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Mental illness has become the next pandemic. In America, 52% of women over the age of 40 are on antidepressants. Mental illness presents anytime our emotional and mental stability are compromised. Our emotional and mental stability can become compromised anytime the things that we have come to rely upon for a long time and have allowed to define us are taken away from us - such as going through a divorce, dealing with the loss of a career and grieving the death of a loved one.
For families that have a member affected by mental illness, the biggest problem faced by caregivers is the inability to distinguish true suffering and mental anguish from the occasional manipulation tactic and dramatization. Unfortunately there is no way to ever really tell. That leaves caregivers unable to always exercise the proper judgement when choosing to react to a situation or emotional outburst with compassion or with discipline.
In high conflict relationships where arguments are frequent, each time we explode with an angry emotional outburst and cross that thin line between wise mind and emotional mind, we momentarily feel a sense of release - an empowerment to speak our mind and to raise our voice. It’s liberating. and after we cross that fine line during heated arguments with our spouse or loved one enough times, we start to enjoy not the arguing, but the feeling of liberation that the explosive verbal diarrhea and release of emotions triggers in our brain.
When we start to enjoy this feeling of liberation thru conflict more and more, we develop an addiction. The dopamine in our brain’s reward pathway now revs up in response to engaging in high conflict exchanges for some people who crossed that line enough times.
Mental illness is a prison within our own mind. Lethargy is associated with many types of mental illness, and the overconsumption of thought, particularly a single thought or group of thoughts, without being able to turn on and off the flow of theses thoughts (ie. what our mind experiences when we feel anxiety, depression, fear, paranoia, etc)
A hallmark of mental illness is the formation of strong conclusions. The more unshakable the conclusions you form in your mind, the less open your psyche will be to the views and perspectives of others. A classic example is the man behind the wheel of a car who refuses to ask for directions. Even though it would probable lessen the time of the trip if he were to stop and ask for directions, in the moment that he is the man behind the wheel, his ego takes over and a streak of narcissism prevents the man behind the wheel from prioritizing the time wasted in his day over the importance of his own ego. The more malleable the conclusions you have formed in your mind about other people and your reality, the more the psychological reality you have created in your own mind works either cohesively or antagonistically when going through life’s experiences.
A major contributor to mental illness is approaching life using only your intellect as a lens of interpretation : “I Think therefore I am”. Engaging only one brain hemisphere most of the time leads to compartmentalization and ineffective living. Ignoring the intuition, ignoring our innate conscience, and ignoring these other dimensions of intelligence cause us to fragment our perceptions of reality such that we begin to compartmentalize our emotions and reactions to things that make us uncomfortable and try to pretend they are not there. This is the most significant consequence of ‘toxic positivity’, an untoward complication of “Personality Ethics” and “positive mental attitude” that has emerged in society since World War I.
Research shows that the best way to overcome PTSD is through repeated social interactions, but PTSD can cause friction in relationships. This video helps loved ones of survivors and survivors understand the emotional impact of PTSD.
Self-Care is never selfish and acute trauma survivors often need to engage in more hours of self-care a day than the average person. Self-care is doing an activity we enjoy in which we put our needs before those of others. This video describes 6 different types of self-care.
Anger stemming from inner child wounds is common to experience along the spiritual journey, and this client shares her struggle in finding a connection with her wounded inner child.
My recent trauma of human trafficking caused the eruption of an entire ocean of inner child wounds within myself that I had been turning a blind eye to prior to my spiritual awakening, and because I had to navigate these turbulent waters myself, I’m grateful for the experience because I now have an expanded container of knowledge and wisdom enabling me to share guidance with others as a compassionate witness experiencing similar situations as myself.
During any healing journey-whether it be when processing grief from the loss of a loved one or when healing from a traumatic experience involving personal boundary violations, it’s always important to confront inner child wounds because the more anger you carry in your heart about the past, the less you are able to love in the present and to contribute to the emotional prosperity of others with your your presence.
Sometimes when we feel disconnected in life, that feeling of being stuck can come from holding deep shame about having basic human needs. Only when we learn how to be vulnerable, which I explored through inner child healing, was I able to actually heal that shame of not just having basic human needs, but prioritizing them above the need to accommodate the needs of others in order to maintain a peaceful state of mind for myself and to show up in a good way with others, and to move into a more heart centered state of being.
Interpreting the CAGE Screening Tool
Two "yes" responses indicate that the possibility of alcoholism should be investigated further.
The CAGE questionnaire, among other methods, has been extensively validated for use in identifying alcoholism. CAGE is considered a validated screening technique, with one study determining that CAGE test scores ≥2 had a specificity of 76% and a sensitivity of 93% for the identification of excessive drinking and a specificity of 77% and a sensitivity of 91% for the identification of alcoholism.
By far the most important question in the CAGE questionnaire is the use of a drink as an Eye Opener, so much so that some clinicians use a "yes" to this question alone as a positive to the questionnaire; this is because the use of an alcoholic drink as an Eye Opener connotes dependence since the patient is going through possible withdrawal in the morning, hence the need for a drink as an Eye Opener.
References
Ewing, John A. “Detecting Alcoholism: The CAGE Questionnaire” JAMA 252: 1905-1907, 1984 PMID 6471323
"CAGE Substance Abuse Screening Tool" (PDF). Johns Hopkins Medicine. Retrieved 30 July 2014.
Kitchens JM (1994). "Does this patient have an alcohol problem?". JAMA 272 (22): 1782–7. doi:10.1001/jama.1994.03520220076034. PMID 7966928.
Bernadt, MW; Mumford, J; Taylor, C; Smith, B; Murray, RM (1982). "Comparison of questionnaire and laboratory tests in the detection of excessive drinking and alcoholism". Lancet 6 (8267): 325–8. doi:10.1016/S0140-6736(82)91579-3. PMID 6120322.
SADE Domestic Abuse Screening Tool
The SADE questionnaire, the name of which is an acronym of its four major questions, is designed to be used as a screening test for problem with emotional abuse in the home and to identify potential problems such as codependency, gaslighting, and abusive behavioral patterns that can lead to domestic violence, high conflict divorce, toxic relationships, and physical harm.
Answering yes to any of these questions most likely indicates that emotional abuse exists and needs to be addressed.
Sadhguru
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