A Link Between Prednisone, Mental Illness

Since I have Crohn’s Disease, I’ve been asked if it’s linked to OCD. Yesterday, someone took the question a step further and asked if I think Prednisone led to my mental illness.

Mood music:

Here was the question, as posed to me on Facebook:

“Bill, do you think prednisone had anything to do with your OCD? You are the second person I know to have Crohn’s and depression, I have taken the drug in the past and it definitely messed with me mentally.”

The short answer is that I don’t know. I’m not a doctor and I can’t speculate on scientific questions I know nothing about. All I have are scientifically unsupported theories based on personal experience. I’m willing to explore the question from that perspective.

Of this I have no doubt:

Prednisone had brutal side effects that linger to this day. It damaged my vision, making glasses necessary at all times. It sparked migraines that still come and go. It gave me mood swings that have never really left me. And it had plenty to do with the binge-eating habit that has hounded me as an adult.

Prednisone does an excellent job of cooling down a Chron’s flare up. If not for the drug, chances are pretty good I wouldn’t be here right now. More than once the disease got so bad the doctor’s were talking about removing my colon and tossing it in the trash. Each time, the medication brought me back from the brink.

But there was a heavy price — literally and figuratively.

The drug quadrupled my appetite, which was already in overdrive because of the food restrictions imposed upon me during times of illness.

It corrupted my relationship with food forever.

But I can’t say it was the cause of me developing OCD. There are many reasons I developed the disorder. Prednisone may have had a role, but I’ll never know for sure.

But that’s fine with me.

At this point, it doesn’t matter how I got it. I have it, and the best I can do is manage it with all my coping tools, with extra help from Prozac and the 12 Steps of Recovery, which I use to control the addictive behaviors.

Caught Smoking

You’ve heard the sorry old tale of the addict who cleaned up from the addiction that made his life unmanageable, only to pick up three more vices. That’s me. Take the surprise Erin got when opening my work bag.

Mood music:

She was cleaning and found earphones that belonged to me. She unzipped a front compartment in my laptop bag to put them away and had the unpleasant shock of discovering where I’d been hiding all my smoking products.

Everyone knows I like cigars. What people don’t know — and what Erin discovered — is that I’ve been sneaking cigarettes, too. Two packs were hidden in the pocket.

She took it better than I expected. I probably deserved a far harsher reaction. But she knows how addictions make someone like me tick. Instead, she talked me through the things I might be able to do to replace this crutch.

I agreed to stop smoking immediately — the cigarettes and cigars. And you know what? I’m pissed off right now. Not at Erin, but at my lot in life. I can’t seem to do anything in moderation, and so I have to put everything down.

I resent not being able to have vices. It makes me want to put my fist through a wall.

It’s nobody’s fault. It’s simply a problem with how my brain ticks. This is just the latest in a big shift I resolved to take three years ago when my binge eating compulsion brought me to my knees.

When you give up your worst addiction, you go looking for crutches to help you through. In the first year of not binge eating, I used alcohol as a crutch. Then I put that down, too. I picked up cigars, and, more recently, cigarettes.

If you think that’s pathetic, that’s because it is.

As I write this, I’m on day three without my smokes. I’m pretty fucking irritable. Nicotine cravings have nothing to do with it.

Like I said, I resent having to give up all my vices.

Coffee is all that’s left.

If you think I’m giving that up, you’re out of your fucking mind.

Rethinking Jani Lane Upon His Death

Former Warrant singer Jani Lane was found dead last night in a Comfort Inn in L.A. at age 47. It’s unclear at this point what the cause is, but his death is making me re-think a few things about my attitude.

Mood music:

http://youtu.be/cSdvxocgbAg

I remember when Warrant came out in the late 1980s. I couldn’t stand them. Sure, they sounded good. Crunchy guitar sound. Good vocals. But it all sounded so fake. I thought “Cherry Pie” was the dumbest song I’d ever heard. Again, the sound was good. But the lyrics were stupid and the feel wasn’t real to me. Admittedly, though, I liked “Uncle Tom’s Cabin” and hated the fact that I liked it.

The band also came out at a point in the late 80s when every band was starting to sound and look alike. I decided I was too cool for it all.

I did what a lot of other metal heads did in the early 90s when the metal scene imploded under the weight of all the copycats: I started listening to so-called grunge: Nirvana, Soundgarden, Alice in Chains. My own band, Skeptic Slang, sounded a lot like the grunge we were listening to, with hints of old-school metal here and there.

I still listen to all those bands, but in recent years I’ve returned to my 80s hard rock roots. Warrant has not been part of my playlist.

I’ve seen interviews with Jani Lane over the years where he lamented writing “Cherry Pie” and took a crack at reality TV. He looked and sounded like a troubled man in those clips, and he did indeed wrestle some demons. He was recently sentenced to serve 120 days in jail after pleading no contest to a 2010 DUI charge — his second in two years.

As for his death, no one really knows what happened. We can speculate, but I won’t. I’ll just wait for the follow-up news reports.

Instead, I’m examining my own reaction to his death and what it says about me and human nature in general.

When I first saw the news an hour ago, I felt bad. I went on Youtube and started playing Warrant songs. I was thinking that they sounded much better with age, then I had a “what the fuck?” moment.

Here I am, thinking these songs sound pretty good. And I’m sneering at all the nasty comments people make about being glad he’s dead. Then I catch myself, because in my self-righteous anger I quickly remember that I used to say things about how bands like this sucked and needed to be destroyed. I’m pretty sure I’ve joked from time to time about how it would be nice for bands like this to go down in a flaming plane wreck.

That’s not nice. It’s certainly not a good fit with my Christian beliefs. But there it is.

It’s funny how we get when musicians and celebrities we don’t think much of die. I found it amusing that people were tearing Michael Jackson down in the last decade of his life because of his alleged pedophilia, yet, when he died, everyone magically forgot that stuff and acted as if Jesus Himself had been crucified again.

When Motley Crue bassist Nikki Sixx opined about Jackson being a “child rapist” and I wrote about it, the comments section of this blog descended into all kinds of name calling. Most of it came from people who love Michael Jackson’s music.

More then one person noted that Jackson was never found guilty of such things. When he was still alive, people were not defending him so ardently.

We do this stuff a lot when famous, tarnished figures die. We play up the good stuff they did and conveniently forget the bad stuff. Or, at least, we minimize the latter as some unfortunate little interlude between the acts of greatness. Richard Nixon comes to mind.

And now we’re remembering the good stuff Jani Lane contributed to the world in his 47 years.

You know what? That’s how it should be.

Everyone deserves a shot at redemption, and making music I personally didn’t care for doesn’t mean there was something wrong with Jani Lane. He wrote the music he wanted to write. It spoke to him, and it spoke to others, even if I wasn’t one of them.

The band’s success in the late 80s and early 90s happened because the music made a lot of kids happy, just as Motley Crue’s “Shout At The Devil” and Def Leppard’s “Pyromania” gave me moments of happiness during a troubled youth.

We all have our tastes and opinions. We all tend to think our opinions are better than everyone else’s.

That’s part of the human condition. We don’t just do it to celebrities. We do it to everyone. We are judgmental savages sometimes.

Rest in Peace, Jani Lane. I apologize for any of the bad stuff I said about you over the years.

OCD Diaries

I Am Absolutely Powerless

Second in a series…

Step 1: We admitted we were powerless over (insert addiction) — that our lives had become unmanageable.

Mood music:

I am powerless. Or, you could say, my addictions have absolute power over me. Even when sober and abstinent, they are right behind me, doing push-ups, waiting for my one reckless moment of weakness.

Now that I know this, life is a lot better. I can do what I must to be well and I’m a lot happier and healthier for it.

The problem with addicts is that we’re experts in the art of denial. It takes many years of damage before we are ready to even consider that we have absolutely no control over our lives.

When we really hit bottom and spend some time there, things become so desperate that we become willing to admit how weak we are. How pathetically powerless we are. When that happens, we arrive at the first of the 12 Steps of Recovery. Simply put, admitting there’s a problem is the first step in dealing with the problem.

My most destructive addiction involves binge eating. That is followed by other addictions: to alcohol, tobacco, caffeine and, to a lesser extent, pills.

I’ve often lamented that mine is the most uncool of addictions. We need food to survive, after all. This is certainly not what most of society would accept as a “normal” addiction.

Still, it makes perfect sense that food would be my problem.

As a kid sick with Chron’s Disease, I was often in the hospital for weeks at a time with a feeding tube that was inserted through the left side of my chest. That’s how I got nourishment. I wasn’t allowed to eat or drink anything. At a very early age, my relationship with food was doomed to dysfunction.

It didn’t help that I was from a family of over-eaters who would stuff themselves for comfort in times of stress and fatigue.

In our society it’s considered perfectly OK to indulge in the food. Time and again, I’ve heard it said that overeating is a lot better than drinking or drugging. But for me, back when I was at my worst, binge eating was a secret, sinister and shameful activity.

Here’s how it works:

You get up in the morning and swear to God that you’re going to eat like a normal person. You pack some healthy food for the office. Then you get in the car and the trouble starts before the car’s out of the driveway. Another personality emerges from the back of the brain, urging you to indulge. It starts as a whisper but builds until it vibrates through the skull like a power saw.

The food calls out to you. And you’ll do whatever it takes to get it, then spend a lot of time trying to cover your tracks.

Before you know it, you’re in the DD drive-thru ordering two boxes of everything. It all gets eaten by the time you reach the office. You get to the desk disgusted, vowing to never do that again. But by mid-morning, the food is calling again. You sneak out before lunchtime and gorge on whatever else you can find, then you do it again on the way home from work.

You pull into McDonald’s and order about $30 of food, enough to feed four people. From the privacy of the car, the bags are emptied. By the time you get home, you wish you were dead.

The cycle repeats for days at a time, sometimes weeks and months.

For many years I hid it well, especially in my early 20s. I would binge for a week, then starve and work out for another week. That mostly kept the weight at a normal-looking level.

Call it athletic Bulimia.

In one inspired episode, I downed $30 of fast food a day for two weeks, then went a week eating nothing but Raisin Bran in the morning, then nothing but black coffee for the rest of the day. After the cereal, I’d work out for two hours straight.

In my mid-20s, once I started working for a living, I kept up the eating but couldn’t do the other things anymore. So my weight rose to 280. In the late 1990s I managed to drop 100 pounds and keep it off through periodic fasting.

Then I started to face down what would eventually be diagnosed as OCD, and I once again gave in to the food. The gloves were off.

The binging continued unabated for three years. The weight went back up to 260. I also started to run out of clever ways to mask over all the money I was spending on my habit. I was slick. I’d take $60 from the checking account and tell my wife it was for an office expense or some other seemingly legitimate thing. But she’s too smart to fall for that for long.

One I admitted I was without power over all this insanity, I was ready to do something about it.

That’s when I discovered Over-eaters Anonymous (OA), a 12-step program just like AA, where the focus is on food instead of booze. I didn’t grasp it immediately. In fact, I thought everyone at these meetings were nuts. They were, of course, but so was I.

Thing is, I had reached a point in my learning to manage OCD where I was ready to face down the addiction. If it had to be through something crazy, so be it.

Through the program, I gave up flour and sugar. The plan is to be done with those ingredients for life. Put them together and they are essentially my cocaine. I dropped 65 pounds on the spot. But more importantly, many of the ailments I had went away. I stopped waking up in the middle of the night choking on stomach acid. The migraines lessened substantially. And I found a mental clarity I never knew before.

I can’t say I’ve slaughtered the demon. Addicts relapse all the time. But I have a program I didn’t have before; a road map unlike any other.

My odds of success are better than ever.

But before I could get there, I had to unravel the wiring in my head, learn to live with a mental disorder and then make a bold change in my way of eating.

It’s not cool at all. If you’re laughing because I let the food drag me to such a state, I don’t blame you. In a way, it is funny. Crazy people do stupid things. And stupid is often funny.

BlackHat, Defcon, BSides: Symptoms Of Withdrawl

Funny thing about how my brain works: I’m working from home, loving that Erin and the kids are right here with me. I’m getting a ton of work done, and the weather is perfect. But there’s a pull in the back of my brain, and it’s coming from Las Vegas.

Mood music (Despite my recent post about Vince Neil, I do like his cover of this Aerosmith classic):

http://youtu.be/_HHLWvfAPMA

I’ve mentioned before how I love going to security conferences. I like the feeling I get when I’m able to do a lot of writing about the proceedings. I like getting out of my familiar environment for a few days. I like seeing people face to face. This is all pretty normal. But I used to fear these events.

Because I lost the fear, I’ve come to like the travel to the point of greediness.

I did a lot of travel earlier in the year and it blew up in my face. More recently, I’ve been trying to discipline myself.

But the first week in August can be hell for anyone who has to stay home from Black Hat, Defcon and BSidesLV. If you use Twitter, there’s no escape. Everyone is tweeting nonstop about all the fun they’re having. I don’t fault them for this. They’re doing nothing wrong, and I’m glad they’re having a good time.

But I feel so disconnected and adrift. That’s my problem, of course. I have to work on it.

I don’t regret skipping Vegas. Not for a second. I need to find the middle speed between trying to do all the stuff I used to fear and keeping my feet where they belong, which is right here. Also, these events cut a little too close to my wedding anniversary, and I don’t want to miss that time with Erin. I’ve traveled during both kids’ birthdays and that was bad enough.

As you can see, I still have a lot of work to do.

And, truth is, this has been a great week. My days in the office have been productive and my work-at-home days have been the perfect mix between work and family. Kids grow up so fast. If I’m away too much, I’ll get home one of these days to find that they grew up and moved out. I am exactly where I belong at this moment in time.

But that little part of my brain is still twisted in a knot, jabbing at the rest of me and whispering in my ear about all the action I’m missing.

I’m embarrassed to admit it. But there it is.

I’ve been in this head space before. The last Vegas trip I made was in 2009, and in 2008 I missed the RSA conference in San Francisco. I felt twinges of regret, but life at home proceeded apace, and I quickly got over it.

This is simply how it is for someone with OCD. You usually obsess over all the things you can’t control. And sometimes, like this week, you obsess over the things you can control instead of simply being happy to be able to have that level of control.

That defines my struggle pretty well.

But it could be much worse. I could have a life at home that sucks so bad that I hit the road and stay there just to escape.

Instead, I am blessed with the home life I missed out on as a kid.

Despite that pull in the brain, I’m going to go savor what I have.

To all my friends in Vegas, keep the tweets coming. As rough as they can be on my fragile mind, I still like to see what’s going on from afar.

My Name Is Bill. I’m Addicted To Stuff

Given all I’ve written about my recovery from addictive behavior, you’re probably wondering why I’ve dragged you back into this dark room. The simple answer is that my fight is far from over.

Mood music:

This post is the opening salvo of what will be a weekly series on the 12 Steps of Recovery and how they apply to me.

Since the start of the year I’ve been focusing more intently on the AA Big Book and how all the steps work. I’ve mentioned the steps many times here, but I’ve only touched the surface. As part of my own work on recovery, I need to go deeper. Much deeper.

There’s still so much misunderstanding of what addictive behavior is, what defines out-of-control behavior vs. simply enjoying something a little too much. I realized how much work was left on this score when an acquaintance wrote me the following message:

First, he questioned the short “about” blurb you see at the end of each post:

“Welcome to THE OCD DIARIES, the blog that kicks fear, anxiety, depression and addiction in the teeth. It’s written by Bill Brenner, a man who went through hell, saw the light and lived to tell about it.”

To that, he said:

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.

The key line in that statement is that “Everyone has a hard time knowing when to say when.” Very true.

Everyone struggles with something.

Everyone struggles with relationships. Everyone looks for comfort in certain behaviors: Eating, drinking, smoking, sex, spending, Web surfing, music, exercise, mountain climbing, gum-chewing, TV.

Just about everyone struggles with the difference between having enough of the items I just listed and not knowing when it’s enough. People eat too much all the time and casually make note of it. People get drunk and the headache they wake up with the next morning tells them they went too far.

There’s a tight parallel when it comes to mental illness, the main focus of this blog. Everyone struggles with times of depression, anxiety, mental fatigue, personality conflicts. Those very things are what usually drives a person to addictive behavior. The mental struggles eat a hole in your soul and you spend much of your time trying to fill it with stuff.

It’s all part of being human. That’s why the readership of this blog keeps growing. Everyone struggles and relates to the cause and effect.

But when does addictive behavior become the stuff of evil — a cancer that takes you over body and soul until satisfying the itch becomes the priority over all else?

That’s where we try to separate the so-called normal people from the crazies. I say try because one person’s crazy is another person’s normal.

We all think we know the difference between normal and crazy. But most of the time, we don’t know shit.

