Digital Magazine "MentalhealthCare:"

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ANXIETY IN CREATIVES DESIGNING WITH UPS + DOWNS TED TALKS: KEVIN BREEL CONFESSIONS OF A DEPRESSED COMIC TECHNOLOGY WHY TECHNOLOGY IS THE ANSWER TO THE MENTAL HEALTH CRISIS MentalhealthCare:
2 December 2022

A month or so ago, we published an article about why we need to rethink the way we discuss the knotty, complex issues around creativity and mental health. We posited that mental health issues may not necessarily be a bad thing when it comes to making excellent work, but the fact is that certain conditions and ways of thinking can render work—be that solo, untethered creative work, or 9-5 agency work—either supremely difficult or impossible.

Anxiety—true anxiety—is one such condition. It’s a double-edged sword: at times the self-criticism inherent with anxiety can encourage rigorous thinking. But that sort of detailed self-reflection can easily tip over into a state of perfectionism in which actually doing something can prove impossible. Like its frequent bedfellow depression, anxiety can strangle both a creative impulse and a person on a fundamental level.

“Feeling stressed can negatively impact your ability to generate ideas and be creative, which can be additional stressor,” says Emma Mamo, head of workplace wellbeing at UK mental health charity Mind. Further complicating matters, employees working in the creative industries, like those in many other sectors, often don’t feel comfortable talking about mental health and stress. Of the workers Mind polled who had taken off work due to stress, just 5% told their employer they were too stressed to work. The remaining 95% gave another reason for their absence to avoid telling their employers the truth.

“Anyone working in creative industries knows only too well the challenging nature of the job,” adds Mamo. “Many people tell us that despite being hugely rewarding, the combination of high stress, relatively low wages, and long hours make for a workplace that’s not always conducive to good mental health.

“This can be even more heightened if you’re selfemployed or freelancing, worrying about where your next job and paycheck is coming from, and not always having the security, routine, or line management support that you might otherwise have in a more ‘traditional’ setup.”

Of course, such anxiety—as Mind suggests—is perfectly natural considering the nature of, and pressures inherent in, working in the creative industries. As psychologist-turned-creativity coach Eric Maisel pointed out to us before, “there are scores of reasons that creative folks experience more anxiety without it being a mental disorder. If anyone had to put things out in the world like creative people do they would experience anxiety.”

But sometimes, these expected stresses are part of a condition, and they become dangerous. That’s something that designer Matt Stokes, a designer and illustrator based in Brighton, on the south coast of England, knows only too well. Stokes has struggled with anxiety and low mood for the past few years, but recently went to his doctor when it got to the point where “it affects everything—not just work, but home

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“Hardwork, attention to detail,” and paralyzing fear: the ups + downs of designing with anxiety

life,” he says. “Work might not be the thing that started me feeling anxious, but it’s another factor that makes it worse and magnifies it.”

Since seeking help, Stokes has found the CBT (cognitive behavioral therapy) he was prescribed to be helpful. “It’s made me realize that I do a lot of things already to manage stress and anxiety, and it’s helped me understand what my triggers are. It makes you talk and think about [your mental health] more.”

But Stokes notes that when it’s your job to be critical not only about how things look but why they are the way they are, it’s easy for that to seep into your own life, too. “I’m a naturally critical person, and maybe design brings it out in me more,” he says. “You have to constantly justify and defend things to people; everything I do is completely scrutinized, and you have to work through it. You have to be thick-skinned, but if I do good work I really care about it and want it to be right. Sometimes the marketing department might say ‘I don’t like the color blue’ or ‘my husband or wife doesn’t like it.’ Well, I hadn’t realized they were a key stakeholder!”

The nature of making creative work for someone else— be that a client or an employer—means that designers are up against judgement, criticism, and baffling rebukes on pretty much a daily basis. As Stokes says, it requires a thick skin; but it also requires understanding that just as having aching feet is part of being a waitress, constant scrutiny is part of being a creative.

Rob Clarke is a UK-based designer working across type, logo, and font design. He also has a family history of anxiety and OCD. “I’ve learnt to live with many of my insecurities by facing them head on, but they will never completely go away. I’m generally a happy person, but I’m definitely a worrier and a glass-half-empty kind of guy,” he says. “As designers, we are judged by our skill and what we put down on paper for everyone to see— this can eat away at your self-confidence. I may spend longer on a project, over-analyzing and reworking elements. I lie awake sometimes wondering… Have I understood the brief? Do my designs make sense? Is it drawn well? Is it any damn good? Will I get another job? Should I give up!?”

Still, Clarke describes a flip-side to his condition that many designers I spoke to for this article also mentioned. “My anxieties have probably made me a more conscientious designer. Over the years I’ve worked hard, making sure what I’ve produced is of a good standard, paying attention to detail and never missing deadlines.”

