Carry Me Through: Hospitalization for Mental Illness

Guest Post by Hailey Rebecca McNutt

Photo by Nong Vang on Unsplash

Going to a mental hospital can be incredibly scary, both for those who are actually going to be attending therapy services and for those who love someone who is going to be in the hospital. As a social worker who works in both inpatient and outpatient services, I see a wide variety of reactions to being in psychiatric treatment. Some patients are excited to get better; others deny their problems. Some family and friends are supportive, and others blame patients for their condition.

Overall, the main difficulty in receiving psychiatric treatment is the stigma and prejudice our society holds against mental health. I’m here to help you understand what mental health really is, what treatment is, and how to help yourself or your loved ones walk through the journey towards wellness and recovery.

Mental health is being able to find a healthy equilibrium towards what we perceive as positive and negative emotions, difficulty and good times, and day to day activities. Mental illness is generally categorized as behavior and thought processes that augment our ability to perform daily tasks and maintain our life balance and relationships in a healthy fashion. Mental illness can be caused by environmental factors, difficult situations, or a chemical imbalance between the necessary chemicals that keep our minds well and stable.

To help mental health, people can be encouraged to attend therapy sessions. However, if the patient is not well to the point that they are seeing or hearing things or are having suicidal thoughts, it is recommended to bring them to the hospital setting.

An important thing to remember about patients in a hospital setting is that they are not different from individuals who have any other type of illness.

There is debate about the illness model towards mental health as well—some professionals say that maladaptive behaviors are caused by people doing the best they can in traumatic and chaotic situations and learn these thought patterns and behaviors in order to survive. In any circumstance, our culture has taught us that mentally ill individuals are “crazy,” “deranged,” or “beyond help.”

We tend to think that these are people who can’t get better and don’t want to seek treatment, when in actuality our hospitals are filled with people who are open to receiving help and desperately want to get well.

It is imperative when working with mentally ill people to remind them that this is what they are—people.

They are people who are battling something very difficult, not very different from a physical illness. If your friend or family member were in the medical hospital for a life-threatening condition, what would you do? You would probably tell your community members, ask for prayers, send flowers and visit them regularly.

However, this isn’t how psychiatric patients are generally treated. They are seen as a secret, a blemish in the family, to hide until they’re well. This type of mentality from family members doesn’t help the patient feel like a person, which is the most helpful feeling when dealing with a mental illness.

Instead, I encourage friends and family to visit often, remind their loved ones how meaningful and vital they are to their lives, and encourage them that they will feel better and that this is a season you are willing to walk through with them.

I believe that simply changing the language we use about mental illness could really help the patients—saying “you have depression” instead of “you are depressed.”

This identifies patients by their strengths rather than their weaknesses. It shares hope and love instead of scolding or asking why they ended up here. People with mental illness are trying to make sense of the vibrant world that lives inside them, and the best medicine is compassion and empathy.

Once an individual goes through inpatient treatment, they will mostly likely step down to outpatient treatment. This typically looks like attending therapy services for several hours a day and then going back to the patient’s typical home life.

During this time, I encourage family and friends to help the patient get back to a normal lifestyle. Encourage them to exercise, eat well, visit friends and family, and look for a stable place to work if they do not have one.

It is best not to constantly remind them of the hospital but instead tell them how much they’re improving and remind them of the future. This will help them try to put their acute care behind them and feel like a person again, which is so useful to their recovery.

Mental health is a difficult topic for everyone, but it is vital to the wellbeing of caretakers and people who become patients. Overall, it is best to lead with kindness and compassion and help everyone feel respect and dignity. In this place of rest and love, healing thrives.

Mental Illness: Supporting the Whole Family

Photo by Annie Spratt on Unsplash 

Sometimes we're the ones experiencing mental illness, sometimes it's our friends and family...and sometimes it's a loved one's family member. It could be a best friend's mom, a cousin's boyfriend, or a coworker's daughter. We begin to find ourselves "supporting the support," or offering our encouragement to the ones directly supporting someone with mental illness.

Since this can be a difficult situation to navigate, last week I sat down with my friend Kate, who happens to be a wealth of wisdom when it comes to having a family member with a mental illness. Part of Kate’s story includes her mom receiving a bipolar diagnosis when Kate was young. 

While each person’s experience is different (and a lot depends on what kind of mental health struggle a family member has), Kate shared some practical tips we can all learn from. Here are a few of the suggestions she offered.

It’s really important to show grace.

When Kate’s mom began experiencing symptoms of mental illness, her whole family had a hard time. Her sisters struggled with the change in their mom’s behavior, and her dad had to learn a whole new way to talk to his wife. As a family, they were still identifying triggers and learning how to help their mom cope—and learning to cope themselves. 

When it became apparent that loud worship music at church was a trigger, her family began skipping church based on how her mom was doing. It was extremely helpful (and healthy) when others responded with grace rather than judging the family for being absent some Sundays.

