Kirsten Panachyda

Writer and Speaker

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Tag: mental illness (page 1 of 2)

5 tips for hard conversations

This is Mental Illness Awareness Week. For some of us, we can’t help but be hyper-aware of mental illness. Our kids, or other family members, or we ourselves have been struggling for a long time now. For others, though, the experience is new. But either way, we share the need for effective communication skills.

When we are the parents of a kid with depression, anxiety, or other forms of MI, a strategy for hard conversations helps move everyone forward toward recovery. Here are a few strategies from mental health professionals:

1) Containerize difficult conversations.

“Set up contained times to talk about it. Phase one is saying something like, ‘As a family we’re going to sit down every night at 7 pm and process, or come with an agenda, or be able to talk about how we’re doing today, what are we worried about, what are we proud about.’ That regularity of time doesn’t have to be every day. It could be once a week. It’s a simple container strategy, but it can make a big difference.”⁠1

2) Avoid ambush. 

“It can be really distressing for anybody, children, adults, adolescents, if anybody in the family can bring up a really hard topic at any point. It can feel like you’re walking through this emotional minefield. ‘I can’t completely relax in my own home because I feel like Mom or Dad could pounce on me at any time with a hard conversation.’ Obviously, if the child is symptomatic that’s going to happen, but if I’m just sort of hanging out after school and Mom or Dad has something on their mind from last week or an upcoming appointment, that’s not a conversation that will jump out of nowhere (when using the container strategy). It’s healthy for the parents too. (As a parent) I need to be able to move through my day knowing this topic isn’t going to ambush me at any moment.”⁠2

3) Create a culture of honesty.

Be open with your kids about looking in their rooms or checking their phones and computers. If you need to safeguard them in this way, tell them so, and explain why.

“There’s a point where you’ll say to your child, ‘I love you so much, we’re going to go through your room, not because I don’t trust you, because I love you. I want you to work with me and we’re going to find things that might be a temptation for you to cause yourself harm.’ Some kids, teenagers especially, are going to be very resistant, but just try to do it as reassuringly as possible. You’re going to need to pull out anything that could potentially be a weapon. And anywhere else in the house where there might be things which could be a weapon, you need to make sure that that is locked away from that child at all times.”⁠3

4) Face the hardest topic: suicide.

“You should not be afraid to ask if they’ve thought about suicide. That’s first of all. Most people are afraid to use the word. They think they’ll give the child a suggestion and the child will think, “Oh I never thought about that, but now I’m suicidal.” They’re not going to do that. If they’re not suicidal to begin with, mentioning it is not going to make them suicidal. So don’t worry about that.”⁠4

5) Notice the need of the moment.

All strategies have flaws. There are times when we need to set aside even a healthy communication plan to meet the situation at hand. “But this isn’t a perfect world. Sometimes there will be a lot of chaos and it will be impossible to contain it to another time.”⁠5 If a crisis arises, or you can see your kid needs support right now, then gently explain you are setting aside the usual method in order to help. 

Friends, pray with me for our hard conversations:

Lord, You are a God who goes to great lengths to communicate with Your children. You offer us unlimited access to You. You pursue us, but do not attack us. You make it clear that You will work for our good, even in ways that are uncomfortable, but You do it with compassion and wisdom. You call us to face our darkest places. You meet us exactly where we are and minister to our needy souls. Help us to be parents like You. Empower us with Your wisdom, love, and compassion. Amen.

What communication strategies work well for you? What areas of communication do you struggle with? I’d love to hear about your ideas and experiences. 

anImage_2.tiff

1 Sally Lott Miller, LMFT

2 Ibid

3 Tina Yeager, LMHC

4 Ibid

5 Sally Lott Miller, LMFT

following bubbles: finding air when you are drowning in stress

Find and follow the bubbles up to air and light. 

Following Bubbles

Do you sometimes feel like you are drowning in stress? Maybe you are caring for a kid with a mental illness or an elderly parent. Or the pandemic has ripped the financial rug out from under your family. Or the pain in our communities has reduced you to tears with every news broadcast. 

Are the lungs of your soul screaming for air? Does everything around you look dark and murky?

Once while playing in the ocean in rough surf, I misjudged a wave. I thought I was past the breakers, so instead of diving through, I just lifted my feet to float over it. Instead of bobbing up on the surface, I was crashed under with a force that upended me. My goggles scraped down my face and my eyes closed a moment too late. My contacts washed out to sea. I continued to turn underwater for a long breathless moment as the undertow met the wave. I wasn’t sure where the surface was. Air exhaled from my mouth and I remembered with sudden clarity: “Follow the bubbles.” Pulling and kicking in the direction of my breath bubble, I broke the surface.

The first months of the battle with my son’s mental illness were about survival. The crisis had pushed me underwater, crashing over my head. My view of the world had been knocked off and my vision was clouded. I had been ambushed when I thought the water was calm and I was safe. Instead I was roughly tumbled and I couldn’t even tell which way was up. Those first months were about trying to get my wits about me enough to find and follow the bubbles up to air and light. 