I can only tell you where my sense of normal crossed over into insanity. I’ve told you in a million different ways in this blog already.

To me, the key to recovery is partly about identifying when a behavior makes life unmanageable. Not the typical idea of unmanageable, where a person might always be scattered, nervous, hyper or lazy, thus becoming difficult to be around.

No, I’m talking unmanageable in the sense that your life is like a car speeding out of control, where one tire is flat, the engine has run out of oil and the back bumper is hanging off and causing sparks as it drags on the ground. The vehicle is ready to fall apart, and yet it keeps going faster and faster.

The addictive behavior that does that to your life is the insidious devil whose head must be ripped off if you’re going to make it.

For me, clinical OCD has always been a driver of my addictive behavior. I had to bring the OCD to heel before I could even begin to deal with the addictions. The 12 Steps of Recovery are key to my ability to manage both.

I’ve broken my addictive behavior into categories that have more to do with what makes me insane than what is simply considered good or bad for you.

I love cigar smoke. Smoking is bad for you.

I love coffee. Some say that’s bad for you, though I don’t really believe it.

I love spending money on things. Who doesn’t? But spending too much can ruin you and those you love.

I love music. Some days I’d rather sit around listening to rock and roll than doing any number of other things I should be doing.

All of that can be considered addictive behavior. But binge eating, followed closely by alcohol and third by the prescription pills I used to take for back pain — those are the things I craved so badly that at one point I was willing to let everything else in life go to hell.

When you start neglecting the people and things you love most so you can scratch the itch, you got a real problem.

People blind themselves to the danger by thinking about addiction as simply drinking too much or shooting heroin. But you can get an out-of-control, soul-eating addiction to just about anything.

That’s the thing people fail to grasp, and I’ve tried using this blog to educate them.

But without a painfully deep dive into the steps, nobody will learn what they need to learn. And so I’m going in.

The posts in this weekly series will focus on one step at a time and how each one has come into play in my long struggle to fight off the demons. Some steps I’ll be able to tackle in single posts. Other steps will take two or three posts. This is a big-ass onion, and I’m not even close to peeling back all the layers.

Some days I don’t know where to begin.

But for this series I know where I’m going now. I started here, and there’s no turning back.

–Bill

evil_video_game_addiction

I’m a Narcissist (And So Are You)

Someone asked me when I reached a point in my recovery where I stopped being self-absorbed. I told her I never stopped. But when you think about it, you’re not much different from me.

Mood music:

As I’ve said before, people with obsessive-compulsive tendencies are basket cases about being in control. Maybe it’s simply control of one’s sanity. Usually, it’s control of situations and people you have no business trying to control.

Part of it, to be honest, includes an obsession with how people perceive you. All it takes is a couple of people telling you you’re “awesome” to send your narcissistic side swelling out of control.

My ego is a nasty beast. I do battle with him every day because I don’t want to be focused on me, myself and I. Many days I lose.

We all do, of course. Tell me you’re not carrying at least a little narcissism in you and I’ll tell you you’re full of shit.

Yesterday was an example of how my own tendencies can get the better of me.

I went looking for a definition and found this on Wikipedia:

Narcissism is the personality trait of egotism, vanity, conceit, or simple selfishness. Applied to a social group, it is sometimes used to denote elitism or an indifference to the plight of others. The name “narcissism” was coined by Freud after Narcissus who in Greek myth was a pathologically self-absorbed young man who fell in love with his own reflection in a pool.

So, let’s see…

I’ve never fallen in love with my reflection. Usually, when I look in a mirror, it’s to make sure I don’t look too fat, though that too is an act of vanity. I don’t get people who insist on having their bedroom or bathroom fitted with wall-to-wall mirror. I’ve also gone through long periods of hating myself.

But I am guilty of thinking I’m better than the guy sitting next to me. I probably think I’m a better writer than I really am. There are days when I think a little too highly of myself.

And I care way too much about how many followers/friends/circles I have in the social media world. I don’t want to care. I’ll tell you I don’t care. But I do.

I have the highest friend count I’ve ever had on Facebook — 1654 — and I have nearly 2200 Twitter followers. But when I discovered a long-time Facebook friend had ditched me yesterday I started going through my list to see who else dropped me. Then, the inevitable wondering why.

If it sounds stupid, that’s because it is.

