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Regulating Addictive Food: A Lesson in Futility

As an obsessive-compulsive binge eater, the author feels it’s only proper that he (cough) weigh in (cough) on the notion that regulating junk food might help. Here’s why the answer is probably not.

Since I know what it’s like to be deep in the muck of a binge-eating addiction, my wife thought I might find interest in an article from The Environment Report suggesting that the regulation of foods that are bad for you — same way as with cigarettes — might help some sufferers.

The cattle prod for this item is a new book called “The End of Overeating.” The author is David A. Kessler, MD, and a former commissioner of the US Food and Drug Administration under presidents George H. W. Bush and Bill Clinton. I actually have a lot of respect for this guy, whose tenure included the successful push to enact regulations requiring standardized Nutrition Facts labels on food. That, in my opinion, was a huge win for those of us who want truth in advertising.

In “The End of Overeating,” Kessler makes a compelling argument: Foods high in fat, salt and sugar alter the brain’s chemistry in ways that compel people to overeat. “Much of the scientific research around overeating has been physiology — what’s going on in our body,” The Washington Post quoted him as saying in the story “David Kessler: Fat, Salt and Sugar Alter Brain Chemistry, Make Us Eat Junk Food.”

http://starvingwritersbooks.com/bookstore/images/endofeverlasting.jpg

The real question is what’s going on in the brain, Kessler says.

His theory on food as an addictive substance is as on the mark as you can get. Trust me. I’ve lived it. Binge eating is all about addiction for me. It’s tied directly into the same corner of the brain where my OCD resides.

He is also right that sugar, salt and fat are addictive substances, though for a lot of people, the components of our poison boil down to sugar and flour. Of course, most of the food that has flour and sugar also tends to be high in salt and fat.

The first and most important tool in my OA recovery program is a plan of eating. Flour and sugar are off the table — period. Almost everything I eat goes on a little scale. 4 ounces protein, 4 ounces raw vegetable, 6 ounces cooked vegetable, 2 ounces potato or brown rice, etc. Every morning at 6:15 I call my sponsor, someone who hears my food plan for each day and gives me the necessary kick in the ass.

But salt and fat are not forbidden for me. In fact, I’m allowed to substitute 4 ounces of meat with 2 ounces of cheese or nuts.

To some, this may sound like a typical fad diet, but people in OA have used a plan like this since the beginning. And the plan isn’t the same for everyone. If you have diabetes, for example, removing every scrap of flour from the diet isn’t usually an option. No matter. The only requirement of the program is to stop eating compulsively, no matter how you get there.

This isn’t something I pursued to drop 65 pounds, though I did lose that amount pretty quickly. This is a food plan for life — a key to my getting all the nutrition I need and nothing more. Just as an alcoholic must put down the booze or a narcotics addict has to put down the pills, I have to put down the flour and sugar.

This is the plan that got me out of the darkest days of addictive behavior and I’m a true believer.

Flour and sugar mixed together becomes a toxin that knocks the fluids in my brain out of balance. Kessler’s research is definitely in line with what’s happened to me.

But the idea of regulating food the same way as something like cigarettes? It won’t do much good.

It certainly couldn’t hurt. The nutrition labels at the very least gave us an education on what we put in our bodies, and it’s been especially helpful to parents who are trying to raise their kids healthy. Regulating cigarettes has certainly made it harder for minors to buy them.

But for the true addict, regulation is a joke.

Knowing what’s in junk food won’t keep the addict away. I always read the labels AFTER binging on the item in the package. And the labels have done nothing to curb the child obesity pandemic.

If you smoke, it’s certainly more expensive to buy a pack than it used to be. But if you crave the nicotine, you’ll find a way to get your fix. It’s the same with drugs, and with food.

I’m going to read Kessler’s book because it sounds like he has  some breakthrough findings that can help make people better.

But when someone suggests regulation as a solution, don’t ever believe ’em.

A suffering brain will always find a way to disregard the rules for the three minutes of rapture that follows the binge.

