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How light can shift your mood and mental health

<p><em><a href="https://theconversation.com/profiles/jacob-crouse-981668">Jacob Crouse</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/emiliana-tonini-1638957">Emiliana Tonini</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/ian-hickie-961">Ian Hickie</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>It’s spring and you’ve probably noticed a change in when the Sun rises and sets. But have you also noticed a change in your mood?</p> <p>We’ve known for a while that light plays a role in our wellbeing. Many of us tend to feel more positive when <a href="https://pubmed.ncbi.nlm.nih.gov/32925966/">spring returns</a>.</p> <p>But for others, big changes in light, such as at the start of spring, can be tough. And for many, bright light at night can be a problem. Here’s what’s going on.</p> <h2>An ancient rhythm of light and mood</h2> <p>In an <a href="https://theconversation.com/how-light-tells-you-when-to-sleep-focus-and-poo-236780">earlier article</a> in our series, we learned that light shining on the back of the eye sends “<a href="https://pubmed.ncbi.nlm.nih.gov/25451984/">timing signals</a>” to the brain and the master clock of the circadian system. This clock coordinates our daily (circadian) rhythms.</p> <p>“Clock genes” also regulate circadian rhythms. These genes control the timing of when many other genes <a href="https://pubmed.ncbi.nlm.nih.gov/31557726/">turn on and off</a> during the 24-hour, light-dark cycle.</p> <p>But how is this all linked with our mood and mental health?</p> <p>Circadian rhythms can be disrupted. This can happen if there are problems with how the body clock develops or functions, or if someone is routinely exposed to bright light at night.</p> <p>When circadian disruption happens, it increases the risk of certain <a href="https://pubmed.ncbi.nlm.nih.gov/33689801/">mental disorders</a>. These include <a href="https://www.sciencedirect.com/science/article/abs/pii/S0149763422000744">bipolar disorder</a> and <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/1741-7015-11-79">atypical depression</a> (a type of depression when someone is extra sleepy and has problems with their energy and metabolism).</p> <h2>Light on the brain</h2> <p>Light may also affect circuits <a href="https://pubmed.ncbi.nlm.nih.gov/35687680/">in the brain</a> that control mood, as <a href="https://pubmed.ncbi.nlm.nih.gov/23151476/">animal studies show</a>.</p> <p>There’s evidence this happens in humans. A brain-imaging study showed exposure to bright light in the daytime while inside the scanner <a href="https://www.cell.com/fulltext/S0960-9822(06)01758-1">changed the activity</a> of a brain region involved in mood and alertness.</p> <p>Another brain-imaging study <a href="https://pubmed.ncbi.nlm.nih.gov/22111663/">found</a> a link between daily exposure to sunlight and how the neurotransmitter (or chemical messenger) serotonin binds to receptors in the brain. We see alterations in serotonin binding in several <a href="https://pubmed.ncbi.nlm.nih.gov/33651238/">mental disorders</a>, including depression.</p> <h2>What happens when the seasons change?</h2> <p>Light can also affect mood and mental health as the seasons change. During autumn and winter, symptoms such as low mood and fatigue can develop. But often, once spring and summer come round, these symptoms go away. This is called “seasonality” or, when severe, “<a href="https://www.aafp.org/pubs/afp/issues/2020/1201/p668.html">seasonal affective disorder</a>”.</p> <p>What is less well known is that for other people, the change to spring and summer (when there is <em>more</em> light) can also come with a change in mood and mental health. Some people experience increases in energy and the drive to be active. This is positive for some but can be seriously destabilising for others. This too is an example of seasonality.</p> <p>Most people <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0239033">aren’t very seasonal</a>. But for those who are, seasonality has a <a href="https://pubmed.ncbi.nlm.nih.gov/8540777/">genetic component</a>. Relatives of people with seasonal affective disorder are more likely to also experience seasonality.</p> <p>Seasonality is also more common in conditions such as <a href="https://pubmed.ncbi.nlm.nih.gov/25063960/">bipolar disorder</a>. For many people with such conditions, the shift into shorter day-lengths during winter can trigger a depressive episode.</p> <p>Counterintuitively, the longer day-lengths in spring and summer can also destabilise people with bipolar disorder into an “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947388/">activated</a>” state where energy and activity are in overdrive, and symptoms are harder to manage. So, seasonality can be serious.</p> <p>Alexis Hutcheon, who experiences seasonality and helped write this article, told us:</p> <blockquote> <p>[…] the season change is like preparing for battle – I never know what’s coming, and I rarely come out unscathed. I’ve experienced both hypomanic and depressive episodes triggered by the season change, but regardless of whether I’m on the ‘up’ or the ‘down’, the one constant is that I can’t sleep. To manage, I try to stick to a strict routine, tweak medication, maximise my exposure to light, and always stay tuned in to those subtle shifts in mood. It’s a time of heightened awareness and trying to stay one step ahead.</p> </blockquote> <h2>So what’s going on in the brain?</h2> <p>One explanation for what’s going on in the brain when mental health fluctuates with the change in seasons relates to the neurotransmitters serotonin and dopamine.</p> <p>Serotonin helps regulate mood and is the target of <a href="https://journals.sagepub.com/doi/full/10.1177/0706743716659417">many</a> <a href="https://pubmed.ncbi.nlm.nih.gov/38185236/">antidepressants</a>. There is some evidence of seasonal changes in serotonin levels, potentially being lower <a href="https://academic.oup.com/brain/article/139/5/1605/2468755?login=false">in</a> <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(02)11737-5/abstract?cc=y%3D">winter</a>.</p> <p>Dopamine is a neurotransmitter involved in reward, motivation and movement, and is also a target of some <a href="https://journals.sagepub.com/doi/full/10.1177/0706743716659417">antidepressants</a>. Levels of dopamine may also change with the <a href="https://www.nature.com/articles/s41398-023-02365-x">seasons</a>.</p> <p>But the neuroscience of seasonality is a developing area and more research <a href="https://www.nature.com/articles/s41398-023-02365-x">is needed</a> to know what’s going on in the brain.</p> <h2>How about bright light at night?</h2> <p>We know exposure to bright light at night (for instance, if someone is up all night) can disturb someone’s circadian rhythms.</p> <p>This type of circadian rhythm disturbance is associated with higher rates of symptoms <a href="https://www.nature.com/articles/s44220-023-00135-8">including</a> self-harm, depressive and anxiety symptoms, and lower wellbeing. It is also associated with higher rates of <a href="https://pubmed.ncbi.nlm.nih.gov/32639562/">mental disorders</a>, such as major depression, bipolar disorder, psychotic disorders and post-traumatic stress disorder (or PTSD).</p> <p>Why is this? Bright light at night confuses and destabilises the body clock. It disrupts the rhythmic regulation of mood, cognition, appetite, metabolism and <a href="https://pubmed.ncbi.nlm.nih.gov/38214638/">many</a> <a href="https://pubmed.ncbi.nlm.nih.gov/34419186/">other</a> <a href="https://pubmed.ncbi.nlm.nih.gov/33689801/">mental</a> <a href="https://pubmed.ncbi.nlm.nih.gov/36661342/">processes</a>.</p> <p>But people differ hugely in their <a href="https://www.pnas.org/doi/10.1073/pnas.1901824116">sensitivity to light</a>. While still a hypothesis, people who are most sensitive to light may be the most vulnerable to body clock disturbances caused by bright light at night, which then leads to a higher risk of mental health problems.</p> <h2>Where to from here?</h2> <p>Learning about light will help people better manage their mental health conditions.</p> <p>By encouraging people to better align their lives to the light-dark cycle (to stabilise their body clock) we may also help prevent conditions such as <a href="https://pubmed.ncbi.nlm.nih.gov/34419186/">depression</a> and <a href="https://www.sciencedirect.com/science/article/pii/S0149763422000744">bipolar disorder</a> emerging in the first place.</p> <p>Healthy light behaviours – avoiding light at night and seeking light during the day – are good for everyone. But they might be especially helpful for people <a href="https://www.sciencedirect.com/science/article/pii/S0149763422000744">at risk</a> of mental health problems. These include people with a family history of mental health problems or people who are <a href="https://pubmed.ncbi.nlm.nih.gov/38185236/">night owls</a> (late sleepers and late risers), who are more at risk of body clock disturbances.</p> <hr /> <p><em>Alexis Hutcheon has lived experience of a mental health condition and helped write this article.</em></p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/231282/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/jacob-crouse-981668"><em>Jacob Crouse</em></a><em>, Research Fellow in Youth Mental Health, Brain and Mind Centre, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/emiliana-tonini-1638957">Emiliana Tonini</a>, Postdoctoral Research Fellow, Brain and Mind Centre, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/ian-hickie-961">Ian Hickie</a>, Co-Director, Health and Policy, Brain and Mind Centre, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image </em><em>credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-light-can-shift-your-mood-and-mental-health-231282">original article</a>.</em></p>

Mind

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Loneliness could kill you

<p><em><a href="https://theconversation.com/profiles/gillian-leithman-414232">Gillian Leithman</a>, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a></em></p> <p>Independence is glorified in North American culture as a symbol of strength. As a society, we value individual achievement and extol self-reliance.</p> <p>I am an expert on aging and retirement and I also help employees transition from work to retirement by facilitating seminars and workshops in corporate Canada. And I often wonder however if our “go at it alone” attitude has led us down a lonely and isolating path.</p> <p>Here are some recent stats:</p> <ul> <li> <p>40 per cent of Americans <a href="https://hbr.org/cover-story/2017/09/work-and-the-loneliness-epidemic">don’t feel close to others</a> at any given time. And the number of lonely Americans has doubled since the 1980s.</p> </li> <li> <p><a href="http://www.carp.ca/2017/06/05/loneliness-survey-results/">In a recent Canadian Association of Retired People poll</a>, 16 per cent of Canadians indicated that they lacked companionship</p> </li> <li> <p>Fifteen per cent in the CARP poll said they had nobody to turn to or talk to</p> </li> <li> <p>Fifteen per cent were unhappy doing things alone.</p> </li> </ul> <p>I suspect that these numbers are even higher among the general Canadian population, not just CARP members.</p> <p>According to science, loneliness shortens our lifespan. <a href="https://news.uchicago.edu/article/2014/02/16/aaas-2014-loneliness-major-health-risk-older-adults">Twice as much as obesity.</a> Yes, you read that right.</p> <p>Dr. John <a href="http://psychology.uchicago.edu/people/faculty/cacioppo/">Cacioppo</a>, the world’s foremost authority on loneliness, maintains that the number of people in your life does not inoculate you from experiencing loneliness. Rather, it’s the feeling of being lonely that places the brain and body at risk.</p> <p>Cacioppo equates feeling lonely with feeling hungry. We compromise our survival and well-being when either is ignored.</p> <p>We are biologically hardwired to respond to our environment. When we experience low blood-sugar levels, we crave food. The feeling of our stomachs being empty is a warning sign to eat and it’s essential to our very survival.</p> <p>When we feel lonely, we desire connection with others, much like the loud rumble that your tummy makes when hungry.</p> <h2>A lonely brain is restless</h2> <p>Loneliness triggers “hyper-vigilance.” That is your brain is on the lookout for social threats, which consequently puts us on the defensive. We become more reactive to negative events and perceive daily hassles as more stressful.</p> <p>A lonely brain awakens often, experiences fragmented sleep and cannot recover from the day’s stressful events.</p> <p>A lonely brain is also subject to an increase in depressive symptoms and has difficulty self-regulating. That is why you may find yourself irritable and impulsive.</p> <p>A lonely brain is also at risk of cognitive and physical decline.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pubmed/23232034">A three-year Dutch study</a> followed more than 2,000 participants aged 65 to 86. While none of the participants had signs of dementia at the outset of the study, results revealed that those who reported feeling lonely had a 64 per cent increase in the risk of developing dementia.</p> <p>People also experience an increase in loneliness when they retire from work. That’s why you want <a href="http://rewiretoretire.com/delay-retirement/">to make sure that you’re retiring <em>to</em> something</a>, and that you have friends outside of your place of employment.</p> <h2>A lonely body</h2> <p>Loneliness also affects the body. Psychologist <a href="https://irp.nih.gov/pi/stephen-suomi">Stephen Suomi’s</a> research indicates that loneliness distorts the expression of certain genes. An experiment separating newborn primates from their mothers during their first four months of life resulted in the altered development of immunity-related genes that help the body fight viruses.</p> <p>Social psychologist <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633610/">Lisa Jaremka’s research</a> indicates that lonely people have higher levels of activated viruses in their system and are at greater risk of suffering from chronic inflammation, which has been linked to Type 2 diabetes, arthritis, heart disease and even suicide.</p> <p>While obesity increases your odds of an early death by 20 per cent, loneliness increases <a href="https://www.ucsf.edu/news/2012/06/12184/loneliness-linked-serious-health-problems-and-death-among-elderly">your odds by 45 per cent</a>.</p> <p>What are we to do with an emotional state that is so powerful that it can alter our brains, compromise our physiology and cut short our longevity?</p> <h2>The antidote to loneliness</h2> <ol> <li> <p>Seek out connection: We all need a tribe!</p> </li> <li> <p>Stop denying and accept “feeling lonely” as simply a craving for connection.</p> </li> <li> <p>Acknowledge the consequences of prolonged loneliness. If you ignore hunger, you starve. Same is true of our need for belonging. If you feel lonely, reach out to others.</p> </li> <li> <p>Recognize that quality relationships are most effective at feeding this void.</p> </li> </ol> <p>We are physiologically and psychologically primed for connection.</p> <p>The next time you feel lonely and out of sorts, acknowledge it as a signal that you are in need of connection and seek out companionship.</p> <p>Your body and your brain will be thankful that you did, and you may even increase your longevity.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/87217/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/gillian-leithman-414232"><em>Gillian Leithman</em></a><em>, Assistant Professor of professional business skills and aging, retirement, and knowledge management researcher, <a href="https://theconversation.com/institutions/concordia-university-1183">Concordia University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/loneliness-could-kill-you-87217">original article</a>.</em></p>

Caring

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Jon Bon Jovi praised for talking woman off bridge

