Tag: faith and mental health

More Than Survival: My Conversation with Shanai Ragsdale on Suicide Prevention, Faith, and Hope After Crisis

More Than Survival: My Conversation with Shanai Ragsdale on Suicide Prevention, Faith, and Hope After Crisis

By Natasha Montgomery, M.A., LPC-S, LCDC

Content note: This article and episode discuss suicidal thoughts, suicide attempt survival, childhood sexual trauma, eating disorders, treatment, and suicide loss. Please consider your capacity before reading or watching.

I want us to stop treating someone’s ability to keep going as proof that they are okay.

The grades can be good. The career can be moving forward. The person can be smiling, raising children, answering messages, and doing everything we associate with having it together. None of that tells us the whole story of what it feels like to be that person.

In this episode of This Therapist Has Problems, I sit down with Shanai Ragsdale, a Texas REALTOR®, community advocate, mother of four, and suicide attempt survivor. Our conversation moves beyond the question of how someone survives a crisis. We also talk about what happens afterward: finding support, making sense of painful experiences, navigating faith, and wanting a life that is not organized entirely around enduring the next hard thing.

Looking Okay Is Not the Same as Feeling Okay

Shanai describes being an achiever while carrying pain that people around her did not necessarily see. Her story is a reminder that a person can be visible for what they accomplish and still feel unseen in what they are experiencing.

I do not hear that as a reason to be suspicious of every smile or achievement. I hear it as a reason to stay curious. Instead of assuming that someone is fine because they are doing well, I want us to leave room for a different answer.

That includes the child who gets good grades, the friend who organizes everything, and the colleague who always finds a way to deliver. When I say that we should not overlook the “good kids,” I am not suggesting that children who struggle more visibly are any less deserving. I am asking us to make care available without requiring anyone to demonstrate distress in a particular way.

A more meaningful check-in might begin with: “I see how much you are doing. How are you feeling while you are doing it?” Then comes the part that matters: making enough room to hear the answer without correcting, minimizing, or immediately trying to solve it.

When Achievement Becomes a Place to Hide

One of the strongest moments in this conversation is Shanai describing what it was like when a trauma response looked like success. She connects her own overachievement with trying to keep painful parts of her life out of view.

I want to be careful here. Achievement is not a diagnosis. Being ambitious does not prove that someone has experienced trauma. What matters is the person’s relationship with achievement and the experience underneath it.

There is a difference between enjoying what you do and feeling that you must perform perfectly so nobody looks too closely. There is a difference between choosing responsibility and believing you have no permission to need anything yourself.

The question I take from Shanai’s story is not “How successful are you?” It is “What does maintaining that success cost you, and do you have somewhere you can be honest about it?” I want people to have support before they run out of ways to appear okay.

Survival Does Not Make the Need for Care Disappear

Shanai speaks about a part of this subject that can get lost when we rush toward an uplifting ending: surviving an attempt does not automatically resolve the pain that came before it. Her account includes difficult feelings after survival, periods of change, and later moments when she recognized that she needed help again.

I do not want us to use someone else’s survival as permission to stop checking in. “You made it through” is not the same as “You have everything you need now.”

She also describes seeking counseling and later receiving more intensive outpatient support. I value that part of the conversation because it makes room for care to change. Needing additional support does not have to be framed as doing therapy wrong. It can be a reason to talk honestly with a qualified professional about what is happening and what level of care is appropriate.

I cannot determine that level of care for a reader through an article. What I can do is encourage honesty about symptoms, safety, and daily functioning rather than pressure to make a difficult experience sound manageable.

Faith Can Be Part of the Conversation Without Replacing Care

Faith is an important part of Shanai’s story. So are the questions she carried when she was hurting. I appreciate that she did not present a version of faith in which people never feel confused, angry, or alone.

I want there to be room for those questions. I do not want someone to hear this conversation and conclude that a mental health crisis means they did not pray enough, believe enough, or appreciate their life enough.

For some people, spiritual connection is meaningful support. Professional treatment can belong alongside it. For others, faith is not part of their life at all. Their need for care is no less valid. I am interested in support that respects the person, not support that requires them to borrow someone else’s beliefs.

Shanai also describes the meaning motherhood held for her. I honor that as her experience, not a prescription. People without children are equally worthy of care. People who love their families deeply can still struggle. I do not want guilt to become our strategy for helping someone stay safe.

