Mental Health resources, news and information

How to set boundaries for a thriving work/life balance

In 2020, the world was swept up by the Covid-19 pandemic that continues to loom over our every move. Various countries made the hard decision to halt the spread of the virus through extreme lockdown measures. In South Africa hard lockdown meant we could not move around freely and seeing friends and family outside of our immediate household was stopped for a period of time. This was an event not experienced in any of our lifetimes. According to The Economist, an African perspective, Covid will leave lasting economic scars on Africa.On the work front, organisations have faced massive disruptions. Due to hard lockdown, businesses had to quickly adapt their operations (if they could operate at all). Due to the restrictive movement of people, traditional work environments stopped. Some organisations navigated this by working remotely and employees were thrust into this new way of work. Employees have reported that remote working has resulted in longer work hours, digital fatigue, communication frustration and lack of personal time and space. The question of practically and purposefully navigating this new working context is important.It is necessary for employees and organisations to pick up new skills and habits quickly. Let’s explore some of these for employees. Setting workable boundariesBefore getting into the practicalities it is useful to acknowledge that for those of us from traditional work spaces, this environment was informed and structured by a building to go to. Our employment contracts and habits formed over years told us when to start work, what time we finished, when we could take a lunch break and that engaging with others through meetings and kitchen catch-ups was normal. This tradition is now on its way out.Organisations have chosen to embrace the remote working approach, at first as a response to Covid but later as a strategic workforce decision. As such employees have a responsibility to pick up the habits and skills needed very quickly. A tool that is earning its place is the humble boundary. The American Psychological Association describes a boundary as a psychological demarcation that helps a person or group set realistic limits on participation in a relationship or activities. This definition is true in the context of an evolving and dynamic working space. The application of a boundary can enable employees to achieve success in all aspects - both personal and professional. Before delving into boundaries and the relevance for employees it must be clarified that a healthier workplace is not defined as a traditional work environment, i.e. a physical space provided by an organisation but more to the contract of employment (which can be enacted in one’s choice of environment, i.e. remotely). Sauter, Lim and Murphy (1996) define a healthy workplace, as an organisation that “maximises the integration of worker goals for wellbeing and company objectives for profitability”. My challenge for employees is that it is not just the company that is responsible for creating these goals, but rather that the shift towards remote environments allows for a shared responsibility between employees and organisations in establishing a healthy workplace (where one physically and psychologically connects to the employment contract). Adkins, Quick and Moe (2000) refer to organisational health as a quest for an abundant life. It is a wonderful idea that work life can be an abundant life, made more empowering is that as an employee one is fully empowered to co-create and live that abundant life.   Setting the frameworkLet’s explore where an employee can set practical boundaries:Start and end timesI have heard employees tell me that they find themselves working longer hours to “finish up that last email” or “have the last say on a project” which means finishing two or three hours later than usual. I have heard managers say “but I didn’t ask for that”. So let us begin with setting a realistic limit of when to start and when to end. How does sticking to your contractually agreed working hours sound to you? My invitation is for you to bring back a start and end time. Begin the day with breakfast, say goodbye to the family and start work. To help with “shutting off” of work at the end of the day, start a task list, or “today I will achieve” list. Be committed, tick off or follow up on the dependencies. Putting down a task list helps you set your pace and gives you a sense of accomplishment. It gives you permission to “leave” work at the end of the day and gives you clarity on when to “start” the next day.Break, breathe and eat lunchAt the office, we had stops to eat and unwind with colleagues. I remember seeing some employees enjoying my company’s beautiful gardens while sitting outside. Why did that stop? I have heard employees say “I worked the entire day, there was no time to eat, take a break or breathe”. I believe the connections between breaking, breathing and eating is linked to a healthier you and a healthy you is a healthy workplace. If you have a highly structured role, taking a lunch break is possible – eat, go outside or sit near an open window for 15 minutes. If you work in a more ambiguous role you need to create the breaks you need. Pack a lunchbox and take it with you for the day, so you can have moments of breaking from work. FlexibilityI personally love the flexibility of time in a remote environment. At first, though, I ended up having my attention split into many aspects because, well, it could be done. I can work and sign for a delivery. I can work and quickly dash off to the shops because I forgot to buy that important grocery item on the weekend. I can work and have my children sit with me while they finish up their homework with me coaching, correcting and being firm with them while I was reading that crucial email, or responding to my manager’s WhatsApp message. How wrong was I? Flexibility comes with responsibility. The result for me was not being fully present in anything I did. I was always sharing my focus with everything – flexibility doesn’t work for me without boundaries/limits. I was stressed. I was getting short tempered with my kids, starting to blame work for so many emails and WhatsApps. The power for change was with me. I needed to define reasonable flexibility for myself and I have become fiercely protective of my time. After all, time lost is never gotten back.Connections with your organisationPhysical distance can lead to one losing connection with work, the responsiveness needed, communicating face-to-face verbally and non-verbally. It is the sum of all the aforementioned that helps solve issues, motivate oneself and ultimately to find abundance in the workplace. As an employee you have the responsibility to read the organisational newsletter, be curious about your company website, set up meetings with your manager to talk about your challenges with your deliverables, attend communication sessions. If you have check-ins with your manager or your team, participate, switch on your camera, show up. Seize the day.Setting yourself up for successI mentioned earlier that I had allowed flexibility into my life with all its wonderful promises of being able to control my personal and work space but found it not serving me or my responsibilities. The lesson for me was that you can be wrong with boundaries that end up working against you and not for you. The good news is that you have the power to re-establish them so that they serve you better. How can you recognise if a boundary has been poorly set up?Heightened stress (emotional outbursts, inability to sleep, short temper at home or work).The intended use of the boundary does not give you the desired results.The boundary makes you miss important deliverables (perhaps you have applied too much  structure and not enough room for change, if the context warrants it?).The above is not an exhaustive set of warning signs but a few of the big ones. If you find yourself saying “yes” to any of the above. Pause, reflect on the boundary and reimagine it practically!Remote working has created a range of possibilities for us. Some good, some bad and many opportune areas for reimaging our world of work. Being a co-creator of one's workspace and having the ability to allow abundance into work is simply wonderful.Atasha Redhi is a clinical psychologist whose passion is connecting people with and to the workplace on a human level to ensure the workplace is one of dignity, respect and ultimately transformation.

Podcast: Burnout - What our leaders can do. What we can do.

Burnout is very real, and it’s on the rise. Many young professionals are facing excessive workloads, a conflict in values, and a perceived lack of control. According to a Deloitte study, as many as 40% of South African women feel burnt out. in today's podcast,  TSBU Counselling Psychologist Reabetsoe Buys, and Human Resources Director at the JSE, Palesa Ntoagae  share their own experiences,  expertise, and insights on  improving resilience and overall mental wellbeing in challenging timesListen to the Podcast below