<p><strong><em>Content warning: This article contains mentions of suicide.</em></strong></p> <p>Jon Bon Jovi has helped to persuade a woman standing on the ledge of a bridge in Nashville to come back over the railing, likely saving her life. </p> <p>The Metro Nashville Police Department revealed that the encounter happened on Tuesday night on the Seigenthaler Pedestrian Bridge. </p> <p>The rock star was filming a music video for his song <em>The People's House </em>on the bridge, when he spotted the woman on the ledge, according to the <em>New York Post</em>. </p> <p>Surveillance footage shared by the city's police department on X showed the singer approaching the woman, alongside another bystander and not long after they helped pull her over the railing and away from danger. </p> <p>After the woman was safe, she and Bon Jovi hugged. </p> <p>"A shout out to @jonbonjovi &amp; his team for helping a woman on the Seigenthaler Ped Bridge Tue night," the Metro Nashville Police Department shared on X.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">A shout out to <a href="https://twitter.com/jonbonjovi?ref_src=twsrc%5Etfw">@jonbonjovi</a> &amp; his team for helping a woman on the Seigenthaler Ped Bridge Tue night. Bon Jovi helped persuade her to come off the ledge over the Cumberland River to safety. "It takes all of us to help keep each other safe,"--Chief John Drake <a href="https://t.co/1YejKJ2WgM">https://t.co/1YejKJ2WgM</a></p> <p>— Metro Nashville PD (@MNPDNashville) <a href="https://twitter.com/MNPDNashville/status/1833970989354348832?ref_src=twsrc%5Etfw">September 11, 2024</a></p></blockquote> <p>"Bon Jovi helped persuade her to come off the ledge over the Cumberland River to safety. 'It takes all of us to help keep each other safe,'--Chief John Drake."</p> <p>The bridge was completely open to the public at the time Bon Jovi was filming his music video. </p> <p>While the singer told The Post that he won't be making any public comments out of respect for the person and their privacy, another source told them that Bon Jovi did what any person who found themselves in that situation would've done. </p> <p><em>Images: Metropolitan Nashville Police Department</em></p> <p> </p>

Caring

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Body found in search for wife of former rugby star

<p>A body has been found in the search for Jenny Hastings, the wife of the former Scotland rugby star Scott Hastings. </p> <p>Jenny, 60, went missing at Wardie Bay, a wild swimming spot near Edinburgh, on Tuesday.</p> <p>A massive search involving police, ambulance and coastguard crews was launched in the Firth of Forth, according to <em>The Sun</em>. </p> <p>Despite their efforts, the search was stood down on Tuesday night. </p> <p>On Saturday afternoon, police said a woman's body was found in the Hound Point area of South Queensferry, near Edinburgh. </p> <p>Formal identification has yet to take place, but police said that: “The family of missing woman Jenny Hastings has been informed.”</p> <p>They also said "there did not appear to be any suspicious circumstances and a report will be submitted to the Procurator Fiscal". </p> <p>Police were treating her disappearance as a “high-risk missing persons case,” as Jenny struggles with her mental health. </p> <p>Her family previously issued a statement amid fears she was dead. </p> <p>“It appears that she wished to end her suffering in what was a regular and healing place for her," they said. </p> <p>“She loved the water but unfortunately her mind was not in a place of safety.</p> <p>“The Hastings family are absolutely heartbroken. We miss our Jenny.</p> <p>“She leaves a gaping hole in all our hearts and hope that she is returned to us safely so that we can celebrate her remarkable life.”</p> <p>Scottish Rugby also shared a statement on social media yesterday, sending their love and support to the Hastings family. </p> <p>“Scottish Rugby sends its love and support to Scott Hastings, Scotland cap 848, after his wife Jenny was reported missing whilst swimming earlier this week.</p> <p>“Our thoughts are with their children, and the wider Hastings family, at this heartbreaking time.”</p> <p>Jenny had been open about her struggles with mental health. In March 2017, she disappeared from the couple's Edinburgh home for 36 hours and walked to the Pentland Hills while she was suffering from depression. </p> <p>The couple both became ambassadors for charity Support in Mind Scotland and devoted work to helping others with their own mental health by staying active. </p> <p>They helped launch the 100 Streets challenge, encouraging people to get out and exercise with friends.</p> <p><em>Images: news.com.au</em></p> <p> </p>

Caring

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How to know when it’s time to start therapy

<p><em><a href="https://theconversation.com/profiles/simon-sherry-557487">Simon Sherry</a>, <a href="https://theconversation.com/institutions/dalhousie-university-1329">Dalhousie University</a></em></p> <p>People go to therapy for many reasons. A challenging life event, trauma, volatile emotions, relationship problems, poor mental health: all can prompt someone to seek it out.</p> <p>Whatever the reason, it can be difficult to decide when and if therapy is right for you.</p> <p>If you’re reading this, now’s probably the right time. If you’re considering therapy, something is likely bothering you and you want help. Consider this your sign to reach out.</p> <p>If you’re still unsure, keep reading.</p> <h2>Why therapy?</h2> <p>Sometimes, our minds work against us. Therapy can help you understand why you think, feel, or act how you do <em>and</em> give you the skills you need to think, feel, or act in healthier ways.</p> <p>This includes helping you:</p> <ul> <li> <p>identify, understand, and overcome internal obstacles</p> </li> <li> <p>identify and challenge thought patterns and beliefs that are holding you back</p> </li> <li> <p>improve your mental health</p> </li> <li> <p>cope with mental illness</p> </li> <li> <p>and create lasting changes to your thoughts and behaviour that can improve all areas of your life.</p> </li> </ul> <p> </p> <h2>When your mental health is suffering</h2> <p>Everyone experiences negative emotions in difficult situations — like sadness after a breakup or anxiety before a big life event. But when do these feelings become problematic? When you have <a href="https://www.canada.ca/en/public-health/services/about-mental-health.html">poor mental health</a>.</p> <p>Mental health and mental illness <a href="https://cmha.ca/news/mental-health-what-is-it-really/">are distinct</a>, but related, concepts. <a href="https://dictionary.apa.org/mental-health">Mental health</a> refers to the inner resources you have to handle life’s ups and downs. You have good mental health if you enjoy life; feel connected to others; cope well with stress; and have a sense of purpose, a sense of self and strong relationships.</p> <p>If you have poor mental health, it can be hard to adapt to changes like a breakup, move, loss or parenthood. Therapy can help you improve your mental health, develop resilience and maintain a state of well-being.</p> <p><a href="https://www.canada.ca/en/public-health/services/about-mental-illness.html">Mental illness</a> refers to distressing disturbances in thoughts, feelings and perceptions that interfere with daily life. There are <a href="https://cmha.ca/brochure/mental-illnesses/">different kinds</a> of mental illness, each characterized by different thoughts, feelings and behaviours.</p> <p>Mental illness may feel like:</p> <ul> <li> <p><strong>Hopelessness</strong> — feeling stuck, unmotivated or helpless.</p> </li> <li> <p><strong>Apathy</strong> — feeling uninterested in things that used to give you satisfaction or pleasure.</p> </li> <li> <p><strong>Anger</strong> — feeling rage or resentment, especially frequently or disproportionately.</p> </li> <li> <p><strong>Stress</strong> — feeling overwhelmed, unable to cope, unwilling to rest or like everything is hard (even if you know it shouldn’t be).</p> </li> <li> <p><strong>Guilt</strong> — feeling ashamed, undeserving of good things or deserving of bad things.</p> </li> <li> <p><strong>Anxiety</strong> — worrying about what has or might happen or having disturbing intrusive thoughts.</p> </li> <li> <p><strong>Exhaustion</strong> — sleeping more than usual, having difficulty getting out of bed or lacking energy during the day.</p> </li> <li> <p><a href="https://doi.org/10.1016/S2215-0366(20)30136-X"><strong>Insomnia</strong></a> — having difficulty falling or staying asleep.</p> </li> </ul> <p>Both poor mental health and mental illness are equally good reasons to seek therapy.</p> <p>Ask yourself: Am I having trouble dealing with life challenges?</p> <p>If the answer is yes, therapy might be for you.</p> <p>People often cope with the feelings listed above in different ways. <a href="https://www.nami.org/wp-content/uploads/2023/11/NAMI-Warning-Signs-FINAL.pdf">Some gain or lose a lot of weight</a>. Others might seek out or do things that are unhealthy for them, like entering a toxic relationship, engaging in dangerous activities, developing an unhealthy habit or procrastinating. Others might isolate themselves from friends and family, or catastrophize and <a href="https://pubmed.ncbi.nlm.nih.gov/22468242">ruminate on negative experiences</a>.</p> <p>However it manifests, <a href="https://namica.org/what-is-mental-illness/">mental illness often gets worse if left untreated</a>. It can have very real impacts on your life, potentially leading to unemployment, broken relationships, poor physical health, substance abuse, homelessness, incarceration or even suicide.</p> <p>Ask yourself: Is mental illness negatively affecting my functioning or well-being?</p> <p>If the answer is yes, therapy might be for you.</p> <h2>What if therapy didn’t work before?</h2> <p>Many people put off going to therapy because they don’t think their problems are serious enough, but you don’t need a big, deep reason to start therapy.</p> <p>Some people go to therapy to learn more about themselves. Some, to improve their skills, relationships or productivity. Others go for help reaching their goals or because they aren’t happy and don’t know why. Any of these are good reasons to start therapy, even if they don’t seem like “problems” in a traditional sense. You can go to therapy just because there’s something about yourself or your life you’d like to explore.</p> <p>Therapy is a process. Whether psychotherapy works for you depends on many factors, such as time, effort and your psychologist.</p> <p>There’s no quick fix for mental health. Symptoms can take weeks, months or even years to improve. Although this can be frustrating or disheartening, for therapy to work, you have to give it time.</p> <p>Sometimes people go to therapy, but are skeptical or resistant. Therapy won’t work if you aren’t invested in it. For therapy to work, you have to put in the work.</p> <p>Therapy is a vulnerable process, so finding a psychologist you trust and relate well with is crucial. Psychologists also have different specialities and approaches. For therapy to work, you have to find the right therapist for you.</p> <h2>What if I’m not ready?</h2> <p>There are several reasons why now might not be the right time for you to start therapy. Maybe therapy isn’t in the budget. Maybe you have other priorities. Maybe you’re scared to relive trauma. That’s okay. Therapy can be expensive and difficult, but also rewarding. Just because now isn’t a good time, doesn’t mean there will never be a good time.</p> <p>If you don’t want to start therapy, don’t. However, it can be helpful to determine why you don’t want to.</p> <p>Maybe you don’t want to go to therapy because you’re worried what others might think. If so, remember that people are often <a href="https://www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics">more understanding</a> than we anticipate, and there is nothing wrong with investing in your health or happiness.</p> <p>If you’re struggling with your mental health, know that you’re not alone. Mental health issues are common. Having them or attending therapy does not mean there is something “wrong” with you.</p> <p>Mental illness affects <a href="https://www.who.int/news-room/fact-sheets/detail/mental-disorders">970 million people</a> and is the leading cause of disability worldwide. <a href="https://www.camh.ca/en/driving-change/the-crisis-is-real/mental-health-statistics">One in five</a> <a href="https://www.nami.org/about-mental-illness/mental-health-by-the-numbers/">adults</a> and more than <a href="https://doi.org/10.1001/jamapsychiatry.2023.5051">one in 10 children and youths</a> have mental illness. About <a href="https://health-infobase.canada.ca/datalab/mental-illness-blog.html">15 per cent of Canadians</a> use mental health services each year.</p> <p>Don’t let stigma keep you from bettering your life and well-being. Everyone deserves to live a healthy, fulfilling life. Therapy can help you get there.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/234078/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/simon-sherry-557487"><em>Simon Sherry</em></a><em>, Clinical Psychologist and Professor in the Department of Psychology and Neuroscience, <a href="https://theconversation.com/institutions/dalhousie-university-1329">Dalhousie University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-to-know-when-its-time-to-start-therapy-234078">original article</a>.</em></p>

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4 things ancient Greeks and Romans got right about mental health

