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Why there should be a minimum standard of care across all psych wards

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Psych wards are designed to be a place where someone struggling can feel safe. Whether the person is having thoughts of suicide, struggling with self-harm, experiencing drug or alcohol abuse, attempted suicide, or just needs a safe space, a psych ward is supposed to be the place. Yet, people discharged from a psych ward are 100-200x more likely to die by suicide upon release.

Every psych ward is different, just like every hospital is different. Some have more funding than others, however, that does not mean the standard of care should be different. Many times, when you are admitted into a psych ward, you do not get to choose which one. Often times, it is hard to find multiple options for psych wards near you, if it is voluntary. Plus, you have to consider the financial cost, as it may vary based on insurance, type of hospital, etc.

Many psych ward visits are involuntary. Most people need serious intervention and support at that time. It does not matter who you are or where you come from, you are deserving of quality treatment that benefits you. Treatment that acts as a starting point in your recovery. You do not deserve to come out of the psych ward in a worse position. You do not deserve to be just a checked box that relieves the hospital / state of legal concerns. And you definitely do not deserve to be forced to try a medication that does not work for your actual diagnosis.

Imagine if we had a minimum standard of care that forced hospitals to allocate more funding toward behavioral health.

An individual hospitalized in a psych ward, whether voluntary or involuntary, deserves 1 on 1 time with a licensed mental health care professional that helps both parties get an understanding of the situation. Many struggling do not always know what they are going through and would benefit from exploring what they are feeling and experiencing with help. A lot of people do not have a confirmed diagnosis and may need support in learning what they are experiencing and what treatment options are available to them. When exploring the situation together, the psychiatrist may get a better feel for which medication options may be right for the patient, if the patient needs / wants medication.

Furthermore, group therapy could explore building a coping toolbox. Imagine if a group of people who are struggling with similar diagnoses were working together to explore coping mechanisms.  There could be mixed groups and groups for specific mental health symptoms / conditions / crises. People experiencing a mental health crisis often feel alone and being able to share their journey and their feelings with people who truly get it can be life-altering. Someone with schizophrenia and someone with anxiety disorder are both struggling with real mental illnesses but may need different treatment plans and different types of support. Customizing the experience for every patient to collaborate and connect not only with people experiencing similar situations but also to everyone there would be more rewarding than if it were just one or the other.

In addition, all patients should go home with a customized treatment plan. The treatment plan should include therapy / behavioral health facility recommendations, whether it is in-patient or out-patient. It should also include a list of coping mechanisms the patient feels comfortable with in addition to other coping mechanisms available to try. And the treatment plan should include a safety plan that helps the patient know what they can do if they experience another mental health crisis. 

Lastly, treatment should not be financially out of reach. When someone is held within a behavioral health facility, the cost (or a high portion of the cost) should be covered by insurance. The hospital should also charge a reasonable amount, rather than take advantage of the ability to profit on one’s mental health condition / crisis.

A standard of care within our psychiatric system is imperative to the success of our future. Suicide is the 2nd leading cause of death from age 10 to 35. People who need support should receive the help and support they need to jumpstart their recovery.

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Your mental health crisis is not your fault.

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You are not alone.

You deserve help and support.

Your mental health crisis is NOT your fault.

Introduction to Mental Health Crisis

A mental health crisis occurs when a person is in danger of hurting themselves or others and / or prevents them from being able to care for themselves.

What can lead to a mental health crisis?

  • Relationships changing / ending
  • Conflicts with loved ones
  • Grief / loss
  • Trauma
  • High levels of stress
  • Feeling lonely
  • New / changes in medication

A mental health crisis / emergency is a real crisis. Thus, we need to address a mental health crisis with the same urgency and importance as any other health emergency. However, unfortunately, due to the lack of conversation and awareness, many people do not know that support is available. Therefore, most people do not know what to expect during or after a mental health crisis.

Warning Signs of a Mental Health Crisis

Below I have included a list of common warning signs of a mental health crisis.

  • Simple daily tasks become difficult (brushing teeth, changing clothing)
  • Increased or decreased energy levels
  • Mood swings
  • Feeling depressed or withdrawn
  • Isolating yourself from loved ones or life in general
  • Feeling easily irritated
  • Out-of-control behavior
  • Engaging in violent or destructive behavior
  • Engaging in abusive behavior toward others
  • Psychosis (lose touch with reality, example: hearing voices and seeing things that are not there)
  • Paranoia
  • Self-harm
  • Substance Abuse

Warning signs may not always be present nor easily identifiable. It is okay if you miss the warning signs. It is okay if you experience a mental health crisis while you are in therapy or seeking treatment. You still are valid in your mental health crisis, and you still deserve support. It does not mean you have “failed.”

