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In last week's post I described the two parts of your brain, how they function, how they're different and how and why talk therapy fails to do the deep work of healing that PTSD requires. After reading that you may wonder: Great, what do I do now?? While there is no single guaranteed way to heal PTSD (we're all different in how we experience trauma and process information and emotion) there are some terrific PTSD treatment processes that can bypass your critical, rational mind and engage your deeper brain in enormously healing ways.
In my last post I shared three tips for having tough conversations with loved ones about your child’s mental illness. If you haven’t had a chance to read them, check them out. Here are my final three tips on how to advocate for your child and get support from others. Tough conversations are hard, but with these tips, people can come around.
I struggle with using the words "narcissist" and "sociopath" and the like in my descriptions of abusers. The words get a lot of online attention and would draw in abuse victims trying to solve the mystery of their lover's nasty behaviors. However, "abusers" do not fall into any specific category in the DSM-IV (the guide psychiatrists use to diagnose mental illnesses). By and large, abusive people are not mentally ill - even though to us normal folks, it sure appears that they are insane. Due to some of the comments this post received, I want to clarify that I am talking about cases of domestic violence and abuse - two adults who chose to be together initially until one found out the other was abusing them. There is some peace in "diagnosing" your abuser as a sociopath, narcissist, or whatever as a layperson because your research will also show you these people DO NOT CHANGE and IT ISN'T YOUR FAULT they behave the way they do. This helps you to detach from them. However, if you are a victim of abuse in a domestically violent relationship, then it does no good to wait around out of "loyalty" or "marriage vows" or any other reason if your abuser happens to actually go to a therapist and receive such a diagnosis. You will become disordered if you live with someone with a mental disorder that science has no way to treat or cure.
I recently re-read parts of my journal that I kept while I was in the state hospital system. One recurring theme is the assumption that I was lying. This often impacted my treatment, and often impacts the treatment of other people with borderline personality disorder (BPD).
All good things must come to an end, according to the sage of old, but did you know this also applies to bad things? That’s right! Here’s the shocker; when it comes time to bid a fond adieu to your particular mental health challenge, you may find yourself dragging your heels, gnashing your teeth, dotting your tees, and crossing your eyes. Ridiculous, you say? Stifling the urge to cough derisive laughter up your sleeve? Well don’t let a little counter-intuition embolden you overly; allow me to share a personal vignette for illustrative purposes.
Adult ADHD relationships can be troubling at times, especially if you and your partner don’t take ADHD symptoms into account. For instance, in my adult ADHD relationship, we have to plan for change. Change can be difficult for some adults with ADHD. I'm not a spontaneous person and changes to plans really ruffle my feathers.
tneely
Common wisdom and social research both tell us that accepting who we are and being open about our sexual identity brings mental health benefits, despite the negative consequences we may experience for doing so. Many of us who have come out LGBT know that coming out as a sexual minority is risky and the consequences are real, particularly in the workplace. We also know that coming out is not a one time thing. It is a never ending process of interacting with others while trying to remain as true to ourselves as possible. Whether it is correcting co-workers who assume the ring on my finger means I have a husband, or telling my boss the woman in the picture frame isn't my sister, we are always making a moment by moment decision about disclosing who we are.
Mothers need to be deeply aware of what they convey to their daughters through the attitudes they model about their own relationship to their bodies, their self-talk about how they look or "ought to" look, and how secure they seem in their choices. When a mother is battling low self-esteem or not even battling because she's unaware it's a root cause of frustration within her life, her daughter is likely to carry this burden as well.
Addiction is a particularly destructive thing. Addictive behavior is often thought to center around drug use or a particular behavior, which I believe, to some degree. However, there are many that think that addiction goes much deeper than that.
If you told one of your friends that you had cancer, there is almost no chance that they would respond with ‘oh, it’s probably all in your head.’ But for some reason, that is a common sentiment when it comes to mental illness. Especially the less ‘in-your-face’ ones such as depression and anxiety.

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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!