People spoke about a variety of different things that they could do for themselves to improve their mental health. These included activities that actually helped to deal with problems when they were becoming unwell, as well as ways of managing their life on a day-to-day basis that, along with medicine for example, helped them to stay well. Social activities were very important for some. Many people spoke about the benefits of joining groups which had a mental health focus. You can read about that here: Mental Health Community Support Services and Peer Support.
For most people, self-help strategies were about managing the ups and downs of life and keeping themselves ‘on an even keel’. Quite a few people said doing ordinary things (listening to music, watching movies, having a hobby) they enjoyed helped them. Ann found listening to audio books was a way of ‘self-soothing’. When David found he couldn’t cope when he was on holiday with some friends, he withdrew and absorbed himself in a book and ‘just focused on the fantasy world of the book as a way of coping’.
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Self-care and exercise
Avoidance and pacing
Other self-help strategies
Taylor said it was important to look after yourself and give yourself a treat every now and then.
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In terms of your own self-care, when you’re managing living with an illness, could you talk through some things that that you do or you found helpful or …?
Well sometimes if I’m feeling a bit down and it’s a nice day I’d get out and go for a walk. That kind of helps me. Eating chocolate. That’s supposed to be good for you. So just looking after yourself, just treating yourself every now and then and having a bit of a nap because it can be very tiring sometimes having a mental illness. Just be kind to yourself. I think you wonder sometimes, ‘Why is this happening to me?’ But there’s a lot of people that have got it and it’s just your body saying help, I need some help.
Self-care and exercise
People spoke about the importance of taking care of themselves, which involved everything from eating well, and relaxing, to giving themselves little treats. Ann mentioned a ‘sensory modulation’ technique that she found helpful – a ‘hand massage with some nice smelling hand cream’. Charlie described how regulating her diet has helped her. She allows herself to eat anything on Fridays but watches what she eats for the rest of the week. Charlie said it takes away the ‘guilt’ and improves her self-esteem. Anna described how basic self-care like having a shower was important for her because when she has a ‘depressive episode’ she ‘just can’t’ be bothered doing that.
Exercise was particularly helpful for a few people. Helen does ‘keep fit once a week’ and goes out for a walk with a friend every other day. Carlo said he was ‘the fittest and healthiest physically’ he’s ever been and had ‘needed to do that to manage [his] symptoms’. Niall said he was prone to anxiety and depression, and going to the gym and playing tennis helped keep his ‘serotonin levels up’ which was good for him.
Susana said walking and cycling cleared her head and made her feel more positive.
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But like what, for you, if you’re kind of not feeling well… What does that day look like?
I haven’t been having too many of them lately because I’ve been sleeping enough hours. I’ve been having the required amount of hours per night and I’ve been eating well. I guess, I’ve been eating well and trying to exercise now and then.
And you find that all helps?
Yeah it does yeah, like exercising helps a bit. Like I exercise on the weekends and things like that yeah. A bit more often than the weekdays but yeah.
And how does it help?
Like walking, going for a walk, long walks or riding a bike clears your head a bit, it just gets you out in the fresh air and you’re not at home, you’re socialising a bit outside and things like that, yeah.
So that impacts on your positivity or things like that?
Yeah for a time, yeah it makes you feel positive for a bit yeah, it makes you feel a little bit better I think.
Avoidance and pacing
Self-help could mean doing some things or not doing other things. People mentioned becoming aware of when they needed to avoid certain situations that could exacerbate their symptoms. Ann for example said she found TV ‘too chaotic’. This was part of people being more ‘clued up’ about themselves and knowing what worked for them.
Carlo recognised that what he sees and hears affects his mood and has become more selective about what he watches on TV.
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And one of the things linking to that that I learnt in the hospital, that everything that goes into my ears and into my eyes affects my mood and is either going to be helpful or unhelpful.
