So if you feel anxious, depressed, stressed, or even suicidal? What can you do? Too many people suffer in silence and don’t seek help! Come join a conversation about mental health issues! Our experienced panel will consist of mental health professionals from various disciplines, a Senior Consultant Psychiatrist, Senior Clinical Psychologist from Promises Healthcare Clinic, and an Assistant Head of a Family Service Centre! The panel will be moderated by Casework Manager of SG Accident Help Jevon Ng, an advocate for mental health and wellbeing. Our panel members all have a lived experience of mental health and will be answering questions from the audience.audience participation is encouraged. Please click the link below to join the webinar: https://us02web.zoom.us/j/83397902082Date: Saturday, May 16 2020Time: 4:30 pm – 6:30 pmEvent Categories: Raise Awareness Organizer@Migrant workers Singapore Support by SGcare Physiotherapy Clinic
When the ‘circuit-breaker’ measures were put in place, there is no doubt that our lives have been drastically impacted. Even travelling to work or school – what was once considered a part of our daily routine – is no longer the same. Rules and regulations are put in place too, such as the wearing of a mask is now deemed mandatory and not being able to speak onboard public transports. With such increasing obstacles, it is unfair if we do not acknowledge the effort Singaporeans have put in to manage and cope with these disruptions to our daily routines. While we have moved into the phased circuit breaker emergence period, it may be still some time before we can resume our normal lives.
To cope with being house-bound, some of us have chosen to take on a new hobby or to learn a new skill to pass time and keep ourselves engaged. Others have embarked on some self-reflection and have come to realise that they had taken their past freedom for granted. Whichever the case, we are all trying to keep ourselves mentally healthy in different ways, and this in itself is commendable.
However, with the recent announcements of the circuit breaker emergence phases, this may have once again taken a toll on people’s mental health, with their sense of relief that it’s ending being diminished abruptly. In light of this, we need to help each other ride through these challenging times as circuit breaker measures continue on. Here are some simple tips to help you keep yourself sane, and to adjust to the new “norm”.
First of all, start being grateful for your privileges in life. Gratitude will give you a sense of hope amidst these trying times, and that there is light at the end of the tunnel. There are many things to be grateful for, such as the increased connection and bonding with your friends and family. As they say, distance makes the heart grow fonder. Have you found yourself wanting to reach out to others more than ever, be it through the phone or video conferencing platforms? Do you appreciate that you are not just stuck at home, but that you have a home that provides comfort, safety and security? During these times, also be grateful and appreciate that you are in good health. For those of you who are feeling artsy, perhaps you can create a gratitude vision board. Whenever you are feeling down in the dumps, write notes of affirmation or gratitude and decorate your walls. Take a look at them and remind yourself of the little things in life that keep you whole.
Another tip that is often overlooked is to set goals and a fixed routine. For some of us, staying at home is an excuse to idle, especially if you are not working from home or waiting for HBL to start. Contrary to what people think, that there is nothing much to do at home, there are in fact many activities that we can keep ourselves busy with. Make time for indoor exercise routines, do online crossword puzzles, read books, hang out with your friends on online platforms – you name it. Try setting weekly goals and track your progression too, and don’t forget to reward yourself for every milestone achieved. Believe it or not, stimulating your mind can definitely help reduce feelings of helplessness and to deal with cabin fever.
Singaporeans spend most of their time at their workplaces, and in some sense, their workplace is their second home, and now, their workplace could be their home. How do we consider our colleagues? Are they like family to us? Are we working in a supportive environment?
Many a time, the workplace health and mental well-being of employees are compromised as business organisations focus on driving revenues and profits with little attention to safety, health and wellness of the staff. The impact of these is the negative effect on job-related attitude and job performance. In some instances, some workers may develop mental health issues such as anxiety or depression over time if they are too overwhelmed. As such, there is an increasing need for employers to acknowledge the positive correlation between having good mental health in their workers and the productivity and success of the business.
