Showing posts with label Mental Illness. Show all posts
Showing posts with label Mental Illness. Show all posts

Friday, 17 April 2020

Mental Illness is more than just depression

Last year I was really honoured to be asked to give one of the keynote speeches at Equity's first ArtsMind Symposium. I had been invited to discuss the journey that I had been on whilst initiating the #time4change Mental Health Charter, and I also got to discuss the highs and lows of running a college that is taking a whole school approach to mental health.

BAPAM had recently published their consultation paper about the mental health difficulties our industry faces and had also made some recommendations about a more productive and helpful way to move forward. Interestingly they were recommending a whole school approach as the most effective, and also discussed the possibility of moving towards a clinician lead system in drama colleges.  The MTA has only ever operated with such a system, so it was interesting to discuss the realities of this (The MTA now being in its 11th year). The synopsis was this really - early intervention is key, and by getting our community to understand that mental health is no different to physical health, we could help to prevent or decrease a personal mental health crisis. See the physio when you first suspect that there's an injury, and you're more likely to make a quicker (and often stronger) recovery, see a mental health specialist when you first recognise some symptoms and the same rules apply.  The difficulty being of course that most of us recognise early signs of physical illnesses, but very few of us recognise early signs of mental illnesses. Indeed that was the entire point of the charter - to get those symptoms (and maladaptive coping mechanisms) more widely known.

Within my speech though I also spoke at length at how I felt that the mental health conversation had gotten sideswiped by the conversation around wellbeing.  I noted that having campaigned for 6 years to have a more honest conversation about mental health, somehow in the past year or so the conversation had been sanitised. As great as it was to see more and more people recognising their own struggles and indeed naming them as part of their process, or as a way to get 'the message' out there, the conversation had taken an interesting diversion, and one which I felt wasn't particularly helpful.

Mental Health had somehow turned into Wellbeing and in doing so we had lost Mental Illnesses within the discussion. A social media statement about a bad anxiety day usually turned into a list of people saying that it would be OK, that they were around if that person needed somebody to talk to, or people just sharing their own mental health struggles in a bid I suspect to show the original poster that they were not alone. What I noted though was that it was unusual to see a possible solution in the replies. It was rare to see a response asking whether the person had checked in with their doctor. For a surprisingly large number of mental illnesses, you can expect to live in a symptom-free world. Yet the answers to the posts didn't have that expectation or offer up that hope.

Wellbeing was everywhere. For every great mental health article there would be one stating that the 'cure' was much simpler than people realised. One of my students actually wrote a great ranting post about how if it really was as simple as eating a healthier diet (for example), don't you think that they would have tried it? The reality was much harsher, and by 'helpfully' sharing the Daily Mail's latest take on 'How to cure depression' they were actually unwittingly sharing a belief that mental illnesses were avoidable. That it was a weakness of the person, as opposed to a genetic, chemical or environmental cause.

Then somebody else pointed out to me the dangers of these articles. For somebody who is seriously unwell and who has potentially lost their grasp on reality, reading all these 'cures' was actually feeding the illness not satisfying a cure. As they limped from article to article believing that each one would 'make them feel OK', they were also getting more and more unwell.

I noted in my speech that we had completely whitewashed the ugly side of mental illness. How self-destructive it can be, how an illness can almost manipulate a person's personality to make decisions that they would never make when well. Some illness really do take over the person's personality - we've seen it time and time again at college, as people slowly alienate themselves from their friends because reality is moving further and further away from them. I could go on - but you get the picture.

Mental illnesses don't manifest themselves in the way that many people think. The critically depressed person isn't necessarily the one that's telling you that they're low - indeed they're more likely to be the one that's telling you that they're fine. Anxiety isn't just about feeling worried - the physical symptoms are often more debilitating. Basically what I'm saying is what we see on people's social media might be a manifestation of something rather serious going on for somebody, so maybe it's better to say nothing rather than piling on to tell whoever that they're damaging everybody else's mental health. Maybe right now they are so fragile we should just leave them be (as hard as that is).

Our words are powerful and whilst a statement can often feel like an empowering thing to do I wonder if it is? Report accounts to the relevant complaint handles then just block them. Don't go back to see what they've done 'this time' . . . walk away from it. Do we have to announce that we've blocked or reported someone? Do we have to encourage others to do the same? Could we all just use our own autonomy and trust that others will do the same? If it's really bad and you feel really strongly about it, could you sound your battle cry offline? Literally, the world is vulnerable right now, so it doesn't take much encouragement for us all to rush to 'protect' people or in our case an industry that is struggling. However, there's a difference between the lone warrior and the organised hate groups.

