Looking out for Men's Mental Health

“If you add loneliness to depression, you really are in a world of… appalling pain.” – Stephen Fry

Men are beginning to seek more help through their GP's and visit therapists more than they were before.  A stigma still remains however around admitting to suffering from a mental health problem which creates further isolation and often a sense of hopelessness and despair. Suicide rates have shown that men are three to four times more likely to commit suicide than women.  We need to consider why that is, and what we can do to address it.

Possible reasons for higher rates of male suicide include: 

•     Men are less likely than women to talk about their feelings – they tend to isolate themselves.

• Men are less likely to seek professional help (e.g. counselling, therapy, medication) than women.

• Men have higher rates of drug and alcohol misuse than women, and are much more likely to use this to mask their symptoms of depression.

• They demonstrate their feelings externally (e.g. shouting, getting angry) and close things off internally (e.g. “I’m fine”)

And, above all:

• Social ideals and pressures of masculinity demands that men “Stay strong” or, here’s a good one, “man up”.

It must be recognised and understood that men too are victims of domestic violence, sexual violence such as rape, and violence and abuse from other men. It is all too overlooked; as a society we often think of women as being more vulnerable to these things, especially the domestic and sexual violence, but this is not the case. It is possible that men simply do not report the incidents as often, because they are maybe embarrassed or ashamed. 

What can we do about this?

Men’s Minds Matter is an organisation that hopes to better raise awareness of male problems and mental health issues, and also to provide support for those and the families of those who are affected. They have been “working closely with other psychologists, professionals and organisations to develop ideas on how to improve the psychological wellbeing of men and boys” says the Director of Men’s Minds Matter, Dr Luke Sullivan. Through this, they have begun The Men’s Institute, which as well as being very useful is another step to recognising that men need this support, as well as women do. 

If would like more information about this matter or no someone who might benefit from it, visit http://www.mensmindsmatter.com/ or http://www.mensmindsmatter.com/the-mens-institute.html for resources and support.

Other organisations such as Mind http://www.mind.org.uk/ and Time to Change http://www.time-to-change.org.uk/ will also be useful, and also Terry Real’s book, “I don't Want to Talk About it: The Secret Legacy of Male Depression” is a very good and helpful read.

Considering visiting your GP or speaking to a Therapist might also help you to start resolving some of your underlying issues and gain more support.  For more information on our services, visit www.lotus-therapeutics.com.

How Lying & Keeping Secrets Affects our Health

“The most common lie is that which one lies to himself; lying to others is relatively an exception” – Friedrich Nietzsche.

There are many reasons why a person might start to tell lies. It may be that they have something to gain from it, or that they are protecting someone who might be hurt by the truth- or, that they are ashamed or feel guilty about something.  They may not want to worry those around them if the truth turns out to be negative, such as finding out the results of hospital tests for example.  Alternatively, it could be a white lie, such as “I am too tired to go out tonight" to avoid conflict or please others.

According to Harvard psychologist William Pollack, Ph.D, telling lies and keeping secrets can actually be bad for your health. Of course, we all know that certain lies need to be told and certain secrets must be kept. We just have to make sure we know when to lie or when to tell the truth.

When to do which

Tell the truth if:

·      Someone asks you outright – if you lie to someone directly, chances are that if they find out you will have damaged the trust within that relationship. Your friend, relative or partner will always remember it and never be sure whether you’re telling the truth or not in the future.

·      It’s making you tense and anxious – If you’re keeping a secret or have begun to tell lies and it’s making you nervous, tense and wound up, it’s better to come clean and put yourself (and everyone around you) out of their misery.

·      The situation isn’t too bad yet – If you can see things getting worse it’s good to come clean, especially if you think there might be ways to solve the problem or solutions that can be thought of behind the reason you lied/kept a secret.

Keep the secret or continue lying if:

·      It’s not your secret – Telling someone else’s secret might lead to gossip as well as breaking that person’s trust. Also, that person might have decided they want to sort it out themselves, and so you will shame them by getting there first. If it’s not your business it’s better not to trouble with it and support their decision in whether or not to tell.

·      You intend to tell it within days – Sometimes “Now just isn’t the right time”, and that’s okay. These things are better dealt with if everyone is in a good mood and ready to talk deeply about an issue.

So How do Lies and Secrets Affect my Health?

