So Many Appointments, So Little Sanity

This year’s seasonal depression comes with a twist. It’s not necessarily something new, but it’s something I’m more aware of these days: The calendar is filled with too many appointments.

Mood music:

When you have kids and a busy job, a lot of running around is expected. Lately, though, it seems like running around is all I do. Last week was a pretty good example: A medical appointment for me, two for Duncan (his therapist and new a new psychiatrist), a Scout meeting for each son and the school drop-offs and pick-ups.

It’s all normal, necessary stuff. I have to take care of my health, and we have to take care of our children. The school commute is the result of our choice to put the boys in a new school, and every parent these days is a taxi driver, running kids from one activity to the next. I don’t regret any of it. All the appointments for Duncan have especially been worth it, because we’ve gotten a clearer fix on his challenges and the best remedies.

But with the darkness of the coming winter and the rushing and running that come with the holiday season, each appointment feels like a hot pin prick to the eye.

I long for a week where I can just exist at home once the work day is done. It’s not going to happen, so I have to fall back on my coping tools.

It’s a funny thing about this time of year: I have a huge box of mental tools and know how to use them, but I’m so mentally tired that I have trouble finding the discipline to open the box.

I can’t let that continue, so I’m making a big effort to jolt myself out of the funk.

Last week I started increasing the breathing exercises I’ve learned. When commuting, my habit has been to use the tool of music therapy exclusively, cranking the metal to 11. But I have to add some variety, so I’m trying to do the music for part of the ride and the breathing exercises for the other part.

I’m making a point to play guitar for at least 30 minutes a day.

I’m re-introducing exercise into my regimen. In recent years I haven’t exercised much beyond walking because my food plan kept the weight in check without it. But I changed my eating plan earlier this year because I was getting bored. I didn’t up the exercise to match the increased portions, and as a result I’ve gained 15 pounds. I’ve started jogging laps around the garage, but Erin and I are looking to either buy an elliptical machine or get a gym membership. My new doctor is pushing me toward exercise, too; he isn’t happy with my borderline blood pressure and cholesterol.

Finally, I have a new therapist who is determined to help me build a fresh regimen for using all the tools. Appointments to see her involve 45-minute commutes back and forth, which adds to the overall stress. But she’s good, and I’m betting that the coaching she gives me balances things out.

It’s going to be a long winter. But with some luck, prayer and effort, it’ll be a healing one.

Gremlins

All I Want for Christmas Is to Get Through It

So here we are at that time of year when everyone is supposed to be happy and glowing with Christmas spirit. As for me? This time of year really fucks with me.

Mood music:

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This has traditionally been a time of year when bad things have happened to me. The suicide of a friend at the start of one holiday season. The death of sibling at the end of another. Several childhood hospitalizations in between. An emotional meltdown during the 2004 season.

For the definitive story on why the Christmas season throws me for a loop, read one of my first posts on this blog, “An OCD Christmas.”

The holidays have been far kinder to me in more recent years, though not without its occasional bumps. There’s the seasonal depression that throws me off balance every year and the struggle that comes with being a recovering binge eater at a time of year when my drug of choice is all around me.

My story isn’t special. It’s pretty typical, actually. I’ve talked to many people who struggle at the holidays for a variety of similar reasons.

All is not bleak, however. Over the years, I’ve worked hard on changing my Christmas attitude for the better. Some examples:

  • I work to keep my eye on the big picture, specifically the fact that this season is truly about celebrating the birth of Christ. Since I’m a believer, that one has kept me increasingly grounded.
  • Prozac and Wellbutrin go a long way in keeping my brain out of the dark, ice-encrusted gutter.
  • Family and friends have always been a crucial ingredient in seeing the joy of the season. It just took a long time for me to appreciate that.
  • If more bad things happen during the holidays, I know that family and friends are always there to soften the blow.
  • I have a thicker skin than I did back when holiday pressure was beating me into rubble.

And with that, I enter the 2013 holiday season full of hope that this year will be better than previous years.

Bad Santa

Mental Disorders on Sesame Street

The image below is a brilliant exercise in humor, an important coping tool for getting through all life’s difficulties. I’ve always believed the folks behind Sesame Street should be doing more to educate children on mental health, starting with some hard but necessary lessons in disorder. I share this meme for their benefit. Class is in session.

