Thriving in Mental Health Recovery
Mental Health: Hope and RecoveryApril 30, 2024
41
01:00:01

Thriving in Mental Health Recovery

 In this episode, Valerie and Helen pursue the holy grail of recovery—thriving in the aftermath of mental illness. For centuries, the ability to thrive would seem almost inconceivable, as traditional treatments focused on the cessation of symptoms and basic survival. But recent studies prove that thriving is possible, even for those who’ve suffered from severe, long-term illness or multiple diagnoses. Helen and Valerie reveal how they progressed into thriving after long years of struggle.

Three guests also share their insights and methods for thriving today. As proven in research, thriving after mental illness is becoming recognized as an achievable outcome. Helen and Valerie’s wish for their listeners is the chance for a rich, fulfilling, meaningful life worth living.

Find Helen and Valerie at www.mentalhealthhopeandrecovery.com


NAMI: “Thriving with Bipolar” by Maureen Goldman

Mental Health Nursing Magazine. 2012, Issue 11.

From Survive to Thrive: Living Your Best Life with Mental Illness by Dr. Margaret S. Chisolm, 2021

A Guide to Thriving with Mental Illness by Mequell W. Buck, 2016

Canadian Community Health Research Survey: Thriving with a Mental Illness, 2012

University of Southern Florida, Mood and Emotion Lab Research Study: Thriving with a Mental Illness; Dr. Andrew Devendorf, 2022




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[00:01:04] Welcome to our award-winning podcast, Mental Health, Hope and Recovery.

[00:01:25] I'm Helen Snead and I'm Valerie Milburn.

[00:01:30] We both have fought and overcome severe chronic mental illnesses.

[00:01:35] Our podcast offers a unique approach to mental health conditions.

[00:01:39] We use practical skills and inspirational true stories of recovery.

[00:01:44] Our knowledge is up close and personal.

[00:01:48] Helen and I are your peers.

[00:01:50] We're not doctors, therapists or social workers.

[00:01:53] We're not professionals but we are experts.

[00:01:56] We are experts in our own lived experience with multiple mental health diagnoses and

[00:02:02] symptoms.

[00:02:03] Please join us on our journey.

[00:02:06] We live in recovery.

[00:02:08] How can you?

[00:02:10] This podcast does not provide medical advice.

[00:02:13] The information presented is not intended to be a substitute for or relied upon as medical

[00:02:18] advice, diagnosis or treatment.

[00:02:21] The podcast is for informational purposes only.

[00:02:25] Always seek the advice of your physician or other qualified health providers with any

[00:02:30] health-related questions you may have.

[00:02:40] Welcome to Episode 41, Thriving and Recovery.

[00:02:45] Is it possible to thrive after mental illness?

[00:02:49] This episode was born by accident.

[00:02:53] I think we can say this, Valerie, while doing some research, I stumbled across this Canadian

[00:02:58] study on thriving in the aftermath of mental illness and that it was possible.

[00:03:03] Valerie, you and I were intrigued and really kind of galvanized.

[00:03:08] For me, I began to wonder if I was thriving and I was almost afraid to ask.

[00:03:15] I felt kind of sheepish and I thought, well gosh, I'm going to sound so arrogant if I

[00:03:18] go around saying, oh, well I'm thriving.

[00:03:21] So I kind of almost backed away from it.

[00:03:24] Valerie, what was it like for you?

[00:03:26] Well, it was really interesting because as you were stumbling across the Canadian

[00:03:30] study, I was stumbling across a really great book called From Surviving to Thriving

[00:03:37] and I'll talk more about that book in a bit.

[00:03:40] But you said it led us to ask ourselves, are we thriving?

[00:03:45] And I am indeed thriving.

[00:03:47] I also had a journey in thinking about that but it also led us to ask others if they

[00:03:54] were thriving.

[00:03:55] And three voices came to mind immediately.

[00:03:58] Three people came to mind more than three but we asked three particular voices to join

[00:04:03] us for this episode, vibrant, thriving voices and we'll hear their perspectives on what

[00:04:09] thriving means to them.

[00:04:11] We will learn what gave them the belief during their darkest times that they could thrive.

[00:04:17] We'll learn how they handle their setbacks and about their own struggles and skills

[00:04:22] for flourishing.

[00:04:24] Sharing their thoughts with us today are Kaelin, Kelly Reed and Karen Reynas.

[00:04:31] Let me give you a quick introduction of Kaelin, Kelly and Karen.

[00:04:35] I met Kaelin when she was five years old and watched her blossom through high school

[00:04:41] and our paths diverged when she went off to college but unbeknownst to each other we

[00:04:47] each had a deep dive with our mental health.

[00:04:51] We reconnected in the world of recovery and I'm honored that Kaelin is sharing

[00:04:57] with us the thriving life she's living today.

[00:05:01] Now Kelly Reed is my dear, dear friend.

[00:05:04] We met in 2006, 2007 in a support community for those with the mental health condition

[00:05:09] and a substance use disorder.

[00:05:12] We have shared a life of recovery ever since.

[00:05:14] Kelly inspires me with how she thrives by living her life in gratitude, service and

[00:05:20] spirituality.