Am I at risk for suicide?

Mental health crises may result in suicidal thoughts, especially if the individual is experiencing feelings of depression, worthlessness, hopelessness, guilt, and / or loneliness. Although our society does not always take thoughts of suicide seriously, it is important to take it seriously. When facing a mental health crisis, suicidal thoughts, self-harm, and suicide attempts often occur.

Feeling suicidal or experiencing suicidal thoughts is often more complex than “I want to end my life.” Below I have included a list of common warning signs for suicide.

  • Constantly thinking about dying
  • Feeling hopeless
  • Withdrawing from loved ones
  • Increased substance abuse
  • Saying goodbye
  • Giving away personal possessions
  • Making / updating a will
  • Purchasing a means (Example: firearms, pills)

Please note, if someone has a history of suicide attempts or has lost someone to suicide, their risk for suicide may be heightened.

If you are experiencing thoughts of suicide or may be experiencing a mental health crisis, here are a few free resources available to you.

  • National Suicide Prevention Lifeline: 1-800-273-8255
  • Crisis Text Line: 741-741
  • Trevor Project: 866-488-7386
  • In immediate danger? call 911

What to Do for Your Mental Health Crisis

If you are experiencing a mental health crisis, it may be difficult to assess the situation or express what you are feeling to others. Although it is normal to feel unprepared and confused, it is important to know what options are available to you. The first question I recommend asking yourself is “Am I in danger of hurting myself or others?” From there, you can decide on next steps. If you feel that you are in danger of harming yourself or others, call 911 for immediate assistance. However, if you do not feel that you are in danger of harming yourself or others, you may reach out to a crisis hotline (such as the numbers listed above), a mental health professional, or family physician. A professional can help you assess the situation to see if you should schedule an appointment with a professional or be admitted to a hospital.

Many people facing a mental health crisis often feel uncomfortable calling 911. 911 can help you, especially when you feel like you are in immediate danger. It is important to explain the crisis with as much detail as possible when you call 911, so the responder has an idea what to expect. You can also request someone trained to work with mental health condition, such as a Crisis Intervention Training Officer (CIT). CITs are trained to help deescalate situation through specific training and access to helpful resources.

What to Do for Your Loved One’s Mental Health Crisis

Similarly, to the section above, assessing the situation first is imperative. It may be difficult and confusing to assess the situation, especially when the individual cannot easily express what they are experiencing. However, the best place to start is identifying if the individual facing a mental health crisis is in danger of harming themselves or others. If they are in danger, you may follow the same 911 protocol listed above.

If they are not in immediate danger, there are a few ways you can provide support.

  • Help your loved one reach out to a professional
  • Offer crisis hotline resources
  • Provide support and encouragement to your loved ones
  • Ask your loved one how you can help them
  • Do not take control, but rather offer suggestions
  • Give your loved on space

Sometimes when we offer support to others, we drain ourselves. You are important too. Take care of yourself. Do not be afraid to reach out to a professional or crisis hotline for your own mental health. This does not take away from your loved one, but it allows you to provide the support they need without emptying your own cup.

Final Thoughts

Because of the stigma on mental health, lack of education and awareness, and high costs of treatment, many people who experience a mental health crisis do not reach out for support. Please know that you deserve support, and you deserve help. There are many options and resources available to you. And there are many nonprofit organizations offering free services, free crisis support, and grants to help cover treatment costs. You are not alone. You do not have to go through this alone.

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PTSD and Fatigue Intertwined

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Introduction to PTSD

Did you know that about 8 million people in the United States live with PTSD?

Post-traumatic stress disorder (PTSD) is a “serious potentially debilitating condition that can occur in people who have experienced or witnessed a natural disaster, serious accident, terrorist incident, sudden death of a loved one, war, violent personal assault such as rape, or other life-threatening events.” (ADAA)

As most people know, PTSD often occurs with depression, substance abuse, or other anxiety disorders. However, what many people do not know is that PTSD can also be linked to fatigue.

