When You’re Functioning, But Not Okay: Mental Health Awareness

Redefining What “Struggling” Really Looks Like

For a long time, health was measured by what we could see; Blood pressure. Weight. Lab values. Physical endurance. If those checked out, we called ourselves “healthy.” But something has shifted. We’re beginning to understand that mental and social wellbeing aren’t secondary – they are foundational. You can be physically “fine” and still be carrying a level of emotional weight that quietly erodes your quality of life.

And the data is catching up to what many have been feeling:

  • Among youth, rates of persistent sadness and hopelessness have risen significantly over the past decade, with nearly 1 in 3 adolescents reporting poor mental health in recent national surveys.
  • Adults report increasing levels of anxiety, burnout, and emotional exhaustion, especially those balancing caregiving, careers, and constant connectivity.
  • Older adults face rising levels of loneliness and isolation, both of which are now recognized as serious health risks comparable to chronic disease.

Here in the Midwest, including communities across Wisconsin, these trends are showing up in our schools, our workplaces, and our homes.

Struggling doesn’t always look like falling apart. Sometimes it looks like showing up… while quietly unraveling.

The Cost of Holding It All Together

There’s a version of strength that gets praised in our culture; the ability to push through, stay composed, keep going no matter what. But there’s a cost to that kind of strength when it comes at the expense of processing what we carry.

Unresolved guilt.
Shame we never spoke out loud.
Hurt we minimized.
Forgiveness we haven’t fully worked through.

These don’t just disappear because we stay busy. They settle. And over time, that emotional weight doesn’t stay contained to the mind, it begins to show up in the body. It can look like irritability that feels disproportionate to the situation. Exhaustion that sleep doesn’t fix. A sense of numbness where joy used to live. When we carry things we haven’t acknowledged, the body keeps score in quiet, persistent ways. Holding it together isn’t the same as being okay.

The Brain–Body Connection

We often think of “impact on the body” as something reserved for major trauma. And while trauma absolutely leaves a physiological footprint, it’s not the only thing that does. Chronic, unrelenting stress – the kind that feels manageable day-to-day – can have a profound biological effect over time. When the body perceives stress, it releases cortisol. In short bursts, that’s helpful. It keeps us alert and responsive (think fight or flight). But when stress becomes constant, cortisol stays elevated. And that matters because sustained high cortisol levels are associated with increased visceral adiposity (fat stored around vital organs) which is linked to higher risks of cardiovascular disease, metabolic dysfunction, and inflammation. In other words: the body responds to emotional strain as if it were a physical threat.

This isn’t about blame – it’s about awareness.

Because the same system that responds to stress can also be supported and regulated. Small, consistent practices can help. The goal isn’t perfection. It’s giving the body signals of safety again.

The Turning Point: Holding Two Things at Once

There’s a concept introduced by Dr. Kim Whitmore in her book Grateful and Grieving that resonates deeply: the “ampersand” moments. The idea that two things can be true at the same time.

You can be grateful and grieving.
Strong and struggling.
Functioning and not okay.

That tension isn’t something to fix, it’s something to acknowledge. For many of us, the turning point doesn’t come from a dramatic breakdown. It comes from a quiet moment of honesty: Something feels off… and I’m willing to notice it.

Naming a feeling doesn’t make it worse. It makes it visible. And visibility is where change begins.

Even when your mind tells you to push it down. Even when old messages from childhood, culture, or expectation tell you to “get over it.” You’re allowed to feel what you feel.

Small Steps That Actually Help

When everything feels heavy, the answer isn’t to overhaul your life overnight. It’s to start small and start honestly. Here are a few simple ways to begin:

A 5-Step Grounding Exercise

This brings your body out of overwhelm and back into the present.

  • Name 5 things you can see
  • 4 things you can feel
  • 3 things you can hear
  • 2 things you can smell
  • 1 thing you can taste
5-4-3-2-1 Grounding Exercise

Name the Feeling (Without Fixing It)
Instead of “I’m fine,” try:

  • “I feel overwhelmed.”
  • “I feel frustrated.”
  • “I feel hurt.”

Clarity reduces internal tension.

