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.

Making strides in mental health promotion and access to quality care. What we learned from examples abroad.

We often interject with “it’s just a thought” after making a suggestion, perhaps to mitigate damage after offering unsolicited advice. While we usually think of it as a throwaway line, New Zealand has given it new importance by putting it at the core of a virtual cognitive behavioural therapy service led by therapist Anna Elders. For people with mild-to-moderate symptoms of depression and anxiety, Just a Thought provides tools to control emotions, thoughts, and behaviours through free online courses. Its ability to cut New Zealand’s persistent six-month wait times to see a mental health practitioner has also been impressive. With similarly long wait times in Canada, such innovations provide insights into how we too might respond to our evolving mental health challenges.

This possibility was something I picked up on while attending the eMental Health International Collaborative — known as eMHIC — an annual congress on new advancements at the intersection of mental health and artificial intelligence. The November 2022 meeting in Auckland gave me the a chance to examine some of the ways technology (while not the answer to all our problems) can help to increase access to mental health care in countries that are vast, have a shortage of clinicians, or face financial barriers. In this way, Canada has much in common with New Zealand, Australia, and other parts of the world. Our shared challenges brought leaders in the two fields together at eMHIC to consider some of the potential paths moving forward.

Canada is in the process of implementing a three-digit suicide prevention and mental health crisis line in November 2023. Ahead of that, New Zealand’s national telehealth organization — Whakarongorau Aotearoa — offers insights on implementing such a service. It offers free 24-7 access to a dozen clinical teams that connect the dots on intersecting elements of well-being, from mental health to social services to COVID-19 supports to smoking cessation. Between June 2021 and June 2022, operators connected with 2.7 million individuals, representing nearly one in two New Zealanders, with 74,000 of them specifically accessing mental health services.

The integrated approach to mental health care was a throughline in our discussions with leaders at eMHIC. The holistic focus is at the centre of the Auckland Wellbeing Collaborative’s support program, which brings together specialists for a coordinated approach to mental health challenges. For example, community support workers, health coaches, and health improvement practitioners might work together on a case file. The services are an extension of many general practitioner offices in the area, meaning that locals can access them at no charge wherever they normally see their doctor.

Michel Rodrigue and Colin Seery at Lifeline Australia

Michel Rodrigue and Colin Seery at Lifeline Australia

Learning about this incredible initiative made me think of the challenges here in Canada. Programs such as Stepped Care 2.0 have made great strides in reducing wait times for mental health services by giving people the option to “step up” or “step down” the intensity of treatment based on their preference or need. As well, various organizations are working on tools that enable practitioners to improve culturally appropriate mental health services, which is also promising. Still, Canada’s shortage of family doctors may make supporting a multi-dimensional team model toward wellness a far-off goal.

New Zealand’s wellness support team relies on a community approach through the concept of “whānau,” a Māori term loosely translated as “family,” but which includes one’s extended support network. In times of trauma and hardship, such as the 2011 earthquake or the 2019 mosque shootings, many New Zealanders turned to their communities and whānau to sustain their resilience and get support.

From literacy to legislation
Australia’s National Mental Health Commission has a mission much like our own, with a focus on promoting a better understanding of mental health and its outcomes, preventing suicide, influencing policy makers, and working with partner organizations to improve mental health and well-being for all. And like us, despite these efforts, the country is still contending with the effects of stigma. In a recent survey that explored public stigma, structural stigma, and self-stigma, the organization found that more than four million Australians experienced mental health-related stigma and discrimination in the past year. Just over one in four respondents said they would be unwilling to work closely with someone with depression, while 63 per cent said they wouldn’t be willing to spend an evening socializing with someone who is living with schizophrenia.

The Mental Health Commission of Canada’s own polling (in partnership with the Canadian Centre on Substance Use and Addiction) found similar evidence of pervasive stigma. More than half of the respondents said they believe stigma toward people with depression is still present, while two-thirds said they believe stigma toward people with an alcohol use disorder is still present.

Many are looking to legislative changes that will reinforce mental health literacy. Policies that help to prevent discrimination and promote equity, like those related to physical disabilities, are a growing area of focus in the mental health community, both at home and abroad.

The creation of a National Suicide Prevention Office by Australia’s federal government in 2021 is another encouraging shift toward collaboration in suicide prevention initiatives. Dr. Michael Gardner is leading the development of a national suicide prevention strategy to coordinate efforts between levels of governments and government agencies. According to Gardner, the focus will be on the policies and systems needed to reduce suicidal distress and suicide by improving social and emotional well-being, enhancing protective factors, and “empowering a connected and compassionate support system that is capable of providing tailored responses.” Several key suicide prevention initiatives are already underway, including the establishment of a nationwide crisis line for Indigenous peoples called 13YARN, whose programs are designed, led, and delivered by Aboriginal and Torres Strait Islander people.

