health

Breaking Down Mental Health Terms: What Are Intrusive Thoughts?

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Over the years, I’ve learned a number of words, phrases and definitions that have helped me understand my own mental health. Some of these are connected to mental illness or medicine, while others are connected to mental wellness. In this recurring series, I break down some of the mental health terms I’ve learned over the years. Today, I’ll be breaking down intrusive thoughts: what they are, what they look like and what we can do about them.

What are Intrusive Thoughts?

I spent many years experiencing intrusive thoughts without knowing what they were. Even once I learned about them, I still had trouble understanding them. The definition of intrusive thoughts is quite simple, but dealing with them can feel far more complicated. According to Healthline, intrusive thoughts “are unexpected images or thoughts that seem to pop into your head. They’re often strange or distressing. But these thoughts happen to almost everyone from time to time.”

It’s not always easy to spot intrusive thoughts, or to name them when they happen. In fact, not knowing how to name these sort of thoughts can lead someone to assuming that’s just how their mind works. But intrusive thoughts are often unpleasant and unwanted, and that lack of desire for a thought you may have is a good sign that you’re experiencing an intrusive thought. This can also lead people to feeling ashamed or wanting to control/stop these thoughts, which can lead to spirals and other mental health issues.

What Do Intrusive Thoughts Look Like?

Intrusive thoughts are just that – thoughts. There’s an instinct to believe that every thought we have matters or to worry about what they mean, but they’re just thoughts. Our brains have (on average) around 6,000 thoughts per day and for a lot of people, most of those thoughts are pleasant or just nondescript. But it’s these intrusive thoughts – which can often feel scary because they are dark or violent, or full of worry or doubt – that have a habit of sticking with us. These are the thoughts we can’t let go of if we’re not careful.

When I think about identifying intrusive thoughts, there are two criteria I look out for:

  • Did this thought feel unwelcome/unwanted? Was I thinking about something else, or anything at all, when this thought popped into my head?
  • Is the content unpleasant, or something that feels vastly different from what we usually think about?

When I can identify these sort of patterns when it comes to a thought (or a set of thoughts), I can recognize them as intrusive and begin to deal with them.

What Can We Do About It?

The more I write these blog posts, the more I end up stressing that the most important part of understanding any of these terms is awareness. This is especially true with intrusive thoughts. Without knowing what to call these thoughts or recognize when they happen, things can feel scary. We can begin to think that those thoughts are who we are, or that they aren’t intrusive and they just are part of us. But we need to push back against this narrative and build a new one.

Thoughts are just thoughts, and if they aren’t interfering with your daily life or make a person feel like they need to take action, they can be harmless. But it’s important to name and define the various aspects of our mental health, even if we don’t deal with all of them. The mental health stigma grows when we’re afraid or unable to talk about our problems. We still might be afraid of these problems when we name them, but at least we know what we’re up against.

Guest Post: A World Dipped in Suicide

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TW: This post discusses suicide and suicide-related topics

“Suicide doesn’t end the chances of life getting worse, it eliminates the possibility of it ever getting better” (unknown)

An unfortunate circumstance, suicide is a terrible, global anomaly from which 700,000-800,000 people die each year worldwide. Additionally, for every person who has died from suicide, twenty more people have attempted it. Globally, 77% of suicides occur in low to middle-income countries, with one tragedy ending in death every 40 seconds. In 2019, suicide was the 17th leading cause of death in the world, accounting for 1.3% of all deaths worldwide.. Now that is a frightening fact, and hopefully eye-opening to how serious it is.

Over the years, I have experienced my own struggles with suicide and have attempted it several times. All were scary, tragic, and disappointing. Scary that I almost died, tragic that I felt so desperate that I had no other option, and disappointed in myself that I gave up and gave in. But the most painful and heartbreaking was the death of my brother, who died by suicide in the fall of 2014.

As if it was yesterday, I remember every moment surrounding his demise—the breath that I took, the tears that I cried. I held onto every word my mother spoke over the phone; as she whispered that “he is gone,” my knees gave forth, and I crashed to the ground. Watching my life collapse around me, a trickling card house so easily demolished. I swore to my mother that “she was lying” because it couldn’t be true. I didn’t want to accept the pain or the death.

He just called me a few hours ago, and I missed the call. Every day of my life, I wonder what he would have said. The last words to leave his lips. Was there something I could have spoken to change his mind? Rewind time and make it go away. Suicide not only affects its victims but affects millions of people each year. All are wondering the very same thing I have wondered for countless hours on end. Could they have made a difference?

