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Sharing – Better Mental Health May Not Mean Exactly What You Think It Does
I will say that his discussion around what people come into therapy for in terms of defining good mental health is often an issue. When I started therapy I wanted to not dissociate, because the dissociative states were proving to be more and more dangerous. But, it wasn’t like we could sit and discuss plans to simply stop, we had to dig into what happens right before I dissociate and learn better ways of dealing with that. (In my case, stress)
Even then, the desire to simply feel less stress is not always possible. It would have solved the immediate reason why I was in therapy, less stress would make me less likely to dissociate, right? But it also wasn’t sustainable because at some point life is going to be stressful. The key was not to avoid stress but to learn how to recognize it, acknowledge it, feel it, and deal with it in a healthier way.
So yes, I agree our definition of good mental health needs to incorporate much, much more than “not feeling sad, anxious, depressed, etc.” because we will feel those things again at some point. They are unavoidable, but succumbing to them without a proper response is not. We can, and should, learn how to do that.
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Sharing – The ACEs Questionnaire Is Missing These Types of Trauma
When I think about Monika’s point, and my own look at the numbers, I repeat what I said back then, when looking at one individual, the ACE survey is never the whole story. There are lots of childhood experiences that go unaccounted for, there are individual levels of resilience that are not accounted for, and there are early interventions that are not considered. One traumatic experience equals one traumatic experience in the final number, regardless of whether that experience was immediately followed up with support and maybe even therapy, or if it was ignored and maybe even repeated. There are numerous factors beyond simply answering more than 4 questions yes and assuming you’re an addict, or not answering enough questions yes and assuming you aren’t. It is much more complicated than that.
The ACE information is important though because it points us back to that childhood trauma and says “what happened to you?” when treating an individual for depression, or addiction, so that we can include that in our healing. What we want to be careful with is turning it into a blunt instrument when there is still so much not being accounted for within it.
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Sharing – “Tetris for Trauma” Viral Twitter Thread: A Master Class in Misleading Psych Research
Again, as Peter goes on to describe the issue is not that people might suddenly play some Tetris when dealing with trauma. That’s probably not going to harm them much, it’s that we, as a society, will come to expect that is the “magic pill” to help everyone deal with trauma and start dismissing it as something that’s easy to fix with some Tetris when it’s much, much more complicated than that. We shouldn’t lose sight of that fact.
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Sharing – Trauma Healing Requires A Certain Amount Of Privilege
She lists out things like having insurance, having financial security, having a partner and friends from who she doesn’t have to hide her therapy sessions, etc.
As we just talked about yesterday, the reason less than half of all people dealing with mental health issues actually get any treatment at all is because they don’t have all of these things.
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More Proof That Early Interventions Are Key
So, when I see a study like this, I don’t feel defeated, I don’t feel like we are all just broken and doomed to poorer outcomes. I see the possibility that there is room to change this current reality, but it’s going to take changing how we deal with childhood adversity and doing it in an open, honest, and immediate way.
High levels of childhood adversity don’t have to be an early death sentence. We can, and should, intervene early in order to prevent many of these outcomes. We just need the determination and will to make it happen.
Do we have that?
