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Blog Everyday Thriving Wellbeing Practices

Answering Your Questions on Mental Health (Part 2)

mental health

Last February, during the We Thrive launch (Route 2.1), we received so many questions
during the open forum. Since then, we’ve gotten even more questions through our social media and during the corporate webinars we conduct. Here are 5 more answers to frequently asked questions:

Q: What are examples of situations that cause mental health issues such as depression and anxiety in the workplace and how should this be addressed by the employee or the company?

In 2019, even prior to the pandemic, the WHO already called attention to burnout as a workplace crisis around the world. Burnout is a syndrome that is specifically attributed to unmanaged work-related stress. It is characterized by energy depletion or exhaustion, disconnection or feelings of negativity related to one’s job, and reduced work efficacy or productivity. Burnout increases the risk of developing mental health problems, most common of which are depression and anxiety disorders. There are a combination of individual and job-related factors that could affect one’s risk for burnout. Individual factors include your biological sensitivity or reactivity to stress, unmet psychological needs, the lack of coping and stress management skills, and a problem-focused mindset or negativity bias. On the other hand, job-related triggers to burnout include problems with job design, lack of support from teammates and managers, not having enough opportunities for career development, emotionally unsafe workplace culture, and absence of work-life balance. 

Mental health and wellbeing in the workplace are best addressed through prevention efforts in order to mitigate stress injuries that can cause more damage. Examples of prevention activities are having open and honest discussions about mental health, promoting self-care and team-care practices, strengthening peer support, cultivating a compassionate culture, training managers in the interpersonal aspects of their role in order to support their team members more effectively, and carefully examining systems and practices that make it more difficult for employees to experience work-life balance. The availability of individual consultations with mental health professionals also enables employees to have a safe space not just in addressing problems or challenges but also in proactively developing a wellbeing plan.  

Q: What’s the simplest thing we could do whenever we feel overwhelmed?

We need to understand how stress and anxiety reactions are triggered in order to manage them effectively. Our nervous system has evolved through millions of years with safety and protection as a priority. It is constantly scanning for possible danger—real or imagined, and activates a response to keep us safe. In our present situation with the pandemic, cumulative fears and stressors can cause our threat response to become over-activated. This has become a very common experience among many people all over the world.  The key to managing feelings of overwhelm and anxiety is to be aware and intentional so that we can stay in the driver’s seat of our mind, responding instead of reacting. 

When feeling overwhelmed, it is important to pause. In a state of overwhelm, we do not think clearly,  we’re likely to pay more attention to negative or problematic aspects of a situation, and we tend to give in to urges or impulses that don’t lead to skillful or effective coping. Pausing could mean taking a break from thinking, going out for a walk, taking a moment to calm your mind through breathing or engaging in a recreational activity, perhaps talking to a trusted friend. Pausing doesn’t mean you’re not going to address the problem. It means slowing down to prevent hydroplaning. When we pause, we help deactivate our threat response and put ourselves in an internal state that can empower us to deal with the situation in a constructive way. And when you’re ready to re-engage with the problem, ask yourself, what is within my control? Focusing on what we can versus what we can’t control decreases our helplessness.     

Q: How can we avoid or fight the negative thoughts that trigger anxiety and depression?

Resilience does not mean always feeling or thinking positive. Resilience involves being able to face down reality, not denying the challenges that we need to confront and manage in order to successfully adapt to reality. We can develop a curious and observing mind towards our thoughts. Often times we assume our thoughts to be truths, when actually, many times they are just projections of our fears, traumas, and judgments. When negative thoughts arise, observe it with curiosity and practice “checking the facts.” How do we “check the facts”? Pay attention to the thought, how am I interpreting this situation? Practice looking at all sides of a situation. Are there possible alternative interpretations or explanations? Does my assumption fit the facts? If there’s a realistic danger, ask yourself, what’s the worst that can happen? Imagine how you can cope well with the worst-case scenario and plan a constructive response.   

Q: Can you provide us some tips on how to manage our stress as it affects my physical and mental health. I feel tired despite having enough hours of sleep.

