A NEW AND IMPROVED DAY

A NEW AND IMPROVED DAY

Saturday 16 January 2016

presentation: MENTAL AND EMOTIONAL WELL BEING

Taking responsibility to maintain mental and emotional well being in our own personal lives is an important part of daily living.


MENTAL AND EMOTIONAL WELL BEING
Made to the Calgary Alberta Stake Relief Society 2014
                                                                                   Stephen D. ZoBell, PhD



I am thankful for the Savior who has provided us a safe place to discuss difficult issues.  I am also grateful for the sisters of the church.  Thank you for your faith and loyalty.  I appreciate this opportunity that has been given to me by the Calgary Stake Relief Society Presidency.

I’m glad that one of the devoted and faithful sisters of the Church chose to marry me.  I love Barb and am so grateful for her support and loyalty.

Elder Holland’s recent General Conference address had a powerful impact on me. I am thankful for Elder Holland’s bold, self-disclosing way of raising our awareness about depression and other emotional/mental health challenges.  Over the past 40 years, numerous General Authorities and General Officers of the Church have provided understanding and guidance regarding mental and emotional challenges faced by members.  For me, one of the classic talks on mental health was given by Elder Boyd K. Packer.  It is entitled Solving Emotional Problems in the Lord’s Own Way.  Elder Packer’s 1978 ideas on mental health are so powerful to me, that decades later I still apply many of the concepts he taught.  But there are many other excellent talks that have been given over the years by our church leaders.  I appreciate that many General Authorities and General Church officers have carefully and sensitively provided mental health solutions and guidance to members for decades. 

Today I would like to discuss the overall concept of mental and emotional health.  Mental health has a lot to do with how well you can, or cannot, manage your thoughts and feelings.  Closely related to this is how well you are able to adapt to disappointment, shame, pain or loss.  Poor mental health has to do with the inability to adapt when life changes or disappoints us.  Good mental health is closely associated with how well you can cope when life turns out differently than you expected. 
I have a friend who grew up in the Philippines, but wanted to live in Canada.  I’ll call him John.  John’s view of Canada was that great opportunities awaited.  Pictures of snow were particularly enticing to John.  It looked pure, white and peaceful.   John loved snow.  At about 28 John arrived in Canada.  He was greeted by a blizzard, the wind was howling.  It was 25 below.  He was chilled to the bones, feet were cold, and he could hardly breathe the cold air.  At that moment in time John hated snow.  Over the weeks John’s disappointments deteriorated to anger, blame and withdrawal.  Within two months John had slipped into depression and was ready to move back to the Philippines.  He phoned his mother asking her to borrow money so he could make his escape.  But Mom reminded John of his vision and purpose of being in Canada.  John decided to face his challenges, to stay in Canada and seek solutions.  He found a friend, obtained a job, purchased some warm clothes.  John joined a service club.  He started adjusting.  He learned to cope with the changes.  ‘What do you think about snow now, John?’  'Well, I used to love it, then I hated it and I now I tolerate it.’
Some of the important questions of mental health are:  what do you do when life is hard to face?  What do you do when life does not turn out the way you wanted it to?  What do you do when you are disappointed, when you are shamed or trying to deal with losses?

I would like to provide a model of categorizing depression as well as other mental health challenges.  The profession of mental health has categories of defining mal adjustment.  Those categories are:  mild, moderate and severe.  Mild, moderate and severe provide us with arbitrary groupings.  Sometimes lines and definitions can be blurred.  But it is helpful to have degreed categories so we can try to determine treatment.  So, let’s say you struggle with depression.  We would try to find a category.  Do you have mild depression?  Do you have moderate depression?  Or do you have severe depression?  Or if you, or someone you know, struggles with anxiety, is it mild, moderate or severe anxiety?  These categories can be helpful.  However, you will note that they all skew towards the negative.  They all focus on maladjustment.  So, for my own purposes, I have added three other categories that focus on the positive side of mental health.  For example, let’s say that hope is the opposite of depression.  Certainly, you could have times in your life when you are mildly, moderately or extremely hopeful.  I find it helpful to think of mental health from positive as well negative perspectives.  If you are enjoying positive mental health what should you do?  Well, you could give thanks for the blessed experience.  You could keep doing what you are doing.  Also, you could help others to move from their negative experiences to more positive thoughts and emotions.  On the other hand, if you are struggling with negative mental health issues, what should you do?  Well, you will want to make changes in your approach to life.  It would be important to study how to overcome your mental or emotional challenges.  You could learn how to discipline your thoughts and feelings.  Or perhaps you may need to seek outside assistance. 

