I think most of us who have struggled with depression or anxiety have experienced the dilemma of whether to disclose our illness to our work colleagues or not. Whilst it makes sense to discuss what we are living with, many of us are fearful that if we are honest, it could jeopardise our career prospects.

I believe that most of this fear stems from the people not be able to have sensible conversations about depression and anxiety in the workplace. This is ironical as it is the biggest contributor of lost productivity.

Whether you work for small company or a large employer, I would like to propose something that we all can do to make a difference. Ask your boss if your work team can start conversations that could change lives on October 7^th by participating in RU OK? At Work. Whilst we all recognize that things won’t change over night – we have to start somewhere. If you don’t feel like pushing it – suggest it to someone else in your team.

RU OK? at Work is the workplace component of RU OK? Day. All workplace posters and guides can be found by going to RU OK? at Work and registering.

R U OK? Day, now in its second year, is the first national initiative of its kind. On R U OK? Day on October 7, all Australians will be encouraged to use the time they take to have their coffee to connect with their friends, loved ones and colleagues by reaching out to anyone doing it tough and having a conversation that could change a life.

Simply ask: “Are you okay?” and help stop little problems from turning into big problems.

Why start a conversation? Because a lack of connection can have a critical impact on someone’s social and emotional well-bring and, at times, this feeling of disconnection can place people at risk of taking their own lives.

That’s why R U OK? Day on October 7^th will bring Australians together in a bid to help prevent risk factors contributing to suicide. It will also promote awareness of help and support services available by raising the profile of existing organisations that provide such services to those who need support.

More information on RUOK? Day  and resources for how to have an effective conversation and where to get help can be found at www.ruokday.com.au.

What are your suggestions, questions, comments about RU OK? at Work? Please reply to this post.

Kind Regards

Graeme

Tags: adversity, anxiety, depression treatments, ruok, work stress, workplace stress

Between 2000-2005 I went through, what my psychiatrist described as the worst episode of depression he had ever treated. Although I had experienced four major episodes of depression previously, this was by far the worst. During that time I was hospitalised 4 times and attempted suicide. I tried 23 different medications, underwent ECT (shock treatment) on 20 occasions, tried Transcranial Magnetic Stimulation, Acupuncture, Kinesiology, Cognitive Behavioral Therapy, and participated in many other programs related to the treatment of clinical depression.

Generally there are thought to be 2 major types of depression, reactive – which occurs due to adverse circumstances, and melancholic – which seems to be more biological in nature, and can occur for no apparent reason. The latter was my diagnosis. Whatever  the cause,  I know it is impossible to describe the despair I felt.

After coming out of a 9 week stint in a psychiatric hospital in 2005, I began to walk regularly every day (even though I didn’t feel like it) and began having regular contact with family and friends who I had been isolating from (didn’t feel like that either). I also began taking a higher dose of a medication I had been on. Over the next  4 months, my mood lifted a little. A friend then encouraged me to do a meditation course. I had tried this when I was severely depressed, but found that I couldn’t concentrate. This time I was able to experience peace and this further lifted my mood.

 When I was at my worst, I yearned for stories of people who had been through what I was feeling and had come out the other side. Now that my mood had lifted significantly, I decided to prepare a book that told authentic stories of hope.

In 2007, “BACK FROM THE BRINK: Australians tell their stories of overcoming depression” was launched at the Black Dog Institute in Sydney. In it I interviewed people like the ex WA Premier, Geoff Gallop, Olympic Swimming Gold Medallist’s John Konrads and Petria Thomas, artist Margaret Olley, poet Les Murray, and 7 other everyday Australians. These courageous people told their stories with honesty and dignity.

The book launch lead to around 150 media interviews and book signings. What astonished me was that around 70% of the people who spoke to me during these events, were loved ones of the depressed person, desperate to know how they could make a difference. This lead to me writing “BACK FROM THE BRINK TOO: Helping your loved one overcome depression” which was awarded SANE’s 2009 Book of the Year.

Through the process of writing the books and afterwards, I interviewed over 5000 people, either in person or via surveys, to understand their strategies for bouncing back. This is what I’ve learnt.

When you are severely depressed there is no light at the end of the tunnel. I know from personal experience that you can reach a point where you TOTALLY lose hope. This emphasizes two things. It’s essential to act early and seek help before you slip below the water. The cargiver can play a critical role by providing much needed emotional support and encouragement.  Carers can often they feel pushed away, but they should be assured that this is the response of someone in great pain who is lashing out.

