Indecision can fan the flames of anxiety and really do a doozie if you have an anxiety disorder. We live in a society that reveres the ‘just do it’ mentality. Allowing confusion to be part of an effective decision making process just doesn’t jive with our ‘expert-self-reliant-I’ve-got-it-together’ kind of attitude.

But here’s the secret. It’s ok to not know; to live in ambiguity. Yikes, you say. Oh god, no. Has your anxiety spiked? I know mine does sometimes when I consider this. As counter intuitive as it may seem to our society’s mandate about always being in control, it’s ok to live in uncertainty. It actually can be much more beneficial than pressuring ourselves to make a choice when we are in fact, in doubt of that decision or don’t have enough information to feel good about our choice. It’s a valuable skill to be able to recognize when we are not in a position to make a wise choice.

But how do you live comfortably with ambiguity so it doesn’t drive you into a panic attack or analysis paralysis? Make it official (the indecisiveness, not the panic attack). That is: choose to be indecisive. With that very statement you’ve made a decision.

But don’t stop there. Instead pick a date, say in three days, a week or a month to revisit the conundrum. Consciously choose to postpone a decision.  Leah Goard, a fab business coach and friend, calls it ‘delayed decision making’. I call it the ‘just park it’ process (and pick up later).

“Basically,” Leah says, “we don’t realize that like physical things in our lives – our thoughts, ideas and decisions need a specific time and ‘place’ to rest so we can let go of them while we literally and intuitively information gather. If we don’t have a way to set them aside and trust that they will wait there for us, our minds will continue to kick that decision back into the forefront of our minds repeatedly because we are afraid to forget about them. Then the swirl of inner chaos ensues”.

Inner chaos, monkey mind, self-eviscerating self-talk. Can you relate? I certainly can.

During this ‘park it’ time (sort of like a kindergarten nap for unsolved decisions), let new information unfold organically AND also do the concrete research gathering that’s needed.

At that next date, see where you’re at. If you still don’t know, but know you must make a choice, make the best decision possible with the information you have. Then take ‘imperfect action’ and remember the mantra: ‘good enough is good enough’. Read more about ‘good enoughness’ here.

Surprisingly or not (I can’t decide – just kidding), when you commit to a particular option knowing you did so to the best of your ability with the information you had at the time, you will find the results are always pretty darn good; great even.

It’s an on-going, moment to moment process really, to relax with muddlement. I have however come to understand each and every thing in life has its own unique wise timetable and often, if not always, it’s not the one I would impose on it. This is particularly true when my scheduling is propelled by fear. Part of learning to be at ease with my own ambivalence is deeply trusting Life’s flow. Rather than trying to push the river; direct the river, I am slowly (oh so slowly) learning to trust the river.

The ‘Just Park It’ In/Decision Making Process Cheat Sheet (or kindergarten naps for unsolved decisions)

1. Remind yourself it’s OK (wise even) to not know
2. Make it official: choose to be indecisive
3. Park it: pick a date to revisit the choice
4. During ‘park it’ time: allow information to unfold and/or gather research
5. At the next date: park it again or take ‘imperfect action’
6. Remember: ‘good enough is good enough’
7. Practice trusting the river

© Victoria Maxwell

If you’d like to read more about the ‘Good Enough is Good Enough’ mantra and create your own, click here to download my free CRAZY NAKED TRUTH e-guide.

Leah Goard is a soul-searching business and life strategist, serial entrepreneur, professional organizer, writer, speaker and independent mom. To learn more visit www.leahgoard.com.

How do you support an adult child who has a mental illness? How do you as a caregiver hang in there when your adult child, who so clearly needs help, refuses it? I get requests from parents and caregivers just like this every week.

Some of you reading this right now may be facing these very situations. Your adult child may be struggling with addiction, maybe it’s a severe chronic mental illness, or maybe it’s both.

I wish there was a simple three step solution. Do this, this and this and your adult child will accept the help they’re being offered. Put these five strategies in place and the rehab program they’re in, the out-patient program they’re involved with will, all of a sudden, turn things around once and for all. 

But it doesn’t work that way of course. Recovery is possible. Recovery should be the expectation. But the cold truth is recovery isn’t guaranteed. Recovery is also relative. Recovery varies for each individual depending on myriad factors – especially how chronic, how severe the mental illness is that the person is dealing with.

