Mental Health: The Impact of Unpredictable Relationships

Everyone would agree that it can really take the wind out of your sails when you spend a lot of time around someone who undermines you, but a recent workplace study published in the Academy of Management Journal tells of an interesting twist. An interactive model was developed to test three types of employee relationships within a police department in the Republic of Slovenia: relationships with social support, ones that were undermining and ones with a mix where someone was both supported and undermined by the same person.

Without a journal subscription, only an abstract of the study is available, however Wharton professor Adam Grant distilled the outcomes in his LinkedIn post this week, titled “What’s Worse Than a Coworker Who Undermines You?” And the answer to Grant’s question? The study showed that the most negative outcomes were reported in a situation where a coworker both undermines and supports you. The Jekyll and Hyde, as Grant calls it.

Psychologists have also studied the Jekyll and Hyde effect on everyday relationships. One study (here’s the abstract) found that the higher the number of ambivalent relationships a person had, the more likely they were to be stressed and depressed. It’s easier and more straightforward to process emotions toward someone whose behavior is consistent. When they’re not, neither are your emotions. The “love/hate” feeling that’s often associated with ambivalence is experienced as psychologically unpleasant when the positive and negative aspects of a subject are present in a person’s mind at the same time, according to ye olde wiki. In one of the study’s testing, this manifested as higher heart rates during anxiety-provoking tasks.

For those of us who grew up in an unpredictable household, some light bulbs may be going off right about now. Here’s the way I’m connecting the dots: when you’re not sure how your parent is going to behave — something that brought hugs on Monday brings a raging temper on Tuesday, as a friend likes to say when remembering her mother — your body kicks into safety mode. The fight-or-flight response is your nervous system’s survival strategy. This creates elevated levels of stress and anxiety. And now, years later, your body may still be physically reacting that way. Our cells have strong memory. The unpredictable relationship that caused your nervous system to go into overdrive in the first place left a lasting impression on your body, even if your mind recovered.

This clicked on like floodlights on a football field for me earlier this month. I went to an acupuncturist to seek relief for my allergies. After she checked out my tongue, hands, feet and belly and took my pulse about sixty-three times, she said, “Your body is ready to fight.” But I was lying on a bed in a dimly-lit room with soft, relaxing music playing in the background. Ready to fight?!? Yes. And it has been for decades.

Over the years, I’d kind of started ignoring aspects of my ‘wound-up-ness’ and accepted it as being my normal. My rational, attentive self knows that it’s not normal, and besides, it doesn’t really feel all that good anyway. Plus, overworked adrenal glands can have long-term ill effects on overall health, so I’m tuning back in to what my body is telling me and, more importantly, working to unwind it. Ambivalence, be damned. I’m a lover, not a fighter.

Did this post resonate with you? Have you been on a similar journey? I invite you to share your thoughts. 

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New in Mental Health: Class-action Suit Challenges Insurance Coverage

‘Mental illness is a disease, just like diabetes or multiple sclerosis, except the organ it attacks is the brain.’ We’ve heard this statement before; it’s an oft-used one in attempts to shift public perception with regard to the origins of mental illness. To me, it sounds like a no-brainer (pun intended), but in some arenas, the struggle to translate this into a practical reality rages on. Continue reading

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New in Mental Health: My, What a Pretty Brain You Have

It’s true, we really are wired, and now we have gorgeous, multi-colored images to prove it. Okay, wait, our brains aren’t multi-colored, but the scientists who are creating these brain mapping images figured it’d be easier to sort out what goes with what, kind of like Garanimals, but for bundles of fiber. On a side note, does anyone else think that not making Garanimals for adults is a total missed opportunity? I do, and so does Ellis D. He asked this *exact* question seven years ago on Yahoo! and got nowhere, but I think it deserves far more consideration than it’s thus far been granted.

And THAT, people, is a prime example of why we need this kind of color coding to figure out what the heck is going on in our complex (and in my case, often tangential) brains. This mapping process is made extra tricky by the popular belief that our brain wiring changes after each experience. It’s no wonder people have been having a hard time understanding the causes and treatments for mental illness—we’re presenting researchers with a rapidly moving target! Continue reading

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When Your Mother is Crazy, by Jeri Walker-Bickett

There’s nothing I could say that would do justice to Jeri Walker-Bickett’s moving account of growing up with a mother who has a mental illness except please read it. For those of you who have lived through it, her words will seem all too familiar. For those of you who haven’t, you will soon understand. Jeri is a unique and beautiful writer and I’m truly honored to share her story here today.

