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When Pain Drips from the Mind to the Body

The author on why it’s true that mental illness leads to physical sickness.

Mood music:

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

It’s all in their head, you say?

Well, yeah.

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

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

But it wasn’t always clear that what ailed me was in my head. Childhood illness confused matters. A huge chunk of my digestive track was in flames and spewing blood because of  Chron’s Disease. I’m told by my parents that the doctors came close to removing the colon more than once, though I don’t remember that myself; probably because the doctors had that conversation with the parents instead of the patient.

To throw it into remission, they used the maximum dose of a drug called Prednisone, which caused another kind of body blow in the form of migraines. You can read more about that in “The Bad Pill Kept me from the Good Pill,” but the bottom line is that these headaches came daily; always making me sick to my stomach.

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

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

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

I found an article in About.com that describes the problem better than I ever could on my own:

Any illness that has physical symptoms, but has the mind and emotions as its origin is called a psychosomatic illness. Although you may be told that it’s “all in your head”, these illnesses are not imaginary. The aches and pains are very real, but because your doctor is looking for an actual physical cause, they are very tricky to diagnose and treat. The key is to look for a source of stress in the person’s life that the person is not coping with. By treating the underlying stress and depression, it may be possible to heal the physical problems as well.

For me, it was easy to separate the Chron’s episodes from the tricky stuff described above, since the disease was sitting there for the doctors to see. I was always told mental stress could trigger flare-ups and I guess they did, especially when my parents divorced 30 years ago and a lot of stress over custody ensued. I’m fairly sure the after-effects of my brother’s death set off the last real flare-up in 1986.

But the migraines and back problems seeped seamlessly into the things that were going wrong with me mentally.

Anxiety attacks felt essentially the same as a heart attack, complete with the pain shooting from the chest to the neck and down the arms. Migraines followed. Work stress often sparked migraines and back pain.

While it was difficult to separate other legitimate physical problems from those stemming from mental distress, I can tell you that dealing with my underlying OCD, depression and addiction made a lot of ailments go away.

I’m not sure I can credit it with ending the back problems. Though mental illness most likely enhanced the back pain, that problem was eventually diagnosed as three out-of-whack vertebrae the chiropractor knocks back into alignment every other week. No more imprisonment on the couch.

But these things have gone away — and have not returned — since I got a handle on the OCD and related binge-eating disorder:

–Puking up stomach acid in the middle of the night

–Numbing of the feet

–A strange poked-in-the-eye sensation that would hit me early mornings and leave me with blurred vision for a day or more.

–A dull ache in the left hand, which often got worse as my mind spun out of control with thoughts that it MIGHT be a heart-attack.

–Fatigue that would cause all my joints to ache unless I were to lie down and go to sleep.

–Heart palpatations.

All disappeared once I started to attack the core problem.

The ultimate take-away from all this is that something in your head can cause real, physical pain.

And when you deal with what’s in your head, the pain in the rest of your body can be eradicated.

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OCD Diaries: The Office Mom

The author salutes Anne Saita, a former co-worker who showed me how to stand up to people and face down my fears — and whose blog is a must-read.

I’ve been reading the blog Run DMZ a lot lately.The main reason is that it’s chock full of excellent content on how to eat and exercise properly. The other reason is that the author is someone near and dear to me: Anne Saita, my former boss at SearchSecurity.com.

She’s an avid runner, an inspirational Mom to her two daughters and to people like me, and one of the best writers I’ve ever seen. [Side note: She sends Christmas cards each year featuring her daughters, and last time my six-year-old saw it he declared: “Wow. They’re really, really pretty.”] The boy is a flirt and knows what he’s talking about.

With her I’ve power-walked along Lake Michigan in Chicago and gallivanted with her on the rainy streets of San Francisco during security conferences.

She literally rescued me from a job that was killing me (because of the late-night hours and the still undiagnosed impact of OCD).

At SearchSecurity.com, she was a nurturing soul. She encouraged me to make time for family, something I wasn’t yet good at. She knew I feared travel at the time, but gently coaxed me into doing more of it. Now I love travel. She showed me what courage is by constantly standing up to the TechTarget/SearchSecurity brass when she felt the brand’s reputation was being compromised by stupid marketing ploys. At the time I often thought she was being stupid. But at the time I was also so obsessed with pleasing my masters that I didn’t know any better.

