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People throw around the word “depression” as if that word means only one thing. This is far from the case, therapeutically speaking. I would suggest there are mild, moderate or severe, relapsing/remitting or chronic depressions. Doing the basic math, that’s six types right there and we haven’t even taken into account treatment-resistant depression, or the depression subtypes noted in the DSM. Depression is not a disease; it’s a cluster of diseases.
The Courage to Heal is a self-help book – “A Guide for Women Survivors of Child Sexual Abuse” - that has enjoyed widespread popularity among both those living with Dissociative Identity Disorder and many of their treatment providers since its first publication in 1988. I first read it six years ago and found it helpful in some ways. But subsequent readings have illuminated for me the book’s biggest flaw: its reckless approach to traumatic memory.
Managing anxiety: "Sitting with emotion"? Totally useless chapter in The Psychiatrists' Guide to WTF is Up with My Brain (AKA DSM-IV), or are people greater than the sum of their parts? Sometimes I get so anxious I don't know what to do, so I won't do anything. Just in case I make things worse, or my fears are true. How do you deal with the very real issues that keep you stuck in old patterns, between a rock and a wall of ever more intolerable panic? Psychologists talk about learning to be with anxiety. But it's an idea, a theory, and I can't always do it.
This week I am fortunate to be in New Hampshire on business. (How fun was it to write that statement?! Me on a business trip!) I used to think I would never have a job that I love that allowed me to travel even sporadically, but I do, and I am grateful. Yesterday, our facilitator mentioned a factor of leadership which was "information-seeking questions" and how to ask them without making the person you're asking feel defensive. The problem is in the wording. For example, a question beginning with "Why do you...?", especially when asked during a personal conflict, can easily escalate the conversation into anger and defensiveness. Why?
Recently, I welcomed a baby boy into my life and have been simply exhausted. It’s been a whirlwind of activity and emotions. With the constant visitors, it’s been a struggle just trying to establish a new schedule for my family (which consists of my husband, 18 month daughter and new baby), and just trying to stay awake and feel half-human again. Believe me, nobody feels sexy after not showering for two days, having 3 hours of sleep, and wearing a shirt covered in baby poop and spit-up.
On March 6, 2006, Paula Hardin said her good-byes and shot herself in the chest. Three days later, she woke up. It was the second time she'd attempted suicide, the second time she'd lived on in spite of herself.
Charlie Sheen's recent remarks may seen funny to some, but when I look at his statements and actions, to me they scream mania, a symptom of bipolar disorder.
Procrastination; call it delaying, stalling, postponing or just killing time. Gathering details is what I called it and procrastination resulted in this article. It was on my “To Do” list for days. There it remained until my discipline kicked in, and the writing began. Sort of, I had started two other articles, I could not finish until I worked on this particular one.
I love to read, especially books that make me think and offer perfectionism self-help for, well, perfectionism. One of my much-loved treasures is Bushido: The Way of the Samurai. This book is based on the Hagakure, and is a philosophy of Eighteenth-Century Japanese warriors. Here's some perfection self-help I can pass on from Japanese warriors.
I've been job-hunting. Although currently employed, office politics (and, if I'm being honest, the 60-mile round trip commute) have led me to seek other options. So I find myself wondering--how much of my family life should I disclose to potential employers?

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Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!
Mj. Bean
You're definitely not alone. My boyfriend has DID and more often times than not, we dont get throiugh the day without arguing or disagreeing at least once. I'm head over heels in love with "Super Max" which is who he basically is when he reaches this sort of "peak performance" and the "lesser" maxs' are the ones that can get downright insane. One talks like an 8 year old, another one acts like he's around 20 years old. I didn't have any idea he had this until we were 3 months in and i had already fallen hard for him. Most days he's in "annoyed/angry max mode" where he is literally the biggest control freak on the planet. Obsesses over silly things like "spilling" things and such. It can be exhausting but the violent max is the one that, while i rarely see him, he's still the only one i dread and have only seen a handful of times.

My point being, I'm right there with you. I hate the rollercoaster. I just want to live life without being in a state of constant fight or flight mode, only for his character to change and de-escalate and I fall for the person I fell for all over again.
Exhausting is a horrible word. The understatement of all understatements, if you will.

I wish there were better support groups for this kind of mental health condition.