The mental health system is extraordinarily fragmented. There are resources out there, but it is incredibly difficult to find holistic solutions. For those trying to make sense of it when they are depressed, it is almost impossible. For a comprehensive list of helplines and mental health websites there is a free ebook at www.DepressionCarer.com

If you’re holding a hammer, everything looks like a nail. Mental health professionals are very well meaning, but in most cases, the communication between say a GP, psychologist, psychiatrist, community health worker, naturopath, hospital employees, etc, about your case is virtually zero. You may find that, for example, your psychologist recommends Cognitive Behaviour Therapy, your psychiatrist antidepressants, your naturopath St Johns Wart, a GP exercise. What complicates this further is that some health professionals are openly dismissive of the advice of others, leaving you wondering who to believe. Some fantastic GP’s play the role of a defacto case manager and help guide people through this maze. Unfortunately they are rare. If you do not believe your GP has good expertise in mental health,  go to www.beyondblue.org.au and do a postcode search to identify doctors that have a special interest (and training) in your area.

There are multiple tracks to the land of milk and honey  The term “depression” is used to cover a myriad of situations and symptoms. The vast majority of GP’s have a one size fits all approach which is usually just drug or therapy oriented. Everyone’s path to recovery is unique – there is no golden bullet. In my view and from what 5000 people have told me, you are best to follow multiple strategies. When I asked people who had overcome or managed their depression what worked best for them they listed the following 7 strategies: exercise, support of family and friends, psychological counselling, fulfilling work, meditation/relaxation, nutrition, and antidepressants. To see the details of the research you can download a free ebook from www.IamBackFromTheBrink.com

In summary, if my best friend experienced the symptoms of depression every day for two weeks this would be my advice to them:

1.       Immediately encourage them to see their GP (or help them find one with mental health expertise – see above).

2.       Encourage them to share what is happening to them with a couple of trusted friends/family members.

3.       Encourage them to begin walking (or equivalent) every day and offer to accompany them.

4.       Encourage them to set moderate goals for the next week for the above 3 areas - ask them what they think is realistic.

What thoughts/comments/questions do you have about this article? What advice would you give a best friend who you thought was depressed? Please reply to this post.

Kind Regards

Graeme

Graeme Cowan is an International Speaker and Author who educates people on how to bounce back from challenging times.  www.GraemeCowan.com.au

Tags: Bounce Back, graeme cowan, overcome adversity, overcoming depression, resilience

I was recently approached by Susan White, a researcher and writer, who asked if she could write a guest blog. When I looked at some of her articles, I was impressed with how she had found some excellent resources on the net for the subjects she was researching.

For regular readers of this blog you’ll know that I am a strong advocate of regular exercise for anyone, but particularly if you have been living with a mood disorder. The evidence is overwhelming; exercise is the best self help strategy for those of us that are susceptible to depression. I decided to challenge Susan to find some helpful websites to stay with a regular exercise program. So without further introduction, here they are.

10 Websites That Can Help You Stick to Your Exercise Program

Along with a sensible diet, it is probably the most important contributor to good health, and without exercise to substantiate and augment your choice of healthy food, you’re not doing the best you can to promote your health. A good diet provides you with energy and nutrients to get on with life, and exercise improves your wellness quotient by augmenting your physical and mental health, improving bone and muscle strength, boosting blood circulation, and keeping you fit and strong. The problem with exercise is that most people have trouble sticking to their routine; laziness sets in or work takes priority, and sooner or later, working out is relegated to the wayside. If you want some inspiration and motivation to help you stick to your exercise program, look no further than these websites:

1.      Everyday Health: This is a great place for people whose busy schedules don’t allow them to follow strict and time-bound exercise programs. It teaches you how to take advantage of everyday activities to boost your health and get your daily dose of exercise.

2.      Mayo Clinic: Get information from a trusted online source on why exercise is important for you and why it must form a part of your life.

3.      Mama’s Health: This site has a comprehensive yet precise overview of the various dangers caused by the lack of exercise. When you don’t work out, you tend to become overweight and even obese, and this could cause significant health issues.

4.      Living Health: If you’re worried about accidental injuries when working out, check out this site for safety tips when working out – find out the best ways to exercise without causing harm to your body.

5.      About Exercise: If you’re on vacation and worried about gaining weight because of all the good food you’re eating and the visible lack of exercise, this site offers great tips and tricks on how to work in a workout into your vacation.

6.      Essortment: If you’re stuck at home with no access to a gym or park, find out how you can continue working out at home with these great exercise programs.

7.      Medicine Net: Sidelined by an injury and worried you’re going to gain weight because you cannot exercise? Check out this site for safe ways to work out when you’re incapacitated by illness or injury.

8.      Web MD: Pregnant and worried about unnecessary weight gain and the wellbeing of your unborn child? Go here to find out how you can exercise safely when you’re expecting and stay healthy in the process.

9.      Workout Mommy: The best way for new moms to lose weight is to start exercising as soon as your doctor says it’s ok to start working out; and if you’re looking for ideas and tips on the fastest and safest ways to lose weight, this site offers great advice.

