How Do You Know When It’s Time to Say “When?”

Over the past two and a half years since I found a medicinal cocktail that seems to be working, I have slowly been rebuilding a life for myself. It’ s been difficult – not only because my entire life had been torn apart, but also because I’ve never “lived” as this person before. I’m experiencing things for the first time as whoever I am now, and I don’t know how it should feel.

But it’s been good. It started slowly with leaving the house once a day. to run an errand, usually accompanied by my mom. Then I started to go to the gym every day, also with my mom. I changed my diet and went back to being vegan. I finally moved out of my parents’ house and got my own place. I started running errands and going to the gym alone. I reconnected with friends and even made one or two new ones. I got a job for four hours a week and took classes at a community college. I applied for graduate school. Now that I’m in graduate school, I am taking a full course load. I am actively involved in our student association. I have a fellowship and recently a new job, 12 hours a week. I am doing research for an internship next year. Fuck, I went on my very first date in November, and while that is stagnant (by choice) now, I did it so now I know I can.

When you become a counselor, (that’s what I’m getting my MS in,) there is an ethical mandate for self-care. An ethical MANDATE. Faculty and friends are constantly saying “make sure you are not spreading yourself too thin,” “only do what you can to your capacity,” “make sure you are balancing your self-care and your school.” While I actually find it aggravating considering the faculty are the ones giving us copious amounts of work and my friends are all type-A and planning on getting A’s as they manage the rest of their lives, I also don’t know the answer.

I’ve tried to ask people – how do you know when you reach your capacity? They don’t usually have an answer. Maybe they don’t know what I am asking. I saw my psychiatrist last week, someone who has seen me at my very worst, and asked her how “normal” people know when to say when? How will I know if I am reaching burnout? Don’t you have to reach burnout to know you’ve reached it?

As someone with a behavioral health condition, emotions are never as simple as they seem. Anxiety could turn into a panic attack. Feeling sad could lead me to bed for days, or even self-harm. Knowing that possibility of severity is always lurking makes me hypervigilant with my emotions. Hence, my fear of not knowing my capacity. Because if you have to burnout to realize your capacity, that’s not something I can allow. What if burnout is a slip in recovery? What if I can’t come back? That’s why knowing the answer feels so important to me and not having one feels so frightening.

There is a part of me that wants to push myself and see what else I can do. I have surprised myself so much in the past few months by what I have achieved; I am excited and scared to see what else I could do. I still feel gaps are missing and traumas ungrieved. But I am curious as to who I am becoming. At the same time, there is a terrified inner child who just wants us to appreciate where we are and be grounded and centered and satisfied. It warns me to pull back, to remember the blows of rejection and failure. To ignore the intellectual understanding of the bullshit that is American values, and remember how it can feel.

And I find myself right back where I started: when will I know when to say when? And when will “when” be good enough? What about you? How do you know when you have reached burnout? When do you decide to say no? What does “self-care” look like to you? What’s the trick to this thing called living? What’s your “when?”

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New Year’s Resolutions: The Best Gift Your Depression Could Ask For

While I appreciate articles like this, where an author sets lofty, idealistic resolutions for the coming year, and even agree with most of the points she makes in terms of her resolutions, unlike the author, I detest/abhor/fucking hate resolutions. It’s like a big, gift-wrapped present for depression and self-hate.

First, you’re supposed to look back on the year. Ah, yes. I suppose there are some that look back on all the great things: “I got engaged!” “I lost weight!” “I got a promotion!” Though they would never actually bring those things up during New Year’s because being proud in front of others is often viewed at rubbing it in and pointing out the others’ inadequacies if they have not succeeded in those areas. (Unless you’re posting on Facebook, a depressive’s tornado of self-hate where everyone seems to be having THE BEST TIME EVER. ALL THE TIME.) But the truth is, most people, especially those with depression, look back on all of their failures: “I didn’t do the things I am supposed to do.” “I’m not the person I want to be.” “My life is imperfect.” “X and Y and Z happened and they were horrible thus, I suck.” And it becomes punishment – “reflecting” on everything you didn’t accomplish this past year.

