How to Make a Mental Health Crisis Plan

Making a Mental Health Crisis Plan
Making a Mental Health Crisis Plan. Credit to Green Chameleon of unplash.com. Used with permission under a Creative Commons license.

One of the last tasks my doctors at the psychiatric hospital made me do before releasing me to the wider world was to make an emergency health care plan for future mental health crises.

At the time, I thought this plan was stupid. I was manic and therefore invincible, and I would not be having any more mental health crises, thank you very much.

Once I came down from my high, I realized that having such a plan—with emergency numbers and the names of my doctors—in an accessible place was an excellent idea.

But how do you make a mental health crisis plan? And what is it?

What the Plan Is

A mental health crisis plan is a series of steps to take when you experience a psychiatric crisis. You write down the steps when you are well and place the completed plan in a place where you and your loved ones can reach any time you need it.

As a person with mental illness, having a crisis plan is of utmost importance. You never know when a mental health episode will strike and will knock you off your metaphorical feet.

Caregivers and crisis teams can help you best when they’ve been prepared to honor your wishes. So you need to tell them what those wishes are with a mental health crisis plan.

Making the Plan

An emergency mental health crisis plan should include:

  • Your contact information and directions to your home.
  • A description of what a crisis situation looks like for you.
  • Contact information for your supporters.
  • Phone numbers for your therapist, psychiatrist, and primary care physician, as well as any other doctors working closely with you to manage your mental health.
  • A phone number for the local Psychiatric Emergency Response Team (PERT). Do not hesitate to call the emergency number for your country as well.
  • A list of all prescribed medications and doctors who prescribed them.
  • A signed waiver from you giving all providers permission to speak to your supporters during the crisis, as well as giving supporters permission to speak to each other.
  • Anything you need to be mindful about for your health in general (e.g. allergies, dietary restrictions, etc).
  • Arrangements for your children should you need to be away from home.
  • Similarly, arrangements for your pets should you need to be away from home.
  • How supporters should settle disputes.
  • A list of all prior hospitalization dates and previous major crises.
  • A list of acceptable and unacceptable treatments and why (allergies, etc).
  • A list of acceptable and unacceptable people involved in your treatment and why.
  • Your signature and the signatures of two witnesses and (preferably) your attorney.

If you type a document up on a computer, you can change it whenever you like. Simply email an attached copy to your supporters. But keep a printed copy available in an accessible place in your home for your supporters as well.

Conclusion

If you are in a crisis, the last thing you need is to make decisions about your care. Make a mental health crisis plan today to prepare yourself and your caregivers to take care of your in a way that you find acceptable.

Show me some love!

10 Self-Care Ideas for People Suffering from Bipolar Disorder

10 Self-Care Ideas for People With Bipolar Disorder. Tips and tricks to take care of yourself when suffering from mania or depression.Self-care. It seems self-explanatory; after all, the term indicates caring for the self. But why is self-care so hard to accomplish, especially for people who suffer from bipolar disorder?

The answer is easy. When we’re manic or hypomanic, we’re usually too busy to settle down and care for ourselves. If we’re depressed, caring for ourselves is the last thing we want to do (mostly because we don’t want to do anything at all).

That must change. Caring for ourselves is putting an oxygen mask on. Self-care is crucial for our daily functioning. We must take self-care seriously to make the most of our lives. July 24th is international self-care day. Why not practice self-care?

Some people believe the self-care is limited to taking bubble baths and painting their toenails. But there are so many more ways to take care of yourself. Read on for 10 self-care ideas for people suffering from bipolar disorder.

Self-care Ideas for When You’re Manic

When you’re manic, life is go go go. In my experience, I barely slow down enough to take a breath. Here are my recommendations for self-care when you’re manic:

  1. Pause for two minutes, and take deep breaths. I know stopping whatever you’re focused on when you’re manic is incredibly difficult and the last thing you want to do, but hear me out. Mania spends energy you don’t actually have. If you’re constantly on the go, you’re going to wear yourself out. Pausing for two minutes and taking deep breaths will help your brain reset.
  2. Take a bath. When I’m suffering from a bipolar mood episode, my hygiene goes out the window. This is especially true during depressive episodes, but also can happen during mania. Being clean may help you feel better, and if you slow down enough to take a bath during mania, the hot water may relax you a little. Bubbles are optional.
  3.  Sleep. During manic episodes, sleep is your best friend. Aside from medication, sleep is the number one way you can reset your brain back to a non-altered state. Dim the lights, stop using screens two hours before bed, do some deep breathing exercises (see tip #1), and by all means, rest.
  4. Limit yourself to one easy project. My mania manifests as crafting binges. I dive into embroidery or painting projects, and neglect everything around me and even myself until I produce something. I’m always rushing, so these projects never turn out well. I also bounce between projects. I highly recommend sticking to one easy project, so you’re not leaving half-finished projects lying around.
  5.  Exercise. Since you have plenty of energy to burn during mania, burn it. Put on a workout video. Run some laps. Climb your stairs up and down. Anything to get your heart rate up and tire you out.

Self-care Ideas for When You’re Depressed

Depression is a beast. You feel awful and don’t have the energy to do anything.  So what can you do? Here are some self-care ideas for when you’re depressed:

  1. Go outside. Rising from your bed is the last thing you want to do. Trust me, I’ve been there. But staying in bed all day doesn’t help. In fact, that can worsen or prolong feelings of intense sadness. If you go outside and breathe some fresh air, then your mood may lift even if only slightly.
  2. Clean the closest surface to you, like a nightstand. Clutter deepens and prolongs feelings of depression. If you can clean the closest surface to your bed, like a nightstand, then you’ll have both a feeling of accomplishment and a clear surface to look at.
  3. Drink water. Hydration is so important to a healthy body and mind. You’re not at your best when you’re dehydrated. Focus on drinking a gallon of water over the course of a day. Even if you do nothing else but drink, you’ll win the day.
  4. Socialize with an actual person. Call a supportive friend. Check in with your family. Go out to the store and say hello to the cashier. When we’re depressed, we often isolate ourselves, which makes depression worse. Don’t do that.
  5. Say “no” to some things. Feeling overwhelmed is common when suffering from depression. If you can, say no to some things filling your schedule. Freeing up enough space to let yourself heal is one of the best things you can do for depression.

Final Thoughts

Self-care for people who suffer from bipolar disorder doesn’t have to be difficult. Keep in mind your various struggles when you’re depressed and manic, and tailor your self-care to those episodes. Showers, sleep, and indulging in things that make you happy are crucial to your well-being.

Show me some love!

How Mental Illness Affects Police Shooting Fatalities

A version of this post first appeared here on the International Bipolar Foundation’s website, here.

In 2015, the Washington Post conducted the first ongoing tally of officer-involved shooting deaths of the mentally ill. Nationwide, at least 25% of people who are shot and killed by police officers suffer from acute mental illness at the time of their death. People with untreated mental illness are 16 times more likely to be fatally shot during an encounter with police than people with their mental illnesses under control.

According to the Post’s 2018 tally, 1,165 civilians were fatally shot by police. Of those, more than 200 were confirmed to be mentally ill. Someone needs to be paying attention.

How Mental Illness Affects Police Shooting FatalitiesUnarguably, mental illness isn’t the only factor involved in fatal police encounters. Race is one that is often talked about. But the link of mental illness to police brutality doesn’t have the same publicity.

In 2015, the New York City Police Department responded to more than 400 mental health calls per day, more than 12,000 per month. But why do the police respond to mental health crises, and not EMTs? Historically and correctly, law enforcement has been paid to transport people suffering breakdowns to hospitals. And for many mental wards, police involvement is a requirement for involuntary admittance. In Washington state, for example, “under almost all circumstances police involvement is the primary factor in determining whether referral will result in commitment” (Carr, Durham, and Pierce 1984). This happens often enough that the state of Oklahoma’s mental health department includes a budget line item specifically for reimbursing police to transport patients.

The perception of people suffering mental illness as violent and dangerous is another reason police are called. Officers are the only people often perceived by the public to be able to deescalate mental health crises. According to the American Psychiatric Association, most people with mental illness are not violent, but using the law enforcement as a blunt instrument contributes to the stigma that they are. In fact, people with mental illness are more likely than others to be victims of a crime, not perpetuate them.

