8 Ways To Care for Your Spouse’s Mental Health
Full transparency here: I’ve dealt with feelings of depression and anxiety through much of my adulthood. In fact, I brought it right with me into my marriage. Through it all, my wife has been a solid rock of support and encouragement for me and my mental health during those difficult times. And looking back, I’ve been able to catch a glimpse of what she was feeling for me:
I’m worried for his well-being. I know he isn’t himself. His heart is hurting. His mind is swarming. He’s just on edge all… the… time. There’s no life in his voice. He just has a sense of hopelessness, tension, defeat. And I just want him to be happy again so we can enjoy our life together like we once did.
Does any of this sound familiar?
Maybe you’ve had the same thoughts about your spouse. It’s difficult to see the person you love the most experiencing challenges like grief, sadness, anxiety, and stress. It impacts not only your spouse but also your marriage. And you want to help, but maybe you just don’t know how.
Fortunately, there is hope. How can you show care and support for your spouse’s mental health? Here are eight ways:
1. Remind them you are there.
One of the worst feelings someone can have who is experiencing emotional difficulties is feeling like they are alone in their predicament. The continual reminder that you are there for them, you’re there to listen, and you are not there to judge or think less of them because of what they’re going through means the world.
2. Encourage your spouse with The Big 3: Exercise, Diet, and Sleep.
These are the three best things we can do to help ourselves when our mental health is under attack. They are the “hubs” of self-care. Physical activity, especially cardio, and clean eating have been shown to improve emotional health. And I can’t tell you enough just how important sleep is to fight off stress, anxiety, and depression. Most people need 8-9 hours of sleep each night, and each one of those hours is precious to care for yourself. Encourage your spouse to maintain The Big 3 and join them in the mission to work out, eat clean, and sleep well.
3. Do everyday activities together.
When I’ve felt particularly out of sorts, my wonderful wife would invite me to go on an errand with her or to do something seemingly mundane with her around the house. The sheer act of being together and focusing on some activity — picking up the groceries, folding the laundry (lots of bonding happens over folding fitted sheets), getting the car washed (for an added bonus, jamming out to Led Zeppelin as your car shuffles through the automatic wash, an instant feel-good) — can help pull your spouse out of a funk.
4. Coach your spouse to choose their “Something to Look Forward to.”
Long ago, a friend of mine gave me this life-changing, simple piece of advice, and my wife has encouraged me with it: every week, choose that one thing that you’re going to look forward to on the weekend (or whatever the “end of the week” looks like for your spouse). It can be anything enjoyable: a hike, watching the football game, ordering pizza, eating that piece of cake in the fridge, a fishing trip, working in the yard, smoking some ribs, visiting your favorite fast food place. I’ve found that whatever setbacks I experience through the week, sometimes my “Something to Look Forward to” is what helps me to keep taking each step forward. Help your spouse find their “Something to Look Forward to” each week.
5. Experience some fresh air together.
There’s something about being outside in the open air and the warm sunlight that takes the edge off strong emotions. Invite your spouse to share some outdoor time, whether it’s hiking in the woods or sitting on the front porch to watch the sunset. You certainly don’t have to be an “outdoor person” to gain the benefits that clean air and the vitamin D from sunlight provides (which, by the way, has been shown to reduce depression and boost weight loss).
6. Be physically intimate with each other.
Physical touch, whether it’s sexual or non-sexual touch, like holding hugs or hand-holding, has been shown to help improve mental and emotional health, not to mention increase closeness and connection with each other. Healthy physical touch from someone who cares (that is, you) causes those feel-good chemicals to squirt through the brain, defending against feelings of sadness and anxiety. And don’t laugh, but scheduled sex is where it’s at. Hear me out. If your spouse is someone who, say, really enjoys sex, more than likely it’s a stress-reliever for them. When the two of you schedule your lovemaking, you give them something they can count on to simmer down the emotions while you, well, heat things up.