How to help children deal with grief

Over the past year, grief and loss have become an unwelcome and consistent presence in our lives because of the global Covid-19 pandemic. Where previously we would experience grief every now and then, it has never been as unrelenting as the grief Covid-19 has brought into our realities and of those around us.We have all either experienced the loss of a loved one (or loved ones) or know people who have lost loved ones. Some of us have lost friends, colleagues or relatives – in this most unexpected way. The unfortunate, and most difficult, part about the Covid-19 pandemic has been its unpredictability in the way that it travels and the way that it takes away what it chooses. Not only have people lost their lives, but many have lost their livelihoods, their income streams, homes, support systems, special occasions, and freedom in the Covid-19 lockdown. As a result, many people have struggled with their mental health and sense of well-being because of the ongoing pandemic.What is grief?Grief is “the natural reaction to loss”, something which is “both a universal and a personal experience”, according to the Mayo Clinic. Essentially, people who have lost something, whether it is a person or something of value in their lives, can experience a grief reaction. While there are many ways of trying to explain and categorise grief, it is important to remember that grief differs from person-to-person. However, there are ways to understand what they are going through. This applies to individuals of all ages, whether children, adolescents, adults or the elderly.Understanding what grief looks likeWhile many researchers have looked into helping us understand grief, the Kübler-Ross Model of grief is a useful way of helping us understand what grief looks and feels like. Elizabeth Kübler-Ross was a psychiatrist who worked with terminally ill patients, in whom she noticed common stages they experienced as they were reaching the end of their lives. She found that these stages were similar in individuals who were grieving the loss of a loved one. While she outlines five specific stages, it is important to note that these stages do not necessarily happen sequentially, not everyone will experience all of these stages and there is no set duration in which one must experience a particular stage. The model of grief is purely a guide, which outlines common thoughts, feelings and behaviours that a grieving individual may experience.As opposed to outlining each step in so much detail, it could be summarised as follows:The model explains that initially one may experience a profound sense of shock and denial, following the news that a known or loved one has passed away (“this cannot be true”). This is often followed by feelings of anger (“why did this have to happen?”, sadness (“how will I go on?”) and a need to make the pain stop (“If my loved one comes back, I promise to…”). Eventually and ideally, many people may reach a point of acceptance – accepting that one has to continue knowing that their loved one is not coming back.Grief in childrenSince the Covid-19 pandemic reached our shores, it is also important to understand how children display and deal with grief. Children have not only lost people who they loved, they also lost their freedom (e.g. no playdates or visits), their support systems (friends and relatives), activities they used to enjoy over the weekends and going to school.When going through grief, children may show many changes in their behaviour such as increased sadness and withdrawal, not wanting to be alone and clinginess, regressive behaviours (e.g. not wanting to sleep alone anymore), changes in appetite, loss of interest in activities they used to enjoy and a loss of concentration or focus. Some children may become irritable or aggressive, while others may become more withdrawn and quieter. Caregivers will be able to spot grief in a child even if symptoms are not this overt. The subtle signs are usually more common in children and it may be empowering for parents to get to know these, too. Supporting a grieving childAs a parent or caring adult, you will get a sense when your child is struggling with loss – usually through changes in their behaviour. There are various ways in which a caring adult can support a grieving child:Try to get a sense of what they are thinking and how they are feeling by asking them questions about the losses they have experienced. This can be an indicator into what are they struggling with the most.Let them know that they are safe talking to you about it and that you will try your best to be there for them.Allow children to deal with grief in their own way. Some children don’t mind speaking while others prefer to deal with it in other ways, like by drawing, writing or through movement, however, is comfortable for them. Most important is to guide and be present in the journey they prefer.Many parents or caregivers often wonder about what information is “too much”, when speaking about grief or loss with children. Remember to:Be honest, but in a way which is appropriate for the child’s age and emotional maturity. For example, determine whether it is necessary to point out details around the loss which are unnecessary or too detailed for the child to know.Keep it simple and straightforward, sticking to appropriate facts and acknowledging the reality of the loss.Explain that the person is no longer here and outline how you will cope as a family by providing a sense of safety and stability.With that said, we want to also assist children in reaching a stage of acceptance. By doing the things above you are helping them along with the grieving process, however, also get them to speak about what life means and looks like without their loved one – what the new reality is. You can also do some activities together which can help with this, such as:Planting something in memorial of your loved one (e.g. asking the child to choose the plant or tree and involving them in the process).Praying together if this forms a part of your beliefs.Visiting the graveside together and leaving flowers and anything else the child would like to leave.Looking at photos together or creating a memory book of your loved one.Understand that like an adult a child will also go through various stages so allow them to go through these without judgment or criticism. Some children may display increased anger while others may feel withdrawn and sad. Allow them to feel what they need to feel by validating their experiences, but also coming up with a solution on what could possibly help them feel better. Tap into their interests and things they usually enjoy, ask them to help you around the house, get them involved in new routines and come up with new activities together. More than anything, it is important to model that it is okay to grieve, rather than hiding one of the most common reactions we go through as human beings.Book your spot on the Integrating Home, Work, and Play Series workshop.Reabetsoe Buys is a counselling psychologist who has experience in employee wellness, higher education and private practice. She believes that through mental health education and access to resources, individuals in our society will be able to tackle mental health challenges and support others better.

How to help children cope with distress

If children are distracted from talking about fear and anxiety, they often become preoccupied and feel alone with their worries. Educational psychologist, Junior June Manala explains how caregivers can help children navigate distress.What are the signs of distress to look out for in a child?Parents and primary caregivers are the most important people in children’s lives in the early dependent years. It follows that stressful relationship environments are deeply felt by all children. Unfortunately, emotional distress is not often talked about. Yet, babies and toddlers, like other children, are highly attuned to shifts in their caregivers’ emotional states, verbal tone, facial expression, and movement. Infants and young children are immensely affected by stressful situations, and if the stress is chronic, it can impact their developing brain neural connections. Toxic stress can change a baby’s brain chemistry and their overall development trajectory. (Graham Music, Sue Gerhardt,)Manifestation of distress in infants and young children may include but is not limited to (especially when these occur out of the ordinary or suddenly):CryingRefusal to feedLack of eye contactHiccuppingPositingScreeching soundsClinginessPale or reddish skin pallorEczemaRespiratory problemsSleeping problemsAngerAt times too much activity in the arms and legs of a newborn is an indication of distress. In this case, gathering the infant together and wrapping them up nicely and speaking softly to them can have a calming effect.Adolescents grieve loss just like adults and may hide their vulnerability by isolating themselves or turning outward for peer group support more than usual. However, teenagers may engage in risky behaviour to mask or numb emotions. Amazingly too, neuroscientists e.g., Dan Siegel, 2013 writes that adolescence is a period of major brain growth that can enhance creative thinking if adults can engage and listen.If we consider behaviours as the language of children that need to be translated into words, then we are well on the way to teaching our children to connect their feelings-in-the-body with their behaviour. This helps soothe, calm, or relax the central nervous system that is operating in a fight or flight or freeze mode.What are some of the causes of distress?Many responsible parents take particularly good care of their children’s practical needs such as feeding, grooming, etc., but what often gets neglected is attention to emotional needs. As a result of the emotional neglect and unmet attachment needs, distress will arise.Examples of some of the causes are:Unrealistic demands of children beyond their age and capability. Infants do not understand death but respond to loss and separation of a loved one by protesting it. Some young children might search for the person in their usual places.Children aged 7-8 years old may not understand the permanence of death and regard the deceased as sleeping. Seeing the loved one in a coffin and attending a burial leaves the child with worries as to how the loved one will “get out” of the box when there is so much heavy soil over them.In many African cultures’ children are protected from seeing corpses. They may come to understand death as an emotionally charged situation, where main caregivers are preoccupied in their grief, which can be overwhelming for children. This leaves memories and experiences that are not processed since adults often find it hard to speak to children about death.The vast body of knowledge by neuroscientists Antonio Damasio, Jaak Panksepp, Allan Shore among others, indicates we can intentionally build our children’s brains and resilience to toxic stress from pregnancy through the first two and half years by attending to feelings, naming them, and allowing for their expression. The way we hold our children, look at them, speak to them and respond to their inborn natural attachment needs is learned and stored in our children’s brains.What can I do to reduce the risk of distress in our home?Parents need to remind themselves that they want the best for their children and that parenting is hard especially when faced with a pandemic which brings sudden change and the loss of loved ones.The idea of “good enough” parenting is quite freeing. Parents might need to be reminded of self-care, which is what they need to recharge their emotional cups. Another reminder is that there is no such thing as perfect parenting. This helps to reduce some of the pressure parents face.Thoughtfulness and intention to be a good parent is a given for many parents and includes paying attention to the following:Noticing your response is the first step towards being emotionally available to yourself and creating moments for self-care to refill your emotional energy.Having a support system helps in generating a blanket of warmth and care in difficult times.Being calm helps you transmit the same calmness to your children.Maintaining consistency in caregiving routines such as feeding and bedtimes.Asking for help and cooperation from your children such as tidying and putting away things in the home.Avoiding activities that are likely to heighten stress and anxiety i.e., long hours of watching and listening to violent movies or long periods on social media. Create spaces for play or talking or storytelling that soothes rather than arouses anxiety.What are the key things I should do to help?Remembering that you are bigger, stronger, and wiser than your child will help you to find your calm. This is contrary to complaints that young children or infants are controlling and manipulating their parents. Remember that infants and young children’s brains are not yet sufficiently developed to “control”.Love your children for who they are not for how they behave and encourage them to come to you when they are distressed.This is our step-by-step way to comfort a child.Take in your child’s emotions as if you are in their shoes (empathy) rather than being dismissive of their emotional pain.Find your calm and lend your calm to the child (co-regulate through your face and eye contact), use a soft voice and smooth movements to soothe a fearful or upset child. Holding or gentle touching helps to soothe. Children prefer bodily contact.When you are sure that you have the child’s attention, find the words to help them find their own words to speak about how they are feeling.As an example, let’s say Mpho is moving from one activity to another without really thinking about what he is doing and why. This is an example of nervous emotional energy expressed as restlessness or hyperactivity. Supposing mum were to gently say, “Mpho, come here,” and held him kindly, lowering her voice and directing kind eyes to him saying, “I can see that you are telling me that you are unhappy inside.” If mum pauses and allows him to really take this in, over time, he learns to connect how nervousness or fear shows in his body.  It is likely that mum will notice relaxation in Mpho and he might be able to respond positively in words. Mum will have succeeded in noticing the distress, understanding the language of his behaviour and translating the behaviour into words. This process is co-regulation and soothing for Mpho.When should I, as a parent, seek help for my child?When distress disrupts the normal functioning of the child and the family it is a call for help, particularly when the caregivers have tried everything without success. It will then be time to seek professional assistance.For babies and young children under five, help can be sought from parent-infant psychotherapists such on Gauteng Association for Infant Mental Health South Africa (GAIMHSA); Ububele African Psychotherapy and Training Centre; Grow Great runs Flourish prenatal and postnatal programmesFor children and adolescents, telephonic help is available from Lifeline or the South African Depression and Anxiety Group. Public schools have school-based support teams that can assist children. Some universities offer counselling services to communities at minimum costs or for free.Private practitioners such as clinical social workers, counsellors and psychologists are available at a cost. Junior Manala offers play therapy, parent infant and under Fives psychotherapy, Strubenvalley Assessment and Therapy Centre.

