No suicide attempt should be dismissed or taken lightly.
Why do people attempt suicide?
“A suicide attempt is a clear indication that something is gravely wrong in a person’s life. No matter the race or age of the person; how rich or poor they are, it is true that most people who die by suicide have a mental or emotional disorder. The most common underlying disorder is depression, 30% to 70% of suicide victims suffer from major depression or bipolar (manic-depressive) disorder.”
Information from the CDC on taking care of your emotional health during a disaster. A few steps that you can follow:
Take care of your body.
Connect with others.
Avoid too much exposure to the news.
Seek help when needed.
Common signs of distress to look for:
Feelings of numbness, disbelief, anxiety or fear.
Changes in appetite, energy and activity levels.
Difficulty sleeping or nightmares and upsetting thoughts and images.
Physical reactions, such as headaches, body pains, stomach problems, and skin rashes.
Worsening of chronic health problems.
Anger or short-temper.
Increased use of alcohol, tobacco or other drugs.
* If you are experiencing these feelings or behaviors for several days in a row and are unable to carry out normal responsibilities because of them seek professional help. * There is further information and additional resources on CDC’s website, here.
You can find the right outpatient private practice counselor for you at an affordable rate, you just need to know how to go about doing so.
Almost everyone shops around looking for the right counselor who either accepts their insurance or that they can afford to see if they pay out-of-pocket. A breakdown in the process of seeking help occurs when someone finds out that the counselor doesn’t accept their insurance or their rate isn’t within their out-of-pocket budget, the person tends to cutoff the conversation right there. They hang up the phone or don’t reply to the email. Unfortunately, people will fully end their search because they aren’t sure what else there is to do.
There are alternative and proactive ways to maintaining the conversation when you find out that the counselor doesn’t accept insurance or the rate isn’t within budget. Ask questions.
Ask the counselor these questions
* Even if you want to use your insurance, keep your options open by considering out-of-pocket because part of your goal is to find a counselor who is the right fit to work with. Therapy can be a great experience with the right professional… laughter is allowed in therapy. When someone closes off the out-of-pocket option, they’re also possibly preventing finding the person who they feel comfortable talking to. *
• Do you offer a lower rate?
• Do you offer a sliding scale?
• Do you offer pro-bono?
• Can you recommend anyone who may be able to help?
• Do you offer other services that might be able to help me?
Counselors are open and willing to talk about fees and other services. They aim to be non-judgmental and want to meet people where they are at. It doesn’t hurt to find out if they are able to meet you where you’re at financially.
Keep on the lookout for free resources and tips that the counselor may offer. This could be an educational social media page, YouTube channel, blog that you could subscribe to, or ebook. Don’t pass up free resources, take advantage.
Tip: stay organized
Keep track of who you talked to, how to contact them, the questions you have, and their answers all in a notebook. Doing this will manage stress and remembering who said or offered what. Be mindful of where you keep your notebook to protect your confidentiality.
Do I belong here? Who am I to be doing this sort of work? I feel like a fraud, though I’m not doing anything wrong, but sometimes this feels wrong.
Dealing with imposter syndrome can be confusing. Someone who is feeling like an imposter may have these thoughts and emotions, one side telling you that you’re a fraud and the other working to rationalize the situation.
Note: Imposter syndrome is not an official psychiatric diagnosis in the Diagnostic and Statistic Manual (DSM-5).
Who can be affected?
It’s common to have these thoughts of feeling like a fraud in an academic or work setting. Many people, both women and men, including experts in their field, will experience it. People in the helping and healing fields, like mental health professionals, also go through this. They may think something along the lines of, why do people come to ME for support with their issues?
Graduate students may experience this imposter sensation because they are at an in-between phase of professional development. They tend to feel unprepared and don’t fully acknowledge their strengths as they begin their career.
Why does this happen?