We are all throwing the 'Be Kind' hashtag around, whilst very often have forgotten to do the same ourselves. Many people will discuss the impact of a feud on their own mental health, but what 'if' the person that your fighting against is ill and you just don't recognise those symptoms? For sure even an ill person can take responsibility for their actions and their words (unless they're psychotic), but can you be sure that your response won't tip them over the edge? Is the defence of 'well they're not being kind' a valid excuse for us to stoop to their level?

Words matter right now probably more than ever. . . but remaining curious to the possibility of the ugly side of mental illness might make a big difference too.

Stay safe

Wednesday, 8 April 2020

So. . . I now run an online college?

The MTA's strange academic year worked out well in terms of the CoronaVirus lockdown. We were incredibly lucky that we managed to complete our 5 performance run of our flagship revue show - Something Old, Something New.  Whilst it's important to note that it's not our Showcase, it is an important production to start introducing our graduating year to the industry.

However, our timeframe did mean that we were able to chat with our students before we ended the term and reassure them in person about how we were going to run an online college if the UK did follow the rest of the world and get put into lockdown. We were even able to chat through roughly how it might work.  We were lucky - 2 days later that's exactly what started to happen. Even though we were then on holiday I did a quick live stream to our private group to remind them not to panic as we'd already spoken about what would happen.


I don't know about anybody else, but I must confess I never had a backup pandemic plan up my sleeve ready for a global shutdown, and with no tech department to help me, I think that I undertook the biggest learning curve of my life (and I thought that I'd already made that journey when I opened the 'real' college 11 years ago). However, I had just 2 weeks to create The MTA Online. One of the things that I felt would work in my favour was that when I created 'the other MTA' back in 2008 I had consciously created a course that I could run and monitor remotely. The idea being that after the college was up and running I could go back on tour and continue to run the college in between my 'real work' as an MD*. The college has a policy that all staff have to be currently working, so the online infrastructure was actually already in place and part of our everyday life.  Our classnote system is online, the timetable is online, there's not a day that goes by where we're not communicating with them via private groups, etc. So it was just the actual teaching to sort out <gulp>

So then it was hitting each problem in order of urgency. The priority was to ensure that all the agent 1:1 auditions could at least be offered in an online format.  So I first made friends with Zoom. What a fast-moving world we all live in isn't it? Suddenly we're all speaking about meeting up in zoom, yet most of us had no bloody clue about it before the pandemic.

The majority of agencies immediately agreed to move their auditions with our graduates online, so that was my first relief moment. We wanted to reassure the students as quickly as possible (even though they don't graduate until September I was aware that they were seeing all the #UK2020grad posts going up which were bound to make them anxious even though they were not in the same position as those graduates that had lost their showcase), so back I went online to live stream some more reassurance. I felt that it was important to be 'present' as opposed to just posting notices.

The next job - was to move our 100% vocational course online.  Finally, after a few years of really fighting against the 'establishment' because I've refused to turn our course into a formal qualification (because our industry is vocational and therefore it's the training that's important not the piece of paper in terms of getting you into the audition room), The MTA came into its own. We could literally rewrite the course to ensure that this would be a valuable term for our students. I was so mindful that they were still paying their fees so I had an obligation to give them value for money albeit in a different way. I was also mindful that our industry had literally had the rug pulled from under it. The MTA has a faculty of very loyal freelancers - the very people that had completely lost their income. So I wanted to try and help to support as many of them as possible too. After all, a college is only as strong as its students AND faculty.  I felt that there was a moral obligation to try to help (if possible)

So emails were sent out explaining that we were going online, and if they wanted to continue to teach for us, they needed to work out how to run online classes. My only stipulation was that the classes had to be interactive. I felt that videoed classes wouldn't allow us to watch and correct the students in real-time, and therefore not achieve the aims of the course which would, in turn, impact the progression that we needed the students to make this term (pandemic or not)

Suddenly I had an entire faculty on the learning curve with me. With that cog working away in the background next up we had to move our auditions online for our 2020 intake. Once again I didn't see the value of them sending in a self-tape as we wanted to work with them, we wanted to interact with them. The MTA's whole day audition is all about getting to know the people, not just the talent. Cue several senior faculty zoom meetings as we worked out how best to run the online audition. Suddenly lockdown was our friend, as when we needed volunteers to help us work it out we were never short of students and graduates willing to pop into the 'virtual' room to help us try out our latest idea.  A plan was formed, the auditionees were notified and before we knew it my senior faculty and myself were all in a virtual room with several complete strangers.

