#MentalHealthMatters Archives - MINES and Associates https://minesandassociates.com/tag/mentalhealthmatters/ An International Business Psychology Firm Wed, 21 Feb 2024 17:38:55 +0000 en-US hourly 1 https://wordpress.org/?v=6.5.5 The Face of Depression at Work: Identifying Signs, Encouraging Conversations, and Seeking Help https://minesandassociates.com/the-face-of-depression-at-work-identifying-signs-encouraging-conversations-and-seeking-help/ https://minesandassociates.com/the-face-of-depression-at-work-identifying-signs-encouraging-conversations-and-seeking-help/#respond Fri, 06 Oct 2023 17:41:45 +0000 https://minesandassociates.com/?p=5496 As a society, we’ve made great strides in terms of employee assistance programs and mental health awareness – especially when it comes to depression. Depression is the world’s most common mental health issue, and affects 21 million adults (8.3%) in the United States alone. According to the World Health Organization, depression is one of the [...]

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As a society, we’ve made great strides in terms of employee assistance programs and mental health awareness – especially when it comes to depression. Depression is the world’s most common mental health issue, and affects 21 million adults (8.3%) in the United States alone. According to the World Health Organization, depression is one of the leading causes of disability.

We have become more aware of depression, but awareness is only the first step. It’s also critical that we’re regularly screening individuals for depression, just like we do for other health conditions like heart disease or high cholesterol. When we catch depression symptoms early on, we can help people realize there is a health problem and get the treatment they need – often through employee assistance programs.

National Depression Screening Day is celebrated each year in the first week of October. In today’s blog, we’ll help you prepare for this important day by giving you tips and resources on how to conduct depression screenings in your workplace.

Understanding what depression looks like

Most people have a general idea of what a “depressed person” looks like; perhaps you imagine someone who is often sad and cries frequently. But in reality, this is only one presentation of depression. There are many types of depressive disorders, and it’s important to understand how each of them can present.

Common symptoms of depression

Sad or low mood and frequent crying often do come along with depression. Some other common symptoms that you may notice include:

  • No longer seem to enjoy things they used to enjoy
  • Suddenly being apathetic or indifferent to work
  • Appearing lethargic or extremely fatigued, which can even lead them to physically move slower than normal
  • Decreased productivity at work
  • Eating more or less than usual, which can lead to weight gain or loss
  • Mood swings or being irritable; snapping at colleagues over small things
  • Difficulty concentrating or making decisions; seeming to have a hard time remembering things
  • Withdrawing and isolating themselves from others, especially if you’ve known them to be social people
  • Increased absenteeism and tardiness
  • Frequently complaining of unexplained physical symptoms like headaches or stomachaches
  • Being very self-critical or having low self-esteem
  • Talking about death and suicide, even if it’s in a “joking” manner

Although not everyone who displays these signs is experiencing depression, it’s important to be aware of the signs so you know what to watch out for. If you notice these signs, consider employee assistance programs to help improve your mental health.

On top of that, there are several different depressive disorders.

Major depressive disorder

This is what we most often refer to when we talk about “clinical depression.” People with major depressive disorder show many of the above symptoms for a period of 2 weeks or more.

Persistent depressive disorder

Persistent depressive disorder is also called chronic depression, and is diagnosed when someone has symptoms of depression for 2 years or more. They may not seem as acutely depressed, but likely show at least some of the symptoms.

Bipolar disorder

People with bipolar disorder swing between mania/hypomania (an intensely euphoric or “high” mood that can cause impulsive and dangerous behaviors) and depression. People with bipolar disorder may not be immediately identified as having depression because they could be in a manic episode the majority of the time. Other people with bipolar disorder are depressed most of the time and only experience one manic episode in their lives.

Postpartum depression

Colleagues who have recently given birth may show signs of postpartum depression, which is when someone experiences depression symptoms after childbirth. Research shows that people who adopt, as well as non-birthing partners, can also experience postpartum depression.

