Ask HN: How is your mental health?

165 points by smithmayowa ↗ HN
How and how well do you keep track of your mental health, particularly for those with a history of mental health issues, and those with a family history of mental issues.

As for me I like to think that I try really hard to monitor my mental health, I suffer from anxiety disorder and my father and mother both had mental health issues at one point in their life, which makes me constantly fear for my mental health and hence my monitoring of my mental state of mind like a hulk.

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Fuckin garbage, like most people lately, if studies are to be believed...genuinely thanks for asking.
Use the following strategies: 1. Meditate daily for 15 minutes. Try vedic indian meditations. 2. Keep track of your mood using some app. 3. If your mood is bad for consistently 3 days, then open pastebin and write down about everything you are feeling and going in your head.

Most small problems with mental health can be dealt by bringing in consciousness. Simple example, whenever you are feeling nervous, force you brain to just observe whats going on in your body instead of being an active participant in the process. You will immediately realize you start feeling less nervous. Similarly, you can try for anxiety.

For more serious problems, it is best to seek medical help on periodic basis. A meetup with doctor every 3 months is reasonable.

What makes Vedic Indian meditation special?
One of the things about the mantras is that if you chant them , your breathing is improved. In fact someone I know who has been doing this for a long time says that a lot of breathing problems go away if you do this regularly.

If you don’t want to believe all this , Id go with the following : Just like music, your attention is drawn towards the chant and hopefully stay there :)

Well India is where Yoga originated from and Meditation is a sub-segment within the ambit of Yoga. It is an art developed and perfected over hundreds of year and somehow you will feel that difference if you give it a try. It is really for you to experience and find out if you find it better. Let me give you a good starting point.

https://www.youtube.com/results?search_query=meditation+sri+...

I second the writing. Having it on page, whatever the worry/worries, makes it tangible in a way that can be "solved."
I love your comment. Especially this:

> Most small problems with mental health can be dealt by bringing in consciousness.

I think that what I do is, in the end, the same as you -- I just do it a little differently. Years ago, I developed a habit of questioning why I'm doing whatever I'm doing -- particularly if what I'm doing is unusual or emotional.

The key, for me, is that the question and answers are intended to bring light on things to make the unconscious conscious. The answer should be accepted as a point of information and without judgement (actually doing that is hard, though, and comes with practice).

Once you have an idea of what's happening with you, you are in a better position to notice and work on actual issues, if they exist.

Thank you for appreciating my idea and I am glad you are following something similar. However, let me give you a suggestion to improve it. The first step to bring consciousness should simply start by observing what is happening and not question why. Being in a state of observation is a neutral state. When you question something your mind goes into conflict mode. That can aggravate the situation. Hence, simply observe and understand what is going on without any judgement or trying to find solution. Once you find inner peace, then move to the next step of diving deep into the problem and finding solution.
15 minutes is a really long time to meditate. Anyone who's new to it, I suggest starting with 30 seconds and work your way up to 15 in increments of 30 seconds to a minute. It's like starting with an empty bar when weightlifting.
Meditating in the shower is pretty easy IMHO and you can easily go up to 15 min, even for beginners. Meditation is mostly about anchoring your mind to something, most people do it with their breathing because that's what we see in movies and stuff.

In the shower, you can use the sound of the water or the feeling of the water on your head to anchor your mind. Since it's something you don't control and there are multiple sensory reactions created from it, it's pretty easy to be present and observe your thoughts.

This doesn't necessarily work for everyone but I have tried many types of meditations and this one is the easiest for me.

15 minutes is a lot of water usage. Bathtubs seem ideal to meditate in.
Still not as much as those Almond trees
Why don't you try any of these meditation with an open mind and let me know how many minutes were you able to meditate.

https://www.youtube.com/results?search_query=meditation+sri+...

I've tried many of those exercises and I agree that you can easily do 15 minutes the first time. Consistency is the problem I found. When I started at 30 seconds and built up slowly, I found it much easier to build a habit and do it consistently. Again I use the weightlifting analogy - I can squat close to my body weight, without any warm up, when I'm out of shape. But I can only do it once and I need a week to recover and I'm likely to injure myself. If I start with the empty bar and increase weight gradually for a month, I can work out every other day and hit my target consistently.
Indeed. Its all about control, or the perception of it. And the simple fact that its just another thing to monitor and manage. Many never realise this and become slaves to their feelings. Feelings are not core truths, they are just data.

