{"id":51196,"date":"2021-10-24T13:48:07","date_gmt":"2021-10-24T12:48:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=51196"},"modified":"2021-10-24T13:48:07","modified_gmt":"2021-10-24T12:48:07","slug":"the-climate-crisis-how-do-we-show-we-care","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/24\/the-climate-crisis-how-do-we-show-we-care\/","title":{"rendered":"The climate crisis: how do we show we care?"},"content":{"rendered":"<p><i><span style=\"font-weight: 400\">&#8220;Not everything that is faced can be changed, but nothing can be changed until it is faced&#8221; \u2014<\/span><\/i><span style=\"font-weight: 400\">James Baldwin<\/span><\/p>\n<p><span style=\"font-weight: 400\">Bad news about our planet can be overwhelming and can make us feel helpless. But perhaps we\u2019re missing a trick. Perhaps we each have a tiny bit of the answer at our fingertips. Far from having to become a climate expert, maybe offering what we already know is enough.<\/span><\/p>\n<p><span style=\"font-weight: 400\">When a child walks into a child and adolescent mental health services (CAMHS) clinic we need to be ready to listen. Really listen. This means knowing ourselves well enough to realise if we\u2019re distracted or upset. We let the reality of the situation be heard, and we may witness extreme distress. The very act of doing this can facilitate change. However troubling the story, we do not get up and walk out of the room.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Over time, among risk and uncertainty, we work alongside the child to help find a way through what they are facing; exploring what interconnecting issues are causing the distress, supporting their wisdom and perspective, calling on our own skills and others\u2019 as required.<\/span><\/p>\n<p><span style=\"font-weight: 400\">And if the child tells us about something that is causing them harm, we act to do everything we can to safeguard that child.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A recent <\/span><a href=\"https:\/\/www.unicef.org\/press-releases\/one-billion-children-extremely-high-risk-impacts-climate-crisis-unicef\"><span style=\"font-weight: 400\">UNICEF report<\/span><\/a><span style=\"font-weight: 400\"> estimates that one billion children are at &#8220;extremely high risk&#8221; due to the climate crisis. In a <\/span><a href=\"https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3918955\"><span style=\"font-weight: 400\">recent survey<\/span><\/a><span style=\"font-weight: 400\"> of 10,000 children and young people in 10 countries, <\/span><span style=\"font-weight: 400\">75% believe &#8220;the future is frightening&#8221; and 64% say their governments are not doing enough to avoid a climate catastrophe. And something that adds a completely preventable exacerbation of distress: nearly half say they\u2019ve been ignored or dismissed when they try to talk about it. Despite being exposed to these multiple layers of harm, children and young people are showing courage and resilience as they <\/span><a href=\"https:\/\/youth4climate.live\/\"><span style=\"font-weight: 400\">lead on climate solutions<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As Paul Hoggett eloquently describes, &#8220;<\/span><a href=\"https:\/\/www.palgrave.com\/gb\/book\/9783030117405\"><span style=\"font-weight: 400\">We are living in a time when a tragedy which is without precedent is unfolding in front of our eyes.&#8221; <\/span><\/a><span style=\"font-weight: 400\">On some level we all know what the science is saying, but <\/span><span style=\"font-weight: 400\">a lot of us are acting as if we are separate from this reality. To not do so is extremely painful.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">How can we each <\/span><span style=\"font-weight: 400\">learn to bear the unbearable, so that we can hear<i>\u2014<\/i>really hear<i>\u2014<\/i>what our children are telling us? And to respond in a way that makes them want to tell us more? By amplifying their voices, supporting their actions, while stepping up ourselves to show that this is not their responsibility to fix. <\/span><span style=\"font-weight: 400\">As mental health practitioners in the global North we carry influence that we can opt in to, or opt out of, using to this end.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We can acknowledge the power of our collective voice and focus on the systemic nature of the problem to &#8220;prescribe&#8221; the right treatment: drastic, just, climate action from the world\u2019s most powerful.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The very act of making space for the reality of the situation to be heard, and bearing witness to the distress, in ourselves, in people who seek our support or on a wider stage, will facilitate change.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">And there is a lot of distress right now.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If we could imagine the planet has feelings, I think we could imagine the pitch of her scream.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We don\u2019t need to imagine the pain of young people. They have had to march the streets and take governments to court to ask to be protected.