Digital Self-harm: What Parents Need to Know

Self-harm is defined as the infliction of pain onto oneself and can be seen as a symptom of several different mental health disorders, especially in adolescents. Self-harm behaviors typically include restrictive and binge eating, cutting, hitting, scratching, burning, and picking. There are a variety of reasons why people may self-harm and research suggests that these are the most common:

  • Expressing or coping with emotional distress
  • Trying to feel in control
  • A way of punishing oneself
  • Relieving emotional tension or pain

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Dealing with Uncertainty

Almost two years ago, not many people would have predicted that we would still be in the midst of a pandemic. We have all been coping with extremely uncertain times and many people have lost control over important things in their life such as childcare, job security, finances and certainty about education and healthcare. The reality is that life is filled with uncertainty, and this pandemic has highlighted that worldwide.

Study of human behavior shows that humans crave security. People have an innate desire to feel safe and have a reasonable sense of predictability when it comes to the things that are important to them. Fear and uncertainty have been shown to lead to stress, anxiety, and helplessness. If as 2022 begins, you feel overwhelmed by uncertainty and worry, it is important to know that you are not alone; many people are feeling the same way. It’s also helpful to understand that there are tools you can use to better deal with uncertainty.

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May is Maternal Mental Health Awareness Month

May marks Maternal Mental Health Awareness Month and a time to focus on the importance of mental health during pregnancy and shortly after birth. You are likely aware that 80% of new mothers report the “baby blues,” or intermittent periods of tearfulness, worry, irritability and fatigue. However, a lesser known statistic is that over 20% of new mothers meet criteria for a pregnancy or postpartum mood disorder.

The current COVID-19 pandemic is further complicating the experience of motherhood. Many mothers have had to grieve the loss of celebrations like baby showers that help with the transition and preparation of parenthood. Birth partners and supports have had limited access to prenatal appointments and, in some extreme cases, to the delivery rooms because of COVID-19 safety concerns. Further, new mothers have had to rely on fewer options for instrumental support after the arrival of their baby due to social distancing guidelines and overall fear of the virus. All of these losses have experts in maternal mental health concerned about the emotional well-being of the current cohort of expecting and new mothers.

With one in five mothers meeting criteria for a mental health disorder during or after pregnancy, this means that statistically most of us have had a friend, a sister, a mother, or co-worker who have suffered. However, the research reports that the barriers to talking about these issues (embarrassment, shame, guilt) get in the way. Additionally, many report that they were unaware of the different ways that maternal mental health problems can present.

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Grief and loss during the pandemic:
Part 2 – Ways to cope

The CoVid-19 pandemic has thrown the entire world into experiencing collective loss and grief. For some, this is their first experience with these emotions and they may have few prior losses to inform them of what to expect. In this two-part series, we cover what grief and loss can look like during the pandemic (part 1) and also how to cope (part 2).

Grieving the loss of a loved one during this time of worry and uncertainty is particularly difficult. Social distancing, health and safety guidelines and limits on in-person gatherings have challenged the ways family and friends can gather and grieve. Some actions you can take to help you cope with the grief associated with the loss of a loved one include:

Acknowledge the loss and feelings of grief

Losing someone you care about is already painful and current circumstances only add additional stress. You may feel a range of emotions that include anger, sadness, and guilt. If you were unable to say goodbye to your loved one or be with them at the end of their life, you may feel regret. Give yourself permission to feel whatever you are feeling without judgement.

Alter rituals while keeping core elements

The grief literature supports acknowledging and honoring the people we have lost as a part of a normal grief response. A wake, viewing, funeral service, celebration of life, or a Shiva are just some of the ways this can be accomplished. While each one of these can look different, keep in mind that they all accomplish some common goals and do not need to necessarily take place in person. These common goals include:

  • Mark the reality of the death
  • Find meaning in the loss
  • Express emotions related to the loss
  • Remember the deceased
  • Receive and give support
  • Say goodbye to the deceased

Connect with others

The simple act of connecting with people who care about you is an important way to facilitate the grief process.

  • Ask family and friends to contribute to a virtual memory book, blog, or web page to remember your loved one.
  • Take part in an activity such as planting a tree or preparing a special meal that has meaning to the person you have lost. Invite others to join you in doing something similar.
  • Seek grief counseling, online support groups, or hotlines in order to share your experience with others who have experienced loss.
  • Seek grief counseling or spiritual support from faith based organizations, when applicable.

Keep in mind that although grief is typically associated with death, but it can follow any type of loss.  This includes other significant losses related to the pandemic including loss of a job, inability to connect with friends or family, missing special events or milestones (graduations, weddings), and experiencing loss of routine. You can focus on the same three practices outlined above in order to cope with these losses as well. First, acknowledge the grief. Second, alter the experiences while maintaining the core elements that are important to you. And finally, connecting with others while maintaining health and safety practices.

For more information on coping with grief and loss, especially during the pandemic – visit: https://www.hopeandgrief.com/

Helping Teens Cope with Uncertainty

There are many things in life that are uncertain and the pandemic has pushed people of all ages to the limit on processing the unknown. But, the emotional toll that Covid-19 has taken on teenagers has been uniquely difficult. In fact, a recent survey found that 64% of teens believe the experience of Covid-19 will have a lasting impact on their generation’s mental health.

In our current clinical practice, one theme that continues to emerge with teens is their need for help with tolerating uncertainty.

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