I suppose the intention is meant to be inspiring. Take your “failures” and turn them into effective goals for the next year! This is the year you will finally be perfect! This is the year where you will be “happy” and fix all the areas of your life you and society have deemed inadequate. And these goals are so outlandish and often vague – it’s just so American. The foundation of our society is built on these incredibly grandiose ideas of a world we can never truly achieve. Perhaps this is done purposefully, to make sure we keep going and moving forward. But as a depressive, all I ever see when I look at the Constitution (besides an outdated document that doesn’t reflect our current society,) is “Look at how fucking pathetic life is. So much hate, inequality, oppression. We are really disappointing.” (And yes, this year truly does reflect these thoughts, even without the Constitution involved.) Same with resolutions. You can’t resolve to “lose weight,””be happy in your sex life,” or “be the change you want to see in the world.” After all, what would that look like? How much weight is enough? What does happiness in a sex life look like? What does this change look like? And are these supposed to be permanent changes or just for the year? How do we know if we accomplished them or not?

If fighting depression taught me anything, it is that life is a process and a journey. There is no goal line. There is no “right” way to be. There is no absolute “happiness” that you can obtain. Life is moments of bliss and joy; achievements and progress; failure and sadness. It is about trying to find an acceptance with whatever your world may be.

I’m not saying you shouldn’t have goals. I have a sheet for DBT I fill out every day that has a list of the negative things I do that I do not want to do anymore. Examples include: allowing others to control my emotions, avoiding social situations, catastrophizing. Every day, I write down my urge to do it, and then if I did or not, and what skills I may have used to help myself choose to do the positive thing for myself.

And while I hope every day I can fight my urges and overcome bad habits, it’s a daily log. And some days, I don’t. And I’m not trying to get a perfect log, I’m just trying to notice the days when I don’t and see what happened that day, think about what I might have been able to do, and accept that I didn’t but maybe the next day I can, or maybe I need to try something different to help myself not do it. I don’t get points for not catastrophizing, (though my therapist does seem happy.) I’m not trying to “win,” and there is no finish line. (Well, I guess until I die or get so depressed again, rip the sheet up, call it a piece of delusional shit, and get back to catastrophizing.)

Living life with this simplicity – the goal isn’t to “be thin enough” or “have a boyfriend” but more like “self-care” and “interpersonal relationships.” And yes, I obviously have intangible, unrealistic goal narratives in my head. Because I do want to find this “happiness” I know doesn’t exist. And not just because it’s been ingrained explicitly and implicitly through every facet of my life, but because my depression branded it on my brain from a very early age to make sure I would hate myself even more than I did the year before. If that’s not a depressive narrative, I don’t know what is, but that shit is hard to shake.

So I just think we need to be cautious when we look forward. I’m not saying we should all give up – on ourselves, our country, our world. I’m just saying that maybe our goals should be about just trying to live life to the best of our ability, a day at a time. To look within ourselves and see if we can use the year to work on things. Not to fix them. I do want a better world and I want to play a role in changing it – but there isn’t a measure of success in how I do it. (Did I seriously just write that? I think I just threw up in my mouth a little bit.)

So I don’t want to set resolutions at all. It’s too much pressure on things I don’t have enough control over. Given where I have been, being able to want that in and of itself is huge and continues to be a fuckload of work. So I suppose I do have one resolution, which is, to not have any resolutions – just live my life to the best of my abilities, whatever that may look like or be.

(It should be noted I will most likely reject this entire post should my medication stop working.)

The Blame Game With Mental Illness

[Trigger warning: Mention of self-harm]

I met with my psychiatrist last week and told her that I have been feeling worse but I was worried that maybe it was my fault and I was somehow doing it to myself. Well actually, I started to say that and she cut me off right at “maybe I” with a sharp “No.” After apologizing, she told me that I have to stop blaming myself for my depression.

People can undoubtedly lie to themselves. For example, someone with an addiction tells him/herself they don’t have a problem and they stay in denial that their actions are negatively impacting their life. I get that. But can you be lying to yourself if you are asking yourself if you are lying? If the idea of denial in the example above is to convince yourself you do not have a problem, what is it if you convince yourself you are trying to convince yourself that you DO have a problem? Can you accuse yourself of having a derivative form of Munchausen Syndrome?

It’s an odd thing: the idea that I am purposefully making something worse; that I am sabotaging myself from recovery by somehow forcing myself into depression or not fighting as hard as I can. I interrogate myself: Is it really just fear and weakness and not a “disease” at all? Could I try harder, do more, stop whining? Do I just need to have the will and gumption and am too meek to face my reality? Am I somehow lying to myself?

But there is a part of me that knows that this is real. That leaving a job I was proud of, friends that I loved, and a life I had built wasn’t just for attention. Lying in bed in for weeks, crying for hours, choosing to have ECT, well that would be one hell of a con. Perhaps at the core of this questioning is an insecurity, hate, and long-developed distrust of my thoughts and feelings.

