Ask and Listen: Parts We Wish We Would Have Known Reflections on Kate Spade and Anthony Bourdain

We lost two beloved, complex, creative souls to suicide last week – reminding us that suffering not only affects all types, but remains largely hidden, even from loved ones. Time and again, the suicides of public figures who seem to live fulfilled and privileged lives have revealed this important take home message: Mental illness is nothing to be ashamed of. In the wake of Kate Spade’s and Anthony Bourdain’s suicides, many ask – how can I help a loved one who is suffering? 

First, it’s important to note that there are many myths surrounding suicide. Check yourself if you believe these are true or false:
 

• Asking someone if they have thought about suicide may trigger them to actually do it. It may put the idea in their head or make them angry and impulsive.

• Once someone has made up their mind about suicide, you cannot stop them.

• Only experts can prevent suicide.

• People who consider suicide keep their plans to themselves.

• Those who talk about suicide don’t actually do it.

• Depression is the only risk factor for suicide.

All of these myths are false. Suicide is a highly preventable type of death and it’s everyone’s business. Providing a person who is considering suicide with a safe space to talk about their thoughts and feelings will actually lower their risk of completing suicide. Asking someone directly about suicide helps lower anxiety, opens up communication, and lowers the risk of an impulsive act of self harm. Other than depression, risk factors for suicide are plentiful, including financial or relationship losses, health concerns, legal issues, substance abuse and dependence, and other psychiatric illnesses.

The key is to ask and listen. Survivors report that being asked about suicide was a relief, and that the most important part was feeling listened to without judgment. Feeling connected and not alone has powerful healing properties for the person who is suffering.

Here are some tips on how to talk to a loved one who you suspect may be considering suicide:

• Ask them if they are thinking about killing themselves. (This will not put the idea into their head or make it more likely that they will attempt suicide.)

• Listen without judging and show you care.

• Stay with the person, or make sure the person is in a private, secure place with another caring person, until you can get further help.

• Remove any objects that could be used in a suicide attempt (weapons, pills, etc.).

• Do NOT offer advice or try to cheer them up. This can cause the person to feel invalidated and shut down.

• DO offer to help the person make an appointment with a health or mental health provider and to accompany them to the appointment.

• Enlist the help of others. Do NOT agree to keep someone’s suicidal thoughts a secret.

• Call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) and follow their guidance.

• If danger for self-harm seems imminent, call 911.

• Remember, suicide is highly preventable, help is out there, and people do recover.

Here are some additional resources:
American Foundation for Suicide Prevention: afsp.org/resources
Live Through This Project: livethroughthis.org/the-project

How To Be Alone

It is not impermanence that makes us suffer.  What makes us suffer is wanting things to be permanent, when they are not. ~ Thich Nhat Hanh

Society is afraid of alone - a striking line in a poem I ran across. How much of life is made up of loneliness avoidance, as if our worth as a human being depended on it? Afraid of loneliness, we keep trying to fill this feared hole with filler behaviors, perhaps unhealthy habits, relationships that are draining rather than energizing, drugs, food, alcohol, shopping, material fads, work - the list goes on.

The experience of loneliness is complex. First, there is the simple, objective matter of being by oneself, which in itself isn't (usually) harmful or dangerous. And then there is the "story" we tell ourselves about being alone, what we tell ourselves about our loneliness. And this is where the emotionally destructive hook is. That story may be about how we feel unappreciated or misunderstood, how we are not worthy of love and affection, how there must be something wrong with us to feel this way. Conquering loneliness has little to do with whether we have friends or not—we all know the feeling of loneliness even when we’re surrounded by others.  It has everything to do with examining and ultimately rejecting the story we tell ourselves about what it means to be alone.

If you silence the stories you tell yourself about being alone, a whole new world of wisdom can open up.  One insight could be that you are always here and everyone and everything else comes and goes. Everything is temporary.  No material possession, relationship, feeling, health state is here to stay.  Rather than it being depressing, this can increase the "wow" factor of life: You are the only thing that is always here with you, so how can you be good to yourself, love yourself?

How To Be Alone by Tanya Davis

(Available as a highly watch-worthy, uplifting video poem here)

If you are, at first, lonely - be patient. 
If you've not been alone much or if, when you were, you weren't okay with it then just wait, 
you'll find it's fine to be alone... once you're embracing it. 

