behavioral illness

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Having Mental Health Means Sleuthing Magical Perceptions Sometimes

Black Magic (comics)

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Self-Care Tip #134 – Looking past the dark magic in your life might require medication.  Be a friend to yourself.

Much of what psychiatrists do at work is help with misperceptions.  Seeing something one way does not make it true.

In Scientific America, there was a great article, “Magic and the Brain: How Magicians ‘Trick’ the Mind,” By Susana Martinez-Conde and Stephen L. Macknik | November 24, 2008 | 17.  It tells us that we misperceive things so easily, that people use that quality to entertain others.  Magicians use it to entertain and exploit the limits of cognition and attention.

Magicians aren’t the only ones to exploit that.  We do.  We exploit ourselves.  Tsk.  Not too friendly and not generally as entertaining.

How is having our misperceptions a form self-exploitation, you say?  Because we nurse them and drive our own selves into the ground with them.  No one else is doing it when down to the last trick.

It comes to me that when we feel disconnected from others, we are mistaken.  Some magic turned us awry and we don’t see the gazillioin links touching us all around.  When we feel worthless, when we think we are despised, when we feel singled out for suffering, that be black magic my friends.  When we think our lives our so hopeless that we would be better off ending them, look for the mirrors.  Look for the rabbits and top hats.  We aren’t seeing things right.

When I move the curtains across my clinic day, I often find medical diagnosis hiding behind.  Some sort of biology giving us the slip.

My dad often told me, “Things are never as bad as they seem.”  I realize he was talking about this kind of magic.

Question:  How have you gotten past self-harmful misperceptions?  How have you seen another do it?  Please tell me your story.

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When You Are Hurting, Remember Why You Want To Live, And Live For That

 

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Self-Care Tip #133 – When you are hurting, remember why you want to live, and live more purposefully for that.

My daughter has a viral upper respiratory infection.  She is laying on the floor in her sleeping bag that has the stuffed puppy dog head for a pillow.  She just wants to be near me today while I work.  She wakes up and coughs, I check her out and dose her if she’s febrile.  She goes back to sleep.  Awakens.  Trundles up to drink some mango juice, water, eat 3 noodles, comes down again and lays there, pink in the cheeks, red eyes and chafed upper lip.

Sometimes when one of the kids is sick they stay home if I’m here.  It usually stresses me out but I’ve been getting better at believing more that we can take what comes and still get the work done.  Today, in-between patients, I laid down beside her.  Face-to-face.  She leaned in, opened her eyes and smiled!

She is one of the most delicately framed little people I know.  My nuclear family has never had small bones so this must be from someone on my husband’s side.  My daughter swung that tiny arm, warm with fever over my neck, put her face on mine, and fell asleep.

Lying there, thinking I’m so glad I could do this for her, suddenly felt wrong.  It flip-flopped over in my mind and I realized that I was glad.  But for me.

Having her near me while I work is a connecting force.  To both of us but maybe more for me.  My family has been exchanging this virus for 2 weeks now.  It hasn’t been hell but it has not been a delight.  Yet here I find myself delighted.  I wonder how long I’m going carry this gladness around.

Come what may in this world, it is these surprising moments that convince us about the rest.

In psychiatry, I’m required to ask each patient if they have thoughts of wanting to die.  Then I ask, “What do you want to live for?”  That catches some people off guard and I’ve gotten looks that could defend anyone in war.  But we aren’t at war and eventually they tell me why they want to stay alive another day.

At some level we all answer that question even if indirectly.  Everyone suffers.  If I were asked, my daughter’s smile would be on my list.

I am often amazed by good things that come out of bad.  Knowing that, gives hope.  But it also gives purpose and we can choose to angle ourselves more purposefully towards that rather than passively.  We can choose to live for the reasons we think worth living for.

My husband prays, “God please turn my posture toward you today.”  I’ve always loved that.

Question:  Why do you want to stay alive?  What are you living for?  Please tell me your story.

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The Process Of Coping With Triggers Such as Anger Includes Awareness

Two people in a heated argument about religion...

Two people in a heated argument about religion when Mahmoud Ahmadinejad spoke at Columbia University. Click the audio button found above and to the left to listen to them. (Photo credit: Wikipedia)

Self-Care Tip #132 – Awareness comes over and over again when you are a friend to yourself.

A reader posted in response to yesterday’s blog, When Someone Is Afraid Of You, You Don’t Have To Be Afraid Of Them. Just Be,

Sometimes it feels like any negativity dirties me up forever. I have a really difficult time dealing with any of the more negative emotions…. I am not sure how to “just be” with respect to those emotions…it always feels like anger whittles away my soul. Any ideas for coping through the times when we get really angry?

Taking care of ourselves requires awareness.  Just seeing it for what it is.  Being tuned in.  Having that degree of knowing.  Insight.

Awareness is sort of like “I love you’s.”  When we hear them, we might need to hear it again 5 minutes later.  There are no available stock options.  If the love doesn’t keep coming, than problems start.  Same with awareness.  We restore our own awareness how best we can, over and over again.  It slips and when new feelings come up, it may seem like it never happened.

My dad came over a week ago and spent the day with me and the kids.  The joy of just being able to spend a whole day with him was unique.  It was a different company than when he visits for an hour or on a timeline.  This day was all ours.  He left his car, and his cell phone behind.  He rode with me and the kids, sans detractors.  We were relaxed together.  Present.  There was a lot more time of just sitting quietly doing our thing but sharing even in silence our own selves.

Today he called, “To check on the tribe.”  He reminded me that it had been “just” a week since we spent that time together.  In my business of filling cereal bowls, the office, picking up dirty kleenex, training our dog where to poop – our time with Dad seemed like a long time ago.  I told him half jokingly, “Dad, we aren’t a bank account.  You have to keep coming.  You don’t accrue interest on what you put in.”

So is our own self-care.  It’s not that we are starting from scratch every time we take a bath.  It’s more that when we get into the flow of caring for ourselves inside and out, it becomes a regenerating, constantly investing rhythm that may at some times take thought and at others just happen because that’s who we’ve become.

One step of coping is that regenerating, repeating, purposeful process of awareness.  Our reader’s question about coping with getting angry put simply, requires awareness.  Because coping is soooo much more than just that, I’m sure it is too simple but it’s a start.  From there, come other bits of coping.  But without awareness, hmm.  Not much is going to happen.

Question:  What is your process of coping with triggers such as anger?  Do you think about it or is it cued subconsciously?  Please tell me your story.

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Self-care Begins and Ends With “Me” – Own It

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Self-Care Tip #129 – Self-care begins and ends with “Me” – own it.  Be a friend to yourself.

Yesterday we talked about connecting self-care with pleasure to make it sticky.

Today, We’ll talk more about some of the adjustment issues of why we don’t do self-care on the obvious, such as nurture vs. nature.  We’ll talk about the nurture part.  Specifically, our own not what our parents did to us.

Why don’t we stand up to our personal needs?  We don’t.  We don’t own the friendly changes that we would benefit from.

Carol who used to abuse methamphetamines and alcohol many years ago, now tells me that smoking is her only vice and she needs to have at least one.  She says she doesn’t want to stop even though her feet and hands are blue from not getting enough oxygen.

Another part of the answer is that we are so overwhelmed by the wrong we see around us.  We qualify and quantify it away, desensitized to our own needs.

“Have you seen that dietitian?!  How can she possibly give advice on weight loss when she can’t see her feet?”  And we ignore our own central fat, knowing that it has meaning.  Meaning like, we have unseen fat layering onto our central organs.  Meaning, we are more likely to develop metabolic illnesses such as diabetes.

We don’t own it.  We don’t “Just do it.”  We talk about other people and draw lines between their mistakes making pictures that we can hide our own problems behind.  We can make sense of why they are suffering so.  Yet our own problems are some sort of enigma.  Yet to be determined by science!  Open-mouthed, hands splayed in a why stance, we can’t connect our own dots.

All health begins and ends with “Me.”  Including mental health.

Find yourself again.  Amidst all the world’s needs, you still are important.  Peel off Channel 4 News, the internet, the fears about what is outside your front door, and see yourself there under it all.  Needing self-care.

Question:  How do you keep view of yourself despite the distractors?  Please tell me your story.

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When Self-Care Gives Pleasure, You Will Be Friendlier To Yourself

Self-Care Tip #128 – Connect pleasure with self-care.  Be a friend to yourself.

There’s a reason we have bad habits in our life.  It’s not only the loops, the neurological grooves in our brain, it’s also that they bring pleasure!  It’s not so unbelievable understanding obesity, drugs, addictions, poor sleep hygiene, inactivity, whatever it is when we think about the amazing effect that dopamine has on our pleasure center!  Ah.  Say, “Dopamine!”

Our real question with ourselves should be why we so often expect ourselves to do “good” things if they don’t give us pleasure?  How do we expect to stop over-eating if the substitute we offer our biological selves is suffering?  How do we expect to exercise, if we’d rather poke needles into our eye-balls than jog a mile?

We’re smart people, we have knowledge and we know what to do.  But, knowledge isn’t the answer always.  The “language of the heart” is dopamine, is feeling good.  How can we link what we want to do with ourselves objectively with feeling good.  It would be nice to pair up our dopamine with friendly habits and not those that are self-destructive.

How to do that might be worth some effort figuring out.  Figure it out individually if we want it to succeed.  The reason for the discussion here is not to give directions, but simply to draw attention to our need to find our own feel-good buttons and how we can wire them up to self-friendly behaviors.

I’m struggling through this also.  I hope to share this awareness with my kids before they move out, so I better get busy!  Can’t do that too well until I do it well for myself.

Today when I went on a mommy-date with my daughter, instead of taking her to Starbucks, we went and bought Bendaroos.  That was all I could come up with in the 10 minute date we had allotted for something feel-good.  Maybe she’ll develop shopping addiction instead of food addiction.  Time will tell, but I hope she got out of it the pleasure of creating shapes with Bendaroos instead.  Hopefully when she get’s creative, dopamine squirts out in her brain like a geyser.

Now, to get back to me…?  huh.

You can read a related post here.

Question:  How are you linking self-care with pleasure in your life?

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The Healing Process Can Be Confusing.

Self-Care Tip #127 – Because feelings can be confusing during self-care, keep connected to someone(s) objective.

A colleague told me the other day about his patient.  Of course he didn’t name him, but I’ll call him Brent.  Struggling with melancholic depression for many years, Brent started medication therapy.  He began feeling better emotionally.  But at the same time, he started to believe that he didn’t love his wife any more and started a dialogue with her about possible divorce.

It’s tempting to judge Brent.  Easy to say, “What the…!?”  Still, because we don’t know the full story, nor his thoughts, nor consider ourselves his Judge, we won’t.

Self-care can be a tricky road.  It’s not all ah-ha moments and nirvana.  Have you been there?  Confused by your feelings as you heal?

A common reaction to improving is associating the things in our “ill” life – when we were feeling terrible – with other elements that may not have had anything to do with our bad feelings.  Perhaps Brent’s wife was guilty by association and at some level he may have connected her to the dark emotions he so desperately never wants to feel again.  Bits of this idea are also in a previous post about panic disorder and grief.  For example, someone may change her profession because she believes her previous work is causally linked to the way she felt when ill.  Maybe Brent wanted a change in spouses for the same reason.

When we are going through the healing that self-care brings, we might not find our new emotional baseline for a while.  During that time, and because feelings are often not trustworthy, stay connected to the support network, confidants, the trusted few who can be our third-party advisors.

Although taking action on for our own health involves lifestyle changes, knowing when and how to get feedback is key.

Question:  What has confused you about your healing and self-care journey?  Please tell me your story.

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Have The Courage To Be Known

 

 

 

Driving my kids to their dental appointment today, we passed a corpse.  I could see the top of his head, bits of the gurney, but mostly the shape of his blanketed body.

In the first chapter of Le Petit Prince (The Little Prince,) by Antoine de Saint-Exupery, Prince describes how he is a misunderstood artist with hidden undeveloped talent.  He had drawn a postprandial (after dinner) boa constrictor, large with the elephant inside his stomach.  Unfortunately people who looked at his picture saw a hat instead.  Better with words than picture, Prince narrated rather his great loneliness amongst all creation and a yearning to connect.

This morning, seeing the blanketed corpse, I remembered the boa constrictor that Prince related to.  The futility the Little Prince felt about getting connected.  The inevitable misunderstandings that left him as a hat instead of boa constrictor that just swallowed an elephant whole.

http://www.angelfire.com/hi/littleprince/However, Prince refused the constraints other people’s perceptions offered him.  He refused the constraints by believing even still that he could connect with others.  In his simple way of living, he tried, going from planet to planet to be known as the Prince he was and not that other thing.

Driving today, I was very upset by what I had seen.  The facelessness of the man shaped in his blanket.  Covering him up and no one crying over him.

Someone was there with a clipboard and I could see an investigation was underway.  Of course necessary, but yet it upset me.  I kept seeing the boa constrictor that swallowed an elephant whole all day and thought about the man’s life, connections, and hopes.  Was he understood? Did he refuse perceptions and demand to be known and to know, giving others the same courtesy of life’s desire?

I cried over him today.  The same desire being inside of me, somehow the corpse who had been the man and I shared that relation.  So I cried for my brother and hoped someone had seen him.  As I hope to be seen.

Live as courageously as The Little Prince and believe.  You can connect.

Self-Care Tip # 126 – Demand with your life, to be known.  Connect.  Be a friend to yourself.

Question:  What obstacles to connecting have you been covered with?  How have you refused them?  Please tell me your story.


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Go Toward The Pain To Get Connected

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Audrey came in looking fresh.  Better than before for sure.  She had an aura that brought to mind the moment just when tearing off wrapping paper.  It was nice to see her.

I am doing better.  I’m able to let more of the little things go, like the house doesn’t bother me as much when it’s not clean.

She was more able to do self-care with less forethought.  What did take her by surprise though, was her guilt.  She could see that it was inappropriate but insight didn’t entirely remove what shouldn’t be there.  She said these thoughts and feelings were something her husband likely never struggled with.  She didn’t think he was worried about her home doing dishes when he was at work.  However, the reverse for her was true.  She gave a coughing laugh.

I do!  I feel bad when he does the things.  It doesn’t make sense.  If he wasn’t washing dishes when I was working he’d just be watching TV.  But I still feel bad.

For her, working her job, taking her jogs, and attending Mommy groups were all in a grey category of “extras” for life.  Not necessary but bonuses she was spending their retirement on.  However, despite this, she looked the champion she was when saying,

I still am able to take care of myself.  Even though those thoughts come.

Audrey, by thinking about, talking about, and materially man-handling these thoughts, she was able to join her personal journey.  These things became connecting forces in her life.  They drew her closer to her family and not away.  Resentment dissipated and she was able to take part in her available positive emotions and thoughts.

It could have been different.  It had been different at other times, before medications and other positive deliberate choices in her life.  But it wasn’t now.  The could-have-beens trickled away together, the other near misses that sometimes we know about and sometimes we don’t.  There they go…

Going toward the pain in life, not averting from it, is a connecting force in our lives.

Question:  What have you been avoiding?  What has it done for you when you went toward the pain?  Please tell me your story.

Self-Care Tip #124 – Go toward the pain to feel connected.  Be a friend to yourself.

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“You” Are The Best Gift

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Self-Care Tip #123 <–> Take care of yourself.

Before I was found by my man, my brother Vance Johnson used to tell me, “Become the woman whom the kind of man you hope to marry some day would want.”  It was one more thing that helped keep my focus off of searching for boyfun-friends and on to living my life.

Of course it doesn’t end when we get what we want.  When we stop growing, we stop living – as Sarah said in the blog-post, “You Are Enough.”  Regardless of where we are in life, we are responsible for being the person that the people we want in our life want to be with.

Many of us deteriorate under the guise of service, employment, obligation, parenting, care-giving or whatever reason.  We neglect ourselves and then give that battered up self to our hopes and to the people we love.

Don’t be misled.  If asked, those very people we are serving would say, “Just take care of yourself.”  If you don’t believe it, reverse it.  What do you want to say to the over-extended people you love?

Jennifer who is a stay at home mom, tells me that she feels so guilty when she takes time to go for a run.  She laughs, saying her husband wants her to go.  He comes home and tells her, “Go!  I’ll watch the kids.”  Yet she still feels bad.  She thinks about her husband’s long day at work and the kids moods, their needs, what she could do for them, and she can barely force herself to leave.  Once she does, she says she always feels great about herself and them, and comes home having more than she did before to offer.

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Taking care of ourselves, is giving the best gift to the people we love.  “Me.”  Taking care of ourselves might be the most selfless thing we could do.  It keeps us connected to our life journey, which by definition includes keeping us connected to the very people we love.

Keep on!

Question:  Where are you in your journey?  Taking care of yourself, connected, disconnected?  How does it affect those you love?  Please tell me your story.

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Do The Opposite. For Your Self.

Condomaniac

Image by VideogameVisionary.com via Flickr

Self-Care Tip #121 – Do the opposite, do the “un,” and go where you don’t want to go.  Be a friend to yourself.

Frank, accomplished in chess, employed in a 3 digit salary job, married with children, and he heard that things were going well.  From other people.  In his opinion, Frank believed the inside life-details were more destructive than the redemption of the apparent details.  Frank listed himself off to me like a confession, but he got little relief from the exercise.  It didn’t change that he was still addicted to sex, ashamed and the addiction was changing his ability to function in the other areas of his life.  He was taking more risks and realized that if he didn’t get clean, he’d lose “everything” but the addiction.  Not wanting the addiction didn’t make it go away.

How many of us wrinkle our nose at the Frank’s out there!  How we avert.  Either side is not really good or bad.  It just is.  Frank is addicted.  And we are ignorant.  Sex addiction is in the recesses and communes of where any of us live.  And, “we” are no better than they or worse.  It just is that way.  The qualifiers are the stink that kill our connections.  The qualifiers are rotten.

One thing I love about Jesus’ earth-story is that He was always un-everything.  He was Un-segregation, un-rules, un-prejudice, un-divided, and many people thought he was un-qualified.  Wherever these things were, He went there.  I love seeing people who use Him to draw lines between their spaces.  To say, “This is because Jesus wouldn’t…”  Hmm.  Jesus wasn’t scared of mucking up in the chaos of people’s lives.  Jesus not being scared is actually the wrong way to say it.  Let’s say rather, Jesus honed in straight to the muck and chaos, drawn there because He couldn’t and didn’t want to stay away.  We are not so loving as that but who cares about motives?  I also say with confidence that Jesus/God understood biology much better than we did then, now or will.

When we can look at each other objectively, when we don’t personalize what isn’t about us, we can let go of some of what separates us.  It goes both ways.  We are afraid of Frank and what he does.  Frank is afraid of what he does and of us.  But it’s not the fear so much as it is the qualifiers that ruin us.  Bad, good, Clang!  Down go the dividers.

None of this is meant to minimize the pain that these things bring on, such as addiction.  Rather, taking away whatever is dividing us helps us be more present with the pain, with each other, and often leads to healing.  It is another opposite, another “Un,” another Jesus-move.  Doing just the opposite of what we think should be done.  Got to love that Man!

Why would any of “us” want to be connected to the addict, or to whomever is doing something hurtful, scary, negative whatever it may be?  Why?  For your self of course.  Our life is better if we are.  That is a motive I think is worth pursuing.

Question:  How has your life gotten better when you did the opposite of what you felt like doing?  Please tell me your story.

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Put The Struggle Down and Take 3 Steps Back

I almost gave up on tonight’s post.  But after taking a Glee break watching Kurt get bullied, get defended, then get out of his school, I felt more refreshed.  Go figure.  What I have to tell you about self-care tonight is to go back to the basics.

When you become inundated with all the good things out there to do, go back to the basics and let it rest.  Get your sleep.  Take your omega 3’s and vitamin D.  Take your medications regularly and step back from the struggle not to.  In fact, if possible, put all struggles down and take 3 steps back.  There is time enough to pick them back up when ever.  Go to sleep and sleep well.  If you don’t think you will, take something to help.  Something safe that will protect your deep sleep.  Then, get up, worship God, exercise and see what’s next.

Any time you want, any time you need, any time, you can go back to the basics any time.  These are mine.

Good night folks.

Self-Care Tip #120 – Get basic with yourself.

Question:  What are your basics?  Please tell me your story.

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You Are Enough.

Self-Care Tip #119 – Remember that you are enough.  Be a friend to yourself.

Forrest Gump (after watching his girl Jenny throw rocks at her childhood home of abuse,)

Sometimes, I guess there just aren’t enough rocks.

That movie grabbed almost everyone’s heart-strings.  And when I saw my patient Sarah, I kept thinking about Jenny throwing rocks.

Sarah started crying.  I’d never seen her do that in the 8 years we’d worked together.  She was one who talked in spurts.  Sometimes saying nothing for many visits, and then she’d start questioning me about foods, diet questions, or parenting.  Then quiet some more.  Today out of the blue came her tears and words.

When she started on her disclosure, I tensed up thinking, “What am I supposed to say?  She’s never done this before!”  I realized that being a psychiatrist, I should know the answer to that question and got even more insecure because nothing came to mind.

Her lovely face crumpled over the story of her “stupid” father.  He never let her go to school.  He was violent.  Sarah is now teaching herself how to read; and more tears, her lovely face trembling.  She is a mother and there are no books in her home for her children because she is ashamed of herself.  “My dad is an idiot man.”

Post traumatic stress disorder (PTSD) can last a lifetime.  The horrors that are relived by the survivor can be unspeakable for them.  We never know what people are going through really inside.  They could be a survivor like Sarah or Jenny.

So far, I hadn’t said other than a few “psychiatry-sounds” like “hmm,” and “Oh.”  Don’t be too impressed but I remembered someone somewhere wiser than me put it this way,

Sometimes it’s better not to say anything.

And I really didn’t.  She did.  And she did it wonderfully.  We ended up talking about authors she hoped to read eventually.  She’d heard of Isabelle Allende and wanted to get to her books some day.  We hadn’t even started talking about medications yet.  Sarah left after saying that when she stopped learning and growing, she would be dead.

What hit me was that Sarah wasn’t looking for more than me.  I searched, wanting to give her more and came up with what I hoped was an appropriate facial expression.  In a way, by not speaking much, I was able to receive and be blessed by her story.  I might have missed that.

My mentor, author of blog CreatingBrains.com, encouraged me when I was unsure about teaching others.  She said, “Look at your life and who you are.  You would be surprised.”

When we are insecure about something, it helps to remember that we are enough for the task at hand.  As individuals.  We have in us all the days that came before, the experiences, the generations that handed us down, the God who made us and as per my belief, never leaves us.  We have so much.  Considering all this, be still and know.

Question:  When have you been amazed at all that was inside you?  Please tell me your story.

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The Great Lie.

One of the great lies of mental illness is that, “If things weren’t so stressful, I wouldn’t feel so bad.”  Look inside ourselves now and see them.  All the numbered and ranked stressors we tick off to explain how we feel and/or behave.  How about someone we love.  Do we tell them, “Of course you feel that way!  Look at all you’re going through!”

Because major depressive disorder (MDD) is mainstream enough, I’ll use it as an example.  Who, when they are down, doesn’t look for reasons why?  Say there is an additive effect of stressors such as home conflicts, financial duress, and poor sleep.  Since these events, you haven’t felt pleasure, you’ve felt sad and depressed.  You aren’t motivated or interested in your usual.  And where you normally would seek people out when you felt down, to get more energy, now you just want to be alone.  And so on.  You are able to say that you started feeling this way progressively since triggered with those stressors about 3 months-ago.  Before that you were “fine.”

Many people in your life, have told you that you are just going through a bad spell.  You have believed them but say, “Even if this is a bad spell, if it goes on much longer I think I’d rather die.”  Your best friend responds, “Anyone would be depressed if their boss was that evil!”

My answer, “No.”  Feeling down is appropriate to stress when it doesn’t disrupt your life for more than two weeks at this level.  And it is never normal to want to die.  Everyone has stress but not everyone responds to stress in the same way.  Not everyone if put under your same triggers would develop MDD.

Would you have developed this disease if you weren’t put under these stressors?  I can’t say.  We develop illnesses for many reasons.  One of the many reasons is external stress.  A hypothesis supporting this is that stressors trigger our genes for MDD much like we know cancer genes can be turned on by stress.  However, we do not have a direct correlation to the stressors as being entirely causal events.

Even if it were, none-the-less, we are left with the disease process in progress.  It is not an adjustment reaction to stress.  It is medical illness.

Feeling this way is not normal for what you are going through.  Telling yourself that it is, that is the great lie.

Self-Care Tip #118 – Don’t believe the lie if what you’re going through is affecting your function in life.  Be a friend to yourself.

Question:  What whispering lies are you struggling against?  Please tell me your story.

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Pebbles to Diamonds

 

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Self-Care Tip #117 – Notice, you got diamonds out of stones!  Be a friend to yourself.

Cindy replied to yesterday’s post (that had some discussion on functional mental illness,) “I understand Miranda’s feelings completely.  Some days it’s all I can do not to down tools and scream ‘What about ME?’”

That is one of the lovelies that these illnesses bring to us.  In our honest moments, we can, like Cindy did, perceive our own traits that resemble them.  Perhaps, if we are lucky, that will lead to empathy, one of the great human experiences.  To be able to put yourself in the hypothetical place of someone else.  To imagine what they think and feel.  “If I were in your shoes…” and so forth.  If you’d like, read more on this at this post.

Illness is often considered a step in the dyeing process.  Others see it as part of the living process.  Of course, it is both.  We are all on level ground when it comes to having been born, coming into life, and knowing we will equally die.  Illness reminds us of our like-natured frailty and of course the opposite – resilience.  Whether seeing our own illness or someone else’s, we have this privilege of being blessed this way.

My Dad used to tell me a story (author unknown) when I was little.  It’s been a long time but I remember it this way.

Three travelers were walking when they heard a voice telling them to bend down, pick up pebbles and put them in their pockets.  The voice told them further that in the morning they would be both happy and sad.  The travelers did but not equally.  Some pockets were more full than others.  In the morning when they awoke, their stones had turned to diamonds.  Whoever gathered many stones were happy even though all of them wished they picked up more stones.  But whoever gathered few, well, they were not happy.  They still had diamonds but the comparison soured them and they finished their journey full of “what if” thoughts and not thoughts about the obvious.  They got diamonds out of stones!

We are all similar, with the opportunity to say thanks in seemingly off times, such as mental illness.

Question:  What have your “stones” turned into?  Please tell me your story.

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Courage Not To Presume.

Pony Express

Self-Care Tip #116 – Have courage not to presume.

Courage.  Courage is doing what frightens us.  I heard this definition and as usual I got a little stiff.  Definitions sometimes feel sticky to me and I’m trying to understand why.  Why is my lip curled?

In line the other day for the theater, a grandfather in front of me got talking.  I didn’t get any names; just that he was a grandfather of a 7-year-old girl who owned him.  Naturally he drifted into stories about her, including their most recent vacation to Knott’s Berry Farm.  They rode “The Pony Express” despite his fear and instincts.  I asked him if he was proud of his granddaughter’s courage and he replied, “She wasn’t scared!  So she wasn’t the one with courage.  I was!”  He laughed, and then I laughed, but I walked away to the ticket booth whispering, “What does he know about her thoughts?”

I see so many faces flashing across my mind’s eye.  I see them, and I hear them.  I realize their whispers have become mine because I believe them.  My patients are courageous.  These, who have not told others.  Who have not screamed when they wanted to.  These people who have put on the appearance of calm despite their fears.  They are a study in functional mental illness.

Functional mental illness, although historically refers to mal-behaviors and emotions without medical cause, now after years of increased knowledge and study, it includes their biological organic etiology.

As an example of functional mental illness I’ll tell you about Miranda, a mother of 2.  Miranda says her kids stress her out and she can barely take care of them.  However at her job, she performs adequately and no one would say she seems depressed.  She falls into bed when her kids do between 7 or 8 PM yet never feels refreshed.  Crying while pouring their cereal each day, she packs them dry bread and a pickle for their lunches.  No one would know the courage it takes for her to survive the moment and then the next.  They all presume she is fine.

After teasing apart my thoughts on courage, my lip has uncurled.  I understand that definitions bother me because they can sometimes imply freedom to presume more than one should.  We can never know people’s thoughts, motives, feelings entirely and that bit that we don’t know, may be the bit that changes their story.  If you want to read more, check out this post.

So for now, I can push down my fear of definitions, put on the face of calm, …and what?  Be a friend to myself.

And you?

Question:   Where do you need the most courage to do good for yourself?  How do you deal with your fears?  Please tell me your story.

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Who Cares What Your Diagnosis Is?

Wheelchair basketball at the 2008 Summer Paral...

Image via Wikipedia

Self-Care Tip #115 – If it’s not serving you well, don’t waste your time on it.  Be a friend to yourself.

Trixie Hidalgo, advocate to end violence in America, tells me that many of the people engaging in gang crimes tell her that they are put in their life positions (poor, stereotyped, impoverished) by the people who have the power, to keep those people in power and to keep them down.  They have some credible arguments we’ve shared before in history relating to oppression such as race, color, gender, money, or status.  Are these people victims?  Sure, why not.  But is that the point here?

The victims reminded me of a clinic I was in the other day.  I was working with Marcus and his father.  The father was torn about where to go to get his disabled son, Marcus, treatment.  Marcus was disabled with both brain illnesses and severe psychosocial stressors.  Currently we found Marcus, 2 years into treatment with me, and as of yet, father and mother (divorced without amicable terms) had yet to engage in treatment with me.  They wanted to know why Marcus was the way he was.  Father pointed at Mother and Mother pointed at Father.  They blamed other things as well, the schools not providing the right services, the medications for not working, his genes, and more.  Meanwhile, Marcus is tearing up his classroom and his own life.  He is barely functional socially.  Moody and volatile.  Anxious with physical symptoms.  He was having multiple medical work-ups going successively for various physical complaints.

Before I let them go, I told his parents, “Who cares what his diagnoses are?  It’s not about the diagnosis.”  The purpose of a diagnosis is to serve the patient.  The patient doesn’t serve the diagnosis.  Right now, Marcus was serving the quest for his diagnoses.  If all they can see is that, and they miss the fact that their son isn’t functioning, he’s depressed and anxious and violent and no one can stand to be around him, Marcus is worsening continually while they go on debating – they’ve missed “IT.”

They’ve missed it.  And so have we when we waste time counting up the offenses we’ve directly or indirectly suffered.  We miss it when we increase our injury by holding ourselves responsible to our history.  I asked Marcus’ parents what the point of what they were doing for Marcus was.  I ask the victims of America, what the point is when they point to history to answer for their present condition.  If it’s not serving you well, if it’s not doing something good for you, than what are you doing with it?  Do good things for yourself.

For the victims, for Marcus, and for Marcus’ parents, 1st make sure we weren’t missing something medical that was keeping them from having life quality.  You can’t give what you don’t have.  Then move on to the psychosocial issues and spiritual and so on.  What ever we ran into that missed our point, we’d walk past it together and on to something that served us well.

If you’d like to read more on this topic, read more in “It’s Time to Grow Up” and “The Whole World Becomes Blind.”

Question:  How have you managed to move past things that weren’t serving you well?  Please tell me your story.

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Blog Carnival – psyche’s flashlight

Blog Carnival – psyche’s flashlight.

Looking the monster in the face, and/or discovering that it’s a god.

Description ¤ Dedicated to the personal experience of mental illness, psychiatry, psychology, and mental health, especially from the point of view of the patient, client, consumer, sufferer. Open also to health care providers, mental health professionals, friends and family, academics, writers, researchers, and anyone else who blogs about this subject.
Keywords ¤ mental illness, psychiatry, psychology, mental health, patient, client, consumer, sufferer, health care providers, mental health professionals
Filed under ¤ medicine, health & fitness
Carnival homepage ¤ High School Confidential
Submission deadline ¤ last Saturday of every month by 9pm EDT
Maintained by ¤ Bor D. Erline
Current status ¤ This carnival is ongoing.
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Toughing It Out! …Is Not What You Think.

Mental Health of our Military

Image by Truthout.org via Flickr

Self-Care Tip #114 – Tough it out.  Be a friend to yourself.

Trying to tough it out is good it’s just not what most people think.

Many people think that toughing it out means staying med-free and getting through melancholy, anxiety, emotional chaos with gritted teeth.  They gather a degree of commendation from weathering out the behavioral and emotional problems until they either feel better or don’t.