 My first bubble was a return to physical fitness. I was ready to surrender the easier comfort of food and escapist TV and return to the the athletic pursuits that had brought me pleasure and satisfaction in my life “before.” I downloaded a fitness app, started running again, and followed that bubble up toward the surface. The first thing about this process that made me happy was that I was defiantly pushing back, kicking my legs, refusing to stay under. James tells us “resist the devil, and he will flee.” (James 4:7) I was resisting the devil with every mile I managed to huff my way through. It didn’t matter how slow my pace was, he was fleeing every time my foot struck the ground. Sometimes standing firm looks like sweaty, breathless, determined trotting.

The next bubble was reading. To be accurate, re-reading. Healing is still a fragile state, so I turned to books I knew would engross me, but would not disturb. In that season, I self-medicated with every book and novella of James Herriot, Mary Stewart, and Jan Karon. I immersed myself in friendly literary places and chatted with quirky, lovable characters, and laughed at gentle absurdities and antics. Reading was a bubble back to soul oxygen that didn’t require kicking and struggling. It enveloped me and floated me up.

The last bubble was odd-shaped. Years ago we had told our boys that they could each choose a family trip in their senior years of high school.  We love to travel and have trekked around Greece, Italy, and many places in our own awe-inspiring nation. Alex had chosen for his senior trip: Disney World. When we asked him incredulously why there, of all the places he could choose, he answered, “I want the focus to be on all of us having fun together, instead of on a place.” Who could argue with that? Fun together had been in short supply.

Planning a Disney trip became my new hobby. I discovered there are approximately three kajillion sources of information, and I took to reading forums and blogs with alacrity. I found it to be great amusement. It was also an exercise in hope. That Nicholas would be well enough to go (although I made cancelation-friendly reservations). That we would all be able to enjoy ourselves (although I kept reminding myself to keep expectations low). That depression- and medication- induced fatigue would not prevent Nicholas from being able to keep up (although I planned a slower-paced schedule with lots of downtime). Planning something fun for the future felt like a mighty dangerous bubble, possibly a deceptive one. Would it lead me not to air and light but deeper into drowning? But with cautious optimism, I followed it anyway. The Mickey-shaped bubble delivered, and at the very end of the first crisis year, we saw sun and breathed oxygen, all of us alive.

How about you? What bubbles can you follow back to light and air? 

Cultivate your inner life

Spending time with God nurtures our souls

For a person who longs to face life courageously, with a soul that is whole, the ability to cultivate a vibrant inner life is crucial. Thieves are the problem. They press in on every side, stealing the time and breathing room necessary for soul growth. Distraction. Crisis. Tasks. The needs, wants, or demands of others. Weariness.

Sometimes the sneakiest thief of all is a secret doubt that soul wholeness is possible.

Even though I have been a Jesus follower since age thirteen, those thieves wreaked their havoc on me too. When my son had been suffering from unmanageable bipolar disorder for a couple years, I got to a place where I was tired, burdened, and yes, doubting. My habit of nurturing my soul with prayer, journaling, and Bible study had fallen away. The time it took to do those things was certainly an issue. But the bigger obstacle was my hidden question: could God mend a soul as wounded as mine?

One sleety day I went to an Ash Wednesday service. The short sermon challenged me to spend Lent “fasting from despair, feasting on hope.”(Author Unknown) When I came home, I looked at the wall-length shelf filled with years’ worth of journals, Bible studies, class notes. I asked myself if time with God had ever failed to nourish me. I took out the most recent journal, which had about 20 pages used, the rest blank and waiting. I sat down and wrote, “A long time since I have sat with pen and journal — a lifetime of heartache in the last couple of years.”

I began to read Scripture passages every morning and to write a little.  Nothing magical happened. A few days later, I wrote, “The thing I must believe now is — to put it crudely — that this will work. That I really can live through pain and disappointment and grief with joy and peace by resting in God, obeying Him, and soaking in His Word. God, I ask for confirmation, although I fear it diminishes my faith.”

God came through.

There is so much more to the story. Deliverance from depression*, an awakening of joy, a deep settled peace.

But friends, what I want you to know is that God came through and healed my soul. 

I know that carving out time to spend with God is a challenge. Here are some ideas:

Practical Pointers: Spending Time with God

  • Set aside just a few minutes. Even this may be hard to find, so be creative and don’t wait for perfect moments. For example, you could leave for work or an errand five minutes early and sit in a parking lot. 
  • Keep it simple. Ideas: Read one short passage in the Bible. Write down one thing you are grateful for. Pray with honesty, even if it’s just, “I don’t know what to say, but I need you, God.” Try using a devotional.
  • Try thinking “instead of,” or “before I.” When you have a few minutes to relax, do you scroll through social media? Do you turn to other hobbies, even good, healthy ones like reading, gardening, crafting, or exercising? I am NOT suggesting you give those up. But try building some soul cultivation into your relaxation. And put those practices first. 
  • Enter your time with God without expectations of yourself. Just rest in the quiet. 