Today I would like to offer ideas on what you can do to strengthen your personal mental and emotional health.  These ideas may also provide some guidance as you offer assistance to others.

1.      First is Hope.  While on our mission, due to my numerical dyslexia, Barb made all of our phone calls.  In our first month, she contacted a missionary in Paraguay who needed assistance.  He had a North American type name.  We assumed, when the Mission President put in the request, that the missionary spoke English.  When Barb talked to the missionary on the phone, he sounded distressed.  Barb looked at me, shook her head and whispered:  ‘doesn’t speak English.’  I took the phone asking Barb to go walk the halls of the Area office until she could find someone to interpret for me.  While waiting, I scrambled to find something to say to the elder.  My Spanish is minimal.  The elder is distraught.  ‘Momento por favor’ I say.  In a frenzy to help this missionary, I scramble through my red Spanish English book published by the church.  I’m looking for any helpful words to say to this young man.  He’s counting on me for some type of support.  At random I open a page and say the first thing I see.  ‘Hay esparanza’, I say, ‘hay esparanza.’  The Elder starts to cry.  I look at the translation.  What I told him was:  ‘there is hope, there is hope.’  Barb and I worked with hundreds of missionaries while on our mission.  I learned from this early experience to start and finish each session with Hay Esparanza, there is hope.  It is important for all of us to know that there is hope.  Hope is the number one ingredient for mental health stability.  Hay esparanza.

2.     Second, we are all bound together in family, church and social units.  To maintain good mental health it is important to bind yourself with positive rather than negative relationships.    In my professional career with LDSFS, I had the good fortune to participate in the development of church approved groups.  Church approved groups are very rare.  The first of such groups that I became aware of was designed, in the mid to late 1980’s, to assist adults who had suffered trauma as children.  A decade later, I had the opportunity to contribute towards the development of the church Addiction Recovery Program.  In both instances, as these groups were developed, the governing leaders of the church provided clear and concise direction.  We were to ensure that members of the church who participated in these groups would be brought together on the basis of positive solutions rather than on the basis of negative problems.  It is easy for people to group together through criticism, blame and negative comparisons.  ‘Oh you think you’ve got it bad.  Let me tell you my story of woe.’  Groups of people can often terribilize, awfulize or catastrophize as they focus on negative problems.  Being connected by negativity is a powerful temptation.  And it can grow like cancer.  This type of negative connecting can actually increase depression, foster high anxiety, as well as promote anger and fear.  It is far better for each of us to base our relationships on the positive.  Relationships grounded on solutions, faith, healing, hope, service and gospel promises of good things to come will increase your potential to maintain strong and positive mental health.

3.      Third point.  We are unique beings.  To enjoy mental health stability, we must deal with ourselves according to our own distinct circumstances.  The doctrine taught by church leaders is that we all lived in the pre mortal life, as distinct personalities.  Then we came to this earth bringing various missions and purposes, unique to ourselves.  All of us will pass on to the next life.  There, we will be provided honest feedback on how well we fared here on earth, as a unique individual.  These concepts have a tone of generality.   But we have also been taught that each one of us has our own tailor made plan of salvation that fits into the big scheme.  This requires us to remember that we are unique.  In the gospel we are alike in requiring pure doctrine and the covenants of exaltation.  But in most other circumstances, one size does not fit all.  Years ago I worked with a woman, I will call her M, who had a same age step sister who suffered with mental health issues. According to M, she believed that if her step sister had a mental health problem, then she, M, must have the same problem.  M told me it took years before she realized that she was a distinct person, differing from her step sister.  The diagnoses and treatments that applied to her step sister did not necessarily apply to M.  So, an important principle you want to consider in maintaining positive mental health is that you are unique.

