I Think you Should Start Therapy: Processing Trauma as a South Asian

woman of color reaching into space surrounded by puzzle pieces

“I think you should start therapy.”

“I’m fine.”

“I think it would be good for you. Here, see this guy. He loves seeing my patients.” Before I could argue, my psychiatrist writes a number on the back of a business card and hands it to me. I run my thumb along the name raised from the ink.

I had been suffering from intractable depression but had been convinced that my pain was simply the sign of my wound healing. Therapy wasn’t something that I wanted to do; I’ve had mostly bad experiences with it. It was only once my boyfriend broke up with me that I called the number on the back of the card. I figured it wouldn’t hurt to have someone to talk to.

A few weeks later, I sit across from a man dressed in black and white. His legs are crossed and I can see that his socks bunch up at the ankle. I will spend a lot of time looking at his socks in the coming months, an easier place for my eyes to rest than his face when I talk about the things that have ripped me in half. He is a plain man who does not bring himself into the room, a far cry from my psychiatrist.

She is a black woman, an immigrant, and a force of nature. She wears bright clothing and as she throws her head back to laugh, I can see the taxi cab pendant on her necklace. I am familiar with the glint of her wedding ring as she fills my prescriptions and I’m always comforted by the wristwatch she wears, one so similar to mine.

Therapy begins modestly; I am recalcitrant at best. I firmly believe that I do not need help but keep coming to sessions to fulfill my psychiatrist’s wishes. He is patient, although I sense that it is wearing thin. My feelings towards this new therapist teeter and then totter. While I do not quite dislike him, I do not quite like him either.

“Am his only Indian patient?”

I don’t want to be some specimen representative of an entire subcontinent. Skewered like a butterfly and observed under glass. So, I leave my culture outside of the clinic room, hang it on a coat rack as if my identity was so easily separated. I am an American in sessions; I like American things, make American references, and have American problems. I make no effort to talk about my life as a person of color, and he never asks. My American Life becomes performative. I’m not sure how to explain to him that my parents’ wishes for me are steps toward our American Dream. Here I am translating relationships; frustration boils inside me that my Nani must be referred to as ‘grandma.’

I have found myself in spaces of conflicting hermeneutics before. I had sought out therapists of color previously but had little luck. Psychology Today is filled with a sea of white faces and I have felt the acetic sting of cultural redaction. When I ask my white friends what therapy feels like for them, they say it feels like coming home. I’ve never really felt at home, and in many ways, I’m made to feel like an immigrant, sitting in the discomfort of a liminal space.

It is June of 2020. I march alongside a dear friend. The crowd chants, “Hands Up, Don’t Shoot!” The ground is dusty and the dirt we kick up settles in my socks. Our feet fall in time with the rhythm and other groups join us, tributaries pooling in Franklin Park. Monica Cannon Grant is on the microphone but I can scarcely see her; instead, my eyes are drawn to the wall of riot police that has lined up in front of Shattuck Hospital. I slip away from my friends and filter through the dense crowd toward them. I don’t know why, but I feel that it is necessary to look in the eyes of these men. They are all white. The line of police stretches on past sight. I am chilled by the thought of it, just as I have been since George Floyd’s murder.

When I ask my white friends what therapy feels like for them they say it feels like coming home. I’ve never really felt at home, and in many ways I’m made to feel like an immigrant, sitting in the discomfort of a liminal space.

How many white people were I now fearing? I ruminated on this question as I joined the dispersing crowd. Back through Franklin Park, the cops had blocked the entrances, past police lines on motorcycles, who revved their engines to agitate us. In how many spaces in my life were white people in control?

My mind turned, as it often does, to disparities in mental healthcare. What do you do when the people who are supposed to care for you look like the people that are hurting you? While I tried to separate the protests from myself, the reality of what occurred was such an affront to the senses that I was forced to reflect on my life and my therapy as well.

Suddenly My American Life was juxtaposed with a racial reckoning. I realized that it had not been about being American because America had been synonymous with white, and here amongst my Black and brown siblings was the real America. The pieces of me that I had left out of therapy came sharply into focus as if the lens had finally sought the finer details.

My identity as a South Asian woman had always been altered. Even my name is abbreviated. My full name, Sukhmani, translates to peace of mind. In Punjabi, my name is soft and fragrant; it is borne from our scripture and is sung in our hymns. But between the teeth of white doctors, it tastes metallic and the weight of it as it falls from their mouths threatens to break my spine. If my name, the first and most fundamental aspect of my being, has to contort itself in your clinic room, how can you ever expect me to feel fully embraced?

My therapist would often joke that if I wanted easy therapy, then I should go down the hall. I pictured him now, smiling, lips pulled past his teeth, as protesters raised their signs around me. A line of police barricaded Blue Hill Ave shields up, creating an area of restricted diffusion. To keep the peace, they step aside. We spill into the street and begin marching toward the Boston Police Headquarters.