10.  Senior Fitness Suite: As you age, it becomes harder to maintain the intensity of your workout program; you’re worried about your safety and fitness. Continue to work out with no worries with tips and advice on senior fitness from this website.

Exercise is an integral aspect to a healthy life, so ensure that you stick to your workout routine without providing room for excuses.

By-line:

This article is contributed by Susan White, who regularly writes on the subject of surgical technician schools. She invites your questions, comments at her email address: susan.white33@gmail.com.

I’ve checked out the websites and they do all have a great perspective on different elements of maintaining exercise.

I also wanted to add two sites myself:

SparkPeople.com is a free online diet and healthy living community with over 3 million members who provide support and motivation to each other. I first saw an article on this in Fortune Magazine described as the “Facebook for dieters”. It boasts some very impressive results and is entirely free. There is a lot of social support to help you achieve your goals.

FitDay Another free site which I have heard very good things about. A friend of mine is writing a weight loss book and she rates this very highly.

Navigating a meaningful life

I truly believe that we all have wonderful strengths and gifts, and by using these for the benefit of others (and ourselves), we can have a wonderful life. I am presenting two seminars about how I believe this is possible for everyone – unfortunately only in the Sydney area – but if there is enough interest we may look at presenting it in a webinar format. It is hosted by my friends the Brahma Kumaris – there is no set cost – you are invited to make a donation.

Saturday September 11, 10.30am- 4pm Wilton – a beautiful retreat about 1 hour south west from Sydney CBD. Register here

Wednesday September 15, 6.00pm- 8.00pm – East Sydney – City Fringe Meditation Space

Register at  eastsydney@au.bkwsu.org

If you have tried any of the exercise sites or ideas above please let us know how you found them. Likewise, if you have found something that works for you, please let us know by responding to this blog.

Kind Regards

Graeme

Tags: back from the brink, depression anxiety, depression help, depression research, depression treatments, exercise and depression, graeme cowan, self help

For it’s first year, 2009’s RUOK? Day had many highlights including 650,000 Australian’s reaching out to someone they were concerned about and asking “RUOK?” - but we want your help to make it better.

Just prior to a recent presentation I did regarding mental health in the workplace, I surveyed the HR Managers and CEO’s who attended and asked them, what were the biggest concerns they had about asking someone who appeared to be struggling “Are you OK?”.

These were there top 3 concerns:

·         How do you broach the subject with them?

·         How do you best support people managers who are trying to help them?

·         What do you tell other team members?

If you have at one time struggled in the workplace with depression, stress, or anxiety, I’d like to ask your help in recommending an approach which is good for the employee, the team, and the organisation.

Last year for RUOK? Day we produced a form to help individuals feel  more comfortable approaching  the person they were concerned about.

This is the approach we recommended:

Put yourself in their shoes

The reason most people don’t ask RUOK? to someone they care about, is that they don’t know what to say, or are afraid of “opening a can of worms”.

If you were the one struggling and had lost hope, would you want someone you cared about to ask RUOK? What would you like them to say?

The “Golden Rule” is an ethical code that is shared across most major religions and cultures that states “do unto others as you would have others do unto you.” Many Australians have embraced this idea during tough times; think of the Victorian bushfires, when millions of Australians reached out to help each other. RUOK? is another day where we challenge Australians to treat one another as you’d like to be treated. 

After the event last year we surveyed a sample of employers to ask them how they found effective  they found this resource - 73% rated it effective or very effective, and 27% somewhat effective.

 I would like to ask the experts, the ones who have struggled with a mood disorder in the workplace, is there anything you would suggest to improve this approach – given that it has to be no more that a page long.

Please respond to this blog and answer these 3 questions:

1.       Can you suggest any improvements to this approach?

2.       If you had the opportunity to give your boss advice on how best to handle the situation, what would you suggest?

3.       What are your thoughts about informing other team members that you are working with a mood disorder?

Many thanks for helping us continue to improve our approach.

Regards

Graeme

If you think your organisation (or another) may be interested in having me as a speaker, please refer them to: www.GraemeCowan.com.au or call my office on +61 2 8014 8867.

“Graeme delivered an exceptional presentation to our client group consisting of CEOs and Human Resources Managers on the topic of “Best Practice in managing mental health in the workplace”. Everyone was riveted to Graeme’s personal experience as well as the incredibly powerful suggestions for handling employees (and personal contacts) suffering from stress and depression. The suggestions were practical and simple and relevant to workplace situations. His style is so genuine and open that the majority of client feedback said it is one of the most compelling presentations they had seen in many years. Graeme has done some amazing research, both locally and internationally, on various aspects of mental health. He was also able to effectively demonstrate the corporate savings and the business case for addressing employee mental health and productivity. Given Graeme’s corporate background and his personal experiences I couldn’t recommend him more highly in either a consulting or speaking capacity. He is an inspirational speaker.” June 9, 2010 Diane Humphries, Managing Director Cameron Recruitment

Tags: anxiety, depression at work, depression treatments, mental health speaker, resilience speaker, work stress

Once we get to 5 on the moodometer, I believe that we should start thinking about what we would like our ideal life to look like in 5 years. It is so much more productive to be focussing on what we do want, rather than what we don’t want.

