Please Give Mental Illness The Same Respect You Would Give Other Illnesses

Not everyone understands what it is like living with a mental illness. I get that. Most people, at their core, mean well and are trying to help in one way or another.  Whether they are attempting to be supportive or trying to snap someone back into their perceived “reality”, they just don’t know what to say.  I understand that completely, too. But using tired old cliches about life that don’t apply to living with a serious illness does not help at all.  Nor does it help to offer outdated advice that has been proven to be both ignorant and ineffective.  They do much more harm than good. It not only minimizes our condition and our struggles, but it also tells us that you neither understand what we are going through nor do you take our illness, or us, seriously.

Please do not tell us that “everyone has problems sometimes“, “into everyone’s life a little rain must fall“, or that “nobody said life was fair“.  Likewise, please don’t tell us “it is what it is” or “everyone gets depressed sometimes“, as if our diagnosis is an everyday, trivial, meaningless bit of happenstance that is unimportant and should be paid no mind.  A mental illness is not an average, run of the mill problem, a typical bump in the road of life that everyone faces at some point and is easily cast aside or overcome. It is a medical diagnosis, a medical condition that drastically affects every aspect of our lives.  You wouldn’t tell someone with cancer that everyone has problems sometimes, laughing it off like it was nothing. You would show an appropriate level of concern over their health and well-being. You would encourage them to see a doctor and take care of themselves. You would be supportive. You wouldn’t dream of minimizing their condition because, left untreated, it could have deadly consequences. So could my mental illness and it deserves to be treated in the same regard.

Asking us if we’ve “just tried being happy“, telling us we “need to just learn to focus on the positives” or otherwise suggesting we’re not trying hard enough misplaces the blame on us for our diagnosis. The patient is never to blame when their body goes haywire and runs amuck. We understand that sometimes our bodies malfunction, become unbalanced, and horrible things like tumors occur.  You can’t will away cancer with a positive outlook and trying harder won’t make tumors disappear. The same goes for mental illnesses.  We don’t tell someone with cancer that it is “all in their head“, “mind over matter“, and expect them to become healthy again by sheer willpower alone. We encourage them to see a doctor immediately, get everything taken care of and treated so their body can work properly and be healthy again. Untreated cancer can eat a person alive from the inside out, deteriorating their health and destroying the quality of their life in every way. So can mental illness. The only difference is cancer mainly attacks and destroys the physical body while mental illnesses primarily attack the mind.

Please don’t judge us on our appearance, telling us that we “don’t look sick” or that we “just need to smile more” as if our diagnosis is even remotely dependent on our outward appearance.  Also, please don’t tell us that we “don’t look all that sad to you” or that we “looked just fine the other day” because we have briefly managed to put on a brave face or wear a mask to hide our pain.  Having a good day here and there does not negate all the bad ones.  Invisible illnesses are still illnesses.  Like many other serious health conditions inside the body, you cannot often or easily see mental illness with the naked eye.  Not seeing a tumor growing inside someone does not make it any less real or dangerous.  Not seeing a diabetic’s pancreas malfunctioning does not mean it is not happening or that they do not need treatment.  Someone with cancer or another serious medical condition occasionally smiling, laughing or briefly enjoying life does not mean that they are instantly cured and tumor-free.  Just because you cannot see our mental illness does not mean we are not suffering.

Asking us “why can’t you just be normal?” or suggesting that we “need to stop feeling sorry for ourselves” not only blames us for our diagnosis but treats us as if we’re somehow broken or flawed and it is all in our head.  Nobody asks to have a mental illness nor does anyone want to be sick.  We are not doing this to ourselves.  We are not having pity parties. Please don’t suggest we’re just looking for attention or tell us that “the only one we’re hurting is ourselves” either, as if we’re intentionally sabotaging our own happiness by entertaining the absurd idea of some make-believe malady.  Mental illness is a very real medical diagnosis, one that is often completely beyond our control.  Our behavior did not cause it any more than a person’s attitude or imagination can cause tumors.

Please do not suggest we should just “snap out of it and get over things already“, either.  A person cannot snap out of a mental illness diagnosis any more than they can snap out of diabetes.  There is no set time frame that someone should be better, or even show marked improvement.  Like diabetes, a mental health diagnosis often lasts a lifetime.  And the healing process with most illnesses is not linear.  A diabetic can alternate between periods of stability, and episodes of sugar spikes and crashes, dangerous highs and lows that drastically and dangerously impact their health.  Similarly, even when in ongoing mental health treatment, a series of good days can be interrupted by periods of downward spiraling or numbness, and worsening symptoms as we attempt to balance medications and work through both past and new traumas.  Along the same lines as the fact that we refuse to take the blame for our illness, we are also under no obligation to heal on anyone else’s schedule or whim.  It is our illness, our treatment, and we will take as long as we need to take to heal fully and properly, even if it takes a lifetime.

Do not remind us that “every cloud has a silver lining” or tell us to “look on the bright side“, suggesting that we need to look for something positive at the core of our struggle.  Likewise, please never tell us that “what doesn’t kill us makes us stronger” or tell us that “it is God’s will“, as if our suffering was some divine gift or that it will be worth it in the long run.  Again, it is an illness, a medical diagnosis.  You would not confront a diabetic who must have their feet amputated due to their condition and suggest that they would somehow come out stronger for their loss.  You would not imply to a patient who cannot keep down any food because they are undergoing chemotherapy that the silver lining is that they always did want to lose a few pounds.  You would not tell anyone that their illness was a blessing in disguise, that they should be grateful for their suffering and pain.  Comments like those would be not only wildly inappropriate but also extremely insensitive, as well.  You would offer the person suffering your compassion, sympathy and support.  People with mental illnesses deserve the same.  There is nothing positive about our diagnosis or our struggle so please don’t insist we look for a silver lining or a bright side that is not there.

Please don’t tell us that “other people have it worse“, as if our struggle is insignificant because someone else has struggled more.  Don’t ask us “what do you even have to be depressed about?“, expecting us to justify our diagnosis or quantify our suffering so you can determine its validity.  A mental illness is a bonafide medical diagnosis that deserves acknowledgement and actual medical treatment regardless of its severity in comparison to someone else’s.  It is always a serious health condition that can continue to worsen if left untreated.  You wouldn’t shrug off anyone’s cancer diagnosis as trivial or be so unsympathetic as to suggest their tumors were insignificant because someone else had larger ones.  Cancer is always taken seriously.  Mental illness should be, as well.

If we trust you enough to open up about our diagnosis, please don’t shut us down by telling us “there are just some things you just shouldn’t talk about” or reminding us that “some things should be kept private“.  That is ignorance and stigma talking.  Yes, we understand that mental illness is uncomfortable to discuss.  So is any other serious medical diagnosis.  The difference is that families and friends will discuss other illnesses and the impact they will have on everyone’s lives.  We sincerely apologize for any discomfort our diagnosis might give you, but please know that we are not confiding in you hoping you can solve it or make anything better.  We are sharing our diagnosis because we consider you an integral part of our lives and we want you to be aware of everything that is going on.  Don’t tell us that we shouldn’t talk about mental illness as if it is something we should be ashamed of having.  The biggest reason this diagnosis has become so rampant in society today is because no one talked about it for far too long.  No one talked and nobody sought treatment.  But silence won’t make the problem go away.  Health issues don’t vanish because you refuse to acknowledge them.  It will only make it worse.

Please stop shaming us for our diagnosis altogether or our efforts to seek treatment.  Don’t tell us that “all we really need is some fresh air and some running shoes” in order to feel better.  Don’t tell us that “only weak people rely on medication” or suggest we try vitamin regimens, scented oils or other homeopathic remedies instead of what we have been prescribed.  We have seen actual doctors.  Medical professionals have given us a verifiable medical diagnosis and prescribed us the appropriate medications to treat that diagnosis.  You wouldn’t shame a diabetic for using insulin to balance their body so please stop shaming us for taking our prescriptions to balance our minds.  You wouldn’t tell a cancer patient that they didn’t need chemo, to just go for a brisk run or take a nice, long bath instead.  That is because it is widely accepted that chemotherapy is used to treat cancer and insulin to treat diabetes.  If you are willing to accept other medical diagnoses and treatments as valid, please accept ours, as well.