Despite my posts about how you shouldn’t friend me if you’re not finding my content useful, there I was, bumming that someone didn’t like what I was pushing.

That’s how I roll. It aint always pretty.

I know I shouldn’t be this way. Maybe I’ll figure out a way to stop.

In the meantime, I have the comfort you get in knowing you’re not alone — the “misery loves company” syndrome.

That’s right, I’m staring at you and suggesting that you have a bit of narcissism in you as well.

I don’t mean it as an insult. I’m simply making an observation.

How many of you put new pictures of yourself on Facebook daily, usually snaps you took of yourself while sitting in the car? Quite a few of you, from what I’ve seen on my homepage.

How many of you fill your status updates with quotes others have made, figuring that since your name is over it you’ll look super smart? I’ve done it. I’ve seen you do it, too.

To be fair, not everyone carries on like this. Some people despise themselves too much to be seen or heard, which is also unhealthy — and goes to show that sometimes you just can’t win.  Others hate themselves and tell the world about it on every social network they have access to. They do it to make themselves feel better. But since they obviously hope someone is reading and caring, they too are engaging in a little bit of narcissism. Somewhere there’s a balance. I haven’t found it yet.

It’s been said that the first step in tackling your problem is admitting you have the problem in the first place. Or, as the first of the 12 Steps says, “We admitted we were powerless over (insert addiction — Here’s mine), that our lives had become unmanageable.”

Then there’s the fact that “we’re all in this together.”

We can go down together, or we could help each other stand up. To be honest, I don’t know how we do the latter. Maybe, if we see a friend carrying on with a bloated ego, a good start is to nudge them in private and suggest a different approach. That person may be insulted, but chances are at least 50-50 that they’ll get over it.

Unfollowing can send a message too, though it’s better to back up the action by explaining to someone why they have become too much trouble to associate with.

Narcissism is an ugly word and an ugly truth. It might be the hardest challenge of all.

url

I Thought I Was Perfect. I Was Just Stupid

Let me tell you about the time I wanted to be perfect, how the urge nearly ruined me and how I learned to accept — if not embrace — my flaws.

One of the great delusions an OCD sufferer labors under is the notion that he/she can achieve absolute perfection. Maybe the goal is to be the perfect employee. Maybe it’s to be the perfect parent and spouse. In some cases, the goal can even be to be the perfect addict.

The suicide drive for perfection is closely tied into the OCD case’s compulsion to control as much of their environment as possible.

Why yes, everything you’ve heard about OCD and control freakism is true. People like us crave control like a junkie craves a shot of smack to the arm. It grabs us by the nose and drags us down the road until our emotions are raw and bleeding.

That’s why I used to be such an asshole at The Eagle-Tribune. Every story I edited then went through three more editors and then to the page designer. Along the way, everyone after me had to take a whack at it. I’d hover over the poor page designers because it was the closest thing I had to control. Ultimate control would have meant laying out the pages myself. That would have been a stupid thing to do, mind you. I couldn’t lay out a news page to save my life.

When I was the assistant news editor for the paper’s New Hampshire editions, I was out a week when my son Sean was born. I came in one night to catch up on e-mail and saw the message where my boss, Jeff McMenemy, announced my son’s birth. In it, he joked that I probably stood over the doctor and told him how to deliver the baby.

I wanted to punch him.

I saw red.

Because I knew that was something I could easily be pictured doing. It hit too close to the truth.

All along, I just wanted to be perfect. The perfect editor, in the latter case.

I wanted to be the perfect family man and thought the way to be it was to do as many chores as I could. The problem was that I wasn’t there for my family emotionally. That still happens sometimes.

The drive for perfection always takes me to the brink of disaster.

But all the treatment I’ve received for OCD and addiction has cooled down that compulsion. It still surfaces from time to time, but it’s no longer a feeling that stalks me every minute of every day.

Sometimes my work gets sloppy, but most of the time I do a better job than I used to because I don’t try to get it perfect. As a result, I enjoy what I do more, even if it gets messy sometimes.

Erin has noted a few times that I’m more of a slob now that I’m better. I leave books, socks and gadgets lying around the house.

Somewhere along the way, it stopped being about perfection.

Now I just do the best I can and hope it’s enough most of the time.

A Word Or Two On Amy Winehouse

I’ve been asked for my thoughts, as a recovered recovering addict, on the death of singer Amy Winehouse at age 27.

