The rise of mindfulness & resilience — are we putting a plaster over the need for serious mental health care?
Self-managing your mental health is great, if you are mentally well enough to build your own toolkit of resilience and can find the energy to make sure you roll out that yoga mat and do your five “ways to wellbeing” every day.
It’s really important we all take steps to look after our own mental wellbeing through things like practising mindfulness, which can reduce stress and increase your ability to control your emotional responses to everyday situations. However, I’ve been really sceptical over the past couple of years re: the boom in self-care messaging and the narrative around personal resilience.
It seems to me that these ideas are being promoted in the lethal absence of properly funded NHS, social care and third sector mental health support services and initiatives, pushing the responsibility of looking after your mental health onto you, as the person who may well be struggling too much to even look after your basic physical needs, let alone engage with these lovely ideas of wellbeing. What’s more, some of these have been exploited into business ideas, with many small companies now pushing (often quite dodgy-looking) products or commercialised fads designed for wellness and self-care (this can put people off the whole idea, meaning they might not engage with the bits that actually work like meditation).
It’s similar to the way Universities offering puppy therapy is nice, but that’s about it. It’s a lovely way to promote de-stressing, but it absolutely cannot be funded in place of a fit-for-purpose counselling system that doesn’t have to close its doors to students every term and can offer an adequate number of appointments. Mindfulness, stress-relieving activities and other techniques for better mental wellbeing have a really important part to play in the prevention of mental health difficulties spiralling into enduring conditions, but they can never be used as a stand-in for professional, specialised support.
Along the same vein, the idea of resilience should be promoted as a positive tool to get better at recovering from setbacks in your life without them wiping you out, which is a very possible and very positive goal for most people, but should never be used to shame people for not being able to cope. As a little side note, I think resilience has grown as a concept almost as a response to the “special snowflake” narrative that surrounds my generation —you’ve probably heard some variation of “toughen up, we just got on with it and we’re doing just fine” (spoiler — they’re emotionally repressed and definitely not doing just fine). My generation, more than ever before, powerfully owns its emotional vulnerability and looks out for others’ feelings, rather than shoving everything deeply into a vault or treating people poorly, and that apparently makes us weak or another buzzword of the bitter over-50s: “triggered”. It’s a load of cr*p, so don’t take it.
A really key point, moving away from my bashing of older generations (#notallover50s), is that resilience and self-care cannot be taught without also teaching people that it is absolutely okay to not be able to handle things by yourself sometimes — loving yourself is about listening to your mind and body telling you when it’s time to get help.
But there’s a problem with pushing that message, one of “ask for help if you need it”, because I see so many other young people building up the courage to finally reach out for help only to get placed on that absurd waiting list or be told they’re too ill or not ill enough. Hope is lost, problems spiral, and the responsibility for caring for an individual falls back on the shoulders of unqualified friends and family. Our support services — charities, NHS support groups, specialist advisory organisations — are on their knees, inadequately funded organisations are overwhelmed by the increasing volume of people needing serious help for issues of mental health, and now more than ever we need to remember that health is a human right.
The last time I checked, less than 2% of the public health budget was spent on mental health. Suicide is now the biggest killer of my generation. I am devastated that we still live in a society where we lose people to service waiting lists and support inaccessibility. I’ve seen too many friends faced with the horrible reality of not being able to find help for their eating disorder because the BMI threshold has been narrowed, or finding themselves on a year-long waiting list for support from the local support after rape and sexual assault charity, or unable to afford private counselling. In Leeds, many of our local services have 8+ month waiting lists or are closed for further referrals, like IAPT (now Leeds Mental Wellbeing Service) which offers CBT and counselling, Leeds Mind, Leeds Personality Disorder Service, and Leeds Women’s Counselling and Therapy Service.
Ideas of mindfulness are actually a small beacon of positivity to emerge from what I don’t shy away from calling a crisis, but I’m scared to see them taking over the conversation and dimming the spotlight that needs expose the dangerously weak state of our mental wellbeing services. The majority of mental health issues are formed before the age of 24 (and a lot are formed much earlier), so we need to be really careful with how we promote these concepts in schools to make sure young people know how and when to reach out for serious help, and more importantly, they need to know that services for young peoples’ mental wellbeing exist and are actually fit for purpose.
It can feel incredibly helpless to face this situation as an individual. Clearly, we need large-scale and systemic change from our government, fast, including a massive shift of funding and resourcing into mental health and welfare services, and that’s a huge battle to fight on your own. This Universities Mental Health Day, if you are a student, I want to encourage you to take any action you can to lobby our out of touch politicians to pay attention to the critical reality of the situation. Get involved with Student Minds or other amazing charities like Young Minds, write to your MP, or check out Youth Access’ Make Our Rights Reality ‘Our Minds Our Future’ campaign. I’ve signed up for rights advocate training on the 29th March in Leeds with the Youth Access campaign, and it’s all about that fight for mental health to be treated as a human right — find out more about how you can join here, but if you’re looking for something a little lower-energy, sign their petition here.
