Tag: stigma

  • How Trauma Can Cause Mental Illness (It’s Not Just a Chemical Imbalance)

    How Trauma Can Cause Mental Illness (It’s Not Just a Chemical Imbalance)

    “What seems to be clear is that we humans are an accumulation of our traumatic experiences, that each trauma contributes to our biology, and that this biology determines, to some extent, how we respond to further traumatic events as they emerge in our lives.” ~Shaili Jain

    The stigma of mental health is decreasing. That’s wonderful, but the way we’re doing it is wrong and damaging. We are ignoring the trauma that is so prevalent and pervasive in our society.

    Think about how many times you’ve read something equating mental illness to cancer or some other disease. People say that taking medication for mental illness should be considered the same as taking medicine for blood pressure, cholesterol, or other medical issues.

    The phrase “chemical imbalance” is used quite often when referring to mental illness. There is a connection, but there’s so much more to mental illness than that.

    When we say that mental illness is simply a result of a chemical imbalance, we are pretending our trauma isn’t what causes so many of our mental health struggles. Most of us have had more than enough of others invalidating our trauma and the mental illnesses resulting from it.

    Now, before anybody starts screaming that their mental illness is purely a result of a chemical imbalance, hear me out. I do believe it is possible to have a genetic chemical imbalance.

    At the same time, I think that possibility needs to include a look at epigenetics. I’m not going into detail about that. Take yourself on over to Google for that.

    What I will say about epigenetics is that I believe these “genetic chemical imbalances” come from trauma that is inherited from each generation. It has been proven that trauma can change our DNA.

    That is probably why scientists have shown that some have a genetic predisposition to mental illness. The brain has a chemical imbalance as a result of epigenetics.

    Now, back to simply labeling mental illness as a chemical imbalance. I suppose it feels like a softer blow for some to believe that’s why they have a mental illness.

    This allows them to think that they and/or their experiences have nothing to do with their mental illness. Let me just take this pill to fix my brain.

    When I hear or read that anywhere, I get incredibly frustrated. It is minimizing or completely ignoring the fact that mental illness is typically a result of trauma.

    My father was a depressed alcoholic who died of cirrhosis nine years ago. I experienced a good bit of trauma as a result of his drunken rages on top of him being absent for a large part of my childhood.

    Not only that, but I had the additional trauma of my mother pretending there was nothing wrong with him. I was also taught to pretend the violence wasn’t a big deal.

    It was incredibly confusing for me as a little girl because my mind and body knew those experiences were traumatic, but I heard otherwise.

    I got a double whammy when it came to mental illness. Unfortunately for me, my mother was not emotionally available. I needed a parent who would validate my feelings and allow me to express what I was feeling.

    So, I had the genetic predisposition to depression from my father and probably my mother as well since she stayed with him for many years. However, I also had severe depression and anxiety as a result of my childhood trauma.

    I believed my depression was simply genetic and a chemical imbalance until I began therapy. As it became clearer that my childhood trauma was the biggest reason I struggled with my mental health, that way-too-simple theory began to piss me off.

    If a genetic chemical imbalance was the sole reason I was depressed and had anxiety, that meant my trauma shouldn’t have affected me the way it did. That didn’t sit well with me.

    How could a genetic chemical imbalance result in my thinking that I was worthless and unlovable? How could it be the reason I never felt safe, emotionally or physically? It just was not possible in my mind!

    A genetic chemical imbalance wouldn’t cause those negative, false beliefs. It would make me feel depressed or anxious overall, but not linked to any particular event.

    Witnessing violence in my home was the reason I had anxiety. I never felt physically safe after the first episode. I was always creating plans of what I could do to be safe if this or that happened.

    When I was little, there was a roof over a storage shed outside my window. If I heard my father throwing furniture or screaming violently, I could go out my window, slide down the roof, and run into the woods behind my house.

    I had escape plans for every room in my house. I also used to sleep with a portable phone so that I could call 911 if I was ever somehow brave enough to do that.

    Hearing that the violence I witnessed was not a big deal and being told not to talk to anybody about it resulted in a very confused little girl.

