Tag: panic

What to Do When a Mind is Struggling

It’s mental health awareness week! Wahoo! To celebrate, for the first time ever, I opened up my blog to my Facebook friends. I asked what they wanted to see more of- and I got a brilliant response! The thing I want to tackle first is how exactly people can help someone with a mental illness. It was in demand and it is so great that people want to help.

First, three important words:

“I believe you.”

Never underestimate this statement. It is subtle yet effective in the way that it works. You see, a lot of people with mental illness feel like they are misunderstood or not believed. Just these words can make all the difference.

You can’t fix it

If you ask a mentally ill person what’s wrong you may get a variety of answers. Some of the problem might be abstract- dark feelings or hallucinations. If this is the case listen. You can’t get rid of these things but you can get rid of the loneliness that person has in the situation. Good things to say are: “That must be really hard”, “You do so well to fight all this.”, “I can see how hard it must be.” And “It will pass soon and I’m here until it does”. Notice there are no questions? Questions can make the person feel interrogated or judged. Listening is your best bet.

If there is a physical problem that is ongoing, making the person distressed, you may be tempted to leap on it. Just because it isn’t as abstract as the above it doesn’t mean you can solve it. If the issue has got the person to the point of complete distress then it is not something easily solved. Mentally ill- not stupid. For some of us logic goes out the window when in crisis, to you the issue may seem to have been completely blown out of proportion but be patient! I’d encourage you to think of what kind of situation would make you feel that distressed, and act how you would want to be treated. It might be that a mug has broken, but the distress may seem equivalent to how you’d feel if you had a near miss on a motorway. As a last thought on this- problem solving at its most effective usually takes place when all parties involved are dry-eyed and rational.

Distraction

Use with caution. Never give the impression that you want the person to stop talking to you or that you have heard enough. Hear them out and then, when things start to slow and calm a bit suggest doing something. “Shall we put a film on for a bit?”, “Is there anything that might make you feel a bit better now?”, “what should we do now?”. Preferably stay with them, do something else and try to promote different topics. If the problem does raise its ugly head, talk about it and then move on. Don’t make the person feel that the problem is being belittled.

Breathing

If the person is out of breath or has irregular breathing then try to encourage a calming breath. Use your voice to calm and instruct in and out breath to a slow count of three. Do it yourself. You can quietly do this without saying anything, just by beginning the exercise yourself and making the breaths audible.

Reassurance

Reassurance is always good. You might be asked for reassurance or you might feel like it is needed. If you are being asked for reassurance- don’t even think before giving it. Say what you have to to get the person to calm down but If the person needs reassurance a lot, and not just in crisis, think more carefully. Don’t use blanket reassurance. I’m going to use an example.

Emergency reassurance:

*person showing distress, irregular breathing etc*: “I won’t be sick will I?!”
Friend: “No, don’t worry you won’t be sick. You’re fine.”

This is the blanket method. It helps when the person is panicking about something very unlikely and the fear or panic is intense not ongoing. If by some chance the person’s fear actualises don’t worry about covering your back. When your friend has calmed down they will realise that you were trying to help and that if anything you were both very unlucky that on this occasion the fear actually happened!

Using this example, if someone is in need of regular reassurance because they have a phobia or perhaps OCD a different tactic is needed. You can’t assure someone they will never, ever, be ill because both you and they will know that that just isn’t true. It can also not be productive to treatment to rely completely on other people’s reassurance.

An Example: “Will this make me sick?”
Answer: “Well you have felt this way before and you are usually fine once you’ve calmed down. Even if you are sick- it’s fine. It happens.”

See how you are trying to make the scary a little less so? This also can become an internal monologue of reassurance.

Mood lifts

If someone is suffering from low mood or depression remember that it isn’t always a case of pulling yourself together and getting on with it. Anything you say to this affect won’t be taken very well by the person at all. This is by far the topic I find most difficult to write on because there is no clear solution. All I can say is try and think of it as like having flu. It’s one of those things, but you can help it get a little better by doing basics. Bathing, fresh air, healthy food and water. Keep in mind that all these things are probably not very appetising to your friend right now so coaxing and persuading might be necessary. Go back to the distraction section of this post and get something light going.

I hope this helps. This is all written from my personal experience so I can’t promise it will work for everyone but if nothing else it’s a start. Let me know if you would like to request any other topics or anything to be covered in more detail. Anyway- happy mental health awareness week!

Angels Can Have Four Paws

I thought I would share this post with UpsideDownChronicles readers as well as people who know me from elsewhere. It’s the next day and I have slept the majority of the day and have lots of aches and pains. Nothing more than what could be expected though. Noodle has waited for me to play all day. She gives me hugs and licks my feet as I sleep; she is never impatient with me. We had a play at lunchtime and she got a good groom and a game of fetch. Now she is sleeping next to me as we watch Mean Girls for what must be the 6th time this week… Night! 

Today I am grateful for my furry colleague and partner in crime. How can this paw perfect little guide dog switch roles so fast? In church she was a guiding dream- she even got blessed. But this evening I had two major dissociation episodes and she turned into my own furry superhero! There was a short time when I came round and it looked like the worst of it was over, so the staff propped the door open with a chair and went to get me a drink. The gremlin gripped me again while they were gone and the last thing I remember was the sound of her scrabbling to get out, under the chair, to find help. If I was fine she would never dream of doing this, It’s against all her training but she knows she must do it if I am going to get help. She went straight to staff and brought them to me. Things could have got so much worse if she hadn’t.

The staff tried to make her calm down but she wouldn’t stop licking and licking me, putting her paws on me. She wanted me back! A member of staff took her out but still she wouldn’t calm. Had I been able I would have told staff that this was pointless- she only calms when she knows I’m supported and safe. Then it died and I was finally okay and she sunk straight back into being a beautifully behaved guide dog. No more craziness from either of us.

Now I’m as tired as if I ran a marathon- but if I stand up she will stand with me. I will slip a finger inside her collar and she will help me. One step at a time. I can’t express how thankful I am to have her in my life right now. I couldn’t do it without her and I certainly don’t say it enough. The nurses are now calling her ‘the super dog’. Anyway this has taken like an hour and a half to type but I just wanted to say thank you to anyone who supports guide dogs in any way. Every single guide dog is a super hero, they are our eyes and so much more. It’s incredible. I am also just so thankful that my little guide dog decided ophthalmology wasn’t enough, and took on the neurological too. Guide Dog of the Year Beyond the Call of Duty? I think it was very much deserved. Who knew angels could have four paws ey?

noodle and human snuggling
Old photo- “If I lay here, if i just lay here, would you lie with me and just forget the world”