This doubt of my own feelings was developed over time and starts in my younger years. I was constantly told I was too sensitive. It wasn’t intended to be an insult, but it also wasn’t always used in a positive context. Rather, it was often noted as the cause of my intense feelings of sadness over anything that was bad. In defense, I was incredibly empathetic as a young child. When I was five, my mom had my dad change the mailing address of the newspaper from our house to his office, because I would read the paper and cry about all the horrible things happening in the world.

I hoped to find something physically wrong with me that would provide tangible symptoms to explain why I was like this. I remember feeling relief when I became sick – whether it was a cold or ear infection. Because when I was “sick,” I knew those around me believed my pain. And it wasn’t my fault or something I was failing to fix. 

There was always a rational reasoning for my behavior: in grade school, it was that I was being bullied; in high school, it was hormones. The darker melancholy that was growing inside me was overlooked because I didn’t believe it was legitimate and therefore never mentioned it. I assumed my constant complaining was indicative of a selfish, childish, and  weak personality defect. When bad things happened, I began to question if the amount of pain I felt was fair. Was it really that bad, or was I making it worse? Maybe my feelings were being manipulated by my selfishness?   Did I have the power to stop it?

When I got to college, I still blamed myself for my thoughts and feelings. And that’s also when I discovered self-harm. While there are many reasons why I self-harmed, I think one of them was having something to show for my pain, and it helped me feel better about my sadness. Still, I continued to chide myself for feeling sad all the time – I needed to get over myself. Other people didn’t have ideal lives and they were managing, so why couldn’t I? I still find myself asking that question.

The real problem is that even if I could convince everyone around me that this isn’t my fault, I can’t fully convince myself. In my mind, every time I cancel an appointment; take a pill for my anxiety; cry hysterically for no reason; not feel any different when starting a medication; or start to feel bad on a medication that seemed to be working for a few weeks, I worry it’s something I’m doing wrong, not the depressionMaybe it’s my fault that I am a burden, and maybe it was somehow a choice I made – though why – I cannot figure out.

And yet, I also know that this isn’t me is because I have experienced what it is like to have clinical depression lifted. When I found the medical concoction that stifled my depression about two years ago I felt so different. While I was tempted to sometimes cancel because I was scared or maybe just out of habit, I didn’t. When I was feeling anxious, I went to the gym because I knew it would help. Sometimes I would have weeks where I was exhausted from trying to change my habits and face my fears, but it all still felt possible and I wanted to try. The difference in how my mind worked was so clear. I had been functioning within this cloud of depression and it was the cause of my actions and reactions.

I know that while depression feeds off itself, it’s not me feeding it. I’m not giving in because I want to, because honestly, I really do want to be able to get up in the morning and be an independent person who can make it to work, handle responsibility, and rebuild my life. Perhaps the fact that it terrifies me to think that I could be doing this is enough to know that I’m not. But that’s the thing about depression. It wants you to blame yourself. It convinces you that you are the cause of everything bad in your life, even if it’s irrational. It tells you that you are the way you are because you did this to yourself. It tells you to stop blaming some “idea,” and take some control over your life. Then it laughs at you when you try and fail.

I just have to keep telling myself that this is the illness. This is the lack of chemical reactions and electrical signals in my brain. This is not something I can control. And this is not on me. There is a serious problem, but it’s nobody’s fault…or at least nobody’s choice.

New Scientific Possibilities for Help, But Not Hope

Sometimes I question whether I just wasn’t made for this world. That perhaps I was born defective and unable to survive. Many people are born with parts of their body that didn’t fully form or formed differently; some without the necessary components to function or function fully. And lots of people, who may have these differences, adapt and manage, and do not let their difference stop them from enjoying all life has to offer.

But my “defect” is in my brain, and I can’t seem to find a way to adapt or manage on my own. Often times, there are devices and tools to support and help in this process. I have tried the “devices” for my impairment: medications, ECT, exercise, diet, sleep, and a variety of therapies, to try to work with what I have been given. But for some reason, my brain remains resistant to change, unable to manage and function at a level that is personally acceptable.

It’s been exhausting – the entire process. And since I was in my late teens/early 20’s, I never thought I could make it to 35. I assumed my body would simply get too tired of the pain and stop working, or I would have to help do it myself. But even with these dark thoughts, every so often, there were flashes of hope; moments of a belief that things could get better. And so here I am – three weeks into 35, with a new possibility for change at my chemically-enhanced door.