The same dream replays in my mind repeatedly. I don’t know if I’m awake or asleep anymore. Kyle, my brother, and I are running through our neighbor’s cow field. Sunset passes over the trees, and beautiful yellow beams of light pass through the leaves. Everything passes in slow motion, and I watch myself running; I turn around and yell to my brother, “hurry up, come on, Kyle” as I reach out to touch the soft grass blades, letting them scratch the surface of my hand. Kyle appears from around a tall oak tree, yelling after me to “wait up” I smile and laugh, and we run off together into the field beyond the sunset. Then I wake up, and he is gone. Everyone grieves in different ways, be in the moment and remember the beautiful life.

Suicide affects the victim’s life and everyone who loves that person. It is a negative trickling effect on family, friends, and the community. Many of them are left asking themselves, “Why.” You may start with a feeling first of initial SHOCK, with total numbness, and inability to function. Often followed by DENIAL of the facts of the demise or the overall death. This can be both alarming and difficult because we often don’t know the facts and are left with too many unanswered questions.

Many times, this is followed by GUILT. I know I felt a pang of extreme guilt after my younger brother’s suicide. You are feeling the need to protect them and that I failed at that. Desperately I wished I had heard the phone ring. I don’t think anyone could ever imagine what contemplating suicide or suffering through suicide feels like. Just imagining is painful enough.

We of course feel SADNESS, the dark wings that are spread over you that you fight to get out from under. Or maybe you don’t, maybe the sadness is too much, and you give in. Don’t fight these feelings, because fighting them only prolongs the process. Facing it hurts, but trust me, hiding from it hurts more in the long run. It is human nature to blame oneself when dealing with a tragedy, rather than accept that some things are out of our control.

Sometimes we feel ANGER, mad that it happened, frustrated that they seemed to let it happen, and overall rage that we couldn’t stop it or grasp an understanding of how it even came to this. How this person felt there was no way out. That saddened me for my brother, and others like him, because they felt trapped within their own minds. Unable to escape a pain so deep that they could not bare another breath or one more beat of their heart.

Lastly, usually, and in your own time, you will feel acceptance. Accepting that they’re gone, admission of your feelings, and acknowledging that some things are out of your hands. You cannot control anyone or anything, but yourself and your own actions. You can choose how to respond, you can choose to get help, you can choose to work through your feelings and find hope. I can’t give you a secure timeline of how long you will walk this road, I can’t even promise the pain will go away.

It’s been eight years since my brother took his own life and two years since I tried to take my own. The pain is still there, I shed tears for my loss and sadness and feel disappointment and anger life has taken me down this path. But I keep going, I keep working, whatever I can do, and try to make the pain lessen with each passing day. I grow stronger, and brighter and gain a better understanding of why what happened did.

Helping others always helped me, seeing something in someone I once saw in myself and knowing ways to help them is an enormous spiritual uplifter. Find what it is that helps you, spread the word to end mental stigma, speak out and speak up. Don’t fight this battle alone when there are so many like you that can help lighten the load. There are people all over the world that could learn something from your struggles. Maybe it will ease their pain for them. Seek out the light, among the darkness. You are not alone.

*Please be advised that I’m not a doctor, but a survivor. You should always seek help from a licensed practitioner. Below are great sources for help and information.

The author, Ashley Cote, is a single mom, born and raised in New England, in a small town in Vermont. After attending college for nursing, she found that writing was her true love and passion. She has two beautiful daughters who inspire her creativity in writing every day.

Every Day Brings Something New

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I’m writing this post on the heels of what I wrote earlier this week, about the challenges of setting goals. I don’t know how, but in the last few years I’ve become fascinated with the concept of goal-setting. It might be the aspirational aspect of it, of self-improvement and wanting to get better. It could be that I enjoy the boost of serotonin I get when I accomplish that goal (however big or small). But I think what outranks all of that is how my goals remind me of who I am and who I want to be.

When it comes to my mental wellness, one of the most important things I can do is remind myself that I’m a person. I’m a living, breathing, doing-things-and-living-life person. Life has a way of remembering for us but I appreciate the ability to remind myself, too. The reason this is so important to me is because in the doldrums of every-day life, it can be easy to forget.

Our uniqueness can be lost or forgotten not only by others, but also ourselves. There are many ways I could describe who I am and what I’m about but above all, I’m a person. Not only that, but I am unique. I’m unique in my personality, in my likes and dislikes, in what I’m passionate about and what I choose to do. And that matters.

This uniqueness also means that my goals are unique. The things I want to accomplish, the goals I want to set and meet are unique to who I am and what my life is like right now. My goals don’t have to be realistic for anyone else except who I am, in this moment. And just like other habits and techniques for my mental health, these goals can change.

I know I can sound like a broken record at times, but that’s for a good reason. For many people, mental health is a challenge we face every single day. We face a challenge of getting out of bed in the morning. We face a challenge of choosing to engage with the world, even when we don’t know if we’re up to it. We face a challenge of acknowledging when our mental health is in a bad place, and when we need help.