[00:05:22] Karen Reynas has a long history as a professional in the mental health field as a mental

[00:05:27] health strategist, trainer, presenter and innovator.

[00:05:32] In these capacities she's been a support to many on their journey in thriving.

[00:05:36] Karen has been instrumental in the success of this podcast as she has supported us

[00:05:42] in so many ways.

[00:05:45] Karen has the blessing of a daughter who lives a life of thriving with the mental health

[00:05:49] condition and we are so appreciative that the three of them have shared their time,

[00:05:54] their wisdom and experiences with us.

[00:05:58] Yes they've been just incredibly generous and of course brilliant and insightful.

[00:06:03] Now some people may not be able to hear about thriving or to see it for themselves

[00:06:10] depending on where they are in their journey and we both have been there

[00:06:14] and know full well the feeling of despair and memories of how impossible it seemed.

[00:06:21] However, we want to present the concept of thriving as something achievable, a worthy goal.

[00:06:28] I mean thriving is as individual as every person who's fought for survival,

[00:06:33] recovery and a life worth living.

[00:06:37] So let me share one individual's definition of thriving.

[00:06:41] Here's Karen.

[00:06:42] First of all I just want to say how much I love that you're using this word thriving.

[00:06:46] I love the word because I think it's such a powerful one in terms of I think of thriving

[00:06:52] and I just think of growth and this sense of to me thriving is so much about being

[00:07:01] completely in this place of embracing who you are.

[00:07:04] When I think of people who are thriving that's what I tend to see is people who are at that place

[00:07:10] where there is this fullness in their understanding of who they are

[00:07:15] and a valuing of it and a protection of it that I think is critically important.

[00:07:21] And so that's I think to me what it means to be thriving is to be fully who you are and embracing that.

[00:07:29] Let's start with the four stages of mental illness. Crisis, struggle, surviving and thriving.

[00:07:39] In other episodes we focused a great deal on the first three.

[00:07:43] Today we examine the holy grail of recovery thriving.

[00:07:48] Well first off what exactly do we mean by thriving?

[00:07:52] Well the World Health Organization defines health as a complete physical, mental and social well-being

[00:08:00] and not merely the absence of disease or infirmity.

[00:08:05] It goes on to say mental health is not merely the absence of mental illnesses

[00:08:10] but also the presence of psychological thriving.

[00:08:15] And here's the definition of survive which is what we can put up against these definitions

[00:08:23] of thrive and see the difference of where we have been and where we had and survive definition

[00:08:31] is continue to live or exist especially in spite of danger or hardship and I was there

[00:08:38] for a long time just living and existing and now the definition of thrive one that I love is prosper

[00:08:46] flourish. Now let's hear Kailans and then Kelly's definitions of thriving.

[00:08:52] I think to me thriving is really being present, being able to experience joy

[00:09:01] but also being able to experience pain and challenge even while also knowing that those things are temporary.

[00:09:14] So being able to kind of be present with all of it and not seek

[00:09:23] disconnection from the difficult things while also being able to experience the positive

[00:09:29] moments that much more fully. My definition of thriving is living beyond just surviving

[00:09:36] that for me is living a healthy way within my values so I'd like to think of it as something

[00:09:45] really extraordinary but for me it's really accepting life as it is and being content.

[00:09:50] All right now let's look at the phenomenal Canadian study on thriving

[00:09:55] that has had such an impact on both of us. Valerie?

[00:09:59] Yes the 2020-12 Canadian Community Health Study is the seminal survey on thriving with the mental

[00:10:06] health condition. This study showed that contrary to traditional clinical wisdom mental health

[00:10:12] conditions may reduce but do not prevent the possibility of thriving. In fact the

[00:10:19] lead author of the research article said and I quote many people can recover from mental illness

[00:10:26] and go on to experience a life with high levels of well-being and functioning.

[00:10:35] Karen commented on something very important to well-being and functioning that I want to share.

[00:10:41] I firmly believe that when we are really hard on ourselves and we don't really root ourselves in

[00:10:49] self-compassion we can be so kind and caring and gentle and supportive of other people and yet so

[00:10:57] often we fail to do that for ourselves to be as kind and gentle and nourishing nurturing to

[00:11:04] ourselves as we are to others. I think it's so important if we want to aspire to that thriving

[00:11:10] place we can't expect others to be gentle and compassionate and empathetic to us

[00:11:19] if we're not modeling what that looks like for ourselves.

[00:11:23] Yes being kind and gentle and nurturing to ourselves is definitely part of positive emotions

[00:11:29] and positive emotions is one of the criteria this research study used as a criteria for thriving.