I have had a good year and a half where I seemed to have found a concoction that made me feel more stable. Not perfect – I still dealt with mood swings, depressive dilemmas, and uncomfortable side effects – but enough to make me hopeful that I could work to form a functional and fulfilling life. Then we changed a medication, and the past three months have been a clusterfuck of mood swings, depression, and a melange of side effects. We hit a road block in terms of options and so a few weeks ago, my doctor conferred with her colleagues to see what ideas they may have for bipolar II medication-resistant treatment.

When I saw her last week she told me about two new scientific advancements that could drastically help me get better. (Please forgive my explanations, as I am still learning.)

The first suggestion is a test for genetic markers that show what medications work best in an individual’s brain. There are five markers and they are able to indicate drugs that will work; some that might work; and others that won’t. I found a website of a company that does it called Genesight. I don’t know if this is the company my doctor is referring to – but the hope is that with this test, we will stop having to do so much guesswork with my meds, and may find out if some are actually decreasing the positive effect of other drugs in my system.

The other suggestion is the use of folate. We all know about folic acid. (Okay I didn’t, but everyone else seems to refer to it like I should.) Doctors encourage women who are pregnant to use it to help with a fetus’ growth and have noted that it could help with growth and rehabilitation of other cells. If I were to just ingest folic acid, it would go through my blood stream and I would pee it out. However, this new folate supplement called Deplin specifically goes into the brain blood stream. Evidently, by delivering the folate directly to the brain, it helps with your body’s ability to absorb medications. So for me, while I have slightly benefited, my medication is still not being fully absorbed, and therefore, I’m not actually getting the full impact of the medications.

After explaining these ideas to me, my psychiatrist asked me if I felt hopeful.

The genetic markers sound interesting, though I feel like it isn’t going to be that helpful. I suppose it would provide me with the peace of understanding that there are genetic reasons why I am resistant to so many medications. And perhaps provide new ideas for medication usage. The Deplin definitely sounds too easy. The idea that a supplement is going to help engage my medications and that would help me feel better – I suppose it just sounds too good to be true. Then again, I know people who take incredibly small amounts of anti-depressants, and it changes their life. I find myself skeptical, but willing to give it a try. However, I would not say I am hopeful.

Hope is a complicated emotion for me. I don’t always have control over my hope – sometimes I can feel it behind my cynicism, trying to push through, small bursts getting by, evoking images of peace and contentment. But through the years, it has become an enemy of my depression – spreading fallacies of possible happiness into my brain, only to be devastatingly wrong.

I remember when I started to feel better after a few weeks of ECT. I was ecstatic because I had finally found something that would allow me the chance to have a life worth living. The short term memory loss was a bit annoying, but at the time, it was a small price to pay to have the heavy pressure of depression lifted. I’d found the “piece” that I was born without, that would make me whole – the component that would provide an adaptation to survive. And then it stopped working. And then I found out it wouldn’t work anymore, no matter how many times I tried. And then I was expected to go back to the medication drawing board and start again.

I would say that’s when my trust of hope died. That’s when I started to wonder if I was just too broken, the deficit irreparable and too impairing for me to ever be able to have dreams again. Hope had hurt me one too many times. So am I hopeful? All I can give right now is that I’m not NOT hopeful. I’m open to being pleasantly surprised, but I’m not running around telling the world to watch out because I’ll be out there soon! I have a feeling even if the Deplin works, I will still need to make changes to my meds, there will still be quite a bit of side effects, as well as possible withdrawal and mood swings. I am not naive enough to think that this is “my piece” anymore. But if my doctor is telling me that my what I was feeling this past year was only a fraction of the medication working and that I could feel better than that, I’ll swallow the pill faithfully, I’ll change the dosages, I’ll try medications again, I’ll do whatever it takes. At this point, what do I have to lose?

While some people believe that hope takes less energy than despair, I think there is a key component to that theory that often gets overlooked. Because when you are in the despair, you have to work to get to that hope, and you have so many factors against you. To reach a place of hope you must push through the exhaustion, find a way to ignore all past failures, and find the strength to block out the despair that radiates throughout your body and mind, draining you, beating you down, offering the temptation of rest.

I imagine myself on the side of a sea cliff, trying to pull myself up to get to safety, knowing that if my muscles get too tired; if I miscalculate one move; or a piece of the cliff simply loosens and drops, I could fall quickly into the dark, depressive water below, possibly being killed on impact. I wait, terrified, for a surge of strength or an outreached hand.

I want to have hope that I can feel better and find a new normal that doesn’t include dire mood swings and hypomanic bursts. I want to believe that help is on its’ way. But hoping for help doesn’t save me. And frankly, I’m getting really tired of holding on to this “sea cliff,” waiting for the moment when I can stand on firm ground.

the pointless nature of “crying for help”

disclaimer: some stuff about suicide, self-harm, and just basically scary, downer stuff. don’t read this if it’s going to trigger you. i assure you it’s not worth it: just some ramblings but without a filter.