7. Encourage time with friends and family.
It’s easy for someone weighed down with heavy feelings to isolate themselves. Sometimes you just don’t have the energy to reach out to others. When I’ve felt like this, my wife would sometimes say something like, “Why don’t you call up your friend Brian and see if he wants to watch the football game?” Or, “Why not go over to your mom’s house and take her some cookies” Being with others helps a heavy heart. And sometimes a person just needs a shot of encouragement to make that connection. Encourage time with someone they are close to when the mood is down.
8. Go on dates.
This is arguably the most important item on the list. Try to have a weekly date together. It doesn’t have to be elaborate or expensive or even outside the house. As a matter of fact, take some of what’s above and make it a date: the “Something to Look Forward to,” time spent outdoors, ordering a pizza in, a walk around the neighborhood, a Netflix movie, or maybe even scheduled intimacy. The point is to have a meaningful time together. And remember: because your spouse is dealing with heavy emotions, you may have to be the one to prompt these dates.
If you observe that your spouse’s mental health doesn’t change for the better or gets worse, encourage them to visit a professional counselor. Offer to go with them if they are nervous or uncertain. Try to help them understand that talking to a counselor doesn’t mean they are “broken” or something “is wrong with them.” They are simply there to talk through some of the difficult feelings they’re experiencing.
One more thing: the battle to manage strong emotions like anxiety, sadness, or stress is a marathon, not a sprint. Don’t expect instant improvements with a walk in the woods or a night out on the town.
And let’s not ignore the fact that your spouse’s struggles with mental health are hard on you as well; you feel the exhaustion and stress they feel. Be sure you are taking care of yourself. Get plenty of rest and exercise, and make sure you have a healthy support system you can turn to. Practice good self-care.
You are your spouse’s biggest support. And you have the power to instill a sense of hope in them with your love and encouragement. Choose at least one of the strategies above to do this week. Assure your spouse you are there for them no matter what. Go on a date. Share a walk outside. Whatever it is, let them know you are right there beside them. Believe me: it will mean the world to them.
***If you or someone you know is in an abusive relationship, contact the National Hotline for Domestic Abuse. At this link, you can access a private chat with someone who can help you 24/7. If you fear your computer or device is being monitored, call the hotline 24/7 at: 1−800−799−7233. For a clear understanding of what defines an abusive relationship, click here.***
Image from Unsplash.com
Sometimes life just seems to be getting harder. For many, most days feel like slogging through thick fog and it’s really hard to see the road ahead.
Perhaps you or someone you know is really struggling at the moment and you’re wondering if the sadness is due to a single life circumstance or if something bigger is going on like depression or some other mental health issue.
First, let me just say, you’re not alone! We’re living in a moment in time where everything—marriage, parenting, work, socializing with friends, even the most normal things—seem more difficult than they should be for many people.
Second, regardless of whether you or someone you care about is sad or dealing with something else, the good news is, help is available.
Sad? Depressed? How do you know the difference?
Glad you asked!
Feeling sad and down about things like job loss, finances, marital issues, a child giving you a run for your money, or a breakup is normal for a period of time. But, when you:
- Can’t seem to shake those feelings and you begin to feel hopeless and desperate;
- It feels impossible to think clearly;
- Making a decision seems out of your reach;
- Work is consistently challenging;
- Things that used to bring you joy in life don’t anymore;
- Food doesn’t interest you or you are eating way more than normal; and
- You’re either not sleeping enough or you are sleeping all the time and still feel like you don’t get enough rest.
These are like blinking caution lights warning you something is not right. There are some things you might be able to do to help move you to a different place, though.
Here Are 5 Ways to Work Through Depression
1. Surround yourself with a supportive group of friends.
Not necessarily people who are experiencing the same thing you are, but people who seem to be mentally and emotionally healthy right now. Ask them to walk this road with you and help hold you accountable for changes you’re trying to make.
