The Third Brother

Remembering Peter Sugarman, another adopted brother who died too early — but not before teaching the author some important lessons about life.

The first time I met him was my second day as a reporter for The Stoneham Sun. He was an oddball who wore a jacket and tie to go with his sneakers and sweatpants. He was rail thin with a mustache that could comfortably hide a pound of whatever crumbs got caught there.

He wore a a strange-looking hat over a thick mop of hair. I was absolutely certain from Day 1 that the hair was fake, but never asked about it.

This is the tale of Peter Sugarman, another older brother who left me before I was ready. But he taught me some important lessons along the way and — oddly enough — his death was the catalyst for me finally getting the help I needed for what eventually became an OCD diagnosis.

My friendship with Peter really blossomed over the course of 1997, though it was a year earlier when I had first met him. I was in a bad place. My best friend, Sean Marley, had recently died and I had just taken a job as editor of the Lynn Sunday Post, a publication that was doomed long before I got there. I just didn’t realize it when I took the job.

I worked 80 hours a week. To get through the pressure I binge ate like never before and isolated myself. I had no real friends at the time because no one could compete with a dark room and a TV clicker.

But Peter was a bright spot, even though he was infuriating my editor side. A lot. His writing could be off the wall and opinionated when I was looking for straight, objective articles from him.

He once wrote about a blind man who, instead of offering a story of inspiration and living large in the face of adversity, led a bitter existence and talked about that bitterness during his interview with Peter. I opened the story on my screen for editing and saw the headline “Blind Man’s No Bluff.” I let the headline go to print, though I shouldn’t have. But the dark side in me thought it was funny, and the higher ups weren’t paying enough attention to The Post to notice.

He would write one story after the next questioning the motives of city councilors and the mayor. He would tag along with firefighters and write glowing narratives portraying them as heroes. That would have been fine if the assigned piece called for opinion. But it didn’t, and I edited it heavily.

That Sunday, I found a voicemail from Peter. He was furious, ripping into me for letting the J-School in me take over and ruin a perfectly good piece of journalistic brilliance.

I quickly got used to getting those messages every Sunday.

At the same time, we became constant companions. Whenever I left my dark bedroom, it was either to be with Erin, by then my fiance, or Peter. We hung out in every coffee shop in Lynn. He showed me the dangerous neighborhoods, introduced me to the city’s most colorful characters and showed me hidden gems like the Lynn Historical Society, where I was treated to boxes of old correspondence from former Mass. Speaker Tommy McGee, a colorful pol who, like many a Speaker who followed, eventually left the Statehouse under a cloud of corruption. I wrote about the old correspondence and interviewed McGee in his Danvers condominium. I couldn’t help but like the guy.

Peter and his wife, Regina, became constant dinner companions. When I finally escaped from The Post, our friendship deepened. I still hired him for the occasional freelance article in the Billerica paper I was editing. He would show up to cover meetings wearing his colorful collection of hats, including one that had “Yellow Journalist” emblazoned across the front.

He became my favorite person to talk politics with. He was at every family gathering. He and Regina were a constant presence when both our children entered the world. They were at every kid’s birthday party. They were here for our Christmas Eve parties.

Peter was in bad health, though, and was often in the hospital. His colon had been removed long before I met him and he continued to smoke. He was also a ball of stress when traditional J-School editors were tampering with his writing. I would call him and he would rage at whoever the editor was at that moment.

I enjoyed the hell out of it. His tirades always entertained me, whether I was the target or not.

I ultimately came to understood what it was all about. He wasn’t in journalism to write the traditional reports people like me were taught to write. He was in it to root out the truth and help the disadvantaged. He was a man on a mission to right the wrongs he saw. And he did so cheerfully. Even when his temper flared, there was a certain cheerfulness about it.

In the spring of 2004, he developed shingles. He grew depressed, though not beaten by any stretch. Regina later told me he was “bolting” down his food. Swallowing quickly without chewing because the shingles had irritated the heck out of his mouth and throat.

One night, he choked on a piece of chicken. He lost his breath just long enough to cause insurmountable brain damage.