Another Australian service called Lifeline offers 24-7 crisis support and suicide prevention for people across the country. Now in its 60th year, the organization receives a call every 30 seconds. Before COVID and the bushfires of 2019-20, Lifeline received about 2,000 calls a day. Now, they’re up to 3,600. As in Canada, the demand for crisis support has increased while suicide rates have remained steady. Canada’s suicide death rates continue stubbornly at about 11 each day. This further underlines the need for ongoing and dedicated investments in mental health and suicide prevention, collaborative efforts to make mental health and crisis support more accessible, and a wider understanding that good mental health is part of our overall well-being.

A quick word of congratulations
It was a true honour to congratulate Nicholas Watters — the Mental Health Commission of Canada’s director of Access to Quality Mental Health Services — on his Lifetime Achievement Award for eMental Health Development and Implementation from eMHIC. Another pioneer in this area, Dr. Patricia Lingley Pottie, was also honoured at the congress for her incredible work with IRIS, artificial intelligence technology that is used for customized treatment delivery and data collection at the Strongest Families Institute in Nova Scotia. I take inspiration from these and other leaders in the field who are advancing critical work in mental health advancement.

Author: is president and CEO of the Mental Health Commission of Canada.
Main photo: A delegation visited the Tiaho Mai mental health inpatient unit at Middlemore Hospital in New Zealand. It incorporates Indigenous culture into every aspect of care.

Australia’s Black Dog Institute blends research and community spirit. A conversation on outreach, balance, and the art of “business in the front, party in the back.

If you’re fortunate enough to visit Sydney in September, you might notice something odd: a whole lot of mullets.

That’s because each year, the Black Dog Institute (BDI) runs their Mullets for Mental Health campaign, where Australians are encouraged to grow their hair in the much-maligned style leading up to the fundraising period. Top earners — those whose business-in-the-front, party-in-the-back haircut brings in the most money — can also take home rewards — including the coveted mullet-wig hat.

The mullet offers an easy opening to raise awareness and funds for mental health research, much like Canada’s Movember moustache campaign does for men’s mental and physical health.

For Helen Christensen, who was BDI’s director for nearly a decade, campaigns like this are doubly beneficial. “We’ve built up a reputation within the community,” she said. “People are more likely to get involved because they know who we are, and our organization is more sustainable as a result.”

The Black Dog Institute — named for the way Winston Churchill once described his depression as “my black dog” — is Australia’s only medical research institute to investigate mental health across the lifespan. Before Christensen joined BDI in 2012, it was already doing innovative work, mainly studies on treatment-resistant depression while educating clinicians and other researchers about those findings, although it was relatively unknown outside the psychiatric community.

Using her background in population-based research, Christensen helped bring this work out of the hospitals and into the community. Those efforts included a strategic shift to internet-based, technology-driven, broader-scale community and longitudinal research. Rather than focusing on clinicians, BDI began offering education in schools and management training for workplaces.

While research is foundational to the “business” part of BDI’s work, their community events are now what drive it forward. That’s the “party in the back” part.

Community-based campaigns put the fun into fundraising while reminding Australians that no one is immune to mental illness. They are built around activities that encourage togetherness, like races, obstacle courses, and other ideas from community members.

Leading with lived experience
Yet BDI is equally committed to integrating the experiences of people with lived and living experience (PWLLE). Describing the growth of this area of expertise, Christensen explained that it started as an open call advisory group (much like the Hallway Group and Youth Council at the Mental Health Commission of Canada) but then evolved into a dedicated branch of the institute.

Black Dog Institute

Black Dog Institute

“We embraced lived experience early on but also recognized that it needed to be structured in terms of how that expertise was incorporated into the rest of the organizational activities,” she said. “It needed its own framework and processes, its own staff, its own network, and its own volunteers. Some of the framework is still emerging, but it’s the people with lived experience themselves who lead that process.”

Likewise, PWLLE among Australia’s Indigenous populations is integrated into the institute. Through their lived experience Indigenous centre, BDI helps with things like research and project management. But as Christensen emphasized, “doing this kind of work isn’t as simple as saying, ‘We want to do Indigenous mental health, let’s set it up.’”

“You’re the host for that organization or movement, you’re not the driver of it, and you’re not doing it for them,” she said. “If you’re lucky enough to be a respected organization that they trust and can fit their work with, then you can help — but first you have to be invited.” As this focused approach has evolved, Indigenous partners have become a cornerstone of the institute.