<p><em><a href="https://theconversation.com/profiles/konstantine-panegyres-1528527">Konstantine Panegyres</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>According to the World Health Organization, about <a href="https://www.who.int/news-room/fact-sheets/detail/depression">280 million people</a> worldwide have depression and about <a href="https://www.who.int/health-topics/mental-health#tab=tab_2">one billion</a> have a mental health problem of any kind.</p> <p>People living in the ancient world also had mental health problems. So, how did they deal with them?</p> <p>As we’ll see, some of their insights about mental health are still relevant today, even though we might question some of their methods.</p> <h2>1. Our mental state is important</h2> <p>Mental health problems such as depression were familiar to people in the ancient world. Homer, the poet famous for the Iliad and Odyssey who lived around the eighth century BC, apparently <a href="https://www.loebclassics.com/view/LCL496/2003/volume.xml">died</a> after wasting away from depression.</p> <p>Already in the late fifth century BC, ancient Greek doctors recognised that our health partly depends on the state of our thoughts.</p> <p>In the Epidemics, a medical text written in around 400BC, an anonymous doctor <a href="https://www.loebclassics.com/view/LCL477/1994/volume.xml">wrote</a> that our habits about our thinking (as well as our lifestyle, clothing and housing, physical activity and sex) are the main determinants of our health.</p> <h2>2. Mental health problems can make us ill</h2> <p>Also writing in the Epidemics, an anonymous doctor <a href="https://www.loebclassics.com/view/LCL477/1994/volume.xml">described</a> one of his patients, Parmeniscus, whose mental state became so bad he grew delirious, and eventually could not speak. He stayed in bed for 14 days before he was cured. We’re not told how.</p> <p>Later, the famous doctor <a href="https://www.britannica.com/biography/Galen">Galen of Pergamum</a> (129-216AD) <a href="https://dfg-viewer.de/show?tx_dlf%5Bdouble%5D=0&amp;tx_dlf%5Bid%5D=http%3A%2F%2Fcmg.bbaw.de%2Fepubl%2Fonline%2Fmets%2Fsuppl_or_05_03.xml&amp;tx_dlf%5Bpage%5D=1390&amp;cHash=a0a715a587fa4e89a8839ccb310b0734">observed</a> that people often become sick because of a bad mental state:</p> <blockquote> <p>It may be that under certain circumstances ‘thinking’ is one of the causes that bring about health or disease because people who get angry about everything and become confused, distressed and frightened for the slightest reason often fall ill for this reason and have a hard time getting over these illnesses.</p> </blockquote> <p>Galen also described some of his patients who suffered with their mental health, including some who became seriously ill and died. <a href="https://dfg-viewer.de/show?tx_dlf%5Bdouble%5D=0&amp;tx_dlf%5Bid%5D=http%3A%2F%2Fcmg.bbaw.de%2Fepubl%2Fonline%2Fmets%2Fsuppl_or_05_03.xml&amp;tx_dlf%5Bpage%5D=1392&amp;cHash=c93bf32c31975103b100e918bee893d9">One man</a> had lost money:</p> <blockquote> <p>He developed a fever that stayed with him for a long time. In his sleep he scolded himself for his loss, regretted it and was agitated until he woke up. While he was awake he continued to waste away from grief. He then became delirious and developed brain fever. He finally fell into a delirium that was obvious from what he said, and he remained in this state until he died.</p> </blockquote> <h2>3. Mental illness can be prevented and treated</h2> <p>In the ancient world, people had many different ways to prevent or treat mental illness.</p> <p>The philosopher Aristippus, who lived in the fifth century BC, used to advise people <a href="https://www.loebclassics.com/view/LCL486/1997/volume.xml">to focus on the present</a> to avoid mental disturbance:</p> <blockquote> <p>concentrate one’s mind on the day, and indeed on that part of the day in which one is acting or thinking. Only the present belongs to us, not the past nor what is anticipated. The former has ceased to exist, and it is uncertain if the latter will exist.</p> </blockquote> <p>The philosopher Clinias, who lived in the fourth century BC, <a href="https://www.loebclassics.com/view/LCL486/1997/volume.xml">said</a> that whenever he realised he was becoming angry, he would go and play music on his lyre to calm himself.</p> <p>Doctors had their own approaches to dealing with mental health problems. Many <a href="https://books.google.com.au/books?id=KPHaAAAAMAAJ&amp;q=caelius+aurelianus+drabkin+on+acute+diseases&amp;dq=caelius+aurelianus+drabkin+on+acute+diseases&amp;hl=en&amp;newbks=1&amp;newbks_redir=0&amp;sa=X&amp;ved=2ahUKEwjpqszXwuSGAxUjamwGHS1yCuoQ6AF6BAgHEAI">recommended</a> patients change their lifestyles to adjust their mental states. They advised people to take up a new regime of exercise, adopt a different diet, go travelling by sea, listen to the lectures of philosophers, play games (such as draughts/checkers), and do mental exercises equivalent to the modern crossword or sudoku.</p> <p>For instance, the physician Caelius Aurelianus (fifth century AD) <a href="https://books.google.com.au/books?id=KPHaAAAAMAAJ&amp;q=caelius+aurelianus+drabkin+on+acute+diseases&amp;dq=caelius+aurelianus+drabkin+on+acute+diseases&amp;hl=en&amp;newbks=1&amp;newbks_redir=0&amp;sa=X&amp;ved=2ahUKEwjpqszXwuSGAxUjamwGHS1yCuoQ6AF6BAgHEAI">thought</a> patients suffering from insanity could benefit from a varied diet including fruit and mild wine.</p> <p>Doctors also advised people to take plant-based medications. For example, the herb <a href="https://www.psychiatriki-journal.gr/documents/psychiatry/30.1-EN-2019-58.pdf">hellebore</a> was given to people suffering from paranoia. However, ancient doctors recognised that hellebore could be dangerous as it sometimes induced toxic spasms, killing patients.</p> <p>Other doctors, such as Galen, had a slightly different view. He believed mental problems were caused by some idea that had taken hold of the mind. He believed mental problems could be cured if this idea was removed from the mind and <a href="https://dfg-viewer.de/show?tx_dlf%5Bdouble%5D=0&amp;tx_dlf%5Bid%5D=http%3A%2F%2Fcmg.bbaw.de%2Fepubl%2Fonline%2Fmets%2Fsuppl_or_05_03.xml&amp;tx_dlf%5Bpage%5D=1396&amp;cHash=1697e4b73dd653092cd8398749f1989f">wrote</a>:</p> <blockquote> <p>a person whose illness is caused by thinking is only cured by taking care of the false idea that has taken over his mind, not by foods, drinks, [clothing, housing], baths, walking and other such (measures).</p> </blockquote> <p>Galen <a href="https://dfg-viewer.de/show?id=9&amp;tx_dlf%5Bid%5D=http%3A%2F%2Fcmg.bbaw.de%2Fepubl%2Fonline%2Fmets%2Fsuppl_or_05_03.xml&amp;tx_dlf%5Bpage%5D=1418">thought</a> it was best to deflect his patients’ thoughts away from these false ideas by putting new ideas and emotions in their minds:</p> <blockquote> <p>I put fear of losing money, political intrigue, drinking poison or other such things in the hearts of others to deflect their thoughts to these things […] In others one should arouse indignation about an injustice, love of rivalry, and the desire to beat others depending on each person’s interest.</p> </blockquote> <h2>4. Addressing mental health needs effort</h2> <p>Generally speaking, the ancients believed keeping our mental state healthy required effort. If we were anxious or angry or despondent, then we needed to do something that brought us the opposite of those emotions.</p> <p>This can be achieved, they thought, by doing some activity that directly countered the emotions we are experiencing.</p> <p>For example, Caelius Aurelianus <a href="https://books.google.com.au/books?id=KPHaAAAAMAAJ&amp;q=caelius+aurelianus+drabkin+on+acute+diseases&amp;dq=caelius+aurelianus+drabkin+on+acute+diseases&amp;hl=en&amp;newbks=1&amp;newbks_redir=0&amp;sa=X&amp;ved=2ahUKEwjpqszXwuSGAxUjamwGHS1yCuoQ6AF6BAgHEAI">said</a> people suffering from depression should do activities that caused them to laugh and be happy, such as going to see a comedy at the theatre.</p> <p>However, the ancients did not believe any single activity was enough to make our mental state become healthy. The important thing was to make a wholesale change to one’s way of living and thinking.</p> <p>When it comes to experiencing mental health problems, we clearly have a lot in common with our ancient ancestors. Much of what they said seems as relevant now as it did 2,000 years ago, even if we use different methods and medicines today.</p> <hr /> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232824/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/konstantine-panegyres-1528527">Konstantine Panegyres</a>, McKenzie Postdoctoral Fellow, researching Greco-Roman antiquity, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/4-things-ancient-greeks-and-romans-got-right-about-mental-health-232824">original article</a>.</em></p>

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Knitting helps Tom Daley switch off. Its mental health benefits are not just for Olympians

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/michelle-oshea-457947">Michelle O'Shea</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a> and <a href="https://theconversation.com/profiles/gabrielle-weidemann-91497">Gabrielle Weidemann</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Olympian Tom Daley is the <a href="https://www.teamgb.com/athlete/tom-daley/3y6lj3NwM4u2dORkh8DkXo#:%7E:text=Tom%20Daley's%20medals&amp;text=Tom%20Daley%20was%20the%20first,Paris%20with%20a%20first%20silver.">most decorated diver</a> in Britain’s history. He is also an avid knitter. At the Paris 2024 Olympics Daley added a fifth medal to his collection – and caught the world’s attention knitting a bright blue “Paris 24” jumper while travelling to the games and in the stands.</p> <p>At the Tokyo Olympics, where Daley was first <a href="https://www.theguardian.com/sport/2021/jul/27/tom-daley-knits-a-tea-cosy-holder-to-keep-his-gold-medal-safe-from-scratches">spotted knitting</a>, he <a href="https://www.npr.org/2024/07/29/nx-s1-5055677/tom-daley-olympics-2024-diving-knitting">explained</a> its positive impact on his mental health.</p> <blockquote> <p>It just turned into my mindfulness, my meditation, my calm and my way to escape the stresses of everyday life and, in particular, going to an Olympics.</p> </blockquote> <p>The <a href="https://www.tandfonline.com/doi/pdf/10.1080/01612840.2024.2364228">mental health benefits of knitting</a> are well established. So why is someone famous like Daley knitting in public still so surprising?</p> <h2>Knitting is gendered</h2> <p>Knitting is usually associated with women – <a href="https://www.tandfonline.com/doi/pdf/10.1080/02614367.2019.1579852">especially older women</a> – as a hobby done at home. In a <a href="https://journals.sagepub.com/doi/abs/10.4276/030802213X13603244419077?casa_token=Y-MLTtrt_o4AAAAA:7c1Y6DSAd0XH19q0N-FBqqws68JFpgXYx5DACMMw24D3AuoqLkh0VVKMh7M6GNchmQpWSj1KR9tzCFw">large international survey</a> of knitting, 99% of respondents identified as female.</p> <p>But the history of yarn crafts and gender is more tangled. In Europe in the middle ages, <a href="https://www2.cs.arizona.edu/patterns/weaving/articles/nb82_knt.pdf">knitting guilds were exclusive</a> and reserved for men. They were part of a respected Europe-wide trade addressing a demand for knitted products that could not be satisfied by domestic workers alone.</p> <p>The <a href="https://www2.cs.arizona.edu/patterns/weaving/articles/nb82_knt.pdf">industrial revolution</a> made the production of clothed goods cheaper and faster than hand-knitting. Knitting and other needle crafts became a leisure activity for women, done in the private sphere of the home.</p> <p>World Wars I and II turned the spotlight back on knitting as a “<a href="https://theconversation.com/one-million-pairs-of-socks-knitting-for-victory-in-the-first-world-war-30149">patriotic duty</a>”, but it was still largely taken up by women.</p> <p>During COVID lockdowns, knitting saw another <a href="https://www.nytimes.com/2020/11/02/well/family/pandemic-knitting-election-stress.html">resurgence</a>. But knitting still most often makes headlines when men – especially famous men like Daley or actor <a href="https://www.vanityfair.com/hollywood/2013/01/ryan-gosling-hobby-knitting-interview">Ryan Gosling</a> – do it.</p> <p>Men who knit are often seen as <a href="https://www.abc.net.au/news/2019-09-17/men-who-unpick-knitting-stereoptype/11516016">subverting</a> the stereotype it’s an activity for older women.</p> <h2>Knitting the stress away</h2> <p>Knitting can produce a sense of pride and <a href="https://www.tandfonline.com/doi/full/10.1080/01612840.2024.2364228">accomplishment</a>. But for an elite sportsperson like Daley – whose accomplishments already include four gold medals and one silver – its benefits lie elsewhere.</p> <p>Olympics-level sport relies on perfect scores and world records. When it comes to knitting, many of the mental health benefits are associated with the process, rather than the end result.</p> <p>Daley <a href="https://www.youtube.com/watch?v=6wwXGOki--c">says</a> knitting is the “one thing” that allows him to switch off completely, describing it as “my therapy”.</p> <figure><iframe src="https://www.youtube.com/embed/6wwXGOki--c?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The Olympian says he could</p> <blockquote> <p>knit for hours on end, honestly. There’s something that’s so satisfying to me about just having that rhythm and that little “click-clack” of the knitting needles. There is not a day that goes by where I don’t knit.</p> </blockquote> <p>Knitting can create a “flow” state through rhythmic, repetitive movements of the yarn and needle. Flow offers us a <a href="https://psycnet.apa.org/record/2017-32525-014">balance</a> between challenge, accessibility and a sense of control.</p> <p>It’s been shown to have benefits relieving stress in high-pressure jobs beyond elite sport. Among surgeons, <a href="https://pubmed.ncbi.nlm.nih.gov/37150722/">knitting has been found</a> to improve wellbeing as well as manual dexterity, crucial to their role.</p> <p>For other health professionals – including oncology nurses and mental health workers – knitting has <a href="https://www.tandfonline.com/doi/pdf/10.1080/01612840.2024.2364228">helped to</a> reduce “<a href="https://cjon.ons.org/cjon/20/1/impact-knitting-intervention-compassion-fatigue-oncology-nurses">compassion fatigue</a>” and burnout. Participants described the soothing noise of their knitting needles. They developed and strengthened team bonds through collective knitting practices.</p> <figure><iframe src="https://www.youtube.com/embed/dTTJjD_q2Ik?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">A Swiss psychiatrist says for those with trauma, knitting yarn can be like “knitting the two halves” of the brain “back together”.</span></figcaption></figure> <p><a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1062001/full">Another study</a> showed knitting in primary school may boost children’s executive function. That includes the ability to pay attention, remember relevant details and block out distractions.</p> <p>As a regular creative practice, it has also been <a href="https://www.tandfonline.com/doi/full/10.1080/01612840.2024.2364228#d1e1860">used in the treatment</a> of grief, depression and subduing intrusive thoughts, as well countering chronic pain and cognitive decline.</p> <h2>Knitting is a community</h2> <p>The <a href="https://journals.sagepub.com/doi/10.4276/030802213X13603244419077">evidence</a> for the benefits of knitting is often based on self-reporting. These studies tend to produce consistent results and involve large population samples.</p> <p>This may point to another benefit of knitting: its social aspect.</p> <p>Knitting and other yarn crafts can be done alone, and usually require simple materials. But they also provide a chance to socialise by bringing people together around a common interest, which can help <a href="https://intellectdiscover.com/content/journals/10.1386/crre.7.1.11_1">reduce loneliness</a>.</p> <p>The free needle craft database and social network Ravelry contains <a href="https://blog.ravelry.com/2022-community-stats/">more than one million</a> patterns, contributed by users. “Yarn bombing” projects aim to <a href="https://www.artsnw.com.au/the-yarn-bombing-project">engage the community</a> and beautify public places by covering objects such as benches and stop signs with wool.</p> <p>The interest in Daley’s knitting online videos have formed a community of their own.</p> <p>In them he shows the process of making the jumper, not just the finished product. That includes where he “<a href="https://www.instagram.com/tomdaley/reel/C-LRgGYtbv3/?hl=en">went wrong</a>” and had to unwind his work.</p> <p>His pride in the finished product – a little bit wonky, but “<a href="https://www.instagram.com/madewithlovebytomdaley/?hl=en">made with love</a>” – can be a refreshing antidote to the flawless achievements often on display at the Olympics.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236051/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/michelle-oshea-457947"><em>Michelle O'Shea</em></a><em>, Senior Lecturer, School of Business, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a> and <a href="https://theconversation.com/profiles/gabrielle-weidemann-91497">Gabrielle Weidemann</a>, Associate Professor in Psychological Science, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: Instagram </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/knitting-helps-tom-daley-switch-off-its-mental-health-benefits-are-not-just-for-olympians-236051">original article</a>.</em></p> </div>

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Meghan Markle opens up about past trauma

<p>Meghan Markle has opened up about her mental health struggle in a new interview. </p> <p>In a joined interview with <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">her husband Prince Harry for <em>CBS Sunday Morning</em>, </span>the Duchess of Sussex admitted that she hasn't "really scraped the surface" on her struggle, as the couple launched their new project <a href="https://archewell.org/theparentsnetwork/" target="_blank" rel="noopener">The Parents' Network</a>. </p> <p>The Parents’ Network aims to support parents who lost or almost lost their child to cyberbullying and other traumas related to social media use. </p> <p>While speaking about online bullying and its effects on young children, <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">the Duchess of Sussex spoke about her own experience and connection to the families, as she also had suicidal thoughts in 2021. </span></p> <p>“When you’ve been through any level of pain or trauma, I believe part of our healing journey — certainly part of mine — is being able to be really open about it,” she told Jane Pauley. </p> <p>"And you know, I haven't really scraped the surface on my experience. But I do think that I would never want someone else to feel that way," she continued.</p> <p>"And I would never want someone else to be making those sort of plans. And I would never want someone else to not be believed."</p> <p>"So, if me voicing what I have overcome will save someone, or encourage someone in their life to really genuinely check in on them and not assume that the appearance is good, so everything's OK, then that's worth it.</p> <p>"I'll take a hit for that."</p> <p>In a 2021 interview with Oprah Winfrey, Meghan revealed that she had suicidal ideation while pregnant with son Archie due to the pressure of life as a royal and the way the British media treated her. </p> <p>“I just didn’t want to be alive anymore,” she said at the time.</p> <p>She also recalled reaching out to palace officials and said that she did not receive any mental health help. </p> <p>The initiative, launched with the couple’s Archewell Foundation, aims to make sure that no other families go through what they did. </p> <p>“Our kids are young; they’re 3 and 5. They’re amazing,” she told Pauley. </p> <p>“But all you want to do as parents is protect them. And so, as we can see what’s happening in the online space, we know that there’s a lot of work to be done there, and we’re just happy to be able to be a part of change for good.”</p> <p><em>Images: CBS Sunday Morning</em></p>

Caring

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Is social media making you unhappy? The answer is not so simple