    I felt intense sadness because I believed that my father didn’t love me enough to quit drinking. When I would voice that sadness, I was told that I didn’t have a reason to be sad. So then I thought there was something really wrong with me.

    Why am I so sad if I don’t have a reason to be? Why should I feel unlovable if that’s stupid to say or feel?

    Once I began therapy, I learned that all of those thoughts and feelings resulted from my trauma. So, even if I didn’t have that predisposition to a genetic chemical imbalance, I would still have had depression and anxiety.

    Any child who experienced anything similar to what I experienced would have depression and anxiety. That genetic chemical imbalance garbage was keeping me from acknowledging the fact that trauma was the cause.

    As I mentioned earlier, I hear a lot of people saying they need medication for mental illness simply because they have a chemical imbalance. In my opinion, that is incredibly dangerous and prevents people from healing.

    It typically results in people thinking a pill will solve all of their mental health struggles. I’ve yet to hear about anybody who took a pill that completely removed all symptoms of mental illness.

    Now, I’m not saying the medication does not help. It most certainly does for many people. However, there is much more to mental illness.

    Not only that, but the chemical imbalance can also be a result of trauma. There is much more needed to heal trauma than just a pill.

    In my late teens and into my early twenties, I tried tons of different medications for depression, but I knew I needed more than that.

    Also, each medication only helped a little bit, and only with the day-to-day functioning to get my work done. I was just going through the motions, though. I never even had moments of peace or happiness.

    There was no medication that changed my feelings of worthlessness. I still felt unlovable. If I heard or saw certain things, I would get triggered with anxiety. Quickly, my mind would return to that childhood fear that I wasn’t safe emotionally or physically.

    If my mental illness wasn’t a result of trauma, then the medications would’ve cured it all.

    Oh, how I wish those medications would’ve been the answer for me. That would’ve saved me a lot of time, energy, and money in therapy.

    Therapists wouldn’t even exist if mental illness were nothing but a simple chemical imbalance. Medications for mental illness truly would be “happy” pills.

    It just doesn’t work that way. Mental illness typically results from years of trauma, covered up or not processed.

    Trauma needs intense therapy in order for the brain to get rewired. Trauma also needs to be acknowledged and validated for people to function in a healthier way and begin the healing process.

    Saying mental illness is just a chemical imbalance sends the message that your brain is just screwed up and some loose screws need to be tightened.

    Equating mental illness to cancer or any other medical illness or disease is denying the major damage trauma causes.

    For me, I had enough people downplay my childhood trauma. I’ve also heard way too many people downplay their own.

    So, let’s stop doing that. Let’s start naming trauma as equally damaging, if not more, than a simple chemical imbalance.

    Name the traumas that resulted in your mental illness. Acknowledge the significant impact that trauma has had on your life and the ways it continues to affect you on a daily basis. And find a good therapist who can guide you through processing your trauma, as I did, so you can heal. Your mind, body, and soul need you to do that.

  • My Dad Died From Depression: This Is How I Coped with His Suicide

    My Dad Died From Depression: This Is How I Coped with His Suicide

    “Grief is really just love. It’s all the love you want to give, but cannot. All that unspent love gathers up in the corners of your eyes, the lump in your throat, and in that hollow part of your chest. Grief is just love with no place to go.” ~Jamie Anderson

    When I was seventeen, my dad died from depression. This is now almost twenty-two years ago.

    The first fifteen years after his death, however, I’d say he died from a disease—which is true, I just didn’t want to say it was a psychological disease. Cancer, people probably assumed.

    I didn’t want to know anything about his “disease.” I ran away from anything that even remotely smelled like mental health issues.

    Instead, I placed him on a pedestal. He was my fallen angel that would stay with me my whole life. It wasn’t his fault he left me. It was the disease’s fault.

    The Great Wall of Jessica

    But no, my dad died by suicide. He chose to leave this life behind. He chose to leave me behind. At least, that’s what I felt whenever the anger took over.

    And boy, was I angry. Sometimes, I’d take a towel, wrap it up in my hands, and just towel-whip the shit out of everything in my room.