Man To Man: There Is No Shame In Having Mental Health Difficulties

 Clinical Psychologist and Artivist Mthetho Tshemese aka The Village Shrink speaks openly about his Mental Health challenges, including battling depression  "If, as a Xhosa man, I can break the mould in seeking mental health support and can accept the very real benefits of being in therapy, I think you can too."  Today he guides us through some of the things that may be holding us back from better mental health, and the things that can help us rise.Firstly, you may not know that you need help You might not even recognise that you may be having mental health difficulties. If we look at depression as an example, many of us don’t know what it feels like. And more than that, our masculinity can even mask depression. Before I could even consider that I was struggling with depression, all I knew was that I felt aggression and irritation. But there are also other signs we can watch out for. Watch your sleeping patterns. Are you sleeping too much? Too little? How is your energy? Depression can be quite immobilising at times. How are you coping with day-to-day challenges? Are you feeling overwhelmed? How have you been feeling over the last month? These are questions we must ask ourselves. We've got to be both vigilant and reflective because too many of us fall into the patriarchal trap of not allowing ourselves to be human, to be vulnerable, or to understand our own emotions. You may see it as a weakness That patriarchal trap I’m talking about is the way we’ve been stripped of our humanity. I often say “men are not born, men are made”. When we are raised as boys, we are conditioned, engineered, and socialised; made ready to perform the functions expected of us as men. And often that means to be the provider, to be the protector, to be strong. We normally don’t even see a doctor until we are heavily symptomatic, never mind a mental health practitioner. We see mental health difficulties as a vulnerability, as a weakness, and so we don’t allow ourselves to acknowledge it. But I’m here to tell you that mental health is mental wealth. So here are a few more questions you can ask yourself right now. What do you do when life’s pressures and stressors overwhelm you? Do you have any healthy coping mechanisms? For example, I journal, or I write a poem, I may go to the studio and record a song, or I read, or sleep. What can you do to bring yourself back into balance? You may not even be sure what mental health really is Mental health is not the absence of stress or struggle. The World Health Organization gives us a good description of what mental health looks like, and I’ll give you a brief overview of it now. There are three components to mental health: the first is to pursue your potential, the second is to build the skills to deal with day-to-day challenges, and the third is your contribution to the community in a way that works for you.Let’s break those down. Look inwards The first component is to pursue your potential, and by that I mean your true potential. Not what you were raised to be, but who you want to be. There may not have been much room for negotiation between the two before today, so now I compel you to ask yourself: how much of who you are right now, or who you think you are, is actually a consequence of what you were raised to be?  I've come to the conclusion that many of us men are living a very unconscious life, where we conform to expectations without really engaging our own self. So ask yourself, “Wait a minute, is my life even what I want it to be?” For our own mental health, we must learn to enjoy our lives in a meaningful way. Find purpose outside of what is expected of you. Explore what could make you happy, and take it one small step at a time.  Build your own toolbox of healthy coping mechanisms There will always be a certain amount of stress that comes with modern day life, and that’s why the second component of mental health is to build the skills to deal with day-to-day challenges.  And here’s where I come in with a warning for you: be wary of the things you might be doing to numb your pain. There is no judgement here, and often our behaviours are unconscious, but I urge you to start observing how you are managing conflict and handling stress. It can help to look at which desires we’re financing most. Are we buying things like alcohol to numb our pain?  We all need to build our own toolboxes of healthy coping mechanisms – and I say “build” because we don’t just wake up with these skills. That’s why it’s always a good plan of action to see a therapist; they are the ones who can really help us build those skills. It also helps to be more pragmatic about how we can incorporate mental health into our lives. Just as you might dedicate some time towards being outdoors, pursuing your hobbies, or being physically active, you also need to dedicate some time towards your mental health. Even if that’s just one day a month. That’s just 12 days a year – you can do that, right? That one day a month is your time to access mental health care. Sit with a therapist who can help you clear your head and shift your perspectives, who can help you connect with the little boy you once were and find a healthy way to give him the things he needed but didn’t get growing up. This is the space where you can give that little boy the psychological hug he needs, where you can find out how to forgive yourself, where you can learn what you need to let go of, what you need to reward yourself for, and to honour how far you have come. Keep the conversation going in your community The third component of mental health is community. And one of the most powerful ways we can contribute to our community is to be there for each other. Especially as men, we need to create the language and the safe space to have these important conversations.  You might be asking, “How do you expect us to be able to communicate and create a language for our feelings when we were not encouraged to talk about vulnerability?” And this is when I say, “If, as a Xhosa man, I can break the mould in seeking mental health support and can accept the very real benefits of being in therapy, I think you can too.” Too many of us suffer in silence. We need to break the stigma. We need to have open conversations and create safe spaces in our friendships. When we meet, we must check in with each other. Take the time to share our stories and listen to each other. We must listen when someone says they’re feeling overwhelmed or “not okay”. We must pay attention when someone starts isolating themselves.  And we must recognise the courage it takes when someone tells us they are not okay. Because that is courage. It is not weakness. And I will say it again: there is no shame in experiencing mental health difficulties. These conversations we have with each other can be a powerful mental health resource in a country very clearly lacking. Be kind to yourself In all this, learn to be kind to yourself. Looking back, I can see how horrible I had been to myself, so I too am learning self-compassion. I'm learning to practice gratitude. And regardless of the situation, I’m learning to always look for something good, even if it's a simple lesson or a new way of looking at things. So from man to man, I say be courageous in your vulnerability. Be intentional in your pursuit of purpose, and be deliberate about investing in your own mental health. "From man to man, I say be courageous in your vulnerability. Be intentional in your pursuit of purpose, and be deliberate about investing in your own mental health."

Psychological Safety - Our Birth Right To Connection

  “Psychological safety does not mean that you feel comfortable all the time. Psychological safety means you feel comfortable talking about what makes you uncomfortable.” – Esther Derby As a young professional the workplace is a space of great anticipation and excitement, but can also be a space of great uncertainty. Working relationships play a significant role in our adaptation, our integration and functioning within the working environment. We are inevitably faced with the responsibility of cultivating connections with our colleagues and leaders to ensure we succeed.  Understanding psychological safetyOne of the key elements in helping us build these connections is having an environment that is psychologically safe. Sanchez, defines psychological safety as “the belief that you won't be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes”. When we are in a psychologically safe working environment, we are able to address issues without fear or punishment, and feel confident to make suggestions or clarify any confusion. We are reassured that there will be no reprisal or negative consequences to our openness and curiosity. When people do not feel psychologically safe in the working environment, it can lead to: more instances of interpersonal conflict; lowered productivity and efficiency; difficulty making decisions and solving problems; as well as stress-related mental and physical health issues. Research on psychological safety at work has consistently shown that it leads to stronger teams, improved employee engagement and leads to successful outcomes. Creating a culture of trust, respect and openness encourages opportunities to learn and grow, which improves employees’ motivation, innovation and creativity.It is also important to emphasise that psychological safety does not mean that people always have to agree, avoid conflict by any means or offer unconditional praise to others for the sake of being nice. But it does begin with the capacity of leaders for modelling behaviours that enhance safety and connection.  A case in pointLet’s think of Sipho for example - a young man from a small village in the north of Pretoria who has recently started in a graduate programme at a prestigious firm in Sandton. Being the first in his family to graduate from university means he sits with the responsibility of “making it work” and meeting the expectations of those around him. As a hardworking young professional, Sipho did not assume the working world would be easy, but he has been feeling uneasy and uncertain about his ability to learn and grow in this new space. Everyone else seems to get on with things, but Sipho has been too self-conscious to ask questions or openly communicate his ideas in meetings. He finds that he asks himself a lot of questions – what if I sound incompetent? What if my ideas aren’t good enough? Am I really an important member of my team? How leaders can foster connectedness through greeting Greeting is one of the first ways in which we connect with others. While greeting is one of the basic functions of communication, it has also been shown to foster acknowledgement and belonging, elicit positive emotions (for both the greeter and the greeted), lead to positive conversations as well as provide an opportunity for connections to form and for relationships to grow. In fact, neurobiological research has found that when humans feel safe, we allow ourselves to become accessible to others without feeling or expressing threat and vulnerability. This sense of safety enhances social connections and allows relationships to evolve and for functioning to occur in a healthy manner.Leadership behaviour has been shown to have a significant impact on teams and in the working environment. Therefore, Sipho’s leader has the perfect opportunity to foster a safe and healthy working relationship with him, which can create psychological safety for him. Prioritising actions and behaviours which will make Sipho feel included and understood, will also allow him to feel free to approach his leader with queries, questions and ideas, which will inevitably support his learning journey. How can a leader start this process? By initiating connection through an intentional greeting every morning. A leader who shows genuine interest and initiates conversations based on getting to know their team members will form the basis of a psychologically safe working space. This will inevitably contribute towards the development of a learning culture which has positive long-term benefits for teams and organisations. References:https://www.linkedin.com/pulse/how-use-neuroscience-influence-psychological-safety-executive-coach/https://www.frontiersin.org/articles/10.3389/fnint.2022.871227/fullhttps://www.strategy-business.com/article/How-Fearless-Organizations-Succeedhttps://qz.com/work/1470164/what-is-psychological-safetyhttps://blog.degreed.com/psychological-safety-at-work-the-big-role-it-can-play/        

Understanding Suicide

Suicide is death caused by injuring oneself with the intent to die. A suicide attempt is when someone harms themselves with any intent to end their life, but they do not die as a result of their actions, as defined by the American Centers for Disease Control1. However, suicide is more complex and a serious concern. The World Health Organization published its 2019 Global Health Estimates Suicide report, and a breakdown of suicide rates per country was provided. It is stated that 13 774 suicides were reported in South Africa in 2019. Of these deaths, 10 861 were men while 2 913 were women. This translates to rates of 37.6 per 100 000 for men and 9.8 per 100 000 for women. South Africa recorded the third-highest suicide rate out of all African countries in the report, at 23.5 per 100 000 population.2 On average, almost 3 000 people die by suicide daily. For every person who dies by suicide, 20 or more may attempt to end their lives.3 In recent months prominent figures have died by suicide in South Africa, and their deaths are shining a light on suicide and the state of mental health. Understanding suicide can be difficult for someone who has not experienced overwhelming feelings such as hopelessness or worthlessness or being overwhelmed by thoughts of not wanting to live. For people in this state of mind, suicide becomes an alternative to ending their pain and despair. The intention is not necessarily to die, but simply, to end the intense and overwhelming weight of their circumstances.  The complexity of suicide requires that it be understood in a broader context of mental health and social circumstances which may contribute to suicidal behaviour. Not all people who die by or attempt suicide will display these risk factors, however, this is a guide to some of the signs that may be present. The various factors that contribute to suicide include, however not limited to substance use or abuse, depression, bipolar mood disorder, anxiety, trauma, losing a loved one, either through a breakup or death, losing one’s employment, poor academic performance or being bullied, socio-economic situation, recurrent ideation about harming oneself, resolved plans and preparations to carry out the suicide, and previous suicide attempts, to name a few. Furthermore, risk can be at its greatest when an individual has the means, opportunity, a specific plan to carry out the suicide and the lack of a deterrent.  Suicide is not a singular event as it has a far-reaching impact both on the person who has lost their life or attempted suicide and on the people in the person’s life. This causes significant physical, emotional and economic disruption. The health and well-being of loved ones, friends, colleagues and the community are affected by suicide and suicide attempts; as seen with the recent and publicised deaths of actor Patrick Shai and musician Ricky Rick which had devastating effects on their family and fans. The surviving family and friends are likely to experience shock, anger, guilt, trauma, blame, and symptoms of depression or anxiety. The suicide survivor may suffer from long-term health challenges, which may exacerbate depression and other mental health problems.   Suicide can happen at any stage of an individual’s life, the differences are in the unique social, cultural, mental, emotional and economic experiences and circumstances that influence an individual to consider suicide. Suicidal behaviours among children and adolescents revealed risk factors such as difficulties in problem-solving, managing stress, social and family problems, influences of negative peer pressure or self-destructive behaviour and having suffered abuse. Further risk factors include difficulty in expressing emotions, low self-esteem and struggles with sexual identity, internally and externally, as seen in the recent News24 report of a 15-year-old Grade 9 learner from Soweto, who died by suicide after a teacher mocked him about his sexuality.  With adults, difficulties in their relationships, financial challenges, career and employment, and other social determinants and mental health issues are contributors and the current economic climate in South Africa may further exacerbate suicidal behaviours. Among the elderly, it is commonly recognised that the overwhelming feelings of loneliness, regret and stagnation and depression are the major factor attributed to suicidal behaviour. Untreated depression may lead to suicide. It is important to note that the risk factors for suicidal behaviour differ according to age and life stages as people experience different life demands based on age, thus making it important to understand the many vulnerabilities, risk factors and triggers in a person’s life. Some people who perceive suicide as an option believe that they have become a burden on others and by no longer being around they are being selfless and that people will be better off without them, freeing them of the burden.  Most people generally struggle to speak about their mental health struggles as these in some cultures or societies are heavily stigmatised and taboo, so there is more difficulty when speaking about suicide. Thus, when a person mentions suicide, it may be their way of warning us about what they are going through or thinking. To brush it off as something frivolous can be the difference between someone staying alive or dying. It is often misconstrued that people who mention that they want to die are perceived as attention seekers or weak or cowards, while in fact, they are deeply suffering and this is their cry for help.  Talking about suicide does not necessarily lead to suicide, however, it offers people an opportunity to express what they are struggling with. At an individual level, taking time to listen and understand what others are experiencing may help save a person’s life. Most people who have suicidal behaviour and thoughts may not know where to seek help or fear talking about what they are experiencing openly out of fear of being judged as suicide carries a stigma. Educating and raising awareness and breaking the stigma and taboo around suicide is an important step in preventing suicide. Seeking professional help is critical in assessing and treating suicidal behaviour and a multi-disciplinary approach will yield better results and involve the relevant support structure in the process.  References: Crosby A, Ortega L, Melanson C. Self-directed violence surveillance: Uniform definitions and recommended data elements, version 1.0 [PDF – 1 MB]. (2011) Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Suicide worldwide in 2019: global health estimates. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. 