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Rat in the Church Pew

The author has written much about his Faith as a key to overcoming mental illness. But as this post illustrates, he still has a long way to go in his spiritual development.

The scene is the parking lot of All Saints Parish, just after today’s 9:30 Mass. Father Mike Harvey greets the Brenners and the conversation somehow turns to the kids listening to their mother and father.

Father Harvey: Remember kids, if your mother asks you to do something or tells you something, she is always right.

Me: Does that rule apply to me?

Father Mike: Yes. You always should answer her with “Yes Dear.”

Me: I’m an editor so I always try to make do with fewer words. So instead of “Yes Dear,” I shorten it to “Whatever.”

I have to be honest: While Sunday Mass is always a place for me to find peace and get closer to God, sometimes I ruin it for myself. I’m not a special case, because we all have our good days and bad days, but it’s worth noting here because it shows that while I’ve come far in conquering my demons, sometimes I backslide.

Case in point: I woke up cranky as all hell this morning, and as a result I went to church with a lousy attitude.

I didn’t hear the Homily, or the Gospel, or the Readings. I stood stone-faced during the Prayers of the Faithful. I got annoyed with the school principal sitting in the pew in front of us because her perfume was inflaming my allergies. I looked with disdain at a couple people who were reading the church bulletin during the Homily. It’s not my business, and I was as poorly-focused as they were. I was being judgmental, something I need to work on.

What’s this have to do with managing OCD? Let me explain:

Even though I’ve come a long way in managing my demons, there are still going to be days where I’m not as on top of things as I should be.

This is normal. Sliding back is part of the process.

It’s also easy to get caught up in parish politics and attitudes. Sometimes we get pissed because we feel someone is judging us. Yet we turn around and judge them back.

Today was a reminder that my mental tools are only going to remain effective if I keep working to perfect them. That includes the eating plan at the center of my recovery for binge eating.

The battle against the demons is never completely won. It’s a battle that continues until death.

I like to think of it as something more positive: a journey.

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Have Fun With Your Therapist (A.K.A.: The Shrink Stigma)

Mental-illness sufferers often avoid therapists because the stigma around these “shrinks” is as thick as that of the disease. The author is here to explain why you shouldn’t fear them.

Mood music for this post: “Just Another Psycho” by Motley Crue:

[youtube=http://www.youtube.com/watch?v=Ko23M-4AAbg&hl=en_US&fs=1&]

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?

Since I rely on a therapist and medication as two of MANY tools in my recovery, I’m going to take a crack at removing the shrink stigma for you.

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.

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. I thank him for that.

He kind of reminds me of Dr. Keyworth, the shrink who counseled Josh Lyman and President Bartlet on “The West Wing.” He took their crap with a straight face, not the least bit concerned that these were powerful, intimidating people.

The main point of this post is this:

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.

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The Mood Swing

Back in the day, when I was throwing parties in the basement of my house in Revere, Mass., I would reach a certain level of intoxication around 2 a.m. where I’d freeze in place, yell “mood swing!” and throw candy and other food items around the room.

People seemed to enjoy it, so I kept doing it. Even then, the ego was there.

Looking back, I now know that those mood swings, which were real, were the beginnings of some mental damage.

To this day, I experience it, even with the Prozac.

I can wake up in a perfectly good mood. Then, two hours later, a wave of melancholy will hit me for no good reason. Then I listen to some angry music and it eventually passes. Other days I’ll wake up with a feeling of dread for no particular reason and an hour later the mood turns sunny and I’m ready to take on the world.

It’s been happening more frequently in recent weeks, which I’ve come to realize is the winter effect. Minimize my sunlight and throw a lot of cold, gray weather my way and it gets a little tougher to hold it all together.

I started taking an extra 20 MG of Prozac last week, the idea being that I take a higher dosage for the duration of winter and dial it back to where it was come spring and summer.

It’s just starting to have the desired impact. The mid-afternoon mood swings I was having last month have gone away. But I still get up on a morning like this one, where I feel the brooding impulse for no particular reason.