2. Create a new bedtime routine.
Lying in bed watching television or scrolling through social media doesn’t count as rest. Stop all screen time at least an hour before you plan to get some shut-eye. If silence makes it hard for you to sleep, download a white noise app or purchase a white noise machine. Maybe you could try a simple fan in your room. Don’t use your bed for anything other than sleeping… and well, those things that you typically do in bed (like sex). Otherwise, keep your bedroom as kind of a safe place where your body knows it’s time to relax and rest.
3. Get moving.
Exercise has been shown to be one of the BEST ways to combat depression. According to the Mayo Clinic, regular exercise releases feel-good hormones that can make you feel better about yourself. It also can help you get out of the negative thought cycle that feeds depression. Exercising on the regular can give you more confidence, it’s something you can do with others and it is a super positive way to cope with and manage depression. Don’t forget, being outside, getting enough vitamin D, drinking plenty of water, and fueling your body with healthy foods are all powerful weapons for fighting depression.
4. Pay attention to how much news and negative information you take in every day.
Remember, the motto for the newsroom is, “If it leads, it bleeds.” Their whole goal is to be sensational to draw you in. The more you are drawn in, the more it will affect you. It’s a vicious cycle. Your brain doesn’t know it’s the fifth time you’ve seen information about the plane crash, murder, latest political blunder, or car wreck. All of this impacts you mentally and physically whether you realize it or not. Put a time limit on how much news you watch. The same applies to social media.
5. Eliminate as much stress as possible.
Think through all you have on your plate. Is there anything you can let go of for a while to reduce the stress in your life? If you can’t let go of certain activities, can you ask others to help you?
In addition to doing all of these things, be bold and ask for professional help. Plenty of counselors are providing telecounseling and Zoom sessions right now. If you don’t know where to look for help, the Substance Abuse and Mental Health Services Administration hotline is 1-800-662-4357.
If you’re worried about someone you care about, don’t be afraid to step up and say, “I see you. How can I help?” Guiding them through all the above is a great place to start if they’re open to your support.
Photo by Inzmam Khan from Pexels
How Do I Know if My Teen is Depressed?
Your teen has been much more quiet and withdrawn lately. They aren’t very talkative, are easily agitated and their mood has consistently been down. The big question in your mind is, “Is my teen depressed?”
The teen years are filled with highs and lows, so much so that it often feels like being on a roller coaster ride in the dark with lots of twists and turns, none of which you see coming. In a word, these years can be full of turbulence.
With all of the change going on, it is sometimes hard for parents to know if their teen is just going through a rough patch or if something bigger is going on like depression.
Approximately 1 in 5 teens from all walks of life will experience depression at some point during their teen years, which can be very scary for parents. In many instances, teens themselves don’t understand what is going on, why they feel the way they do or even how to talk about what they are experiencing.
According to the Mayo Clinic, signs and symptoms of teen depression include:
- Feelings of sadness, which can include crying spells for no apparent reason
- Frustration or feelings of anger, even over small matters
- Feeling hopeless or empty
- Irritable or annoyed mood
- Loss of interest or pleasure in usual activities
- Loss of interest in, or conflict with, family and friends
- Low self-esteem
- Feelings of worthlessness or guilt
- Fixation on past failures or exaggerated self-blame or self-criticism
- Extreme sensitivity to rejection or failure, and the need for excessive reassurance
- Trouble thinking, concentrating, making decisions and remembering things
- Ongoing sense that life and the future are grim and bleak
- Frequent thoughts of death, dying or suicide*
- Tiredness and loss of energy
- Insomnia or sleeping too much
- Changes in appetite—decreased appetite and weight loss, or increased cravings for food and weight gain
- Use of alcohol or drugs
- Agitation or restlessness—for example, pacing, hand-wringing or an inability to sit still
- Slowed thinking, speaking or body movements
- Frequent complaints of unexplained body aches and headaches, which may include frequent visits to the school nurse
- Social isolation
- Poor school performance or frequent absences from school
- Less attention to personal hygiene or appearance
- Angry outbursts, disruptive or risky behavior, or other acting-out behaviors
- Self-harm—for example, cutting, burning, or excessive piercing or tattooing
- Making a suicide plan or a suicide attempt
When a teen is depressed, they can’t “just snap out of it.” But, there are things parents can do to help kids decipher their feelings and determine the best next steps. If a significant number of symptoms are present for two weeks, this is a good indication that it is time to reach out for help from a professional.