Your soul is precious. You deserve to have an inner life connected to God. Make it a priority, trust God will do beautiful work in you, and find the time.

Tending to your soul will keep fear at bay and prevent you from weakening in the face of difficult circumstances. Nourishing your inner person by spending time with God allows you to be strong and brave because of the experience of God’s love and power. 

*The practice of spending time with God healed the spiritual aspects of my depression, which were significant. For the physical and emotional aspects, He also provided medication, therapy, and exercise.

Preparing yourself for your kid’s appointment

When a kid has an appointment with a mental health professional, the parent can prepare for peace and productivity.

Hello friends. I would love to know how you are all doing. How is school-at-home going for you? How are your kids handling things? What challenges are you coming up against these days?

This week’s topic may seem a little out of touch, as there are few in-person appointments happening these days. But the very word “prepare” gives the reason why tucking some pointers into our toolboxes now is good idea. “Pre” literally means “before.” So the time to think through an upcoming appointment is well before the moment you enter the building.

Appointments for our kids can be emotionally charged and intimidating. This is true whether we are at the beginning of a journey or the kid has been struggling with mental or emotional health for a while. How can we make the appointments as effective and helpful as possible? Also important: how can we parents navigate the appointment while guarding our peace?

Before the Appointment:

  • Write down a list of topics/questions you want to address.  
  • Check over medications: do you need renewed prescriptions? Are there any changes you think should be made?
  • Mentally prepare. There might be distressing surprises. Your kid might make you the object of blame.
  • Bring a pen you like. (There are always more forms.) This one little thing makes me feel better. For you, it might not be a pen. It might be your water bottle, or a hard candy, or your comfortable shoes.

During the appointment: 

  • Know the provider will probably speak with your kid alone first.
  • Be honest and share anything you think will be helpful.
  • Remember it’s not your appointment; save your therapy for your therapist.
  • Don’t press the provider or your kid to divulge what they talked about in private. The provider will tell you (if your kid is a minor) if she believes there is danger, but most will otherwise keep confidentiality if the kid requests it.
  • Respect the provider’s professional opinion and expertise, but don’t be afraid to ask questions or disagree with a course of treatment.
  • Don’t answer for your kid or your spouse.
  • Listen to everyone in the room with the goal of understanding. It’s easy to get defensive; try not to be overtaken by that feeling.

Can you help expand this list? What do you do to prepare for an appointment? Are there things you wish you had done/known? Please share your thoughts to help everyone else.

When Parents and providers disagree about treatment

Caring for a Kid with Mental Illness or Special Emotional Needs Takes Teamwork

A Team Sport

Helping a kid move toward wellness when struggling with a mental illness or behavioral disorder is a team sport. We need the help of their therapists, prescribers, and other supports.

But what if the team disagrees about a course of treatment?

What if the doctor wants to prescribe a med that you have concerns about? What if you think the diagnosis is inaccurate? What if you think your kid needs a higher or lower level of care but the professionals don’t?

Conflict on our Team

When my son Nicholas had been sick with treatment-resistant depression from bipolar disorder for three years, we reached an impasse with his care team. After five hospitalizations, they were pushing hard for residential treatment. My husband and Nicholas himself were unsure but willing to consider it. I felt strongly (strongly!) that residential was not the right fit for Nicholas.

I need to pause for just a moment here to say:

This post is not about the pros and cons of residential treatment. I believe that for some kids it is the best treatment option and the most loving choice a parent can make.

Our group of caregivers no longer felt like a team to me. Every appointment felt dangerous, like discovering enemies where I had thought to find friends. I needed to trust them; Nicholas’ care depended on them. I truly believed God had provided them in our hour of need. But our serious disagreement about the next best thing put us at odds.

Which way to Turn?

These were not, however, enemies. They were trained, professional, caring people who had known and worked with Nicholas for years. Residential treatment was their emphatically expressed, best recommendation. And truthfully, I feared that my instincts might be untrustworthy after the years of stress.

I was prepared to fight to the death to make sure the right thing happened for Nicholas. But if my instincts were suspect, then I didn’t know what was the right thing.

I had no idea which battlefield to charge. Which fight could end the war?

What do the Professionals Say?

When we were past our crisis years and I began to interview mental health professionals in a quest to help other parents, I asked about disagreements over treatment. 

The Reality of Liability

One therapist explained that sometimes a provider must push for a higher level of care to protect herself:

“Part of it is my own liability. And that isn’t a compassionate answer maybe, but that’s something I’m always running in my background. If I don’t push for this, am I then liable for the safety of this child? If some harm comes to a child while they’re in my care, someone’s coming to ask me questions. Have I presented this treatment option in such a way that I’m covered regarding liability?”