Symptoms of PTSD

PTSD symptoms are often broken down into 4 categories:

  • Reliving the trauma
  • Avoiding triggers
  • Excessive arousal / alertness
  • Intrusive thoughts

Some of the most common symptoms include:

  • Recurring nightmares
  • Vivid flashbacks of a traumatic experience
  • Irritability and mood swings
  • Restlessness and difficulty sleeping
  • Agitation and unpredictable temper flares
  • Exaggerated emotional responses to mild stressors
  • Depression
  • Anxiety
  • “Fight or flight” responses to stimuli

(interventionhelpline.com)

PTSD & Fatigue

When living with PTSD, certain triggers can produce a surge of stress hormones, like adrenaline and cortisol. When our nervous system is overloaded with adrenaline and cortisol, it can cause elevated blood pressure and rapid heart rate. These physical symptoms increase risk of anxiety disorders and make it difficult for your mind and body to relax.

In addition to the elevated stress hormones and triggers, the reliving, avoiding, intrusive thoughts, and excessive arousal are often overwhelming. Thus, one of the most common symptoms of PTSD is fatigue. Together, it can take a toll on the body. Mental exhaustion and burnout may happen without intervention.

What can you do?

In addition to counseling / therapy, there are four things you can do on your own:

  • Progressive muscle relaxation
  • Identifying your triggers
  • Relaxation techniques
  • Grounding exercises

(thehopeline.com)

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Suicidal thoughts are more than “I want to die.”

woman crying

Suicidal thoughts, also known as “suicidal ideation,” is often misunderstood. This is partially due to the stigma on mental illness as a whole, depression, and suicide. We live in a world where individuals do not feel worthy of help until they have a gun to their head or pills in their hand. Why? Because, we have minimized suicidal thoughts.

Suicide is often treated as a joke.

  • “I am going to kill myself if I fail this test.”
  • “This meeting made me want to jump off a bridge.”

Suicidal ideation is often invalidated.

  • “They are not going to hurt themselves; they are just looking for attention.”
  • “You are just being dramatic.”

Suicidal ideation is very common.

Almost everyone will experience suicidal ideation at some point in their lives. However, this does not take away from the danger and impact of suicidal thoughts. Without proper support, passive suicidal ideation (thoughts with no intention of action) can turn into active suicidal ideation.

Suicidal thoughts are more than “I want to die.”

Early detection can be a key in suicide prevention. However, due to lack of conversation, education, and awareness on suicidal ideation, we often miss the warning signs.

Suicidal thoughts include feeling:

  • Hopeless
  • Overwhelmed by negative thoughts
  • Unbearable pain
  • Useless
  • Desperate
  • Like a burden
  • Not good enough
  • Lonely
  • Physically numb
  • Fascinated by death

(mind.org)

Research shows that suicidal ideation often starts by the time you are 8 years old. It is not always in the traditional sense, of “I want to die” or “I want to kill myself.” Often times, it starts as simple as:

  • “My parents’ divorce is my fault. Everything is my fault. I ruin everything.”
  • “I hate my life. Nothing ever goes right.”
  • “I have no friends. No one likes me. I am alone.”
  • “I am ugly, stupid, and useless. No one is going to like me.”
  • “Everyone would be happier if I was never born.”

Imagine if we started teaching people how to cope with suicidal ideation. What if we started education people on how to advocate for themselves and what they are experiencing? Imagine if we made treatment widely accessible and stigma-free. Here are my opinions on a few of the most common questions on experiencing suicidal ideation.

When do I seek help?

When you ask yourself this question, it is time to seek help.

Are these thoughts normal? Does everyone feel this way?

You are not the only one experiencing these thoughts. Suicidal thoughts are very common and occur way too frequently. However, none of that means you do not deserve support. When you are experiencing thoughts of suicide, even if it seems minor, talking to a doctor or mental health professional can be extremely helpful. Without any treatment or support, these thoughts may worsen and consume your life.

Should I talk to my doctor about my suicidal ideation?

It is important to disclose your suicidal thoughts to your doctor so that they may help you to evaluate the severity. Sometimes, a doctor might recommend self-care and allowing yourself time to rest and recuperate. Often times, a doctor might check your vitamin and hormone levels, as deficiencies can be linked to lower moods. In other situations, the doctor may recommend a form of mental health treatment.

Will I be hospitalized if I tell my doctor or mental health care professional?

This depends on the doctor / mental health care professional, your mental health medical history, whether or not you are high risk of harming yourself or others, and any additional factors the provider sees fit. Typically, hospitalization within a psych ward is used for individuals with active suicidal ideation: thoughts and a plan.

How do I talk to my doctor or mental health care professional about my suicidal ideation?

