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Throughout the Christmas and New Year period, we are inundated with holiday romance movies, overwhelming social calendars and expectations to look and feel, “Merry and bright”. But for those who are struggling with their mental health, affected by the wrath of seasonal depression, it can feel like anything, but, “The most wonderful time of the year”.

Traditionally, a time for eating, drinking and being merry, the festive season can come with a foreboding presupposition for those struggling with a mental health concern or personal crisis.

When everyone around seems to be in the festive spirit, seasonal depression can make the holidays particularly overwhelming, feeling like a period that needs to be survived rather than thrived.

The holidays have long been associated with seasonal depression, reporting a 40% increase of suicide in the days following Christmas. In accordance with a survey from YouGov,  a quarter of people say that Christmas makes their mental health worse, with an additional survey from the Mental Health Foundation, sharing that 54% of people are worried about the mental health of someone they know at Christmas. 

Whether coping with mental illness, COVID separation, grief or holiday burnout, when seasonal depression creeps in, it’s consequential to recognise and prioritise combatting the symptoms this holiday period.

Some signs and symptoms of seasonal depression include:

  • Tiredness or low energy
  • Loss of interest in activities you used to enjoy
  • Changes in appetite or sleeping patterns
  • Feelings of immense lows and depressive feeling throughout majority of the day

Estranged relationships, disappointment of the year that has passed, as well as a range of other personal battles, are just some reasons seasonal depression may present itself. This holiday season, prioritising your health is the key to combatting any form of personal exertion.

Let go of preconceived ideas of what you are “expected” to do, instead alter and simplify the season to best suit  your circumstance, regardless of what that may be.

COVID Christmas

The uncertainty of COVID-19 has protruded ripple effects, seeping into the festive period, with many Australians spending their second year in a row apart from their loved ones. With travel and border restrictions still in place, not to mention the trepidation of COVID crisis entirely, it would be ignorant to view this holiday period without the present ramifications for the majority of Australians still suffering from the pandemic. 

COVID has interrupted and ultimately reshaped this year’s festive period, leaving many feeling unstable in their habitual safety nets of workplace, financial, family or living situations. The first Christmas apart from family, can feel somewhat un-conventional in comparison to the years that have passed. Although it may not feel entirely the same, managing your expectations and mindset, as well as applying a little outside of the box thinking, will go a long way this holiday period.

No two families are the same, and that goes for no two celebrations.  If you are separated from loved ones due to restrictions, stay in touch via phone and video call, as well as inventing outside of the box ways to stay connected and show gratitude for the ones you love, even if that is from a far.

Grieving throughout the holiday season

Grieving throughout the holidays will never be easy, as many become unwontedly aware of the absence of a loved one. As the holidays are a time to come together, it can be bittersweet for those who are grieving, often feeling the missing piece of a loved one and burden of loss far greater over the December to January period.

The expectations of a “perfect” season, that come in the form of favourite Christmas movies and sitcoms, celebrations and traditions can bring about reminders for those grieving wherever they turn. When you have lost someone you love, it is normal to have feelings of painful isolation, as well as incompleteness, grief does not disappear overnight in account of it being the holidays.

Healing is not an overnight process and taking the festive period at your own pace and dynamic is essential.If you are grieving this festive season, recognise the feelings as they pass, and importantly stay present with all that you love. It’s essential to express your emotions as a healthy mechanism and substantial influence in the healing process, this includes talking and crying it out, with those you trust or an experienced psychologist.

Expression, as well as placing emphasis on feeling grateful for anything positive present in your life, will offer alleviation from the heavy emotions associated with grief and tragedy.

Another strategy when processing grief, is to focus and become aware of the time you do spend with other family members and ones you love. Utilise, as well as cherish those valuable moments, as grieving can help to reminded us how precious our time is.

Reminded of the fragility of life as whole, being  present, as well as see beauty in the small and rare moments spent with the ones we love can be utilised in time spent with family and friends throughout the holiday season.