Because of these variations, depression can present itself in many different ways. Regular depression screening can make sure no one falls through the cracks.

Why is it important to screen for depression?

National Depression Screening Day can be an opportunity to remind employees to self-reflect and check themselves for symptoms of depression. Just like they go to their doctor every year for an annual physical exam, they can complete depression screening tools to ensure that their mood and mental health are sound.

Often when we’re experiencing depression, especially if we’ve experienced it for a long time, we don’t realize that we need help. We may assume that certain feelings or experiences are “just a part of life.” This can prevent us from getting support when we need it.

Here are some other reasons why it’s important to regularly screen for depression:

  • Regular screening allows for the early identification of depression symptoms, which enables timely intervention and support (employee assistance programs) for employees who may be struggling.
  • Employees benefit from increased awareness of their mental health through routine screenings. This knowledge can empower them to take proactive steps in managing their mental well-being and seeking support when it’s needed.
  • Routine screening can minimize the personal and professional consequences of untreated depression, like workplace conflicts, strained relationships, financial stress, or compromised work-life balance.
  • When people regularly screen themselves for depression, they’re connected to appropriate resources and assistance.
  • Screening initiatives play a crucial role in tailoring and targeting mental health support through employee assistance programs in terms of organizational support.
  • A workplace that prioritizes regular depression screening experiences improved employee engagement and retention because they’re creating environments that are characterized by care and support.

Screening tools for depression

Here is a helpful list of screening tools and resources that your employees can use to screen themselves for depression. Make sure that employees know that their results will be confidential. The idea is to help them get access to treatment when they otherwise wouldn’t have.

It’s also important to note that depression screening tests are not a replacement for a professional evaluation and diagnosis. No screening tool can diagnose you with depression, but they can give you a better idea of the signs of depression you or your employees might be experiencing and whether or not they could benefit from professional support.

  • Beck Depression Inventory (BDI)
  • Center for Epidemiological Studies Depression Scale (CES-D)
  • EQ-5D
  • Hamilton Depression Rating Scale (HAM-D)
  • Quick Inventory of Depressive Symptomatology – Self-Report (QIDS-SR)
  • Beck Hopelessness Scale
  • Patient Health Questionnaire (PHQ-9)

You can get access to most of these tools through the American Psychiatric Association. Mental Health America also offers a quick online depression test that you can take.

Your Employee Assistance Program may also be able to help. If you’re a MINES & Associates client, you and your family have access to free and confidential counseling services at any time, day or night. Our mental health therapists can help you figure out if you might be experiencing depression, and offer guidance and support.

Contact us today and let us know how we can support your organization.

To Your Wellbeing,

The MINES Team

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Stress Awareness Month: Managing Your Fight/Flight/Freeze/Fawn Response https://minesandassociates.com/stress-awareness-month-managing-your-fight-flight-freeze-fawn-response/ https://minesandassociates.com/stress-awareness-month-managing-your-fight-flight-freeze-fawn-response/#respond Mon, 03 Apr 2023 15:17:38 +0000 https://minesblog.wordpress.com/?p=4651 It’s Stress Awareness Month, and we here at MINES & Associates are reflecting a lot upon stress and the insidious ways in which it shows up in our lives. Stress is normal – and in many ways, unpreventable. We will all feel stressed at some point in our lives. And while this may be [...]

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It’s Stress Awareness Month, and we here at MINES & Associates are reflecting a lot upon stress and the insidious ways in which it shows up in our lives.

Stress is normal – and in many ways, unpreventable. We will all feel stressed at some point in our lives. And while this may be true, that doesn’t mean that we should do nothing and let stress build up until it becomes unmanageable.

To kick off Stress Awareness Month, let’s take a deep dive into what, exactly, stress is, the truth behind the fight-flight-freeze-fawn response, and what the research says about lowering your stress levels. Mines & Associates offers mindfulness programs that can help with stress.

What is stress?