Sesame Street Disorders

Source: fodrizzle

Honor the Mental Sacrifice Veterans Have Made

With another Veterans Day upon us, I want to thank our servicemen and -women for a very specific sacrifice they’ve made.

Mental sacrifice is always implied when we thank our veterans for the larger sacrifice of life and limb to protect our freedom. That’s as it should be. Still, as someone who has never seen combat but has struggled with mental illness, I’m especially grateful to troops past and present for carrying the mental burden.

Mood music:

I have many friends who have served in the military and have seen combat. They’ve been shot at, lost limbs and lost buddies they served with. They suffer with depression, addiction and post-traumatic stress disorder (PTSD).

I wish they could have been spared all that. But I hope they can get some satisfaction and even happiness in knowing that they raised the profile of mental illness as a scourge to be confronted more than perhaps anyone else could have.

Soldiers are known for their courage, and when that courage extends to confronting mental maladies left by war, they are breaking stigmas that have held us all back.

Amid the last decade’s War on Terrorism, we saw an alarming rise in suicide among those who came home and couldn’t reconcile their former lives with where they had been and what they had seen. We saw a lot of troops struggling with depression as they came to terms with the loss of arms and legs. Many of them shared their struggles publicly and, in the process, showed us all how to move beyond adversity toward something better.

One example that sticks with me is that of U.S. Marine Clay Hunt. He survived Iraq and Afghanistan but ultimately fell to depression, taking his life in 2011 at the young age of 28.

Before he lost his battle with depression, though, he managed to help countless people suffering with the same disease. As James Dao wrote in a New York Time‘s blog post, “News of Mr. Hunt’s death has ricocheted through the veterans’ world as a grim reminder of the emotional and psychological strains of war — and of the government’s inability to stem military and veteran suicides, which have climbed steadily in the decade since the 9/11 attacks.”

Despite the ravages of PTSD, Hunt threw himself into volunteer work. Dao wrote that he built bikes for Ride 2 Recovery, a rehabilitation program for injured veterans. He journeyed to Haiti and Chile with Team Rubicon to help organize events for Iraq and Afghanistan Veterans of America (IAVA) and appeared in a public service announcement encouraging veterans to seek help for mental health problems.

Despite how his life ended, I hope his friends and family know how much he did to fight the mental illness stigma.

I want to thank him and all the other veterans who have taken arms against the enemy of the mind. Peace be with you all.

atwar-clay-hunt-articleInline
Clay Hunt participating in a 2010 Florida ride with the Ride 2 Recovery veterans organization. Hunt, who was active in various public service groups, took his own life in March 2011. Photo by the Associated Press

Flying on September 11

One of my biggest moments of shame came a week after September 11, 2001, when I scrubbed a planned trip to Arizona for a relative’s wedding. I was terrified to get on an airplane, and fear won out. Not only did I miss an important day in a loved one’s life, I also deprived my wife of the same thing. I didn’t want her flying, either.

Mood music:

I’ve talked to many people over the years who have similar stories and whose fear of flying lasts to this day. I got over the flying fear several years ago and love doing so now. But it’s always been hard to fault people who have vowed not to get on a plane if it’s the anniversary day of the attacks. For some, it’s not even about fear and superstition. The memories of that day are simply too much to take, and nothing will make you fix on such a thing like being on an aircraft on the anniversary.

But last year I flew on September 11. And it was one of the most peaceful flights I had all year.

I was coming home from the CSO Security Standard. I was managing editor of CSO at the time, and the Brooklyn event was a favorite, because it always coincided with the anniversary. New Yorkers showed us how to stare down adversity during and after the attacks, and there’s something special about being in NYC around that time of year. But I never managed to fly on 9/11 until last year. I always left on September 9 or 12.

Truth be told, I didn’t think much about the anniversary when I went to the airport. I was too tired to think about much of anything after a super-busy few days. I was also more focused on being annoyed with the third-world experience that is LaGuardia Airport. But once we took off, I looked out the window and could see Lower Manhattan, with the Freedom Tower rising up next to where the Twin Towers once stood. I could clearly see the two memorial pools built in the footprints of the towers as well.