[00:11:38] So here's the scoop on the research study. There were 25,000 Canadians aged 15 to 80 included in

[00:11:46] this study and their criteria for thriving included positive emotions which I just mentioned

[00:11:54] also social relationships and the ability to fulfill life roles. The researchers said a really

[00:12:01] high bar for self-defining is thriving. Those with the mental health condition had to meet

[00:12:08] or exceed the level of well-being met by the top 25 percent of the normative sample

[00:12:14] in order to self-define as thriving and yet even with that high bar 10% of those with

[00:12:21] mental health conditions defined themselves as thriving and in comparison 24% of those without

[00:12:29] a mental health issue defined themselves as thriving. So that's 10% with the mental health

[00:12:35] condition defined themselves as thriving and 24% of those without a mental health condition

[00:12:41] defined themselves as thriving. Now here's some information on thriving statistics per illness

[00:12:48] 10% of those with substance use disorders defined themselves as thriving 7% who live

[00:12:54] with depression do so 6% who live with anxiety do so and 3% of those with bipolar disorder

[00:13:01] defined themselves as thriving. Here's one last thing about this study. The researchers found that

[00:13:08] even having longer episodes of mental illness or experiencing multiple mental illnesses in

[00:13:14] one's lifetime reduces but does not eliminate the chances of thriving and Helen you and I are proof of

[00:13:23] that. You know we we are indeed and I am so it just makes me happy to see it in writing.

[00:13:30] Yes and you know I mentioned that this study's high bar for thriving made me think about

[00:13:37] you know that comparison but it made me think about what Kelly said. Well I used to think that

[00:13:43] like happiness was the was the norm like that's what I was going for with my mental illness. I

[00:13:50] thought that was like super happiness was baseline and I remember when I got to the point where I

[00:13:54] thought oh actually contentment is a healthy baseline for me. I love that contentment

[00:14:03] thriving just beautiful. Now Helen you delved into the follow-up research on this Canadian

[00:14:10] study I just shared and it's so interesting tell us about the follow-up study please.

[00:14:17] Well Valerie the great irony is that the Canadian study that galvanized us

[00:14:22] really just kind of languished for the next 10 years and then it was revisited by Dr. Andrew

[00:14:29] Davendorf of the University of Southern Florida at the Mood and Emotion Lab where the study of

[00:14:35] thriving is well thriving. It took a professional with vision and belief to focus on the concept of

[00:14:43] thriving. Now his work resulted in a groundbreaking article from April 2022 the Association for

[00:14:51] Psychological Science and for the first time the article and its outcomes were picked up by

[00:14:58] numerous publications and began to be embraced by many in the field. Now Dr. Davendorf and his

[00:15:06] colleagues are researching and establishing some new exciting approaches to mental health treatment

[00:15:12] that can help steer a patient towards thriving. Traditionally mental health fields have invested

[00:15:19] their energy in tracking symptoms or disorders as endpoints of research and treatment you know

[00:15:24] that was it. The professionals have focused on treatments that reduce symptoms rather than the

[00:15:31] extent to which therapy and treatment methods can lead to a state of well-being which is thriving.

[00:15:37] The absence of symptoms does not equal the presence of good functioning

[00:15:43] and now that we know thriving is possible after mental illness we hope that researchers will

[00:15:48] begin to investigate how existing treatments can increase the chance for thriving after

[00:15:53] mental illness. Dr. Davendorf has stated reading oneself of anxiety is not the same as creating

[00:16:01] joy meaning and satisfaction with life. Now Karen shared an anecdote from an outing with her

[00:16:09] daughter that illustrates this beautifully. When I think back to 13 years ago when my

[00:16:14] daughter was first in crisis and days when I thought she would never really be okay

[00:16:20] and it was heartbreaking to me and to see her now we went to a play I could hear her laughing

[00:16:28] and it's still even to this day in this many years her laughter that belly laughter that is

[00:16:34] so authentic and beautiful will just brighten me because I just think about that those

[00:16:39] really difficult times when she was in that dark place and there wasn't any authentic laughter

[00:16:47] or light in her life I can practically hear that belly laugh can't you yes I can so how do they

[00:16:56] measure thriving well number one it has to be psychological a sense of well-being overall

[00:17:04] life satisfaction self-acceptance a sense of purpose and positive relationships

[00:17:11] and then secondly they set something called the thriving standard they calculated the norms

[00:17:18] of well-being among people who did not experience mental illness and then they assessed how many

[00:17:24] people with a history of mental illness met those same criteria and for mentally challenged

[00:17:30] people they had to be no longer diagnosable and meet or exceed the level of well-being met by

[00:17:36] the top 25 percent of the normative sample so the outcome was 10 percent of those with depression

[00:17:45] met the standard of thriving 21 percent of those with no depression met the standard so

[00:17:53] that shows that 10 years later the 21 percent outcome was even lower than the Canadian statistics

[00:17:59] from that study now survey data shows patient groups value the presence of elements of well-being

[00:18:09] as much or more than the absence of symptoms so what's needed is a more expansive treatment approach

[00:18:15] that will focus on the severity of mental illness and possible relapse yes but also focuses on the

[00:18:22] possibility of recovery and thriving thriving is different for different people and the individual

[00:18:30] can best define the components of life that create an ongoing sense of well-being for him

[00:18:35] or her dr. Davendorce research is examining the multiple pathways to wellness which is creases

[00:18:42] the odds for thriving there is more than one pathway now some are fixed such as financial

[00:18:48] status or genetic makeup but others are within human control such as habits routine self-regulation

[00:18:56] skills Kelly told us about a part of her wellness pathway the importance of sleep I have some

[00:19:05] parameters set around my mental health with my doctor if I don't sleep more than five hours

[00:19:11] three days in a row then I might get symptomatic and that might actually be a symptom of my