    But how can you be angry with a man who is a victim himself? You can’t. So I got angry at the world instead and built a wall ten stories high. I don’t think I let anyone truly inside, even the people closest to me.

    How could I? I didn’t even know what “inside” was. For a long time, my inside was just a deep, dark hole.

    Sure, I was still Jessica. A girl that loved rainbows and glitter. A girl that just wanted to feel joyful.

    And I was. Whenever I was out in nature. I didn’t realize it at the time, but whenever I was on the beach, in a forest, or even in a park, I’d be content and calm.

    Whenever I was inside between four walls, however, I felt restless, lonely, and agitated. This lasted for a very long time. I’d say for about twenty years—which, according to some therapists, is a pretty “normal” timespan for some people to really make peace with the traumatic death of a parent.

    But during that time, alcohol and partying were my only coping mechanisms. I partied my bum off for a few years. I’d drink all night until I puked, and then continue drinking. Couldn’t remember half of the time how I got home or what happened that night.

    Hello Darkness, My Old Friend

    Unfortunately, all that alcohol came with a price. I had the world’s worst hangovers—not only physically but also mentally. At twenty-one, hungover and alone at home, I had my first panic attack. Many more followed, and I developed a panic disorder.

    I became afraid of being afraid. I didn’t tell anyone, because I was scared they would think I was crazy.

    Those periods of anxiety never lasted longer than a few months. But they were usually followed by a sort of winter depression. In my worst moments, I felt like the one and only person that understood me was gone. I felt like nobody loved me, not as much as my dad did. And I did think about death myself. Not that I actually wanted to die, but at times, it seemed like a nice “break” from all the pain.

    Acceptance and Spiritual Healing

    Finally, in my mid-twenties, I went to see a therapist. She helped me tremendously and made me realize that the panic attacks were nothing more than a physical reaction to stress. Yet, it wasn’t until I did a yoga teacher training a few years later that I finally learned how to stop those panic attacks for good.

    Wanting to know more about the mechanisms of the body and mind, I dove into mental and physical well-being, and started researching and writing about mental health.

    I understand now that self-love, or at least self-acceptance, and a solid self-esteem are crucial for our mental health. And I know that people with mental health issues find it so, so hard to ask for help. Their lack of self-love makes them think they are a burden.

    I understand that, at that moment, my dad didn’t see any other solution for his suffering than stepping out of this life. It did not mean that he didn’t love me or my family.

    The pain from losing my dad actually opened the door for me to spiritual healing. It brought me to where I am now. It taught me to live life to the fullest.

    It taught me to follow my heart because life is too precious to be stuck anywhere and feel like crap. And it made me want to help others by sharing my story.

    I have accepted myself as I am now. I know that I’m enough. I’ve learned what stability feels like, and how to stay relaxed, even though my body is wired to stress out about the smallest things due to childhood trauma.

    Let’s Share Our Demons and Kill Them Together

    But honestly, the pain from losing him will stay with me for the rest of my life. And sometimes it’s as present as it was twenty years ago. I don’t feel like covering that up with some positive, “unicorny” endnote.

    I feel like being raw, honest, and open instead. Depression and suicide f@cking suck. What I do want to do, however, is to help open up the conversation about this topic. I want to make it normal to talk about our mental health, as normal as it is to talk about our physical health.

    There are way too many people living in the dark, due to stigmatization and fear. Life is cruel sometimes. And every single human on this planet has to deal with shit. It would be so good if we could be real about it and share our stories so other people can relate and find solace.

    I do hope that my story helps in some way.

  • When You Lose a Loved One to Suicide: Healing from the Guilt and Trauma

    When You Lose a Loved One to Suicide: Healing from the Guilt and Trauma

    “You will survive, and you will find purpose in the chaos. Moving on doesn’t mean letting go.” ~Mary VanHaute

    I was ten years old when I discovered the truth. He didn’t fall. He wasn’t pushed. It wasn’t an accident.

    He jumped.

    Suicide isn’t a concept easily explained to a six-year-old, much less her younger siblings, so I grew up believing that my father’s drowning was an unfortunate freak accident. It was “just one of those things,” the cruel way of the world, and there was nothing anyone could have done about it.

