We started to explore this topic by firstly thinking about how do we know when we are well and what keeps us well. When mental health is good people acknowledged that they are more likely to stick to a routine, sleep is likely to be better. People noticed that they were more likely to keep things in perspective and stay in contact with friends and family. In well times there is a more positive view of the future along with good motivation to get up and do things-and to enjoy and find pleasure in those things, other people notice that ‘I’m my normal self’.
So in becoming ill, people notice that the above factors start to be affected; instead of having things in perspective ruminating can occur with the negative voices become louder. There may be disruption to routine, sleep and eating habits and maybe use of alcohol or drugs or other behaviours which can be destructive such as unhealthy reward seeking like self-harm or excessive shopping. Debt can become a problem along with avoiding people and irritability if with people, or a highly anxious energy. We asked also what happens with relationships, people said they may become more withdrawn, and feeling like they are not deserving.
We then began to think about what can help in these times; having a place to communicate how you are feeling is really important whether that is a supportive family, friends or a group like this. People spoke openly about how it feels to be suicidal and that it helps when you can talk about it openly and directly rather than people skirting around the issue as they are worried that mentioning suicide may put the idea in someone’s mind.
It’s useful to know what keeps you well, as when these things start to change this is an indication of becoming unwell, with the awareness of this people may be able to recognise that this is a time to use support and self care plans and to go gently.