Dr. Shelley Sommerfeldt 10/4/19 Dr. Shelley Sommerfeldt 10/4/19

Reducing Mental Health Stigma

Negative attitudes toward people experiencing mental health conditions is common. We must be cautious with our words, actions, & social media posts as this can have a poorly impact others & continue stigma. Unfortunately, these negative perceptions about mental health continue to exist & negatively effect those seeking treatment, who need treatment or who are in recovery.

Most people have been impacted by mental health-related issues in their life, either due to their own experience or someone they know. According to the Centers for Disease Control and Prevention, one in five Americans will experience a mental health disorder in their lifetime. More than 50% of people in the United States (U.S.) will be diagnosed with a mental illness at some point in their lives. Mood disorders, including major depression or bipolar disorder, are the third most common cause of hospitalization in the U.S. for youth and adults (18-44 years old).

Suicide, which is often associated with symptoms of mental illness, is the 10th leading cause of death in the U.S. These statistics show that mental illnesses are among the most common health conditions in the U.S., yet only 25 percent of people feel others are understanding or compassionate about their illness. This demonstrates how alive and well stigma and discrimination are regarding mental health-related issues and diagnoses.

A lack of understanding and familiarity about mental health as well as certain held social and cultural beliefs seem to impact one’s ability to have compassion and understanding. Another common cause of stigma is fear. It is a human tendency that we fear things that we do not fully understand. Stigma includes both the prejudicial attitudes and discriminatory behavior towards people with mental health issues. Studies have shown that the attitudes toward people who have mental illness are widespread and include beliefs like, people with mental health problems are more dangerous. When, in fact, studies indicate that people with mental health disorders are more likely to be victims of violence.

Stigma negatively impacts people who have mental illness by increasing isolation, social exclusion and providing poor social support. It also increases shame and secrecy as people will be less likely to want to share their issues related to mental health, if and when they experience discrimination as a result. People are also less likely to treatment when they experience discrimination due to their mental health-related issues. These negative experiences can greatly impact the person with a mental health diagnosis and at times, worsen symptoms by causing increased distress, lower self-esteem and hurt the person’s quality of daily living. This can also impact the person’s overall success because of poorer vocational outcomes due to workplace discrimination.

The National Alliance on Mental Illness (NAMI) suggests that people educate themselves and others about mental health-related issues to decrease stigma as well as talk more openly about mental health-related issues. Other suggestions include being more conscious of the language that we use and show more compassion for people impacted by mental illness. NAMI also encourages equality between physical and mental health conditions. A pretty impactful statement they provided on this topic was: would you make fun of someone with cancer? It is more common that we joke about mental health issues when we would never say such a thing about someone’s physical illness or disease.

The elimination of mental health stigma can, of course, reduce discrimination, it also allows for better social inclusion, can provide higher vocational outcomes for the person impacted and it can promote recovery of the person suffering from mental illness. This has a greater impact on workplace and societal environments, as well as employment and our overall communities. We all have our differences and challenges. Being compassionate, kind and accepting of all people, especially those with mental health-related issues can be beneficial for everyone.

ONLINE SERVICES ARE AVAILABLE

If you are needing support, virtual services are available, see Online Coaching with Dr. Shelley. Services are provided by telephone or online through a HIPAA-compliant telehealth portal, which allows you to be in the comfort of your own home during sessions & have increased privacy. Sessions are available for individuals or couples. Appointments can be booked online or simply email Dr. Shelley with any questions or appointment requests.

Resources:

American Psychological Association: https://www.apa.org

NAMI: National Alliance on Mental Illness: https://www.nami.org

Time to Change: https://www.time-to-change.org.uk

References:

Byrne, P. (2000). Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment, 6(1), 65-72. doi:10.1192/apt.6.1.65
Clement S, et al. Mass media interventions for reducing mental health-related stigma. Cochrane Database Systematic Reviews 2013; 23: CD009453.
Clement S, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine 2015; 45: 11-27.
The paper, “Community Violence Perpetration and Victimization Among Adults With Mental Illnesses,” is published online in the American Journal of Public Health. The paper was co-authored by Dr. Richard Van Dorn of RTI International; Kiersten Johnson, a graduate student at NC State; Dr. Kevin Grimm of University of California, Davis; Dr. Kevin Douglas of Simon Fraser University; and Dr. Marvin Swartz of Duke University.

