June is Men’s Health Month

June is Men’s Health Month, which does actually include mental health! Women’s Health Month was in May, and it makes sense in corresponding to Mother’s Day, and June for Father’s Day. With so many ills in our world, and changes in gender roles, responsibilities, and hope for the future for many, it is understandable that many struggle with mental health issues, like depression, anxiety, phobias, and avoidance. Men are no different, and in fact are usually less likely to report these struggles, for fear of how they would be perceived by their family members, friends, and colleagues. Here’s some shocking information: while women tend to attempt suicide more frequently (3x as much), men tend to succeed in ending their lives (3.5x as much), equating to 25 attempts to 1 completed suicide. Those are staggering statistics! In my practice, female-identified clients outnumber male-identified clients 2 to 1. That doesn’t mean that women are twice as likely to suffer from mental health issues, just that there may be less stigma in reaching out for support.

What is interesting, according to a study published in the Journal of Abnormal Psychology, women tend to ruminate more on their own issues than men, as men tend to find ways to “solve” their problems. Men typically like to solve problems…fixing broken things, or breaking fixed things, as this study also found, as men tend to use more impulsive decision-making and substances to avoid or “fix” a problem. Which, coincidentally, is not good for overall health! Men are also less likely to seek out medical care for routine checks, or choose to ignore symptoms of significant problems. Men have higher mortality rates, lower life expectancies, and worse prognoses for various diseases, possibly related to the time at which an intervention was introduced (later introduction may yield less treatment available to stop or reverse the damage done). If you’re interested, here’s a link to an article discussing the differences.

So, how do we turn the tide of improving men’s outcomes by encouraging them to seek out medical and mental health treatment sooner? We educate! If you are a man, I would encourage you to think of the last time you saw a doctor for a physical (lab work included). If you can’t remember, GET THEE TO A DOCTOR! Our bodies tend to tell us through various metrics of issues that are lurking, including high blood pressure (hypertension), high cholesterol, irregular heartbeats/arrhythmias, high blood glucose, liver and kidney functioning, and levels of hormones (testosterone, thyroid, etc). The more you know, the more you can do. If you aren’t a man, but have a man in your life that you care about and would be significantly impacted if you lost them, tell them to GO TO THE DOCTOR!! The highest category of men that tend to complete suicide are those in the “middle-age” category (white males in particular), and often undiagnosed or untreated depression is to blame. Click here to see if any of these ring true for you or your loved ones. The earlier mental health and/or medical issues are treated, the better the outcomes. Period. It is not worth losing a life to something that is treatable because of the fear of what people may think. Superheroes are often disguised in shabby clothes, because they have been too strong for so long, they avoid recognizing the cracks that happen until they become too wide to be camouflaged.

If you or someone you love may be in immediate danger of death, please call 911, go to your nearest Emergency Department, or call 1-800-273-TALK (8255) to speak with a crisis counselor. We’re here to help! Men, make your health a priority, so people that love you can continue to do so for a long time! #MensHealthMonth

Take care,

Angela

Who is to blame?

With news of recent events out of Roanoke, Virginia, regarding a seeming workplace issue became much more yesterday, I am stuck at the intersection of many roads. First, I am a daughter, and three sets of parents lost their children yesterday in a senseless crime. I cannot imagine the families’ collective grief of losing bright stars to something that did not need to happen. Second, I am a sister. I can now, unfortunately, count myself in the club of having lost a sibling, albeit to much different circumstances. But both of my younger siblings had a connection to Adam Ward, photojournalist at WDBJ, who was killed. My sister had a class with Adam while attending Virginia Tech, and both pursued a degree in communications/journalism. She did not know him well, but she knew who he was. My brother, who also attended Virginia Tech, happened to be roommates with him sophomore year. Despite not knowing him well, my brother has a great picture of he and his roommates attending a VT basketball game, one now that is a memory of someone gone too soon.