Control What You Can, Release What You Can’t
Draw two columns:

  1. What I can control
  2. What I cannot

Seeing it visually helps your brain stop trying to solve the unsolvable.

Gentle Body Reset
A short walk. Stretching. Deep breathing. Not as punishment but as support.

One Honest Conversation
With yourself, or someone you trust. You don’t have to carry everything alone.

A Small Invitation Forward

You don’t have to solve everything today. You don’t have to unpack every layer of what you’ve been carrying. But you can start here:

Name one thing that’s been sitting beneath the surface.
Acknowledge it without minimizing it.
And take one small step forward.

Because progress in mental health doesn’t come from force. It comes from awareness followed by gentle action.

What’s Next

In the next piece, during Mental Health Awareness Month, I’ll be inviting a perspective that’s often missing from this conversation – our kids. Not as observers of mental health, but as participants in it.

Through their own words, we’ll explore what it looks like to experience emotions, pressure, resilience, and growth in the first 12 years of life. Because mental health isn’t something we arrive at later. It’s something we’re building together from the very beginning.

Why I had to write this Book

I remember the moment, those two lines appeared. We locked eyes realizing life just changed.

I remember the “2-week wait” which felt like forever. The kind of forever that a child feels as they await each minute until their birthday party, or the kind of wait when there’s silence in the room. The wait of not knowing what they’ll say, what it all means, what’s next.

I remember the drive to the fertility clinic that day in March which was clouded with anticipation, fear and wonder. We hadn’t planned this. There was no IVF. But we had a hint that something unordinary was around the corner given that my initial HCG was 493 and then jumped to 1333 just 4 days later.

I remember the ultrasound room. The technician’s cold hands, the even cooler jelly on my belly. I remember the feeling as they scanned the landscape as if we were explorers uncovering new treasures with each inch of the wand’s movement across my stomach.

I remember the silence before the technician spoke and the sinking feeling as she counted. I remember realizing my life would never return to singular – we were in the era of the plural. The us became a we. It was no longer yours and mine. It was ours.

I have narrated the stories and life lessons in this blog for more than a decade. It has become more than a journey from a bump to baby(ies). This story is about the journey we all take from surprise to confidence, from disorganized to-do’s to controlled chaos, from fear to surrender.

Parenting and caregiving focuses on the bundle(s) of joy but we need to create space to grow, too. We are called to transform with them through every age and stage. Bump to Baby(ies) isn’t just about pregnancy and parenting. It’s about what happens when life multiplies faster than your capacity feels ready for.

This is my why for breaking the blog out of it’s box and into a book. That’s right, I’m birthing a book!

Over the next few weeks, I’ll be sharing pieces of this journey as the manuscript heads to final edit and then on into the hands of those who I hope and pray will blossom from its message.

Looking Back at Bella (2024-2025)

She may move at sloth speed – but don’t be fooled. Bella is not only the fastest quint, her pace of life is also her superpower. Her steady stride lets her soak in the world in ways most people miss: every butterfly that flutters by, every golden sunset, every emotion written on someone’s face.

Rooted in deep faith and fueled by passion, Bella brings beauty, grace, and grit to everything she does; whether it’s mastering a tough gymnastics routine, acing a class project, or raking the yard like a champ. Bella doesn’t just do the job – she does it with heart.

Here’s to 12 years of wonder, wisdom, and a soul that sees magic where others rush by!

Looking Back at Bella (2024-2025)

Looking Back at Bella Archive

Looking Back at Bella | 2022-2023

Sweet Bella Bean continues to walk to the beat of her own drum. She remains our fearless fashionista who can make any pattern or color scheme work. Her pace of life is about as fast as the clouds passing by. Her cadence paired with her empathy is a divine recipe. She has a sixth sense about noticing God’s handiwork from natural anomalies to a water color sunset. Bella is also the first to know who needs a hug. Her big hugs squeeze the hardship right out of you, leaving room for all her love she has to share.

Now, a look back at Bella’s last year!