Sleep is a fundamental aspect of wellbeing. Studies show getting enough high-quality sleep can positively affect your energy, activity, mood, weight, and more. It’s possible for us to sleep long hours but not feel restored if we spend a lot of time being restless and not getting enough deep sleep. The following practices could help improve the quality of our sleep:

  1. exercising earlier in the day or at least 3 to 4 hours before you go to sleep
  2. maintaining consistent sleep schedule
  3. doing deep breathing exercises to shift your body and mind into a more relaxed state as you prepare for sleep,  and
  4. cutting back on caffeine and sugar especially after 3:00 pm.

Aside from getting good sleep, we can reduce our vulnerability to stress with these practices: 

  • Moving regularly breaks up sedentary time and can help improve our wellbeing. For example, you can set a goal of moving 250 steps every hour, which would roughly equal a few minutes of walking. The WHO recommends 150 minutes of moderate or 75 minutes of vigorous activity weekly. 
  • According to UCSF Health Psychologist, Dr. Elissa Epel, dietary patterns emphasizing whole foods (i.e., foods that have not been processed or refined) were associated with lower depression, anxiety and stress, whereas a Western dietary pattern (i.e., high intake of sugar, fat, red meat, processed food, refined grains, high-fat dairy) was associated with a higher risk of poor mental health. 
  • The practice of mindfulness has been shown in numerous studies to decrease stress and improve our general wellbeing. Mindfulness is the practice of slowing down to pay attention to the present moment as it unfolds with curiosity and non-judgment. You can take your first steps with mindfulness by stopping for a minute or two to breathe, simply paying attention to the in-breath and the out-breath. Mindfulness is an anchor to the present moment that helps us not get carried away by busyness, worrying, or strong emotions. If you want to develop and deepen your mindfulness practice, try using an app such as Insight Timer, Healthy Minds, Headspace, or Calm.  
Q: How do we know that it’s time to check with a professional?

In general, professional help might be needed if you experience the following (www.mayoclinic.org):

  • Marked changes in personality, eating or sleeping patterns
  • An inability to cope with problems or daily activities
  • Feeling of disconnection or withdrawal from normal activities
  • Unusual or bizarre thinking
  • Excessive anxiety
  • Prolonged sadness, depression or apathy
  • Thoughts or statements about suicide or harming others
  • Substance misuse
  • Extreme mood swings
  • Excessive anger, hostility or violent behavior

Many people experience mental health problems but avoid seeking help out of shame or fear. If you are concerned about your mental health, don’t hesitate to seek professional support because addressing mental health problems in its early phase will make it easier for you to recover. It’s also a big misconception to think that you have to be “crazy,” desperate, or on the brink of a meltdown to see a mental health professional. Most people can benefit from talking to a nonbiased professional without fear of judgment to deal with life issues, make important decisions, or to simply learn how to get better at self-care.    

Have more questions or interested in mental health and wellbeing programs for your company? Contact us and we’ll help you get started.

Categories
Blog Mindful Self-Compassion (MSC)

How does operational air traffic control relate to mindfulness?

mindfulness

The majority of you are most likely thinking “not at all.”

Having worked as an operational air traffic controller at a high-density facility for 40 years+ I’ll nevertheless reveal there is most likely a relationship if you are willing to cut mindfulness down to, for example “focus and concentration”.

Being an outspoken advocate for mindfulness and self-compassion, I decided to discover if a program targeted at this specific audience would have an effect on dropouts. In particular I was curious if trainees within this domain might benefit from training focused at lowering their self- criticism.

I left the operational environment a couple of years ago. Teaching mindfulness of various kinds to operational air traffic control personnel, health care staff as well as to those suffering from chronic pain is what I now focus on.

For quite some time during the 40 years+ in air traffic control I was part of the team recruiting trainees, later I became Head of Training.
So, I have insight to what is required from the trainees and what the typical obstacles are while going through training.

I was fortunate to start collaboration with a private training institute which offers ab initio as well as refresher and continuation training to national and international customers, GATE Aviation Training, in Copenhagen.

The signature of all training at GATE is first and foremost devoted to excellence within training. But it struck me to realize they in fact dare to challenge the educational culture in their form of training methods.

Having known the industry for as long as I have, I knew a door might open for me to try out a program targeted at what I know is of utmost relevance; focus and concentration.

