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Firing Someone For Mental Illness Is An Outrage

If someone does a lousy job at work, they deserve to be fired. If someone does the job well but is fired because they have a mental illness, that’s an outrage.

Mood music:

[spotify:track:0OGwOky2l941SPRkE56kU9]

This morning’s tirade brought to you by this comment posted on the LinkedIn NAMI group discussion board:

I lost my job as Director – Communications from a regional Chamber of Commerce after disclosing my 30 years of living and working with bipolar in Dec. 2009.

Now after trying to find another job, I applied for SSDI. I just got rejected with a letter saying,”The medical evidence in your file shows that your condition does cause restriction in your ability to function, however, while your condition prevents you from doing previous jobs, you still have the ability to do unskilled work.” 

I was diagnosed with bipolar in 1980, have bouts of depression, social anxiety, migraines, gerd and visable essential tremors in my hands and legs. I cannot stand unsupported for more than a few minutes and the tremors make me not want to leave my home and when I do anxiety worsens them. I can take medication to calm the tremors but those meds also negatively effect my memory, errors, and cognitive abilities. 

I know most people get rejected but I am almost 60 and have worked in public marketing communications at managerial levels since 1984. What should I do?

 I felt I needed to disclose as the work was socially demanding and my tremors showed.

I felt in disclosing that especially a Chamber of Commerce would be somewhat more understanding. Instead they became hostile and took away my startegic job duties and bumped me down to a typist.

Now, let’s start with some clarifications: If this person’s illness prevented them from doing their job, that does put the employer in a bind. I get that. If her condition has suddenly nosedived and it prevents her from doing what she used to do, that’s a tragedy.

The question I have is this: If someone loses their ability to do their job because of heart disease, a terrible injury or cancer, do they get dropped cold by their employer? Do they get treated in a hostile manner? Not from my experience.

I’ve known many people who developed a disease or got in an accident, and none lost their jobs. Their seat simply stayed empty and, in some cases, temps were brought in to do their work until they either recovered or resigned. They were treated with support.

If this woman did her job admirably for many years and just recently hit a period of intensified mental illness, she should be treated like the cancer or heart patient. To fire her because she’s “gone crazy” is, in my opinion, unacceptable.

It’s as insidious as, say, putting limits on coverage for mental health care.

These stories ratchet up the fear level for those suffering from depression, OCD, bipolar disorder and the like. It proves to the sufferer that mental illness is still viewed as a less-than-legitimate illness, something that’s more a figment of the sufferer’s imagination.

I’m not an expert. I can only base my opinion on personal experience. But I’ve heard enough horror stories from other people to know this crap is for real.

That’s exactly why I started this blog.

I chose to out myself and share my experiences so other sufferers might realize they are not freaks and that they have a legitimate, very easily explained medical problem that’s very treatable. It takes that kind of understanding for someone to get up and get help.

I try not to engage in political debate because this is such a personal issue, though sometimes I have to make a point on current events like I did when Health care Reform passed last year.

I do know this, though: Many good people have died because of mental illness. They were ashamed and afraid to get help because of the stupid notion that they are somehow crazy and either need their ass kicked or be institutionalized. So they try to go it alone and either end up committing suicide because their brains are knocked so far off their axis or they die from other diseases that develop when the depression forces the sufferer into excessive eating, drinking, starvation, drug taking or a combination of these things.

There’s also the ridiculous idea that a person’s workmanship becomes valueless when they’re in a depression. If someone misses work because they have cancer, they are off fighting a brave battle. They are fighting a brave battle, of course. No doubt about it.

But depression? That person is slacking off and no longer performing.

I’ve been able to debunk that idea in my own work circle. It helps that I’ve been blessed to work with exceptional, amazing and enlightened people. At work, I’ve gotten nothing but support. I do my job well, and that’s good enough for them. That’s how it should be.

Luckily for me, I got rid of my fear and anxiety long ago, so I’m going to keep sharing my experiences. It probably won’t force change  or tear down the stigma single-handedly.

But if a few more people get just a little more fight in them after reading these diaries, it will have been well worth the risks.