Of course its completely reasonable to feel exasperated and angry about things that are out off line with your value system. But knowing this is directly related to the distance between what is real in the world, and where your value is set, gives you enough information to work with.

I think it's important to distinguish between "mental health issues" and a "healthy mental space". These are things you can do it maintain a healthy mental space, but people with mental health issues probably _can't_ start meditating daily for 15 min, or journaling, or exercising, or any number of other things that are helpful.

Which really just means "do these things if you're struggling" is skipping the hardest step, and not very useful.

Every single meditation expert I know has given a warning with it. For some people, even 5 minutes is harsh. I've been in groups where people just break down and cry at that point.

One meditation coach once told me a story of one of his clients who did a 20 minute guided session, and he went out of it with vomiting, diarrhea, and was really angry at the guy. But a few days later, he felt something clear up and asked for more sessions. He says it's normal, and with corporate counseling, he normally restricts them to 5 minutes, 10 minutes, 15, 20, 30 for a week each.

I'm curious why this always gets downvoted on HN with no comment. That's quite a bit of disconnect with other groups.

Is it because a difference in terminology? On HN, meditation seems to mean 'relax and do nothing'. Elsewhere, it seems to mean 'concentrate on only one thing', which usually makes people recall traumatic situations.

Or does it come across as too prescriptive with little evidence to back it?

People confuse the term meditation and mindfulness. Maybe like development vs programming.

Mindfulness is what has been spreading, but usually it is intoduced as meditation.

I didn't downvote but I can't imagine someone vomiting by simple guided mindfulness exercise. Telling someone to "focus on your breathing" or "if you find your distracted by thoughts, just be aware of those thoughts, and return to your breathing" doesn't strike me as very invasive.

Why would meditation lead to vomiting and/or diarrhea? I suppose I can understand where the sobbing might come from if you're in a tough space and dwelling on sad thoughts, but the other two?
I'm slowly dying of America. Thanks for asking, though.
Please elaborate. Genuinely curious.
> How and how well do you keep track of your mental health, particularly for those with a history of mental health issues

I do some good old-fashioned journaling by hand. There's never been software for this sort of thing that I liked, and it feels more cathartic to write it by hand than to type it out. It does get hard at times, admittedly, with things like a lackluster job searching experience, friends also having issues, and a host of other issues that you run into in life, but such is life. I'm just trying to do my best to get through it :) Actively making an effort to spend time around others definitely helps.

My current mental health has a direct relationship with sleep and exercise, which I guess means that it's as good as it can be (i.e. everything is more or less under my control). That being said - it's pretty good.
exercise, omg you have no idea how much this helps.
Is there something wrong with the way I jog? Because I don't find it to be making much of a difference. Same for cycling, walking, etc.
Try more strength training rather than cardio.
I find that a goal for exercise helps a lot. If jogging is your thing then sign up for a 5k(or longer if that's where you're at) and then set a goal time and training plan. Seeing improvement over time is what helps me. Even if I don't feel like I have control over my job or feel stuck in my career, I can at least improve my fitness. When I'm aimless in my fitness goals then I'm less motivated to do it and if I do get my butt off the couch then I'm less motivated to work hard while I'm training.
Try interval swimming. Go into it fully, explore different movements, sweat it out and stick to it.

Look up ghostlighting, make adjustments.

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With an anxiety disorder, tracking your mental health more frequently than weekly is very likely seriously counterproductive.
Expanding now I've got more time: Obviously, thinking about having a mental health issue is itself likely to make you more anxious. Butat least some (all?) anxiety disorders are theorised to be runaway feedback loops. For example, social anxiety : worrying about some minor stumble occupies part of your brain and makes it harder to pay the attention necessary for good social interactions, and bad (or just indifferent) interactions make one more anxious, closing the loop. In this situation, paying attention to the anxiety is maladaptive.

Hopefully someone more qualified than me will correct this/ let us know how widely applicable it is.

Pretty good. It's not all sunshine but it's all workable. My strategies are:

1. journaling for the feedback loop

2. meditation in times of stress or uncertainty

3. exercise, regularly

4. quality sleep, as close to 8 hours as I can manage

5. a mix of intentionally alone time and social time with others - time alone builds me up, but time with others maintains important relationships

Something interesting about alone and together time is that it really depends on the other people. Some people recharge me, and others just snap everything.
Slowly dying from all your first-world problems?
Once you fix the third world problems, you don't die from child-birth, malaria, pollution or civil war.

You still die just as dead from diabetes, heart disease, suicide and cancer.

Believe or not, its the lack of 3rd world problems that contribute to mental health imo
There's a whole book on this: Tribe, by Sebastian Junger.
That was pretty insensitive and pretty ignorant of the reality of life for some of us here. This is a mental health thread. Comments like yours aren't needed. The commenter you responded to didn't elaborate beforehand so you just assumed away a whole host of possible valid explanations for why they feel they are dying slowly; way to go. Next time please be more thoughtful if you can?
Although I am still on A/D meds, I am the best I have been in years because I escaped an emotionally abusive relationship a year ago. Since then, I have reclaimed stability and self-esteem by hitting the gym daily. The freedom to live without that influence is still amazing to me.
Sometimes I start questioning our existence but then I realize there’s no point in doing that and just go back to doing whatever it is I enjoy the most. ¯\_( ͡~ ͜ʖ ͡°)_/¯
Yeah but for true anxiety (existential anxiety in this case) this does not work.

It's like telling people "If you're depressed, just be happy instead". If you could just stop thinking about it you would..

Yeah no, I get that. I was just talking about my case. I’m mostly happy tbh, but I’m pretty lucky. I know some people’s mental health is actually tied to some biological reasons.
Personally I didn't, even though the markers were there. Not from a head-in-sand attitude, more that I did not want it to be a self-conjured certainty by constantly fretting over a 'what-if'. I figured that if lightning was going to strike it would and not worrying about it allowed me several peaceful and productive years. Equally if lightning hadn't struck then I would have spent my time here on earth stressing about something that never happened.
Full disclosure, I work for a mental health startup.

Some of you may not know but many tech companies, especially in the Bay Area, has mental healthcare benefits via their EAP (Employee Assistance Program). You should find out from your HR. The one I work for makes a point of making it super easy to find a therapist for the patient and the appointments can be done in person or over video. EAPs are generally free. Please use it if you feel like you need it and take care of yourselves. Don't try to shrug it off -- approach it like how you would with other forms of health care.

> You should find out from your HR

I'm so torn about this advice. It's probably OK in most companies, but there certainly are companies where informing your employer that you feel the need of mental health assistance would harm your work situation.

If possible, it might be better to find what resources are available without involving HR or your manager. That information may be in the packet of stuff you got during onboarding, or on the employee web site, etc.

Ask for your benefits one pager. That way they won't know what specific benefit you're looking for.
Bad enough to get involuntarily committed. Good enough to say the right things to avoid being committed. Somewhat ironically if I get committed I'll almost certainly off myself because the idea of restarting from being broke, unemployed, and homeless again is a complete non starter.
I took a storytelling class recently and the book we used as a text, "Storytelling and the art of Imagination" (Nancy Mellon) has some sound advice for using stories for healing purposes. I find it rather powerful as a way of extending journaling and taking it out of the nihlistic-ruminating mode that feeds anxious-depressed cycles - just taking control of an ordinary life story and adding a few fairy tale elements does a lot.
Therapy is more effective than it has any business being. If you can make it happen, try it.

I’m going to start by saying I have a mood disorder, and I don’t understand anxiety disorders because they’re part of a completely different world from mine. Conversations I’ve had with people that have anxiety disorders have reinforced this idea that I really don’t understand anxiety disorders or relate to them.

The worst parts for me are some times in the past several years when I have moved, changed jobs, changed relationships, and had relatives who passed away. To be clear, when I say “and”, I am talking about many of these things happening at the same time. Having strong relationships, having a therapist, and keeping a regular schedule mean the difference between seeing me as my usual self and seeing me disappear for a few weeks.

I have also decided never again to tell my manager any details about my condition. In the future it is an “unspecified, diagnosed disorder for which I am receiving professional treatment.” I was lulled into a false sense of security by having excellent managers at the beginning of my career and it turns out that I was very lucky; most managers are fairly mediocre and will do damage more often than not if you give them too many details about your mental health. Find somebody else to talk to about it—there are therapists, friends, and support groups e.g. on Facebook.

I have a mood disorder and generalized anxiety disorder.

This is the most accurate answer in the thread.

> Having strong relationships, having a therapist, and keeping a regular schedule.

These are the things I'm actively working on. I'm only 6 months into working full time. It's monumentally difficult just to achieve those 3 things. I haven't worked an 8 hour day since training because I often feel drained and unproductive and end up just going home.

Right now, I'm doing CBT, and my therapist and I are focusing on ways for me to feel less drained at work. It's amazing how little things like taking 5 minute breaks and not eating at my desk have helped.

I feel like everyone I know who works in tech is either seeing a therapist or would benefit from one. If you can make it happen, try it.

Have you noticed anything from doing CBT? Or what has your experience been like so far?

I've done it before, but have been thinking about trying it again, but wanted to talk to others that have tried it.

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I started therapy and I think 90% of it is having a private no judgement relationship with another human being.
I wonder if you've ever tried remote therapy video apps or phone calls, or if you do exclusively 1-on-1 in-person sessions? I don't really have any particular acute problem to go to a therapist with, but am more curious just to have someone to talk to about some things I noticed in my personality which may or may not be normal (and I want to know if they are!). Since and the remote sessions are much more affordable than in-person sessions here when it comes to something recurring, I wonder if this is a reasonable solution, or if something remote is less likely to be useful.
Going to some kind of life coach.

It helps to talk about my life with someone intelligent who isn't involved in any way.

Gives me some new perspectives.

I'm kinda neurotic (probably normal for a millenial, haha), but it's often hard for me to see the good things in life.

> probably normal for a millenial

Labels are better applied to food items than people.

I can't really think of anyone that DOESN'T have any mental issues. It can be as simple as self-doubt, especially if you're married with kids. I believe men suffer tremendously but never seek the necessary help. I'm lucky enough that my employer allows for free sessions, and I have and will continue to seek treatment since I benefited so much.

It's important to note that you HAVE to want it. If you have any bit of doubt or skepticism, it will work against you.

Just accept it as someone looking to really help and it will help!

And tell your partner that you're going to therapy, you'd be amazed at how supportive they can/will be.
> I can't really think of anyone that DOESN'T have any mental issues

Citation very, very badly needed. Can't make the assertion that _everyone_ is screwed up in the head without evidence.

I don't have issues; I get I'm a single datapoint, but your assertion was essentially that everyone's got them. So now you can think of one. I've got a happy life and everything's going well for me and my family. Hiccups here-and-there, like everyone, but good overall.

Agreed. It's especially important not to confuse a chronic issue with something like stress. If you experienced a major event and it forced you to work long hours, introduced a lot of uncertainty, strained your family, etc. you'd "have issues" but they'd be transient.
Okay, I'm wrong for saying that. I apologize. What I'm trying to say is that I would bet money everyone would benefit from some sort of counseling in their lifetime.
It would be better if I didn't have to deal with people all day.
Terrible. I bailed out of a contract because not only was the working environment very poor, but I also recognised I was a long way from being useful there. I'm two weeks out and lost.
Bailing on that contract sounds to me like a very healthy action. May I offer a suggestion or two for what to do next?

First, keep (or reestablish) the routine you had while working. That is, get up at the time you used to, get ready for a workday as if you still worked there, and work.

You didn't really quit working, you just changed your job from whatever you did as a contractor to finding a replacement gig. So do that -- find another contract, find a permanent position, engage in skill-expanding or continuing education activities, and so forth. Anything that is a step in the direction you want to go.

Remember, the journey to success really is done one step at a time.

Thankfully I have a child and a partner. They really save me, I go to bed before 12 and get up to take baby to nursery.

Weirdly after writing the original message, I had my first good day.

I really don't to use an app and I don't buy mindfulness in the slightest so for me, I write down important things that are nagging at me at the end of the day or standout negative events etc in a little diary I keep in my bag so it's where even I am and I can keep track of these events

Apart from that, I take time to do things that are in no way related work so I go to the Cinema with non-IT people, I joined a cycling club where the only rules are that you're not allowed to talk shop or politics and we just trundle about talking about all sorts, what ever really.

Outside of that, I try and integrate exercise into my day so like, get off a bus stop early to work or cycle instead of talking the bus when it's not to cold or wet.

At the end of the week, I get off early to see my therapist and we just shoot the shit really and talk about all sorts, or sit in silence. I don't get the process, but it works whatever it is for the most part. As long as I'm not stressed, things generally aren't terrible, but they ain't always great either

> I don't buy mindfulness in the slightest

> I write down important things that are nagging at me

Sounds like you buy it at least a bit.

There can be overlap between methods doing CBT and mindfulness and I need to record my thoughts so I can have an honest conversation with my therapist.

Like maybe I should have been clearer with that specific sentiment because what I really have an issue with isn't the Hindu idea of mindfulness but with a company provided mindfulness program or say the hundred million dollar Headspace App mindfulness idea. I'd personally be deeply uncomfortable with giving that kind of deeply personal information over to anyone but my therapist who treat my data as health records and does everything on paper

> my therapist who treat my data as health records and does everything on paper

The downside of this, of course, is that you are relying on physical security only. All of the data is plaintext.

Honestly, pretty awful. I'm fresh out of college, making 155K in my first job, but I feel miserable because I can't sleep in NYC, the love of my life lives across the country and I feel like we're growing apart, and because I work so much I no longer have any hobbies.

I grew up poor and now I'm making more money than I ever imagined I could so I feel like I can't complain too much, but as soon as I hit the 1 year mark and am no longer obligated to pay back my signing/relocation bonus and fees associated with breaking my lease, I'm moving to be with my SO (if we make it to that point.) It's not worth it.

Classic tale. You've transcended your previous life and your old ways of seeing things are holding you back. This is the kind of internal resistance that keeps fat people fat, poor people poor, etc. It just doesnt "feel right" to be successful to them.

Why is your SO not coming to you?

I had the exact same situation as you out of university. Except my SO moved to the city with me. If we were separated, I would have either:

a) Broke it off

b) Moved

c) Asked her to move in with me

I'm so glad I didn't have to make that choice. It would have crippled my career (leaving the city). I hope it works out for you and the relationship is worth any possible career damage.

I spent two years of my life in NYC. I hope you already are using earplugs? If not, go down to the drugstore and buy the heaviest decibel rating you can find.

Set some hard boundaries around work. It's a city where people overwork like it's a mark of virtue. Plus, since you're not planning to stay, you don't need to grind yourself to death to climb the corporate hierarchy.

Make time to talk to your SO almost every day. When I lived half a world away, I called each morning during the week since her wakeup time was shortly before my bedtime. From coast to coast is a little more awkward, but finding such a time (afternoon commute for her, after dinner for you or the like) is a powerful ritual.

Seconding the earplugs, also - blackout curtains and an eyemask.

Wishing the parent poster the best of luck with everything.

My first programming job I made a whopping $28k a year, back in 2006, in Chicago. That's $35k in today's dollars, and ~$55k taking the cost of living of NYC into account.

Hell, you're currently making about what I do after 10+ years of experience even taking cost of living into account (of course I stupidly never left Chicago). Use that salary to leverage a better trajectory than I ever got.

Assuming your love is on the west coast somewhere, you should be able to find something close to her that pays comparably well.

Just do your best to stick it out and keep looking. A year really isn't that long. I've hated my current job for the past two years but I'm still here (well I desperately need to leave, but it has some perks, like working remotely, and it's hard to find a new job when you're planning a wedding, which thankfully is done now). Having that job on your resume will help you negotiate down the line.

I'm doing okay these days. A year ago I started taking anti-anxiety meds at a very low dose and seeing a counselor every month or so. I also broke up with a partner who didn't treat me very well and met someone who I see a future with. A year and a half ago the answer would have been something like "thinking about going to emergency so that I don't hurt myself". All the changes I made felt small and insignificant at the time but they added up.
Can I ask what anti-anxiety meds are you taking?
Zoloft (sertraline) 50mg/day.
I'm supposed to use a document template my therapist emailed me, most likely I will search for an app that does the same (too paranoid about printing and filling a document about my mood) -- so I don't track it yet.

I was diagnosed 5 years ago with BPD, has gotten better over the years(mostly by just life exposure I guess), I still get huge situational flare-ups, stuff about work or family, but I no longer react like a cornered animal, even at my worst I realise "this thing sucks at an intensity of 8/10, most likely it will subside in a day or two if I go back on buspirone, and if not, I have benzodiazepines as backup, sleep aids and so on".

Is the template something you could share? I'd be interested in seeing it, and I'm sure I'm not the only one.

In the paste I've created text expansions for journaling forms I've wanted to use, then just dump them into the app I was using. Unfortunately I don't have those anymore.

The template is in romanian so I'll try and describe it, the columns are days of week, the lines are:

"Daily disposition" -5 Maximum Depression .. +5 full blown Mania

Wakeup hour

Breakfast hour

Lunch hour

Active hours per day (work, school or other)

Number of people you interacted with that day

Physical activity in hours

Dinner hour

Sleep hour

Substance consumption(alcohool, tobacco, coffee, other)

Special events/ conflicts

Treatment