People will feel like they’re lacking a certain skill to get the job done. Realistically, people who are working in a constantly evolving field are sharpening their skills and learning new ones quite frequently to keep up with new technologies and research findings. There is an infinite amount of information to learn and an equal amount of skillful work to be done.
Remember, nobody is perfect and mistakes will be made, especially when someone is stepping into a new career. Not only should people acknowledge that their skills need dialed in, people need to also acknowledge their strengths.
The people who don’t acknowledge their capabilities and efforts tend to attribute their accomplishments to external causes, like luck, good timing, or effort that they can’t regularly expend.
If you are having difficulty pinpointing your strengths
If someone is struggling to recognize their strengths, a good way to figure out what those are is to schedule some time with a pen and paper and reflect on times that you handled something well.
What was the problem?
How did you handle it?
What were your strengths?
How can you use those strengths now?
Another way of finding strengths is to list achievements.
What short-term goals have you accomplished? These can be as simple as time management or maintaining a weekly schedule.
What long-term goals have you accomplished?
What were your strengths?
How can you use those now?
Journaling about talent that you use in school or on the job may be useful.
If someone is still having difficulty thinking of their strengths, they can ask someone whom they are close to, who knows them well, and are comfortable asking that person to list three things that they are good at. Next, the person should take those three things and journal about times they used those characteristics, and lastly, how to apply them in the present. Everyone has things they’re good at.
Recognizing expertise is important. People tend to be overly self-critical, on a level that is self-defeating or unhelpful. Over time, this behavior is destructive and likely smothering out productivity. If someone is working in Information Technology (IT) and they recognize a weakness in a skill, instead of playing into unhelpful thoughts, remembering what what one does well and playing to their strengths will combat this. It’s important to strengthen the weaker skill, but the person also must recall that they are good at. If the IT worker has strong communication and group work skills, then simply highlighting those should help. One can’t always be good at everything. Then, they can communicate to their team where they need assistance in getting the job done.
Pressure to achieve
Pressure to achieve comes from many places. People experience pressure to perform at a higher level from their peers, colleagues, managers, themselves, and messages from society (Think about the American culture, where it is practically a badge of honor to be overworked. This is an unhealthy habit.). Society’s message is that we must always achieve.
Research shows that certain people are more susceptible to fraudulent feelings stemming from their family’s beliefs on achievement and how parents praised or criticized their child.
One thing to be mindful of when going through imposter syndrome is perfectionism. People will attempt to do everything perfectly and might have an “all-or-nothing” mindset. Being aware and weary of perfectionism is important because it can lead to unnecessary stress and anxiety. “All-or-nothing” thinking is a cognitive distortion and should be reframed (Refer to the cognitive reframing article on how to reframe unhelpful thoughts into helpful ones).
We don’t always like to ask for help, a lot of times we’ll wait until we’re feeling completely overwhelmed by emotions and stress. While there are multiple reasons that we might behave this way, such as fear of failure or rejection, for example… however, this article isn’t about that. Let’s get right to the point. Ask for help when you know you’re stuck vs spinning your wheels and wearing down. Find out why and how.
The video below has more details, I hope you like it, literally!
Who can help?
There are many support, helping, and healing professionals out there: medical professionals; birthing coaches; personal trainers; dietitians; chiropractors; physical therapists; occupational therapists; mental health professionals; running coaches; life coaches; business coaches; financial planners; attorneys…
Turn to your network, coworkers, family, and friends, and begin to just look and see who might be able to help or who knows someone who can help. When we need a helping hand with something, we’re in a vulnerable place and sometimes asking for a hand might involve sensitive information. As you look for someone to help, be aware of confidentiality, protect your privacy.
Possible signs of needing assistance
There is a wide range of signs and symptoms that point in the direction that you should ask for help. Depending on your situation, you may experience tension in your body, stress build up, upsetting emotions arise, feelings of helplessness or hopelessness, distress tolerance lowers, self-defeating thoughts, mental breakdowns… this can quickly start sounding like a commercial reciting the side effects of a meditation.