Blog written by:

Dr. Shelley Sommerfeldt, Clinical Psychologist & Founder of the Loving Roots Project, a wellness practice specializing in personal growth, mental wellness, & relationship betterment.

Follow the Loving Roots Project on social media for weekly blogs & video posts:

5 Tips for Self-Improvement

Self-improvement is a process that we should all be working on in order to improve ourselves, our relationships, and create more happiness and meaning in our lives. Read our latest blog for tips on self-improvement and personal growth.

Self-improvement is important. Growing as a person is essential to having a full and meaningful life. Living to your full potential means that you have to put forth effort into being open to changing yourself and continuing to grow. Ensuring you are being the best person you can be.

5 Tips for Self-Improvement:

1. Life-Long Goal:

Make it an ongoing goal to work on being a better person, constantly. It should be a daily goal and mission that you set and stick with it. It’s more than just a goal that you set and walk away. It’s a bigger process that requires constant work. It’s something that requires mental dedication. People may often read an article or see an advertisement related to bettering yourself, whether it’s physically, mentally, etc. and then they become focused on achieving that; however, once they feel they are in a good place, they drop their focus of this being something they work on. Make this something that you will continuously strive toward as it will always have rewards and benefits in your life.

2. Boost Self-Worth

One of the main principles and a foundation for why this activity is important is feeling enough self-worth and believing that you are worth it. Believe in yourself, know the goal is important as this is your life and your ability to be the best person and best version of yourself that you can be. It’s important to believe in self-improvement and feels that you are worth this process and hard work. Once you have that foundation of strong self-worth and dedicate your time and energy to working on yourself, you can make quite a difference in your own life and ultimately achieve higher satisfaction and happiness.

3. Growth in All Areas

Make it a goal of constantly working on self-improvement in physical, mental and spiritual areas. It can be quite common that people resort to “spot treatment.” This means that when they are feeling “off” with their mental health, experiencing higher than usual levels of depression or anxiety, then they will seek help. Then they wait and when something happens again, either mental health or even physical health then they go get treatment for that issue. While this is a positive thing as we should be seeking treatment and help for issues that we are experiencing, it is healthier to maintain progress and growth toward keeping mental, physical and spiritual wellbeing at a good place. This means that we should constantly be looking at ways to improve our overall person rather than only when there are problems. This can help keep problems at bay when you have good maintenance. Get creative and look for activities and things you can get involved in, which benefit your growth as a person on an ongoing basis.

4. Positive Social Support

Surround yourself with like-minded individuals. This is the time to rid your life of toxic people. The people in our lives can often be quite influential even without us noticing. When we are surrounded by people who are negative, not supportive, criticize us or judge us, that can weigh heavily over time. So be sure to evaluate the relationship in your life to ensure that they are positive and supportive. Join positive groups and make connections with people who have the same goals. The better the people in your life, the higher and more positive the impact. You can all work to life one another up and support one another to achieve goals.

5. Ever-Changing Process

Make this a process that is fluid and forever changing, not static. Forgive yourself if you get off track and then restart again. There isn’t an ultimate goal or finished project, but a constantly changing version of yourself who are devoted to self-improvement. When we have this mindset versus thinking of it as a final destination or end goal, it helps us to realize that working on ourselves and focusing on self-improvement is something that we must continually work on.

ONLINE SERVICES ARE AVAILABLE

Blog written by: Dr. Shelley Sommerfeldt, Clinical Psychologist, Relationship Coach & Founder of the Loving Roots Project, an online wellness practice specializing in personal growth, mental wellness, & relationship betterment.

Follow the Loving Roots Project on social media for weekly blogs & video posts:

Tips for Coping with Emotional Pain

Dealing with painful and difficult emotions can be very challenging. Self-care and coping skills are essential to our healing process. It’s important to express and let emotions out so that we can move forward and not get stuck in the pain. Here’s our latest blog on tips for coping with emotional pain.