<p><em><a href="https://theconversation.com/profiles/melissa-humphries-584274">Melissa Humphries</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/lewis-mitchell-266859">Lewis Mitchell</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>You may have seen headlines that link social media to sadness and depression. Social media use goes up, happiness goes down. But recent studies suggest those findings might not be so straightforward.</p> <p>Although it is true that people’s feelings of envy and depression are linked to high social media use, there is evidence to suggest social media use may not be <em>causing</em> that relationship. Instead, your mindset may be the biggest thing affecting how social media connects to your wellbeing.</p> <p>People who feel they are able to use social media, rather than social media “using them”, tend to gain more benefits from their online interactions.</p> <h2>Why do people use social media?</h2> <p>Social media covers a broad range of platforms: social networking, discussion forums, bookmarking and sharing content, disseminating news, exchanging media like photos and videos, and microblogging. These appeal to a wide range of users, from individuals of all ages through to massive businesses.</p> <p>For some, social media is a way to connect with people we may not otherwise see. In the United States, 39% of people say they <a href="https://www.americansurveycenter.org/research/the-state-of-american-friendship-change-challenges-and-loss">are friends with people they only interact with online</a>.</p> <p>For older people, this is especially important for increasing feelings of connectedness and wellbeing. Interestingly though, for older people, <a href="https://www.sciencedirect.com/science/article/pii/S0747563223004545">social media contact with family does not increase happiness</a>. Meanwhile, younger adults report <em>increased</em> happiness when they have more social media contact with family members.</p> <p>Teens, in particular, find social media most useful for <a href="https://www.pewresearch.org/internet/2022/11/16/connection-creativity-and-drama-teen-life-on-social-media-in-2022/">deepening connections and building their social networks</a>.</p> <p>With social media clearly playing such an important role in society, many researchers have tried to figure out: does it make us happier or not?</p> <h2>Does social media make us happier?</h2> <p>Studies have taken a variety of approaches, including asking people directly through surveys or looking at the content people post and seeing how positive or negative it is.</p> <p>One survey study from 2023 showed that as individuals’ social media use increased, <a href="https://www.researchgate.net/publication/372582895_The_Relationship_Between_Social_Media_Addiction_Happiness_and_Life_Satisfaction_in_Adults_Analysis_with_Machine_Learning_Approach">life satisfaction and happiness decreased</a>. Another found that <a href="https://www.tandfonline.com/doi/full/10.1080/0144929X.2023.2286529">less time on social media</a> was related to increases in work satisfaction, work engagement and positive mental health – so improved mental health and motivation at work.</p> <p>Comparing yourself to others on social media is connected to feelings of envy and depression. However, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955439/">there is evidence</a> to suggest depression is the predictor, rather than the outcome, of both social comparison and envy.</p> <p>All this shows <a href="https://academic.oup.com/jcmc/article/29/1/zmad048/7612379?login=false">the way you <em>feel</em> about social media matters</a>. People who see themselves using social media rather than “being used” by it, tend to gain benefits from social media and not experience the harms.</p> <p>Interviews with young people (15–24 years) using social media suggest that positive mental health among that age group was influenced by <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933808/">three features</a>:</p> <ul> <li>connection with friends and their global community</li> <li>engagement with social media content</li> <li>the value of social media as an outlet for expression.</li> </ul> <p>There are also studies that look at the emotions expressed by more frequent social media users.</p> <p>The so-called “<a href="https://epjdatascience.springeropen.com/articles/10.1140/epjds/s13688-017-0100-1">happiness paradox</a>” shows that most people think their friends on social media appear happier than themselves. This is a <a href="https://dl.acm.org/doi/10.1145/3110025.3110027">seeming impossibility</a> that arises because of <a href="https://www.nature.com/articles/srep04603">the mathematical properties</a> of how friendship networks work on social media.</p> <p>In one of our studies, Twitter content with recorded locations showed residents of cities in the United States that <a href="https://journals.plos.org/plosone/article/figure?id=10.1371/journal.pone.0064417.g007">tweeted more tended to express less happiness</a>.</p> <p>On the other hand, in Instagram direct messages, happiness has been found to be <a href="https://journals.sagepub.com/doi/full/10.1177/20563051241229655">four times more prevalent than sadness</a>.</p> <h2>How does internet use in general affect our wellbeing?</h2> <p>Some of the factors associated with decreased mental health are not aligned with social media use alone.</p> <p><a href="https://journals.sagepub.com/doi/full/10.1177/0963721419838244">One recent study</a> shows that the path to decreased wellbeing is, at least partially, connected to digital media use overall (rather than social media use specifically). This can be due to sleep disruption, reduced face-to-face social interaction or physical activity, social comparison, and cyberbullying. None of these exist for social media alone.</p> <p>However, social media platforms are known to be driven by recommendation algorithms that may send us down “rabbit holes” of the same type of (increasingly extreme) content. This can lead to a distorted view of the world and our place in it. The important point here is to maintain a diverse and balanced information diet online.</p> <p>Interestingly, interacting on social media is not the only thing affecting our mental state. <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0090315">Rainfall influnces</a> the emotional content of social media posts of both the user experiencing rain, and parts of their extended network (even if they don’t experience rain!).</p> <p>This suggests that how we feel is influenced by the emotions in the posts we see. The good news is that happy posts are the most influential, with each happy post encouraging close to two additional happy updates from a user’s friends.</p> <p>The secret to online happiness therefore may not be to “delete your account” entirely (which, <a href="https://www.nature.com/articles/s41562-018-0510-5">as we have found</a>, may not even be effective), but to be mindful about what you consume online. And if you feel like social media is starting to use you, it might be time to change it up a bit.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232490/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/melissa-humphries-584274">Melissa Humphries</a>, Senior Lecturer, School of Computer and Mathematical Sciences, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/lewis-mitchell-266859">Lewis Mitchell</a>, Professor of Data Science, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-social-media-making-you-unhappy-the-answer-is-not-so-simple-232490">original article</a>.</em></p>

Mind

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Do you have a mental illness? Why some people answer ‘yes’, even if they haven’t been diagnosed

<p><em><a href="https://theconversation.com/profiles/jesse-tse-1429151">Jesse Tse</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nick-haslam-10182">Nick Haslam</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722"><em>The University of Melbourne</em></a></em></p> <p>Mental illnesses such as depression and anxiety disorders have become more prevalent, especially among <a href="https://www.aihw.gov.au/mental-health/overview/prevalence-and-impact-of-mental-illness#changeovertime">young people</a>. Demand for treatment is surging and prescriptions of some <a href="https://pubmed.ncbi.nlm.nih.gov/35176912/">psychiatric medications</a> have climbed.</p> <p>These upswinging prevalence trends are paralleled by rising public attention to mental illness. Mental health messages saturate traditional and social media. Organisations and governments are developing awareness, prevention and treatment initiatives with growing urgency.</p> <p>The mounting cultural focus on mental health has obvious benefits. It increases awareness, reduces stigma and promotes help-seeking.</p> <p>However, it may also have costs. Critics worry <a href="https://www.bacp.co.uk/bacp-journals/therapy-today/2023/april-2023/the-big-issue/">social media</a> sites are incubating mental illness and that ordinary unhappiness is being pathologised by the overuse of diagnostic concepts and “<a href="https://www.bustle.com/wellness/is-therapy-speak-making-us-selfish">therapy speak</a>”.</p> <p>British psychologist <a href="https://www.psych.ox.ac.uk/team/lucy-foulkes">Lucy Foulkes</a> argues the trends for rising attention and prevalence are linked. Her “<a href="https://www.sciencedirect.com/science/article/pii/S0732118X2300003X">prevalence inflation hypothesis</a>” proposes that increasing awareness of mental illness may lead some people to diagnose themselves inaccurately when they are experiencing relatively mild or transient problems.</p> <p>Foulkes’ hypothesis implies that some people develop overly broad concepts of mental illness. Our research supports this view. In a new study, <a href="https://www.sciencedirect.com/science/article/pii/S2666560324000318?via%3Dihub">we show</a> that concepts of mental illness have broadened in recent years – a phenomenon we call “<a href="https://www.tandfonline.com/doi/full/10.1080/1047840X.2016.1082418">concept creep</a>” – and that <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-023-05152-6">people differ</a> in the breadth of their concepts of mental illness.</p> <h2>Why do people self-diagnose mental illnesses?</h2> <p>In our new <a href="https://doi.org/10.1016/j.ssmmh.2024.100326">study</a>, we examined whether people with broad concepts of mental illness are, in fact, more likely to self-diagnose.</p> <p>We defined self-diagnosis as a person’s belief they have an illness, whether or not they have received the diagnosis from a professional. We assessed people as having a “broad concept of mental illness” if they judged a wide variety of experiences and behaviours to be disorders, including relatively mild conditions.</p> <p>We asked a nationally representative sample of 474 American adults if they believed they had a mental disorder and if they had received a diagnosis from a health professional. We also asked about other possible contributing factors and demographics.</p> <p>Mental illness was common in our sample: 42% reported they had a current self-diagnosed condition, a majority of whom had received it from a health professional.</p> <p>Unsurprisingly, the strongest predictor of reporting a diagnosis was experiencing relatively severe distress.</p> <p>The second most important factor after distress was having a broad concept of mental illness. When their levels of distress were the same, people with broad concepts were substantially more likely to report a current diagnosis.</p> <p>The graph below illustrates this effect. It divides the sample by levels of distress and shows the proportion of people at each level who report a current diagnosis. People with broad concepts of mental illness (the highest quarter of the sample) are represented by the dark blue line. People with narrow concepts of mental illness (the lowest quarter of the sample) are represented by the light blue line. People with broad concepts were much more likely to report having a mental illness, especially when their distress was relatively high.</p> <p>People with greater mental health literacy and less stigmatising attitudes were also more likely to report a diagnosis.</p> <p>Two interesting further findings emerged from our study. People who self-diagnosed but had not received a professional diagnosis tended to have broader illness concepts than those who had.</p> <p>In addition, younger and politically progressive people were more likely to report a diagnosis, consistent with some <a href="https://www.sciencedirect.com/science/article/pii/S2666560321000438">previous research</a>, and held broader concepts of mental illness. Their tendency to hold these more expansive concepts partially explained their higher rates of diagnosis.</p> <h2>Why does it matter?</h2> <p>Our findings support the idea that expansive concepts of mental illness promote self-diagnosis and may thereby increase the apparent prevalence of mental ill health. People who have a lower threshold for defining distress as a disorder are more likely to identify themselves as having a mental illness.</p> <p>Our findings do not directly show that people with broad concepts over-diagnose or those with narrow concepts under-diagnose. Nor do they prove that having broad concepts <em>causes</em> self-diagnosis or results in <em>actual</em> increases in mental illness. Nevertheless, the findings raise important concerns.</p> <p>First, they suggest that rising mental health awareness may <a href="https://www.newscientist.com/article/mg25934573-900-why-being-more-open-about-mental-health-could-be-making-us-feel-worse/">come at a cost</a>. In addition to boosting mental health literacy it may increase the likelihood of people incorrectly identifying their problems as pathologies.</p> <p>Inappropriate self-diagnosis can have adverse effects. Diagnostic labels may become identity-defining and self-limiting, as people come to believe their problems are enduring, <a href="https://www.sciencedirect.com/science/article/abs/pii/S0165032724002489?via%3Dihub">hard-to-control</a> aspects of who they are.</p> <p>Second, unwarranted self-diagnosis may lead people experiencing relatively mild levels of distress to seek help that is unnecessary, inappropriate and ineffective. Recent <a href="https://pubmed.ncbi.nlm.nih.gov/37844607/">Australian research</a> found people with relatively mild distress who received psychotherapy worsened more often than they improved.</p> <p>Third, these effects may be particularly problematic for young people. They are most liable to hold broad concepts of mental illness, in part due to <a href="https://www.sciencedirect.com/science/article/pii/S0010440X22000682?via%3Dihub">social media</a> <a href="https://www.tandfonline.com/doi/full/10.1080/10810730.2023.2235563">consumption</a>, and they experience mental ill health at relatively high and rising rates. Whether expansive concepts of illness play a role in the youth mental health crisis remains to be seen.</p> <p>Ongoing cultural shifts are fostering increasingly expansive definitions of mental illness. These shifts are likely to have mixed blessings. By normalising mental illness they may help to remove its stigma. However, by pathologising some forms of everyday distress, they may have an unintended downside.</p> <p>As we wrestle with the mental health crisis, it is crucial we find ways to increase awareness of mental ill health without inadvertently inflating it.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/231687/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/jesse-tse-1429151">Jesse Tse</a>, PhD Candidate at Melbourne School of Psychological Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nick-haslam-10182">Nick Haslam</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-you-have-a-mental-illness-why-some-people-answer-yes-even-if-they-havent-been-diagnosed-231687">original article</a>.</em></p>

Mind

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5 reasons art therapy is great for your mental health as you age