There are probably 4 main components of this:

1. DO - What do I want to be doing?
2. BE - Which of my talents and character qualities do I want to be using?
3. WHO - Who do I want to be doing this with?
4. WHERE – do I want to be?

Over the last 6 months I’ve been doing a lot of reflection on this topic area. In December last year, I met Karynne Courts - www.valuesconnection.com.au - who for the last 10 years has been doing work with leaders to help them understand who their authentic self is, by having them complete a values inventory with them. I have also been doing a lot of work in the Positive Psychology space with the Virtues Inventory, which helps people to understand what their character strengths are. We had both also read very widely around the whole concept of helping people to discover a life of meaning. To cut a long story short, Karynne and I decided to run a pilot course of “Navigating a meaningful life by understanding your whYcode” with 15 people which ran over 8 weeks.

What is a whYcode?

We all have unique values, talents, qualities, and passions. Learning what these are isn’t always easy, and Karynne and I put our experience together to help people understand what is truly important to them. We face decisions every day – big and small – and we believe that when we face this “Y” (fork) in the road, that if you have good personal insight – i.e. understand your whYcode – this will help you make fast decisions that strengthen, rather than weaken you.

Career fulfilment is essential for our wellbeing

Having spent 12 years in recruiting and outplacement, I am aware of how few people work in a career that they would describe as fulfilling. When I did my original research for BACK FROM THE BRINK, I discovered that the 350 people I interviewed rated “fulfilling work” as the number 4 most effective strategy for overcoming depression – where “medication” was rated number 7.

The outcome of the pilot and shorter version I recently conducted in Chicago

Participants in the pilot course found it tremendously helpful to be able to identify their whYcode. For some people it was quite a surprise when they rediscovered what “lights their fire”.

Based on the feedback we received from the pilot course, Karynne and I further simplified the course which I presented at the Depression and Bipolar Support Alliance conference in Chicago.

A prominent US mental health blogger, Marcia Purse, attended the conference and she wrote:

“The highest point of all was the last event - keynote speaker Graeme Cowan’s “How to Bounce Back and Thrive in Challenging Times.” In the near future I’ll start challenging all of you with some of the things he challenged the audience to do and think about”.

Understanding your whYcode is absolutely essential to being able to bounce back and thrive in challenging times.

What do you think contributes to meaning in life?

Are work and your community activities important to you? What have you found helpful to find meaning in your life? Please share your experience by commenting on the blog below.

A free overview of the course

On Tuesday May 25 from 6-8pm, I will be running a free overview of this seminar at the City Fringe Meditation Space in East Sydney (see link below).

http://www.meditationspace.com.au/meditation_space/Program_May_2010.html

If this is of interest to you, it is essential you confirm your place immediately online at the link above - as there are only a limited number of seats that can fit in the venue.

Address 99 Crown Street, East Sydney 2010

voice-box 02 8011 4995 begin_of_the_skype_highlighting                  end_of_the_skype_highlighting

email  eastsydney@au.bkwsu.org

Web  www.mediationspace.com.au

We are located at 99 Crown Street in East Sydney, next to the City Gym between Stanley and William Streets.

For those people interstate or overseas – if you would interested in attending a course such as this, or have any questions or comments please respond to the blog.

New corporate site launched

I have just completed a new site – www.GraemeCowan.com.au – which is for organisations that would like to use my services to speak or consult. If you know anyone who may be seeking someone to speak on how to bounce back and thrive from challenging times, please direct them there.

I look forward to your comments.

Kind Regards

Graeme

Tags: meaningful life, meaningful work, overcoming depression, passions, strengths, values

I once saw a fascinating exchange, where an Indian woman who was a meditation guru - shared a stage with a number of senior business people.

After being taken through a guided meditation the discussion then turned to how this stillness could be applied at work. One of the men said that he would love to experience the peace he just got from the meditation on a regular basis, but he was just too busy.

Business is for lazy people

In a very quiet gentle voice the Indian woman said “Busyness is for lazy people”. It took a while for what she said to sink in and their seemed to be silence for a full 20 seconds. She then sweetly probed “Do you have time to worry?”.

We all seem to have plenty of time to worry, but often neglect sufficient time to nurture our body, mind, and spirit. I know that just before I had my breakdown in 2000, I was stressed and anxious but still continued to work ridiculous hours in a very unproductive manner.