Be honest! Share exactly what you are feeling and be sure to clarify if you have thought of a plan of harming yourself, even if you are not certain you would go through with it. Tell your doctor whether or not you would consider following through on the plan. This can help your doctor better understand where you are at. Explain when the thoughts started. Did something trigger these thoughts? Is there a new stressor in your life? And disclose how often you have the thoughts and when they typically appear. Do they only occur at negative with your intrusive thoughts? Or do they happen when you get behind the wheel of your car? Are they constant? Everything you can share with your doctor about your suicidal ideation can be extremely useful in diagnosis and treatment plan.

What if my doctor does not believe me?

Often times, especially when it comes to mental health, we will be invalidated or ignored. That does not mean you do not deserve support. What you are feeling is important. You matter and your life matters. If you feel you need help, resources, or support, then you need help, resources, or support. Try different doctors until you find one that not only listens to you but also makes you feel safe to open up. Advocate for yourself. Be tenacious in the way you advocate for yourself. It is your life and your health.

Which doctor should I talk to?

This depends. Mental health care professionals, such as therapists, counselors, psychologists, psychiatrists, and social workers can be a great resource, as they specialize in mental health. If you do not have access to a mental health care professional or have not found one that works for you yet, your primary care physician can be a great start! Your primary care physician may even be able to recommend local therapists, counselors, psychologists, psychiatrists, social workers, treatment facilities, or behavioral health facilities.

Long story short, everyone deserves support.

Even if the thoughts seem insignificant, having someone to share what you are feeling with can be instrumental. You do not have to go through it alone. If someone opens up to you about their suicidal thoughts, do not judge them or invalidate them. If you are unable to provide the support that they need, then help them find someone who can. When your child comes home from school crying, listen to them. Pay attention to the words they are using. Offer support where you can and reach out to a professional to help them develop coping mechanisms that may work for them.

Remember, suicide is the 2nd leading cause of death ages 10-25 and 10th leading cause of death overall.

We can no longer stay silent or expect people to suffer in silence.

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Managing mental health and the holidays.

group of people eating together

The holidays can be an extremely stressful time of year.

From the financial pressure to the pressure of hosting the perfect holiday dinner, the holiday season is full of added strain. Not to mention, the heightened stress of year-end work deadlines and midterm / final exams for students. Then, on top of it all, many people live with complicated familial relationships. Some people are experiencing their first holiday without a loved one. Others are living in an emotionally, mentally, physically, or sexually abusive household. Then, there are those who have to hide their authentic self from family members in fear of being exiled. Additionally, the individuals living with an eating disorder feeling extremely uncomfortable at the dinner table in front of family members who make insensitive comments about their weight, body, or eating habits. Furthermore, the individuals whose family members ask inappropriate questions then gaslight and / or invalidate them. Plus, the countless other situations that create heightened anxiety levels.

The holidays are stressful for anyone, whether or not you are living with a diagnosed mental health condition. We are all vulnerable to a decline in mental health during the season. So, what can we do about it?

Allow yourself space and time to express your emotions.

Do not be afraid to feel what you are feeling. Yes, you may have so much to be grateful for. Sure, you are perceived to have it all together. And, yes, the holidays can be about family, joy, and love. None of that means that your feelings are not valid. What you feel and what you think matters. You do not have to suppress your emotions. Suppressing your emotions will only lead to release in unintentional ways, often with anger and irritability.

A few ways to express your emotions are:

  • Speak with a loved one or mental health professional for support.
  • Journal what you are feeling and connecting it to events / situations. Where does it stem from?
  • Meditate on a thought or feeling.
  • Exercise to release stress or anger.
  • Allow yourself to cry or scream it out. Sometimes, we all need a good cry.

Plan ahead.

Are there going to be family members in attendance who make you uncomfortable? Are there certain triggers or situations that arise year after year that negatively impact you? Is there a meal on the table that you will eat? What coping mechanisms are easy for you to utilize when in a place full of people? Plan ahead for what you can do to get through.

  • Do you need to bring a meal, side, or dessert for yourself?
  • Do you have an assertive response planned to the insensitive comments or inappropriate questions?
  • Have you made a list of different coping mechanisms you can use?
  • Do you have a list of reasons you can use to excuse yourself for a few minutes to breathe or utilize a coping mechanism?
  • Who / what is your support system?

A few resources available.

  • National Suicide Prevention Lifeline: 1-800-273-8255
  • Crisis Text Line: 741-741
  • Trevor Project: 1-866-7386

Sending you love and strength this holiday season. xx

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Does the way we receive news affect our mental health?

