Category Archives: Mental Health

Boundaries Are Your Friend

For anyone who has had to deal with a troublesome nearby resident, they can understand the truth in the old saying “Good fences make good neighbours.”

Just as a fence is a physical boundary that allows for privacy and controlled interactions, emotional boundaries do the same.? In this post, we explore the wonder that is boundaries.

What are boundaries?

Simply stated, a boundary is a bottom line position, coming from an awareness of what we need and feel entitled to.? It takes into account the limits of our tolerance.? They are derived from our values and gut-level responses that define what we can accept in our relationships.

When we let others know what we will accept by setting limits, we are using boundaries.

Boundaries are not…

Melanie Beattie, in her book The New Codependency, explains that boundaries are not:

  • limits we set because someone told us to;
  • empty or angry threats;
  • attempts to control others;
  • limits we don’t or can’t enforce.
A Story…

Julie loved getting together with her friend Susan. The two women had met a few months previously when Susan moved into the neighbourhood. They had liked each other on sight, and would meet weekly at a nearby cafe to catch up on their lives, share stories and discuss current events.? However, after a few weeks things began to turn sour.? While Julie enjoyed their coffee dates, she started to feel annoyed by Susan’s frequent late arrivals.

At the beginning, Julie would dismiss her frustration as over-reacting.? It was only 10 minutes, and once Susan arrived the conversation would take over and all would be well.? In order to continue to enjoy her time with Susan, Julie started to make excuses for her friend–‘her life was busy’–‘she was unbound by rules, which was one of the things that made Susan so much fun’–‘she’s a free spirit’.? Eventually, these rationalizations stopped working, and Julie started to feel angry.

Julie had been brought up in a family where the consideration of others was a core value.? It was important to take other’s feelings into account when making decisions.? Behaviours such as punctuality were a sign of respect.? As Julie pondered these ideas and how they may be affecting her reactions towards Susan, she wondered what do to about this new relationship.? Should she stop meeting Susan for coffee?? What if she just put up with the status quo?? Maybe she should say something?

Why do we need boundaries?

We put boundaries in place for ourselves, not others.? For some people–especially those who identify as care givers–this idea is hard to wrap our brain around.? When I suggest the idea of setting a limit to clients, I’m often met with the response that to do so would be selfish.? However, boundaries are not selfish–they are a form of self-care.? Not only are they not selfish, but, when used well, can ease interpersonal interactions.

Sometimes we need to let our friends, family, coworkers, etc. know how we want to be treated.? Being able to clearly voice our boundaries is a way to do this.

Why we don’t have them?

In some families, boundaries are rare.? Being able to create and maintain boundaries is a skill, and if we grew up with adults who are unable to set limits, then we may repeat this family trait.? As children/young adults if we were able to start to put boundaries in place, and they were ignored by family members, then we often stop setting limits.? We learned that not having boundaries ‘normal’.? In order to learn about boundaries we need role models.

Other reasons why we may not have developed the ability to set limits:

  • We are overly dependent on others.? When we feel that we are unable to be alone or take care of ourselves, then we are more willing to accept negative behaviour from others.
  • We have low self esteem.? Perhaps we feel that we are not worthy of being treated well by other people, so we don’t set boundaries.
  • We don’t have the words.? Sometimes we are unable to find the words to express our limits.
  • We want others to like us.? If we care too much about what other people think of us, we may be afraid to risk their good opinion by putting boundaries in place.
  • We are “uber” caretakers.? As mentioned above, if we see boundaries as selfish, then we won’t enact them.
How to develop boundaries.

If we haven’t been able to develop the ability to create and set boundaries when growing up in our family of origin, all is not lost.? Like most skills, it is never too late to learn.? However, just as it’s harder to learn to ride a bike at the age of 30 than at age 5, learning to set limits in adulthood requires work and patience!

The first step is self-awareness–becoming in tune with our values and beliefs.? What is important to us?? How do we want to be treated?? What is acceptable?? No acceptable?

One way to finding the answers to these questions is anger.? Anger is a wonderful teacher as it shows us when our values and beliefs have been walked over.? In our story, Julie became aware of her bottom line about Susan being late because her value of punctuality and belief around respect were crossed.

Once we know what are boundaries are, it’s time to put them into words.? We’re defining a ‘bottom line’.? A standard way to do this is using the structure of “When you do this, I will do this”.? When creating a boundary it’s important that it be clear and enforceable.

The Story Continues…

After much thought, Julie decided that she valued her relationship with Susan enough that she didn’t want to end it before making an attempt to clear up this issue.? However, she was prepared to stop meeting with Susan if the tardy behaviour continued.

The next time the women met, Susan was late, and the following conversation occurred.

Julie:? “Susan, I really enjoy our coffee dates and getting caught up.”
Susan:? “Me too!”.
Julie:? “While they’re fun, I’m getting frustrated about your late arrivals.”
Susan:? “It’s usually only 10 minutes–15 tops.”
Julie:? ?”Ten to 15 minutes doesn’t seem to be a big deal, but in my family punctuality was important.? Being on time meant that you respected the person you’re meeting.”? So, in the future, I’m going to wait for five minutes.? If you’re late , then I’m going to continue on with my day.”
Susan:? “Hmmm…”

What happens when we set limits?

While we can control our boundaries and how we set them, we can’t control how they will be received.? Sometimes, other people hear what we are saying and accept our limit…all is well.? However, often things don’t run so smoothly.