    This explanation more than satisfied me and, other than a fear of open water and a slight pang of sadness whenever he was mentioned, I suffered no grievous trauma for the rest of my early childhood.

    But at ten years old I learnt the truth—that it wasn’t some divine entity or ill-fated catastrophe that took him from me. He had, in fact, ripped himself from the earth and left everyone he loved behind. Left me behind.

    Was it something I did?

    That’s the first question I asked.

    “Of course not,” my mother said. “He was just sad.”

    The idea that suicide was a simple cure for sadness became the first of many dangerous cognitive distortions I adopted. It would take no more than a dropped ice-cream cone or trivial friendship fall-out for me to declare my sadness overwhelming, to the point where, at the age of eleven, I drank a whole bottle of cough medicine in the belief that it would kill me.

    I was sad, I said, just like him. And if he could do it, why couldn’t I?

    As I grew into my teenage years, the possibility that I was the driving force behind my father’s suicide began to plague me, albeit subconsciously. I reasoned that the bullies at school hated me so, naturally, my father must have hated me too.

    Maybe I wasn’t smart enough or polite enough. Maybe I was unlovable. Maybe everyone I loved would leave me eventually.

    This pattern of thinking would slowly poison my mind, laying the foundations for what would later become borderline personality disorder. I suffered from intense fears of abandonment, codependency, emotional instability, and suicidal ideation, believing that I was an innately horrible person who drove people away.

    I refused to talk about my problems and allowed them to fester, harboring so much anger, guilt, shame, and sadness that eventually it would erupt out of me. It was only in my mid-twenties that I realized just how deeply my father’s suicide had affected me and the course of my whole life.

    I sought help and, slowly, I began to heal.

    Coping with The Stigma

    “Mental illness is nothing to be ashamed of, but stigma and bias shame us all.” ~Bill Clinton.

    Selfishness, cowardice, and damnation are toxic convictions that permeate the topic of suicide, adding to the anger, guilt, shame, and isolation that survivors feel. Growing up, I hid the truth of how my father died under fear of judgment or ridicule, scared that the knowledge would not only tarnish his humanity, but paint me with the same black brush.

    I still remember the words of a girl in high school, “Well, you shouldn’t feel sorry for people who do it, it was their choice after all.”

    Understanding the intricacies of mental illness and just how destructively they can distort the mind allowed me to come to terms with my father’s death. I was able to accept that his suicide was born not out of selfish weakness, but from lengthy suffering and pain, carried out by a mind that was consumed by darkness and void of the ability to think rationally.

    Letting Go of The Need for Answers

    “Why?”

    It is a question that only the person who took their life can answer—but they often leave us without any sense of understanding. In the absence of a detailed note or some definitive explanation we find ourselves trapped in an endless spiral of rumination, speculating, criticizing, and self-blaming, to no avail.

    It becomes a grievance, a desperate yearning for closure that weighs heavily on our hearts. After all, not only did they leave us, but they left us in the dark.

    It is completely natural to want an answer to the question of “why.” We feel as though an answer will provide closure, which in turn will ease our confusion, pain, and guilt. However, because there is usually no singular reason for a suicide attempt, we will always be left with questions that will go unanswered.

    Fully accepting that I was never going to get the answers I craved freed me from the constant rumination of “why.”

    Releasing the Guilt

    To quote Jeffery Jackson, “Human nature subconsciously resists so strongly the idea that we cannot control all the events of our lives that we would rather fault ourselves for a tragic occurrence than accept our inability to prevent it.”

    As survivors, we tend to magnify our contributing role to the suicide, tormenting ourselves with “what if’s,” as though the antidote to their pain lay in our pockets.

    We feel guilty for not seeing the signs, even when there were no signs to see. We feel guilty for not being grateful enough or attentive enough, for not picking up the phone or pushing harder when they said, “I’m fine.” Even as a child I felt an overwhelming guilt, wondering whether I could have prevented my father’s suicide simply by saying please-and-thank-you more often than I had.

    It wasn’t my fault. And it isn’t yours either.