To be honest, I don’t think I have anything to say that hasn’t already been said.

I was never really a fan, though I did think she had genuine talent.

I feel for her fans. I remember the sadness I felt when Kurt Cobain died.

It all goes to show that addiction and mental illness are killers. Some, like me, are lucky enough to get help before it’s too late.

Others lose the fight.

I’ll say a prayer for Winehouse and hope she is in a better place.

And I’ll thank God for my own recovery. I’m sober and abstinent today, but I know I’ll never, ever be fully out of the woods.

Grab life by the balls and don’t let go to grab the pills, the booze, the food or whatever else will make a slave of you.

Good morning.

Hitting Bottom and Staying There

I’ve gotten a lot of questions about hitting bottom. Specifically, after I hit bottom, how long did it take for things to start looking up? I got bad news for those craving the quick fix.

Mood music:

http://youtu.be/yUSn0u2GIjE

The first point worth making is that I didn’t hit one bottom like you usually see in the movies, where the addict falls so low that the clouds part and they see the light in huge, dramatic fashion. Reality is slower than that — and more boring.

I didn’t just hit one bottom. I hit a series of bottoms. And I stayed down there for a while each time before I even considered pulling myself up.

One crash was a couple months after my best friend took his life. I was binge eating with more zeal than ever, and I don’t think I cared at that point if my heart gave out. I was too crushed to care much about anything.

I had just been handed the job of editor for the Lynn Sunday Post, a paper that was already dying. I would be its pallbearer. The job included double duty as a writer for North Shore Sunday. I worked 16-hour days, six days a week.

Work was all I had at that point. Erin and I were engaged (realizing life is too short, I proposed a month after Sean died), but I was still trying to please my masters, so work came first. On Sundays, my only day off, I was sleeping through the entire day.

By the summer of 1997, I realized I had to push back or end up in an institution somewhere. Fortunately, my boss at the time saw that I was physically deteriorating and stepped in.

In December 1998, I was 285 pounds and collapsing under the weight. My father was too, and wound up getting quadruple bypass surgery. That was another slap in the face to warn me that I had to clean up. I lost 100 pounds, though I did it through unhealthy means that would blow up in my face several years later.

In late 2001 I realized that I was never going to please the managing editor I worked for at The Eagle-Tribune. He was forcing me to be the type of manager I didn’t want to be — an asshole. So I told him I was going higher up the food chain to get reassigned. And that’s what I did. They put me back in the night editor’s chair, which helped for a short time.

By late 2004 I was out of The Eagle-Tribune and in a job I loved. But I was putting enormous pressure on myself and the physical toll was showing. All my personality ticks were in overdrive: the obsession with cleanliness. The paranoia over my kids’ safety. A growing sense of fear that kept me indoors a lot.

That was probably the deepest bottom to date, the one that made me realize I needed to get help from a therapist; help that led to my OCD diagnosis.

The next bottom was in late 2006, when I had developed many of the mental health tools I use today. But my brain chemistry was such a mess I couldn’t get past the fear and anxiety attacks. That’s when I decided to try medication, which has worked far better than I ever thought possible.

The last bottom was in the summer of 2008. I was finally finding some mental stability, but I surrendered to the binge eating during therapy and was back up to 260 pounds. And it was hurting my health in a big way. I kept waking up in the middle of the night, choking on stomach acid. I couldn’t find clothes that would fit me. I was getting depressed again.

And so I started checking out OA and by October was headlong into my 12-Step Program of Recovery.

All these events were bottoms. And I lingered there for weeks and months at a time.

There are reasons the bottoming-out process takes a long time:

1. You usually fall to the bottom slowly, so slowly that you don’t notice the movement.

2. Once you crash to the floor, you become so out of sorts that you don’t realize you’re in hell. It’s just another shitty day, followed by another, and then another, and then another.

3. It’s usually those around you who realize you’ve arrived in a bad place. But you’ve been causing them so much pain for so long that they don’t even realize it immediately.

Once you hit the bottom, the depression and self-destructive behavior intensifies.

http://youtu.be/zBEo5ZGGsO4

Then you wake up one morning and decide you’re so sick of life that something has to change. And you start making changes.

The changes end up taking a long time, too.

That’s probably not what you wanted to hear. But it does get better.

OCD Diaries