And so I put on music like this:

[spotify:track:2yWOMbhPN2XJAiVy46Bhvz]

And now I feel better.

That’s how it works.

A tricky thing to manage, but it’s much, much better than it used to be. For that I Thank God.

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Marley and Me

The author describes the second older brother whose death hit harder than that of the first.

Mood music:

[soundcloud url=”http://api.soundcloud.com/tracks/48842027″ iframe=”true” /]

It doesn’t seem right that a friend’s death would hit me harder and fuel my insanity more than the death of a biological brother. But that’s what happened.

This is the story of Sean Marley, who introduced me to metal music, taught me to love life, and whose death was one of the cattle prods for my writing this blog.

I had known Sean for as long as I could remember. He lived two doors down from me on the Lynnway in Revere, Mass. He was always hanging around with my older brother, which is one of the reasons we didn’t hit it off at first.

Friends of older siblings often pick on the younger siblings. I’ve done it.

Sean was quiet and scholarly. By the early 1980s he was starting to grow his hair long and wore those skinny black leather ties when he had to suit up.

On Jan. 7, 1984 — the day my older brother died — my relationship with Sean began to change. Quickly. I’d like to believe we were both leaning on each other to get through the grief. But the truth of it is that it was just me leaning on him.

He tolerated it. He started introducing me to Motley Crue, Ozzy Osbourne, Van Halen and other hard-boiled music. I think he enjoyed having someone younger around to influence.

As the 1980s progressed, a deep, genuine friendship blossomed. He had indeed become another older brother. I grew my hair long. I started listening to all the heavy metal I could get my hands on. Good thing, too. That music was an outlet for all my teenage rage, keeping me from acting on that rage in ways that almost certainly would have landed me in jail.

We did everything together: Drank, got high, went on road trips, including one to California in 1991 where we flew into San Francisco, rented a car and drove around the entire state for 10 days, sleeping and eating in the car.

This was before I became self aware that I had a problem with obsessive-compulsive behavior, fear and anxiety. But the fear was evident on that trip. I was afraid to go to clubs at night for fear we might get mugged. When we drove over the Bay Bridge I was terrified that an earthquake MIGHT strike and the bridge would collapse from beneath us.

I occupied the entire basement apartment of my father’s house, and we had a lot of wild parties there. Sean was a constant presence. His friends became my friends. His cousin became my cousin. I still feel that way about these people today. They are back in my life through Facebook, and I’m grateful for it.

He was a deadly serious student at Salem State College, and his dedication to his studies inspired me to choose Salem State as well. Good thing, too. That’s where I met my wife.

In 1994, things started to go wrong for Sean. He became paranoid and depressed. He tried to hurt himself more than once. I didn’t know how to react to it.

That fall, he got married and I was best man. I wanted to be the greatest best man ever. But I was so self-absorbed at the time that there was no way I could effectively be there for someone else, even him.

Over the next two years, his depression came and went. He was hospitalized with it a couple times. By the summer of 1996, he was darker and more paranoid than I’d ever seen him. But I was so busy binge eating and worrying about my career that I didn’t pay enough attention.

In November 1996, I got a call at work from my mother. She had driven by Sean’s house and saw police cars and ambulances and all kinds of commotion on the front lawn. I called his sister and she put his wife on the phone. She informed me he was dead. By his own hand.

I spent a lot of the next 10 years angry at him for doing such a thing. He had everything going for him. And he chose to end it. I didn’t understand it, even as I was descending into my own brand of craziness.

The reason his death hit harder than my own brother’s is complicated. I think it’s because I had been burned for the second time, which is always worse than the first. It’s probably that I was an adult the second time and had a greater awareness of circumstances behind his death. Or it’s probably just the nature of the ending.

It took my own struggle with depression and OCD years later to truly grasp what he had gone through. I wasn’t there for him, but by sharing my own struggles I can hopefully be there for others.

Life has been good in the years since his death. I married a wonderful woman, followed a career path that’s produced many Blessings, found God and had two precious children.

We named our first son Sean Michael Brenner. And with that, I guess I was able to move on.

