What Mental Health Nurses Do

On Resilience: Insights from a Mental Health Nurse and Psychotherapist

Claire Hudson-McAuley, Chair of the ACMHN Psychotherapy Special Interest Group, shares her practical insights on building resilience during times of prolonged stress — drawing on her expertise in complex trauma and recovery.

As a psychotherapist writing about and witnessing the emotional and human toll of the COVID-19 pandemic, Claire Hudson-McAuley was asked for her thoughts on resilience. Claire specialises in recovery from complex trauma and PTSD.

Sustaining positivity and resilience during prolonged periods of difficulty seems a huge ask — and, as Claire writes, it can feel disrespectful to ask people who are genuinely struggling to simply be resilient. What she offers instead is more grounded and practical: a set of evidence-informed approaches for nurturing yourself through difficult times.

CH

Claire Hudson-McAuley

Psychotherapist | Advanced Mental Health Nurse | Specialising in complex trauma and PTSD recovery

This is not going to be a "think positive" situation for many people, and it seems disrespectful to ask people who are struggling to be resilient right now. Honouring and dignifying real suffering and distress seems more appropriate. However, as a psychotherapist specialising in recovery from complex trauma and PTSD, I do know that there is a lot people can do to nurture, soothe, and support themselves — and to enable resilience and recovery even from the most complex of situations over time.

Become more "selfish"

The very first thing to collapse when people are highly stressed is self-care. Many people tell themselves "I'll take better care of myself when I'm less tired, stressed, busy, anxious or depressed." Unfortunately, this does not work — the stress or symptoms typically get worse over time if we are not somewhat selfish. This applies equally to those working at the front line of healthcare and to others feeling the stress of disrupted routines and reduced supports. Go on, try being more selfish and do self-care even if you don't really feel like it. Remember the oxygen mask drill on the plane — take care of yourself first.

Avoid too much avoidance — get real

Studies have shown that avoiding uncomfortable feelings or situations builds up and makes things worse over time. A healthier approach is to be as honest and straightforward about how you are really going as the relationship allows. If a relationship doesn't allow much authenticity, maybe it's time for an upgrade — or to seek out one or two people you really trust, or even find a new community to belong to.

You only have to get through one day at a time

Borrowed from AA but equally applicable to sustained periods of stress — focusing on just today reduces the overwhelming nature of an uncertain future.

Build more scaffolding into your life

Scaffolding can be people, creative outlets, pets, nature, study, more time off, or a timetable. It can also simply be your posture — think of Amy Cuddy's research on how two minutes of lengthening the spine affects cortisol and confidence. Think about what you need to feel stronger, more resourced, or braver. Everyone needs more scaffolding when times are tough.

Reduce screen stimulation

The brain and nervous system need to rest and digest every day — otherwise cortisol levels keep rising throughout the day and peak at night, disrupting sleep. Screens also emit light that decreases the natural production of melatonin. Try to avoid screens for at least two hours before bed. Reading a book or listening to sleep stories has helped many poor sleepers get better quality rest. The suffering is real — let's be tender, respectful, and caring toward ourselves and others.

"The suffering is real. Let's not minimise what we are going through together — but be tender, respectful, and caring toward ourselves and others."

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Claire Hudson-McAuley

Psychotherapist | Chair, ACMHN Psychotherapy Special Interest Group

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