He lingered for about a week in the hospital, essentially dead but still breathing with the aid of life support. For the first time in our friendship, I saw what he looked like without the hairpiece. I was right all along.

In the months following his death, I really started to come unhinged. The OCD took over everything. Fear and anxiety were constant companions.

I finally reached the deep depth I needed to realize I needed help. In the years that followed, I got it. It hasn’t been easy, but then I can always remember that things weren’t easy for Peter. And yet, he carried on with that warped cheerfulness of his.

I’ve endeavored to do the same. I’ve also come to understand the value of the writing he tried to do, and have embraced it.

Thanks, Peter.

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/

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.

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.

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.

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.

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&]

Fear Factor

In this installment, the author describes years of living in a cell built by fear, how he broke free and why there’s no turning back.

“The only thing we have to fear is fear itself.” — Franklin Delano Roosevelt

This morning I led a meeting of Over-eaters Anonymous, a task that included standing before a room of people for 30 minutes to tell my story of OCD, addiction and recovery.

It was my third time “qualifying” at an OA meeting this past year. Meanwhile, I did a fair amount of public speaking for my day job as senior editor of CSO Magazine. I sat on panels at security conferences and did solo presentations in front of various information security groups around the country.

Five or so years ago, the notion of me getting up to speak in front of people would have been laughable.

I was too busy hiding in my cage of fear to do such things. Fear will rob you blind, forcing you to avoid life and retreat into the sinister world of addiction.

Breaking free of it was a gift from God. But it took a long time to figure out how to unwrap it and realize my potential.

For me, fear was one of the many byproducts of OCD, something that went hand in hand with anxiety. It kept me away from parties. It scared me out of traveling. I turned down a lot of living in favor of lying in my bedroom watching TV. There are a couple examples in particular that I’m not proud of.

1991

One summer night I was hanging with two friends in front of Kelly’s Roast Beef, a popular eatery on Revere Beach. As we started walking the mile back to my house, we noticed we were being followed by some 15 punks. It was clear they were looking for trouble. I panicked and ran to a nearby bar. As I looked back, I couldn’t see my friends.

The punks had circled them and started kicking and punching their guts in. I called the police and the beatings ended quickly, but I couldn’t get over the fact that I ran away. Worse, it marked the end of my walking along the beach at night for many years to come.

It was a huge fear-inflicted injustice. I grew up on that beach and loved the place. I walked its entire length daily. It gave me peace and clarity. And I allowed some punks to scare me away.

2001

A week after the 9-11 attacks in New York and Washington, Erin and I were scheduled to fly to Arizona to attend a cousin’s wedding. The night before were were supposed to leave, I gave in to my terror at the prospect of getting on a plane and we didn’t go. It’s one of the biggest regrets of my life.

There are smaller examples in between and in the years after, but those are two of the more vivid memories.

Fear also fueled the binge eating and kept me from standing up for things that were right in the family and workplace. It was better to keep my trap shut, I thought. To do otherwise would put my job in danger or have me blackballed.

Then there was the fear of loss I wrote about a few blog posts back — fear that if I didn’t overprotect my kids I might lose them to some imagined beast; that if I spoke my mind during a spousal spat my wife might walk out on me. In hindsight, these were foolish ideas. But in the grip of fear, you think this way and act on it even though you really know better.

When I began getting treatment for the OCD the fear actually accelerated for a while. If a toe went a little numb I’d think I was suffering from a blood clot. A headache would leave me wondering if a tumor was growing inside my skull. A pain in the chest became fear of a heart attack.

I can’t remember when the fear finally began to lift. I think it was in early 2007, shortly after I began taking Prozac. Once the medicine untangled the chemical imbalances in the brain, situations I had feared suddenly seemed manageable. It was pretty weird, actually. I didn’t know what to do with this new feeling. Or maybe it was the year before, when I converted to the Catholic Faith and increasingly let God into my life. When you have God on your side, there’s really nothing to fear, right?

