And 3 Reminders to Help You Through It
It creeps up slowly, spreading into innocuous crevices until
*BAM* you’re suddenly pulled back in its inky grasp, fighting to get out again.
This sounds like B-movie monster but it’s actually the experience of backsliding
with mental illness. It feels abrupt, overwhelming, and exhausting because it’s
come back after a period of hope and improvement.
What do you do now that you recognized you’ve backslid?
Here I’ll share seven questions to ask yourself and three
reminders to consider when you feel like you’ve been backsliding in your mental
health progress.
Seven questions to ask yourself if you believe you’re backsliding in your mental health:
Is this a reasonable reaction to unreasonable circumstances?
The first reaction may be that you’re mental illness is
getting worse when you start seeing yourself struggling. However, we all have
uncomfortable emotions for a reason and they impact everyone when the
circumstances are tough. Start by considering what’s going on around you.
For example, if you’ve got multiple major stressors going on
such as job loss, marriage conflict, and serious illness for you or close
others occurring concurrently, it might make sense for you to get distracted
more easily or find yourself tearful more often. It depends on the situation.
Consider what you’d tell a friend in the same situation. It
might be gentler than what you’d tell yourself. This may help to normalize your
experience.
Don’t get me wrong, though. Just because you may be able to
recognize your reaction as reasonable doesn’t mean you might not need help and
support to deal with the circumstances. It doesn’t have to be taken all on your
shoulders. Reaching out to a support network and/or a therapist might help you
through it.
Has something harmful been added?
If you don’t find your current experience to be in
proportion to your current stressors, ask yourself if something or someone has
a harmful impact on you. This may be difficult to notice in the moment so try to
think back to when you first noticed some warning signs. Hindsight is 20/20 and
you’ll likely be able to see them better now than when they started.
Examining in hindsight, once you’ve found when it all seemed
to start, look for the new addition. Did someone from your past re-enter your
life and unwittingly dredge up bad memories or habits? Has a new addition to
your routine hindered you instead of helping you? This takes some knowledge of
the self and triggers to recognize if there’s been harm added.
Did something drop off?
Whether or not a new addition may have harmed your mental
health, you can always ask if something good has dropped off. Life gets busy
and, as I’ve indicated before, it is not uncommon to “put off…daily/weekly/monthly
self-care activities one by one until they go missing.” This can go unnoticed
if you’re not vigilant.
Some of the activities go unnoticed because we don’t do them
deliberately for self-care. Once they’re gone, they have an impact anyway. The
ones we do purposefully are easier to recognize being gone. If a positive
self-care technique has dropped off, consider getting back to it.
Are you following treatment recommendations?
One of the positive self-care techniques many people
managing mental illness have is getting appropriate treatment. Just like most
illnesses such as diabetes or endometriosis, lack of proper treatment can lead
to it getting worse. Having a provider or providers you trust can help develop
manageable recommendations.
I’m not here to tell you what those treatment recommendations
are. The best way to get that information is talking to your treating mental
health professionals. They can gather information about your circumstances with
direct contact to provide recommendations.
Is there a cycle?
If you have a treatment provider that you’ve been working
with regularly, they may be able to help you recognize if there’s a cycle to
symptom backsliding. However, you can ask yourself this question on your own,
too. Is there a predictable cycle of backsliding that occurs regularly?
The cycle I reference is not specific to any particular
mental illness that may include cycling moods (such as bipolar disorders). A
cycle could be as vague every three months experiencing increased symptoms or every
time work enters the “busy season” becoming more irritable and snappy. This
often ties in with some of the previous questions, so if you see a cycle,
consider the above suggestions.
How’s the weather been?
While weather changes could easily be lumped in with the
cycle referenced above or activities being dropped off, I think it’s worth
examining on its own. You probably know what weather you like and don’t like
but have you considered what it does to make you feel this way? According to an
article by Megan Rahm via The Healthy Place, she asserts that weather has
numerous potential impacts on mood, behavior and function.