Please don’t attack us, demanding to know “what have you even done with yourself lately?” or otherwise question why we are not able to function as well as a healthy person.  Don’t interrogate us about what we have and have not accomplished recently, either, as if our level of productivity must meet your standards or our activity must be on par with yours.  Having a mental illness takes a lot out of a person, both mentally and physically.  It is perfectly acceptable for someone who has just undergone chemotherapy to spend a day in bed if they so need it.  If a diabetic has a sugar crash and feels under the weather, others will suggest they go lay down and feel better.  Healing and recovery time is acceptable for all other illnesses.  It should be for mental illnesses, too.

For so many years, mental illness was treated as something shameful, something you just didn’t discuss, something whispered about in dark corners.  With the continuing rise of suicides, addictions and other mental health crisis in our society, mental illness is being spoken about today on a scale previously unimaginable.  I understand that it might take some time for everyone to fully understand how to openly discuss our diagnosis with both compassion and respect after being shrouded in secrecy and stigma for so long.  When unsure how to proceed, many people turn to old cliches and outdated advice that they believe have stood the test of time.  However, many of those statements and sayings are not at all appropriate or applicable to mental illnesses.  If you are unsure what to say to someone with a mental illness, a good place to start would be to ask yourself if you would say those words to someone else with any other serious illness.  If you cannot imagine saying it to someone with cancer or diabetes, for example, it’s a good bet that it is not an appropriate response to our diagnosis, either.

After all, people with mental illnesses are not asking for special treatment.  We are just asking to be treated with the same courtesy you would treat anyone else who is ill.

I Have Depression.. But I am Happy..

I have struggled with depression my entire life, in part due to a genetic mutation passed down to me from my parents that affects the way my body metabolizes specific chemicals my brain needs to moderate my moods.  I regularly go through horrendous downward spirals where I feel completely broken and worthless, where life feels utterly hopeless.  I struggle with long periods of numbness where I have difficulty functioning or even finding the motivation to get out of bed.  On bad days, I will cry until my face is sore and my voice is hoarse, and it is unlikely I will be able to accomplish much more than basic self-care.  I am battling an illness that warps my very perceptions of life and continuously exhausts and pains me both physically and mentally.

But I am happy.

I have an amazing fiance who is very supportive of me and my diagnosis.  I have healthy, kind, smart and all-around wonderful children who have grown into incredible adults.  My fiance’s children are both amazing, as well. Together we have all formed a beautiful, blended family that I love with all my heart and am proud to call my own.  I have a team of doctors who actually listen to me and a treatment plan that is slowly but surely helping improve my quality of life.  And I have a blossoming writing career that has given me a true sense of purpose and an ability to help others in need.  I have many wonderful blessings in my life to be grateful for, many reasons to be happy.

Yet I have been diagnosed with depression.

That is because a mental illness like depression has nothing to do with happiness.  Depression is not caused by being in the wrong frame of mind or just not trying hard enough to be happy.  Having a depression diagnosis has nothing to do with feeling sad, a little blue or under the weather.  People with depression aren’t being Negative Nancys or Debbie Downers who just need to learn to lighten up and look on the bright side.  My diagnosis wouldn’t just disappear if I just tried to smile a little harder or maintained a more positive outlook on life.  My depression has nothing to do with whether or not I am happy.

I have trained myself to find reasons to smile everyday.  I am usually the first to look for something positive in even the roughest of situations.  No matter how hard my own day might feel, I always try to show compassion and kindness to others.  If nothing else, I am grateful each day I wake up and thankful of all the loving and supportive people in my life and share that sentiment regularly.  I am hopeful for the possibilities the future may have in store for me, as well.  Some of my friends lovingly joke that I am the happiest, most positive little depressed person they know.

Yet I continue to struggle with my depression diagnosis.

My brain does not care whether or not I am happy or grateful, whether I am hopeful, compassionate or kind.  My mental illness is caused by my brain not working properly, much like a diabetic’s pancreas malfunctioning causes their condition.  I have no more control over having a mental illness than someone else having diabetes, heart disease or another medical condition they may have been passed genetically.  Yes, events in my life may have further exasperated my mental illness, much like having excessive sugar might worsen a person’s diabetes or having foods high in cholesterol might affect the severity of heart disease, but my condition preceded any of the traumas and abuses I have endured over the years.  I have even sought treatment to help resolve those issues to the best of my ability, yet my depression has remained.

Because depression is an illness, a medical diagnosis with both mental and physical causations.

It is not all in my head.

It is not a state of mind or an emotion.

Depression isn’t about being sad.

The cure for depression is not happiness.

Like any other illness, depression needs ongoing medical treatment.  Doctors need to not only diagnose the condition, but also to isolate and treat both the mental and physical reasons for the illness, as well. Though doctors often utilize psychological treatments like therapy, meditation and mindfulness, they usually also include psychiatric methods and medications to help treat the physical causation.  That is because doctors recognize mental illnesses such as depression as a verifiable disability that deserves a comprehensive, multi-pronged treatment.

In cases like mine where my depression has a genetic causation, my diagnosis is permanent.  I was born with it much like some children are born diabetic.  You would not blame a child for being born with a pancreas that was incapable of functioning properly so please don’t blame me for the fact that I was born with organs that malfunctioned, as well.  The only difference in my case are the organs affected.  No matter how happy I am or how positive my outlook is on life, my liver will never be able to metabolize the substances my brain needs in order to function properly.  I will have this medical diagnosis and need ongoing treatment until the day I die.

If I confide in you that I am struggling with depression, please don’t try to encourage me to try to be happier and more positive, or point out all the blessings I have in my life.  I am happy and grateful already.  You do not need to remind me to be hopeful for the future because I already am.  Please don’t blame me for my diagnosis either, insinuating that I wouldn’t be ill if I just tried a little harder.  I did not ask for this diagnosis, nor did I cause it.  What I need from you is the same compassion, understanding and support you would give anyone else with any other medical diagnosis.

Because, though I am already happy, knowing you were doing your best to be supportive and treat me with the same respect you would someone struggling with other illnesses would make me even happier.

Republished on the Mighty on 4/4/19.

To the Mother I Never Knew..

As Mother’s Day came and went this past year, I once again found myself with conflicting feelings.  Part of me wanted desperately to join in with friends who were fondly honoring their moms or mourning the mothers they had lost over the years.  Another part of me, however, felt numb and empty, because I never had that type of cherished bond with my mother.  I honestly never knew her.

No, my mother didn’t die when I was born.  She passed away 8 years ago this Thanksgiving Day.  No, she didn’t give me up for adoption nor did she abandon me.  The truth is that my mother was there throughout the majority of my childhood and sporadically at best throughout my adult years.  I just never really knew her because the woman she truly was was buried deep beneath often untreated, always undertreated, mental illness.

Growing up, my mother was one of my biggest abusers, both mentally and physically.  She was prone to severe mood swings that would shift into bouts of rage at the drop of a dime.  She had bipolar disorder.

We were estranged for the last few years of her life.  I could no longer handle the abuse nor did I want my children subjected to it.  It seemed that her medication was never quite balanced nor were her moods.  It always felt like what little treatment she did receive was not helping, was not working, and she was doing very little to proactively work towards correcting anything.  She felt to me like a ticking time bomb, one I was afraid would go off at any moment and I did not want my children caught in the crossfire.

Over the years as I have struggled with my own mental illnesses, I have come to deeply regret those feelings.  I was diagnosed with depression, anxiety disorder and PTSD, labelled treatment resistant for years.  No medication ever seemed to work.  It wasn’t until the last year or two that I discovered via genetic testing that my resistance was caused in great part to a genetic mutation.  I’ve often wondered since then if my mother suffered from the same mutation.

The truth is that mental illness changes a person, or perhaps more appropriately it snuffs that person out, dimming their light and dulling their soul.  The person that you are is trapped underneath, desperately needing to come out, wanting to shine.  But there is this dark hopelessness that oozes over everything, making it impossible to fully be the person you truly are.

I think about my own children and how my diagnosis has affected them.  They have only seen glimpses of the real me over the years.  The creative me who would spend half the day drawing huge murals with sidewalk chalk on the tennis courts at the park with them on summer days.  The silly me who would make paper pirate hats and eye patches, transforming our dining room chairs into a pirate ship to celebrate Talk Like A Pirate Day with them.  The nurturing and educational me who would catch tadpoles in buckets with them to show them how they turned into frogs.

More than anything, though, they saw my mental illness.  They saw the mom who was too exhausted just from going through the daily motions of life to do anything fun.  They saw the mom who opted for quiet family days indoors watching movies or playing board games because I was physically and mentally unable to do anything more.  They saw the mom who often emerged from the bathroom drying my eyes as I attempted to hide the tears I could never seem to stop from flowing.

They were vaguely aware of the person I truly was but they knew my mental illness well.

I remember when I first started taking the medication I needed for my genetic mutation and I had my first truly happy moment.  It was the first time in my life I ever felt that sludge of mental illness be lifted off of me, albeit for a short period of time.  The medication is not a panacea.  It in no way cures or stops my mental illness.  However, it does give my mind the ability to fight back in a way that it never could before.

That moment of happiness was beyond blissful.  I laughed, cried and hugged my boys, asking them again and again if that was truly what happiness felt like.  I had never experienced anything else like it.  That sludge continues to lift here and there sporadically and I have a genuine hope for the future now, that there might be a day when there’s more periods of happiness than illness.  But for now, more days than not, I still struggle.

I have heard from people that knew my mother at the end of her life, in those last couple years, that she had finally gotten the treatment she needed.  Her medication was finally balanced.  She was happy and more herself than she had ever been before.  She was doing crafts with the neighborhood children and even developed a fondness for Harry Potter.

Part of me envies them because I never knew that woman.  I never had the pleasure of meeting her.  All I ever knew was the sludge and taint of her illness.  On Mother’s Day, I mourned the ghost of a woman I never even met, a woman I would have loved more than anything to know.

Please keep in mind that when you’re dealing with people who are struggling with mental illness that they are not completely themselves.  The person they truly are is in there somewhere, beneath their diagnosis, fighting to get out.  Please don’t ever assume that we’re just not trying hard enough, that we’ve already given up or that we’ve lost who we are along the way.  It is a daily battle, a constant fight, against your own mind.  It is a never-ending struggle to push your way through a thick layer of darkness just to come up for air.

Looking back, I truly regret becoming estranged with my mother.  I had done what I thought was best at the time, trying to shield my children and myself from an illness that was not her fault.  She had no more control over her bipolar disorder than I do over my own mental illness.  I am sure she was trying harder, fighting more, than I ever realized.

To the mother I never knew – I’m sorry I was not there when you needed me.  I’m sorry that I allowed my fear to dictate my actions and choices and that I abandoned you when you needed me most.  I’m sorry I was not more compassionate and understanding of all that you were going through.  Most importantly, I am sorry I never had the pleasure to truly meet you.  Happy belated Mother’s Day.

Republished on The Mighty on 9/14/18.

Republished on MSN on 9/14/18.

Republished on Yahoo on 9/14/18.

Republished on Yahoo Lifestyle on 9/14/18.

Something To Think About Before You Consider Killing Yourself..

There are many quotes that resonate strongly with me on a very personal level.  One of my favorites is by William Goldman:

“Life isn’t fair.  It’s just fairer than death, that’s all.”

What makes life more fair?  I believe it is the fact that you still have possibilities and options.  No matter how bleak and hopeless today might feel, there’s no way to know what tomorrow or next week, next month, next year might bring.  Life is fairer than death because death takes away all your options, all your possibilities.

I won’t ever throw out empty promises that tomorrow will be better if you just hang in there because none of us knows exactly what tomorrow may bring and whether it will be good or bad.  But one thing I can guarantee you is that it will bring possibilities.  The possibility of action and of change.  The possibility of a future beyond today.

I would be lying if I said I hadn’t been there myself, if I hadn’t tried myself in the past.  I understand how it feels to feel lost and all alone in the world, to believe that you have no more options.  I know exactly how scary it is up on that ledge.  I know all too well that siren’s call, promising an end to the pain if you just give up, just give in.

Unfortunately, that’s all suicide gives you.  An end.  It doesn’t remove any of the problems that existed.  It just robs you of the ability to do anything to fix them.  And it’s final.  There are no do overs, no second chances, no tomorrows.  It is emptiness.  Nothingness.

Yes there would be no more sadness, heartache or pain.  But there’s no more happiness, either.  You’re robbing yourself of the chance to heal, to overcome, to see better days again.  You’re allowing the worst days in your life to steal the possibility of all future happiness from you.  You’re depriving yourself of a future that is completely within your power to transform into anything you wish.

Giving up means giving up your future and giving up the chance to make your life better.  It is final.  When you give up, there are no more possibilities.

There are also no more hugs.  No more drippy ice cream cones or licks from cute, fuzzy puppies.  No more bad puns that make you chuckle and no more all you can eat taco bars.  No more sunny days or breezes blowing through your hair.  No more singing songs loudly and off key and no more cups of cocoa with too many marshmallows.  There are no more bonfires or camping trips.  No more joyrides with friends or late night pizza runs.  There’s no more movie marathons or teaching your children to ride a bike.

There’s no second chances to fix things and no way to say you’re sorry or make amends.  There’s no new friends or new jobs.  No new children or new pets.  There’s no new hope and no second wind.

There’s nothing.

I could go on and on, listing all the things you could be giving up, but the possibilities are endless.  By choosing to live, you have millions of doors available to open, millions of lives you could live.

There’s only one thing you get from suicide.  Nothing.

I won’t guilt you by saying you should keep living so you don’t hurt others because I believe you should be living for yourself, not someone else.  Don’t get me wrong – it would devastate everyone in your life and change who they are forever but it isn’t fair to ask you to live your life for someone else.  You ultimately need to choose to live for yourself.

But please know that I have been right where you are now.  I was sixteen the first time I tried to kill myself.  I can tell you without a doubt that I am grateful I did not succeed.  I won’t lie to you and tell you that my life has been a bowl of cherries since then, but I still have been blessed beyond anything I ever imagined for myself.

I have wonderful children I would not trade for the world.  I have reconnected with my first childhood crush and found a lasting love.  I am a published author of a handful of books and with blogs that have been republished and shared world-wide.  My life has not been perfect by any means, but it’s a hell of a lot better than the alternative which is nothing.

I know others who have survived suicide attempts, as well.  Years later, we’ve talked about all that has happened since their attempts.  Children.  Marriages.  Careers.  Vacations.  Celebrations.  Memories.  Life.

I have never heard a single one of them say they wish they had been successful.  No matter how many highs and lows they have gone through since then, every single one has been glad they are still here.  I’ve heard stories on television, as well, from people who have survived suicide attempts like jumping off bridges.  They all share the same narrative about regretting that one moment of weakness and being grateful that they did not succeed.

Because you know what they would have had if they had been successful?

Nothing.

“Life isn’t fair.  It’s just fairer than death, that’s all.”

Life is fairer than death because life is full of possibilities.  Death takes every last possibility away.

Don’t keep living for anyone else.  Choose to live for yourself because living means that you still have a chance to be happy, a chance to make amends, a chance to find love, a chance to be a parent or to pursue your dream job.  Keep living because by living, you still have a chance.  With death, you have nothing.

We Should Not Be Afraid To Embrace Our Happiness

I have been struggling a lot this past year, mostly fighting bureaucracy and red tape.  Unfortunately, the more heavily the battle weighs down on me, the more it bleeds into and invades every aspect of my life, particularly my writing.  The more anxious I feel about the possibility of losing my battle, the more I find myself writing about how harshly anxiety affects my life. The more depressed I feel about the struggles I am having getting my disability case fixed and open, the more I write about the negative impact of depression.  That is because I write what I feel and unfortunately, when someone has struggled with mental illness their entire life as I have, my words often emulate the negativity and hopelessness felt inside.