[00:19:17] mental illness having an episode so um that's a guideline for me you know the things you

[00:19:23] just talked about Helen that patient groups value the presence of elements of well-being as

[00:19:31] much or more than the absence of symptoms well yeah um we want a life bigger than just not

[00:19:39] being symptomatic and I'm very glad and it's so encouraging that the research shows this but

[00:19:47] duh

[00:19:51] we've known this that we want a big life that we want a thriving life and and it's very

[00:19:57] validating that they've you know proved this proven this in the lab that's the name of the

[00:20:04] you know the department at the university that did this research the emotions lab so

[00:20:09] it's very encouraging that the treatment world is going to look for treatment plans that lead to

[00:20:19] this bigger sense of recovery I'm laughing but I'm serious it's very encouraging work

[00:20:26] one of the statistics I gave earlier was that the was of the different statistics for

[00:20:34] thriving from the different types of disorders and the one for bipolar disorder was pretty low

[00:20:40] only three percent of people with bipolar disorder self-defined is thriving so I wanted to give some

[00:20:46] quotes from an article called thriving with bipolar disorder from the NAMI national magazine

[00:20:53] the advocate and thriving with bipolar disorder is a wonderful article title and these are some

[00:21:00] things the author of the article had to say about her life and I'm going to quote directly from the

[00:21:09] article she said people with bipolar disorder have to pick themselves up again and again

[00:21:17] sometimes you start from scratch you have to be willing and invested in mining your goodness

[00:21:23] and finding faith over and over I've dusted myself off many times she said I know failure really well

[00:21:33] no matter how many times I nearly disintegrate swing too high or too low my soul awaits for me

[00:21:43] it is whole and healthy and it is a tremendous friend this illness will never diminish it

[00:21:52] or steal my essence you have no idea how grateful I am there it is that word grateful and I think

[00:22:02] this is so profoundly beautiful especially the for me this illness will never diminish it or

[00:22:10] steal my essence because that is I would go to that horrible place and think that I had the

[00:22:18] illness had completely robbed me of everything positive so these are beautiful words and there's

[00:22:24] one more source of of early validation and it comes from nurses who are always you know no more

[00:22:33] about this than anyone else and it's from mental health nursing magazine from 2012 way back

[00:22:41] mental health nursing is focused on patients moving along the continuum between failing

[00:22:47] and thriving in terms of emotional functioning this differs dramatically from the medical model

[00:22:55] of disease and cure nursing encourages more research into this mode of focus and treatment

[00:23:03] and they also said many nursing theorists have directly and indirectly identified the

[00:23:09] importance of the patients will to thrive will to thrive which to me just speaks volumes it's

[00:23:16] particular emphasis on the importance of patient responsibility that is identified as vital to the

[00:23:23] process of two true change now kalen gave a beautiful example of the will to thrive

[00:23:34] I was like sitting on the back porch just like noticed a blue jay and I like looked up

[00:23:41] the symbolism of blue jays and just how they're so resourceful and they like set good boundaries

[00:23:49] and they really take care of themselves and I don't know I just had this moment where I was

[00:23:56] I just knew that even though I was going through the hardest most traumatic thing I

[00:24:04] probably ever been through I knew that I was going to be okay and I knew that

[00:24:10] like things were going to be really really beautiful on the other side

[00:24:16] and that kept me going even when it was really hard

[00:24:21] that's such a beautiful vision of kalen sitting on the back porch I love that

[00:24:27] will to thrive so here's the book I mentioned earlier from survive to thrive living your best

[00:24:36] life with mental illness and it's by dr margaret chism and she is with the department of psychiatry

[00:24:43] and behavioral sciences at the johns hopkins university school of medicine and what really

[00:24:49] got my attention is the johns hopkins model to therapy it's called the bio psychosocial model

[00:24:58] and this bio psychosocial model diverges from traditional psychiatry's heavy reliance on the

[00:25:05] dsm that's the diagnostic statistical manual of mental disorders it's the by the bible of

[00:25:12] psychiatry in diagnosis and the dsm lists criteria and symptoms for making a diagnosis

[00:25:20] the bio psychosocial model encompasses the full person it believes the dsm overlooks

[00:25:27] it believes that a person's full story is revealed by examining four perspectives and

[00:25:32] these perspectives are life story dimensions of personality behavior patterns and by the

[00:25:39] perspective of mental health as understood through a matter of brain and body health

[00:25:49] this model is the belief that people with mental health conditions cannot be reduced

[00:25:55] to diseased brains or imbalanced chemical profiles rather they are individuals whose

[00:26:03] unique life story and personality are paramount to understanding their challenges

[00:26:10] you know i valer i used to say to a one doctor in particular you know i would say look i am not

[00:26:16] just a bag of symptoms i am a full human being you know trying to get that across

[00:26:25] and it was it was it was such a it was so dispiriting you know to to be looked at that

[00:26:30] way i loved what i learned in that book the other thing i learned in that book are the four pathways

[00:26:36] to flourishing that um are something you and i talk about all the time helen we talk about

[00:26:45] family work education and community and i didn't want to talk about i loved their definition

[00:26:52] of flourishing a bold or extravagant gesture and then a musical fanfare of trumpets a musical

