being mindful

Recognition of the Signs of Mental Illness and How to Intervene

In the previous post, I discussed being mindful of mental health in the workplace. This involves not only awareness and being present to staff and colleagues, but also being able to recognise the early warning signs of mental illness and having the courage and competence to intervene.

The early warning signs of mental illness in the workplace

Recognition of the early warning signs of mental illness enables early intervention to prevent deterioration in a person’s mental health. Without such an intervention, issues can build up for the individual, making it more difficult for them to manage their stress and/or stressors.

The Mentally Healthy Workplaces Toolkit introduced in the earlier post provides a list of possible early warning signs of mental illness and lists them under five categories:

Physical – such as constant tiredness, continuous ill health, major changes in appearance and/or weight, complaints about ongoing health concerns
Emotional – such as irritability, loss of a sense of humour or of confidence, increased cynicism, nervousness, overly sensitive to perceived or real criticism
Cognitive – overall performance decline through lots of mistakes, lack of concentration and/or inability to make decisions (constant procrastinating)
Behavioural – behaving out of character by becoming more introverted or extroverted, withdrawing from group activities, lateness to work, not taking scheduled breaks (such as lunches) but taking unofficial time off
In the business – inability to meet deadlines, declining motivation, frequent absences, working long hours unproductively.

There may be multiple causes for one or more of these early signs to occur. So, it becomes important to check in with the person involved as to how they are going and whether you can be of assistance.

Checking in – having the conversation

Often managers and colleagues are reluctant to say anything to the person showing early sings of mental illness and the person involved is often unwilling to raise the issue for fear of being seen as “not coping” or “being weak”. Part of the problem is that they really need support and care and genuine concern for their welfare. They can be experiencing a strong sense of isolation, lack of support and associated depression. Extending a helping hand can often work wonders. But how do you start the conversation?

People in the workplace are very ready to ask someone about a physical injury such as a broken wrist but when it comes to a mental illness they are often fearful or uncertain – yet the person with the early signs really needs someone to show care and concern. So, we can have a situation where the two parties – the manager/colleague and the person experiencing mental illness – are compounding the problem by not engaging in the conversation- a form of mutual withdrawal.

The recognised format for the initial conversation where someone is displaying the early signs of mental illness is called AYOK – “Are you okay?” The Mentally Healthy Workplaces Toolkit offers four steps for starting the conversation:

Ask R U OK?
Listen without judgment
Encourage action
Check in

It is useful to preface this conversation with the observation, “I have noticed that…and I am concerned for your welfare.” In other words, communicate what you have observed (shows you are interested in the person) and express care and concern.

The person involved may be unwilling to talk initially but it is important to undertake the occasional check-in. An experienced practitioner at the 19th International Mental Health Conference mentioned that on one occasion he had the initial AYOK conversation and the person involved said they were okay…and yet, some months later they came up to the practitioner and said, “I’m not okay, my daughter committed suicide three months ago – can you help me?” Having had the initial conversation opened the way for the subsequent voluntary disclosure. To avoid the conversation compounds the sense of isolation of the individual involved – they feel that they can’t help themselves and that no one else is willing to help them.

It is important to prepare for the conversation beforehand – know what you are going to say, allow time for the interaction and choose an appropriate time and place. You need to ensure that you are prepared to listen and be mindful during the conversation.

You can provide support by suggesting they use the Employee Assistance Program, visit their doctor (who can initiate a formal Mental Health Care Plan) or discuss options for making reasonable adjustments to their work situation. The important thing is that you take compassionate action, not letting the situation deteriorate.

It is vitally important to maintain confidentiality about any information disclosed to protect the privacy of the person involved. You will need the explicit consent of the individual to disclose the information to co-workers, for example. The information conveyed to you can only be used for the purpose intended by the disclosure – e.g. to enable a reasonable adjustment to their workload or pattern of work.

The exception would be where the person discloses that they are experiencing suicidal thoughts or feelings. In this case, you will need to seek professional support. Beyond Blue has some very sound and detailed guidelines for the conversation in these situations, including what language to use. ConNetica, in their blog post Chats for life APP, also provides an App (with practical conversation tips) which has been designed by young people for young people experiencing mental health problems, and possibly suicidal thoughts and feelings.

As we grow in mindfulness through meditation and reflection, we can become more aware of the early signs of mental illness, have the courage and confidence to have the AYOK conversation and a willingness to take compassionate action.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of geralt on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

Being Mindful About Our Thoughts

Diana Winston in her meditation podcast, Mindfulness of Thoughts, explains the role thoughts can play in our lives and provides options for using mindfulness meditation to control our thoughts.

Thoughts have a powerful influence over our lives – they can be positive or negative with consequential impacts on the way we see and experience the world. They can express our perceptions of others and our experiences. Our thoughts can extend to our needs such as who I wish to marry, where I would like to live, my ideal job, what I want to study/research or what I am going to do with the surplus in my life.