Mindfulness, Flow, Power of Now, In the zone, In my element

There has been a lot of talk recently about the concept of mindfulness – to be fully engaged in what you are doing and not worrying about the future or regretful of the past – Eckhart Tolle calls it the Power of Now, Mihaly Csikszentmihalyi calls it Flow, some sports people refer to it as being in the zone. It’s kind of ironical that it is being hailed as something new, as the message originally came from the Buddha over 2000 years ago.

Whilst most people can understand the concept of mindfulness, actually living it is a whole different matter. It is so easy to get distracted by interruptions, and lose the ability to focus on the moment.

Stillness Buddy

I would like to share a resource I use that is tremendously beneficial – particularly if you spend a lot of time on a computer during the day. It is a software tool called Stillness Buddy. Once it is downloaded you have the opportunity to choose settings for a stillness break and a mindfulness break. I chose to have a 20 second break stillness break every 30 minutes and a 2 minute mindfulness break every hour. When those breaks come up a beautiful picture appears on the screen, some sounds from nature, and some guidelines on what to do for the next 20 seconds (or 2 minutes).

When the break is finished the screen disappears. I find that even when I am engrossed in something there is a huge benefit in pulling back and gaining some perspective. Sometimes it comes at an inconvenient time and you have option of closing the window immediately.

There is a free 14 day trial of the software at: www.stillnessbuddy.com If you chose to purchase it, a licence is approximately AU$40.

If you do decide to trial it, please let us know your experience on the blog.

Do you have habits at work to help you be more centred? I would love you to reply to the blog and to share it with our tribe. How do you switch off in the middle of chaos? Share what works for you.

Kind Regards

Graeme

Tags: anxiety, mindfulness, perspective, stress, worry

Last weekend I spent at a course learning how to ask better questions to understand someone’s needs. There were lots of good ideas that I wanted to use and so I began looking at my calendar to see when they could be actioned.

Shock, oh shock, I realised that it was almost March. It only seemed like yesterday that I was sitting with Hilary in a park overlooking the harbour watching the Opera House and the Sydney Harbour Bridge ablaze with colourful light. I then reflected that on that night, the majority of us make our 2010 New Year’s resolutions.

According to the website 43things where 150,000 people recorded their 2010 resolutions, this was the top 10:

1.       Lose weight 2. Be happy 3. Fall in love 4. Get a job 5. Travel 6. Stop smoking 7. Get married 8. Love 9. Find love 10 Lose my virginity.

WHY AREN’T MOST RESOLUTIONS KEPT?

According to an extensive report by the British psychologist, Richard Wiseman, 88% of people that make them will fail to honour them. Isn’t that depressing? I thought goals were healthy. Presumably we make them so that we can correct some perceived shortcoming in our lives.

I know how abysmal my own record is in this department. About 15 years ago on the stroke of midnight December 31^st, in a rush of blood, I decided that I wouldn’t drink alcohol for 3 months. I remember feeling very hung-over when I first woke up and thinking “what a great resolution”. I’m ashamed to say that at 2:30pm on January 1^st, at a recovery lunch my will power collapsed with the justification that I needed some “hair of the dog” to feel OK so I could continue my resolution. I never recovered. Then I felt guilty and miserable for giving in so easily.

Understanding what type of goals work and what don’t work, became the obsession of Harvard Psychology Professor David McClelland. He sought to understand if there were any common qualities between students who 20 years after graduating were leading a very fulfilling life.

His process was long and exhaustive but he ended up identifying 4 qualities around the goal setting of graduates that would determine who would be living an inspired life 20 years later, and who wouldn’t. These are the common goal setting qualities of students who were able to sustain an inspired life 20 years after graduating – drum roll – drum roll:

·         They set goals that were meaningful to THEM (their values, their strengths, their passions) and weren’t significantly swayed by social indicators of success. They would also regularly daydream as if they had already achieved their goal.

·         They set moderate goals which they have a 50:50 chance of achieving. No outlandish goals here – just things that were realistic but also had a slight stretch.

·         The engage in both positive and negative thinking in how the goals would happen. No Pollyanna’s here – just pragmatists. I good way to describe this approach is the English proverb “Hope for the best, but prepare for the worst”. They carefully monitor progress to then make corrections.

·         They seek advice from experienced people before deciding if a goal is realistic – someone who has travelled the path before them.

With a questionnaire that measured these 4 qualities Professor McClelland could predict with 90% accuracy who would be leading a meaningful and happy life 20 years later.

If you look at the top 10 for 2010, I can understand why they don’t last. I’m sure being intoxicated doesn’t help our clarity and sustainability of commitment.

What’s your experience with goal setting? What has worked for you and what hasn’t? Please reply to this blog and let me know.

THE GOOD NEWS

We don’t have to wait until December 31, 2010 before we try again.