Across all workplaces, we need to step up and start considering ‘wrap-around strategies’ to counter the negative effects of excessive work on employees’ mental health, one of which includes unhealthy stress levels especially when it’s so easy to blur the boundaries of work and personal time while we work from home. Organisations usually conduct one-off mental health awareness programmes as an attempt to spread awareness among employees in the hope of reducing the occurrence of mental health issues. However, by making these awareness programmes an annual occurrence, employees tend to find it a dread, and the messages no longer get through to them as effectively. On the other hand, how many employees would attend the programme if it were to be on a voluntary basis? Many companies are aware of this but are still trying to find the right balance between promoting mental wellbeing and business sustainability.
Employers and HR practitioners have to accept that mental health issues are more often than not deep-rooted, and cannot be solved easily with such band-aid solutions (as most people would expect). This calls for wrap-around strategies, which would mean tackling mental health issues at the fundamental level and preventing problems from cropping up in the first place. It is in no one’s interests to try tackling the situation only when things get out of hand.
Having the right mindset and attitude is pivotal. We need to start thinking of our employees as our very own family members. If so, what can we do to make them happy? Do we have a framework for a healthy workplace? Are there plans in place to provide employees with the necessary support? For one, organisations can take the first step to introduce more flexibility into the workplace, with working from home being a mandatory option these days, it is the most opportune moment to reframe workflow processes for the longer term. This includes creating a flatter hierarchy, where there are fewer layers of management and less formal divisions between the higher-ups and the rest of the staff. Employees will thus be more involved in decision-making processes, creating a greater sense of ownership and accountability. The greater involvement of staff in the organisation will allow them to develop into more confident and capable workers, as well as enhance employee satisfaction. With greater employee satisfaction comes a greater sense of empowerment and motivation – factors that are crucial towards the productivity of the organisation.
Do we need to start thinking of what are the overlooked essentials of employee wellbeing? In your organisation, what is the decision-making process (in terms of policies and other forms of red tape) like? At present, most workplaces have a ‘top-down’ approach, where decisions are made by the senior management of the organisation and information is then cascaded downwards to the lower levels. In such cases, the staff are not given a voice and have no contribution to any of the decision-making processes. In contrast, when employees are given a chance to contribute their ideas, this encourages employee engagement and motivates them to put in greater efforts to overcome challenges. In turn, employees will certainly gain a sense of accomplishment and satisfaction. Hence, while it is true that not all work-related decisions can be made by the middle or lower tier of the corporate hierarchy, organisations should allow employees some level of discretion and autonomy to provide feedback or inputs to the decision-making process where possible. Organisations that succeed at providing the autonomy, social connections and support to their employees are better able to foster physical and mental well-being.
Needless to say, a flatter organisation would be counter-productive if the supervisors or senior management are unwilling to let go of micro-management and to show care for their employees. Managers and supervisors should start making an effort to check in with their subordinates and to ensure that they are coping well with their workload. Moreover, this should occur frequently, rather than being a one-off occurrence. Perhaps the head of each department could act as a “Welfare Ambassador”, and check-in with the employees within the same department. Getting to know the people in the same team better will allow them to identify any mental health symptoms, no matter how small. One way to get it started would be to allocate mini bonding sessions daily, each lasting approximately 15 minutes (even if it is just a short video call check-in). During this time, take turns to talk about your day, or about any difficulties that you may be encountering. relationships and social support with co-workers can improve emotional connections and ease any mental stress and burden. Such baby steps will help develop the camaraderie among teams and improve everyone’s overall well-being in the long-run. However, Managers do need to take note that they are not professional counsellors and would need to draw healthy boundaries for themselves so as to not be overwhelmed by the transference of emotional issues. Learn to, for your own safety of boundaries, to openly and healthily bring up the subject of steering an emotionally and/or mentally troubled employee to seek professional help. Remember, there is no shame in seeking help.