We mostly talk about stress as a negative thing – we might be worried about the health impacts of stress or try to manage our stress in healthy ways. In reality, stress isn’t always a negative thing – but it can definitely have negative impacts, especially when it becomes chronic.

Stress is the body’s natural response to challenges. Humans feel stress when they are faced with something that feels difficult. For example, you might feel stress when you’re on a time crunch for a work project or before you go on a first date. Some physical experiences, like going through surgery, may automatically cause your body to respond with stress. Exploring our mindfulness programs can also help with the body’s natural response to stress.

The stress response is started by your autonomic nervous system – specifically by your sympathetic nervous system. When you’re faced with a challenging situation, your nervous system kicks in the stress response, which causes important changes in your body. Some of these change include:

    • Your heart beats faster and harder to get more blood flow to your muscles and limbs

    • You start breathing faster

    • Certain hormones like adrenaline and cortisol are released

    • Your blood vessels constrict

    • Your muscles contract to get ready to move or fight

    • Your immune system is suppressed (as this isn’t necessary for immediate survival)

    • Other bodily functions that aren’t necessary for immediate survival, like digestion and reproductive functions, are suppressed

Evolutionarily, these changes that happen during stress helped humans to overcome challenges. For example, when faced with a predator, we may have needed more blood flow to our muscles in order to either fight the predator off or run away from it.

Even today, stress helps us to get through challenges. For example, the hormones released during the stress response might give us enough energy to meet a tight deadline.

The health consequences of chronic stress

So stress, in and of itself, isn’t necessarily a bad thing. The problem arises when stress becomes long-term, or chronic. Our bodies aren’t designed to have the stress response activated all the time. And research has linked chronic stress to many health consequences, including:

    • High blood pressure

    • Other cardiovascular problems like increased risk of stroke and heart failure

    • Weakened immune system

    • Gastrointestinal problems like stomach ulcers, acid reflux, and irritable bowel syndrome

    • Chronic pain and muscle tension

    • Weight gain and obesity

    • Problems sleeping

    • Substance abuse

    • Increased risk of mental health conditions like depression and anxiety

What is the fight/flight/freeze/fawn response?

You might have heard of “fight or flight,” which is another way to describe having your stress response activated. When you’re under stress, you can’t make responsible or healthy decisions. Historically, our ancestors may have felt the need to fight – go on the offensive and beat the predator or stressor – or flee (flight) – run away from the stressor.

We now know that fight and flight aren’t the only two stress responses. Some people freeze when they’re under stress. They may feel so frightened that they aren’t able to act at all.

More recently, experts have defined a fourth type of stress response – fawn. Some people may try to appease the “predator” as a way to cope with it.

The fight/flight/freeze/fawn response comes up when we’re under acute stress. For example, if we are being yelled at by a boss, a child jumps out in front of our car, our fight/flight/freeze/fawn response might kick in. This response is often automatic – we may not be able to make reasonable decisions while we’re in fight/flight/freeze/fawn. Be sure to contact Mines & Associates to learn about our mindfulness programs to address these types of response.

Here are some examples of what the fight/flight/freeze/fawn response could look like in today’s world.

Examples of the fight response

    • Becoming aggressive or argumentative

    • Getting into fights with loved ones

    • Getting road rage

    • Raising your voice instead of calmly talking it out

    • Making threats

    • Insulting others

    • Becoming confrontational

    • Having an emotional outbursts

    • Directly confronting the stressor (such as fighting off a barking dog)

Examples of the flight response

    • Avoiding confrontation

    • Calling in “sick” to avoid dealing with something stressful

    • Quitting your job when you feel stressed

    • Leaving a relationship

    • Ignoring emails and calls

    • Fleeing dangerous places to ensure their safety

    • Walking away from difficult conversations

    • Delegating tasks that they feel are “too much” for them

Examples of the freeze response

    • Deciding to say nothing rather than speak up

    • Postponing important decisions or allowing others to make them for you

    • Feeling physically immobilized when confronted with a danger (like a barking dog)

    • Becoming completely quiet and numb during confrontation

    • Zoning out during difficult conversations

    • Feeling frozen and incompetent when responsible for difficult tasks

    • Staying frozen and doing nothing after a trauma (like a car accident) rather than seeking medical care or taking action

    • Allowing important deadlines to pass because they have procrastinated

Examples of the fawn response

    • Bringing your boss coffee after they have given you negative feedback

    • Working extra hard to make your boss happy when you feel that they are upset with you

    • Complimenting or being extra sweet toward your partner when you are having an argument

    • Taking on extra work to be seen as a team player.