We could start with the acceptable places: the bathroom, the coffee shop, the library. 
Where you can stall and read the paper, 
where you can get your caffeine fix and sit and stay there, 
where you can browse the stacks and smell the books
you're not supposed to talk much anyway, 
so it's safe there. 

There's also the gym. 
If you're shy you can hang out with yourself in the mirrors, you can put headphones in. 
And there's public transportation
- because we all gotta go places - 

and there's prayer and meditation
no one will think less if you're hanging out with your breath
seeking peace and salvation. 

Start simple, 
things you may have previously avoided based on your avoid-being-alone principles. 
The lunch counter, where you will be surrounded by chow-downers, 
employees that only have an hour
and their spouses work across town
and so they, like you, will be alone. 

Resist the urge to hang out with your cell phone. 

When you are comfortable with eat-lunch-and-run, take yourself out for dinner, 
a restaurant with linen and silverware. 
You're no less intriguing a person when you're eating solo dessert
and cleaning the whipped cream from the dish with your finger; 
in fact, some people at full tables will wish they were where you were. 

Go to the movies
where it is dark and soothing
alone in your seat amidst a fleeting community. 

And, then, take yourself out dancing, 
to a club where no one knows you
stand on the outside of the floor
until the lights convince you more and more
and the music shows you. 
Dance like no one's watching
('cause they are probably not) 
and, if they are, assume it is with best and human intentions, 
the way bodies move genuinely to beats is, after all, gorgeous and affecting. 

Dance until you're sweating
and beads of perspiration remind you of life's best things, 
down your back like a brook of blessings. 

Go to the woods alone and the trees and squirrels will watch for you. 
Go to an unfamiliar city, roam the streets, 
there are always statues to talk to 

and benches made for sitting
give strangers a shared existence
if only for a minute
and these moments can be so uplifting
and the conversations that you get in
by sitting alone on benches
might have never happened
had you not been there by yourself. 

Society is afraid of alone though, 
like lonely hearts are wasting away in basements, 
like people must have problems if, after awhile, nobody is dating them 

But alone is a freedom that breathes easy and weightless
and lonely is healing if you make it. 

You could stand, swathed by groups and mobs or hold hands with your partner
look both further and farther
in the endless quest for company, 
but no one's in your head
and by the time you translate your thoughts some essence of them may be lost
or perhaps it is just kept, 
perhaps in the interest of loving oneself, 
perhaps all of those sappy slogans
from preschool over
to high school's groaning
were tokens for holding the lonely at bay. 
'cause if you're happy in your head then solitude is blessed and alone is okay. 

It's okay if no one believes like you
all experiences unique, no one has the same synapses
can't think like you
for this be relieved, 
keeps it interesting, life's magic things in reach. 

And it doesn't mean you aren't connected, that community's not present. 
Just take the perspective you get
from being one person alone in one head
and feel the effects of it 

Take silence and respect it. 
If you have an art that needs a practice, stop neglecting it. 
If your family doesn't get you
or a religious sect is not meant for you
don't obsess about it. 

You could be, in an instant, surrounded, if you need it. 
If your heart is bleeding make the best of it 

there is heat in freezing, be a testament

The Art of Self-Nurturing

Feeling tense? Running on empty? Maybe work, finances, relationships, changes in routine, or daily life have you feeling overwhelmed. Warning signs include feeling anxious, irritable, fatigued, and having repeated intrusive thoughts about a stressful situation. Extreme stress can make you feel like there is nothing you can do. The key to regaining control is a radical return to self-nurturing, to recharge your emotional and physical batteries. Here are some strategies to foster the Art of Self-Nurturing.

Admit your stress. Admit when circumstances have got you down and change is needed. Admitting this creates a moment of calm and stillness, a space to breathe, and a space for observation and awareness. Moving forward is difficult unless you recognize the situation and make a commitment to help yourself through it.

Identify Your Hot Buttons. Figure out what is causing the stress–a relationship to a co-worker or loved one, work demands, a financial commitment, uncertainty about the future?  Write this down.

Acceptance. Take a look at your list of stressors and identify the things that can be changed as well as the things that can’t. Accept that some things are always going to be stressful. Then, attention can be focused on the things that can be changed instead. Try focusing on action steps to make the future less uncertain, such as acquiring skills, making friends and setting goals.  This also means not sweating the small stuff - pick your battles and invest your energy wisely.

