Finding Your Marbles
A Mental Health Survival Guide

For me, one of the toughest things about recovering from post-traumatic stress disorder (PTSD) and anxiety has been learning how to manage triggers.

If you’ve got PTSD or you have panic attacks, you know what I mean by triggers; those little things that, once your “anxiety brain” gets hold of them, send you into a downward spiral of fear, panic, and sometimes, even depression.

My worst trigger is child abuse. If I see a news story about an abused child, or even if I overhear someone talking about an abused child, my pulse rate just shoots up. If the abuse is sexual, then all bets are off and I have to take action to manage the trigger before I get anxious.

I do a couple of little things to manage triggers and minimize the effects that they have on me. They may work for you.

Continue reading “What To Do When You Are Triggered” »

There are hundreds of online mental health forums, covering everything from depression to synesthesia. Some of them are quite large, like the About.com forums, and others are grassroots forums that emerged around small communities of mental illness sufferers who joined together to support each other as they struggled to cope with their mental illness and hopefully get on the road to recovery.

Online forums can be a great resource to help you manage your mental illness and to help you with your recovery. They provide you with a great opportunity to meet with other people who are suffering from the same conditions and talk about your problems in a safe, anonymous environment.

I have participated in several mental health forums, both as a member and as an administrator, and I have written this guide to both help you choose a mental health forum and to get the best out of your mental health forum experience.

Continue reading “A Guide to Online Mental Health Forums” »

Disclosing your mental illness to another person may be one of the most important decisions of your life. If you pick the right person, you could gain a level of support and understanding that will be a major source of strength for you through the hard times. If you pick the wrong person, it could be very damaging.

Choosing who to tell about your mental illness is a tough decision with lots of implications. In this section of the disclosure series I will try to share some of the things that worked for me when I was faced with the same choice.

Continue reading “Disclosure Series Part 3: Who Should You Tell About Your Mental Illness?” »

Miguel over at the Think Happy Thoughts Happiness Blog (I absolutely love that name) writes about the importance of writing down negative thoughts.

Writing down negative thoughts is a great idea and it is a very good way to help manage depression and anxiety. By writing out your negative thoughts you get them out of your mind and down on paper where you can study them and figure out if they are “real” thoughts or if they are just being sent to you by your depression. When you see your thoughts on paper they may not seem as overwhelmingly negative as they did inside your head, or, as Miguel puts it:

“Your mind recognizes the difference between what “should” be happening and what actually is happening. The greater the difference between OUGHT and IS, the more cognitive dissonance is felt emotionally. Close inspection of these untrue beliefs is the solution to negative thinking. A person can revise their beliefs by investigating them.”

Continue reading “Link: Write Down Negative Thoughts Immediately” »

Therapy is expensive. Really expensive. I used to joke with my therapist that for the amount of money that I spent on therapy I could have gone on a cruise, or at least had a great weekend in Vegas.

One thing to keep in mind when you are trying to figure out how to pay for therapy is that therapy is very important. Your mental health should be one of your top priorities. Therefore, when you are trying to balance your budget, or when you are looking for a way to pay for your therapy, try to keep things in perspective. Think of any money that you spend on therapy not as an expense, but as a necessary and positive investment in your future well-being and good mental health.

Continue reading “What to do When You Can’t Afford Therapy” »

Medication can be very expensive, especially medication for mental illness. Lots of expensive research goes into those drugs, and the drug companies charge very high prices to recover their costs.

Since costs can run upwards of $75/month for some medications, this can be a major problem if you are out of money or if you’ve got to take a lot of different medications together. Even worse is when you run out of money in the middle of a medication cycle and you might start missing doses. With some medication, such as SSRIs, missing doses can be very serious so there are some major health implications if you can’t afford meds.

There are a couple of things that you can do to get your medication if you can’t afford to pay for it. Some of them take a bit of work and patience, so it is a good idea to plan ahead and make sure that you always have a good supply. The last thing you want is to be on your last pill when an unexpected bill comes in.

Continue reading “What to do When You Can’t Afford Medication” »

I used to be terrible at crisis management. When anything bad happened that was outside my control, I would always come apart at the seams. I would start to panic, and I would end up making a huge mess of things and getting myself more depressed and anxious.

At an old job I had, one of my projects was to write up a crisis management plan. When I was finished this project, I began to wonder if I could apply the same skills and techniques that I used at work to my personal life to see if I could do a better job at crisis management. After some experiments and fine tuning, I developed a five-part personal crisis management system. By applying this system, I was eventually able to manage my anxiety during a crisis. I wasn’t as unprepared when things went wrong, and I was able to quickly calm myself down and get the crisis under control.

Continue reading “How To Manage a Crisis” »

In Part 4 of the Therapy Series: Leaving Your Therapist, I discussed how therapy relationships end, and how to end a relationship positively. In this final section I will share some of my thoughts on therapy and I will talk a bit about “alternative” therapies that I have encountered.

As I mentioned in the Introduction, therapy saved my life. If I hadn’t gone to therapy, my depression would have spiralled out of control and I don’t know where I would have ended up. Therapy is the single best tool for treating mental illness and I can’t recommend it enough. It is one of the necessary steps to full recovery.

Continue reading “Therapy Series Part 5: Thoughts on Therapy” »

In Part 3 of this series: “What To Do After Each Session,” I talked about what you should do after each therapy session. In this section, I will discuss how therapy relationships end, how to tell when your therapy relationship is coming to a positive end, what to do when your therapy relationship breaks down, and how to manage your “after therapy” relationship with your therapist.

Therapy relationships are not permanent, and eventually, your therapy will come to an end. You will either end the relationship yourself, or your therapist will end it, or you will come to a mutual agreement that you no longer need to continue in therapy. Leaving therapy can be a frightening and emotional experience. However, in a healthy therapy relationship, leaving therapy can be a form of rebirth. If you had a positive experience with your therapy, it will form a strong foundation on which you can build a healthy and happy life.

Continue reading “Therapy Series Part 4: Leaving Your Therapist” »

In Part 2 of this series: “Your First Therapy Appointment,” I talked about how to prepare for your first therapy session, and what to expect from therapy and your therapist. In this article, I will discuss what you can do after each therapy session to make your therapy more effective, and to help you survive the most difficult parts.

One day I was talking to a friend of mine who was going through some particularly difficult therapy sessions for anxiety. We were talking about how we both felt after our sessions were over. My friend described the “after-therapy” feeling to a T. He said, “It’s the feeling that you get after you have been to the gym or after you just spent all day working hard. You are exhausted, sore, and at the end of your strength, but there is a little voice inside you saying “Hooray, I did it!”"

Continue reading “Therapy Series Part 3: What to do After Each Therapy Session” »