Category: General

In my last entry I did a brief 2018 year in review.  Now, I want to look ahead to 2019.

Although personally I felt like we did a lot of great things in 2018, I know we still have a lot more work to do.  There is still a lack of education, support, empathy, and advocacy out there, and there is also a lot of discrimination against the mentally ill.  We must keep going until the day that discrimination is completely gone.  We need to continue educating others and working with policy makers to make impactful changes in our society, and we need to continue to use the current momentum we already have for advocating for mental health change.

Next, my hope is that 2019 brings more effective and safe treatment options.  Last year I mentioned treatments such as TMS, ketamine, psychedelics, and EMDR, and it would be great to see more research on these and many other options.  As I have said before, I am very excited about all of the work that is being done to try to understand mental illness and start looking at ways that we can better treat it.  Even more exciting is the work being done to determine how we might be able to prevent these illnesses from occurring in the first place.  Wouldn’t it be amazing to get to a place where we know what to do (or not do) to prevent a mental illness from happening?  My wish is that 2019 will be a year that takes us closer to that reality.

Overall, I think 2019 will hold some interesting and promising new information when it comes to mental health.  Assuming all goes as I plan, I want to continue to explore those topics on my blog.  I hope that you will continue to join with me.

How about you?  What are you looking forward to in 2019?

As I write this entry, it is the last day of the year.  I thought I would use this entry to reflect on 2018, both in a personal sense and as it relates to the topic of depression and mental health.

Personally, I feel like I have worked hard to advocate for mental health and encourage more education and support for those affected by mental illness (which is pretty much everyone in some way).  In my local area we have passed legislation that will bring improvements to mental health, and I think we are seeing more and more conversations around how we can better care for everyone’s mental health, regardless if an illness is present.  There is also a growing interest in mental health education, whether for health care workers, family, friends, schools, and children, among many others.  We continue to see momentum, and I think in my corner of the world we can be proud of our accomplishments.

On a larger scale, I think there is a lot of momentum around mental health as well.  Topics like depression and suicide and others have become part of a larger conversation and are covered in the media on a far reaching scale.  Of course I have a bias, but I feel like you would have to be hidden in a cave to have not heard about mental health at some point in 2018.  This is so important, because the more we talk about it, the more people will understand mental illness and health.  Ultimately, I think this reduces the fear that people have about it, and that can lead to more compassion and support.  2018 has brought me some hope, and I want it to continue into the next year.

How about you?  How has 2018 been for you?  Did you experience any hope around mental health?  What did you learn?

I was meaning to post some more videos to YouTube today, but for some reason YouTube said my first new video was too long. My video was less than 17 minutes, so I do not believe that, but I am also not going to sit around for another hour while it processes and uploads the video only to be told it is “too big”. That being said, if you would like to have all of the video series I have created please let me know, and we will work out a deal. Thanks!

Today I want to discuss another type of therapy I had never heard of until about a month ago, like EMDR (obviously, the conference I went to gave me a lot of new information!).  The therapy I will describe today is called multisystemic therapy, also known as MST. 

According to the Wikipedia article (https://en.wikipedia.org/wiki/Multisystemic_therapy), MST is an intensive family focused and community based treatment program for chronically violent youth.  MST was developed by the Family Services Research Center (FSRC) of the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina.  In 1996, MST Services and MST Institute was formed.  MST Services is for-profit and distributes and supervises MST information.  MST Institute is non-profit and sets quality assurance standards and monitors program implementation.  Although the specifics of the therapy are not detailed here, it is easy to see why it was named “multisystemic” because of its focus on different systems encountered by the youth.

This is a very general overview, and MST still seems a little vague to me.  Actually, when I heard the term “multisystemic therapy” I thought it would be about looking at all of the body systems to see how they work together to create health or disease.  So, I was way off.  And, like EMDR, I have never heard of anyone who has used MST.  However, at the very least, it is good to know it is out there and possibly another option for youth, some of which might be struggling from depression or some other mental illness.  Although I don’t know much about it, I like the idea of looking deeper and looking at systems instead of assuming the youth may be to blame for everything. 