The therapy itself is brief, an hour a week. All of the hours surrounding it are when the work is put in. I know ‘easy therapy’ was meant as a joke but I thought about it often. Was I consistently showing up? Was I committed to my recovery?

I couldn’t stop thinking about how many white doctors I had seen who made me feel as if the wounds were my fault: The snide comments in the ER, the ignorant statements in sessions, and the insistence that I must say India when asked where I’m from. As much as they simultaneously centered and erased my culture, so had I. There were divisions in this country and my identity, and I wondered if I had been choosing the easy therapy.

A few days have passed. Because of the pandemic, I had to move back in with my mom. It is her driveway I am now parked in, hands gripping the steering wheel as I watch the drunken flight of a honey bee on her hydrangeas. I have not slept in three days. At night The Man in the Hat stands over my bed and The Girl in the Closet scrapes her nails against the door, begging to be let out. Even now, in the corners of my vision, there are shadows. It feels as if someone has gone into my head and scraped my brain from my skull. I am hollow and I am nauseated from sleep deprivation. Despite this, there is a pronounced electric hum emanating from my core.

My body is whirring and clicking and begging for movement. My skin is too tight and I have to fight the urge to peel it off. Bipolar disorder, despite what the name implies, actually has four unique states. There is the euphoric mania, the productive hypomanias, the crushing depression, and the place I now reside: a mixed state. When I was younger, I saw a YouTube video where a man put a goldfish on a hot skillet. The fish launched itself back and forth, burning on both sides until it died. That is what a mixed state is like. I felt that way now, my knuckles turning white as they wrapped themselves around the leather.

My phone is ringing, buzzing loudly in the center console. It is my therapist returning my call. I pick up and tell him about insomnia, the hallucinations, the electric hum. He listens and reassures me. The air as it leaves his lungs, the soft ‘oh’ that it makes, is like a salve.

“Let’s get you feeling better,” he says as I begin to cry.

I am used to being by myself in altered mood states. My friends know not to call and my abrupt absences are expected. I prefer loneliness to the shame and disappointment that comes from trusting myself with others. In the past, the providers that I relied on for my care had left me wanting, not returning calls, rescheduling sessions; they had made me feel like a burden rather than a human being in crisis. I had carried those memories with me when I called my therapist that morning. I had not expected him to care.

My whole life, I have met the darkness alone, never daring to place my weight on another person. It would be days before the medications brought me back to baseline. Red pills slowly percolating into my bloodstream, little hits of dopamine. I would have suffered, but I would not have suffered alone for the first time in my life.

Therapy still does not feel like home. What is home to the child of immigrants? To a girl who spent her school breaks shuttling across oceans, spending sweltering summers in Punjab, hands sticky from the mangos she consumed. Therapy did not feel like my Nani’s house or my Masi’s house or our village in Talanian. Places whose inhabitants laughed and quarreled on worn wicker chairs. Where barefoot women packed kitchens and drank piping hot masala chai. No, therapy took place in a small room with blue chairs.

The only art on the walls was a stock photo of the lighthouse on Cape Elizabeth. The only tea that was consumed was from a 16oz mug that had “Welcome” written across the rim. Now that I finally sit in a place of healing, I see that therapy is like a compass, the center from which I can chart my course. Each week, we venture forward toward a better self. Though landscapes change in the sun and shade, a compass always guides you north. It is through the processing of trauma that my strength is returning. All of the bits and pieces of me that are scattered across continents can finally settle into place.

Now that I finally sit in a place of healing, I see that therapy is like a compass, the center from which I can chart my course. Each week, we venture forward toward a better self.

I look forward to therapy now. Thursday mornings as the sun slowly makes its way across my bedroom. My therapist sits against an exposed brick wall, his white collar tucked neatly into his black sweater. He wears glasses, often black but sometimes brown. Because this is a pandemic and because this is Zoom, things are chaotic, but the chaos lends itself to a different type of intimacy. There is no longer a performance, how can there be when he meets me in my home, hair askew, a cat meowing loudly into the microphone?

Now, when I cry, I do so without reserve; no one can hear me, and there is no waiting room for me to bear my face. My therapist is not a plain man at all; in fact, he’s quite funny. We find out we’re both from San Francisco and he tells me he used to be a writer. I get nervous when I share my essays with him. Fragile, imperfect things; what would a real writer make of the words I’d written on the back of a napkin? I am embarrassed that I ever doubted him, upset with the time I wasted with my stubbornness. As our time together enters a new season, I find myself nostalgic for my moods, wishing to start over, to be better, to recognize what I had.