WHAT THIS MEANS TO ME

As some of you may know, I have done lots of reflection over the last 10 years to understand what is really important to me. My life mission is to help people to realise that they can not only bounce back from adversity and depression, but also go on to lead inspired lives. I have decided to launch the BACK FROM THE BRINK book series in the US as I know what a difference it makes to have real people discuss their battles, struggles and victories. A key part of the success of the Australian book was having some high profile people in the book. This helped significantly in generating publicity. I am going to Chicago at the end of April to be a keynote speaker at the Depression and Bipolar Support Alliance conference (this group is partnering with me for the US versions). I am then going on to New York to present my proposal to publishers.

MY GOAL – TO HAVE 4 US/UK CELEBRITIES AGREE TO BE INTERVIEWED FOR BFTB BY APRIL 15

I need your help. So far I have tried contacting the high profile people via their managers with a disappointing result. I found in Australia that when I was able to speak with the celebrities directly there was a much higher probability of success.

DO YOU KNOW THESE PEOPLE, OR KNOW SOMEONE WHO DOES?

Jane Pauley – former host of Today                                   Greg Louganis – Olympic gold – diving

Carrie Fisher – actress Star Wars                                       Mike Wallace – TV journalist

George Stephanopoulos – ABC commentator                     Buzz Aldrin – Astronaut

Owen Wilson – Actor                                                           Richard Dreyfuss                                           

Brooke Shields – Actress                                                      Marie Osmond – Singer

Jim Carrey – Actor                                                                 Larry King – TV Journalist

Winona Ryder – Actress                                                        Brian Wilson – Musician

Terry Bradshaw – NFL Footballer                                          JK Rawling – Author

Trish Goddard – TV presenter                                               George Michael – Singer

HOW YOU CAN HELP

If you know one of these people or how I can find away to contact them directly, please respond to this email. If you are reading this on my blog and want to contact me directly please email me at graeme@graemecowan.com.au .  Alternatively you may know an option through Facebook or Twitter – I will try anything.

Please respond to the blog and let us know what you think. Are there any subjects you would like me to cover?

Kind Regards

Graeme

Graeme Cowan

www.IamBackFromTheBrink.com

www.GraemeCowan.com.au

Tags: broken new year's resolutions, goal setting, mental health

The single largest pool of untapped resource in this world is human good intentions that never translate into action. –Cindy Gallop

For some time now, I have been helping to organise RUOK?Day and RUOK?Arvo. I believe these two events could make a big difference in how people who are struggling with adversity are treated in the workplace and the community. Below is an outline of RUOK?Day and RUOK?Arvo and at the bottom is brief 100 word summary that could be used to describe RUOK?Arvo in a newsletter. If you have any suggestions about helping us to be successful in our quest please respond to the blog below.

RUOK?Day and RUOK?Arvo

Chances are that you know someone who is going through divorce, has lost a loved one, has a serious illness, is facing financial hardship, been retrenched, or having trouble with their children. For some people these crises can cause anxiety and a flat mood. For some it can progress into full blown clinical depression or an anxiety disorder.

Most of us would like to help, but we often opt out because we don’t know how to start the discussion, or are a little fearful that we could open a “can of worms”. The government recently announced that Medicare rebates for psychological counselling have increased 54% for 2009 over 2008. This is a problem that won’t go away unless we all take action.

This was the reason that RUOK?Day was created. We believe that a conversation can change a life and invite you to participate on Sunday Nov 29^th, 2009. Expert advice and videos can be found at www.RUOKDay.com.au

Action you could take

1.       Visit www.RUOKDay.com.au and review resources.

2.       Put Sunday Nov 29 in your diary and promise to make contact with one person you think could be struggling.

IF YOU WORK CONSIDER THIS

A 2007 Medicare Private study showed that by far the largest contributor to lost productivity in the Australian economy was caused by depression and anxiety.  Since 2007, Davidson Trahaire, by far Australia’s largest workplace counselling group, has seen client sessions for stress and anxiety increase 76% and 68% respectively.

This is why www.RUOKArvo.com.au has been created on Friday November 27 – the Friday afternoon before RUOK?Day. On this afternoon participating companies will invite all employees to reach out to one person – either a loved one or a work colleague – and ask RUOK?

At www.RUOKArvo.com.au you will find:

1.       Simple instructions on how your team or company can register and participate in RUOK?Arvo

2.       A downloadable  “How to ask RUOK? and support guide” and related video – for those concerned – see http://www.youtube.com/watch?v=koEjNP6H-sg

3.       A downloadable “I’m not OK and support guide” and related video – for those struggling

4.       A downloadable “Team Leaders Meeting Guide” and related video plus RUOK?Arvo Poster – on how to present RUOK?Arvo and engage the team

The organisations below have between 30 and 25,000 employees and have decided that these issues are so universal, that they will invite all their employees to ask RUOK? on Friday November 27.