Thanks to Dr. Steve Hickman, Executive Director, The Center for Mindful Self-Compassion, for granting me the permission to deviate from a standard SC-MSC. With Steve’s encouragement the door became open for me to write the curriculum. “FoCon – The Resilient Personnel” became the program’s title.

Session 1 was 90 min., the remaining 6 sessions were all 75 min.

From the onset it was my intention to follow the SC-MSC curriculum with only a few variations of which one would be a body scan as an add on to each session. Along the way real life for “FoCon” turned out to be a lot more than only a few variations.

I started off with what is in fact comparable to an introductory session of the 8-week MSC. I.e., general “house rules & guidelines” for our next many hours together, “How do I treat a friend-exercise,” the felt experience of mindfulness, common humanity and kindness and “Self- Compassion in Daily Life.”

But my point of departure for the unusual training became the UN 17 Goals for Sustainable Development, more specifically goal no. 3 about good health and wellbeing.

Way down in that paragraph it’s mentioned that before 2030 well-being must be promoted.

They just don’t come up with any definitions of what’s included in mental well-being, let alone methods of measuring improvements.

So, with what I took as a free ticket to elaborate further, I included how the mindfulness movement, and later the compassion movement too, for more than 30 years has proven to:

  • enhance general well-being
  • lower blood pressure
  • improve quality of sleep
  • lessen chronic pain, anxiety and stress and more
  • overall increase life satisfaction through fostering happiness

I mentioned a few of the scientific studies to back up the statements.

This is undoubtedly the first time ever any Air Traffic Control Training facility has had mindfulness and compassion training on the agenda with the sole purpose of enhancing focus and concentration.

By including the UN 17 Goals for Sustainable Development, everyone, including management who were present at the intro session, appeared to realize “Ah ha, we’re really among the forerunners for doing something big here!”

So, from there on the path of the course really turned into Hanne paving the road ahead of each session, looking at what do the students really need right now?

I started off with the “Compassionate Body Scan” but after just 2 sessions, I shifted to the body scan we use in the MBSR program.

Some other exercises I included were “Soothing Touch,” “Self-Compassion Break,” “The STOP-Practice,” “Soles of the Feet,” “Soften – Soothe – Allow,” “Compassionate Friend,” “Self-Compassion Stone,” and finally “Setting an Intention”.

All in all, “FoCon” has been a valuable process for trainees as well as for me being the facilitator.

I do think it’s very noteworthy that by the time they received their first progress report, i.e., after “FoCon” Session 4, one third of the trainees said they experienced enhanced concentration capabilities when studying for their exams.

After “FoCon” Session 6 half of the trainees said they felt generally lighter, less stressed when they were in the simulator and felt more overall happiness.

A formal feedback survey was carried out by completion of the “FoCon” program.

That gave me insight to what the trainees actually felt they benefited from most. It didn’t come in as a surprise the body scan was their high time favorite.

“Is “FoCon” something you’ll recommend GATE to have as part of our future training programs?”

On a scale 1 – 5, 5 being the best, the question scored 4.8.

So yes, I firmly believe GATE is among the forerunners offering “FoCon – The Resilient Personnel” as part of their training.

The course has proven to induce trainees with a dose of confidence: YES, I can complete my simulator and on the job training because I have learned I don’t need to bully myself with self- criticism.

For the first time ever, we will be fostering a new generation of personnel for the aviation industry who are being trained to motivate themselves with encouragement rather than criticism and to tackle stressful situations with greater ease.

When a student learns how to soften the inner critic, a successful outcome of training is more likely to become the result.

Learn more about mindfulness and register for our upcoming eight-week Mindful Self-Compassion online course here.

Resources:

Hanne Vedsted-Hansen: info@hannevedsted.dk www.hannevedsted.dk GATE Aviation Training, Copenhagen, Denmark
The Center for Mindful Self-Compassion:

Categories
Blog Thrive at Work Wellbeing Practices

The 3R’s of Providing Safety and Support to Co-Workers in Distress

3Rs

The experience of stress and anxiety have become so prevalent in our lives
as a result of these prolonged conditions of threat and minimal social engagement. Human nervous systems are designed to thrive in conditions of safety and connection. Conversely, our continued exposure to crisis makes us vulnerable to internal dysregulation, which can manifest in persistent worrying, heightened anxiety and fear, frustration, anger, mental confusion, and exhaustion. If you have not experienced these moments in the past year, you might not have been living on this planet. We have all been emotionally affected by the pandemic in one way or another. Though perhaps viewed from a different angle, this shared vulnerability that we are experiencing has given us an opportunity to be kinder to ourselves when we’re going through difficult emotions. And it has also opened the door for us to care for each other and extend compassion to alleviate the suffering that we see in people around us. 

