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How do I explain anxiety to my spouse, lover, friends? I really don't think you can do it without first coming to grips with the idea that the people we love may never fully know, and probably won't "get it" the way we hope. But that doesn't mean they can't be valuable allies in managing anxiety issues.
The law doesn't help abuse sufferers much unless you have photos of bruises or other injuries and were brave enough to go to the hospital to have them treated and filed a police report and immediately left your abuser - the first time. That may be simplistic, but it appears to be true in the news stories. So, because most abuses occur before anyone gets hit, sufferers of abuse and relationship-related trauma must learn to find justice for their battered psyche on their own.
We expect our name and address to be available to various agencies, but here's some food for thought. Is your mental health status a data point on a government screen somewhere? It is if you're from up north, and it's affecting their lives in unexpected ways.
What would a world without eating disorders be like? It would be a world of unimaginable freedom for everyone. It would be a world that each one of us could thrive in. It is only a dream of mine. But think of the possibilities . . .
Here we go again--another school year, and with it, another round of Laying Down the Law. I do it every September--advise Bob (my son, who has bipolar disorder and ADHD) of what is expected of him in terms of his scholastic efforts. And every year, I ask myself (and everyone else)--Am I expecting too much? Are my standards too high?
This week, I taped an interview with the PBS show To the Contrary, which I hope will make it to the air. The show is in its 20th season, and is billed as "A Discussion of Issues from Diverse Perspectives." I am thrilled that this show has selected to discuss Ben Behind His Voices, and allow me to share our story with its viewers, along with the messages of understanding, respect, hope, and the need for better services and more research.  I'm finding, though, as I work the media circuit, that coverage is very much dependent upon what the interviewer wants to bring out,  whether he/she has even read the book, and their personal experiences with mental illness. Right before we taped this one, the producer shared something with me that I found disturbing, and wonder if you do too. 
Everyone who takes psychiatric medication is aware of side effects. Common side effects include things like dry mouth, headache, nausea, fatigue and so on. I've been a cluster of side effects longer than I can remember. (My very favourite is the one where I couldn't open my eyes in the morning and I thought I was blind. Ah, but for another day.) And one of the side effects I have had several times with medications, particularly antipsychotics, is temperature dysregulation. In other words I'm always freaking cold (or way too freaking hot).
Over the years I have learned a lot of things to-do and not-to-do when seeing the psychiatrist. Here are a few tips for what to do in your initial visit with the psychiatrist. I wish I would have done these things sooner. If I had I probably would have received the proper diagnosis and treatment many years before I finally did.
People ask me how I plan to continue in recovery without AA and without practicing the 12-step program. I never have an easy answer. I have been to AA, know the steps, and understand the benefit of community, but I had to find my own path in recovery without AA. I took time to think about what helped me get sober and helped me stay sober, and realized that many of the 12-step principles are present in my recovery without AA.
Mental illness is chronic in nature. It is, by its very definition, a disease. I, like many other people who struggle with mental illness, have a hard time digesting and accepting the words chronic and disease. A person with a disease is sick. A person with a chronic disease is consistently sick. Does Having a Chronic Mental Illness Mean That I am Sick? Yes, and no. An example: if you have bipolar disorder you have a chronic illness but if you are in recovery, the mental illness is in remission. You are then considered well; the illness remains but you are free of symptoms or they are drastically reduced.

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Claire
Good heavens, we may have been friends with the same person. I befriended a woman about 3 years ago when we first moved to this new town. At first, I thought she was sophisticated and well-bread, but the incessant complaining, finding fault, nitpicking, promising to appear somewhere and then cancel due to a myriad of issues; headaches, sleeplessness, mood, anxiety, and other issues....Every social media post is cryptic and always a put-down of the food, the area she lives in, and people in general. I finally had it after she said she needed medical insurance as a retiree and wanted a part-time gig with insurance benefits. She gets the interview, then rants that they didn't call her back ASAP to start onboarding. Then she onboards and is eligible for insurance in 30 days. She simply fails to return to the job. No call. No text. No email, nothing. Worst of all, my husband works there and the upper management barbed him on the new hire and her no-show, no call, no communication. I asked her what happened. She states, "Nope. not for me. too many red flags." "I" 'm just going to focus on my dogs and my weight." I wanted to throw my phone across the room, I was so outraged. She literally couldn't care less how this action affected us. We look like a fool for giving her praises to the management team... I have since just stopped liking her posts or commenting. She used to attend our bible study on Wednesdays and claimed to like it. Now, she is no-show completely. I finally just had it. No more communication with her and life is better. I don't often give up on ppl but once I see where they're heading, it's just a no-win for either party. It's been a little over 3-4 weeks now and I feel just plain better to be away from it. No guilt on my end. I tried, but I am not going to drain my life energy for this person.
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!