This is not the kind of toughing it out that I’m calling worthy of our life efforts.  It is in fact the opposite.  Toughing it out is doing what may be socially and culturally counterintuitive.  Getting medical care sooner than later.  Not waiting to see what will happen before getting medical care if it is indicated.  Believing the medical data, the physician you trust, the knowledge that mental illness is medical, biological and often PROGRESSIVE over time.

Waiting means you are getting more ill on a cell level and at higher risk for your future and waiting is not being tough.

Toughing it out is digging into your courage bank every day to take that pill when you feel ashamed of it.  Toughing it out is fighting for your brain’s future.  Toughing it out is sacrificing what ever you need to, to give your loved ones and yourself the healthiest you possible.  Even if that means talking yourself into it, going up against your fears, ignoring prejudice, ignoring opposing recommendations from your favorite sources.

picasaweb.google.com

This calls for thick skin.

Candace tells me she still intuitively can’t believe this, even though her mind tells her it is true.  She takes her medication but it still hurts a little every time.  Like she’s betraying herself.  Like she must grieve for herself.  Candace says the apparent calm, decrease in anxiety, improved relationship with her children, and the flowering hope eases her inner psychic pain.  Candace is drawing strength every day from the growing evidence of health.  Candace is tough.

Question:  What are you getting tough with in your life?  How do you do it?  Please tell me your story.

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Grieve to Be Present With Yourself

 

Maria Yakunchikova "Fear" 1893-95

Image via Wikipedia

 

We grieve when we get sick.  And we grieve again when after getting well, we get sick again.  Then the grieving can be even more terrible because you know what’s coming.  In Pearla’s case, she didn’t know she was grieving but she knew she was sad and terrified at the same time.

I asked her if she thought that staying in bed, loosing interest, isolating, crying jags out of the blue might be related her grief about getting sick again.  She said no at first and then said, “I’m disappointed.  I thought this was over for me.”  All over, she couldn’t trust herself.

Pearla was afraid. And that fear was always there.  Now she couldn’t put it out of her mind.  “What if I have another panic attack?  I can’t take it!”  “What if,” was always on her mind.

Readers, a panic attack is more terrifying than just about any immediate experience.  If you’ve never had one, it is almost impossible to imagine the depth of terror it causes.  It is so horrible, that people even change professions because of it.  I remember a surgeon who actually went back to residency and studied a new specialty because he linked his panic to his profession.  That’s another 4 years of grueling work, readers.  That’s the kind of fear panic produces.

Pearla was not only in the throes of this fear, she was also in the throes of grief.  This is a deep sadness any of us who have lost a beloved hope can relate to.  Pearla didn’t know that was why she didn’t want to get out of bed.  All she knew is over the last 2 weeks she was loosing herself and in exchange, getting something she desperately did not want.

Somehow though, after hearing about her sadness from her own mouth, Pearla agreed.  She saw the grief and after seeing grief, she could be more present with it.  It was almost like her face materially came out from hiding.  Grief lost some hold on her.  She was a little less sad and a little less afraid.

Self-Care Tip #111 – Let yourself grieve.  Be a friend to yourself.

Question:  How do you grieve?  Was it worth it to you?  Please tell me your story.

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Wearing A Bit Of Disguise For The Sake of Being Open

Self-Care Tip #110 – Find your masquerade and let it teach you how to be open.

We often talk about taking masks off.  About being open and “face” our lives with courage.  However doing that isn’t always as easy as saying it.  Sometimes doing the opposite makes it easier in preparation for when we have courage to try again.  Sometimes putting the mask on makes it easier to more completely know and be known.

On Twitter today, this came from bigfishtopdogs Theresa BradleyBanta:

Here’s my #FF. These people rock! They engage!
And there was my name.
I wondered why we can say these high-fivers so spontaneously on Twitter from people we know only a few pixels deep.  I “met” Theresa BradleyBanta on her blog site bigfishtopdogs.com only a few days ago and she’s already telling people that I “rock!”  It is so cool!  (Just as an aside, she rocks too.  Her site is all about coaching and mentoring on entrepreneurial endeavors.)

Getting that fresh compliment almost stung when I realized how I preened underneath it.  Here in the real world, I don’t know who to show my feathers to.  My reply to Theresa was

Wow. How come I can’t hear anyone say that in “real life?”.  Twitter is like a smokey dark room where anything can happen.

Sometimes people think of hiding behind things as a way to do indiscrete lascivious acts that you wouldn’t want to do if you were identified.

I propose that a little hiding is a good thing for ourselves.  To get up close and personal.  To share over-the-top compliments and receive them.  It doesn’t mean something bad unless we use it badly.  I propose that when we disguise a little on occasion, we might remember how to act more freely when we are in the open – how to, when we try again.

Having the courage to try again and again to connect gets easier when we have fun reminders as to why we want it so bad.

Question:  What have your positive experiences been when you were a little less inhibited?  If fantasies could come true, how would you like it to carry over into your “real” life?  Please tell me your story.