I always got a chuckle out of her gift for gab, especially when she was offering up explicit details on a medical procedure she was having.

Because of her motherly disposition, I was able to come clean with her in late 2004, when I was inches from a nervous breakdown and realizing for the first time that I needed some serious help. The morning after I had my first appointment with a therapist, I told her about it, along with the rest of my warped behavior. She didn’t flinch. She urged me on, and in the coming months, when I was pushing up against depression and emotional breakdowns, she gave me the room to fall apart and then pick up the pieces.

When I started to react to the pain of therapy and digging deep into a sordid past by embarking on the most vicious binge eating stretch of my life, she saw that the weight was piling on but didn’t shame me over it. I was feeling shame in her presence anyway, because she had once told me that when checking my references before hiring me, the deal was sealed when a former CNC co-worker told her about my singular determination to lose 100 pounds in the late 1990s.

That kind of toughness impressed her, and there I was, losing that toughness as I packed on each pound.

Unfortunately, I only started to gain the upper hand on my demons after she left SearchSecurity.com for another job.

But thanks to the Internet and our two blogs, we still keep in touch regularly.

She’s gone through a lot herself, with physical injuries that kept her from running, blinding headaches that came and went without explanation, and the loss of a job she loved last year, as the Great Recession gunned down millions of jobs.

But she always comes back. Stronger than before.

In the photo above: Anne at the right, with Dennis Fisher, another former [and good] boss and avid runner, after a run in San Diego.

If she didn’t know before how much her friendship means to me, I think she’ll understand after reading this post.

She may also yell at me for revealing a bit too much about her. But then I always did enjoy the motherly rebuke that only she can provide.

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Sobriety vs. Abstinence

Whenever I share my experiences with OCD and the related binge-eating disorder [See: The Most Uncool Addiction], there’s a word I always refrain from using if I’m outside the safe confines of my OA group: Abstinence.

I don’t hate the word. But I don’t like it much, either.

All anyone ever thinks about when it’s uttered is refraining from sex or studying for the Catholic priesthood. (Not that there’s anything wrong with that. I am a devout Catholic, after all.)

Nevertheless, it’s a word I can’t get around any longer, so let’s talk about it.

In the world of a recovering food addict, abstinence means to abstain from eating compulsively. It’s the exact same thing as the word sobriety in the world of a recovering alcoholic.

Think of OA and AA as essentially the same thing, only OA folks are addicted to compulsive overeating to the point where they walk around dazed like zombies, unable to manage their lives. Ailments boil over and friends and family suffer with you.

I’m abstinent from binge eating, which means I eat nothing with flour and sugar in it and most meals are portioned out on a small scale. I’m sober, too. I used to drink a lot of alcohol when traveling. This weekend I spent a security conference sober. [See: ShmooCon and Snowmageddon and The Engine in Hyperdrive]

This weekend was challenging to be sure. It wasn’t always easy drinking club soda while everyone else drank wine, beer, etc. And while I kept it together with the food plan, being away from the normal routine makes it challenging  to keep all the portions straight. I probably could have done it better, but I think things worked out pretty well on balance.

It was challenging at Christmas, too. In fact, that was probably the closest I’ve come to a relapse. Not helping matters is my tendency to come down with depression around the holidays, partly due to the lack of daylight. Thankfully, I managed to hit the breaks in time to avoid that.

Of course, other, smaller addictions try to reassert themselves [See: How to Play Your Addictions Like a Piano]. One of them is spending. I have a weakness for collecting political and historical knickknacks, especially when I’m in Washington D.C. That weakness is evident to anyone visiting my work space. [See: Someone to Watch Over Me (A.K.A.: Desk Junk] This time, I held back.

I also like a good cigar when traveling, and probably enjoy it more than I should. I’m going to abstain from the stogies during Lent, which starts next week. We’ll see what happens after that.

The Internet is an addiction, too, but it’s a hazard of my profession. Staying away would be like a miner trying to do his job without stepping into the mine. But I stay away from the porn sites and Facebook applications, which are as dangerous as they are dumb, in my opinion.

I drink a lot of coffee, but I’m not giving that up right now.

All in all, I have a lot to be grateful for.

