On the whole, anxiety and depression are best tackled with self care. Rest, moving away from the sources of distress, not being outside your comfort zone too much, good food, sleep, exercise… All the obvious things that contribute to good health are needed to bring a person back from mental difficulty. Some (many?) of us who suffer from anxiety and depression have terrible trouble taking proper care of ourselves.
The person with poor self esteem struggles to believe that they deserve basic, essential things. Getting the job done thus seems more important than being well. Being useful is more important than being well even if being useful in the short term may compromise your longer term viability. For me, for a long time, the idea of self-care was itself a panic trigger and if people suggested it, I’d get even more distressed. I think I’m not alone in this.
When poor self esteem underpins poor mental health, the odds are a person has internalised a lot of crap from other people. We do not come alone to the idea of being worthless, useless, and that we deserve to suffer. We may believe we’re lazy, making a fuss, a nuisance – because we’ve had prolonged exposure to people telling us these things. We believe that we aren’t really ill, that the problem is that we aren’t trying hard enough. If only we made more effort to be more positive, we’d be better people. Getting a person to believe the bullshit of positivity logic can be one of the cruellest ways of keeping a mentally distressed person trapped in cycles of ill health.
Getting out of this is not a solo project. I know this because I can look back on my own journey and see when things started to change. Wind the clock back seven or eight years and I did not see myself as a real person. I was a thing made of straw and only my usefulness mattered. If I struggled, I’d push harder, beating myself up – physically and emotionally – to keep moving. I’d name call and shame and ridicule to make myself keep going, keep working, keep doing all the things. Running on internalised hate, I’d use the energy of that to keep my broken self moving.
There have always been people happy to add to the inner hate pile, and then to humiliate me as someone who ‘just plays the victim’ on top of that. I have taken those words into every burnout with me. I’ve listened to well meaning people online telling me I needed to take better care of myself, and I’ve been afraid to do so. As though being kind to me would turn me into something even more horrible and unworthy than I’d already been told I was.
I’ve been able to change because my environment has changed. It has taken time. Support and kindness at home, for years, has had consequences. Good friends who treat me with warmth provide an antidote to the poison others have poured into my ears. Support from fellow travellers has helped create a context for looking differently at these things. I could not have done this alone.
It’s a thing about mental health that needs saying and saying again. Most of us do not fall apart on our own. We fall apart for reasons that are outside our heads. Trying to find a personal solution to this is often futile. If environments are sick, the people in them will become and remain sick. Where people exploit each other, treat each other as worthless, expendable, or mock visible suffering, things only get worse. Collective solutions are the only workable ones, and in treating each other better, and being kinder to each other we can overcome so much more. Individual positivity can’t heal much of what’s wrong. Collective determination to change things really can make a difference.