Tag Archives: world mental health day

World Mental Health Day–Mental Health for All

The theme for this year’s World Mental Health Day, October 10th 2020 is “Mental Health for All”. This is a great subject for this year as so many people are struggling with the current pandemic for all sorts of reasons.

The subject means something special for me as I’ve spent my life feeling like I’m different, I don’t fit in, I don’t know how to do the stuff other people do so easily and I don’t know why.

A little while ago, we realised why – I’m autistic.

This may come as a surprise to some who know me, or it may make perfect sense to others! To me, it’s really helped things fall into place.

Previous to this, lots of things didn’t make sense, I’d had long periods of mental illness and while I’d managed to carve a recovered life (with lots of support, medication and various therapies) I still really struggled with general life and it was difficult to understand why. Below are just a few examples of things I struggle with that are now explained by autistic traits. It’s important to remember that this is my experience and that this will not be typical for everyone on the spectrum.

  • I’m incredibly sensitive to sounds but had been putting this down to being “highly sensitive” and an extreme introvert. These labels helped to some extent but didn’t quite explain why I would find a noisy environment completely exhausting. My sense of smell and touch are also extraordinarily sensitive.
  • I have a very small number of close friends because I struggle to make and keep friends. A lot of people see a more “socially acceptable version” of me because I feel they would judge the real me.
  • I’m easy overwhelmed by misunderstandings and confused by unexpected situations. I know I have intelligence but sometimes feel I lack common sense–this isn’t true, it’s just how it feels. It’s been awful not knowing why I can’t see things the way other do.
  • Things sometimes get stuck on a loop in my head. Hyper-focus and an eye for detail can be seen as a positive thing but it’s felt negative when other people can move on. It’s not that I’m deliberately holding a grudge, it’s that things affect me more deeply than they do other people.Stone brain breaking apart with cogs inside
  • I’ve always understood that there are unwritten social rules but I’ve struggled to know what they are. As I’ve grown up I’ve managed to hide the fact that I don’t understand and I “laugh along” but I’m hiding (masking) a huge amount of confusion and anxiety.

As I came to terms with the diagnosis, I realised I’m actually not odd, weird or wrong, I’m just neurodivergent.

All this time, I’ve been desperately trying to be “normal” and I’ve suddenly discovered that I am!

However, learning that I’m on the spectrum has been a mixed blessing!

The downside of the diagnosis is that it comes with discrimination and stigma.

[People with] autism spectrum disorder…are more likely to experience mental health problems than the general population.

This can be because there are fewer resources…more negative life events, and [they] face stigma and discrimination from people and services… Biology and genetics may also increase the likelihood of developing a mental health problem.

Mind

If you read my most recent blog you will have seen that I experienced horrendous discrimination at the hands of an ex-employer. This was because I disclosed to my employer the difficulties I was having in relation to being autistic, particularly in relation to the social side of things. I liked to keep my work and social life separate. You won’t find me gossiping around the water cooler or taking an extended lunch break while I chat about my weekend with colleagues.

I can understand the theory behind those “water cooler moments”. I know bonding with work colleagues is important. Unfortunately, I’ve never liked doing it and now I’ve found out I’m autistic, I know why. I find these moments excruciatingly awkward and fatiguing and I simple don’t benefit from trying to socialise with my colleagues!

There were numerous ways they discriminated against me and the fact that I’m covered under the Equality Act made no difference to my ex-employer. When just getting up and going to work every day takes every ounce every energy you have, finding energy to fight for my rights was impossible.

Autistic adults who do not have a learning disability are 9 times more likely to die from suicide.

Autistica

As well as reasons in line with the general population such as difficult life events, feelings of hopelessness and physical or mental health conditions, people with autism also have additional difficulties that could lead to suicidal feelings:

  • Delays in receiving a diagnosis–from personal experience, struggling with feeling there’s something “wrong” but not knowing what it is feels incredibly difficult.
  • Difficulties accessing support–as with mental health services, poor resourcing means that adults with autism aren’t receiving the support they need.
  • High levels of unemployment–it’s very common for people with autism to be over-educated and under-employed, as I am.

People with autism are vulnerable because the way they communicate and interact with other people is different. They have difficulty communicating their thoughts and feelings and may not be able to communicate their suicidal thoughts in a way that someone else can understand. They may not even know that what’s going on inside them is “suicidal thoughts”. I spent years in mental health services being judged for “acting out” because I didn’t have the words to explain my feelings–it now makes sense, why it took me years to find the words.

I need to remember that no matter what label or diagnosis I may have, I’m still me and that will never change. Self-acceptance is an incredibly powerful gift. If you know me, don’t worry about treating me differently. With all our similarities and differences, something we all have in common is that we’re human and we’re all stumbling through life as best we can—this is something genuinely beautiful we can connect over no matter what else is going on in our lives.

A few things you might find interesting:

  • You say “autism” to most people and they think of “Rainman”, however the experience of autism is unique to every individual–Anthony Hopkins was diagnosed with autism in his 70s.”Anthony Hopkins
  • It is no longer thought to be “an extension of the male brain”–this is out-dated thinking.
  • We are not “all on the spectrum” or “all a little bit autistic”–some people may be able to relate to some of the traits but the spectrum is not linear with non-autistic (neuro-typical) at one end and seriously autistic at the other. Check out this video or this comic strip to learn a new way of thinking about the spectrum.
  • Functioning labels are unhelpful–you may observe people as high functioning because they can communicate verbally and may have “low” support needs but it is unhelpful to make a judgment about what their life is like behind closed doors.
  • Autism isn’t being over diagnosed–some people with autism (especially females) are particularly good at masking therefore are more likely to go undiagnosed. These people are now being recognised.