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RATINGS! RATINGS! RATINGS!

Television ratings are essential to media organizations. Therefore, it is no wonder why every headline and every story are designed to captivate your attention. As media consumers, we are more likely to subscribe to a negative headline then we are a positive one. Why? It holds our attention because it has a significant emotional impact on our brains. Thus, you are more likely to remember negative news than positive news.

With continuous negative headlines and crises, you are more likely to tune into the news for updates. The stress is a driving force in your desire to watch more. You crave the news to stay updated and feel in the know.

It is a 24-hour news cycle.

With smartphones and tablets, the news is available at our fingertips. We know everything that is happening worldwide at all times. It is impossible to ignore the news or not be affected by it.

In 2017, the APA conducted a survey of Americans. Over 50% reported that the news stresses them out. Exposure to the news led to anxiety, fatigue, and interrupted sleep.

The negative, fear-mongering news headlines are overwhelming. What we take in directly affects our nervous system. Our brains register these frightening headlines as threats, initiating a fight or flight response. When the nervous system is affected by stress and fear, your body is likely to release stress hormones (ex. cortisol and adrenaline). The more news we take in, the more often we experience stress responses, the more our mental health declines and physical symptoms occur (fatigue, anxiety, depression, sleep difficulty).

The news affects our mental health.

As you can see, the way we consume news can affect our mental health. On a continuous loop of bad, negative, heartbreaking, or terrifying news can have devastating effects on both our mental and physical health.

High stress levels are linked to higher levels of anxiety, increased risk of depression, mental exhaustion, heart disease, weakened immune system, etc. Therefore, it is essential we change the way we consume the news.

  • Before you turn on the news or check your smartphone social media accounts, check in with yourself. Are you in the right headspace to receive negative / stressful news?
  • Give yourself a break. Make it a habit to only check applications and news channels a couple of times a day or week (depending on situation and your comfort). You are allowed to disconnect from the media and focus on the world in front of you. You can do this through practicing mindfulness exercises.
  • Pay attention to who is delivering the news. Try to only obtain news from sources you find to be reliable, who do research before “breaking” news.
  • Practice self-care after receiving the news. The news can affect your emotional wellness. Practicing self-care or utilizing coping mechanisms can help to reduce the effect / impact.
  • Set boundaries when discussing the news with others. If someone brings up a topic you are not comfortable discussing or not in the headspace to discuss, be assertive. You do not have to be exposed to more negative news or increase exposure to negative headlines when you do not want to.

When watching the news, listen to your mind and your body. How are you being affected? What can you do to reduce the impact?

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Mental health and higher education system.

photography of people graduating

Is college for me?

The question every high school student dreads. Our higher education system is designed to help us gain the necessary tools and lessons needed to be successful within our chosen career paths. College courses teach you how to learn while simultaneously preparing you for work in your field.

Today, college is highly publicized as a necessary step. Most jobs require a bachelor’s degree, while many require a masters or doctorate level.

Research has shown that 50% of students feel their mental health is poor or below average. Suicide is the 2nd leading cause of death between ages 10-35 and has risen significantly among the 10-24 age group since 1950.

The fact is: Our student population is struggling. According to Healthy Minds Network, 39% of college students in the US are diagnosed with depression. And, according to Imagine America Foundation, 1/3 of students who are diagnosed with depression drop out of college. And, according to a 2018 study by DOI, out of 67,000 surveyed students, 9% had attempted suicide.

Yet, our higher education facilities have only made minimal accommodations available to students.

Currently, in our Higher Education System, we offer “reasonable” accommodations to students living with mental illness who have qualified for disability. Although this seems like a great solution, it creates a wide gap that sets our students up for hardship. Many mental illnesses are often not diagnosed under the age of 18, such as borderline personality disorder (bpd). Furthermore, symptoms of anxiety and depression often begin to form during adolescence, but many children do not receive treatment or support, because symptoms are written off as typical adolescent behavior.

Therefore, because it is difficult to receive a diagnosis from a licensed mental health professional prior to adulthood (18+), many college students do not have a confirmed diagnosis that will allow them to apply for disability. We have seen most colleges add a Wellness or Counseling Center to their campuses. The counseling services are free and available to all students. However, they forget to mention that it may take over a month to get an appointment. Furthermore, they only offer a limited number of sessions, which discriminates against students needing long-term care.

Outside of the limited counseling services, the ADA has required both public and private universities to provide equal access to education for students with disabilities, as long as the accommodations do not fundamentally change the nature of the activity, service, or program. For a mental health to be considered a disability, documentation is required. This would not be a problem if majority of people were not undiagnosed. We do not live in a society of self-awareness with mental health nor where seeking professional psychiatric services is normalized. The stigma and financial barriers making it near impossible for many college students to obtain treatment.

Why are these counseling services insufficient?

Although many college campuses offer counseling services, they do not offer enough. Think about the amount of money invested into a piece of paper. Think about the number of lives lost every year to suicide. One study reported that 1 in 5 students have had thoughts of suicide with 9% making an attempt and nearly 20% reporting self-injury. Yet, funding sufficient counseling services is “too expensive” or “unnecessary.”

Imagine if you are experiencing debilitating anxiety attacks, depressive episodes, or manic episodes, but you have no official diagnosis. You are a financially struggling college student. Your family either does not believe in mental health so they will not help you pay for services, or your family cannot afford to help you pay for services. You also do not have a car and no bus routes drop off near an off-campus counseling office. Therefore, you cannot go off-campus for support. Thus, you call your campus Counseling Center. They have a 6 week wait for an appointment, meanwhile you have midterms next week. Without an official diagnosis and documentation, you cannot qualify for disability. Or you get in before exams, but your diagnosis is not considered “debilitating enough” for accommodation. Therefore, you have no accommodations. The day of your exam, you are experiencing the debilitating anxiety attack, depressive episode, or manic episode. You cannot stand up or pull yourself together to get to class. You genuinely feel helpless, and you desperately want support. But the system that you were told is meant to “set you up for success” is now working against you. You manage to make it to your exam and hide your symptoms long enough. Because your mind was overwhelmed by your mental health condition / symptoms, you were unable to concentrate. You exhausted countless hours trying to study, but you were unmotivated, unfocused, and restless. As a result, you failed your course. However, you were not taking only 1 course, you were taking 4, and all exams lined up in the same week. Exams count for 40-50% of your grade, meaning if you fail one, you likely fail the class. Your GPA drops, you lose financial aid, and can no longer afford to be a student. You either failed out or dropped out.

Does this seem dramatic? Yes? This is the reality for millions of college students.

In comparison to physical illness.

Students experiencing a physical illness are significantly more likely to receive an excused absence and assignment extension. Why? Because it is easier to obtain a doctors note. Have you ever heard of a doctor, let alone a college infirmary, telling a sick patient they have to wait 6 weeks for an appointment? No. When someone is sick, they get into see the doctor right away. Mental health is not treated with the same respect and importance. If the student could not obtain a doctor’s note due to high volume of patients and extended wait times, the professor is often likely to believe the student. However, if the student explained they were experiencing high anxiety or depression, the professor is apt to assume it is an excuse.

Our higher education system does not treat mental illness in the same regard as physical illness. Thus, students who are struggling are often forced to struggle in silence.

Other mental illnesses at play.

When we talk about mental health, we often focus on depression and anxiety. Let us discuss other mental health conditions that may not benefit from the current limited accommodations.

A student living with an eating disorder, specifically anorexia nervosa or bulimia nervosa, is likely to be consuming insufficient levels of nutrients and calories. Therefore, their energy levels are reduced, and it is more difficult to concentrate. These students are not always able to keep up with the high demand of coursework. Research shows that 40% of incoming freshman at colleges / universities are likely to be living with an eating disorder. With 4-6 weeks wait to receive an appointment at the Counseling Center and lack of education / awareness on eating disorders, many students do not receive help. However, their grades are affected. With 40% of the population affected, you would assume colleges would have a system that helps individuals living with eating disorders. Yet not all universities offer ample free nutritionist services nor support in overcoming the eating disorder. Essentially, you are being punished for a mental illness that was not your choice.

Now, let us talk about a student living with ADHD. Under the ADA rules, only some people living with ADHD qualify for disability. Research shows that 5% of college students live with ADHD. Yet, without qualifying for disability, no accommodations are made. Many college courses are not designed to accommodate students with ADHD to begin with. A high percentage of courses require students to sit in silence and take notes for 2–3-hour periods at a time. Then, offer only long, 2-hour exams as grades. There is no accommodation built into the course structure that offers stimulation, positive feedback, or energy release. Again, based on design, you are being punished for a mental illness that was not your choice.