FOUNDING SUPPORTERS OF RUOK?ARVO

Alexion, APN  Media, AT Kearney, Australian Human Resources Institute, Black Dog Institute, CareerOne, Cbus Super, Cochlear, Davidson Trahaire Corpsych, DLA Phillips Fox, Freehills, Inspire Foundation, Investment and Financial Services Association, Lifeline, Lundbeck, Mental Health Association of NSW, News Limited, Ramsay Healthcare, Reach Out, SANE Australia, Sex Discrimination Commission, Simon & Schuster, STW Group, Talent2,  The Next Step, Toll Holdings, University of Western Sydney, Zurich Financial Services

Action you could take:

1.       Discuss RUOK?Arvo with 2 work colleagues and your team leader. If you decide you would like to participate as a team why not register at:  www.ruokarvo.com.au

Turn your good intentions into action by asking RUOK? - nothing changes until someone acts.

100 word summary

Do you know someone who is struggling?

RUOK?Arvo  - a conversation could change a life

November 27, 2009

Do you know someone who is struggling with depression or anxiety but don’t know how to open a conversation with them.  Organisations with between 20 and 25000 employees have already agreed to invite everyone to ask RUOK?  to a loved one or work colleague on November 27. For a 3 minute video on how to ask RUOK? see:

http://www.youtube.com/watch?v=koEjNP6H-sg

 To register and find full resources and support to help you start a conversation that could change a life, please go to www.ruokarvo.com.au 

 As I mentioned before, please let me know if you have any feedback or suggestions by responding to the blog below.

Kind Regards

Graeme

Tags: anxiety, depression at work, depression treatments, work stress

For some time now, I have been emailing you with advice about how to overcome depression. I would now like you to tell me what you find most effective. But first some background……

UNDERSTANDING WHAT REALLY WORKS

I get very irate when I hear “experts” in the media saying that there are only 2 evidence based treatments for depression, antidepressants and psychological counselling…. What utter baloney. Don’t get me wrong – I still take antidepressants and have benefitted from psychological counselling, but I also know that there are many, many, other factors that contribute to our mental health. Things such as exercise, emotional support from loved ones, fulfilling work, relaxation and nutrition to name a few.

WE THAT LIVE WITH DEPRESSION AND BIPOLAR ARE THE REAL EXPERTS ON WHAT WORKS

Some of you who read my first book, BACK FROM THE BRINK, would know that I included the results of two surveys: one done for the book by Ultrafeedback in 2007 and one undertaken by the Black Dog Institute(BDI) in the previous year. The results from those surveys certainly challenged traditional approaches towards depression treatments.

Well it is now 2009 and I’ve decided to revisit this issue again with a survey that looks at the effectiveness of a broad range of strategies. It really combines the best features of the Ultrafeedback and BDI survey.  Through my association with www.DBSAlliance.org in the US, I am having people with depression from across North America also completing the survey, and hopefully other depression websites from around the world will help make this a truly global one.

I NEED YOUR HELP

I would love you to spend 10 minutes completing this survey and I will share the results for free on www.IamBackFromTheBrink.com  once the analysis has been completed – the survey will close on December 11, 2009. To access the survey please go to:

http://www.surveymonkey.com/s.aspx?sm=XI_2bk_2f_2fgIwvYmsvuAz2UBlQ_3d_3d

I really appreciate you taking the time to complete the 10 minute survey and I look forward to sharing the results with you.

PLEASE FEEL FREE TO INVITE OTHERS WITH DEPRESSION TO COMPLETE THIS SURVEY

The more that complete this survey the better so please feel free to forward this on to anyone you know who has experienced depression.

http://www.surveymonkey.com/s.aspx?sm=XI_2bk_2f_2fgIwvYmsvuAz2UBlQ_3d_3d

Kind Regards

Graeme

Tags: depression, depression survey, depression treatment survey, depression treatments, effective depression treatments, holistic depression treatments

This is the first of a 2 part article for Lawyers Weekly magazine. Although there are some aspects relating to the legal area, the message is applicable to all workplaces

Feeling like you are treading water in a whirlpool? Are you struggling with continued interruptions that leave your mind always cloudy? Finding it difficult to switch off from work and sleep properly? Wound up like a spring?

Rest assured, you are not alone.

In 2007 Medibank Private commissioned a study by Econtech which found the cost to the Australian economy of absenteeism was $ 7 billion and presenteeism amounted to a staggering $26 billion. The report concluded that by far the biggest contributor to this productivity loss was depression and anxiety disorders.

Stress has ballooned in the last year

Since the GFC, the strain has been building rapidly with the number of people seeking Medicare rebates for psychological services growing by a staggering 54% from March 2008 to March 2009. Australia’s largest workplace counselling provider, Davidson Trahaire Corpsych reported that sessions related to stress, anxiety and depression were up 62% from last year.

What makes this even more concerning is that in research undertaken for my book BACK FROM THE BRINK only 9% of people living with depression and anxiety disorders in Australia felt comfortable discussing it with their work colleagues.