Go with your gut instinct and ask for help when you realize that you need it. Avoid the side effects.
Why you should ask for a hand
Don’t put off seeking help because sometimes symptoms will worsen. In some cases, the longer we spin our wheels, the further we sink down in the mud, the harder it is to get back out. The mud flies everywhere and then, blankets things around you. The longer we are stuck and sinking down, the greater the risk of other areas of our lives have at becoming harmed.
Keep in mind, this is incredibly important with mental health, that it is easier to be treated the sooner you seek help from a mental health professional. The sooner you reach out, the sooner you can feel relief.
Even if you haven’t felt stuck for long, still consider reaching out. It’s better to ask a question, to have a second opinion or additional set of eyes on something than going alone.
Possible benefits of a helping hand, a second opinion, and another set of eyes
By taking action, we create the opportunity to grow personally and develop professionally. There is much to learn from other people. They have different opinions, experiences, and expertise.
Overcome the risks you feel that are keeping you down by taking a chance [By the way, sometimes the risks aren’t actually there, but our minds tell us they are. For example, making a mountain out of a mole hill. Our thoughts are catastrophizing. This is a part of cognitive distortions.] The benefits of getting help typically greatly outweigh the potential risks.
Some potential benefits are accelerating towards achieving goals, learning something new, becoming more flexible seeing from another person’s perspective, lessening the chance of getting stuck again with that same thing, and making a connection with someone you might not have otherwise.
You’ll feel relieved after reaching out. Opportunity awaits! Achieving goals are on the other side seeking help. You deserve help, you deserve to reach your goals! You’ve worked hard to get to where you are now, everyone gets stuck at some point, acknowledge your hard work and achievements. Asking for help isn’t admitting defeat, asking for help is a strength.
Thanks for watching this video, I hope that it provided valuable insight and a nudge in the direction towards asking for help if you need it.
Please, help others find this video by “liking” it and “subscribing” to my YouTube channel. Your support is so appreciated!
Short talk about self-care, something that seems easy, but it’s actually kind of difficult to do. I feel this topic is covered so much, but yet, we all still struggle with it. I can’t think of a single person, myself included, who could be practicing self-care more frequently or in a way that’s more beneficial.
May is Mental Health Awareness month. What are you doing this month (and everyday because we have mental health everyday) to make sure that we are growing our knowledge and awareness of mental health? How are you supporting yourself? How are you supporting others? Please, share with me down in the comments what you’re doing for mental wellness. [I could use some fresh ideas.]
Mental health professionals cannot end the stigma alone and get everyone the help that they need, we need you to be a part of this mission.
I met Roni Maislish through LinkedIn (he is in Israel), as we both work in mental health and specifically with eating and emotions. We both recognize the emotional aspects of obesity and that it can be an emotional-mental-issue. Roni says, “Most of the time, when people talk about eating disorders, they forget the field of overweight and the emotional side of this field.” Roni created this workshop for therapists, family physicians, dieticians, and related professionals, which I will talk about more below.
Find four downloadable worksheets on emotions, eating, and body image at the bottom this article. I have used these worksheets when working with people over the years. Shannon Mick, NCC, LPC, CCATP, CTMH
By Roni Maislish
Therapist workshop – The Emotional aspect of Obesity (Introspection through the relationship with food and eating as a gate to change, cure and healing)
Background – How many times you had been surprised by overweight patients that told you to “fix them quickly”, who for years after years trying to lose weight, sometime seceded and then back again, gain the weight back? How many time your faith in your patient dissipate and you felt anger and frustration that he or she is not committed enough to the process like you? And how many times you felt that you are not able to understand emphatically (near-experience) why those patients cant keep on fighting, controlling and avoiding in their food and eating’s issues? and how many time you realized and told yourself that something is missing?