It brought my mind right back to the anniversary. But it also inspired me in a major way, which suppressed any feeling of dread or sadness I might have otherwise had.

I’ve been to the site many times. But on the ground it can be hard to get the full appreciation of what’s taking shape there. It is, after all, a large construction site with all the noise and barriers that drive a person to distraction. It’s also not easy to get a clear view of the memorial unless you’re right there, behind the fencing, boards and signage. Seeing it from above was quite a trip, indeed.

It wasn’t an exercise in banishing fear, since I had already overcome the fear of flying years before. But it was one of those moments that marks you forever.

In this case, it’s a mental mark I’m happy to have.

World Trade Center

12 Years After 9/11: Six Grief Survival Suggestions

Like everyone else, 9/11 had a profound impact on me. I live in Massachusetts, the departure point for the two planes the terrorists hijacked and crashed into the WTC, and I work in the security community. Through those two worlds, I know many people who lost loved ones or were called into action that day.

Mood music: 

This isn’t about where I was and what I was doing that day. You can read that post here. This is about six lessons I’ve taken from my own experiences of losing loved ones. May it offer you some measure of peace, whether you’ve suffered from the impact of 9/11 or lost people under more natural circumstances.

  • Let it suck. Don’t be a hero. If you’re feeling the pain from losing your grandmother, let it out. You don’t have to do it in front of people. Go in a room by yourself and let the waterworks flow if you have to. Don’t worry about trying to keep a manly face around people. You don’t have to pretend you’re OK for the sake of others in the room.
  • Don’t forget the gratitude. When someone dies, it’s easy to get lost in your own grief. There’s even a self-pity reflex that kicks in. Try to take the time to remember how awesome your loved one was. Share the most amusing memories and have some laughs. You’ll feel more at peace when you remember a life that was lived well.
  • Take a moment to appreciate what’s still around you. Your girlfriend. Your friends. If death teaches you anything, it’s that you never know how long the other loves of your life will be around. Don’t waste the time you have with them.
  • Don’t worry yourself into an anxiety attack over possible loss. Yes, God could take your loved ones at any moment. He holds all the cards, so it’s pointless to even think about it. Just be there for people, and let them be there for you.
  • Take care of yourself. You can comfort yourself with all the drugs, alcohol, sex and food there is to have. But take it from me, giving in to addictions is nothing but slow suicide. You can’t move past grief and see the beauty of what’s left if you’re too busy trying to kill yourself. True, I learned a ton about the beauty of life from having been an addict, but that doesn’t mean I’d ever wish that experience on others. If there’s a better way to cope, do that instead.
  • Embrace things that are bigger than you. Nothing has helped me get past grief more than doing service to others. It sounds like so much bullshit, but it’s not. When I’m volunteering for my kids’ school and Scouting events or taking time to talk to people who have read this blog and have their own issues to sort through, I’m always reminded that my own life is so much better than I realize or deserve.

This isn’t a science. It’s just what I’ve picked up from my own walk through the valley of darkness. I’ve learned that Life is a gift to be cherished and used wisely. I’ve also learned that it hurts sometimes, but that’s OK.

9/11 Memorial

Four Symptoms and Attempted Remedies for Nixon-itis

When my OCD was at its worst, fear, anxiety and paranoia crippled me. People who didn’t share my ideas were enemies out to destroy me. It was never true, but a damaged mind concocts crazy shit.

Mood music:

http://youtu.be/IQHqJiebKKA

I call this Nixon-itis. Richard M. Nixon trusted no one. He saw conspiracies everywhere. Opponents were enemies to destroy before they could destroy him. It’s the stuff the enemies lists and the Watergate cover-up were made of. A favorite book on the subject is Nixonland: The Rise of a President and the Fracturing of America by Rick Perlstein.

Here are four personality traits of Nixon-itis and ways I try to fight it.

Inanimate objects attack when I enter the room.

Whenever my car broke down or I stubbed my toe walking into a chair, those objects were, in my eyes, sentient beings out to fuck with me. My solution has been to yell at the objects or punch them. I put quite a dent in the roof of my first car, a 1983 Ford LTD station wagon with a constantly flooded carburetor.