Notice how you talk to yourself about yourself and others. Observe the language you use to create your reality, to define and judge yourself and others.  For example, you may say to yourself, "Here I go again, stressing out", when a more effective, self-compassionate statement would be, "Stress is part of life and I'm learning to address it effectively by taking it one day at a time."

Get Outside. Taking in natural beauty, along with physical exercise, can reduce stress and improve physical health. The color green has been shown to have soothing effects on body and mind.  Nature can provide a peaceful soundtrack, beautiful scenery and fresh air to help soothe the soul. Try hugging a tree or walking barefoot in the grass.

Let It Out. Bottling up emotions can increase stress through accumulated feelings of loneliness and helplessness. Communication, both with yourself and others, is key in addressing problems quickly and honestly.  If you need help identifying what's causing your stress, and how to effectively address it, talk to a trusted person or mental health professional.

Tips To Beat the Winter Blues

You are the sky...Everything else, it's just the weather. ~ Pema Chodron

Winter, with its shorter, colder and darker days, can give rise to occasional feelings of sluggishness, low mood, or Winter Blues. Below are some simple strategies you can use to help these occasional feelings. 

Do:

• Try to have regular sleeping patterns. As you feel down, the urge to escape everything by just staying in bed can become stronger. Try to resist this (unless you are genuinely physically tired) as it can make things harder to deal with.
• Try to have a plan of what you need to do day-to-day and week-to-week. Make it realistic and review it regularly. Use it to check your progress. 
• Keep in contact with your friends and loved ones. Cultivate relationships that are close and supportive. If your family is supportive, try to tell them how you feel. Remember you are not alone. Consider the advice and help that others might try to give you as a positive thing in your life.
• Remember to do some of the things that you have enjoyed doing in the past. Reading, movies exercise, playing sport, spending time with friends, getting back to nature, etc. What works for you is what is most important. Sometimes just having a routine to follow can give you a sense of structure in your life.
• Practice ways to distract yourself away from negative patterns of thought. Activity and getting out of the house are good in this respect. 
• Negative thoughts can generate feelings of anxiety. Learning relaxation techniques can help a great deal. A therapist can help you to learn a variety of physical and mental relaxation techniques that will be useful for you in the future.
• Try to explore the way you are feeling. If you can recognize your emotions, talk about them with friends, and/or with a therapist. Write them down, and see how they may relate to your own thinking about yourself or to things that happen in your life. By doing so, you can avoid them controlling you. Then you can begin to get some control back in your life.
• Think of things that have helped in the past, if you've experienced the Blues before. Write these things down and remind yourself to keep using them. Allow yourself the time for them to have an effect.
• Daily exercise and a nutritious diet are important. If your appetite is low, try nutritious smoothies or juices - a liquid diet can be easier to manage if you are prone to gastrointestinal stress.

Don't:

• Don't be passive and allow your mood to take over, if you can help it. Make some plans for each day. 
• Try to avoid falling into the trap of "automatic negative thinking". Identify your negative thoughts, learn to monitor them and learn to challenge them. (i.e., look for evidence to support your negative thoughts or assumptions about yourself). Then you can begin to substitute more positive and therefore more useful patterns of thought. Try writing these things down in a notebook. A therapist can help you to develop this approach so that you can be more realistic about those things in your life that are positive. Click here to learn more about strategies for negative thoughts.
• Don't overindulge on alcohol. It’s a central nervous system depressant and it may make your blues worse.

What distinguishes occasional Winter Blues from Clinical Depression? Check these symptoms of depression or read information about depression. If you check 5 or more of these symptoms for 2 weeks or more, please talk to a mental health or medical professional.

• Frequently feeling sad and/or guilty
• Eating more or less (including significant weight loss)
• Sleeping more or less
• Loss of interest in things you usually enjoy
• Low energy, fatigue
• Irritability
• Difficulty concentrating and making decisions
• Thoughts about death and suicide

While the above signs are more common, everyone is different. The following may also indicate depression for some people:

• Increased use of alcohol and drugs
• Anger
• Difficulty envisioning a hopeful future
• Helplessness
• Increased aches, pains, or bodily ailments

Seeking appropriate mental health care for depression is important and possibly life-saving. Please contact a licensed mental health professional if you are concerned about depression in yourself or a loved one.