    • Over-apologizing for things that aren’t your fault

    • Putting others’ needs above your own

    • Trying to act subservient to appease someone you find dangerous or threatening

    • Verbally agreeing with someone even if you don’t truly agree with them

Every person has a different response to stress, and you may not  fit neatly into one of these categories. The important thing is to recognize when you’re acting out of your stress response and to find ways to manage stress in healthier ways.

How to effectively manage your stress levels

Again – stress, in itself, isn’t a bad thing. But if your stress levels begin to get too high, or if you notice that you’re under stress more often than not, then it’s important to take action and find ways to feel more relaxed.

Different stress management techniques work for different people. For example, some people may like to listen to music, while others may enjoy talking with their friends. But try to remember that stress is an automatic biological response. So a large part of managing your stress effectively has to do with dealing with it on that biological level. Our mindfulness programs can help manage stress as well – be sure to contact our team to learn more.

Here are some evidence-based ways to bring stress down.

Diaphragmatic or deep breathing

One of the biggest changes that happens in your body when your stress response is activated is that your breathing becomes faster and more shallow. You can counteract this by regularly practicing deep or diaphragmatic breathing techniques. This directly calms your stress response by activating the parasympathetic nervous system and letting your body know it’s okay to relax.

One popular breathing technique is the 4-7-8 breathing exercise. First, breathe in for 4 counts through your nose. Get the air deep into the bottom of your belly. Then, hold your breath in for 7 counts, and finally, release the air slowly for 8 counts.

Progressive muscle relaxation

Progressive muscle relaxation, or PMR, is another effective way to kick your parasympathetic nervous system into gear. It’s also a way to relieve muscle tension that often comes along with stress. There is a large body of evidence that suggests PMR is very effective for lowering stress levels.

To practice PMR, find a comfortable seated or lying down position. Starting at the top of your head, tense and then release groups of muscles. First, you might tense all of the muscles in your face. Squeeze your eyes shut, clench your jaw, and crunch your nose with as much strength as you can without causing yourself pain. After several seconds, release all of the tension. Breathe in and out.

Work your way down your body, tensing and then relaxing each muscle group – your neck and shoulders, arms, abdomen, and so on.

Get into nature

Have you noticed that you feel more relaxed when you’re near an ocean or another body of water? Or perhaps in the middle of a quiet forest? There is actually research behind this – studies have found that people who spend more time in nature are less likely to be stressed and anxious.

Spend as much time as you can outdoors. If you don’t have a large natural space where you live, try to at least go for walks outside and pay close attention to the natural sights, sounds, and smells that you experience.

Prevent stress build-up

On top of these ways to calm your stress response when it’s already activated, you can also learn how to manage stressors (things that cause you stress) so that your stress levels never become chronic to begin with. For example, many people work on learning how to manage their time so that they don’t become overwhelmed with tasks. You might practice mindfulness to become more conscious of the signs that you’re under high stress.

Living a healthy lifestyle by sleeping well, eating nutritious meals, and exercising regularly can also be helpful.

Seek professional support

Working with a counselor can also give you new tools to manage stress in healthy ways. With your MINES & Associates Employee Assistance Program, you have access to 24/7 free and confidential counseling. Whether you’re buried under chronic stress or simply want to learn ways to manage it before it gets out of control, give us a call to learn about our mindfulness programs.

To Your Wellbeing,

The MINES Team

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