Concern for the Kid

Mostly, though, the providers who have talked to me about this issue say their responses are born from a place of deep concern for the family. One counselor said:

“If I’ve determined they need residential care, that’s a pretty extreme step, so usually there are some reasons I’m leaning in that direction, either for the child’s safety or for the family’s safety. It can be frustrating for the professional who wants what’s best for the child to say, ‘Look you’re putting yourself and your child at risk.’”

Concern for the Parents

Those I interviewed also talked about their concerns about parent guilt, burn-out, and shame:

 “Sometimes (parents) just feel they don’t want to go that route of residential care because they think that means they’re giving up on their child. And that isn’t the case. If it is what your child needs, it may be what’s best for your child right now. Residential care isn’t usually a permanent solution, so it doesn’t mean you’re warehousing your child and you’re leaving them. You’re putting them in more capable supervisory care. They can do that vigilant care without getting fatigued. When their needs are beyond what you can provide as a parent in that situation, then getting them care that actually provides for those needs is doing what you can do as a parent to help your child the best you can.”

One even expressed unease about the role of some mental health professionals in a parent’s distress:

“Mental healthcare providers can be a part of blaming and shaming. ‘Why didn’t you know? Why didn’t you see the signs?’ That can be really tough. When kids are diagnosed with a physical health problem, parents aren’t necessarily getting that heat. Then they say, ‘Clearly, you’re not a doctor, you wouldn’t pick up on thse difficult health signs.’”

Back to the Team

None of the providers I spoke with insisted that they always knew better than the parent:

“The other part is, it can be just a disagreement. The parent might be right. There have been times I’ve recemmended a course of treatment and the parent said, ‘I’m 100% not doing that.’ And I say, ‘Okay. I get that. You’re the parent and I’m not.’ I’m going to honor that, maybe offer for them to go get a second opinion.”

How to Deal with Disagreement over Treatment

  • Request detailed reasoning for why the provider recommends a course of action. What does she see as the pros and cons? There are always cons. Be wary and press for information if your provider doesn’t share any with you.
  • Make a list of what you see as the pros and cons. Talk to the provider about them. Try not to only focus on cons.
  • Assign weight or value to the items on both lists. For example, the con of a medicine causing nausea for a couple weeks is not as weighty as a pro of bringing psychosis under control.
  • If you can, slow the process down. Give everyone time to work through emotions and analysis. In an emergency situation, this may not be possible, so use any skills you have to reach a state where you can consider all information while also honoring emotions and intuition.
  • See if you can get other professional opinions. Your provider should be open to this.
  • Ask God for wisdom, guidance, and unity on the team.

All the items in this list have one thing in common: Communication. Engage honestly, respectfully, and fully with the providers, your kid’s other parent, yourself, and God.

Nicholas’s Team

Nicholas did not end up going into residential treatment. We agreed to enroll him in our state’s Waiver program, which is the highest level of care outside residential. Waiver can provide a faster track to placement in a facility. It was a compromise solution, because it moved him closer to residential. However, during the time it took to fully get him going in the program, his condition improved. As a result of a second opinion, he was able to access a twenty-week program of Dialectical Behavior Therapy. A change in his medication regimen proved helpful. Physical maturity calmed some of the storm. By taking the time to really work through issues with his providers, considering all options and opinions, and being ready to do whatever it took to serve Nicholas’s best interests, his team of parents and providers helped him achieve stability.

What About You?

Have you experienced conflict within the team of people caring for your kid? What issues did you face in working through it? Do you have advice for other parents?

Parent Stress when a kid has mental illness

Stress can fray us physically, mentally, and emotionally when we are parenting a kid with mental illness.
Image by CJ from Pixabay

Kirsten Panachyda

The stress of caring for a kid with mental illness can take a significant toll on a parent. This experience can weaken an immune system, exacerbate existing conditions, and retrain the brain to respond in unhealthy ways to any negative stimulus. This toll, all too often, comes as an unexpected cost to a parent. I know it did for me.

We live in a suburb of Syracuse, New York. I spent twenty winters there. I thought I was somewhat inured to winter conditions, beyond the typical, mostly good-natured grumbling with strangers in the grocery store line. February and March of 2015 just about did me in. Even in a city grown used to its place on every “worst winter weather” list, people were ground down by that winter. The average temperature in February that year was 9 degrees, the coldest on record. Snow fell every single day from January 29 through March 9. Besides the constant accumulation, the snow clouds also meant limited sunshine. 

It’s hard to find enough adjectives to describe how I felt during that endless winter. Desperate. Defeated. Insignificant. Failed. Battered. Crumbled. Fruitless. Weak. Sick.

Besides the weather, we were enduring the depths of a crisis season which had lasted for over two years by then. Our son Nicholas came home from his most recent hospitalization somewhat more stable, but still suffering from daily suicidal ideation. We never left him alone, and most of my time was spent on his care, either appointments or homeschooling, or even just thinking, praying, and researching. I would never give up on hoping and working for my son’s well-being, even though some days I almost wished I could. But there was a real possibility my body would give up on me.