Belle at eight years…

Bella at seven years…

Bella at six years…

Bella at five years…

Bella at four years…

Bella at three years…

Bella at two years…

Bella at one year…

Bella’s First Year…

Looking Back at Theo | 2022-2023

My buddy and Dad’s best friend is living his best life. This budding second baseman would spend all of his waking hours playing ball with his neighborhood buddies. And, this summer, he has! Theo loves routine and he’s pleased with a copy and paste type of day. However, watch out when he and Bella get the giggles because they’re unstoppable. Their sillies don’t cease until they say so. It is a true privilege to watch this young man tackle life and learn from his inquisitiveness, gentle nature and saint-like patience.

Now, a look back at Theo’s last year!

Theo at Eight Years…

https://player.vimeo.com/video/734547150?h=7aaaec4d1cu0026amp;badge=0u0026amp;autopause=0u0026amp;player_id=0u0026amp;app_id=58479

Theo at Seven Years…

Theo at Six Years…

Theo at Five Years…

Theo at Four Years…

Theo at Three Years…

Theo at Two Years…

Theo’s First Year…

Looking Back at Lily | 2022-2023

Silly Lily Grace has a heart of gold and a contagious smile! She is always ready to lend a hand and loves to fold laundry, a divine gift in this household. She spends the majority of her day in a magical world of her own and the other half seeking sibling playmates. Lily remains our early bird, up by six and on a mission for her banana, raisin bread and sunny side egg. Her day is not done until she has a “night pride” mission with Uti the koala at her side.

Join me as we take a look back at Lily’s last year!

Lily at eight years…

Lily at seven years…

https://player.vimeo.com/video/734542425?h=bf1a09cd5e

Lily at six years…

Lily at five years…

https://player.vimeo.com/video/734542425?h=bf1a09cd5eu0026amp;badge=0u0026amp;autopause=0u0026amp;player_id=0u0026amp;app_id=58479

Lily at four years…

Lily at three years…

Lily at two years…

Lily at one year…

Lily’s First Year…

Looking Back at Theo (2022)

Mr. Theo’s approach to life is a perfect example of love and logic. He takes each moment at a time, he is able to find peace amidst chaos, and his questions progress his learning independently. When he is not running the bases, sitting poolside with Dad or helping in the kitchen, you will find his nose in quality big Nate book. Theo’s creativity in both science and life bring a balance to our crew. His compassion is natural. His heart is such a large vessel that it is capable of bringing stability to the unstable. If you don’t have someone in your life that seems to just make it better, you need to find a Mr. Theo. His love for his girls is clear and his desire for his walk-on song one day to be chasing girls.

Now, a look back at Theo’s last year!

Theo at Seven Years…

Theo at Six Years…

Theo at Five Years…

Theo at Four Years…

Theo at Three Years…

Theo at Two Years…

Theo’s First Year…

Looking Back at Bella (2022)

Bella is Bella. Our country girl is beautiful inside and out. She also has the rare ability to live life slowly when it is whizzing by. Nature stops her in her tracks; she rarely misses a beautiful sunrise and only bedtime keeps her from witnessing a serene sunset. Her photo gallery is the largest as she is passionate about capturing all of life’s moments. Everything from a creative pancake and sausage assembled into a silly face to giggling sisters to God’s paintbrush across the sky can be found on Bella’s camera. She is the sweetest in the bunch and her heart bleeds empathy. She sheds the most tears and laughs the loudest which, tells me she pays attention to the little things in life. My prayer for Bella is that her precious approach is never tainted by this world.

Now, a look back at Bella’s last year!

Bella at seven years…

Bella at six years…

Bella at five years…

Bella at four years…

Bella at three years…

Bella at two years…

Bella at one year…

Bella’s First Year…

Looking Back at Lily (2022)

This year we’re working our way from the inside out! Starting with lucky Lily, Quint #3.

You only live once. We knew it from an early age that Lily would be our little evil Knievel. She proved it this year bye launching herself off of a bunk bed. A nasty sprain and fracture took her summer but didn’t touch her spirit. Lily has a way of bringing fun to any situation. She never lets her nerves get in the way of making a new friend and purposely seeks out those sitting alone to share her joy. She is likely the chattiest – her teachers would agree- but this is how she feels her love tank each and every day. Whether you walk on two legs or four, everyone has a special place in Lily’s heart.