As for what the woman above can do about her situation, the folks in the LinkedIn forum offered some good advice. The best, in my opinion, came from mental health advocate Bonnie Neighbour:

You have two possible areas of recourse. You can sue for unlawful termination. I am not referring to that choice with the rest of this comment. 

Or you can appeal the SSDI denial. Something people need to k ow that is not commonly talked about is that, in deciding on your application for SSDI. the Social Security Dept. will only request records from your doctors, etc. one time. If the applicable records are not submitted within the time frame (and it’s wires short) the Social Security Dept. Decides upon (and they most likely will not tell you the time frame but it’s a matter of weeks) they will automatically deny the claim. You can appeal and get the appropriate records submitted for the appeal. Thus is one reason so many people are denied. 

For those who have not applied for SSDI but who may in the future, the prudent thing to do is collect all your records before you begin the application process and submit them all at once. If you depend on hour doctors’ offices to respond the a request by the Social Security Dept., the likelihood of receiving a denial based on incomplete records is huge. And you will most likely never know why. 

Good luck. 

A third option for you is to find your passion and start doing it — even if it’s volunteer only. For it is by living a fulfilling and passionate life that we stay healthy and can find and maintain mental health recovery.

You can pursue option three while considering option one or two.

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How I Can Be Happy Despite Myself

I see a lot of moody people out there on Facebook and Twitter these days. Though I try not to put random complaints on my wall, my darker moods often come across in this blog. But in the big picture, I’ve found ways to be generally happy despite myself.

Mood music:

Allow me to share. But first, a couple acknowledgements:

1.) I stole this post’s title from somewhere.

2.) I readily admit that despite what I’m about to share, my reality doesn’t always match up with my words.

That said, no one who knows me can deny that I’m in a much happier place today than I was several years ago. I screw up plenty today, but I used to hate myself for screwing up. Today I may feel stupid when I fail, but I don’t hate myself. I’ve also learned that there are plenty of reasons to appreciate life even when things don’t seen to be going well in the moment.

–If I’m having a bad day at work, I remember that I’ve been in jobs I hated and that while the day may go south, I’m still lucky to have a job today that gives me the freedom to do work that makes me happy. I also know that I have a wife and children that I love coming home to.

–If I’m stuck in bed with a migraine or the flu, I can take comfort in knowing it could be — and has been — so much worse.

–If I’m feeling depressed — and my OCD ensures that I will from time to time — I can take comfort in knowing it doesn’t cripple me like it used to and I can still get through the day, live my life and see the mood for what it is — part of a chronic condition.

–If I’m feeling down about relationships that are on ice, I can take joy in knowing that there’s never a point of no return, especially when you’re willing to make amends and accept forgiveness.

–When I think I’m having the shittiest year ever, I stop and remember that most years are a mix of good and bad and that gives me the perspective to cool off my emotions.

–When something really bad happens, I know that people are always going to show up to help, and that it’s an extension of God’s Grace in my life.

–When I’m angry about something, I can always put on headphones and let some ferocious metal music squeeze the aggression out of me.

–If I’m frustrated with my program of recovery from addiction, I just remember how I felt when I was in the grip of the disease and the frustration becomes a lot smaller.

–If I feel like people around me are acting like idiots, I can recognize that they may just be having a bad day themselves and that it’s always better to watch an idiot than be one.

I could go on, but I think you get the point.

shine on

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Change Is Pain, But Not Impossible

Last night’s 12-Step meeting reminded me of just how hard real change is. I used to measure change by who won the next election. I’ve realized that the only real change that matters is within myself. Naturally, it’s the hardest, most brutal kind of change to achieve.