All day long, people face challenges that they can either engage with and ignore. For people experiencing mental illness, the luxury to ignore isn’t always possible. There’s a chance that I accomplish my goals for today. That I can do everything I set out to do despite the ways my mental health might challenge me. But in the same way, there’s an equal chance that those challenges will exist again tomorrow. That’s why I lean on who I am. I lean on the person I want to be, and the person I am now. Mental illness can depersonalize us, it can make us not feel real. But I am, you are, we are, and we’ll continue down this road together.

"Always be a first rate version of yourself and not a second rate version of someone else." - Judy Garland

Mental Health and Complacency

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There have been many moments along my mental health journey where I’ve felt like I’ve failed. I don’t quite know how I’m failing or in what way, but I feel that I am. There’s a sense of impending doom, a fear that I am not living up to my potential, that I’m not accomplishing enough. Enough what? you might ask. To be honest, I don’t know what to tell you. This desire to be enough, to do enough isn’t only tied to what I’m hoping to gain. It’s also about what I’m hoping to avoid. There’s a fear of complacency about my mental health that I never want to test, and that is what I’d like to share today.

What does it mean to be complacent?

Complacency is a challenging word for me. It’s one of the many concepts that are difficult for a young person to grasp, despite how often people use the word. From what I could tell, I was trying my hardest at the things I tried growing up and avoiding complacency. I played sports, I tried my best in school and I tried to take something from the hobbies and activities I wasn’t as talented at.

But in those younger years, the idea of complacency never came up. It was when I was older that I heard adults talking about it, about the desire to to never settle. Complacency breeds failure, I was told. Being complacent will get in the way of winning. The fears of complacency were drilled into me as a teenager and young adult and I think these effects still resonate with me today.

I understand that there are plenty of areas in life where it’s not good to be complacent. That desire to strive and be the best at what we do is understandable. But what about in our mental health? What does it mean to be complacent with our mental health, and is that a good or bad thing?

What complacency means to me

Many of us have worked hard to get where we are with our mental health. It’s taken days, months and years of learning, understanding and trying to grow in ways that help us live healthier lives. We find what works and learn what doesn’t, but each new thing we learn is valuable. If I find something that works for my mental wellness, I want to build around it and make it part of my routine. I want my mental health to be as consistent as possible but given all I’ve been told in my life, that sounds eerily similar to complacency.

Maybe, just maybe, it’s not about complacency at all. It’s possible that mental illness can exacerbate my fear of complacency, or get in the way of it. I confuse a lot of things in life with anxiety and depression, and vice versa. It’s affected my relationship with happiness and joy, fear and panic. It’s changed how I see agitation and aggravation. But that’s okay. It’s all part of me. If I keep that desire to figure out my mental health challenges and move forward, I know I’m not being complacent. I’m simply doing the best I can with what I have which in my mind, is the opposite of being complacent.

Now, over to you! Do you have any sort of feelings about the word complacency? Is it a useful word in your life or (like me) do you struggle with it? Let me know in the comments!

"People who say it cannot be done should not interrupt those who are doing it." Quote from George Bernard Shaw over a photo of mountains.

Sitting With Feelings That Won’t Go Away

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After writing earlier this week about how my mental health catches me off guard, I wanted to build on that message and have some tips and techniques for people to use when the same thing happens to them. But before I could dive into that, I had a few thoughts that were nagging at me. I understood how these things catch me off guard, but I couldn’t understand why. Doesn’t everyone have thoughts that distract them? I’d guess that some of the thoughts and feelings I struggle with are similar to ones that many people have. So why do they have such a big impact on me? Before I can tackle the how, I needed to tackle the why – which is what I’m writing about today.

Dealing with depression and anxiety often involves dealing with intrusive thoughts on a regular basis. I’ll be going about my day, maybe getting lost in a task at work or one of my hobbies, and then a thought will pop into my head. Most of my energy is spent dealing with the thought itself; I do some thinking about whether or not the thought is true or accurate. Sometimes it’s decoding a thought to realize it’s not even rational, or the fear I have is logically impossible.

But what often sticks with me isn’t always the contents of the thought I have. What tends to stick around are the feelings that these thoughts have instilled in me. I don’t always remember the thought process that made me feel sad; all I know is that in that moment, I’m sad. The same goes for times when I’m feeling anxious, restless or depressed. The feeling lingers well beyond these thoughts. If I’m not vigilant, those feelings can fester and grow much stronger simply by refusing to go away.

I think a big part of why these feelings linger, and why I feel so caught off guard sometimes, is that I don’t always accept what’s happening. Even after a decade of dealing with anxiety and depression, my brain’s instinct is still to reject any unpleasant or unwelcome thought that pops into my brain. My first instinct is to try to get rid of the thought as quickly as possible, and to get rid of it on my own terms. It’s a fight-or-flight response that does the opposite of its intended effect. Rather than making the thoughts/feelings disappear, the instinct of rejection allows them to stick around longer than they would have, creating a cycle that feels impossible to manage.

Writing this also got me thinking about the role fear plays into our mental health. Fear of the unknown (which I’ve written about before), but also fear what we’ve already been through. Sometimes, my intrusive thoughts can remind me of an unpleasant or unsuccessful experience with my mental health and it can bring me back to that time. I feel stuck or lost in that moment, and I’m terrified of being back there again. Understanding why things impact us is just as valuable as how they impact us and the more we reflect on that, the more we learn – about our mental wellness and about ourselves.

At A Moment’s Notice

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It happens every so often: I’ll be having a good day, minding my business and enjoying myself, when a thought pops into my head. Sometimes it’s an anxious, irrational thought. Other times it’s a negative thought about myself, one that I’ve likely had a hundred times before. It doesn’t matter what the thought is, really; what matters is whether or not I engage with it (or them, if the thoughts are persistent enough). This daily challenge can change things for me in a moment, and it’s what I want to reflect on today.

Here’s an interesting fact from the Cleveland Clinic: Every day, your brain processes about 70,000 thoughts. That is a wildly high number, especially considering there are 86,400 seconds in a day. If you get the standard eight hours of sleep, you’re talking about more than a thought per second.

And that’s where the trouble comes in. When it comes to negative thinking or thought spiraling (which I’ll share more about next week), all it takes is one thought we get stuck on, or pay more attention to than we should. All it takes is a moment of rationalizing an irrational thought and suddenly, our brain is off to the races. This doesn’t mean our actions are always impacted, but such a big shift in our thought process could change the outcome of our day. If it happens over and over again, it could start to shape the way we see the world – and ourselves.

I’ve learned a lot of things when it comes to dealing with mental health challenges. No matter what they are, each thing comes with a varying degree of difficulty. They can be very clear things to learn or very difficult things to process, but it’s always a challenge to figure out how to go forward with what I’ve learned. Some things are harder to accept than others, and some take more time. Even though I’ve gotten better at dealing with it, the idea that a single thought can distract me and interrupt my day is something I still struggle with.

At a moment’s notice, my day can go from nothing special to challenging. And it’s all because of a momentary lapse in dealing with one of the thousands of thoughts we have every day. It can distract me from interacting with the people I love, or a good conversation I’m having. It’s something I can get stuck on while trying to do other productive things. Even though there are so many times I successfully deal with some of these thoughts, all it takes for me to lose focus one time, and my brain is headed in another direction.

We do it every single day, but processing thoughts isn’t always as easy as it sounds. All it takes getting stuck on one or two thoughts to interrupt our flow, and then we face a challenge. Either we engage with these thoughts and try to figure out how to get out of that thought process, or we lean on what we’ve learned about ourselves to move through them. It’s a challenge that comes to people every single day at a moment’s notice, and it’s something I hope to learn more about and grow from.

Have you ever had a thought pop into your head that you knew would lead you down a rabbit hole? How did you (or do you) deal with those thoughts? Let me know in the comments!

Learning and Growing in the New Year

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Happy New Year! I’m sure you don’t need to read another post from me about how I feel about New Year’s resolutions; I can save that song and dance for another year. Instead, what I’d like to focus on today is how I’m hoping to approach the year: what I can bring to the table, how I’m hoping to grow, and trying to build on what I’ve learned about myself in 2022.

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A Gentle Reminder To End The Year

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My last post of the year is usually one of my shortest ones. It’s a simple message, but one I wish was spread more this time of year, so I try to reflect on it at least once during the month of December. I don’t know about you, but this year certainly had its share of ups and downs. There were a lot of good moments, but there was also a lot of times that were painful and sad. So I want to remind everyone reading this that no matter how your year went, no matter what things may or may not have happened, you did enough.

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Calling Out for Change

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TW: this post discusses suicide and suicidal ideation.

Before I write about a post that discusses suicide, I breathe a big sigh. I try to hold back my own personal emotions because I need to focus, but the shadow of depression hangs its head over me. Because this thing is so hard. It’s so hard to sift through all the feelings and emotions that come with learning the news that someone has died by suicide. There are a million different directions that news can take your brain and what you start thinking about. But after ten years of living with depression and having experienced suicidal thoughts and suicidal ideation before, I get sad. Sad and frustrated.

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Getting Back to the Present Moment

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Earlier this week, I reflected on some of the challenges of going on autopilot. Though it can be helpful when I’m dealing with anxiety and depression, going on autopilot can also make things more difficult. I can get too focused on accomplishing my goals, and rush into doing something. I am not always the most decisive person (and I know my friends and family would agree), and being on autopilot often exploits my indecisiveness. I tend to feel best about my decisions when I am in the present moment, I understand what’s in front of me and I know the various possibilities. That being said, it’s not always easy to get back into the present moment, and I’d like to talk about that today.

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