Dealing with emotional pain is extremely difficult. Learning how to cope and heal from this pain in a healthy way can be even harder. Emotional pain can come from many circumstances such as grief, loss, trauma, stress or toxic relationships. Developing good coping skills is really essential to the process of healing. We all need outlets. We need healthy ways to express our feelings and emotions. Actually healing from emotional pain is so important and powerful, versus getting stuck and letting negative feelings hinder you from moving forward and living to your full potential.

Most people attempt to avoid emotional pain that they are feeling and this often causes them to get trapped in a cycle that actually ends up holding onto negative emotions. Some people may use unhealthy coping mechanisms such as alcohol or other substances as a means of numbing bad feelings. Often, this is unconscious. This, unfortunately, just temporarily masks the pain and does not actually help in the healing process.

Another common response to negative emotions is simply trying not to deal with them at all. Unfortunately, when we engage in this behavior, emotions do not heal and they will work themselves to the surface, but often in a very negative way. For example, with unresolved grief or other emotional pain, a person may find that they later have an increase in periods of high anxiety or acute stress. They may also notice more physical symptoms, such as difficulty sleeping, upset stomach, constant worry and rumination or even high blood pressure. It is crucial to learn healthy and appropriate ways to work through these difficult emotions. Learning good coping skills and self-care can heal pain and help to move forward.

10 Tips For Healthy Coping:

1. Write in a journal

Writing about emotional pain can be very powerful and help to actually release the emotions. Journaling allows you to mentally think about and process your feelings while you are “expressing” them, by writing, which can, in turn, release them and encourage the healing process. There have been many positive benefits seen from journaling about emotional pain. To start journaling, find anything that you feel comfortable writing in and just begin! If it’s more comfortable to be structured or use prompts then think of questions for yourself, such as “how did I get to the place where I am today?” “in my darkest place, I felt …” or “what have I learned from this experience?” The point is to write about your experience in great detail and write thoroughly about how you are feeling. This allows for the “expression” of the emotion and the symbolic “release,” which is critical to healing.

2. Use Your Creativity

This could be drawing, knitting, art, dance, photography, music, pottery, or really any activity that you enjoy. This exercise is similar to writing in a journal as it allows for the release of emotions. Through activities, we are able to find fun, freedom, distraction and often times, relief from holding onto negative emotions. This is another avenue that allows you to process and express emotions; therefore, release and heal from them.

3. Find a Healthy Support System

This could include talking to a friend or family member or even joining support groups. Having a social and emotional outlet is important. Also, speaking with someone and actually saying the words out loud about how you are feeling can be beneficial to healing. One word of caution with this step; however, is to not get too bogged down with just repeatedly venting where it can turn into unhealthy rumination and you get stuck. It’s important that you are using your support system to discuss how you are feeling, in a healthy way.

4. Use Self-Reflection

Think about your own role in the situation that is upsetting you and look for ways in which you can improve. Most of the time, when we become angry at someone else, we finger point and look to blame. We may focus on the ways in which the other person has hurt us or what they have done wrong. It can be important to express how we have been wronged and discuss that with the person who wronged us, but it is also helpful to look at ways in which we could have handled things differently, what we can change about our own behavior or how we can approach a situation differently in the future.

Another example is when people experience a bad situation that is outside of their control and they were victim to something. This can lead people to feel helpless and as though they had no control over their situation. While this may be true, it’s important to focus on what things they can do or change for the future. Perhaps it’s focusing on the positive and building their current relationships or focusing on bettering their health. These are things that we can control and keep us focused on the positive and moving forward.

5. Try Relaxation Techniques

There are many different types of relaxation techniques that can be helpful during the time of emotional pain and stress. These include using simple breathing techniques, meditation or mindfulness activities or it could even include grounding exercises, which are helpful in situations of trauma or acute stress. The point with these activities is to slow yourself down, to be very present in the moment and give yourself an opportunity of calming and healing.