Let’s take it a step further. When a student has an allergy attack, they can easily go to the doctor and get a doctor’s note. However, a student facing a panic attack does not have that same luxury. It is not as easy to get an appointment with a mental health professional that same day to receive a doctor’s note in order to excuse an absence from class. What about students experiencing a manic episode or psychosis? They may not even know they are in an episode at that point, let alone be able to get a doctor’s note to excuse them from class.

Not only is there a lack of accommodation built into course structure, but also a lack of accessibility to receive a doctor’s note for an excused absence. Both of these make it extremely difficult for students living with mental illness to succeed in our higher education system.

Mental illness is not a choice.

Currently, our higher education system treats mental illness like it is a choice. The current system works against those living with mental illness, even though research proves suicide is the 2nd leading cause of death among college students. The system provides minimal accommodations that offer little support and create a wider gap between students living with and without mental health symptoms / conditions. Imagine reaching out for support and being told, “We can only help you up to three times a year, but the first appointment available is in 6 weeks.”

Again, with physical illness, this is NOT an issue. We provide immediate support and resources to help the student get better and receive any accommodations needed.

Colleges, state education departments, and federal education department, why is my success at college not as important as someone without a mental illness? You have no problem collecting my tuition payments and loan repayments. If I were on a premiere sports team, there would be accommodations made for my success. Yet, you are not willing to make ample accommodations to help me succeed because mental illness is not your priority.

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Signs you need a mental health break.

wood working internet writing

When it comes to our physical health, we often have an idea how far we can push ourselves. When we are starting to feel under the weather, we recognize the warning signs, and we go to the doctor. Typically, when we get sick, we allow ourselves time to heal. When we break a bone, we visit the doctor, and we allow our body time to heal. Yet, when our mental health is declining, we often do not recognize the warning signs until we are burnt out.

Mental exhaustion is a normal occurrence. However, it can be avoided if you recognize the warning signs, practice routine self-care, and allow your mind and body time for rest to rejuvenate.

Mental health breaks are needed, especially during stressful times. We all need rest. If you allow time for both physical and mental rest, you can actually boost your productivity levels and enhance overall wellness.

Nonetheless it can be difficult to recognize when it is time for a break. When you start to feel off or a little different than normal, taking a break can be extremely helpful.

Here are some signs that you may need a mental health break:

  • Are you making yourself physically sick from emotional strain and / or high levels of stress?
  • Do you feel uninterested in activities you once found pleasurable?
  • Are you experiencing low energy levels?
  • Do you feel disengaged / detached from people in your life or from your life in general?
  • Are you having trouble falling asleep or staying asleep?
  • Is it difficult for you to get up in the morning?
  • Have your eating habits changed?
  • Are you experiencing lower levels of productivity than normal?
  • Is it difficult for you to concentrate?
  • Do you feel unmotivated?
  • Has your mood changed lately?
  • Do you feel more down and / or depressed?
  • Are you feeling irritable?
  • Are you experiencing higher than normal levels of anxiety?

If you answered yes to more than one of these questions, it may be time for a break.

Please note, a lot of these symptoms are similar to the symptoms of depression. Reaching out to a therapist or counselor for support and guidance on your mental health may be helpful.

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Beyond all labels, who are you?

lighted candle

If no one told you who you were or how you were to behave, who would you be?

Societal standards influence how we perceive ourselves, how we behave, how we treat others, what career path we choose, what we believe, how we vote, and whom we marry.

In my opinion, societal standards were created to control how we define ourselves. We were put into a box at birth based on our gender, race, culture, economic background, religion, and parental occupations. We grow up to fit into the box by making choices based on society’s expectations. Most of these choices are subconscious choices.

Peer Pressure

As children, we are always warned about “peer pressure.” What no one tells us is that peer pressure extends beyond your friends tempting you to engage in behaviors such as drinking and doing drugs. Peer pressure is the idea of societal expectations. These expectations influence our behaviors, even if they go against our values and principles.

You are not meant to fit into the world, the world is meant to fit you.

How many times have you heard the question, “Why fit in when you were born to stand out?” Yet, we have somehow built a society consumed by fitting in, from beauty standards to clothing to hobbies to careers to the type of music we enjoy to the major we choose in college to the way we use social media. Somewhere along the way, society has decided that in order to be accepted, you have to be the same as everyone else.

Many of these standards were created for economic interests. They were created to feed your insecurities so that you may purchase products and make lifestyle changes that increase someone else’s bank account while diminishing your own self-worth anytime you step away from the box.

I let societal standards control my life for a long time.