I started finding the shower drain clogged with clumps of hair. I was wrapping the elastic around my ponytail an extra loop. Googling “hair loss” led to a little questionnaire asking about stress six to eight weeks back. The life cycle, or whatever, of hair follicles meant that stress could show in hair loss after that length of time. Oh. Well. Yes. Maybe it had been a little stressful to agonize over whether Nicholas would be going into residential treatment.

“Did you punch me in the chest while I was sleeping?” I asked Dan one day, teasing but a little worried. “It aches when I take a deep breath. It hurts to the touch.” My fingertips felt my sternum and the pain like a tender bruise. 

Later, Dan sent me an email with the subject line “Maybe it’s this?” I opened the attached link. It led to a medical site with a short article describing costochondritis, an inflammation of the joints between the ribs and the sternum. Symptoms: sore to the touch, pain upon coughing or deep breathing.  Often brought on or aggravated by, yes, intense stress.

A week later my doctor confirmed my internet diagnosis. I was in her office for headaches, which turned out to be a sinus infection and double ear infections. I brought up the pain in my chest. Although she ran tests to make sure it wasn’t a heart problem, she agreed that it was probably costochondritis. Plodding through my days in a fog of pain and low grade fever, I waited for the antibiotics and ibuprofen to do their jobs. All I wanted was to stay under the covers in a quiet darkened room with the door shut.

Within a couple weeks, I was back in the doctor’s office. “I have this rash,” I told her. “It’s really irritated. I’ve tried putting lotion on it, but it’s spreading and kind of blistery.”

She looked at the angry blotch on my rib cage, then moved around the table to look at my back. “Ohh,” she said.

“Oh what?” I craned my neck around trying to see what she had noticed back there.

“You have shingles.” Her face was sympathetic. 

Later I was back in front of the computer, going to the few medical websites I trusted to inform accurately. An outbreak of shingles is commonly linked to a weakening of the immune system. This can sometimes be traced back to, yep, stress.

As a last straw, one morning as I put away laundry and straightened up my bedroom, I blacked out. I was turning from my dresser to get something else to put away, and then my face hit the floor. I wasn’t aware of losing my balance or falling until I hit. For a stunned few moments I could not tell if I was okay.

After some skin glue to patch up a heavily bleeding cut, a CT scan, and another prescription for painkillers, I went home from the urgent care clinic. When the bandage came off, I had a strange-looking eyebrow and a deep purple bruise that looked like goth eyeshadow. 

I wish I had known that the stress of caring for my son would require real attention, especially during the crisis years. We can be much healthier as people, and much more effective caregivers if we expect, and plan to mitigate, the effects of stress.

Tina Yeager (Licensed Mental Health Counselor)* says,  “You need to restore yourself. Adrenaline overload will cause you to get knocked out in the process whether you want to or not, because you’ll get sick.

“(Chronic stress) can cause chronic illnesses or exacerbate chronic illnesses. It can cause digestive problems, heart problems, even something as severe as stroke. People can develop fatigue syndromes or fibromyalgia. It can cause you to be unable to concentrate. You can get insomnia. Stress is not good for any of our physical, mental, or emotional systems. 

“Finding some small stress relief things is really good for a parent. You can pray while you’re doing relaxation breathing exercises, invite the Holy Spirit to bring restoration and healing. Also some exercise is really, really good. Exercise helps restore serotonin levels. And it doesn’t always take a lot of time. You could probably even do that with your child. And if they’re right there, you don’t have to worry about being vigilant about what they’re doing while you exercise.”

Remember:

  • You will experience heightened, sometimes extreme, stress while parenting a kid with mental illness.
  • Chronic stress can cause negative physical, mental, and emotional impact.
  • You can take steps to keep yourself healthy by limiting the effects of stress, if you are intentional.

Take care of yourselves and each other, friends,

Kirsten

Infusing Courage into the Soul-Weary

*Tina Yeager, who was gracious enough to be interviewed for this post and my future book, is the author of Beautiful Warrior: Finding Victory over the Lies Formed against You (click here to learn more) and the host of the podcast Flourish-meant. You can find her at TinaYeager.com.


A Home environment for mental health

Create a home that is conducive to mental wellness and recovery
Image by Krisztina Papp from Pixabay

“The ache for home lives in all of us, the safe place where we can go as we are and not be questioned.” Maya Angelou

When my sons were little, after evening stories and a lullaby rendition of “Jesus Loves Me,” after one more drink of water or scurry to the bathroom, after the final kiss good night, I would close their bedroom door and pause. Laying my hand on the door, I would pray for them, thanking God they were tucked up safe under their covers, asking for them to become the men God created them to be.