My son is every bit as smart as the man he was named for. His wit tickles me every day. And he’s caring beyond his years.

You can bet your ass I’ll be watching him like a hawk to make sure he doesn’t become too much like the man he’s named after.

Continued in “Death of a Second Sibling“

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http://www.theocddiaries.com/2009/12/22/ocd-diaries-12-22-the-ego-ocd-built/
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Lost Brothers

When my older brother died Jan. 7, 1984, a trend began where I would befriend people a few years older than me. A couple of them would become best friends and die prematurely themselves. It was also the day that sparked a lifelong fear of loss.

It’s been so long since Michael was with us that it’s sometimes hard to remember the exact features of his face. But here’s what I do remember:

We fought a lot. One New Year’s Eve about 30 years ago, when the family was out at a restaurant, he said something to piss me off and I picked up the fork beside me and chucked it at him. Various family members have insisted over the years that it was a steak knife, but I’m pretty sure it was a fork. Another time we were in the back of my father’s van and he said something to raise my hackles. I flipped him the middle finger. He reached for the finger and promptly snapped the bone.

We were also both sick much of the time. He had his asthma attacks, which frequently got so bad he would be hospitalized. I had my Chron’s Disease and was often hospitalized myself. It must have been terrible for our parents. I know it was, but had to become a parent myself before I could truly appreciate what they went through.

He lifted weights at a gym down the street from our house that was torn down years ago to make way for new developments. If not for the asthma, he would have been in perfect shape. He certainly had the muscles.

He was going to be a plumber. That’s what he went to school for, anyway. During one of his hospital stays, he got pissed at one of the nurses. He somehow got a hold of some of his plumbing tools and switched the pipes in the bathroom sink so hot water would come out when you selected the cold.

He was always there for a family member in trouble. If I was being bullied, he often came to the rescue.

I miss him, and find it strange that he was just a kid himself when he died. He seemed so much older to me at the time. To a 13-year-old, he was older and wiser.

He was close to a kid who lived two doors down from us named Sean Marley. After he died, I quickly latched on to Sean. We became best friends. In a way, he became a new older brother. Sean died in 1996 and the depression he suffered has been one of the cattle prods — next to my own fight with mental illness — for this blog.

A year after Sean died, I found another, much older brother named Peter Sugarman. He died in 2004 after choking on food.  His death sent me over the cliff with the OCD firing in every direction. That was the year I realized I needed help.

I was lucky to have known these guys. They certainly helped shape the person I am today. I am forever thankful for that, because I have a life that’s Blessed far beyond what I probably deserve. I would not have reached this point without their lessons and love. Even in death, they each taught me to see the things that truly matter.

Thanks, guys.

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How To Play Addiction Like A Piano

The author admits that when an obsessive-compulsive person puts down the addiction that’s most self-destructive, a few smaller addictions rise up to fill the void. But what happens when the money runs out?

Mood music:

http://youtu.be/fKZRcIGnaqE

I hear it from addicts all the time. They put down the thing that’s caused the most chaos and heartache in their lives, but then they find themselves latching onto smaller addictions to fill the hole. Chain smoking, for example.

That hole inside is what compels us to harm ourselves in the first place. Fail to address the source of the pain you’re medicating and the demons will be back. You end up pushing down on all the different addictions like the keys on a piano.

I’m lucky in many respects, because I started dealing with my pain source years before I even tried to address the addictive byproducts. I also have a powerful ally in God, and got a lot out of praying the Rosary on the hour-long commute to work this morning. I can also indulge in some perfectly harmless and always therapeutic metal music.

But truth be told, I still struggle with other addictions when the big one is under control, just like everyone else. They are the less destructive kind, but troublesome all the same. Especially when you can’t afford them the way you once could.

My addiction to coffee is well known. No apologies there. At this time, I have no desire or plan to kick it, no matter what the therapist tells me. It’s cheap. It doesn’t impair my ability to function. It’s really the most harmless addiction I will ever have.

