September 25, 2020March 22, 2021 3min readBy Subrina Singh
Trigger warning: this article contains material related to mental illness. Discretion is advised. If these topics cause emotional, mental, or physical distress, please call your National Suicide Prevention Hotline.
I’ve been inpatient now, seven times. While each time it’s different, it’s mostly the same: medication, stabilization, safety and therapy. Having struggled with suicidality for most of my life, I’ve gotten used to the fact that inpatient treatment is sometimes best for me, especially in keeping me safe until I am stable enough to return home. The first time, I was a wreck. I had never been so terrified in my life. Not knowing what to expect scared me. The only image I had of a psychiatric facility was from the ones portrayed in the media. The thought of those terrified me even more. Then it happened, I walked through the doors, committing myself to their care.
Scared and alone, I tried to be calm. I pretended like I was okay, hiding my tears often and leaving meltdowns for my room when I was alone. The truth was I was not okay, which is how I guaranteed my spot there in the first place. Struggling was an understatement; I was fighting for my life and slowly losing grip. The problem is that I have trust issues. It’s not easy for me to open up to people; sharing my life with others is hard. But my time there is limited. I don’t have months to divulge into the roots of my problems. I need to be upfront with my issues from the beginning, allowing them to help me. But I wonder if they can help me or am I hopeless?
Time after time, I feel more and more defeated. I feel lost and alone pondering life without bipolar, dreaming of the day I’d be set free from my thoughts. My brain is my adversary. I get lost in my thoughts, drowning myself inside swiftly. There’s so much I dream of changing but that’s not my reality. Stability is realistic. I can’t eradicate my disorder. I can’t alter my persona but I can change the way I think. Well, I can try. For years, I’ve fallen down the rabbit hole of negative thinking. This thinking which inevitably becomes my suicidality has been the death of me. Literally. I’ve tried to overcome this and move forward but at the end of the day, I’m still left with myself. And my thoughts have controlled my body, my brain and my life.
Upon discharge, there is almost an expectation. An expectation that you are better, almost that all of a sudden you’ve been cured. The reality is that not many changes occur after discharge. While some of the feelings may be eased with treatment, there’s a chance that in some ways you might still feel the same. It doesn’t mean you aren’t progressing, but rather taking longer to see results. That’s the truth about mental illness; progress might be slow and steady but eventually, it happens. Many times I’ve been discharged and my sole focus is to adjust back to life, let alone work extra hard to appear as though all my problems have been solved.
Most often post-discharge includes a plan involving a treatment program that still provides the support necessary. That being said, treatment doesn’t end after inpatient stays. It’s at that time, more than ever, that moral support is needed. It’s not uncommon to feel hopeless, wondering when it will all get better. I too committed myself hoping for miracles. It was a rude awakening when I was discharged, still feeling very lost. Nonetheless, inpatient treatment has changed my life. It’s provided me with refreshers and assurance to keep my disorder in control. After a few times, I now know what to expect while committed and post-discharge. I know now that each time, while different, will leave me with a similar feeling.
I am proud to say I no longer lead with expectations and my family has learned to do the same. My reality is that there is no cure — there is only support, strength and stability. The greatest lessons I’ve learned have come from my struggles and while discharge is not easy, I know each time it’s making me stronger. And while each time I hope that I won’t be returning, I know I’ve been prepared for what’s to come.
I’m at the gym. I’m on my grind. I keep telling myself that if I keep doing ‘X, Y, and Z,’ I’ll get results. Which is true — all the fitness gurus say so. The personal trainer I once had said as much. Yet, I forget to take a breather. I’m hoping for instant gratification, when I know the results I want — better energy, endurance, and metabolism — take time. I have to be patient with myself. So why do I feel pressured?