[00:27:01] fanfare of trumpets is a flourish and i loved that they use those as definitions of flourishing

[00:27:07] well i would like for the trumpets to come just directly ahead of me as i enter a room

[00:27:12] but i'm probably not going to get my way now valer you talked about um uh professionals

[00:27:19] emphasizing the importance of community and how vital that is and both kailyn and kelly

[00:27:25] really rely on community as essential in their lives so um let's hear what kelly and then

[00:27:31] kailyn have to share so find a community of like-minded people or like diagnosed people or

[00:27:40] just um find a community community support is like number one for me so um

[00:27:49] you know 12-step programs um have been again that's like my my foundation i feel like

[00:28:05] now the book that i would like to talk about is called a guide to thriving with mental illness

[00:28:10] by mcquell w buck the author is a survivor who's thriving and through telling her personal

[00:28:17] story buck strongly advises certain attitudes and actions that helped her she's very forthright

[00:28:25] and to begin with take responsibility as best you can learn to regard mental illness as a part

[00:28:32] of your life but no longer the defining and controlling component of your existence now

[00:28:39] karen has given an excellent example of that i see it in my own daughter who for a long time battled

[00:28:47] that i don't want to be that depressed person or that anxious person that's not who i want to be

[00:28:54] and it's so different than where she is now where it's like this is a part of who i am

[00:28:59] and um it doesn't define me and i get to be all of these other things and i think i see her in

[00:29:07] her best self today because she has accepted this is just one aspect of me that i have to

[00:29:15] manage well and part of what has helped accelerate that thriving has been her fully exploring and

[00:29:22] what are those things that are unique to me that i have to do in order to be able to thrive

[00:29:27] another action that mcquell buck advises in her book is and this is kind of the essence of it all

[00:29:33] education is empowering learn to manage through knowledge as much as you can about the illness

[00:29:41] understand your symptoms medications participate fully in therapy ask many questions become an

[00:29:48] expert on your own illness you know education was so empowering for me when i first was diagnosed

[00:29:56] with bipolar disorder i was really fighting to accept that and my psychiatrist said you have

[00:30:02] a journalism degree you know how to do research go do some research and i did and i got educated

[00:30:08] and i understood my symptoms just like you said i learned about medications and i really became an

[00:30:15] expert in bipolar disorder and it helped me so much well didn't you say that that helped you

[00:30:23] most of all with acceptance that you did have an illness it did because i saw that i had a disease

[00:30:29] called bipolar disorder and that i had symptoms that could be controlled through medication through

[00:30:36] lifestyle changes through work not you know through therapy through everything i could do

[00:30:44] i could bring my disease under control i mean if i had high blood pressure and took a high blood

[00:30:48] pressure medication my blood pressure would stabilize well there's a treatment plan for

[00:30:54] bipolar disorder as well and and i moved into acceptance yes because of education and work

[00:31:00] and treatment well i think is what you're saying is actually leads beautifully into the into her

[00:31:09] final point which is that gradually the individual can learn to compartmentalize mental illness

[00:31:17] and to find ample space in life for healthy and worthwhile pursuits you know you just

[00:31:24] learned to live with it and it doesn't just overwhelm all the rest of your life that's

[00:31:29] that's what i found yeah and that's what we also talked about a minute ago with you know not letting

[00:31:35] it define you and i loved what karen had to say as well you know the other thing you and i kicked

[00:31:42] around we talked about prominent people who might be you know inspiration for us and we also mentioned

[00:31:53] briefly before i go into the prominent people who inspire us just other role models in our life

[00:31:59] and it's surrounding myself with people like you helen you're you know you thrive you inspire me i

[00:32:05] surround myself with others who are thriving and healthy and and that fellowship of others who

[00:32:15] are living a thriving life really really does support me and thank you for all you do to

[00:32:20] support me you've been really extra supportive lately as i have had a busy

[00:32:28] challenging thriving life still thriving but thank you helen well you're welcome and i'm uh

[00:32:34] it's just so gratifying that you put me in that category i appreciate it well onto prominent

[00:32:42] role models and so abraham lincoln is one of the prominent role models that a lot of people

[00:32:47] don't understand how much he struggled with chronic depression he really battled deep depression

[00:32:53] as described in this quote of his he said i am now the most miserable man living if what i feel

[00:33:01] were equally distributed to the whole human family there would not be one cheerful face on earth

[00:33:10] you know he also said this one really resonates with me if there is a place worse than hell

[00:33:17] i am in it yes he was so he was he was so beautifully articulate you know as well as

[00:33:24] as someone who he suffered beautifully i guess you could say yeah winston churchell also made a

[00:33:33] famous quote about hell he said if you're in hell keep going and as we know winston churchell

[00:33:39] was the british prime minister during world war two he's a Nobel award winner in literature

[00:33:45] and yet he battled his own war against depression and suicidal thoughts and he called his depression

[00:33:52] his black dog two authors and also carry fischer is an actor so two authors earnest him in way

[00:34:04] separate from depression and carry fischer lived with bipolar disorder she wrote some really funny

[00:34:12] and helpful and insightful books yeah i saw her once on broadway doing a one woman's show

[00:34:19] and she was really really forthright about her uh her her her mental illnesses and and the havoc