And so by really understanding that I’ve really been very selective as to what I do watch and what I do read. And things like the news, especially the television news, there’s no way. Because every time over the last say six years I’ve put the TV on, it will be about a murder or a rape or a violence or war. There’s nothing that can help us make decisions to empower us to make… help for the future
And so whilst I was trying to overcome my own fears and insecurities and trauma, I felt that listening to this news was definitely not helping me. And so I’ve had to distance myself from that.
For most people, it was important to avoid situations of stress or anxiety that would aggravate them and make them feel unwell. Luana described how she kept her stress levels low. She said, ‘I adjust my life accordingly’ and ‘don’t get into situations where I feel like things are out of control again’. For Allen, it was important to pace himself. He said trying to go ‘100 per cent’ was ‘where it all starts to break down’. He tries not to push himself and deliberately avoids leading a life that would be stressful or makes him feel anxious. He advises others to ‘just pitch yourself at 20 per cent below what you can actually do’.
David said long term goals can seem ‘unattainable’ and ‘overwhelming’. He finds breaking goals down and celebrating ‘small successes’ helpful.
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You mentioned earlier on about the idea of sort of breaking things down into sort of the components…
Definitely, very helpful for me. Especially, I tend to get overwhelmed when things seem too much. So if I have a long term goal and it’s too far in the future, it’s unattainable. You know, it’s just I can’t, well I guess my first instinct is to retreat and run away from things that seem overwhelming. You know, I just avoid, avoid, avoid.
But this process of trying to break things down into smaller chunks and more manageable goals is something that I’ve really had to learn and is something that I’ve started to do for myself but it’s been a real learning process.
But it’s something that I’ve been learning with my support worker to break things down and to celebrate small successes to build my confidence up so that I don’t feel like I’m jumping in the deep end and having to swim with a 20 tonne weight around my neck.
I can start in the shallow end and, you know, test the water, and take a step in the water, and, you know, slowly increase my weight as I get stronger. And I feel like I’m learning how to take on larger tasks and try and balance my need for support versus my ability to work, if that’s something that I want to do, which it is.
Other self-help strategies
People spoke about other things which made a difference for them, many of which were of a personal nature. These could be things that helped them to cope with emotional swings or gave them comfort or relief from when they felt unwell. Tanai said having cats and dogs around her stopped her being angry because she loves animals and doesn’t want them to be afraid of her. She explained that ‘once I’ve made myself calm down I can think about why I was angry and usually it was something ridiculous and I’m over it’. Carlo talked about the importance of physical contact for him: ‘a 20 second hug releases so many of the body’s natural hormones and chemicals to help you feel better and you feel more connected’. Niall likes music and has sung in a few choirs which he said ‘helped in [his] recovery’.
Maria said she enjoyed writing about mental illness. She has written articles, which she calls her ‘consumer writings’ about recovery, one of which was published as a book for people with severe mental health problems. Maria also writes affirmations that she sends to friends when they are having a bad week. Cindy won a prize for a poem she wrote. She said it was ‘very therapeutic to write about how you feel and what’s going on in your life’.
Niall discovered that he could write ‘pretty good poetry’ when he attended a support service that offered creative writing classes.
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I started doing creative writing there and had a very good teacher there, who had mental health issues and she discovered I could write pretty good poetry. So she called them emotional maps and so she gave me a lot of support there. And yeah, and I’ve still got to get my poetry book finished now, so I’ve got about three more poems to write. And I’ve done creative writing classes. I’ve had a bit of a knack for that. I was always good at English, because my dad was good at English and that sort of thing.
A few people spoke about specific help they received from attending church or from their spiritual beliefs. This could be practical help like talking to a minister or priest, or it could be finding comfort in religion or spirituality. Carlo was brought up as a Catholic and found having a faith helped him, although it didn’t give him particular tools during his breakdown and recovery. Evan mentioned his involvement in a Greek Orthodox church. He said the priest, who has known him since he was a child, had experienced some hardship himself so he ‘understands’.
Charlie derived a lot of strength from her spiritual beliefs.