Things You Can Do If You Believe Your Teen Might Be Struggling With Depression
It may help to open the door to constructive conversation and let them know that if they are struggling with this, they can share with you.
Listen intently.
Avoid lecturing, as in, “If you would just…” It may be hard because they can be moody, but seek to be present and listen to what is going on in their world if they are willing to share with you. If they tell you how bad things are, avoid making statements like, “I think you are blowing things out of proportion” or “It really isn’t that bad.” Remember that perception is everything and even though you may feel like their perception is not accurate, this is their reality and understanding this is the starting point for being able to help them.
One other thing that might be helpful here—sometimes teens find it easier to talk about something difficult when they are doing something. Shooting hoops, running, taking a hike, doing yard work, cooking or anything that doesn’t make them have direct eye contact with you and gives them something to do with their hands while they are trying to share with you works.
Encourage exercise, eating right, getting enough rest and being outdoors.
All of these things help to combat depression.
Acknowledge their feelings.
You don’t have to agree with them, but you do need to acknowledge them. When a teen is depressed they often feel like they are trying to slog through mud and fog. It’s hard to pinpoint feelings because everything feels “blah.” When they are able to pinpoint an emotion, validate it and work to keep the conversation going.
Avoid telling them what to do to “fix” the situation they are in.
Instead, ask them what they think they need to do. If they ask you for your thoughts, that’s the time to give some input. However, don’t give not too much because they can become overwhelmed quickly.
Work to help them avoid isolation and increase face time.
This is especially hard with COVID-19 factors at play. Be intentional about creating family time and encourage (don’t force) them to participate. Exercise with them. Look for activities they enjoy and do those things with them.
Limit screen time.
Many parents are tired of trying to take on this battle, but there is plenty of research indicating that lots of screen time can lead to depression. A recent study suggests that greater screen time—whether in the form of computers, cell phones, or tablets—may have contributed to a spike in depression and suicide-related behaviors and thoughts among American teens, particularly girls, between 2010 and 2015. Several studies show that when teens reluctantly agreed to give up screens for a week, they confessed at the end that they felt so much better without them.
Don’t be afraid to seek professional help.
As the parent, it is important to trust your gut if you feel your teen is depressed. If you don’t feel like anything you are doing is helping, seek assistance. You can go see someone or find someone for your teen to talk to. Having a depressed teen does not reflect poorly on you and your parenting skills. Adolescence is terribly complicated. Quarantine, COVID-19, no school, no summer camps or other activities has made it very hard on teens who are typically super social in nature.
Dealing with depression in your teen can be exhausting on multiple levels. Not only are you interacting with your teen and questioning whether or not you are doing the right thing, but thoughts about what you are experiencing can consume every moment of your day and sometimes the night. Walking this road can feel isolating and lonely, so it is important to surround yourself with supportive people, seek help for yourself, educate yourself and take time away to regroup.
*If you or someone you know is struggling with suicidal thoughts, there are a number of websites and organizations with excellent resources for you. HelpGuide is a great place to start, along with the American Foundation for Suicide Prevention at 988 or 1-800-273-TALK (8255).
How You Can Help Prevent Suicide
“What in the world do you have to be depressed about?”
“Did something happen to make you sad?”
“Just snap out of it.”
Susan* has heard all of these statements her entire life from friends and family as she battled clinical depression.
“Growing up I was a very shy person in a family of extroverts,” says Susan. “My siblings all love being social and funny. I’m the one who just wants to stay home and read. Throughout my childhood, I was very moody.”
It wasn’t until law school when she was waking up in the middle of the night with her jaw clenched that she decided to talk with a counselor. During her first session, the counselor asked, “At what point in your life did you determine it was your job to be the savior to everyone?”