There is still reason to hope. There are solutions, though the road may be arduous. 

With this in mind I want to share with you an issue of the Canadian Mental Health Association BC Visions Journal: Supporting Adult Children: Helping Them Find Their Way.

You’ll find first person experiences from parents and caregivers. Like Holly Horwood, whose daughter lives with severe schizophrenia. She describes what they have gone through as a family and explains what has helped and what hasn’t. 

You’ll read about the pivotal part support groups play in the lives of caregivers. Other articles offer strategies for setting and reviewing boundaries, how to hang in there as a parent when your adult child doesn’t want help and tools to support them when they do. 

You can learn about additional resources, and communication strategies to help your adult child in this Psychology Today post: “Help Your Loved One with Mental Illness with These Resources”.

In particular look at #6 and watch Dr. Lloyd Sederer’s TEDxAlbany talk ‘When mental illness enters the family’, where he describes key steps to help someone who doesn’t want help.

Watch how my parents coped and navigated my unwillingness (or perhaps better said my inability) to accept help in my theatrical keynote (available for purchase here should you be so inclined).

If you love an adult child with a mental illness and/or substance use issue, my wish is that you realize you’re not alone and as a result feel some relief and hope and also discover some new resources for your journey.

Visions Journal is a free magazine produced by the British Columbia Division of the Canadian Mental Health Association. Electronic subscriptions are free to anyone. Print subscriptions are free to anyone in BC. The cost is $25 for a yearly subscription outside of BC. Click here for more info.

You can view past editions here.

© Victoria Maxwell



I’ve been talking to strangers from foreign countries on-line. Wait. It’s not what you think. 

They have prevented me from falling into depression, helped me avoid perfectionism, boosted my productivity, decreased my loneliness and reduced my procrastination. 

Are they therapists? Nope. One has been a journalist, a computer programmer, another a business school student. Even more surprising we actually barely talk and they have no idea they’ve helped me in these ways. 

So how is this happening? With a free on-line tool called Focusmate.1

This is going to sound strange. Bear with me. In a nutshell you schedule a virtual on-camera co-working session with a stranger.

The tool wasn’t designed as a mental health tool, but as Taylor Jacobson, Focusmate Founder and CEO explains, “it was on our radar. Yes, it was designed with productivity in mind, but both myself and my friend who (first) tried this out have had mental health journeys.

It was created to “help independent workers break free of the shame and anxiety caused by chronic procrastination…(and) connect with like-minded individuals committed to holding each other accountable…for the actions contained in those to-do lists, productivity tools, and goal trackers.”

At the first signs of depression my head gets foggy and full, lethargy starts to seep into my body, and a feeling of isolation and dread places its foot on my chest. Perfectionism increases, as does self-critical thoughts which fuels the perfectionism which further drives avoidance. Working productively is difficult. Working period is. Focusmate unknowingly helps counter these things for me. 

Note: I am not affiliated in any way with Focusmate. I just really like the tool and thought you might too.

The Co-Working Model

It’s based on what’s called a virtual co-working model. 

What is co-working? Think back to when you were in school. Some of you may have had study buddies. This is the same thing, except we’re not 12 (or in a school library shooting spitballs through a straw).

Instead you’re in front of your computer for 50 minutes. Camera and sound on. A concrete task to complete (usually a dreaded one) and your “study buddy” from another country set up in the exact same way. 

Whoa…you may be thinking. Me too. When I heard about this, I thought about all the ways this could go wrong. Very wrong. A video session with a complete stranger to do what together? You know where I’m going. But of the 20 and counting work meetings I’ve had all of my work mates have been nothing but dedicated to getting their crap done. 

Jacobson has strict but friendly community guidelines. For some reason, it attracts similar people. Individuals who have work to do, who want to get it done and find it effective having someone working alongside them. 

A Typical Session 

At the start there’s a short but friendly introduction and declaration of what task or tasks each of you will work on. I often write mine in the chat box too. There’s usually some good luck wishes exchanged and then you’re off! 

I sometimes update the chat box when I’ve completed a task. But there’s no other talking. 