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Did you grow up with a religious background or is that something that’s…
Not at all, very little religious education. Yeah I think I became more aware of religion and stuff when I became ill in that year.
When you were 20?
Whatever happened for all of those years, where I’m at now with my spirituality is the icing on the cake, not religion, I don’t like that word. I don’t like using that word, but spirituality, yeah, I’m pretty happy. I get some strength from well, pretty well the whole of my strength comes from spirituality and it gives me energy and strength in other areas.
But it’s not easy though. There’s always some sort of challenge or issue or temptation, yeah.
Could you say why you don’t like the word religion?
Why? Not that I know a lot about, there are many, many very different religions, but in some people’s minds religion is war and war, that’s just not conducive to living.
So for you, there’s kind of your decisions and the kind of the path you’ve taken is very strongly connected to your sense of spirituality and…
Oh that’s where I get my daily strength. Yeah. I’m not obsessed or anything like that, but I have my own way of relating to God and very happy with that, yeah. It has its moments. It’s always good to have a minister, always good to have a minister, and if they’re a friend too it helps even more. Ministers are great.
A few people spoke about trying alternative therapies, like Alice who said, ‘I dabble in complementary stuff’. Carlo talked about trying kinesiology, which he said uses muscle testing and ‘taps into the subconscious’, which he found ‘really helped’. He also practices yoga and meditation. A few others also spoke about practicing mindfulness and meditation. David described trying not to get caught up in his thoughts: ‘imagining sort of a distance mentally from those thoughts’.
Practicing meditation or mindfulness has been helpful for
Ann. She described what it involves.
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I’d be lost without mindfulness, because I haven’t been practicing as much as I should recently. That’s because I’ve been feeling better. Not a good thing to do, but I need to practice it more regularly because otherwise if you don’t practice it, you lose the skill.
And is that, would that be primarily like Anapana meditation or where you concentrate on your breath or…
Breath or body scan generally and I normally have to do a guided meditation. I’ve got like probably 30 different mindfulness practices on my iPod that I can practice doing, which is good. My favourite one at the moment though is doing a gratitude meditation, it’s thinking of something that I’d seen or done that day that I was grateful for and then bringing that sense of gratitude to the next task that I’m going to do. And that’s a really powerful one for me at the moment. I love it.
Anna explained how creating quiet time helped her to manage her tendency to ‘overthink things’.
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Well it might sound trivial, but just even sitting in the garden with a cup of coffee or just lying on the bed and just being in the moment, and just hearing what’s there. And just having that break, because I tend to overthink things I think. So it’s just having that quiet time, yeah, that I’ve been trying to utilise.
A few people mentioned using techniques like ‘positive self-talk’ to help them manage symptoms. Tanai described how she does a ‘reality check’ when she feels ‘symptoms of psychosis’. She does this by grounding her senses with a strong sensation, like holding on to ice tightly and reminding herself what is ‘real’.
Jenny talked about someone she knew who controlled the voices ‘in her head’ by ‘negotiating’ with them.
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The [CEO of mental health organisation], she’s got an amazing story of trauma when she was a kid. And she has a voice that she used to call, oh, ‘the tormenter’ or something. And now – she’s been doing this practising talking to him, giving him a proper name, well, he is called ‘the tormenter’. That’s his name. Talking to him, negotiating with him. Well, negotiate like, “Okay, look, I just want to watch the news, mister – my tormenter. Just can you be quiet for half an hour and then I’ll sit and we’ll communicate for half an hour with you after the news”. Things like that, negotiating.
Finding out what is motivating this voice to give you a hard time, to call you names or to make you feel negative and to make you feel depressed. Why is this voice doing that to you, you know? Negotiating. And she, [CEO of mental health organisation], actually ended up, she decided to call her voice ‘the lover’ instead of ‘the tormenter’.
Because she’s got a new understanding with her voice, a new relationship, and the voices actually can turn around and instead of being tormenters they can actually become supportive, positive, voices. So I would highly recommend doing some work with [mental health organisation] and getting some support through them.