I have learned that it is not the passing of time that we notice, though it has now been two years. It is all the markers that come with it. There has been gentle, inevitable progress in therapy that can only be likened to the rising sun’s quiet spill over the horizon. Before therapy, I had long retreated from the world, lost in my books and journals. But now, I have found myself intensely alive, whole in a way I never imagined.

By Sukhmani Bal

Sukhmani Bal, MPH, serves as Director of Community Outreach at the Massachusetts General Hospital’s Center for Cross-Cultural Student Emotional Wellness, … Read more ›

Lost and Found: A Short Story About a Quiet yet Observant Companion

 BGM literary editor Nimarta Narang is honored to work with author Ushma Shah in this utterly creative and novel, pun not intended, story about a young woman who has just moved to the United States with her husband, and her trusted diary. Ushma is a short story writer and an aspiring novelist. She has her short stories published in a few anthologies and online literary magazines like Kitaab and The Chakkar. She was born in Mumbai and raised in Mumbai and Cochin. She has an MBA and works in the corporate world. Work and life have given her the opportunity to live in multiple cities in India. She currently resides in Seattle and goes by the handle @penthythoughts on Instagram. 

She is the kind of person who doesn’t like to go into stores without a purpose. But she sometimes does. And that’s how she becomes a hoarder. She also prefers only tried and tested places. The kind where she doesn’t have to go out empty-handed. The urge to not disappoint people is strong. So she ends up buying useless things. Like a snow globe with a turnkey. Or 12. She loves the tiny magical people and animals in it. Rotating. Glowing. Musical. But I am deviating from the point. Who am I, you ask? I am her. A piece of her. She takes me everywhere. Writes down her thoughts in me. Writes how her day was. That’s why I know her so well. Why am I telling you all this? Because she hasn’t written for a week now. Longest she has gone in half a decade. I don’t understand it. She won’t tell me anything anymore and I am just so curious. No, curious is the wrong word. The intensity is just not right. I am impatient. Restless. Maybe even hurt, too? I see what she does. How she looks. But that’s just not enough. Not for me. Her confidante for five years and suddenly it’s all poof. 

Human addiction is a true addiction. I was superior for those glorious thoughts that nobody knew about her. She doesn’t look happy. She opens and shuts me, picks me up and then back down. In her new Michael Kors bag she bought recently at a premium outlet mall. She always wanted to see a new country. 32-years-old and she had never visited any country other than the one she was born in — India. She should be happy she is finally here. She couldn’t stop chirping about it when they got their visas approved. She and her husband. She has been here for three months now. Initially, she was happy. But then the euphoria died down and anxiety kicked in. The last thing she wrote was: “I haven’t had a bath for a week now.” Her husband is too busy with work to notice. The new project takes up most of his time. Plus navigating life in a new country is a project in itself. I hear him not understanding why an appointment is required for a self-guided tour of the apartments. And that they have appointments only till 5 p.m. which means they have to go house hunting during his office hours. Downtown Bellevue mostly has apartments for rent that are managed by corporations rather than individuals. But at least he is okay with the cold, having survived Delhi weather all throughout his life. It also doesn’t help that she is not used to the cold, having lived in Mumbai all her life. It only needed to turn 22 degrees Celsius in Mumbai when she used to set off; removing her sweaters and jackets from the untouched-for-a-year cupboard. So house hunting is a major bummer, painstaking process even for her. In a place where it always drizzles but doesn’t bring the smell of wet mud. Everything around her is concrete. Asphalt. Sterile. 

One day on their way back, they visited the Meydenbauer Beach Park along Lake Washington. I saw a hint of a smile. The first one in a week. The pine trees are a solace. They stand strong, holding their ground at maybe a 100 feet. She cranes her neck back and tries to catch a look at the tip. Making her feel dizzy. She feels like she is falling back. Tilting her five feet frame. She removes her feet from the shoes. She looks at the rounded stones. Big stones. The size of an ottoman big enough to comfortably sit on but hard enough to not sit for long. 

But by the end of the visit, she looked worse. That night she wrote and I was thankful for the visit. The first sentence read: I feel claustrophobic. She has lived in Mumbai all her life and never knew that subconsciously the sea made such a big impact on her psyche. The sea, unending in its view. Its waves crashing and rebelling against the rocks gave her a sense of space even though she lived in a one-room kitchen apartment. The warmth. She missed the warmth, although sometimes too stifling. The sweat, and the saltwater smell. There was much to be thankful for here in Bellevue, even though there were no crashing waves and it was 45 degrees Fahrenheit today. The sand, too cold. But there was peace, there was calm. But what about the sounds that she craved, the feeling that stimulated her senses? That accompanied her every morning: the ‘tring tring’ of the cycles, the ‘tip tip’ of the water overflowing from the tank after it was filled. The daily TV news her Ma watched. The smell of her morning chai with grated ginger. The ting ting of her small bell during pooja. These are the things that she does not write but I know her. I know how to read between the lines. 