This turned out to be our lightbulb day though. Whilst for sure there were limitations online, it also offered up so many great things. In many ways, we actually preferred the online audition, and it's certainly going to prompt a serious discussion once the dust has settled about how we audition people moving forward. We already offer a free online first-round audition in a bid to save people money, maybe there's a way to move the main audition online permanently - saving them a fortune in travel & often accommodation. Maybe we could offer both options? I don't know. . . but definitely watch this space.

Having experienced a few hours in the 'virtual' college, we all started to realise that there were endless possibilities that we could explore. The MTA does a 50/50 stage/screen split anyway, so actually working with a lens between us offers us lots of opportunities to explore. We live in a world where more and more auditions are via self-tapes. What an amazing chance we had to really focus on all of this stuff.

The dance staff met up and all were confident that they could offer worthwhile online dance classes, voice, and acting were easy to transfer online. Strangely enough, singing was the hardest area, as whilst 1:1 singing lessons could happen with ease, group singing is just not feasible in our 4G world.  After much asking around it seemed like my only option was for the students to mute their mics and sing to a screen? Our students are not singing for pleasure, they are singing to enhance their skill set, we're looking at the nuances of group singing. They might have been blending beautifully, their harmony line might have been divine - but the tutor would never know. However, we did know that the 1:1 stuff worked really well.

Still on holiday we had another live-streamed chat with our students (& graduates. . . as we have a college for life policy and therefore I needed to check in with them too), and as part of our 'checking in with your mental health' chat, we were chatting about what people could do during this lockdown, and lots of people started chatting about learning to play 'that instrument' that has sat in their room for years but they've never had the time to learn it. Cue the next idea. We are not an actor-muso course, nor do we aspire to be, however we all know that instrumental skills are incredibly useful to a performer. So a quick check who could gain access to a guitar to check that my plan would be worth it - and suddenly 75% of the college are now having weekly guitar lessons. Learning in streamed groups expect to see something spectacular at next year's revue (she jokes, but not really).  Then a group came to me as they had access to a keyboard, could we teach them how to play the piano? We're currently putting this in place.

In our senior faculty meeting, we were chatting about the fact that literally, everybody was available right now - so we should try to get some good Q&As and masterclasses going, as they'd work well with this format. It would also mean that our students always had something to look forward to. Days and weeks of lockdown monotony were going to hit hard. We needed to offer them something to be excited about. What an amazing opportunity this online term was going to offer us. Of course, being online meant that we weren't limited to UK guests - so off I hopped over to Broadway (virtually of course), and with the help of our friends, we suddenly found ourselves with one hell of a term. Q&As with film directors, Dexter Fletcher & Joe Wright, writer David Eldridge returns to the college, masterclasses with Cassidy Janson & Annalene Beechey, Q&As with Broadway stars Claybourne Elder, Laura Osnes, Julia Murney, Kara Lindsay, with West End stars Adam Garcia and Louise Dearman, plus meetings with producers, casting directors, resident directors AND a private screening of the Desperately Seeking The Exit thanks to the ever marvelous Peter Michael Marino. . . and. . . well, who knows? 

We're on day 3 and already we've discovered new things, but again because we're completely independent we can implement new ideas within hours. From an 'oh no' term, we're seeing our Pandemic Term as an 'OMG we could do this too...  .' sort of term.

My virtual office stays open for a while after regular classes, so students and graduates can pop in if they're struggling or just to say hello. Our mental health clinician is still available to the entire college 24/7/365 and is of course now just offering online or phone sessions, but it does mean that our lot (& staff) have instant access to a mental health professional if the lockdown is particularly hard for them. 

So that's it, within the space of just 2 weeks . . . I now run an online college. I sit in mission control for hours on end looking at screens, opening up zoom rooms, and planning. What else can we do? Maybe I'll revisit this blog at the end of the Pandemic Term to see if it was really as exciting as we currently think that it's got the potential to be.

Stay safe all 

*this never happened. Turns out running a college is really busy

Tuesday, 17 March 2020

The Mental Health Epidemic within the Pandemic

Last night the unthinkable happened. Theatre in the UK closed its doors. Frustratingly for theatres and producers this came about via a carefully worded recommendation to our audiences as opposed to a directive to them, thereby potentially preventing companies from having a valid insurance claim. Making companies and individuals even more vulnerable than they were already feeling.

I can't be the only one that never thought that we'd see such a day in the UK (or indeed around the world), but here it is and an entire industry is left reeling as each individual tries to work out 'what now?'

