Day Two: First

When life comes along with a challenge or a task which seems complicated or overwhelming, many people ask the question, "What do we do first?" It's the natural human way of approaching something that has lots of pieces, parts, steps, or that seems difficult to understand or navigate. First steps are important to get right because they can often determine the course of things or the order of any steps which come after it. They may even determine the outcome of a particular endeavour.

When you realise or someone else realises that you are experiencing symptoms of what may be a mental illness, it is the perfect question to ask. There are a few different first steps that can be taken when this is the case:

1. Make an appointment with your regular doctor. 

At this appointment, talk to him or her about your concerns and your symptoms. As your regular doctor knows your medical history, he can use that to determine if perhaps your symptoms are related to an issue you already have and if so, what the appropriate action is. He may order blood or imaging tests to rule out certain physical illnesses which may have symptoms that are the same as what you are experiencing. He may prescribe medication or change a medication that you already take. He may also go ahead and refer you to a psychiatrist and/or therapist.

2. You can make an appointment with a therapist or psychiatrist.

If you have many symptoms that seem to fit a particular mental illness and you are reasonably sure you aren't physically ill, you may choose to do this as your first step. Like meeting with your doctor, a psychiatrist or therapist can help you understand if you do have a diagnosable mental illness that needs therapy or medications. If you do not have a diagnosable mental illness, a therapist or psychiatrist can still help you in dealing with the symptoms or particular challenges of whatever is actually going on which is causing the symptoms -- including if it's caused by a physical illness of some kind.

3. If you realise you are having symptoms of a mental illness, but no one else around you has noticed, tell someone.

This is a hard first step, I know. It requires a lot of courage and some discernment too. It may be the very last thing you want to do, but it's critical if you want to get better. I know that sounds like I'm exaggerating, but it really is that vital. If you have a mental illness, you're going to need a strong support system outside of your doctor and/or therapist. You're going to want someone you can call or text or visit with who will listen, be there for you, and walk with you through it. Since not everyone is equipped to handle being that kind of support, that's where the discernment comes into play. You want to choose someone who you trust and who you know you can count on when things get hard. Ideally, this should be someone who is close enough to where you live that you can be around them in person, but it doesn't have to be. Even better would be for you to have more than one person you can talk to about things, so that if one person is unable to be there in a given moment, you've got other people you can turn to when things go pear-shaped.

4. If you don't have anyone you can tell how about your symptoms, try calling the National Suicide Prevention Lifeline at 1-800-273-8255 (TALK) and talk to someone there. 

You don't have to be suicidal to call them. They are trained to listen and can offer a way of venting your feelings if you have no one you can turn to in your day to day life. They can also provide you with resources to find help in your area if you don't know where to start looking. I keep this number in my phone for myself for those times when I know that my support people are either tapped out emotionally or physically or when they're unavailable for some reason (like being out of contact because of vacation or limited access to phone or the internet). I have called a few times as well when I had my normal supports available, but was struggling to reach out to them like I normally would. The Lifeline is a great resource for anyone who is struggling with mental health issues and for those who are part of their support team.

Just as there are positive first steps you can take as you start a particular task, there are ones that, if taken, will make your task all the harder. With that in mind, here are three "first steps" to avoid:

1. Staying silent and trying to go it alone. -- Silence helps no one, least of all, you. If you're dealing with a mental illness, going it alone and trying to muscle your way through it in silence will only work for so long. Ask me how I know this.

2. Freaking out and doing nothing. -- This is a hard one to avoid because it's a very common reaction when you're dealing with something that is as overwhelming as the symptoms of mental illness can be. Also, no one really wants to have a mental illness, so freaking out is pretty normal. Just don't let it stop you completely.

3. Ignoring the symptoms in the hope that they will go away. -- If you have a diagnosable mental illness and you do this, I can guarantee you that it won't work and it will only make things worse. It won't help if your symptoms are the result of a physical illness either. Trust me. Ignoring things and trying to distract yourself from what you're feeling may work temporarily, but in the long run, you'll need some help from professionals in one way or another.

If you follow the first steps mentioned above (and avoid those other first steps), you will be glad you did. It's a pretty tired old adage, but it's true when people say that the first step is the hardest. It is. That first step takes immense courage and when you're already feeling so vulnerable, that can be even harder. Know this though: you CAN do it. You can! I believe in you! Go forth and conquer that first step! Once you've done it, you'll be on the path and then, it's just a matter of putting one foot in front of the other and taking it one step at a time.