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">What do we imagine is the next step for them if they continue to feel frightened, betrayed, and abandoned?<\/span><\/p>\n<p><span style=\"font-weight: 400\">We can validate feelings of<\/span><span style=\"font-weight: 400\"> fear, grief, anger, panic, and sadness as understandable responses to the threat we are facing. We can help raise awareness that this is a sign of connection and compassion. This is not mental disorder. However, we can speak up to say that an enormous source of stress like the climate crisis will trigger or exacerbate serious mental illness in some.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We can find training to better understand the issues and to develop additional skills and strengths we will need in this unfolding crisis. We can seek to understand our own feelings better and reach out for support if required.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We can work across professional and generational boundaries to develop communities and resources of support. To find ways together to transform what individually can feel like overwhelming pain, distress, and grief about our predicament; from a draining, debilitating force into unquenchable fires in our bellies that connect us to each other and to what we love.\u00a0 A feeling of connection to the millions of other people across the world who are developing beautiful, creative, climate solutions and the optimism this brings is one of the surprisingly life-affirming elements of facing the reality of this crisis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">No one of us knows what lies ahead, nor what\u2019s the &#8220;best thing&#8221; to do. However, once we have started to face the reality, standing shoulder to shoulder with other people, we will see things more clearly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We need to show in how we act and what we say that we\u2019re in this together. That we care about the world, we care about our young people and future generations, and that, however bad it feels, we won\u2019t walk out of the room.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Catriona Mellor<\/strong> is a child and adolescent psychiatrist with an interest in the mental health impacts of the eco-crisis on children and young people as well as what nature-based practices and insights can add to mental health care. <\/span><span style=\"font-weight: 400\">Catriona is co-author on a 2021 quantitative global study into children and young people\u2019s emotions and thoughts about climate change to be published in The Lancet Planetary Health.<\/span><span style=\"font-weight: 400\"> She is currently riding from London to Glasgow to raise awareness around air pollution and the climate health emergency on Ride for their Lives <\/span><a href=\"https:\/\/climateacceptancestudios.com\/ridefortheirlives\"><span style=\"font-weight: 400\">https:\/\/climateacceptancestudios.com\/ridefortheirlives<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.<\/em><\/p>\n<p><strong>References<\/strong>:<\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">UNICEF. One billion children at \u2018extremely high risk\u2019 of the impacts of the climate crisis. UNICEF 2021. Available at:<\/span><a href=\"https:\/\/www.unicef.org\/press-releases\/one-billion-children-extremely-high-risk-impacts-climate-crisis-unicef\"> <span style=\"font-weight: 400\">https:\/\/www.unicef.org\/press-releases\/one-billion-children-extremely-high-risk-impacts-climate-crisis-unicef<\/span><\/a><span style=\"font-weight: 400\">\u00a0 (accessed 15 Oct 2021).<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\">Hickman C. &amp; Marks E., Pihkala P., Clayton S., Lewandowski E., Mayal E., Wray B., Mellor C., van Susteren L. (2021) A global survey of climate anxiety in children and young people and their beliefs about government responses to climate change<span style=\"font-weight: 400\">. Pre-print available at Lancet Planetary Health<\/span><a href=\"https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3918955\"> <span style=\"font-weight: 400\">https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=3918955<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The #Youth4ClimateLive Series <\/span><a href=\"https:\/\/youth4climate.live\/\"><span style=\"font-weight: 400\">https:\/\/youth4climate.live\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hoggett, Paul,(Ed.)<\/span><span style=\"font-weight: 400\"> (2019). Climate Psychology: On Indifference to Disaster.\u00a0 Palgrave Macmillan.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Not everything that is faced can be changed, but nothing can be changed until it is faced&#8221; \u2014James Baldwin Bad news about our planet can be overwhelming and can make [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/24\/the-climate-crisis-how-do-we-show-we-care\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":51197,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[266],"tags":[],"class_list":["post-51196","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-climate-change"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The climate crisis: how do we show we care? 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