But please know that DOES NOT mean I never experience any happiness or that I am not allowed to be happy because I have a mental illness.  Having depression doesn’t mean you’re forbidden from ever experiencing happiness.  Finding a reason to smile or to laugh when you can DOES NOT take away or in any way minimize your struggles or your diagnosis.

I honestly don’t know why so many people expect mental illness to be an absolute, all or nothing diagnosis.

Someone can have arthritis so horrible that they often stay home because it hurts too badly to move, yet still have days between flare ups where they might go for a walk around the block in the sunshine or plant a few flowers in their garden.  People applaud them for their strength for being able to still do things that they enjoy.

Someone can be fighting cancer and lie in bed for weeks, too exhausted to do anything in between their chemo treatments.  When they manage to pull themselves up to sit, talk and laugh with a friend while catching up over a cup of coffee, people cheer them on.  People applaud them for being able to set aside their pain and their struggles for even a few moments to enjoy the world again.

For any other visibly debilitating illness or health struggle, people receive overwhelming support and accolades for managing to embrace even a momentary slice of happiness in the midst of their battle.  They’re commended for their great strength just for still being able to smile.

Yet, for anyone struggling with mental illness, anything even remotely resembling even momentary happiness is met with accusations.  If someone smiles, laughs or talks about having a pleasant time or a good day, people swarm in to attack, assuming we must have been exaggerating or outright faking our illness because in that specific moment we “look just fine”.

They post rude comments on pictures we share where we’re smiling that we “don’t look very depressed to them”.  When we talk about enjoying a few hours out with family or friends, they throw out snide remarks about how they thought we “had too much anxiety to do anything” or that our “depression made it too hard to function” yet they saw us out and about, having fun.

Their barrage of comments often makes us feel even more trapped and isolated by our illness.  We are left feeling like we have to hide or make excuses for even momentary happiness, as if it is a forbidden luxury not extended to the mentally ill.  We worry about even having a more functional than normal day, too, because others assume if we can manage something one day, we can do it every day.  We debate with ourselves whether to even mention those sweet few happy moments to family and friends because we want to avoid those “I thought you were past that whole depression thing” conversations that inevitably emerge later on when we mention our illness has flared up again.

We’re supposed to “get help” and “get better”, to “get over everything” and “just be normal again”, but we’re not allowed to experience anything in between that horrible low and that “back to normal” state we’re pushed toward and expected to achieve.  It is even worse if it is a long-term or life-long struggle.  Many of those on the outside looking in can’t understand the ups and downs, highs and lows, the forward progress and backslides we go through, assuming we should be on a straight track from sick back to healthy again.  They claim we seemed “just fine, even smiling” when they bumped into us at the grocery store last month so they figured we were “over that whole depression thing” as if it is some fad we were doing for fun, something they believed we would be over by now.

People can be in physical pain or be struggling with health conditions that make it harder to function and it’s okay.  Even not being able to work is considered acceptable because others can see the pain.  Those momentary bits of happiness are seen as a wonderful treasure for someone who needs and deserves it after the battle they’ve been fighting.

Just because you can’t see my mental illness does not mean I am not struggling with it.  It does not mean that I am not fighting just as hard to function and to be as healthy as possible just like others with illnesses you can see.  And I refuse to relinquish the little pieces of happiness that I experience just because others assume that, in order for my depression to be genuine, I must be miserable and suffering every hour of every day without break or end.

The truth is that, no matter how bad I am struggling on any given day, no matter how hopeless my world feels, I try to seek out at least one reason to smile every day.  I have been told that I am the sweetest, most upbeat depressed person many people have ever met because I fight very hard to be optimistic and not give up hope.  I refuse to drown in my mental illness.  I have waged war on it and every single day I strike, reminding myself that there is still good in the world, beauty all around me, that there are still reasons to wake up in the morning and things to be grateful for in my life.

I strive to create good moments and memories whenever I can, to find reasons smile and laugh.  We have family movie and game nights.  I snuggle up with my partner and  watch movies together or laugh at silly animal videos online.  Though I struggle most days to socialize outside my house because my mental illness causes me to naturally isolate myself, I manage to joke here and there with friends online and share funny stories and memes.  I even occasionally go out, whether to enjoy some time out while the weather is nice or to spend a little time with family and friends.

None of that negates my diagnosis.  None of that minimizes my struggles.

It is no different than what someone with one of hundreds of different visible illness does to try and bring some joy into their lives to distract themselves from the pain.

It does not change the fact that the majority of the time I struggle to even pull myself out of bed or to eat.  It doesn’t change the fact that I spend most of my life struggling to even function, overwhelmed and crying.  It doesn’t change the fact that my illness is still always there, right under the surface, beneath that smile, silently eating away at me, trying to drag me back down.

I won’t apologize for my little bits of happiness and I won’t stop seeking them out.  I need them for morale and for my own self-care and sanity.  I need to seek out happiness in this world wherever I can find it so I have a reason to keep going and not give up even when my mental illness makes the world feels hopeless.

Being able to sometimes smile and laugh or enjoy part of your day when you’re struggling with mental illness shouldn’t be treated as a cardinal sin.  It should be applauded as a sign of strength and self-care.  Having a mental illness should not mean that you are never allowed to be happy again.  It is not an absolute, all or nothing, you either have depression or happiness, choice.

If we manage to find a reason to smile or laugh for even a brief period in our day, please cheer us on for our ability to do so.  Don’t rain on our parade just because you cannot see our pain or understand our illness.  Any smile, any momentary happiness is a victory against an illness that is intent on dragging us downward into misery and despair.  Don’t try to take that victory away from us.

To those who managed to smile or laugh today, good for you!  Keep fighting the good fight and don’t ever let anyone else make you feel like you’ve done anything wrong by being happy because you haven’t.  Embrace your happiness.  Cherish it.  You deserve it!

An Honest Dialogue About the Realities of Mental Illness

I woke up this morning to a message in my inbox on my Twitter author account.  Admittedly, I rarely open up messages on that site these days because the majority of them are either bots or phishing scams.  But, even by the small preview pane, I could see this one was different.  They began by explaining they had been reading through some of my writing.  I immediately opened it up to read through it and respond.

I won’t divulge any of what they wrote about because it is not my place to share their story, but as I read over my responses, I couldn’t help but believe that I needed to share my own words further.  To them, I wrote:

…Good morning. No need to apologize at all. I’ve written so very much that unless you’ve stumbled onto certain pieces, it’s unlikely a specific question would be answered. Honestly, it took me hitting a horrible low before I could find my voice. I had to reach a point where something desperately had to change or I knew I was not going to survive..

…As for overcoming my depression, I honestly don’t think there is such a thing, at least in my case.. It was more a matter of accepting my diagnosis for what it was and recognizing my limitations instead of letting the stigma surrounding mental illness control my perception of myself. I still very much have good days and bad days, but at the same time, I’ve gotten better at identifying when it is my depression versus when it is reality.. I’ve also filled my coping toolbox with so many different things so that I have different tools to help me cope with bouts of depression and anxiety.. I’ve learned to look at my mental illness much like diabetes – it’s an illness that causes one of the organs in my body to not function properly – there is currently no cure and it needs regular monitoring and care – but it is possible to exist and live with mental illness just like it is possible with diabetes.. I find myself still struggling, as well, to find a combination of medication that works right for me but I have sincere high hopes that in the future, when that combination is discovered, things will be much better and it will become easier for me to function..

…I apologize if you were hoping for some sort of secret cure all, or some way to make it go away on it’s own.. I don’t think something like that exists at this point, at least in cases such as mine.. I think, for me, it was a matter of changing how I viewed my illness and changing how I viewed myself.. Accepting that I am not broken or crazy but that I have an illness that affects my brain and that I deserve not only treatment but compassion and understanding, as well. I speak out and write a lot about what it is like living with mental illness because I want others to know, as well, that they’re not alone.. that others are struggling to fight similar battles and that we cannot buy into the stigma surrounding our illness, that we are not to blame for our illness, that our illness does not define us and that there is no shame in being mentally ill.

…I apologize for all the typos.. I was typing in the dark on my laptop.. I wanted to answer your questions right away and found my fingers struggling to keep up with my mind as I threw my answer out there.. I hope some or all of that helped.. I thank you for taking the time to read so much of my story and I sincerely wish you the best.. Please stay strong and don’t lose hope.. A mental illness diagnosis does not define you and it doesn’t have to be the end of anything. I truly love that the mental health community has embraced the semicolon ( ; ) as a symbol because it is used when a sentence could have ended but the author chose, instead to keep going. None of our stories are over either. We just have to keep fighting. If you are able, have a wonderful day. If that isn’t possible, please at least have a day. Keep going, keep powering through. And know that you’re not alone.

…Reading over all of this, part of me honestly feels horrible if anything I had written gave the impression that I had in any way found a path beyond my illness. As you can tell by much of my writing, I still struggle with horrible lows and have days where I consider getting out of bed, eating and doing my dishes as a victory. I’ve learned to differentiate between my illness and reality but that in itself does not change the physical things going on within my mind and body. My mind and body still go haywire regularly – I am working with my doctors to find a way to get them under control much like a diabetic manages their illness with insulin and glucose.. I know talking about looking at my illness differently doesn’t sound like much but it has been a huge stepping stone for me because it has allowed me to stop beating myself up for being ill, to stop hating myself and treating myself as if I am broken or crazy. By recognizing it as an illness and not something messed up inside myself, I was able to take back some control and begin working towards getting my illness under control. Things may be rough right now but this illness can be treated.. It just takes time. I’m not sure there ever will be a point where I’ll be fully functional, but I’d happily settle for being more functional than I currently am.

I honestly felt I needed to put this out there, to make sure everyone reading my writing understood that I am in no way touting any magical cure all for mental illness, nor am I implying in any way that mental illness is anything that a person can overcome by sheer willpower alone.  Mental illness is just that – an illness – and it needs treatment.  It won’t go away on its own.

I do believe, however, that we can destigmatize our illness and take back control over our lives.  We cannot will away how our symptoms present themselves but we can change how we view them and how we treat ourselves.

Please know that I’m a realist.  I’m not going to throw out those tired cliches about trying harder to be happy or how life will somehow magically be better if you let go of your past because I’ve been there myself and I know how infuriatingly useless they are.  I’ve worked through issues from my past and my mental illness still remained – because it is an illness that needs treatment.  I know firsthand how rough this illness can be and I won’t sugarcoat it because it does none of us any good to minimize our symptoms for the comfort of others.  I speak openly and honestly about what it is like to live with mental illness because I know holding it in and pretending things are okay doesn’t work.  Those of us suffering can barely wrap our own heads around our illness – how can we expect those who have never experienced it themselves to understand unless we throw it all out there and tell them?

I apologize if anyone who has been following my journey feels misled, hoping for some panacea, some advice or trick that will help their mental illness magically go away.  As far as I know, no such thing exists.

I may be a realist, but I’m also an optimist.  Since I have changed how I view my own illness, I have newfound hope for the future.  I have seen marked changes and improvements in the last couple years alone.  Though my fight is far from over, I truly believe that further advancements are possible and that things can and will continue to improve over time with continued treatment.

I write about mental illness not because I have all the answers but because I know it is a problem we cannot solve by pretending it isn’t there.  We need to talk about mental illness.  We need to fight the stigma.  We need to share our journey with others who are struggling so that they know they are not alone.  We need to stop blaming ourselves, stop hating ourselves, and accept our condition for what it is – an illness that needs medical treatment.

For everyone else out there fighting their own battles with mental illness, please stay strong, keep fighting, don’t give up hope.  See a doctor.  Talk about everything you’re going through without minimizing or sugar coating it.  Stop blaming yourself and hating yourself for your condition.  Please know that you’re not alone.  And most importantly, even if you cannot have a good day, at least still have a day.  None of our stories are over and we can get through this together.

Resolving Trauma Doesn’t Cure Mental Illness

When I explain that I am struggling with mental illness, I am often faced with people questioning why.  I usually start off with a fairly terse and technical response about it being a combination of genetics and life experiences but that answer rarely seems to appease anyone.  Though I am not quite sure why so many people feel I owe them an explanation about my medical condition, more often than not, people continue probing, wanting to know what could have possibly happened in my life that could cause a lifelong mental illness.

It is at this point that I usually explain that I grew up in a dysfunctional, often abusive, household.  I have endured physical, mental, emotional and sexual abuse multiple times each over the years.  I have been knocked down, stepped on, crushed to the core and had my very soul completely obliterated so many times I have lost count.

In response, I usually get the inevitable lecture about not holding onto the past, learning how to forgive, let go and move on.  Sometimes, they even throw in an additional reminder that I shouldn’t allow myself to be a victim for the rest of my life.

What I cannot seem to get through to anyone, though, is that my life experiences are only one small part of a bigger picture.  The traumas in my life did not cause my mental illness but rather they exacerbated it.  They also contributed unhealthy and dysfunctional behaviors and thought patterns.  Though they made a very difficult  situation much worse, resolving the traumas I have endured would not magically make my mental illness disappear.

The truth is that I have come a very long way to resolving and coming to terms with many of the traumas of my past.  I have gone through a lot of therapy over the years and have come to terms with many hard truths.  For instance, I have accepted that my mother shooting my father was in great part due to her often untreated, always undertreated mental illness.  I have accepted that one of the main reasons I had tolerated  repeated infidelity from my romantic partners in the past was due to the fact that I never was able to hold my own father accountable for his transgressions against my mother.  I have accepted that everything in life is not clear cut black or white, good or bad, and have done my best to put myself in the shoes of others and accept the past as something that cannot be changed, letting go of the torment within myself and even forgiving in some instances.

I have even taken things a step further, systematically pulling apart many of my thought processes trying to rout out any dysfunctional or unhealthy behaviors and patterns.  I have put myself under the self-awareness microscope again and again, examining why I react like I do and making a conscious effort to change anything that I believed to be self-destructive or unhealthy.

Most importantly, I have learned to forgive myself and to accept myself for who I am.  I have accepted that I had done nothing wrong to deserve any of the abuse that I was subjected to over the years.  I have even learned to like myself as a person and to identify different traits I possess as being assets.

I don’t consider myself a victim.  I consider myself a survivor.  Though the traumas I have been through have greatly contributed to the person I am and they deserve acknowledgement for that fact, I refuse to let them control my life or dictate the person I am going to be.  I am not looking for pity.  I just want acceptance and understanding.

Though I have fought extremely hard to work through many of the traumas I have endured in my life and consider myself very self-aware, I still struggle with mental illness every single day.  Why?  Because it is a medical condition.  Much like a person’s diabetes may be made worse by a large intake of sugary foods, removing those foods will not magically make their diabetes disappear any more than working through my traumas will make my mental illness disappear.

Part of my diagnosis is a genetic mutation.  This mutation greatly hinders my body’s ability to make a substance my brain needs to moderate my moods.  In essence, my brain has been starving for what it needs my entire life, getting at best 20% of a specific chemical it needs.  Though the traumas I have experienced contributed greatly to the severity of my condition and have negatively impacted my life, my mental illness would have existed even if none of them ever occurred.

Another portion of my mental illness is genetic in general.  Both my parents struggled with various mental illnesses over the years.  My mother suffered from bipolar disorder and my father struggled with depression throughout his life.  Though a parent having a mental illness does not guarantee the diagnosis in their children, studies have shown that the five major mental illnesses can be traced the the same inherited genetic variations.  So much like parents can pass along their eye or hair color, they can also pass along the predisposition for mental illness.

I struggle every single day with my mental illness.  Regardless of whether the rational part of my brain tells me that today should be a good day, another large part of my brain is constantly sending out negative emotions and responses, which in turn sometimes presents itself in physical ways.  I am in a constant battle with my own brain and body.  Though difficult times might contribute to the severity of my downward spiral on a given day, the absence of bad days does not negate my mental illness.  It is always there.

Yet that technical explanation is rarely enough to placate anyone looking for answers.  Many people seem to believe that mental illnesses like depression occur when something bad happens and can be just as easily solved by resolving the underlying issue.  They look for key life events to target, assuming the person struggling will magically be cured if they can just get past that traumatic event.

I can tell you that it rarely is that easy.  Yes, there are some cases of mental illness that are predominately situation-based where the person’s mental health greatly improves when the trauma is resolved, like increased depression caused by bullying, for example.  Likewise, there are milder cases of diabetes where the person’s sugar levels can be moderated predominately by life changes such as diet and exercise alone.  But that does not make that person any less of a diabetic.  For the majority of diabetics, though, addressing their lifestyle is not enough.  They need ongoing treatment and monitoring in order to stay healthy because their illness causes one of the organs in their body to not work properly.  The same can be said for mental illness.  The only difference is that it is our brain that is malfunctioning.

Providing a detailed list of our traumas does not give a run down of how to magically cure our mental illnesses.  Time and again, we throw out our trauma lists out of frustration because some people cannot seem to wrap their head around the fact that we have a medical condition that affects the way our brains work.  It is approached as “mind over matter”, that if we just try hard enough to work through things and learn to let go, we’ll be happy again.  Unfortunately, it does not work that way.

There is no shame in having a mental illness.  It is a medical condition that statistics show now affects one in five people in the world to varying degrees.  We need to stop the stigma surrounding mental illness and stop judging everyone who is struggling to live with one.  Nobody would ask a diabetic why they had their condition because it is accepted that sometimes bodies don’t work as they should and people have to seek medical treatment in order to live a healthier life.  People accept that giving up candy bars or soda won’t magically cure a diabetic.  Likewise, working through the traumas in my past will not magically make my mental illness disappear.  No one should have to justify why they have a mental illness nor should they be met with accusations that they are just not trying hard enough to get past their medical condition.  We don’t owe anyone an explanation nor do we deserve being blamed for our illness.

Republished on The Mighty on 5/3/18.

Republished on Yahoo Lifestyle on 5/3/18.

Republished on Yahoo News – India on 5/3/18.

Republished on Yahoo News – Singapore on 5/3/18.

Trying to Help Others Understand Anxiety

Whenever I start to explain that part of my mental illness diagnosis includes severe anxiety, I always receive confused looks.  They are usually followed by judgmental comments about how “everyone has problems and stress in their lives”, telling me that I need to “learn to cope and work through it all”.  I get told that I “shouldn’t let every little thing get to me” and that I’d be so much happier if I “stopped stressing over everything and just mellowed out”.

I have others that have gone so far as to make accusations about whether my anxiety is even real or just in my head.  They’ll question how I could claim I’m “too anxious” to go somewhere to fill out paperwork yet am “perfectly comfortable attending things like farmer’s markets or street fairs”.  I’ve tried to explain that it isn’t the same thing.  I don’t have social anxiety.  People and crowds are not my issue.  My anxiety is situational and builds upon itself, making it harder to function in some situations than others.

I’ve tried to explain my anxiety again and again until I was blue in the face, yet I’ve been met with blank stares or judgments more often than not.  I finally sat down and made an overly simplified chart, similar to the pain level chart used in doctor’s offices,  in hope that it might be more  relatable and help others understand.

The average happy and well-balanced person starts an average day with 0 anxiety.  The sun is shining, the birds are singing, their rent and car payments have been paid, their family is healthy and happy.  Life is good.

Little daily stresses might raise things to a 1 or a 2, but it’s nothing they can’t handle.  Every now and then, there’s a 3, 4 or 5.  Life happens.  It isn’t always easy but it’s nothing that can’t be smoothed out and they know it won’t be long until they’re back down to a 1 or two again, or even enjoying one of those blessed days with 0 anxiety.

People struggling with an anxiety diagnosis never see a 1 or a 2, let alone a day with 0 anxiety.  Their good days start around a 3, their average days around a 4 or 5.  It isn’t even that any major crisis may be going on in their lives causing their heightened anxiety.  It is that their body and their mind are reacting and responding as if it was.  And, being already frazzled, every little added thing that goes wrong just adds to their anxiety until inside their heads they are in a complete panic, running around with arms flailing, screaming that the sky is falling, Chicken Little-style.  Or even worse, they just wrap themselves in a blanket and shut down completely.

Now to get back to explaining the situational anxiety I mentioned earlier.  High stress situations already start off at a higher anxiety level than normal for us because our minds are already considering every single thing that could go wrong.  Every time there is a bump in the road and things don’t work out like they should, it adds more anxiety to the pile for next time.  All it takes is a couple times where things go wrong before our bodies and minds start to panic when it comes to anything associated with that person, place or thing.

Managing our anxiety is not as simple as taking a deep breath, learning to think positive or not sweating the small stuff.  We are not intentionally causing our anxiety.  Our anxiety fires off somewhere in our subconscious.  We have no control over it.  Our mind starts sending out warnings and our body responds.  We find ourselves on edge, our chests tightened, our thoughts muddled, our mouths dry, our palms sweaty.  There are times we’re not even sure what we are anxious about, only that the anxiety is there.

Once our anxiety has reached a certain level, we begin to have anxiety attacks.  Our body goes into auto-pilot in a full blown panic.  Anxiety attacks present themselves differently for different people, but in every case it is our body’s way of saying that it cannot take any more.  Beyond the anxiety attack is the shut down, that numbness where you’re mentally, emotionally and physically too exhausted to think or function.  I have not included a level 10 anxiety level because, though I have experienced many anxiety attacks and shut downs, I have never personally experienced anything beyond that.  I do imagine there is something worse, though I am not sure what could possibly be worse than everything I have already been enduring.

That is not to say that conscious breathing exercises, meditation or other such exercises do not help.  They can help pull us back into a state of self-awareness that can stave off a full blown anxiety attack.  But they are not a panacea.  They will not magically cure an anxiety disorder, just facilitate in pulling some people some times back into the here and now.

That is because an anxiety disorder is a mental illness.  It is not something we are doing to ourselves because we are easily panicked or excitable.  It is not something we’ve made up in our heads.  Much like a diabetic can help regulate their highs and lows by eating at regular times and monitoring their sugar intake, someone with an anxiety disorder can use tools such as conscious breathing to help moderate their anxiety.  But getting exercise or not eating that candy bar won’t cure diabetes any more than meditation will cure anxiety.  It is our medical diagnosis.

I know the chart I made is extremely simplified – anyone suffering with anxiety can testify that it is so much worse, but I wanted to give examples that the average person could relate to, as well as providing a build up they might be able to imagine in their own lives.

I know that it can be hard for those who have never experienced a mental illness such as anxiety to truly understand what we are going through.  Please try to keep in mind, though, that it is not something we are intentionally doing to make our lives, or yours, harder.  Our brains are always reacting and responding to the world around us at a heightened state.  We have no control over it and are trying our best to manage our anxiety to the best of our ability.  But it is a medical diagnosis that needs treatment.  It is not something we can magically cure on our own.

Republished on The Mighty on 3/27/18.

Republished on MamaMia on 4/7/18.

Republished via MamaMia on Hit.com on 4/6/18.

Republished via Hit.com on W3 Live News on 4/7/18.

Republished via MamaMia on MSN on 4/7/18.

Republished on TurningPointCT.org on 3/28/18.

Republished on TrueViralNews.com on 3/28/18.

Republished on Instant News on 3/28/18.

Republished on The Truth Inside of You on 4/4/18.

Republished on For Her Myanmar on 5/7/18.

Republished on Open Talk.

Republished on Don Elium Psychotherapy.

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The Frustration of Explaining Mental Illness to Those Who Have Never Experienced it Themselves

I would not wish mental illness on anyone else.  Having a mental illness is like waging a continuous war within yourself where half the time you are not even sure what is being fought over, only that the battle rages on.  There is never a true moment of peace.  You may have good days, yes, but even on those blessed days there is never peace because you can feel its presence, always looming, weighing down on your soul, preparing to strike again.  There might be small periods of respite here and there, the calm before the storm, but anyone fighting their own battle with mental illness knows it is only a matter of time before another downward spiral or another period of numbness, appears.  One of the worst things about having a mental illness is that we don’t even fully understand what is going on within our own minds and bodies, let alone have the words to adequately explain it to others.  Even more frustrating is when someone else puts us on the defensive because they do not fully understand what we are going through but assume they do because they have been exposed to it from a sideline view.

Someone who has never been in a car crash cannot reasonably say “I know what it is like because one of my family members has been in one” or “because I’ve taken care of someone who has had one”.

Someone who has never had cancer cannot reasonably say “I know what it is like because one of my family members has had cancer” or “because I’ve helped to take care of people who have had cancer”.

Likewise, someone who has never had a mental illness cannot truly understand what it is like to live with one, regardless of whether they worked with people who had one or had a family member diagnosed with one.

You can sympathize with someone else who is struggling but you cannot truly understand what it is like to live with mental illness merely by being exposed to it second-hand in others.  Witnessing others being traumatized is not the same as experiencing the trauma yourself.  It is not something you can experience vicariously and fully understand the suffering.  As much as we might try to explain what it is like in order to help others somewhat understand, there are no words we possess that would adequately explain all that we are going through.  And anything we say is usually just the tip of the iceberg, minimized for the benefit of others because we don’t want to overwhelm or scare anyone else with the horrors of our reality.   Mental illness is something that you truly have to experience firsthand to fully understand.

Nothing is more frustrating than having someone verbally attack the core of our illness as “making no sense”, expecting us to fully explain something that we ourselves have trouble understanding.  Or to be called out, as if we are somehow inherently wrong for even being mentally ill at all.

I have been diagnosed with generalized anxiety disorder, major depression and P.T.S.D.

Due to severe anxiety attacks during periods of high stress, one of the agencies I work with recently arranged a home visit as an alternative to my having an office visit.  I had someone interject that their mother is bipolar and has done the same thing, claiming that it is ridiculous that her mother can attend highly populated events such as street fairs but cannot go to a downtown office to complete some paperwork.  She then demanded to know whether I was equally unreasonable, attending random public events while claiming I was incapable of going out to an appointment.

I tried to explain that it isn’t how generalized anxiety works.  I am not anxious being around people.  I do not have social anxiety.  With generalized anxiety, I live in a constant state of heightened anxiety that is worsened by stressful situations.  On a scale of 1-10, most people start off an average day around a one or a two.  If there is nothing to worry about, there’s no reason for an average person to be anxious.  If someone’s rent is coming due and money is tight, their anxiety level might be raised to a two or three.  If, on top of that, they’re worried about being laid off, their anxiety might be raised to a three or four.  Not getting enough time with your kids, needing unplanned repairs on a home or vehicle that you cannot afford, unexpected illnesses and deaths all increase anxiety.  With each newly added stress, anxiety continues to compound and raise.

Now imagine starting every day at a 4 or a 5.  Even worse, most of the time you’re not even sure why exactly you’re anxious.  You just know that feeling is there.  You’re notably on edge, you’re distracted, you’re hyper-vigilant.  Your body is physically reacting to the stress.  You are visibly flustered, your chest is tightened, you find yourself shaking or bouncing your limbs or no reason, you have trouble focusing your thoughts and forming coherent words.  Each new added stress only raises everything higher.  It doesn’t take much until you find yourself at a 7 or 8, in a full blown anxiety attack.

Consider going to an office to do paperwork, starting at the 4 or 5 those with anxiety might begin each day with.  If a previous visit there did not go well, your mind relates the two and it adheres the past to the present situation.  If there were subsequent visits that did not go well, each of them is an added stress, as well.  Your mind is hyper-vigilant, constantly reviewing situations and drawing connections, trying to protect you from duplicating a previous bad experience.  After a few bad experiences somewhere or with someone, that compounded anxiety becomes too much to bear.   Your mind begins firing off danger warnings and your body reacts accordingly.  Your fight or flight response kicks in.  You want to run away, to scream, to avoid it at all costs.  You freeze like a deer caught in the headlights or you become agitated and aggressive because you feel an overwhelming need to protect and defend yourself.  It all occurs subconsciously in the brain.  Your anxiety rises on its own without any conscious decision on your part.  You are not intentionally overreacting or being melodramatic.  Your mind and body are just reacting to the situation at hand based on the data it has compiled.  It is the truth of living with anxiety.

Attending a populated event is another situation entirely.  In all honesty, each situation is different depending on our previous experiences with the location, the people involved and many other contributing factors.  We cannot even reasonably predict ahead of time whether a situation will feel safe or not because literally anything could trigger a raise in anxiety.  It never takes long before that heightened anxiety reaches dangerous levels and an anxiety attack ensues.  We have very limited control over situations.  Our mind and body are steering the car and we are just along for the ride.

My explanation fell on deaf ears.

Perhaps even worse than trying to help others understand anxiety is trying to explain depression.  Too many people who have either never experienced depression or who have only experienced a temporary or situational, mild bout, have a habit of aggressively attacking those suffering from more severe, debilitating depression for not being able to “bounce back” quickly enough to meet their standards.

We are accused of being lazy and having pity parties.  We are told that they “know what it’s like but..” you have to stop feeling sorry for yourself, you have to be more positive and at least try, you have to pull your shit together and do what has to be done.  We are accused of not trying hard enough, of not even trying at all.  We are asked why we are not even working part time and told of a myriad of other people who were able to magically pull themselves together, shamed into feeling like we are horrible people for being unable to function as well as they or someone else they know did.

I have tried explaining the realities of severe depression, only to have it fall on deaf ears, as well.

Those of us suffering from depression are not having pity parties.  Depression is far more than just being sad or feeling negative about our circumstances in life.  There are days when the world feels bleak and hopeless, where you are convinced you are completely alone and become trapped in an empty numbness that renders you virtually immobile.  It isn’t that you are not aware of everything that needs to be done or that you don’t want to do it – you are trapped within yourself, unable to pull yourself up to do even the simplest of tasks.  You might lay there for hours, beating yourself up as your inner dialogue drums into your consciousness everything you could be doing, should be doing, and how broken, worthless and useless you are for being incapable of doing anything at all.  There are days you spiral down into negativity, tearing yourself apart viciously for being garbage because some part of your brain believes that is what you deserve.  You tear yourself apart for being broken, damaged, and flawed worse than anyone else could ever do.  There are days when the tears keep flowing even though you cannot pinpoint exactly why, beyond “life itself” and days you’ll sit in a fog, doing nothing or randomly puttering, losing hours at a time.

Whether we’re trapped in numbness or spiraling down, our minds are constantly whirling, reminding us of all we should be doing and how much of a failure we are for not accomplishing everything we believe we should.  We desperately want to do more, to do better, to do anything at all.  We hate ourselves for not being able to do everything we believe we should be able to do.  We feel like a failure that has let everyone down.  But our minds have betrayed us.  We are in a constant battle within our own heads.  We have so many emotions, so much hurt, pain, anger, self-loathing, sadness and confusion swirling within our heads that it is hard to sort it all out and think straight.  Though we can pinpoint the cause of some of it, the majority is so broad and vague that we don’t even understand where it is coming from let alone know how to begin explaining or addressing it all.

Any job, even part-time, is difficult when we cannot plan from one hour to the next, let alone one day to the next, whether we will be spiraling down into that abyss or frozen in numbness.  Yes, e may have good, functional days, but they do not appear on any set schedule.  We have no idea how or when our depression will strike next or how long it will last. We are not being lazy or just not trying hard enough.  We just cannot reasonably commit ourselves to a schedule when we don’t know how well we’ll be able to function an hour from now, let alone a week from Tuesday from 8am to 4pm.

Perhaps the most asinine assertion I have ever heard from people who did not understand and had never experienced what I was struggling with was the claim I hve heard numerous times that “only soldiers suffer from P.T.S.D.”, as if I was somehow disparaging the armed forces with my diagnosis.  Post traumatic stress disorder is more broad-reaching than the military.  It is fairly common with those who have suffered from years of abuse, especially during their childhood as I have, or have experienced traumatic or violent events in their lives such as rape, as I have.  Flashbacks, nightmares and night terrors are not exclusive to those in a uniform.  Do not minimize my trauma because I fought a different kind of war on a different type of battlefield.

I truly appreciate when people acknowledge my diagnosis and attempt to empathize with all that I am struggling with because it really is a daily battle.  It is heart-wrenching and honestly makes me want to cry whenever someone has been through something so similar that they can truly relate to what I am going through because I wouldn’t wish this on anyone.  My heart goes out to everyone fighting a battle within themselves that they cannot seem to fully explain and constantly feel judged for having because I have been there and understand how exhausting it is to have to defend yourself for your diagnosis.  But please don’t ever use the second-hand experiences you’ve witnessed others having to minimize what I am going through.  Knowing someone who has mental illness or even working around people that have been diagnosed with a mental illness is not the same thing as living with one yourself.  Even individual diagnosis can differ greatly, as well, so you cannot measure two personal experiences by the same bar.  You cannot truly understand what a person is going through before walking a mile in their shoes so please stop judging me for my diagnosis when you have no idea of the battles I am fighting inside.  I truly appreciate compassion and empathy but please leave your judgment at the door.

Living on the Corner of Functionality and Falling Apart

For years, I was a barely functioning depressive.  I struggled to at least appear like I had myself together, living panic attack to panic attack behind the scenes.  When my facade of togetherness would begin to crack and show wear, I would pull away and isolate as I slapped on layers of concrete to hide all my breaking points.  I lived in a land of make believe, pretending I was okay while I fought against my own mind to keep functioning.

Over time, however, as is usually the case with anyone residing on that precarious perch of functional depression, the cracks continued to grow and expand.  What I once was able to find ways to get through with a manageable amount of struggle began to feel more like insurmountable obstacles.  Bit by bit, it became harder and harder to continue to function.

It is not that I wasn’t trying as hard anymore.  If anything, I was trying harder and harder to hold things together.  The weight of each added stress, each added emotional pain just kept building up over time.  You often hear people describe the proverbial straw that broke the camel’s back.  I never had a camel.  I carried my mental illness on my own shoulders and eventually found myself broken under the weight of my own problems.

One of the hardest things I ever had to do was admit that I needed help, that I could no longer manage to do many things on my own.  Even harder still was trying to explain to others why I was no longer capable of working through things like I had somehow managed to do for years.  Many people seem to believe that once you have done something, you’ve set a precedent and you should then always be able to complete that task again.

It is easy for people to accept that, over time, a person’s body cannot physically do as much as it once did.  On average, a physically fit person in their forties cannot lift as much as they could in peak fit condition in their twenties.  They cannot run as fast or as long and they tire much faster.  It just makes sense.  Bodies get older and wear down over time.  Aging takes a toll.

The same is widely accepted with other physical attributes.  A person’s metabolism slows over time so it becomes harder to maintain a healthy weight when eating the same diet.  Eyesight and hearing are both dulled over age and often need extra aids in order to perform as well as they did in our youth.  Added stresses on our bodies build up over time, compounded with age-related issues such as arthritis.  These are all accepted facts.  Bodies physically wear down over the years.

Yet very few people seem to grasp that mental and emotional health might decline over time, as well.  Many people assume that a mental illness is a temporary thing that will fade away over time as people just “learn to cope better” and “try a little harder to get over it and be happy”.  If I had a nickel for every time someone looked at me, befuddled and bewildered by the fact that I can no longer function even as well as I did five or ten years ago and that my mental health has instead deteriorated in many aspects, I’d be able to take a very nice extended vacation somewhere sunny and warm.

I have days where my depression leaves me in a thick mental fog, struggling to remember basic facts and information that I know is in my head somewhere.  I have days where my anxiety has reached such heights that I cannot reasonably verbalize simple or complex thoughts or information, stumbling over my words like a child learning to speak a foreign language.  I have days where my PTSD has flared up, all my senses become heightened and everything around me feels unsafe and dangerous.  There are days I cannot stop crying and days I feel like more of a mess than anyone deserves to be saddled with.  There are days when life itself weighs down so heavily on me that I pull away from the world and isolate, all the while assuring everyone that I’m fine, that they don’t have to worry, because I just don’t have the words, or the energy to adequately explain everything I am feeling.  My mind and my emotions are often all over the place.

The worst part of those feelings and many others I experience due to my mental illness, though, is that I cannot plan for any of them.  I could wake up one day numb, feeling nothing at all, or wake up completely frazzled as one or more conflicting emotions battle themselves out inside my head.  There’s no knowing, either, whether any state of mind will last an hour or a day or a week, whether it will exist on its own or build upon other emotions already wreaking havoc.  Every single one of those feelings has increased both in potency and frequency as I have gotten older. Every day feels like a game of Russian Roulette in my brain where the game is fixed and, no matter what the outcome is, I know I am going to lose.

Over the past year or so, I have begrudgingly accepted that I’m struggling more than I used to and that I need extra help, that I sometimes need others to intervene on my behalf and to work with me to get the care I need.  I’ve begun building a safety network, a support system of people who can advocate with me, for me and speak on my behalf if I find myself struggling too badly to adequately do it on my own.

I had a home visit recently to go over some paperwork.  Instead of being proud of myself for holding myself somewhat together that day, though, I found myself stressing that I might have seemed too together.  You see – that day was a good day for the most part.  I was able to think of important and relevant questions to ask, I was able to constructively contribute to the meeting and didn’t collapse into tears over all the stress hanging over my head.  I really should have been proud of myself.  Yet, after they left, all I could do was worry that I might have appeared more together than I actually am on a regular basis, leaving them to determine I no longer need the assistance I have had to fight so hard to receive.

I panic and I worry about having even a somewhat functional and manageable day because society automatically puts people with mental illness on the defensive.  It isn’t enough to say that you simply cannot manage to function on a reliable schedule anymore or function on some days in particular at all.  You’re always put on the spot.  Why can’t you do it?  Why some days but not others? Are you even trying?  What do you even have to be depressed about? That’s especially true if you used to be able to function better in the past or if your level of functionality varies day by day.  Physically, the body can deteriorate and nobody questions it but mentally, it apparently is a different story.  And heaven forbid you have a good day where you’re able to contribute more than expected.  If you’re semi-functional today, people will demand to know why you might not be able to function as well, or even at all, tomorrow.  Your diagnosis is often irrelevant, not even taken into consideration.  If you’re able to do something today, you must always be able to do it.

I live on the corner of being able to somewhat function and falling completely apart.  Sometimes I go slightly down one direction before boomeranging back to my corner again.  I have good days and bad days.  I have days that I might genuinely smile and laugh when, even though my depression is present, I still feel like I am running the show.  I have moderate days where I’m still able to pretend I’m okay and do enough for myself that others don’t readily worry.  And I have days where I desperately need help if I have any hope of getting anything constructive done, otherwise I would just sit there in an agonizing numbness, staring blankly into the abyss.  But to be fair, I’ve seen people who struggle with painful afflictions such as arthritis that have good days where they are able to get out, go for a walk and run errands, powering through the pain, and other days where it is difficult to even pull themselves out of bed.  The difference is that mental illness presents itself in the mind instead of the body and is not as easily seen.

Over time as I get older, my completely functional days are becoming less frequent.  I find myself struggling more and more as my mental illness compounds upon itself.  I honestly need to give myself a break on my functional days and learn to count them as blessings instead of worrying what others might think or how they might judge me.  Being able to function again, albeit for a short unexpected period here and there, should always be celebrated as a good thing.  After all, I’m right on that corner and could go either way.

Republished on The Mighty on 2/7/18.

Republished on Yahoo on 2/7/18.