Of course we all knew that it was coming. Broadway closed last week so it's been a waiting game since then. The big difference of course is that our American colleagues earn substantially more money than the jobbing actor/techie in the UK. There is more chance that they've saved up for the inevitable rainy day scenario. That said some people just don't have it in them to save regardless of income, so this isn't guaranteed, however the potential to save is there. I don't think that the majority of the UK industry (on and off stage) have this dilemma. We all live in a somewhat hand to mouth environment, and have long since consoled ourselves with the fact that our souls are full even if our bank accounts aren't. The majority of our industry need the next wage packet, which is why you see people closing in a successful show on the Saturday, going to work in their 'crap job' or 'muggle job' by the Monday. In a way it's kept us all grounded for years, it's hard to get 'up yourself' when you know that you'll be back in civvy street within a few weeks.

So suddenly an entire industry faces a very uncertain future. We all go online to tell the world how frightened we are, and we feel the need to let everybody know what our struggle is. Some of us will be resolute, telling our friends that we'll get through this, as after all, a life without hope is no life at all. However now that people have been prevented from going out, the online chatter is at breaking point. Suddenly we're all experts in what the government 'should' have done, we've all understood the logistical variations of this mystery 'virus', we've all researched what every other country has done, and we've all worked out what the solution 'should' have been. More than that, we feel the need to tell everybody about our own discoveries.  Of course the fact of the matter is that none of us have a clue. We're all scared (for ourselves, our loved ones, our industry, even humanity), and are all simply 'acting out' that fear in the only space that's left for us to roam - social media.

We see a 'cure' or a 'prevention' tweet and it becomes our civil duty to share it amongst our friends and followers, as we all attempt to save the world. Of course that's all we've shared is 'fake news', or rather 'fake hope', as hope is the only thing that we have.

I've long blogged about the mental health crises in our industry, and I've always maintained that the industry hasn't created these illnesses, but rather our industry attracts people who are more susceptible to mental illness, as it provides all of us with an altered reality. We can all pretend to live in a different world for a while. A show (ironically given the pressures around doing one), is almost a mental health break. So what now for an entire industry that revels in living in the 'other' now that it's suddenly been catapulted into the here and now, and what's more, the here and now is even more unstable than our industry. To add to the issue nobody amongst us has immunity. For sure there are the wealthy amongst us that can ride this out, but they are few and far between. From graduates to jobbing performers/techies everybody has had the rug pulled from out of them.

People with anxiety who are already trying to make sense of the world have suddenly lost their anchor, people with depression that can see no good in the world can get that view confirmed within seconds on social media, people with OCD desperately trying to control their environment as it is suddenly find themselves in a world that can't control itself. And so the list goes on. The one thing that we can be sure about is that every mental illness will be made worse by this pandemic.  People can no longer run to the theatre to escape their own 'minds'.

So I guess that this is the perfect opportunity to hit these conditions head on. How many people that deliberately keep themselves busy in order not to think have suddenly found themselves in self isolation? As an aside isn't it weird how something like 'self isolation' which sounds like something straight out of a B movie has suddenly become part of our every day language? Anyway I digress.

There are lots of therapies available online - why not check out what's on offer? https://www.england.nhs.uk/mental-health/adults/iapt/ Whilst the NHS is struggling right now there is still free help out there. See the enforced downtime as an opportunity to 'reset' and 'reboot'. How many of you have kept putting it off because you've allegedly been too busy? Well you ain't busy now - get proactive about your mental health.

Limit your online surfing - it'll either make you more worried, more angry, or bizarrely make you feel more isolated. Even in self isolation it's possible to live more in the 'real world'. FaceTime and Skype your friends. I went to pop a post up on one of The MTA groups the other day, and instead opted for a livestream as I was aware that a number of my graduates were either stuck in far away places or stuck in self isolation in the UK. So potentially even 'seeing' and 'hearing' my post was more reassuring than some written thing.  I mean I clearly could have made it worse for some of them, but they had the option to turn me off (and I'm confident that at various times over the years they've yearned to do that - so it was a win/win)

Somehow this will pass, and somehow we will all get through it.
Our industry has an amazing sense of community, and right now we need that community more than ever. As you're checking on your friends to see if they have a cough and a fever, maybe check on how their mental health is doing too? I've long believed that mental illness is at epidemic levels within our industry, and I suspect that the physical pandemic will make those levels raise even higher. Now is a time for actioning help, not living in denial it's a great #time4change

24/7 Equity mental health and well-being helpline: 0800 917 6470