Thank you so much for reading this! It feels huge to be sharing. It’s hard to open up about something like this; having shared with a few people, I’ve had a very mixed reaction, from blatant discrimination to acceptance and loyalty.

I hope this will be the first of many blogs that walk the cross-over between mental health and autism.

Hands reaching out

108 million people affected, what can we do?

World Health Organisation logo

According to statistics published by the World Health Organisation (WHO) someone dies by suicide every 40 seconds. They estimate that suicide accounts for 800,000 deaths each year, after each death, about 135 people experience intense grief or are profoundly impacted in some other way. That means, every year 108 million people are affected by suicide (that’s double the urban population of the UK).

World Mental Health Day (WMHD) this year is focusing on suicide prevention. Mental illness does not discriminate on race, class, gender or age – suicidal thoughts are a symptom of mental illness, just like chest pain is a symptom of heart disease. Suicidal thoughts, can lead to suicidal behaviour which can result in death by suicide.

If your mate doubled over in pain, clutching their chest, struggling to breath, and they appeared clammy, you’d call for an ambulance who would (aim to) arrive within 8 minutes. What if your mate, struggled to give you eye contact, is withdrawn and said things like “no one would miss me if I disappeared” or “I’m not sure I’m needed around here” – would you know what to say or do?

There’s also a large proportion of the suicidal population who do an incredible job of hiding their symptoms, through confusion, fear of stigma or shame. How do we help them?

Lady walking on her own down a railway track

When I was severely ill with anorexia and depression, the illness told me my family would be better off without me; the emotional pain I felt was so severe that I couldn’t see any option other than suicide. Despite being in psychiatric care, signs were missed on multiple occasions, maybe I was hiding them, maybe there was an element of negligence or under resourcing. Having lost a friend to suicide, I’m one of the 135 affected by her death. If I had died by suicide, my number would be added to the statistic.

The International Associate for Suicide Prevention says “No single organisation, intervention, discipline or person can solve the complex issue of suicide.” 38 countries report to have a suicide prevention strategy and various organisation are doing their bit to raise awareness or put mechanisms in place to try and prevent suicides. In particular, work is needed in countries where suicide remains a criminal offence, where people don’t seek help through fear of stigma and discrimination and accurate statistics are impossible to gather.

But we can do our bit too, here are a few simple things to get started:

  • When someone says they’re fine, sometimes they feel angry, sad, ignored, all sorts of thingsWhen you ask your friends or colleagues how they are, mean it, don’t accept “fine” as the answer. If someone asks you how you are, cultivate a culture of honesty and give them a sincere, genuine answer. If necessary, be prepared to give someone 5-10 minutes of your time. Even if you’re in a rush, if someone needs to off load, this short time could make all the difference to them. If you’re not sure what to say, have a look at the Time to Change campaign for tips.
  • Send someone a text or email, just letting them know you’re thinking about them – mental ill health can be isolating, letting someone know that you care can mean they feel less alone.
  • If you realise someone is struggling, offer support, advise them to see their GP, as you would if they found a suspicious lump or had an unusual pain. Some people find it difficult to talk about mental health symptoms so offer to go with them to their GP if that would help. This guide from Mind offers suggestions about what to say.
  • Look into Mental Health First Aid – could this be something you could introduce to your workplace? Or could you do it as an individual, so you know what to do in a crisis?
  • Not just on WMHD but anytime, share posts on social media about suicide prevention (and mental health in general) to raise awareness. If the mental health world just talks to itself we’ll never get anywhere, everyone needs to do their bit to reach a wider audience. Decreasing stigma and discrimination will make for a healthier society.
Pulling someone out of a hole

If it’s taken you 2-3 minutes to read this article, another 3-4 people have died by suicide – these could have been prevented.

If each person who read this did just 1 of the suggestions above, we could make a difference to hundreds of people’s lives.

World Mental Health Day – First Aid

The theme for today, World Mental Health Day is, psychological and mental health first aid so I thought I’d do a short blog on this topic.
Everyone is aware of, and many people even attend compulsory training in, physical first aid. We all know what to do if someone has a nose bleed or faints, but what if someone presents as confused, seeing or hearing things that aren’t there, having a panic attack or in emotional crisis? Why do we never talk about this?
Image result for mental health first aid images
Psychological first aid is needed in the aftermath of a traumatic or critical event and can be vital for alleviating longer term conditions such as post traumatic stress disorder.
Mental health first aid may be needed for someone who has a mental health condition (either pre-existing or undiagnosed) if they experience a crisis.
Yes, there is extensive training for both types but no training is needed to provide the basic human contact that would provide some relief in each situation. Here are some of the things anyone can provide in a variety of situations:
Image result for mental health first aid images

  1. Meeting practical needs – this could mean ensuring someone is drinking enough water but could involve ensuring someone’s bills are paid or their pet is fed.
  2. A listening ear – this does not mean pressurising someone to talk but if they need to or want to, just listen, without judging, jumping to conclusions or providing solutions too quickly. Ask them what you can do to help.
  3. Ensuring a calm environment – a trauma or crisis situation is likely to involve heightened emotions, these are valid and it’s important not to shut them away or put a lid on them but providing a calm environment will enable the individual to feel calmer in order to express their emotions rationally
  4. Connecting with others – the person may need to contact next of kin or someone they trust or who knows/understands the situation. It is also likely professionals will need to be involved at some point.
  5. Protection from physical harm – when mentally unwell someone may behave in uncharacteristic ways. They may need someone to stay with them. Do not be afraid to call the police or for an ambulance if you are unsure.
  6. What next? – ensure you and the person in need knows that plan even just in the short term.

Image result for comforting hands mental health images
Always remember to look after yourself in these situations. Just like if you’ve performed basic life support on someone, it can be quite shocking, managing a mental health crisis can be difficult – make sure you talk about it and get the support you need too.