Organisational structure aside, it is also important to ensure that the workplace has a conducive environment – one that fosters overall well-being of the staff. All work and no play will eventually take a toll on the employees’ health, both mentally and physically. If space constraint is not a problem, try allocating a room for staff to take short mental breaks. In other words, have a “chill” room! Do take note that this should be a separate space from the staff pantry, where employees usually have their meals or to grab a quick drink. Mental-break rooms, on the other hand, can be used for socialising or for employees to take a short rest. Such a room can be decorated in an informal style, with more comfortable furniture. There is absolutely no harm in placing a few beanbags or some sort for employees to relax on whenever they feel overwhelmed by their hectic schedules. For those working at home, perhaps remind them to take mental health breaks. HR could schedule it into company calendars as a reminder and these small steps could foster greater trust between employees and the company. Trust that their welfare is being considered in decisions and that they are not just a tool or a means to the company’s bottom line, but a life that they now also have a responsibility to steward.
In short, mental well-being is important for a productive workforce and a healthy workplace.We need to create an environment where employees feel welcomed and safe. Workplace mental health is not – and should not be – an issue that we sweep under the rug. We need to acknowledge that providing support to the colleagues around us holds great importance and that we cannot simply cast them aside, leaving them to deal with their troubles alone. Ultimately, assisting your employees and ensuring they have the best mental health support will go a long way.
Being in the rat race can be exhausting, especially when we feel the need to constantly measure up. With the majority of us being brought up in a competitive culture, we tend to compare and be compared against others in terms of our achievements and levels of success. In some way or another, there is also a certain mindset that we should feel a certain level of shame or guilt if we are not as high performing (i.e. productive) as we should be. However, we failed to recognise that our productivity is not all there is to determine our self-worth. We cannot measure our own self- worth or self-value based on what we can or have achieved. Our unique qualities, as well as our intrinsic values, are all factors that contribute to what makes us truly ourselves. We need to focus less on external yardsticks and appreciate our inner qualities. Falling into the misguided notion of equating our state of busyness or productivity to our self-worth will lead to unnecessary stress and other health-related issues – both mentally and physically.
People who tend to beat themselves up for the various things that they were unable to complete rather than acknowledging what they have actually accomplished will experience low levels of self-worth. In fact, for these individuals, the amount of praise they give themselves is much lower than the amount of self-blame when they fail to get things done. Surely, a common measurement of productivity is the number of materialistic accomplishments. But it is also a common misunderstanding that busyness is a reflection of productivity. The misconception is that when a person is ‘too free’, he is being unproductive.
Productivity, unlike what most would expect, isn’t about getting as much done as you can and checking off every task on your to-do list. Productivity isn’t just about producing more. Instead, it is about focusing and spending time on the right things. There is a difference between spending your precious time and energy on a multitude of tasks that aren’t nearly as important, as compared to accomplishing a few things that matter the most to you. Our point is – try doing some soul-searching, and understand what you truly value or what are the things that define you. This will help you to refocus your time and energy on what you actually want to accomplish at work and in your personal time. If you treasure familial relationships more than work, then allocating more time towards family bonding will seemingly be more productive, and time well-spent. Redirecting your energy towards what you value most is what ultimately contributes to your self-worth as by doing so, we focus more on our intrinsic self.
We need to recognise that self-worth is the opinion we have about ourselves and the value we placed on ourselves. Under most circumstances, we can safely say that our productivity is not equivalent to our self-worth. Firstly, it is of utmost importance that we stop comparing ourselves to others. Although easier said than done, we need to come to terms with the fact that people are bound to walk down different paths. What is important to them may not matter even the slightest bit to you. Similarly, what they have achieved shouldn’t automatically become your personal goal just to match up to them. The more we compare ourselves to others’ achievements, the less satisfied we will be with ourselves and the lower our self-esteem becomes. Needless to say, this becomes totally self-defeating.
Perhaps you’ve heard of the common saying that we should always “focus on the process, not the outcome, and you will enjoy great success”? In light of this, the only being we should be comparing ourselves to is our past self. Are you doing better than before? Are you allocating time for self-improvement and self-appreciation?