Quality Relationships - the Key Ingredient to Mental Wellbeing in Young Professionals

  "A deep sense of love and belonging is an irreducible need of all men, women and children. We are biologically, cognitively, physically and spiritually wired to love, to be loved and to belong” Brene Brown Relationships are an important tool for survival. They promote feelings of wellbeing, confidence and contribute to mental wellness. They can be the greatest source of pleasure or a great source of pain. There is a correlation between people who have healthy self-esteem and are in healthy relationships. You can see this in how they speak, act or feel about themselves.  Significant Relationships for Young Professionals  Young professionals are at a stage where they are finding themselves, becoming independent and practicing autonomy within all their relationships. At this stage in their lives, they need both horizontal and vertical relationships.  Vertical relationships are with someone older who has more life experience and can offer advice when needed – it could be a parent, a caregiver or a manager. Career development benefits from having a mentor or a manager that is supportive but also challenges one to grow. A healthy relationship with superiors mitigates against psychosocial risks in the workplace such as burnout. It is most beneficial compared to having a manager who bullies or belittles work efforts resulting in professional unhappiness and stress. Horizontal relationships are with peers, people who are going through the same life stages and experiences so that they can do life together. These could be friends or work colleagues that you hang out with after work. They too are navigating roles, responsibilities, loyalties and even pressures from families. Owing to the amount of time spent together, peer relationships revolve around encouraging and supporting each other. In a workplace setting, horizontal relationships involve collaboration and communication to accomplish goals. Horizontal relationships could also be of a romantic nature between husband or wife or partner. Intimacy versus isolation is a big thing among young adults between 19 and 35 years old. As they are on a journey to finding themselves, they also take the opportunity to find their romantic partners, and even get married. Navigating a romantic relationship can be a big deal. There is a lot of trial and error. When the relationship is healthy and loving, this leads to a close and intimate relationship. However, if there is failure in forming a loving and strong relationship, what may follow is isolation and loneliness. Building blocks to relationships  There are a number of essential building blocks that help create and sustain healthy, fulfilling relationships. Below are the top 3.  The first building block is self-awareness. To have successful interpersonal relationships, start with being in tune with yourself. When you don’t know who you are and what you want, it is difficult to foster healthy relationships with others. People who don’t have healthy relationships with themselves tend to become controlling or people pleasers. In addition, they may have rigid or invisible boundaries that affect their self-esteem, how they see themselves and the world. When you are self-aware and know your strengths, weaknesses, values, needs and wants, you become mindful of the people you surround yourself with. You attract people who pour into you, and, in return, you reciprocate that. In such instances, it is not wrong to want to please another in a loving and healthy relationship. It means you are mindful of the other person’s needs and make them feel seen or heard. There are also benefits to a firm and structured way of thinking. It means you are not swayed easily and have something different to contribute. Ultimately, self-awareness also leads to resolving conflict in a timeous and effective manner. The second building block is communication. It plays a huge role in all healthy relationships. For communication to be effective, it must be honest and clear – both verbal and non-verbal. It is important to know your own communication style. For example, are you a passive communicator – someone who doesn’t say much and is always agreeable? Or are you a passive aggressive communicator who resorts to silent treatment, ghosts, and blue ticks’ people instead of opening about your feelings? Or are you a clear and assertive communicator who can articulate your experiences and your feelings? Communication and listening go hand in hand, you might be a great communicator but your efforts – verbal or non-verbal – are futile when there is there is no one hearing you.  At the core of relationships is reciprocity or a mutual understanding. Listening is the skill that communicates empathy and validates relational concerns and issues.  In the workplace, withholding information or unclear instructions can result in a stressful work environment. It feels good when communication between you and your colleagues and manager is open and effective in a way that allows you to flourish in your professional life. It also feels good when you communicate with your partner, family, or friend, about the difficult day you had at work, and they hear you – and even show empathy. However, it is discouraging when the other person speaks past you and ignores you instead of acknowledging your feelings. Not being heard and seen affects mental and emotional wellbeing negatively and usually becomes a presenting problem when people seek therapy. The final building block involves the setting of boundaries. Terry Cole, a Psychotherapist who has written on Boundaries, describes the importance of boundaries as “breaking free from Over-Functioning, Over-Delivering, People-Pleasing, and ignoring your own needs so you can finally live the life you deserve” and create strong, healthy relationships.Boundaries in relationships are very important because you get to determine what is yours to take accountability and responsibility for and what is not yours and out of your control.When you have worked on your communication skills, but the other person is not willing to change their unhealthy behavior, you need to set boundaries. These need to be clear and communicated with lucidity. For example, you handed in a project report on time and your manager sends you an email late at night with questions on the project. Acknowledge the mail and inform them that you will address their questions during working hours.  Before you jump into relationships with others, it is very important to introspect on how you would like to be treated and how you would like to navigate different relationships.Relationships serve an inherent need for human beings who have a basic need to connect and to belong. Remember, 3 keys to establishing healthy relationships require intentionality in cultivating healthy self-esteem, working on your communication skills (mean what you say and say what you mean) and lastly establish healthy boundaries.Quality strong relationships over a lifetime are correlated with happiness, success, good mental and emotional wellbeing and increased longevity.  Make time to cultivate the right relationships for you and your mental wellbeing.   

Living with Bipolar disorder

Experiencing changes in mood is part of daily life and these changes in mood can last a few hours at most for most individuals. The problem is when the fluctuation in moods last for days and affects or impairs daily functioning. This is the case with bipolar disorder.When the intensity of mood fluctuations, this can be disruptive to a person’s relationships and impact negatively on occupational functioning. The mood changes in bipolar disorder go together with immense behaviour change. Individuals with bipolar disorder experience alternating depressive episodes with periods of manic symptoms.Bipolar mood disorder is one of the most common mental health conditions and according to the World Health Organization, affects more than 45 million people around the globe. It is estimated that 3-4 % of South Africans have bipolar disorder, this is according to the South African Depression and Anxiety Group (SADAG). Research suggests that a combination of factors could increase one’s chance of developing bipolar, as the exact cause is unknown. This includes physical, environmental, social conditions, biochemical, genetic and psychological factors. A diagnosis of bipolar can be scary and difficult to accept as it can leave one with uncertainty about the disorder and how to cope.What is Bipolar?Bipolar disorder is a brain disorder and it is a category that includes three different types for this article: bipolar I, bipolar II and cyclothymic disorder. Bipolar I disorder is characterised by a manic episode or symptoms for at least seven days and due to its severity usually requires hospitalisation, while bipolar-II disorder is associated with depressive and hypomanic episodes. During the manic episode, the individual may engage in multiple overlapping new projects. The projects are often initiated with little knowledge of the topic and nothing seems out of the individual’s reach. Individuals often do not perceive that they are ill or in need of treatment and vigorously resist efforts to be treated, during a manic episode. While during a depressive episode, the individual experiences depressed mood (feeling sad, irritable, empty) or a loss of pleasure or interest in activities, for most of the day, nearly every day. Individuals with bipolar disorder are at an increased risk of suicide. Cyclothymic disorder is for individuals (2 years in adults or 1 year in children or adolescents) who experience both hypomanic and depressive periods without ever fulfilling the criteria for an episode of mania, hypomania, or major depression. Mania and hypomania are two varied types of episodes with symptoms that are alike, however mania is more severe than hypomania and may cause more noticeable problems at work, school, social activities or in relationships. Psychosis can be triggered during a manic episode, immediate medical attention in required in such an instance.Bipolar disorder causes intense alterations in mood and energy levels. This can be overwhelming for the person diagnosed with bipolar disorder as they may feel out of control with the intense change moods and not certain how to cope. Managing these symptoms can be challenging for someone living with bipolar disorder and those around them can be affected as a result. It starts with the individual accepting the condition, learning and understanding the symptoms of the disorder to assist in better management of the disorder. Managing BipolarSince there is no cure for bipolar disorder a combined approach of medication, therapy and lifestyle change are beneficial in management of the disorder. Partnering with the treating team goes a long way in assisting in managing the condition. Keeping a record of change in mood and how they affect treatment, feelings and sleep, can be helpful in identifying triggers or when an adjustment in treatment is required. As result of the stigma at times associated with bipolar disorder, symptoms such a suicidal ideations, low self-esteem and strained relationships can be exacerbated. Learning to manage bipolar is ongoing process and developing effective coping strategies can go a long way in managing symptoms and prevent conflict with loved ones. Having a support network provides for opportunity to ask for help when the individual is not coping. The people the individual surrounds themselves with can offer valuable insights about their behaviour when it is most needed, such as observations during a manic episode.Some people with bipolar prefer to keep their condition confidential at work, out of fear of being discriminated further in the workplace. This may limit that level of support they could receive from their leaders, if they are not aware of their condition. Mental health has been more recognised in the last few years, with workplace programmes to support employees. By cultivating trust through talking, training and connecting with each member of the team, employee engagement and performance is likely to improve. With the correct treatment and support a person with bipolar can lead a functional life.Avoiding triggersThere are some aspects to consider in preventing episodes and triggers, such as:1. Avoid drugs and alcohol2. Watch for early warning signs3. Take medication exactly as directed4. Manage stress and recharge5. Keep a sleep schedule and involve friends and family

Grieving and growing in the hybrid workplace

Is there a way that we can soften the reality of grieving in the hybrid workplace? And more than that, can we still find a way to grow in the midst of it all? Our TSBU writers team up with TSBU counselling psychologist Ivy Mugambi to find our way through.Nothing can quite prepare us for grief. The loss of someone we love, the loss of a dream job, or the loss of a way of life often affects us in ways we could never imagine. But there is always hope, there is always growth, and we can still find our way through – even in a world that is shifting like never before. The way we grieve has changedThere’s no doubt: the lines have been blurred. Where once it was easier to draw distinct lines between our work and our private lives, the advent of remote work, the “new normal”, and even the newer trend of the hybrid workplace, have smudged the edges we once knew. And this is exactly why TSBU counselling psychologist Ivy Mugambi says we should “gift ourselves with self-compassion”.In practicing self-compassion in our personal lives, rituals are an important step towards accepting our new realities and all the emotions that come with it. In every culture, rituals have always been accepted as a mark of change, and honouring those we love, but today’s world asks that we bring some of those comforting rituals into the hybrid workplace too.Mugambi says that rituals and routines can anchor us as we move through the highs and lows of our emotions. “Think of any act that replenishes your body, mind, and soul. It could be anything from exercise and gardening to playing music, prayer, and meditation.” One ritual that leans into the home as well as the workplace is to create a dedicated space in a room or on your desk for quiet moments of reflection. In How to grieve in a socially-distanced world, we explore more ways to create new rituals.Navigating grief in the hybrid workplace When your bereavement leave ends and you find yourself back at your desk, facing the everyday demands of work and productivity, you can take comfort in the knowledge that there are ways that you can make the most of the hybrid workplace – and soften the difficulties during your grief.Boundaries have become a little more challenging to establish and maintain in the hybrid workplace. But as challenging as it may be to set your boundaries, remember that they create not only a sense of safety for yourself, but can also foster clarity for you and the team you’re working with. Take the time to think about what is acceptable for you during this time, and communicate it in a way that is comfortable for you – even if you have to put it in an email.Isolation is something that many of us experience in the midst of our grief. Even when we’re in the company of others who have faced their own grief at one time or another, we can still feel a disconnection. We all work through grief in our unique ways. When the hybrid workplace comes into play, it often adds to these feelings of isolation. So if you’re feeling the need for more social connections with your colleagues, consider putting yourself forward for a team collaboration, a brainstorm, networking opportunities, or ask a mentor to take you under their wing. Burnout is a concern not just in grief, but in the hybrid workplace too. While stress is already heightened by the trauma of loss, the hybrid workplace makes many of us feel as though we need to constantly push the extra mile to prove that we’re not taking advantage of the self-directed nature of the new normal. Check in with yourself often, be aware of the signs of burnout, and keep your channels of communication as open and as clear as you can with a team leader you trust. The Burnout and Boundaries for Young Professionals podcast with TSBU clinical psychologist Lwanele Khasu is well worth a listen too!Better breaks are the new normal too in the hybrid work model. Place your focus on productivity rather than on the appearance of seeming busy. Even in the best of times our minds need a break, but it’s even more important when we’re grieving. ‘Grief brain’ can often make it harder to concentrate, so take the time to update your calendar with scheduled breaks for a walk, a little gardening, a journaling session, or even a quick nap if that’s what you need.Transforming grief into growth‘The flower that blooms in adversity is the rarest and most beautiful of all.’ – Mulan. You may have heard these words before, and although they may not ring true for you right now, scientists are actively studying what they call adversarial growth. Because it really is possible for us become stronger in our struggles.To keep growing as a person within the hybrid workplace, Mugambi encourages us to feel, to experience the emotions associated with what we have lost. Because our feelings affect our thoughts, which in turn affect our behaviour. “When we name our emotions, it allows us to release the trapped feelings, redirect that energy positively, to develop emotional flexibility through life’s ups and downs, and ultimately, to heal, and thrive.”Here are the questions Mugambi says we should ask ourselves as we grow through grief:What has changed? Acknowledge that losses come with change and that something in your life is now different. This mental acceptance allows you to embrace the facts of your reality.What am I feeling? Use feeling words to name the emotions connected to the changes in your life. Am I sad, angry, lonely, relieved, or frustrated? This is critical for your healing journey because it allows you to accept all the uncomfortable parts of yourself without judging.  Journaling and mindfulness are just some ways to place your feelings in the present. What are my feelings telling me about my deepest longings? In asking this question, we start to recognise that there are values and lessons attached to our feelings. For example, the loneliness, sadness, and pain that is felt after the death of a loved one may be a reminder of how deeply we value family, friendships, and in general, healthy human connections. Mugambi also gently reminds us that grief is something we go through, not under, over, or around. So please remember to keep pulling your focus back to the things that feel nurturing and comforting to you. And remember that it’s more than okay to reach out for professional help when you start feeling overwhelmed.For clinical guidance in working through your grief, take a look at the TSBU Dealing with Loss and Grief online workshop to help you build skills and face these challenging times one day at a time. Or simply start by reading Ambiguous loss: Living with unresolved grief with TSBU clinical psychologist Bongiwe Sokhela as she breaks down the uncertainty of ambiguous loss.

