you stick with them, your meds will help. Stay the course. Work with your psychiatrist (see tip #1) to find the right combination of medication to help you.

Don’t stop taking them abruptly, as they aren’t designed for that, and you will suffer withdrawal symptoms. For a post on what to do if you run out of medication, click here.

You can pull through this. You just need to be patient–and take your meds as prescribed. Give medication a chance, and you’ll be well on your way to recovery.

Tip #3: Practice Self-care

Practice self-care. A lot of people think self-care ideas are limited to bubble baths and painting their nails. But that’s just not true.

Self-care is taking responsibility for your physical and mental well-being. That’s it.

Try to get enough sleep during the week, eat a healthy diet, drink plenty of water, exercise, and spend some time outside and with other people.

Practicing self-care on a daily basis is difficult. It’s the box of tarantulas problem again. But taking care of yourself will help your depression lift.

Tip #4: Lean on Your Friends

If there was ever a time to lean on your friends, this is it.

Tap into your social network and ask for support during a time when you might be feeling vulnerable. Give your friends a call and ask them to listen to your worries, or join an online support group. If you have a church or social organization, see if someone would be willing to set up a meal train for you. Ask your friends or family to come watch the baby so you can get some life-saving sleep.

Sometimes asking for help is the hardest part of being down and out. Pride is a stumbling block. But there’s no shame in asking for help if you really need it. If you’re depressed, you’re really suffering, and you need the aid of others. Lean on your friends.

Tip #5: Journal, Journal, Journal

When faced with overwhelming feelings, you need to express yourself. Don’t stuff your worries, thinking they’ll go away. You’ll only succeed in making them bigger and harder to overcome.

If motherhood is not what you envisioned, write about how unfair this new normal is. Journal your concerns about your baby. Write down your dreams.

Talking to someone also helps. Reach out to your friends (tip #4) and speak with them about your fears.

However, if you have a rare disorder called hypergraphia, the compulsion to write, then try to avoid writing. During my postpartum psychosis, I suffered from hypergraphia, and was compelled to write multiple to-do lists with hundreds of items each. I filled up a journal my husband bought me on the day of my son’s birth within a week.

If you are suffering from hypergraphia, it is even more imperative that you seek treatment (tip #1).

Tip #6: Breastfeed… But Only if You Can and Want To

Studies have shown that mothers who breastfed for two to four months were less likely to suffer postpartum depression. But for mothers who couldn’t or didn’t want to breastfeed and felt pressure to do so, their depressive symptoms were worse.

If you can and want to breastfeed, then do so. You may feel the benefits.

But if you can’t breastfeed or don’t want to, then don’t, and don’t feel shame. You are doing a wonderful job feeding your baby regardless of how you feed them. Ignore judgmental people, and do what’s best for you. What’s best for you is best for your baby.

For a post on which common antidepressants and antipsychotics are safe to take while breastfeeding, click here.

Tip #7: Schedule Me-time

Anyone juggling the demands of a newborn needs me-time. This is doubly true if you’re depressed. Lean on your friends (tip #4) to watch the baby so you can get out for a walk, take a nap, and practice self-care.

If you can’t bear to be separated from your baby, just try for twenty minutes. You can be alone for twenty minutes. That’s enough time to squeeze in a yoga or meditation session, or read a couple chapters of a book.

You need time off to function as an adult. Losing your identity to the vast maw of motherhood is a real concern. Schedule me-time.

Tip #8: Cry

After the postpartum period, your body is flush with hormones. One of the ways to rebalance your hormonal imbalance is to cry. Our bodies secrete hormones through our tears.

Don’t be afraid of tears. Embrace them. Sometimes, if you give yourself over to a good cry, it can be cleansing.

Tip #9: Practice Infant Massage

Infant massage has a whole host of benefits. The baby’s sleep may improve. Rubbing infants down stimulates growth hormone in underweight babies, and helps all babies’ stomachs. And infant massage also helps the pain of teething.