When I sit down to take a breath, I notice this idea of instant gratification weaves a common thread. I put pressure on myself to complete projects, quicker and faster. As a licensed therapist, my clients also talk about how they feel the pressure to do more work in a shorter amount of time, leading to longer work days and burnout. Some new clients ask, “How long does therapy take? Will I feel better after three sessions?” It’s like those junk tabloids with headlines like, “how to lose 10 lbs in 10 days!” In an ever-changing, fast-paced world, there are expectations to do things faster and better. On top of that, a relationship with our body, our career, our mind, and yes, our therapist, takes time too. To wait for results can create an uneasy feeling. We can’t trust the process if we don’t see results right away. We’re focused on the destination rather than the journey.
I believe the same idea is being applied to dating and relationships too. I cringe and roll my eyes when I hear, “Dating is a numbers game.” While it’s true that you might have to meet many people before finding your person, this has caused some of my clients to ‘gamify’ dating: swiping right on every dating profile and trying too hard on the first date in the hopes of landing “the one.” This prevents them from slowing down, truly seeing the person in front of them for who they are, and being vulnerable. My South Asian American clients feel the cultural pressure to settle down quickly and think they need to “catch up” with their friends who are getting married. They’re working very hard in the South Asian dating market, hitting up all the singles they meet, and finding instant chemistry with “the one.”
But just like a fad diet, once you get the results, you’re back at square one. You gain all the weight back, and the person you fell in love with falls out of love with you. You start to feel demotivated and hopeless all over again. Relationships that build quickly tend to fizzle out quickly too.
Here’s how South Asian American singles should stop shaming themselves for being single, this Valentine’s Day season, and try dating with intention. At the same time, this therapist has some thoughts on how we South Asian singles could be dating better. If you’re single this Valentine’s season and wondering, “when am I going to find my person?” you’re going to have to challenge some long-held, societal beliefs about dating, marriage, and relationships, both within and outside of our culture. It means:
Being okay with not going on a ton of dates
Dating is not a game to win! Forget about the “numbers” game. You are also not trying to “trick” anyone into being with you. That shit is not cute. Show up authentically and don’t be afraid to be “caught off guard.” After changing their perspective, some of my clients tell me, “I haven’t found a decent quality person!” Yeah, that’s kind of the whole point. You could go on a ton of mindless dates and have your time wasted, or you can have one or two quality dates and feel fulfilled. Pick one.
Stop love-bombing
Because some South Asian cultures have a much faster timeline with marriage, you might find yourself trying way too hard to impress your first date in the hopes that it will rush the chemistry high. Dating scenarios that start this way burn out once things get serious. Looking for chemistry too soon is like chasing a temporary high. Be patient and take your time getting to know someone because chemistry takes a long time to build.
Paying attention to what your date says and how they say it
We’re all putting our best foot forward on a first date. What do they talk about? How do they talk about other people? Does the conversation feel superficial? Does it feel like a performance? Do they take an interest in you? Are they sharing anything about themselves?
Remembering what you want from a long-term partner
Superficial qualities aren’t an indicator of how good of a partner they’ll be in the future. Having a high income doesn’t mean they’ll contribute to your relationship or the family you both build. However, their financial decision-making can indicate what they prioritize and what they value. And while physical attraction is important, there is no fountain of youth. Will you still want to share your life with this person when they are 60? Or will they annoy the shit out of you?
Taking your parents’ opinion with a grain of salt
Marriage is not just a blending of two families; it’s a ‘business contract’ between you and your spouse. Would you go into business with this person? Would you want to share physical space with them? Share a bed with them? Your parents are not the ones who are going to bump uglies with them, and at some point, your parents will no longer be around. Whose decision do you want to be stuck with?
Remembering no one is perfect
There is no such thing as “Mr/Mrs. Right.” Let go of the idea that there is someone better out there. Dealbreakers are important because they indicate what you have tolerance and patience for, and this can affect intimacy, but don’t write someone off for something workable. Think about the things that give you the “ick” versus things that don’t give you the “ick.” If someone’s qualities are only mildly imperfect but overall don’t give you the “ick,” then it shouldn’t be a dealbreaker. If it’s something that can be changed, then maybe it’s worth being flexible. If it’s something that can’t be changed and you can’t get over it, then you’re wasting your time and their time too.