This leads us to our next point – we need to cut down on excessive self-criticism and self-blame. Instead, embrace and accept our flaws. As humans, we are all inherently flawed. However, no one should have to believe that he or she is less worthy, inadequate or inferior due to his or her flaws. Viewing your weaknesses from such an angle will only cause your self-confidence to plummet. Instead, think about how you can change your bad habits, if these were your flaws for example, and improve on yourself. Getting yourself on the road to becoming a better version of yourself will prove to be more effective in raising your self-worth than by using productivity or the number of tasks you got done as a mode of measurement.
As mentioned, we all have our own unique qualities that distinguish us from others. It is important that we recognise and appreciate them, for they make us one of a kind. If you ever feel down in the dumps, with feelings of worthlessness or inadequacy, it helps to remind yourself that you are more than that. Grab a piece of paper and list down your positive traits and things that you appreciate about yourself. Doing some inner-search and writing down words of affirmation can definitely lift your spirits and help you regain your self-esteem.
With that being said, some may still find it tough to detach themselves from counting on productivity-based self-worth. After all, it may have become a habit, having been brought up with such a mindset. However, we need to note that this becomes a problem if it causes us to succumb to unhealthy levels of stress and anxiety, especially if we overload ourselves with too much work and aspirations in an attempt to boost our self-worth. If you find yourself overwhelmed and unable to cope, we hope you’ll seek help from professionals for the sake of your mental wellbeing in the long run. Do reach out to us whenever deemed necessary.
Written by: Dr Mark Toh, Consultant Clinical Psychologist
It is a reality that we can choose our friends. If at times we find them annoying, we can always choose to make adjustments or even terminate the friendship if needed. But unfortunately, we cannot choose our family members. As such, it can be a challenging and sometimes very difficult situation when family members are emotionally unhealthy and they have not sought help to address their own difficulties.
Instead, by having to live with them as members of the same family, they become a regular source of mental distress. This can pose a particular burden for minors, or those still dependent on the difficult member as the financial source of living, or during the current coronavirus lock-down imposed by the government when family members are confined together. In some cases, especially when violence and harm is a possibility, these unhealthy members can become damaging or dangerous and more drastic action may need to be taken to promote safety.
For the child, this may be confusing if the source of difficulty from parents are due to attempts to parent or from inappropriate control. Or they may have siblings who like being bossy to their siblings. Here are some signs to consider in trying to differentiate healthy from unhealthy behaviours from difficult family members.
They are always blaming you while not accepting their own responsibilities.
Individuals who engage in unhealthy relational behaviours often have difficulty taking ownership for contributing to the problems that emerge between each other during disagreements or conflict. Their need to blame others is usually a defensive response against accepting their own guilt or responsibility for their fault or wrong in the situation.
They are always critical towards you.
Unhealthy family members also often present themselves as critical. This goes beyond a simple discussion to point out about errors if or when you or someone else has made them. But it appears more as a pattern or their habit in regarding you as a target of contempt. Words that undermine your character are often expressed. It is also often expressed regardless of the many accomplishments you may have achieved. It is often an expression of projection that reflects deep resentment or the unfulfilled wishes of the parent on a family member. Sometimes it is a resentment shared between both parents and projected on a child who they have identified as the “scapegoat”. The scapegoat in unhealthy families are usually children who are targeted for blame because the parents need to fault the child to avoid taking ownership of a problem.
They are dismissive of your feelings.
A healthier family is more prone to being encouraging or supportive especially in difficult times. But the unhealthy family member is often unconcerned of your feelings or even your opinion. The extent of their dismissal of you may show up as disagreement with you even if you are right. In severe cases, if you attempted to approach them to resolve a disagreement, they may even resort to convincing you as the problem. In this focus, they could convince you to see that you are the problem rather than to problem-solve in search of a solution that has mutual benefits.
They often make threats.
Physical altercations are not the only signs when the relationship or behaviour is unhealthy. Making threats especially when repeated is often employed as a means of control. This is going beyond anger which is a common feeling within long-term relationships. Anger is a sign when someone feels offended, frustrated or hurt. But the use of threats goes beyond anger to become an instrument of intimidation or domination, and a misuse of power. It is a common behaviour of abusive individuals.