In being a sister, I also had to endure the uncertainty of April 16th, 2007. What’s the significance of that date, you ask? Anyone who is a Tech grad, has a Tech family member or friend, or lives in Virginia (and across the world) would know that that date was the day that 32 innocent people lost their lives to someone who struggled with mental illness, and the 33rd victim was reported to be a “monster”. You see, my sister was an RA on campus that year, and along with her RA community, lost people that were dear to them. What our nation lost, again, after having endured multiple school/workplace/community shootings, was its innocence. The struggle to know how my sister was, where she was, and if she and her residents and fellow students were safe was unbearable. I was in graduate school myself at William and Mary, and was glued to my friend’s TV to find out more details. I tried to remain in contact with my mom and sister as much as I could to determine wellness and safety, and to be so far from them was hard.

My third intersection is that I am a mental health counselor. I attended William and Mary to become a mental health counselor, and now stand before you as someone who helps treat those with mental health issues on a daily basis. I experience the losses that my clients have endured in their retelling of their own trauma histories, and can only respond in sharing brief moments of my own fears as it relates to my own experiences. To say that I have a connection to these tragedies is not one that I enjoy, especially knowing that my connection is removed a few degrees of separation, and is no comparison to those whose lives were directly touched. Yet, as a mental health counselor, I struggle with the issues of comparing people who suffer to “monsters”. Monsters, as we now know (but didn’t as kids), are not real. They do not hide under our beds or in our closets, and cannot “get” us because of something we did. But the fear that we have is real, and the perceived mistreatment that the gunman and damaged human has probably endured throughout his life, led to his unfortunate decision to right a wrong that was not his to correct in that manner in the first place. I choose not to name him, as his name is not important. What is important is his suffering, and the reported discrimination that may or may not have taken place.

What we as a mental health community of healers know, is that trauma, no matter in what form, can change a person.  The younger age at which a trauma is sustained, the more changed a person can become. A majority of people demonstrate resilience in their experiences, and can sometimes spontaneously “get over” what occurred in their lives. Not everyone is as lucky, and the more trauma someone experiences, the worse their outcome in healing can be. As you all may know, a vast majority of those with mental health issues are HARMLESS, meaning that they would rather hurt themselves (suicide and/or self-harmful behavior) than hurt another person. But there are a novel few who feel it is their (delusional) duty to take justice into their own hands to correct something that may not have existed in the first place. This is not me saying that the accusations he made were untrue, but he had a lengthy history of discord in the workplace and had to be terminated and forcibly removed from several workplace environments due to this discord. His own perception appeared to be flawed, in that he felt he needed to make a statement with his actions that was one of finality – one that could not be corrected, justice could not be served, and in some ways could be considered cowardly. I repeat again…a vast MAJORITY of people with mental health issues are HARMLESS. But it only takes one person’s actions to become infamous, and that sticks in our minds as novel.

Who or what is to blame here? The short answer is that we are ALL to blame. Yes, that is a bold statement, and yes, I do believe it is true. For this person, and for the countless others that have acted out in violence related to a perceived wrong-doing, they all started this life out as infants. And as an infant, they needed to be cared for, loved on, and supported in learning how to make good decisions, respect others, and be provided empathy and compassion when necessary. But, as we know, not everyone receives that growing up. Despite the myriad circumstances that can exist to cause a person to harbor hate in their hearts, we know that hate is a learned emotion and behavior, and not one that exists from birth. We have to be taught how to hate, and this learning has to be reinforced in order to follow us to adolescence and adulthood. Normally, we take on our parents’ own “hates” like I have from mine: I “hate” the Redskins (but also the Cowboys), I “hate” tomatoes (from my mom), and cold weather is not for me. But my parents also massaged my desire to learn, and allowed me to be able to make my own decisions, somewhat to their dismay. I think I turned out okay, and hope they think so as well. But let’s say that I got other influences from my parents about whom or what to hate, like “hating” other races, sexual and gender minorities, religions, etc. That is something that is learned and reinforced. The hurting human reported that he was discriminated against because he was black and gay. I don’t doubt that at some point, and perhaps several throughout his life, he was discriminated and hated against for his identity, which is something he could not change. If he could, I’m sure he would have to avoid being hated and treated differently. But the point is, he, just like many others who have become so angry for the way that they have been mistreated, or perceived mistreatment, have experienced hate. Either from a parent or caregiver, from an abuser, from punk kids, from their house of worship, teachers, loved ones, or the community, these people have not learned how to manage their own stress and experiences to allow them to let things go and move forward.