1.    Telling lies or keeping secrets is prone to making you anxious and on edge. Having something on your mind all the time isn’t good for you, especially if it’s linked to danger, e.g. someone finding out and exposing you, or the worry of others getting hurt etc. This makes us begin a “fight or flight” response, in which adrenaline is constantly in our bodies, which can be damaging long term and cause illnesses such as Irritable Bowel Syndrome (IBS).

2.    Telling lies or keeping secrets distract you from your daily routine – you are more likely to make mistakes, forget things, and make physical activities seem more difficult.

3.    Sometimes the secret itself is something you should be talking about. Having a “Big secret” can be very taxing if you have no one you feel you can tell, and therefore are not getting the appropriate support from family and friends. If you need someone to talk to but feel you have nowhere to turn, you might be better off talking to a therapist, calling a helpline such as the Samaritans 08457 90 90 90,  or asking for help on an internet forum.

Try and do what’s best for yourself and the people you love. This might involve making a difficult choice or coming clean about something.  Whether you choose to lie or tell the truth, keep the secret or reveal it, think about whether or not it is justified, and if the good consequences outweigh the bad.

 

Your Wellbeing- Improved with Gratitude

“Gratitude unlocks the fullness of life. It turns what we have into enough, and more. It turns denial into acceptance, chaos to order, confusion to clarity. It can turn a meal into a feast, a house into a home, a stranger into a friend.” – Melody Beattie

Expressing gratitude improves your attitude (and your well being). But just saying “thank you” isn’t enough – From your heart you have to really mean it, although merely expressing it is a good starting point.  

Gratitude: The quality of being thankful; readiness to show appreciation for and to return kindness.

It can be hard to be grateful sometimes. After a long day at work with various trials and tribulations, sometimes when we get home we forget to appreciate the small things – Your partner cooking tea, or the kids bouncing down the stairs to greet you, your friend popping round with a book they thought you might like. Little things which we should be grateful for often get lost during the stress of every day life, but research has shown that if we start to notice and appreciate these things, we will also notice lots of health benefits;

• Better sleeping, more social connections, improvement in overall happiness, higher levels of Energy, increased optimism

And are less likely to be;

• Depressed, greedy or have alcohol dependency issues

(Taken from Melinda Beck of the Wall Street Journal)

One Method of increasing your gratitude is taking a step back and looking at the world in a rational way, i.e. is this situation really so bad/hopeless?  Often it is easy for us to get into ‘black and white’ thinking which means we can magnify our problems or discount what is good about the situation. 

Cognitive Behavioural Therapy offers useful tools to help you to get past disfunctional thought processes and teach you to see the good in every situation and challenge any irrational thoughts. A simple strategy I often recommend to clients is to question the evidence of your thoughts and ‘is this really true?’  This helps engage the more logical part of your mind to counteract the negative thought.

Random Acts of Kindness also increases your wellbeing as it helps you to feel good about yourself, and increases your gratitude as you start to appreciate that the “Little things” really do matter. This week is Random Acts of Kindness week- have a look at the website for more information and how to get involved.

The benefits are clearly worth trying.  Be grateful. Notice the little things, say thank you, and you’ll start to feel happier, more energised and optimistic. Be thankful for the effort people put in, and the things that they do for you. The more you notice them, the more you will learn to appreciate them, and in turn make that person feel more appreciated.

Returning acts of kindness is also another way to show your appreciation and gratitude towards someone. Maybe even keep a journal with a list of everything you are grateful at the end of each day, no matter how small.  Develop an 'attitude of gratitude' and notice the results!

Anti Depressants- do they really work?

“Pain could be killed. Sadness could not, but the drugs did shut its mouth for a time.”  Colson Whitehead, Zone One

There is currently a debate around whether Anti depressants are being overused for treating Depression and if there is really a strong enough evidence base for them.

Statistics show that at least 1 in 10 people in the UK suffer from depression, it’s prevalence being slightly higher in women, with 1 in 20 of sufferers being as a result of clinical depression.  Anti depressant prescriptions in the UK have increased by 9.6% in 2011, to 46 million prescriptions and continue to rise.

There is no question that most people with Depression report a reduction in their symptoms though research shows that improvement appears to be due to psychological factors, i.e., the placebo effect.  Evidence is currently inconclusive about how much the Placebo effect is involved. We could ask, how much of the effectiveness of medication is due to the active ingredients and the non Placebo effect?