Mood music:

[youtube http://www.youtube.com/watch?v=yqkxDgCIsOw&fs=1&hl=en_US&rel=0]

Last night’s AA Big Book reading focused on steps 8, 9 and 10:

8. Made a list of all persons we had harmed, and became willing to make amends to them all.

9. Made direct amends to such people wherever possible, except when to do so would injure them or others.

10. Continued to take personal inventory and when we were wrong promptly admitted it.

The first few steps were much easier for me. Admitting I was powerless over my addiction was a piece of cake. I was so desperate by then that the admission was the reason I walked into an OA meeting. It takes desperation to walk into a room full of people you’re certain are crazy fanatical freaks. That’s exactly how they came across. Then I realized I was just like them and was in just the right place. Nearly three years in, I’ve determined that we’re not crazy and we’re not freaks. We’re just TRYING to be honest with ourselves and those around us. It makes us uncomfortable and edgy because it’s much more natural for an addict to lie. People like us are weird and often intolerable.

Acknowledging a higher power was easy enough, because I’ve always believed in God. But this step brought me closer to realizing my relationship with God was all wrong. It was transactional in nature: “Please God, give me this or help me avoid that and I’ll be good…” Because of OCD that was raging out of control, I tried to control everything. I couldn’t comprehend what it meant to “Let go and let God.” Once I got to that point it got easier, though I still struggle with a bloated ego and smoldering will.

Still, that stuff is easy compared to steps 8-10. To go to people you’ve wronged is as hard as it gets. You come face to face with your shame and it’s like you’re standing naked in front of people who have every reason to throw eggs and nails at you. At least that’s how it feels in the beginning.

Step 9 has been especially vexing. There are some folks I can’t make amends with yet, though Lord knows I’ve tried.

I feel especially pained about my inability to heal the rift with my mother and various people on that side of the family. But it’s complicated. Very complicated. I’ve forgiven her for many things, but our relationship is like a jigsaw puzzle with a lot of missing pieces. Those pieces have a lot to do with boundaries and OCD triggers. It’s as much my fault as it is hers. But right now this is how it must be.

I wish I could make amends with the Marley family, but I can’t until they’re willing to accept that from me. I stabbed them in the gut pretty hard, so I’m not sure of what will happen there.

But there have been some unexpected gifts along the way.

Thanks to Facebook, I’ve been able to reconnect with people deep in my past and, while the need to make amends doesn’t always apply and the relationships can never be what they were, all have helped me heal. There’s Joy, Sean’s widow. She’s remarried with kids and has done a remarkable job of pushing on with her life. She dropped out of my world for nearly 14 years — right after Sean’s death — until recently. The contents of our exchange are private, but this much I can tell you: I was wrong all these years when I assumed  she hated my guts and wanted nothing more to do with me. I thought my old friend Dan Waters hated my guts too. But here we are, back in touch.

Miracles happen when you get out of your own way. But it sure can hurt like a bitch.

I’ve also half-assed these steps up to this point. There’s a much more rigorous process involved. You’re supposed to make a list and only approach certain people you’ve wronged after talking to your step-study sponsor. It hasn’t exactly worked out that way. I just started the Big Book study in January, so I have a long way to go.

It’s funny how, when we’re still in the grip of our addictions, we dream of the day when we’ll be clean. There’s a false expectation that all will be right with the world. But that’s never the case.

I’ve heard from a lot of addicts in recovery who say some of their worst moments as a human being came AFTER they got sober. 

That has definitely been the case for me. I’d like to think I’m a better man than I used to be, but I still screw up today. And when I do, the results are a spectacular mess.

But while I’m far from done with this stuff, I can already say I’m happier than I used to be.

Change is hard and painful, but when you can move closer to it despite that, the results are beyond comprehension.

I guess the old cliche — no pain, no gain — is true.

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Physical & Mental Health: Not Two Different Things

I got a note this morning from an old friend that brilliantly illustrates how tightly physical and mental health are intertwined.

Mood music:

[youtube http://www.youtube.com/watch?v=FLrxQ2Cdwho&fs=1&hl=en_US&rel=0]

I’ll share his note, but keep the name out:

Went to see a chiropractor yesterday (after the urging of my wife) to help with my anxiety. Went in very skeptical. After a thorough diagnosis, she discovered I have trouble with my cranial nerves and have an “over excited” nervrous system which contributes greatly to my anxiety and makes it worse when I start “freaking” out about things (trouble breathing, headaches, etc…) I guess the point is that I never would have attributed my anxiety to my nervous system.