The computer, the BlackBerry, the social networking sites — all addictions. But like the food this is a tough one, because all of those just happen to be vital tools of my trade. I can practice putting them away on nights and weekends, but banishing them completely is simply out of the question.

I also have a habit of spending money on stupid things when I need a quick fix that’s no longer satisfied with food or alcohol. Maybe it’s on a book I’ve already read and really have no reason to buy. Some of the desk trinkets were most certainly purchased on a spending jag.

Now we’ve arrived at the problem.

I have massive urges to spend money these days, but I have a powerful reason for mostly abstaining. Unlike previous spending sprees, the money simply isn’t there. OK, it probably never was there. But Team Brenner is down to one steady salary and a spending binge now could keep essential items from being paid for.

This isn’t a complaint. In fact, it’s a gift. Not one I wanted, but one I need. If lack of money is what it takes to put down another addiction, so be it.

Erin is worried about the money supply, as am I. We haven’t struggled to make ends meet in a long, long time. But we both chose this path willingly because starting the freelance business is something Erin simply must do, just as I simply had to pursue the career I’m now enjoying. I don’t regret it for a second, and in the end I know all will be well.

God’s Plan can certainly be infuriating at times. But I’m going to keep following it to see where it leads.

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Prozac Winter

The author discovers that winter makes his depression worse and that there’s a purely scientific explanation — and solution.

My therapist and I recently agreed that my Prozac intake should go up a bit for the duration of the winter.

I’m doing well for the most part, but there’s a three-hour window of each day — usually late afternoon — where my mood slides straight into the crapper.

The reason is simple: People who suffer from chemical imbalances in the brain are directly impacted by daylight levels. When the weather is dismal, cold, rainy and the days are shorter, a lot of folks with mental illness find themselves more depressed and moody. Give us a long stretch of dry, sunny weather and days where it gets light at 4:30 a.m. and stays that way past 8 p.m. and we tend to be happier people.

There are lessons to be had in the history books:

— Abraham Lincoln, a man who suffered from deep depression for most of his adult life, went from blue to downright suicidal a few times in the 1840s during long stretches of chilly, rainy weather. [See Why “Lincoln’s Melancholy” is a Must-Read.]

— Ronald Reagan, a sunny personality by most accounts, was a man of Sunny California. Once, upon noticing that his appointments secretary hadn’t worked time in his schedule for trips to his ranch atop the sun-soaked mountains of Southern California — and after the secretary explained that there was a growing public perception that he was spending too much time away from Washington — Reagan handed him back the schedule and ordered that ranch time be worked in. The more trips to the ranch, he explained, the longer he’ll live.

The WebMD site has excellent information on winter depression. Here’s an excerpt:

If your mood gets worse as the weather gets chillier and the days get shorter, you may have “winter depression.” Here, questions to ask your doctor if winter is the saddest season for you.

Why do I seem to get so gloomy each winter, or sometimes beginning in the fall?

You may have what’s called seasonal affective disorder, or SAD. The condition is marked by the onset of depression during the late fall and early winter months, when less natural sunlight is available. It’s thought to occur when daily body rhythms become out-of-sync because of the reduced sunlight.

Some people have depression year round that gets worse in the winter; others have SAD alone, struggling with low moods only in the cooler, darker months. (In a much smaller group of people, the depression occurs in the summer months.)

SAD affects up to 3% of the U.S. population, or about 9 million people, some experts say, and countless others have milder forms of the winter doldrums.

So this worsening of mood in the fall and winter is not just my imagination?

Not at all. This “winter depression” was first identified by a team of researchers at the National Institute of Mental Health in 1984. They found this tendency to have seasonal mood and behavior changes occurs in different degrees, sometimes with mild changes and other times severe mood shifts.

Symptoms can include:

  • Sleeping too much
  • Experiencing fatigue in the daytime
  • Gaining weight
  • Having decreased interest in social activities and sex

SAD is more common for residents in northern latitudes. It’s less likely in Florida, for instance, than in New Hampshire. Women are more likely than men to suffer, perhaps because of hormonal factors. In women, SAD becomes less common after menopause.