Edoardo Rainoldi, a design student based in Southampton, England, who’s suffered from anxiety for the past two years since his solo move to the UK from his native Italy, has also been grappling with depression for the past six months. He now sees a counselor weekly, and has been prescribed Xanax for acute attacks. Even so, he agrees with Clarke that anxiety has its positives for a designer. “Sometimes anxiety helps me since I always think about every problem with a project,” he says.

“I’m very attentive with every single detail and I think about every scenario in which a user could use my product. Of course, being too attentive to details can put a lot of pressure on me and my mind. The product needs to be 100% perfect when it’s delivered (as you can imagine, quite impossible) and I wonder whether I could have done a much better job.”

Yet while certain anxiety-making situations are part and parcel of being a designer anywhere, agency conditions can also play a huge role in exacerbating mental health conditions. Hannah Jones describes her last job as a graphic designer at a printing firm as a situation where she was “overworked, underpaid, treated like a factory worker, and very stressed out.” She describes being made to feel “worthless”— regularly singled out and humiliated. She became depressed, had a panic attack, and was later prescribed antidepressant medication, which she used alongside counseling in a bid for recovery.

“I think being a designer means you are always slightly anxious—you’re working to tight deadlines for multiple clients who can sometimes be very unreasonable and very poor communicators,” says Jones. “I also genuinely feel that creatives have heightened ‘imposter syndrome’ experiences compared to other

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industries. I’ve just never felt as if I’m good enough, which I think is a major trait of creatives.”

Jessica Christiana, a graphic designer at Indonesian advertising agency Dwi Sapta, has suffered with anxiety since her days at design school. She agrees that creativity and self doubt go hand in hand.

“[Anxiety] simultaneously motivates you to become better, and tells you that you’re not good enough,” she says.

“It doesn’t really help with the work because I will be stuck in the infinite cycle of ‘I’m gonna make this one good’ / ‘scrap it because it’s not as good as I expected’ / ‘start over.’ The only thing that’s moving things forward is deadline but again, with anxiety, it becomes the time when you just make mediocre work because there’s no time left and you just say ‘fuck it, I’ll just make it this way.’”

But what if you can’t reach the “fuck it” point? What if—like so many of us—the ability to say “no” is something you never quite managed to get a hold on?

Designer and founder of the agency Brand Nu Radim Malinic found himself in a position where “no” had become an entirely foreign concept: he was working 18-hour days for a year straight, and eventually had a breakdown.

“When I arrived at anxiety it was through burnout,” he says. “At first, when I was working 18-hour days I was really happy, but after 10 or 12 months when I worked and worked and worked, I felt like shit—I couldn’t even walk down the street. I had to see a counselor.

“You’re running on adrenaline and coffee—I was doing everything in excess and I didn’t realize it. I was dreaming about templates. Every day I’m working harder not to go back to that place.”

So how do you overcome that? For Malinic, it was about being rigorous and disciplined in the hours he was working, and restructuring his life to make those hours into healthy ones through learning about “deep work,” he says. “I try to compress things more in a

week day, and work from about 9 a.m. until 8 p.m., only four days a week, then Friday is for admin work. “What really helped me and my business career is meditation and mindfulness, which helped me stay in the moment and focus on what I’m doing. Five or six times a day I check in with myself through breathing exercises,” he says. However, he warns against viewing mindfulness and as easy fix—“it’s more like a muscle, you have to train it.”

It’s also about re-calibrating client expectations. “Design is a complex equation; you can’t just be put on the spot and expected to say yes to something. If stuff is worth waiting for, then a client will make time for it. Just because you put extra hours in or do it quickly doesn’t mean it’s going to be good.”

Rainoldi, the design student in Southampton, sees that design educators and employers could also do more to help their students’ and employees’ mental health, by delivering critical feedback in constructive ways, and by taking mental health seriously. Most people wouldn’t hesitate to tell their employers that they can’t come to work because of physical illness. “[Employers] should definitely put an emphasis on mental health sick days, too,” he says. “Recognizing anxiety as a health problem like a flu would help a lot, both mentally and of course physically, just being able to rest when you feel down.”

Clarke also emphasizes the importance of the way that we talk about mental health. “All employers should be aware of the different types of mental health conditions,” he says. “Designers in particular use the term ‘OCD’ as a way of describing their attention to detail when lining things up, which can be frustrating, hurtful, and only undermines the actual illness. OCD is, after all, a mental disorder and can be debilitating.”