We don’t teach empathy, respect, and compassion in this world anymore. We are too engrossed in our smart technology to pay attention to our loved ones, including kids, and we as a society have become so dependent on our work for the “stuff” that we can buy with our income, that we forget what life is all about. Our advertisements always appeal to keeping up with the Joneses, instead of being the best that you can be, for yourself and for your loved ones. We as a society are becoming more and more self-absorbed with our following of Kim Kardashian instead of following those who are trying to keep peace, like Malala Yousafzai, Desmond Tutu, Pope Francis, teachings of Buddha, Jimmy Carter, and so many more. We value looks over intellect, and stuff over clarity. But we are all to blame for how our society has changed, so we cannot blame anyone but ourselves. If we watch the news shows that focus on gossip, then we create an audience and advertising dollars for it to continue.

The education that we need to have begins in the home. We need to teach empathy to our children, and provide empathy to those who need it. If sympathy is what you offer someone when a loved one has passed (because you have also experienced a loss such as that), then empathy is that same sentiment, but offered to someone who is going through something you have not gone through, and wouldn’t know the first thing about going through. Just because we don’t understand the pain and suffering, doesn’t mean we should run away from the suffering, but run towards it instead. As a counselor, I embrace suffering because it is universal. If we could have turned back time for the hurting human to the point where his suffering began, something could have likely been done about it. We can no longer ignore people who are intent on hurting others as they have hurt, and we also need to realize that we cannot predict something as catastrophic as what has occurred. But the more we reach out in kindness, to offer our empathy and support to those who may not be able to offer it to themselves, and to teach our own young people that a life lost is a loss for us all, then maybe violence can become less of a headline grabber. In my mind, if everyone could experience the unconditional love that a cat or dog provides to their people, we could understand more about what empathy and compassion look like on a regular basis.

We can change access to weapons, call for reform, march in the streets, and demand change, but until we start giving each other respect, love, kindness, compassion, and empathy, we will not be able to make a difference. Any death is a loss, but if something could have been done to offer this hurting human a space to grieve his losses, he possibly may not have taken his hate out on others.

If you, or someone you know is contemplating suicide or taking your pain out on others, there is help. You can call the National Suicide Prevention Lifeline 24/7/365 at 1-800-273-8255 (TALK) to speak with a knowledgeable person who can link you up to your community’s resources. You are not alone in your hurting, and there is hope.

Namaste,

Angela

Pregnancy and Gender Awareness

As most of my clients know, I am pregnant and due in January 2016; although let’s be real…this baby will come whenever they please (yes, there’s only one…just trying to be gender neutral)! Aside from the many different pieces of advice, things to know and read and become “experts” on, as well as the “You’re going to do what with my what?!?” moments, it’s been pretty great so far. My husband, who is not a counselor, has also schooled me on a few things.

We spilled the proverbial beans about a month ago, and he has had many conversations and questions asked by his co-workers that got him thinking about gender and our child. As many people do, his co-workers have asked him, “So, are you finding out the gender?” This got him thinking, and his response was, “We’ll be finding out the sex”. When he was relaying this story to me, one pregnant sleepy evening, I said “That’s great honey”, not recognizing the profound statement he made in his male-dominated and more conservative work atmosphere. It wasn’t until the next morning when it hit me upside the head, the gravity of his minor, but significant change in verbage from “gender” to “sex” when it comes to finding out about our child. I, at first, was floored and proud, that my husband was educated enough to know the difference (I guess I can take some credit for that). Then my pride turned to shock (at myself) for not seeing the significance of how we, in our society, mix the words gender and sex so fluidly, without recognizing the vast differences in the words.

When I work with my trans clients, I emphasize to them the importance of sharing their own stories, educating their friends and family members, and also recognizing that people will “mess up”. But this time, my husband educated me! When it comes to the sex vs gender argument, the very simple answer is a “parts vs thoughts” definition. Sex is defined by the types of parts (genitalia) that we have externally, and gender is all about what types of thoughts we have as an individual, and how that relates to our “male-ness” or “female-ness”. So when I’ve been saying the gender of our baby, what I should have said was the sex of our baby. We will be finding out the sex (parts) of our child, but the child will have to let us know their gender beginning at ages 2-12. As both my husband and I are considered cisgender (we identify with the parts that we have as indicative of our thought/identity patterns), we will assume, unless stated differently, that our child will also be cis. If our child wants to play with Tonka trucks, but has girl parts, then that’s fine! If our child wants to play with Barbie dolls but has boy parts, that’s fine too (although my husband prefers that either gender will play with Legos).  Bravo to Target for recognizing this fact, and for more parents in our society not getting so up in arms about the types of toys their children play with. It was not that long ago that “kick the can” was a part of play, and that has nothing to do with gender.