The Pressure to Be Strong Can Make Honesty Harder

We talk about silence in Black and brown communities and the pressure many Black women experience to continue carrying everything. I do not want that conversation to flatten entire communities into one story. Our families, histories, relationships with care, and experiences of being heard are not all the same.

What I do want to challenge is the message that needing help means we are weak, ungrateful, or not busy enough. Those messages can make it harder to say, “Something is wrong, and I need support.”

Community can become a place where we practice a different response. We can stop praising endurance without asking about its cost. We can respect a person’s decision to seek treatment. We can ask what would help instead of insisting that we already know.

That kind of support does not require a perfect speech. It requires willingness to listen and a recognition that loving someone does not mean we can meet every need they have by ourselves.

What Support Can Look Like in Practice

I want this conversation to leave people with more than an encouraging sentence. When we are concerned about someone, a direct, caring conversation matters. The National Institute of Mental Health recommends asking about suicide, listening without judgment, helping make the environment safer, connecting the person with support, and following up. Asking directly does not increase suicidal thoughts. Read NIMH’s five action steps.

I also want to name a boundary: a friend, a podcast host, or a social media account is not a substitute for a crisis response. A caring person can help someone connect with appropriate help, but no one should have to wait for an Instagram message to be answered before seeking it.

If someone does not respond well to a disclosure, that response is not a measure of the person’s worth. I would want them to have another route to support, not another reason to go silent.

More Than Survival Is an Invitation, Not a Deadline

I keep coming back to the title of this episode because it holds two truths together. Staying alive matters. So does having support to build a life that can include connection, rest, meaning, and joy.

I do not want the phrase “more than survival” to become one more demand on a person who is already exhausted. Some days, getting through with support is a meaningful step. Healing does not need to look impressive to count.

My hope is that this conversation makes it easier to recognize when help is needed, ask an honest question, and take a next step toward care. You do not have to have your story organized before you begin that conversation.

A question I am taking with me: Where have I mistaken someone’s ability to keep functioning for evidence that they feel supported?

Meet Shanai Ragsdale

I am joined by Shanai Ragsdale, a Texas REALTOR®, community leader, former global technology sales leader, and mother of four. Licensed in real estate since 2009, Shanai has served as President of the Women’s Council of REALTORS® Collin County. She is also a suicide attempt survivor and mental health advocate. She shares her experience to challenge the assumption that outward success means someone cannot be struggling privately. Her message is grounded in faith, family, resilience, and the possibility of life after a mental health crisis. I appreciate her commitment to reducing shame and encouraging honest conversations about getting help.

Connect with Shanai on Instagram for her advocacy and connections around survivor stories, women’s leadership, and community events. Her social account is not a crisis service.

Work With Me

Through M.B.S. Whole Health, I offer counseling and individual therapy, support for women’s mental health, anxiety and depression, trauma and attachment work, life coaching, and LPC Associate supervision. I want the conversation to continue beyond the podcast for people who are ready to explore professional support.

For routine service questions or an appointment inquiry, contact M.B.S. Whole Health. We can discuss fit, eligibility, and next steps. Coaching and supervision are separate services, not substitutes for mental health treatment or crisis care.

My website | Email me | [682-292-8306 (line 6822928306)](tel:6822928306)

Stay connected: Instagram | Facebook | LinkedIn | YouTube | Substack.

Support and Further Reading

If you are in suicidal crisis or emotional distress in the United States, call 988, text 988, chat https://988lifeline.org/chat/, or visit https://988lifeline.org. In a life-threatening emergency, contact emergency services or go to the nearest emergency department. My practice inquiry form and social accounts are not crisis services.

The episode names 988 and discusses professional treatment and community support. I have also included NIMH’s suicide-prevention action steps as additional reader education, not as a resource Shanai specifically recommended.

Watch the full episode | Explore more TTHP articles | Subscribe to my personal reflections.

Educational disclaimer: This article and episode offer education and personal reflections, not therapy, diagnosis, or individualized medical advice. They do not establish a therapist-client relationship. Please seek appropriate professional assessment and treatment for your situation.

Who Helps the Helpers? Mental Health, Motherhood & Purpose After Pain 🎙️

Who Helps the Helpers? Mental Health, Motherhood & Purpose After Pain 🎙️

When the encourager needs encouragement too

For my very first guest on This Therapist Has Problems Podcast, I sat down with TarNeisha A. Mukoko for a conversation that felt like the perfect way to begin bringing other voices into this space.

TarNeisha is the Founder and CEO of Life With TarNeisha, LLC. She is a life and mental health coach, full-spectrum doula, minister, educator, speaker, community leader, and mother. She is also someone who understands what it means to keep showing up for other people while navigating her own very human experiences.