Most importantly, performing regular infant massage can help you bond with your baby. When you’re depressed, bonding with your newborn can be extremely difficult. Connecting with your baby through your hands may help.

Final Thoughts

Postpartum depression doesn’t have to last forever. If you get professional help, take your medications, practice self-care, lean on your friends, journal your feelings, breastfeed (but only if you can and want to), schedule me-time, cry, and practice infant massage, then you’ll be well on your way to recovery.

You don’t have to do all of these tips. Pick and choose the ones that are most appealing. But if you do any of them, do the first: get professional help.

Postpartum depression is a serious condition which requires the aid of doctors. And postpartum psychosis is a medical emergency.

Don’t be afraid to reach out. Trust your instincts. If you feel that something is wrong, then do take the first steps to care for yourself.

I wish you well in your journey.

Related:

9 tips for coping with postpartum depression - CassandraStout.com

Show me some love!

8 Easy, Frugal Self-Care Tips for a Bad Mental Health Day

When you’re suffering from a mental illness like bipolar disorder, some days are worse than others. You will have days where you wake up stressed, depressed, and feeling unloved. Your brain often tells you that you’re worthless, that you don’t deserve love, and that you shouldn’t expend the energy to take care of yourself–and that no one else will either.

So how do you get through a bad mental health day?

The answer is self-care. Self-care is the act of taking responsibility for your physical and mental well-being. That’s it. That’s all self-care is.

May is Mental Health Awareness Month. Observed in May since 1949, the awareness month aims to educate families and communities about mental illnesses, and support those who struggle with them. One of the best ways to take care of yourself during a mental illness is to practice self-care.

Here are 8 easy, frugal ways to practice self-care when you’re facing a horrible day:

How to Survive a Bad Mental Health Day - CassandraStout.com

1. Get Out of the House

I know, I know, when you’re feeling down in the dumps, you don’t want to go outside. You’d rather stay in your dark, gloomy bedroom, which is far more comfortable that going outside in a winter drizzle. But trust me, getting outside, even when the sky is overcast, is crucial for your mental health.

Sunshine entering your eyes has a huge impact on your mood. Even if the sky is cloudy, you’ll be absorbing a therapeutic amount of sun–10,000 lux, or units of light. Absorbing this lux helps lower your blood pressure and engender feelings of contentment. A therapy light box uses up to 10,000 units. During the summer, the sun shines up to 30,000 lux.

During the winter, without absorbing the sun, many people suffer from the winter blues, also known as seasonal affective disorder (SAD). For more strategies on how to combat the winter blues, click here.

So getting outside, even for a brief walk, is critical to manage a bad mental health day. Even sitting in a sun puddle in front of a window can help, though walking outside also helps because you’re getting some exercise, too. Try it today.

2. Practice Hygiene

If your energy level is so low that even showering and brushing your teeth sound like onerous chores, then at least use baby wipes or a damp rag, and mouthwash. Washing your face, arms, and the back of your neck will help you feel better. And mouthwash will enable your mouth to feel fresh for a little while.

Practicing hygiene this way only takes a few minutes. You have nothing to lose by trying.

3. Do a Full-Body Check

Performing a full body-check can help you tune into your needs. Sit in a chair or lie down on your bed. Mentally examine your whole body, starting with your toes.

How do your toes feel? Are they sore? Cold? Too warm? How about your shins? How about your hips? Belly? And so on. Keep asking these questions about each of your body parts.

Next, ask yourself how you’re feeling in general. Are you hungry? Thirsty? Tired? When is the last time you’ve eaten or drank water? Can you take a nap?

After you’re done asking questions, start addressing the problems that may have cropped up. Go feed yourself, and drink water. Take a shower if you can, or use baby wipes. Take a nap.

Doing a full-body check can help you identify issues with your body as well as solutions to those issues. Just try it.

4. Take Your Medication

This tip is more preventative than reactionary, but if you have prescribed pills and haven’t swallowed them today, make sure to take them.