Speculation will only feed circles of gossip, and aggressive questioning conveys a greater interest in drama than in a person's well-being. Instead of these responses, consider telling an absentee's family member, “Say hi to so-and-so for me” instead of asking why or passing judgment.

Actions speak louder than words. Invest in the person in front of you.

Kate recalls teachers and others in her life telling her, “I’m here if you ever need anything.” Yet because the relationship they had with Kate was only surface-level, if Kate actually did need anything, she wasn’t likely to come to them.

Certainly, these comments were well-meant. Yet the weight they carried depended largely on the depth of relationship already established. Offers to be there for people aren’t wrong, but they could come off as flippant or pity statements if an established depth of relationship is absent. Bottom line: invest in the person in front of you—as a person first and foremost, not as a victim.

Photo by Felix Russell-Saw on Unsplash

If you’re close to the family, express your concern and check up on them.

“It meant a lot when people who were already a part of my life asked how I was doing,” Kate said. Her best friend would ask how her mom was doing and consistently check up on her. When the people closest to Kate asked meaningful questions and listened, she felt loved and cared for. They walked with Kate through the ups and the downs, and they continued to ask how her mom was doing even after things got better.

The support Kate received from the people she trusted was one of the most important things she experienced during that season of life. If you're walking closely with a family with mental health challenges, know that the love and support you're offering is one of the greatest gifts you could ever give.

Don’t use a serious topic as a conversation filler.

While for most people, “How’s your mom?” may be an innocuous query, when that family member struggles with mental illness, it turns into a deeply personal question. Unless you already have an established, deep relationship with someone, it’s best to avoid using the topic of mental illness as a small-talk conversation piece after church. Not only can it put that individual in an awkward spot, it can also be perceived as gossip. Instead, consider asking about plans for the day or offering news about your own life.

It’s okay not to ask about family every time you see someone.

When people constantly asked about her family, Kate remarked that it could ”feel like rapid-fire.” It was exhausting always explaining things or updating people. Sometimes Kate just needed a break from thinking and talking about what was going on at home.

As mentioned before, actions speak louder than words. Be creative about how you show you care. If you’re not walking through life day by day with someone, it’s okay not to ask about their family at every encounter. It doesn’t mean you’re ignoring their pain; you might be alleviating it a little by giving them a break from talking about it.

Never assume.

Today, Kate’s mom is doing great! Occasionally, people who haven’t kept up with Kate’s family will see her and jump straight to saying, “Ohh…how’s your mom?” 

While coming in and out of people’s lives is inevitable, it’s important to distinguish between knowing where a family is at one point in the journey and assuming they’re still there, years later. It can be helpful to start by asking how things have been going instead of assuming someone’s health status has remained static for years.

Know each person is unique and will handle situations differently.

In Kate’s family, this was evident by her sister’s various responses to her mom’s illness. Each one was affected in different ways, and they chose various methods of handling the stress.

Everyone’s experience is different, and each person will have unique needs. While these tips resonate with Kate, they aren’t meant to be a cookie cutter approach. In fact, they’re meant to show just the opposite: that mental illness is a complex issue, and so is walking alongside the family of someone with a mental illness!

*Huge thanks to Kate Padilla, who was so open and willing to share stories from the past. Her family has used their experience with mental illness as a catalyst to help thousands of people through Mental Health Grace Alliance, an organization co-founded by Kate’s dad. If you’re looking for Christian mental health resources and programs for individuals and churches, check it out!

Postpartum Depression: What I Should Have Said

Guest post by Jessica Arrington

Recently, I saw a fellow Facebook user post about Postpartum Week. She shared her experience. I was inspired by her courage. I liked her post, thanked her for sharing her story, and turned around to share mine.

I received some of the same feedback—people thanking me for sharing my story. From my life experiences, I have come to believe that talking about our struggles helps us. Yet, when we share our experiences, our struggles, and how we came out on the other side…that, my friends, helps others. When we make the switch from talking to help ourselves to sharing to help others—that is what changes the world.

So, when I was talking to Allison about sharing my experience on Facebook, I told her that there were some responses that I didn’t know what to do with. Comments like, “Oh, I didn’t know you went through that” or “I’m so sorry you went through that.” I just shrugged them off. In my mind I was comforted, but I felt like I was supposed to share. I thought it wasn’t a big deal. Period. End. Of. Story.

My response to them was like a slap in the face—my own face. I’m sure my response didn’t help them, either. Shrugging off these responses does nothing to change how we help mamas going through postpartum struggles right now. So, what do we DO to help Postpartum Mamas? What should we say?

What I should have said was: “Thank you. I’ve learned a lot about what we can do to help moms struggling right now.”

If you are a hubby to a new mom, or if you love a new mom, here are some things you can do:

Say nothing.