50 minutes later, a bell chimes. You check in: “How’d it go?” The answer may be “pretty slow” or it could be “great”. Doesn’t matter. You say goodbye. That’s it. Strange I know. But I can’t emphasize it enough how good this is for both my mental health and my productivity.

My Interview with Founder of Focusmate, Taylor Jacobson

I interviewed Taylor to hear from him how he would describe the sessions and the potential, though unintended, mental health benefits.

Mental Health Benefits I’ve Experienced

1.Combating Lethargy and No Energy:

The 50 minute length is long enough for me to get something done but not so long that I start to tire.

2. Reducing Isolation and Loneliness:

Working alongside a ‘live’ person reminds me that I’m not alone in our oh so very virtual world. The sessions aren’t for conversations, but the quick exchange of words at the start and the end of the call adds an encouraging human touch to my strong sense of isolation that creeps in when I’m beginning to feel depressed. Social contact has long been known to help alleviate depressive symptoms. See research at the end of this article.

3. Keeps me moving and out of bed (not to mention dressed and showered):

This may seem small – but in depression, getting out of bed and having a shower can feel monumental. Having committed to a specific time and to another person, I don’t want to let them down. The scheduled sessions motivate me to get up, get clean and honour my word. It’s only 50 minutes. I can show up for that and go back to bed if I want. But I haven’t yet. 

Note: It’s amazing – There’s no pressure to look marvelous or have awesome video quality. The objective is to show up and get one task done.

4. Teaches me Realistic Goal Setting and Sets Me Up for Success:

That brings me to the next reason I like Focusmate. It helps me set realistic goals and experience success. I’ve got 50 minutes. What task can I do in that time frame?  In order to create a little sense of success and help my lagging self-esteem, I aim to accomplish one or two very small tasks. When I accomplish it, I get evidence that counters all my negative self talk.

I go deeper into much of this, like realistic goal setting and strategies for a balanced life and mind in my workshop Creating Wellness and Reclaiming Self-Care.

Some Science Behind My Experience: 

According to an article in Medium, Patricia Arean, a professor of psychiatry and behavioural sciences at the University of Washington says: “People with major depressive disorder or generalized anxiety disorder can find it difficult to motivate themselves because of what researchers call ‘cognitive burden’, when your brain is overloaded with distracting thoughts.” 2

I see this tool as a protective factor in preventing depression. Choosing to get up, keep my word and have a work session when I’d rather crawl back into bed is part of a DBT strategy called ‘the power of opposite action’. You take steps in the opposite direction that your depression is telling you to go. Despite your low mood, you still get on with your life and don’t let depression run your life. It’s a technique to help you change how you feel. 3

Research has shown consistently depressive symptoms can be alleviated by interventions that increase social support and contact. 4,5 

Some precautions: 

I suggest this is for those who noticed the warning signs of depression or mild depression. If you’re in a major depression this tool, I believe, wouldn’t be as helpful and could potentially backfire.

Research is needed: 

I have only my experience to go from and anecdotal experience from other users. Focused research needs to take place (sorry no pun intended) to determine if this is indeed true. 

Productive and Possibly Preventative

Focusmate can help us be more productive. But it may also alleviate mild depressive symptoms, act as a protective factor preventing depression from occurring at all, prevent relapse and improve our overall mental well-being. 

Whether you work at home or in an office, it could be a great asset. By increasing social contact, creating experiences of small achievements, and using the power of opposite action as described in DBT, Focusmate might be not just a productivity hack, but a recovery hack to add to our wellness toolbox.

© Victoria Maxwell


References

  1. Shout out to Marie Poulin of Oki Doki, who introduced me to this fab tool.
  2. Productivity Hacks Don’t Work When You Have Mental Illness https://elemental.medium.com/productivity-hacks-dont-work-when-you-have-mental-illness-4635239860c6 
  3. Opposite Action – Marsha M. Linehan https://vimeo.com/101373270 
  4. Feeling connected again: Interventions that increase social identification reduce depression symptoms in community and clinical settings https://www.sciencedirect.com/science/article/abs/pii/S0165032714000573 
  5. Social group memberships protect against future depression, alleviate depression symptoms and prevent depression relapse https://www.sciencedirect.com/science/article/abs/pii/S0277953613005194

September is fast approaching. In light of this, I thought it apropos to write a post regarding accommodations for students with mental health issues in a post secondary setting. 