4.     Fourth, not only are you unique but you are also responsible, within your own set of distinct circumstances.  Managing thoughts and feelings is complicated.  It takes time, effort and practice.  Who is responsible for your thoughts and feelings?  With rare exceptions, we all know the answer.  But often it is easy to become confused about who is responsible for what.  Taking your responsibility for your mental health will increase your opportunities to find and maintain stability.  It is not helpful to blame.  Rather it is helpful to take responsibility.  I worked with a woman years ago who, within fifteen minutes, had walked out of our first session.  I’ll call her D.  Before D prematurely left, she told me that her husband had abandoned herself and their young children.  D became dependent on her father, spending most of her time on his couch watching his television and eating his food.  D became depressed.  Her father pushed her into counseling with me.  To say that I suggested that D should rise up off the couch, tear herself away from the TV and start taking responsibility for her thoughts, emotions and actions is putting it mildly.  When I made my comments, D walked out of the session.  I never saw her again.  But I did actually hear from her.  Twenty one years later, D found me.  And she phoned me.  D thanked me for being so direct with her in the past.  This woman told me her story of making the decision to quit blaming others and start take responsibility for her thoughts and feelings, rising up off her father’s couch, finding a part time job, entering into part time schooling, moving away from her father’s home.  It took years but D obtained a Bachelor’s degree in a behavioral science and later a Master’s degree in social work.  At the time of her phone call, she was working full time as a community professional.  According to D, it was only when she stopped blaming others that she was able to find the courage to take responsibility for her life.  Others, including family members, friends and church leaders, may be able to provide love, encouragement and guidance.  But no one can truly take responsibility for your thoughts and feelings.  Even God won’t do that for you.  It is your responsibility to manage your mental and emotional health, commensurate with your own unique circumstances.

5.     The next concept is ‘the right fit.’  Learning about your own uniqueness and learning about your own responsibility to self, you can then learn to ensure that you get the correct treatment for your particular circumstances.  Believing that another person’s solutions will fit your needs could become problematic.  One Sunday while on our mission, Barb and I were attending sacrament in our Chacarita Ward.  Brother Rodriguez, a 30 something father of two, was giving a talk.  Seated right behind him, and in our line of sight, was our new High Council rep.  I noticed how similar these two men looked.  The high councillor looked like an older version of Brother Rodriguez.  As Brother Rodrigez went on with his talk, it became obvious that he was straining to see the page.  He stopped, looked about him, then turned around and saw the high councillor.  With a big smile on his face, he walked back to the high councillor, took off the high councillor’s eyeglasses and Brother Rodrigez put them on his own face.  With his newfound pair of glasses Brother Rodrigez still struggled to see his notes.  The glasses helped a bit but really weren’t a good fit.  After the meeting I went up to Brother Rodrigez and said:  ‘wow that was sure nice of your dad to let you borrow his glasses.’  With a quizzical look on his face Brother Rodrigez said, ‘my dad?  I have no idea who that man is.  I just needed a pair of glasses.’  Just as Brother Rodrigez found that someone else’s pair of glasses didn’t fit his needs, I’ve worked with people who have borrowed or been labeled with ill-fitting assessments or treatment plans from someone else.   Sister L, one missionary I worked with, defined herself as ‘shy’.   For years she read about and practiced assertiveness skills to overcome her shyness.  In our first session, I discovered the serious losses that Sister L faced as a child.  Sister L was not shy, she was sad.  With this informal but more accurate assessment, Sister L realized that all of the assertiveness training in the world wasn’t going to help overcome her sadness.  So I was able to assist her to work through the grieving processes, to obtain healing for her past losses.  The Mission President later told us that Sister L was flourishing.  So, make sure that a correct diagnosis is carefully thought through so that a correct plan of action can be tailored for your unique circumstances.  Don’t borrow a diagnosis or a treatment plan from another person.   And don’t try to give your diagnosis to another.  An incorrect assessment, or a poor fitting treatment plan, could cause more mental health damage.  You are unique.  You are responsible.  Get the right fit.