But somewhere I have failed her. I must have. If she did not find comfort in writing. For how could she have gone on without it for a week? How could she? She is as used to me as I am to her. Or at least I thought that. 

But now is not the time to feel irritated. She has started writing again. I was overjoyed; I thought everything would be back to normal now. How naive was I? A few lines in, and  I am worried. I am also worried that my annoyance will seep through the pages and into her hands. She writes: I miss my place where the duration of the days and nights are almost the same throughout the year. A place where I don’t have to see a 4:30 pm sunset. Or a sunrise after 7:30 am. Nobody prepared me for less than 10 hours of daytime. I feel like I took the sun for granted. When I first came here in October, the sun set at around 7 p.m. Every day, the sun set a little early from then on. 6:50, 6:43, 6:22, 6 p.m., 5:54 p.m. And then on November 6 came the thing I was least prepared for. The Daylight Savings. I would gain an hour, they said! What I gained was a sense of doom. Because the clocks were set back by an hour, the sun set before 5 p.m. every day from then on. 

The seasons are what make me. Why then, am I afraid of the seasons? No matter what the weather, the weather is constant. It is constantly too hot, or too cold or just not warm enough or just not cool enough. Every day in itself brings a new season. 

“Oh, there is a heavy rain forecast for the whole day today.” 

“Do you know it’s going to snow today?” 

“Amazing weather! Isn’t it a perfect day to travel?” 

Seasons are a universal language, everyone understands it. It transcends manmade boundaries. Just as I am feeling the cold under the layers of clothes I wear. A breeze rippling through the surface of the lake water makes me shiver. If the seasons are what make me, why do I feel cold and sad. Maybe because I long for a different weather. Having grown up in a tropical city, my body is not used to the cold. But is that all? The great reason for the hollow? It can’t be. And I am restless because I can’t figure it out. If not this, then what else? What else could it possibly be? 

When she writes this I figure it out. I am always able to figure her out. Her mind does not want to go there. Because after all, this is the life she chose. Of course, how could I have been so blind? 

Around two weeks ago I observed her. Observed and observed for a few hours. A few days. Even then I knew something was amiss. She was writing but her heart wasn’t in it. It was dwindling. She doodled and dawdled. A sentence here. A sentence there. Then I was discarded on the coffee table in front of her. My observations, you ask? She scrolls through LinkedIn, going through a series of posts about the looming recession. She searches and applies obsessively to 50 job openings every day. And day after day, her laptop or phone chimes in with a rejection email. She refreshes. Refreshes. Refreshes. Every 10 minutes. Whatever she is doing. No matter if she is in the kitchen or the washroom or the living room. She is glued to her phone checking for a new email. A new job opening. She set her filters to relevant job openings… And then goes on to the painstaking process of filling her details out on different company portals. When she reached the USA, she was hopeful. Of finding a new job. Was very optimistic. She had worked with global companies in India after all. Surely that had to account for something. But with each passing day, the light within her dimmed just a little. Bit by bit. I hate to admit it but I didn’t come to this conclusion when I observed her. It struck me when I stopped and she wrote again. Sometimes I need a macro perspective after micro is too much. She is so inside her head and not on paper that she cannot understand. But I also don’t think it is as easy to pinpoint. It’s a combination of things in her life, culminating in a single point of paralysis. Even now, who knows? It’s just my opinion of a subject I don’t understand completely. She is talented enough to fool everyone around her. Her friends and family also do not know this about her. They think she is enjoying her break from work. They think she is immensely enjoying the exploration of a new country without a worry in the world. She hates admitting that she is miserable. She wants them to feel that she has got it all together. That her life is perfect. When they go through her social media profile, they find her happy pictures. Ecstatic even.

A couple of months ago when she was leaving for the USA, her office colleagues had warned her: “One of my sisters lives in the States. She is miserable there. Wants to come back but her husband doesn’t.” 

“Why?” 

“He has a high-paying tech job and all so he is okay. But he is on an H1-B visa without an I-140.” 

“So? What does that mean?” 

“Which means the spouse can’t work. So she can’t work.” 

“Oh.” 

“I am surprised you didn’t know this.” 

“I haven’t started my research yet on the visa types and job search. But I intend to.”                

“It is very important to understand your options. It is not always as picture-perfect as it seems. My sister is busy doing all the household chores. And she is not happy. Her social life was here. She has no friends there. Only his work friends they mingle with.” 

“I know about my visa type though. I can still work there.” 

“Oh, honey,” she gives a sympathetic smile, “but everyone wants to convert into an H1-B once they go there. So there could be a brief period where you might have to be unemployed.”       

“But that doesn’t matter. Because we intend to come back in a few years. We just want to experience a different work environment and culture and to have that thrill of living in a new country. But only for a few years.” 