A Call to Action for Governments

The December 2015 report from The Treatment Advocacy Center, “Overlooked in the Undercounted: The Role of Mental Illness in Fatal Law Enforcement Encounters,” urges lawmakers to make sweeping changes to this broken system. The authors recommended that the lawmakers:

  • Restore the mental health system so that people who suffer from mental illnesses will be treated before they end up in encounters with law enforcement;
  • Accurately count and report all situations involving deadly force by police officers;
  • Identify the number of times those with mental illnesses are fatally shot in an official report, so lawmakers can’t ignore the impact of police fatalities related to mental illness.

Since that study, there has been marginal progress. The 21st Century Cures Act, passed by Congress and signed into law by President Obama in December 2016, mandated that data on the role of mental illness in fatal police encounters be collected and reported. Soon after, the Bureau of Justice Statistics started using a new methodology in reporting arrest-related death statistics. Using the new methodology, the number of arrest-related deaths that were verified and reported to the Department of Justice doubled.

But the act is not as robust as it could be. According to the Post’s tally, police killed about two dozen more people in 2017 than in 2016, and even more in 2018. The numbers don’t lie; things have not improved much, despite more accurate reporting.

What Can I Do?

Progress is slow, and this may feel like an insurmountable problem. But there are things you can do to help. Contact your House representative and let them know that you are concerned about fatal police shootings. Read books like Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry, which describes why psychotic patients need involuntary commitments. Champion police body cameras and mandated government reporting of the role of mental illness in shootings. Advocate for mental health funding at all levels of government. If you are a police officer, rely on your crisis training to deescalate crises involving the mentally ill.

Final Thoughts

Fatal police shootings, especially of when they involve people suffering from mental illness, are not new or rare. Nor are they going away. But there are things you can do to help. We’ve got to stop this trend. With consistent pressure on our lawmakers and law enforcement, we can fix this.

  1. Durham, Mary & Carr, Harold & Pierce, Glenn. (1984). Police Involvement and Influence in Involuntary Civil Commitment. Hospital & community psychiatry. 35. 580-4. 10.1176/ps.35.6.580.

Related:

How Mental Illness Affects Police Shooting Fatalities - CassandraStout.com

 

Show me some love!

100 Doable Self-care Ideas for When You’re Suffering from Depression

Self-care is crucial to your functioning. It’s taking responsibility for your own health. When I called a warmline and told the operator my depression was overwhelming me, he told me I “needed a big dose of self-care.”

But taking care of yourself is so much more than bubble baths and painting your toenails. There are so many ways to take care of yourself. Read on for 100 doable self-care ideas for when you’re suffering from depression. Don’t feel that you need to do all of this list; one or two can contribute to a better mood.