Creating accommodations help students who have mental illness reach their academic potential. Whether you’re advocating for yourself, or helping to advocate for someone else here are points to keep in mind.

1. Accommodations are a right, but are negotiated.

2. Determine what changes would be most effective for your specific illness or illnesses. It may take some experimentation.

3. Role-play asking for the accommodations to gain confidence before actually requesting them.

 With few exceptions, teachers and schools are very amenable and experienced in accommodating students with disabilities. As part of the American Disabilities Act and the Canadian Human Rights Act, they have an obligation to fulfill reasonable accommodations requests.

Dr. Sarah Helm, Diversity and Inclusion expert, cites “according to the National Center for Education Statistics, individuals with depression, mental, emotional, or psychiatric conditions now represent approximately 24% of college students with disabilities and have become the largest cohort of post secondary students who identify having a disability” (Helm, 2012; NCES, 2009).

Despite this, fellow students and teachers still can lack understanding, sensitivity and patience. The more comfortable you are with your mental health needs the easier it will for you to communicate with teachers. In the classroom, you are not required to disclose what illnesses or disabilities you have. But you will need to be able to discuss what accommodations will be helpful. You can, if you choose, to disclose voluntarily. But that is a decision that is very personal, and should be made carefully.

There are both informal accommodations (strategies students can implement on their own) as well as ones that are formalized through disability services on campus. Two people with the same condition may not need the need the same classroom strategies. Here are a few examples of formal accommodations:

– Due date extensions

– Time extensions on exams

– Quiet and/or alone place for taking tests

– Ability to complete work at home

– Advance notice of course expectations

– Study buddy or academic coach

– Alternative forms for assignments

– Alternative types of study resources

– Pre-arranged breaks to get fresh air and move around

Dr. Helm explains “counseling centers and disability services offices have been increasing their level of support for students with psychiatric disabilities; yet despite these existing support structures, students are not seeking assistance from disability services offices due to fear of disclosure and the negative stigma” (Collins & Mowbray, 2005; Helm, 2012).

So it is imperative students with psychiatric disabilities understand they have a right to reasonable accommodation as well as protection from discrimination stemming from stigma. Colleges need to recognize that insidious stigmatizing attitudes towards those with mental illness have subtle yet far reaching ramifications. On-going dialogues about mental health and mental illness on campuses are crucial so stigma and it’s consequences are lessened. In doing so, students can be propelled from the fear of disclosure and requesting support to the freedom of accommodation and academic success.

 An excellent resource is the Higher Education Support Toolkit: Assisting Students with Psychiatric Disabilities from Boston University Center for Psychiatric Rehabilitation.article continues after advertisement

© Victoria Maxwell


 References:

Helm, Sarah PhD Career Development Experiences and Employment Concerns of Job-Seeking Students with Psychiatric Disabilities PhD diss., University of Tennessee, 2012 http://trace.tennessee.edu/utk_graddiss/1304

National Center for Education Statistics (NCES). (2009). 2007-2008 National Postsecondary Student Aid Study (NPSAS: 08). Computed by the Data Analysis System (DAS-T) Online Version 5.0 on June 29, 2009

Collins, M. E., & Mowbray, C. T. (2005). Higher education and psychiatric disabilities: National survey of campus disability services. American Journal of Orthopsychiatry, 75 (2), 304-315.


Music plays a big part in my life. Sunday mornings you’ll find Gord, my husband, and I listening to Ramsey Lewis Trio, maybe Amee Mann or better yet, the sound track to Garden State. We’ll eat our French toast with (real!) maple syrup and I’ll be tapping my toes, savouring both the music and the company.

Gord has set up a great stereo system in our kitchen/living room so we can play our favorite vinyl while making dinner.

But music is important to me for a different reason as well. It’s one of the wellness tools I use everyday to help manage my mood and symptoms.

When I’m dealing with mild symptoms (what I like to call mental illness ‘light’) music helps alleviate said symptoms to a point where I feel back to myself. It helps grounds me when I’m edgy. It comforts me when I’m mildly depressed. It calms me when I’m anxious.

