Mental Health Professionals must be informed regarding up to date evidence-based approaches to suicide risk and suicidality:

“IF YOU or SOMEONE YOU KNOW IS IN CRISIS, PLEASE CALL 911 or 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Mental Health Professionals must be informed regarding up to date evidence-based approaches to suicide risk and suicidality:
Yes, it is essential for mental health professionals to stay informed about the latest evidence-based approaches to suicide risk and suicidality. This is because the understanding of suicide and its prevention evolves continuously as new research is conducted. Staying up to date ensures that practitioners are providing the best possible care to individuals at risk, using the most effective and scientifically validated methods.
Key reasons why mental health professionals need current knowledge include:
Improved Risk Assessment: Modern approaches emphasize the use of standardized, evidence-based tools for assessing suicide risk, which helps in identifying individuals at higher risk more accurately.
Personalized Care: New research often highlights the need for individualized treatment plans. Professionals can better address the specific needs of their clients, factoring in their history, circumstances, and unique risk factors.
Effective Intervention Strategies: As evidence emerges, new interventions are found to be more effective in reducing suicidality, including therapeutic techniques, pharmacological treatments, and crisis management.
Cultural Sensitivity: Up-to-date knowledge helps ensure that approaches are culturally competent and respectful of the diverse populations served, improving outcomes and engagement.
Prevention and Early Detection: Evidence-based practices contribute to improved strategies for suicide prevention, early intervention, and postvention, potentially saving lives.

Mental health professionals should engage in continuous education, attend relevant training, and regularly review the latest studies, clinical guidelines, and recommendations to ensure their practice aligns with the most effective and ethical methods available.

“IF YOU or SOMEONE YOU KNOW IS IN CRISIS, PLEASE CALL 911 or 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Shervan K Shahhian

The sudden shock of a major event may disrupt normal Mental processes, why:

The sudden shock of a major event may disrupt normal Mental processes, why:

The sudden shock of a major event can disrupt normal mental processes for several reasons:

Fight-or-Flight Response: When confronted with a traumatic or unexpected event, the body activates the fight-or-flight response, releasing stress hormones like adrenaline and cortisol. These hormones prepare the body to respond to danger but can overwhelm the brain, impairing higher cognitive functions such as reasoning, memory, and decision-making.

Emotional Overload: A major event often triggers intense emotions such as fear, anger, or grief. These emotions can hijack our cognitive processes, making it difficult to think clearly or logically. The emotional center of the brain (the amygdala) takes over, leading to emotional responses that can disrupt rational thinking.

Disruption of Cognitive Balance: Our brains work best when we are in a state of equilibrium. A sudden shock can throw this balance off, making it difficult to concentrate, process information, or recall memories. Cognitive functions that rely on attention, focus, and working memory can become impaired.

Psychological Shock or Trauma: In the case of traumatic events, the mind may enter a state of shock as a defense mechanism. This can cause dissociation, a state where the person feels detached from reality, or denial, where they may have difficulty accepting the reality of the situation. These coping mechanisms can temporarily prevent normal processing of information.

Increased Stress: Chronic stress, especially from significant life events, can change the structure and function of the brain, particularly areas involved in memory, emotion, and cognition (e.g., the hippocampus and prefrontal cortex). This can cause long-term disruptions in mental processes.

Sleep Disruption: Stressful or traumatic events can disrupt sleep patterns, leading to further cognitive impairment. Sleep is essential for memory consolidation, emotional regulation, and overall mental clarity. Lack of rest can make it harder to process the event and regain cognitive equilibrium.

Sense of Helplessness or Loss of Control: Major events often challenge our sense of control or security. When we are suddenly faced with something we cannot change or anticipate, it can cause confusion and a sense of helplessness, impairing our ability to think through problems or make decisions.

All these factors combined can cause significant disruptions in our mental processes, and it may take time to process the event fully and regain normal cognitive functioning.