Recently, I thought about how much time I have wasted comparing myself to supermodels, actresses, and influencers. I have exhausted so much time trying to change my appearance, from learning new makeup trends, changing my hair style, and redoing my wardrobe—not because I wanted to, but because I “needed” to.

The day before my freshman year of high school, I remember breaking down to my parents because I needed to change my hair color. My natural color was dirty blonde hair, and I was made fun of it in middle school. Other kids would tell me that it was not a “real color.” From the age of 14 to 21, I continually destroyed my hair by bleaching it every 2 to 3 months. But I needed to fit in.

In college, I forced my dad to watch makeup tutorials with me. I was crying, because other people were able to look society’s definition of beautiful with the perfect highlight, contour, and eyeliner wing. I, on the other hand, could not (and still cannot), so I felt ugly in comparison.

I even spent years battling anorexia nervosa trying to be “thin” enough. I woke up at 5am to workout before classes, walked 2 miles to class in 106-degree weather, and worked out till 12am every single day for an entire year. I starved myself, only allowing myself to eat 1 bell pepper and 1 cucumber a day.

In middle and high school, I was bullied over my blog and podcast, “Inspiring My Generation.” I would go through periods of time where I refused to blog and quit my podcast. It was not considered cool, so I started to give up on my dreams of changing the world for the better. In my high school advisor file, it said “Career Goal: wants to have a talk show like Oprah Winfrey and inspire others.” Yet, I felt like I had to hide that part of me for a very long time.

Do you truly love yourself?

When I look back at how certain societal standards influenced my self-worth and my behaviors, I see how much I hurt myself. I never showed myself any love, because I was focused on being whom society told me to be. Every day, I told myself all of the reasons I was not good enough, according to society’s expectations. A few years ago, I realized that of my beliefs were taught to me and all of the stigmas I had developed were taught to me. I continuously experienced anxiety attacks and panic attacks trying to fit into an impossible standard. Ultimately, I lost myself and my sense of purpose. In that brokenness, in that dark hole, was where I learned how the labels created by societal standards were the problem, not me.

Truthfully, I betrayed myself in countless ways. I became obsessed with who the world told me to be. Obsessed with the labels—beautiful, intelligent, cool, successful, athletic, normal, etc. I turned against myself, and I took it out on my own body. In fact, I completely destroyed my physical and mental health for years. Who I was and who I wanted to be were defined by the box society put me in, and I continuously felt like a complete failure trying to live up to impossible standards. Yet, I was trying so hard to not be labeled as “crazy, psychotic, mental, or deranged” that I suppressed it all inside.

Societal standards taught me to not love myself. They taught me to continuously compare myself to who I was supposed to be and what I was supposed to look like. And they ultimately left me feeling numb.

Beyond labels, who are you?

Who are you? Without any of the labels that society has given you, who are you? Who are you not?

It is okay if you do not know who you are beyond the labels. It is not easy to discover yourself in a world telling you who to be, how to think, and what to wear. Take some time to yourself. Write down what is important to you, what you believe, and who you are. Then, write down where all of that comes from. Did someone tell you? You may find that most of who you perceive yourself to be was defined by someone else.

Your loved ones, your foes, society, nor the people around you get to define or label you. Only you can define yourself. So, I will ask you again: Beyond all labels, who are you?

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Ways to destigmatize mental health

use your voice inscription on gray background

Mental health has been stigmatized to make people struggling feel alone. Many people feel invalidated or like their struggle is their fault. A lot of people never reach out or seek help. Millions struggle in silence because it is safer than being labeled or invalidated. Due to the lack of conversation and lack of education, the stigma has been able to perpetuate this cycle and narrative.

What can you do?

  • Normalize the conversation about mental health with your loved ones.
  • Talk openly and honestly about your own mental health.
  • Own your mental health story, do not hide it.
  • Discuss your treatment plan like you would with a physical illness—with honest and without shame.
  • Ask people “how are you” with intention of listening and validating.
  • Educate yourself by engaging in conversations, actively listening when others are opening up, and conducting your own research.
  • Educate others around you.
  • Pay attention to the words you use when you discuss mental health.
  • Advocate for mental health to be treated like physical health.
  • Treat your own and your loved one’s mental health like you treat physical health.
  • Display empathy and compassion for those struggling.
  • Validate people who open up about their mental health to you.
  • Follow social media accounts normalizing mental health and reshare important information and resources.
  • Volunteer with mental health nonprofit organizations to actively engage in work that destigmatizes mental health.

Learn more about how you can Normalize The Conversation on Inspiring My Generation’s website