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.

Picture yourself on an airplane, rain pelting against the windows as you accelerate down the runway. Its gloomy, wet, and dark. With clouds masking the horizon, you begin to lift off, and as the plane stutters, you continue to climb through the storm. Suddenly, you emerge out of the darkness and into the daylight. Blue skies as far as the eye can see. It’s beautiful, calm and inviting.

What changed? It didn’t stop raining for those in the town below you. The clouds didn’t magically disappear and let the sun shine down. All that changed was your perspective. Where you focus your time and energy can determine which reality you choose to sustain. Every day is sunny above the clouds.

Positive thinking can have a major impact on your overall well-being, with effects ranging from lower levels of stress to greater resistance to the common cold, and even increased lifespan.

Four ways to help develop a positive outlook on life

Practice Gratitude

Place your focus on things you are grateful for in life, no matter how insignificant they may seem. Write them down and look through them when you are facing moments of doubt. 

Tip: Did you know that how you react in the first five minutes of your morning can impact your mood for the entire day? Instead of reaching for your phone to check texts, social media, and emails, try reciting five things that you are grateful for each morning and observe if it has a positive impact on your mindset throughout the day. 

Focus only on things within your control

Life is full of challenges and uncertainty. When facing a new adventure, focus only on what is within your control and pay little attention to the rest. Be prepared, keep an open mind, and remember that some of life’s greatest accomplishments come from our hardest challenges. 

Tip: If you are worried about a situation, write down everything you are worried about. Then, cross out the things you cannot control and deal with the things that you can. 

Surround yourself with positive influences

It is said that your mindset and attitude are the reflection of the five people you spend the most time with and that you become what you set your focus on. If that is the case, then you cannot expect yourself to be positive if you consistently surround yourself with negativity. Whether it’s the individuals you’re spending time with, or the content you’re ingesting on social media, be mindful of the impact it can have on your mindset. Take the time to seek out positive news, celebrate small victories and surround yourself with people that uplift you. 

Tip: If you are trying to decide whether to continue investing yourself in a relationship or a friendship, give all that you can to that individual for two weeks, and be the best friend, partner, or colleague that you can be. If they don’t make an effort to change after you have given it your all, then you will be able to move on confidently, knowing there was nothing more you could give.

Incorporate positive language

The language you use can also impact your outlook. We often use negative self-talk in situations where we lack confidence. For example, we may say “It’s too complicated” or “I have never done this before” when trying something new for the first time. While statements like this may seem harmless, they can slowly deteriorate our outlook on life. Instead of using negatively focused language, try to use words that are uplifting and help maintain a positive outlook on the situation.

Tip: Instead of saying ‘I’ve never done this before’ try saying ‘this is an opportunity to learn something new’. Small changes like this can have a big impact on our overall outlook on life over time. Strive to see the positive in every situation and speak it into existence when possible.

Featuring: MHCC board directors Carole Shankaruk, Kellie Garrett, and Cheryl Fraser

It’s easy to make assumptions about people based on their academic accomplishments, professional successes, or philanthropic contributions. But sometimes if you pull back the curtain, you discover untold depths and hardships that reveal a more valuable story than a five-sentence biography can.

A recent Zoom conversation with three Mental Health Commission of Canada (MHCC) board directors is a powerful reminder that the most important accomplishments may be the ones without accolades.

The passion for mental health shared by Carole Shankaruk, Kellie Garrett, and Cheryl Fraser was born from deeply personal experiences. For each woman, walking through a place of darkness has motivated them to be the light for others.

Accidental advocates

Carole Shankaruk

Carole Shankaruk

All three women calling in seemed to be visibly collecting their thoughts before recounting their personal journeys — which undoubtedly unfolded more neatly in retrospect than in reality.

“I’ll be honest,” said Shankaruk from her home near Winnipeg, “part of me was dreading this conversation. Reliving the past can bring up so many painful emotions.”

Rather than bury them or hold back, though, she brandished her Kleenex and began relating the story that changed her life. As a clinical social worker, Shankaruk thought she had the necessary tools to handle whatever motherhood might throw her way.

“But when it’s your own child who is suffering, who’s in pain, you might as well throw the playbook out the window.”

At age seven, the debilitating pain her son Noah had been experiencing was diagnosed as Crohn’s disease, an ailment that causes a notoriously painful inflammation of the bowel.

In Fraser’s case, the journey began only a few months after her son Jamie was born. “He started to appear constantly frustrated, he wasn’t eating properly, and then his development seemed to slow down,” she said. “The doctors couldn’t find anything medically wrong with him, but we knew he needed help, and more importantly he needed someone to advocate for him.”

A mother’s love (and guilt)

Kellie Garrett

Kellie Garrett

One of the first things Shankaruk recalls was the difficulty of dealing with her son’s pain. “We tried so hard to manage it, but it interfered with virtually everything.” She remembers feeling tremendous guilt, a burden she still bears today. “Did I intervene forcefully enough? Was there more I could have been doing?”

As she expressed this thought, tentatively at first, she was encouraged by Garrett, an executive coach, speaker, and consultant, calling from her home in Regina.

“Oh, the guilt!” she said. “As mothers, I don’t know if we can ever entirely free ourselves from it.” Garrett herself experienced undiagnosed postpartum depression following the birth of her second child, which occurred on the heels of her mother’s death and a cross-country move.

