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CREST.BD Self-Esteem & Bipolar Disorder Slides

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A warm welcome to CREST.BD’s Bipolar Wellness Centre webinar series! These webinar slides provide a summary of current research evidence on the relationship between self-esteem, bipolar disorder (BD) and quality of life (QoL), as well as pointing you to some tools and resources to help you flourish in terms of your self-esteem.

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CREST.BD Self-Esteem & Bipolar Disorder Slides

  1. 1. 1 CREST.BDBipolar Wellness Center Webinars Connect. Learn. Engage.
  2. 2. 2 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Self-Esteem
  3. 3. 3 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BDCREST.BD Self-Esteem Featuring: Dr. Stephen Hinshaw CREST.BD Member, Professor of Psychology and Former Chair of the Psychology Department, UC Berkeley and Vice Chair for Psychology, Department of Psychiatry, UC San Francisco
  4. 4. 4 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD The good and the bad of life with BD Self-esteem, self-compassion and self-stigma Self-compassion, self-stigma and BD Why increased self-compassion and decreased self-stigma are important to your QoL How you can take action Tools and resources Webinar focus
  5. 5. 5 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD The good and the bad of life with BD The good side: With optimal support, care and empowerment, people with BD can flourish, leading healthy, fulfilling lives, making creative, innovative and important contributions to society
  6. 6. 6 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD The good and the bad of life with BD The bad side: The world can be a tough place for people with BD • Symptoms • Impairments • Stigma
  7. 7. 7 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Boosting self-esteem has been a popular pursuit on the path to mental wellness Self-esteem, in and of itself, may be overrated • Too low, and motivation suffers • Too high, and motivation suffers for different reasons Self-esteem, self-compassion and self-stigma Self-esteem
  8. 8. 8 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Includes the desire to ease suffering and heal with kindness. It involves: • developing an attitude of non-judgment and kindness towards pain, flaws and failures • seeing experiences as part of a larger common human experience • doesn’t necessarily imply passivity Self-esteem, self-compassion and self-stigma Self-compassion
  9. 9. 9 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Stigma strong for all forms of mental disorder, with BD no exception Stigma constitutes stereotypes, prejudice, and discrimination Self-esteem, self-compassion and self-stigma Stigma
  10. 10. 10 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD structural social self-stigma Self-esteem, self-compassion and self-stigma Stigma occurs at three levels:
  11. 11. 11 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why do structural and social stigma occur? Structural Reasons: System justification, in hierarchical societies (all!) Conditioning: Pervasive media images of violence, incompetence Dehumanization: Perception that person with mental illness isn’t fully human Single word changes perceptions1 Self-esteem, self-compassion and self-stigma Stigma 1 Martinez, A., Piff, P. K., Mendoza-Denton, R., & Hinshaw, S. P. (2011). The power of a label: Mental illness diagnoses, ascribed humanity, and social rejection. Journal of Social and Clinical Psychology, 30: 1-23.
  12. 12. 12 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Self-stigma and BD Nearly all members of stigmatized groups are aware of the culture’s stereotypes/beliefs/practices Thus, likelihood (though not certainty) that such individuals will internalize these beliefs Antidotes: identity, group solidarity Double whammy: disorders themselves likely to fuel demoralization, but self-stigma multiplies the risk
  13. 13. 13 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Self-stigma and BD People with BD view themselves negatively2 Research has shown that people with BD describe self-stigma as a common occurrence — identifying shame, self-blame, self-doubt, low self-judgment and self-loathing as part of their daily experience of living with BD3 2 Nilsson, K.K., Jorgenson, C.R., Craig, T.K.J. et al. (2010). Self-esteem in remitted BD patients: a meta-analysis. Bipolar Disorders, 12: 585-92. 3 Suto, M., Livingston, J.D., Hole, R., et al. (2012). Stigma shrinks my bubble: a qualitative study of understandings and experiences of stigma and BD. Stigma Research and Action, 2: 85-92.
  14. 14. 14 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Why increased self-compassion and decreased self-stigma are important to your QoL Higher self-compassion linked to: • lower levels of stress, anxiety, depression4 • increased happiness, optimism, independence, social connections and QoL5 Even controlling for initial levels of symptoms, self-stigma predicts: • lack of treatment seeking • early termination from treatment6 4 MacBeth, A. and Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compass ion and psycho-pathology. Clinical Psychology Review, 32(6): 545-552. 5 Neff, K.D., and Costigan, A.P. (2014). Self-compassion, wellbeing, and happiness. Psychologie in Österreich, 114-117. 6 Sirey, J. A., Bruce, M. L., Alexopoulos, G., Perlick, D., Raue, P., Friedman, S., J., & Meyers, B. (2001). Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. American Journal of Psychiatry, 158: 479-481.
  15. 15. 15 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action A portable source of support, available 24-hours/day, 7 days/week May be especially important when first diagnosed with BD Self-compassion helps to counter stigmatizing thoughts (e.g., of being ‘damaged’ or ‘weak’) – helps instead to adopt an attitude of accepting human vulnerabilities and imperfections Similarly, can be helpful when you get stuck in “should” statements (e.g., “I should be able to manage my symptoms without help”, “I should snap out of this depression”) Self-compassion
  16. 16. 16 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action Not something you inherently have or don’t have: a commitment you can practice Just like developing any habit, takes a bit of effort to establish this new behavior First step is learning to be sensitive to your own needs and distress Self-compassion
  17. 17. 17 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD How you can take action: CBT approaches When you have distorted negative thoughts about yourself, e.g., “No one called me today, so I must be unlovable” Try checking the facts by asking yourself: • Do these thoughts help me? • Am I seeing the complete picture? • What other perspectives might there be? • What would I say to a friend in the same situation? • Am I ignoring any positives in this situation?
  18. 18. 18 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Shift your focus to your positive qualities and accomplishments, judging these in terms of your own values Set behavioural goals: activities that you are going to begin or increase that reflect your personal values How you can take action: CBT approaches
  19. 19. 19 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Tools and Resources
  20. 20. 20 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources Self-Compassion This website is by one of the originators of Mindful Self- Compassion, Dr. Kristin Neff, and has many self-compassion exercises, video and audio clips and readings. http://www.self-compassion.org/
  21. 21. 21 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Resources That’s Just Crazy Talk DVD DVD recording of a play written and performed by mental health educator Victoria Maxwell, who lives well with BD. The play has been the focus of two research projects that showed it was effective in reducing stigmatizing attitude towards people with BD, in particular in healthcare providers. http://www.victoriamaxwell. com/?product=thats-just-crazy- talk-dvd
  22. 22. 22 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD For more information and resources, visit our Bipolar Wellness Center at: http://www.bdwellness.com/ To assess your quality of life, visit our QoL tool at: http://www.bdqol.com/
  23. 23. 23 Bipolar Wellness Center Webinars Connect. Learn. Engage.CREST.BD Acknowledgments

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