As a South Asian American who is also single, I am pressured by my family to get married quickly too. I know that many people in my situation would either give in to their demands or take matters into their own hands. They might date to appease their parents that they’re “working on it.” But I refuse to give in to the pressure. When I date, I date to enjoy the person in front of me. I see the person for who they are, not some idea I cooked up in my head for the outcome I’m trying to achieve. I put my most authentic self forward. If this doesn’t result in a relationship quickly, I’m okay with that.
If this therapist can be patient with her process, then why can’t you? Like exercise, relationships take time, and you could be doing everything right and still not getting exactly what you want. You won’t be a good fit for everyone, and likewise, not everyone will be a good fit for you. But don’t close yourself off from the world. This Valentine’s season, learn to trust the process. Tune out the noise; the idea of “instant gratification,” Be patient, be honest, and be yourself. And don’t forget to take that breather.
Ten to 28% of the world’s population of women experience painful sex. Keep in mind, that this is just what is reported. As embarrassing and as vulnerable as you may feel, you are absolutely not alone. The good news is that in addition to your traditional medical care to treat painful sex (also known as dyspareunia) such as medication, injections and surgery — a conservative approach is effective and long-lasting. Conservative care ranges from pelvic floor physical therapy, chiropractic care and acupuncture which are beneficial in treating the root cause of painful sex, as well as symptoms, for long-term healing.
Some of the signs to look out for if you experience pain are:
Treatment options for painful sex such as pelvic floor physical therapy, chiropractic care and acupuncture provide a long-lasting and profound effect on the pelvic floor and address your entire physical well-being.
The pelvic floor is a layer of muscles that range from the pubic bone to the tailbone. The purpose of these muscles is to assist in bowel and bladder control, support a baby during pregnancy and contribute to sexual sensations. Just like any other muscle in your body, these pelvic floor muscles can become tight or weak which can be a contributing factor to pain.
Pelvic Floor Physical Therapy
Pelvic floor therapy can assist by strengthening and relaxing the muscles which is necessary to relieve pain during sex.
Chiropractors can be extremely beneficial with assisting in helping relieve pain. Associated pain and discomfort can originate from the lower back and buttock muscles. Chiropractors are trained in taking a history and performing a neurological, orthopedic and soft tissue examination to identify treatment options. Deep tissue massage, skin rolling, Active Release Technique, muscle energy technique, ice, heat and electrical stimulation are just to name a few.
Acupuncture
Acupuncture can activate the human dopamine system which helps regulate hormone levels and can assist in psychological factors. Acupuncture can improve mood, decrease pain and can be vastly beneficial in managing pain and mental health symptoms.
Ask for help
“Everyone is having pelvic pain and no one is talking about it”
Start with seeing your gynecologist who you trust for a history and examination of current symptoms to rule out any other medical conditions that could be a contributing factor to symptoms.
How to talk to your partner about this in a safe/healthy way
Being open with your partner about your symptoms and painful sex may seem like a difficult conversation. Intercourse should never be painful and learning when to stay ‘stop’ is important in communication. Talking about pain before, during and after sex is important also in your own health diagnosis to see if pain symptoms are improving or becoming worse. Having open communication does not only benefit your relationship but most importantly, your own health.
To experience these symptoms may seem taboo or unheard of but quite frankly, they are common in many women. Women deserve to be directed to proper healthcare.
Disclaimer: These are based on recommendations from a board-certified chiropractic physician and licensed acupuncturist. If symptoms become new or worse, consult with a primary care physician and or OBGYN to co-manage symptoms.
Reference: Tayyeb M, Gupta V. Dyspareunia. [Updated 2022 Jun 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562159/
Photo by anushkaniroshan stock photo ID: 2071991336
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.
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.
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.
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:
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!
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!
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.
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.
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.
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!
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.
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.
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.
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.
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.