Attempted remedy: These days, when a device malfunctions or I stub a toe, I remind myself that these aren’t living things and therefore can’t possibly be out to hurt me. There are still days I forget, but only momentarily.

Co-workers are back-stabbing SOBs.

Work environments all have their stresses, and when colleagues are tasked with competing objectives clashes happen. If you work in sales or marketing at a newspaper, for instance, goals often conflict with the ethics drilled into editorial people. Or you might work for a tech company and come up with an idea that your bosses shoot down. Over time you see these folks as co-conspirators out to make you fail.

Attempted remedy: When someone goes against me in a work setting, I try to look at their own pressures and mandates and realize they’re not out to get me. They’re simply trying to fulfill their own tasks. By seeing their side of things, I find ways to compromise with them. Then we all get something accomplished.

The government’s out to get me.

When life sucks, it’s easy to blame the government for your every misery. You can’t make it because they make you pay taxes. Regulations exist to beat you. I once followed political events as if my life depended on it. As I get older, I become more convinced government affairs have little to do with my day-to-day life. But I know people for whom politics and government are very personal, dangerous matters that lead to hatred.

Attempted remedy: I stopped watching news programs. I no longer subscribe to Time or Newsweek. I still scan headlines so I have a general sense of what’s going on. But I’m largely detached from it all — and much less paranoid.

My family wants to kill me and take my money and kids.

In every family there’s dysfunction. When loved ones can’t reconcile their differences, emotions boil over and fry the brain, leading to all manner of irrational behavior. Parents who go through a bad divorce are a good example. They’re so bitter with each other that they see every differing opinion as a plot. Maybe it’s a scheme to leave you homeless and destitute. Maybe it’s to poison you so you’ll die in your sleep. Maybe it’s to poison everyone against you. As ridiculous as those notions are, they become feasible if you are at odds with a former loved one. Then you try to hurt that person back, using the children as weapons.

Attempted remedy: Like the second remedy, I try harder to see the other person’s side of things. I try to be more forgiving and accepting and no longer see family I don’t get along with as enemies. But the art of compromise in this arena is something I haven’t even come close to mastering.

Richard M. Nixon

Plot Twist!

Someone on Facebook recently suggested that when life hands us curveballs, we yell “Plot twist!” and adjust to the unexpected, often inconvenient scenarios that throw the days off course. Take it from someone whose OCD makes schedule changes seem like calamities, that’s good advice.

Mood music:

http://youtu.be/xeBKOVK8eUg

In more recent years, I’ve gotten better at quickly adjusting when things don’t go as planned, though sometimes it still throws me into a foul mood.

When I was a kid, I’d throw epic tantrums if we went to the movies and the film we wanted to see was sold out. That’s typical childhood behavior, but it followed me to adulthood. I’d rage if a traffic jam threw off the timing of when I’d get from point A to B (I still hate that, but my reaction is more muted). If plans for a night out with friends or a quiet night at home suddenly changed, I’d sink into a depressive funk.

Thinking of these things as plot twists goes far in changing that kind of attitude for the better. There’s a certain fun to yelling “Plot twist!” It injects humor into the situation and calms the other people with you who are being equally inconvenienced.

During a recent camping trip with the family in Maine, the power went out while dinner was cooking on the camper stove. It was hot as hell and we suddenly had no AC to escape to. Erin yelled “Plot twist!” and we proceeded to make the dinner preparations that didn’t require electricity. It also led me to see humor in the fact that electricity had become a requirement on camping trips. To be fair, it wasn’t tent camping. We use campers that hook into such home comforts as water and sewer access, Wi-Fi and cable TV.

Yelling “Plot twist!” doesn’t always work, however. If you’re working and a deadline is hanging over you, it’s hard to find the amusement when your Internet access goes down. If there’s a death among family or friends, nothing is going to blunt the sadness.

But if it helps you through at least some of life’s unexpected turns, that’s more than you had before.

Plot twist!

Amputee OT Shows Us How to Have Fun With Adversity

I found some information about Christina Stephens, the amputee who made herself a limb out of LEGOs. The video of her making the leg was inspiring on its own, but there’s more to this woman than becoming a YouTube sensation.