When I’m in the midst of severe symptoms, it doesn’t reduce them so much as help distract me while I’m enduring them. It’s a pleasant, adaptive distraction, rather than an unhealthy, risky one (such as drinking too much, sleeping too long or shopping on-line).

Distraction is an underrated coping strategy. It gives me a focus other than my rumination. It’s important for me to choose the ‘right’ kind of music however. Listening to sad, sloppy blues, or vitriolic death metal won’t lift my mood or shift my focus where I need it.

The music needs to be positive and uplifting. It needs to be something I enjoy – even if I can’t feel that enjoyment with the current state I’m in. Even if I did enjoy heavy metal or lonely emo, I suggest finding other genres to enjoy – at least for the time being.

Listening to music while I work doesn’t distract me, but ironically helps me focus. With mood changes, particularly the upswings, music keeps the beat and rhythm that I can’t stay in tune with.

My fave kind of music is old and new jazz crooners, both male and female. Think Mel Torme, Frank Sinatra, Julie London, Peggy Lee, Norah Jones and Diana Krall. I like the simplicity of the sweet 70’s like Hall and Oats, Las Vegas Turn-a-Round, Cat Stevens, Roberta Flack. It’s corny, I know, but I think it’s that naivety that gives me hope when I’m down. Coffee House music is another one. I also love yoga and meditation music, particularly if lyrics of any sort trigger me.

I subscribe to Spotify (a digital music service). It’s the best $10/month I spend. I’ve discovered multitudes of songs and artists I love. If you like a song, you can click to find the ‘radio’ associated with it that has similar music. Besides the typical genre search, you can use a search word like ‘comforting’ or ‘happy’ or ‘gentle’ and get a plethora of excellent choices.

I’ve downloaded playlists to my phone so I can play them when I travel. Pop in earbuds and voila – your very own portable wellness tool. Comfort on the go. Music you can listen to almost anywhere. Yoga – not so much – you can’t do that just anywhere. And frankly I don’t want to.

Here are links to four of my fave playlists:

Lazy Dazy Groovy music:

https://open.spotify.com/playlist/0y3LfKOgCtXgtwNJH3r6X5

You Make Me Swoon:

https://open.spotify.com/playlist/562KCt3dddvASURiIZkm3N

Serenity Music with Water:

https://open.spotify.com/playlist/5WSFvC61QphFAg6JgQ6rsN

Happy Perky Music:

https://open.spotify.com/playlist/7vKTdfITavm97oQBLz545x

What’s your go-to song that gets you back to centre? Care to share? I’d love to know.

© Victoria Maxwell



Diagnosis doesn’t equate acceptance (as many of you well know). I certainly took my sweet time in accepting my conditions. Mental illness, particularly psychosis, wasn’t something I had been striving for in my 5-year life plan.  

Below are questions and approaches my family, psychiatrist, other health professionals and my friends could have used to help me become more aware and more accepting of what I faced.

A caveat however. If someone is experiencing a psychosis or a severe lack of insight (anosognosia*) these suggestions may not be appropriate or at the very least will need to be adapted. For tips about how to communicate with someone in a psychosis these videos might be helpful. Though neither is a psychiatrist they have good information (suggestions start at 6 minutes 48 seconds).  I don’t like his finger pointing (which you’d think he’d know isn’t a good way to communicate). Some advice and examples are a bit flip and graphic, but some information is excellent.

Another video to watch is: https://www.youtube.com/watch?v=_ss_CMUdH2U She makes an excellent point about being a ‘comforting force not a challenging force’.

Here are 10 strategies that could have helped me feel understood, empowered and more willing to investigate the treatment and help being offered:

1. I wish…someone asked me exactly why I didn’t want to accept the diagnosis. Why I didn’t want to take medication. When the reasons for resistance are shared, erroneous assumptions can be discussed, potentially corrected and new actions can take place*. E.G: I believed medication was a ‘cop-out’ and meant I was weak. I believed if I did enough therapy and got to the ‘root’ of the psychological reason I was depressed, I wouldn’t experience it anymore.

2. I wish…someone validated and empathized with me regarding my resistance to medication instead of trying to get me to see it their way. That doesn’t mean agreeing with me but it meant acknowledging my position. Arguing with me and telling me to take it only made me feel more misunderstood, and forced me more into myself.