“It was at that moment that it hit me,” Susan recalls. “Up to that point, I was the person everybody came to with their problems. I learned I needed some serious boundaries in order to stop letting people walk all over me. I also learned I was clinically depressed.”
Susan knew she had much to be thankful for, but that didn’t stop her from feeling horrible on a daily basis.
“Living with depression is like this fog that minimizes joys and magnifies hurts and criticism,” Susan shares. “People who don’t have depression see the world in color. People with depression see the world in black and white. I have dealt with suicidal thoughts for 20 years.”
Susan recalled a time three months before her wedding. She was driving home from work, planning her suicide in her mind. She wanted the pain to be over. Clearly, she did not follow through with her plan. Susan’s fiance was out of town on business, and she could not think of one other person who would know what to do. She got the help she needed to get through that moment, but every day is still a battle.
“In listening to people talk about the suicides of Kate Spade and Anthony Bourdain, I think people don’t understand that when you suffer from depression, it’s like every day on this earth is a living hell,” Susan says. “My depression is so severe, it often interferes with my ability to function. For me, and I think many others dealing with depression, the thought of not having to deal with the pain anymore is very appealing.”
When asked what people say as they try to help, Susan shared that it isn’t helpful to tell a depressed person to just snap out of it, pop a pill or ask if they had a fight with their spouse.
“It is helpful to ask, ‘What can I do?’ or to send a text to check in or call and ask how things are going,” Susan says. “Both my husband and I suffer from depression. He knows that when I am having a hard time, the best thing he can do is give me space and let me be quiet. I know that when he is struggling, the thing that helps him most is to get out and do something.”
Talking to a friend or family member about their suicidal thoughts and feelings can feel awkward. But if you’re unsure whether someone is suicidal, the best way to find out is to ask. You can’t make a person suicidal by showing that you care. Giving a suicidal person the opportunity to express his or her feelings, however, can provide relief from loneliness and pent-up negative feelings, and may prevent a suicide attempt.
If you want to be helpful to a person who you believe may be having suicidal thoughts, here are some things you should do:
- Be yourself. Let the person know you care and that he/she is not alone. The right words are often unimportant. If you are concerned, your voice and manner will show it.
- Listen. Let the suicidal person unload despair or vent anger. No matter how negative the conversation seems, its existence is a positive sign.
- Be sympathetic, non-judgmental, patient, calm and accepting. Your friend or family member is doing the right thing by talking about his/her feelings.
- Offer hope. Reassure the person that help is available and that the suicidal feelings are temporary. Let the person know that his or her life is important to you.
- Take the person seriously. If the person says things like, “I’m so depressed, I can’t go on,” ask: “Are you having thoughts of suicide?” You are not putting ideas in their head, you are showing that you are concerned, that you take them seriously, and that it’s OK for them to share their pain with you.
- Ask them how you can be helpful. They may not be able to immediately answer this question, but asking it encourages them to think about it.
Here are some things you should not do. DO NOT:
- Argue with the suicidal person. Avoid saying things like: “You have so much to live for,” “Your suicide will hurt your family,” or “Look on the bright side.”
- Act shocked, lecture on the value of life or say that suicide is wrong.
- Promise confidentiality. Refuse to be sworn to secrecy. A life is at stake and you may need to speak to a mental health professional in order to keep the suicidal person safe. If you promise to keep your discussions secret, you may have to break your word.
- Offer ways to fix their problems, give advice, or make them feel like they have to justify their suicidal feelings. It is not about how bad the problem is, but how badly it’s hurting your friend or loved one.
- Blame yourself. You can’t “fix” someone’s depression. Your loved one’s happiness, or lack thereof, is not your responsibility.
If you or someone you know is struggling with suicidal thoughts, there are a number of websites and organizations with excellent resources for you. HelpGuide is a great place to start, along with the American Foundation for Suicide Prevention or 988 Suicide & Crisis Lifeline – just dial 988.