<p><span style="background: white;">We know how important it is to look after our<strong> </strong></span><a style="color: blue;" href="https://www.betterhealth.vic.gov.au/health/servicesandsupport/healthy-and-active-ageing"><strong><span style="color: black; background: white; text-decoration-line: none;">physical health</span></strong></a><span style="background: white;"> as we age, but our mental health is equally important. </span><a style="color: blue;" href="https://aifs.gov.au/resources/short-articles/normalising-mental-illness-older-adults-barrier-care"><strong><span style="color: black; background: white; text-decoration-line: none;">Studies have shown</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">that besides the immediate impact on wellbeing, older people with untreated mental ill health are at risk of poorer overall health, increased hospital admissions, and an earlier transition into aged care.</span></p> <p><span style="background: white;">Art therapy is an excellent way to boost our mental wellbeing. In a nutshell, this type of therapy is when visual art, such as drawing, sculpting, or collage, is used in a<strong> </strong></span><a style="color: blue;" href="https://www.rtor.org/2018/07/10/benefits-of-art-therapy/"><strong><span style="color: black; background: white; text-decoration-line: none;">therapeutic context</span></strong></a><span style="background: white;">. And don’t be put off if you haven’t picked up a paintbrush since you were a kid. Art therapy is not about creating works of beauty but about the process. It’s a completely </span><a style="color: blue;" href="https://cata.org.au/faqs-myth-busters/#:~:text=The%20focus%20of%20Creative%20Art,%2C%20growth%20and%20self%2Dawareness.&amp;text=Reality%3A%20Creative%20Art%20Therapy%20does,to%20affect%20change%20and%20growth."><strong><span style="color: black; background: white; text-decoration-line: none;">judgement free zone</span></strong></a><strong><span style="background: white;">!</span></strong></p> <p><strong><span style="background: white;">Emotional release:</span></strong></p> <p><span style="background: white;">Growing up, many of us were never taught that it was okay to express how we’re feeling, especially emotions like anger and sadness. In that way, art therapy can be ideal us older folks who often feel stuck when it comes to expressing ourselves. Art therapy provides the opportunity to express our<strong> </strong></span><a style="color: blue;" href="https://creativityintherapy.com/2017/06/expressing-emotions-creativity-6-step-art-process/"><strong><span style="color: black; background: white; text-decoration-line: none;">inner experiences</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">in a visual way. Through the act of creation, we can release pent-up feelings, reduce stress, and experience emotional release.</span></p> <p><span style="background: white;">Another challenging emotion that art therapy can help with is grief. As we age, we are more likely to experience the<strong> </strong></span><a style="color: blue;" href="https://www.nari.net.au/the-impact-of-prolonged-grief-in-older-people"><strong><span style="color: black; background: white; text-decoration-line: none;">loss of a loved one</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">and we don’t get ‘used to it’. The hole it leaves in our hearts is just as dark. Through<strong> </strong></span><a style="color: blue;" href="https://www.vivianpaans.com.au/blog/healing-through-art-how-art-therapy-can-help-with-grief-and-wellbeing"><strong><span style="color: black; background: white; text-decoration-line: none;">creating art</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">we can explore the feelings of grief and sadness in a safe, judgement-free space. It can also foster a sense of self-compassion and when we have more compassion for ourselves, it becomes easier to accept our emotions.</span></p> <p><strong><span style="background: white;">Stress relief:</span></strong></p> <p><a style="color: blue;" href="https://www.sane.org/information-and-resources/facts-and-guides/facts-mental-health-issues"><strong><span style="color: black; background: white; text-decoration-line: none;">Anxiety, depression, and past traumas</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">can heavily impact on our daily lives. Risk factors over our lifespans may change but they don’t magically disappear once we hit a certain age. Illness, grief, financial stress, social isolation, and life transitions such as menopause can all be </span><a style="color: blue;" href="https://www.healthdirect.gov.au/older-people-and-mental-health"><strong><span style="color: black; background: white; text-decoration-line: none;">contributing factors</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">of poor mental health for older adults. Creating art can ease symptoms as we refocus on what we’re creating and move thoughts away from overthinking and worry.<strong> </strong>Creating art releases </span><a style="color: blue;" href="https://www.rtor.org/2018/07/10/benefits-of-art-therapy/"><strong><span style="color: black; background: white; text-decoration-line: none;">dopamine</span></strong><span style="color: black; background: white; text-decoration-line: none;">,</span></a><span style="background: white;"> the chemical responsible for allowing us to feel pleasure and satisfaction. This further reduces bothersome symptoms of anxiety and depression.</span></p> <p><span style="background: white;">Also, participating in art therapy leads to a more creative brain. A creative brain is better equipped to create stress-relieving techniques for other areas of our lives. Through creating art, we draw the fears that are inside our minds. This takes them out of our heads and places them away from us, helping us feel more in control.</span></p> <p><span style="background: white;">Recovering from<strong> </strong></span><a style="color: blue;" href="https://www.interrelate.org.au/news-media/blogs/november-2021/how-art-can-heal-trauma"><strong><span style="color: black; background: white; text-decoration-line: none;">trauma</span></strong></a><strong><span style="background: white;"> c</span></strong><span style="background: white;">an be a lifelong process for many, and it’s important for someone dealing with it to find tools that will help this process. Art therapy can be one of those as it can give a sense of agency and self-understanding through the ability to express feelings symbolically. This can give </span><a style="color: blue;" href="https://anzacata.org/About-CAT"><strong><span style="color: black; background: white; text-decoration-line: none;">new perspectives</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">of ourselves and our worldview which is essential in the recovery process. It can also help connect with deeply stored emotions and help process them.</span></p> <p><strong><span style="background: white;">Self-discovery:</span></strong></p> <p><span style="background: white;">When we are younger we are often so busy working, socialising, and raising a family many of us never get a chance to take the time out for<strong> </strong></span><a style="color: blue;" href="https://www.visionpsychology.com/starting-the-process-of-self-discovery/"><strong><span style="color: black; background: white; text-decoration-line: none;">self-discovery</span></strong></a><span style="background: white;">. Self-discovery is important in our lives as it gives us a clearer sense of purpose and direction in life. In turn, this leads to making better decisions that lead to our overall happiness.</span></p> <p><span style="background: white;">Some of us see our kids leave home and suddenly we’re left wondering, who am I when I don’t have a family to care for? Creating art can help us acknowledge and recognise feelings that have been suppressed in our subconscious. Through learning to use different techniques of art our minds open up to thinking more freely. Self-discovery comes from both the finished product we create as well as the process of making it.</span></p> <p><strong><span style="background: white;">Self-esteem:</span></strong></p> <p><span style="background: white;">As we age, it’s easy to look in the mirror and struggle to recognise the person we see. Our bodies are changing, and it can often feel like society doesn’t value us as much as when we were young. It can be a major shift in the way we view ourselves and lead to poor self-esteem. Art therapy teaches us how to use a variety of media to create something new. We can develop talents and see strengths as we master new materials and see the completion of projects. This sense of accomplishment can be a big leg up to our<strong> </strong></span><a style="color: blue;" href="https://artbusinessnews.com/2022/01/benefits-of-art-therapy/"><strong><span style="color: black; background: white; text-decoration-line: none;">self-esteem.</span></strong></a></p> <p><strong><span style="background: white;">A sense of community:</span></strong></p> <p><a style="color: blue;" href="https://likefamily.com.au/blog/what-is-loneliness-and-how-does-it-affect-someone/"><strong><span style="color: black; background: white; text-decoration-line: none;">Loneliness</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">is a big contributor to poor mental health.<strong> </strong></span><a style="color: blue;" href="https://www.psychiatrist.com/news/study-why-older-people-feel-so-lonely/"><strong><span style="color: black; background: white; text-decoration-line: none;">Studies</span></strong></a><strong><span style="background: white;"> </span></strong><span style="background: white;">show two groups of people are most at risk: young adults and older people. With factors at our age such as children leaving home, not working as much or at all, living alone, and chronic illness, it’s easy to see how loneliness can creep into our lives. Group art therapy is a wonderful way to connect with others. We share a space with those who have similar interests, and it gives us a sense of belonging. For those who can't make a session in person due to distance or illness, some therapists offer </span><a style="color: blue;" href="https://www.artandplaytherapytraining.com.au/art_therapy"><strong><span style="color: black; background: white; text-decoration-line: none;">online group art therapy</span></strong></a><strong><span style="background: white;">.</span></strong></p> <p><span style="background: white;">You don’t need to see an art therapist to get the mental health benefits of creating art. But the advantage of that is they have the skills to work out what best suits your needs. They’ll also work with you through any tough emotions that may arise from your art therapy.</span></p> <p><span style="background: white;">So maybe it’s time to hide those new coloured pencils from the little ones, crack them open, and enjoy them yourself!</span></p> <p><span style="background: white;">If you’d like to find out more about art therapy sessions, the links below are helpful. They offer online, in person and group sessions.</span></p> <p><a style="color: blue;" href="https://www.zevaarttherapy.com/" target="_blank" rel="noopener"><span style="background: white; text-decoration-line: none;">https://www.zevaarttherapy.com/</span></a></p> <p><a style="color: blue;" href="https://www.alliedarttherapy.com.au/" target="_blank" rel="noopener"><span style="background: white; text-decoration-line: none;">https://www.alliedarttherapy.com.au/</span></a></p> <p><a style="color: blue;" href="https://www.solacecreativetherapies.com.au/" target="_blank" rel="noopener"><span style="background: white; text-decoration-line: none;">https://www.solacecreativetherapies.com.au/</span></a><span style="background: white;"> </span></p> <p><a style="color: blue;" href="https://cata.org.au/programs-ndis/online-creative-art-therapy/" target="_blank" rel="noopener"><span style="background: white; text-decoration-line: none;">https://cata.org.au/programs-ndis/online-creative-art-therapy/</span></a><span style="background: white;"> </span></p> <p><span style="background: white;">And for some more ideas on dabbling in art therapy on your own (or with a friend), check out Shelley Klammer’s amazing resources. She is US-based but has some online workshops that are also amazing:</span></p> <p><a style="color: blue;" href="https://www.expressiveartworkshops.com/expressive-art-resources/100-art-therapy-exercises/" target="_blank" rel="noopener"><span style="background: white; text-decoration-line: none;">https://www.expressiveartworkshops.com/expressive-art-resources/100-art-therapy-exercises/</span></a></p> <p><em>Article written by Kylie Carberry</em></p> <p><em>Image: Shutterstock</em></p>

Mind

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To tackle gendered violence, we also need to look at drugs, trauma and mental health

<p><em><a href="https://theconversation.com/profiles/siobhan-odean-1356613">Siobhan O'Dean</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/lucinda-grummitt-1531503">Lucinda Grummitt</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/steph-kershaw-1466426">Steph Kershaw</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>After several highly publicised alleged murders of women in Australia, the Albanese government this week pledged <a href="https://ministers.pmc.gov.au/gallagher/2024/helping-women-leave-violent-partner-payment">more than A$925 million</a> over five years to address men’s violence towards women. This includes up to $5,000 to support those escaping violent relationships.</p> <p>However, to reduce and prevent gender-based and intimate partner violence we also need to address the root causes and contributors. These include alcohol and other drugs, trauma and mental health issues.</p> <h2>Why is this crucial?</h2> <p>The World Health Organization estimates <a href="https://iris.who.int/bitstream/handle/10665/341604/WHO-SRH-21.6-eng.pdf?sequence=1">30% of women</a> globally have experienced intimate partner violence, gender-based violence or both. In Australia, <a href="https://www.abs.gov.au/statistics/people/crime-and-justice/partner-violence/latest-release#key-statistics">27% of women</a> have experienced intimate partner violence by a co-habiting partner; <a href="https://pubmed.ncbi.nlm.nih.gov/37004184/">almost 40%</a> of Australian children are exposed to domestic violence.</p> <p>By gender-based violence we mean violence or intentionally harmful behaviour directed at someone due to their gender. But intimate partner violence specifically refers to violence and abuse occurring between current (or former) romantic partners. Domestic violence can extend beyond intimate partners, to include other family members.</p> <p>These statistics highlight the urgent need to address not just the aftermath of such violence, but also its roots, including the experiences and behaviours of perpetrators.</p> <h2>What’s the link with mental health, trauma and drugs?</h2> <p>The relationships between mental illness, drug use, traumatic experiences and violence are complex.</p> <p>When we look specifically at the link between mental illness and violence, most people with mental illness will not become violent. But there <a href="https://theconversation.com/bondi-attacker-had-mental-health-issues-but-most-people-with-mental-illness-arent-violent-227868">is evidence</a> people with serious mental illness can be more likely to become violent.</p> <p>The use of alcohol and other drugs also <a href="https://theconversation.com/alcohol-and-drug-use-exacerbate-family-violence-and-can-be-dealt-with-69986">increases the risk</a> of domestic violence, including intimate partner violence.</p> <p>About <a href="https://www.aihw.gov.au/family-domestic-and-sexual-violence/understanding-fdsv/factors-associated-with-fdsv">one in three</a> intimate partner violence incidents involve alcohol. These are more likely to result in physical injury and hospitalisation. The risk of perpetrating violence is even higher for people with mental ill health who are also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525086/">using alcohol or other drugs</a>.</p> <p>It’s also important to consider traumatic experiences. Most people who experience trauma do not commit violent acts, but there are <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00075-0/fulltext">high rates</a> of trauma among people who become violent.</p> <p>For example, experiences of childhood trauma (such as witnessing physical abuse) <a href="https://www.sciencedirect.com/science/article/pii/S1359178915000828?via%3Dihub">can increase the risk</a> of perpetrating domestic violence as an adult.</p> <p>Early traumatic experiences can affect the brain and body’s <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0895-4">stress response</a>, leading to heightened fear and perception of threat, and difficulty regulating emotions. This can result in aggressive responses when faced with conflict or stress.</p> <p>This response to stress increases the risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675346/">alcohol and drug problems</a>, developing <a href="https://pubmed.ncbi.nlm.nih.gov/30798897/">PTSD</a> (post-traumatic stress disorder), and <a href="https://psycnet.apa.org/record/2015-17349-001">increases the risk</a> of perpetrating intimate partner violence.</p> <h2>How can we address these overlapping issues?</h2> <p>We can reduce intimate partner violence by addressing these overlapping issues and tackling the root causes and contributors.</p> <p>The early intervention and treatment of <a href="https://doi.org/10.1186/s12905-019-0728-z">mental illness</a>, <a href="https://doi.org/10.1177/1541204020939645">trauma</a> (including PTSD), and <a href="https://doi.org/10.1016/j.avb.2015.06.001">alcohol and other drug use</a>, could help reduce violence. So extra investment for these are needed. We also need more investment to <a href="https://www.sciencedirect.com/science/article/pii/S2212657023000508">prevent mental health issues</a>, and preventing alcohol and drug use disorders from developing in the first place.</p> <p><a href="https://www.sciencedirect.com/science/article/pii/S074937972200023X?via%3Dihub">Preventing trauma</a> from occuring and supporting those exposed is crucial to end what can often become a vicious cycle of intergenerational trauma and violence. <a href="https://journals.sagepub.com/doi/10.1177/070674371105600505">Safe and supportive</a> environments and relationships can protect children against mental health problems or further violence as they grow up and engage in their own intimate relationships.</p> <p>We also need to acknowledge the widespread <a href="https://store.samhsa.gov/product/practical-guide-implementing-trauma-informed-approach/pep23-06-05-005">impact of trauma</a> and its effects on mental health, drug use and violence. This needs to be integrated into policies and practices to reduce re-traumatising individuals.</p> <h2>How about programs for perpetrators?</h2> <p>Most existing standard intervention programs for perpetrators <a href="https://journals.sagepub.com/doi/10.1177/1524838018791268">do not consider</a> the links between trauma, mental health and perpetrating intimate partner violence. Such programs tend to have <a href="https://psycnet.apa.org/doi/10.1037/a0012718">little</a> or <a href="https://doi.org/10.1016/j.cpr.2021.101974">mixed effects</a> on the behaviour of perpetrators.</p> <p>But we could improve these programs with a <a href="http://rcfv.archive.royalcommission.vic.gov.au/MediaLibraries/RCFamilyViolence/Reports/RCFV_Full_Report_Interactive.pdf">coordinated approach</a> including treating mental illness, drug use and trauma at the same time.</p> <p>Such “<a href="https://www.sciencedirect.com/science/article/pii/S014976341930449X?via%3Dihub">multicomponent</a>” programs show promise in meaningfully reducing violent behaviour. However, we need more rigorous and large-scale evaluations of how well they work.</p> <h2>What needs to happen next?</h2> <p>Supporting victim-survivors and improving interventions for perpetrators are both needed. However, intervening once violence has occurred is arguably too late.</p> <p>We need to direct our efforts towards broader, holistic approaches to prevent and reduce intimate partner violence, including addressing the underlying contributors to violence we’ve outlined.</p> <p>We also need to look more widely at preventing intimate partner violence and gendered violence.</p> <p>We need developmentally appropriate <a href="https://theconversation.com/4-things-our-schools-should-do-now-to-help-prevent-gender-based-violence-228993">education and skills-based programs</a> for adolescents to prevent the emergence of unhealthy relationship patterns before they become established.</p> <p>We also need to address the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278040/">social determinants of health</a> that contribute to violence. This includes improving access to affordable housing, employment opportunities and accessible health-care support and treatment options.</p> <p>All these will be critical if we are to break the cycle of intimate partner violence and improve outcomes for victim-survivors.</p> <hr /> <p><em>The National Sexual Assault, Family and Domestic Violence Counselling Line – 1800 RESPECT (1800 737 732) – is available 24 hours a day, seven days a week for any Australian who has experienced, or is at risk of, family and domestic violence and/or sexual assault.</em></p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14. In an emergency, call 000.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/229182/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/siobhan-odean-1356613">Siobhan O'Dean</a>, Postdoctoral Research Associate, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/lucinda-grummitt-1531503">Lucinda Grummitt</a>, Postdoctoral Research Fellow, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/steph-kershaw-1466426">Steph Kershaw</a>, Research Fellow, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/to-tackle-gendered-violence-we-also-need-to-look-at-drugs-trauma-and-mental-health-229182">original article</a>.</em></p>

