Depression, anxiety, and other mental health problems: Prevention is better than cure.

Rain Cloud with rain over a man
Alison Lees Mental Health, Parenting May 30, 2017

Do you suffer from Depression? Anxiety? A substance disorder? I bet that at the very least, someone close to you suffers from either one or multiple mental health difficulties. Did you know:

  • The World Health Organisation (WHO) reports that mental health issues (such as depression, anxiety, substance disorders to name a few) contribute to 13% of the global burden of disease. This is a very high statistic considering the existence of HIV/AIDS and other prevalent diseases.
  • Major Depressive Disorder (Depression) is the third leading cause of disease burden globally.
  • It is predicted that by 2030 depression will be the LEADING cause of disease burden.
  • In low- and middle-income countries, such as South Africa, there is a treatment gap of 85% (85% of individuals suffering from mental health issues are not treated).

These statistics have alarming implications for individuals suffering from mental health issues, particularly those living in low-and-middle-income countries. Not only is the prevalence of mental health disorders like Depression increasing, the lack of treatment opportunities perpetuates an already overwhelming situation.

If you suffer from mental health difficulties, you are not alone. This is a very common problem and one that can be remedied. You do not need to suffer in silence and isolationThere is hope and help available.

If you are resourced enough to seek treatment, it is vital that you do so. There should be no shame in attending psychotherapy with a psychologist who will be able to manage your case, assist you through your difficulties, and refer you on to a medical health professional if needed. Most medical aids cover a number of psychotherapeutic sessions. For individual’s who are not able to afford this private service, government hospitals and primary health care clinics have psychological and psychiatric services available.

If mental health issues are left untreated there are a number of negative consequences that can occur, but the largest of these is the impact that they can have on our children. When we consider parenting, mental health difficulties can be viewed as “contagious” in that they can be easily passed onto our children. Establishing and maintaining a secure attachment with your child is the best preventative and protective measure against mental health issues that you can offer them. Untreated mental health issues in parents are barriers to the attachment process which in turn predisposes your child to suffer from mental health issues. The best way that you can intervene in this situation is to seek treatment for yourself and to ensure that you are engaging in a responsive, sensitive and connected relationship with your child.

This week (28 May-4 June 2017) is National Child Protection Week and we would like to highlight how Attachment-based practices can be used to protect your child, particularly against mental health issues. So practice Protection through Connection.

Smacking/spanking/hitting your child

Alison Lees Parenting, Relationships May 17, 2017

I had the misfortune recently of witnessing a mother smacking/spanking/hitting her child at a communal children’s play area. The situation leading up to this event went as follows:

A little girl, who appeared to be younger than 2, was playing next to another child who was similar in age. Their mothers were chatting nearby while they played. The little girl turned to the child and hit him in the face. The reaction of the girl’s mother to this situation was immediate. She marched straight up to her daughter, bent over her, and smacked her on her arm while at the same time saying “We don’t hit people”.

The disconnect between this mother’s words and her actions astounded me. There are a number of sad parts to this story but possibly the saddest part is that no other caregiver in the playground seemed confused or affected by this mother’s words or actions. They all went about the situation as if this is how one raises a child: you reprimand your child for hitting someone by hitting your child. I am no stranger to the concept of parents smacking their children as a form of discipline in South Africa. It is unfortunately very common and it seems that a common attitude towards smacking is: “I was smacked as a child and I turned out fine so I will do the same to my child” or “How else will kids know they are doing something wrong?”. It seems that these parents are not critically and consciously reflecting on their own childhood experiences and aren’t able to consider alternative pathways to parenting. It’s also highly possible that they don’t have a good understanding of how their children’s brains work and therefore think that their children are deliberately acting out and are therefore in need of punishment. So, we at Attachment Foundation would like to address this situation by focusing on the following facts:

  • Your toddler’s/child’s “thinking” brain is immature and only fully develops in their early twenties.
  • Because of this, your toddler/child WILL act impulsively and WILL act out. Whether they have a tantrum, scream, cry, smack, hit, kick, push, whatever. These behaviours are NORMAL and EXPECTED. It doesn’t mean you are a bad parent and it doesn’t mean your child is acting out to deliberately embarrass, annoy, or shame you. Their behaviour is an invitation for you to help them. 
  • When your toddler’s/child’s thinking brain is disconnected, they need to “borrow” yours. This means you need to be emotionally regulated (cool, calm and collected) in order to help your child in their time of need.

Smacking your toddler for behaving impulsively is like smacking your toddler for blinking. Smacking your child for acting out is like smacking your child for asking for your help. We believe that if more parents knew this, they would think twice about the way they deal with their children’s behaviour. Unfortunately, very few people know this information!

What’s more, parents who are enlightened often feel judged by other members of society, particularly other parents, as their sensitive approach to their child’s poor behaviour is perceived as “doing nothing”. It is a constant battle for a parent with a young child to be around other parents who aren’t familiar with attachment theory and child neurodevelopment. If your child behaves in a way that is perceived as “naughty” or “vindictive” then there is an expectation of you as a parent to punish them, possibly even smack them. However, if you approach your child as being in need of help and connection, it appears to less enlightened parents as if you are doing nothing. There is a lot of pressure on parents to act as if you are sorting your child out and this then prevents parents from connecting to their children and assisting their children in developing optimally emotionally.

So what are alternative options to smacking/spanking/hitting your child? Read one of our recent posts covering practical steps to staying connected to your child while they are acting out. Another great resource for information on sensitively setting limits for your children in response to poor behaviour can be found here

We need to become “evangelists” for attachment theory and attachment informed-practice. So, share this post and as much information on attachment as possible. Let’s spread the good news!