Anecdotal evidence suggests that managers are very reluctant to initiate a discussion with someone who is struggling with depression and anxiety as they fear they “may open a can of worms”. This avoidance strategy couldn’t be more wrong with clinicians unanimously agreeing that the earlier an episode is addressed the better the outcome for the employee and the organisation.

The high rate of depression and substance abuse by lawyers is well documented. In the recent survey conducted for the Tristan Jepson Memorial Foundation, 35% of law students recorded High to Very High Kessler-10 Distress, solicitors scored 31%, barristers 17%, versus a general population of 13%.

It is beyond the scope of this article to propose long term solutions to this complex problem, but I would like to contribute some short and medium term strategies that can significantly improve people’s mood and performance in the workplace. Before discussing these recommendations however, I need to discuss levels of distress.

The moodometer

I find people can relate to the concept of a moodometer. A moodometer is marked from 0 - 10 where 10= when you are physically, mentally, socially, and spiritually thriving, 5= is when you are stressed. You probably aren’t sleeping well, are having headaches or digestive problems but are still hopeful of getting better, 0 = suicidal - you are relying on drugs to get through the day and have lost hope of improving. For the purpose of qualifying advice, 0-4 is red zone, 4-6 amber zone, and 6-10 green zone.

What happens when faced with adversity

Most people’s response to adversity is to slide down the moodometer. This is understandable, but our fulfilment and success in life is ultimately determined by how quickly we can bounce back from these challenges. The focus of my recommendations is for individuals in the red and amber zones (63% of solicitors versus 37% for general population).

I have been at the lowest levels of the red zone and it is a place of great despair. What makes it particularly dangerous is that when I was there, I had given up hope of getting better, and couldn’t remember being mentally healthy. My mind was cloudy and I had difficulty in making decisions as quickly as I once did. I mention this for those that may be feeling this way, because after some changes in my lifestyle, I now live my life almost entirely in the green zone. I firmly believe that you can not only bounce back to where you were before, but if you are open to the lessons presented in these challenges, you may come out the other side thriving. You have no choice but to act now – no one deserves to dread each day.

Rarely do things improve by themselves

For those in the amber zone, you may be tempted to keep hanging in there hoping that things will turn around by themselves – they probably won’t. You can’t keep doing the same thing and be hopeful of getting a different result. You are in survival mode and probably can’t see options available that may help improve your life.

No matter what you know intellectually, when you are going through hard times there is a strong tendency to believe that you are the only one going through it. I know I felt this way. Since I have told my story of battling depression in the work place so publicly, I have found that every person I meet has someone close to them with a similar experience. Believe me – you are not alone.

Short term action

If you have been feeling in the red or amber zone every day for two weeks, the first thing you should do is to see your GP, a psychologist, or counsellor from your EAP provider (if you have one). If you are reluctant to do that you should at least consider an anonymous self test for depression at www.BlackDogInstitue.org.au  If the test suggests you need to speak to a mental health professional then organise an appointment immediately.

Exercise is essential

The second thing you should commit to doing is at least 30 minutes exercise each day. This doesn’t have to be a marathon – a 30 minute brisk walk in a park amongst nature at lunch time is enough. When you walk try to be in the moment and observe the plants, birds, animals and insects along the way. If you prefer swimming, cycling, aerobics, or dancing, do that. Research by the Black Dog Institute has shown exercise to be the most effective strategy (with no negative side effects) for improving depressive symptoms.

Emotional support 

Your third strategy should be to share you situation with someone you trust. This could be your spouse or partner, family member, or a friend. If your low mood is impacting your productivity at work, I would also strongly recommend talking to your manager. They have mostly likely already noticed the changes and it is better that they are aware of the real issue and don’t dismiss it as just a performance problem. Besides, you will need their support and approval if you are required to take time off to see doctors and to exercise.

Follow guidance

It is important in the next 4 weeks that you follow your doctors advice, exercise 30 minutes per day 6 days per week, and plan to meet with loved ones at least 2-3 times per week. I found it helpful to sit down on a Sunday and plan when I was going to schedule these activities in my diary for the week ahead. If you don’t plan for it in advance – it won’t happen. You need to do these things even if you don’t FEEL like it. The opposite of resilience is rigidity.

Next week

In the next issue I will be covering the remaining 4 essential strategies for bouncing back from adversity and specifically focusing on medium term action plans. I will also be outlining what managers, team mates and organisations can do to assist someone who is struggling.

WHAT IS YOUR EXPERIENCE

If you have any comments or questions about what has been outlined above please reply to the blog below. You only need to put your first name and email address (which isn’t made public) to register.

I look forward to your input.

Kind Regards

Graeme

Tags: adversity, anxiety, depression treatments, work stress, workplace stress