They are controlling.
There is a difference between control from healthy parenting and unhealthy parenting. Healthy parenting is focused on what is in the child’s best interests. When discipline is exercised, it is done to facilitate learning for the child. In unhealthy parenting, control is displayed more because it is primarily attentive to the parents’ wishes and not in the best interests of the child. This is often expressed when the parent becomes forceful and induces fear on the child so that the parent can feel powerful or have his or her way. This control can also be applied between couples or siblings. The family member is expected to take the role of submission in their engagement for the controlling person to be pacified.
Additional signs for concern in this area is suggested by (a) prohibition of personal decision-making that is good for the family member, (b) issues of appropriate concern are denied from being raised for discussion, (c) material resources such as money or food are used to manipulate the family member towards submission, (d) there is direct restrictions into personal choices pertaining to clothes, appearances, spending, friendships, or even use of time, and (e) there is an opposition towards the family member becoming independent, to be separated from the unhealthy individual, or for the family member to be individuated (mature to become their own person) over time. Between couples, a controlling spouse is often violating the boundaries of his or her spouse. It is as if the controlled spouse is not allowed to be free to exercise his or her own choices.
They confuse punishment with discipline.
Discipline is the means to teach someone to abide by a code of conduct, or correction for a child to learn right from wrong. But for the unhealthy individual, punishment or discipline occurs when there is no lesson to be learned. It shows up usually because the person is unhappy for some reason. Their need to lash out is their attempt to vent out their anger or rage even if it becomes hurtful to others, and they feel justified conducting themselves this way. At other times, this punishment is expressed through passive aggressive behaviours when “silent treatment” is employed instead of yelling or shouting. Or the punishing behaviour is excessive and disproportionate to the action or event.
Unhealthy parents take sibling rivalries or ‘misbehaviour’ to the extreme.
This usually occurs when the unhealthy parent is resentful of all his or her children. They may feel that having children (or marriage) have become a personal cost to them because of the responsibilities required for the care of the children. They feel prevented or deprived of their freedom and so the children or family member are to blame. Or this could show up with a parent showing favourites to one child over the others. In the course of sibling rivalry, the unhealthy parents is revealed by (a) blaming one child more severely over the other and consistently, (b) humiliating the scapegoated child, or (c) the unhealthy parent experience the sibling rivalry or conflict as a personal or vindictive act against the parent.
Strategies for Coping with Unhealthy Parents or domineering spouses and/or siblings
It may be a sad reality that parents can consider themselves parents simply because the infant is born following his or her physical birth. But beyond the biology, the emotional maturity, readiness or mental health can often be found lacking in parents to create the healthy conditions for the infant to develop or thrive. Controlling family members who are narcissistic in nature are also more interested in their control than the well-being of others. When family members regularly display the above behaviours, there is a need for concern. Given the potential for mental distress, developmental disruption and suffering, the following strategies may be essential to assist in coping.
Know that you are your own person.
Although you may share some traits or the same family name with your parents, remember that you are not 100% of the same people who raised you. If you recognise that your parents are emotionally unhealthy, understand that you do not need to follow their same values or behavioural patterns. When you realise that you have been hurt by them repeatedly and their use of authority serves their own interests over your needs to develop in a healthy way, be ready to break away from their self-serving values to work towards a healthy development for yourself. Explore to find healthy models of functioning among others to seek their influence over your lives rather than what is practiced at home.
Create space for your own emotions to nurture your own sense of self.
The unhealthy parent, spouse or sibling often do not respect your personal boundaries. They may deny your personal space or your feelings because they are preoccupied with their own. They may not discuss matters out or they may attempt to deny an essential part of who you are. While they deny how you may feel in their relationship with you, this does not mean you cannot acknowledge or express your own feelings by blogging or journalling.
Find supportive relationships elsewhere.