Prevention and progress
While Christensen stepped down as BDI’s director in 2021, she remains deeply committed to improving mental health — and saving lives — across Australia. She continues to challenge the status quo with a special emphasis on suicide prevention in her current positions as professor of mental health at the University of New South Wales and non-executive director on the BDI board.

Suicide prevention is nothing new for BDI, which offers a rich collection of research and resources in the field. But according to Christensen, a critical piece of the puzzle is still missing: data.

“It’s like trying to work blindfolded. There’s a lot of misinformation and catastrophizing in the absence of real data,” she said, adding that accurate statistics around self-harm and suicide attempts simply don’t exist.

In one example, Christensen relayed the story of a student who took an excess of pills in an attempted overdose. “She awoke in the morning and was physically OK, so she just got dressed and went to university like nothing had happened. That attempt wasn’t tracked anywhere. How often is this happening? We don’t know.”

To help close these data gaps, she believes in the value learning from other sectors. “Car dealerships have all kinds of data to improve business. Banking apps use metrics to see exactly which investments are paying off and which are not. Why can’t we have the same thing to improve the ‘business’ of suicide prevention?”

Leveraging digital tools
When COVID-19 forced people indoors, health care of all kinds shifted to virtual services, including mental health. Today, BDI continues to champion evidence-based digital mental health tools and resources and to investigate the effectiveness of apps. At the same time, Australians can request free counselling, peer support, and other telehealth services through the institute.

While the influx of digital health tools has made treatment options more accessible for many, as Christensen pointed out, it’s not a panacea. “The stand-alone services we can now offer virtually haven’t been integrated into our broader health system,” she explained. “Without an integrated health record that can report back to the care provider, there’s no way to confirm if people actually got better following treatment. That’s a major problem.”

For Christensen, this digital shift brings an unprecedented opportunity to overhaul what is often a disjointed system. “What I would like to see is integration — a model of care that includes digital health, and a technology platform that can deliver it. Only then will we see a true collaborative, patient-centred model of care.”

Despite current limitations in data and access to care, Christensen remains hopeful that digital tools and data collection have great potential, particularly for suicide prevention. “If we think about cancer and infectious disease, there’s been amazing changes over 40 years in how people are treated. Suicide prevention, on the other hand, is still a new field.”

“With better data to improve outcomes, more capacity to provide integrated care, and a focus on the social determinants of health, I believe we can really turn up the dial on mental health.”

Resources

Author: is vice-president of External Affairs and Development at the Mental Health Commission of Canada.

Karla Thorpe

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

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 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)

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.

A children’s book on depression is a tough sell, but it’s an important topic. On authoring and self-publishing The Semicolon.

When I think of the countless rejections I received for The Semicolon, two stand out. The first was from an incredulous literary agent who wondered why I would even choose depression as a topic for a children’s book. The second agent, even more blunt, told me flatly: “I’m not interested in the mental-health-for-children part.”

Rejection comes with the territory as a writer, and I am the first to admit that my story is offbeat. I was inspired to write it after reading an article about Amy Bluel of Project Semicolon and other mental health advocates adopting the semicolon as a symbol of hope and resilience in anti-suicide initiatives. Many of these individuals have gotten semicolon tattoos in solidarity or as a way to validate their own experiences of survival. The choice is informed by the reason a semicolon is used; it signals the continuation of a sentence rather than its end. That symbolism resonated with me — not only as an author but because, having gone through severe depression in my 20s, I knew that depression could be just as misunderstood as grammar.

I wondered if I could take this beautiful concept of the semicolon and, in a non-didactic and age-appropriate way, introduce it to younger readers who are themselves susceptible to mental health struggles.

Yet I chose an uphill climb. The children’s book market is difficult enough to crack for writers who don’t illustrate their own work, and here I was pitching a story about a difficult topic told in an abstract way. Still, I didn’t want to underestimate the depth and capacity children have to imagine and reflect, even those unfamiliar with semicolons. My concept may have repelled literary agents, but I saw it fitting into a category of picture books on difficult themes that are intended to be read — and discussed — with children (alongside titles such as The Scar by Charlotte Moundlic and Virginia Wolf by Canadian author Kyo Maclear).

Britt Sayler

Britt Sayler

What’s more: this was (and still is) a topic that desperately needs talking about.

