If you are in distress, you can call or text 988 at any time. If it is an emergency, call 9-1-1 or go to your local emergency department.

Estimated reading time: 4 minutes

This fact sheet was published in 2023. The data may be out of date.

Living with dementia, people are often stigmatized by mental decline and the perceived inability to do anything about it.

What if I told you that there are certain tried-and-tested stimulating activities to delay mental decline?

Working as a registered nurse in geriatric nursing care for nearly 40 years, I’ve been implementing different strategies into my practice. Among my top priorities has been identifying and implementing activities for delaying cognitive decline.  When I became a director of nursing care, I started incorporating them into our training sessions with nurses so that they could learn how to help seniors on their way to mental well-being. Now, I will gladly share these beneficial practices with you.

Follow me in this article, and find out how to boost mental health in senior years, and encourage your patients, relatives, or friends with Alzheimer’s disease or other dementias to try these six essential activities.

6 Scientifically Proven Activities to Delay Cognitive Decline in People with Dementia

1.     Reading

A healthier brain with proven memory enhancements is one of the most valuable benefits of reading. This activity can stimulate cognitive skills, save memory, and can actually help to reduce decline in brain power, according to research. Studies demonstrate that people who participate regularly in activities that provide mental stimulation such as reading had a rate of cognitive decline estimated at 15 per cent slower than those who did not.

It’s beneficial to be familiar with the reading abilities during different stages of dementia to identify suitable material,  as well as the appropriate time and the amount of reading. That’s when a habit tracker may become handy to plan the times for reading and journal the progress.

2.     Crossword puzzles

According to the research, crossword puzzle participation improves cognitive reserve and slows down accelerated memory decline by roughly 2.5 years.

You may find interactive brain-boosters at the dedicated page of the Alzheimer Society of Canada including games of word search, brain-challenging crosswords, sudokus, among others.

3.     Art therapy

Supporting older adults with Alzheimer’s, a guided therapeutic process that includes both a psychotherapy element and an art element may be a key method to helping people stay mentally sharp longer.

Our brains “love” arts and crafts. Based on scientific research, art therapy has been shown to help prevent rapid cognitive decline in the elderly with dementia. It’s worthwhile to try the following art therapy techniques:

  • Painting
  • Music
  • Dancing
  • Knitting
  • Photography

4.     Cooking

Cooking is one of the activities for Alzheimer’s patients that can spark memories and can ward off dementia. The research during brain-activating rehabilitation for elderly residents with dementia demonstrated how a cooking program can not only help them maintain their executive function but also decrease the symptoms of this disease.

5.     Yoga

Yoga is a go-to activity when we talk about striving for better mental and physical health and reducing long-term decline in the cognitive function of people who live with dementia.

Age isn’t a barrier to do yogic exercises. Here’s a list of helpful tips, when it comes to yoga for seniors:

  • Select an appropriate yoga type for a person with Alzheimer’s
  • Prepare the needed gear and clothes
  • Create an atmospheric setting with pleasant scents
  • Start slow with the beginner poses
  • Do yoga together, as meaningful connections and peer support matter

6.     Running and exercises

It’s never too late to start running (in moderation, of course): at 50 or even beyond. Success stories of 50+ aged runners demonstrate  that.

As running and workouts protect aging brains from dementia progression (taking into account exercise dosage, mode, intensity, and duration), regular exercises in the fresh air are highly beneficial. Make sure you organize safe outings for a run or a simple workout, especially when you’re caring for older adults during COVID-19.

Final Word on Stimulating the Brain and Slowing Down Mental Decline

Stimulation of brain power and attenuation of cognitive impairment in Alzheimer’s patients can be successfully achieved with the six activities backed by science: reading, puzzles, art therapy, cooking, yoga, and physical exercises.

Additionally, consider some other good practices for improving seniors’ mental health. You might also want to take the MHFA Seniors course to learn more about aging, cognition, and dementia (with its symptoms, risks, and behaviors) to provide better assistance for those in need.

After the murder of George Floyd, and further acts of anti-Black racism and discrimination, many African, Caribbean, and Black people came forward — online, in mass media, and in the streets — to advocate for justice and change. Yet, for some, carrying the torch gets heavy as movements evolve and injustices continue. Finding the activism that’s right for where you’re at.

One of Melicia Sutherland’s earliest memories was from the day a teacher called her the n-word. She was in Grade 2.

“I was outside during recess, and I remember the teacher saying, ‘Everybody come inside now,’” Sutherland said. “The students were entering through the large doors, and I was next in line. The teacher slammed the door in front of my face and called me the n-word. I didn’t know what that word meant. I just felt like I did something wrong. Otherwise, why would this grown-up close the door on me and let everybody else inside?”

Sutherland recalled feeling a gamut of emotions while returning home from school: anger, embarrassment, shame. But later, curiosity arose after she asked her mom what she thought the teacher meant. “My mom was like, ‘I don’t know,’ and we kind of left it alone.”

Becoming the other
If only it was that easy. In the face of constant reminders of her Blackness, there was actually no way for her to leave it alone. After her experience with the teacher, she realized that she’d sensed something like it as far back as kindergarten, when she felt separated from the other children physically and psychologically.

That was in 1989, when at age five she moved with her family from Montego Bay, Jamaica, to the Toronto suburb of North York. Immediately, and for the first time, she had a sense of being an “other.”

“Teachers would take me out of the classroom and play with my hair while other kids were learning the alphabet,” she said. “I’ve always been like this little Black doll that non-Black people wanted to play with.”

Living with discrimination and the experience being treated as other eventually led Sutherland to realize the importance of seeking social change. “As I got older, and as I was trying to create and maintain a certain character and value system for myself, I reached the point where I had to become an activist,” she said. In the summer of 2020, Sutherland joined the Remember The 400 march in Toronto, motivated by the quest for justice for the killing of George Floyd.

She has still not seen the nearly 10-minute footage showing how he lost his life at the hands (or knee) of a police officer. For her own mental health, Sutherland intentionally stepped away from the 24-7 news cycle about the incident. “I was being bombarded with images and people were sending me videos. I don’t want to see anybody die; it hurts my soul. I came off social media because it’s not good for my mental health,” she said.

She also believes this act of self-care does not diminish her activism.

“It’s self-preservation. I don’t like those things because it becomes like Black death porn. People want to see it, and this kind of voyeurism happens, but I’m not here for that. So yeah, I’ve never seen the video, though I wanted to be a part of something I thought was going to bring significant change.”

And, while traumatizing, the response to anti-Black violence — seen, heard, and felt in the media and within African, Caribbean, and Black (ACB) communities — has also helped make a difference. According to a peer-reviewed National Academy of Sciences study, Black Lives Matter (BLM) protests have broadened the social conversation on anti-racist topics.

As the research showed, street demonstrations were an important first step for creating social change and shaping how people think about racism. Protests have also helped redefine the ways people learn and consume information about Black communities as they seek to reconcile issues about race and police violence. In addition, the study noted how individuals are showing up and re-making their own activism against racial inequalities.

At the same time, activism isn’t a one-size-fits-all proposition. The “active” part of activism doesn’t need to be direct or even active. Nor does it always mean marching, holding picket signs, or chanting the need for social change.

Sutherland’s activism “has always been through the arts, through spoken words, through language, through visuals — even doing hair. It’s not just marching,” she said. “What changes things is engaging at the ground level. It’s what you do in your immediate community, in your family, and with your friends and neighbours.”

Disengage to re-engage
Nicole Franklin, a registered social worker, psychotherapist, and clinical director and founder of Live Free Counselling and Consulting Services in Toronto, shares that belief. Since 2017, her Black-led, Black-owned organization has helped fill the gap of too few Black therapists in racialized communities. It has also provided education and training in Black mental health. For Franklin, “Black resistance” involves Black people’s everyday acts of resistance against white supremacy and colonialism within the political, economic, and social systems that push ACB communities to society’s margins. Such resistance is diverse and can take many forms, whether in classrooms, boardrooms, or on the streets. “Black people access self-care through joy, art, dance, passing down recipes — even cooking, which can also be an act of self-care and community care,” she explained. “This is the stuff we don’t talk about enough.”

While there is a diversity of forms, Franklin is quick to mention that continuous resistance can be counterproductive. “We shouldn’t always have to be resisting as Black folks. We also have the right to just be. Disengaging or tapping out can allow you to reconnect with self and the community, because part of activism is knowing when to pause and take a rest. Ask yourself what brings you joy? What ignites your creativity? It is our birthright to re-imagine oppressive systems and to have safe spaces to thrive rather than just focusing on surviving,” she said.

“Being Black can sometimes carry heavy expectations to be a spokesperson for BLM and similar movements on behalf of the entire Black community. Black people are not a monolith, and it’s not our job to teach co-workers, peers, or others when we don’t feel safe, ready, or able to engage in these conversations. (Plus, we are tired!) Black folks require safe spaces to respond on our own and must not forget to celebrate Black excellence and Black futures.”

For Sutherland, that means authentically and unapologetically embracing the freedom to explore her Blackness, including her “dark skin, kinky hair, thick lips, almond eyes, and full cheeks.” That said, her activism in her east-end Toronto community — which includes running leadership programs and facilitating violence intervention programs — supports all shades and colours, not only Black ones.

“People are always like, ‘Oh, Mel, you’re so pro-Black.’ I don’t want to carry the burden of representing my race because, and I say this with a gentle heart, skin-folk don’t mean kinfolk,” she said. “Many of us are Black and don’t at all share the same values, the same ideals, or the same goals. I don’t want to feel like I’m representing my entire race. I’m not a Black supremacist. I can’t stand white supremacy — why would I support Black supremacy? It’s weird. Thinking you’re better than anybody else is a weird thought process to me.”

Melicia Sutherland

Melicia Sutherland

One of Franklin’s goals in her therapy and community wellness practice is to support Black clients through their experiences of racism and racial trauma by developing action plans while validating their feelings and letting them know they are not alone. But she also stops short when it comes to Black people carrying the burden of anti-Black racism on behalf of the entire race.

“Racism, which is often internalized, impacts our mental health; it should be viewed as systemic issue, not treated as a personal deficit. I don’t think it’s always our responsibility to be out in the streets or online educating people all the time,” she said. “Sometimes all one can do is just be. Rest is also an act of resistance.”

Like the diversity among Black people across Canada, there are many ways for a Black person to decide how to participate in activism — and in their own self-care and community care. The overwhelming, traumatizing, and tragic events in the media around anti-Black racism involves radical transformation and cannot be sustainably or justly carried on the shoulders of individual Black people.

Activism for where you’re at
Angelique Benois, an advanced practice mental health nurse, psychotherapist, mental wellness consultant, and the director of Nurturing Our Wellbeing, recommends that the ACB community strike a balance between staying informed and internally absorbing the news on anti-Black violence.

“I strongly advise that, when people get informed about world events and receive media updates, that they do so with intention,” she said. “Because we are exposed daily to events that can cause emotional turmoil, our self-care practices need to become part of our lifestyle.”

In describing the way our mind and body can hold onto these images — and eventually let them go — Benois said, “It goes back to how our brain works. One of the many things our limbic system is responsible for is storing our memories and helping to assign meaning to them. By storing every racial aggression we’ve witnessed, every harmful event we’ve experienced, it has the potential to influence any of our future decisions and encounters, including our regular daily flow. As we become clearer on how certain internal mechanisms and systems in our body influence how we feel, think, and act, it starts to make sense how certain self-care practices could create a shift in outcomes.”

Franklin echoed this idea in terms of how each of us can re-evaluate what self-care means individually, apart from any commentary or criticism of what activism “should look like” from an outsider’s perspective.

“Redefining what self-care means is built within community care and is about healing ourselves and our Black communities. It doesn’t always have to be loud actions. Everyday underground acts of resistance are also important,” she said. “And for Black people, the self-care conversation goes far beyond discussions about ‘spa days’— it’s about engaging in social justice and taking time to rest. We need to bring new realizations to the exploration of self-care and community care, while allowing space to reimagine post-colonial worlds. As a Black woman, I feel one of the strongest things we can do is learn how to take care of ourselves and our mental health, while supporting one another and working together toward change.”

For the next generation of ACB activists, this is the self-care advice Sutherland gives and practises herself — including showing up for fellow members of the ACB community. “I feel like that’s the best way I’ve been able to maintain a healthy mentality and make sure to be around allies because I don’t want to have these ‘everybody hates us glasses’ on.”

I asked Sutherland what she would say to the teacher who called her the n-word if she could travel back in time.

“I would say, ‘It’s not right, but it’s OK,’ like the famous Whitney [Houston] song. At that time, I didn’t even know what that word meant. But I understood the intent: it was to hurt me. Words for me are very powerful and I take them to heart.”

Author:

Further reading:
Black Like Whom? Why we use ‘ACB’ over ‘Black’ from the Mental Health Commission of Canada.

Inset photo: Melicia Sutherland. Credit: Juanita Muwanga

Years ago, when my depression was quite bad, I had wished for simplicity in some of my weekly errands that would allow me the least amount of human interaction. Get in, get out, and get home. This was long before I saw my first self-checkout machine, when I, like everyone else, no matter how we were feeling, had to engage in polite conversation with a complete stranger. Those interactions on difficult days often made me anxious.

When my dad and I go to the grocery store together, he comments on the self-checkout section, grumbling about “these machines” and how impersonal they are. He goes on about how annoying they can be with their robotic, “please put item in bagging area,” and how “these machines” have a negative impact on the workforce.

And he’s right. These machines are impacting jobs. But while he goes on about how terrible these machines are for people who need to work, I am silently happy for their existence. It’s not that I am anti-worker, far from it. However, “these machines” make my grocery shopping experience bearable, especially during times when I’m really struggling with my depression and my ADHD is on hyperdrive from sensory overload.

When I’m at my lowest, it’s hard to hold a conversation, especially with clerks, servers, and baristas. I don’t want to be rude, but small talk has never been my thing, even with people I like, and it’s almost painful to participate in such conversation with a stranger when I can barely function. The self-checkout aisle can get me in and out fast without having to engage in clichéd observations about the weather or how we feel about a specific day of the week when all I want to do, is curl up with my cat and binge on ‘Veronica Mars’.

And while I explain this to my father, he doesn’t seem to understand. He wants to; he really does. I’m lucky that I can talk to my dad about my mental health and how mental illness can affect each person completely differently it is still difficult for him to connect the dots on how an autonomous machine enables me to go out and get what I need. And I understand where he’s coming from as well, because people who aren’t living with mental illness don’t see things the way we do or are affected by the ‘normal’ routines of daily life in a way that can often sap our energy.

Stores can be stressful for those of us living with mental illness. Picture yourself in a 10’ X 10’ room, standing under the brightest lights you can possibly imagine, add in about 10-15 other people, a dash of strong odours, and a cacophony of bells, music, and voices. If you are able to picture this, you might understand why grocery shopping can be a little overwhelming when you are neurodivergent.

That is why I have modified how I approach some of my daily tasks, like grocery shopping. I shop early to avoid crowds (and I mean EARLY!), I know what I need when I go to a store to avoid becoming overwhelmed, and I use a self-service checkout machine as my safe space. Here are a few other tips for shopping:

  • Order groceries or supplies online for delivery if possible.
  • Avoid long trips by breaking up your visits.
  • Make your shopping list according to the layout of the stores so you can go in order and avoid back tracking.
  • Use earplugs or listen to your favourite music while shopping.
  • Try peppermint candy when feeling stressed.
  • Give yourself permission to leave if things go unexpectedly.

Figure-eighting through pain into possibility

This story is the last in the Mental Health for the Holidays series. While end-of-year celebrations can be a time of joy — they can also trigger feelings of stress and loss. Read the collection to learn how others were able to meet those challenges.

In 1984, I started skating again.

I’d skated as a kid, but this was more. This was devotion — eventually, obsession — that came after years away from the ice, having rejected sports because of what it represented to a kid into punk rock, politics, rebellion, and art. Sports was the status quo and the domain of jocks. It was a mainstream opiate and a place where men and women — mostly men — went to behave badly. But skating. Skating was different. Skating was an easy return, shorn of contact or competition.

I began under the lights of Valleyfield in Etobicoke — even the name sounded comforting and bucolic in sub-zero temperatures — and moved to rinks around the city: Weston, Rosedale, Ramsden, Dufferin Grove, Regent Park. I skated the city, even writing a story on it for the Toronto Star about how one could travel east to west across its frozen surfaces, like Burt Lancaster’s The Swimmer but in winter. I bought a pair of used skates, then another, and then a new set of Bauer 300s, bragging about my latest, best purchase to anyone who’d listen. 

At first, I didn’t think skating was helping my head as much as it was helping my body, making it come alive in new ways and new settings: chugging against the cold and wind and working up a sweat while moving, a new concept for someone who’d suffered through the relative inertia of sit-ups and crunches. With skating, exercise was about constant motion eating up every inch of ice. And even though I wasn’t the kind of rink rat who imperiled kids with their looping O’s or berated older, slower skaters for getting in the way of their slaloms, the rest of the world dripped away. I felt free and good, even at my casual pace. My blood felt hot against the cruel wind, my legs deliciously sore after skating laps till nearly midnight, when someone blew a whistle and the gate shut.

Skating was partly about the pure joy of movement and partly an act of nostalgia meant to recapture those times before my world was complicated by having to choose between sports and music. I’m 59 now, but I still feel reborn into the young world while icebound, trying to get at growing up again, then again, and again. The truth is, it’s a melancholy act — if it had all gone so well the first time, I never would have stopped — and because I learned soon enough that being active also helps your head, skating fed my imagination and sense of memory. Yet where it led wasn’t always my frozen pond romance or youthful bliss. It also returned me to my most difficult years.

ornamental candy cane

When it came time for me to write another book in 2013, my love of the ice pointed me back to something that happened in Grade 7 at Dixon Grove Junior Middle School in Etobicoke. That year, I was bullied by a taller, bigger kid named Roscoe (not his real name), who savaged me every day after class. I was too humiliated, and terrified, to tell anyone about it, even though he often preyed on me on the school grounds, in full view of students, teachers, and passers-by. No one ever stopped and wondered why that kid was sitting on the other kid punching him in the back of the head. Maybe some thought it was just what kids do — not untrue, sadly — but why no teacher ever did so became more troubling the more I dove into the memory. I used all of it as a framework for the book Keon and Me, where I tell the story of that year in alternating sections — one, in the third person, from the perspective of me at 11, and another, in the first person, from the perspective of me in my 50s, looking back. I was grateful that skating had delivered this creative idea to me at the expense of having to relive the stress, pain, and anger that came with reconstructing those times. I’d tried to make art through a discovery of this nostalgia. But nostalgia often uncovers the raw truths of the past while celebrating the best parts of being young and simple and new to the world. 

Even though skating — and now, hockey (two or three times a week for the past thirty years) — is a beautiful way to keep moving, it’s also a place where I go to think. This may push against one’s natural impulse to find a pretty open space and let your thoughts reel, but I find that when I’m moving and playing doors get unlocked and windows are cracked open. I think with a kind of freshness brought in by the cold arena or outdoor rink, and my consciousness is freed by having to dwell on nothing other than the joy of play. Ideas for songs and stories — melodies, narratives — find me when I’m on and off the ice, sitting on the bench waiting for a shift or lining up for a face-off after the play has been whistled dead. Softball, tennis, golf, basketball — I’ve done all these things. But none of them has teased out or produced new ideas the way hockey has. I think everyone has something that gets them to this place — playing the cello, knitting, cycling, alphabetizing your albums — and this is what works for me. I’m grateful I found it, and grateful it found me.

I won’t skate forever; no one does. But while most will lament each year’s turning calendar page — in COVID times, the winter’s dark and cold is ominous for those who must avoid indoor groups to avoid the risk of infection — I’ll look forward to the cold because, for me, its arrival has always meant the promise of ice and the expectation of play. The ground will freeze and smoke will rise out of rink houses.

I’ll be skating again.

Author: is a founding member of the Rheostatics, the author of 13 books, a three-time National Magazine Award winner, and the publisher of the West End Phoenix, community newspaper in Toronto.
More resources to support your well-being over the holidays:
How to Give Back (or Reach Out) This Holiday Season (Mental Health Commission of Canada)
Five Ways to Protect Your Mental Health This Holiday (Canadian Mental Health Association)
This resource was published in 2022. The data may be out of date.

Estimated reading time: 4 minutes

Even children can struggle with mental health challenges. But how do you explain mental health to children in an age-appropriate way? It’s got to be engaging, it’s got to be fun, and it’s got to be relevant. My 10-year-old son gets a lot of mental health messaging from me, his “StigmaCrusher” mom, but I’m “just his mom” so I lean on the power of media.

While their older siblings may turn to TikTok and YouTube for information about mental health (with sometimes questionable success), you can reach younger children through books and movies that you can watch together. It’s a good idea to preview the story and make sure the information is sound and the messaging is appropriate.

So, here are my top 5 recommendations for movies for the 5–10-year-old set that inspire teachable moments about mental health.

  1. Inside Out
    You knew it was coming. This Disney Pixar movie about the inner life of a 11-year-old Riley features the five basic emotions personified – and depending on the age of your little one a variety of conversations can follow. Whether they need help identifying their feelings or are starting to question the subtle interplay of their emotions (like Riley learns to do in the film) Inside Out is the quintessential film about childhood mental health.
  2. Finding Nemo
    Marlin is struggling with grief and anxiety, Nemo is on a journal of self-discovery, the sharks are in treatment for addiction, Dory is working with ADHD and memory loss and Gill can be talked about in the context of depression. This action-packed feast for the eyes is full of conversations about mental health and mental illness (just search “Finding Nemo and Mental Health” if you don’t believe me!) that even the youngest of viewers can understand – and with entertaining characters and a quick-moving plot even parents will look forward to revisiting it again and again as kids grow up.
  3. Frozen
    “Be the good girl you always have to be/ Conceal, don’t feel/ Don’t let them know” – Frozen is an excellent portrait of mental health stigma and the gradual overcoming of self-stigma.  Kids know when they’re “different” and so do their classmates and friends. And when that difference is a mental health issue – theirs or a family member’s – the stigma against mental illness can cast a shadow of shame causing them to conceal what they are going through. As Elsa learns that what makes her different isn’t bad, but very manageable (and even a superpower sometimes!) kids of every age can relate to their own struggles.  Beautiful princesses, likeable characters and a killer soundtrack keeps everyone entertained.
  4. Christopher Robin
    Eeyore is sad, Piglet is worried, Tigger is hyper – the world of A.A. Milne is a treasure trove of mental health archetypes.  By entering into that world through the tale of Christopher Robin, children and adults alike are invited to join Pooh and the gang in helping the titular character find himself by escorting them back to 100 Acre Woods. With enough plot to keep older children and adults engaged, and the timeless characters to mesmerize the younger set, this film sets up conversations about feelings, friendship and growing up.
  5. Up
    Grief and loss are aspects of mental health that we often don’t think of young children as experiencing – but they do, in so many ways. Whether it is the loss of a loved one, a beloved pet, a cherished toy or even through moving homes or schools, children experience loss and grief and are often ill-equipped to work through it. Up is the story of one man overcoming loss, grief, and disappointment not by “smiling through it” but through true catharsis and working through it, showing children that the journey of recovery is long and hard, but well worth it in the end.

Honourable mention: Ron Gone Wrong

  • This one is less of a blockbuster but no less worthwhile than the other entries in this list. Tackling the issues of poverty, self-esteem, bullying, social media use and friendship, Ron Gone Wrong is funny, poignant, and distinctly on-trend for technology-obsessed youth. Our little digital natives are growing up in the age of TikTok trends and in a world where Apple and Android have replaced Fisher Price and Tonka, and their mental health does and will depend on their ability to navigate a digital landscape. This movie is a gateway to starting these conversations before algorithms take over their social feeds.

These aren’t the only stories that will prompt great conversations with young people about mental health – in fact, whatever the teachable moment you are looking for, I am willing to bet you can find it with a little detective work.  But if you are looking for a place to start, I highly recommend them for their accessibility, entertainment factor, relatability, and wholesome fun. 

Happy watching! And if you would like to comment on this post, please feel free to reach out.  

stigmacrusher@gmail.com

http://linkedin.com/in/jessicawardking

http://twitter.com/StigmaCrusher

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http://instagram.com/StigmaCrusher

This story is the second in the Mental Health for the Holidays series. While end-of-year celebrations can be a time of joy — they can also trigger feelings of stress and loss. Read the collection to learn how others were able to meet those challenges.

I often hear people say how much they hate New Year’s Eve. But I love it, for one simple reason: it’s not Christmas. The relief! On New Year’s Eve, you have options if you want to glam up for a glittering soiree to pop champagne corks, wear festive hats, and sway with strangers to Auld Lang Syne. If you’d rather stay home in your pajamas, binge-watch TV, and head to bed early, no one will judge you for it.

Christmas, though, is a different crock of mulled wine — the expectations are many, as are the possibilities for conflict and emotional pain. I wouldn’t say I anticipate it as I would a root canal, but a cleaning or small filling wouldn’t be far off. While it has to be done, as it’s happening, oh how I wish the slightly painful, tedious process was over.

Why, you ask? The truth is, I actually have many fond and happy memories of Christmas from childhood. I had secular parents who emphasized the holiday, not the religion. Yet there were always echoes of its “true meaning”: goodwill to all, peace on Earth, mercy mild, giving rather than receiving.

Adult life was where the difficulties began. One was being diagnosed with dysthymia (now called persistent depressive disorder or PDD) – its symptoms include low mood, hopelessness, worry, guilt, and a host of other challenges.

Then, when I was 21, my 58-year-old mother had a stroke, a catastrophic event she struggled with (having both physical and mental effects) for more than a decade until the day she died. When that happened, my sister and I worried about how our father would cope after 46 years of marriage. That first Christmas without her was tough on us all, but our normally reclusive and unemotional father was surprisingly (to us) resilient. While he cried one night after dinner — only the second time I’d ever seen him do so, besides the day after my mother died two months earlier — we gave each other what comfort we could and weathered the season, despite how heartbreaking it was and how unfestive we felt.

A week later, we managed to convince him to attend his politician neighbour’s annual New Year’s Day levee. Of course, he grumbled — it was probably the first time he’d been to such an event in decades — but to our surprise, he mingled gracefully. Every time I looked around, he was making small talk with a different cluster of people. “He’s working the room,” I remember telling my sister as we stood beside a potted plant away from the madding crowd. I know that at least one of the older people he spoke to had also recently lost a spouse. It was touching to see them talking.

At home later, when we remarked on how many people he’d managed to speak to, he let us in on his philosophy of party etiquette. “Get in and get out,” he said. A few minutes tops with each person, then move on. “No one wants to hear your life story.” He did have a point.

ornamental candy cane

When you live with a mood disorder, especially PDD, what should make you happy – or at least cheerful – can have the opposite effect. Years of living with it and successful treatment (for which I’m grateful) have given me insight, coping tools, and perspective. I know what will pull me down — so I avoid malls, pass on Christmas movies, mute Christmas TV ads, plan realistically, and pace myself when it comes to socializing.

But you can’t avoid everything. An old carol on the radio as I’m anxiously wrapping gifts I hope someone will like can send me into a tailspin of brooding about all that’s wrong with the season and the world. People like me are the Eeyores and Charlie Browns of the world (Charles M. Schulz suffered from depression) — we’ll find the worm in the apple, or the mince tart, just give us time. We can’t help dwelling on the fact that most people don’t live in a Norman Rockwell painting. We think of those without family or those with families so complicated that the stresses of holiday planning are hard to justify. This year in particular, lots of people will be struggling with holiday expenses. And let’s not forget all those who don’t celebrate Christmas, and how they must endure a world awash in red and green and ho-ho-hoing Santas for two months after Halloween. Millions of turkeys raised for mass slaughter, what fun the season is for them. And mountains of shiny unrecyclable wrapping paper clogging up landfills.

You can see where PDD takes me. Nowhere good.

I take deep breaths and remind myself that, while fleeting feelings of sadness are not unhealthy, mulling endlessly on the world’s ills won’t change them. Appreciating your good fortune is one thing, but feeling guilt over having enough to eat, a loving family and friends, and a warm place to live, will not help those who don’t have them. Comfort and joy don’t just happen. You have to create them, and that requires generosity of spirit (as Scrooge famously learned) instead of going so far inward you can’t see beyond your own navel.

Ironically, I now share my life with someone who loves Christmas. He doesn’t build Christmas villages, bake fancy cakes and cookies months in advance, or wear ugly home-knitted sweaters. But he owns a sizable tree-ornament collection, insists on a live tree, and hangs garlands of outdoor lights without fail — humming tunes and thinking of his adult children and grandchildren as he does so.

We have turned my aversion to Christmas into a shared joke. Randomly, we’ll sing Holly Jolly Christmas to each other with great enthusiasm while pretending to sob uncontrollably. Maybe you have to be there to appreciate the dark humour, but trust me, it turns my tears into laughter and lifts me out of the dumps every time.

Another depressive friend copes by focusing on the pagan origins of Christmas — the lit tree, a hopeful sign of life in the dark winter, keeping evil spirits away. All the greenery decking the halls are laden with symbolism: the wreath is a circle of life; mistletoe, a tribute to love and reconciliation.

I’m sure my father didn’t always love Christmas after my mother died. He lived another 13 years, grieving with quiet dignity and moving on to a life of his own, which I believe he enjoyed. When he was diagnosed with lung cancer at age 86, we scrambled to make sure he wasn’t alone. We had a modest Christmas together, accommodating his fatigue from radiation treatments and the cancer itself. He had little appetite and mostly slept. While we didn’t know he would die just six weeks later, we knew it would likely be our last Christmas with him.

After his death, as we cleared out his house, I found several Christmas gifts with my name on them under his bed. Obviously, he’d forgotten to put them under the tree. One was a silver pen carved in a swirling Celtic pattern. Of course, it caused heartache, but I will always treasure it. More than that, I treasure the thought of my father going out, despite the ravages of cancer, and shopping for thoughtful gifts to give his daughters.

Comfort and joy. He tried right to the end to provide them. I often remind myself of that. If he could do it, so can I.

Author: , is the author of After Daniel: A Suicide Survivor’s Tale. She teaches in the journalism programs at Carleton University and Algonquin College in Ottawa.
More resources to support your well-being over the holidays:
How to Give Back (or Reach Out) This Holiday Season (Mental Health Commission of Canada)
Five Ways to Protect Your Mental Health This Holiday (Canadian Mental Health Association)

Estimated reading time: 5 minutes

This blog post discusses trauma and eating disorders.

Does the festive winter holiday season give you the warm fuzzies? “It’s the most wonderful time of the year”, goes the classic sung by Andy Williams:

“It’s the most wonderful time of the year
With the kids jingle belling
And everyone telling you “Be of good cheer”
It’s the most wonderful time of the year
It’s the hap-happiest season of all”

Does the prospect of the holidays make you feel cheerful? Personally, the thought of all this forced merry making makes me want to run for the hills. All I can think about is the long to-do list that goes with all of this festivity. I go out of my way to avoid the marketing and all the idealized images of the perfect festive season. All the trimmings and the trappings of all the things we are supposed to want and need.

If you haven’t guessed it by now, dear reader, I am one of those people who does not celebrate the holidays. At least not the way we are made to feel that we need to (I will not use the word ‘grinch’ here, but you can draw your own conclusions). I pretty much try to ignore the entire array of holiday season stuff altogether. Shopping, presents, trees, decorations, chestnuts roasting on the open fire (well, I am ok with this one), Secret Santa, holiday get togethers, work parties, cocktail parties, galas, and overconsumption. And don’t even ask me if I am baking cookies. Seriously. It’s a punishing marathon I abandoned years ago.    

On the other hand, I wouldn’t expect everyone to feel the same way. But even if you love the season, just know that if you are feeling the pressure of the obligations and the social expectations, not to mention the financial stress, you are not alone.  Holiday stress affects so many of us, and it can aggravate pre-existing mental health issues for some people.

So, let’s consider what you can do to enjoy the season and keep body, mind, and soul together.

Family time

Socializing is a big part of the season. Spending time with loved ones and seeing friends is the very best part of the festivities. But it should be pointed out that for some people, attending family gatherings can be a source of stress. Feelings around complex relationships, childhood difficulties, and family tensions can get intensified at this time of year. For many people who live with the experience of trauma, feeling forced to spend time with family can surface difficult feelings. While it may not be possible to avoid spending time with people who trigger difficult feelings or memories, there are coping strategies that can help.

Socializing

You might also feel obligated to attend social activities associated with work or other social connections. For people who struggle with social anxiety, these situations can be daunting.  When I find myself headed for some kind of large social event, I often find myself feeling tense and irritable instead of relaxed and cheerful.

It’s not that I dislike people. I want to connect, but I sometimes feel anxiety around meeting new people and find it difficult to open up conversations. I dread party chit chat. I also sometimes find it draining to be surrounded by a large group.  

Unfortunately, it’s not possible to forgo every invitation, as I do actually have a social and work network, so I rely on the principle that it is possible to politely decline. I try to attend the events that are the most meaningful to my social circles. Here are some more great principles to keep in mind:

  1. You don’t need to attend every event. Choose the ones that are the best fit for you. Some people find large events fun and exciting and feel more uncomfortable in small, intimate settings. For others, it is the reverse. Everyone is different.
  2. Give yourself permission to leave after 30 minutes if that’s what you need to do. Just knowing that can help you to relax and enjoy the moment.
  3. Use the buddy system. Find someone to go with. It will make things easier and more enjoyable.

Well-being and complex relationships with food

Getting together for meals is a big part of holiday festivities but if you are coping with an eating disorder, the holiday season can be a source of stress. While it might be the only opportunity to see your family or to re-connect with old friends, the disruption of the everyday routine can throw things out of balance, upsetting good habits and routines for maintaining your well-being.

If you feel anxious or concerned about food, remember that you have the power to not let mealtimes become the focus of your day. Balance out your day with other types of healthy activities such as getting outside, enjoying cultural events, and other activities which don’t involve food.

It’s important to remember that while family or friends may not be able to relate or fully understand your needs or situation, there is non-judgmental and confidential support available, including help lines and live chat.

Overindulging

With all this partying going on, there are some very good reasons to be concerned about over-indulging. Most celebrations tend to involve drinking alcohol. Some people might feel anxious about relapsing into drinking alcohol.  There can be social pressure to indulge in some ‘holiday cheer’. If you know someone who is concerned about their sobriety, you can be helpful by supporting that person to make the choices that are right for them. It might be simply offering them a ride home or to a meeting. Or it could be an invitation to leave the party and go somewhere else. If it’s you who is struggling, remember there are supports out there for you.

3 simple tips to reduce holiday stress

Lower your expectations

The holidays might be called the happiest time of the year, but is that always true?  Remind yourself that it’s impossible to meet everyone’s expectations, including your own. Try to spend less time on social media – comparing yourself to others is the surest route to feeling disappointed.  

Include self-care into your routine

Making plans to spread love and joy to others needs to include yourself. Self-care may be the most precious gift you can give to yourself.

Plan in advance

Is your to-do list reasonable? Think of what you can give up this year because the only thing you should never give up on is your health.

Over the holidays my inner voice proves to be the most critical as I straddle the pull of a commercial Christmas and the deep-seated draw of Kwanzaa. On tackling the minefield of tackiness, tinsel, and trappings of the season.

This story is the first in the Mental Health for the Holidays series. While end-of-year celebrations can be a time of joy — they can also trigger feelings of stress and loss. Read the collection to learn how others were able to meet those challenges.

It always starts with childlike glee. The excitement, bubbling over with an irresistible anticipation of the merriment, the food, the socializing, and of course, the presents. Christmas time is the best. Well, almost. There are always undercurrents.

There’s the worrying about the consequences of all that good cheer. Actually, worrying doesn’t quite cover it. It’s more like gnawing than worry — more like guilt, really. You know how it goes. Should I try the yummy cookies? It’s Christmas after all. How many? Perhaps just one. . . they’re not that big. How much butter and sugar could they have? Oh, but they’re so good — and gone so quickly. I barely tasted that. Perhaps two, three. . . seventeen?

Then comes the guilt. I ate way too much. All that butter and sugar. Ugh. I think I can hear my arteries hardening. The familiar commitments to do better follow. Tomorrow I’ll have a salad. . . but then someone invited me out for lunch. Dinner with friends is on for the next day and of course all those friends I haven’t seen in, like, forever. Drinks! Wasn’t that a special bottle of rum! Oh, and the best Côtes du Rhône I’ve had in an age. Recriminations arrive in the morning, delivered in that scathing voice I reserve just for me. Ugh, again! But the see-saw of pleasure and punishment is just getting started.

I turn my attention to the glitter. All that sparkle and rich, scented greenery. Bright bulbs touch every surface until the house feels like a fairytale wonderland. I love the Christmas cheer. But is it excessive? How many garlands are too many? Is tinsel elegant or tacky? What does “less is more” even mean? What do designers think it means?

Soon I’m surrounded by magazines, each offering contradictory advice. My house isn’t that big, and I don’t have a bevy of assistants to help me add glamour. Could someone also explain to me why I would I want an all-white tree? Or an all-red one? It all seems less like Christmas and more like branding. Perhaps a more traditional approach is the way to go. But honestly, string popcorn just seems like a good way to invite a mouse infestation. Besides, the way the dog is eyeing the popcorn bowl has me thinking I’ll have to guard the tree 24-7. It all seems unnecessarily constrained and formal. Maybe I’m just too tacky.

ornamental candy cane

How much money am I spending on decorations, food, presents? Too much. Not enough? How many families are doing without while I squander cash on the most useless items imaginable? I look at my silver bells laid carefully beside my silver reindeer and big bowl of shiny do-nothings and think, Wouldn’t that money have been better spent on a donation? Am I selfish and self-centered?

All these concerns mark the coming together of my neuroses — otherwise known as Christmas time.

But then there’s the secret guilt I hold close to my chest. The guilt of being Black while enjoying Christmas — I like to call it my Kwanzaa guilt. It starts to simmer a few months before the week-long celebration of African American culture, beginning on December 26th. Why the guilt? Because I don’t actually celebrate Kwanzaa. I’m not sure I even want to. Yet such an admission from a proud and — I like to think — progressive Black woman, can be tantamount to proclaiming my status as an Oreo or a coconut — Black on the outside, white on the inside.

Kwanzaa is not supposed to replace Christmas, but coming when it does certainly feels like competition. Healthier, more thoughtful competition. As I rub my hands in greedy anticipation of the fatty foods and rich desserts of my usual Christmas gluttony, I imagine the contrast to what my Kwanzaa sisters will be enjoying: fruits, vegetables, and corn. More guilt follows (not to be confused with the reams of gilt I’ll be spreading with abandon across my home, with nary a straw mat in sight).

Kwanzaa is the thoughtful creation of a Black academic. At its core, it’s a celebration of reflection, a seven-night toast to the Black diaspora, and our success in overcoming a multitude of struggles. It slides in, brimming with the aspirational concepts of unity, self-determination, collective work and responsibility, cooperative economics, purpose, creativity, and at the forefront, faith. For Kwanzaa, homemade gifts are offered, and commercialism is avoided. In lieu of string lights, we find seven candles burning.

Yet, despite its wholesome message and optimistic values, I shun it — instead embracing a holiday that has me wondering if any of the wise men were Black.

My Kwanzaa guilt didn’t start with its inception in the ‘60s or even its prominence in the ‘90s. No, my love of — OK, let’s face it — hate of Christmas started as a child. No one in my family looks like Santa and, until very recently, every tree angel had golden hair and the rosiest of cheeks. I got my first fireplace when I was 28, so there was no hope of Santa making his way down the chimney when I was a girl. And Barbados, which my family calls home, doesn’t have a single pine tree. In fact, from mistletoe and cranberries to rutabaga and turkey, for my family the traditional dressings of Christmas were an exploration in foreignness. Yet we embraced its customs and, over time, made them our own.

So every year I drag boxes upon boxes of Christmas décor out of the basement. I string lights outside and inside my home, and I sing and dance — like Carlton from The Fresh Prince of Bel-Air — to Christmas carols as I do so. Thank you, Sir Paul, I’m sim-ply haaaaaving a wonderful Christmas time. While Kwanzaa intentions are good, the trappings are even more foreign to me than Christmas. Why should I give up the traditions of a lifetime?

Though I’m not one, like a good Christian I’ve learned to change the holiday to suit my cultural needs. So this year, we’ll be serving rice and peas, fish, and oxtail. I’m looking at Weight Watchers for healthy Christmas recipes and, despite having a beautiful fireplace, we’ll be hanging our stockings along the banister by the front door. As usual, our treetop will be home to a glittering pair of lovebirds instead of an angel.

Every year I find new ways of making the holiday mine, adding touches of me and stripping away those things that reflect a colonial mindset. As I draft each of them to my own cause and purpose, I’m learning to make peace with the parts of Christmas that may have had a different meaning in the past. Hopefully, the only Oreos at my house will be those I enjoy while indulging in a Hallmark Christmas movie. Happy holidays!

More resources to support your well-being over the holidays:

How to Give Back (or Reach Out) This Holiday Season (Mental Health Commission of Canada)
Five Ways to Protect Your Mental Health This Holiday (Canadian Mental Health Association)

Author: , is a communications specialist living and working in Ottawa.

Debra Yearwood

A communications pro with more than 20 years of executive experience in the health sector, expertly navigating everything from social marketing to crisis comms. When she’s not advising on the boards of Health Partners or Top Sixty Over Sixty, she’s busy finishing her book on thriving in later life (because why stop now?). Certified Health Executive by day, diversity advocate and magazine contributor by night—Debra’s the one you call when things need fixing or explaining.

Fleeing from intimate partner violence takes a network of supports

The day before I left my relationship, I wouldn’t have believed you if you’d told me I was a victim of intimate partner violence. Looking back, I understand there can be many reasons and complex factors involved, like the way people living with abuse (physical, mental, or emotional) normalize their situation.

“It’s not so bad, things will get better when he gets that promotion/finds a better job/comes back from that trip. . . .” You get the picture. Meanwhile, as you’re waiting for things to improve, the risk that they’ll actually get worse — with more frequent and severe abusive episodes — grows higher.

I also understand that normalizing is a very common coping mechanism. It can be hard to accept that you’re in a life-threatening situation. I know because I did it myself. Yet normalizing can also keep you stuck in bad circumstances, especially if your partner is manipulative. Such people can sense when you are becoming distant or thinking of leaving, and they work hard to reel you back in — going into honeymoon mode, bringing home flowers, and making big shows of affection.

I endured two years of abuse before I woke up one morning and knew that I had to leave my relationship — no matter what. It was as if my survival instincts had finally kicked in after being dormant over many months. While I’d considered leaving many times, and even threatened to do it on a few occasions, things were now different. Suddenly I knew there was no going back.

People who’ve never had these experiences wonder why those of us who do choose to stay or find it hard to leave. I don’t think there’s any simple answer. Often, the abuser has tight control on them, on their finances, on their children, and on the family dynamic.

A sense of shame is also a powerful factor. It’s very common in these relationships to feel shame for being on the receiving end of abuse and for enduring it. An abused person will often blame themself, sometimes subconsciously. And abusive partners often blame the person they abuse for their own behaviour.

Abuse happens far more often than you might think, regardless of age, gender, culture, nationality, or socio-economic status. To someone experiencing abuse and the collection of dilemmas it brings, it can feel like a problem that can’t be solved on its own terms. Because it is. The abuser has defined and set the terms of the relationship, and the person who wants the abuse to stop sees no clear way out. Because there isn’t. Not until they find their way through to the point of rejecting the entire power dynamic and accepting the consequences of leaving. And such consequences can be severe. Someone fleeing abuse will frequently experience loss on many levels: material, social, emotional, and personal.

Family members or friends often express surprise when they find out about abuse. While that’s partly due to the silence and isolation fuelled by shame, much of it arises because the abuser goes to such great lengths to control their image, their reputation, and the narrative of the relationship. Despite these efforts, abuse almost always leaves signs. It’s just that people don’t usually recognize them, or else they choose to look past them or discount them.

Running on instinct
My abusive partner was highly manipulative, callous, selfish, and controlling. One way he controlled the narrative of our relationship was by constantly calling my commitment into question. Even after moving in with him, and lending him large sums of money, he frequently lamented my “lack of commitment.” He painted a picture of himself as a victim of my uncaring selfishness.

This kind of victim blaming is a frequent weapon of choice for an abusive partner. Another is gaslighting, a term from an old movie (Gaslight) about a young woman whose husband manipulates her into believing that she’s losing her sanity. In the context of disordered relationships, the term means emotionally manipulating and abusing a partner to the point where they doubt their own sense of reality. It’s a way of keeping all the control in a relationship and sustaining access to resources: money, affection, attention, energy, validation, admiration, and respect.

The day I woke up and decided to leave, I knew I needed to find a way to stay the course. I also knew that I was in danger of losing my nerve and my resolve. While I was able to recognize that I was fragile and emotionally unstable, I was struggling to think clearly (a psychological effect of ongoing trauma). But it was now or never. I had to do something quickly because it wouldn’t take long for my partner to sense that something was up. I didn’t have the wherewithal to call an 800 number or do a Google search. If you had told me I needed a safety plan, I would have drawn a complete blank. All I knew was that I needed to leave and that my life depended on it. Because of that, I somehow switched into a survival mode that allowed me to formulate a plan and act on it.

I booked a few days off from work (I had managed to maintain a successful career despite my situation) and began searching for an apartment to rent.  Though I was able to secure the first suitable apartment I could find, it wasn’t available right away. So I booked a storage facility for my belongings and a hotel for myself, while thinking, How would someone with fewer resources manage all this?

To take care of the larger items, I booked a mover for a day that I knew my partner would be at work. But my plan hit a snag. Instead telling the moving company that I was fleeing an abusive relationship, I simply told them it would be a small job. Assuming that they would arrive when they promised turned out to be a big mistake: they showed up four hours late.

I would end up leaving most of my possessions behind, almost everything.

How to help
If you know (or suspect) that someone you know is facing this kind of unsafe situation, the best way to help is offering to listen. It’s also important that you mean it. Don’t offer just once and fade into the background. Be persistent. For someone experiencing abuse, it often takes more than one try for someone to confide in you. By taking on the role of an oblivious bystander and doing nothing, we can unintentionally contribute to the abuse. When you see something, say something.

An abusive partner may display anger or have a quick or unpredictable temper. They may blame you for their violent outbursts and physically harm (or threaten harm) you, themself, and members of your household, including children or pets. They may be demeaning or put you down by insulting your appearance, intelligence, or interests. They may try to humiliate you in front of others and attempt to destroy your property or things you care about. They may keep track of everything you do, insist that you reply right away to their texts, emails, and calls, and demand to know your passwords to social media sites, email, and other accounts.

Recognizing signs that someone you know is experiencing abuse:

  • Checks the time constantly and is expected to be home at a certain time
  • Engages in constant texting/phone calls with their partner when they’re apart
  • Reports to their partner before making decisions
  • Becomes distant when you communicate with them
  • Loses interest in hobbies or activities
  • Experiences sadness out of nowhere, with sudden crying or anger
  • Goes overboard to make the abuser look good
  • Stops taking care of their own mental, emotional, physical, and spiritual needs
  • Withdraws from your friendship, with no calls or visits, and cuts off communication
  • Retreats from social events and family gatherings

If you are worried about a friend’s safety, stay in touch. To keep communication lines open, avoid making the abuser suspicious. You can create secret code words to use in conversations that can help you communicate more safely. Ask your friend how they prefer to connect. Establishing a safe communication channel is important since, in many instances, they will be physically close to an abuser who might be monitoring conversations. Ask if your friend prefers an instant message or text over a call, and if there’s a specific platform or app they prefer. Be supportive and believe them. Reassure them that they are not alone and that help and supports are available. Recognize that it may be difficult for them to talk about the abuse. If they want to talk, listen carefully and be empathetic.

Sixteen Days
The National Day of Remembrance and Action on Violence Against Women on December 6th is about remembering those who have experienced gender-based violence. It is also about taking action. Each December 6, people across Canada are invited to honour and remember the 14 women who were murdered at Polytechnique Montréal on that day in 1989, which falls within the 16 Days of Activism Against Gender-Based Violence from November 25 to December 10.

Learn more
Read the Women and Gender Equality Canada plan: It’s Time: Canada’s Strategy to Prevent and Address Gender-Based Violence.

Resources
Recognizing signs of abuse: Frequently Asked Questions: The Signs of Relationship Abuse and How to Help, from UN Women.

Support services across Canada from the Canadian Women’s Foundation

Author: [Name withheld] continues to reflect upon and share her lived experience to raise awareness of intimate partner violence.

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