Shervan K Shahhian

Natural Disasters and Mental Health:

Natural Disasters and Mental Health:

Natural disasters, such as earthquakes, hurricanes, floods, and wildfires, can have significant impacts on mental health, both in the short and long term. These events can create widespread disruption, loss, and trauma, which may manifest in various psychological and emotional challenges for individuals and communities.

Immediate Mental Health Impacts

Acute Stress Reaction:

  • Feelings of fear, confusion, or disbelief.
  • Physical symptoms such as rapid heartbeat, difficulty breathing, or nausea.
  • Emotional numbness or heightened anxiety.

Grief and Loss:

  • The loss of loved ones, homes, possessions, or livelihoods can lead to profound grief and sadness.

Survivor’s Guilt:

  • Those who survive may feel guilt, particularly if others did not.

Long-Term Mental Health Consequences

Post-Traumatic Stress Disorder (PTSD):

  • Intrusive memories, nightmares, and heightened reactivity.
  • Avoidance of reminders of the disaster.

Depression:

  • Persistent sadness, hopelessness, or loss of interest in daily activities.

Anxiety Disorders:

  • Ongoing worry or fear about future disasters.

Substance Use Disorders:

  • Some may turn to alcohol or drugs as a coping mechanism.

Community Impact:

  • Shared trauma may lead to collective anxiety or distress in communities.

Vulnerable Populations

Certain groups are at higher risk of experiencing severe mental health impacts:

  • Children: Limited ability to process traumatic events.
  • Elderly: Physical frailty and isolation can exacerbate mental health issues.
  • First Responders: Repeated exposure to traumatic situations.
  • Low-Income Individuals: Fewer resources for recovery and resilience.

Coping Strategies and Support

Access to Mental Health Services:

  • Professional counseling or therapy for individuals and communities.
  • Crisis hotlines and support groups.

Community Support:

  • Building connections to foster resilience.
  • Community programs for disaster recovery.

Self-Care:

  • Mindfulness, exercise, and maintaining routines.

Education and Preparedness:

  • Teaching coping mechanisms and disaster preparedness can reduce anxiety.

Long-Term Recovery Programs:

  • Integrating mental health into broader disaster recovery efforts.

Call to Action

Governments, non-profits, and healthcare providers need to prioritize mental health as part of disaster response and recovery. Building resilient communities involves not just addressing physical needs but also ensuring psychological well-being.

Shervan K Shahhian

How to manage feelings of Sadness & Fatigue:

How to manage feelings of Sadness & Fatigue:

“IF YOU or SOMEONE YOU KNOW IS IN CRISES, PLEASE CALL 911.” 

“CALL, TEXT, or CHAT 988 or GO TO THE NEAREST EMERGENCY ROOM or HOSPITAL.”

Managing feelings of sadness and fatigue can be challenging, but there are strategies that may help. These feelings could stem from physical, emotional, or situational causes, so addressing them holistically is often the most effective approach.

Here’s a breakdown of ways to manage them:

1. Acknowledge Your Feelings

  • Accept your emotions without judgment. Recognizing sadness or fatigue is the first step toward addressing them.
  • Journaling can help you explore what might be triggering these feelings.

2. Take Care of Your Body

  • Sleep: Ensure you’re getting 7–9 hours of restful sleep. Establish a consistent sleep schedule and bedtime routine.
  • Nutrition: Eat a balanced diet with plenty of fruits, vegetables, whole grains, and protein. Avoid excessive caffeine or sugar, which can cause energy crashes.
  • Exercise: Regular physical activity, even gentle exercises like walking or yoga, can boost mood and energy levels by releasing endorphins.

3. Practice Stress Management

  • Relaxation Techniques: Try mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation.
  • Set boundaries: Avoid overcommitting to activities or responsibilities that drain your energy.
  • Break tasks into small steps: Focus on one thing at a time to prevent overwhelm.