Years later, I would go to bed after my “door prayer,” and wet my pillow, because Nicholas’s room had become a place where he was not always safe. The danger in his brain from bipolar depression sometimes made it the place of his greatest temptations, as he struggled there with dark thoughts running in a loop, insomnia, self-harm urges, and suicidal ideation.

I’ll never forget the ache I felt at the thought that my boy was not safe in our home. 

While we waited and prayed for treatment to do its work and help Nicholas stabilize, we tried to learn how to make our home a haven as much as possible. We wanted to provide an environment where wellness could increase and be nurtured. Nicholas’s condition was our motivation, but taking steps to make our home more conducive to mental health benefited all of us.

Tips from The website Taking Charge of Your Health and Wellbeing, from the University of Minnesota:

1. Go for comfort

We humans all have a strong need for safety and security and look for those attributes in our environment. We also look for physical comfort, such as an environment with the right temperature, and psychological comfort, where there is a mix of familiarity and stimulus.

2. Cut the clutter

Visual “noise” increases stress. A cluttered, dirty, or confusing environment can cause us to feel worried, sad, or helpless. 

3. Delight your senses

Choose colors that you find appealing for your walls and furniture. Place photos and objects with special meaning to you where you see them often.

4. Enhance the light

Natural light is associated with improved mood, enhanced morale, lower fatigue, and reduced eyestrain.

5. Bring nature in

Studies show that even a short contact with nature can significantly reduce stress, reduce anger and fear, and increase pleasant feelings. 

6. Reduce the roar

Be mindful about your personal noise production.

7. Don’t forget the garden

Research point to the many benefits of having a garden, and the closer it is to your house and the more you visit it, the more positive effect on stress. 

8. Start small

One way to start is to choose a room or corner that you can make into a healing space. If you already have a favorite place that you can use, wonderful. If it has good natural light and a view of the outdoors, even better. Then consider what activities you find most healing and adapt the space to them.”

Read more here:

https://www.takingcharge.csh.umn.edu/personal-environment

extra measures to keep our kids with mental illness safe when they are symptomatic.

With the advice of our kids’ therapists, we may need to consider:

1) Locking up “sharps” (knives, scissors, razors, some tools, rope, pencil sharpeners, etc.).

  • Recognize that locking up sharps is a deterrent and commitment to helping kids take time to choose better coping techniques or other help. It is never a guarantee that they will not hurt themselves. If they are determined, they will find a way, and that’s not because we didn’t try hard enough.
  • Rubbermaid and other companies sell sturdy cabinets that can be secured with a padlock.
  • Try to find a location that is accessible but out of the way for this cabinet.

2) Removing firearms from the home.

3) Moving all screens, phones, computers, iPods, etc. to communal areas of the home. 

4) Revamping kitchen and eating environments for kids who struggle with disordered eating.

5) In more extreme cases, installing cameras or locks to keep family members and their belongings protected. These should not be secret, but part of a holistic plan that includes everyone.

6) Going through the kid’s room with him or her. Tina Yeager, LMHC says:

“There’s a point where you’ll say to your child, ‘I love you so much. We’re going to go through your room, not because I don’t trust you, but because I love you. I want you to work with me and we’re going to find things that might be a temptation for you to cause yourself harm.’ Some kids, teenagers especially, are going to be very resistant, but just try to do it as reassuringly as possible.”

None of these tips will cure mental illness that needs medication and other treatment. But a home environment can support healing and recovery. Home can also help parents maintain our own wellness while caring for our kids. 

Remember that even when, despite our best efforts, the place we live feels chaotic and stressful, we still have a home in the arms of God. We can always run there for peace, healing, and a loving embrace.

The subtle temptation of special

“Now when all the people were baptized, Jesus was also baptized, and while He was praying, heaven was opened, and the Holy Spirit descended upon Him in bodily form like a dove, and a voice came out of heaven, “You are My beloved Son, in You I am well-pleased.””

“Jesus, full of the Holy Spirit, returned from the Jordan and was led around by the Spirit in the wilderness for forty days, being tempted by the devil. And He ate nothing during those days, and when they had ended, He became hungry.”

Luke 3:21-22, 4:1-2 NASB

“This is My Beloved Son.”

The Voice confirmed Jesus’ identity and commissioned His calling. Jesus came up from the waters of the Jordan river to that benediction and went away into the wilderness to begin the next stage of His life. 

I always thought when Jesus went into the wilderness, the forty days he spent fasting were a time of communion with the Father. Yes, I thought, the fasting was probably hard, especially at first, but that time of fellowship must have been so sweet. I thought the devil waited until that time was over, and Jesus was done praying and was hungry and tired before he made his move.