“Honey, they all say that. As I said, consider your options once you are there before you decide anything. Okay?”                                   

“I will, thanks. I am sure my husband would also check about these things. It is a major decision after all.”

“Oh, I am sure he would.”  

She was very emotional on the last day of her job. She had worked there straight out of B-school. She had met some people who would become close friends and some who were toxic. But on the last day, she knew she would miss them all. She didn’t think that saying goodbye would be this difficult. Her name on the desk and chair in bright white letters with a black background came alive with memories. Memories of birthdays celebrated, lunches ordered, huddles and meetings, apprehension of deadlines, the adrenaline rush of getting it done just in time, the accolades. It felt empty by itself if not for the people she surrounded herself with. Her friends. 

Her colleagues. They motivated her and pushed her to give her best. Her manager was always an inspiration. Solving problems and giving solutions in a way she herself didn’t think was possible. She learned a lot from each of them. But she was excited to begin a new chapter. But the isolation in a new country was what she hadn’t counted on. 

Her husband noticed when she hadn’t had a bath for a couple of days. He thought it could be laziness. When he asked her about it, she said she would. Her reply was curt, and tone grumpy, so he left it at that. After a week of the whole no-bath scenario, her husband thought it was time to have a talk. This wasn’t one of those phases she would overcome on her own. A little push. A little nudge would maybe do her some good. When he saw her refreshing her Gmail inbox for the umpteenth time that day, he said, 

“You know, we came to this country to experience a new place, a new city.”

“Hmm.” Eyes glued to the screen.

“Don’t you think it’s time to do that?” 

“Hmm.” 

He places his hand in front of her phone. 

“What are you so worried about?” 

She looked at him for a moment before answering. “That I won’t find another job. Every day on LinkedIn, there is a new company that’s laying off or announcing a hiring freeze and I am worried that my career break will just go on longer.” 

“But weren’t you always saying that you needed some time off to pursue your passion of writing?” 

“All that’s good to talk about. But I need to focus on my career too.” 

“I understand that, but the recession is not your fault. You are doing everything you can.”

“I need to do more.”

“You need to get the bigger picture. Zoom out. You have a glorious opportunity to work on your writings. You have notebooks filled with stories. Don’t you think it is time you polished the pieces and submitted them somewhere?” 

“What I need to do is get a job.” 

“You will get it but the time that you have right now, in between jobs, is hard to come by. Think about it. You can try to do what you always talked about doing. Or was all that just big talk?” I could see, she took the bait. 

She considered. “Hmm,” was all she said. 

“I also found something for you.” 

He had searched for a public library nearby. A magnificent three-storied red brick building standing beside a park. Just a mile away from their home. She could get herself a membership there. I thought this was an amazing idea. She had always wanted a house near a library. I could tell that this piqued her interest even if she feigned indifference to her husband. She wanted to see it first. I could see it in her eyes. And here I thought that the husband was too busy to notice her worries. I guess he was letting her be. Well, I couldn’t have guessed it. I can’t read his thoughts. 

The next morning, she woke up to her alarm at 7:30 a.m. and had a shower. She was ready by 8:30 a.m., in time for the library to be open by 9 a.m. She was armed with her warmest winter jacket and a beanie. Wandered around the streets on her way to the Bellevue library. Taking in the strollers with their prams and pets. Warm coffees in their hands. In 10 minutes, she was standing in front of the library and was not disappointed. Covered with floor-to-ceiling glass panes, she could peer inside as she walked to the front door. She was also pleasantly surprised at a life-sized bronze statue of Mahatma Gandhi just outside the library; in the midst of now barren trees. There was ample seating space inside. Aisles and aisles of books: classics, romance, historical fiction, new interesting fiction and non-fiction sections, choice reads, monthly picks, and a dedicated holds section for reserved books. 

Her husband was right. Isn’t this what she always wanted to explore? Read and write. Write and read. Surround herself with books and pages. She had found her place. She touched her fingers in reverence to the cracked paperbacks, reminding her of the piles of books she left behind at her place in India. She borrowed a few novels and set off with them and me in her backpack. Couldn’t resist a warm cup of coffee from a cafe she spotted. Picked a window-facing table overlooking a park. She read as she finished her coffee. A good girl’s guide to murder was a page-turner. It was the first time in months that she had ventured out on her own. She felt at ease. At peace. Her breath, a little lighter. A little deeper. She saw two dogs playing outside. Free and wild. She picked up her phone and googled bookstores and art galleries around. She found that a couple of independent bookstores nearby also host monthly book clubs and writing clubs. She signed up for them and started off in the direction of the art gallery. 

I was happy. She was bouncing back. One step at a time. 