“I had this notion that ‘this’ is what motherhood is,” she explained. “Exhaustion, being overwhelmed, isolation . . . that it was all just part and parcel of what you have to trudge through. Being in a new city, I didn’t have friends to confide in. Also, my partner wasn’t able to recognize the signs and symptoms, and I had had a less than ideal family life growing up, so I didn’t have a positive model to draw on.”

Garrett gathered herself before delving more deeply into the mental illness that had left its mark, both on her mother and her grandmother before that. “My grandmother faced unimaginable hardship when her husband abandoned the family. She had a breakdown, went through shock treatment several times, and was ultimately diagnosed with bipolar disorder. My mother also lived with major depression throughout her adult life. When my own son began to experience depression, I felt like it was his rightful legacy. And feeling like somehow my bloodline was toxic, that it had poisoned the well . . . it’s hard to reckon with that.”

Here Shankaruk jumped in. “We blame ourselves for so much, and in doing that we not only contribute to the stigma that surrounds mental illness, we’re also left trying to pour from an empty cup. When it comes to motherhood, we experience traumas big and small, but we don’t necessarily have the language to name them or the tools to address them. So we soldier on without realizing that we’re perpetuating some of the harms we most wish to avoid.”

Fraser’s self-blame wasn’t centred on Jamie’s condition but on an inability to offer protection in his most vulnerable setting — the classroom. While he’d always had challenges in school — exacerbated by his learning differences, limited coordination, and towering stature — Grade 6 was a turning point.

“At a birthday party for Jamie, I overheard a boy mention a teacher who was throwing things,” she explained. “When I asked about it, the floodgates opened. All the boys began to tell me how their teacher had been forcing Jamie to fetch his coffee and throwing chalkboard brushes at him when he gave incorrect answers in class. I was horrified.” As it turned out, the teacher had a history of mistreating students with extra needs.

Fraser and her husband removed him from the school, only to have to transfer him twice more. By the eighth grade, Jamie had had enough. Frustrated by years of being misunderstood, by students and teachers alike, he walked into his principal’s office and announced: “If you don’t do something, I’m going to kill myself.”

“At that point, we really had to step in and take over,” Fraser said. “Jamie had a hard time trusting adults, but he needed to trust us. Thank God he did.”

In Shankaruk’s case, the middle years saw an improvement in Noah’s general happiness. Although he still battled waves of pain, as a young adult he was doing well. “He was working and the future was bright,” she said, growing visibly emotional. “But then one day on a job site Noah complained of his pain to a friend. Without thinking, he took a pill that was offered. And while it relieved his immediate physical symptoms, it also unleashed an addiction that would eclipse the pain of his Crohn’s.”

The decisions her son made while using substances led to an arrest and a court appearance. “I was so terrified, I was carrying so much anger at how he was being treated, I was literally shaking from head to toe with repressed feelings. Yes, he’d make a mistake. Yes, he’d taken pills that altered his behaviour and clouded his judgment. But where was the rest of the story? Why wasn’t anyone asking about his chronic illness? Why wasn’t anyone painting a picture of all that he had achieved? Why is the system so punitive when rehabilitation — or in my son’s case, medical intervention — should be the goal? This is such a beautiful human being, and he’s been reduced to a number on criminal registry.”

“I’m so sorry,” Garrett interjected. “I didn’t know any of this.” The two pause for a moment, as if in solidarity for the lonely paths so many mothers must walk before finding some peace or solace.

“My one son was born with autism,” she said. “And I spent much of my time focused on his needs, while my other son slipped into anxiety as a child and later depression. . . . I feel badly that he was lost in the shuffle.”

Both women threw themselves into work, a soothing balm when their home lives were feeling chaotic. “I was good at my job,” Garrett recalled, “and I knew what I was doing. There was no manual for motherhood. It felt like a science experiment. You’re flying blind, yet it’s the thing that women are conditioned to believe should come most naturally. When I was younger, I didn’t know how to reach out for help. Worse, I would have felt shame for needing it.”

Finding reprieve

Cheryl Fraser

Cheryl Fraser

Today, Shankaruk, Garrett, and Fraser are aware that the wisdom gained from their hardships may help someone else who has begun that kind of journey — it’s the reason they agreed to share such personal stories.

“The advice I would give to anyone struggling, whether it’s as a new mom or for any other reason, is to reach out and find your people,” said Shankaruk. “For me, it was a women’s spiritual group. Most were much older than I was, and that age gap was such a blessing. They were further down the road, were able to see potential pitfalls before I could, and had invaluable advice born from experiences I hadn’t yet had.”

Ultimately, Garrett also found solace in female friendships, although she noted that the narrative around women’s desire to compete rather than lift others up needs to be rewritten. “I don’t think women are inherently more competitive with each other or are driven by a desire to undercut. I think society has set impossible expectations and put us in a perpetual state of scarcity.” The solution, she said, “is to reframe the conversation. It should be about the way so many women are very supportive. How can we create space for and celebrate the women in our lives who are clearing new paths and forging opportunities that benefit us all?”