Money and Financial Pressure during the Holidays

The festive season can come at the cost of your wallet and bank account. From presents, celebrations and a little too much cause for celebration, the December to January period can often feel like a year’s worth of spending. This financial whirlwind, however, can be combatted with a little strategic plan and preparation.

Identify what is causing your financial stresses, and begin to take necessary action to alleviate as much worry as possible this Christmas. Communicating your financial worries to family and friends, is also important throughout the holidays. Not to be mistaken for complaining,  suggesting alternatives for gifting such as secret Santa as well as free alternatives when spending time celebrating, will go a long way when budgeting this holidays.

Head to Christmas on a Budget if you’d like more tips and suggestions for financial planning throughout the festive period.

Mental Health throughout the Holidays

Depression is the leading mental health condition treated by general practitioners in Australia. With Beyond Blue reporting a staggering 3 million Australians are living with anxiety or depression. With stress and depression said to arise in approximately 1 in 5 Australians as a direct result of the festive season,  it is evident mental health is fragile, and needs to be protected even at the best of times. Seasonal depression or holiday depression can occur due to the added pressure, expectation, and stress of the festive period. Typically characterised by low mood, self-criticism and low self esteem. 

Feeling low around Christmas is especially common among people who are unemployed (38%), divorced (35%) or widowed (31%).  Anxiety and loneliness are most prevalent among people who are aged from 25 to 34, at between 31% and 40%. People who are out of work also struggle more than other groups: 47% say they’ve felt stressed, 42% depressed and 39% anxious.

Visit https://www.healthdirect.gov.au/symptom-checker/tool/basic-details on advice for when to seek professional help when these feelings arise.

Managing and aiding seasonal depression 

Seasonal Depression may leave sufferers wanting to retreat and isolate themselves throughout the whole of the holiday period. However, withdrawing from social activities and situations will often only lead to feelings of disconnection, loneliness and worsening of symptoms of depression.

Connection and belonging are the most important ways to regulate your mental health. Combatting seasonal depression includes reaching out to close friends and loved ones, volunteering, or even simply being kind to strangers. These small strategies are proven to strengthen positive mood and reprogram feeling grateful this holiday period.

Be aware of personal strategies to combat the season such as staying healthy through eating well, exercise and relaxing when possible. Although it is the season for over-indulging, many find that binge eating or drinking take a toll on their mental and physical health. Moderation is key for surviving the holiday period, when normal routines are interrupted.

Although labelled  “the most wonderful time of the year”, the festive season, like any other period is improbable to be problem-free. Coping with any form of seasonal depression is best to be approached with realistic expectations. Whatever you or your loved ones are facing or struggling with over the holidays, remember that it is just one season of your story. You can plan and re-coup for the new year, re-writing your narrative, beginning with a new chapter called 2022.

If you or someone
you know is in crisis and needs help now, call triple zero (000)

Lifeline:  Provides 24-hour crisis counselling, support groups and suicide prevention services. Call 13 11 14, text on 0477 13 11 14 (12pm to midnight AEST) or chat online.

Beyond Blue: Aims to increase awareness of depression and anxiety and reduce stigma. Call 1300 22 4636, 24 hours/7 days a week, chat online or email.

It’s normal to experience grief when a child comes out as transgender. Here’s some ways that parents can navigate the process.

Ambiguous loss is the grief parents feel when they lose a transgender child to the process of transitioning. It’s called ‘ambiguous’ because it is not the concrete, tangible loss that follows the physical death of a child. For that reason, ambiguous loss may leave parents with feelings of unresolved grief.

Grief and loss are natural feelings when confronted with a child’s transgender identity because it shatters traditional images of gender. What it means to be a man or woman, girl or boy, informs much of our behaviour. This is especially true in family relationships, where roles are based on a set of pre-determined expectations for how we are supposed to act.