[00:34:27] they had wreaked on her life just to get better did you see wishful drinking on broadway yes oh my

[00:34:34] gosh i saw that i saw it on television i'm so jealous wishful drinking was amazing i had

[00:34:39] forgotten the name of it yeah that was it yeah she was she was amazing now here's some there's some

[00:34:45] other people uh well we're just going to give a few more but one is um the late great uh

[00:34:52] ann richards governor an richards who is the former governor of texas she had a substance

[00:34:57] use disorder um emma stone who just won her second oscar uh has anxiety lady gaga ptsd

[00:35:07] michael felps the swimmer the most decorated olympian of all time has depression suicidal ideation

[00:35:14] and substance use disorder and finally serena williams the legendary tennis player uh had to

[00:35:23] really fight postpartum depression and we want to add one more we loved calen's answer when

[00:35:30] we asked her about any prominent figure that had motivated her rupal and um his show drag race and all

[00:35:40] the drag queens on that show um i know rupal has talked about sobriety and recovery and a lot of

[00:35:48] queens on that show have gone through um you know unimaginable hardship and just like the joy

[00:35:57] and fun and laughter and freedom that they all um embody and bring through the screen like has been

[00:36:09] such a um just like such a touch point for me now let's move on to how to thrive and we're

[00:36:22] going to just mention again i'm going to the criteria for thriving social relationships

[00:36:29] positive emotions the ability to fulfill life roles and you know valerian i have racked we've

[00:36:35] racked our brains we cannot come up with anything that doesn't fit in one of those three categories

[00:36:40] so here are just some basic methods and skills for thriving number one owning your feelings

[00:36:48] two finding the positive three eliminating toxic influences four creating healthy routines

[00:36:59] and five perhaps most important of all supporting and connecting with others

[00:37:07] those are great methods and skills for thriving and i do we both do incorporate

[00:37:14] all five of those in our lives and it's not something anybody can do all the time it's

[00:37:19] those things we strive for if i strive for those then i thrive heli commented on that last strategy

[00:37:28] that you mentioned helen supporting and connecting with others and i want to share what she had to

[00:37:33] say that idea of spending time in fellowship really investing in other people i think that this

[00:37:40] idea of self-reliance that i grew up with that i should be able to take care of everything myself

[00:37:45] i don't believe that anymore i believe that i i really need to ask for help in order to get

[00:37:50] through things and i need to provide help to other people now helen you and i talked about

[00:37:57] at the beginning that we um asked ourselves are we thriving and then we kind of went back

[00:38:05] to see how we got here and will you share with us your thoughts on your journey to thriving please

[00:38:13] i will um this episode just brought me up short the concept of thriving had been so impossible

[00:38:23] some kind of cruel joke in my mind through decades of treatment for five long years one doctor

[00:38:29] told me the goal of our work was to reduce my symptoms and shorten the length of my trauma episodes

[00:38:36] now as for my future she said there was no cure for PTSD and that i'd be in treatment for the

[00:38:41] rest of my life the most important goal was to find enough money to pay for it well this was

[00:38:47] no life i wanted to live i mean my disdain of the words victim and survivor was full of

[00:38:53] depressed rage in this bitter sad disappointment i don't want to survive i said it sounds like

[00:39:00] selling pencils in the subway i want to thrive and since that was out of the question the only

[00:39:07] alternative i could see was suicide but here i am today so first what does thriving mean in a

[00:39:16] life well i had thought that thriving was high-profile jobs and prizes good press and active

[00:39:22] social life you know just a successful masquerade from the pain and self-hatred underneath but in

[00:39:31] order to thrive i had to abandon all those old notions of what gives life meaning and this is

[00:39:40] how i moved towards thriving i had to change so first internal change for me thriving begins

[00:39:51] with self-respect and self-knowledge a certainty about what matters what i can do what i shouldn't

[00:39:57] do whom i can love and how to tolerate my mistakes when i'm wrong which is really hard certainty that

[00:40:04] i will stumble fall back and that i can recover and move on thriving also requires acceptance

[00:40:13] self-acceptance first and then acceptance of the random quality of life in the erratic

[00:40:19] nature of human behavior including my own acceptance of mental illness is part of the

[00:40:25] hand i was dealt but not all of it for me trust is essential to trust the ground beneath my feet

[00:40:33] even when it's slippery to trust my people even one one of us lets the other down and then

[00:40:40] there is gratitude for so much of my life the gratitude i felt was really guilt about how much

[00:40:46] i've been given materially and an almost immeasurable ingratitude for mental illness

[00:40:54] now gratitude is part of the fabric of my daily life i can't believe how lucky i am

[00:41:01] and it isn't about the big things as much as the small gifts of daily living but am i thriving

[00:41:09] well i was certain that friends of mine were a valory was the first first person i thought of

[00:41:13] and so this made me look at the methods and actions of others who were thriving

[00:41:19] now again there was the the internal changes first with my identity my opinion of myself

[00:41:26] that was enriched by the skills i have to sustain positive thoughts self-regulation

[00:41:32] and inner peace and i now i'm able to take responsibility and action i no longer expect

[00:41:39] perfection and i've learned to find the joy in where i am as opposed to fantasies of where i'm

