The Mental Emotional Health Blog

First of all, I want to say Happy Thanksgiving to all of my readers in the USA. And to all of my readers wherever you are, I am thankful each time you visit and write comments. This site is so much better because of all of you. I plan to someday add a wellness or positivity discussion board to allow MentalEmotionalHealth.com to become more interactive.

After my previous post on Seasonal Affective Disorder (SAD), someone asked me about the lights some people use to help get them through the Winter months and the shortened hours of sunlight. Use of these special lights is called “phototherapy”, which has been shown to have some effects in counteracting the depressive symptoms of SAD. For a brief summary of SAD, check out http://www.smhca.org/sad.aspx . My previous post on Seasonal Affective Disorder is here:  http://mentalemotionalhealth.com/2008/11/19/get-those-healthy-habits-down-now/ .

Take care, everyone!

It’s already starting to affect me this year. The last few years I have seemed to get a taste of the Winter Blues, also known as Seasonal Affective Disorder. It usually isn’t bad enough to really nail my functioning and mood, but I have noticed a change already. The form it takes for me includes: tiredness with occasional fatigue, short-term memory challenges, little spurts of irritability, a little more difficulty getting out of bed in the morning, and each day I seem to either have noticeably more or less appetite.

The bad news is I’m expecting this in varying degrees until probably February. The good news is it will end and I am used to it and know what to do, and any of you that suffer through the winter months hoping for longer days can fight back these symptoms too.

Here are some ideas, pretty standard for fighting depression:

• Practice good nutrition, with meals or healthy snacks every 3 hours or so
• Stay hydrated with water
• Go to bed 1 hour earlier than usual
• Exercise lightly or moderately each day (even if it is for 5-10 minutes)
• Every once in a while, change your routine slightly or try something new (such as driving or walking a different way to work than usual)
• Talk with your physician or physician’s assistant now if you haven’t already, and then follow up again if you feel worse as the weeks go on
• Keep paying attention to your personal hygiene and shower daily, it helps
• Travel somewhere sunny and warm if you can

The important thing to remember is to not give up. Symptoms may be happening to you, but they don’t have to define you. Also, improvement is gradual so don’t expect a benefit to your efforts for at least 2 weeks.

According to George Carvalho, “stigma is the shame that individuals in society place upon others suffering with mental health issues to distance themselves clearly and definitively from them” (http://www.namiscc.org/newsletters/April02/ClientStigma.htm).  Although I don’t necessarily agree with everything he states in his article, it’s a short and interesting read.

Stigma in mental health has decreased somewhat over the past few years, in part due to a slight adjustment by the news media, television, and movies. More often, however, I think it has been the combined effort of mental health providers, medical providers, social workers, and some government officials that have worked to lessen stigma. In 2004, Wisconsin’s Lt. Governor Barbara Lawton joined the fight against mental health stigma in a big way (http://www.wimentalhealth.org/userimages/LawtonHonorary.pdf). Thank you, Lt. Governor Lawton!

Actually the best way to defeat stigma is word-of-mouth, person-to-person, by people that are educated about mental health. Mental health concerns can be debilitating and frustrating. Continuing the stereotypes about mental health, and using derogatory terms like “crazy”, “psycho”, and “wacko”, make life more difficult for people that many times are trying to get better. Jokes and laughing about mental health stereotypes on television shows and movies don’t help either.

As I said before, the best way to defeat stigma is person-to-person. Remember that everyone is a person, so try to say “He or She is a person with Bipolar”, instead of “He or She is Bipolar”. Everyone has normal in them, and everyone has something that could be considered a mental illness trait. But we’re all human.

The resources you use can take on different meanings depending on your mood and life situation. For those of you that enjoy reading I will make some suggestions on what to read, or what not to read, at certain times.

• When you feel lonely - Read books that speak to you as an individual, whether it bolsters your self-esteem, discusses a favorite hobby or interest, or is something inspirational. Do not read books about relationships, unless you recently had a breakup or loss and the book is about recovering from those specific events.
• When you feel confident and self-assured - This is when you read about relationships, making them better, and improving your communication style. You can read just about anything when you are feeling secure in yourself.
• When you feel anxious - You can read about anxiety-reduction or stress management strategies, as long as you don’t read to the point of feeling overwhelmed by the ideas presented. Avoid reading material with a lot of detail or depth. Also, reading travel books or magazines with pictures can be helpful in providing your mind with calming images.
• When you feel depressed - Read a children’s book. The Dr. Seuss books are colorful, playful, and silly. And there are thousands of other great children’s books that can lift your mood in simple ways. It is also okay to read books to educate yourself on depression/treating depression so you know what to expect in getting better, but again, don’t overwhelm yourself.

Happy reading!

Depression, depending on how severe it affects a person, can make just about everything tough. Simple or routine activities may seem huge or impossible. That’s one way depression nails a person’s motivation. Fatigue is often at play too.

Depressive symptoms rarely go away quickly; it is almost always gradual. During the low times, it is tough to want to get outside, go for walks, or be active physically. Some obviously still work at their jobs, but I am talking about healthy activities outside of work. Since depression typically involves a gradual recovery, the benefits of being active are delayed. That means if you go for a 20 minute walk every day for a week, you may not feel any increased motivation or benefit to your moods for maybe another week or two.

This delayed benefit is one of the main reasons why it is so important to actively maintain your health when you don’t feel like it. Depressive thoughts will tell you things like, “Even though I walked yesterday, it didn’t help“, or even “Nothing is helping, so there’s no use trying“. Try to remember that your thought-patterns themselves are infected by depression as much as the rest of you.

Keep these points in mind:

• You will feel tired and unmotivated, and you will think it will continue that way. Remember your brain is affected by depressive symptoms too.
• Regular, healthy nutrition is like medicine that can give your body and mind the strength needed to fight the depression directly, and allow you to have enough energy to stay somewhat active.
• Drink an appropriate amount of water daily. Dehydration is never good, but during a depressive time it’ll rob you of even more energy.
• Avoid alcohol. Alcoholic beverages will probably affect your mood for a short time, maybe even positively. But they will also keep you in a depressive state for days afterward, or make your depression more severe. While you are under the influence of alcohol and other substances your judgment is affected, and if you have had any suicidal thoughts or urges you are risking your life.
• Talk to a health provider, whether it’s a doctor, therapist, psychiatrist, nurse, physician’s assistant, chiropractor, school counselor, psychologist, or social worker. These people can remind you that you can get through depressive states, and help you to monitor yourself. They may also prescribe a medication that might help your system fight depression (anti-depressant).
• Maintain your hygiene daily; it helps.
• Limit your caffeine intake, since caffeine can negatively affect your ability to sleep and your quality of sleep.
• Your depression is not you. Depression is a condition that is affecting you on a deep personal level.

 Don’t give up hope. Even if you feel unmotivated, do something healthy every day.