But a little detail jumped out at me in my last read of Luke 4. Jesus wasn’t sitting in some nice cave, talking to God. He was being “led about by the Spirit in the wilderness, being tempted by the devil.” (Luke 4:1b-2a) His retreat was less about His time with the Father and more about His time with the devil. Matthew tells us that He was led into the wilderness “to be tempted by the devil,” but this phrasing is ambiguous compared to the Luke account or that of Mark, who gives even more details of the forty days, saying, “He was in the wilderness forty days being tempted by Satan; and He was with the wild beasts, and angels were ministering to Him.” (Mark 1:13)

“Being tempted.” I’m a word person, so it actually gives me a little thrill when the grammar matters so much. “Being tempted” means that it was a continual process, not a one-time event. In Jesus’ wilderness, the communion with His Father and the ministry of the angels mingled with the wearing, wearisome work of the enemy. Jesus was worn down by more than hunger when the big showdown occurred at the end of the forty days. He had been niggled and jabbed with temptation even as his physical strength ebbed. 

The devil’s attempt to derail Him coalesced into the final three temptations. These were the essence of what Satan thought would work on this Incarnation of God. He appealed to Jesus’ human desire for physical comfort: “Tell this stone to become bread.” He offered to fill the human craving for purpose and approval from people: “I will give you all this domain and its glory.” 

But the third temptation was the deepest cut. Satan enticed Him feel with His flesh His own specialness. 

“And he (the devil) led Him to Jerusalem and had Him stand on the pinnacle of the temple, and said to Him, “If You are the Son of God, throw Yourself down from here; for it is written, ‘ HE WILL COMMAND HIS ANGELS CONCERNING YOU TO GUARD YOU,’ and, ‘ ON their HANDS THEY WILL BEAR YOU UP, SO THAT YOU WILL NOT STRIKE YOUR FOOT AGAINST A STONE.'” And Jesus answered and said to him, “It is said, ‘ YOU SHALL NOT PUT THE LORD YOUR GOD TO THE TEST.'””

Luke 4:9-12 NASB

If it were me, I would have longed to make that test. “I am so hungry, Father. These last weeks have been so hard. I just want to feel, really feel, the tangible reassurance of Your love and care for me. Remind me that I am precious in Your eyes. Show me the strength of our relationship.”

In fact, words like these have come out of my mouth. Sitting on a dirty kitchen floor in the middle of the night. Grieving, raging, desperate for relief for my wounded heart. “It hurts so much, God. My boy has been sick and suicidal for so long. You say You love me. Please, please show me. Fix it. Prove You love me.”

Fix it. Prove you love me. This temptation can wreck us.

Yes, this temptation can wreck us if we let it. It is the pull, not to do the wrong thing, but to believe a lie. To believe that circumstantial good is the proof of God’s love, when the worst evil in history, the cross of Christ, is the true proof. To believe that pain is the absence of God’s love, when actually we find our fellowship with Him in suffering. 

So how do we respond? The devil didn’t use this temptation on Jesus because it was outrageous. He knew it appealed to human logic and emotion. That’s why he uses it with us too. It is so very natural for us to want God to prove His love. Our defense is the same as Jesus’ answer: “It is written.”

“Now faith the assurance of things hoped for, the conviction of things not seen.” (Hebrews 11:1)

“God demonstrated His love for us in this: while we were still sinners, Christ died for us.” (Romans 5:8)

“For God so loved the world that He gave His only begotten Son, that whoever believes in Him should have eternal life.” (John 3:16)

Friends, let’s cling to our faith in the love Christ demonstrated on the cross. Let’s press in hard, especially when we are tempted to seek the “proof” of having things go the way we want. It’s hard, I know. But God is love. It is written.

5 reasons i’m Writing among lions

I’m sitting on the lanai (a screened-in patio) outside my parents’ house in Florida trying to work. It can be hard here not to feel like I’m on vacation every day. But I’ve been here a while, escaping the Syracuse, NY winter, and I can’t just lounge by the pool and nap.

Actually the past couple of months have been productive ones. Besides improving my health and fitness and attending the wonderful Florida Christian Writers Conference, I’ve put in many hours writing. I have several articles in the works in addition to this blog. But the biggest chunk of time has been spent on two book projects. The first is nonfiction, working title: Among Lions: Fighting for Faith while Parenting a Kid with Mental Illness. The second is historical fiction, working title: A Hand Outstretched.

When my older son was grown and my younger son was becoming more stable and able to manage his bipolar disorder, I sat down to write. Writing has always been the passion and the plan. At first, I was waiting until the boys were more independent in their work in homeschooling. I figured they would be about 14 and 16 when I really settled in to serious endeavor. But then Nicholas got sick, and priorities shifted. When Nicholas was 18, I finally hunkered down to write the novel set in first-century Britain that I had been tinkering with for over a decade.

Somehow another book kept coming out of my fingers. One for all the parents who were like me — scared and sad and trying desperately to care for their kids suffering from emotional or mental illness. So I set aside the novel, and wrote Among Lions. 

Five Reasons for Writing Among Lions: 

1) There are at least 8 million adolescents age 13-18 in the US currently diagnosed with a mental illness. All of these have parents or caregivers struggling to navigate a very difficult life. One in five kids will need help with depression or other mental illness. This ratio is the same in the church.  Parents need help.