I just thought it was due to me “not being strong enough” to handle things and was the cause for me becoming a nervous wreck when anxiety builds up. I just met with the chiropractor this week, so not sure exactly what the treatment will be, but she said it’s pretty intensive. The chiropractor compared it to a computer, I have all the information, my body is not processing things correctly.

Just thought I’d share that with you. All the time, I thought my anxiety was mental, but seems like it’s more of my body’s nervous system not working quite right.

The notion of back and nerve trouble fueling mental illness doesn’t surprise me at all. Though a lot of people would fail to see the connection, I have my own experiences to draw from.

I used to have brutal back trouble and at the time I was a ball of anxiety on fire, rolling off a cliff. It’s no accident that when I started getting the proper chiropractic treatment in 2006, a lot of that started going away. That’s also around the time I started taking Prozac, but it was a good trade-off. One bottle of that replaced various bottles of painkillers. I was hooked on the painkillers after a point, and that sucks. Especially when they no longer touch the pain and you’re taking them simply to keep from hurting more.

I think the biggest point is that mental and physical health are not separate things. One ALWAYS affects the other.

There’s no question whatsoever that depression can cause physical pain.

I’ve heard a lot of people argue over whether this person’s or that person’s aches and pains were “all in their head.” You know the types: Never any real underlying disease, but they’re always calling out of work with a headache or some intestinal discomfort.

It’s all in their head, you say?

Well, yeah.

It’s called psychosomatic illness, when mental anguish leads to physical sickness.

http://www.rodale.com/files/images/458870.jpgI’ve been there. Migraines. Brutal back pain. A stomach turned inside-out.

But it wasn’t always clear that what ailed me was in my head. Childhood illness confused matters. A huge chunk of my digestive track was in flames and spewing blood because of  Chron’s Disease.

I’m told by my parents that the doctors came close to removing the colon more than once, though I don’t remember that myself; probably because the doctors had that conversation with the parents instead of the patient.

To throw it into remission, they used the maximum dose of a drug called Prednisone, which caused another kind of body blow in the form of migraines. These headaches came daily; always making me sick to my stomach.

Later in life, I developed severe back pain, the kind that would knock me onto the couch and keep me there for weeks.

All legitimate physical problems. But at some point my brain lost the ability to differentiate a real Chron’s flare-up or back spasm from an imagined one.

In the end, though, it doesn’t matter. It may as well have been one of those things. Because when the mind thinks it is, it has a habit of BECOMING real.

It’s a little different for my friend.

He’s learning that a back and nerve problems are actually messing with his nervous system. The effect for him is what feels like anxiety. And in living with the knowledge that something is physically wrong, anxiety attack symptoms blossom into real anxiety attacks.

Funny how the body works.

I’m not telling anyone anything new. Everyone has an example of times when physical sickness left them in a depression, and vice-versa.

But it’s easy to forget the connections when we’re only dealing with one or the other.

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Sympathy for the Unsympathetic

I tend to get a lot of mail from people who read this blog, particularly the stuff about the rougher parts of my life. God Bless ’em, because they’re good people who want to buck me up. But I think they misunderstand where I’m coming from sometimes.

Mood music:

[youtube http://www.youtube.com/watch?v=yvJGQ_piwI0&fs=1&hl=en_US&rel=0]

There are days when my posts cross over to darker territory, especially when a wave of depression or OCD moment hits. I also do a lot of soul searching here, which is part of what I started this for. Some see those posts and tell me I’m way too hard on myself.

When too much of this happens, I need to come on here and tell you why you don’t need to worry about me or express sympathy. This time, I got a nice, shiny five-point manifesto to make my point:

1.) If I write about something bad that happened to me or something I’m feeling bad about, it’s never, ever a cry for pity. I approach my experiences from the point of view that EVERYONE has bad stuff happen to them and that EVERYONE screws up. I’m nobody special. But many times I need to expose my raw feelings to make a point. That’s what writers do.

2.) This blog is all about me making an example of myself. The way I see it, I’ve learned a lot of lessons and developed a lot of coping skills every time I’ve failed. If I don’t admit to my own failings to show where I used to be and where I’m going, the reader won’t walk away with anything useful.