Join me as we take a look back at Lily’s last year!

Lily at seven years…

Lily at six years…

Lily at five years…

Lily at four years…

Lily at three years…

Lily at two years…

Lily at one year…

Lily’s First Year…

Prevailing with Perspective

Rainbows come and go. They are often a glimpse of the light at the end of the tunnel before another storm hits. It was a brief reprieve until we experienced yet another nightmare.

Reactions to food allergies span from an aggravating itch to life-threatening anaphylaxis. One’s experience can lay the foundation for a healthy fear that supports safety. This fear can also morph into an unhealthy version which resembles a phobia. Young minds and bodies learn how to cope the best that they can with with fear. In our family’s case the solution was to drink water. If the water goes down, so does the air. Although, we don’t feel safe, we are safe. This was sweet Ellie Rose’s strategy a few weeks ago. Pair this strategy with a poor appetite from an upper respiratory bug and you get dangerously low electrolytes.

Ellie’s hyponatremia led to a seizure. Unlike most seizures, she didn’t wake up. She went blue and laid still. I couldn’t find a pulse and proceeded with chest compressions. The emergency team arrived swiftly and after a quick debrief, we were on our way. We rushed to the hospital, where we awaited her awakening. She had moments of aggravation and calm. They decided to sedate her to complete tests. The full MRI, EEG and EKG all came back normal. They proceeded to do a spinal tap, to investigate her cerebral spinal fluid. After the lumbar puncture, they decided to extubate. After the sedative wore off, she woke. 

I share the happy ending first before describing the torment because those 18 hours were the scariest that I’ve ever lived. I relived the scary unknown of our NICU days and hung on that hope. The thought of losing my little girl now- to something so preventable- was heartbreaking. The mom guilt was insurmountable. Sleep, food, anything else except for our living breathing family meant nothing. Thoughts raced, questions were proposed, and my hands still felt tied. I couldn’t help but think about what life would be like if she didn’t wake up, or if she woke up different. I knew either way she would be loved all the same and that we would make it through. I believe this because love never fails.

I stood next to her and held her cold hand waiting for it to squeeze back. In those still moments, I rubbed her legs thinking of all the cartwheels. Praying for her gymnast dreams. I thought about all the other children and their parents, who gazed at their children with perhaps less fortunate circumstances. My heart broke for them and still does. I sat in gratitude for my education in healthcare and comfort in the hospital setting and felt compassion for those that may not feel that same way.

She extubated easy and with a few coughs was breathing on our own. We then waited for her to wake up from her slumber, unsure of what awaited. About 2 hours later, she stretched and opened her eyes. Her first words, “Aren’t I supposed to be at the dentist?” At that moment all fear vanished, and joy was insurmountable. We knew our Ellie Rose was back. She was right! Her siblings were at the dentist. We didn’t care at that moment what the road ahead meant, are Elliott was awake.

Her mind was clear, but her body was aching. The lumbar puncture was painful and led to hyperemesis. Although we were discharged, we returned quickly when she couldn’t eat or keep food down. They assured us that her electrolytes were stable, and she needed to wait these symptoms out. We remained in the hospital until her nausea subsided enough to go home safely.

Elliott Rose Vanderwall is a force to be reckoned with. She is determined, hopeful and gracious. However, she is not patient. The next days were aggravating as all she wanted to do was return to the trampoline. After a quick week, she is back to her moving, shaking and flipping self.

It took me awhile to find the courage to dig deep and share. In these moments, I find writing healing. I write and share because I hope others find comfort in these words knowing that someone else has walked a similar path. To them I pray for patience, hope, and perseverance.

Today, we still live in the most chaotic home that I know. But it feels different. I feel different. I was challenged with the longest 18 hours of my life and was rewarded with perspective. I pray that it is not fleeting but lasts. Being quick to anger is easy but slowing down to listen is hard. I not only come away from the situation with gratitude but with a readiness and listen more and for longer. To pay closer attention to what’s going on in the shots of our little one, when a tantrum erupts and when coping strategies don’t seem quite right.

I also want to use this space to say thank you for all who waited with us and joined us in prayer. Ellie also felt very loved and cared for during this time. You were our light after this storm!