Battling mental illness is a family experience: shared together, but suffered individually. “Families describe that often, it is not the family member with the illness who suffers the most, but rather it is other family members” (Marshall, 2010).
Maintaining relationships through mental health battles can be difficult for anyone involved – the one with the mental illness, and the one(s) loving the one with the mental illness. There are unique struggles that each person faces, but I’m here to tell you that no matter what they are, a relationship – of any kind – can persist even when someone’s mental health is at an all-time low.
Despite a recent effort to de-stigmatize mental illnesses, many people still face stereotyping, rejection, status loss, discrimination, and low power (Link and Phelan 2001) due to their mental health struggles. I myself have been told by a (now former) friend – who also has depression, mind you – that I was too sad to be around. These kinds of statements are extremely detrimental and unfortunately, are fairly common among those with a mental illness.
I hate to admit that I have even found myself judging someone else’s mental health in comparison to mine. If I’m able to do X despite my diagnoses, why can’t they? Can we just collectively agree that mental illness is as real and valid as physical illness? Not only that, but it impacts people differently, and different individuals respond to different treatments. That’s one of the hardest things about mental illnesses: they are different in everyone.
Relationships can help heal.
You are never alone in your suffering. Even if everyone experiences mental illnesses in different ways, there are people who understand what you’re going through. Families especially “can have a significant impact on their relative’s recovery” (McFarlane, Dixon, Lukens, & Lucksted, 2003, p. 224). And that’s why familial support is so important – sometimes, they’re the most important resource for an individual who is struggling.
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Here are some ideas on how to support someone with a mental illness (for more ideas specific to supporting a romantic partner living with mental illness, check out another one of our posts here):
Set boundaries! This can be difficult, but it will benefit both you and the one struggling in the long run. Whether this means having a boundary on the amount of time you’re willing to share, or just being allowed to say “no” to someone, boundaries help create a stable relationship.
Give them the opportunity to talk and open up but don’t press. Offer your support. Specifically ask, “How can I help you?”
Find out if they are getting the care that they need. Connect them to help if needed. Assist them in researching doctors, medications, therapists, non-traditional remedies, etc.
Reassure them that you care about them and are there for them. Show them respect, compassion, and empathy.
Continue to invite them to things without being overbearing. A lot of the time, people like to feel included even if they aren’t feeling up to doing things.
Relationships can become stronger than ever.
At some points, one person may be giving more than taking, and one may be taking more than giving; but for a relationship to flourish, both partners have to give and take. You need someone who will stand by your side, love you, and give you help when you need it. And you need someone who can trust you to do the same for them. You don’t need to hide who you are. You don’t need to be afraid to ask for help. And you don’t need to settle for anyone who doesn’t think the sun shines out of your heart, because regardless of your struggles, it really does.
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One of the most important things that I learned in my undergraduate education is that families can bounce back from anything, and can find resilience (ie. the capacity to recover from difficulty) that helps them be stronger than they ever were before (Walsh, 2016). It almost makes me grateful for trials – knowing the power they have to bring us together and strengthen our bonds. A family setting is a perfect place for individuals to practice learning how to be resilient, and to learn how to foster close relationships that will help them get through the tough times.
Here are a few tips for building family resilience:
Practice connecting: Dr. Ann Masten has said, “Much of resilience, especially in children, but also throughout the life span, is embedded in close relationships with other people. Those relationships give you a profound sense of emotional security and the feeling that someone has your back, because they do.” (Southwick, et. al, 2014) Families give us the opportunity to learn how to connect with each other. Parents can model positive connection both with each other and with their children. As children interact with their parents and siblings, they can learn through trial and error how to create and nurture positive relationships.
Practice failing: When it comes to resilience, learning how to fail without your world falling apart is a must. Failure is something that we encounter throughout our everyday lives in both small and big ways, and the family is a perfect place for us to develop a positive relationship with failure. At the dinner table, instead of asking, “what did you do today?”, try asking, “what was something you failed at today, and what did you learn from it?” Get rid of the shame surrounding failure, and teach your family how to learn from it!
Practice positivity: Gratitude and thankfulness can be an important part of building resilience in individuals and families. It helps us to move through difficulties and focus on the growth that comes from them. Finding opportunities in any situation to practice gratitude isn’t just holding on to a silver lining, it is actually actively changing your brain and inviting more positivity into your life. As a family, practice recognizing what you have to be grateful for, and share in that gratitude together.
Mental illness can both affect our relationships, and in turn, be altered by them. It is up to us to decide whether we allow them to push us apart, or bring us closer.
Think of someone you know that has a mental illness – maybe it’s you! Ponder how your relationships have changed because of mental health and reflect on what you can do to help them become stronger than ever.
References
Link, Bruce G., Elmer L. Struening, Sheree Neese-Todd, Sara Asmussen, and Jo C. Phelan. 2001. ‘‘The Consequences of Stigma for the Self-Esteem of People with Mental Illnesses.’’ Psychiatric Services 52:1621–26.
Marshall, A., Bell, J. M., & Moules, N. J. (2010). Beliefs, Suffering, and Healing: A Clinical Practice Model for Families Experiencing Mental Illness. Perspectives in Psychiatric Care, 46(3), 197–208. https://doi.org/10.1111/j.1744-6163.2010.00259.x
Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: interdisciplinary perspectives. European journal of psychotraumatology, 5, 10.3402/ejpt.v5.25338. https://doi:10.3402/ejpt.v5.25338
Walsh, F. (2016). Applying a Family Resilience Framework in Training, Practice, and Research: Mastering the Art of the Possible. Family Process, 55(4), 616–632. https://doi.org/10.1111/famp.12260
McKay Strong is from Texas. She graduated from Brigham Young University with a Bachelor of Science in Family Life. A super experienced wife of a year, McKay works full-time at a local nonprofit and has more side hustles than she should (she still doesn’t know what she’s doing with her life). She is a proud Ravenclaw and an even more proud cat mom. McKay is passionate about self-love, body positivity, healthy sexuality, and breaking the stigma against mental illnesses. Also, Harry Potter.
Think of someone you know that has a mental illness – maybe it’s you! Ponder how your relationships have changed because of mental health and reflect on what you can do to help them become stronger than ever.