Being blessed with a healthy child is all that we want as parents, and knowing that not all children are born, and remain healthy, it is our duty as parents to begin to recognize when things may be affecting them mentally/emotionally, and not just physically.  A staggering statistic that I have shared with many trans persons and parents of trans youth is that 41% of trans-identified people have attempted suicide. Yes, you read that correctly. 41%. That is 9 times the national average of persons who attempt suicide. If parents could learn to accept their children as people, not as damaged, wrong, or immoral because their inside doesn’t match the outside, that number could come dramatically down. I impress upon parents of trans youth that being trans is not a death sentence, but denying a trans person support, love, and help to confirm their gender identity could be, this usually gets their attention to look past the confusion, and learn to love the person that they’ve created.

We do not yet know the mechanism by which a person’s gender identity is formed in the womb, but we do know that it is not a choice, like where to eat lunch, and where to go to college. Being a parent of a child who is not yet here helps me see things a little differently, and just wanting a child who is healthy is more important than the parts or thoughts they have. There are many resources for people who are struggling to understand what their child, partner, friend, or co-worker are going through related to gender identity and transitioning, and I invite you to school yourselves on appropriate language to use, questions to ask (and to avoid), and how to support those who need your love.

Thanks to my husband for being the inspiration for this post (and to his lovely parents, who raised him well!), and for all of my trans and gender-nonconforming clients who continue to show me their courage and strength!

Human Rights Campaign

PFLAG

National Center for Transgender Equality

Equality Virginia

Virginia TIES conference – October 10, 2015

 

A streak of…Yoga?

Having done yoga on a semi-regular basis now for about six months, I decided to use inspiration from some great friends to begin a Yoga streak.  What is a streak? Well, it’s doing something you may already do on a regular basis, and begin to do it on an every day basis, for at least a certain amount of time (or distance, if you’re running/biking). Unfortunately, you can’t use meals as a streak (I’ll eat dinner every night for the rest of my life!).  I decided March would be the month to complete a yoga streak, as it would be 31 days long, no holiday or birthday travel to throw me off my game, and I wanted to feel the benefits of yoga.

What are the benefits of yoga? Click here to find out more from Amy Weintraub’s LifeForce Yoga site. Yoga has been practiced for thousands of years, and has been a means of spiritual, mental, and physical improvement. Amy’s own recovery from depression is told in her book, Yoga for Depression, and yoga has been a demonstrated way for many to use in their recovery from depression, anxiety, stress, trauma, and addiction. While I wasn’t going to use it for those issues, I knew I could always use a bit of stress reduction.  I had attempted a streak before with yoga, but unfortunate personal experiences left me unable to complete a whole month.

While you don’t technically need any special equipment, a good mat is a wonderful investment. I purchased a mat from Target years ago, and added a thicker mat from TJMaxx due to discomfort I experienced in my knees while kneeling. Many can be benefitted from a Yoga block, wedge, and strap to ensure proper reach, stretching, and alignment on the mat. I used a regular class at the Y, and a few of the channels on Hulu (GoYoga, GAIAM) as well as the Yoga Studio app (it was free for iOS when I downloaded it). Other good apps are available for Android. While they are no match for a guided class, especially if you’re like me and need a good push from a live person as motivation, they will enable you to begin to practice. A great local place to practice many forms of yoga is Sattvic Space Yoga, located in Portsmouth. Their offerings are currently donation-based, and they have many different classes.