Both Garrett and Shankaruk have also found their footing by embracing nature. “To go into my garden, to be surrounded by natural beauty, that’s where I feel most at home,” said Shankaruk, who is Métis and often turns to the land for healing.

“There is power in giving our experiences room to breathe,” she added. “There is power in naming our traumas, in owning our challenges and, in turn, sharing the hard-won knowledge with others.”

As Fraser points out, sometimes that hard-won knowledge stems from a gut feeling, and that’s exactly her advice for other parents. “Trust your instincts. If you feel like something is wrong — with your child or yourself — it probably is,” she said. “It might take a long time to get the answers and solutions you need, but don’t stop searching, and don’t stop advocating.”

“It’s also so important,” Garrett emphasized, “to find people who are able to see and love you for yourself. If you have a sick child or are overwhelmed by the demands of motherhood, it can feel like you’re only two dimensional — like you’re just a mom and an employee, for example.”

She also believes carving out some personal time, just for yourself, is critical (while giving any partner the same privilege). “Finding the space to connect with yourself and pursue what matters to your soul outside parenting actually makes you a better parent.”

“When Connor was diagnosed with autism, I cried for two years straight. I wouldn’t wish that on anyone. I thought about suicide more than once. The only thing that kept me alive was my children, and some visceral, bone-deep conviction that I couldn’t leave them.”

A fresh perspective
Today, all three women have gained some of the objectivity that comes with time.

“I didn’t realize it then,” Fraser said, “but the sum of my experience with Jamie led me to be a different kind of caregiver for my own mother when she started to decline with Alzheimer’s. I learned to truly prioritize joy, and that it’s possible for someone to be happy, no matter what stage they’re in or what form that happiness takes.”

Garrett had a similar epiphany. “For a long time, I was angry with my own mother. But with some distance, I now believe she was doing the best she could. In forgiving her shortcomings, I’ve been able to extend some of that compassion to myself. That is the ultimate gift.”

Shankaruk agreed. “This is what we hope for. That we forgive our parents their imperfections and hope our children give us that grace. Because motherhood, in all its messy complexity, has led me to discover untold strengths and unimaginable love. But we need not walk that road alone.”

Amber St. Louis

Illustrator: Kasia Niton – https://sunnystreet.studio/  Instagram: @sunnystreet.studio

Have you ever found yourself wondering if you need help for your mental health? I have. I was going through a bitter divorce. I couldn’t sleep or eat, and I couldn’t stop crying. At first, it seemed normal to be upset about the end of my 14-year marriage. I was told that these experiences often cause ‘situational depression’, a short-term, stress-related type of depression that can develop after you experience a traumatic event.

It took some time for me to recognize that I was out of my depth. After weeks of misery, sleepless nights, and having lost 20 pounds, I finally had to face the fact that I needed help. Why did I wait so long? There are many reasons, but I think that the most powerful one was the feeling of shame. Having to admit I needed help seemed to me like a defeat, like a personal weakness or a character flaw. The final insult on top of injury. Does this sound dramatic? Perhaps. But I guarantee you that I am not the only one. So many people struggle with asking for help with their mental health.

Most people know someone who has experienced a mental health problem. In any given year, one in five people in Canada experience a mental health problem. By the time Canadians reach 40 years of age, one in two have—or have had—a mental illness.

Recognizing that you need help and taking the first step is the most important thing you can do for yourself, and the people who care about you. It’s never too early to seek advice.    

When should you seek professional mental help? Some indicators are:

  • Long-lasting sadness or irritability
  • Extremely high and low moods
  • Excessive fear, worry, or anxiety
  • Social withdrawal
  • Dramatic changes in eating or sleeping habits
  • An inability to cope with problems or daily activities
  • Feeling of disconnection or withdrawal from normal activities

If you find yourself deliberating about asking for help, think of this: if your leg was broken, you wouldn’t hesitate to see a doctor. Mental health is just like physical health: everybody has it and we need to take care of it. Talking about it is the first step. Reaching out to a trusted friend is always a good idea.

There are many different kinds of help, support, and treatment available. For myself, I took the first step through visiting my family doctor, but there are so many more options now. Some employers offer employee assistance programs (EAP) that can open the door to getting help. In Canada, you can get free professional mental health and substance use support through the Wellness Together platform, offered by Health Canada. Over one million people in Canada have used this service. 

A number of mental health apps (software application) have come onto the scene as well, but presently, there is no framework for their accreditation. So if you decide to use an app, make sure to check into their credibility. When it comes to your health, it’s always wise to make sure that you are consulting credible and trusted sources of information.

“Just as physical fitness helps our bodies to stay strong, mental fitness helps us to achieve and sustain a state of good mental health”. I know that for myself, once I started on the road to recovering my mental well-being, I knew that I would never turn back. Yes, sometimes the road is long. And sometimes there are blind spots, pit stops and setbacks. But sometimes the journey takes us places we would never have imagined.  

By Rose S. Finch

People 85 and older make up Canada’s fastest-growing population segment, increasing at nearly four times the rate of the total. Also growing quickly is the number of evidence-based tools and strategies to help them live longer, happier, and more fulfilling lives, which is good news, since the size of this group will triple over the next few decades.