For all of you therapist from a variety methods and approach who dealing with the emotional aspect of overeating, overweight, emotional eating, emotional non-eating, non-acute eating disorder, obesity and more – you all most welcome to workshop (short educating program) where you become familiar, study and also go in depth to a new dimension which will enable you to see, understand and experience the “food and eating’s issue” not as a “problem to solve” but as a unique way that a specific person use to “tell his story” while integrate and keeping safe his “self”. And From this kind of listening stance we will be able to make place to our patients, while helping them finding their subjective way toward healing and restoring their wounded, un-develop and neglected self.
The workshop – In the beginning I will present my attitude in the last 15 years (which changing and modifying in time) for dealing with emotional eating’s issues. I will share with you my straggles, dilemmas and personal questions that occupied me since early childhood and connect it to my journey (both personal, academic and professional) and how I established and combined theories which gradually help me to meet myself and my patients from a “different” perspective (that sometime we can feel as if you speak an ancient languish).
Doing so, I will manly focus in two theoretical and clinical paradigms to help us to understand ideas I formulate these years– I call it: “the fat remember”/”the fat’s emotional role” (or, “if the fat will able to talk, what it will say?”):
The first paradigm based on Didier Anzieu’s work (manly his book :”I-Skin”, which written in French “Le Moi-Peau”) who dealt on the emotional-sensorial clothing (“I-Skin”) that a human beings wear from early childhood and making adaptation trough the years to avoid invasiveness and secure the self from hurts and fragmentation. In his work Anzieu present 8 function of this psyche soma’s envelop like holding, handling, protecting and more. In my work, regarding Anzieu’s ideas, I explore the fat, the overweight, mostly in the abdomen (but not always) and its role to establish and contributing the building of those 8 functions in case that the self no longer develop normally. For instance we will learn together about the connection of the stimulation-shield function in the “I-Skin” clothing to the gaining weight process to build “fat armor” against attacks on the self.
Later on, I will present the “self-Psychology” paradigm while understanding deeply that defense and resistance is not something that the therapist need to break, remove, overcome, or even to melt so we can see emotional aspects and reasons of gaining weight’s process as a reminder from a depress self which struggle to survive non-emphatic world. This self, as I see it, is still hoping that someone (maybe the therapist) will see beyond the “fat story” and help the patient to restart its “inner self program” and recover those years of deprivation.
Regarding the topic of this workshop and self-psychology, In his second book, “The restoration of the self” (1977, pp 80-81) Kohut refer to the triad: oral fixation, pathological overeating and obesity and present the understanding of the classical approach that deals with drive-awareness and the ability to control the drive (via its suppression, sublimation, inhibition of its aim, displacement, or neutralization). Instead, Kohut’s claim is that “the child asserts his need for a food-giving self-object” and “the child needs empathically modulated food-giving not food”. If this need remains unfulfilled, Kohut continue, then the child retreats to a fragment of the larger experiential unit, i.e., to pleasure-seeking oral stimulation (depressive eating). Kohut add that increasing awareness to those process renewed movement toward psychological health.
The combination between Anzieu’s theory and Kohut’s perspective, while adding the work of Eigen (Toxic Nourishment, Emotional Starvation), Ogden (The Autistic-contiguous position), McDougall (Theatres of the Body) – will all helps us to build new platforms and ideas which open new possibilities to understand the patient’s pain, to find beauty in the defensive-structure of the patient (his overeating patterns) and further on to develop the patient self-ability to heal and grow himself while seeing us ganging and flexible in our empathy enabling him to change too.
