Mental Health Maintenance

It’s weird. 

I’ve been falling apart for a while. I almost killed myself in October, but my mental breakdown started far before that. And it came in waves. Honestly, I feel like I’ve been a hot ass mess since I got raped in 2010. 

I have a brilliant support system, and everyone in my life has gotten used to my messiness by now. They have realized they can’t really count on me to show to social occasions. They’re familiar with my red, puffy, pale depression face and deadpan responses to small talk. They have come to expect my need to step away from the group to cope my way through panic attacks. They may not completely understand it, but they know. And with that, naturally comes a certain measure of emotional detachment. You see, I am not always the one who is stable enough to listen to their woes or give them advice. I have been the “broken friend” for a while, but I’ve started to own that.

The weird part is, lately I’ve been experiencing a subtle role-reversal. 

Since Covid-19 came in and turned the world upside down, I have noticed that I seem better equipped than most of the people I know to handle the anxiety and depression triggered by such a catastrophe. It’s almost like the years I’ve spent in therapy, the roller coaster I’ve been on, the personal trauma I’ve gone through, have prepared me with the skills one needs to maintain mental health through quarantine. 

Those who don’t suffer from mental illnesses (or haven’t sought help for them yet) on the other hand, have no idea how to cope with the shared trauma we are experiencing in our current context. 

All of a sudden, I have gone from being the “broken” friend to being the friend giving advice about skills that can help everyone  survive Covid-19 with their mental health intact. 

As of now, our governor is considering extending the quarantine for even longer, and I’ve had 3 of these types of conversations with my friends over a 24 hour period this week. Therefore, I thought others may benefit from some of the materials I’ve made to help myself cope. 

The links below are to downloadable google docs with journal pages I originally designed for myself. If you find them helpful, you can print and fill in the blanks, copy the prompts into your own journal, make a copy into your own drive and change it around to suit your own needs, etc. 

Scroll down below each worksheet and find a model of how I’ve filled it out for myself.

A note on sources: I created these materials myself based on what I learned by participating in a Partial Hospitalization Program at the University of Michigan Hospital. All of the skills I utilize in the worksheets are based on the work of Dr. Marsha Linehan in developing Dialectical Behavior Therapy. 

Worksheet #1 (click here to see downloadable google doc): A set of questions/prompts to journal about over your morning coffee/tea/breakfast. These prompts help me practice Radical Acceptance, help me ground myself in a purpose every day, and give me ideas on how to spend my unstructured time that day. 

Worksheet #2 (click here to see downloadable google doc): A worksheet I use for every individual emotion I struggle to cope with. I have made one of these babies for when I’m feeling depressed, anxious, socially anxious, triggered, and panicky. Yes, it’s a lot of work, but I keep my journal with me everywhere I go. And, as juvenile as it feels sometimes, I need to refer back to these pages when I’m overwhelmed with an emotion. It is not always easy to remember all your strategies “in the moment.” 

Worksheet #2 is based on a strategy I learned for reframing cognitive distortions. If you have ever gone to a therapist that practices Cognitive Behavior Therapy, examining how your thoughts impact your emotions isn’t unfamiliar to you. While engaging in this kind of therapy, I’ve come to realize that my thoughts make patterns, and specific negative thoughts are recurring. This worksheet allows you to break down the process into a reference tool for dealing with the most common negative thoughts you have. 

How One Depressed Person is Coping with Social Distancing

Covid-19, Coronavirus, Social Distancing, Quarantine. Potential economic collapse. A president who can’t even speak in complete sentences. Our current context is incredibly difficult for anyone to cope with. I can only really speak from my perspective, though, and as someone who suffers from depression and anxiety I’m here to report: we are not ok. 

Holy shit, this is scary. People with anxiety are prone to catastrophizing: jumping directly to the worst-case-scenario possible in literally any situation. This is a legitimate thought distortion that many people experience during times of great stress. The general hysteria leading regular, every-day people to ransack big box stores for toilet paper, Ramen, and peanut butter is all evidence of this. 

But when you spend a good deal of your daily energy trying to keep yourself from dissolving into paranoid hysterics on a regular day, the rest of the world succumbing to those kinds of thoughts is a horrifying trigger. One tried and true method for bringing yourself back from the edge of a panic attack while catastrophizing, is trying to find evidence for how likely that worst-case-scenario would be. Usually, it is really difficult to find that evidence because our worst-case-scenarios are super unlikely. But right now, our worst-case-scenarios are what everyone else believes will happen too.

So, what the fuck do we do now?

What we’re going through as a collective is tough. As always, I have been on a little bit of a roller coaster because of it. That being said, I’m doing ok. And I want everyone to be ok. So I’m here to tell you what I’m doing, and how I’m coping; in case it helps anyone out there. No strategy will ever be 100% successful, but together we can help each other survive. 

Radical Acceptance

Radical Acceptance is something I learned at my partial hospitalization program I did in December. Essentially, this strategy acknowledges that fighting against painful realities achieves nothing but suffering. In other words, desperately wishing a painful aspect of your current reality out of existence achieves nothing but anxiety. If you are practicing radical acceptance you are: accepting the situation as true and final, understanding what you can and cannot control about the situation, being non-judgemental, allowing yourself to feel your negative emotions rather than pushing them away. Once you engage in radical acceptance, you free yourself from the burden of worrying about the outcome of a situation you have no control over. You allow yourself to build a reality that works for you within the boundaries of what is possible, even if it’s not ideal. 

How have I been practicing radical acceptance while social distancing? Well, we are not supposed to spend time in public, in situations with 10+ people, we shouldn’t touch our faces, or go to work, we can’t celebrate St. Patrick’s Day. All of that is fact. I can’t change it, no matter how much I want it to not be true.