Caring

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7 things you need to know about fear

<p>Fear is an emotion that can be debilitating and unsettling. But it is a natural part of life and we are hardwired to experience it.</p> <p><strong>1. Fear can protect you</strong></p> <p>Experiencing fear elicits responses from your brain to your limbs. It is the body’s natural way of protecting itself. For our ancestors the fear was often more physical – such as being chased by a lion. Modern fear can range from physical danger (such as a spider or an intruder) or even from perceived danger (such as the worry that something will happen to our partner or child). Feeling fear doesn’t make you a weak person. In fact, not feeling any fear could mean that there are neurological issues present.</p> <p><strong>2. There are many levels of fear</strong></p> <p>Not everything that we fear is intense and paralysing. It can range from low levels of fear (such as worry about being robbed), to medium levels of fear (say if a loved one is in hospital) to high levels of fear (you are being chased by an attacker). Fear can also become stronger when we hear about events such as a terrorist attack or a natural disaster. It all relates back to how much the scary event will impact our lives.</p> <p><strong>3. Fear is not just instinctive</strong></p> <p>We become fearful due to three main factors: instinct, learning, and teaching. An example of instinctual fear is pain – we learn to be fearful of things that hurt us. Learned fear comes from being exposed to unpleasant or uncomfortable things and wanting to avoid them in the future. For instance, having a relative die in a car crash could make you fearful of driving in the future. Other fears are taught to us by our family, friends and even society. For example, some religions teach us to be fearful of other religions or customs.</p> <p><strong>4. Fear can arise without a real threat of danger</strong></p> <p>Fear can also be imagined, so it can be felt even when there is no danger present. If we feel this all the time it can lead to anxiety and depression. It’s important to think about whether the thing you are fearful of is real or likely to happen before you give it too much airtime.</p> <p><strong>5. Fear produces fear</strong></p> <p>If you are already in a state of fear, your response to more fear is heightened. For instance if you are watching a scary movie, a small noise from the next room could make you jump and scream. Your senses are on red alert, primed to act if the need arises.</p> <p><strong>6. Fear leads to action</strong></p> <p>Depending on the individual and the level of fear they are experiencing, there tend to be four main types of action as a result of fear: freeze, </p> <p>fight, flight, or fright. </p> <p>When you freeze it means you don’t move while you decide what to do (for instance you see a snake in your garden). From there you choose either fight (grab a shovel) or flight mode (walk away). If the fear is too much you might experience fright, where you do nothing and take no action (stand there screaming or worrying).</p> <p><strong>7. Real threats can lead to heroic actions</strong></p> <p>Imagined threats can cause us to live in a permanent state of fear and stress. But often we will do nothing about it (for instance being worried about sharks attacking us in the ocean). Compare this to the threat from a real and identifiable source, which will make you spring into action almost immediately. Often we don’t even make the decision to act, it just happens automatically (such as moving a child out of the way of an approaching car). </p> <p><em>Image credits: Getty Images</em> </p>

Mind

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Don’t give mum chocolates for Mother’s Day. Take on more housework, share the mental load and advocate for equality instead

<p><em><a href="https://theconversation.com/profiles/leah-ruppanner-106371">Leah Ruppanner</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>With Mother’s Day right around the corner, many grateful and loving families are thinking about what to give mum to show their appreciation.</p> <p>Should you give her chocolate? Nope. Fancy soaps? Nope. Fuzzy slippers, pyjamas, scented candles? No, no and no.</p> <p>On this Mother’s Day, keep your cash and give your wonderful mother gifts that will actually have a long-term impact on her health and well-being.</p> <h2>1. Do a chore that mum hates and hold onto it … forever</h2> <p>Research <a href="https://www.tandfonline.com/doi/full/10.1080/13545701.2020.1831039">shows</a> men have increased the amount of time spent on housework and childcare and that mothers, over time, are doing less (hooray!).</p> <p>But, women <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1741-3737.2008.00479.x">still do more housework</a> than men, especially when <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/gwao.12497?fbclid=IwAR2dp04p2sFqbDqdehXmXgDSfTYwX3GRzP7ScMJhSOrMePTGQVErR2TTX88">kids are in the home</a>.</p> <p>Further, <a href="https://journals.sagepub.com/doi/abs/10.1177/0891243205285212">men tend to pick up the more desirable tasks</a>, like <a href="https://www.jstor.org/stable/3598304">cooking and playing with the kids</a>, leaving mothers to do the less pleasurable chores (think cleaning toilets and clearing out fridges).</p> <p>The chore divide in same-sex relationships is generally found to be more equal, but some critique suggests equality may suffer <a href="https://www.nytimes.com/2018/05/16/upshot/same-sex-couples-divide-chores-much-more-evenly-until-they-become-parents.html">once kids are involved</a>.</p> <p>This year give your mum (or mums) the gift of equal housework and childcare sharing – start by taking the most-hated tasks and then hold onto them… forever.</p> <p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/gwao.12727">Research</a> shows housework inequality is bad for women’s mental health. Undervaluing women’s housework and unequal sharing of the chores deteriorates <a href="https://link.springer.com/article/10.1007/s11199-022-01282-5">relationship quality</a>, and <a href="https://journals.sagepub.com/doi/full/10.1177/0038038516674664">leads to divorce</a>.</p> <p>Housework and childcare take up valuable time to keep the family happy, harmonious and thriving, often at the expense of mum’s health and well-being.</p> <p>So, skip the chocolates and show mum love by doing the worst, most drudgerous and constant household chores (hello, cleaning mouldy showers!) and keep doing these… forever.</p> <h2>2. Initiate a mental unload</h2> <p>The <a href="https://www.abc.net.au/news/health/2017-09-14/the-mental-load-and-what-to-do-about-it/8942032">mental load</a> is all of the planning, organising and management work necessary to keep the family running.</p> <p>The mental load is often perceived as list making or allocating tasks to family members.</p> <p>But, it’s so much more – it is the <a href="https://theconversation.com/planning-stress-and-worry-put-the-mental-load-on-mothers-will-2022-be-the-year-they-share-the-burden-172599">emotional work</a> that goes with this thinking work.</p> <p>The mental load is the worry work that never ends and can be done <a href="https://www.tandfonline.com/doi/abs/10.1080/13668803.2021.2002813">anywhere, anytime and with anyone</a> (in, for example, said mouldy shower).</p> <p>Because the mental load is performed inside our heads, it is invisible. That means we don’t know when we or others are performing this labour unless we really tune in.</p> <p>In fact, it is often when we tune in through quiet time, relaxation or meditation that the mental load rears its ugly head. Suddenly you remind yourself to buy oranges for the weekend soccer game, organise a family movie night and don’t forget to check in on nanna.</p> <p>Women in heterosexual relationships are <a href="https://journals.sagepub.com/doi/abs/10.1177/0003122419859007">shown to do more</a> of the mental load with serious consequences for their mental health. But we don’t have a comprehensive measurement of how much women do it nor how it is allocated in same-sex couples.</p> <p>So, on this mothers’ day spend some time talking about, cataloguing, and equalising the family’s mental load.</p> <p>This isn’t just making a list about what has to be done but also understanding <a href="https://www.abc.net.au/news/health/2017-09-14/the-mental-load-and-what-to-do-about-it/8942032">how the mental load</a> connects to the emotional health of the family, and the person carrying this <a href="https://www.newamerica.org/better-life-lab/blog/making-the-mental-load-visible/">invisible labour, worry and stress</a>.</p> <h2>3. Speak up for your mum and all caregivers</h2> <p>Families alone cannot bear the brunt of the caregiving necessary to keep us thriving.</p> <p>Governments, workplaces and local communities also play a critical role. For this mothers’ day, pick an issue impacting mothers (for example, equal pay, affordable childcare or paid family leave) and do one thing to help move the needle.</p> <p>Write a letter to your boss, your local MP, or donate money to an advocacy organisation advancing gender equality.</p> <p>Or, role model these behaviours yourself – normalise caregiving as a critical piece of being an effective worker, create policies and practices that support junior staff to care for themselves, their families and their communities and use these policies.</p> <p><a href="https://journals.sagepub.com/doi/abs/10.1177/0891243216649946">Research</a> shows men want to be equal carers and sharers but often fear what taking time off for caregiving will signal to their employer despite evidence that fathers who request flexible work are perceived more <a href="https://academic.oup.com/sf/article-abstract/94/4/1567/2461609?login=false">favourably</a>.</p> <p>Appearing to be singularly devoted to work was shown to be impossible during the pandemic with kids, spouses, partners, and pets home all day long.</p> <p>Learning to create more care-inclusive workplaces and communities is critical.</p> <p>Paid parental leave, affordable and accessible high-quality childcare, flexibility in how, when and where we work and greater investments in paid sick leave, long-term disability support and aged care are just a few policies that would strengthen the care safety net.</p> <p>We will all be called upon to care at some point in our lives – let’s create the environments that support caregiving for all, not just mum.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/182330/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/leah-ruppanner-106371">Leah Ruppanner</a>, Professor of Sociology and Founding Director of The Future of Work Lab, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dont-give-mum-chocolates-for-mothers-day-take-on-more-housework-share-the-mental-load-and-advocate-for-equality-instead-182330">original article</a>.</em></p>

Family & Pets

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How to look after your mental health while packing up Mum or Dad’s home

<p><em><a href="https://theconversation.com/profiles/erika-penney-1416241">Erika Penney</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a>; <a href="https://theconversation.com/profiles/alice-norton-1516505">Alice Norton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/avalon-tissue-1515840">Avalon Tissue</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>So Mum or Dad has died, or moved to aged care, and now you’ve got to pack up their house. It’s a huge job and you’re dreading it.</p> <p>It’s normal to feel grief, loss, guilt, exhaustion or even resentment at being left with this job.</p> <p>So how can you look after your mental health while tackling the task?</p> <h2>It’s OK to feel a lot of feelings</h2> <p>Research has documented how this task can exert an intense <a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">physical and emotional toll</a>.</p> <p>This can be more intense for those who had strained – or even <a href="https://journals.sagepub.com/doi/epub/10.1177/0030222819868107">traumatic</a> – relationships with the person whose house they’re packing up.</p> <p>Decisions around distributing or discarding items can, in some families, bring up painful reminders of the past or end up <a href="https://journals.sagepub.com/doi/10.1177/1074840711428451">replaying strained dynamics</a>.</p> <p>Family members who were carers for the deceased may feel exhaustion, overwhelm, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/hec.1512?sid=vendor%3Adatabase">burnout</a> or a sense of injustice they must now continue to be responsible for their loved one’s affairs. Grief can be compounded by the practical challenges of deciding how to <a href="https://doi.org/10.1016/0148-2963(94)00054-I">store or discard belongings</a>, <a href="https://www.jstor.org/stable/30000385">arrange the funeral</a>, execute the will, deal with the aged care place or, in some cases, navigate legal disputes.</p> <p>But packing up the house may also be cathartic or helpful. <a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">Research</a> has shown how the task of cleaning out a loved one’s belongings can provide an opportunity for family and friends to talk, share memories, and make sense of what has just happened.</p> <p>It’s also normal to grieve before someone dies. What psychologists call “<a href="https://pubmed.ncbi.nlm.nih.gov/29206700/">anticipatory</a> grief” can happen to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615888/">relatives packing up the house</a> of a parent who has moved to aged care or palliative care.</p> <h2>What to do with all this stuff?</h2> <p><a href="https://doi.org/10.1016/0148-2963(94)00054-I">Some</a> treat their loved one’s items with sanctity, holding onto as many of their belongings as possible and creating “shrines” in their honour.</p> <p>Others alleviate the weight of grief by clearing out a loved one’s house as soon as possible, giving away, selling or discarding as much as they can.</p> <p>But if you experience a mix of these – enthusiastically getting rid of some stuff, while desperately wanting to hold onto other things – that’s OK too.</p> <p>One <a href="https://www.tandfonline.com/doi/abs/10.1080/10253866.2017.1367677">study</a> identified a process punctuated by four key periods:</p> <ol> <li> <p>numbness and overwhelm at the task of packing the house</p> </li> <li> <p>yearning to maintain a link to the loved through their belongings</p> </li> <li> <p>working through grief, anger and guilt regarding the loved one and the task of managing their belongings, and</p> </li> <li> <p>healing and making sense of the relationship with the deceased and their belongings.</p> </li> </ol> <p>However, it is important to note everyone’s approach is different and there is no “right” way to do the clean out, or “right” way to feel.</p> <h2>Caring for your mental health during the clean out</h2> <p>To care for your mental health during these difficult times, you might try to:</p> <ul> <li> <p>make space for your feelings, whether it’s sadness, loss, resentment, anger, relief or all the above. There is no right or wrong way to feel. <a href="https://guilfordjournals.com/doi/abs/10.1521/jscp.2011.30.2.163">Accepting</a> your emotions is healthier than suppressing them</p> </li> <li> <p>share the load. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1999.01220.x">Research</a> has shown practical support from close friends and family can help a lot with grief. Accept help with packing, planning, dealing with removalists, selling or donating items and cleaning. Don’t be afraid to reduce your mental load by delegating tasks to friends, who are likely wondering how they can help</p> </li> <li> <p>take a systematic approach. Break tasks into their smallest component. For example, aim to clean out a drawer instead of an entire bedroom. This can help the mental and physical task feel more manageable</p> </li> <li> <p>reflect on what’s meaningful to you. Some belongings will have <a href="https://doi.org/10.1016/0148-2963(94)00054-I">meaning</a>, while others will not. What was valuable to the deceased may not be valuable to you. Things they probably saw as pretty worthless (a handwritten shopping list, an old sewing kit) may be very meaningful to you. Ask yourself whether retaining a small number of meaningful possessions would allow you to maintain a connection with your loved one, or if clearing out the space and discarding the items is what you need</p> </li> <li> <p>share your story. When you feel ready, share your “<a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">cleaning out the closet</a>” story with trusted friends and family. Storytelling allows the deceased to live on in memory. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1999.01220.x">Research</a> also suggests we cope better with bereavement when friends and relatives make time to hear our feelings</p> </li> <li> <p>remember that professional help is available. Just as a solicitor can help with legal disputes, a mental health professional can help you process your feelings.</p> </li> </ul> <p>The home of your loved one is not merely a place where they lived, but a space filled with meaning and stories.</p> <p>Packing up the house of a loved one can be incredibly daunting and challenging, but it can also be an important part of your grieving process.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223956/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/erika-penney-1416241">E<em>rika Penney</em></a><em>, Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a>; <a href="https://theconversation.com/profiles/alice-norton-1516505">Alice Norton</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/avalon-tissue-1515840">Avalon Tissue</a>, Associate Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-to-look-after-your-mental-health-while-packing-up-mum-or-dads-home-223956">original article</a>.</em></p>