We talked about divorce, career transitions, motherhood, faith, her bipolar depression diagnosis, and the fear that needing help might cause people to question her ability to help them.

That fear is real for many people in helping roles. We are expected to know what to do, remain emotionally available, and somehow keep every part of our own lives together. But credentials do not remove our humanity. A calling does not make us immune to pain. Being the strong person does not mean we never need somewhere safe to fall apart.

As TarNeisha said during our conversation, “The encourager needs to be encouraged too.”

Who takes care of the strong one? 🤎

Some people become the person everyone calls.

You are the listener. The problem-solver. The one who remembers what everyone needs. The one who encourages, organizes, prays, checks in, and finds a way to keep things moving.

People may see your strength without recognizing what it costs you to maintain it.

TarNeisha described the weight of thinking for her home, her business, her son, the people she serves, and herself. At one point, she said she sometimes gets tired of having to think for herself because she is already carrying so many other responsibilities.

That is a feeling many women, mothers, caregivers, therapists, coaches, ministers, and community leaders understand. You can love what you do and still feel tired. You can be passionate about serving others and still need someone to ask, “What do you need?”

Those two truths can exist at the same time.

A diagnosis does not erase your calling 🧠

TarNeisha spoke openly about being diagnosed with bipolar depression and beginning medication and psychiatric care. She also shared the internal battle that followed.

Would people think she was incapable? Would they question whether she could still support others? Would the diagnosis become a stain that overshadowed her experience, training, faith, and purpose?

This is one of the reasons mental health stigma can be so damaging. A diagnosis may help explain what someone has been experiencing and guide them toward appropriate support. It does not erase their wisdom, gifts, professional abilities, or humanity.

People in helping professions are not required to be untouched by life before they can help someone else.

As I shared during our conversation, life be lifing over here too. I am a licensed therapist, but I still experience pain, disappointment, grief, stress, and seasons when I need support. Being trained to help people navigate difficult experiences does not mean I will never have difficult experiences of my own.

Sometimes our lived experiences allow us to sit with people differently. They can deepen our compassion and remind us that healing is not a straight line or a performance.

Faith and professional mental health care can coexist 🙏🏾

Faith was woven throughout our conversation because it is central to how TarNeisha understands her life and purpose. She spoke about prayer, obedience, spiritual guidance, and trusting God through seasons she did not fully understand.

She also spoke clearly about taking medication, seeing a therapist, working with a psychiatrist, and leaning on trusted people for support.

That matters.

In many faith communities, people still feel pressure to choose between prayer and professional mental health care. But receiving treatment does not mean someone lacks faith. Therapy, psychiatric care, medication, community, and spiritual support can each play a role in a person’s wellness.

Seeking help is not a rejection of faith. For many people, it is one of the ways they begin caring for the life they believe they were given.

Purpose after pain does not mean pretending the pain was good 🌱

TarNeisha did not begin her career expecting to become a life and mental health coach or a doula. She spent years working in education and once believed becoming a principal would be her next step.

Then life shifted.

Divorce, single motherhood, mental health challenges, and changing priorities caused her to reconsider what she wanted and what she could realistically carry during that season. She pursued life-coach certification, built Life With TarNeisha, later became a mental health coach, and accepted a scholarship opportunity to train as a full-spectrum doula.

Her journey is a reminder that purpose does not always arrive in a straight line. Sometimes it grows through a pivot. Sometimes it begins with an opportunity you do not completely understand. Sometimes it requires saying yes before you can see the full picture.

Purpose after pain does not require us to call every painful experience good. It means we are allowed to decide that pain will not have the final word. We can allow what we have lived through to deepen our understanding, redirect our choices, and help us create something meaningful.

Maternal mental health means caring for the mother too 💛

One of the most important parts of our conversation focused on TarNeisha’s work as a doula and the need to support the person who gave birth, not only the baby.

After a baby arrives, attention quickly shifts toward feeding schedules, sleep, diapers, appointments, and whether the baby is doing well. Meanwhile, the mother may be recovering physically, experiencing major emotional and hormonal changes, functioning with very little sleep, and trying to adjust to an entirely different life.

Who is checking on her?

Who is asking how she feels instead of only asking about the baby?

Who is making sure she can rest, eat, shower, attend appointments, and say honestly when she is not okay?

TarNeisha explained that doula support can look different for every family. It may include emotional support, helping someone identify what they need, watching the baby while a mother sleeps, picking up groceries, preparing food, or connecting the family with additional resources.