During our learning and in between the theoretical conceptualization that we will create, I will share with you some example from my clinical work. The main part in this section will be the “mindfulness meal” where we will be able , to search different possibilities for introspection of the connection between our relationship with food/eating and others relationship (family, marriage, career, friends, money, faith and more). In this mindfulness-experiential process, we will use motive like: choice, miss, lose, regret, planning, disintegration, aesthetics and more, to understand how a certain movement from our eating place’s seat to the buffet table represent original selfobject needs. That will help us to vary and enrich our empathic capability and responses to those patients that their selfobject need didn’t met yet and have a very complex relationship with food and eating. For example: One of the participants in the workshop can become aware that the way he choosethe food was similar to how others choosing and he can realized that he didn’t ask himself what are his special and authentic needs. Then he can share about that kind of pattern in other relationship (for example – he choose where to study upon his unique need or was it a “social decision”). That mindfulness experience of understanding will take us, as a group, to discuss how some of our patients will prefer the “socially eating” pattern which can give them a response for their twinship’s (alter ago) needs (they eat the same food like everyone so they feel part of the group, and the world). Those kinds of introspections around the table will encourage us to think about more emphatic response’s possibilities for more kind of needs (mirroring, idealizing).
If we will have enough time we will practice in pair the question: “for what I am really hungry for? (The dialogue between emotional hunger and physical hanger) and mediate on the “role of the fat” and more. We will complete our journey with sharing our experience and understanding, we will ask ourselves what surprise us today and we will have some time for questions and answers.
About the instructor –Roni Maislish M.A (psychotherapist and clinical social worker).
From 2005 I am working with overweight’s patients dealing with emotional eating that come from emotional long-term neglected. I the last 2 year I am working in Tel Hashomer (Sheba) hospital in an overweight treatment center (part of the endocrine institute) while between 2006-2011 I saw eating disorder’s patients (and their parents) in Soroka Hospital. From 2007 working as emotional eating’s therapist. Leading groups both for therapist and non-therapist, short workshop and year-long dynamic-study groups. Beside working with patients, I involve deeply in education-prevention roles schools, pre-school, eating disorder’s clinics, accompanying nutritionist, mantel health department, and much more .in 2008 I participated in a 5 days retreat in California leaded by Geneen Roth (the author of the bestseller “When food is Love”).
Use this distress scale to help you stay more aware of how you are doing. The scale is 0 to 10, where 0 is that you feel at peace and are completely calm, and 10 is distress that is so unbearable that you cannot function. Refer to the scale, as-needed. If you find yourself rated at 4, where negative thoughts begin to impact you, consider talking to a mental health professional because it is better to get help sooner than later. Don’t allow yourself to be in a distressful state for too long. When you feel change is needed, take action and contact someone.
Seek help from a mental health professional at any time, you do not need to be in distress to get help. A professional counselor can provide services for things such as managing stress and anxiety, examining thoughts and behaviors, support you in life transitions, and teach you how to strengthen your mind.
0: Peace and complete calm
1: No real distress, but a slight feeling of unpleasantness
2: A little bit sad or “off”
3: Worried or upset
4: Upset to the point that negative thoughts begin to impact you
5: Upset and uncomfortable
6: Discomfort to the point that you feel a change is needed
7: Discomfort dominates your thoughts and you struggle not to show it
8: Panic takes hold
9: Feeling desperate, helpless, and unable to handle it
10: Unbearably upset to the point that you cannot function and may be on the verge of a breakdown
These 12 tips are specific to living through a pandemic (COVID-19) where there are multiple tragic events and crisis occurring at once on a worldwide scale.
A brief overview of the destruction that COVID-19 has caused
• People are ill and dying from a virus.
• People are socially isolated from family and friends.
• People are restricted in where they can go and what they can do.
• People have lost jobs and are financially unstable.
– Connected to all of this is the person’s identity because people identify themselves through going out and participating.
• Political issues, finger pointing and name calling are a big part of this pandemic.
• People wear face masks to reduce spread of the virus, but the mask also hides smiles.
• Anxiety, depression and suicide is on the rise.
• People are silently hurting.