Even before the pandemic, the CDC assessed the prevalence of depression in children between six and eleven years old at two per cent (and more than triple that for adolescents). By all accounts, children’s mental health has only worsened since then. Manitoba-based Kidthink now estimates that 10 to 20 per cent of very young children in Canada are experiencing mental health problems. And in October, the Canadian Paediatric Society warned that young people are experiencing growing wait times for mental health support.

In this light, why did writing about mental health for a young audience feel so taboo? Was it the act of putting it into words? Was it because, as a society, we still cling to the idea of childhood as a happy and carefree time? Or was it depression specifically, rather than mental health in general, that was uncomfortable?

More than once, I was advised to pitch the book as a story about grief, since the main character’s depression follows the loss of a parent (drastic life changes are a common trigger). To me, this guidance missed the point. So finally, I decided to self-publish. I just couldn’t mute the very point I was trying to get people talking about.

Reaching kids who aren’t all right
Even for children, depression can be all-consuming. I wanted to capture that (literally — a slurping pit figures prominently in the book) and engage readers without being moralistic. That is, story first, message second. I also wanted to trust children’s ability to learn new concepts, in hopes of offering something that resonated beyond the last page.

Of course, without the near-automatic access to schools and libraries that established publishing houses enjoy, reaching kids becomes the challenge. I worry generally about the commodification of mental health, but to get my book to those who need it, I would have to market it.

There is an obvious audience in mental health practitioners who work with children. Equally important, though, are the parents, educators, and caregivers with first-hand experience of mental illness — especially recovery from depression or familiarity with semicolon tattoos. The fact is, most picture books are marketed to adults who buy and read them to kids, and those with lived and living experience can make for the most passionate advocates.

The biggest hurdle would be getting the book to children who need it now, not just those at risk of depression in the future. It can be unpalatable to think of a young child in your life as depressed. Furthermore, depression rarely looks the same in children as it does in adults — a clear theme from the experts I spoke to in writing this book. We all struggle at times to process our feelings, but children are still developing their self-awareness and vocabulary to communicate these. It’s up to adults to look for the signs.

Because 2SLGBTQ+ youth are at a higher risk of depression and suicide than their peers, I also made the conscious decision not to specify the gender of the child narrating the story. The language is gender-neutral, and the illustrations are ambiguous to leave space for each reader to perceive the main character according to what they need.

Now that The Semicolon is in print, I hope it finds a place among the growing number of picture books devoted to mental health. Many of these focus on aspects of wellness like emotional awareness, self-regulation, and self-esteem; I want mine to shed light on the prevalence of childhood depression, and deepen society’s understanding without diluting it. There’s a difference between ordinary sadness and depression, just as there is between normal worry and clinical anxiety.

As a resource for children, I hope it can spark conversations and help readers gain lasting perspectives on dark feelings, but all of these books should be viewed in context. They are not substitutes for diagnosis or treatment. They are tools in a bigger toolbox intended to help children be the healthiest possible version of themselves — a box our kids are needing more and more.

Further Reading

Talking to Children About a Suicide.

Proactive prevention: A model to stop bullying.

Author: ‘s book, The Semicolon, is now available through FriesenPress.

Britt Sayler

Illustrator: Dorota Rewerenda

Author photo: Andrea Gray, Trio Photography

It’s time to talk about mental health in football

The world of professional sports brings to mind scenes of packed stadiums, screaming fans, and lavish contracts for the most celebrated athletes, who display dazzling feats of skill and endurance. But this image of players fulfilling a life’s dream doesn’t always square with reality: the challenges many of them face in maintaining their mental well-being. The truth is, many elite athletes are struggling. Ahead of the 109th Grey Cup, The Catalyst looks at the way organizations like the Saskatchewan Roughriders are joining with others to tackle the issue.

According to a recent study in Psychology of Sport and Exercise, more than 40 per cent of 186 elite national team athletes in Canada “met the cut-off criteria for one or more mental disorders,” with stress and training load being “significant predictors of depression and anxiety.” To understand why, it’s important to acknowledge the realities athletes run into, both on and off the field.

Before reaching professional or top amateur levels, competitors must prove their skills in junior, university, and semi-professional leagues. This often means having to balance their sports aspirations with school, work, and family obligations, not to mention the growing public profile that comes with each success.

“It can be a grind at times,” said Ty Logan, a former university athlete and current professional defenceman with the Albany FireWolves of the National Lacrosse League. “When you’re in school, your weekends are spent travelling on a packed bus between cities, while trying to finish assignments and catching up on the lectures you missed during the week. It’s late nights in the library followed by early mornings at the gym. If you’re not careful with your time, it’s easy to fall behind in one way or another.”

