7 Things Considered ‘Lazy’ That Are Really Self-Care

*** Originally Written for The Mighty on 8/5/20 ***

In society today, it’s all about the hustle, the go go go, rush rush rush lifestyle, where people are often measured by their productivity. Even during the height of the pandemic here in New York, memes were circulating suggesting that everyone should be using their extra time to learn new languages, fix up their houses, and otherwise do “great things.”

With that frame of mind being so prominent these days, it’s easy to feel like you’re a failure if you don’t accomplish as much as everyone else.  People are quick to assume that if you’re not continuously productive, you must be lazy. But the truth is that you don’t have to compete with anyone else or accomplish as much as anyone else. The only one you have to compete with is yourself, to be the best you can be and do the best you can do. But you must also take time to practice self-care, because pushing yourself too hard can lead to burnout and even more downtime.

We often beat ourselves up, feeling like we don’t measure up, that we aren’t trying hard enough or that we are somehow letting people down if we aren’t able to be as productive as others in our lives. It can be especially hard for people who have a health condition that limits what we can do on any given day. But the truth is there are many things people often assume are signs that someone is “lazy” or unmotivated that truly are not.  Some are the products of pre-existing conditions and others are simply examples of self-care.

1. Not Having an Immaculate House Does Not Mean You Are Lazy

Many people live by the creed that appearances are everything, that a tidy house is needed for a tidy mind, and that clutter leads to chaos. It is easy to succumb to those feelings that if anything in your life is a mess, you as a person must also be a mess, and that not having everything in your life clean and pristine is a sign you are lazy.

However, there are many reasons your living space might not be clean that have nothing to do with being lazy.  You could be otherwise working outside of the house, or home taking care of your children or elderly parents, and be running on empty by the time you are done. You could be dealing with a debilitating chronic illness or mental health condition that makes it difficult to clean as often as you’d like. Or you could simply need to diffuse and unwind, to take a self-care day because you are overwhelmed with life at the moment. They are all valid reasons for your house not to be spotless. And honestly, you don’t need to have everything spotless all the time, nor do you have to impress anyone else.  It is OK for homes to look lived in — because they are lived in.

2. Not Having a Side Hustle Does Not Mean You Are Lazy

Many people tout that everyone should always have a side hustle, a second job or plan to fall back on so that you never fall behind in life. These people build second careers off selling cosmetics or candles or other items on the side, run part-time businesses after work and on their days off, attempting to fill every hour they can with some sort of productivity that makes money.  It is easy to feel that if you don’t have that same hustle, you must be lazy.

But the truth is that, while side hustles are wonderful if someone is so inclined, nobody has to be productive every moment of every day. In many cases, such as those with serious health or mental health conditions, you physically may not be able to keep going as much as others can. It may take everything you have just to accomplish what you can and anything beyond that feels out of the question. And that is perfectly OK. You are allowed to enjoy your downtime, to take time to yourself to relax. You are allowed to respect your own limitations and practice self-care when needed.  It does not mean you are lazy.

3. Not Delving Into Time-Consuming Hobbies or Activities Does Not Mean You Are Lazy

Hobbies and interests are a popular topic of conversation. People often talk about how they are taking art classes, cooking classes or dance lessons. Learning a new instrument or a new language.  Taking yoga or martial arts. Playing in a softball league or a bowling league or dart league.  When others talk about how many activities they are involved in, it’s easy to feel exhausted just thinking about it, or to feel like we are somehow less than or lazy because our schedules are not as full.

The reality is that we don’t have to compete with anyone else’s schedule, nor do we have to needlessly fill our own. If something piques your interest and you would like to explore it, especially if it is something you feel you can add to your self-care toolbox, that is wonderful.  But you do not have to accomplish as many activities as anyone else in order to not be considered lazy.  Your time is yours and yours alone to fill as you see fit, including giving yourself whatever downtime you need for your own self-care.

4. Not Cooking Fancy Meals for Yourself Does Not Mean You Are Lazy

It seems today that the internet is filled with Instagram chefs.  Social media timelines are filled with picturesque dishes of fancy meals that look like they could be served up in restaurants or lining the pages of culinary magazines. When we are bombarded with a constant influx of beautiful culinary images, it’s common to feel ashamed that our own meals do not measure up, that we must be lazy and not trying hard enough.