Over the course of the 31 days, I learned that I could gain strength, both physically and mentally.  It was hard to change my “obligation” to a “choice” that I made to complete the challenge, but during the first few days, I began to realize that this was a healthy choice. I preferred to go to a class because I needed a kick in the posterior, but I began to look forward to choosing the classes on my app to fit my needs of that day.  I have some lower back issues, and sometimes I could only do 15 minutes of stretching, but other days, I could challenge myself with increasingly more difficult poses and for greater stretches of time. I remember challenging (forcing) myself to complete a 60 minute class at home, and joking with my husband “If I don’t make it through the class, it was nice knowing you”, because I didn’t trust my own ability to complete a 60 minute class at the Intermediate level. Looking back, that was completely ridiculous, as I routinely complete a 60 minute class at the Y, and many of the poses in that class are Intermediate. Lesson learned: Go into it with confidence. “I will try my best, and push myself” was one of the mantras used.

About a week into the streak, I began feeling more confident, stronger, and I lost a small amount of weight. Without trying, I also became more mindful of my overall physical activity and eating habits. This helped me feel mentally stronger! One thing I learned about this is the importance of hydration. You will strain and sweat, and you need to replace the lost water with more water! Drinking more water is something that most of us need to do anyway, so get a reusable water bottle, and take it with you everywhere. Another lesson learned: always, always, always use the restroom before a class. I paired my morning coffee with morning yoga classes, which on a few occasions had to leave to use the restroom. Not only is this embarrassing, it breaks up the practice.

Two weeks into the streak, St. Patrick’s Day happened. We have a standing dinner tradition with friends, and in the whirlwind of planning, cleaning, and cooking, yoga had to wait until after the dinner. Needless to say, there were some adult beverages consumed during the dinner, and it was a late evening. Guests left around 10:30/11pm, and I am not an evening person, so doing yoga later at night was maybe not the best decision, but I had to do it! Lesson learned: completing your streak task earlier in the day is preferred because of the benefits of practice lasting throughout the day, and GETTING IT OVER WITH! There is a reason that Peace and Pints at Smartmouth Brewing does yoga prior to drinking beer. Balance may be more difficult with less physical stability. However, practicing certain types of yoga poses at night may benefit you in sleeping soundly. The beauty is, you get to decide what you do and how you do it!

The third week had some pain. You’re familiar with “No pain, no gain”, but in yoga, pain is not recommended.  My pain was related to my apparent flexibility, which traveled into an elbow “thing”. I had to be extra careful with my alignment while in table top or downward dog to ensure that I was not hyperextending my elbow. I took anti-inflammatories, and iced it to reduce further inflammation and injury. Despite looking ridiculous, the ice really helped. Lesson learned: Being mindful about my practice, ensuring proper position and alignment, and taking time to take care of myself is important to make sure that I can continue to practice yoga, lift my heavy bags, pick up my cats, and complete other household tasks.

Something happened during the fourth and final week that I didn’t think would happen. I actually started looking forward to yoga! I guess what researchers say about starting a good habit is true. I began to see more changes in my weight, muscle definition, and self-confidence. While I didn’t do the streak for those benefits, I had hoped that those side effects would occur. On the last day, it was apparent that my elbow needed some more time to heal. I had intended to attend a yoga class on April 1st, but in conferring with myself and my better half, I decided to forgo the class, and be extra careful with my elbow. I never thought I would think this, but I missed it. Maybe it was my lower back talking, but I genuinely wanted to practice yoga. Lesson learned: Give yourself the opportunity to change, learn, grow, and enjoy. I’m proud of my commitment, and glad to have seen the results of my commitment. While I may not be doing yoga daily, I will do it with intention, strength, and confidence. Think of some things that you’d like to change or do, for a certain amount of time, and schedule it into your day. Namaste.

Welcome to Serenity Counseling

se·ren·i·ty (səˈrenədē/) – noun: 1. the state of being calm, peaceful, and untroubled.

Our aim is to take you from a state of sadness, anxiety, worry, or stress, to one of Serenity. We use a holistic approach to counseling, in ensuring that not only can your mind and spirit can improve, but your physical body can as well. Knowing that our brains and bodies hold hurt, negative memories and thoughts, and feeling as though we are stuck, we encourage our clients to learn more about their brains, bodies, and selves to promote healing, inside – and out. You are an integral part of this process, and we hope to work with you on achieving your Serenity!
-Angela P. Callahan, LPC, NCC
Owner and Therapist