100 Doable Self-care Ideas for When You’re Suffering from Depression

100 Self-Care Ideas for People With Depression. Tips to take care of yourself when you're suffering.

      1. Be patient with yourself. Being patient with yourself is one of the best ways you can practice self-care. If you’re mindful and allow yourself to let your negative emotions wash off you like water off a duck’s back, then the depression won’t be able to impact you as badly. If you’re patient with yourself and allow yourself to roll with the punches, then you’ll feel better.
      2. Practice self-care in snippets. Ideally, you’d have more than an hour to spend on yourself. But the busy people and parents among us don’t have that luxury. If you can, practice some of these ideas in 5-minute bursts throughout the day.
      3. Talk and think about yourself in a supportive and positive way. Depression makes you feel as if you can’t control your thoughts. But you can! You can talk and think about yourself in a supportive and positive way. If you do that, then depression won’t make as much of a foothold in your life. You’ll still experience awful, overwhelming feelings, but you can control how you react to them.
      4. Allow yourself to feel your feelings. Get mad and punch a pillow. Feel sad and cry. Feel happy, and smile. You are allowed.
      5. Drink water. Hydration is so important to a healthy body and mind. You’re not at your best when you’re dehydrated. Take a day to focus on drinking a gallon of water. Even if you do nothing else but drink, you’ll win the day.
      6. Eat just enough nutritious food to feed your body. When I’m depressed, I either overeat or don’t eat anything at all. I highly recommend pacing yourself, and eating just enough nutritious food to feed your body. For 22 easy meals to make while you’re depressed, click here.
      7. Indulge in some ice cream or another sweet treat. Depression is no time to stick to a diet. You’re in crisis mode. Give yourself permission to indulge once in a while.
      8. Set realistic expectations. I have a to do list that’s regularly 15-20 items per day. Even if I didn’t sleep, I wouldn’t be able to complete the list. Don’t do what I do. Set realistic expectations for your day. If that’s only drinking water (tip #5) or eating a nutritious meal (#6), that’s fine.
      9. Try to think of 5 things that you are grateful for. If you pray, pray a prayer of gratitude. Try to think of 5 things that you are happy to have, like physical health, shelter, food, clean water, sick days at work, or whathaveyou.
      10. Text someone. If you have someone like a supportive friend or family member, text them and let them know that you’re thinking of them. You’ll be reminded that you’re not alone. If you don’t have a friend or family member, then email me, and I promise that I will email you back.
      11. Go outside. Rising from your bed is the last thing you want to do. Trust me, I’ve been there. But staying in bed all day doesn’t help. In fact, that can worsen or prolong feelings of intense sadness. If you go outside and breathe some fresh air, then your mood may lift.
      12. Clean the closest surface to you, like a nightstand. Studies show clutter deepens and prolongs feelings of depression. If you can clean the closest surface to your bed, like a nightstand, then you’ll have both a feeling of accomplishment and a clear surface to look at.
      13. Say “no” to some things. Feeling overwhelmed is common when suffering depression. If you can, say no to some things filling your schedule. Freeing up enough space to let yourself heal is one of the best things you can do for depression.
      14. Say “yes” to things you normally enjoy. Saying “yes” to things you normally enjoy may help lift your mood.
      15. Take your medication and attend therapy sessions. Taking your medication daily is crucial for your mental health. Trust your treatment team to have your best interests at heart.
      16. Get enough sleep, but not too much. Sometimes when we’re depressed, we can sleep too little or too much. Making sure you have good sleep hygiene is so important to your daily functioning,
      17. Play. Playing is a fantastic way to lift your mood. When I’m consciously practicing self-care, I set some time aside to play my favorite video game, Kingdom Hearts. An operator on the warmline I called told me that if killing virtual monsters helps me feel better, “then slaughter away!”
      18. Avoid or reduce caffeine. Caffeine can make you feel wired and awful. Try a cup of herbal tea instead.
      19. Write down your to-dos, but don’t write too many. Setting yourself a few miniature goals during the day will help give you clarity and focus. Just don’t overwhelm yourself with tasks, like I often do.
      20. Cull or avoid social media. Social media is a pit sometimes. People have nasty fights about political issues or curate their “perfect” lives. Try to avoid Facebook and Twitter while you’re depressed, and only friend people you personally know.
      21. Journal. Write down everything that comes to mind until you can’t write anymore. You don’t need to examine these feelings later, just work through them now.
      22. Take a shower or a bath. Hygiene is often neglected during depressive episodes. I know it’s the first thing that goes out the window when I’m depressed. Make sure to take time to shower or bathe and you’ll feel loads better.
      23. Brush your teeth. Similar to bathing, one of the things I struggle with when I’m feeling down is brushing my teeth. Take care of your mouth and it will take care of you.
      24. Read a book. Studies have shown that six minutes of reading a book lowers stress and anxiety. Feel free to indulge in one of the best pastimes.
      25. Write a list of compliments about yourself. Writing a list of compliments about yourself is probably one of the hardest ideas for self-care to put into practice when you’re depressed. But trashing yourself doesn’t help. Try to compliment your bouncy hair, your intelligence, or your ability to keep Fido alive.100 Self-Care Ideas for People With Depression. Tips to take care of yourself when you're suffering.

      1. Stroke a pet. Speaking of Fido, stroking a pet has been proven to increase dopamine and improve mood. If you don’t have a pet, curl up with a cuddly toy.
      2. Paint. You don’t have to be an artist to paint. Painting, like coloring, calms the soul, and is a cheap activity to start. All you need is some paint, some water, paper, and some brushes.
      3. Buy yourself flowers or a scented candle. Don’t wait for someone else to buy you flowers. Show yourself some love.
      4. Bake something delicious. Baking can be calming and meditative, and you’ll end up with a tasty product at the end of it.
      5. Declutter your clothes. Decluttering sounds like a chore, and an overwhelming one at that, but getting rid of excess items can be immensely freeing and satisfying.
      6. Dance. Put on some energetic music and dance like no one is watching. If you get your heart rate up, you’ll probably feel better.
      7. Fix a small annoyance. If something has been bugging you, just fix the problem, or make a plan to fix it.
      8. Listen to music. When I’m feeling down, music tends to lift me up again, or–in the case of energetic music played on my headphones–gets me going. Play your favorite pop songs, classical tunes, or hard rock music. Whatever you’re into, give relaxing by listening a try.
      9. Avoid the news. Take a break from all the negativity on the news. Most news is trying to sell you something, be it a product that will supposedly make you feel better, or a bad attitude which will cause you to turn to retail therapy. Depression and the news cycle don’t mix.
      10. Don some comfy clothes. Putting on comfortable clothes that usually make you feel like a million bucks may help you feel better when in the midst of depression.
      11. Paint your toenails. Yes, painting your toenails is the cliché, quintessential form of self-care, but it deserves to be mentioned because it’s what most people think of when they think self-care. Painting your toenails can be expressive, creative, and relaxing.
      12. Take a multi-vitamin. Taking a multi-vitamin may not seem like it will do much for immediate self-care. It’s true that vitamins require a cumulative effect in order to work well, but even taking one can help your body operate better.
      13. Go to bed at the same time every night.
      14. And then rise at the same time every morning. Good sleep hygiene is crucial for getting good sleep. Going to bed at the same time every night and subsequently rising at the same time every morning are excellent ways to ensure that you sleep well.
      15. Plan out your day the night before. Part of planning your day out the night before is setting to do lists (tip #19). This is a great aspect of self-care. If you set yourself reasonable expectations of yourself the night before, you’re more likely to get the things done on the day of. You won’t flounder without a plan.
      16. Eat breakfast daily. Breakfast is colloquially known as the most important meal of the day. Studies show that eating breakfast daily can lower our chances of obesity and high blood pressure.
      17. Put some lotion all over your body.
      18. Groom yourself. Shave your legs if you’re into that, pluck your eyebrows, brush your hair for a longer period of time than usual. If you’re freshly-groomed, you may feel better.
      19. Learn something new.
      20. Try breathing in some essential oils. Some essential oils, like lavender and cinnamon, have a calming effect on the mind and body.
      21. Blow yourself a kiss in the mirror. You might feel silly showing yourself some love, but just try it.
      22. Watch your favorite movie.
      23. Find a way to give. Being generous to others inspires an attitude of gratitude, and helps you feel better about yourself. Try volunteering at a food bank or soup kitchen.
      24. Drink a hot cup of coffee or tea.100 Self-Care Ideas for People With Depression. Tips to take care of yourself when you're suffering.

      1. Go to the library. Taking a few moments to be among books can be rejuvinating, especially if it’s in total silence and away from the hustle and bustle of everyday life.
      2. Go dig in the dirt. Digging in the dirt can raise your heartrate and help you indulge your connection to nature.
      3. Play a game of solitaire.
      4. Play a cooperative board game with friends and family.
      5. Stretch. Stretching your shoulders can help relieve tension.
      6. Try adult coloring books. Coloring relaxes many people. Adult coloring books have more complicated pictures to delight the senses.
      7. Double recipes. When you have the energy to cook, try doubling or tripling a recipe and freezing the excess for another meal on another day. If you meal prep ahead of time, then you won’t have to worry about cooking on days when you just can’t do anything productive.
      8. Close your eyes and picture yourself in a place that soothes you.
      9. Take a cat nap.
      10. Make a craft. Engaging in your creative side is one of the best ways to relax.
      11. Stop “shoulding” on yourself. “Should” is, overall, a negative word, which places a lot of undue expectations on yourself. Take “should” out of your vocabulary.
      12. Listen to a podcast or TED talk.
      13. Watch a comedian on YouTube.
      14. Educate yourself on a problem you have. If you are facing an illness or a problem, do some research on what the issue is so you can make a plan of attack. Learn about what you’re facing so you can know what to expect and where to get support.
      15. Browse your favorite blog.
      16. Write a good review of a place or restaurant you actually enjoy going to.
      17. Attend a group or individual therapy session. Therapy is one of the best ways to take care of yourself, provided you have a good therapist. Online support groups can help as well.
      18. Make a Spotify playlist.
      19. Ask a good friend to name three things he or she loves about you.
      20. If you can’t give up social media, dedicate a week to saying only positive things on your favorite platform. Not allowing yourself to engage in negativity will help your mood.
      21. Name your emotions without judging them. Naming your emotions without judging them is similar to allowing yourself to feel your feelings (tip #4), but this time, you identify what you’re feeling. Putting a name to your emotions helps you control them.
      22. Tell your pet your darkest secrets. Your pet will still love you, even if you tell them your darkest secrets.
      23. Take 15 minutes to write down everything bothering you, and your feelings about them. Then burn the paper.
      24. Get a massage.
      25. Walk barefoot on the grass.
      26. Build something with LEGOs.
      27. Play with playdough. You may feel like a kid again by playing with playdough, but that’s not a bad thing. Playdough engages both your hands and your creative side. So do LEGOs (tip #75).
      28. Eat your favorite comfort foods.
      29. Go see a movie at the theater all by yourself.
      30. Plan an extravagant vacation for fun. You don’t need to actually go on a vacation in order to plan out what you’d do. Planning is part of the fun.
      31. Make a homemade facemask. Readers’ Digest has some great facemask recipes for you to use here.
      32. Sing at the top of your lungs. You might feel silly singing at the top of your lungs, but doing so will force you to breathe deeply, which brings oxygen to your brain.
      33. Light candles around the house. Bonus points if the candles you light are scented and the scents are pleasing to you.
      34. Watch old Mr. Roger’s Neighborhood videos online.
      35. Wrap yourself up in a blanket just pulled from the dryer.
      36. Turn down thte lights and give yourself permission to do absolutely nothing.
      37. Ask for help. If you have friends or family or a treatment team, ask them for help. Don’t be shy about getting support during a depressive episode; we all need help sometimes.
      38. Read inspirational stories.
      39. Read positive quotes.
      40. Take your dog or a friend’s dog out for a walk. Not only will walking a dog get you moving, it’s good for the dog, too.
      41. Do a 10-minute body scan technique to check in with every part of your body. Start scanning your body with your feet. How are they feeling? Move up to your legs, knees, hips, belly, and so on, checking in with each part of your body. What is your body telling you? Are you dehydrated? Hungry? Is it time for a nap? Listen to your body.
      42. Intentionally find five beautiful things around the house or on the way to work.
      43. Make a gift for someone.
      44. Pray. If you’re religious–or even if you’re not–praying can help you center yourself. If you don’t pray, try meditation.
      45. Focus on your breathing for 5 minutes.
      46. Soften your expectations of yourself and of others.
      47. What are you good at? Try to use your talents.
      48. “Turn the other cheek.” Be the better person when someone has wronged you. Try to forgive someone who has hurt you personally, whether or not they’ve apologized.
      49. Go on a walk and take pictures of anything that catches your eye.
      50. Listen to meditative sounds, like monks chanting.
      51. Give yourself permission to only do one self-care activity per day. When you’re depressed, the last thing you want is a list of things to do. Give yourself permission to only try one self-care activity per day.

    100 Self-Care Ideas for People With Depression. Tips for taking care of yourself when you're suffering.

    Final Thoughts

    If you’ve made it through the entire list, that’s awesome. You don’t have to do all of these self-care ideas, especially not all at once. You don’t even have to do any of them. If you’ve eaten, drank water, and taken a shower, you’ve won the day. Taking care of yourself doesn’t have to be all or nothing. You can engage in self-care a little at a time.

    I wish you well in your journey.

    Related:

Show me some love!

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!

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!

How to Make Time for Self-Care as a Parent During the Coronavirus Pandemic

Are you a parent with bipolar disorder trapped inside with your kids due to the coronavirus pandemic? Read this post by the Bipolar Parent for practical tips on how to make time for self-care!

Show me some love!

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 simpler than you might think. Self-care is taking responsibility for your physical and mental well-being. That’s it.

As I said in my last post, How to Manage Being Stuck at Home During the Coronavirus Pandemic as a Parent with Bipolar Disorder, self-care is crucial for your daily functioning as a parent with bipolar disorder. This is true always, but especially true during self-quarantining due to the coronavirus outbreak.

I also shared a daily schedule my toddler and I try to follow, which had room for eating, sleeping, outside time, and work, but not much else.

So how do you find the time to do self-care when you’re stuck at home with small children–and you need to work?

Here are some practical tips that you might want to try while in self-quarantine.

How to make time for self-care as a parent during the coronavirus - CassandraStout.com

Tip #1: Fill Your Child’s “Tanks”

Sometimes, your kids whine and glom onto you like limpets. That’s usually when they have a physical or emotional need.

Often, before you separate from your children to perform self-care for yourself, you need to fill their physical or emotional “tanks.”

Spend a little time with your children before jetting off, and you’re less likely to be interrupted when you do go take that bubble bath.

Set them up with a snack, give them some kisses and cuddles, and play racecar driver with them. Listen to your tween’s ramblings about Minecraft for a while. You’ll be glad you did.

Generally, the happier your kids are when you leave them (provided they can be left; toddlers can’t, which I’ll cover in the next tip), the more time you’ll be able to take for yourself.

Tip #2: Preplan STEAM Projects

This follows my tip #5 from yesterday: to keep your child entertained and busy on their own with independent play, prepare STEM/Art, or STEAM projects. STEM stands for Science, Technology, Engineering. and Math. With Art, that’s STEAM.

Yesterday, I listed several activities my 3-year-old has done and the supplies we have on our crafting shelf. I won’t list them all again here, but if you’re looking for ideas for a toddler, check them out.

As I write this, she was sorting through buttons with a clothespin, placing them into a cup. She worked on fine motor skills and shape recognition, both parts of STEAM for a toddler. She also worked on counting, as she counted the buttons, and pattern recognition as she sorted them by color.

STEAM activities are as simple as that. The last time she did this activity, she entertained herself for an hour with minimal input from me.

This time, she lasted about 20 minutes, and then we made purple playdough. She’s currently kneading and rolling out the homemade dough, then cutting it into shapes with cookie cutters. So far, she’s been entertained for 45 minutes by the playdough alone, enabling me to write.

In preplanning activities, I printed a calendar for March, and spent a couple of hours listing one activity per day. We do this project at 1pm every afternoon. The calendar has taken a lot of the pressure off of me to think of something every day.

Take a couple of hours to preplan activities and write them down on a calendar for April. You can pick up supplies at any grocery store or order them on Amazon.

Two great resources for toddler STEAM projects are Little Bins for Little Hands and Busy Toddler. For older kids, try STEM Activities for Kids.

Preparing STEAM projects takes a little up front work, but the payoff of more time for work–or, preferably, self-care–is worth it.

Tip #3: Prepare Meals on the Weekends

This tip is similar to tip #2: prepare meals on the weekends, also known as meal prepping. If you do as much upfront work on your meals as possible, you don’t have to make dinner during the week.

This saves a huge amount of time, some of which can be used for self-care.

Slow cooker “dump meals” are meals where you place all the ingredients in a Ziploc bag and then dump them in the slow cooker on the morning you want to cook it. The food cooks all day and smells wonderful, tastes great at night, and takes minimal prep on the weekend.

Brown all your ground beef on Saturdays. Chop all your vegetables. Bake and shred that chicken. Soak and cook those beans.

Make cooking a family activity. All hands on deck means less work for you, and the kids get to learn something, too.

There are many websites on the internet devoted to meal prepping. Type that term into your preferred browser’s search bar, and you will find sites that list recipes, meal plans, and shopping lists for a week’s meals or more.

Tip #4: Get Support from Your Partner

If you’re lucky to have a partner isolating himself or herself with you, count your blessings.

If you’re burned out and need a little bit of me-time, ask your partner for some support. Ask them to watch the kids for an hour while you take a nap.

Most partners are supportive if you ask, but sometimes we don’t know how to ask or even what we need. Figure that out before you approach your partner.

Take some time after the kids are in bed to make a list of self-care ideas that appeal to you, and the time each will take. Then figure out what is reasonable to ask of your partner.

Don’t be afraid to ask; the worst thing they can say is no, and that opens up a chance for you two to have a conversation.

Be sure to reciprocate as well. If your partner offers you an hour to yourself, offer them the same in return.

Final Thoughts

These times are stressful for everyone, especially parents with bipolar disorder who also have to work at home. You’re wearing many hats: homeschooler, partner, parent, employee, and mental illness manager.

Self-care is critical for your survival. You have to eat, sleep, and spend time by yourself so you have a chance to breathe.