For the individual designer who’s suffering, maintaining a sense of perspective is vital. It’s not always easy to put into practice, especially when in the grip of anxiety, but it’s worth trying to remember that work, design, and being a creative person aren’t the be-all and end-all. It’s equally important to try not to equate

6 December 2022

who you are as a professional with who you are as a person. “When I think about my output of work, it feels intrinsically linked to who I am as a person,” says Stokes.

Something that helped him enormously, alongside his own CBT, was working as a listening volunteer with the charity The Samaritans, not only because he spoke to people going through similar (or worse) situations, but also because he was learning new skills that had nothing to do with graphic design. It drove home to him the importance of openness, and in each one of us doing our bit to chip away at the stigma still attached to mental health problems; and encouraging a culture with agencies that pays more than just lip service to helping people with such conditions.

On a personal level, massive life changes have played a role in gaining perspective on things. “When we had a baby I realized there’s better things in life than just designing or creative practices,” says Malinic.

Here are some tips from Mind to help manage your mental health at work:

• Avoid working long hours. Lots of deadlines can lead to longer hours, but try to avoid this where possible because it will only leave you mentally and physically drained.

• Take a break. Actually take your lunch break and use other regular breaks to step away and get some fresh air, if possible. Regardless of how much you have left to do, it’s really important to get away from work and clear your mind. Don’t check your emails, don’t take any calls that aren’t absolutely necessary, and absorb yourself in a podcast or a book and relax. A break should be a break.

• Schedule play time. Plan something fun to do for when you get your next day off. Having something to look forward to can make a big difference. Whether it’s a visit to a museum, a walk through your local park, or a trip to the cinema, try and put something in your diary that’ll help you achieve a good work-life balance.

• Be assertive. It doesn’t matter how busy your work gets. Say “no” if you can’t take on the extra demands that are being asked of you.

• Exercise helps use the hormones the body produces under stress, relaxes muscles, strengthens the heart, improves blood circulation, and releases endorphins. Cycle or walk to work if you can. Visit your local park.Sign up (and show up) to a new fitness class like yoga, Zumba, or spinning.

• Try not to do too many things at once. You’re more likely to feel accomplished if you take on tasks one at a time until they’re complete.

• Reflect on what you have achieved at the end of each day rather than worrying about what you have left to do or what you may have slipped up on. We all make mistakes. You don’t have to be perfect all the time so don’t be too hard on yourself if you don’t get everything right.

EMILY GOSLING

em.gosling@mentalcare.com

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8 December 2022
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Kevin Breel

TED TALKS: Confessions of a depressed comic

For a long time in my life, I felt like I have been living two different lives. There is the life that everyone sees and then there is the life that only I see. And the life that everyone sees who I am is a friend, a son, a brother, a standup comedian and a teenager. That’s the life that everyone sees. If you ask my friends and family, that’s what they will tell you and that is a huge part of me. If you ask me to describe myself, I will probably say some of the same things. And I won’t be lying but I won’t be totally telling the truth either. ‘cause the truth is that’s the life that everyone sees. And the life that only I see, who I am, who I really am. There’s someone who struggles intensely with depression. I had for last 6 years of my life and I continue to everyday. For someone who never experienced depression or doesn’t really know what that means, that might surprise them to hear because there is pretty popular misconception here that depression is just being sad when something in your life goes wrong. When you break up with your girlfriend, when you lose a loved one, when you don’t get the job you wanted. But that’s sadness - that’s a natural thing, a natural

human emotion. Real depression isn’t being sad when something in your life goes wrong. Real depression is being sad when everything in your life is going right. That’s real depression and that’s what I suffered from. To be totally honest, that’s hard for me to stand up here and say. It’s hard for me to talk about. It seems to be hard for everyone to talk about and so much so that no one is talking about it. No one is talking about depression but we need to be because right now, it’s a mass of problem. It’s a mass of problem. But we don’t see it on social media, right? We don’t see it on Facebook, we don’t see it on Twitter, we don’t see it on the News because it’s not happy, it’s not fun, it’s not light. Because we don’t see it, we don’t see the severity of it. But the severity of series is this - every 30 seconds, somewhere, someone in the world takes their own life because of depression. It may be two blocks away, it may be two countries away, two continents away but it’s happening every single day. We have a tendency in the society to look at that and go, so what? We look at that and we go, that’s your problem, that’s their problem. We say we’re sad, we also say we’re sorry but we also say so what. Two years ago, it was my problem. I sat at the edge of my bed where I sat a million times before and I was suicidal. I was suicidal and if you are look at my life on the surface, you wouldn’t see a kid who’s suicidal. You would see a kid who is a captain of the basketball team, a student of the year, someone who is consistently on a role and consistently on every party. So you would say I wasn’t depressed, you would say I wasn’t suicidal but you’d be wrong. I sat by the night besides the bottle of the pills with a pen and paper in my hand and came this close to doing it. And I didn’t. So that makes me one of the lucky ones, who gets to step out the edge. One of the lucky ones who survived and this leads to my story. Four simple words: I suffer from depression.

