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An area of my anxiety that has been difficult to overcome has been productivity anxiety. Since I was young, I've held myself to high standards that I've found unreachable. When I was younger, these standards meant getting good grades and succeeding in school. As I got older, these standards extended to every other area of life. The problem with constantly chasing standards like this is that they get bigger, higher, and seemingly less realistic, to the point that trying to get there becomes a source of stress and anxiety. In my experience, this has looked like the need to be constantly productive. But the anxiety I experience about productivity means it always feels like what I do is never enough.
I tend to be much more transparent and vulnerable online than I am in daily face-to-face interactions. When someone I know in real life inquires about my fitness or nutrition habits (because, to the surprise of no one, this is a body-conscious culture), I notice my cheeks start to flush, and I choose the vaguest answer possible. That reaction strikes me as curious, though. Why am I still embarrassed about my eating disorder after all these years?
Dating and depression don't mix very well. When you feel terrible about yourself because of depression, it's not the best time to meet new people and try to develop healthy connections. But if your depression is longstanding, does that mean you shouldn't date? Can you successfully date while depressed?
Generally speaking, I'm not a very good liar, but I am excellent at lying to myself. I count myself amongst the majority in this department. Most people value honesty and seek to use it in their relations with others, but when it comes to themselves, they may be so adept at deception that they don't even know they're doing it. But self-honesty and not lying to yourself matters.
I had somehow convinced myself that my life would be over the moment I walked out of there, completely devoid of confidence and self-worth. That’s a tad dramatic, but at the time, I didn’t know better; I was so clouded by feelings of self-doubt to see beyond the tragedy (as I would have described it at the time) unfolding right before my eyes. You’re a little lost, so let me dial it back for you.
When treating bipolar disorder, I think it's critical to gain bipolar mood stability first and only then tweak up or down as needed. That means that if you're in a depression right now (and let's face it, that's when people seek help the most), the goal isn't to treat depression, per se, but rather to gain bipolar stability. Of course, I'm not the only one who thinks this. The esteemed psychiatrist Dr. Jim Phelps agrees: treatment should focus on bipolar mood stability first.
I have a long history with perfectionism. In fact, I cannot recall a time in my life when this fixation wasn't driving my performance and achievements. I suspect this is one reason I have always been drawn to activities or pursuits that measure excellence in visible, quantifiable terms. In school, I only accepted straight As. In athletics, I gravitated to sports like archery, where I could aim for the center of a literal bullseye. And in my career, I have turned to writing—a skill based on technical precision. But as I continue to heal my thoughts and behaviors from the residue of anorexia, I am learning to appreciate that eating disorder recovery is not about perfection.
It can be discouraging for many individuals to move away from and begin verbal abuse recovery once they realize the journey is not straightforward. Unlike overcoming other life obstacles, recovery from verbal abuse may present setbacks, leaving an individual with lost hope for a healthy relationship. Although the process may not be as simple as avoiding an abuser, it is possible to hold meaningful connections with others.
In my experience, the worst part of schizophrenia is having episodes of psychosis. Losing touch with reality can be terrifying. For me, psychosis always involves hearing voices, delusions, and paranoia. I usually stop eating, which most likely makes the symptoms more severe. Complicating my experience with psychosis is a symptom called anosognosia.
As a writer, I’ve found creativity is one of the first things to be affected when my depression rears its ugly head. Depression makes it harder to motivate myself to write and harder to express my unique creative voice—the thing that brings me the most joy.

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Elizabeth Caudy
Dear William, thank you for your comment. I can definitely relate to it and I'm sure a lot of other people can, too. Best, Elizabeth
Devils-Avocado
I have just read this and actually had a little bit of a tear up. I'm a Brit on a waiting list for ADHD assessment. I have always had trouble buying clothes (and other things). Everything has to be just, just, perfect...every damn detail. I used to do exactly as described in stores but online shopping has made this worse. If I'm looking for something I end up with bags of clothes bought online (100's of £'s worth) which I'll go round and round trying on for days before returning at the 11th hour. It drives my partner (and me too, actually) batty having all this stuff in the corner of the bedroom. Currently it's summer trousers...omg.
I wonder if potential ADHD-ness also has something to do with the way I obsess, to the point of tears, over what I'm wearing to certain key things/events that really matter to me: evening out, work thing, seeing old friends after a while. I have to allow extra hours to go through the wardrobe rotation. I have been known not to go if it's just not right.
Gg
Fight hard and support your son through this hard time eventually the truth will come to light and your son will be heard.
William morgan
I am diagnosed with Schizzoaffective disorder and the part of my sickness I hate the most is severe anxiety. It attacks me from the pit of my stomach to my brain. I get so afraid that something terribly wrong has happened. Also, I’m afraid to see or be seen by my neighbors at times. This is a difficult thing because I enjoy getting out of the house at times. My anxiety is worse in the morning after waking up. I have no social life at all because i shy away from any kind of human interaction because I have social anxiety also. I freeze up in fear and all I can do is listen to others around me talking, and I am in fear to talk or communicate with others.
Lynn
Hi Kathleen, I am a pastors wife with Bi-polar 2 and I hear how you miss hearing and feeling God as He once was. I hope by now he has found better meds. I’ve also found other causes to my mental illnesses that have helped them work better. Ie my copper levels were very high from Wilson’s disease brought on by a rare bacterial infection from farming called Whipples disease. When they were Chelated, I had 10 years of feeling so well. Also have found a gene that interferes with neurotransmitters that aid serotonin levels. And take TMG an amino acid that helps too, I’m only heterozygous of this gene but I wish I could remember more to help more. The last factor that’s affected my moods is having hyperaldosteronism… an adrenal disorder that can effect our ability to cope.
So a copper, zinc cerruloplasma blood test. Anything higher than 17 is symptomatic even though a bells curve in science has the level higher. The Bill Walsh institute is dedicated to these bio chemical issues. Not sure where in the states they are.
Then aldosterone renin ration for adrenals. … early symptoms are a higher diastolic blood pressure than normal. But eventually it leads to hypertension that seems resistant to meds.. took them ten years to do this blood test on me with hypertension.
Hope ruling out things means he gets a better hold on it. But sometimes my favorite bible verse for my low mood times is “And it came to pass”