This week I had the pleasure of giving a keynote address for one of the departments at PWC (Price Waterhouse Coopers). As part of this I ran through some of the things I have found helpful to help me monitor and manage my mental health.
I got some really positive feedback after the presentation and requests for the list of things that help me with my mental health. So I thought I’d share that list as a post here:
EARLY WARNING SIGNS AND INSIGHT:
In this context insight is the ability to identify early signs of mental ill health in yourself. This is much more challenging than it sounds, because signs of mental illness can masquerade as normal feelings and emotions.
For example – irritability and sadness are part of the normal spectrum of human emotions, but if they are overwhelming and persistent and interfere with normal functioning, they can also be symptoms of depression.
It can take time to identify their intensity or persistence as abnormal. The other challenge is that when we are well, we can often think our way out of sadness or irritability. But when they become symptoms that is impossible.
Someone affected by symptoms of a mental illness can no more think their way out of them than someone with a nasty case of gastro can think themselves out of their vomiting and diarrhoea.
But whereas vomiting and diarrhoea are obvious signs of illness (both to the person experiencing them and everyone around them) it takes insight to recognise when symptoms of mental illness emerge.
For me early warning signs can be an inability to sleep even with a lot of medication, intense irritability, and poor short-term memory and concentration.
Early warning signs are different for everyone. By learning what ours are we can be proactive about seeking help rather than waiting for symptoms to worsen.
I recently removed the key to the dangerous drugs safe in the veterinary practice I’ve just resigned from, from my key ring to return it. And as I did so, I thought:
‘I wonder if my suicidal ideations will change now?’
I’ll come back to that.
I also recalled how often I’d heard the following over the last twenty years in practice:
‘My son/daughter/nephew wants to be a vet when they grow up.’
Always uttered under the impression that veterinary work is a dream job. But the dream can morph into a nightmare. There is currently a shortage of vets (in part) because our burn out and suicide rates are sky-high.
So why, after dedicating years to entering this prized profession, do many vets want out?
It seems Christmas tends to wound us. Just judging by all the calls to look after ourselves at this time of year. Every day brings a fresh wave of breezy yet cautionary social media posts urging us to practice ‘self-care’ more now than ever. And apparently, grief and illness don’t take a break for this most wonderful time of the year. Who knew?
It is true that the expectation to be happy because it’s Christmas (both unspoken and sung loudly) adds unnecessary pressure to already busy lives. It is not in today’s Christmas’s nature to nurture.
For a holiday supposedly espousing kindness, joy and happiness, it doesn’t heal the hurts the year might have inflicted on us. If anything, it deepens our wounds because it insists we turn ourselves inside out to please the world, rather than recovering from the demands of the year. Perhaps, if we approached Christmas less as something that will inevitably leave us feeling worn out and stressed, we wouldn’t need to heed social media advice to ‘look after ourselves over the festive season’.
What if Christmas were all about replenishing ourselves as opposed to needing self-care as damage control?