What do you think about MST?  Do you need more information?  Does its focus on systems sound appealing to you?  Hopefully we will see MST become more beneficial as experience with it increases.

As I write this entry, I have just returned from a long weekend to celebrate Christmas with some of my family.  During the road trip I also got to see a few of my oldest and dearest friends, and it felt so good to see some of my favorite people in the world all in one trip.  And, while it was great to catch up a little bit, it always seems inevitable that seeing old friends and family gets me to thinking about the past.

What could I say about the past that hasn’t already been said?  Of course, my own past is unique to me, and that is honestly mostly what I will touch on today.  What is it about the past that makes me so pensive?  Why does it seem to make me sad sometimes?  Do I ever believe that the past signifies better times in my life?  Is my past better than my present?  Is it better than my future?  I typically like to think that life just keeps getting better, but sometimes I wonder…

However, I think that is where I stop.  I wonder, but I don’t try to relive my past.  What I do try think about are the fun things and the good things that have happened, and I see if I can incorporate some of that into my present life.  For example, I love 80s music, so that is constantly in my life.  I also loved rainbows growing up, and I continue to surround myself with those.

If you are struggling with depression, maybe looking at the past does not help your situation, especially if it might have in some way led to the depression.  However, if this is the case, it might be helpful to think about what you would love to look back on in the future that makes you smile and enjoy some memories.  It may sound simplistic, but connecting with the good things in your past (or your anticipated past) may be a helpful technique for thinking about depression.

Today I want to touch on a topic that I think could be very helpful in the future of mental illness prevention.  It is fairly straightforward, and on paper seems like a fairly simple thing to do.  I am talking about mental health screening for children.

When I think about screenings, I remember some of what I experienced as a child.  I know we had vision screenings and hearing screenings at school, and I think we had some screenings and vaccines done in different health care settings.  The primary goal was to prevent or catch a problem early on and do something about it before it became a bigger problem, and I assume these still happen today.  But, all of the screenings that I have mentioned had to do with physical health – what if there were screenings for mental health?

As it turns out, mental health screening for children is possible.  I do not know if and where it is currently available, but in the state I live in they are recommending universal mental health screenings from birth to at least age 18.  Not all of the details have been worked out yet, but overall the intent is to screen all children.  To be honest, until I heard about this I had never thought about universal mental health screening for children, but now I am a big fan of this idea.  Why not screen all children and possibly prevent or catch problems early on?  I think it sounds like a great idea.

What do you think?  Should all children be screened for mental illness?  How do you think it should be done?  My hope is that this will one day become standard for all children all over the world, and I look forward to seeing this become a part of the care that all children deserve.

As I write this entry, we are getting close to Thanksgiving, and with that comes another day related to suicide.  The Saturday before the United States of America’s Thanksgiving is International Survivors of Suicide Loss Day.  This day is meant to unite survivors of suicide loss around the world, and many countries and communities have events to remember loved ones and offer support for suicide loss survivors. The AFSP (American Foundation for Suicide Prevention) is a big sponsor of this day, and their website (afsp.org), is also a great resource for education and information related to suicide.

In the past I have attended events on International Survivors of Suicide Loss day.  In fact, where I live there is an event held every year. But, after going for a couple of years I did not feel that I needed to keep attending the events.  I think that this decision is personal for everyone. You may want to go only once, or you may want to go every year.  Or, you may not ever want to go.  However, that is the beauty of these events – they are there if you need them and want to gather with others who have experienced a suicide loss.

What are your thoughts on International Survivors of Suicide Loss Day?  Do you feel that having a day for suicide loss survivors is a good idea?  Do you think it is important?  Do you think it is helpful for suicide loss survivors to come together and support others who have had similar experiences?  While I don’t always attend an event, I think it is helpful to have a day recognize the (sadly) ever growing group of us who have experienced a suicide loss.  It is not a group anyone wants to be a part of, but there is comfort in knowing that we are not alone in our grief.