2) Stigma against mental illness keeps families isolated and without support. We need more voices reaching out saying, “This is my experience too. You’re not alone.”

3) Beyond the question of “Can my kid get well?” there are other questions: “Will my marriage survive? How will my other kids be affected? Can my faith withstand this pain?” Parents need more than information on how to help the kid who is sick. They need to know how to defend against the beasts which will attack their souls. 

4) Scripture, stories from other parents, professional input, and new ways of looking at life as a caregiver infuse courage into the soul-weary. This has become my privilege and my mission.

5) This is the book I wish I had when Nicholas got sick.

Among Lions has won a first place Tapestry award and has attracted publisher interest. Would you pray for this project to reach the hearts for whom God intends it? 

Next post: Why am I writing that weird historical novel?

Nature: Tool for Destressing and Restoring

 

Rocky Mountain National Park

 

Tax season is upon us. Some people spend hours in their home offices doing the painstaking task of reading through all the tax booklets and filling in schedules. Dan and I think its enough work to organize and gather our documents and bring them to an accountant. Of course, Dan had to drive through a snowstorm to drop it all off.

We all know taxes are a fact of life. I choose to improve my attitude about it by deciding in my own mind what my personal taxes pay for. So when I fret over the withheld money on the pay stub or the check I need to write to the government, I tell myself, “I don’t know what other people are spending this money on, but I am funding libraries and parks. And sanitation workers.”

I am thrilled to be part owner of the city, county, state, and national parks. Regular use of these resources improves the quality of my life. There have been many times when sitting on a public beach or walking a lakeside trail has made it possible for me to face the hard circumstances waiting for me when I left. I feel a loosening, a freeing, when I spend time in nature. God speaks healing into my soul through His creation.

More and more research bears out the beneficial effects of the natural world on mental health. I started looking into these studies first with the intent of finding new ways to support my son in his recovery. But I believe the benefits are for everyone who seeks to improve mental wellness, not least the stressed and distressed parents of kids with mental illness.

How can connections with the natural world help us, and how can we make use of them?

1) Nature helps improve attention and focus. 

In studies, time in a natural setting has been found to improve attention both in people with and without disorders like ADHD. This is not the effect of extra physical exercise, which tends to increase when people are outside. Subjects were tested doing the same activities (eg walking, soccer) in indoor and outdoor settings. Also,the positive effects on attention, concentration, and memory continue even after the the time in nature is over. (“Why ‘Getting Away’ in Nature is Good for your Mental Health,” Ellen Hendricksen Ph.D Savvy Psychologist, Scientificamerican.com, 11/7/18)

2) Time in natural settings aids emotional regulation.

Did you know city-dwellers have a higher risk of anxiety and mood disorders and even schizophrenia? Lack of access to the natural world may be a factor. A study by Stanford researchers discovered that brain scans show decreased activity in the part of the brain that produces repetitive thought focused on negative emotion after 90 minutes spent in a natural setting. (“Stanford Researchers Find Mental Health Prescription:Nature,” Rob Jordan, news.stanford.edu, 6/30/2015)

3) The setting is flexible. 

Experiments in using nature-focused programming in the UK to specifically treat people with mental illnesses have shown great promise. One interesting facet to the work is that programs have been conducted in a variety of settings, from wooded areas, to beaches, to urban green spaces. All seem to offer similar benefits. This is encouraging because it tells us we can seek out the most convenient and accessible settings to receive the positive effects of time in nature. (“What Makes Nature-Based Interventions for Mental Health Successful?,” Dan Bloomfield, www.ncbi.nlm.nih.gov, 11/14/17)

4) Even a little can be beneficial.

For stressed and overbooked parents who need to care for their own mental health, this one is important. We can benefit even from little doses of nature. A houseplant. The tree next to the driveway. A view out a window. Even watching a nature program can help us. The key is to give our attention to things not made by humans for a while. Can’t go to the park for an hour? Notice and appreciate the plantings in the road median. Stuck in a long winter? Spend a couple bucks on a hard-to-kill plant, then spend a few minutes taking care of it and looking at it each day. (Go ahead and talk to it if you want — I won’t tell.)

Robert Treman State Park

For people of faith, it should come as no surprise that science shows connection with nature is good for us. 

Consider:

Romans 1:20 tells us that “since the creation of the world (God’s) invisible attributes, His eternal power and divine nature, have been clearly seen, being understood through what has been made…” 

Psalm 23 reminds us that God restores our souls by making us lie down in green pastures and leading us beside still waters. (Psalm 23:2-3) 

And in his Gospel, John writes: “All things came into being through (Jesus, the Word), and apart from Him nothing came into being that has come into being.” The same Jesus who loved me enough to die for me, who conquered death for me, and who lives to intercede for me (Hebrews 7:25) made all of the natural world. 

If you are looking for ways to battle stress and find restoration for your soul, try looking to nature. 

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