When people ask what I do, I tell them I run a freelance writing business. I'm too proud--and afraid--to tell them my major income comes from Social Security disability. If I do that, I often hear "You look fine to me." Then I'll need to explain I'm on Social Security disability due to a psychiatric condition, in which case I fear hearing "Isn't that all in your head?" There's a heavy stigma against receiving social security disability, and a bigger stigma against receiving social security disability for a mental illness.

If you have ever dealt with addiction then you know how devastating it can be. It has the ability to strip a person of any sense of decency, reducing one to an animalistic level. When I look back on all of the despicable things I did to fuel my addiction it filled me (initially) with a sense of guilt, shame, and self-loathing. It got me to a place where I did not know where to turn or what to do. But….I did pray.

When I think of  mental illness I wonder if I should have a t-shirt created with a couple choice phrases. The front would state: I am Completely Exhausted. And the back of it?  The back of it would state--in bold and angry script, I'm Sick and Tired of Being Sick and Tired! These phrases have, in part, defined my life. My entire life. Since I was old enough to throw things and scream for hours. Since I was a child. Before they gave me cocktails of medication, age twelve, before I realized that I was sick and tired of being sick and tired--and exhausted!

Misconceptions surrounding mental health can be a major contributing factor to mental health stigma. The less something is understood, the more likely it is to be stigmatized against. Although there are probably hundreds of common misconceptions about mental illness, I thought I would tackle a few mental health myths here today.

Recently, I’ve noticed a pattern in my clients that I call the “tipping point”.  The “tipping point” is basically a time in people’s lives when, for various reasons, the strategies they have been using to compensate for their ADHD challenges no longer seem to be working.  This “tipping point” is often experienced along with feelings of overwhelm and chaos.  Up until a “tipping point,” people have been able to balance known or unknown challenges with ADHD with strategies they may not have even realized they were using.  Up until the “tipping point”, they had been able to adapt and cope well with their symptoms, even going as far as being under the radar for an official diagnosis of ADHD (in other words their symptoms were not interfering with their functioning). But for some reason a life change – it could be a job promotion, relationship change, a school change, or any myriad of different things – renders the current strategies ineffective and over time there is a sense that things are no longer “going well” and in fact, life seems to be falling apart in a big way.

Admittedly, I'm late. Again. Instead of making an excuse, let's just say that at 40, I'm more aware of my inability to accurately gauge time. It is a symptom of my ADHD, but it is not an excuse. As a kid, I didn't know that I had ADHD, but now that I am aware, a number of events from childhood forward make a lot of sense. I'll share an example and what I have learned as well as how I continue to struggle with timeliness.

Sometimes people hurt themselves. Self mutilation. Cutting. Scarification. Pulling out eyelashes or hair. Hitting. Biting. Pinching. Starvation. Drug and alcohol abuse. Fighting. Overeating. So many ways people inflict pain on their bodies. But why? Does it mean they are suicidal? Not always, but depression is common in people who self-injure. Does it mean they like it? Not necessarily. But it can serve a purpose. And if they don’t figure out what benefit they are receiving from the pain, they may escalate and cause permanent damage.

I once wrote a post called, My Bipolar Symptoms Aren't Your Symptoms: I'm More Bipolar Than You. The point of the post is that two people can experience bipolar disorder very differently. Even when two people meet the Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria for bipolar disorder, their individual list of symptoms can be quite different. One might be expansive when manic, the other might be irritable. One might sleep too much when depressed, the other might sleep too little. And so on and so forth. Neither one of them is the “right” kind of bipolar and neither one of them is “more” bipolar, they are simply suffering from the same illness differently. Similarly, treatments are also individual. What works for one person simply doesn’t work for another. And that’s OK.

Every so often, I am asked why I decided to write about my experiences with anorexia under my own name. The simple answer? Because I refuse to be ashamed.

Psychotropic medications are life-savers, but how can the pharmaceutical companies make a good thing even better?  More Than Borderline's, Becky Oberg, talks about possible improvements.