Why mental health is critical for young professionals’ success

“When you become the master of your mind, you are master of everything.”Swami SatchidanandaResilience, the ability to handle and bounce back from challenges, is becoming an increasingly important skill in today’s working world.  At The Space Between Us, we strongly believe that mental health is the foundation for the wellbeing and optimal functioning of every individual in their work and personal life.Let us tackle some key questions you might have:What is mental health?It’s the ability to harness your mind as a tool to help you be grounded in who you are, have amazingly supportive relationships, work through life’s storms, bounce back, work productively, and live your best life. It is the also about our ability to contribute to our community and or things larger than us. Mental health speaks to how our brain is wired which then impacts how we think, feel, see the world and behave. Whereas mental illness refers to shifts  in our thinking, our emotions and/or behaviours that create distress and impaired functioning, in family, work and social relationships. Mental illness is often a result of chemical changes in the brain and more often than not has a family history. We should think about mental health on a continuum. On the one hand of the continuum is the ability to thrive and manage our stressors effectively and on the far end of the spectrum is feeling totally out of control and out of touch with the reality as we move closer to  mental illness.  In reality, all of us move between these extremes in different seasons of our lives, depending on what stressors we have, what skills we have to manage them and how our relationships are holding us.  According to the South African Depression and Anxiety Group (SADAG), 1 in 3 South Africans have a mental illness. This translates to roughly 20 million people (a third of people in our country).Why don’t we know more about mental illness when it has such a devastating effect?Physical illnesses like Cancer, or Diabetes, often draw major public support while mental illness tends to attract negative descriptions and stigmatisation. This type of fear of the unknown, shaming and value judgment has been key in forcing discussions on mental illness underground and its sufferers feeling isolated and blamed rather than supported. What tools can we use to make ourselves mentally strong and resilient?Feel your emotions, they contain vital information. While not all emotions are pleasant it’s important to allow emotions to run their course.  Name them so they move from the shadows into a space you can start tackling them.Learn to recognise and be prepared for situations, challenges or stresses that impact you more negatively and experiment with ways to manage them.Connect with other people with empathy and understanding. Focus on finding trustworthy and compassionate people who know your story and validate your feelings. This will create a community and help you feel less isolated. Consider what gives your life meaning to improve your mood and mental well-being. Take time to look back and celebrate new skills you have learned. Seek professional help and tools to support you in your journey.What are the telling signs that could mean your mental health needs attention?Mental health is about being able to cope with the normal stresses of life, to work productively and fruitfully, and to be able to contribute to our community. It includes our well-being at an emotional (how I feel anger, fear, joy, passion, love, shame and guilt), psychological (being in touch with reality, how my mind is wired to respond) and social (how I connect to people and they to me) level.  When we are unable to do this, and when we have ruled out physical causes of not being able to connect to others, cope with life, contribute and be productive at work we may be moving towards injury  on the continuum. How can the Young Professionals Programme help me to be mentally strong and successful?Prevention is better than cure.  We believe in a pre-emptive approach, by providing you with the skills to help you proactively manage your mental health, develop the mental resilience to deal with the ebbs and flow of work and home life, and prevent mental illness.Our workshops and interventions will enable you to grow in your career by: ●  Understanding and developing your sense of self and your belief in your own worth and ability to take control.●  Developing insights, skills, appropriate empathy and boundaries in interactions with those around you.  ●  Understanding how identity (including race and gender identity) develops and impacts the way you relate both in the workplace and outside. ●  Developing mechanisms for protection when overwhelming experiences happen to you and being able to appropriately handle conflict situations.●  Understanding how to integrate the various aspects of your life and prevent burnout.Click here to read more about how our programmes support you to thrive. 

Self-esteem is our soft landing

TSBU clinical psychologist Linda Mthenjane thinks we could do with a little re-framing of self-esteem. Rather than a brittle exterior shield to fortify ourselves against the knocks of life, it’s the soft centre that holds us until we’re strong enough to get back up again.When we think of self-esteem, we tend to think of it as something that we either have or we don’t, but it’s often more fluid than that. We can have positive self-esteem days (or moments), and we can have times when our self-esteem takes a dip. It’s in the quest to create a more genuine sense of self-esteem, however, that we find our roots in self-worth. All of us, are born with an innate sense of self worthiness; it’s a gift we have. Pia Mellody says it so beautifully when she defines self-esteem as the “internal experience of one's own preciousness in the face of one's human frailty”.Our sense of preciousness and the way we grow upWhile we’re born with the gift of self-worth, self-esteem is something that must be nurtured by those around us when we are young. It’s the way we are seen. When our mothers, aunts and grandmothers hold us and our fathers take the family snapshots, the way they respond when we cry, or tell us we’re loved and beautiful and safe. Literally from “hour zero” our caregivers are in the position to esteem us … we cannot, as babies, esteem ourselves.If you did not feel valued growing up, if you felt yourself shrinking while others around you may have bloomed, or you feel that your sense of being seen is a little shaky, remember that as adults, the capacity for esteeming ourselves now is now an inside job. And we are the ones who have to do the work.Building genuine self-esteemGenuine self-esteem is the enduring and unconditional state that flows from the well of our self-worth, that gift we are all born with. And while that self-worth cannot be lost, it can become so shrouded that we don’t see it or feel it anymore. But if we lift the veils, we can find our way back to ourselves and our inner sense of preciousness.One very powerful way to find our way back to our inherent self-worth is to practice compassionate self-awareness; a gentle, moment to moment introspection that nurtures a non-judgemental knowing and comforting the inner self. Compassionate self-awareness in playSo what does this moment to moment introspection look like? It’s about consciously checking in with yourself often throughout the day (you might want to set little reminders on your phone at first). You might wake up feeling great until you pull into your parking lot at work and see one of your colleagues. Suddenly you’re thinking, “They’re driving a much nicer car than me … and look, they’ve lost all the COVID weight and I haven’t even started my healthy eating plan yet.” There. That moment. That’s when you catch yourself and practice compassionate self-awareness by understanding fully what's going on within you. And as you feel your self-esteem take a dip, close your eyes and name where in your body you’re feeling this emotion. Get a sense of what it looks like, feel what your body is doing in that moment.In giving yourself the space and time to feel the emotions in your body, you can, for example, get a sense of what you might be “pushing against” with your back. When we feel our emotions in our bodies, they become easier to work with, easier to release, and easier to heal.The internal inventorySome people may not be ready (or quite comfortable) with the idea of opening themselves up to the physical representations of emotions in their bodies without the guidance of a qualified therapist, and that’s okay. Another way to approach the same situation above would be to take a quick internal inventory.Start by forgiving yourself for any thoughts that you’re not “good enough”. And then back it up with evidence that you actually are good enough. So while your colleague may be driving a nicer car and has lost the weight you haven’t yet shed, you’ll unearth your own accomplishments. Have you just given yourself the most amazing self-care day? Or signed up for a new course? Maybe you’ve implemented a new process at work, or have steadfastly stood by a friend during a particularly difficult time.So even though you may not be a size 34, you can still lift your chin and say, “I still think I’m pretty good, I'm still worthwhile, I have value, I have self-worth.” And that's what it's about. When you take stock, you will probably find more evidence to support your self-esteem rather than diminish it. I often suggest making a practice of it, like kicking back at the end of a week and tracking all the moments (big and small) where you did well.For those of us who need deeper levels of healing, or are living with a mental illness or unresolved trauma, we always recommend seeking help from a professional. But no matter who we are, or what we’re facing, when our self-esteem is low, we become out of touch with our inner selves. The soft and warm centre that knows you are precious and worth loving. That place that you can always come home to. The place that can always be your soft landing.For more on developing self-care, our Cultivating Self Care workshop is an invaluable tool in helping you develop a personal self-care plan in all spheres of life, from our physical and mental health to spiritual and relational health.

In a different light: autism in the workplace

Autism spectrum disorders (ASD) are a diverse group of conditions which impact the brain and nervous system. Characterised by challenges with social skills, repetitive behaviours, speech, and nonverbal communication, autism is a notably spectrum disorder. This means that each person with an ASD diagnosis will have their own unique set of strengths and challenges. This can range from the highly skilled to the severely challenged.There are no blood tests for Autism, and it remains quite a specialised and niche diagnostic space to be in, so making a diagnosis can be very challenging – especially when the obvious external signs of autism are not present. In some cases, the symptoms of high-functioning autism (HFA), can be overlooked until late childhood, adolescence, or even adulthood. Neurodiverse individuals can also develop something called masking, an unconscious act of hiding or coping with certain symptoms. However, you may notice inflexible thought patterns and behaviours, or repetitive actions. There can also be similarities between ASD and disorders such as attention deficit hyperactivity disorder (ADHD). In these cases, online tests can be a good starting point – but please take care to only use clinically-developed assessments provided by accredited and established healthcare facilities.And as a newly diagnosed young professional, you may feel relief to find an explanation for why you’ve often felt different from others. But it is still incredibly important to take a holistic and multidisciplinary approach to managing your autistic symptoms. There are many treatment options available to you, including speech-language therapy, occupational therapy, social skills training, sensory integration therapy, and cognitive behavioural therapy (CBT).While no study has yet been done to determine the total number of cases in South Africa, it is currently estimated that Autism affects approximately 2% of the South African population.Why I see ASD as an unlabelled superpowerAutism is an incredibly diverse spectrum, and no two people are the same. Their struggles will be different, their strengths will be different, and the way they balance those will also be different. But the reason why I so often say that autism is an unlabelled superpower is because every autistic individual I meet looks at the world through such a unique lens. They see things that we don't, they create patterns we can’t, they inspire me so often to take a step back and shift my own perspective. It’s so wonderful to see their perception of the world, and when they’re given the opportunity to thrive, we see just how much people with autism spectrum disorder (ASD) have to offer. Every day I see living proof of neurodiverse individuals chasing their dreams and achieving their goals just as much as anyone else.Working in a neurotypical worldWhile many companies are working to create a more inclusive culture, the truth is that not many industries have the flexibility to allow autistic individuals much control over their own environment. Very often loud, bright, and overwhelming, the working environment may have such an adverse impact on you that you might not enjoy going to work at all; you may even find yourself getting to the point of complete withdrawal, sensory overload, and meltdowns.As an undiagnosed adult, you may find it hard to understand what others are thinking or feeling, or make sense of social rules. You may feel anxious about social situations or find it difficult to express yourself. You may even find that others often think you’re being blunt, or rude.That said, the perception that autistic people, whether diagnosed or not, can’t fit into a certain workplace culture is a myth. I encourage you to remind yourself that you bring your own set of skills, talents, and perspectives to the table. The way you progress might look different to others, and there will be challenges to face, but they’re not impossible to navigate.In my experience, these are some of the most important strategies to help you transition into the workplace.Strategy #1: Lean into your support networkWhether your support structure is your family, your partners, or your friends and peers, it is important to keep that solid foundation as you transition into the workplace. I’ve found that the sense of comfort your support structure can provide is integral to the process of stepping into a new phase of life.It is also a very effective strategy to work with an occupational therapist during this time, someone who can help you navigate the change, fine-tune sensory integration practices, self-regulation processes, and build any new executive functioning skills that your industry may require.Strategy #2: Create a low stimulus arousal environmentYou might not want too much light, or too many colours, patterns, textures, sounds, and smells, and so it’s a good idea to take a minimalist approach to your work space. If you’re hyposensitive (under responsive) rather than hypersensitive (over responsive), you can always introduce additional stimuli if, or when, you need them. This is much easier to do when you have the option of working from home – if you happen to prefer solitude to social interaction.Strategy #3: Practice emotional regulationThis is one of the most important tools to keep using throughout your life. When you don’t know what you’re feeling, you don’t know how to regulate that emotion, so the starting point for alexithymia (the inability to identify and express emotion) is developing an understanding of what you’re feeling. Literally keep identifying and labelling the emotion as much as you need to. I find the emotional wheel chart particularly helpful with my clients. You can even print out a whole lot of emoticons if that works better for you. So name the emotion, identify where you feel it in your body, and use your particular set of tools and techniques to maintain the positive, or to restore a balance, or to self-soothe when you‘re feeling angry, anxious, or overwhelmed.Strategy #4: Keep cultivating self-awarenessIt’s incredibly important to be self-aware when you’re on the autistic spectrum. When you know how you feel, you know what you need. When you’re feeling drained you can take time out to recharge, when the noise is overwhelming you can find quiet, when something doesn’t make sense you can take a step back and ask for more clarity.This is where psychoeducation helps to understand how autism presents to you personally, because every presentation of ASD is different for every person. Self-awareness is also important in helping you identify your triggers, in coping with your disadvantages, and in developing your strengths.Strategy #5: Develop your strengthsTake the time to explore your passions and interests. What are you good at? What are you great at? What works for you? Which of your skills match your interests? Can you match that pattern to a career? One of my clients, a woman who was diagnosed with ASD in her mid-thirties, matched her passion for sports with her love for collating information about the human body and now runs one of the most successful schools in her field. She has changed her life in such an incredible way, and in turn, is changing many others.A final word on autismReceiving an autism spectrum disorder diagnosis is often met with fear, confusion, and anger and may feel like a sentence of life without fulfilment, but there is much we can do, no matter what your age of diagnosis. Autism is a neurological disorder that comes with many challenges, especially in communication and social skills. And while these challenges vary for every individual, most often people come to me for therapy and psychoeducation when the symptoms become too much. When it impacts daily life and their ability to function in school, work, and other areas of life. We always start by walking you through the acceptance phase, we identify your disadvantages, unpack your advantages, and look at ways that work for you as an individual.Over the years we have developed many behavioural, developmental, cognitive and psychological strategies and therapies to help you deal with everything from communication difficulties to social interactions and sensory processing. Through a multidisciplinary and holistic approach, there are countless ways we can improve the quality of your life, both at home and at work – especially when you’re given the space to bring in your own creative solutions.I can only try and imagine how scary it must be for you to not always understand what you’re feeling, or what the world around you is doing, but I want you to know that I see superpowers in action every day, and it’s honestly a privilege for me just to share the journey and walk alongside my clients with autistic spectrum disorder.And I think we could all do with seeing the world in a different light.Support for autism in South AfricaI would love for more South Africans to know about where to start with an ASD diagnosis. The earlier we can start intervention, the better. And while the average age of diagnosis in countries like the United States and the United Kingdom is around 3 years old, in my practice the average age of new referrals is 10.Many mental health professionals are working on increasing the access to the resources that can make an earlier diagnosis possible, and one of those resources is the DISCO assessment with The Neurodiversity Centre. DISCO is a good place to start for an autism diagnosis in South Africa. It’s an in-depth diagnostic interview for conditions on the autistic spectrum. There is no one specific diagnostic test for autism spectrum disorder, but DISCO is an important instrument in the complex process of making a clinical diagnosis.Other factors include additional assessments as well as collateral from other clinicians, families, and schools or creches.The Neurodiversity Centre has branches nationwide, but the DISCO can also be conducted online.For more on autism listen to TSBU clinical psychologist Linda Mthenjane in her podcast chat with a woman who raised a young autistic man who went from speaking nonwords as a child to a matriculant entering his first year of computer science studies.