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The Equation of Mental Health and Sleep

5 min read

A watercolor of a man in bed not sleeping

"There's not enough time in the day." Whether you live paycheck-to-paycheck or comfortably,the demand for your time is ceaseless. Certainly the phrase, "I'll sleep when I'm dead." must be famous last words. Sleep is important and deeply impacted by our mental wellness.

Show Your Work

Many people lucky enough to be working during the pandemic are working from home. While there are some "productivity gurus" who believe the gig economy is a step toward a future where people work when they want to, the reality seems to be that we are working all the time. My old mantra, "you're not enough," has driven me to burnout on many occasions. This "pull yourself up by your bootstraps" shame that has been passed down through generations eradicates sleep. My bed is in the same space as work. So, what's another 10 minutes, an hour or 3 hours of work? In addition to the self-shaming that many of us inflict, we now live in a world where corporate masters are monitoring our work from home with invasive technology. My anxiety loves this idea enough to disrupt my focus, day and night.

Story Problems

Personally, I have had as much work as I have had sleep, which is not a lot. That anxiety I spoke of fires up before I have even applied for work or pitched a story. It is so demoralizing that when I do successfully complete an application or a pitch I feel like Atlas and think Sisyphus is an amateur with his boulder. Mostly, I spend my evenings in bed looking back at the "time I have wasted" being a jobless loser and what a burden I am to myself and those around me. Self comparison pops in to tell me what my successful friends are doing and sadness follows behind to shove me deeper into the abyss. The next morning, devoid of sleep, I lack any self-confidence to find work. If I "pull myself up by my bootstraps," I have difficulty focusing and planning because of the lack of rest.

If I set aside the all or nothing thinking and admit that situation cannot happen every day, there is still a challenge with sleep. When I am working so very hard to prove myself to others and burning out, I experience Bedtime Procrastination. Am I too wound up to sleep or do I feel that I am owed more time in the day because I worked so hard? When that study about Bedtime Procrastination hit Chinese social networks, the word "revenge" was added to the beginning of the phrase. Revenge Bedtime Procrastination is staying up past your intended bedtime for some self-care. Me time is important, but so is sleep.

Negative Integers

Depression and anxiety are bedfellows. This is a chicken and egg situation as well-- being anxious could lead me to a depressive state or I could feel anxious about rebooting after a period of depression. One of the stigmas about depression is around sleeping all the time. Sometimes a lack of productivity is seen as a lack of motivation. And even if one isn't sleeping all day, stagnation is discredited by those who do not understand. We are not unmotivated, those of us in depression are frequently stuck. We are frozen from anxiety. The realization of our condition is essential to recovery, but also a hindrance. The weight of the time we lost during our crash is overwhelming. It feeds the depression. It keeps us up at night.

In the same way that the loss of someone close to us can be exhausting, ruminating on your mental health and comparing yourself to others is debilitating. Whether it disrupts sleep with obsessive thoughts, a need to make up for lost time, or revenge bedtime procrastination we despair. Without sleep, we lose even more of the resilience that aids us to live with depression and anxiety. I haven't even touched on medications, many of which affect sleep. You cannot seem to get enough sleep or no sleep at all with many of the SSRI and SNRI meds.

Solve for Why

Some neurologists theorize that our strange dreams are the brain's way of processing the memories of the day. It is possible that we may be moving short-term memories into long-term storage. Without sleep and the dreams do memories get stuck in the short-term space, a place where we are always thinking of them? Trauma has been shown to inhibit the hippocampus from converting memories. This is why flashbacks occur in many people with PTSD, the memory is still as fresh as the day it happened.

Imagine my frustration from lack of sleep being used to shame myself to going to bed early. You are a loser and everyone knows it. Why can't you sleep? What else are you going to do? You are a talentless burden to your family and friends. You should have found a job today. You should have cleaned the house. You should have got your Masters. You should have invested money. You should have died, not your father. You should... It is hard to sleep when a critic with a megaphone can take any of your thoughts and twist them into pain.

There are many ways to improve sleep. Changes in diet, medication, and activities can help. All of those are easier said than done. Meditation has worked in the past. Talk therapy is useful and EMDR therapy can aid in moving those memories to long-term storage. However, I am beginning to think acceptance is also needed. This is a moment of difficulty. Difficulty is part of every human life. May I be kind to myself in this moment and give myself the compassion I need.

Morning Mantra Dos Check-in

5 min read

A drawing of my small dog on a leash looking at my morning mantra meditating guru dog.

This is the second month in my experiment and I want to share what I've learned so far.

Morning Mantra Dos features 3 goals around Acceptance.