4. Seek Social Support

  • Talk to someone: Share your feelings with a trusted friend, family member, or therapist.
  • Engage with your community: Participate in activities that connect you with others, whether it’s volunteering, joining a class, or spending time with loved ones.

5. Engage in Activities You Enjoy

  • Pursue hobbies or activities that bring you joy, even if they feel hard to start at first.
  • Experiment with creative outlets like painting, writing, or playing music to express your emotions.

6. Limit Negative Influences

  • Reduce exposure to news or social media if they make you feel worse.
  • Avoid substances like alcohol or drugs, which can exacerbate feelings of sadness and fatigue.

7. Consider Professional Help

  • Therapy: A mental health professional can help you process your emotions and develop coping strategies.
  • Medical Check-up: Persistent fatigue or sadness could indicate underlying conditions like depression, anxiety, or physical health issues (e.g., thyroid problems, anemia). Consult a doctor to rule out these possibilities.

8. Establish a Routine

  • A daily routine can help you regain a sense of control and stability. Include time for self-care, rest, and enjoyable activities.

9. Be Patient with Yourself

  • Healing and managing emotions take time. Celebrate small victories and practice self-compassion along the way.

If your feelings of sadness and fatigue persist or worsen, it’s essential to seek professional support. You don’t have to face this alone, and help is available.

Shervan K Shahhian

Understanding First-Episode Psychosis:

Understanding First-Episode Psychosis:

First-episode psychosis (FEP) refers to the initial onset of psychosis, a condition characterized by a disconnection from reality. It often involves symptoms like hallucinations (e.g., hearing voices), delusions (e.g., false beliefs), disorganized thinking, and impaired insight. FEP typically occurs in late adolescence or early adulthood, though it can happen at any age.

Key Aspects of First-Episode Psychosis:

Symptoms: Common symptoms include:

  • Hallucinations: Sensing things that are not there, like hearing voices or seeing things.
  • Delusions: Strongly held false beliefs, such as thinking someone is plotting against them.
  • Disorganized Thinking: Difficulty in maintaining a coherent conversation or making sense.
  • Negative Symptoms: Lack of motivation, reduced emotional expression, or withdrawal from social situations.
  • Cognitive Impairment: Problems with memory, attention, or executive functioning.

Causes: The exact cause of FEP is not fully understood, but it often involves a combination of:

  • Genetic predisposition (family history of psychotic disorders)
  • Environmental factors (stress, trauma, substance abuse)
  • Neurobiological factors (brain structure or chemical imbalances)

Diagnosis: FEP is diagnosed based on clinical interviews, medical history, and sometimes imaging or blood tests to rule out other causes like drug use or neurological disorders. Psychiatric evaluations help determine if the symptoms meet the criteria for psychotic disorders, such as schizophrenia.

Treatment: Early intervention is crucial for better outcomes. Treatment may include:

  • Medication: Antipsychotic drugs are commonly used to manage symptoms.
  • Psychotherapy: Cognitive-behavioral therapy (CBT) can help individuals manage symptoms and improve coping strategies.
  • Support Services: Family therapy, social skills training, and vocational rehabilitation can aid in recovery and reintegration into society.

Prognosis: With early intervention, many individuals can experience significant improvement and even full recovery, though ongoing treatment may be necessary. Some may continue to have episodes or require long-term support.

The first episode of psychosis is often a critical point in the course of mental health disorders. Early detection and intervention can prevent long-term disability and improve quality of life.

Shervan K Shahhian

How can Mental Health professionals help Overwhelmed Individuals:

How can Mental Health professionals help Overwhelmed Individuals:

Mental health professionals play a crucial role in supporting individuals who feel overwhelmed by providing effective strategies, guidance, and emotional support.

Here are some ways they can help:

Assessment and Diagnosis:

  • They can assess the individual’s emotional and mental state to identify underlying issues like anxiety, depression, burnout, or trauma that may contribute to their feeling of being overwhelmed.
  • Understanding the root cause allows the professional to tailor interventions effectively.

Therapeutic Techniques:

  • Cognitive Behavioral Therapy (CBT): This helps individuals identify negative thought patterns that exacerbate feelings of being overwhelmed and work on replacing them with more positive, realistic thinking.
  • Mindfulness and Relaxation Techniques: These strategies, like meditation, breathing exercises, and grounding techniques, help manage stress and anxiety.
  • Stress Management Techniques: Mental health professionals can teach ways to reduce and manage stress, such as time management, prioritization, and setting boundaries.

Emotional Support:

  • Listening without judgment allows individuals to express their feelings openly. Just talking through their overwhelming emotions can help them feel understood and less isolated.
  • Validation of their feelings is key to helping them feel supported.

Building Coping Skills:

  • Mental health professionals can teach coping mechanisms that enhance resilience. These could be behavioral skills or emotional regulation strategies that help people handle difficult situations better.

Goal Setting and Problem Solving:

  • Professionals can assist clients in breaking down complex problems or tasks into smaller, manageable steps, thus reducing the sense of being overwhelmed.
  • Setting achievable short-term goals can help restore a sense of control and accomplishment.

Self-Care Strategies:

  • Encouraging individuals to prioritize their physical and mental well-being through healthy routines, exercise, proper sleep, and nutrition can improve their ability to handle stress.

Providing Resources and Referrals:

  • Mental health professionals can connect individuals with support groups, crisis intervention services, or even other specialists if the individual requires more comprehensive support, such as medication or long-term care.

Promoting Healthy Relationships:

  • Often, feelings of being overwhelmed are linked to relationship issues. A mental health professional can guide individuals in setting boundaries, improving communication, and building healthier relationships that alleviate stress.

Psychotherapy for Underlying Trauma:

  • If past trauma contributes to the overwhelming feelings, trauma-focused therapies, such as EMDR (Eye Movement Desensitization and Reprocessing) or trauma-focused CBT, can help process and reduce emotional distress.

By helping individuals understand their emotions, build coping strategies, and improve their overall mental health, professionals can empower them to regain balance and control over their lives.

Shervan K Shahhian

How to manage feelings of Sadness & Fatigue:

How to manage feelings of Sadness & Fatigue:

Managing feelings of sadness and fatigue can be challenging, but there are strategies that may help. These feelings could stem from physical, emotional, or situational causes, so addressing them holistically is often the most effective approach.

Here’s a breakdown of ways to manage them:


1. Acknowledge Your Feelings

  • Accept your emotions without judgment. Recognizing sadness or fatigue is the first step toward addressing them.
  • Journaling can help you explore what might be triggering these feelings.

2. Take Care of Your Body

  • Sleep: Ensure you’re getting 7–9 hours of restful sleep. Establish a consistent sleep schedule and bedtime routine.
  • Nutrition: Eat a balanced diet with plenty of fruits, vegetables, whole grains, and protein. Avoid excessive caffeine or sugar, which can cause energy crashes.
  • Exercise: Regular physical activity, even gentle exercises like walking or yoga, can boost mood and energy levels by releasing endorphins.

3. Practice Stress Management

  • Relaxation Techniques: Try mindfulness, meditation, deep breathing exercises, or progressive muscle relaxation.
  • Set boundaries: Avoid overcommitting to activities or responsibilities that drain your energy.
  • Break tasks into small steps: Focus on one thing at a time to prevent overwhelm.

4. Seek Social Support

  • Talk to someone: Share your feelings with a trusted friend, family member, or therapist.
  • Engage with your community: Participate in activities that connect you with others, whether it’s volunteering, joining a class, or spending time with loved ones.

5. Engage in Activities You Enjoy

  • Pursue hobbies or activities that bring you joy, even if they feel hard to start at first.
  • Experiment with creative outlets like painting, writing, or playing music to express your emotions.

6. Limit Negative Influences

  • Reduce exposure to news or social media if they make you feel worse.
  • Avoid substances like alcohol or drugs, which can exacerbate feelings of sadness and fatigue.

7. Consider Professional Help

  • Therapy: A mental health professional can help you process your emotions and develop coping strategies.
  • Medical Check-up: Persistent fatigue or sadness could indicate underlying conditions like depression, anxiety, or physical health issues (e.g., thyroid problems, anemia). Consult a doctor to rule out these possibilities.

8. Establish a Routine

  • A daily routine can help you regain a sense of control and stability. Include time for self-care, rest, and enjoyable activities.

9. Be Patient with Yourself

  • Healing and managing emotions take time. Celebrate small victories and practice self-compassion along the way.

If your feelings of sadness and fatigue persist or worsen, it’s essential to seek professional support. You don’t have to face this alone, and help is available.

Shervan K Shahhian

Social Anxiety vs Shyness:

Social Anxiety vs Shyness:

Social anxiety and shyness are distinct, though they can overlap in certain ways.

Here’s a breakdown of their differences:

Shyness

  • Definition: A personality trait or natural temperament where a person feels awkward, reserved, or hesitant in social settings.
  • Intensity: Generally mild and situational; people who are shy may feel discomfort in new or unfamiliar situations but can adapt over time.
  • Impact: Shyness typically doesn’t prevent someone from engaging in social activities, though it may make them feel self-conscious.
  • Duration: Often decreases as the person becomes more comfortable or familiar with the situation.
  • Treatment: Does not usually require professional intervention unless it leads to significant distress or avoidance.

Social Anxiety (Social Anxiety Disorder, or SAD)

  • Definition: A mental health condition characterized by intense fear or anxiety about being judged, embarrassed, or humiliated in social situations.
  • Intensity: Severe and persistent, often interfering with daily life and relationships.
  • Impact: Causes significant distress, leading to avoidance of social situations or enduring them with extreme discomfort.
  • Physical Symptoms: May include sweating, trembling, rapid heartbeat, nausea, or even panic attacks.
  • Duration: Chronic and pervasive, requiring ongoing management.
  • Treatment: Often treated with therapy (e.g., cognitive-behavioral therapy), medication, or both.

Key Differences

  1. Severity: Shyness is less intense and doesn’t usually interfere significantly with a person’s life, while social anxiety is debilitating.
  2. Avoidance: People with social anxiety often avoid situations altogether, while shy individuals may simply feel uncomfortable but still participate.
  3. Physical Symptoms: Social anxiety is associated with noticeable physical symptoms and psychological distress, unlike shyness.
  4. Root Causes: Shyness is usually innate and part of one’s personality, while social anxiety may develop due to negative experiences, trauma, or a genetic predisposition.

Shervan K Shahhian

Self-Regulation in Mental Health:


Self-Regulation in Mental Health:

Self-regulation in mental health refers to an individual’s ability to manage their emotions, thoughts, and behaviors in a way that supports overall well-being and effective functioning. It is a critical component of emotional resilience and is linked to better mental health outcomes. Self-regulation helps individuals respond to stressors, challenges, and emotional triggers in a constructive manner.

Components of Self-Regulation in Mental Health

Emotional Regulation:

  • Managing intense emotions (e.g., anger, anxiety, sadness).
  • Recognizing and labeling emotions accurately.
  • Using coping strategies like deep breathing, mindfulness, or reappraisal to calm down.

Cognitive Regulation:

  • Controlling negative thought patterns (e.g., catastrophizing, self-criticism).
  • Practicing positive self-talk and cognitive reframing.
  • Setting realistic and achievable goals.

Behavioral Regulation:

  • Maintaining healthy routines (e.g., sleep, exercise, and nutrition).
  • Resisting impulsive actions or reactions.
  • Engaging in constructive behaviors, even under stress.

Social Regulation:

  • Managing interpersonal conflicts effectively.
  • Setting boundaries in relationships.
  • Seeking and accepting support from others.

Why is Self-Regulation Important?

  • Reduces Stress: Helps mitigate the physical and emotional toll of stress.
  • Improves Decision-Making: Encourages thoughtful rather than impulsive choices.
  • Enhances Relationships: Promotes empathy, patience, and effective communication.
  • Builds Resilience: Facilitates recovery from setbacks and adversities.

Techniques to Improve Self-Regulation

Mindfulness Practices:

  • Meditation, yoga, or mindful breathing exercises to enhance awareness and control.

Cognitive Behavioral Therapy (CBT):

  • Identifying and changing unhelpful thought patterns.

Journaling:

  • Writing to process emotions and gain insight into triggers.

Emotion Regulation Skills:

  • Techniques like the “STOP” method (Stop, Take a breath, Observe, Proceed) or grounding exercises.

Physical Activity:

  • Regular exercise to reduce stress and improve mood.
  • Professional Support:
  • Therapy or counseling to learn and practice self-regulation strategies.

Let’s delve deeper into specific self-regulation techniques and how they apply to mental health. Here’s an expanded guide organized by challenges and strategies to address them:


1. Managing Intense Emotions

Techniques:

  • Mindful Breathing:
    Focus on slow, deep breaths to activate the parasympathetic nervous system (e.g., inhale for 4 seconds, hold for 4, exhale for 6).
    Example: Use this during moments of anger or anxiety to regain calm.
  • Grounding Techniques:
    Engage your senses to stay in the present moment (e.g., “5–4–3–2–1” method: name 5 things you see, 4 you can touch, etc.).
    Helpful for: Overwhelm, panic attacks, or intrusive thoughts.
  • Emotion Labeling:
    Pause and identify the emotion you’re feeling (e.g., “I’m feeling frustrated”).
    Why: Naming emotions reduces their intensity and provides clarity for action.

2. Breaking Negative Thought Patterns

Techniques:

  • Cognitive Reframing:
    Challenge negative thoughts by asking:
  • “Is this thought based on facts or assumptions?”
  • “What’s a more balanced perspective?”
    Example: Replace “I’ll fail at this” with “I might struggle, but I can try my best and learn.”
  • Thought-Stop Practice:
    Visualize a stop sign when ruminating on negative thoughts, then redirect your focus to a positive or neutral activity.
    Effective for: Overthinking and anxiety.
  • Daily Gratitude Journaling:
    Write down 3 things you’re grateful for each day to shift focus from challenges to positives.
    Why: Builds resilience by fostering optimism.

3. Controlling Impulsive Behaviors

Techniques:

  • Pause and Reflect:
    Use the “STOP” method:
  • Stop what you’re doing.
  • Take a deep breath.
  • Observe your thoughts, emotions, and surroundings.
  • Proceed mindfully.
  • Implement Delay Tactics:
    If you feel a strong urge to act (e.g., send an angry text or make an impulsive purchase), set a timer for 10–20 minutes. Reassess once it ends.
  • Create Action Plans:
    Prepare responses to common triggers (e.g., if feeling lonely, call a friend instead of binge-eating).

4. Sustaining Healthy Routines

Techniques:

  • Use Habit Stacking:
    Attach new habits to existing ones (e.g., meditate for 2 minutes after brushing your teeth).
  • SMART Goals:
    Make goals specific, measurable, achievable, relevant, and time-bound (e.g., “Walk 15 minutes after lunch every day”).
    Why: Helps maintain motivation and consistency.
  • Behavioral Activation:
    Schedule pleasurable or meaningful activities, even if you don’t feel motivated.
    Example: Go for a nature walk when feeling low.

5. Navigating Social Challenges

Techniques:

  • Assertive Communication:
    Use “I-statements” to express needs or feelings without blaming (e.g., “I feel upset when plans change last minute”).
    Outcome: Reduces misunderstandings and conflict.
  • Boundaries Practice:
    Identify and state limits clearly (e.g., “I can’t take on extra work this week”).
    Why: Protects your energy and emotional health.
  • Seek Support:
    Join support groups or talk to trusted friends/family. Sharing experiences can normalize struggles and provide relief.

6. Practicing Self-Compassion

Techniques:

  • Positive Self-Talk:
    Replace self-critical thoughts with kind ones (e.g., “It’s okay to make mistakes; I’m learning”).
    Why: Reduces self-judgment and promotes emotional recovery.
  • Soothing Rituals:
    Engage in activities that comfort you (e.g., drinking tea, taking a warm bath, or reading a favorite book).
  • Self-Compassion Meditation:
    Practice phrases like “May I be kind to myself” or “I’m doing the best I can.”

How These Techniques Apply to Mental Health

For Anxiety:

  • Use mindfulness and grounding techniques to reduce physiological arousal.
  • Reframe catastrophic thoughts to reduce worry.

For Depression:

  • Behavioral activation can combat inactivity.
  • Gratitude practices help counter feelings of hopelessness.

For Stress Management:

  • Deep breathing and scheduling breaks prevent burnout.
  • Journaling helps process and prioritize stressors.

For Emotional Dysregulation (e.g., in BPD):

  • Dialectical Behavior Therapy (DBT) techniques like distress tolerance and emotion regulation skills are especially helpful.

Here are practical exercises tailored for managing anxiety, stress, and depression:


1. Managing Anxiety

Exercise: Progressive Muscle Relaxation (PMR)

  • How to Do It:

Sit or lie down in a comfortable position.

Start with your toes: tense the muscles for 5 seconds, then release.

Move upward through your body (calves, thighs, abdomen, arms, etc.), tensing and relaxing each muscle group.

Focus on the sensation of relaxation.

  • Why It Helps: Releases physical tension associated with anxiety.

Exercise: Box Breathing

  • How to Do It:

Inhale for 4 seconds.

Hold your breath for 4 seconds.

Exhale for 4 seconds.

Hold your breath for 4 seconds.

Repeat for 3–5 minutes.

  • Why It Helps: Slows your heart rate and calms your nervous system.

Exercise: Thought Record Journal

  • How to Do It:

Write down a situation causing anxiety.

Identify the anxious thoughts (e.g., “I might fail this exam”).

Challenge the thought: “What evidence do I have for this? What’s a more balanced view?”

Write down the revised thought (e.g., “I’ve studied well, and I’ll do my best”).

  • Why It Helps: Reduces the power of distorted or catastrophic thinking.

2. Managing Stress

Exercise: The 5-Minute Body Scan

  • How to Do It:

Sit or lie down comfortably.

Close your eyes and focus on your breath.

Slowly bring attention to each part of your body, starting from your toes and moving upwards.

Notice areas of tension and consciously relax them.

  • Why It Helps: Enhances relaxation and reduces physical stress.

Exercise: “Brain Dump” Journaling

  • How to Do It:

Set a timer for 10 minutes.

Write down all your thoughts, worries, or tasks without filtering.

Review and organize your list (e.g., prioritize tasks, note what’s outside your control).

  • Why It Helps: Clears mental clutter and reduces overwhelm.

Exercise: Time-Out Routine

  • How to Do It:

Take a short break when stressed (5–10 minutes).

Engage in a grounding activity: sip tea, stretch, or step outside.

Return with a clearer head and refreshed energy.

  • Why It Helps: Prevents burnout and promotes mental clarity.

3. Managing Depression

Exercise: Behavioral Activation

  • How to Do It:

List activities you used to enjoy or find meaningful (even small ones like cooking, walking, or listening to music).

Choose one activity to do, even if you don’t feel motivated.

Start small and gradually increase effort (e.g., walk for 5 minutes, then extend to 10 minutes over time).

  • Why It Helps: Counteracts the withdrawal and inactivity common in depression.

Exercise: Gratitude Practice

  • How to Do It:

Each evening, write down 3 things you’re grateful for that happened during the day.

Be specific (e.g., “The sunlight felt warm on my face during lunch” or “My friend texted to check in”).

  • Why It Helps: Shifts focus to positive aspects of life, improving mood over time.

Exercise: Self-Compassion Letter

  • How to Do It:

Write a letter to yourself from the perspective of a kind, understanding friend.

Address your struggles with empathy (e.g., “It’s okay to feel this way, and you’re doing your best”).

Offer words of encouragement or advice.

  • Why It Helps: Reduces self-criticism and fosters emotional healing.

General Practices for All Three

Mindfulness Meditation:

  • Spend 5–10 minutes focusing on your breath or a mantra (e.g., “I am calm, I am safe”).
  • Acknowledge thoughts without judgment and bring your focus back to the present.

Physical Activity:

  • Engage in light exercises like yoga, stretching, or walking outdoors.
  • Movement releases endorphins, which boost mood and reduce stress.

Connection with Others:

  • Call a supportive friend or family member.
  • Join a local group or online community to share experiences.
  • Shervan K Shahhian

Recognizing Suicide warning signs:

Recognizing Suicide warning signs:

Resources

IF YOU OR SOMEONE YOU KNOW IS IN CRISES, PLEASE CALL 988 OR 911, OR GO TO THE NEAREST EMERGENCY ROOM OR HOSPITAL.

Recognizing the warning signs of suicide is a crucial step in providing help to someone who may be at risk.

Here are some common signs to watch for:

1. Verbal Expressions

  • Talking about wanting to die or to kill oneself.
  • Expressing feelings of hopelessness or having no reason to live.
  • Saying they feel like a burden to others.
  • Mentioning unbearable pain or feeling trapped.

2. Behavioral Changes

  • Withdrawing from friends, family, or social activities.
  • Giving away possessions or making arrangements for their belongings.
  • Increased use of drugs or alcohol.
  • Engaging in reckless or self-destructive behaviors, such as unsafe driving or risky activities.
  • Sudden changes in mood — either extreme sadness or calmness after a period of distress.
  • Losing interest in activities they once enjoyed.

3. Emotional and Physical Signs

  • Persistent sadness or depression.
  • Intense anxiety or agitation.
  • Irritability or rage.
  • Changes in sleep patterns — sleeping too much or too little.
  • Drastic changes in appetite or weight.

4. Indirect or Subtle Signs

  • Writing about death or posting troubling messages on social media.
  • Saying goodbye to loved ones in an unusual or significant way.
  • Expressing feelings of being trapped or having no options.
  • Increased focus on death, dying, or violence.

Immediate Danger Signs

If someone exhibits the following signs, they may be in immediate danger, and you should seek help immediately:

  • Talking about a specific plan or means to carry out suicide.
  • Acquiring tools or methods (e.g., pills, weapons) for self-harm.
  • Sudden calmness after severe depression, which could indicate a decision to act.

How to Help

  1. Listen without judgment: Let them express their feelings openly.
  2. Show empathy: Acknowledge their pain and validate their feelings.
  3. Ask directly: If you’re concerned, ask them directly if they’re thinking about suicide. This won’t plant the idea but can open the door for honest discussion.
  4. Encourage professional help: Guide them toward contacting a counselor, therapist, or suicide hotline.
  5. Ensure safety: If they are in immediate danger, don’t leave them alone. Call emergency services or a crisis hotline for assistance.

Resources

If you or someone you know is struggling, don’t hesitate to seek help. Early intervention can save lives.

IF YOU OR SOMEONE YOU KNOW IS IN CRISES, PLEASE CALL 988 OR 911, OR GO TO THE NEAREST EMERGENCY ROOM OR HOSPITAL.

Shervan K Shahhian