We also have thoughts that contribute to our pain and suffering such as negative self-evaluation, anxious thoughts, thoughts about grief or thoughts that engender negative emotions such as rage, anger, frustration or envy.

Being mindful about our thoughts

Mindfulness can really help us to manage our thoughts. Diana suggests that a fundamental rule is, “Don’t believe everything you think”. Jon Kabat-Zinn reminds us too, “We are not our thoughts”. Thoughts can be seen as real but, in reality, they are just passing through our mind, unless we cultivate and encourage them.

We can be trapped by our thoughts or create some space so that we have times when we are free from them. Freedom comes from just noticing our thoughts as they pass by rather than being enmeshed in them and acting them out, particularly where they are negative.

Diana uses the metaphor of a passing train as a way to illustrate how one thought leads to another, which leads to another…as if they are coupled or joined together. They become like a “thought train that leads us down a particular track”. Before you know it, a lot of time can elapse and you begin to wonder where the time has gone – you have been lost in your thoughts.

By being in the present moment through mindfulness, you can stop yourself from going down that particular track that your thoughts are leading you along. Diana suggests that an alternative position is to visualize yourself staying on the platform and watching the thoughts go by, avoiding getting on the thought train, just letting the train go past.

Meditations to control our thoughts

We can build awareness by focusing on our breathing while noticing when thoughts arise and then returning to our focus – our breath. This practice of noticing, not cultivating our thoughts, and returning to our focus, is a powerful way to achieve equanimity and avoid being disturbed and captured by our thoughts that can lead to a negative spiral.

A second meditation practice is to actually notice a thought and pay attention to it for a brief interval – just noticing it briefly and returning to our focus. It becomes like a temporary aside. We could notice that we are engaged in planning, critiquing or other frequent forms of our mental activity.

A third meditation practice is open awareness – like noticing thoughts as if they are clouds in the sky passing by us as the wind blows them along in a hazy way.

Each of these meditation practices can help us to be mindful about our thoughts and to learn to control them so that they do not control us and the way we experience, and relate to, the world. Diana, in her meditation podcast, leads us through each of these meditation practices to enable us to experience the sense of freedom and control that comes from release from the binds of our thoughts.

As we grow in mindfulness through meditation practices that address our thoughts, we can develop a sense of peace and control and free ourselves to show up for our lives – not being held back by the heavy anchor of negative thoughts.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: courtesy of abogawat on Pixabay

Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.

When we first hear the idea of “being mindful”, we tend to associate the concept with thinking. If we are asked to do something mindfully, we assume that this means tackling a task with a clear plan of how we will do it, having a contingency plan if things go wrong and being conscious of the consequences, intended or unintended, of our actions.

In contrast, “being mindful” in the context of mindfulness training involves being fully present and paying full attention to some aspect of our inner or outer landscape.

It is the opposite of being “lost in thought” – absorbed in the endless procession of ideas that pass through our mind, minute by minute. Being mindful actually means shutting down our thoughts, being fully present and paying attention to our breathing, walking, eating, perceptions or some aspect of our body.

In somatic meditation, for example, we are focusing on our body through practices such as the whole body scan. This requires us to still our mind and focus our attention progressively on different parts of our body and release tension in our muscles as we undertake the scan.

Mindful breathing requires us to pay attention to our breathing while letting distracting thoughts pass us by. We need discipline to maintain our focus and avoid entertaining our passing thoughts. They can be viewed as bubbles of water floating to the surface and disintegrating.

Being mindful builds our ability to focus, to be present in the moment. As we grow in mindfulness through mindful practices, we gain the benefit of clarity and calm in situations that would normally cause us stress. Mindfulness also contributes to our health and well-being, builds our creative capacity and enables us to experience a pervaisve sense of happiness.

By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)

Image source: Courtesy of johnhain on Pixabay

Some Environments are Conducive to Mindfulness

Some environments are conducive to mindfulness because of their natural beauty. Stradbroke Island is one of these locations as the above image illustrates.

Stradbroke Island just off Cleveland in Moreton Bay has natural beauty, abundant bird life, large tracts of native trees and endless beaches. Whale viewing from Point Lookout is absorbing and causes you to marvel at the power and grace of these magnificent mammals.

Where else can you see Kangaroos grazing contentedly in the backyard or a Koala greeting you from a tree near the ferry terminal?

Dr. Bjarte Stubhaug, in an interview with Hanne Suorza, had this to say about nature and mindfulness:

Nature is always here and now. Your breath, your senses, anything around you. When you are being aware of the life within you and around you, you are being mindful of this present moment, and it will always calm you down. You can not do nature, you can just be there. Being is calming.

Whether we are on Stradbroke Island or somewhere else in nature, we can readily experience mindfulness, calm the mind and release negative emotions. Open awareness when in nature can lead to inner awareness.