How a parent responds to their child’s transgender identity is critical to whether the transitioning experience is a positive or negative one.

How a parent responds to their child’s transgender identity is critical to whether the transitioning experience is a positive or negative one. It is essential that parents reframe the way they feel about their child’s transitioning, from regret and sadness to excitement about what the future holds.

The process of transitioning often challenges parents’ traditional gender role stereotypes

It’s essential because transgender and gender diverse people experience incredibly high rates of mental health issues. LGBTIQ+ Health Australia’s April 2021 report provides some alarming statistics. Of 14 to 25-year-olds surveyed, 48% had attempted suicide, 79% had self-harmed, 74% were diagnosed with depression and 72% with anxiety. A staggering 90% of transgender people aged 14 to 21 reported high or very high levels of psychological distress.

Given these statistics, it’s clear that for transgender children family support can be the difference between life and death. This is supported by research which shows that gender-affirming behaviour by family members has a hugely positive impact on mental health.

Gender-affirming behaviour by family members has a hugely positive impact on mental health.

Parents act as models to their children, based on socially and culturally constructed gender roles. Before a child is born, parents have started planning the child’s future and, usually, it’s gendered. So, having an emotional response to such a big event as a child telling their parents they’re transgender is normal. It is reasonable for parents to grieve the loss of an imagined future.

Embracing a child’s nominated gender has a hugely positive impact on their mental wellbeing

A 2020 study looked at whether parents had an emotional experience, like mourning, to their child’s transition. It was found that parents’ reactions followed the typical grief response. Not understanding what their child was going through led parents to experience feelings of denial, fear, anger, and powerlessness.

What the study revealed was that parents who best overcame their grief had a support system in place. Involvement in transgender advocacy groups reinforced the fact that, despite being transgender, their child was the same child they’ve always known. Importantly, realising their child was happy with their chosen gender had a positive impact on parental resilience when dealing with the transition process.

Research shows that children who come out as transgender already have a strong sense of their identity … They know who they are because they’ve always felt like that.

Research shows that children who come out as transgender already have a strong sense of their identity, usually from a very early age. They know who they are because they’ve always felt like that. It is important that parents understand that children change their gender to fit their identity, their identity doesn’t change because their gender does.

A child’s identity does not change just because their gender does

While there may be things that parents had planned to do with their child that they can no longer do, they will discover many new and different ways to bond with and love their child such as joining their experimentation with new clothing, helping them choose a new name or pronouns.

It is possible to remain loving and supportive while simultaneously experiencing loss, sadness, fear and confusion. Working through these feelings takes time. Just as a child needs compassion and support to navigate the transitioning process, so do parents.

Here are some ways parents can support themselves and their transgender child:

  1. Don’t give in to fear. Fear can cause parents to push back or reject their child. This fear is underpinned by love, driven by a concern that the world is a harsh place for transgender people. Make sure the child knows they’re loved and supported.
  2. Encourage exploration. Gender exploration is a normal part of a child’s development. Give children the freedom to explore their emotions about gender before they consider a permanent change.
  3. Education is key. Get familiar with the information that is out there about gender expression. There are a lot of online resources available, such as Transcend, QLife, Rainbow Door, queerspace, and Transgender Victoria (TGV).
  4. Create a safe space. Transitioning takes a long time and can be difficult. Encourage the child to openly discuss their feelings so they feel safe and protected as they transition.
  5. Families need to transition, too. Each family member must shift their thinking and understanding. Take the time to process these thoughts and any feelings of loss.
  6. Seek help. Ensure access to a team of medical and mental health experts. Identify allies at school, so the child knows where to go for support if they are bullied or excluded.

Yes, having a trans child means questioning personal views on gender. And, yes, it usually involves a lot of – sometimes uncomfortable – discussions with friends, relatives and complete strangers about the process of transitioning and what it involves. These conversations can evoke strong feelings in others that parents should be prepared for.

While the world might not always be understanding, parents can be.