[00:41:46] supposed to be so as my internal life improved i was able to focus on external steps towards

[00:41:54] thriving well relationships first people are the most important thing in my life and my my again

[00:42:01] i'm so lucky my life contains a landscape of all kinds of people i'm in a 10 year relationship

[00:42:09] something i'd given up on long ago and then there is community which that word keeps cropping up well

[00:42:16] for me i need the sense of belonging and giving to something bigger than myself then there's work

[00:42:25] having been told i would never work again i now have almost more than i can handle i mean this

[00:42:30] podcast my own creative writing a lot of volunteering and as much public speaking as i can health is

[00:42:38] essential exercise diet sleep and medication or the basics dreaded personal business

[00:42:46] bills documents filing are my idea of hell on earth i hate it but i do it and find the open

[00:42:54] mindedness i try to always be open to new opportunities and challenges even when they

[00:43:01] involve risk so about thriving i learned that there's something on the other side of survival

[00:43:09] which i had never understood a rich productive active meaningful life with people and work and

[00:43:16] books music laughter and the mental health to appreciate and engage in it fully that's

[00:43:24] what was missing for me and this way of living was truly beyond my imagination

[00:43:29] until i realized that i i no longer need a masquerade my internal life and external life

[00:43:38] are one it's sneaked up on me when i didn't see it coming i am thriving you can see why i am so

[00:43:49] i am so grateful oh hell and you do have so much to be grateful for and you've worked for it

[00:44:00] i can see the journey you've been on and you have really shared a lot and i

[00:44:10] so appreciate everything you have and everything you share with me now as i edited the interviews

[00:44:20] with kelly kailyn and karen getting ready for this episode

[00:44:25] their own eloquent definitions of thriving for some reason brought to mind a vivid memory for me

[00:44:33] and it's how i'm going to illustrate thriving um this memory is maybe the first time i realized

[00:44:43] i was thriving not just surviving it was uh it's a memory of a dinner time on a school night and

[00:44:51] at the time it was what had become just a normal school night routine for our family

[00:44:57] now remember that my son and daughter were in high school so that means i had crawled

[00:45:02] my way out of my five-year psychiatric crisis so that means that i would have been like a year or two

[00:45:11] sober and that i would have been stable with my mental health at that point for maybe um a year

[00:45:17] or two and i would have been working full time again this time in my new career as a teacher

[00:45:22] so there we were who we were eating dinner at our big round dining table and uh two of the

[00:45:29] kids friends had joined us for dinner and that was a common occurrence everyone was laughing at something

[00:45:35] someone said and it had been a noisy and fun dinner so far i remember i mean i can just see the kids

[00:45:43] reaching for serving dishes to refill their plates with my husband's delicious food he's an amazing

[00:45:49] cook and i remember the windows were kind of foggy because the house was warm and toasty

[00:45:57] against the winter cold outside and this is the moment i really remember i remember looking around

[00:46:04] and thinking this is it this is the full meaningful life i have rebuilt and that i am totally present for

[00:46:15] this is what i want to provide for my family and for myself and here it is

[00:46:19] and you know helen i can still see that dining room with those 14

[00:46:25] ages two of them mine and with my husband laughing and talking and being silly and

[00:46:31] and i was part of it probably for the first time in a long time i was laughing and talking

[00:46:38] and being silly and it was the authentic me i was spontaneous and it was fun that's thriving now

[00:46:51] as my recovery has progressed these 20 plus years since that night i know that my ability to be

[00:47:00] authentic like that is intrinsic to my ability to thrive it's that self-acceptance care and talked about

[00:47:10] i continuously strive to love and accept myself as a whole person with strengths and flaws

[00:47:20] and i strive to allow others to see both the strengths and the flaws and to expect

[00:47:29] both those strengths and those flaws to be respected i pray every day to be of service to god

[00:47:37] and my fellows to be of service to the best of my ability and i know that if i don't take care

[00:47:44] of myself that ability will be limited i thrive because i take care of myself

[00:47:52] and because i'm taking care of myself i am doing well physically mentally emotionally and spiritually

[00:48:00] i am successful in all the areas that are important to me and this is really important to me

[00:48:07] i know that i have the strength to handle whatever comes my way with the help of my higher power

[00:48:12] my family my friends and my support system i am thriving you are thriving ballery and you

[00:48:24] set such a great example for all of us as to what it can look like after many years in in hell you

[00:48:33] know to to to uh to come out triumphant really and i also am very glad that you told a story

[00:48:41] of a very kind of ordinary memory that you have of an ordinary time because it's what i said earlier

[00:48:50] i think this is what uh this is what thriving is really all about it's the smaller things it's not

[00:48:57] big awards and prizes and all that stuff um so what we always do with our guests is we end by asking

[00:49:07] them what brings them hope for those living with mental health conditions let's hear from

[00:49:14] kailyn kelly and then karen there is so much positivity out there and there is so much

[00:49:25] help out there and you know i think it's hard to see sometimes and while there is a tremendous

[00:49:34] amount of negativity out there i also see the community that people build and the

[00:49:42] you know conversation around trauma and mental health and you know that has just kind of

[00:49:54] blown up because of social media there is so much good information and good community and good