3.) When sharing a bad mood or experience, the goal is to tell others they’re not alone. A lot of people with depression and addiction suffer in silence, thinking they’re different from everyone else in a bad way. The more people come clean about their own struggles, the more those sufferers can see that they’re not so hopeless and strange after all. In other words, some of the stuff readers try to buck me up over are based on my attempts to buck other people up.

4.) Never think for a moment that I don’t love who I am and what I have. It’s easy to read the darker posts and see a guy who loathes himself and curses his lot in life. But these posts aren’t meant to be that way. I still have my struggles and always need to be better than I am, but I also appreciate who I am, where I’ve been and what I’ve learned. And I know when I look at my wife and children that I’m THE luckiest guy on the planet.

5.) Writing all this stuff down is excellent therapy for me, too. Some people may be taken aback by some of the stuff I come clean about here. But in doing so I clear my own mind of the obsessive thinking that can hold me back. Then I can move on to the next thing. That doesn’t mean I don’t get locked into OCD moments, but spilling it here makes things better. 

So you see, my friends, there’s no need for sympathy. I’m doing just fine.

But I am grateful for your kindness and good intentions.

Now, as MC5 once sang, “Kick out the jams!”

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We Need Routines, Part 2

Here’s one reason February has been such a bitch: My routine has been so far off the rails that it has been hard to keep my perspective. It hurts the whole family-work dynamic. For a person in recovery, routines are beyond huge.

Mood music:

[youtube http://www.youtube.com/watch?v=6YzKLRM-pr4&fs=1&hl=en_US&rel=0]

Being the restless, boredom-shunning soul that I am, I always look forward to the next trip. I always miss my wife and children during these outings, but it’s also good to get out of the normal environment from time to time. It tests you and can even rejuvenate. I’ve also learned that recovery is portable. You can take your program just about anywhere. I’ve also learned that God is with me wherever I go, and that makes it much easier to approach life in a fearless way.

Here’s the problem: Do too much of this sort of thing and you hurt yourself and those around you. That’s exactly what I did in late January and the first half of February. I went to Washington and San Francisco within a two week period and came home violently ill. Served me right, but my family didn’t deserve having to carry on while I was passed out on the couch.

I thought I had the groove of a traveling man down pat, but I was being stupid.

Last week was a lost week of sorts. I was home a lot with my family, but mentally I was pretty vacant.

But it’s a new week. I’m in the office doing routine things. This afternoon I’ll go home and do more routine things. And I’ll be happy doing it.

I started on the path back to sanity yesterday by going to Mass. Driving there in a snowstorm wasn’t sane, mind you. But by the time Mass was over I felt so happy to be back. When you travel and focus on work too much, God gets the shaft, too.

That point was driven home to me when I did another routine thing last night and went to a 12-Step study meeting.

The main topic was fear and the things addicts do because of it. People discussed how their fears — over being accepted, over an abusive, drunken spouse, over work — made them drink, drug and binge eat. I sat there silent because I’m still too early in the Big Book-study process to share at these meetings, but I had a different, stranger take on fear than the rest of the room. I’ve lived in their brand of fear, to be sure.

My problem of late has more to do with the collateral damage caused when you lose the fear that held you back. You get a big lust for life, which may sound all well and good until you realize it’s just another extreme way of living.

Extremes are like absolutes: Both have caution signs plastered all over them. You go too far in one direction and neglect other, important parts of your existence.

I’ve always been a man of extremes. I’m either badly depressed like I was last week, shut off from the rest of the world, seeing only the calamities, or I’m ON — working, playing and grabbing on to every activity I only think I can handle at the time.

The middle speed in my engine rarely works right. It’s either all or nothing, and that’s a problem that may well plague me for the rest of my life.

But I’m not giving up without a fight.

This much I know: I’m always closest to the middle gear when I follow a rigid routine. That includes three weighed-out meals sans flour and sugar, an early bedtime because I rise early, at least two 12-Step meetings a week, regular check-ins with my sponsor, regular visits to the therapist, and daily prayer. It should also include time set aside after work to catch up with my wife and kids.