When your family members have made themselves unapproachable, you can turn to others for support instead. Friends, teachers, counsellors, or colleagues are often available to relate to who engage with a healthier appreciation for you. You do not need to go through difficulties alone. So find a support system from those who appreciate you for who you are and who value you in the person you can become.
Understand that your parent, spouse or siblings may have narcissistic tendencies or a self-serving biases so set your expectations low in conversations with them.
Unhealthy parents, spouses or siblings highlight the need to understand mental illness. Having to engage family members who have already discounted you, or hold you in contempt is often more reflective of them than of you. For this reason, understanding if they have a narcissistic or anti-social personality or tendencies is useful to recognise their biases. You may wish to have deep, meaningful or respectful conversations with them. But since this is not possible for those who are narcissistic or anti-social in nature, keeping exchanges brief and light is best to minimise stress or conflict.
Be prepared to employ diversion tactics in conversation.
Being diversionary may not be appreciated in social circles. But if your family member is controlling or looking for conflict, having a mutually respectful conversation may not be possible. As such, their attempts to dominate or argue can be diverted. For example, if they choose to criticise your choice about what you bought, you can note their comment while affirming your choice. Then this can be followed up by you changing the topic. This may allow you to have some control while you may be under attacked.
Recognise the traits that make you an easy prey.
For some, the need to dominate can be influenced by their perception that you have difficulty standing up for yourself. Their view that you are unable to be firm in protecting yourself may appear as an invitation to them to bully or dominate. Learning to stand your ground will help to establish yourself as deserving of respect.
Expect their angry response but do not surrender to it.
Your attempts to hold your ground or establish personal boundaries may be seen as a threat to the controlling parent or spouse. They see it as a challenge to their need to dominate or control. As such, anger can be employed as their weapon. It is important to not be paralysed by the person and to remember that you still have power. This power may not be accepted by them but you have power nevertheless. You can continue to pursue what is clearly in your best interests despite the threats and anger they express. Choosing the right timing to pursue your interests with them may be required. Or being able to refer to the credibility of someone else with authority on the subject may be helpful to borrow these views to help you to hold your position.
Aim to be self-sufficient and independent.
The need to establish your healthy sense of self and personal integrity is important. Your own mental health depends on it. In the face of parents or family members who are clearly focused against your best interests in pursuit of their own interests, you can set goals to be financially independent in order to become autonomous with what is needed to establish your own integrity and identity. Unhealthy parents often employ money as a means of keeping the child dependent. As such, learning to budget and be self-financing will help to establish your independence from them.
Do not accept abusive behaviour and the effects of it.
Recognising the signs of mistreatment from abusive parents, spouses or siblings should allow you to feel the anger you have reason to feel. Often these people may also engage in seduction or manipulation to downplay their dysfunction and hide their mistreatment of you. Being able to recognise their self-serving bias and the potential damage that this can create is important to not allow them to justify it. If their mistreatment is justified, it is more likely that you could minimise the damage and practice it yourself.
If the abuse is persistent or violent, be prepared to get help and seek shelter and protection outside the family.
This is hard to do for children but the sad reality is that some parents are poorly prepared to parent or they are mentally ill when they decided to have children. It is a sad and tragic reality that children have died from neglect, abuse or mistreatment while in the hands of their parents or caregivers. Children have been starved, exploited, tortured in the hands of violent, mentally ill parents. This has also occurred between couples as indicated by one spouse being regularly abused by another. Abuse can be physical, emotional and/or sexual, and they can happen between couples and on children within a marital or family system. If only one parent is aggressive or violent, the other parent has to be prepared to seek shelter to protect themselves or their children. If in the case of one parent being violent and the other parent ignores the child being abused, the children need to be protected from both parents.
This article is a call to alert those who may be suffering within families. Tragically, there are hidden dangers that vulnerable family members may be exposed to. They may already be suffering in subtle or obvious ways at the hands of unhealthy, abusive or emotionally damaging family members. Our collective concern for the weak calls out for us to be sensitive to when this danger is present within our community to protect the vulnerable among us.
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