[00:50:03] like so many great resources out there to just start scratching the surface of these like

[00:50:11] recovery and you know mental health and concepts that so much inspiration that can put people on

[00:50:20] that path to thriving there's more acceptance around mental illness now and less stigma so

[00:50:27] i think other people more people have the opportunity to get the resources that are

[00:50:32] necessary i think the longevity of my sobriety and recovery in mental health gives me hope for others

[00:50:41] and quite frankly that's an example that it can be done and that gives me a lot of hope

[00:50:47] every time somebody else mentions the beauty in the world i've seen that people can thrive

[00:50:55] and will thrive and i know some of the things that it takes to thrive and so the evidence is there

[00:51:03] and that's what gives me hope is all of the many stories that i have heard along the way

[00:51:09] that inspire the work that i do and that continue to inspire me and to believe in

[00:51:16] what is possible is really just based on just the evidence that i've seen in people who are

[00:51:21] thriving and who've done it who shared their story of also being in a place where they didn't think

[00:51:27] they could ever thrive and they did it and that they're their miracles like to me it's just this

[00:51:33] amazing it's the thriving that we talked about that where we started like what's the definition

[00:51:37] of that like this flourishing and this empowerment and stuff you know it's possible

[00:51:43] because i've watched many people do it and we're we are all capable of that and i firmly

[00:51:50] believe in that well that was amazing um these comments from our guests provide hope and inspiration

[00:51:57] inspiration for all of us who struggle to thrive and remember their words of hope are straight

[00:52:04] out voices of experience and i think this is the best place to close the topic here's a final

[00:52:13] lovely definition thrive a sustained sense that life is good meaningful and worthwhile

[00:52:24] and speaking of meaningful and worthwhile valerie is now going to lead us in a mindfulness exercise

[00:52:31] yes i will what is mindfulness i always give a definition mindfulness is a mental state

[00:52:39] achieved by focusing one's awareness on the present moment while calmly acknowledging and

[00:52:46] accepting one's feelings thoughts and bodily sensations without judgment

[00:52:54] you know a key element on the path to thriving is defining and pursuing a vision for our life

[00:53:00] our mindfulness exercise today will be clarifying our vision let's get mindful if you are driving or

[00:53:11] walking please adapt this mindfulness exercise in such a way that it works in your current

[00:53:17] surroundings if you can find a comfortable seated position try closing your eyes if it's

[00:53:25] safe to do so settle in and breathe as always let's begin with a few diaphragmatic breaths

[00:53:35] whether your eyes are open or closed let's steady our breathing with two diaphragmatic breaths

[00:53:43] when you do this on your own take as many breaths as you need to become calm and centered

[00:53:49] i usually take about 10 diaphragmatic breaths to begin my mindfulness and meditation practice

[00:53:57] let's breathe inhale through your nose expanding an imaginary balloon in your stomach as you inhale

[00:54:08] exhale through your mouth pulling your stomach in as you do forcefully exhaling again inhale

[00:54:18] through your nose expanding that balloon in your stomach drop your shoulders exhale through your

[00:54:27] mouth pulling your stomach in keep this slow steady breath going there are a few questions we

[00:54:42] could ask ourselves about our desires goals and struggles to help us define our vision for our

[00:54:50] life as you consider these questions for yourself keep your slow steady breath going what do i long

[00:55:03] for what obstacles do i need to overcome to fulfill this longing what would be nourishing to me

[00:55:37] as i work to conquer these obstacles how would i feel as i felt my vision coming into focus

[00:56:23] how would i feel as my life aligned with this vision for my life breathe deeply and take in

[00:56:46] living your vision driven if your eyes are closed please open them and gently bring

[00:57:10] yourself back to the room thank you for doing this mindfulness exercise with me thank you valerie

[00:57:20] that was uh well it was um very inspirational and it was worthwhile and meaningful so i also

[00:57:29] want to i don't even know how to profoundly thank kelly kailyn and karen and for our listeners

[00:57:37] we wish for you a life worth living a sustained sense of well-being a chance to survive and then

[00:57:45] to thrive our next episode is also an exceptional and life-changing topic we kept coming across it

[00:57:53] and we decided it really deserves its own episode valerie and i will be tackling the subject

[00:57:59] of work one of life's necessities work is essential for survival but where does work fit in the battle

[00:58:07] for mental health and in a life in recovery when is work the cause of mental illness and when

[00:58:14] is mental illness the obstacle to work so please join us for a multifaceted investigation of work

[00:58:21] it's challenges demands contradictions power and rewards until then i leave you with our favorite word

[00:58:33] onward are you ready to ignite your best life and illuminate the world i'm stefanie james i'm a

[00:58:50] motivational speaker transformation coach and psychotherapist and what lights me up is helping

[00:58:57] people just like you create the greatest versions of themselves on my podcast igniting the spark i will

[00:59:04] help you ignite your joy and reach new heights in your personal and professional life join me for

[00:59:11] some incredible conversations with authors spiritual teachers and other influential thought

[00:59:17] leaders to help guide you on your way if you are ready to stop playing small join me

[00:59:24] for igniting the spark on the mind body spirit dot fm network or wherever you get your podcasts

[00:59:31] and ignite your best life