This is the stuff I need to work on, and I don’t tell you all this in a search for sympathy. We all have issues to work on every day. We all have our good days and bad days. I’m nothing special. I just happen to have a blog where I can process this stuff aloud. 

The blog has become another important part of my routine.

But my use of it can become unbalanced, too.

This is just one of the crosses I carry.

But 10 of my crosses are absolutely nothing compared the Cross Jesus carried. I just forget from time to time.

Some of you think that kind of talk is nonsense.

Nobody’s perfect.

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Learning to Adapt and Liking It. Maybe

Of all the things I’ve always been considered pretty good at — writing, drawing, etc. — one of the things I’ve never appreciated enough is my ability to adapt.

Mood music:

[youtube http://www.youtube.com/watch?v=_Bh7eE3zW2c&fs=1&hl=en_US&rel=0]

When OCD is out of control, adapting to change is pure hell. You want everything just so, in just the right amount and the right amount of order. Change anything and the person who loses control goes into a tailspin.

But in recovery, adapting to change is a gift I’ve only recently come to appreciate. When you finally realize you don’t have control and you surrender, it becomes easier to pull off.

I used to be terrified of job changes. I remember the day before starting at The Eagle-Tribune and the day before starting at TechTarget. I was strung out on anxiety and walked around full of depression and dread. By the time I got to changing jobs again in 2008, I had already evolved in my recovery enough that the dread didn’t come. The day before I started at CSO Magazine, I was giddy as a kid on Christmas Eve. I was learning to adapt.

Now I’m learning to adapt some more. I’m learning that my current process of distributing this blog needs to be tweaked. And I’m ready to adapt.

This form of adaptation should be easy because it requires me to do less, not more.

When my old colleague sent me a note calling me an “obsessive poster” it gave me real pause. As I mentioned yesterday, I can be obsessive in that task. There’s some publishing science behind what I do and I explained it, but I admit I am obsessive-compulsive about being part of a discussion and worrying about my words being missed along the way. It’s purely selfish, and I’m not proud of it. But I can adapt.

And so starting today, I disabled the automated tool that has made it far too easy for me to tweet and Facebook posts multiple times a day.

I’m pulling it back to three times a day: Once in the morning, once in the afternoon and once in the evening, so the blog will still be exposed to those online traffic cycles. But no more posting things every two hours, for example. That’s just me being ridiculous.

Also — eventually — I’m going to build a separate Facebook page for this blog. That way, the folks who really want it have a place to go and connections that don’t want it won’t have to suffer the barrage.

I’m not sure if the Twitter approach needs changes, but I’m open to suggestions. My security writing already goes out on a separate Twitter feed, though I still push the security content from my personal Twitter page. Do I want to make a separate feed for the diaries? I don’t know yet. But I realize it might be necessary.

LinkedIn is a much more complicated beast, because that is a purely professional social networking platform. I’m not sure how a separate OCD Diaries presence on LinkedIn, separate from my security presence, would work. Complicating matters is that A LOT of my audience on the security side reads this blog as well. I don’t want to make it harder to find.

So you see, I need to adapt this stuff to be more in tune to people’s sensitivities. I can’t change the flavor of the blog. It’s mine and I don’t write it to please people, though it is pleasing when someone gets something from it.

I can change how I deliver my posts, however. 

Ideas are welcome. The change in posting frequency starts now.

The other things will be worked out in March.

I also want to include more local music on here, but sound quality is important. So to all my musician friends, let’s talk.

Seize the day (or evening, in this case).

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Debunking the Shrink Stigma

A friend was telling me yesterday that he can relate to this blog. In a whisper, he said, “I see a therapist.” When people tell me that, it’s usually in the same hushed tone. Clearly, we have another stigma to shred.

I’m not sure why people are so hush-hush about this sort of thing. Maybe it’s because I outed myself so long ago. But I just don’t think people should be embarrassed about seeing a therapist. And yet people are embarrassed, like they’re being treated for the clap after a reckless night in a whorehouse. It’s the kind of shame that does you no good. Take it from a guy who has been there.

It’s a funny thing when I talk to people suffering from depression, addiction and other troubles of the mind. Folks seem more comfortable about the idea of pills than in seeing a therapist. After all, they’re just crazy “shrinks” in white coats  obsessed with how your childhood nightmares compromised your adult sex life, right?

I’ve been to many therapists in my life. I was sent to one at Children’s Hospital in Boston as a kid to talk through the emotions of being sick with Chron’s Disease all the time. That same therapist also tried to help me and my siblings process the bitter aftermath of our parents’ divorce in 1980.

As a teenager, I went to another therapist to discuss my brother’s death and my difficulty in getting along with my stepmother (a wonderful, wonderful woman who I love dearly, by the way. But as a kid I didn’t get along with her).

That guy was a piece of work. He had a thick French accent and wanted to know if I found my stepmother attractive. From the moment he asked that question, I was done with him, and spent the rest of the appointment being belligerent.

That put me off going to a therapist for a long time. I started going to one again in 2004, when I found I could no longer function in society without untangling the barbed wire in my head. But I hesitated for a couple years before pressing on.

The therapist I started going to specialized in dealing with disturbed children and teenagers. That was perfect, because in a lot of ways I was still a troubled kid.

She never told me what to do, never told me how I’m supposed to interpret my disorder against my past. She asked a lot of questions and had me do the work of sorting it out. That, ladies and gentlemen, is what a good therapist does. They ask questions to get your brain churning, dredging up experiences that sat at the back of the mind like mud on the ocean floor. That’s how you begin to deal with how you got to the point of dysfunction.

She moved to Florida a year in and I started going to a fellow who worked from his house. I would explain my binge eating habits to him, specifically how I would down $30 worth of McDonald’s between work and home.

“You should stock your car with healthy foods like fruit, so if you’re hungry you can eat those things instead,” he told me.

That was the end of that. He didn’t get it. When an addict craves the junk, the healthy food around you doesn’t stand a chance. The compulsion is specifically toward eating the junk. He should have understood. He didn’t. Game over, dumb ass.

The therapist I see now is a God-send. He was the first therapist to help me understand the science behind mental illness and the way an inbalance in brain chemistry can mess with your thought traffic. He also provided me with quite an education on how anti-depressants work. Yes, friends, there’s a science to it. Certain drugs are designed to shore up the brain chemicals that, when depleted, lead to bi-polar behavior. Other meds are specifically geared toward anxiety control. In my case, I needed the drug that best addressed obsessive-compulsive behavior. For me, that meant Prozac.

That’s not to say I blindly obey his every suggestion. He specializes in stress reduction and is big on yoga and eliminating coffee from the daily diet. Those are two deal breakers for me. Yoga bores the dickens out of me. If you’ve been following this blog all along, I need not explain the coffee part.

I also find it fun to push his buttons once in awhile. I’ll show up at his office with a huge cup of Starbucks. “Oh, I see you’ve brought drugs with you,” he’ll say.

Thing is, he’s probably right about the coffee. But I’ve given up a lot of other things for the sake of mental health. I’m simply not putting the coffee down right now.

I think part of this is about testing him, too. I can’t help but push the buttons sometimes just to see what I can get away with.

But on balance, it’s a productive relationship that has helped me to find a lot of peace and order in my life.

There are good therapists and not-so-good therapists, just like there are good and not-so-good primary care doctors; just like there are good cops and bad cops.

But if you feel like you need to talk to someone objective and you hold back for fear of being in the same room as a quack, well, then you’ll never know what you could have accomplished.

I chose to talk to a professional despite my deepest reservations. I’m grateful that I did.

Why the hell should anyone be ashamed for doing the right thing?

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Alone vs. Isolation

One of the big things I’ve struggled with over the years is when it’s OK to be alone and when it’s not. I spent a lot of years in isolation. I’m slowly realizing isolation and alone aren’t necessarily the same thing. Isolation never amounts to anything positive for me. Alone does — when I let it.

Mood music:

[youtube=http://www.youtube.com/watch?v=pk7jVsiWb3o&fs=1&hl=en_US]

I spent a lot of years in isolation when I was sickest with the OCD and addiction. You isolate when it’s time for that next binge, whether it’s drugs and alcohol or compulsive overeating. I always did it in the isolation of my car. Addicts typically get their real fix out of view from other people.

At the same time, I never liked being alone. If I’m left by myself for too long, I get into trouble. And I don’t want to go there.

I seem to always be around people these days. There are the folks in my 12-Step program, including my sponsor and the three people I sponsor. There are the one-to-three meetings a week, and the daily phone calls. For someone who hates the telephone, I spend a lot of time on it these days.

I spend a lot of time around parents of the boys’ classmates. I spend a lot of time around business associates. When there’s downtime, I increasingly seek out friends. Fortunately, they seek me out, too.

But while it’s never good for me to be isolated, I’m finding that I DO need to be alone sometimes.

Not alone in a brooding, depressed state. That better fits the isolation category for me. It’s more like being alone in a state of prayer or creativity.

I’ve come to treasure the alone time I get first thing in the morning, when I can listen to music, write or just flop my head back. My relationship with the car has changed. Instead of using it as a place to isolate and feed my addiction, it’s now a place for reflection, music and sightseeing.

It used to be on business trips that I would isolate in my hotel room whenever I didn’t have to be out in public. There’s a lot of trouble you can get into with yourself when you’re holed up in a hotel room.

Now, I make some alone time for myself so I can walk around the city I’m in and take it all in. Yesterday I roamed the streets of NYC and spent a lot of time at Ground Zero in contemplation and prayer. I continued praying as I walked back across the Brooklyn Bridge to my hotel.

It was excellent.

Later in the evening, it was time to mix with people again and I did — having a long overdue reunion with my cousin Andrew and meeting his beautiful bride-to-be, Violet. We inadvertently wound up in a gay bar, but it’s not like there’s anything wrong with that. And the other patrons were friendly and polite. It’s been years since I saw Andrew. Shit, I remember when he was small enough to fit in a beer mug.

Afterwards, it was time to be alone again. I went back to the hotel and read myself asleep, which didn’t take much.

If the whole concept of isolation vs. being alone is confusing to you, it should be.

It’s certainly something I’m still trying to figure out.

I’m getting there. Slowly but surely.

Of course, it’s time to go mix it up with people again, so off I go to listen and then write about day 1 of the CSO Security standard.

Seize the day.

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Coping With Tired: Tools of a Reformed Addict and OCD Case

Several writings about how the author copes with exhaustion.

Mood music for this post: “I’m So Tired,” from The Beatles White Album:

Someone who saw my “songs to play when tired” post asked what I do about being tied besides music and coffee. People with addictions and mental disorders are often tired — even when in recovery. These writings cover how I keep exhaustion at bay:

Rest Re-defined
The author finds that he gets the most relaxation from the things he once feared the most.
http://www.theocddiaries.com/2010/02/02/ocd-diaries-rest-re-defined/

The Bright Side of Exhaustion
For someone with OCD, a little exhaustion can be just what the doctor ordered.
http://www.theocddiaries.com/2010/03/26/the-bright-side-of-exhaustion/

Somewhat Damaged
Sometimes the author lives in overdrive. The result is pain.
http://www.theocddiaries.com/2010/04/26/somewhat-damaged/

The Rewards and Risk of Service: A Cautionary Tale
Service is a major tool of recovery. But it can also be dangerous.
http://www.theocddiaries.com/2010/04/29/the-rewards-and-risk-of-service-a-cautionary-tale/

This is Your Brain on Restlessness
The author has hit a wall with his recovery. It’s not what you think.
http://www.theocddiaries.com/2010/04/27/this-is-your-brain-on-restlessness/

Writing to Save My Life: The author on why he became a writer and how it shaped his recovery from mental illness and addiction.

http://www.theocddiaries.com/2010/06/02/writing-to-save-my-life-the-ocd-diaries-for-6-2-10/

How I Became the Easy Parent
Here’s a side of my recovery that the kids enjoy: I’m more of a push-over than I used to be.
http://www.theocddiaries.com/2010/06/06/how-i-became-the-easy-parent/