For someone who lived at the bottom of the Dumpster inhaling the stench for as long as I did, abstinence and sobriety is the gift of all gifts.

But it will always be a work in progress, with good days and not-quite-as-good days; always with room for improvement.

That’s OK, though. It is a journey, after all. A journey that you have to take one day at a time.

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The Engine in Hyperdrive

It’s Sunday and I’m wrapping up my visit to the #ShmooCon security conference in Washington D.C. My compulsive tendencies are humming along at full throttle, which isn’t as bad as it seems.

True, the goal is to minimize the OCD overdrive as much as possible. Especially when it comes to giving in to one’s addictions. But sometimes it’s good to have that extra drive.

I’ve produced three articles and two podcasts from #ShmooCon, which is pretty prolific for covering a conference. And this is my third personal blog entry from the trip.

Here’s what I haven’t done:

–Consumed alcohol

–Consumed flower or sugar, the matter and anti-matter that fuel my addictive behavior

–Worried about the weather and getting our RV shoveled out in time for the departure we have planned. A few years ago that kind of worry would have unhinged me. Now I just don’t see the point of thinking about it. We’ll do our best and we will get home. Besides, it doesn’t look that bad:

–Worried about measuring up to the demands of covering the conference. I used to come home from these in pieces. The worry would always be on getting the next story covered, keeping up with the competition and keeping the bosses happy. This time, I cranked out the content for the sheer enjoyment of it.

And I did take time to smell the roses. Or, more accurately, to play in the snow.

Staying indoors through the entire blizzard would have meant missing cool moments like seeing folks cross-country skiing past the White House.

All in all, a good trip, and a POSITIVE use of OCD hyperactivity. I wanted to see it all, and I did.

Now, I’m eager to get back to the wife and children I adore so much.

Seize the day.

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Rest Re-defined

The author finds that he gets the most relaxation from the things he once feared the most.

Mood music 

A strange thing happened to me on the way to recovery: I started finding peace and relaxation in the very things that used to fill me with fear and spark anxiety attacks. [See Fear Factor]

It used to be that relaxing meant holing myself up in the bedroom watching endless episodes of Star Trek. I watched a lot of the news, too, which instead of relaxing me would send my brain into an endless spin of worry about things happening at the far corners of the world.

Lying on the couch all weekend — sleeping for a lot of it — was relaxation.

Then Sunday night would arrive and I’d go into a deep depression about the tasks that awaited me the next day at work.

Writing — the very thing I earned a living from (and still do) — filled me with dread. Oh, I loved being a journalist even back then, but I was always in fear of not getting a story perfect. I would sit on a story for hours; writing, re-writing, polishing and reading it aloud multiple times to make sure it “sounded” perfect.

It drove my co-workers nuts. [See The Crazy-Ass Guy in the Newsroom]

If I had to make a business trip, the heart would pound. I’d obsess about the travel itself and whether I would actually make it there alive. Conferences filled me with dread. What if I didn’t manage to cover every piece of news coming from the event?

Oh, and when writing, it had to be absolutely silent around me. Noise would interrupt the gears in my mind — except for the sound of my voice when reading my articles aloud.

I would go crazy about getting the kids to bed by 7:30 so I could lie comatose in front of the TV. If my wife wanted to talk instead, rage would build inside, though I would try not to show it. I sucked at hiding it, though, and in my own passive-aggressive way, she knew she wasn’t getting through. And yet she stuck around anyway. (See: The Freak and the Redhead: A Love Story]

I’m not sure when things changed. But here’s what relaxation and peace mean to me now:

–Family time. Of course, I’ve always craved being with my wife and children more than anything else. But it used to be that I wanted us all sitting around the house doing nothing. Now I love experiencing things together. Trips with Erin to Campobello Island off New Brunswick, Canada, the mountains of New Hampshire or Newport, R.I. for the Newport Folk Festival. Trips with kids in tow to Battleship Cove, Old Sturbridge Village, The N.E. Aquarium, The Museum of Science. I always cherished my time with them. Now I cherish it more. A lot more.

— Writing. For the life of me, I can’t figure out the reason for this, but writing is relaxing now. Other than when I’m with my wife and kids, writing is when I’m happiest. And I no longer re-read my stuff over and over again. I decided that’s what editors are for. Sure, I’m an editor. But every editor needs an editor. And no, I don’t read ’em back to myself anymore.