This kind of practical care matters because mental health does not exist separately from the rest of life.

Some emotional changes can occur during pregnancy and after birth. However, symptoms that persist, intensify, disrupt daily functioning, or create concerns about safety deserve professional assessment and support. They should not be dismissed as someone being dramatic or as “just hormones.”

Fathers and partners need support too 👥

TarNeisha also reminded us that fathers and partners can struggle during the postpartum period.

They may be supporting a recovering mother, caring for a newborn, managing other children, handling household responsibilities, worrying about finances, and trying to understand how to help while adjusting to parenthood themselves.

Who is checking on them?

Supporting maternal mental health does not mean ignoring everyone else in the family. It means recognizing that the well-being of parents, babies, and families is connected. Fathers and partners deserve accurate information, emotional support, and room to acknowledge when they are overwhelmed too.

Change requires support and personal ownership ✨

One of TarNeisha’s guiding statements is, “In order for your circumstances to change, you must first change.”

That does not mean blaming ourselves for everything that has happened to us. Trauma is real. Loss is real. Inequity is real. Other people’s choices can cause real harm.

Personal ownership means recognizing what is within our control now.

We may not be responsible for the wound, but we can decide what support we need to begin healing it. We can examine our patterns, challenge the stories we have accepted about ourselves, set boundaries, seek treatment, change our environment, and make different choices moving forward.

Support and accountability are not opposites. Often, the right support helps us take responsibility without turning that responsibility into shame.

A reminder for the helpers who are tired 🤎

If you are the person everyone depends on, I hope this conversation reminds you of a few things:

You are allowed to need support.

You are allowed to take medication when it is part of your treatment plan.

You are allowed to have a therapist, psychiatrist, mentor, spiritual leader, support group, or trusted community.

You are allowed to rest before you completely burn out.

You are allowed to be skilled, called, knowledgeable, and still human.

Needing help does not disqualify you from helping others. It may be the very thing that allows you to continue doing the work without losing yourself in it.

The encourager needs encouragement too.

Watch the full episode 🎧

In this episode of This Therapist Has Problems Podcast, TarNeisha and I talk more about mental health stigma, motherhood, faith, career transitions, doula support, and finding purpose after pain.

Thank you for stepping into my office and making room for honest conversations about mental health and being human.

Watch the full episode on YouTube: Who Helps the Helpers? Mental Health, Motherhood & Purpose After Pain

Connect with TarNeisha

Resources and support 🤍

If this episode brings something up for you, please know that you do not have to work through it alone. Use the resource that feels most appropriate for what you need right now.

Information about bipolar disorder:
The National Institute of Mental Health provides educational information about bipolar disorder, symptoms, diagnosis, and treatment. A qualified mental health professional can provide an individualized evaluation and treatment recommendations.

Maternal mental health support:
The National Maternal Mental Health Hotline offers free, confidential support 24 hours a day for pregnant people, new parents, and their families. Call or text 1-833-TLC-MAMA (1-833-852-6262).

Perinatal and postpartum resources:
Postpartum Support International provides information, support, and connections to local resources. Call 1-800-944-4773, press 1 for Spanish or 2 for English, or text HELP to 800-944-4773 in English. The PSI HelpLine is not an emergency or crisis line.

Support for fathers and partners:
Postpartum Support International also provides information and support resources for dads.

Black maternal mental health support:
The Shades of Blue Project offers culturally responsive maternal mental health advocacy, community resources, and support groups for women of color before, during, and after childbirth.

Therapy and coaching through M.B.S Whole Health:
To learn more about available mental health and coaching services, contact M.B.S Whole Health.

Immediate emotional crisis support:
If you are experiencing emotional distress, thoughts of suicide, or feel unsafe, call or text 988 to reach the 988 Suicide & Crisis Lifeline. If you or someone else is in immediate danger, call 911 or go to the nearest emergency room.

You deserve care, support, and a space where you do not have to be the strong one every moment of every day.

Disclaimer

This blog and podcast episode are intended for informational and educational purposes only. The content is not a substitute for professional mental health care, therapy, diagnosis, treatment, or medical advice and does not establish a therapeutic relationship. The experiences discussed are personal and may not reflect every person’s experience with bipolar disorder, pregnancy, postpartum mental health, or treatment. Please contact a qualified mental health or medical professional for personalized support. If you are experiencing a mental health emergency, call 911 or go to the nearest emergency room.

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