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Underlying medical conditions, such as chronic pain or fatigue, sleep apnoea/sleep disturbance, pressure injuries requiring bedrest, anxiety and/or depression can all affect your mental health. Even taking multiple medications for treatment can cause unwanted side effects.
Prescribed medications can be helpful for managing mental health symptoms but only in combination with other practical strategies (e.g., making changes to your behaviour, thinking or lifestyle). Always consider the benefits versus the risks of taking medications.
Enjoying oneself and your activities is very important for good mental health. Making ‘time for you’ and planning a 'pleasant events schedule' to do pleasurable activities each day will give you a sense of control over your mood and other aspects of your life.
Four important strategies to manage your mental health are managing your thinking, goal setting and planning, improving your knowledge and scheduling pleasant events. For more details refer to Mental Health toolbox.
Living with a spinal cord injury is challenging. Most people with a spinal cord injury adjust and cope well, becoming more resilient and able to get on with life and deal with the injury, as well as the different issues that occur and threaten your independence and mental health. Remember that your “engine room” is a powerful tool to use to think about and evaluate (appraise/reappraise) yourself, your situation, challenges and solutions, helping you to deal with whatever life throws at you!
Living with a spinal cord injury is challenging, testing your resilience and ability to cope with daily challenges. Many things can challenge your resilience, such as pain, negative thinking, changes in your relationships or level of social support, ageing with your spinal cord injury, and so on.
Living with a spinal cord injury is challenging, testing your resilience and ability to cope with daily challenges.
The “engine room” of adjustment (and for maintaining good mental health) involves the processes of appraisal/re-appraisal and coping. Appraisal refers to how you think about and evaluate yourself, your situation, challenges and solutions. This in turn leads to adoption of certain coping strategies, the outcome (success) of which (e.g., improved resilience) is reappraised and informs any further actions.
Improved resilience is the outcome of positive adjustment from the appraisal/re-appraisal and coping processes handled by the “engine room”.
Anxiety and depression may present in a variety of ways, including feeling excessively sad or anxious, nervous, tense, wound up and edgy, panicky, restless or fidgety, moody or irritable. Other symptoms of anxiety may include experiencing excessive fear or worry; having a sense of impending danger or doom; thinking the worst will happen (catastrophising); trouble concentrating; or avoiding social situations. Other symptoms of depression may include feeling hopeless, guilty, worthless or helpless; excessive tiredness/lack of energy; loss of interest or pleasure in hobbies and activities (including sex); or having difficulty with concentration, focusing and making decisions. Sleep can also be affected, and sleep disorders can play an important role in mood fluctuations and instability.
While we can all feel sad, moody or low from time to time, experiencing intense and persistent sadness, and feeling so sad that nothing can cheer you up, without any apparent reason, is a common symptom of depression.
Having difficulty relaxing, feeling restless or sleepless may be a sign of anxiety, worry, stress or obsessive thinking.
Experiencing sudden, unreasonable feelings of fear and anxiety (panic attacks) is a common symptom of anxiety. Physical responses like a racing heart, fast breathing and sweating may be different after a spinal cord injury.
It's common to feel irritable from time to time, but if you feel unusually moody and irritable or irritable all the time or on edge, it could be a symptom of stress, a mental health problem like depression, anxiety or bipolar disorder, or a physical condition (e.g., thyroid disorder).