 

Feature Image by Ushma Shah

By Ushma Shah

Ushma is a short story writer and an aspiring novelist. She has her short stories published in a few anthologies … Read more ›

Of Motherhood and Mental Health — An Immigrant Mom’s Journey

Motherhood and mental health

May is an important month for mothers around the world as we get to celebrate motherhood for Mother’s Day and support mental health for Mental Health Awareness Month. It is also a month in which a week is dedicated to honour maternal mental health before, after and during pregnancy. To honour this beautiful month, I would like to explore motherhood as I have experienced it as an South Asian, immigrant mom — the magic, the struggles, the mental health challenges, the community expectations — and share how I have reached the most comfortable, confident version of myself as a mother.

12 years ago, on a very hot, humid August morning, after going through a few years of unexplained infertility and then finally getting pregnant, I was rushed for an emergency C-section and my tiny, but very feisty, daughter was handed to me. As I held her in a severely drugged-up state, very much disappointed in my body’s failure to deliver naturally, I felt a rush of the most beautiful, gut-wrenching, fierce, protective love I had ever experienced. In the hours following her birth, I also experienced major confusion and anxiety every time she cried endlessly; I didn’t know how to soothe her.

I grew up listening to my mom, grandmothers and aunts talk about the beauty and miracle of motherhood, but no one ever talked about the extreme sleep deprivation, the mental and emotional breakdowns and the sheer physical exhaustion. I had seen most moms in my very traditional, Pakistani family, sacrificing their own needs for the comfort of their children. In fact often, I would be confused at how proud my grandmothers were for sacrificing their health and mental peace to raise their families.

[Read Related: Stories of Stigma: Three Generations of Generalized Anxiety Disorder ]

After moving to Canada I repeatedly witnessed the same thought and behavior patterns in other South Asian maternal figures. I’ve come to the conclusion that this is a cultural thing, especially among the older generation! They love to talk about the beauty and magic of motherhood and glorify the rough parts of this journey with a kind of toxic positivity. South Asian women, I find, generally don’t like to discuss the struggles, the vulnerability and the mental load of motherhood.  Yes, motherhood is magical, beautiful and one of the biggest blessings but also it might probably be the most difficult thing you will ever do! In retrospect I do feel, had I heard healthy discussions about the mental and emotional challenges of motherhood, along with its privilege and beauty, I would have been much more prepared for this magical, roller coaster journey!

The mental health challenges, the invisible load of motherhood, the continuous mom guilt, the overwhelm, the self doubts, I experienced all of these during the happiest time of my life. And I felt extremely guilty for having these feelings! Was I not supposed to have that ethereal new mama glow and calmly enjoy this new phase with ease and joy? My overwhelm and anxiety as I protectively held my five-pound, feisty baby girl just felt wrong! It made me doubt myself as a mother.

[Read Related: From a Mother’s Perspective: Why is Loving Myself So Hard? ]

As an immigrant mother, one of the hardest things I have had to do is to break away from, and unlearn, so many culturally-acquired behavior patterns and expectations. It is so important to acknowledge the fact that mamas need to be vigilant about and take care of their emotional and mental health in order to be fully intentional and engaged in raising their children and taking care of their families. Thankfully, the thought patterns are evolving and finally the South Asian community has started having discussions about mothers’ mental health issues and acknowledge that motherhood, though absolutely precious, is exhausting, rough and can sometimes leave one questioning their sanity.

 

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After the initial years of motherhood, I started researching and reading on mental health and South Asian behaviour patterns. My observation and research has led me to a point in time where I can proudly say that I am the most comfortable I have ever been in raising my children. I have come to the realization that this will be the most fulfilling, but also the most daunting and exhausting thing that I will ever do. I have also come to a very solid conclusion, the better my headspace and mental health is, the better I will be at being the best version of myself for my children. I really want my children to see me making my mental health a priority so that they learn that their mental health is also as sacred as their physical health.

Once I realized how pivotal my own mental health was for my family’s wellbeing, I became more mindful about prioritizing my mental health. These 10 mantras have really helped make a difference in my mental health:

  1. It is not normal to feel excessively overwhelmed and anxious all the time just because you are a mom. Reaching out for help is not a sign of weakness. Talking to your doctor about your sense of overwhelm is a great place to start. Accepting medical intervention (meds) and therapy are an important part of my parenting journey; they do not make you a weak or bad mother in any way. Rather it makes you a braver, better parent!
  2. Motherhood is not always glorious and rosy as most of us have been made to believe. Like any other relationship, it will also have its ebb and flow. It will sometimes be chaotic, messy and hard and that is ok!
  3. They say, it takes a village to raise a child and that is so true! In case of immigrant families, a lot of times their village is far across the oceans so what do you do. You mindfully try seeking out a village of like-minded families/people that share similar values and beliefs as your own. And then you help each other out. In other words, when offered, graciously accept help from that elderly neighbour, a family friend or a distant relative. They probably have gone through this busy season themselves and realize how exhausting and isolating it sometimes can be.
  4. In today’s world, many of our decisions are driven by our favourite influencers, mom bloggers and social media personalities. Majority of them curate content that just spells perfection and beauty! From a beautifully arranged, tidy house, to an impeccably put together, happy mama serving fresh, organic meals in her tastefully-decorated, minimalistic kitchen; we know very well that social media can be unrealistic and shows only the beautiful parts of the journey. Yet most of us feel this immense pressure to be perfect and be the providers of the absolute best for our children. Honestly, in my experience, motherhood became so much easier, smoother and calmer once I let go of my exhausting efforts to be the perfect mother! Once I accepted that there is no such thing as a perfect mother — only a mama who loves her children like crazy — I felt at peace and became way less anxious.
  5. Most South Asian cultures measure the worth of a woman by her marital status and later by the success of her children. In the first few years of being a mom, I enrolled my tiny humans in as many different activities as I could in dreams of future success in education and careers. I was always running around planning things for them to do. The result was an extremely burnt-out mama with overwhelmed kids in tow. It has been quite a journey to learn that children will be at their happiest with simple routines and happy experiences. You DO NOT need to lug your family to fancy, expensive activities in order to prove your worth as a good parent! Children will remember simple, happy experiences where they can connect and spend time with their loved ones. A simple picnic in the park on a beautiful day, feeding the ducks at the local pond, visiting the farmers’ market, going to the beach on a hot day, camping trips with other families, these are some things my kids consistently recall happily from their tiny human days.
  6. Connecting with other moms going through a similar situation will make your journey less isolating, less intimidating and so much calmer. Culture tells mothers to be resilient and unwavering, and not share their vulnerability with others. That can be very isolating! After a rough night with a teething baby and a clingy toddler, nothing feels better than having a quick cup of chai over a phone call with another sleep-deprived, tired mama!
  7. Mamas, you are being so generous and giving to everyone around you. Be kind to yourself too! Indulge in self care and take out time to do little things that bring you peace and joy. It could be a lunch date with a friend, getting nails done, doing a yoga class, taking a walk by yourself, listening to a podcast or going out for a movie. Remember your children are observing you all the time and will learn emotional regulation and self care by watching you do it.
  8. Mom guilt is real and can be devastating for one’s mental health. Know that you are only human and the only way to learn about motherhood is by actually going through it. You will make mistakes and it is okay! Give yourself extra love and grace on those hard days. As long as our children see us apologizing, being respectful and loving and trying to be a better parent, it’s all good.
  9. Taking care of one’s physical health will always help in achieving better mental health. Eating well, staying hydrated, learning some breathing techniques, moving one’s body, all these help so much when the days seem long and never-ending.
  10. Motherhood, specially in the initial years will be physically exhausting. If you are like me, maybe you have also thrown your babies at your spouse as soon as he walks into the house and escaped to the washroom for a mommy time out! It is probably the busiest season of life for both you and your spouse and might leave both of you angry with and snapping at each other. Try to find little pockets of time when you and your partner can reconnect, away from the beautiful chaos of the tiny people you have created together. Something as simple as having a takeout meal together after kids’ bedtime can feel heavenly and therapeutic and recharge both of you for the day ahead.

[Read Related:Open Letter From an Immigrant’s Daughter to Immigrant Mothers]

So moms, I urge you to let go of overthinking, enjoy the present moment, go with the flow and savour the messy as well as the beautiful, uplifting parts of your journey. Cherish and protect your own mental health, reach out for help and support if the journey gets too isolating and overwhelming. For your children, will grow up seeing the beauty and wonder around them through the eyes of the most important person in their lives — their mom.

 

 

 

 

 

 

By Anabia Adnan

Anabia Adnan is a mother to two beautiful children and a crazy puppy, married to the love of her life, … Read more ›

Shedding Light on South Asians and Intimate Partner Violence

@golibtolibov

In July 2022, Sania Khan’s life was ruthlessly taken from her by her ex-husband. Sania was a young, vibrant South Asian woman – a creator and photographer who had the courage to step out of an abusive marriage, even in the face of community norms that discourage women from speaking out. While this tragedy seemed to stir a consciousness in the South Asian diaspora that we can no longer justify the status quo, it is far from the only such incident. Just months later in December of 2022, Harpreet Kaur Gill was stabbed to death by her husband in Vancouver. While the most extreme cases like those of Sania Khan and Harpreet Kaur Gill are highlighted by mainstream media, a small body of research provides evidence that intimate partner violence experiences are equally, if not more, prevalent in South Asian communities than the general population in the US or Canada. That’s why we need to do more as a community and throw light South Asians and intimate partner violence.