1) Accepting myself as I am. This doesn't just mean "warts and all." That's a dangerous thought from my negative self. I need to learn to accept that even attempting to do morning mantras is a great thing. I often focus on those things I failed to accomplish on my to-do list, but what did I finish? I usually look past those things rather than accept that I am getting things done. I am getting better.

2) Accepting my life as it is in this moment. Right now, my mental health isn't great. That's okay. In this moment, I'm having some terrible side effects from the medication. I cannot make changes by complaining or denying these things are happening. The first step is acceptance. I'm overweight, my blood sugars are rising and that's the reality right now. The next day, moment, or week, things will be different. I will be different. Again, there are positive things that depression would have me ignore. Today, I was the best husband, son, friend, and dog daddy I could be. I have come a long way from a year ago. I have recognized many of the triggers for my suicidal ideation. It's not perfect, it just is. Things will continue to change, as will I.

3) May I be kind to myself, today. As I have emphasized above, I need to remind myself of the positive things that are happening. Furthermore, if I postpone my morning mantra to the evening, that's okay. It's a great opportunity to put myself down for "failing." However, I need to have some compassion for myself. Whether it's insomnia from the night before or a busy day, I need to respond to myself with kindness, not anger. It's okay to be upset too. Consoling myself rather than yelling at myself is a skill I am still learning.

Creating Space

One of the lessons that I will probably spin into the next Morning Mantra recording is that the preparations at the beginning are very important. I encourage myself and those of you participating to give yourself some space. We monitor our breath and begin the mantra as I would a meditation. Without this step, the mantra may become simply memorization.

I find myself doing the mantra as I walk my dog in the mornings. How cool, I've got it memorized! These words are now affixed to my brain, right? Well, no. I'm giving my dog commands. I'm watching the sidewalk for ice. I am wondering how much that 5th floor condo space over there costs. There's a lot going on when you're walking. It's really a good exercise to train yourself to be more mindful, but not great for my Morning Mantra practice.

By finding some uninterrupted space to do the Morning Mantra and focus on myself, I can let those 3 mantras listed above sink in. Just saying it to myself is not feeling it. Perhaps, we could even say that when I'm repeating the mantra during a dog walk, I'm not really accepting the words. Sorry, I couldn't help myself. Accept my cheesy joke! I have.

Duration and Fatigue

When choosing guided meditations, I always wanted variety. Yet, I also wanted to focus on certain topics, which is why I created the Morning Mantras. The problem with doing the same guided meditation on self-compassion over and over is that I start to distract myself. I know what's coming next, I know the script. So, I'm thinking of what's on my calendar for the day and the like instead of being in the meditation. I believe this is why I'm trying to walk the dog and do the Morning Mantra at the same time. It's part boredom because I know what's next and part anxiety.

I wanted to do each mantra for a month in hopes that would be a good number of times to absorb the changes I want to make. I wonder now if a month is too long because I'm not fully engaging, or maybe it's not enough? That is, do I do them 3 times a week for 2 months? Repetition and the duration of practice are surely important. I'm just not certain what the best practice is. I'd be glad to hear any of your thoughts. (Sorry I had to close comments because of spammers, but you can find me elsewhere.) I'd love to hear from you!

P.S.

If you add the following URL into your favorite podcast app, you should get the Morning Mantras directly to your device without the need to come here and download them.

https://savethis.space/content/audio/?_t=rss

Fear and Butterflies

4 min read

For most, suicide is not option D. This bit of wisdom was shared by Ana Marie Cox in an interview on mental health. A doctor gave her this insight after she was institutionalized after attempting suicide. I was as shocked to hear that first sentence, just as she stated she was in the interview. Really? Everybody doesn’t think about suicide?

In my teens, I thought about suicide in excess. If options A, B, or C did not work out I always had D. It wasn’t a ploy for attention on my part because I felt I was alone. That may not have been true, my family may have been there for me, but I felt alone. The loneliness a sign that my depression has been hanging around for much longer than I thought. I never made an attempt at suicide in my youth, but looking back I can see the inclination to do self-harm. There was an uneasy voice in my head when I was near danger, “what if I just leaned over this railing even more?”

Even with self-harm and suicide lurking in my younger years, I had a stupendous fear of death. Having never been convinced of any sort of afterlife, thoughts of my own demise were paralyzing, even into my forties. To me, death is not like falling asleep or a vision of walking toward the light. Death is like abruptly ending this observation midway through the third sentence above. The thought of my death would result in a panic attack, insomnia, and the occasional bad poetry.

Last year, I went to the hospital because that fear of death was gone. I had a break down. Guilt from my behavior, shame from addiction, and fear of showing my weakness to the world overwhelmed my native dread of death. I wanted to give up. I believe that fear is still missing. Though, I’ve started to wonder if it is the big bad behind my low self-worth.

There’s a colossal belief within me that a key to “getting better” is finding my own self-worth. As it is now, I live off of the acceptance and approval from others. I am desperate to be needed because I don’t believe I have a right to be in the same room with you. The emotion behind that is fear. It is a fear that I have no worth. Could it be that I’m afraid of dying without having proved my worth? Am I that cliché male of the species who distresses that he has nothing to leave behind when he is gone? That’s an ugly thought. It feels petty and pathetic to be worried about my legacy.

As I share my mental health story, occasionally I wonder if it is manipulative. Since I don’t feel as if I am accepted by others, perhaps I can get them to have simpathy for me. You can see how questioning my own motivations is driven by the fear that I am not behaving as I should be. I judge myself rather than accept who I am, grey hairs and all. I desire to be received by others because inside I don’t believe in me.

The urge for validation from the people around me ties nicely with the toxic idea of leaving a legacy. I am attempting to measure self-worth with money and things. Comparing myself to others only continues the depression and low self-worth. Even looking at what I’ve done in this world, my deeds are never enough.

That feeling may be a product of the competitive nature of our world. Even so, many of us look at our accomplishments in a very warped way. We want forward progress we can see. That’s not always the case though, is it? Ray Bradbury’s A Sound of Thunder gives us the idea that the simple act of stepping on a butterfly in the past can affect the future. Rather than fearing that my wages are a disgrace to my spouse and family, I might hope that the simple act of saying “thank you” to the bus driver yesterday helped her get through another tough day, week, or year of work.

I’m not sure if that’s blue-sky thinking or a valid concept. My depression and fear carry considerable weight in my thought process. Still, making generous assumptions about my simplest of acts could be something to work towards, a way to find some worth within. What are your thoughts?

A Breakdown, An Emergency Room, Two Clinics, A Therapist & The Struggle of Finding Mental Health Help

10 min read

glitch_sky

It happened last month. I broke.

See, I used to be tortured by thoughts of my mortality. My impending death would keep me up with insomnia for weeks at a time. Occasionally, the topic would get me so worked up that I would physically tremor. Therefore, I did everything I could to ignore the topic. That is, until last month.

I came apart in a grotesque way. I did my best to push everyone away because I wanted to leave this world. When that seemingly dramatic thought entered into my goals and I started looking for ways to make my exit, I knew something was wrong. That unnerving fear of death was completely gone. It was a strange sort of peace. For once, I was living without that anxiety. The downside was that I spent 2 days fixated on ways that I could end my existence. Somewhere buried beneath all my self-hate was that passing thought, something was wrong. “Do I want to die? Yes. That’s not the problem. It’s weird though, a few days ago I wouldn’t think about this at all.” This was my “alarm.” What I’m trying to say is that I went to the emergency room not because I was afraid of harming myself, but because I wasn’t.

In the U.S. May is Mental Health Month, and here in Canada Mental Health Week is the first week of May. I don’t know if I’m really ready to share my story, but I feel compelled to do it now because it is May. Help is out there for those that need it. The first thing we can all do is take the issues of mental health seriously. There’s a stigma around mental health, it’s the second sentence of this post. The idea that I’m “broke,” wrong, damaged, odd, abnormal or disabled by my condition is what we need to correct. Statistics on suicides are frightening. According to the 2 year old documentary The Mask You Live In, from ages 20–24, men are 7 times more likely to commit suicide than women. The numbers appear to rise as we get older. As men, society tells us to “toughen up and be a man.” So the last thing we want to do is admit we’re abnormal or, science forbid, weak.

My Saturday trip to the emergency room was eye opening. Once my number came up, I was taken to a special section of ER for mental health cases. Looking back, that’s sort of shocking isn’t it? So many people are coming in that there’s a different section and I’m not just a curtain away from a guy with a broken nose or something? I was in the ER for a couple hours and discharged. The doctors told me that I didn’t need to be in a psychiatric ward. I felt like I failed again. “I didn’t communicate my feelings well or something? Do they think I’m a faker? A joke?” I was given a suicide hotline number if I needed to talk to someone, and the name of a clinic at the hospital that could help me on a weekday.

It’s tough to describe where I was at after that. Simultaneously, I wanted to be alone, buried in a pit where no one could find me and also I was frightened to be by myself, with my thoughts. When the weekday finally arrived and I made my way to the clinic, I spent 15 minutes filling out a questionnaire about my mental health. Writing it down put me in tears again. It was real. The doctor at the clinic looked over my paperwork and saw that I had seen a therapist before. “Go talk to your therapist. Have a nice day.” Okay, it wasn’t that bad. That’s how it felt, though. I had seen a therapist once every 2 months to talk about anxiety. Sometimes I could visit monthly, if it was possible. The clinic was supposed to be a daily program for 14 weeks. That really sounded like what I needed. Of course, the doctor was basically doing triage. There were other potential patients who were a higher priority than me. So, there I was, outside the clinic in absolute shock. There’s no help for me.

I sat there for nearly 2 hours, lost.

“Should I have told the admitting doctor that my therapist was not someone I was seeing through insurance coverage or paying out of pocket for? My therapist is part of my doctor’s network. I can’t see her as much as I like!”

“Do I really have to attempt suicide to get help?”

As the shock wore off, I realized that the clinic had presented me with more options. I could get my doctor to refer me to their program at the clinic or attend a night program that is open to all. I left a message with my doctor who called me within minutes. She put me on the cancellation list for the therapist and encouraged me to talk to the therapist before joining a program. In the meantime, I was given another suicide hotline number (or probably the same one). Is that the way to get help? While that is not the route I went, the answer is yes. Any suicide hotline has people who will listen to you, if that’s all you need. Plus, they have information to get you to the nearest location where you can find help. Don’t discount them as I did, if you or someone you know needs help, call.

Mental health is a growing concern in today’s world. The calculator made memorizing tables and formulas obsolete. People only have to learn the how and why of math now. The internet connected smart phone in our pockets also makes memorization of facts and knowledge less important as well. Therefore, we have all this space free in our brains to fill with anxiety, depression, low self-esteem and other issues. Perhaps this is why the mental health field continues to grow. Sometimes, it just seems that it isn’t growing fast enough to meet the need. However, there is help out there. If not in your town, you’ll find it in the next city over, I swear. Search for “walk-in counselling” near you. Even living in Canada, there are people who think that there’s no help because they don’t have insurance. There may be groups started by concerned individuals or professionals. Reach out to a medical clinic for advice on where to go. If you have access to the internet, you can visit this great site from Australia, the Centre for Clinical Intervention which has workbooks that could help you as you navigate the support systems in your area. As I found out, getting help will take some work by you, or those supporting you, but help is out there.

As for me, I was referred to a program by my therapist. With so many people suffering, it took some time before a space opened for me. I only went through the intake program last week. Now, I have to find the courage to get out of bed, leave the home and face a group of people like me. It will be difficult. My self-sabotaging brain doesn’t like the idea that others suffer as I do. That might mean that I’m not abnormal. Being face to face with those struggling with similar issues and trained professionals also makes my problems real and not something I can hide from in isolation.

The mental wellness battle is trying because it really feels like a lose-lose situation. Working through the modules on the Centre for Clinical Intervention site by yourself can be arduous. I’m reading things about myself that are hard truths and that fuels my low self-esteem. Of course if I’m having a good day, I feel as if I don’t need to read it or work on myself. I think this is why it is so important to get help. Even with the assistance of a therapist, I agonized over the homework I was supposed to be doing alone. However, the ability to visit that person a week or two later for a progress update was incredibly beneficial.

Here in town, The walk-in counselling place is trying to fill the gap by offering free help for those that need it. In cases where you need more than a chat or two, they will work with your financial situation. Many municipal areas in the U.S. have organizations that provide similar resources and offer a sliding scale based on your income. Reach out and keep reaching until you find what you need. It was an uphill journey for me, one that sent me further into depression and even shock. Yet, depression, anxiety and many of the other mental issues are based in emotions. Our emotions and feelings change from moment to moment. Hold on in those low times, and take advantage of the moderate and better days to search for assistance. It’s out there.

I’m still very much finding my way through the fog that is my unhealthy self-image, but I believe my next step is setting a realistic recovery goal. When I was asked what I wanted from treatment, I came to a stark realization, there is no miracle cure. My inner voice that is filled with self-loathing will never stop. The doctors and medication will not silence it completely. Instead, it’s up to me in how I react. I will have to learn ways to quiet the voice, test its assumptions and prove it wrong to gain control. There’s no light at the end of the tunnel or magic beans to save me. Realistically, I will have to learn to live with this dark passenger, not ignore or eliminate it. That goal is achievable and practical.

Thanks for taking the time to read my musings on mental health. I’m not going to lie, in my fragile state, I am scared to face this challenge. I just have to take things one day at a time. So be kind to each other out there. Treat people with respect and care because you don’t know what they’re going through. Those of us struggling aren’t broke, sick or abnormal. We’re human. And, one more resource for those in crisis and having trouble finding local resources, try IMALIVE. It’s an online chat for immediate help. Much love to you.