–Writing WITH music. In another bizarre twist, I went from needing quiet while writing to needing music. The louder the better. Henry Rollins. Motley Crue. Metallica. Thin Lizzy. Cheap Trick. All perfect writing music.

–Travel. Instead of fearing travel, I now relish it, though I don’t like being away from my family for too long. I start to miss them the second I hit the road. They’re on my mind the whole time I’m away. But I love to go places, see things, experience cities outside my own comfortable Bostonian walls. Last year alone, I visited Chicago twice, Washington DC twice, and went to San Francisco, Nevada, Arizona and New York.

One of the DC trips was in an RV with a group of IT security guys. That was the trip back from the Shmoocon security conference. It’s a 12-hour ride and it’s cramped. But I get to hang out with some of the smartest people in my industry.

Thursday, I leave on the RV for the trip down to DC for Shmoocon 2010. I’ll do a lot of writing for work this weekend. But I’m going to have a blast doing it. I’ll get impatient to be home by Sunday afternoon. I’ll miss my family. But I’ll be a better journalist for making the trip.

Wherever I go, I always try to carve out time to see things, especially items of historical significance. Especially in DC.

I’m determined to take the family to DC this year. There are logistics and financial realities to work out, but it’s going to happen.

I don’t spend much time wondering how I came to enjoy what I once feared. I know the answers.

Erin and the boys teach me something every day about living, whether it’s Erin showing me courage by quitting a steady job to try and make her own business work or Duncan, the youngest son, convincing his older, more skittish brother to go with him on a camping trip with the grandparents because “It’ll be fun, Seaney!” That was a couple years ago. Since then, Sean, who has overcome a lot of fears himself and made his Dad proud, relishes those trips as much as Duncan does.

But above all — and the family examples are a huge part of this — I think the transformation came with my conversion to the Catholic Faith. My bringing God into my life, everything has changed for the better. That includes my concept of rest.

To me, rest is not about lying down and shutting off. It’s about living to the best of your ability. When that living gets scary, I put my trust in God. And that makes everything come together.

Make no mistake: I still have a lot of work to do on these things. But I’m glad to be making the journey.

As Henry Rollins once sang:

No such thing as free time. No such thing as downtime. There’s only lifetime. It’s time to shine.

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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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Lessons From Dad

I wrote this in 2010, not long after starting this blog. Since then, Dad has had a series of strokes and has trouble walking, seeing and swallowing. His refusal to let it break his spirit reinforces my appreciation for him all the more.

Thanks for the inspiration, Dad.

The author has learned some surprising lessons from Dad on how to control one’s mental demons.

My father is on my mind this morning. I’m meeting up with him at a meeting of business owners who hope to learn more about a subject I’ve written about extensively for CSO Magazine: The Massachusetts data protection law. I find it odd that my father is reaching out to me for understanding on such a complex subject. I’m used to him giving me advice instead of asking for it.

Back when I was deep under the spell of OCD, his advice was the last thing on Earth I wanted. A little background on Dad: He was always the easy parent. If we kids asked him for something and he said “we’ll see,” it usually meant yes. He would fall asleep watching TV by early evening, while my mother was out with friends, giving us the run of the house. I could always count on him to take me to the Osco Drug store in Lynn to buy a new Star Wars action figure every Sunday, followed by a trip to Friendly’s for some black raspberry ice cream.

He knew that sometimes, when he was still asleep, I’d go in his wallet and grab myself some cash. But he never called me on it. Well, once he did, when I was in sixth grade. He called school looking for me because $100 was missing from his wallet. That time I wasn’t the culprit.

He runs a business in Saugus, Mass. that sells ladies shoes, gloves and all the other things girls go looking for when they need to dress for their prom or wedding.

As a kid, I always felt like the business was his favorite child. He worked hard and expected me to work hard.

He didn’t like to see me resting. If he caught me doing so, he’d give me something to do. Rake the leaves. Take out the trash.

As a teenager with a chip on the shoulder the size of a baseball, I grew to resent this. I especially hated it when he’d make me do deliveries with him on the truck. I sucked at the manual labor thing, and he’d always be on me to lift boxes “with my legs, not my back.” Good advice, it turns out. But I didn’t want to hear it.