But there are things I can control about the situation. I can use the privilege of my able body and salaried position to help others however possible. On one hand, that means social distancing so I don’t contribute to others contracting something that could impact them worse than it would me. It also means giving the money I’m not spending on recreation due to business closures to those who don’t have financial privilege to get them through this mess (if you haven’t seen people posting about ways to share your disposable income with those who need it, scroll down and check the links at the bottom of this page).

I can also control how I use my time during this crisis. I could spend my days stressing about the rate my supplies are depleting, missing my friends, desperate to leave my house. Or I could see this time that’s been given to me as a gift. 

We could all really use a vacation

I want to start this section by acknowledging my privilege. I understand for many reasons this time off of work is stressful to many not in my situation (this is why I have been venmo-ing various people and organizations money for the last week). 

I also believe that if we take care of each other, and take it upon ourselves to redistribute resources to support members of our community, we all could take advantage of this time off.

Capitalism is hard, dude. Whether you believe in it or not, the colonial capitalist system we live in is not easy to navigate. There’s a lot of stress in capitalism. There’s always pressure to be the best. There’s a constant race to cover your bills and afford the material goods that prove your worth to those around you, while only ever looking out for “number one.” Our culture doesn’t value breaks. It doesn’t value down time. It doesn’t value taking time out to refuel and support your mental health. 

Well, regardless of whether or not Capitalism values it, we are all officially on a break. Seeing this time as a “break” doesn’t erase the fact that it’s scary, it’s difficult, it’s overwhelming, That being said, spending your time being scared and overwhelmed won’t fix anything either. So we’re on break. 

What have you been refusing to do because you don’t have time? What hasn’t fit into your schedule because of work and family obligations? How long has it been since you’ve taken a walk in the sunshine? How long has it been since you’ve written a poem? Or learned a new skill? Or practiced meditation? Or made a scrapbook? Or baked cookies? Or learned a new language?

Within the parameters of what will keep you and your community safe, what could you use this time for if you weren’t scared?

Let’s make art

A new friend I’ve recently gotten close to reminded me that destruction is a gift. 

This is kind of a radical idea but, what if everything falling apart was clearing the way for new growth? What if desperately clinging to the safe reality we had before is keeping us from creating something that will actually work for more of us in the future? What if accepting destruction will clear the path for creation and growth? 

Basically what I’m saying is: during this quarantine, if we’re not making art, finding ways to laugh, and orgasming as much as possible, what are we doing, really?

Links to where you should send your money (I’ll post more as I find them):

Navajo and Hopi Family Covid-19 relief fund

Help youth climate activist Daphne Frias fight Covid-19

No Kid Hungry

Unified Phoenix Service Relief Fund for people in the service industry in Phoenix going without pay right now

Donate to help Navajo families maintain their access to fresh water

A Night in the Brain of a Depressed Person Whose Working on It

I have been attending a Partial Hospitalization Program since Monday 12/2/19. This program is 9:00a-3:30p Monday through Friday and includes group therapy and CBT/DBT skills training. Opening myself up to being vulnerable and experiencing rather than suppressing my emotions is new for me. When I came home on Thursday night I unwittingly mounted a roller coaster of my own emotions, the following is a transcript.

Parks in front of house.

Turns off car.

Head down on steering wheel.

Exhausted.

Depressed.

Why am I depressed?
Why do I still hate myself?
I know this is a distortion.
These thoughts are distortions.
How do I reframe these thoughts?
I can’t reframe these thoughts, because I am worthless.
I am broken.
Stopthoughtstopthoughtstopthoughtstopthought

Distracted enough to forget the thought.

Gets out of car.

Walks into house.

Changes clothes. Doesn’t put pants back on.

Sits down on couch.

Bursts into tears.

Why am I crying?
Am I sad?
Do I feel depressed?
This feels like a good cry.
I’m just gonna keep crying and see where this takes me.
Ugly crying. Sobbing.
Sobbingsobbingsobbing.

Dog jumps on chest and licks all over face.

Laughing now.

Happy now.

Euphoric now. Not sure why. Rides wave.

Turns on Spotify.

Puts on favorite song. LOVE FEAT. ZACARI.

Bursts into tears.

I miss my best friend we always used to listen to this song when we hung out I hate that he lives so far away he probably doesn’t miss me at all. No. That’s a distorted thought. You’re trying to read his mind. How can you reframe this thought? He has a life and a girlfriend and a job and he’s living his best life and you’re so happy for him it’s ok that he is absent you actually see him more than you would think considering and everything is ok everything is ok everything is ok everything is ok everything is ok

Cries harder. It’s a good cry not a sad cry now though.

Receives message from someone I haven’t talked to in a while.

It’s a fun conversation.

Thinking about fun interesting things.

Content. Excited. Warm and Fuzzy.

Old friend asks to hang out.

Shuts down immediately.

I can’t hang out. I can’t do it. Last time I saw him I was my best self and we are having an awesome conversation and he thinks I’m this interesting fun person and I’m not and if we hang out he’s just going to realize I’m not this interesting fun person he thinks I am and then I’ll have to deal with rejection which will be inevitable no these are distorted thoughts too how do I reframe these thoughts? I am an interesting fun person just sometimes I get depressed and isolate from people but I’m working on it and every day getting closer to being this interesting fun person more often and I think I could probably hang out with him on a day I feel up to it

Feels better.

Feels calmer. Less anxious. Contentment returning.

Husband comes home. Sees mountain of tissues. Are you Sick?

No I’m crying.

Husband immediately gets concerned.

It’s ok it was a good cry.

Husband makes dinner.

Starts to make and set up Christmas decorations to Christmas music.

Thinks about how lucky it is to have a husband who isn’t scared away by crazy.

Bursts into tears.

Big hugs.

Lots of kisses.

Heart warms.

Exhausted.