    The truth is that we cannot control the actions of others, nor can we foresee them. Sometimes there are warning signs, sometimes there are not, but it is an act that often defies prediction. It is likely that we did as much as we could with the limited knowledge we had at the time.

    Healing takes acceptance, patience, self-exploration, and a lot of forgiveness as you navigate your way through a whirlwind of emotions. However, there is a light at the end of the tunnel of grief. Although we may never fully move on from the suicide of a loved one, in time we will realize that they were so much more than the way in which they died.

    To quote Darcie Sims, “May love be what you remember most.”

  • I Got Fired for Struggling with Depression, and It’s Not Okay

    I Got Fired for Struggling with Depression, and It’s Not Okay

    About all you can do in life is be who you are. Some people will love you for you. Most will love you for what you can do for them, and some won’t like you at all.” ~Rita Mae Brown

    The stigma associated with mental illness has improved in recent years, but there is still work to be done.

    I am a certified life coach and a certified personal trainer. As an employee of a major global fitness studio chain, I was once discriminated against for my mental health issues.

    I have always been an athlete, and I love sports. Before deciding to go to college for engineering, I thought I’d take the medical school route with the goal of becoming an orthopedic surgeon—I was always fascinated with the body’s structure and how all of the muscles, ligaments, and tendons worked together. But I chose the engineering path and kept my athletic pursuits and fascination with body mechanics and such as hobbies.

    When I was going through my divorce, I decided to get my personal trainer certificate. I had been a stay-at-home mom and part-time photographer since my first child was born, and divorcing meant I would need to go back to work. However, I was not interested in a corporate cubicle job.

    I studied hard, took the exam, and quickly landed my first training job as a coach for a global fitness studio chain. The classes at this particular chain were basically high-intensity interval based, combining treadmill running, rowing, and strength training. The classes of up to thirty-something athletes were coached by one trainer who timed the intervals and explained the workouts.

    It was a very high-energy workout and atmosphere with loud, pumping music and drill-sergeant-like yellings of encouragement.

    The training for this position was an intense week-long ordeal. I worked my butt off during that week with no guarantee of a job (which they neglected to tell us until the week of training was almost over).

    When I was ready to teach my first class, I was excited and nervous, but I ended up loving coaching the classes. There were many unfit individuals who barely knew how to do a squat, and I loved not only teaching them but encouraging them and helping them believe that they could master these exercises and become good at them.

    I helped many people see themselves as athletes when they went from barely being able to walk for three minutes straight to actually running for three minutes straight.

    We had member challenges, including a weight loss challenge. I loved it, and given my background battling an eating disorder, this was my chance to come at weight loss from a place of healthy living—not losing weight to measure up to some ridiculous standard.

    After each class, members of my team would stay after to ask questions about nutrition, exercise, and recovery. I loved sharing my knowledge with them as well as cheering them on. I knew they could reach their goals, and they did. My team won the challenge.

    During this period of time working for this company, I was struggling with my own personal hell. I would show up to class to coach and put on my high-energy, happy face, blast the music, and yell those firm, but loving words of encouragement for my athletes to give it everything they had during each interval. But inside, I felt like I was dying.

    I lived with a sinking, sick pit in my stomach. I’d often leave the studio and cry in my car before going back to the lonely home that once housed a family.

    During my tenure at the studio, I was hospitalized for severe depression twice. Both times required me to take a short leave of absence—a few days the first time, and nearly a week the second time.

    I also took a last-minute trip on Christmas Day back home to see my family so I would have some family support for that first Christmas without my kids (they were with their dad that year). I got someone else to cover the class I was scheduled to teach.

    When I returned from my trip, I came back to work and taught my scheduled classes. As I was leaving, the head trainer and one of the main investors of all Maryland franchises made me stay so they could fire me.

    They told me that my performance wasn’t up to par and that they had to let me go.  

    Funny, I had never had anyone give me any indication that I needed to improve anything to keep my job. Not even in my evaluation with the head trainer—she gave me some constructive feedback but also indicated that I was doing a good job. There had been zero warning signs.

    After my departure, a large number of my students reached out to me asking where I was and why I wasn’t teaching anymore. When I told them the reason, they were appalled and angry. One or two even canceled their membership.