Here’s where the Prozac comes in for me:

As I mentioned in The Bad Pill Kept Me from the Good Pill, Prozac helps to sustain my brain chemistry at healthy levels. Here’s a more scientific description of how it works from WebMD:

How Antidepressants Work

Most antidepressants work by changing the balance of brain chemicals called neurotransmitters. In people with depression, these chemicals are not used properly by the brain. Antidepressants make the chemicals more available to brain cells like the one shown on the right side of this slide:

Photo Composite of Neurotransmitters at Work

Antidepressants can be prescribed by primary care physicians, but people with severe symptoms are usually referred to a psychiatrist.

Realistic Expectations

In general, antidepressants are highly effective, especially when used along with psychotherapy. (The combination has proven to be the most effective treatment for depression.) Most people on antidepressants report eventual improvements in symptoms such as sadness, loss of interest, and hopelessness.

But these drugs do not work right away. It may take one to three weeks before you start to feel better and even longer before you feel the full benefit.

I’m convinced the drug would NOT have worked as well for me had it not been for all the intense therapy I had first. Developing the coping mechanisms had to come first.

I’ve also learned that the medication must be monitored and managed carefully. The levels have to be adjusted at certain times of year — for me, anyway.

So next week I’ll start taking the higher dosage and let y’all know how it goes.

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Scaring the People in Your Life

The author is hearing from a lot of old friends shocked to read about his past. Thing is, basket cases are good at hiding their craziness in public.

To most of my family, the stories I tell in previous posts aren’t all that surprising. They were there. My in-laws may not have known everything that was going on back in the day, but they saw my quirks.

Mood music:

[spotify:track:78iMIaSjeVlUoNa7rehPOU]

Even at work, my quirks were easy to see. It surfaced in the form of my over-intensity on deadline; my habit of hovering over page designers; my overbearing nature toward the reporters I managed on the night shift.

But I was much better at keeping it together — on the surface, at least — around most friends back then.

Which brings me to another truth about people with mental illness and addictions: We do most of our suffering and self destructing in private.

There’s a scene in a “West Wing” episode where Leo McGarry, recovering alcoholic and chief of staff to the fictional President Bartlet, tells someone: “I don’t get drunk in front of people, I get drunk alone.” I ate alone. And I ran through my darkest, most obsessive-compulsive thinking alone. Most of the time, the two went hand in hand.

But there were times in my life where I hid it well.

As a student at North Shore Community College and later at Salem State College, I was really coming into my own in terms of my look and attitude. I played up the long-hair and metal image, stayed thin through bouts of starvation and read a lot of books so I could talk about them and appear smart.

That’s not to say I was walking around with fake skin. I was who I was at the time. In many ways I’m still the same guy. It’s just that I waited till the door to my room was closed and locked before I let the Devil out.

Despite what I’ve written about being the crazy-ass guy in the newsroom, I’ve been pretty good a lot of the time at putting on a calm, cool face, especially in more recent years. As I was diving deeper and deeper into the food addiction to dull the unpleasantness of going through therapy, I was being prolific as hell at work, writing a ton of breaking news and doing so with a smile.

At one point, a boss at the time marveled that I was so relaxed and zen-like for a guy who had just spent 12 hours covering a big news event. I laughed hard at that. I’ve been called a lot of things in my life, but zen-like was a new one.

On the drive home that day, I ordered $35 worth of junk in a nearby fast-food drive-thru and downed the contents of the four bags by the time I got home.

I was also pretty good at hiding my depression. Part of that is because my brand of depression has never been the suicidal variety that essentially makes the sufferer close down. Mine was more of a brooding depression in which I internalized my feelings and withdrew as often as I could. But on the job, I pushed all those feelings into the proper compartment and went on with life.

There’s light at the end of this tale. The therapy, medication, Spiritual awakening and loss of fear have gone far in making me the calm, zen-like guy on the inside as well as outside. I still carry the restlessness of OCD, but I manage it all better and don’t let the condition get in the way of the precious present nearly as much as before.