But, while the world might not always be understanding, parents can be. A child might wear different clothes and go by a different name, but they’re still the person you know and love.

An understanding parent makes a world of difference to a transgender child

It’s important to remember that a parent’s grief and loss is theirs, not their child’s. Accept these feelings for what they are: natural and normal reactions. Parents need to work with their feelings, not against them.

At the same time, parents need to support, comfort, and maintain an open dialogue with their transgender child as they work through the process together. Recognise their child’s bravery and show gratitude. Parent and child will be so much the better for it.

This is a story about lost love, grief and the strength of one mother to keep going on after losing her husband the the father of her kids in a sudden and fatal accident.

On Saturday 25 June 2011, Graham Santich kissed his wife and two young children goodbye and left for work. He never returned home. A tragic accident on Perth’s Mitchell Freeway left a family shattered and struggling to find a new sense of normal without him.

The Santich family were in a state of bliss with their tenth wedding anniversary celebrations quickly followed by the birth of their second child Darcy, a much loved brother for three year old Charlotte. Sadly, their time together as a family of four was to be brief. Just eight weeks.

Michelle, still recovering from the caesarean delivery, vividly remembers the phone call from police telling her Graham had been in a car accident and how her world stopped in an instant.

“I have thought back many times to things that happened that day,” she recalls. “I was at the shops with the two kids when the police called and told me Graham had been in an accident and I needed to get somebody to drive me to Royal Perth Hospital as soon as I could. All I could think was that he was not going to make it and had horrific images going through my mind of what he might look like when I finally got to him.”

Her parents rallied to her aid, and soon they were met by uniformed police at the emergency department doors and led to a small conference room.

He was perfect. His eyes were closed. He looked like he was sleeping. There looked to be nothing wrong with him.

“It was then that I really knew,” she says. “I knew he was gone and the police confirmed my worst fear.”

Reliving the events, Michelle recalls seeing Graham for the first time after what seemed liked an eternity, on a hospital bed, in a hospital gown, with not a scratch on him.

He was perfect,” she says. “His eyes were closed. He looked like he was sleeping. There looked to be nothing wrong with him.

“I am grateful he looked the way he did but it was also very confusing, because what was in front of me didn’t match the images in my head.”

The details surrounding Graham’s death quickly raised more questions than answers. Police explained their suspicions that Graham had passed out while driving. It was a relatively minor accident, with minimal damage to the car. He became a case for the Coroner. And so began the long wait for answers.

The question of organ donation was raised and consent was given to retrieve his corneas. DonateLife quickly became the liaison between Michelle and the Coroner because, despite the retrieval, a transfer could not be made to a recipient until a cause of death was found.

In the weeks after the accident, as Michelle and her family struggled to come to terms with their loss, DonateLife offered counselling and information packs which included Bunnings vouchers to purchase a tree to grow in his memory. Michelle now utilises the free counselling service, which also provides some counselling to young Charlotte, and attends support groups.

Michelle describes one of the things that plays constantly on her mind is the memories the children will have of Graham and how the organ donation services have offered them ways to make special connections to him, including adding his name to a memorial wall at Lake Monger honouring all Western Australians that have made the ultimate gift and donated their tissues and organs.

“Since Graham passed we have always told Charlotte that her daddy is magic and lives amongst the stars,” she says. “So when DonateLife adopted a star for WA Donors, it gave us a place to send our goodnight wishes. Charlotte is always so eager to see if her daddy’s star will be the first one out.”

“As time goes on I know I am going to become more my own person and less the person I was with him. I don’t want to but I can’t stop it. I hate this new sense of normal.”

“For me, putting his name on the wall and having the coordinates to a star gives us more connections to him, more than just our memories. The kids will always know their daddy was someone special and did something wonderful. It gives us places to go and prompts us to tell stories about him.”

But it is the lack of personal memories the children will have that causes Michelle angst, in particular that Darcy will never have memories of his own and eventually Charlotte’s will fade.