Today I want to touch on the topic of visualization.  As usual, there are probably lots of definitions out there, but to me visualization is closing your eyes and picturing something in your mind.  You can visualize many things – your future self, a wonderful place you want to be, running through a particular situation – it would seem that the possibilities would be endless.  And, as I am referring to it here, visualizations are thought of as helpful or beneficial.  Of course people can visualize negative or disturbing things, but when I talk about visualizations my hope is that they are positive and valuable to a person.

Can visualization be used in depression or for caregivers?  I think so.  Visualizations can be pretty straightforward and easy to access, and they can be done whenever and however you want.  People can do visualization on their own or with others, and there are also resources available online and in books.  Of course, with depression, it may be hard to initiate visualization, but it also may be helpful to try. 

What should you visualize? That is up to you as well.  For depression or caregiving, can you think about what recovery would look like?  Can you think about what things you might want to do again?  What about new things you would do?  Is there a place you can visualize that makes you feel safe?  A place that makes you feel cared for?  A place of healing and hope?  I am sure there are many other ideas out there as well.

Overall, what do you think about the idea of visualization?  Does it seem worth a try?  Honestly, I have not had a lot of experience with it, but when I have used it I feel that is has been beneficial, and many people have found it useful.  My hope is that you consider giving visualization a try.

As I write this entry, today is Election Day in the United States of America.  Up until today everyone has been bombarded with mailings, phone calls, texts, TV ads, and social media posts telling us who we should vote for and why.  Then, as the day has unfolded I have seen a lot of people letting others know that they had voted.  I am grateful to live in a country with free elections, and I am proud to participate in the process.

Of course, when I vote, I think about issues that are important to me, and mental health is one of them.  Honestly, I think that mental health is related to every other issue out there, but I tend to focus mostly on prevention, education, support, treatment, advocacy, and recovery.  I look for candidates who seem to support mental health and treat it like the serious matter that it is.  The good news is that I think most politicians support mental health – it seems like an easy stance that caring about mental health means caring for other humans.  However, if you go below the surface, you find that there are lots of differences on what services are available and how they are paid for.  Unfortunately, money is always a concern, and different politicians aren’t willing to spend as much on mental health as others.  Of course, there are other priorities that also need funding, so it isn’t always easy to make these decisions.  But, when I vote, I look for candidates that I think are truly willing to go the extra mile for mental health.

Luckily, in the internet age, there are many resources available that can help you research the candidates and give you an idea of where they stand on major issues.  My hope is that when you vote, you think about supporting mental health as well. 

Luckily, this hasn’t happened to me for awhile, but I am really struggling today to come up with a topic for today’s blog post.  Admittedly, I usually try to think about it ahead of time, but I didn’t do that either.  So, maybe I will talk about what I am experiencing – a block in my creative and/or thought process.

I think “blocks” can come in many forms.  You may struggle to find something to write, like I started with today.  But, maybe you are struggling to find something to speak about or say.  Maybe you are struggling to read or interpret something.  Maybe you are struggling with another subject, like math or science or history.  No matter what the “block” is, it can be very frustrating.  You know you need to get something done, yet your mind seems to be blank.  Or, you are distracted by everything but the task you set out to accomplish.  I am fairly confident that we have all had this experience at some point in our life, and it can be hard to predict when it might happen.

For those affected by depression, my guess is that “blocks” are even worse.  Depression can affect your ability to focus and complete tasks, and it can deplete any motivation to get things done.  Blocks probably are not something that comes and goes in depression, but is something that can stay pretty constant.  So, for those of us (including me) that have not experienced depression first hand, blocks may lead to some insight on what depression may involve for some people.  When you have a block, think about how it affects you and empathize with others who may have similar perceptions occurring.

How about you?  Do you recognize the experience of “blocks”?  If so, how do they make you feel?