Take care of yourself. Stay healthy.

I wish you well in your journey.

Tune in next week for types of self-care, as well as several self-care ideas for parents with bipolar disorder isolated at home with their kids.

Related:

How to Make Time for Self-Care as a Parent Stuck at Home during Coronavirus - CassandraStout.com

Show me some love!

Celebrate World Bipolar Day by Taking Control of Your Mental Illness

This post appeared on the International Bipolar Foundation website, here.

Are you bipolar? There is a day on the calendar to celebrate your struggles with the disorder.

World Bipolar Day (WBD) is celebrated each year on March 30th, in honor of Vincent Van Gogh’s birthday, as he was posthumously diagnosed as probably having bipolar disorder.

The day–an initiative of the International Bipolar Foundation (IBPF), the International Society for Bipolar Disorders (ISBD), and the Asian Network of Bipolar Disorder (ANBD)–means to combat stigma and raise awareness of bipolar disorders.

Bipolar disorder is a mental illness that is marked by abrupt changes in mood, energy, and executive function–the ability to accomplish tasks on a daily basis.

Celebrate World Bipolar Day By Taking Control of Your Mental Illness - CassandraStout.com

Bipolar disorder comes in several forms.

People with bipolar I suffer from manic episodes–periods of increased energy, euphoric mood, and decreased need for sleep–depressive episodes–periods of intense, pervasive sadness–as well as weeks of relative stability. People who suffer from bipolar II deal with even more severe and lengthy depressive episodes and hypomania, a lesser form of mania. There’s also cyclothymia, or bipolar III, where people have lesser forms of depression and hypomania, but cycle more rapidly between the two.

Episodes of bipolar disorder are not the usual ups and downs that everyone goes through. This is a lifelong condition which interferes with day-to-day functioning. The prevalence of bipolar disorder has been estimated to be as high as 5% of people around the world.

There are several causes to bipolar disorder, including genetic components, environmental stresses, childhood trauma, and other factors.

International groups like IBPF, ISBD, and ANBD support global efforts from scientists and advocates to investigate causes of bipolar disorder, methods of diagnosis, coping strategies, and medications to successfully treat the mental illness. World Bipolar Day was created to celebrate these efforts, acknowledge the struggles of people with the disorder, and raise awareness and sensitivity.

You can celebrate World Bipolar Day by taking care of yourself. But if you have bipolar disorder, how do you cope with the day-to-day challenges the mental illness brings? There are several strategies:

Take Your Medications

Your medications are there to help you. If you don’t take them on a regular basis, you won’t know if they work. Figuring out the right cocktail of antipsychotics, mood stabilizers, antidepressants, and anti-anxiety meds–as well as electroconvulsive therapy–requires a lot of patience, as the testing process takes time and a toll on your body.

But there is hope. Bipolar disorder is one of the most manageable and treatable disorders. You can find a correct combination of medications or electroconvulsive therapies to treat you. For a post on how to get a psychiatric evaluation, click here.

Attend Therapy

Talk therapy, especially cognitive behavioral therapy, is one of the best ways to learn coping skills to handle the challenges of daily life. An unbiased, sympathetic therapist can help you understand patterns of your behaviors and help you correct said patterns. Attending therapy is essential for daily functioning when you have bipolar disorder.

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

Practice Self-care

Self-care is not limited to bubble baths and painting your nails. It’s taking responsibility for your physical and mental well-being. Self-care involves sleeping enough (but not too much), eating a healthy diet, spending time outside and with other people, exercising, and drinking plenty of water.

Practicing these tenants of self-care on a day-to-day basis is crucial for you to feel better. Even if you can’t do all six everyday, try to eat, sleep, and drink enough water. Your energy levels and mood may improve immensely.

Final Thoughts

World Bipolar Day, celebrated every year on March 30th, is a great time to take stock of the strategies you’ve used to cope with your mental illness. If you have bipolar, taking your medication, attending therapy, and practicing self-care will go a long way towards improving your ability to handle your condition.

There is no shame in having bipolar disorder. It just means your brain functions differently. Make the effort to treat your mental illness on World Bipolar Day.

I wish you well in your journey.

Related:

Celebrate World Bipolar Day By Taking Control of Your Mental Illness - CassandraStout.com

Show me some love!