The benefits of these tips are (but not limited to)
• Increased happiness
• Connection to others
• Raising awareness
• Fostering positivity
• Finding value and meaning in life
• Learning coping strategies
• Finding help
Keep in mind that this article isn’t telling you to ignore, dismiss, or minimize what’s going on around us. It is important to sit with the difficult emotions and thoughts, to process, and personally grow from what’s occurring in our lives. We can’t run, there needs to be a resolution to do something about it, but there needs to be a balance and healthy approach.
Let’s cover the tips on getting through
1) Limit your time on social media and watching the news. Be informed and have proper understanding about what’s going on around the world, but don’t allow the information to overwhelm and carry you away. The information on social media and the news shouldn’t occupy a good portion of your day.
2) Mute or unfollow people on social platforms such as Facebook, Twitter and Instagram if they are posting unhelpful information on the pandemic or are posting frequently on the pandemic. Always check the resource of what they post to make sure it is true and accurate. There is a lot of information being shared that is inaccurate or highly one-sided. Be your own researcher, fact-checker, and it is beneficial to try to see from both sides of an issue. Widening perspective allows us to have a more open mind and gives us a little more breathing room.
3) Use social media and technology to your advantage. Since we have to limit being around others or can’t be around people at all, use social media to connect and to lift up others. Post something kind or funny. Post a beautiful picture. Have an engaging conversation, but leave out the pandemic and political issues surrounding it. You can lift someone’s spirit and your own!
We use video platforms on almost a daily basis now, continue to use it to connect. Talk to a good friend who you haven’t seen in a while. Use video platforms to check-in with a person’s mental health, you don’t know who is suffering in silence.
Are you feeling unsure about how to check-in? This link will lead you to check-in questions:
Do you have a favorite hobby or interest? Join and follow social media groups and pages to motivate and fuel your interests.
4) Virtual tours, adventures and visits. If you are looking for something new and interesting to do without leaving your house, take a virtual trip to a National Park, zoo, museum, etc. Think of somewhere that you’ve never been and would like to go. Read about it, look at pictures, watch videos, and take a virtual tour. This is fun activity to do with kids and it’s educational.
If you’re religious or spiritual, consider attending a virtual service or practice.
5) Teach someone about your hobby or trade. Write, blog, create social media content, and make a video to do so. Engage with people, answer their questions, and provide them with credible resources so they can learn more.
5) Increase your self-care. Do more of what you enjoy and try new things, even if you don’t feel like it. Take care of your body and mind. Try to keep to a normal schedule, this includes proper exercise, diet, and staying hydrated. If you’re overwhelmed with work, schedule in self-care. Slow down, read a book, take a bath, watch a movie, call someone you care about.
6) Make a vision board to stay focused on your long-term goals. Read how here:
8) Practice mindfulness, breathing and or meditation. Find someone who provides these services online if you need help getting started. Create a YouTube playlist of relaxing music and sounds that you can practice to. Don’t give up if these exercises don’t immediately benefit you in an impactful way, it takes time to learn them. It’s a process.
9) Use online presence to raise awareness or funds for a cause that you’re passionate about. Help people learn more, support people who need it the most, connect to others who care about the same thing as you. Feel good!
11) Have a safety plan and an emergency plan. For the safety plan:
• Write down what triggers maladaptive behaviors.
• Write coping strategies for each trigger that you can participate in right away.
• Write down three positive affirmations or favorite quotes.
• List three people whom you can trust to call and talk to and receive support from (Do ahead of time: make sure that they know they are on your safety plan list and tell them how they can best support you if you contact them.) (Ideas on how they can help: this can range from a phone call to recall favorite memories or to meet up for coffee.).
• If your situation turns into an emergency, call 911 or the National Suicide Prevention Lifeline 1-800-273-8255 or your local mental health crisis lifeline. Add these emergency phone numbers to your safety plan.
12) Speak with a professional counselor. They can teach you several coping strategies and powerful tools like cognitive reframing. They are someone who will be present with you, be non-judgmental, listen, and provide feedback. They will support you and give you space for you to process your strongest emotions and thoughts.
Check out these other benefits to seeing a counselor: