Once upon a time, a woman confident upon the stage, attended a TEDx event.  The woman wove her way through the crowd to find her seat and settled in.  The speakers were engaging, the topics diverse and she sat at  rapt attention. At the 1st break, the woman stepped out for fresh air.  Except that it wasn't fresh and there was no air.  Everyone else was taking all of the air.  She found herself swallowed up in the crowd and each time she re-established her personal space, the school of fish moved in again like a moving wall.  She spent every break wishing for a few moments of silence.  Even going outside the building brought no piece, the fish simply found another route to the "food".  The woman in this story is me and the story is about social anxiety, panic and the effects of PTSD (post-traumatic stress disorder) on the ability to persevere.

Halloween and Dia De Muertos (The Day of the Dead) can be child's play. Ghosts, goblins, superheroes, Disney princesses and more bring both smiles and horror. For those with a mental illness, PTSD or panic, Halloween can conjure up very intense negative responses. Sometimes horror flickers on the TV screen or in the movie theater, sometimes horror is found behind a mask, sometimes it comes to visit wrapped in "Trick or Treat!" Potential triggers lurk everywhere: black cats, oversized spiders, masks, horror movies and even costumes that perpetuate mental health stigma, domestic violence and much more. Ahhh, the midnight hour.

Stigma:  a fallacy based on preconceived notions.  I am going to go out on a limb here:  Everyone at some point in his or her life has experienced stigma.  Maybe because we have a lisp, a limp, maybe due to a physical impairment or maybe due to socioeconomic status.  Stigma is nearly always directed at something we are unable to fully control. 

Communication is challenging for many of us from time to time. For those with a mental health diagnosis and his or her support team, good communication is imperative.

PTSD triggers. For those of us with a mental health diagnosis (diagnoses), the definition of a trigger is far more than a level with a catch or means of releasing it. Triggers are a response to stimuli and a result of past trauma. PTSD triggers can include certain odors, a particular tone of voice, certain objects, places and so much more. The brain creates a physiological response: increased heart rate and respiration, sweating, a need to escape, a need for silence, sleeplessness, hyper vigilance and so much more. Responses to triggers are unique to each individual. No cookie cutter responses here!

We know that adjectives are descriptive. We welcome adjectives and what they have the power to do: paint a mental picture, create an emotional response, fill in the blanks when an explanation is needed and so much more. What about when a normally positive adjective is used to describe us? When can an adjective intended to be a positive become a negative and a label instead? Allow me to explain:

There are four-letter words and then there are four-letter words.  What four-letter word comes to mind when I say mental illness?  Pain, fear, meds or perhaps a few salty words?  What about hope?  Does hope enter the conversation?

In this age of awareness and enlightenment, mental health awareness still generates a great deal of ignorance. Sometimes, even well-meaning statements perpetuate stigma, even on sites that seek to eradicate said stigma.  Recently, the poster below came across my news feed from several mental health and depression pages. The depression quote is attributed to Mark Epstein, an American psychologist. While Mr. Epstein's credentials seemingly qualify him to speak knowledgeably on the subject, I do strenuously disagree with this quote's assertion.

Journaling for self-care eases the distress inherent in mental illness along with the stress of mental health stigma and maintaining the delicate balance of medication, therapy and building a positive support system. Blessings come from learning passionate self-care and finding expressive outlets for the sometimes overwhelming emotions and triggers. Journaling as a kind of self-care is easy, fun, unique and, above all, journaling is beneficial to your mental health.

Today, we are continuing our discussion of grief and its effects on those with mental health diagnoses. Grief Reveals Itself Layer By Layer Elisabeth Kübler-Ross described grief as five individual stages. The order in which an individual progresses through the stages of grief may not be sequential and more than one stage may be experienced at a given time. (http://www.helpguide.org/mental/grief_loss.htm) Stages of Grief: Denial: “This can’t be happening to me.” Anger: “Why is this happening? Who is to blame?” Bargaining: “Make this not happen, and in return I will ____.” Depression: “I’m too sad to do anything.” Acceptance: “I’m at peace with what happened.”