"We seldom get into trouble when we speak softly. It is only when we raise our voices that the sparks fly and tiny molehills become great mountains of contention."
Here it's a few days after Christmas and all through the house, decorations a plenty, even for the
pet mouse. The stockings are hung by the tree with such care, yet chaos abounds, rifting hearts in
a snare. For tho the excitement of holidays experienced by most, many there are frazzled out like
burnt toast. And dad with his Snuggie and I with my WRAP, have protected ourselves from a
long mental snap.
Okay. Perhaps you're wondering what on earth a Wellness Recovery Action Plan (WRAP) can
do to help someone make it through and even enjoy the holidays. The answer: everything.
A vital component of a WRAP requires understanding what one is like when they are well. Part
of knowing what I'm like when I'm well leads me to better identify what I'm like when I'm
notat my best. In doing so it allows me to recognize potential problems, taking measures to stave
off unraveling (decompensation) which can occur if left unnoticed. In other words, it allows me
to be proactive in my own wellness.
A large component of Mary Ellen Copeland's WRAP is personally brainstorming and even
enlisting the assistance of trusted loved ones to help recognize what a person is like when they
are at their best, or in other words, when they are well.Many people have been unwell for so
long, that they forget what they were like before they became symptomatic. Having a trusted
friend or loved one brainstorm characteristics and personality traits of one's wellness, allows the
person to rediscover themselves.
Allow me to give you an example from my own life. After living with my illness for nearly 10
years, I basically believed my true self had died somewhere along the journey. It was
discouraging to compare my previous life before symptoms to what my life had become. When I
sat down with a loved one to contemplate the change, it was heart wrenching for both of us. As I
started identifying who I used to be, I didn't believe I could live that life again. But in writing
down who I used to be, it helped me identify behaviors, habits and quirks that helped me feel
like my old self. This in turn helped me return to those basics, allowing me to experience (at first
only momentarily)who I once was. So, if you'll indulge me, I'd like to share with you the real
me in an effort to help you identify your or a loved one's true persona.
When I am well, I'm cheerful, not easily upset or offended. I'm an extrovert and being around
people energizes me. I regularly shower, wear makeup, complete house chores, wear clean
clothes and even enjoy doing my hair. Following complicated conversations and ideas with ease
come naturally. Maintaining my line of thought long enough to carry through conversations,
complete tasks, set goals and creating plans to achieve goals are all within my innate nature. I
generally have a 'to do list" for the day and steadily work through it. This includes daily basics
like reading scriptures, taking walks, praying and frequently singing at the top of my voice alone
in the car. In general, I have a very upbeat, humorous perspective on life. I laugh easily and sleep
well, waking up energized and enthusiastic about the day before me.
My description of what I'm like when I'm well, is individualized and won't look the same for
someone else. For example, I have a friend who is an introvert. She finds peace and energy when
she is alone, the exact opposite of me. For her, "isolating" is a good thing. For me, it's not.
Identifying what one is like when they are well goes beyond identifying what professionals refer
to a identifying a "baseline." A baseline helps the clinician recognize what is the person's normal
behavior. However, there can be a huge discrepancy between what a person's baseline behavior,
affect and personality and what a person is like when they are well. For example, for about eight
years, my baseline meant a lot of suicidal ideation, auditory hallucinations and not understanding
how to care for myself resulting in decompensating every six to eight weeks to the point that I
required hospitalization. Unfortunately, that was normal. My inpatient psychiatrist expected it
because it was my "baseline." However, it was not what I was like when I was well.
As I learned more about creating a WRAP and identifying what I was like when I was well, I
increased my ability to identify my thoughts and behaviors (both positive and negative),
allowing me to either strengthen my wellness or recognize the first moments of mental
unraveling. This enabled me to take measures to fix my own decompensation, quickly. I've
learned that if I can thwart the early stages of decompensation, it is much easier to get back on
track. For that reason, I've now enjoyed a remission of sorts for the past nearly five years. I have
been able to reverse my symptoms as they arise by proactively take care of myself. In some
cases, that means learning how to self advocate in an effort to help others recognize my need and
ability to quickly squash symptoms.
In keeping a written description in my WRAP of what I'm like when I'm well, it helps me
remember who I really am--outside of my diagnosis. It also helps mentally solidify a personal
awareness. When symptoms crop up, rather than missing the warning signs which lead to
stronger symptoms, recognizing and squashing them becomes second nature.
Then what to my wondering eyes should appear but my life in the norm, with a brain well and
clear. And I heard myself exclaim as I lived my full life, "Create a WRAP y'all, and symptoms
melt out of sight!"
May this coming year be a blessed and prosperous one!
Sarah Price Hancock, a graduate of San Diego State University's rehabilitation
counseling Masters of Science program with a certificate psychiatric
rehabilitation.
Having embarked on her own journey with a mental health diagnosis, she is
passionate about psychiatric recovery. She enjoys working as a lector
for universities, training upcoming mental health professionals.
Sarah also enjoys sharing insights with peers working to strengthen
their "recovery toolbox." With proper support, Sarah
knows psychiatric recovery isn’t just possible — it’s
probable.
Born and raised in San Diego, California, Sarah served a Spanish-speaking
and ASL mission for the LDS Church in the Texas Dallas Mission. She
was graduated from Ricks College and BYU. Sarah currently resides in
San Diego and inherited four amazing children when she married the
man of her dreams in 2011. She loves writing, public speaking,
ceramics, jewelry-making and kite-flying — not necessarily in
that order.