My friends and some ex-girlfriends remember him walking around the house in his saggy underwear, hairy belly and other things hanging out for all to see. He didn’t care. It was his house. But he was always nice to the friends, and they all in turn got a kick out of his lack of modesty.

He also keeps his emotions largely to himself. The only time I ever saw him cry was when my brother died.

As my mental health really started to come unhinged, he started to grate on me. If I got a promotion at work, he’d ask how much of a raise I got. I’d tell him. He’d reply with a “That’s it?”

I think my habit of indulging in OCD behavior through my work was a result of that.

He also has terrible eating habits that have led to a variety of health problems. Much of my binge eating is inherited from him. He’ll down a large tray of stuffed cabbage or a box of frozen Devil Dogs as naturally and as easily as most of us take a breath. I’m pretty sure he’s part shark.

But as I approach my 40th birthday, I’m really starting to appreciate the guy and everything he taught me. I started to feel this way a long time ago, actually, but now that I’m keeping this blog, the memories are more vivid and the appreciation is in better focus. I used to see his stiff upper lip as a weakness; the result of cold emotions.

But I’ve learned the value of keeping a stiff upper lip when times are tough. And I’ve realized that it’s not the result of something cold. I think it’s more a case of him trying to be strong when people around him are falling apart.

He’s also far more giving than he might admit. If one of his employees is in a jam, he usually helps them out of it. I remember when one employee, his wife pregnant, needed a little extra financial help. My father gave it, but was quick to say something to the effect of, “I’m paying for this kid and I didn’t even get to have any fun.” I laughed hard when that employee told me about it. He laughed hard, too.

Some of my humor comes from him, no doubt.

I’ve also come to appreciate his work ethic instead of being insulted by it.

As I’ve gotten over my fear and anxiety in recent years, I’ve come to see work as one of the most honorable responsibilities one can have. Your providing for family and, if you’re lucky like me, you get to do something you love that just happens to be important as well.

He certainly provided for his family. He still does. Without his prodding, I’m not sure I would have had the career success I’ve had. I also love to watch him with my kids. They are always at ease around him, and Duncan will grab his security blanket and sit with him.

The kids have always been good judges of character.

People ask me if he was upset when I converted from the Jewish Faith to Catholicism. He wasn’t upset at all. In fact, he likes to tell people that those of different religious stripes are really going to be surprised when they die and discover that it’s the same God for everyone.

The old man has been through a lot. He watched one of his children die and watched two more go through all kinds of mental and physical hurt. His marriage to my mother collapsed and was probably doomed from the start. He’s suffered a lot of illness himself.

Yet he still stands tall, even with the bad back and the bad knees. He’s taught me a lot about pressing forward despite life’s demons.

Thanks, Dad.
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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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When Sick is Good

This was one of those weekends where sickness ran through the house.

Duncan threw up all over the place Friday night and was down for the count most of Saturday, as was I. Sunday it was Sean’s turn. During a birthday party at a friend’s house, he threw up all over their living room floor. Luckily, the living room isn’t carpeted, so clean-up was easier than it otherwise would have been.

The point of mentioning this is that once upon a time, before I learned how to manage the OCD, puking kids would have unhinged me. It did unhinge me.

First, I would freak out about the mess and go into total OCD overdrive. I would be rendered all but useless over such things.

Not just because of the mess, but because of the tendency I used to have to let my mind spin out of control with worry — worry that something really bad might happen to my kids.

This kind of thing still leads to compulsive behavior, even with my mental health in better shape. In the summertime, I’m still a stickler for bombing the kids with bug spray before letting them play out side. Fear of the EEE virus is a big motivator.

I also think some fears are justified, and I’ll keep acting on them. The bug spray is an example of that.

But otherwise, I’m now able to keep my sanity together when the kids get sick. I clean up the mess and move on. And in a weird way, the weekend was rather nice because of the sickness.

It forced us all to slow down — something we’re not very good at.

Duncan and I watched TV all morning, resting comfortably beneath blankets. Today, Sean will do the same.

I’ll be a cyclone of hyperactivity halfway through today, but it’s also good to know I don’t need as much lying around as I used to.

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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.