“While family and friends will tell stories and teach Darcy about his dad, the difference will always be that Charlotte will have three years worth of photos with him, while Darcy has very few,” she says.

“I still go over the accident in my head and ask why him, what could I have done differently, worrying he was alone and if he suffered, and my anger that no one stopped to help him.

“I hope Darcy will develop a strong connection with Graham through our family, our love and our memories. I know that Charlotte will always feel close to him, she was his little girl and they thought the world of each other.”

Michelle has tried hard to establish traditions in his memory such as taking the kids to the beach and collecting shells on Graham’s birthday, something he loved to do with Charlotte. On his anniversary there is the Crackerjack Cup lawn bowls tournament at the Fremantle Bowls Club, the place of his wake and where he spent many hours as a keen player.

Meanwhile, balloons and rainbows have become symbolic with balloons often released in his memory and rainbows bridging a connection to his unforgettable grin.

“Any chance I can get to keep remembering him, I do it. I want to feel like he is still part of our family and to include him in our lives even if though he isn’t here,” she says.

The question of organ donation was raised and consent was given to retrieve his corneas. DonateLife quickly became the liaison between Michelle and the Coroner because, despite the retrieval, a transfer could not be made to a recipient until a cause of death was found.

Listening to Michelle describe how she is learning to live with only half a heart without her soul mate, it is obvious the love and adoration this couple shared. Michelle describes Graham as loyal and loved by many.

“He was one of those people who made friends wherever he went,” she explains. “He always had time for his family and was passionate about sport and music of all genres, and he was exceptionally dedicated to his landscaping business. But above all he was thrilled to be a dad, uncle and godfather and was always full of life when he was with the kids.”

Michelle recalls how she often had to pull the reins to get him to hurry along putting Charlotte to bed after numerous songs, books and giggling, and how at birthday parties he was termed King of the Kids, usually swamped by a pile of ankle bitters vying for his attention. But for Graham, it was never a chore. He saw it as a privilege and revelled in it.

“As much as I still expect him to walk through the door each night after work and sometimes still pick up my phone to send him a text, I have settled into this new life and it is hard to accept, especially because it is starting to feel normal without him. As time goes on I know I am going to become more my own person and less the person I was with him. I don’t want to but I can’t stop it. I hate this new sense of normal,” she says with a heavy heart.

An answer to his death finally came almost five months after the accident. The Coroners Court ruled that Graham died from choking. Michelle still finds it incredibly hard to accept this simple answer.

She, like many others, suspected the Used car, which he had owned just two days, had played a part in his passing. But other than perhaps isolating him from vital assistance, three independent mechanics ruled the car played no role.

“I have had lots of appointments with police, DonateLife and even the Coroners Court to try deal with my ongoing confusion about how he died,” she says. “I still go over the accident in my head and ask why him, what could I have done differently, worrying he was alone and if he suffered, and my anger that no one stopped to help him. More recently I have struggled with the terminology used to represent his cause of death.”

As horrible as the circumstances, Michelle marvels at the love and beauty she has discovered exists in the world through the seemingly endless lengths of support and friendship offered, at times from complete strangers.

As horrible as the circumstances, Michelle marvels at the love and beauty she has discovered exists in the world through the seemingly endless lengths of support and friendship offered, at times from complete strangers. She explains there have been donations to a trust fund for the children, grocery shopping and cooked meals, Graham’s business suppliers wiping their bills, his favourite football team signing a card and the drummer of one of his favourite bands visiting and having a mini jam session with Charlotte, and everything in between.

“I know people often didn’t know what to say or do but somehow they got the balance right. And clearly the willingness to help me and the kids is a testament to the person Graham was and the influence he left on the world,” she says.

And so the saying goes, and never rings more true than here, if love could have saved you, you would have lived forever.

 

For more information on becoming an organ donor with DonateLife visit www.donatelife.gov.au