Only as good as your last game
The expectation to perform in the midst of multiple obstacles and responsibilities can be a huge source of stress for young athletes. “You definitely feel the pressure from both sides,” Logan said. “Even when you turn professional, there are no days off, and you never know when it might be your last contract or last game in the league. You have to try to block out the outside world and focus on playing your best.”

The Working Mind Sports

This pressure intensifies for emerging athletes with the increasingly slim chances of becoming a professional in any given sport. According to the National Collegiate Athletic Association, around four per cent of all college athletes will reach a professional league or the Olympic level. Even fewer will stay there for more than a handful of games.

When you have a large group of highly motivated, competitive athletes battling for a finite number of spots, with the promise of fortune and fame on the line, it’s easy to see how the pressure can mount for aspiring professional athletes. Add in the need to maintain grades and a part-time job to help pay the bills, and the risk to one’s mental well-being becomes just as clear.

Knowing this, the Mental Health Commission of Canada (MHCC) adapted The Working Mind (TWM) training program to address these issues. TWM Sports modules focus on scenario-based, practical applications for both athletes and coaches which are grounded in the voices of people with lived and living experience of mental illness

Research shows that coaches fulfil multiple roles as motivators, counsellors, advisers, and parental substitutes — all of which require considerable emotional labour. And athletes must fully understand their own mental health — and that of those around them — to maximize their capabilities. To address these requirements, each of these TWM Sports courses provides tools and skills for adverse situations and the ability to support teammates — skills that apply just as much to people in beer and recreational leagues as they do to top athletes.

A nation of athletes
According to a 2016 Statistics Canada poll, 27 per cent of those age 15 and older regularly participate in sports. That’s more than eight million people across the country in some form of sporting activity, with fun, fitness, and physical health cited as the main benefits. But beyond the average individual, the trend shifts. For elite athletes, who dedicate their lives to professional competition, sports can change from a positive influence on physical health to something that puts mental wellness at risk. For instance, when it means sacrificing friendships and one’s personal life to the pursuit of sporting greatness.

This was one of many insights that emerged out of the development process for TWM Sports. The MHCC partnered with the Saskatchewan Roughrider Foundation to pilot the program with players and coaches, along with other elite athletes from Saskatchewan communities.

After Cindy Fuchs, the foundation’s executive director, saw the potential of having a TWM program designed specifically for athletes and coaches, she immediately contacted the MHCC to ask how she and her team could get involved.

“The Roughrider Foundation is dedicated to supporting health, education, and amateur football in our local communities, and the TWM Sports program weaves perfectly into those pillars,” she said. For Fuchs, TWM also aligns with the foundation’s other initiatives, including Win with Wellness and Game Changers Playbook, a collaborative project with the Saskatchewan Ministry of Education to address youth mental wellness in the province.

Throughout the pilot phase, a common thread in the feedback she received from participants was about how impactful the sessions were. “It forced them to reflect on their own mental well-being,” she said. “I think a lot of the players didn’t realize the stress they were going through until they reflected on it.”

By implementing a box-breathing technique from the program into his game-day routines, one kicker was also able to help his on-field performance. And the program also had a positive impact on team morale.

“You can see that the players who have taken the training have a special bond,” Fuchs added. “They know they can be open with each other about how they feel without any judgment.”

It’s this sense of openness — and the de-stigmatization of mental health in sports — that motivated the foundation to spread the word about the program and cover the entire cost of TWM Sports training for all university athletes in Saskatchewan.

Starting with the University of Saskatchewan, all student athletes — regardless of their sport — will have the opportunity to take the program. In addition, all Roughrider players who give presentations for the foundation’s in-school programs will undergo training, allowing them to share the lessons they learned through the course with young people in the community.

“We want as many athletes as possible to have the opportunity to experience this program — it’s that impactful,” Fuchs said. “How cool would it be for a player to be able to tell their coach they aren’t having a good day and not have to worry about being benched or blacklisted? It’s about mutual respect and openness to have this dialogue between the two sides.”

Author: is a marketing and communications specialist at the Mental Health Commission of Canada. A graduate of Carleton University’s Sprott school of business, he has extensive experience in the fields of sports and entertainment. Eric is the co-founder of mssn, a brand dedicated to fundraising and awareness for youth mental health in the Ottawa area.
Photo: Player ambassador Mitch Picton, a current wide receiver for the Saskatchewan Roughriders, leads a wellness presentation at Sacred Heart Community School in Regina SK.

You can’t learn anything from a pop up.

But you can learn lots from our digital magazine, the experts, and those who have lived experience. Get tips and insights delivered to your inbox every month for free!

Subscribe to The Catalyst

This field is hidden when viewing the form