A simple breathing exercise could take just a few short minutes to do and have very helpful effects. Here is an example of a simple breathing exercise: breath in and count to 5 as you are doing so, now hold your breath and count to 5 again and then exhale for 5. Repeat. This will allow you to slow your breathing and pay more focused attention on how you are feeling. After a few minutes of this calm focused breathing, you will notice a calming in your mind and your overall state of being.

6. Distract Yourself

There are times when our emotional state can be overwhelming and difficult to manage. This is when having a distraction could be helpful with coping. A distraction can be something as simple as watching a movie or having coffee with a friend. It just allows you a moment to not think about your emotional pain and in some ways, regain composure and control over how you are feeling. A distraction is a temporary relief strategy, but should not be your constant. It’s important to actually sit with your emotions and heal from them; therefore, distraction is best used only to help you through the process when you need a break or things feel too heavy. Having a temporary break from emotional pain and distracting yourself can be really important in the process.

7. Exercise

Physical exercise is a key component of mind-body wellness. Movement can allow for our negative emotions to become unstuck and actually move; therefore, allowing us to process these emotions and release them. So, do not discount the importance of going for a walk or going to the gym. Exercise can also help in reducing any negative impacts that stress has caused to the body. If you are not someone who exercises often, then a simple 20-minute walk around the neighborhood may be a great place to start to get your body and mind moving.

8. Identify Unhealthy Thinking Patterns

Learn to identify unhealthy patterns with your thinking, such as rumination or negative thinking and work toward changing those patterns. This is a common cognitive-behavioral strategy that is often seen in the management of stress or even depression and trauma. For example, when you notice yourself engaging in negative thinking or ruminating over the bad situation that happened, use self-talk to change that pattern. You can say things like, “I will get through this,” “I am strong” or “I am brave.” First, you must identify when we are not thinking in a healthy manner and then work to change that. Changing the way that we think can have a very positive impact.

9. Sit With Your Emotions

Now, this is the opposite of what I described above with distraction, but both can be healthy and healing in their own way and at the right time. As difficult as it can be, there is importance to just sitting and being present with how you are feeling. This allows you to be very aware, in the present moment with how you are feeling and to not dismiss or hide from painful emotions. It allows for an opportunity to reflect and validate your emotions and how you are feeling. It also allows for you to express these emotions to yourself and perhaps allow yourself time to cry or grieve. This again will help you to process how you are feeling and work toward healing.

10. Look Forward

It is important in the process that we do not get stuck in a negative cycle for too long. It’s crucial to keep moving forward. Of course, you should always allow yourself time to heal because this is an extremely difficult process. However, it is also important that you are working toward progress and looking for a future time when these emotions do not weigh heavily on you. This could include setting goals for something in the future or perhaps making plans for an activity as something to work toward and look forward to. This action of thinking about the future can be helpful. When people are overwhelmed with difficult feelings in the moment, it can be hard to think about the future or even picture a time when they aren’t experiencing this emotional pain. So it’s a challenge, but a purposeful one that can actually be quite helpful. This can get you setting future goals and thinking positively, which helps with healing.

Positive thinking can have a major impact in a good way toward healing. Many people underestimate the power of positive thinking, but it can help us to adjust our mood and the way that we think overall. When we have gone through a difficult situation and are working toward healing from emotional pain, it can be extremely challenging yet helpful to find something positive and meaningful in our situation, such as something we learned from the experience or how we can take a bad experience and move forward in a positive way.

Working through painful emotions is never easy. The importance here is that you are finding healthy activities and coping mechanisms that will promote your healing in a positive way. Each person is different and the situation that they experienced is very different; therefore, the coping strategies and personal preferences will also be different. It’s essential to find things that work well for you and stick to it. Painful emotions take time to heal so don’t give up right away. Keep moving forward and working on your own self-care. Healing will come and you will get through this.

ONLINE SESSIONS available

If you are needing support, virtual services are available, see Online Coaching with Dr. Shelley. Online services are provided by telephone or online through a HIPAA-compliant telehealth portal, which allows you to be in the comfort of your own home during sessions & have increased privacy. Appointments may be booked online or simply email Dr. Shelley with any questions or appointment requests.

Follow the Loving Roots Project on social media for weekly blogs & video posts: