Tuesday 22 December 2015

An A to Z guide to coping with Christmas when suffering with anxiety and depression.

This time of year can be challenging for most people but for those with a propensity to being more sensitive than others it can be very difficult.  Love it or hate it, it’s everywhere you look and on everything you listen to. It’s unavoidable unless you can escape to a place with no internet, tv or radio so I have compiled a list of coping strategies to help get you through the holiday time.

Acceptance.
It’s here, it’s unavoidable and it’s in your face. Sometimes the path of least resistance is the easiest option. If we fight something it can often make it worse than ‘going with it’. There’s a myriad of emotions attached to this time of year which can make it exceptionally hard to deal with so burdening ourselves with fighting the ‘christmas cheer’ can lead to further feelings of depression and anxiety.
As the saying goes 'resistance is futile’. If christmas cheer or adverts wind you up then take a step back and ask ‘why’? Is that others appear happy? is it that you feel jealous? Learn to deal with these feelings and explore why you feel this way rather than ignoring them and hoping they will go away.

Accept that it’s a part of life for this time of year and you are halfway there to getting through it.

Bravery.
It takes a heck of a lot of courage and determination to make it through one day at a time when feeling depressed or anxious or both. We are brave, courageous beings in that we get ourselves through each minute, hour or day and are still alive and breathing. That take a lot of power to be able to do. Be proud of yourself. 

Care.
Be consistent with how you are caring for yourself over this time. Ensure time for yourself when needed. It can be overwhelming. Sleep when you can and even cancel plans if you feel you need timeout. But try not to hide away either. Sometimes when you feel you cannot possibly be bothered with doing a social event then you might surprise yourself and actually enjoy the event. Beware of comedown though and learn how to cope with suddenly finding yourself alone after having a good time. Self care is extremely important.

Digestion.
The digestive system can be extremely sensitive to upset and emotionally changes. This time of year it can be overworked with sugary products, alcohol and large amounts of food; foods that can also trigger digestive problems. Studies are showing a direct correlation between gut inflammation and depression and anxiety. Gut inflammation  can be responsible for pain, irritable bowel, indigestion and many other symptoms including feelings of anxiety and depression. It won’t hurt to take a good quality probiotic during this time if you are overindulging. They don't have to be expensive but make sure they aren’t cheap ones off the supermarket shelf. Getting one from a health food shop is probably best but don’t be persuaded to part with lots of money for one. There’s no need. Pro-30 Max by Natures Aid is a good one to try but if the strength is too much then take one with less bacteria in. Take it first thing on rising when acid is low in the stomach and not with a hot drink as this can kill the bacteria in the capsule.

Exercise.
Groan…….exercising can be a difficult one to achieve. It’s particularly difficult when feeling depressed or anxious in my experience. Getting out can be anxiety provoking and being depressed can lead to lack of motivation and energy. However, if the adverts or constant references to christmas on the TV or radio are getting on your nerves a good walk can clear your head. Or if a walk isn’t your thing, how about a swim? It doesn't have to be tens of lengths, a few will do. I have yet to discover that exercise releases endorphins and I have participated in many strenuous exercising regimes but I know a good walk sometimes is all that’s needed to blow some cobwebs away.

Forgiveness.
Forgive yourself! You’re doing great. Stop chastising yourself for things you think you are guilty of. If you cannot find the strength or energy to do something which you think needs doing or you should be doing then stop. You are important too and if the thing you think should be done doesn't get done then so what? Not everything has to be perfect it just has to be done to the best of your ability. 

Gratitude.
We live in a society where it is thrust upon on us most days how much people have. Fancy cars, big houses or money for example but how many of us say thanks for the basics in life such as a roof over our heads or that we have had a few hours sleep, as apposed to none? Do we wake up and be thankful we had a bed to sleep in at all or focus on the fact that it’s cold and dark when we get up? It’s a habit I think a lot of us have gotten into.
I was out walking some dogs the other day and was tired and felt heavy, wanting to be home with my feet up when I saw a young man in a wheel chair and instantly felt guilty that I had been feeling sorry myself. I’m fortunate enough not to have to rely on a wheel chair to get about and should be thankful for the legs that carry me about and allow me to do the job I do with ease. I’m sure the guy in the wheel chair is probably far more grateful for things than I am! It takes work to practice it but you can master it. Just look at how good you are at making negative thoughts really important!

Help.
Ask for it if you think you need it. Ask friends and family to help out if you feel things are getting too much for you. Yes, it’s busy time of year for some but for others it may not be and they may be willing to help out with whatever it is you need, even if it’s just wrapping presents or doing a shop. If you don’t ask then people won’t know you need help but I know only too well that I don’t ask for fear of rejection. This is tough one and another thing to conquer. Maybe ask acharity that is designed to help those with mental health problems? That’s what they are there for. Whether it’s advice, someone to talk to or practical help (within reason).


Insomnia.
Wanting to sleep and being unable is a bitch. It can send even the most stable person insane. It’s very underestimated. Not only are you depressed being awake during the day or want some respite from being anxious all the time then our bodies then decide to keep us awake all night or from the early hours. I still suffer a little from early morning waking and disturbed sleep but it’s manageable. But I remember the days of being awake at silly o’clock until the early hours and managing about 3 hours at a time. It was torture. You’ll probably be finding concentration difficult as well and extremely frustrated. If you are fortunate enough to have access to on demand films or tv then storing up programmes could be an option or a new series on netflix? It’ll be hard enough avoiding christmas movies and re runs at this time of year as it is. Or maybe try and read something? Or even start a blog? Blue light doesn’t help sleep, which is omitted from TV’s and kindle devices but in my experience I fall asleep watching a film rather than lying trying to sleep tossing and turning.
Have some sleep aids in stock too such as nytol. They do chemical and herbal versions for short term relief so always worth a try especially if you just want to sleep and try and forget as much of this time of year as possible and try and avoid it all together.

Joy.
There’s a lot of pressure to feel joy at christmas time but if we aren’t feeling it, then we aren’t feeling it. It can’t be forced. So don’t try to. Be aware of your emotions and examine how you feel and reflect on it but never try to force it. Using the technique to not encourage the bad thoughts and feelings and practice letting in the good thoughts and feelings. If you do feel joy however brief embrace it wholeheartedly.

Kindness. 
Give and receive it. I have to practice this most days as I can be grumpy but no-one deserves that. Receiving can be equally hard at times but accept it when it’s given. The world would be a much better place with more kindness in it.

Loneliness.
We feel loneliness if we are not content within ourselves. Christmas highlights being on your own 100% whether it is because a spouse has died or a relationship breakdown or family live far away; it feels more acute at this time of year. I was fortunate to be in a job where I could work Christmas to avoid people I didn't want to see but also avoid being alone. This may not be possible for many people. If I were to find myself alone at Christmas now I would be tempted to occupy myself somehow probably by volunteering for the homeless or an animal charity on christmas and boxing day. 
There is no antidote to loneliness only distraction and working towards loving oneself. Some activities can highlight it and some quash it. It may well be outside your comfort zone to volunteer but there are so many deserving charities out there that desperately need help this time of year. See also ‘people’.

Motivation.
I don’t know about you but this is something I seriously lack any time of year let alone when I’m up against a time scale. What do I do to counteract this? I pace myself. I start early and do things at quiet times when I can. A little bit, often. Not always possible I know. There is nothing more off putting than shopping at the very last minute to put a wet blanket over any motivation you have managed to summons up. No rushing allowed! No last minute dashing about. 

No.
One word and learn how to say it. Without explanation. There’s no need to elaborate. That’s no one else business but yours.

Overkill.
The holiday time might span for a couple of weeks but really it’s only a couple of days and it can be a huge let down and comedown once it’s over. That’s why it’s important not to go overboard. Getting into debt and stressing yourself out for what? Two days. It really isn’t worth it. Like I have said in other points, it really is not worth it to stress yourself out so much and spend money you don’t have to appear to have the ‘perfect’ time. Do what you feel capable of and don’t push yourself to destruction.

People.
Being around people is forced upon us at this time of year just because it’s this time of the year. And people can be really bloody irritating. Being with the ones we want to is an option and if we can’t then don’t settle for just anyone but if being alone and lonely is not the best option then chose as wisely as possible. 
Avoid crowds at the shops. People scrabbling for a bargain can be a real pain in the arse. If you are already feeling tired and irritable or depressed and anxious this will be exacerbated. 
However, people can be uplifting and a great source of comfort. Just having a chat in the street with a neighbour can help lift our spirits. Even if we feel we want to avoid people sometimes an exchange with another person can lift us out the funk we might be stuck in.

Quiet time.
As with self care take some time out for yourself and have some quiet time. Be it a walk or off to bed for an hour if it all gets too much or overwhelming. People with depression and anxiety are much more sensitive to their surroundings, environment and energy. Know when you are reaching your limit and take time out before it gets too much for you.

Relatives
Whether it be having to see those we don’t want to or missing those that are not with us any longer or not being able to be with those we love. And even the death of a much loved pet.
It’s painful to miss those we no longer have in our lives for whatever reason. My mother died over 20 years ago and I still miss her. But time does make it easier. Old and boring cliche. But the truth. A first christmas without someone special can be atrocious so again the best thing to do is distraction until it’s all over by any means possible except drugs and alcohol! The come down from either makes the pain ever more acute and it’s just not worth it. It’s going to be hard, there’s no two ways about it. Keep going through the day every minute or hour at a time. Whatever it takes to get you through. 
Here are some great tips for coping with grief and loss at any time.
If it’s having to see relatives you really don’t want to then simply- don’t do it. It’s your time to do with what you wish. Don’t feel guilty. If you want to stay home with a partner all day or home alone and not go visiting then do it. If you really feel bad about not seeing those people then arrange to see them before or after christmas and don’t let people guilt trip you into seeing them. My brother would do this and I have spent many christmas’ uncomfortable and fed up being made to stay when I wanted to go home and relax and watch what I wanted on TV not play horrendous board games or watch what he wanted to on TV. It spoilt my day and made me angry so i refused to do it anymore. I was called boring and miserable but I started to value myself and my feelings more than his or his words.

Suicidal thoughts.
These seem to be more prominent and determined around this time of year when people are more vulnerable or cannot face the time ahead. What to do when these awful beasts strike? Tell someone for a start. If you feel you have no one to talk to reach out to someone or failing that go to a hospital accident and emergency department. What you must not do is act out on those awful thoughts as they are not real. Write them down and leave them there in the book. Disown them.
It is absolutely beyond heinous feeling suicidal but it is driven by our thoughts. Interrupt them and tell them ‘I know you are there but I’m not going to listen to you so be quiet’. This takes practice but you have to beat them down and not allow them the power to reap havoc and destruction on your and your loved ones lives.
You are worth it and you are valued even if you don’t believe it. Suicide leaves behind a trail of destruction. The thoughts also do come and go and if they come, they can go so be brave and hang on until you get respite from them. 

Time.
Most people I know seem to be in rush and there is ‘no time’. Why? What are you doing that makes you so busy? I’ve had periods of time when I’ve been really busy but not all the time. It seems to be the people who like everything perfect that are the busy ones. Why does everything have to be ‘perfect’? Constant cleaning and having to do things a certain way just creates more stress none of us need. If it means planning a little more in advance, after all there’s been a year since the last one then just do things a little sooner. Don’t stretch yourself to the limit. It’s only a few days out of the year. So what if the toilet doesn’t get cleaned or you didn’t get that certain present you wanted for your loved one that you really wanted tot get? So what if you don’t send any cards. Do it electronically if you must send a greeting. Nothing is ever that important and it will not make the world end, however running yourself ragged will result in frustration, exhaustion and further feelings of inadequacies or deepening depression and exacerbation of anxiety.

Unload.
Take a load off yourself. Unload and unburden yourself. Write a journal. Do some yoga. Dance round your front room to One Direction. Release the tension with a hot bath an lavender oil or a good old rant to the mirror addressing the person we feel may have irritated us or wronged us or write them a letter that never gets sent. Take that big pile of shit and dump it out!

Volunteering.
Something to consider if you find yourself with days to spare for whatever reason over the holiday season. It can lift the spirits and give us a massive sense of purpose and helps out those less fortunate to boot. Win win! It can be one hour or many days.

Worry.
Generally goes hand in hand with anxiety. Often worry is unfounded and unhelpful. Write your worries down and put them in a box along with the feeling attached to them and let them go. Practice imagining the worries leaving your body and floating away. This could be a concept that you might find hard to grasp but it’s a hell of a lot better than carrying those worries about. What are you worried about? Are they real worries? Could they actually happen? Are they unfounded? Put them into perspective.

Xxxxxx
Some kisses for you because you deserve them.

You.
It’s all about you. No one else feels what you are feeling at any given time. They can’t change you or be responsible for you. Only you can do that. So take control and be responsible for yourself. Your time and energy are important as anyones else so be careful with it. Use it wisely and be frugal with it!

Zzzzzz.
Get plenty of these, if you can. It’s a great way to recoup and recharge.



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