Caring

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"I want answers": Simon Dorante-Day's cunning plan to prove royal connections

<p>The Queensland man claiming to be the son of King Charles and Queen Camilla has shared his new plan to prove once and for all that he has royal family connections. </p> <p>Simon Dorante-Day has long claimed through his 30 years of research, he discovered that he is the illegitimate son of the monarch, and has attempted to prove his theory through various means. </p> <p>Now, his new plan to get his hands on royal DNA to unequivocally prove his family heritage involves another member of the royal family. </p> <p>Speaking with <a href="https://7news.com.au/lifestyle/aussie-man-claiming-to-be-charles-son-drops-new-prince-harry-dna-bombshell-c-13488374" target="_blank" rel="noopener"><em>7News</em></a>, the 57-year-old said he and his wife have been told by a “trusted source” that Prince Harry could be amenable to helping them gather proof.</p> <p>“We got advice from a really good, really trusted source that we should approach Harry and make a connection there and ask for DNA,” Elvianna said.</p> <p>Simon added, “I was really taken aback when he said that. But it’s definitely something I’m going to do. I’ve long been a supporter of Harry and Meghan, I think it’s disgraceful the way they’ve been treated by the royal family."</p> <p>“The way they are treated on social media too, it’s just one big ‘Punch-Meghan-and-Harry-a-thon’, seriously. It’s really starting to annoy me."</p> <p>He said he is planning to "make contact with him and explore this as an opportunity," pointing out that the royal family's treatment of Harry could make him more willing to help.</p> <p>"At the end of the day, I feel like he just might be as keen as I am to expose what Charles and Camilla and the powers that be have done to me. The injustice."</p> <p>“It’s worth me pointing out that Charles and Camilla, Buckingham Palace, the entire royal family - not one of them has ever said my claims are not true. They’ve never denied what I believe, told me I’m wrong."</p> <p>Simon said “the wheels are in motion” in terms of making contact with Prince Harry, and that he’s hopeful of a positive outcome.</p> <p>“I want answers,” he said. “And I feel Prince Harry is the man to help me find them.”</p> <p>“And I think their silence speaks volumes.”</p> <p>Simon said “the wheels are in motion” in terms of making contact with Prince Harry, and that he’s hopeful of a positive outcome.</p> <p>“I want answers,” he said. “And I feel Prince Harry is the man to help me find them.”</p> <p><em>Image credits: Facebook / Getty Images </em></p>

Family & Pets

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"Cringe worthy": Viewers left speechless after star attacks Elmo

<p>Viewers were left shocked after comedian Larry David unexpectedly attacked Elmo during their appearance on the latest episode of the <em>US Today show</em>.</p> <p>The 76-year-old was there to promote the final season of <em>Curb Your Enthusiasm</em>, while Elmo was in the studio alongside his dad Louie to talk about the importance of mental health resources. </p> <p>As the show was transitioning from segment to segment, David walked over to Elmo and smushed his face in before taking a swing at Elmo's dad. </p> <p>The attack caught the show's hosts Savannah Guthrie, Hoda Kotb and Craig Melvin, off-guard and they began shouting at his ill-timed act. </p> <p>“Oh, my gosh, you love Elmo, don’t you?” Guthrie said to David as an equally shocked Melvin exclaimed, “Oh, my God!”</p> <p>While Elmo didn't seem too bothered by the encounter, the 76-year-old was lectured by muppet dad Louie for his strange act. </p> <p>“Ask permission before you touch people, Larry,” Louie said.</p> <p>“Get back on the couch and let’s talk about how you feel,” Elmo added.</p> <p>Guthrie also called out David's inappropriate act and said: “Larry, you’ve gone too far this time." </p> <p>Although the <em>Seinfeld </em>star was later on forced to apologise to the plush duo and Elmo accepted his apology, the situation left many viewers disgruntled, given the topic matter that Elmo was there to discuss. </p> <p>“Larry David ruined a beautiful story,” one person commented on a video of the segment shared to Instagram. </p> <p>“I felt like I was watching Will Smith all over again. Very sad.”</p> <p>“I must say, I was shocked – it was cringe worthy,” another person wrote. </p> <p>“I love Larry David, but he should have stayed seated until his own segment.”</p> <p>“Although you tried to play it off, Larry David totally messed it up … guess no one told him the theme of the segment” a third shocked viewer added.</p> <p><em>Image: US Today Show/ Instagram</em></p>

TV

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"It was a relief": Rebecca Gibney opens up on mental health struggles

<p>Rebecca Gibney has revealed what a "relief" it was to finally open up about the mental health struggles she faced from 14 to 30-years-old. </p> <p>The New Zealand actress, 58, said she spent a lot of that time "pretending" she was okay despite growing up around domestic violence, as her mother suffered from abuse in the hands of Gibney's late father, Austin. </p> <p>In an interview with <em>Stellar</em> on Saturday, the <em>Packed to the Rafters </em>star shared that she is "loving" how mental health is now being framed. </p> <p>“When I started talking about my mental health struggles and anxiety ... it was a relief,” she told the publication. </p> <p>“I could drop the mask of pretending that I was OK. What I’m loving seeing is that more and more people are now going, ‘I’m not OK’”.</p> <p>Gibney first opened up about her struggles in 2017, when she opened up about the abuse her mother faced and how she was “beaten so badly she had bruises for six months on her legs.</p> <p>“She’d always shut the doors ... you’d hear the yelling and the shouting and the slapping, but you’d never actually see it," she told <em>Women's Day</em>, at the time. </p> <p>After Gibney's father died in 1982, the actress began seeing a therapist, but was "on Valium and in a dark place for quite a while”.</p> <p>In her latest interview with <em>Stellar</em>, Gibney also added that more needed to be done to prevent domestic violence and help survivors. </p> <p>“We still don’t want to talk about it. We need to really drill down (and question), ‘Why is this happening?’ We need more education, more centres," she said. </p> <p>“We need people to be able to get the help they need.”</p> <p><em>Images: Instagram</em></p>

Mind

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Embracing friendships in adulthood: A guide to making meaningful connections

<p>Navigating the landscape of friendship in adulthood might initially appear daunting, but the profound impact that it can have on our mental well-being is huge. Not only do friendships foster a sense of camaraderie, but they nurture feelings of belonging and acceptance.</p> <p>Important at every life stage, it’s not uncommon to encounter challenges in building new friendships as we age and embark on differing paths. However, Jacqui Manning, Resident Psychologist at Connected Women, a female-driven organisation dedicated to cultivating friendships for women over 50, is here to impart her invaluable tips and tricks, paving the way for a friend-finding journey that unfolds with ease and fulfilment.</p> <p>“Forming new friendships in adulthood may take a little more time and effort, but it doesn’t have to be scary,” Jacqui explains. “Approaching the prospect of making a friend with genuine curiosity and a shared interest can transform the experience into an exciting journey rather than a daunting task. Focus on common ground, be open-minded, and embrace the adventure of getting to know someone new. By emphasising shared interests and creating a comfortable, judgment-free space, the process of making a friend becomes a welcoming exploration rather than an intimidating challenge."</p> <p><strong>Stay Open</strong> </p> <p>It can be a slippery slope once we let our thoughts spiral into the possibility of rejection. Instead of worrying, why not consider all the opportunities to grow a connection? </p> <p>Jacqui explains, “As we age, the energy we have to make friends can dwindle, making it natural to withdraw into the comfort of our own shell. However, the need for connection is as strong as ever. This serves as an important reminder to be open. Deeper connections won’t have the chance to form if we keep one another at arm’s length so engage in conversations about hobbies and discuss any goals or anxieties openly, as it is through this openness that a profound connection is likely to be forged.</p> <p><strong>Find Your Community </strong></p> <p>Finding a group of new friends could be as simple as enjoying your favourite pastime. Like attracts like, and finding a like-minded group who share similar interests could be the key to unlocking more meaningful relationships. </p> <p>“Whether it’s joining a book club, cooking class, yoga, or bonding over a game of cards, whatever your passion may be, start by kicking off a conversation with someone who participates in a shared activity. While exploring a new hobby is fantastic, consider turning your attention closer to home and connecting with those who already share your interests,” Jacqui adds. </p> <p><strong>Take Note</strong></p> <p>Long-lasting friendships can fill gaps in our life we never knew existed. </p> <p>As Jacqui explains, “Take note of how supported you currently feel and if there are any areas that may need a little nudge. Reflection will invariably help to narrow down the type of friendship you may be seeking and allow you to better understand your own needs. Through self-reflection, you gain invaluable insights that not only pinpoint the specific type of friendship you might be yearning for but also enhance your understanding of your own emotional requirements. This conscious exploration becomes a compass, guiding you toward the relationships that can truly fulfil and enrich your life.”</p> <p>The journey of making friendships in adulthood is not without its challenges, but the rewards are immeasurable. As Jacqui reminds us, being open to new connections, actively engaging in shared interests, and conducting self-reflection are key elements in fostering meaningful relationships. </p> <p>“The path to forming long-lasting bonds involves stepping out of our comfort zones, whether by joining a new group, pursuing shared activities, or simply initiating conversations. Remember, the richness of these connections lies not just in the joy of shared experiences but also in the support and understanding they provide,” Jacqui concludes,</p> <p>Friendships in adulthood are well worth investing in, providing fulfilment, support, and the delight of shared moments. So, embrace the adventure, take note of your needs, and savour the delight of building connections that truly enrich your life.</p> <p><em>Ready to try your hand at building new friendships? Visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net </a></em></p> <p><em><strong>About Connected Women </strong></em></p> <p><em><strong>Jacqui Manning is the Resident Psychologist at Connected Women, bringing with her over two decades of experience. Founded in 2022, Connected Women facilitates friendships for women over 50 through a range of online and in-person events. With the rising epidemic of loneliness impacting Australians now more than ever, Connected Women aims to provide a community in which women can feel free to be themselves, connect with like-minded women and build life-long friendships. Launched in Perth, Western Australia, Connected Women now also operates in New South Wales and Victoria, with plans to grow its network to Queensland, the Australian Capital Territory and South Australia in the coming year. </strong></em></p> <p><em><strong>With a small monthly membership fee, women can join Connected Women events, share, and connect over areas of interest, and connect with women in their local areas to arrange meet-ups. Whether members prefer big events with lots of action and adventure, or quiet meetups around the local neighbourhood, Connected Women is committed to providing a safe and inclusive space for women to find their feet and build new friendships in a space that feels most comfortable to them.</strong></em></p> <p><em>Image credits: Getty Images</em></p>

Relationships

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Homesick for ourselves – the hidden grief of ageing