6.     Next point:  Be kind to yourself.  To start on a path of self-kindness, you need to eliminate some habits.  Avoid feeling sorry for yourself.  Self-pity drains excessive amounts of mental health resources.  Avoid self-talk that is negative or self-critical.  Such ideas as ‘I’m no good, I’m so stupid, I wish I wasn’t me’ are all harmful to mental health stability.  Comparisons with others can also be detrimental to mental and emotional assets.  I like the 13th Article of Faith.  Actively seek those things that are lovely, worthy of praise and of good report.  This includes what is inside you.  According to this particular Article of Faith, you are responsible to actively seek the lovely and the things of good report in all, including—YOU!!.  Seek something good and lovely within yourself every day.  Discover and embrace your individuality.  Seek opportunities to give yourself credit.  Give yourself kindness.  Give yourself gratitude.  Give yourself forgiveness.  Give yourself permission to be who you are.  Enjoy being who you are.  By seeking the good, the lovely and the praiseworthy in yourself, you will strengthen your mental and emotional health.

7.       Seventh:  mild, moderate, severe.  Severe is a red flag suggesting the need for outside help.  If you require professional assistance, use it wisely.  Perhaps you may need to take medication.  Use it carefully and only with sensitive guidance from medical practitioners.  You may need counseling to deal with your mental health issues.  A good starting place for that type of guidance is your Bishop who can help you to find a qualified and trustworthy counselor.  LDS Family Services could also help in that process.  Be judicious about the use of professional assistance.

8.      The eighth point:  It is important to have mental and emotional reserves for trauma that may come upon you unexpected.  Most of us have lifestyles that are demanding and require all of our attention, our full mental assets and our complete emotional involvement.  By the end of the day, most of us are spent, having few resources left for emergencies.  As long as our lives run smoothly and according to plan we can maintain our stability.  But a surprise demand may push us into collapse.  I remember different times when emergencies came upon me unaware:  a kidney stone as large as the end of my finger they thought was cancer, a former client who broke into my office and threatened to kill me, the electricity failing in South America and Barb and I trapped in an elevator.  I’m glad I had some mental and emotional reserves to offset the increases of stress during those critical incidents of my life.  It is good practice to keep a backup of mental and emotional strength for those surprise emergencies that can disrupt our already busy lifestyles. 

9.       The last point I would like to make is vital.  Living the high level gospel principles strengthens our mental and emotional health.  Like the Savior, if we can achieve kindness, charity, forgiveness and compassion we will find increases of mental and emotional stability.  These Christian traits can offset our tendencies to be angry, afraid, depressed, critical and mean spirited.  Barb and I worked with a sister missionary a few months ago from Uruguay.  I will call her Sister Y.  Sister Y had approached her Mission President and told him that she must go home, she wasn’t deserving of staying on her mission.  She hated her step father with all of her heart.  He had abused her.   Sister Y hadn’t seen him for 10 years. Her Mission President’s direction was clear:  In her heart, Sister Y must forgive her step-father.  Fully and completely. Not just for herself, but for future generations.   After weeks of personal struggle, Sister Y finally came to her Mission President and said:  ‘It is done.  I am free.  I have fully and completely forgiven my step-father.’   A few weeks later, Sister Y was assigned to work in the celestial room during the open house prior to the rededication of the Buenos Aires temple.  With hundreds of people coming through the temple, there was a sudden unexpected lull in the celestial room.  Just the two sisters were there.  Sister Y and her companion enjoyed the few moments of peace in such a sacred place.  Then a lone man walked in to the celestial room.  Slowly and cautiously he walked right up to Sister Y.  Sister Y looked at him.  The man was her step-father.  They both paused, looking into each other’s eyes.  In tears he said:  I am so sorry.  Sister Y responded:  from the depths of my soul I forgive you.  They embraced and wept.  A quiet moment in the celestial room to seal the love and forgiveness that had replaced sadness and madness.  And then the crowds came.  But Sister Y knew that her Heavenly Father had just micro managed an incident in her life.  High level Christian principles will always nudge us towards mental and emotional security and peace.


 Sisters, there are so many other issues we could have addressed today to enrich your mental and emotional wellbeing.  For example, we could have addressed how humor, hobbies or journaling can be applied to strengthen mental and emotional wellbeing.  Or how to reinforce mental health by engaging in more positive self-talk.  Certainly we could have discussed accessing the internet to find the ‘how to’ of mental and emotional wellness, particularly on LDS.ORG.   We also could have discussed the close correlation between body fitness and mental health.   I invite you to pursue these and other issues on your own.  I hope and pray that you will put yourself on a journey to learn about, and manage, your mental and emotional health.  And that you will take time to help others on their own personal path as you pursue yours.   Hay esparanza. 

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