It turns out she has made a series of videos about life as an amputee. Here’s footage of her the day after her amputation:

Her YouTube channel has dozens of clips of her learning to live without part of her leg and mastering the use of her new prosthetic. She also has a Facebook page.

Stephens, a practicing occupational therapist, clinical researcher and peer educator, was working on her car in mid-January when its supports gave way and the car crushed her foot. In one video, she shows viewers her black toes and explains why she chose to have her lower leg removed instead of trying to salvage it.

Through it all, her humor and grit is on full display. The LEGO project has gotten much of the attention because LEGOs are fun. But most of these videos are fun, because that’s the approach she decided to take. I’ve never lost a limb, but it has to be one of the more traumatic experiences a human being can have. I’m sure she’s having her share of inner pain. But she’s showing others that something like this isn’t the end of the world, that living life to the full is never beyond our reach.

It comes down to attitude.

We’ve seen a few stories about amputees displaying grit and courage in recent months, in the wake of the Boston Marathon bombings. They smile for the camera as they go through the painful process of getting on with artificial limbs. One of the best examples is that of Jeff Bauman, who lost both legs in the attack. Some of the most dramatic photos of that day are of him being rushed from the scene in a wheelchair, his legs clearly blown to shreds.

I’m sorry they’ve gone through this. But I’m also grateful to them for showing us the way. We’re all lucky to have them around.

Amputee OT
Photo courtesy of Amputee OT.

Be The Blessing

This was originally written after the 2013 Boston Marathon Bombings. Many tragic events have happened since then, most notably the COVID-19 pandemic and its lockdowns, the resulting economic calamity and now race riots in cities across America after the death of George Floyd, a black man who died after being pinned down by a white officer. Now more than ever, we must put aside hate and be a force for good in the lives of our friends, family and neighbors. In other words, be the blessing.

***

I get frequent messages from readers. One was from someone tormented by current events — be it the government spying on citizens or any number of potential calamities.  She asked how to make it stop.

I didn’t have an answer. I have no psychiatric degree — only my personal experiences.

Mood music:

The reader’s message said, in part:

I deal with scrupulosity, ruminations over heaven and hell, conspiracy theories and intrusive thoughts. It’s gotten to the point where it’s become impossible to function when I read a new headline about what the government is doing to us. I get depressed and I get obsessed. I see my intense fear and read things about the government tracking us, and suddenly I regret all the research I did about conspiracies over many years. I don’t know if I even believe it all, but I somehow feel like the more I know, the more I can somehow save my family.

I don’t know what to do about current events. I don’t know how to save my family from government tracking (even though we’re not doing anything illegal or anything that would be of concern), yet I feel like my OCD is making me out to be this inadvertent target due to the fact that I’m always obsessively searching through conspiracy websites attempting to find “answers.” How did this stop? How do you deal with this?

I can relate to her fear of current events. It’s something that used to paralyze me on a regular basis. I felt the need to give an answer broader than the fear of current events part, because to me that’s merely a symptom of the bigger problem people like us must confront. And so I mentioned how, for me, the biggest helpers have involved:

I noted how, even after adding these tools, I still struggle. Some days I forget to use some or all of those tools for a variety of reasons. Using them actually takes more energy than I have some days. And if something really big dominates the news, it will still have an impact on me. The Boston Marathon bombings come to mind.

After I hit “send,” I remembered something a friend wrote not long before she died of cancer. Renee Pelletier Costa wrote about her despair over leaving all the people in her life and how her pastor replied simply, “Then don’t leave.” That statement made her realize that in a world she couldn’t control, she could still use whatever time was left to be a blessing to others.

That was a huge point for me as an OCD sufferer. I can’t control most of what goes on in the world around me, but I can still carry on each day in ways that make the difference to family, friends and colleagues. It can be as simple as saying good morning to someone and holding a door open for them. You can talk to them about their struggles — or better yet, just listen to them. Bring them a coffee. Make them laugh. Any of these things go a long way when someone’s having a shitty day.

The NSA will keep spying on us. Stocks will rise and fall. But none of that can keep me from being there for my family, from playing guitar and doing other things that make life worth living.

To the best of my ability, I choose to be the blessing. What happens from there isn’t up to me.

Boston Marathon Explosion