From my own experiences of working with hundreds of clients with Depression, both Clinical (i.e. from a chemical Serotonin imbalance) and ‘Reactive’ (as a result of a response to an event or stressor), Anti Depressants do have their place.  Many initially report an improvement using Anti Depressants though often, alone they aren’t enough to resolve the underlying factors that cause it in the first place and that help maintain it.  For instance, taking a pill when experiencing work stress may buffer against some of the negative emotional effects though unless the underlying triggers are addressed, things may not change long term. With some clients, Anti Depressants have little effect or in some cases, cause a worsening of symptoms as a result of unpleasant side effects.

Dr Ian Reid, Professor of Psychiatry at the University of Aberdeen, says "Antidepressants are but one element available in the treatment of depression, not a panacea,"…they can have harmful side effects, and they certainly don't help everyone with the disorder. But they are not overprescribed. Careless reportage has demonised them in the public eye, adding to the stigmatisation of mental illness, and erecting unnecessary barriers to effective care." 

The National Institute for Health and Clinical Excellence (NICE) guidelines doesn’t promote the use of Anti depressants as a first port of call for treating moderate depression though instead advocates talking therapies such as CBT (Cognitive Behavioural Therapy) and Interpersonal Therapy initially. Often however, long NHS waiting lists prevent individuals accessing services.  GP’s only option then is to prescribe medication to patients when there are few alternatives available.

Posing my question at the beginning, is there enough evidence to support the widespread use of Anti Depressants; one might argue, if it makes people feel better, why worry about how that happens? Perhaps the individual’s belief in the pill as well as the scientific base causes the improvement.  Often, the therapeutic benefit of talking about our problems and expressing our feelings to a professional such as a GP is part of the healing effect;  ‘It’s good to talk’ as BT says.

The promotion of medication alone however, dismisses the wider implications of creating a culture of ‘pill popping’ rather than addressing underlying causes and socioeconomic factors.   We should be asking why has depression become endemic, not only in the UK but worldwide and how can we change it? In our modern ‘quick fix’ society, we are prone to avoiding the real issues when we need to take a move in the direction of change and start doing something differently. 

How to Stay Resolute this Year

“How few there are who have courage enough to own their faults, or resolution enough to mend them” – Benjamin Franklin

Change can sometimes be very daunting, especially when it comes to sticking to a resolution you have decided upon yourself. We don’t always adjust well to change, and it can be challenging and stressful to keep up willpower or reach targets we set ourselves. It can also be very distressing when we fail, so here we offer all the help we can to assist your achievement, and give advice on what to do when things don’t quite go to plan…

Top Four resolutions (source: University of Washington):

-          Increase exercise

-          Be more conscientious about work or school

-          Develop better eating habits

-          Stop smoking, drinking, or using drugs (including caffeine)

Tips for Sticking to your Goals:

Be Realistic – When setting yourself a resolution, you have to be realistic. You are only human, and trying to achieve something completely out of reach will no doubt put you under a lot of stress and even affect your esteem. Start small if you can, and increase your targets if all goes well! It is great to dream and have a vision of where you want to be eventually, but break it down; goal at 3 months, goal at six months, at nine, and finally at a year.

Reward Yourself – Positive reinforcement, the giving of rewards when things go well, will encourage you to succeed time and time again, and makes it easier on you to accept the changes you are undergoing.

DO NOT punish yourself – this can have a negative effect and make you feel like a failure. Learn to forgive yourself. 

Talk to Others – Getting support and encouragement from those around you can greatly improve your success with a resolution. They might even join in, which can increase your performance – e.g. going for a morning run twice a week, or cutting down on how much you smoke. Chances are others will want these changes too, and so you can support and motivate each other.

Track Your Progress – Keep an eye on how you’re doing. This can increase your motivation, as you’ll see how well you’re doing, or which areas you need to improve. It is important to do this so that your progress and the changes you are going through are clearly set out in your mind.

Good luck, and stay positive. This isn’t the be all and end all of making the changes that you want in life. A new year is a fresh start in many ways, not just resolutions. And if you’re having trouble thinking of resolutions, look back over last year and think of things you might want to have changed or done differently if you had the opportunity. Don’t regret what’s in the past – use it to create yourself a better future.

A useful website in which you can select a resolution and track your progress:
https://www.resolutions.change4life.co.uk/