Often, though, especially when it comes to those of us with severe or chronic conditions, it is hard to even muster up the energy to cook, let alone the inspiration. We should not shame ourselves for not preparing an award-winning meal every night.  Again, we do not have to impress anyone else nor are we competing with anyone else.  Food doesn’t have to be fancy or picture-worthy to nourish the body and feed the soul. It is perfectly fine if you don’t even feel up to cooking at all because you don’t physically or mentally feel up to preparing anything big. It doesn’t mean you are being lazy. Make a sandwich or have a bowl of cereal. The most important thing is that you take care of yourself and eat when your body needs food, not that you rack up social media likes for your cuisine.

5. Not Going Out and Being A Social Butterfly Does Not Mean You Are Lazy

There are a lot of people who fill their social calendar with as much time as they can with friends and family, going to bars, clubs, barbecues and hikes. It seems they are always out and about with other people, doing things, living life to their fullest.  They sometimes assume that just because you are not out alongside them, living the high life, you must be lazy and unmotivated.

Unfortunately, though, often physical or mental conditions limit how much you can do.  You may experience pain or breathing impairment or other physical issues, or you might find yourself feeling mentally overwhelmed and unable to participate in as many things as others.  It is perfectly fine to acknowledge your own limitations and to excuse yourself from activities you do not feel capable of doing. It does not mean you are being lazy. It means you are respecting your body and yourself enough to not push yourself beyond your limits.

6. Not Having a Large Social Media Presence Does Not Mean You Are Lazy

Many people today seem to be all over the internet, on Facebook, Twitter, Instagram, YouTube, Pinterest, TikTok and more.  They post, they tweet, they upload pictures and videos all over the net virtually every single day.  Watching all of their activity, it is easy to feel like we are somehow being lazy, not trying hard enough, not measuring up, if we are not equally active.

Truth be told, much of what people portray online isn’t even real.  It is a persona people portray, an illusion of the perfection we all wish our lives could be.  And there is very little in most people’s day to day lives that really needs to be shared and overshared on the internet.  We do not have to beat ourselves up keeping up with the Joneses, or at least the image they are portraying online.  It is not being lazy to not be oversharing every aspect of your life, especially if you don’t feel you have anything noteworthy to share.  It is more important that we take care of ourselves, our bodies and our own reality rather than stress ourselves out trying to create a persona online. We don’t need to impress anybody.

7. Not Having a Job Does Not Mean You Are Lazy

Often one of the first questions people ask when they meet someone is “What do you do for a living?” as if our entire worth is defined solely by what job we do in society.  Whenever someone mentions they are unemployed, they are immediately looked down upon, as if we are somehow lazy because we do not have a job.  Even if we explain that we are not working because we are disabled and currently unable to work, we are met with judgment and doubt, reminded that many other disabled people work as if our lack of employment is simply the choice of the lazy.

The widespread shame placed on disabled people who cannot work is horrendous.  Not all disabilities create the same restrictions on lifestyles and even the limitations on one specific disability can vary from day to day.  It is hard enough to feel internally that you are not able to accomplish as much as you wish you could without being shamed by others.

But please know you are not being lazy.  If your doctor has deemed you unable to work due to your disability, you must remember that they are not only educated and trained to make that diagnosis, but they are also familiar with your specific circumstances and your condition. You do not have to justify the fact that you are not working to anyone else because they are not the professionals handling your case.  You are not being lazy by not working. You are following the recommendations of your doctors and taking care of yourself.

When you have a physical or mental disability, it is often easy to feel like you don’t measure up, especially when you don’t feel you are doing as much as everyone else in your life. It is easy to beat ourselves up or feel like we just aren’t trying hard enough, especially when outside voices are suggesting or implying that we are lazy for not doing as much. But once again, you do not have to compete with anyone else or keep up with the Joneses.  The only person you have to compete with, answer to and please is yourself.  And you must take time to take care of yourself, as well.

Everything in life does not have to be perfection and every moment of your day does not have to be filled in order to be worthy or good enough.  All that truly matters is that you are doing your best and continuing on. It is OK to have limitations. It does not mean you are lazy. It means you are human.

Originally Written For The Mighty on 8/5/20.

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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.

If Only They Understood…

I recently touched base with someone from my distant past. To say it did not go well would be a colossal understatement. While I will not go into specifics about the conversation as a whole, one comment they made has been eating at me. So much so that I found myself at a loss for how to respond.

They told me they had been made aware of my writing but had not read it because they don’t believe in finger pointing.

When I began writing, it was for survival. I had so much baggage I carried with me that it was eating me alive. I was haunted by my past and desperately needed to talk about it before it killed me.

It had nothing to do with pointing fingers or hoping anyone received their comeuppance. The past was the past and nothing I could say or do would ever change it. But I could no longer pretend it didn’t happen, either. I needed to stop running and face my demons.

Even after I shared all I had been through, I continued to write. My second book was entirely about examining my perceptions of people and events, to reevaluate them not through the eyes of an injured child but rather as a rational adult. Again, it had nothing to do with finger pointing. I needed to reevaluate unhealthy and dysfunctional thought processes and patterns in my life if I was to ever have any hope of change.

I can understand their wariness. They knew my mother and witnessed her persecution complex firsthand. My mother, while suffering from often untreated, always undertreated, mental illness, often displayed what those close to her frequently referred to as the “Poor Patty” complex, believing the world was against her.

But I am not my mother.

I am not looking for anyone’s pity. I often tell people not to feel sorry for me. Feel bad for those people who lost their battles. I’m still here. Don’t pity me. Cheer me on. I’m a survivor.

I’m a realist in many ways. I’m not going to minimize what living with mental illness is like, especially not for the comfort of others. It is not pretty by any means. It is dark, ugly, disturbing and scary. Pretending it is less than it is only perpetuates the stigma and reinforces the belief that it should not be taken seriously. The only way we can ever hope to get others to truly understand how debilitating mental illness can be is by talking openly, honestly and frequently about it with no filter, no holds barred.

Part of being a realist, too, is accepting my diagnosis. A large part of my condition is caused by a genetic mutation. I was born with it. I can no more wish away my mental illness than a diabetic could wish away their illness. There are medications I will have to rely on for the rest of my life. I am also fully aware of my limitations currently. Whether those limitations might change in the future with treatment is yet to be seen but lying about or exaggerating my capabilities is only detrimental to myself and my well-being. I will not do it anymore.

That being said, I am also an optimist. I refuse to believe there is no hope. I refuse to accept the stigma surrounding mental illness. While I accept my diagnosis, I refuse to let it define me. I am constantly looking for new tools for my wellness toolbox and am devoted to deciphering and changing dysfunctional thought patterns and behaviors. I may have a mental illness but I still strive to be the healthiest that I can be.

I consider my writing to be both truthful about mental illness yet still uplifting and motivational. I encourage others to not give up, to stay strong and to fight for change. I want others suffering to know that they are not alone and that there is hope. After all, they are survivors, too. They are stronger than they realize. They don’t need pity, either. They need empathy and compassion.

I wish this person could see how wrong they are about my writing and my motivations. I wish they would take the time to read through my work and see that it was never about finger pointing. It was about healing, survival and personal growth, transitioning into advocating for others to stay positive and keep fighting, as well.

But unfortunately though you can lead a horse to water, you cannot make them read.

I hope in time we can talk more and move beyond their misconceptions of my writing and the intentions behind my words. I hate the distance I have allowed to grow between us and hope, in time, things may change. I hope, as well, that they will eventually come to see my writing not as something negative but rather as a sign of strength and a tool for survival.

Because as much as I truly miss having them in my life, I remain thoroughly unapologetic about my writing. Finding my voice has saved my life in more ways than one. Helping others has given me a purpose greater than I ever imagined for myself. Whether they can see it or not, my writing is one of the best things to happen in my life.

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!

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.

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

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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.

Official Anxiety Charts Available for Sale at RedBubble.com.

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.

Depression is NOT Caused by Circumstances or Lack of Effort.

Time and again, I have seen people who did not understand mental illness or who have based their opinions on stigma, accuse others of causing their own mental illnesses.  They assume that depression is simply someone being sad for having a bad day or that if they just tried a little harder, worked a little harder, to improve their lives, their mental illness would simply fade away.

Depression is a mental illness.  It is not someone just being too negative, refusing to look on the bright side of life.  It is not someone being lazy, not trying hard enough to improve their circumstances.  The onset of depression might be triggered for some by a traumatic event but the condition itself is a physical imbalance in the brain.  Correcting the situation will not instantly cease the symptoms of depression.  Depression is a medical condition that needs professional treatment.

Depression is also more than just simple sadness.  There are periods of numbness, where it feels almost impossible to function.  There are also periods of extreme negativity and self-loathing, when everything feels hopeless and you feel alone in all the world, you believe deservedly so.  Depression can be increased by difficulties in life but they are a catalyst, not the causation.  Removing those difficulties might help improve the situation but it is not a panacea.  The depression will not just go away on it’s own.  Again, it is a medical condition that needs professional treatment.

I have struggled my entire life with mental illness.  Yes, it has been drastically worse during the lower parts of my life, but even the better times were tainted by depression.  Regardless of whether my life had collapsed or things were finally coming together, the depression was still there.  Regardless of how hard I’ve tried to work on myself and improve my situation, my depression was still there.  Because depression is a medical condition that needs professional treatment.

I have begun taking steps to improve my mental health.  I have taken yoga, tai chi and meditation classes to help find an inner peace and calmness.  I have taken other more specialized classes that focus on mental wellness, like transforming anxiety through art.  Though each has given me new tools for my coping toolbox, none of it is a cure-all.  Working harder on my mental wellness will not make my symptoms disappear because depression is a medical condition that needs professional treatment.

My personal life has greatly improved, as well.  I am no longer in a dysfunctional, abusive relationship.  I am finally with someone who loves, appreciates and accepts me for who I am.  I have managed to rebuild friendships with old friends I had drifted apart from over the years.  I have wonderful children I love dearly and am very proud of who they have become.  I have a budding writing career and a new calling that gives me a purpose I had previously lacked.  I have so many blessings in my life, so many things that make me smile and feel true happiness.  Yet my depression still rages on.

I am in treatment.  I see a therapist regularly and take medication.   I did not ask to be mentally ill nor am I sitting back complacently, refusing to do anything to improve my life or my circumstances.  I am actively fighting to be as healthy as I can be.  But that doesn’t change the fact that I have an illness that affects the way my brain processes my emotions.  Though the rougher times in my life have contributed to the severity of my illness, my depression was never caused by any situation or lack of effort on my part.  I am not to blame for my mental illness.  Despite what stigma and ignorance might lead some to believe, depression is a medical condition.  Medical conditions do not improve by changing situations or with sheer force of will alone.  Treatment is needed.

Republished on The Mighty on 11/9/17.

Republished on Delaware Health Information Network on 12/3/17.

…So Tired Of Being Judged For My Depression

I recently had someone ask me why I was depressed.  Mind you, this was not a doctor or trained mental health worker but rather a coordinated care provider of sorts.  I met with her as one of many hoops required when dealing with the bureaucratic red tape sometimes needed in order to get treatment and not fall through the cracks.

I was honestly surprised at the question but began to explain the technicalities of my depression from a scientific point of view.  Since my genetic mutation was discovered, I’ve done a good deal of research and have a much better understanding of why I suffer from depression from a physiological aspect.  She interrupted me a couple times, stating that wasn’t what she meant.  I began again multiple times trying to explain from a physiological standpoint why I was depressed, trying to explain everything from different angles.

After my third attempt to explain, she cut me off brusquely, telling me she didn’t want to hear any medical explanations.  She wanted to know “specifically what I had to be depressed about”.

I was beside myself with shock.  Here was this woman with no medical or psychological training, assigned to help me with other issues and paperwork, demanding to know why I felt somehow “entitled”, for lack of a better word, to “claim” I was so depressed that I was struggling to function.

I felt judged, like I was being put on trial, that I had to justify myself and my diagnosis to this woman who had no mental health training whatsoever because she was unable to wrap her head around the idea that anyone could be able to fade in and out of functionality, being able to “deal” with life one moment only to collapse the next.

I found myself bursting into tears in her office, spewing out a long list of what I could only imagine were reasons she might find “acceptable” for why I was suffering from depression, beyond the physiological reason that my brain is missing a key substance needed to moderate my moods due to a genetic mutation.  I threw out how, as a child, I had suffered from physical, mental, emotional and sexual abuse, how I was gang-raped at eleven, how my world was turned upside-down at sixteen when my mother shot my father and how I found myself on my own at seventeen.  I listed a myriad of abusive relationships and losses in my life.  Sobbing, I continued, highlighting one reason after another that I felt my depression was “justified”.

Even after my outpouring of pain and trauma, this woman was still unable to wrap her head around why I am struggling to function.  She continued to push and probe for answers.  She saw the large stack of paperwork in front of me that I had collected for my insurance coverage appeal and could not understand how I could put so much time and energy into that but still insist I was incapable of doing other things.  She insisted if I put even a fraction of the work I had put into my appeal into other aspects of my life, I should have no issues at all functioning.  She had seen me smile and laugh with my children at times and commented how I didn’t “seem all that depressed”.

I tried my best to explain.  For every one hour, one day I am able to function and be productive, I have four times as many hours and days where I just collapse, having trouble to even pull myself out of bed to eat or to pee.  I have no control over any of it.  It comes and goes at it pleases, regardless of what might be scheduled for that day.  And there are so many more bad days than good.  On some bad days, I am able to bolt on a smiling mask, pretend to be okay and manage to go through the motions.  Other days, I struggle to do anything at all.  There are days I just can’t stop crying, when my world feels like it is spiraling down beneath me and days I’m completely numb and cannot function at all.  I tried to explain how I do have good days, too, but they’re as unpredictable as the bad and that, especially when it comes to my children, I hold myself together as best as I am able and paint on smiles because I don’t want my illness affecting them any more than it has to do so.

Contrary to what some people might assume, I don’t happily skip around, enjoying a life of leisure.  I have not made up some imaginary illness to use as a scapegoat to escape any responsibilities.  I struggle every single day to simply function.  I am not complacent with my diagnosis, either.  I am in treatment, working very hard to try to heal, hoping that I can one day somehow function better than I am today.  I take my illness very seriously.  I wish others would, too, and be more respectful of my diagnosis instead of passing judgment.

I’m faced by that kind of judgment all the time by people that just do not understand depression.  They assume I just need to try harder to be more positive, that thinking happy thoughts will magically cure me, carrying me off like a dusting of pixie dust to Neverland.  People assume I’m either lazy or faking it, that nobody could possibly be “that sad” that I’m unable to function.

Even worse than those that make me feel like I have to justify my illness are the ones that either look at me with pity like I’m some poor, broken, fragile creature or those who back away from me like I’m dangerous or contagious.  Perhaps, worst of all are those that feel inclined to throw random motivational sayings my way, as if their reminder to stay positive is all I’ll need to chase the blues away forever.  Trust me, if all I needed to cure my depression was to smile more or think positive more often, I wouldn’t be struggling with mental illness.  It’s NOT that easy.

No matter what the judgment is, though, I always prepare myself for one because more times than not, there is one and it rarely is anything positive.  Seldom does anyone truly understand and empathize.  Again and again, I’m put on the spot, forced to justify what I’m feeling, usually while being reminded that someone has it worse or that they, themselves, have managed to get through rough times so I should be able to, too.  I’m told I should “suck it up” and “get over it”.

Though this may be the first time that specific person has inquired about my condition, no one ever takes into account how many others have intruded on my mental health and demanded answers even when they had no right to do so.  While some might mean well and ask out of concern, very few use tact or compassion in their inquiries.  I’m almost always put on the defensive, made to feel like I have to justify how I feel.

Even after I do my best to explain everything, though I don’t quite understand it all myself, I am met with doubt, suspicion and accusations.  I am treated like I’m lying or lazy, exaggerating or broken beyond repair.  I’m looked at as a monster or unbalanced and crazy.

I beat myself up already more than enough for not being able to do as much as I feel I should be able to do.  I already feel every single day that I am failing everyone around me, failing my children and myself because I honestly want to do more, feel I should be able to do more and cannot understand why I cannot seem to be able to do it.  I hate that I crumble and fall apart so easily and am not able to do all the things I feel I should be able to do.  I have judged myself far more harshly than I should ever have done and have been trying to be kinder and gentler with myself.  I don’t need anyone else’s judgments on top of my own.

Everyone says they want to understand and demands answers, yet very few are supportive when I try to give any.  It is exhausting to have to explain everything again and again, mentally preparing myself each time for the responses and judgments to come.  I often isolate because it means less people to put me on the spot, less people I have to defend my diagnosis to in the long run.  I paint on a smile and reassure people that I’m fine, pretending everything is okay even as I’m sobbing inside because it is easier to lie than it is to have to defend myself for having an illness that I have no control over.

In the last year, I have begun talking more and more about my own struggles with mental illness not because it is in any way easier or takes a weight off my chest, but because I am completely exhausted from having to justify and defend myself.  I am tired of the stigma that is attached to my diagnosis.  Nobody would suggest someone with cancer should just try harder to be well or accuse someone with a broken leg of being lazy because they are unable to walk.  I am mentally ill.  Doctors have diagnosed my condition.  I should NEVER have to justify my diagnosis or defend myself over how my symptoms present themselves. I am tired of being made to feel like I should be ashamed of my diagnosis or that I have done something wrong in some way because I am ill.

I am speaking out because things need to change.  I am tired of being judged.

Republished on The Mighty on 03/09/17.