Rahm describes that warm weather can negatively impact your
sleep, energy, and appetite, potentially inciting more irritability and
anxiety. In colder months, she says, decreased daylight can lower mood and cause an
increase in isolation due to staying in more. Extreme weather that may cause
damage increases overall stress for people living in areas its common, is also mentioned in the article. Her
article puts great perspective on the impact of weather on our overall
well-being.
What do close others think?
When you question whether or not you’re backsliding, talk
with the people closest to you. They may be able to give you feedback that
supports your recognition that something feels off or provide perspective that
you may be doing well in the face of adversity. People who know you best may
also be able to help examine and answer the questions above.
Three reminders to help you manage the backslide:
Be gentle with yourself.
You are human and you have human emotions. With mental
illness, it sometimes may feel like your emotions are more extreme or more
alarming than those of others. Everyone experiences uncomfortable emotions and
you’re allowed to have those even when your mental illness is well-managed.
You can’t be happy all the time.
Happy is an emotion and, like all emotions, it is temporary.
Happy is not a state of being. If you’re expecting to always be happy then
every time you feel a normal, uncomfortable emotion you’ll feel like you’re
backsliding.
You’ve done it before, you can do it again.
If you feel like you’re backsliding, that means you’ve moved
forward at some point. This time, it will probably be faster because you don’t
have to do all the learning and trial and error over. You still have the tools
and know-how to move forward again!
As you may have
guessed if you’ve been following my blog, I usually have a personal story to go
along with the article. This one is no different. Recently I’ve noticed signs
of a backslide in my management of generalized anxiety.
Here are my answers to the questions above:
Is this a reasonable
reaction to unreasonable circumstances?
Not really
unreasonable. Work seems to be picking up for me again and I know I tend to be
more on edge to meet the change. That only explains the extra adrenaline I have
at work, not the rest of what’s going on such as the disrupted sleep, early
bedtime, and irritability.
Has something harmful
been added?
This hasn’t been going on long;
maybe a week and a half. I have let negative thoughts back in, particularly in
regards to my endeavors in writing. I’m a patient person only when it comes to
others but have difficulty being patient with myself. I’ve got to stay on top
of reminding myself I can’t force this process.
I think it’s worth
mentioning that I’ve added on free online courses available with my local
library. These will hopefully improve my writing skills. While this has shown
up in this time period, I do not believe it is harmful. Sometimes, new
additions coinciding with backsliding is just a coincidence.
Did something drop
off?
Yes. I haven’t been
playing video games and started that back up a couple of nights ago. It’s been
a couple weeks since I’ve play a board game as well. The husband and I had to
be out of town last weekend and missed out on our weekly meet up to play with
friends. I’ll be getting back to it this weekend.
Also, yoga. I really
need to get back to yoga…
Are you following
treatment recommendations?
I am definitely following
recommendations. My therapist and I feel the same about my treatment: it will
be temporary and short given that I already had a lot of the tools being a
therapist myself. I see my psychiatrist as often as recommended and we’re
collaborating on a reduction in dosage.
Is there a cycle?
There was at one point
which I will share more on in an upcoming article. If not managed, what’s
happening now could loop me back into it. I’m recognizing it so that I can face
it.
How’s the weather
been?
I don’t know if you’ve
noticed but in many parts of the world we’ve been experiencing heat waves and
record highs. Where I am, the wave just recently broke. I’m thinking this
pattern could account for some irritability and sleep difficulties.
What do close others
think?
Luckily, I haven’t
gotten feedback on irritability so I know that what I’m feeling I’m managing.
That’s a huge relief. What I have been told by my husband is that I’ve been
going to bed early. He’s talked out the concerns about patience with myself in
regards to writing. I’ll continue reaching out to the people who know me best
for feedback.
Sources Cited
Nicole, Ali. “The First Step.” Weirdly Well, 7 June 2019,
weirdlywell.blogspot.com/2019/06/the-first-step.html.
Rahm, Megan. “The Effects of Weather on Mental Health.” HealthyPlace, 4 Apr. 2018,
www.healthyplace.com/blogs/recoveringfrommentalillness/2018/04/the-effects-of-weather-on-mental-health.