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Last month I wrote a post about finding the right work to fit with ADHD symptoms. One reader, Jeff, wrote in to state that he found journalism to be a fantastic career for him because there is "lots of variety [and journalism] allows for spontaneous changes in direction throughout the day." I like Jeff's thinking on this issue because as the DSM IV states, I "often [have] trouble keeping attention on tasks or play activities." So, like Jeff, I prefer a lot of variety in my day as well as some spontaneity.
Often, we tend to focus on the negative aspects of having an eating disorder or other mental illness. It (almost) destroyed my career. My relationships. My marriage. My life. All of this is true. I am still rebuilding the trust and intimacy of family relationships. My marriage is over; we will be filing for divorce soon. And I almost died from anorexia. However, I also have grown and become a better person because of my struggles with anorexia.
Earlier this week I wrote a piece about being scared of trying antidepressants and as one commenter pointed out, there are increased risks associated with treating a person with bipolar with antidepressants. In fact, some would say that treating a bipolar person with antidepressants can worsen the course of the illness (always contraindicated as monotherapy and possibly undesirable altogether). Now, when I wrote the article I was only thinking of unipolar depressives, but, as one commenter pointed out, being diagnosed, correctly, with bipolar disorder, in itself, can be a challenge. And this is absolutely true. Studies have found that it takes 5-10 years (from the time of the first episode) for a person with bipolar disorder to get an accurate diagnosis. There are many reasons for this, predominantly that people don’t get help when they have their first episode, but a major contributing factor is also misdiagnosis. People with bipolar disorder are often diagnosed with depression or schizophrenia first and this can have devastating outcomes.
Articles about lying in abusive relationships usually talk about how the abuser lies. Not this one. I lied all the time during my abusive relationship. Mostly I lied to myself, but I lied to my abuser, too. The whole time I felt my lies were justified - I had to lie to protect my family, myself or him. Despite my lying in the abusive relationship, I feel I kept my integrity. Before you laugh me out of town, take a minute to see why lying in abusive relationships is almost the only way to get by.
I was sitting on my patio about an hour ago. I live across the road from an elementary school. Children were doing what they do best: Screaming and throwing things. Ruining my first coffee.
Though I have read little concerning the connection between mental illness and sleep, I have always believed there to be a strong connection between the two. This idea stems from the personal experiences I have had with my sleep disorder, and how it seems to effect my mood and thinking.
Mental illness is a vibrant, evolving discipline that is never the same two days in a row. The skilled professionals in our midst are continually wrestling disorders and syndromes to the ground, subduing them, and teaching the rest of us how to deny them a second chance. But, to paraphrase Zig Zigler, “Every time a window slams shut on your fingers, a trap door to the basement opens.” In other words, mental illnesses are leaving us all the time, but new ones are always emerging to take their place. Indeed, without a steady stream of newly minted mental illnesses producing an endless succession of chat show guests, virtually all TV hosts would be unemployed. While the traditional wellsprings of mental illness may still be relied upon, forward thinking psychiatrists, pharmaceutical companies, and tattoo parlors are looking to social networking – dubbed “social nutworking” by insiders – as the greatest growth area for psychological disorders in years to come. Here are just two of the newly minted mental disorders resulting from our cultural obsession with water-skiing squirrels.
Adults live with anxiety and fear everyday. Maybe not fear of dying, but fears that weigh us down and cause us to be tired. I'm not the only one who notices how tired we are collectively. Yesterday in a therapy session an eleven year old girl asked me if I was tired. Things have been extra busy around my house, I have been up late and up early. I said, "Yes." She said that whenever she asked a grown up if they are tired, they always say yes. This made me pause. All grown ups are tired? I could relate, I have noticed that, too. What are we doing to ourselves? Why are we all so tired?
Have you ever had a day that just killed your self-confidence? No matter how hard you try, you can’t pull yourself out of the funk? And then, negative thinking takes over? Let’s say you have a presentation at work that you are not ready for or you finally get the courage to call that romantic interest, alas no response. Both instances can feel like huge failures. Afterwards, you mind is filled with doubt; maybe you were nervous while giving the presentation and made a few blunders or the voicemail you left was filled with “ums” and awkward pauses. Then, your mind spins into a downward spiral; in pops another negative thought about yourself, and another, and before you know it negative thinking has brought your self-confidence to an all time low. So how do you bounce back?
This is not to say that anger is not real or normal. It is. And often justified. But anger comes second after a primary emotion comes first. Sometimes that primary emotion isn’t even recognized or realized because it is below the surface. Imagine a tree, with its trunk and branches tall and large above the ground, and the roots under the Earth. What do those roots do for the tree? They feed it, right? So imagine the trunk and branches are the anger on your outside, the part that people see. But below the surface is the root of the anger, fueling it. If a student was walking down the hall at school and someone tripped him, he might jump up in anger ready to fight, angry. But right before that, he might have felt embarrassment. If a teenager is late for curfew and her parents have been pacing the house, when she walks in late they might argue and be mad and punish her. But right before that, they were worried. There can be any number of emotions below that surface that trigger anger, and depression is one of them.

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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.