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Creative arts can change the way people deal with mental illness
November 14 2018 09:04 PM
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HOW TO SAY IT SILENTLY: Creating art pieces allows people to communicate emotions that are difficult to say out loud.

By Aneri Pattani

A crack in the wall. Most people wouldn’t even notice it. But for Danielle Hark, it was a spark of inspiration. Six months after giving birth to her first daughter in 2010, Hark, a writer and photographer from Millburn, NJ, fell into a severe depression. Getting out of bed became impossible. Anxiety struck whenever she considered leaving the house. Thoughts of suicide loomed.
One day in the shower, she suddenly felt she couldn’t breathe. “I thought I was dying,” she recalled. “I didn’t need to kill myself because I was about to be dead.” Hark reached for her phone to call for help, but accidentally snapped a photo instead. Then she noticed the crack and thought, “That would make a good picture.”
“Just that one thought and just that one breath helped me to become more present,” she said.
Photography didn’t cure her depression, but it started her on a journey of recovery, one that she continues today. Taking photographs gets her out of the house, engaging with the world around her, and transforming things that some see as ugly, crumbling paint, cracks in a sidewalk into art.
Hark has founded a website for photographers affected by mental illness, hoping to raise awareness and encourage others to document their recovery. On November 10, she’ll be sharing her story at the debut of a chamber music ensemble focused on mental health.
It’s one of a growing number of creative endeavours that are bringing mental health centre stage. Most of these initiatives from theatre performances to local art shows aim at creating awareness. 
But for those with mental illness, such as Hark, who stand at the centre of these works as performers and creators, the process becomes a path to healing. It’s not a cure, but it provides a sense of control over their lives that can sometimes feel lost.
Research shows that engaging in creative-arts therapy, which can include visual arts, dance, theatre, and poetry can reduce pain and anxiety, help people cope with depression and trauma, and aid in treatments for addiction.
Performing in a play or taking photos is not the same as taking part in creative-arts therapy, said Rachel Brandoff, co-ordinator of the art-therapy specialisation in counselling at Thomas Jefferson University, but ‘it’s a parallel process in many ways.’ Creative-arts therapy involves a trained professional who guides and interprets the work. But engaging in a creative work on one’s own can still help people find purpose, better understand their emotions, and connect with others.
“People can have a really powerful and transformative experience even if it’s not therapy,” Brandoff said.
Over the years, Hark has used theatre, poetry, and mixed-media art, along with medication and therapy, to deal with depression, anxiety, bipolar disorder, and post-traumatic stress disorder. Every night after her children go to sleep, she spends hours in her basement studio, a routine that gives her structure and purpose.
Philadelphia flutist Susanna Loewy feels the same way about music. Practising scales for an hour each morning helps her energise and refocus when she’s depressed.
Loewy co-founded Ellipses Ensemble, the mental health-focused concert series at which Hark’s story will be shared. She hopes music might provide a pathway to recovery for some, the way it does for her.


How does creativity help mental health?
Short answer: Researchers don’t know yet. Though they’ve shown creative-arts therapies improve mood and can even lower stress hormones such as adrenaline and cortisol, researchers are still trying to figure out how that happens.
Some studies indicate that creating art allows people to communicate emotions that are difficult to say out loud. Others point to art’s ability to distract the mind from negative thoughts. Emerging research is focusing on how engaging in creative work improves connections in the brain, a process called neuroplasticity and can even help generate new connections called neurogenesis.
Human brains are constantly thinking about the future, said Girija Kaimal, an assistant professor in the creative-arts therapies department at Drexel University. For those with depression or suicidal thoughts, the future can look bleak. They might feel they are a burden to others or have nothing to contribute. The creative process helps change people’s perspectives.
“It gives individuals with mental illness a way to imagine a positive and fulfilling future,” she said.
Art also helps people better understand their emotions, like a mirror, reflecting back what they have created.
When Nick Emeigh sat down to write his story of living with schizoaffective disorder, he thought about how to explain the mental illness to someone who’d never heard of it. He searched for the perfect metaphor to describe the overwhelming loneliness and constant fear that no one would understand what he’s going through or they might lock him away.
“You’re able to connect with what you’re actually feeling on a deeper level,” he said, “because you’re looking for the right words to describe to someone who might not understand.”
Emeigh performed the essay in October at an Elkins Park show of This Is My Brave, a national non-profit that co-ordinates performances around the country in which people with mental illness share their stories through poetry, essays, and music.
Creating a work of art can also give physical shape to an invisible illness, Brandoff said. People can step outside themselves and turn their diagnosis into a painting or photograph. “It allows them to understand it as a piece of themselves and not themselves entirely,” she said. It took a while for Jasmine Tot to reach that point. She’d often felt depressed in high school, but the illness became consuming when her best friend was killed two days after graduation.
“People didn’t want to be around me because I was always upset or sad,” she said. “That’s when I realised I have to figure this out.”
Control came from picking up a paintbrush. Tot would blend colours, paint large strokes, add detail, and by the end, “I know my emotions are on the canvas and I can move forward,” she said.
One big advantage to creative arts, Brandoff said, is that they can reach more people, those who can’t seek therapy, who think they don’t need it, and even those without an actual diagnosis. 
That power was clear to Gabriel Nathan when he put on a play with his colleagues at a psychiatric hospital in Montgomery County in 2014. Although Nathan deals with anxiety and depression, not all his co-workers had diagnoses. Yet when they performed Our Town, by Thornton Wilder, they all benefited.
“We learned to be vulnerable with one another and with an audience,” said Nathan, who now works as editor of a website about mental-illness recovery.
“It let people’s guard down a bit,” he said. “‘Oh, I’m just rehearsing for a play.’ No, you’re not. You’re actually doing more.”– The Philadelphia Inquirer/TNS



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