10 December 2022
MentalhealthCare.com 11 My story is this. Four simple words: I suffer from depression.

Why technology is the answer to the mental health crisis

12 December 2022

There has been a marked increase in the demand for mental health services since the pandemic. This is likely to accelerate with the expected increase in the cost-of-living. Yet, while more individuals are seeking out mental health support, the number of psychiatric beds in NHS hospitals in the UK has fallen by a quarter since 2010, with the median waiting time to be seen by a community mental health team now standing at 13 weeks. “There are myriad factors that underpin this growing chasm between demand and supply for mental health services, but technology may provide one solution to help support services identify requirements and, importantly, intervene earlier,” explains Laura Morrill, Investment Director at ECI Partners. “Making sure face-to-face support is there for individuals is vital, but technology can still help with

identifying, evaluating, prioritising and implementing mental health support, easing processes for both patient and provider.”

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Here, Morrill shares some ways that technology can help with this.

Plugging the inefficiency gap with top healthcare technology

The process of accessing mental health support can often pose a huge barrier to those seeking help. “People struggling with mental health issues often have to fill out forms and stick to strict appointment timetables that the system requires, for example. This can lead those in need of support to fall through the safety net, something that creates inefficiencies in the system and that ultimately leads to poor outcomes for patients,” says Morrill. “Technology can provide simple fixes. For example, scheduling software can be implemented to remind a patient of their appointment with a ‘day-of’ text. Other innovations within the space include a HIPAA-compliant Zoom service which grants practices compliant video technology, and treatment monitoring capabilities that can help patients to keep track of their medication and next steps in their care plan.

“Even incorporating basic infrastructure such as online appointment bookings and electronic patient record systems will create higher quality data and greater efficiencies in the system, allowing healthcare professionals to service more patients and meet the growing demand for mental health services.”

It takes an (online) village, digital healthcare can support patients.

It’s not surprising that a study by Mind found that a lack of personal contact and loneliness during the pandemic contributed to a rapid rise in the severity of mental health challenges. Yet it’s clear that the epidemic of loneliness hasn’t subsided with the lifting of lockdown restrictions – the World Economic Forum found that chronic loneliness impacts up to one million more people in the UK than pre-pandemic.

Mental health support with apps

“To meet the challenges of the ongoing global mental health crisis, there has been a flurry of app development in this space,” says Morrill. “Apps can offer quick and convenient resources, without the need to book appointments, and provide an accessible starting point for awareness and education. They can also allow tracking of data and behaviour patterns to

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“Online communities can offer a support network and a source of socialisation for those who are experiencing loneliness. Being able to speak with likeminded people who can provide support and offer a sympathetic ear can vastly boost an individual’s wellbeing. By making connections in a safe and secure community, people can also be signposted to the correct resources to prevent their situation from getting worse,” explains Morrill.

provide a signal that help is needed before a crisis. Success stories include R;pple’s Suicide Prevention, which intercepts harmful searches around suicide and self-harm, and provides a message of hope as well as access to 24/7 mental health charity partners available via phone or webchat. “Despite the benefits of apps, it’s important to remember that there is little industry regulation and evidence around app effectiveness, which may result in healthcare professionals’ and consumers’ struggling to find the right platform. However, it’s likely that within the next five years this will shift with a tightening of regulation and a validation of clinical-quality apps. “Technology has an important role to play in helping clinicians and patients achieve better outcomes for mental health and deescalate conditions before they worsen. Whilst it is no substitute for human intervention, it can complement and streamline services to maximise efficiency and remove some of the barriers patients face when it comes to accessing support.” The mental health crisis shows no sign of abating, and with mental health services needing support from different corners, technology surely has an important role to play.

ABOUT THE AUTHOR

Helen Sydney Adams is a journalist from the United Kingdom. After securing an MA in Journalism, Adams landed at BizClik Media through LinkedIn. Despite working from home, she has managed to write across various publications, including Sustainability, Supply Chain, Procurement, Manufacturing, Healthcare and March8. Her interest in journalism came from a school project, which explored Anglo Saxon letter writing, the BBC news alert of its time. Adams hails from the West Midlands, but has kayaked through the Australian bush, toure a baklava factory in Iraq and backpacked through Communist Asia. She is particularly interested in vegan food, white noise sleep apps and the song writing journey of Taylor Swift. She is now an Editor-in Chief Healthcare Digital and an Editor-in-Chief Manufacturing Digital at BizClik.

Helen Sydney Adams

HSAdams@BizClik.com

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LAURA MORRILL, Investment Director at ECI Partners
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