Then little milestones came along. There was a business trip to California that would have consumed me with worry a few years before. There was the first time giving a presentation in front of a room full of security people who were almost certainly smarter than me. The computer holding my PowerPoint presentation went on the fritz and I was forced to present sans slides. I told the audience that I was just going to wing it and that broke the ice.

Today, I look for opportunities to give talks in front of crowded rooms. I have work to do on my speaking skills, but I want more. The more I do, the more my confidence grows and the smoother and more organized the presentations get.

I look for opportunities to fly as well. And though I work hard on the business at hand, I ALWAYS make a point of building in a day to go out and explore, especially if there’s a piece of history to see up close. I want to see it all. Staring at the hotel room TV will no longer do.

Sometimes I worry that the fear will return and I’ll again retreat to my old cage. I don’t think that’s going to happen, though, for one simple reason — the world has been opened up to me. I’ve experienced too much joy these last couple years to go back to the way I was.

I couldn’t go back if I tried. Not that I would want to try.

To be clear, I still worry about things. But I don’t let it shut down the rest of my life. Instead of being engulfed, I can put the concern in its proper mental compartment and move along with my life.

There will be difficulties ahead, I’m sure. That’s life. But I feel more ready to deal with what may come than I’ve ever been before.

The Bad Pill Kept Me From The Good Pill

In a previous post I mentioned that I take medication for OCD: Prozac. It’s been extremely helpful, but it took a long time for me to even consider trying it. Here’s why:

Mood music:

As a kid sick much of the time with Chron’s Disease, I was often put on the maximum dose of a drug called Prednisone. The side effects were so horrific that I forever after resisted the idea of taking medication until I reached a point in my OCD treatment where I felt so desolate I was willing to try anything.

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

But there was a heavy price — literally and figuratively.

The drug quadrupled my appetite, which was already in overdrive because of the food restrictions imposed upon me during times of illness. It contributed mightily toward the binge eating disorder I wrote about a few posts back.

The drug also fueled vicious mood swings and introduced me to a lifetime of migraines, many of which were so bad I’d end up hunched over the toilet throwing my guts up.

So when I started to confront my mental disorder and specialists started talking about different medications available, I balked. In fact, I told one therapist to go screw.

I focused instead on building up an arsenal of coping mechanisms. That helped tremendously, but it wasn’t enough. I found myself against one final brick wall; one I couldn’t seem to punch through.

And still I resisted.

I had plenty of excuses. I knew many people who had gone on antidepressants and were still depressed most of the time. Some had gained weight — a problem I already had. I just didn’t see the point.

I also couldn’t shake the memory of a dear friend — a man who essentially became an older brother after my real older brother died in 1984 — who had been on medication for depression but ultimately committed suicide anyway. I walked away from that nightmare with the theory that antidepressants made people worse rather than better.

Finally, I resisted because the depression that often sprung from my OCD wasn’t the suicidal variety. Truth be told, I’ve never once considered taking my own life. It just never occurred to me. Mine is a depression in which I simply withdraw, saying little to people and spending as much time as possible on the couch zoning out in front of the TV. To me, medication was for people in far more serious condition.

And so I resisted until I was so desperate I was willing to consider anything, no matter how extreme or stupid.

After researching the various medications and consulting the doctors, I started taking Prozac in January 2007. The results were almost immediate.

I stopped re-spinning old anxieties in my head. I automatically stopped obsessing over things I couldn’t control, like the possibility that the plane I was on might crash en route to a business conference. Suddenly, I had an overwhelming urge to experience all the things I used to fear.

I fell in love with travel. Work challenges became fun instead of something to dread. I finally became comfortable in my own skin.

The compulsive tendencies still surface on occasion. I still get batty over getting chores done. I still get bent out of shape if my sons use my desk and move a few trinkets out of place.

But the fear and anxiety went away in 2007, and haven’t returned. For that, I am grateful beyond words. Nothing robs a person blind quite like fear. You spend all your time hiding from all the beautiful aspects of life.