3. I wish…someone validated and empathized with me regarding my resistance to medication instead of trying to get me to see it their way. That doesn’t mean agreeing with me but it meant acknowledging my position. Arguing with me and telling me to take it only made me feel more misunderstood, and forced me more into myself.

4. I wish…someone helped me understand the truth about mental illness, and showed me how to investigate those objections, allowing me to come to my own conclusions. That is, do some basic stigma busting with me.

5. I wish…someone asked me if I wanted to talk about my psychoses. Because I did want to talk about it. I wanted to, needed to make sense of it.

6. I wish…someone validated and explored with me the profound, life-changing spiritual elements of my psychosis. It’s important to note, not all aspects were negative and not all were meaningful. Instead, what happened was my insights and experiences were labelled as pathological and part of the illness, something to be discarded and forgotten. It wasn’t until I met my psychiatrist, Dr. Dillon, who discussed my experiences with neutrality, curiosity and compassion.

Questions like these would have helped:

  • What did I learn?
  • What was it like?
  • What happened?
  • What aspects did I want to talk about, but was afraid to? And why?
  • What am I sad about? What did I lose? What do I need to grief?
  • What am I afraid of, concerned with and how can it be addressed?
  • What am I confused about?

7. I wish…someone could have helped me integrate a medical model with a spiritual perspective sooner and explained to me that it is possible to have both a spiritual experience and a mental illness; that one does not negate the other.

8. I wish…more people praised my scepticism; it meant I was deciding things on my own and the choices I made were intrinsically motivated.

9. I wish…someone informed me sooner the severe negative and anxious feelings I was experiencing could be part of a mood disorder not just a set of emotions and low self-esteem.

10. I wish…someone had explained cognitive therapy more clearly. When I was told my thinking creates my feelings, I felt I was being blamed for my depression.

Kay Jamison states in her book ‘An Unquiet Mind’ that we don’t know why some people walk through the door of acceptance or walk through it easily and others don’t. We also don’t know when people will do it. What I know for sure is, when we meet people where they’re at, when we’re curious and respectful, it helps people feel safe. People who feel safe are more willing to take risks and try things. That’s what happened for me at least.

© Victoria Maxwell


*NAMI defines anosognosia “when…someone is unaware of their own mental health condition or they can’t perceive their condition accurately”. Click here for information about it in the context of mental illness.


Anxiety has been giving me a run for my money. Diagnosed with generalized anxiety disorder, I’m used to dealing with my uber easily triggered flight and freeze response. But in the last year anxiety has been screaming at a high pitch for long periods of time in my body and my mind. It is UNCOMFORTABLE. Side note: Having an anxiety disorder it’s rather ironic I chose to be a self-employed public speaker.

Working for myself, which consists of on-going financial uncertainty, and doing the one thing people fear more than death. However, that isn’t driving my current state of dread and sweat. Among other things, menopause has kicked me in the butt.  Since I’ve entered that oh so lovely transition, anxiety has spiked more than I’ve ever experienced it. I didn’t know anxiety was a symptom of menopause. I didn’t know a lot of things about menopause. It’s not exactly a sexy cocktail party topic. Regardless, my husband has been suffering through it with me.

Anyway…the big ‘M’ and other life ‘stuff’ has ratcheted up my adrenals and kept my system revved up for far too long. My usual wellness tools haven’t been working as effectively either. To find some relief, I signed up for a 6-week ACT group course at our local mental health and substance use centre. An ACT group. Sounds like it would be right up my alley, yes? ACT. I’m an actor (or actress depending on your preference) right? Well it’s not that kind of acting group. ACT stands for Acceptance and Commitment Therapy. It’s developed from Cognitive Behaviour Therapy (or CBT). Its basic premise is using mindfulness to become comfortable with (ie: accepting) your uncomfortable physical sensations and difficult thoughts and distressing emotions. Then use your core values to guide your actions so you can live the life you want.