To those who knew me in the late 1980s and early 1990s: Don’t worry. I’m basically the same guy you knew back then.

The difference is that the man inside has gotten a lot better at being the man on the surface.

But make no mistake: I still have my bad days. I am human, after all.

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OCD Diaries 12-27: Edge of a Relapse

The author comes dangerously close to a relapse, but lives to fight another day.

Mood music for this entry: “Accidents Can Happen,” by Sixx A.M.:

[youtube=http://www.youtube.com/watch?v=Nan4Kdtz-9w&hl=en_US&fs=1&]

It was bound to happen sooner or later. That moment where the addiction would come calling again. [Instead of retreading my history of addiction here, I’ll point you toward the entry that gets into it all: A Most Uncool Addiction.]

I put down the flour and sugar — my whiskey and/or crack — on Oct. 1, 2008 and dropped 65 pounds on the spot. Thursday night was the first time since then that the food came calling.

Here’s how it works:

You’re going about your business and all seems well, then maybe you spot some food on the table that you USED to binge on. You walk away, but the vision of the food sticks in your mind like the edge of a knife. You walk back toward the food without actually realizing you’re doing it. Before you have time to process what’s happening in your thoughts, the food is in the mouth.

The good news is that I didn’t touch the flour or sugar in the end. My abstinence from those ingredients remains intact. But the other part of my program, where almost everything I eat goes on a little scale, faltered. Not terribly. But enough for me to stop and realize I was in the perfect position for a full-blown relapse.

My first brush with potential relapse is unsettling, to say the least. When you work so hard to get to a certain point and come close to throwing it away, it’s downright scary.

This morning I’m feeling the bloat. I’m sure it’s because my dinner didn’t go on the scale as it should have. I was at a restaurant, celebrating my step-mom’s birthday. I ordered the right things, but didn’t pay enough attention to how much was on the plate.

I awoke to the realization that I need to reign it in and double down on the usual discipline.

The good news is that, unlike previous times where I would lose my way with the food, I’m not walking around in a depressed fog. My mind is pretty clear right now. I know what I have to do.

That is an important sign in my evolution. I may still screw up on occasion, but instead of descending into weeks and months of binge eating, I’m poised for a quick rebound.

That’s real progress.

I’m also awakened to the fact that all addicts are at risk for a sudden relapse. You can be right as rain, and then you’re falling down before you can even process what’s happening.

The reason I include that Sixx A.M. video above is because it speaks so clearly on the problem at hand. Nikki Sixx fought heroin and other addictions for many years. He has gone from stone-cold sober to full-blown relapse and knows how it can potentially break a person for good.

The point of the song is that, as the title says, accidents can happen. The part of the song that really cuts to the core is this chorus:

And you know that accidents can happen
And it’s okay,
We all fall off the wagon sometimes
It’s not your whole life
It’s only one day
You haven’t thrown everything away.

The reason those lines are so powerful is that as addicts, we truly believe we’ve thrown it all away when we screw up. There’s the feeling that to fall off the wagon is to undo weeks, months or years of progress; to be right back to square one, as if the program of recovery never happened.

I’ve been there before. Not this time.

In one sense, I’m lucky because I didn’t lapse back into the ingredients and binge behavior of years past. Maybe that makes it easier for me to regain my footing.

But I also think I’m lucky because I’ve experienced some true growth, the kind where setbacks make you stronger instead of undoing you.

So for today, I’m thanking God that I had a fender bender and not a head-on crash. I’m tightening the eating today, not tomorrow or New Year’s Day. The fix starts now.

And since I’m in between OA sponsors, I’m going to stop dragging my heels and get a new one. It’s critical to have someone to kick you in the ass in times like these.

Break time is over.

To be able to get back up and move on, for me, is so absolutely huge.

I Thank God for that.

I’ll end by pointing you toward another song that sums up my closing lines here– “Broken, Beat and Scarred” by Metallica:

[youtube=http://www.youtube.com/watch?v=u5ACdgebi4c&hl=en_US&fs=1&]