Just listen. Odds are, Mom just wants to be heard. Listen to what she is saying, and give feedback when she’s open to hear it.

Help Joyfully.

When she asks you to change baby’s diaper, take out the trash, help with chores. Complaining and grumbling may make her feel bad or frustrated. She’ll try to do it all on her own, and taking on the responsibility all on her own can cause more anxiety and depression.

Get her into community.

There are many supports out in the community to help new moms. If she isn’t doing it herself, stop by her house, bring her food, hold baby while she sleeps. Moms—new moms especially—need community. Be there fore her. She’ll join the other supports when she’s ready!

Gently let her know that getting help is okay and even a good thing.

Honestly, if she’s not ready, she’s not ready and she won’t hear it. If she’s open, let her know that getting help or seeing a counselor is good to do. Check to see how much your insurance will cover or if your employer has an Employee Assistance Program.

Let her get filled up.

Ask her how much time she needs to step away and what does she want to go do. Encourage her to do it. Lovingly tell her to get out of the house and not come back for an hour. If she doesn’t know what she wants to do, she’ll figure it out in due time.

Don’t wait.

Know the signs. Is she acting differently than before baby? Don’t wait until she’s hit rock bottom to encourage or help her. By then, it will be a lot harder and a lot more work for her to get back to her healthy self.

This isn’t an end-all and be-all. Take from it what you will. If one thing works, great! You know the “new mom” in your life best. Use your gut instinct on the things you think she needs, and just show her love.

The Arrington family welcoming their newest addition!

Big thanks to Jessica for writing this guest post! Her openness about experiencing postpartum depression has taught me so much, equipped me to walk alongside women with postpartum depression, and inspired me to keep talking about mental health, even when it's hard.

How to Support a Loved One with Mental Illness

Photo from Pixabay.com

Years ago, a close friend of mine was going through a heart-wrenching breakup. I had run out of ideas on how to help her, and I was simply unsure what a good friend looked like in this particular situation. So I reached out to someone who did—someone who had been through a similarly devastating breakup—and I asked for help.

“What helped you? What are things your friends did that made you feel loved? What things did they do that didn’t make you feel loved? What are practical things I can do?” I asked.

I was deeply grateful for her response. She had something I didn’t: personal experience. This qualified her to see into the pain my friend was feeling in a way I couldn’t, no matter how hard I tried.

Similarly, as someone who’s lived with mental illness, people often turn to me for advice when their loved ones are struggling with mental health issues.

As I’ve witnessed how many people contact me because they genuinely want to love their friends and family well, I’ve been motivated to put this advice onto paper (or screen) so it’s more widely available.

I’m not an expert or a mental health professional (though I am a big fan of those people!). In person or on the blog, I’m simply here to offer insight from personal experience. Over the next few posts I've invited several people to share their wisdom on how to support loved ones with specific mental illnesses, but this first topic is just for you!

As you walk alongside someone with mental illness, here are a few things that may be helpful to keep in mind.

1. Caring—just caring—goes a long way.

Photo from Pexels.com

As humans, we’re built for connection, and we can tell when someone cares. In the throes of mental illness, the stigma and shame can feel overwhelming. Knowing people care about us can be a powerful force.

Don’t underestimate the difference simply showing up can make in someone’s life. People with mental illness are still people, and connection matters to us all.

 

2. You are not responsible for someone else’s recovery. 

We are not responsible for others’ happiness, for their health, or for their mental wellbeing. We are not responsible for the decisions others make, for their backsliding or for their recovery. We are not responsible.

We are responsible for our own actions. We are responsible for acting in love and practicing compassion. We are responsible for our words and our attitudes. We are responsible for ourselves.

In our pride or our well-meaning love, we can berate ourselves for not doing more or fixing everything. However, no matter how hard we try or wish we could change someone’s mental health, we can’t. 

We are not responsible for their recovery, even if we wish we were.

3. Don’t forget about you.

In our efforts to help others, it can be easy to lose ourselves. We sacrifice time and energy, and sometimes we sacrifice our own identity in an attempt to help others find theirs.

In our devotion to others, it’s vital to take care of ourselves, too—to set boundaries, set aside time to rest, and engage in activities that replenish us in all senses: emotionally, physically, mentally, and spiritually.

Photo from Pixabay.com

4. Don’t be afraid to ask for help.

Reach out to someone you trust and ask for help when you need it. “Help” might look like a lunch date to process how you’re doing or a quick text to a friend asking for prayer.

It might look like going to counseling or receiving training when you’re closely involved with someone with mental illness.

It might also look like asking your loved one with mental illness for help: “Can you help me understand what’s going on?” or “How I can best love you this week?”

Last of all, don’t be afraid to reach out for help from me or anyone else in your life who’s experienced mental illness! We are here for you, to support you and cheer you on and remind you to take a deep breath when things are hard.