If you have fast-acting anti-anxiety meds, for example, then by all means take them if you’re feeling anxious. Sleep aids can also help you take a nap or get a good night’s sleep. Don’t be afraid or ashamed that you need the extra medical help. That’s what your medication is there for.

5. Talk to Someone You Trust

Letting someone you trust know about your bad mental health day can help you feel listened to and empathized with. If the people around you understand your struggles, then you may feel less alone.

Some therapists, if you have one, offer emergency counseling sessions. For a post on how to start seeing a therapist, click here.

If you can’t get a hold of your therapist or you don’t have one, then call or text a trusted friend. If you’re truly alone, then call a warmline or visit an online support group.

6. Appeal to Your Senses

When you’re struggling with a bad mental health day, appealing to your senses is a good way to center yourself.

There are several ways to engage your senses: burn incense or a candle (scent), eat some chocolate (taste), apply lotion to your hands and face (touch), look at a beautiful picture of a forest (sight), or listen to your favorite soothing song (hearing).

If you appeal to your senses, you can ground yourself in the present moment. It’s almost like meditation. Give it a try today.

7. Get Lost in a Book

One of my favorite ways to distract myself is to get lost in an imaginative book. Being transported to another world, reading about people who solve problems that aren’t my own, is a wonderful way to focus on something other than my sad state.

If you can concentrate on reading, try getting lost in a book today. Just pull your favorite off your bookshelf, or find a free one online.

8. Lower Your Expectations of Yourself

On a bad mental health day, just getting through the day is enough. You’re not at your best, so you’re not going to be able to be as productive as you usually are. Bid goodbye to guilt about not being on the go.

Our capitalistic societies (in the US especially) expect us to perform like cogs in the machine. But you are human, and you struggle with a mental illness. You are enough just the way you are.

Final Thoughts

Everyone suffers from a bad mental health day from time to time. These 8 tips can’t cure a mental health day, but may be able to help you manage one. If you can only manage one, that’s okay.

Just pick your favorite off the list, one you can handle, and try it today.

I wish you well on your journey.

Related:

8 Frugal, Easy Tips for a Bad Mental Health Day - Cassandrastout.com

 

 

Show me some love!

What Does Mother’s Day Mean for Your Mental Health?

What does a complicated holiday like Mother’s Day mean for your mental health? Find out on CassandraStout.com!

Show me some love!

What Does Mother's Day Mean for Your Mental Health? - CassandraStout.com

Mother’s Day.

For some of us, it is a day to celebrate the women who raised us–with flowers, chocolate, or homemade crafts. For others, it is a day of intense guilt and shame, reminding them of an abusive or neglectful parent. For those whose mothers left them or passed away, the day is a poignant reminder of what they do not have.

But what does Mother’s Day mean for your mental health?

In addition to featuring Mother’s Day, May is Mental Health Awareness Month. During May, mental health organizations strive to combat stigma about mental health conditions and educate communities and families about coping tools for mental illnesses. One thing that professionals want people to be aware of is the effect holidays, especially holidays centered around togetherness and emotions, can affect different people mentally.

Your Mother’s Effect on Your Mental Health

Your mother shaped your mental health, first as a child, and then as an adult. When you are little, your mother taught you how to handle stress, mostly by example, but also, hopefully by actively teaching you. Your mother also modeled how to manage relationships, including friendships, romance, and parenting, teaching you what to do and what not to. The types of behaviors learned, and whether they are healthy or not, can depend entirely on your relationship with your mother.

Even those whose mothers abandoned them as children or passed away taught them something by their absence.

And people with mothers who suffer from mental illness, especially if it is untreated, have another entire layer–and sometimes multiple layers–of complexity to their parental relationships.

What if You’re a Mother?

For those of us who are mothers ourselves, we’re walking a tightrope of societal expectations. Many of us suffer from postnatal depression, and a few of us have more severe cases of postpartum psychosis–including delusions, irritability, and hallucinations–all while facing a lack of resources and support from the community at large.