The medication also gave me the last little push I needed to stop living my work life in a way that was all about pleasing others and maintaining some imagined golden-boy image. By the time I moved over to CSO Magazine to be a senior editor, I was well past that sort of thing. While there, I’ve never had a problem speaking my mind, expressing ideas forcefully and simply enjoying the heck out of the work itself. I’m certainly lucky in that I work with a wonderful group of people. I truly like everyone I work with.

I did do some research on anti-depressant medication and found that there is an actual science to it all. I learned that while personal history is certainly a factor in the things that trigger mental disorder (a history of child abuse, for example), the root cause if often an imbalance in the fluids that direct traffic in the brain. The WebMD website explains it pretty well:

“One common theory is that depression is caused by an imbalance of naturally occurring substances in the brain and spinal cord … Major depression affects about 6.7% of the U.S. population over age 18, according to the National Institute of Mental Health. Everybody at one point or another will feel sadness as a reaction to loss, grief, or injured self-esteem, but clinical depression, called ‘major depressive disorder’ or ‘major depression’ by doctors, is a serious medical illness that needs professional diagnosis and treatment.”

It goes on to say that most anti-depressant medicines improve mood “by increasing the number of chemicals in the brain that pass messages between brain cells.” That’s a key point. Mental disorders that are often viewed as stereotypical insanity and craziness are rooted in a chemical imbalance. When the brain chemistry is out of whack, the thinking process is disrupted. In my case, side effects of that imbalance included compulsive behavior and the inability to move on from certain preoccupations.

A good example: In 2005, when I was still at the beginning stages of dealing with my OCD, the hype about bird flu started to circulate. There was endless talk about that strain evolving into a pandemic as deadly as the 1918 Spanish Flu; far worse than the H1N1 pandemic we are currently experiencing.

I spent the following months in blind, silent panic. I feared for my children. I scanned through three pages of Google News results per day to keep track of the bird flu deaths in Asia and elsewhere.

When I started taking Prozac, that sort of thing stopped.

Make no mistake: Medication does not turn us into uncaring, numb and slap-happy beings. I still worry when my kids get sick. I still worry when the economy tanks and layoffs occur all around me.

But instead of stewing over these things around the clock, to the point where I can focus on little else, I’m able to function and still enjoy the precious present despite the mental burdens of the day.

Medication isn’t for everyone. I have no doubt that a lot of people on antidepressants don’t need to be. But in my case, the diagnosis was dead on and the prescription has done wonders for me. Three years ago, the concept would have been absolutely absurd.

The ultimate lesson: If you are in the grips of mental illness and you face the prospect of going on medication, don’t be afraid.

More On Famous People With Mental Illness

A good list on the subject is available from the  National Alliance on Mental Illness, NH branch. A few of those on the list:

Art Buchwald, Columnist

    Depression

Drew Carey, Actor

    Depression

Winston Churchill

    “Had he been a stable and equable man, he could never have inspired the nation. In 1940, when all the odds were against Britain, a leader of sober judgment might well have concluded that we were finished,” wrote Anthony Storr about Churchill’s bipolar disorder in Churchill’s Black Dog, Kafka’s Mice, and Other Phenomena of the Human Mind.

Charles Dickens, Writer

    One of the greatest authors in the English language suffered from clinical depression, as documented in The Key to Genius: Manic Depression and the Creative Life by D. Jablow Hershman and Julian Lieb, and Charles Dickens: His Tragedy and Triumph by Edgar Johnson.

Tony Dow, Actor

    Depression

Patty Duke, Actress

      • Bipolar disorder
        The celebrated artist’s bipolar disorder is discussed in The Key to Genius: Manic Depression and the Creative Life by D. Jablow Hershman and Julian Lieb and Dear Theo, The Autobiography of Van Gogh.
        Bipolar disorder
        Depression

The Academy Award-winning actress told of her bipolar disorder in her autobiography and made-for-TV move Call Me Anna and A Brilliant Madness: Living with Manic-Depressive Illness, co-authored by Gloria Hochman.

Ted Turner, Businessman

Vincent Van Gogh, Painter

Sol Wachtler, Former New York State Chief Judge

Mike Wallace, Television Journalist