From research to resources
How does getting older affect our mental health? For Dalhousie University professor of psychiatry Dr. Keri-Leigh Cassidy, “contrary to popular notions that things only get worse as we age, research shows some things can actually improve. Throughout our lives, our brains continue to grow and rewire through neuroplasticity. While we may be more likely to encounter loss and adversity as we age, we can also become better at handling life’s challenges. The research also shows that levels of happiness, compassion, and gratitude increase with age.”

A recognized leader in late-life psychotherapy, mood, and anxiety disorders, Cassidy chairs the Atlantic Seniors’ Mental Health Network and is the clinical academic director of Dalhousie’s geriatric psychiatry program. In 2011, she launched Fountain of Health, a national non-profit initiative that shares the current science on well-being, resilience, and optimal aging while offering webinars and courses for individuals, organizations, and clinicians.

“People often don’t recognize how much influence they can have on their health,” she said. “For example, we now know that genetic factors account for only 25 per cent of human life expectancy and that unhealthy lifestyles are responsible for more than 85 per cent of chronic diseases.”

Cassidy also cites research showing that those who adopt specific habits are more likely to live longer and report higher levels of happiness and satisfaction. As detailed on the Fountain of Health website, these habits fall into general categories such as physical activity, social interaction, brain challenges, mental health self-care, and positive thinking.

“Our thinking, including how we think about aging, is a fascinating new area of research,” she said. “A Yale University study found that people with a more positive self-perception of aging outlived those with a more negative view by 7.5 years. Regular self-care through yoga, mindfulness practice, and healthy sleep habits can also improve mental well-being. Knowing the signs and symptoms of mental illness — and being willing to reach out for professional help, if needed — is also vitally important.”

Life begins at 60
Top Sixty Over Sixty founder Helen Hirsh Spence came to a similar conclusion about the way we think about aging when she approached retirement age. It was then that she began to fully appreciate the harmful impacts of ageism and the stereotypes associated with retirement.

“Common descriptions such as ‘put out to pasture’ or ‘permanently on vacation’ can have a pernicious effect by reinforcing negative views,” she said. “People who internalize these views risk losing their sense of purpose as they age. And as the research shows, they can end up shortening their lives as a result.”

After a career in education, Spence started the for-profit social enterprise in her late 60s to help counter ageism and harness the talents of older adults in Canada. She believes that most of us have long undervalued older people and the contributions they can make to society.

“My life’s work is now dedicated to reframing the conversation about aging,” she said. “There are two parts to Top Sixty Over Sixty: showing businesses and organizations how to benefit from age-diverse workforces, and helping older people reinvent themselves with confidence and agency.”

Practical, evidence-based tips
The increased levels of isolation due to the pandemic make it particularly important to adopt habits that protect both physical and mental health. To help older adults protect their mental wellness during COVID-19, the Mental Health Commission of Canada teamed up with Cassidy to develop a tip sheet with practical, evidence-based guidance. For example, the first tip recommends focusing on what we can control, such as practising self-care and incorporating healthy routines into our daily lives.

Now in her early fifties, Cassidy has become increasingly disciplined about her own self-care.

“It’s easy to feel overwhelmed by the ongoing pandemic,” she said. “To counter this, I follow the tip about limiting my exposure to news media, especially right before bedtime. I also make time to exercise and express gratitude, and I connect with a group of friends every week by video conference. These habits help me stay balanced and appreciate the good things in life.”

Author:

Peter McKinnon

My name is Tami.

I was diagnosed with schizophrenia in 1996.  I struggled because I couldn’t find stable employment until four years ago.  This is because as a schizophrenic, I was not seen for who I really am and what I can do.  I feel that we are seen as incapable and as dangerous.  But I am a wife and a mother, and I am now self-employed. I found my way! 

I wish to help those in my situation find hope when they are first diagnosed with a mental disorder. We are often diverted into volunteerism and not encouraged to work, because social norms make it seem like people with mental illness don’t deserve to work and make money.  My husband’s family told him to leave me at the start of our marriage because I was only a volunteer. I was being pushed to volunteer by certain organizations who promised me paid work. But they were empty promises they made that I would get paid. I was admitted to the hospital because of the pressures of family and the situation.

There is a way out. Now.

Back then, there wasn’t any hope, but now there is. Society has slowly begun to accept mental illness.  We can speak out and be heard and recognized as someone who is capable.

I started driving an Uber 4 years ago and I feel like I am contributing to society and my family respects me.  My husband is proud of me! 

I also invented a mood band.  It changes colour when temperature changes are indicating anxiety or depression, and then the wearer snaps the band across the skin, grounding them.  This method is Pavlovian.   Anxiety is associated with colour and to calm down, you snap the band. And it is a distraction.  On the band it says STOP SNAP BREATHE.

I also wrote a book which I am getting out to the public called “Put me in a box: how I learned to be crazy”. It is a raw and candid account of my journey with anorexia when I was a teen and later on, my battle with schizophrenia.    

You too can follow your dreams and hope for the stars!

Dr. Manon Charbonneau remembers the day vividly, though she’d rather forget it.

“So that’s it, then — cancer,” she recalls saying in disbelief with her eyes locked on the digital images of her mammogram. The radiologist confirmed the diagnosis, and in a moment her world was “completely dismantled.”

As a clinical psychiatrist, Charbonneau had dedicated much of her life to helping other people. “I’d wanted to be a doctor since I was five years old,” she said.

Yet, the long road unfolding before her would mean a marked shift. “While I used to say I was going to grow up and cure cancer, instead cancer found me.”

At the time of her diagnosis, Charbonneau had been practising at a hospital in rural Quebec. And although her medical background helped prepare her for what cancer would do to her body, it did not prepare her for the toll it would take on her mind.  

A legacy of battling stigma
Many years before her diagnosis, Charbonneau was confronted by another debilitating illness — depression.

Manon Charbonneau

Manon Charbonneau

“I had reached such a low place that I almost left my residency. Then, one of my professors told me that whatever I chose to do, I should never talk about my depression because it would hurt my career,” she said. “So that’s exactly what I did — put my head down and stayed silent.”

Without a word to anyone in her professional sphere, Charbonneau fortunately managed to overcome her depression. Afterward, her career took off, and she eventually became president of the Canadian Psychiatric Association (CPA). At the end of her CPA presidency in 2008, nearly 20 years since she’d first dealt with depression, she decided it was time to break her silence.

In her final address as CPA president, Charbonneau candidly described her personal experience with depression, leaving many in the crowd stunned.

“At the time, no one — let alone health professionals — was talking about their own mental health problems,” she said. “I saw an opportunity to change that.”

Charbonneau’s candour ultimately led to the creation of the CPA’s working group on stigma and discrimination, which she chaired for the next 10 years. “Telling my story was a way for me to close the door on my time as CPA president as well as on my depression.”

What she didn’t know was that her cancer diagnosis would come later that year, opening the door to let depression come back in.

Suffering in silence
“After my diagnosis, everything moved very quickly,” Charbonneau recalled. Before she knew it, she had a treatment plan that included surgery, chemotherapy, and radiation.

Yet, as her intensive treatments began to wreak havoc on her body, she noticed signs of her depression returning. “It was insidious,” she said. “Slowly my thoughts and mood started changing until I was consumed by depression all over again.”

Battling breast cancer and a major depressive episode at the same time, Charbonneau was struck by the stark contrast in support between the two.

“Cancer treatment is like a giant pink hot-air balloon. You’re lifted up with support — good funding, good programs, a team that checks in on you every day. Everyone comes together to take great care of you,” she said. “In mental illness, there is no balloon.”

Even with the robust treatment plan Charbonneau received for her cancer, psychological services were not part of the program. “When it comes to mental health, cancer patients are mostly left to fend for themselves.”

Charbonneau is not alone in her experience of having to deal with cancer alongside mental illness. As a recent Mental Health Commission of Canada (MHCC) fact sheet (developed with the Canadian Partnership Against Cancer) points out, the estimated prevalence of depression and anxiety in people treated for cancer is at least double what it is in the general public.

Citing a large survey of adult cancer survivors in Canada, the fact sheet also notes that nearly 80 per cent experienced at least one emotional concern in the one to three years following their treatment, many of which were not met.

The difference in support between Charbonneau’s cancer and depression extended beyond her care team, who she noted, did the best they could within the limits of the health-care system.

Socially, she says, we think of mental and physical illness very differently — something she realized with striking clarity one afternoon while recovering at home.

“I woke up from a nap to 19 flower arrangements, 37 missed calls, and what seemed like hundreds of messages of support from friends, colleagues, and even patients,” she said, adding that for a moment she wondered whether she’d already died. “But in all those cards and voicemails, my mental health was never mentioned.”

For Charbonneau, that experience was a poignant reminder that the stigma around mental illness was alive and well.

“People just don’t know what to do or say when someone is dealing with mental illness, so they say nothing,” she said. “Without that support, the road to recovery gets pretty lonely.”

The power of hope
In the thick of a second depressive episode and taxing cancer treatments, Charbonneau found herself with little motivation. “Some days I couldn’t even bring myself to take a shower, let alone take the steps I needed to get help for my depression.”

But after some difficult conversations with her husband and two children, she realized that she could no longer push her depression aside. If she was to make a full recovery, it needed to include her mental health.

As she worked with professionals to overcome her depression for the second time, Charbonneau began to feel more hopeful for the future — something she considers key to recovery. “As mental health professionals, a huge part of our job is instilling hope — hope that recovery is possible and that a higher quality of life is waiting for you.”

She also found hope for her physical recovery from an unexpected source when asked to attend a charity event almost a year away. “Suddenly I thought, maybe I’m not dying after all. I think I’m going to live to be at this event. That was a huge turning point for me.”

For others struggling to cope with a serious illness — mental, physical, or both — Charbonneau emphasizes the importance of vulnerability. “Reach out to someone you trust and really open up. It’s only by being honest about how you feel that you can get better. Help is there if you’re willing to ask for it.”

An agent of change
Even for Charbonneau, being vulnerable is easier said than done. She hesitated when the people at Bell Let’s Talk asked her to become an ambassador and share her experience with depression and cancer.

“After taking such a long break from sharing my personal story, I had to overcome self-stigma to do it again,” she said. “Working in health care, it’s hard to admit to being less than 100 per cent. But everyone close to me told me that I had to do it, and they were right. Vulnerability is what leads to change.”

That change in the way mental illness is perceived has become the backbone of Charbonneau’s advocacy work. In addition to Bell Let’s Talk, she has also spread her message as a member of the MHCC’s board (2013-19) and continues to work as a trainer for its Mental Health First Aid program.

As she continues to advocate for change at every level — from individual attitudes to the health-care system and public policy more broadly — she often comes back to her own experience. “I picture that big pink hot-air balloon that carried me through my cancer treatment, and I think, ‘when will the balloon arrive for those living with mental illness? Where is their balloon?’”

Perhaps the only thing stronger than Charbonneau’s drive to find that balloon is her belief that we can all help. In describing how motivated she is by the power of individual actions, she cites a favourite quote: Be the change you wish to see in the world. “We are all agents of change,” she said. By shifting the way we think about, talk about, and care about mental health, we can create the change we wish to see.”

Author:

Amber St. Louis

How do you build a support system that works for you? Good question.

I’m hoping that by sharing some of my personal experiences (because I’m still learning new lessons myself daily), I can help someone else out there. 

The first thing to learn is: you’re not alone.  That was probably the hardest lesson for me but having a support system became crucial in instilling that in my thought process. 

Being on the road to recovery has its own sets of challenges, of course, but even just getting on the road to begin the trip is already tricky, right? 

A little about me. I’m a recovering addict and recovering from an addiction is a process that includes physical and mental withdrawal, long-term cravings, and lifestyle changes to help combat the original causes of your addiction and your addiction triggers. 

Sounds a little challenging, doesn’t it? As I said earlier, it’s a process, and it is not an easy one. 

That’s where I had to learn my second lesson: Asking for help is okay.

Not too long after seeking help for my substance abuse issues, it became apparent that I had dual citizenship in the world of recovery; my mental health was suffering greatly. I was eventually diagnosed with a few mental health illnesses. 

Once my healing journey started, I needed to encompass myself positively to keep it going; that’s where needing a support system comes in handy.

Let’s be honest – if knowing how to build a support system was already common knowledge, a lot of us probably wouldn’t have gotten caught up in the throes of addiction in the first place. 

I needed to identify what support types would benefit me because there is no one-size-fits-all in that department. 

I love to walk, and I can walk for hours on my own, but isolation can sometimes be unhealthy for me. When anyone offers to take a stroll with me, it feels like I won the lottery every time, but lately, I don’t even wait for offers anymore. I’ve voluntarily organized group walking meetups, stepping out of my comfort zone, and socializing; that’s major for me.

Knowing what I needed from my support circle helped me strengthen it, no matter what it resembled. Taking my time building my circle has become essential to the foundation of my recovery. 

Another step I had to take meant reaching out to people who knew and loved me already. 

Putting my recovery first had created a distance with some of my loved ones. Still, by demonstrating how much I wanted to repair and close gaps, some of those relationships have become even more significant today.

Once I started, things really went on a roll. I began to reconnect with old friends and revisit familiar places that made me feel safe and happy. I went about trying out old hobbies again – I even picked up my old guitar and started retaking lessons. I hadn’t touched an instrument since grade 10 when I was in the school band.

I realized that building a support system should also involve my interests outside of my ailments. 

Yes, going to therapy regularly and attending 12-Step meetings are crucial to my healing process. Still, regardless of whether I was a pro or a beginner at new activities or interests, I found some very beneficial to the process. 

I felt shy and dared myself one day to try yoga (those yoga outfits are cute; I needed to justify the purchase) from the comfort of my home, mind you, but I was still nervous to try it. Now, I hate to sound cliche, but I think everyone can benefit from what yoga has done for my mind, body, and spirit since I started. 

I got active, which may sound scary or overwhelming at first because I know it did for me, but it helped me get more involved, which led to getting out of my house.

I started socializing with like-minded individuals and soon experienced the power of sharing healthy coping mechanisms with others. I don’t need to become BFFs for these types of connections to be still very beneficial in strengthening my support system. 

My fear of being vulnerable always held me back from opening up more. I started to face that fear, and now my vulnerability has become my superpower.

I wasn’t always this transparent though, and that’s where having a therapist and going to counselling helped the most, because building a proper support system means I will have to be transparent about how I feel or what I need. 

Especially since I’m relearning how to be social while prioritizing putting my recovery first at the same time. Having a social network is only a benefit if it’s positive, which means I have to be hypervigilant in all my personal or professional interactions. If they start to provide any negative obstacles to my journey (even if they think they mean well), it’s my responsibility to remove them. 

This is where creating boundaries and sticking to them came into full effect for me. Once any relationship becomes triggering, I am prudent because my recovery is too valuable to take any chances.

I practice mindfulness and I’m now at a place where I stay present about the people, places, or things surrounding me. I’m more aware of any scenario, becoming no longer supportive and acting accordingly.

I may make new life-altering connections; I may have to distance myself from or end relationships that once seemed never-ending.

My support community doesn’t need to be overwhelming either but checking out support groups in other areas of my life (parenting, career goals, etc. etc.) is just as beneficial if not a necessity. 

Creating a nice balanced routine involving family, friends, career, and professional organizations sounds like perfection but being the leader of my recovery means that I get to be in charge of what that looks like as long as it provides positive reinforcements to my wellness.

I am taking my time to build my support system; I’ll slow down if needed and pick up the pace when I’m ready. 