What’s important to understand is that accepting them does not mean liking them. It means I give them room to ‘be’ without trying to change them. It was a mind stopper this one. Allow myself to be ok with feeling this intense anxiety? Not try to change it? Fix it? Fix me? One of the meditations recommended in the group was the 3-minute breathing space meditation. Three minutes of meditation. That I can do. At the outset it was wonderful. Each time after doing it, I felt peaceful, like a gentle parent holding me. But then weeks later, some proverbial crap hit the fan and I experienced unrelenting anxiety.

This 3-minute breathing space felt more like a 30-hour jail cell. I’d sit and immediately want out. Breathing, and allowing my anxiety, seemed only to magnify it. My heart beat faster, louder, or wait was that a skipped beat? No now all I could hear was the blood rushing in my ears and feel my stomach tighten – even more. I. AM. OFFICIALLY. GOING. CRAZY. Again!!! When the tail starting wagging the dog, and my anxiety overwhelmed me, this whole letting it be and noticing seemed like, well, a really bad idea. Until I listened to a podcast reminding me of one paramount ingredient I’d forgotten to include in my mindfulness practice.

A dear friend sent me a recording of a talk from Thich Nhat Hanh, a Vietnamese Buddhist monk and peace activist, and author of over 100 books. I’ve never been much of a fan of ‘Mr. Hanh’. Not that he isn’t wise, or walks his talk. He definitely is and he definitely does. It’s just that I’ve never quite jived with how he expressed his wisdom. Until this talk. Until, I guess, I needed it. Maybe it will help you. Using metaphor, he describes how mindfulness works. It broke open my heart and changed my practice.

Paraphrased from his dharma talk ‘You are Both Depression and Mindfulness’. This segment starts at around 18 minutes. “When depression manifests, we should invite mindfulness. The energy of mindfulness will recognize the energy of depression. There is no fighting between the two kinds of energy. Because the job of mindfulness is to just recognize things as they are. Then to embrace whatever is there in a very tender way, like a mother would embrace her child when the child suffers.” That is what got me. “The mother is working in the kitchen, but she hears the baby crying. She knows the baby suffers. She goes into the baby’s room and picks the baby up and she holds the baby tenderly in her arms. The energy of tenderness of the mother begins to penetrates into the body of the child. And after a few moments the child feels better. This also happens with the practice of mindfulness. With the practice of mindful breathing or walking we generate the energy of mindfulness. With this mindful energy we recognize the other energy (depression, anger etc.) and we can embrace the other energy with tenderness.

There’s no fighting. There’s only supporting, helping.” When I practice mindfulness, I simply watch what is going on inside of me. But instead of a clinical dispassionate watching, I add tenderness. The watching becomes an embrace of kindness. This way the sensations and thoughts are easier to stay with. A softening usually happens (not always, but often). This loving kindness I practice generating soothes those other energies within me. Like the wise ol’ Mr. Hanh said it would!

Try the 3-minute practice with the pointers from Thich Nhat Hanh yourself. Share your experience and thoughts. I always love hearing from you.

© Victoria Maxwell

Supporting a loved one with mental illness can be trying. I’ve witnessed the toll it takes on my husband. I’ve experienced it as a daughter of a mother and father who both had psychiatric conditions. A chronic mental health condition is like addiction. Even when well managed, its presence is still felt in the relationship.  

My husband has taught me a lot about what it means to support someone. With practice, I do it more and more for myself. Some I already knew, some I only discovered by being with him at my most vulnerable, my most messy.

Think psychosis. Think oozing self-loathing. Think unrelenting anxiety. I know. Yuck.

What Works

Someone who…

  1. Walks beside me on the journey
  2. Watches a movie with me
  3. Can stand my company even when I can’t
  4. Listens without fixing
  5. Listens and helps me problem solve
  6. Sets boundaries and let’s me know when he’s reached his limit
  7. Reminds me it’s ok to take my beta-blockers; that I DON’T always have to tough it out
  8. Talks with me about ‘trivial’ things that have nothing to do with how I feel
  9. Requires honesty
  10. Tells me to un-pretzel myself when I’m in my most challenging yoga pose. You know that one of navel gazing and head up my butt. It’s surprising how long I can hold that posture.
  11. Helps me name things I’m ashamed of – like when he asks ‘peeled grape’ day? Yes – that’s how I feel, frequently, more frequently than I’d like to admit.
  12. Explains naps are good medicine and gives him a break too!

