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Is Mental Illness A ‘Luxury’ Disease?

There’s an interesting debate unfolding on The New York Times website about mental illness in America. What got my attention was the suggestion that mental illness and the related treatments are luxury items.

Mood music:

The debate — between a variety of professionals in the mental health field — runs the spectrum from suggesting mental illness is still misunderstood and undertreated to being over diagnosed and used as an excuse to hide from personal responsibility.

From the introduction:

Whether you call it hypochondria or American exceptionalism, the numbers are plain: Americans lead the world in diagnoses of mental health problems.

For some conditions, perhaps wealth explains the disparity: in developing nations, more people are focused on pressing needs like food and shelter, making depression a “luxury disorder” in wealthy nations like the United States.

But are there other factors at play for conditions like attention deficit/hyperactivity disorder, that may be “culture-specific”? Maybe the condition is more common in the United States because the high-energy, risk-taking traits of A.D.H.D. are part of America’s pioneer DNA. Or maybe the same behavior is common elsewhere, but given another label? Some critics would argue that American doctors, teachers and parents are simply too quick to diagnose A.D.H.D. and medicate children. Do the American medical and educational systems inflate the numbers?

Edward (Ned) Hallowell, a psychiatrist and co-author of “Driven to Distraction” and “Delivered From Distraction,” suggests that A.D.H.D. in particular is part of the American DNA:

There are two main reasons the diagnosis of attention deficit/hyperactivity disorder is high in the U.S. First of all, our gene pool is loaded for A.D.H.D. Consider the central symptoms of the condition: distractibility, impulsivity and restlessness. Consider also the positives that so often accompany A.D.H.D.: being a dreamer and a pioneer, being creative, entrepreneurial, having an ability to think outside the box (with some difficulty thinking inside of it!), a tendency to be independent of mind and able to pursue a vision that goes against convention. Well, who colonized this country? People who have those traits!

His description of someone with A.D.H.D. is priceless:

I often tell people that having A.D.H.D. is like having a Ferrari engine for a brain, but with bicycle brakes. If you can strengthen your brakes, you can win races and be a champion, as so many highly accomplished people with A.D.H.D. are. But if you don’t strengthen your brakes you can crash and burn as, sadly, many people who have A.D.H.D. but don’t know how to manage it ultimately do.

As someone with OCD, I’d add that the description also fits for my condition.

Peter R. Breggin, a psychiatrist in Ithaca, N.Y. and author of more than 20 books and the director of the Center for the Study of Empathic Therapy, Education and Living says the drugging of children for A.D.H.D. has become an epidemic:

The A.D.H.D. diagnosis does not identify a genuine biological or psychological disorder. The diagnosis, from the 2000 edition of the “Diagnostic and Statistical Manual of Mental Disorders,” is simply a list of behaviors that require attention in a classroom: hyperactivity (“fidgets,” “leaves seat,” “talks excessively”); impulsivity (“blurts out answers,” “interrupts”); and inattention (“careless mistakes,” “easily distractible,” “forgetful”). These are the spontaneous behaviors of normal children. When these behaviors become age-inappropriate, excessive or disruptive, the potential causes are limitless, including: boredom, poor teaching, inconsistent discipline at home, tiredness and underlying physical illness. Children who are suffering from bullying, abuse or stress may also display these behaviors in excess. By making an A.D.H.D. diagnosis, we ignore and stop looking for what is really going on with the child. A.D.H.D. is almost always either Teacher Attention Disorder (TAD) or Parent Attention Disorder (PAD). These children need the adults in their lives to give them improved attention.

He makes an important point about the use of medication. A lot of parents turn to drugs because they simply don’t know what to do. Junior is a terror in school and on the playground and he’s exhausting everyone at home with his behavior. Turning to drugs is often an act of desperation. Desperation can be a good thing. It can force us to deal with our problems in ways we weren’t willing to consider before. But it can also rush us into bad decisions.

Erin and I are walking this tightrope with Duncan. We’ve had him tested in the doctor’s office and at school, and he has all the textbook traits of someone with A.D.H.D. But at 8 years old it’s still difficult to know for sure if this is A.D.H.D or something else that acts like it. Pills could tame his difficulties, but if he has something else that’s simply acting like A.D.H.D. — bi-polar disorder or OCD, for example — the pills that work for A.D.H.D. could make those other things much worse. So we’re not doing the medication.

This much I can tell you: When his older brother asks aloud if Duncan has A.D.H.D., Duncan bristles. He doesn’t like the label. And who can blame him?

I can tell you that Duncan has made a lot of progress with the other tools we’ve deployed: cool-down exercises, activities to channel anger (painting is one of his favorites) and so on. But there are still big challenges every day. And that’s ok.

Does the search for a problem and solution make us over-reactive parents? I don’t think so. When you see your child struggling, your instinct is to help them find a better way. Their happiness is what matters to us in the end.

Are kids diagnosed too easily and drugged too quickly? I’m sure of it. But to simply write the parents off as over-reactive is silly.

Society in general has learned to take everything too far. Ever since tragedies like the Columbine High School massacre, school administrators and teachers go crazy over things that are usually nothing. A kid collecting sticks and rocks in the schoolyard because he simply likes to collect these things becomes a danger. Why would a kid collect rocks and sticks if he didn’t intend to hurt his classmates with them, right?

We all struggle to find the sensible middle ground, because American society has seen some really bad shit in the last two decades: 9-11, Columbine, kids knifing each other in schools. We’ve seen the worst of the worst. The resulting fear can blind us to the fact that we’ve also seen the best of the best, including the advances in medical care.

When I was Duncan’s age and I was behaving badly, I was simply written off as a behavioral problem. I saw it happen to other kids as well. In hindsight, the building blocks of my mental illness were already swirling around in my head, shaped by the hard stuff I was experiencing back then, like my parents’ divorce, my brother’s death, the hospitalizations with Crohn’s Disease and the schoolyard bullying over my excessive weight.

Behavioral problems aren’t written off as easily today, and we should all feel good about that. The trick is to make the best use of all the newer mental health treatments, and that’s still a work in progress for all of us.

In my case, I’m lucky because I was determined to try everything else before trying medication. That resulted in several years of hard self-discovery and a better understanding of how I got the way I am. It led me to an array of coping tools I may not have learned to use had I turned directly to medication. Eventually I learned that my brain chemistry was still too far off center for me to control without medicine, and that’s when I tried the Prozac, which has worked exceptionally well.

It didn’t turn me into a robot. I’m still me. I see everything and feel everything. I still get depressed. But with the Prozac correcting the chemical traffic in my brain, these things no longer incapacitate me.

Is treatment a luxury? Sure. If you live in deep poverty and your biggest concern is where the next meal for you and your family is coming from, that’s going to be your first focus.

But if you aren’t in that situation and you have the luxury of dealing with mental illness, you shouldn’t feel bad about it.

You should simply thank God and do your best to pay it forward.

fulllength-depression-1

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How To Talk To A Liar Who’s Been Caught

A reader who recently found the two posts I wrote on addicts as compulsive liars had a sad story to share. Her husband, a compulsive spender, gambler and drinker, lies to her all the time. He apparently sucks at it. She always finds out.

Mood music:

How, she asked me, does she deal with a person like this? She still loves him, and in many respects he’s still the great guy. But lies are a cancer on even the most tried and true relationships.

It’s a hard question for me to answer. For one thing, it’s self-serving of me to tell a person like you how to talk to a person like me. My instinct will naturally be to tell you to go easy on him and calmly talk it through. It is true that yelling at a liar won’t make him stop. In fact, it will probably compel him to lie even more, convinced that any shred of honesty will result in a verbal beating every time.

This part has been especially challenging for me over the years. I grew up in a family where there was constant yelling. Because of that, I react to yelling like one might react to gunshots. I instinctively avoid it at all costs, and that has led to lies.

But if your significant other is stealing money behind your back to buy drugs, a friendly, smiling reminder to him that grownups aren’t supposed to behave this way won’t work either. The liar will simply thank God that he got off the hook that time.

You just can’t win with a liar.

I lied all the time about all the binge eating and the money I spent on it. I’m guilty of the lie of omission when it comes to smoking. And in moments where I felt like I was in trouble, I lied about something without meaning to. The instinct just kicked in and a second later I was smacking myself in the head over it.

Here’s where there’s hope:

Lies tire a soul out. It weighs you down after awhile like big bags of sand on your shoulders. Guilt eats you alive. That’s how it’s been with me in the past.

If you’re like that and there are any shards of good within you, you eventually come clean because you want to. Remember that lying is part of two larger diseases: Addiction and mental illness. Nobody wants to be sick.

But while some who get sick wallow in it and make everyone around them miserable, others are decidedly more stoic about it and try to do the best they can with the odds they’re dealt.

I was a miserable sick man but eventually, through spiritual growth, I tried to become a more bearable sick man. That meant dealing with the roots (addiction and OCD) and the side effects (lying).

I still fall on my face. But I work it hard and seem to have gotten much better than I used to be.

I credit Erin for a lot of this. She could have either thrown me out or thrown up her arms and turned a blind eye to my self destruction. But somehow, she has found a middle ground in dealing with me. It hasn’t always been pretty. But we’ve had our victories along the way.

You want to know how to talk to a liar who’s been caught? You’re better off asking her than me.

pinocchio

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Three Years (Almost) Clean

Three years ago yesterday, I went on my last binge. Actually, it was more like reaching the end of a final, two-month long binge. The abstinent and sober life hasn’t been perfect by any stretch. But it beats the hell out of where I was at the start.

Mood music:

http://youtu.be/IKpEoRlcHfA

Compulsive overeating was my biggest, most destructive addiction. It led to health problems that only got worse with time. I became a waste of space and fell short as a husband, dad and friend. I used to think about food all the time — where to get it, when to binge it and how to hide the aftermath.

People think of drugs and alcohol as addictive things, followed by gambling, pornography and the Internet. Food, on the other hand, that’s something we need to survive. If you’re a binge eater, it’s not an addiction, the thinking goes. You’re just a glutton who eats too much. The truth is we are ALL addicts. Some of us need chocolate, others need to watch every episode of their favorite TV show.

This year has probably been the most challenging for me since ditching the flour and sugar. There have been stress factors that didn’t exist before, including my father’s multiple strokes. Last month I decided to restart my program at square one, with a new sponsor and a tightening up of my food plan.

It’s hard to pinpoint the moment my recovery started getting wobbly and I started getting sloppy. I don’t know if it’s fully accurate to call this a relapse, but was pretty damn close.

Twice in as many weeks, I forgot to pack an abstinent lunch before leaving the house. When you’re recovery is on sturdy ground, that’s a mistake you NEVER make.

I was skipping too many 12-Step/OA meetings and I stopped calling my sponsor.

One morning I woke up, had a what-the-fuck moment and decided to kickstart things. Hence the “almost” in today’s title.

Last year, my sister Shira asked me what the difference was between someone with a binge-eating addiction and someone who just eats too much without thinking.

It’s a fair question, and a wise one. Here’s how I see it:

Though we all have our addictions, there’s a line someone with an overpowering habit crosses. On the other side of that line, life becomes unmanageable. The fix becomes more important than anything else. You spend ALL your time thinking about how to get it. You burn through money you don’t have and become crafty at lying about it to everyone around you, including the people you love most.

In short, the need for a fix takes your entire brain hostage.

I guess that if I were just a casual overeater, I’d be overweight but life would hum along pretty much as it’s supposed to.

I’m not sure if that makes sense, but that’s what it means to me.

When you realize you need to deal with it, the 12 Steps of Recovery is the map to take you there. It’s very simple. The first steps are the admission that you have a problem that has made life unmanageable, and that you can’t bring it under control without help from a higher power.

There are the basic tools: Having a food plan (mine is devoid of flour and sugar and I put almost everything I eat on a scale). There’s the sponsor, writing, meetings, etc. But along the way, you learn things about yourself and grow in ways well beyond what you expected.

My recovery has lead to many healed relationships and a clearheadedness I never knew before. I’ve been able to reach out to people I’ve hurt in the past and set things right.

It isn’t all roses. The first few months of abstinence were not sober days. I used a lot of wine as a crutch to keep from eating. Eventually I put that down too, because I saw where it was taking me and it scared me. And I’ll be honest: I don’t really miss the food anymore, but I DO miss the wine. Sobriety can be an awkward thing.

I’ve also learned that being clean doesn’t make you a better person. I’ve seen people in AA and OA that will make your skin crawl, and they’ve been clean a long time. Sobriety doesn’t mean you instantly learn how to behave like a good human being. Some people find they were better at that when they had a glass in their hand. Me? I have a runaway ego and some days I still have a bad attitude.

I’m a work in progress. A lot of work.

But I’ll take the me of today over the me of three years ago.

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Depressed? Drink More Coffee

People often shudder over the amount of coffee I down each day. Even after I point out that it’s the only vice I have left, they still look at me like I’m nuts. But I’ve found new allies at Harvard’s School of Public Health.

http://youtu.be/p5em6PisRyk

My new academic friends say those who drink two or three cups a day have a 15 per cent lower incidence of depression than those who rarely do so. Their point of view is captured nicely in this article from  , medical correspondent for The Telegraph. He writes:

Although they emphasised the study did not prove that caffieine protected against depression, they noted that there appeared to be a “dose-dependent response”. That is, those who drank the most coffee tended to suffer the least from depression. For instance, those who consumed drinks containing 550mg or more caffeine a day – equivalent to four or more cups – had a 20 per cent lower risk of depression than those who barely drunk any.

Michael Lucas and colleagues looked at more than 50,000 healthy women, whose average age was 63, and followed them for a decade. They estimated their caffeine consumption in all types of drink, via questionnaire, and then looked for new cases of depression. Writing in the journal Archives of Internal Medicine, the authors noted that in the study group “cases of depression decreased in a dose-dependent manner with increasing consumption of caffeinated coffee.”

Some personal perspective…

Binging on a $35 bag of McDonald’s junk between work and home and walking through the door in a zombie-like state, feeling like the lowest of the low.

Realizing that I HAD to have a glass of wine at the end of the day or, better yet, all afternoon on a Sunday, the glass filled to the brim.

Dreaming up all kinds of ways to hide the money I was spending on both. In other words, lying to everyone about what I was up to — including myself. [More on that in The Liar’s Disease]

That was the real self-destructive stuff. I kicked the first habit by cutting all flour and sugar from my diet and putting all my food on a little scale. The second one was easier to kick, because even at its worst, that addiction was far less damaging than the flour-sugar kind.

I’m both sober (from alcohol) and abstinent (from compulsive overeating) and I work the 12 Steps of Recovery.

But quitting coffee? No way in hell I’m going to do that.

I drink it all day. I like it strong and bitter, and if there are grounds spinning in a circle at the surface, I’m fine with that. Even when I put cream in, it still looks black to the naked eye. I love it so.

My favorite routine is to get up at 4 a.m., brew a cup and let it seep into my bloodstream as I look out the living room window, sitting in my favorite chair, watching the sun come up. By 9 a.m., I’m on the second cup.

I prefer Starbucks, though Peets and Panera brew some good stuff as well.

On some of my work-at-home days, I can be found in the Starbucks up the street, using the place as my own caffeinated office.

When traveling, one of the first things I do is find where the coffee is at. By the way, there are a lot of great coffee shops in Washington D.C.

Why the obsession with coffee? Well, the easy answer is that I have Obsessive-Compulsive Disorder and chances are I’m always going to latch onto something. The trick is to latch onto the things that are most harmless to me, my family and everyone else. Caffeine is one of those things.  Sure, there’s the risk that I’ll overdo it and end up in an emergency room with my heart trying to rip its way out of my chest.

When I was around 20, I thought a great way to lose weight was to drink as many cups of black coffee as I could squeeze into a day. It was good for weight loss, but that kind of weight loss is only temporary. And breathing into a paper bag to calm down at the end of the day got old fast.

What works for me now is to sip slowly. Guzzling is the path to heart palpitations, so I avoid that.

Sometimes, when I’m on the road, I switch over to Red Bull in the afternoon. I’m not as big a fan of the stuff, but it helps to dull the edge I get from seeing all the free booze and food flowing around me.

Yes, I’m letting something control me. Yes, I’ll probably have to stop someday. But not today.

Of all the addictions I have, it remains the least harmful. And if it keeps me away from the stuff that really pushes my life into a downward spiral, so be it.

Besides, I have some Harvard smarties backing me up.

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Steve Clark Lost His Battle But Helped Me With Mine

I’ve been listening to a ton of Def Leppard this week. It started when I caught two documentaries on the making of “Pyromania” and “Hysteria” on Youtube. I’m remembering what this band did for me during my troubled teenage years.

Mood music:

http://youtu.be/DOxHmzO1498

One of the big points in both documentaries is that those albums wouldn’t have been the classics they became without the late guitarist Steve Clark. When we think of this band, we tend to think of Rich Allen, who showed us all how to overcome adversity when a severed arm failed to stop him.

Steve Clark is remembered for losing the fight against his demons. Alcohol took over his life and destroyed him. I remember the day he died in 1991. My friend Denise, an equally passionate Def Leppard fan, called me with the news as if she were reporting a death among our friends.

Looking at these two documentaries, I have a renewed appreciation for the songwriting he brought to the band. Without question, I can credit his riffs for helping to keep me from going over the edge in my formative years.

It’s sad how the demons took advantage of his gentle nature. As Rick Allen says in the “Hysteria” documentary, “Personal situations took him to a place that was very dark. I think there was a part of him that didn’t want to be here.”

I’m glad he got to help make those first four Def Leppard albums before the demons got him, because I don’t know what would have happened to me without those albums to sooth me through the death of a brother (also a Def Leppard fan, by the way) and the alienation I often felt in junior high and high school. I could have lost myself in drugs and alcohol. Instead I listened to Def Leppard. I listened to a lot of hard rock, but they were one of my favorites next to Motley Crue.

My favorite album is actually the second one to come out after his death, “Retroactive.” Though he didn’t get to play on it, his presence is all over those songs, most of which he helped write. It’s a collection of songs that were first released as B-sides or were meant for Hysteria but didn’t make the final cut.

His riffs are as clear as if he were playing them himself. I’ll end with two songs off that album that really capture his essence and simply thank him for the music he gave me when I needed it most.

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Irish Alzheimer’s: Looking For The Cure

Alzheimer’s Disease is a terrible thing. I’ve known some precious souls trapped within that mental prison over the years, and it’s one of the saddest things to behold. But there’s another mental prison we all find ourselves in from time to time.

The late Father Dennis Nason, former pastor of my church, described it as Irish Alzheimer’s. Simply put, you forget everything but the grudges.

I’d like to tell you I don’t suffer from it, but I’d be lying.

The difference between me today vs. the me of yesterday is that I used to adore my grudges. I was faithful to them and reveled in them. Now, when I catch myself in the middle of a grudge feeding frenzy, I’m ashamed.

Grudges used to be cool to me. Zeroing in on someone else’s faults made me feel so much better about myself. In all the darker episodes of my life I’ve looked for others to blame. It doesn’t work so well for me anymore.

The ability to hold grudges goes back to the inability to stop judging other people.

We have an irresistible urge to compare ourselves to other people. If we feel like shit because of what our lives have become, we want assurances that what we have is still better than the next guy. If we come from a family of drama queens, we want assurance that some other family is ten times as bad.

In that toxic mix, we hold onto hard feelings. When the bad feelings harden into stone, you have a grudge.

I used to hold grudges against various family members for what I considered to be their wrongs against me, forgetting that I had been as bad to them at times. I forget about all the shitty things I’ve done when I focus in on my problem with other people. A good grudge helps you forget the pain over your own failures.

It’s an escape from personal responsibility.

When it becomes hard enough to look at your own reflection, you pick up that stone and throw it through the glass. Break the glass and you don’t have to see your reflection anymore.

Gather up too many of those stones and the weight becomes too much to carry. That’s where I’ve found myself in recent years. So I’ve set about throwing the stones away. The problem is that sometimes, it feels so good to clutch ’em and throw ’em.

Yesterday I wrote about being a control freak. That condition is ideal for nurturing grudges. Whenever I tried but failed to control things, there was always someone to blame. Family members. Work colleagues. Whenever I tried to make sense of a friend or family member’s untimely death, I zeroed in on people I could blame.

But the buzz of a good grudge never lasts for long, and when it dissipates I feel like I’m in more pain than I was in before.

I’m no different than a lot of people in this regard. But I look for a cure every day. I’m going to keep looking until I find it. When I do, I’ll share the secret with you.

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Why Is This Blog So Dark?

People occasionally ask me why this blog covers so much dark ground. Let’s see if I can explain:

My life has been much like any typical run. We all go through our sad and tragic episodes, with a lot of good times and beautiful experiences mixed in. There are happy moments and terrible moments. Some get swallowed up by the darkness and descend into a life of crime, addiction and death. Others find a way out of the darkness and learn to find joy in all the things they were once too blind to notice.

Mood music:

I write a lot about my darker episodes because there has always been a light at the end of the tunnel. I’ve learned to look at adversity as an opportunity to always get somewhere better. I also believe in the saying: “When you find yourself in hell, the only way out of it is through it.”

I write a lot about my addictive behavior so you can understand just how joyful it is when you find recovery.

I write a lot about what I went through at the hands of OCD, fear and anxiety because I found a way through the worst of it and believe I need to share where I’ve been so those who are in their own personal hell can see the way to some peace.

As awesome as my life is today, I still find myself veering into episodes of darkness. I’m not a special case. We all go through that sort of thing. This blog being part diary, I need to write down the bad as well as the good because by documenting it I can put things in perspective and push myself out of the painful periods.

I always try to end a darker post on a positive note. If you skim, you’ll miss it.

I’ve been through some rough patches lately and it has shown through here. But I never stay in the rough patch for long, because I keep moving and learning. Many of you help me do it, and I’m grateful.

I try to be like Leo, the chief of staff in the TV series The West Wing. The character was a raging alcoholic and pill popper who got through it and kept living a life of public service. This clip pretty much sums up the purpose of this blog:

 I don’t know my way out of every dark situation, but by sharing stories of the struggles that ended well, I’m hopefully helping a few of you.
Thanks for reading.
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Be Yourself, And Let The Chips Fall Wherever

If someone doesn’t like you, too bad for them.

Mood music:

From the good folks at “Choose Happiness” — something to keep in mind when people get all snotty and hypocritical about who you are and what you do:

You are a person, not a Facebook status. Other peoples "like" is not needed. Everyone isn't going to like you and that's ok. Just make sure YOU like you...
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Call It An Allergy And Walk Away

If someone offers me a drink and I tell them I’m sober, they accept it and that’s that. If I’m offered food that doesn’t fit my recovery program for compulsive binge eating, I can’t say it that way without getting odd stares.

This is something all compulsive binge eaters deal with in society — a big, ugly lack of understanding that destructive addictive behavior takes on many forms, and that food can be as destructive to the abuser as cocaine.

Mood music:

http://youtu.be/8YNfvl_qhVE

I’ve tried hard to raise awareness in this blog, but even regular readers don’t seem to get it when we’re together in a room and there’s a bunch of food I’m not touching. No flour? No sugar? That’s crazy. One friend suggested it was heavy handed of me to compare my experiences to the kind of hell a runaway alcoholic deals with.

With anxiety and depression I certainly understand, but when I think serious addictions I was thinking some sort of drug abuse – in fact heroin is what popped into my head. Alcohol also a possibility… but binge eating? Come on man. Everyone has a hard time knowing when to say when to junk food, Shit, I gotta throw it in the trash sometimes so I don’t eat it all.

For those who haven’t dealt with food as an addictive substance, his skepticism is understandable.

The second I tell someone I can’t eat what they offer me, the common question is if I am lactose or gluten intolerant. When I say no, the stares get more uncomfortable.

But here’s something I think is important for binge eaters in recovery: It’s unfair to get angry with people for failing to understand the connection between addiction and eating habits. We can’t expect everyone to magically understand. So my advice is that when asked, we just tell the person we have an allergy and walk away.

It’s not a lie. What is an allergy, after all? It’s the body’s inability to process certain substances. For a binge hound like me, I can’t process flour and sugar items because the switch in my brain that goes off when the proper intake is achieved doesn’t work. The more I have the more I crave, and I fill myself with it until I’m on the floor unable to get up.

Even the AA Big Book describes alcoholism as an allergy. It’s right at the beginning of the book in a chapter called “The Doctor’s Opinion,” in which Dr. William D. Silkworth writes:

We believe, and so suggested a few years ago, that the action of alcohol on these chronic alcoholics is a manifestation of an allergy; that the phenomenon of craving is limited to this class and never occurs in the average temperate drinker. These allergic types can never safely use alcohol in any form at all; and once having formed the habit and found they cannot break it, once having lost their self-confidence, their reliance upon things human, their problems pile up on them and become astonishingly difficult to solve.

For others, the same problems are not the result of a dependence on alcohol, but of any number of things like gambling, pain medication, spending, sex and, in my case, binge eating.

I’m getting better at resisting the urge to explain it to people. I just got back from a conference in New York where the question of why I didn’t eat certain things came up a few times. I just said I have an allergy and the discussion was over.

Sometimes, it’s better that way.

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Paranoia Was My Destroyer

There’s a particularly insidious side of my OCD that I have to fight hard to contain, because it’s the thing most likely to destroy me. This is a story about paranoia.

Mood music:

http://youtu.be/_WJ6FbcWYRU

Let’s start with a definition from Wikipedia:

Paranoia is a thought process believed to be heavily influenced by anxiety or fear, often to the point of irrationality and delusion. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy concerning a perceived threat towards oneself.

Anxiety and fear once played a major role in how my OCD manifested itself. I would become so full of fear about people, places and things that I would see conspiracies against me around every corner.

My time as night editor of The Eagle-Tribune is a perfect example.

Working the night shift and then waking up after only a couple hours of sleep each night to spend time with the children eroded my sanity to the point where I was absolutely convinced that the day staff was conspiring against me.

I’d sit at home working the scenarios over and over in my head. I was certain that anything that went wrong with the morning deadline cycle would be blamed on me because of something I may or may not have done the night before. That turned into a constant feeling that a conspiracy was afoot to get me fired.

I would think about it day and night, ruining God knows how many precious moments with my wife and kids. I was right there with them at home or on family vacations. But mentally I was somewhere far away and dark.

Going further back to my late teens and early 20s, I would grow obsessed about what people thought of me: how I looked, how I talked and walked. I lost a lot of sleep worrying about something I took as a certainty: that people were talking about me behind my back, making fun of my mannerisms.

My mind would spin and spin until I was too much of a wreck to do anything but sleep.

I haven’t suffered with this stuff nearly as much in recent years because of all the work I’ve done to get my OCD under control. I’ve faced a lot of fears and killed them in the process. That has made me far less anxious, which in turn has made me far less paranoid.

But once in awhile, especially if my sleep is off, some of it will nudge its way back into my head. Not fear or anxiety, but a nagging feeling that somewhere people are talking about me, complaining about something I may have said or did.

I have to be on constant alert for those moments. You could say I have to be paranoid of the paranoia.

I’ve found some valuable weapons in the fight against this demon:

–I try most nights to be in bed as soon as the kids are in bed, so I can read or just fall asleep. When I get enough sleep, a lot of the wreckage in my head is cleared out.

–I hang on tight to a diet devoid of flour and sugar. The main reason is to control a binge-eating disorder. But as a pleasant byproduct, the absence of these things from my body has also had a clarifying effect.

–I’m always working at prayer. I don’t do it nearly as much as I should, but when I do, God finds a way to set my mind at ease.

–I make time to talk to fellow addicts and mental illness sufferers because when I help them sort out their emotions, I have less time to drown in my own mental juices. Besides, a lot of people do the same for me and giving it back is the least I can do. This is a double-edged sword though, because when you let enough people vent their emotions on you, the load can get heavy indeed.

–I have regular visits with my therapist, though I often suck at remembering when my appointments are.

What I’ve just mapped out isn’t perfect. Sometimes it’s very easy not to do the things I know I should do. In fact, that’s happened more in recent months.

But it’s like any kind of self improvement. You don’t have to perfect everything all at once. You can take baby steps and get to where you need to be.

The paranoia, like one’s addictions, will always be doing push-ups in the parking lot.

Sometimes, it will sneak up behind you and kick your ass.

But if you kick its ass more than it kicks yours, you’ll be winning the war.