Facing down Mother’s Day as a mother can dredge up complicated feelings, ranging from happiness at the relationship you have with your children, to exhaustion from facing another day, bowing under the pressure of being a mother.

How to Handle Such a Complicated Holiday

All of this makes Mother’s Day a complicated, and at times, triggering day on the calendar. We may feel joy celebrating our mothers, but we may also feel pressure to do so in spite of our feelings. And we also can feel intense guilt or shame at our perceived failings as mothers and as daughters.

So how can you handle Mother’s Day, which is so fraught with emotion?

First, practice self-care. A lot of women think self-care is limited to having bubble baths and painting their nails. But that’s just not true.

Self-care is taking responsibility for your physical and mental well-being. That’s it.

Try to get enough sleep during the week, eat a healthy diet, drink plenty of water, exercise, and spend some time outside and with other people, as much as social distancing would allow. Tap into your social network and ask for support during a time when you might be feeling vulnerable.

Secondly, give yourself space to experience your feelings. Mother’s Day is a complicated holiday, but you yourself are a complicated human being, capable of feeling all manner of emotions at any given time. Letting yourself experience your feasr or sorrows privately can help you get through the public times more easily.

Write down your impressions of Mother’s Day. If you are angry with your mother, write a letter expressing yourself. (Then burn it. This is only for you.) Keep a journal just for you about your complex feelings surrounding motherhood.

If you have a wonderful relationship with your mother and want to celebrate her, then by all means do so, and also celebrate your friendship! If you have a neglectful or abusive parent, then do what you can to take care of yourself in this time–if that means skipping the holiday, then don’t let anyone make you feel guilty for doing so.

If you have a daughter this Mother’s Day, try to be patient with her during this complicated holiday. She is likely struggling with some of the same issues you have with your own mother. Give her the grace you would want your own mother–or your daughter yourself–to give you.

Final Thoughts

Mothers shape our mental health. They teach us how to take care of ourselves, and how to prioritize our own well-being. Or, as is so often the case, how not to do that.

Our mothers taught us so many things, good and bad, and Mother’s Day is a way to acknowledge our mothers’ effects on us–without drowning. Motherhood is a complex and difficult challenge, and as long as we try our best, we are good parents.

You can handle this complicated holiday. You are stronger than we know.

My mother–and my own motherhood–taught me that.

Related:

What Does Mother's Day Mean for Your Mental Health? - CassandraStout.com

Show me some love!

National Children’s Mental Health Awareness Day: 5 Ways to Support Your Child with Bipolar Disorder

Get practical tips to help you support your child with bipolar disorder on The Bipolar Parent!

Show me some love!

5 Ways to Support Your Child With Bipolar Disorder - CassandraStout.com

Parenting a child with bipolar disorder is a unique challenge. There are medications to manage, mood swings to endure, and the many times your child will surprise you with their capacity for rage–or empathy.

National Children’s Mental Health Awareness Day is observed annual on the first Thursday of May. Thursday, May 7th, 2020, is National Children’s Mental Health Awareness Day in the United States.

The Substance Abuse and Mental Health Services Administration (SAMHSA) created the day over a decade ago to better support families who struggle with mental health challenges in their children. The purpose of the awareness day is to shine a spotlight on the needs of children with serious mental illness and to encourage communities to get these children the help they need.

If your child suffers from bipolar disorder, don’t lose hope. You can rise to the challenge of parenting a child with mental illness.

Here are 5 ways to support a child with bipolar disorder.

1. Accept Your Child’s Limits

People with bipolar disorder often have mood swings that they cannot control. Your child will sometimes have terrible depression or manic energy that they won’t be able to rein in. They might laugh inappropriately, get into trouble at school, or be completely incapable of taking care of themselves, especially while depressed.

Accept your child’s limits. Be patient with your kid, letting them know that you will always be there for them and that your house is a no-judgment zone.

That doesn’t mean to not hold them accountable for putting in the effort to do chores or homework, but it does mean to give them a little leeway when they’re dealing with depression especially. If they are making inappropriate jokes due to a manic episode, call them on it, and ask them if they really feel those things are appropriate.