About 78% of the global workforce reported negative mental health impact from the pandemic (www.thriveglobal.com). This probably does not surprise us. Now more than ever, it has become essential to build a compassionate workplace environment that capitalizes on our common humanity and our inherent human capacity for empathy and connection. We can all be part of cascading support in our workplace community. If everyone is acting on the intention of mutual care, the ripple effect of compassion will become wider and wider, reversing the contagion of toxic stress into that of collective resilience. It does not take extraordinary effort to have a significant impact. But it’s important to keep a few guidelines in mind so that our compassion can become an effective bridge that takes the other person to a state of emotional safety and agency.  

The 3 R’s, Regulate-Relate-Reason/Reflect (adapted from Dr. Bruce Perry),  is a brain-wise approach to helping co-workers and other people who might be experiencing emotional distress.

Stress reactivity and dysregulation occur when our brain senses danger (real or imagined), triggering an internal alarm state. In a state of heightened arousal, the brain has difficulty engaging its higher capacities of reflecting and reasoning.

When the person seeking support is in an emotionally dyresgulated place (i.e. anxious, angry/frustrated, helpless and stuck) we can be more effective in helping them by responding in a way that brings their nervous system back into safety. 

STEPS TO RESTORING SAFETY AND CALM:

1. REGULATE

Calm the flight-fight-freeze response by making the person feel you are fully present and available to listen. Reinforce the help-seeking behavior by saying you’re glad he/she reached out to you. Use a tone and body language that communicates comfort and reassurance. Our nonverbal presence is key to regulation. This includes using a warm and accepting tone of voice, nodding to signal you are actively listening, showing that you are focused and paying attention, and not interrupting what they are saying. When the other person is very agitated, regulating could also take the form of inviting the other person to take a few mindful breaths with you, “How about we take a minute to just breathe to settle our minds?” 

2. RELATE

Instead of jumping into problem-solving or advice-giving, focus on listening, providing empathy, and making the other person feel validated.  Our anxiety and helplessness can get activated in the face of someone else’s suffering. When this happens, we often push for an immediate resolution to the distress by offering solutions and advice. This can make the person in distress feel invalidated. While they might politely take your suggestions, they are not likely to act on it if there was no genuine sense of being understood or empathized with. Take the time to simply acknowledge and normalize their feelings. Use reflective statements such as, “You’re really feeling isolated and it’s been hard for you to stay motivated with work in this situation.” It is possible to validate the emotion without necessarily agreeing with their perspective, “I understand that it was frustrating when you had to take on more work than you expected.”  

3. REASON AND REFLECT

When the person has felt listened to and connected with, the higher parts of the brain become more available to reflect and reason. You may help the person think about concrete steps to address their situation or link them with needed resources. For example, you can help a co-worker figure out how to communicate in a constructive way with their manager or supervisor. You may also invite the person to brainstorm self-care practices that build their inner resource for coping with difficulties.  Sometimes it might help to ask a person experiencing a challenging situation to consider what they value and how their actions and choices can be aligned with what truly matters to them. Don’t hesitate to recommend seeking support from a mental health professional especially when there are safety concerns that require immediate attention. Seeing a mental health professional does not have to be the last resort, it can be a resource to tap into to prevent problems from escalating. 

There is so much that a compassionate conversation can do for someone who is experiencing pain and difficulty. We are wired to respond with empathy and care to our fellow human beings. And as we provide support to others, it is of UTMOST importance to keep our oxygen masks on. Check-in with yourself after assisting another person, take a pause to pay full attention to how you feel, be intentional in renewing yourself by doing something that restores your energy. Compassion only becomes complete when you don’t leave yourself out of the circle.

Contact us to learn more about trainings in providing safety and support in the workplace.