First and foremost, be patient. This is a wound that will only heal with time. And don’t worry. There’s nothing for you to fix.
Be supportive. This refers back to patience. You will temporarily have to pick up some extra responsibilities, because there are things your loved one can’t do right now, like dishes, running errands, or laundry. They just can’t. They’re not being lazy, they are actually incapacitated.
You will also have to help them with self-care, by reminding them to eat, shower, and brush their teeth. If they are not sleeping well, buy an over-the-counter sleep aid and remind them to take it, because if they sleep poorly, that will drastically worsen their depression. Inversely, if their sleep gets better, they will have an easier time with their depression.
Since this is what is considered a situational depression, these problems will not be long term. The depression will probably be over in less than a year, and will gradually get better day by day. It may even be better in a few months, depending on how quickly your loved one processes their loss.
If you can make an appointment for them with a therapist, do so, and offer to drive her/him to her/his first appointment. If they hate the therapist, try again with someone else. A therapist can teach your loved one coping tools that will help ease her/his suffering. You can learn coping tools alongside your loved one, both for you to use yourself, as well as for you to remember so that you can remind your beloved to use specific tools. If you would like to borrow some of my tools, I have a list here with explanations of how to use them: Coping Tools You Can Borrow! – The Goldfish Painter
Let them be angry, and remember that if they get angry with you for doing nothing wrong, it’s their grief talking and that their anger probably Continue reading →
Talk to your friend about what activities are soothing, as well as what the things they really need to hear from you are. Encourage them to write these things down, with the goal of giving you the piece of paper to keep, so that you can say or do helpful things when they are having a hard time. Note: it is also very important that they make a similar list for them to refer to.
Some of the things you can say that might make a difference are:
Breathe slowly. You’re going to be okay. You’ve always gotten through this is the past, all you have to do is wait it out. I know you are strong. This will be over soon.
You are so loved, I care about you deeply, and I will help you any way you need if you tell me how.
We can get you out of this situation if we need to. (Make sure you can follow through on this.)
You are not in danger. This is your anxiety trying to take you over. I am here to help you feel safe. (If they will not respond positively to you saying that their reaction is coming from their anxiety, just promise them you will keep them safe.)
Some actions you can take to help are:
Try to remove your friend from the situation that is causing the anxiety response, like a social or family situation, the store, the mall, or a party/formal event. Go outside with them and encourage them to breathe in slowly through the nose while counting, and breathe out for half as long out of the mouth. This physically slows their heart rate. You can count out loud for them to help them concentrate, and feel cared-for. You can also offer them the option of leaving the situation entirely, if possible. It’s okay to cancel plans with friends and family in order to help your friend function. It’s something that they will need sometimes. If their friends and family can’t be understanding or supportive, they are going to lose those people eventually anyway.
Remind them to eat. Low blood sugar can trigger an episode. When you go somewhere with them, keep a piece of fruit with you.
Encourage your friend to get in to see a therapist if they don’t already. If they can’t afford it, there are some therapists who offer sliding-scale pricing, which means your friend would pay according to what they make. When they see the therapist, they should go in with goals in mind. These goals could be “I want to be calmer in public places.”, “I want to feel less anxiety.”, or “I want to struggle less with my daily life.” The therapist will then help them build tools and skills to use every day that are aimed at lessening their pain. If your friend is reticent to go to therapy, offer to help them find a therapist and to drive them to their first appointment.
Remind them often that they are loved and supported, in and out of anxiety episodes.
Remind them to do any of the activities they wrote down as “soothing”. It’s easy to forget your tools when you’re in crisis.
Please remember that your friend can get better and experience less anxiety, but they will probably never fully recover. The goal is not to be cured, the goal is to learn to live successfully, in as little pain as possible. Most of the responsibility to get better rests on your friend’s shoulders, not on yours. Make sure you take care of your own mental health before reaching out to help your friend. It’s okay to sacrifice a little for them, but if you find yourself slipping into a depression because of their situation, take some time to yourself to get better, and then return to your friendship refreshed. Since your friend has a mental illness, they should be understanding if you express the need to take care of your own mental health for a while.
It is very loving and honorable that you want to help your friend. If you have a very close relationship and you are willing to take on more responsibility, this has more ways you can help: How Outsiders Can Help – The Goldfish Painter
When you first start psychiatric medication, you honestly don’t know what you’re doing. I wish that there was a class on how to be a good and helpful patient that anyone could take for free when they get their first script, but instead, I will write out the things I believe are crucial in order to make significant progress aided by meds.
Patient Skills For a Lifetime
Although I am not a doctor or any sort of health professional, I do consider myself a “professional patient,” due to the past 13 years of dealing with bipolar disorder, major depressive disorder, and generalized anxiety disorder. All that time, I have been in treatment with psychiatrists, psychologists, therapists, general practitioners, and specialists in various fields. The following is what I’ve learned.
One psychiatric medication does not work the same on everyone. And if you’re already telling other people about your meds (what works for you and what doesn’t), then please read the disclaimer that needs to come before any advice you hand out.
Sometimes a psych med has the effect of causing health problems, making things worse, or affecting you in a way opposite of its intended purpose. An example is that for some people, some antidepressants can cause suicidal ideation, and some antipsychotics can cause hallucinations. These effects happen to a small minority of people, so this doesn’t mean you shouldn’t try them. Because…
Psychiatric medication can save your life. A med can bring you back from the brink. A med can improve you enough to be able to use coping skills, which is difficult in a nonfunctional place…
Doctors are stabbing in the dark when you begin treatment.This means that you will probably have to try more than one medication before you find one that works. Once you find one that works, then you will need to…
Adjust your dosage and time of the dose with the guidance of your doctor.Often, a medication that works for you a little bit can work for you a lot after you figure out what time(s) of the day make you feel best. This is often called “tweaking the dose.”
To learn how the dose needs to be tweaked, you will need to KEEP NOTES.Print out a mood chart from the internet (search “mood chart”-it’s easy). Go to Kinko’s or the library if you don’t have access to a printer. I know some apps do the same thing, so look for those instead if you’re inclined. Or just keep a notebook. It doesn’t matter how you do it as long as you have the following information in an easy to read way:
Your daily mood status
What you are taking, what time and how much (you don’t need to write down the things that don’t change every day)
Your mental illness symptoms, especially anything severe or unusual for you
Other health problems
Any problem behaviors or events (like self-harm or episodes)
Any insight you notice about how you are being affected
Bring your notes with you to the doctor.Some doctors’ appointments are as short as 10 minutes, so every sentence counts. Having all the information on hand eliminates the need for telling long, rambling stories full of irrelevant details. This is probably the most important thing to do in your relationship with your psychiatrist.