2. Validate Your Child’s Feelings

Validate your child’s feelings. Let them know that whatever they’re feeling, be it euphoria, frustration, rage, or the deepest pit of despair, is real. Tell them that you’re not judging them for having these feelings, and guide your child in ways that are appropriate to express their emotions.

Above all, don’t tell them to “stop acting crazy” if they get riled up. If they’re manic, they might be excessively goofy or silly, or have delusions of grandeur (including claims of superpowers). They can’t help themselves.

3. Communicate Honestly and Openly with Your Child

Communication is key to supporting your child with bipolar disorder. When your child approaches you, turn off your electronic devices and really listen. Even if you don’t understand how they feel, take in all that they say.

When your kid is struggling with their mood swings, or guilt, or other strong feelings, offer your child emotional support. Be patient, and validate what they feel (tip #2).

If you, too, have bipolar disorder, tell your child that you suffer the same kinds of mood swings that they do. Be honest with your children in an age-appropriate way.

(For a post on the differences between bipolar disorder in children and bipolar disorder in adults, click here.)

4. Set up a Routine

Children thrive on routine. You want to plan out your child’s days and weeks, and be consistent from day to day and week to week. Make sure your kid takes their medication at the same time everyday.

Center their routine around the “big six” tenants of self-care: eating a healthy diet, drinking enough water, getting enough sleep, playing outside, exercising, and socializing with other human beings.

Set up a consistent schedule of activities for your child, but don’t forget to plan in downtime, too.

5. Help Your Child with Treatment

Help your child with their treatment plan. Find both a psychiatrist and a therapist for them. Keep a detailed journal of the changes in your kid’s moods and behaviors when starting a new medication. Follow the medication schedule, and gently but firmly let your child know that taking their meds is not an option. Don’t run out.

If necessary, talk to the guidance counselors and principal at your child’s school to set up an Individualized Education Plan, or IEP. This plan will enable accommodations to be made for your kid, including breaks from homework during difficult times, time outs during the school day, and longer times to take tests.

Final Thoughts

Parenting a child with a mental illness is a difficult, but doable challenge. If your child has bipolar disorder, there will be times when they feel utterly depressed or riled up with delusions of grandeur.

You can rise to this challenge. Use these five practical tips to help you.

I wish you well in your journey.

Related:

5 Ways to Support Your Child With Bipolar Disorder - CassandraStout.com

Show me some love!

7 Frugal, Proven Ways to Destress While Stuck at Home Due to Coronavirus

7 Frugal, Proven Ways to Destress - CassandraStout.com

Stress. Everyone has it.

Stress is a normal physiological response to something that upsets your equilibrium, like a threat or a challenge. It’s your body’s ability to protect you.

Sometimes stress can be good for you (it’s called eustress), motivating you to meet deadlines at work and exercise (which is itself another form of good stress). Good stress is short-lived and infrequent, and leaves you better off than you were before you encountered the stressful time.

But stress can sometimes be bad for you, especially if you’re not managing it well. Bad stress lasts a long time, happens frequently, and leaves you worse off. This kind of stress collects and collects, piling on to your brain.

Since 1992, April has been Stress Awareness Month. Sponsored by The Health Resource Network (HRN), a non-profit health education organization, Stress Awareness Month encourages people to educate themselves about the dangers of bad stress, learn coping skills, and recognize prevalent stress myths.

During self-quarantining due to the coronavirus pandemic, everyone is feeling significant amounts of stress, mostly bad. We don’t know when the need to self-quarantine will end, and we don’t know if we will catch the coronavirus ourselves. Many of our friends and family may already be infected.

We’re also worried about our financial futures. We may have to work at home. Millions of Americans have been laid off. Our kids’ schools have closed, and no one knows when they will open–or even if they’ll open for the rest of the academic year.

All this uncertainty adds up to a stressful time for everyone.

Celebrate Stress Awareness Month with these 7 frugal, proven ways to destress while you’re stuck at home during the coronavirus pandemic.