Most importantly, I’ll continue to make adjustments when necessary because being active in your recovery is an ever-evolving job.

Here are some of my favourite support ideas:

  • Yoga
  • Meditation
  • Reading
  • Writing
  • Focus on my spirituality
  • Walking
  • Knitting (Don’t laugh, it’s another of my favourites)
  • Express my feelings
  • Asking for help
  • Avoid slippery places, people, and things
  • 12 Step Meetings/Call my sponsor
  • FUN 

Phoenix Residential Society: Rising from the ashes

I reached Ian Morrison at his office at the Regina branch of the Canadian Mental Health Association (CMHA). A graduate of the Humber College comedy writing program, he teaches people how to harness their experiences — with mental illness and life in general — into stand-up comedy routines.

“It’s all I’ve ever wanted to do,” he said. “Just tell jokes, make people laugh.”

But 12 years ago, this dream seemed as distant as Hollywood itself. Morrison found himself at a Salvation Army shelter, off his medication and out of options. “Honestly, I thought my life was over. And it would have been if not for Phoenix [Residential Society].”

Here he paused. “I’m not trying to be dramatic,” he said, referencing his life’s passion. “But if it weren’t for Phoenix, I’d be dead. That’s simply the truth.”

From an early age, Morrison displayed symptoms of mental illness. While his obsessive-compulsive disorder (OCD), attention deficit disorder, and learning disabilities weren’t diagnosed until he was 16, he had long sensed that his thought patterns were different from others.

“What people don’t understand about OCD is that the thoughts are so intrusive and entirely out of character. And then you ruminate on them over and over. It becomes a vicious cycle. At the age of 28 I felt utterly defeated.”

Bankrupt with nowhere to live, Morrison was finally thrown a lifeline — and he’s never let go.

The secret sauce

Founded in 1979, Phoenix Residential Society has humble roots.

“We began with a handful of clients, perhaps nine,” said executive director Sheila Wignes-Paton, who’s been with the organization for more than 30 years. “I started on the front lines, helping people find their footing after experiencing homelessness or hospitalization for mental illness. Now we’ve got 190 people in the Phoenix family — which has expanded to include individuals with diverse needs, for example, those with acquired brain injuries.”

Wignes-Paton added that the organization’s success is not only rooted in recovery principles, which give clients the respect and self-determination to direct their own care, but also in an environment that nurtures and supports staff.

For Lynne Scott, a Phoenix staff member who works directly with residents, that kind of support translates into training to helps her manage the emotional strain of providing support to people in their “hour of need.”

“We’re taught how to set boundaries, refill our own emotional resources, and understand that we can’t pour from an empty cup,” said Scott, who has been with Phoenix for more than 15 years.

“Lynne’s tenure isn’t unusual,” said Wignes-Paton. “We’ve got a groove going here. We do this incredibly meaningful work, which is rewarding in and of itself. But we also place a tremendous value on our staff, and in doing so, reinforce the message that every person’s wellness reflects our overall health as an organization.”

For Scott, the recipe for success is simple — although that doesn’t mean it’s easy. “We meet people where they are, and we don’t sit in judgment. We stay curious, we ask questions, and often the results can be surprising.”

An open mind and an open heart

To illustrate how that works, Scott described her experience with a young man who arrived exhausted, in ragged clothes, and in need of a bath. “I thought to myself that we might need to begin with a focus on hygiene but waited to see how things played out.”

As it happened, the young man had been living in less-than-ideal conditions, without access to clean water. “Once a shower was available, he never needed prompting,” said Scott, who further recalled that initially he also overslept quite a bit, making him late for group therapy and other meetings.

“A trip to the doctor revealed a serious case of sleep apnea that was preventing a good night’s rest. When we got him treatment for that, he was perpetually on time.”

She has seen this kind of small transformation time and again. “I once had a resident who came in with matted hair and had been homeless for some time. I asked him if he’d like to go for a haircut. I didn’t have to ask twice.”

That same resident enjoyed his trip to the barbershop so much, he acquired a pair of clippers and began expressing himself through creative styles. “It’s spiky one day, and something else the next,” laughed Scott, who said she never fails to be surprised by what captures a resident’s imagination and the quiet joy of helping them to follow their interests.

The freedom to follow one’s interests was exactly the kind of support that led Morrison to where is he today. “I remember leaving the shelter and arriving at Phoenix, then having my case worker ask me what I’d like to do,” he said. At the time, living with depression and feeling devoid of prospects — yet thankful to be housed — Morrison’s reply was, “I guess I’ll just get another crappy job.”

He didn’t dare dream bigger, and he didn’t believe that something more meaningful could be on the horizon. “But I am forever grateful because she [his case worker] said to me, “I asked you what you wanted to do.”

Morrison said he quipped, “I want to do stand-up,” expecting a sarcastic response to his dearly held but long-abandoned wish.

“But she said to me, ‘OK, let’s figure out how you can do that.’”

A home, a job, and a friend

That approach to recovery, focusing on the agency of the individual, is the beating heart of Phoenix. Not only did Morrison wind up with a job at CMHA that fulfils his creative drive, he’s also able to help others find their comedic voices.

“I have a place to live — for as long as I want. I have a safety net that’s ready to step in and help when I need it. And I have people who can fill in the gaps that I may still struggle with.”