[Read Related: A South Asian Daughter of Divorced Parents Speaks up After the Tragic Death of Pakistani-American Photographer Sania Khan]

Violence prevention researchers have long used traditional gender roles to explain intimate partner violence in South Asian countries. These norms are deeply entrenched beliefs in society about appropriate roles for people based on their gender. In South Asian communities, these norms typically privilege men in intimate relationships. These beliefs are further perpetuated by mainstream media. For example, despite historic criticism for its depiction of harassment as “romance” or abuse as “lovers’ quarrels,” Indian cinema has only normalized toxic masculinity and violence as a form of conflict resolution with its hundreds of millions of viewers.

Despite the identification and investigation of these norms in South Asia, there’s so much we still don’t know about diaspora communities, especially in relation to South Asians and intimate partner violence. In the US, South Asians have become one of the fastest-growing populations, but we remain unaware of how the stresses of raising a family in a different culture, and the weight of growing up between two worlds, affect these norms, expectations, and experiences among South Asian immigrants, the second generation and beyond. 

In this article, we’ll take a deeper look at how these norms are enacted to influence intimate relationship dynamics, discuss the recent rise in intimate partner violence, and explore the work that researchers, policymakers, and program implementers can do to address violence in South Asian diaspora communities.

[Read Related: On Domestic Violence: Model Minority, Private Pain]

Social Norms and Violence in South Asian Diaspora Communities

Why does it take catastrophic events to serve as a call to action? For one, the “model minority myth” continues to portray South Asians in America (who originate from Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, and Sri Lanka) as a healthy and wealthy group. As a child of Indian immigrants, I always thought this was just a frustrating trope that lived rent-free in my head next to the eternal question, “Log kya kahenge?(What will people say?) However, I have realized that this constant worry is not just an innocent preoccupation. It’s the result of a dangerous spiral beginning with the portrayal of South Asians as a model minority and the need to maintain that well-to-do image. This only reinforces the traditional gender norms that overlook men’s perpetration of violence and encourage women’s silence, crippling any efforts to understand the scope of the problem and draw attention and resources to address it. 

The Impacts of COVID-19 on Intimate Partner Violence

Prior to the start of the COVID-19 pandemic, the frequently-uttered phrase among researchers, practitioners, and advocates alike was “one in three” — one in three women ages 15-49 experiences physical and/or sexual violence inflicted by an intimate partner in their lifetime. Under the cover of the COVID-19 pandemic however, rates of violence against women rose dramatically, prompting UN Women to call for recognition of this “Shadow Pandemic.” During the height of the pandemic, the social isolation that came with lockdowns and quarantine procedures to curb the spread of disease made home a more dangerous place for an increasing number of women. As communities seek to rebuild, the inequities in access to and use of potentially lifesaving services have deepened. Now more than ever, it is critical that we shine a light on the many intersections of our society to prevent South Asian women’s experiences of intimate partner violence from being pushed even further into the shadows. 

[Read Related: How to Talk to Your Child About Domestic Violence: 5 Tips for Parents]

Addressing the “Shadow Pandemic”

First and foremost, to better understand South Asians and intimate partner violence, we need better data disaggregated by racial/ethnic group. Since the 1980 Census, only those of Indian origin have had a fill-in bubble. All other South Asian groups have to write something in, decreasing their participation. South Asian communities in the US are not a monolith and they are certainly not all of Indian origin. This perception, fed by our lack of data, likely privileges the Indian community in America and limits the visibility of other South Asian communities. 

More accurate information will help us better understand where the need is greatest. We can make a stronger case for more equitable resource allocation, improve South Asian language materials for survivors, and enhance provider training programs, accounting for the specific cultural implications of disclosing and seeking treatment for violence in South Asian communities. Public health researchers should increase efforts to understand the prevalence of experiences of violence, the environmental factors that make South Asian women in America vulnerable to experiences of intimate partner violence, and how it impacts their health.

While outstanding organizations such as Narika in California and Sakhi in New York are leading the charge in raising awareness, running active helplines, and providing support, they cannot be the sole safe space for survivors. While the system’s failure to protect Sania is not an isolated incident, it has served as a wake-up call.

All South Asian women in America should be able to be healthy and safe and lead lives free from violence, coercion, or abandonment. To achieve this, we need better data, more research, culturally-tailored resources, and appropriate legislative action that will allow for prevention, screening, and treatment efforts to finally take root.

 Intimate Partner Violence Resources:

  1.     National Domestic Violence Hotline Call: 1-800-799-SAFE (7233) or 1-800-787-3224; Text: “START” to 8878
  1.     National Dating Abuse Helpline Call: 1-866-331-9474
  1.     National Sexual Assault Hotline Call: 1-800-656-HOPE (4673)
By Sneha Challa

Sneha holds a PhD in Global Health and is currently a researcher at the University of California San Francisco working … Read more ›