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When your mother is crazy and you’re five, no one bothers to explain exactly what that word means. Your state of mind is of no consequence: mom has center stage. So crazy means you get to ride in the red Chevy Nova with your mom and your aunt once a month to Spokane where the big hospitals and important doctors are. (Local facilities cannot accommodate her. Somehow, crazy is big-city material.) As Mom talks with the doctor—a distinguished gray-headed man who looks like Phil Donahue—your aunt takes you to a park that has a bridge over a small stream of water. Crazy must be good if it means monthly park visits. Continue reading

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New in Mental Health: Guided Self-Help Therapy for Depression

How many times have you purchased a workbook and then put it on your shelf, never to be opened again? (Trois pour moi.) Now compare that to the progress you made when the workbook was tied to a class and there was an element of accountability—probably got more done, huh?

A variant of this concept was recently tested by the National Health Service (NHS) in the United Kingdom. BBC News reported that in an effort to cope with high demand for therapy, more than 200 patients who had already been diagnosed with depression were assigned self-help cognitive behavioral therapy (CBT) workbooks. They were also given up to four guided sessions of approximately 40 minutes each with an adviser. Continue reading

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You and Mental Health: Peer-Led Recovery

When dealing with a mental illness, sometimes you feel like you come up against a fork in the road; turning left leads to doctors and pills and turning right means you go it ‘alone,’ utilizing a support network of family and friends. Talk therapy can be wonderful, but can also be subject to health insurance restrictions and/or is downright expensive if you don’t have insurance coverage. And while medication is an effective treatment for some, it doesn’t work for everybody and/or you might even see it as a last resort. The alternative of trying to push on through a mental illness on your own might be just the ticket for you, but what if it doesn’t work?

There’s another route, too, and it goes by the name peer-led recovery. Continue reading

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New in Mental Health: Is DSM-5’s Approval Bad?

It’s hard to believe that it has been a year already since I first wrote about the DSM (the Diagnostic and Statistical Manual of Mental Disorders) in a post called “What It Is and Why You Should Care.” The diagnostic criteria for the fifth edition were just approved by the American Psychological Association (APA) Board of Trustees this past weekend, in preparation for this edition’s publication in May 2013.

In my earlier post, I expressed concern over the growth in the list of diagnoses that appeared with each new edition of the DSM, and whether there was a correlation to the overall growth in mental illness diagnosis and medication treatment. Obviously, that’s a pretty tough case to make, but it did generate some really great conversation in the blog post’s comments. There are other folks out there besides me who are worried that the DSM’s evolution is having a trickle-down effect, the outcome being a society prone to over-medicate people who are experiencing normal emotions, e.g. the temper tantrums of a child, bereavement grief, etc.

Unfortunately, the DSM-5 diagnostic criteria were approved in pretty much the same state as they were when these concerns were raised in 2011 and earlier. Continue reading

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New in Mental Health: Schizophrenia Diagnosed by Eye Test

The practice of mental illness diagnosis has long been less than scientific, as few biological markers have been identified for any of the mental illnesses. This month, a study published in the academic journal Biological Psychiatry states that a simple eye movement test can detect schizophrenia, and with an astonishing 98% accuracy. Continue reading

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You and Mental Health: Make a Playlist of Your Anthems

Daylight hours are dwindling in the Northern Hemisphere, which means we have less opportunity to benefit from the mood-boosting effects of sunshine. Luckily, we almost always have access to music, which can also elevate mood. In 2011, a McGill University study reported that music releases the brain chemical dopamine, a neurotransmitter generally associated with rewarding activity. Continue reading

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The Next Big Thing: What, Do You Have a Hairball?

Zip-a-dee-doo-dah, I’m going to share about my work-in-progress today, having been tagged by Jeri Walker-Bickett for something called The Next Big Thing. First, a girl can only hope. I’d even be thrilled with The Next Moderately Well-Received Thing. Second, can I get in trouble for using the phrase “Zip-a-dee-doo-dah?” I’m developing copyright paranoia. Anyway, thanks to Jeri for getting me to play. This promotion idea originates from the SheWrites website, and what follows are my answers to ten interview questions. At the end, you’ll find links to other authors I’ve invited to take part.

What is the working title of your book? It’s Crazy for You, but I definitely envision a title change. I like the working title, but there are too many things out there already with the same name. If anybody has any snappy ideas, please send them my way. If your idea gets used, I’ll pay you what Nike paid the graphic designer who came up with the swoosh, which is enough to buy one-third of one pair of Nike runners. You’re welcome. (But seriously, if something comes to you in a flash, I’d love to hear it. Love to.) Continue reading

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