Morrison concedes that medication management can be a challenge. “I take 14 pills a day and get an injection every two weeks,” he explained, a regime that would challenge any of us. But Phoenix makes sure he doesn’t lose track. He also readily admits that his head for punchlines is a lot better than it is for bottom lines. So the financial guidance Phoenix provides is crucial for his continued independence.

“They helped me to put together a savings account,” Morrison said. “So suddenly, when my air conditioner broke, I had the funds to cover it.”

While this victory may seem modest, the Phoenix model is financially sound by any measure.

A sound investment

In 2018, the organization took a bird’s eye view of their federally funded Housing First program for persons who are chronically or periodically homeless. After tallying up the taxpayer dollars saved, based on 49 clients over four years, the numbers showed that their housing and attendant supports were far less costly to the public purse than repeated crisis interventions.

“We know Housing First works,” affirmed Michel Rodrigue, president and CEO of the Mental Health Commission of Canada, which was charged with rolling out the largest research demonstration project of its kind. “As an accountant by trade, I can see the value of the savings it brings. Yet my compassionate side knows that it’s impossible to put a price tag on the hope, dignity, and inclusion of a safe place to live.”

The economics are certainly sound. According to Phoenix, hospital stays alone were reduced by over $335,000. Spending for emergency room visits, notoriously costly — both in terms of financial and human resources — went down from over $500,000 to just $100,000. But the greatest decrease related to detox visits — which were slashed by about $1 million.

“Truth be told, we spend more time doing the work than toting up numbers,” admitted Wignes-Paton. Still, the results speak for themselves.

From clean housing and volunteer opportunities to group therapy and peer-support to financial guidance and medication management, Phoenix tailors its services to residents’ needs, so they receive personalized care that can be adjusted over time.

“People may think, ‘OK, recovery means you’re going to be exactly like you were before you got sick,’” explained Scott. “But that’s not necessarily the case. While Morrison has had tremendous success by any measure — doing meaningful work and making lives better daily — for another person recovery may look quite different.”

That’s one reason the Phoenix approach celebrates small victories, offers a safety net for (expected) setbacks, and above all, provides people who need it a place of their own.

“When I was in Saskatoon,” recalled Morrison, “I got kicked out of two boarding houses in one day, simply because I mentioned my medication left me tired. That feeling of being unwanted, unworthy, it stays with you. There are so many misconceptions about people living with mental illness. It’s frustrating and hurtful,” he said.

At six-foot-four and well over 200 pounds, Morrison gives the impression of being a gentle giant, wanting nothing more to live his days making people laugh and teaching them to laugh at themselves.

“Next to Phoenix, laughter is the best medicine. But I couldn’t have one without the other.”

Suzanne Westover

An Ottawa writer and former speechwriter, and Manager of Communications at the Mental Health Commission of Canada. A homebody who always has her nose in a book, she bakes a mean lemon loaf (some would call her a one-dish wonder) and enjoys watching movies with her husband and 14-year-old daughter. Suzanne’s time with the MHCC cemented her interest in mental health, and she remains a life-long learner on the subject.

Illustrator: Remie Geoffroi w: remgeo.com ig: @remgeo

Estimated reading time: 3 minutes

Several months ago, I had the opportunity to participate in Mental Health First Aid training for the first time. It was an eye-opening experience that really made me look inward and assess my outlook on mental health and what living with a mental illness entails. 

I got the chance to write in more detail about my experience here. It made such an impact on my mindset towards mental wellness that I want to highlight my top three takeaways from the training sessions.

Language matters

We often forget the impact our own words have on those around us. The language we use can make a world of difference in terms of the stigma surrounding an individual’s mental well-being.

Consider the following statements: ‘They are an addict” or “They are in recovery”. Sometimes small changes can make a big difference. The first phrase places a stigmatizing label on the individual while the following verbiage provides a more optimistic and inclusive tone.

We should strive to use person-centered language that avoids defining individuals by their illness.

Be confident

In many situations in life, confidence is key. This remains true when having difficult conversations surrounding someone’s mental well-being.

It may be intimidating to bring up the topic of mental well-being in discussion, especially for the first time. We don’t want to come off as judgmental or project our opinions onto others, assuming that something is wrong. At the same time, it’s not always abundantly clear when something is wrong. The more you open yourself to leading dialogue around mental health, the more confident you will become. It may feel uncomfortable but asking questions and suggesting professional help when someone is showing signs of a mental health crisis, might just save their life. 

Set boundaries

Supporting others is noble, but it should not come at the cost of your own mental well-being. It is easy to become consumed by the obligations one feels when helping someone with a mental health crisis.

It is important to set healthy boundaries for yourself to make sure your own mental well-being is not at risk. Be open about your limitations, letting others know what you can do to assist them. At the same time, it is healthy to maintain your priorities.

One example of a healthy boundary is not allowing yourself to do something for someone that they are able to do on their own. Not only does this allow the individual to maintain their independence, it also sets the expectation that they must be willing to help themselves if you are going to continue to provide support.

Keeping these lessons in mind over the last few months, I have been able to be a more supportive friend and feel more confident having open and honest conversations about my own mental health with those around me. My hope is the training can do the same for you. 


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