If stating our bottom line is a new behaviour for us–especially in a long standing relationship–the other person could become angry, disbelieving or dismissive.? They may make attempts to make us feel guilty.

One common response is push back behaviour.? ?Push back behaviour is an attempt by others to test our limits to see if we are serious.? Are we going to enforce or follow through with what we said?? In some cases, the behaviour can become extreme as the other person hopes that the boundary setter will become so tired of the increased negative behaviour that they will give in.

While once understood, in some cases, push back behaviour can become almost humourous.? For example, a partner refused to do the couple’s laundry unless the other partner put the laundry in the hamper–leading to that partner to let the laundry to pile up to become laundry ‘mountains’!

Unfortunately, push back behaviour can become nasty and even dangerous.? Emotional and physical safety is a non-negotiable boundary.? If you are feeling unsafe, support is available by calling 911, the Sexual Assault Support Centre of Waterloo Region, Anselma House, Haven House and Mary’s Place.

The Final Chapter…

The next week Julie arrived at the cafe at the usual time. Susan wasn’t there.? As promised, Julie waited for five minutes and then left.? When Susan arrived 10 minutes later, she was told by the barista that her friend had come and gone.? Susan was annoyed and thought that Julie was being ‘childish’, but as she sat quietly with her coffee, she missed her friend.

The following week, Susan was only a few minutes late and apologized to Julie for her tardiness.

Julie still needs to enforce this limit as Susan doesn’t see punctuality in the same light as her friend.? In this way, Julie continues to enjoy her time with Susan without added frustration, and Susan knows what to expect if she is late.? As time evolved, the women were able to set up a system–when Susan knew in advance that she was going to be late, she contacted Julie ahead of time and they met a bit later.

And now…some great fence humour from Tim the Toolman Taylor…enjoy!

Let’s Get Past the Stigma! A New Resource for Mental Health

One of my roles as a psychotherapist is to be an advocate for those who experience mental health challenges.? A positive way to do this is to help raise awareness about brain health as well as attempt to dispel common negative beliefs about mental illness and the individuals coping with the challenges it can bring.

Sometimes this feels like an uphill battle.

Some Numbers on Mental Health

According to the Centre for Addiction and Mental Health (CAMH), in any given year, 1 in 5 Canadians experiences a mental health or addiction problem.? By the time Canadians reach age 40, 1 in 2 have–or have had–a mental illness.? That’s 50%!

Coupled with statistics regarding the stigma of mental illness and we have a major problem.? A 2008 survey by the Canadian Medical Association (CMA) reveals the following disturbing statistics:

  • Just 50% of Canadians would tell friends or co-workers that they have a family member with a mental illness, compared to 72% who would discuss a diagnosis of cancer and 68% who would talk about a family member having diabetes.
  • 42% of Canadians were unsure whether they would socialize with a friend who has a mental illness.
  • 55% of Canadians said they would be unlikely to enter a spousal relationship with someone who has a mental illness.
  • 46% of Canadians thought people use the term mental illness as an excuse for bad behaviour, and 27% said they would be fearful of being around someone who suffers from a serious mental illness.
Effects of the Stigma

A big outcome of the stigma about mental health is that individuals, family and friends don’t reach out for the help and support that they need.? A person suspecting that they may be suffering for anxiety, depression, burn-out they could choose to suffer in silence rather than seek help.? I suspect that the more severe the mental health issue, the less chance there is of disclosure–unless the problem has reached a level where it is impossible to hide.

Having a friend or family member dealing with a brain health challenge is difficult and can negatively affect relationships.? Due to the stress of support, caregivers can not only experience compassion fatigue, but anger and guilt (resulting from feelings of anger).? Once again, the stigma of mental illness may prevent people from getting needed support.

In some cases, a mental health diagnosis is not provided for fear that the individual would be stigmatized for the rest of their life.? This can be a problem as it may prevent people from obtaining necessary social supports and funding that would help to make their lives easier.

A Light in the Darkness

 

The?Mental Wellness Network of Waterloo Region?was formed in 2012 under the name ?The Waterloo Region Mental Health Work Group.? The group came together after a local Waterloo Region?community picture?identified healthy eating, physical activity, and mental health as three key areas to focus local policy advocacy work.

After working with the Sustainable Societies Consulting Group and consulting with the local community on how to promote mental health, The Mental Wellness Network of Waterloo Region recently launched this website.? The goal of the site is to promote well-being.

The website is organized around three main areas:? Mental Health and Wellbeing (including a list of local crisis resources and contact information); Ways to Wellbeing in the areas of connection, exercise, mindfulness, learning and volunteering;? and a Resource section for both individuals and professionals.

I heartily recommend this site. Not only is the information useful, but the resources and contact information are local to Waterloo Region.? The website looks at mental health as part of holistic wellness–encouraging us to look at ourselves from the perspective of body, mind and spirit.

Decreasing the Stigma Around Mental Health

Hopefully websites such as this one will help to lessen the negative impressions of mental health struggles and the individuals who strive to cope with the impacts on a daily basis.

When speaking with someone who is feeling shame about their decision to seek help for mental illness, I will ask if they would have the same hesitancy if they were dealing with a broken leg or chronic pain.? Mental health deserves the same consideration.

Canadians Are Not Alone

This powerful, nine minute TED Talk shows that as Canadians we are not alone in our stigma about mental health.

Take care.