    They loved my classes and would come because they liked my style of teaching. I asked to see member surveys for my classes, but management refused to show them to me stating that “surveys don’t tell the whole story.”

    Other trainers, including another head trainer who had been with the Maryland franchises since the first location opened, thought the whole thing was absurd and offered that I could come back and teach at his location. As much as I loved coaching, I was still too upset at the way the company had handled my dismissal to take him up on his offer.

    I tell this story because what happened to me was cruel and heartless and should never happen to anyone who is genuinely giving their best effort in a job. It should never happen to anyone without proper warning.

    I was struggling on a level I doubt either the twenty-something head trainer or bougie investor ever had to endure, and they let me go for some made-up reason that, below the surface, really came back to my mental health struggle.

    Authenticity is a topic that is near and dear to my heart, and I feel that authenticity in the workplace is sorely lacking.

    All too often, we feel like we can’t show up as our authentic selves for fear of looking weak or incompetent. We need to be competitive and not show any sign that we aren’t anything but perfect for fear someone else might get ahead because of an incorrect perception (one that is wrongly distorted by mental health struggles) that others have of our ability to get the job done.

    I did my job as a coach and trainer, and I did it well. Ask any of my students. But on some level, management sensed my weakness and decided I didn’t fit the “brand image” of this very popular and trendy international fitness studio chain because I was struggling with mental illness.

    If you asked them, I am quite certain that they would argue their reasoning had to do with other factors, but the facts just don’t add up.

    I had never been let go from a job in my life. This added to my depression and anxiety. I understand that if I had not been able to perform my duties, that would have been grounds for dismissal. But I gave it my all and never received any negative feedback indicative of my job being in jeopardy.

    My struggle with depression at that time was no different than someone struggling with a physical illness.

    If I was undergoing treatment for cancer, I am quite certain this scenario would have gone quite differently. I am certain there would have at least been a conversation about the situation, rather than just flat-out making up an excuse that my performance wasn’t up to par and firing a single mom without another job to go to.

    We have to remove the stigma mental illness has in the workplace. We have to make it okay for people to show up and say, “Hey, I’m struggling right now. I am doing my best, but I’m having a hard time.” That shouldn’t be a weakness. If anything, it’s a strength to admit when you’re struggling and need some help.

    Are strides being made? Yes. But the disparity between the perception of physical illness and mental illness is still too great. This needs to change.

    How could my former employer have handled this differently?

    First of all, if they didn’t think my performance was good enough, they should have given me a chance to improve. They should have told me that I needed to change something, because I’m the type of person that, when given feedback, will do everything possible to nail it. At that point in my life, I was still firmly rooted in perfectionist mode, and the very thought of someone thinking I’m not perfect would have been enough to send me into a frenzied mission to correct that perception.

    If they were not thrilled with the time I had to take off for my hospitalizations and my last-minute trip where I had someone else cover one class, the head trainer should have communicated to me that it was unacceptable and given me a warning. That would have given me a chance to have an honest conversation about the struggles I was having.

    In even a minimally caring environment, it makes more sense to help employees succeed rather than throw them away the moment you don’t like them. It’s much more expensive to go through training a new employee than to try to improve one you already have.

    In the fitness industry in particular, I feel that there is little room for perceived imperfection, and there is even less room for a flawed trainer or coach. The fitness industry perpetuates the lie that trainers and coaches have their sh*t together—that’s why they’re the ones training you. That’s why you can’t get these results yourself—because you’re not perfect and you don’t know how to be perfect.

    Authenticity in any workplace is so important. When we are afraid to show up as ourselves with not only our flaws but also our gifts and talents, that’s where creativity ends. When we aren’t able to exercise our creativity, innovation is thwarted. And when innovation stops, that’s where everyone gets stuck.

    Looking back, I now know that I never want to be employed by such shallow and uncompassionate people, but I also know that just wasn’t the place for me. There is no place I want to be where I can’t show up as my true self and say, “Hey, I can bring a lot to the table, but I’m also flawed and I’m okay with that.”

    The reaction should be “Yeah, me too. Welcome to the club,”

    Because we are all imperfect. And that’s a fact.