1. Breathe Deep

Taking breaths doesn’t sound like it could help as much as it does. Inhaling expands your chest and shoulders, releasing tension. Plus, fresh oxygen improves your brain’s ability to remember things, alleviates stress, and keeps cells healthy.

Try this exercise, given to me by my therapist over eight years ago:

    1. Close your eyes, if you feel safe enough to do so.
    2. Inhale deeply through your nose, preferably into your abdomen, while counting to 3.
    3. Hold for 3-5 seconds.
    4. Exhale, releasing the air from your mouth over a period of at least 3 seconds.

This rarely fails to relax me.

2. Exercise

Exercise can help you manage your stress in a low-cost, high-impact way. Studies show that exercise can improve your mood. A simple, 20-minute jog around your neighborhood, which releases feel-good chemicals like endorphins, can improve your mood for a whopping twelve hours.

You don’t have anything to lose by working out. Try to get some exercise today, preferably outdoors in the sunlight. Anything that gets your heart rate up—jogging, boxing, yoga—is an excellent way to manage your stress levels.

3. Eat a Small, Healthy Snack

When people are stressed, they sometimes turn to food for comfort. Like exercise, food is one easy way to force the brain to release feel-good chemicals. And nothing is more stressful to the brain than starving it.

But you don’t have to make stress eating a bad thing. Even eating a small, healthy snack is a scientifically-backed way to destress.

Try half an avocado, or a stick of string cheese, or a handful of almonds. You want a snack that is full of protein or heart-healthy fats.

The way you eat your snack is also important. Take your food somewhere distraction-free. Sit down with your feet shoulder-width apart. Breathe deeply (tip #1), and focus on your food. Feel the texture of your food on your tongue.

Try to divorce judgment from eating. This is a snack which is good for you and will help you destress.

4. Get Enough Quality Sleep

Sleep is crucial for you to function on even a basic level, but even more so if you have mental illness like bipolar disorder. Getting enough sleep may help prevent manic episodes and helps regulate depressive episodes.

If you don’t get enough sleep, your brain will hold onto your stress. Quality, restful sleep starts in the bedroom. Make sure you have a dark, quiet environment to catch some Zs.

For a post on how to handle insomnia and other sleep disturbances while you have bipolar disorder, click here.

5. Detox from Your Smartphone

A study done by British researchers showed a clear link between rising stress levels and compulsively checking emails and social media on a smartphone.

Unplug from your electronic devices, and marvel at how much your stress dissipates after only an hour.

6. Keep a Gratitude Journal

Appreciating what you have rather than focusing on what you don’t has been proven to reduce stress, and improve physical and mental well-being.

Writing an entry in a gratitude journal is a low-cost way to feel better about the world and your place in it.

7. Do a Full-Body Check In

If you’re feeling stressed, your body will show signs of the negative feelings. Your shoulders can be tense, your stomach may churn, and your lower back might be sore.

But how you feel physically can also add to stress. It’s a vicious cycle: you feel stressed, which affects your body, which in turn raises your stress level, and so on.

Nip the cycle in the bud. Check in with your body.

Sit or lie down somewhere peaceful. Starting with your toes, mentally examine each body part. Are you sore anywhere? Tense? Hungry? Thirsty? How’s your stomach feeling? How are your shoulders? Do you have enough oxygen in your system (tip #1)?

Examine your needs, and then go solve them. If you’re hungry, eat a small, healthy snack (tip #3). If you’re tired, take a nap (tip #4). Check in with your body, identify issues you might be facing, and practice self-care.

Final Thoughts

Destressing is a form of self-care. Taking the time to relax yourself will have untold benefits for your physical body and mental state. Destressing helps your mood, outlook, and ability to handle future stressful situations.

Celebrate Stress Awareness Month. Destress with one of these practical, scientifically-backed tips today.

I wish you well in your journey.

Related:

7 Frugal, Proven Ways to Destress - CassandraStout.com

Show me some love!