<p><em><a href="https://theconversation.com/profiles/carol-lefevre-1341823">Carol Lefevre</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Anyone parenting young children will be familiar with the phrase “there’ll be tears before bedtime”. But in a quieter, more private way, the expression seems perfectly pitched to describe the largely hidden grief of ageing.</p> <p>Not the sharp grief that follows a bereavement (though bereavements do accumulate with the years), but a more elusive emotion. One that is, perhaps, closest to the bone-gnawing sorrow of homesickness.</p> <p>Sarah Manguso <a href="https://www.panmacmillan.com.au/9781509883295/">evokes</a> this sense of having travelled further from our younger selves than we could ever have imagined: "Sometimes I feel a twinge, a memory of youthful promise, and wonder how I got here, of all the places I could have got to."</p> <p>Historically, the phenomenon of homesickness was identified in 1688 by the Swiss medical student <a href="https://www.theatlantic.com/health/archive/2013/08/when-nostalgia-was-a-disease/278648/">Johannes Hofer</a>, who named it nostalgia from the Greek <em>nostos</em>, meaning homecoming, and <em>algos</em>, meaning an ache, pain, grief and distress.</p> <p>It was the disease of soldiers, sailors, convicts and slaves. And it was particularly associated with soldiers of the Swiss army, who served as mercenaries and among whom it was said that a well-known milking song could bring on a fatal longing. (So singing or playing that song was made punishable by death.) Bagpipes stirred the same debilitating nostalgia in Scottish soldiers.</p> <p>Deaths from homesickness were recorded, but the only effective treatment was to send the afflicted person back to wherever they belonged.</p> <p>The nostalgia associated with old age, if it occurs, appears incurable, since there can be no possibility of a return to an irrecoverable youth. But as with homesickness, how badly those afflicted suffer seems to depend on how they manage their relationship with the past.</p> <h2>The phantom was me</h2> <p>American writer Cheryl Strayed <a href="https://cherylstrayed.substack.com/p/what-you-know-changes">describes</a> deciding to transcribe her old journals. On reading one of them from cover to cover, she is left feeling:</p> <p>"kind of sick for the rest of the day, as if I’d been visited by a phantom who both buoyed and scared the bejesus out of me. And the weirdest of all is that phantom was me! Did I even know her anymore? Where did the woman who’d written those words go? How did she become me?"</p> <p>I’ve experienced a similar rush of bafflement and grief upon opening a letter I’d written some time before I turned 50. My mother had saved it and returned it to me 20 years later. Within its pages I found a younger, more energetic and vibrant self. The realisation this woman who inhabited the letter so vividly was no longer available to me came with a jolt of emotion that felt like a bereavement.</p> <p>I was so knocked off-kilter by this ghost-like encounter that the letter (along with others I had been planning to transcribe) had to be set aside for a day when I might be able to muster the necessary courage and detachment. Whether that day ever comes will depend, I suppose, on how I navigate my own relationship with time, and on reaching a calm acceptance of the distance travelled.</p> <p>Disbelief at the distance between the young self and the old self is one of the factors in this late-life grieving. At its root, perhaps, is an internalised ageism: innate, or else massaged into us by the culture we spring from.</p> <p>In a series of recent conversations with people over 70, I encouraged them to tell their stories and to reflect on the effects of time on their lives. Childhood sometimes emerged as a place they were pleased to have left behind – and occasionally, as a place to be held close.</p> <p>Trevor emigrated alone to Australia when he was just 18. I asked him how often now, at 75, he thinks about his childhood. “Do you have a sense of who you were back then, and is that person still part of who you are?”</p> <p>“I think about my childhood quite a lot, especially putting some distance between where I was then and where I am now,” he told me. “I didn’t have a really happy upbringing, and coming to Australia was a way of getting away from home and experiencing a new culture.”</p> <p>In response to the same question, Jo, at 84, led me to a framed photograph, enlarged to poster-size, which has hung on the wall of both his homes. It shows him aged three, in a garden – a radiant child wearing a plain white shirt and dark shorts, arms out-flung as if to embrace the natural world. He bursts with exuberance, curiosity, and joy.</p> <p>"I relate to that as an idea, as a concept of my life. I want to maintain that freshness, that child-like freshness. You’ve got no responsibilities; every day is a new day. You’re looking at things in a different light, you’re aware of everything around you. That’s what I wanted to maintain, that feeling through my life – I’m talking age-wise. My concept of my ageing is there in that photograph.“</p> <p>While older voices are often absent in the media, and in fiction they are too often presented as stereotypes, in conversation what arises can both surprise and inspire.</p> <h2>‘How can I be old?’</h2> <p>As I approached my own 70th birthday, I realised I was about to cross a border. Once I was on the other side, I would be old – no question. Yet the word "old”, especially when coupled with the word “woman”, is carefully avoided in our culture. Old is a country no one wants to visit.</p> <p><a href="https://www.penguin.com.au/books/metamorphosis-9780241514771">Penelope Lively’s</a> novella-length story Metamorphosis, or the Elephant’s Foot, written when Lively was in her mid-eighties, explores this evolution from youth to old age through the character of Harriet Mayfield. As a nine-year-old, Harriet is reprimanded by her mother for not behaving well on a visit to her great-grandmother.</p> <p>“She’s old,” says Harriet. “I don’t like old.”</p> <p>When her mother points out that one day Harriet, too, will be old, like her great-grandmother, Harriet laughs.</p> <p>“No, I won’t. You’re just being silly,” says Harriet “how can I be old? I’m me.”</p> <p>Towards the end of the story, Harriet is 82 and must somehow accept that she is “in the departure lounge. Check-in was a very long time ago.” With her equally elderly husband, Charles, Harriet ponders what they can do with the time remaining. Charles decides “it’s a question of resources. What do we have that could be used – exploited?” Harriet replies, “Experience. That’s it. A whole bank of experience.”</p> <p>“And experience is versatile stuff. Comes in all shapes and sizes. Personal. Collective. Well, then?”</p> <p>If distance travelled is a factor in late-life grief, so too is a sense of paths not taken: of a younger self, or selves, that never found expression.</p> <p>In Jessica Au’s recent, much-awarded novella <a href="https://giramondopublishing.com/books/jessica-au-cold-enough-for-snow/">Cold Enough For Snow</a>, there is a scene where the narrator explains to her mother the existence, in some old paintings, of a <a href="https://www.britannica.com/art/pentimento-oil-painting">pentimento</a> – an earlier image of something the artist had decided to paint over. “Sometimes, these were as small as an object, or a colour that had been changed, but other times, they could be as significant as a whole figure.”</p> <figure class="align-right zoomable"><figcaption></figcaption></figure> <p>Art historians, using X-rays and infrared reflectography, have identified pentimenti in many famous paintings, from the adjusted placement of a controversial off-the-shoulder strap in <a href="https://www.virtualartacademy.com/madame-x/">John Singer Sargent</a>’s Portrait of Madam X, to the painted-over figure of a woman nursing a child in Picasso’s <a href="https://www.pablopicasso.org/old-guitarist.jsp">The Old Guitarist</a>, and a man with a bow-tie concealed beneath the brushwork of his work <a href="https://en.wikipedia.org/wiki/The_Blue_Room_(Picasso)">The Blue Room</a>.</p> <p>Singer Seargent’s adjustment was his response to an outcry at the perceived indecency of Madame X’s lowered shoulder strap, which both the public and art critics of the time declared to be indecent. By contrast, the model’s icy pallor caused only a ripple of interest.</p> <p>Picasso’s hidden figures <a href="https://www.singulart.com/en/blog/2019/10/29/pablo-picassos-blue-period-and-the-old-guitarist/">are assumed</a> to be the outcome of a shortage of canvas during his <a href="https://www.pablopicasso.org/blue-period.jsp">Blue Period</a>, but shortages aside, the word pentimento, which derives from the Italian verb <em>pentirsi</em>, meaning “to repent”, brings to these lost figures a sense of regret that resonates with the feeling in old age of having lost the younger self, or of carrying traces, deeply buried, of other lives one might have lived.</p> <p>In Cold Enough for Snow, Au’s narrator remarks of her mother that,</p> <p>"Perhaps, over time, she found the past harder and harder to evoke, especially with no-one to remember it with."</p> <p>The mother’s situation references another source of grief: that of the person who becomes the last of their friends and family still standing.</p> <p>In childhood games of this nature there would be a prize for the survivor. But for those who reach an extreme old age, having lost parents, siblings and contemporaries who knew them when they were young, even the presence of children and grandchildren may not entirely erase this “last man standing” loneliness. There is, too, the darkness of a projected future where there is no one still living who remembers us.</p> <p>In Jessica Au’s book the narrator occasionally speaks of the past as “a time that didn’t really exist at all”. And yet in my recent conversations with people in their seventies and above, every one of them admits to feeling a vivid sense of the past, and of the continuing presence of a younger self. As one of them wistfully remarked: “Sometimes she even seeps through.”</p> <h2>Memory and detail</h2> <p>Perhaps part of the problem is the mass of ordinary detail that disappears from memory on any given day. Life is made up of so many small moments that it’s impossible to hold onto them all – and if we did it might even be damaging.</p> <p>Imagine someone casually asking how your day had been, and responding with the tsunami of detail those hours actually contained.</p> <p>After opening your eyes at first light, you’d describe your shower, your breakfast, and how you slipped your keys into your handbag as you left the house; in the street you’d passed two women with a pram, a child with a small white dog on a lead, and an elderly man with a walking stick. And so on.</p> <p>If our minds swarmed with the trivia of daily life, more important events might be forgotten, and possibly the neural overload would even make us ill. Yet with the realisation of the loss of these minutes and hours arises the anxiety that in time, the things we do want to remember will slither away from us into the dark.</p> <p>I imagine this fear is what compels people to fill social media with photographs of their breakfasts, and of their relentless selfie-taking. It is surely the impulse behind keeping a journal.</p> <p>The anxiety of losing even the passing moments in a day afflicts the author of <a href="https://www.panmacmillan.com.au/9781509883295/">Ongoingness: The End of a Diary</a>. In it, the American writer Sara Manguso describes her compulsive need to document and hold onto her life. “I didn’t want to lose anything. That was my main problem.”</p> <p>After 25 years of paying attention to the smallest moments, Manguso’s diary is 800,000 words long. “The diary was my defense against waking up at the end of my life and realizing I’d missed it.” But despite her continuous effort,</p> <p>"I knew I couldn’t replicate my whole life in language. I knew that most of it would follow my body into oblivion."</p> <p>Is it possible that women experience grief around ageing earlier, and more emphatically than men? After all, by the age of 50, the bodies of even those women who remain fit send the implacable signal that things have changed.</p> <p>In Alice Munro’s story Bardon Bus, from her collection <a href="https://www.penguin.com.au/books/the-moons-of-jupiter-9780099458364">The Moons of Jupiter</a>, the female narrator endures dinner in the company of a rather malicious man, Dennis, who explains that women are.</p> <p>"forced to live in the world of loss and death! Oh, I know, there’s face-lifting, but how does that really help? The uterus dries up. The vagina dries up."</p> <p>Dennis compares the opportunities open to men as opposed to those available to women.</p> <p>"Specifically, with ageing. Look at you. Think of the way your life would be, if you were a man. The choices you would have. I mean sexual choices. You could start all over. Men do."</p> <p>When the narrator responds cheerfully that she might resist starting over, even if it were possible, Dennis is quick to retort:</p> <p>"That’s it, that’s just it, though, you don’t get the opportunity! You’re a woman and life only goes in one direction for a woman."</p> <p>In another story in the same collection, Labor Day Dinner, Roberta is in the bedroom dressing for an evening out when her lover George comes in and cruelly remarks: “Your armpits are flabby.” Roberta says she will wear something with sleeves, but in her head she hears the,</p> <p>"harsh satisfaction in his voice. The satisfaction of airing disgust. He is disgusted by her aging body. That could have been foreseen."</p> <p>Roberta thinks bitterly that she has always sought to remedy the least sign of deterioration.</p> <p>"Flabby armpits – how can you exercise the armpits? What is to be done? Now the payment is due, and what for? For vanity. Hardly even for that. Just for having those pleasing surfaces once, and letting them speak for you; just for allowing an arrangement of hair and shoulders and breasts to have its effect. You don’t stop in time, don’t know what to do instead; you lay yourself open to humiliation. So thinks Roberta, with self-pity […] She must get away, live alone, wear sleeves."</p> <p>As with most emotions that arise around our ageing, it can usually be traced back to a fraught relationship with time. French philosopher and Nobel Prize winner <a href="https://plato.stanford.edu/entries/bergson/">Henri Bergson</a> <a href="https://www.gutenberg.org/files/56852/56852-h/56852-h.htm">says</a>: “Sorrow begins by being nothing more than a facing towards the past.”</p> <p>For Roberta, as for many of us, it was a past in which we relied on those “pleasing surfaces”, perhaps even took them for granted, until they no longer produced the desired effect.</p> <p>But the truth is that our bodies are capable of more severe betrayals than mere flabby armpits. In time they may cause us to be exposed in skimpy, front-opening or back-opening hospital gowns under the all-seeing eye of the CT scanner; they may deliver us into the skilled, ruthless hands of a surgeon. Our very blood may speak of things we will not wish to hear.</p> <h2>Glimpsing our mortality in middle age</h2> <p>Middle age is sometimes referred to as The Age of Grief. It’s when we first glimpse our own mortality; we feel youth slipping away into the past, and the young people in our lives begin to assert their independence.</p> <p>We have our mid-life crises then. We join gyms, and take up running; we speak for the first time of “bucket lists” – the term itself an attempt to diminish the sting of time’s depredations. None of this will save us from the real Age of Grief, which comes later and hits harder because it is largely hidden. And we’ll be expected to endure it in silence.</p> <p>In my conversations with people aged 70 and older, grief has surfaced from causes other than what might be called “cosmetic” changes. Following a severe stroke, 80-year-old Philippa describes the pain of having had to make the decision to relinquish her home and move into residential care.</p> <p>"It’s when you lose your garden, which you’ve loved, and you’ve got to walk away from that. I’ve got photos of the house, and I look at them and think, oh, I just love the way I did that room, decorated it, things like that. But change happens."</p> <p>“Somehow change always comes with loss, as well as bringing something new,” I said. “Yes,” she replied, “I just had to say to myself: you can’t worry about it, and you can’t change it. That sounds hard, but it’s my way of dealing with it.”</p> <p>Tucked away in residential care homes, largely invisible to those of us lucky enough to still inhabit the outside world, elderly people like Philippa are quietly raising resilience to the level of an art form.</p> <p>In her poem, <a href="https://www.poetryfoundation.org/poems/47536/one-art">One Art</a>, the Canadian poet Elizabeth Bishop advises losing something every day.</p> <blockquote> <p>Accept the fluster<br />of lost door keys, the hour badly spent.<br />Lose something every day.<br />The art of losing isn’t hard to master.</p> </blockquote> <p>Bishop goes on to list other lost items – her mother’s watch, the next-to-last of three loved houses, lovely cities, two rivers, even a continent. While the losses elderly people commonly accumulate are less grand, they are no less devastating.</p> <p>One by one, they will relinquish driver’s licenses. For many there will be the loss of the family home and their belongings, save for whatever will fit into a care home’s single room. Perhaps they have already given up the freedom of walking without the aid of a stick, or walker. There may be the dietary restrictions imposed by conditions such as diabetes, and the invisible disabilities of diminished hearing and eyesight.</p> <p>A failing memory, one would think, must be the final straw. And yet, what seems to be the actual final straw is the situation, reported time and again, where an old person feels “unseen”, or “looked through”, and for indefensible reasons finds themself being “missed” in favour of someone younger. It might, for example, be a moment when they are ignored as they patiently wait their turn at a shop counter.</p> <p>In my conversation with Philippa, she remarked that old people are often looked through when they are part of a group, or when they are waiting to be served. “I have seen it happen to other older people, as if they don’t exist. I have called out assistants who have done that to other people.”</p> <p>Surely the least we can do, as fortunate beings of fewer years, is to acknowledge the old people among us. To make them feel seen, and of equal value.</p> <h2>‘Age pride’ and destigmatising ‘old’</h2> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246680/">Ageism, Healthy Life Expectancy and Population Ageing: How Are They Related</a> is a recent survey conducted with more than 83,000 participants from 57 countries. It found that ageism negatively impacts the health of older adults. In the United States, people with a negative attitude towards ageing live 7.5 fewer years than their more positive counterparts.</p> <p>In Australia, the National Ageing Research Institute has developed an <a href="https://www.nari.net.au/age-positive-language-guide">Age-Positive Language Guide</a> as part of its strategy to combat ageism.</p> <p>Examples of poor descriptive language include terms such as “old person”, “the elderly”, and even “seniors”. That last term appears on a card Australians receive shortly after turning 60, which enables them to receive various discounts and concessions. Instead, we are encouraged to use “older person”, or “older people”. But this is just another form of age-masking that fools no one.</p> <p>It would be better to throw the institute’s energy into destigmatising the word “old”. What, after all, is wrong with being old, and saying so?</p> <p>To begin the process of reclaiming this word from the pejorative territory it currently occupies, old people need to start claiming their years with pride. If other marginalised social groups can do it, why can’t old people? Some activists working against ageism are beginning to mention <a href="https://www.nextavenue.org/how-to-swap-ageism-for-age-pride/">“age pride”</a>.</p> <p>If we become homesick for who we once were as we age, we might remind ourselves of the meaning of <em>nostos</em> and consider old age as a kind of homecoming.</p> <h2>Narrative identity</h2> <p>The body we travel in is a vehicle for all the iterations of the self, and the position we currently inhabit is part of an ongoing creative process: the evolving story of the self. From the 1980s, psychologists, philosophers and social theorists have been calling it <a href="https://psycnet.apa.org/record/2011-21882-005">narrative identity</a>.</p> <p>The process of piecing together a narrative identity begins in late adolescence and evolves across our entire lives. Like opening a Russian doll, from whose hollow shell other dolls emerge, at our centre is a solid core composed of traits and values. It’s also composed of the narrative identity we have put together from all our days – including those we cannot now remember – and from all the selves we have ever been. Perhaps even from the selves we might have been, but chose instead to paint over.</p> <p>In Metamorphosis, or the Elephant’s Foot, Harriet Mayfield tells her husband, “At this point in life. We are who we are – the outcome of various other incarnations.”</p> <p>We know our lives, and the lives of others, through fragments. Fragments are all we have. They’re all we’ll ever have. We live in moments, not always in chronological order. But narrative identity helps us make meaning of life. And the vantage point of old age offers the longest view.</p> <p>The story of the self carries us from the deep past to the present moment. And old age sets us the great life challenge of maintaining balance in the present, while managing the remembered past – with all its joys and griefs – and the joys and griefs of the imagined future.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/202754/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/carol-lefevre-1341823"><em>Carol Lefevre</em></a><em>, Visiting Research Fellow, Department of English and Creative Writing, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/friday-essay-homesick-for-ourselves-the-hidden-grief-of-ageing-202754">original article</a>.</em></p>

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