Inside the mind: A guide for young mental health - The ...

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Inside the mind:
A guide for young
mental health
Hi, we are a group of young people between the ages of 14
                      and 19. We are all from different backgrounds and ethnicities.
                      At some stage in our life we have all been affected by situations
                      that have troubled us.

                      We are a group that have been on adventures together, and we’re
                      always there for each other. We have made this book as we want to raise
                      awareness of a topic that we hold close to our hearts.

 Use your smile to
                      Bad mental health is an increasing problem worldwide and we want to
                      help in any way we can by educating and supporting the young people
                      and adults around us. This is why we have chosen the topic of mental

 change the world,
                      health. Additionally, we know mental health is invisible, however our aim is
                      to reach out to anyone and everyone to encourage them to be open about
                      it and tell them that it’s ok not to be ok.

don’t let the world   Another aim is to also help adults (parents, teachers and professionals
                      working with young people) to have a better understanding of young

 change your smile
                      people’s mental health from our experience and perspective, as well as
                      from other young people’s.

                      We hope that you find this booklet useful and will learn from it. We have
                      included a wide range of activities, quotes and personal stories we hope
                      you can relate to. Enjoy and engage with the subject. It is important!

                      T he Par t icipat ion Team at T he Children’s Society Eas t

                      Disclaimer: We conducted a survey in which we ask other young
                      people for their input about mental health. Fifty five young people
                      responded and we used their answers to help inform this booklet.
As part of our survey we asked young people to define mental health...

                                                                                               Mental and
mental health                                            T he way                              emotional
noun                                                     you t hink                            well-being
a person’s condition with regard to their                 and feel
psychological and emotional well-being.
According to the WHO (World Health

                                                                                          How you
Organization), mental health is:
A state of well-being in which the individual
realises his or her own abilities, can cope with                                           feel on
the normal stresses of life, can work productively
and fruitfully, and is able to make a contribution
                                                                                         t he inside
to his or her community.

                                                        Mindset

                                                                                      Whet her you
                                                                                       are happy
                                                                                      or unhappy
Colouring can act as a great stress
reliever, as well as enhancing
creativity, strengthening memory
and increasing concentration.
Take five minutes out of your day
to look after your own well-being.
Taken from the survey, these are who young people would go to for

   1 in 4                       75%
                                                             support when they are feeling down:

   people in the UK will        of mental illnesses start                                                    Sympathetic
   experience a mental          before a child reaches        Someone
   health problem each year     their 18th birthday, while
                                                             you trust              No one

                                50%                                                                           Parents/family

                                                                                          5%
   10%
                                of mental health problems
                                in adult life (excluding
                                dementia) take root
                                before the age of 15         Friends
   of school children have a
   diagnosable mental illness

                                                                              31%                    45%
                                More than

   75%                          50%
   of young people with a       of young people feel
   mental health problem are    embarrassed about
   not receiving treatment      mental illness                                         18%

                                                             Patient

   676 million
                                For every person affected
                                by mental illness                              Teachers

   people are affected
   by mental health
                                £5 is spent
                                on research – 22 times
                                                                                                      Someone you feel
                                                                                                      comfortable with
   issues worldwide             less than cancer and

                                                                       Understanding
                                14 times less than on
                                dementia
Statistics from NHS.
Don’t judge
the path I choose to
 take if you haven’t
walked the journey
    I had to make
Examples of mental health conditions

  Depression                                 Some signs:                         Eating disorders                    Drugs, alcohol and
                                                                                                                     mental health
  • Depression   is a long-lasting low      • Racing thoughts                    • People who have an eating
    mood disorder
                                            • Difficulty concentrating             disorder use food to try to       • Some  people use drugs

  • Affects  your ability to do everyday
    things, feel pleasure or take           • Uncontrollably overthinking
                                                                                   control and manage their
                                                                                   feelings and emotions
                                                                                                                       and alcohol to try and deal
                                                                                                                       with the symptoms of a mental
      interest in activities                • Sweating,   shaking,               • They  have an unhealthy
                                                                                                                       health condition – it’s called
                                                                                                                       'self-medication'
  • Different things can lead to
    depression such as your
                                              heavy breathing                      relationship with food – may be
                                                                                   eating too much or too little     • Drugs and alcohol can make
                                           PTSD (Post-traumatic                                                        the symptoms worse
      upbringing, stressful and            stress disorder)                        Common eating disorders:
      traumatic events, your lifestyle                                                                               • Some  drugs may make it

  • Ifsleep,
        you feel low, getting enough       • Can  develop after experiencing
                                             a traumatic event eg witnessing
                                                                                  • Anorexia:  trying to keep
                                                                                    weight as low as possible,
                                                                                                                       more likely for you to develop
                                                                                                                       a mental health condition and
             eating healthy food and
                                             an assault being bullied, being         thinking of being overweight      they may make it harder to
      keeping active can help
                                             involved in an accident, abuse          even if others say you are        treat, for example, research
      Some signs:
                                           • Not everyone who experiences
                                             trauma will develop PTSD
                                                                                     dangerously thin, fear of
                                                                                     gaining weight
                                                                                                                       has shown that cannabis can
                                                                                                                       increase your chances of
    • Feeling low                                                                 • Bulimia:                           developing schizophrenia
    • Feeling bad about yourself           • With help you can recover
                                             from PTSD
                                                                                              unhealthy eating
                                                                                    cycle, eating a lot of food      • Ask for professional help if
                                                                                     and then do something to          your drug and alcohol use
    • Not wanting to do things             Some signs:                               stop weight gain for example      impacts on your physical and
  Anxiety                                                                            making yourself sick, taking      mental health
                                            • Traumatic   memories or                laxatives or over exercise;
                                                                                                                     • Educate
  •   Everyone has feelings of anxiety,
      worry and fear sometimes
                                              dreams, flashbacks                     average body weight which
                                                                                                                                yourself about
                                                                                                                       alcohol and different types of
                                                                                     may mean other people do
                                            • Avoiding  things that remind you                                         drugs and the risks to your
  • These     can be normal responses         of the event                           not notice the problem
                                                                                                                       health so you can make more
    to certain situations
                                            • Feeling isolated and withdrawn      • Binge  eating: eating a lot        informed decisions
  • Ifofyou  have anxiety these feelings
         fear and danger can be             • Feeling on constant alert
                                                                                    of food in a short period
                                                                                     of time on a regular basis,
                                                                                     feeling out of control of           If you experience anything
      ongoing and interrupt your                                                                                         unusual in your mood or your
      daily routine long after the                                                   eating, distressing, may feel
                                                                                     disconnected and struggle to        physical reactions, always
      threat has gone
                                                                    re Good          remember what was eaten             ask for support and seek
                                                               You a enough!
  •   They can make you feel like
      things are worse than they
                                                                                                                         medical advice.

                                                                                                                         Please don’t self-diagnose –
      actually are
                                                                                                                         it is ok to ask for help!

                                                                                    Information from rethink.org/advice-and-information/about-mental-illness/
Young people want you to know that...

                                         Most people
                                        will say they
 Social media                           are okay when
   isn’t t he                            they are not
  only cause

                               Not everyone’s
                                symptoms or
                                t riggers are
                                   t he same

  Prevent ion
   is better
  t han cure
                                Mental health
                                  isn’t just
                                about anxiety
                                and depression
Examples of mental health symptoms

  Feeling sad                                                            Mood swings
                                       Low self-esteem
  • Everyone will experience
    sadness from time to time          • Aesteem
                                            person with low self-        • Refer to changes in mood
                                                 has a low regard          from high to low or low
      in the ups and downs of                                              to high which everyone
      everyday life. However, a          for themselves, which can
                                         show itself in indecision,        experiences to a certain                  Racing Thoughts
      long period of sadness could                                         degree Extreme mood
      point to a mental health
      condition, including (but
                                         hypersensitivity to
                                         criticism, and guilt. It          swings can be characteristic              • Rapid  thought patterns
                                                                                                                       that frequently occur in
                                         doesn’t make up a mental          of a mental health condition
      not limited to) depression                                                                                        manic, hypomanic or mixed
      and anxiety                        health condition alone but
                                                                                                                        episodes which commonly
                                         in combination with other
                                                                                                                        associated with the mania
                                         symptoms it can point to
                                                                                                                        in bipolar disorder and
                                         conditions including (but
                                                                                                                        schizoaffective disorder,
                                         not limited to) anxiety,
                                                                         Weight loss                                    but are also often found
                                         depression, bipolar disorder
                                                                                                                        in anxiety disorders
  Difficulty sleeping                    and personality disorders
                                                                         • Most people experience                       such as OCD
  •   Most people have difficulty
      getting to sleep at some
                                                                           change in their weight
                                                                           throughout their lives.
      point in their lives which can                                       However, if you have had a
      be caused by various factors                                         serious weight loss or are
      including anxiety, stress                                            unhappy with your weight
      and changes in life-style.       Self-harm                           this may be a symptom of                If you experience anything
      In combination with other
      symptoms, long-lasting           • Harming yourself on
                                         purpose such as by
                                                                           an eating disorder                      unusual in your mood or your
                                                                                                                   physical reactions, always
      insomnia can be one of                                                                                       ask for support and seek
                                         scratching, cutting,
      several symptoms pointing                                                                                    medical advice.
                                         overdosing on medication,
      to a serious illness               biting or burning. It isn’t a                                             Please don’t self-diagnose –
                                         mental health condition but                                               it is ok to ask for help!
                                         it is often linked to mental
                                         distress. Drinking a lot of
                                         alcohol or taking drugs
                                         may increase your risk of
                                         self-harm. You are more
                                         at risk of death if you
                                         self-harm because of
                                         accidental suicide

                                                                              Information from rethink.org/advice-and-information/about-mental-illness/
1               3

                                                                            1                               1                       5

                                                2                   6                       2                                                                               I have suffered with mental health issues
                                                                                                            2                       4
                                                                                                                                                                            since I was around 12. I felt very depressed and
                                                                                                                                                                            anxious and felt like a burden to those around me. I
                                                                    5                       3
                                            4
                                                                            4                                           3

                                                                                                                                                                            started to self harm as a way of having a release and
                                                                                                                                                                            control. As I got older my mental health got worse along
                                                                                                                                                                            with the self harm. I had a lot of counselling and therapy
                                                                                                                                                                            but didn’t feel it was working. When I was 16 I was
                                                2                               1
                                                                                                                                                                            diagnosed with anxiety and depression. At 17 I was put
                                                                                                4               4           3
                                                            1
                                                                                    3
                                        3

                                                                6
                                                                                                            1                       2                                       on antidepressants to help me cope with day to day life.
                                                                                                        5
                                            4                                                                                   7
                                                        5       7               2                                   6
                                                                                                                                                                            Before my 18th birthday I attempted to take my own
                                                                                                                                                                            life. I was in a very dark place at the time and felt there
                                                                                                                                                                            was no other way out. I was sent to A&E and put on a
                                                                                                                                                            1
                                                                                                                                                                            drip. I had a psychological assessment and was sent
                                                                                                                                                                            home the next morning.
                                3                               1                       1                           5                       2                       4
        4       3
                            2                                                                                                                       1           3       5

    1                   2
                                    4
                                                    6                   2
                                                                                                                                3                       6                   I am now nearly 20. I’m receiving support through a
5
                    7                               5                   3
                                                                                        2                           4
                                                                                                                                                    5
                                                                                                                                                                            therapist and another mental health service. I still take
                                                                                                                                        4
            6               1       5                           4                                   3
                                                                                                                                                        7
                                                                                                                                                            2           6
                                                                                                                                                                            medication to help me and I still have my bad days.
                                                                                                                                9
                                                                                                                                                8
                                                                                                                                                                            But I’m getting there, and so can you.

                                                                                                                                                                            Written by a young person, age 19
In the survey we asked: why do you think it is important to talk
about mental health?

                                      To get rid of
                                       the stigma
    So people                          attached to
    don’t have
     to suffer
                                      mental health
    in silence

                                 Give different
                                  perspect ives

   If we don’t
 talk about it,
 it will never
    get solved
Usually, I don’t speak out about this stuff. I
                                                             just keep it all to myself, and sometimes it bottles up
                                                             for a while. Sometimes I forget about it by the end of
Social anxiety, to me, has always                            the day. I guess the only way I can really describe how
been an odd experience. One                                  my brain works is: Have you ever been thinking to
moment I could be as confident as ever. But other            yourself in the middle of the night and remembered
times I could be embarrassed at a sentence I said an         that embarrassing thing you did three years ago?
hour ago that didn’t really matter that much. It could       That’s a snapshot of what I think about daily.
be something as simple as ‘Did I say hello in the            I know it’s never going away. I’ve fully
right way to this person?’ or ‘Is this person                understood that, but I’ve learnt that I need to stop
judging me because they looked at me?’ This doesn’t          caring about that spelling mistake or that missing
just happen in real life conversations either, even when I   comma. I need to move on, and if you are in
text someone on lnstagram, WhatsApp or just a simple         the same situation as me; no one really takes notice
text message. That worry always looms over me of             of what colour socks you wear, how you word your
‘Have I said the right thing?’                               sentences or that bit of hair that sticks up once in a
                                                             while. Forget about the past, that’s already happened.
                                                             Look at the now, and where you’re headed.

                                                             Written by a young person, age 15
how ptsd
                                          feels

Illustrated by a young person, age 17
The advice young people would give to an adult (ie parents,
teachers) on how to support young people’s mental health...

                              Don’t put too much
  Don’t be                 pressure on young people
judgemental
                                        Stop
                                     comparing
                                        age
    Don’t assume
                                     generat ions
 t hey are seeking
    attent ion or
  being dramat ic

                                       We will open
Young people                           up eventually
 don’t show
                                    Talk to t hem
mental illness                       as if t hey
 at all times.                     were an adult,
                                     not a child
It can happen
  in episodes
It’s okay not to be okay.

I tell myself these words every day and yet I still struggle
to come to terms with this phrase and its meaning... is it                 1           2

okay not to be okay?                                                       6
                                                                                               3
                                                                                                                                                                                                                                                     2               2
                                                                                                       1       4               1                                3            1               1           4           4           3
                                                                                                                                                   4                                                                                         3           1       3       1
                                                                           5           4                   3           6               2                                     2                   3
Everyone is allowed to be happy and smile and laugh,                                                                                           5
                                                                                                                                                                             8
                                                                                                                                                                                                             5
                                                                                                                                                                                                                 1                       2       4                   4
                                                                                                                       5               3                                                                                                                 5               5
but why can’t we be sad or angry or emotional. We are                      7                           2                       4                        6
                                                                                                                                                                        7
                                                                                                                                                                             9
                                                                                                                                                                                             2
                                                                                                                                                                                                                 6               7
                                                                                                                                                                                                                                             7
                                                                                                                                                                                                                                                     6
                                                                                                                                                                                                                                                                 7
                                                                                                                                                                                                                                                                     6

humans after all, we are all entitled to have and express                                                                                          11
                                                                                                                                                                    10

our emotions. There’s no need to explain yourself to
someone if you woke up feeling groggy and moody just as
you don’t have to explain yourself to someone when you’re                                                                      1               1                         3               4           3
                                                                                                                                                                                                                     1               4

feeling good and happy. The same way that we embrace
                                                                                                                       6               2                                                                                 3
                                                                                                                                                                                 5
                                                                                                                                                                                     1                   2

our happiness we should also embrace our sadness and                                                                   5
                                                                                                                               4
                                                                                                                                       3
                                                                                                                                                            2
                                                                                                                                                                                     6               7               2

hurt because all of these feeling and emotions make us
who we are as individuals and builds us up stronger.
                                                                                                                                           1
                                                                                                                                                                                                                                         3
So yes, it is okay not to be okay. It may be something that                                                                        2                                                                                     1

you may not want to show or may not be proud of but you
                                                               1       2                                       1           4   6   4       5                                                 2               5       3       4           1                   1           2   4
                                                                                           4       3                                                   4            3                                    1
                                                                                                                   3                                                                                                                             6               2       3       5
                                                               6                   5                                                           5
should because it is what made you who you are today.          5
                                                                               3       1               2                                           1                        2        3
                                                                                                                                                                                                                                                 5               3
                                                                                       6           7                                               6                7                        4           5
                                                                   4                                           2                   3                                                                                     2               2                   4           1       6

Written by a young person, age 17
                                                               7
Self-care isn’t just about
                                                 a bath and a face mask

                                                               l                       Ps
                                                                                         yc
                                                         s ica                              h    olo
                                                        y
                                                      Ph            h              Se
                                                                                      lf-r
                                                                                                      gic
                                                                                                         al
                                                                  ug                      efl
                                                             e no                 Th         ec
                                                           t       p

 Remember the time
                                                         Ge slee                yo ink          tio
                                                                                                    n
                                                                                  ur ab
                                                                      e’         qu pos out
                                                                e t ‘m e           ali itiv
                                                               G im                   tie e
                                                                   t                      s

  you thought you

                                 Professional

                                                                                                                    Emotional
                                                Set boundaries                               Affirmations

could never survive?
                                                                       Self-care
                                                Learn to say no         wheel                       Cry

 You did and you can
                                                                Jus
                                                                   t re                          h
                                                            Sp          lax                  ris
                                                               en                      c  he
                                                           wit    d                lf-              on

    do it again
                                                    Pla             t
                                                               h f ime          Se            e cti
                                                        ns        am                       efl         ss
                                                           ho        ily             lf-r            ne
                                                        ter rt an                Se               ve
                                                           m                                  rgi
                                                              go d lon                 l f-fo
                                                                 als      g       Se
                                                    Pe                                                 al
                                                       rso                                           u
                                                           n  al                                irit
                                                                                           Sp

                       Young people who completed the survey found these
                       resources helpful:

                       Ԏ Sport                      Ԏ Films                   Ԏ Stress toys              Ԏ Video games
                       Ԏ Music                      Ԏ TV shows                Ԏ Playing                  Ԏ Hanging out
                                                                                Instruments                with friends
                       Ԏ Dance                      Ԏ Hobbies
                                                                              Ԏ Reading                  Ԏ Crying
                       Ԏ YouTube                    Ԏ Art
                                                                              Ԏ Meditation
                       Ԏ Comfort food               Ԏ Sleep
T he only

                                                             m              n                 o
Our example of an A-Z of self care...     way to have
                                          a friend is
                                           to be one             usic           ature             pen up

 a   ffirmations         b   ubble bath   c   alming down

                                                             p
                                                             ace yourself   q   uiet time     r   elax

 d   rink water          e  xercise       f   eelings

                                                             s
                                                             ocialise       t
                                                                            reat yourself     u   se your senses

 g   oing outside        h   appiness     i
                                          magination

                                                             v   enture     w     ell-being   x
                                                                                              e    hale

 j  oy                   k   indness      l   ove yourself

                                                             y
                                                             oga            z   en
m   n   o
Make your own A-Z of self care...

 a                       b          c
                                        p   q   r
 d                       e          f
                                        s   t   u
 g                       h          i
                                        v   w   x
 j                       k          l
                                        y   z      Mental
                                                healt h begins
                                                  wit h me
You were given
                                    this life because
                                    you are s t rong
                                    enough to live it

Written by a young person, age 19
Every day may not
be good but there is
good in every day
Apps:                          Websites:

• Calm                         • Samaritans –
                                 samaritans.org
• Headspace
• Sanvello                     • Young Minds –
                                 youngminds.org.uk
• White Wall
                               • Mind –
• For Me – the Childline app     mind.org.uk
• WYSA                         • Anna Freud Centre –
• Calm Harm                      annafreud.org/on-my-mind/
                                 resources
• Mindshift
                               • Childline –
• WellMind                       childline.org.uk
• Elefriends                   • Rise Above –
• Meditation app                 riseabove.org.uk
• Daylio Journal               • The Children’s Society –
                                 childrenssociety.org.uk
• 3 Minute Mindfulness
• ClearFear                    • Rethink –
                                 rethink.org
                               • Kooth –
                                 kooth.com
I know that life is hard right now,

    for you, for me, for everyone.

    We know the pain can weigh a ton,

    the pain is shared we grow as one.

    Day by day we’ll find our way,

    in hope to reach a better place.

    Written by a young person, age 15

There is hope even when your
  brain tells you there isn’t
The Children’s Society and our supporters have
been there for vulnerable children and young
people for more than 130 years.

We believe that every young person should have
the support they need in order to enjoy a safe,
happy childhood.

That’s why we run services and campaigns that
make children’s lives better and change the systems
that are placing them in danger.

Together with our supporters, we’re improving the
lives of children today and long into the future.

Charity Registration No. 221124 CYP099/0320 © The Children’s Society 2020.
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