What does your partner do that helps you when you’re in struggle mode?

What do you do as a partner to help your loved one?

© Victoria Maxwell



Mother’s Day 2019 just happened.

Mom, I’d like to say ‘thank-you’ to you publicly. To say how much I love you, Mrs. Velma Maxwell. How the person you are, at 88, makes me smile, feel good, and warm. How I still feel like a cared for daughter even though I’m frequently more the mom taking care of you.

It wasn’t always this way. I was a brat. You could be infuriating. Our ups and downs were compounded, literally by both of us having the same diagnosis. Bipolar disorder and anxiety. The apple doesn’t fall far from the tree. Perhaps more accurately the nut doesn’t.

The anxiety that needles my stomach and muddles my mind offers a way in for me to comprehend all those years when you fretted and paced and wrung your hands. My depressions that hover like mist and manias that sizzle the bottoms of my feet close a gap of misunderstanding and impatience.

I was a teenager, and embarrassed by you. Angry, confused and scared by your manic rage as a child, so easily was thrown at dad, impaling him with insults, slurs and cacophonies of profanities.

But over the years we found a way to use our love and insane similarities to overcome our differences. Today, the things we do give me a quiet joy. We hang out and play double solitaire. Eat take-out lunch I bring in from the Eighties Restaurant. Your beloved toasted triple decker clubhouse sandwich with fries and chocolate milkshake.

We talk about inconsequential things that aren’t. The TV shows you’re watching and the ones you won’t. ‘Law and Order: SVU’ your favourite that you always watch. The Big Bang Theory, the one you won’t because it’s ‘dumb’. How the food at the nursing home is awful, but Linda the care-aide is ok.  How the Canucks (who you follow devotedly) won’t be getting anywhere near the play-offs this year.

Thank-you mom for having a knack for always helping me feel loved. You are in my heart always.

© Victoria Maxwell



This week is the 68th Mental Health Week founded by the Canadian Mental Health Association! That’s a whole heck lot of talkin’, learnin’ and awareness buildin’ about mental health!

My contribution this year is shedding some light on psychosis in the hopes it will increase compassion. I wrote this for my Psychology Today blog a few years ago, but it bears repeating.

Dear Hospital Emergency Ward Staff,

When you see me in a manic high, wrestled in here by my father; or as you watch my mother, sitting with me in the waiting area, holding my hand while I ramble gibberish to an invisible friend, please remember this: I may be crazy but I can hear. I may be mad but I can see. I may be insane but I’m still smart.

I can see you rolling your eyes when my behavior is bizarre. I can hear you when you shout to the security guard to ‘catch the crazy woman’ as I fly to find some scissors. I know you’re referring to me when you look at me but whisper to your colleague, then purse your lips and shake your head.

I don’t want to be running around the emergency ward in florid psychosis looking for God. I don’t want to be strapped to a gurney needing sedatives to calm the fire in my brain while I scream for the Mother Ship to beam me up.

Maybe it’s because you’re burned out, under-resourced, over-taxed, understaffed and over-stressed. But, I am a human being before I’m a ‘frequent flyer’, the ‘nut case who must be on drugs’, that patient who can wait because ‘she’s non-compliant’.

I understand that I’m hard to understand and hard to manage. I know your job is trying; that you do your best; that you do care. But please don’t forget that just like you, I have a heart. A heart that hurts when someone judges me for something that isn’t in my control; when someone doesn’t see that really I’m doing everything I can to get well even though it doesn’t look that way.

Because I also feel when you, the paramedic who wheels me through the hospital doors, stream such soft compassion from your eyes and gently nod goodbye to me. I sense when you, the nurse whose name I do not know, rests your hand on my shoulder with such respect that dignity rises from my feet.

So please remember, even when I’m laughing like a drunken hyena, and my father paces the green linoleum while my mother strangles her panicked hands, and all three of us wait for the attending doctor, I am aware of the kind light in your face as you tell us (including me) that you wish there was more you could do but hopefully it shouldn’t be much longer. No matter how crazy I may be, I am aware. And when your heart remembers that, my heart does too.

Let me know what you think. What has it been like for you if you’ve been in a psychosis or if you’ve been with someone while they’ve been in one?

© Victoria Maxwell