They say that an attempted suicide is a cry for help. While I have never attempted, I will say that based on my experience leading up to a moment like that, you are definitely past a “shout out.” Asking for help can be difficult for anyone. Some people don’t like to ask for help doing a difficult DIY project. A lot of people think they should be able to deal with something on their own, or maybe they don’t want to bother someone.

But I’m trying to understand this idea of crying out for help when it comes to depression. I never have really understood it, even when I have tried to do it. So let’s see, sometimes when I’m getting down, when I feel myself getting closer to a destructive ledge, I may call someone. When they ask “Hey, how are you?” I don’t say anything like: “You know how it is…I guess I just feel like i’m getting closer to a destructive ledge.” I don’t think that’s actually what they’re expecting and frankly I don’t think it’s what they want to hear. I usually just ask them about how their life is. I’m trying to get better at not hiding everything, so I might even say, “Hey, I’m just feeling out of sorts and just wanted to hear your voice and focus on you, because i love you, and i need to get out of my selfishly depressed brain right now.” But people are busy. And you’re calling “just” to talk? That doesn’t really take precedence over preparing for a party, or going out to dinner with someone. it doesn’t take precedence over a crying baby, or a timer for the oven.

So then you get to that destructive ledge. I suppose you can call out before doing something. Sometimes i have called someone before I harm myself. It’s hard – trying to express you’re scared without freaking everyone out. Because they don’t know where you are: maybe you have the knife to your wrist; or maybe you just are in bed and don’t want to get out. And besides, by that point, I have either decided to do something or not. In fact, the only thing that might stop me is if someone called me right in that moment. But that’s not going to happen.

Then there’s the “I’ve already done it and I’m ashamed” call for help. I’ve done that one a few times. Not sure it helps. I mean, it pulls me out of the chaos usually. Makes me remember that I don’t want to hurt others or to scare them with my unacceptable behaviors. Situations, that if and when things settle, I will have to explain, will never really be understood by loved ones because it won’t sound like a “good enough” reason to have done something they think is so unnecessary.

Recently, I was sitting and i could feel the wave coming. And i could feel that I wasn’t strong enough to push it down. I couldn’t help myself. And that “couldn’t” was turning into a “I don’t wanna” really fast. So I think: maybe I text someone? Maybe something vague with this hope that somehow they see through it and understand I need them to come save me? Because honestly, how the fuck is a text convo with emojis really going to help? And haven’t we had this conversation before, the last time I was in this position?

Then, what if it does pass? What if it wasn’t as bad as I thought it would be? Now I’ve scared them and they need me to call them all the time; they don’t want me to be alone. Now those things that took precedent before don’t, but you know it’s because of you, and the guilt is worse than if you had just gone through with it. By the time they call you back or get to your house, the immediacy has passed.

The thing about a call for help, is you have to want to make it. You have to have the strength and gumption to say that you need help. But maybe you don’t want to use up your “helps.” I mean, everyone says they will always be there, but lest you be the “boy that cried wolf.” Plus, you are bothering that person, you are impacting their life in a selfish way, so you kind of want to use those moments when they really matter. But then of course, how do you know if this time will matter, and what if you realize it but you’re too far committed to turn back and make that call?

I don’t know about this cry for help. During a time when I feel pointless, frustrated, exhausted, tired of trying, I am supposed to call someone and tell them that I am feeling those things and that I need them to help me. I mean, isn’t that contradictory?

And now it’s time for me to go off topic, because it makes sense in my head.

I was writing to a friend today and wrote this huge explanation of the past three months: what has happened, how i have felt, all the shit. And then I erased it. I didn’t want to freak him out. And I realized, I only share, I only ask for help, after I don’t need it anymore. So i will tell someone that the night before, I had wanted to die. I will email with a friend across the pond to tell them about a scary period of time I had the past month when I didn’t know whether I was going to be ok or not.

Because if provided through this viewpoint, it’s something they can handle. They need to know it’s ok so they don’t feel helpless. And I don’t want to burden them with something they can’t control – so i tell them after, as if it was just a momentary weakness. And you have to, because if you don’t, then they don’t trust you. When you say you’re ok in the future, they don’t believe you. They call you all the time or attempt to subtly make sure you’re alive by “just passing by” or “thinking of you and deciding to call.” And it’s funny, because even though at one point I thought that was what I needed; by that point, it just feels like they are reaching out for themselves. So they feel better knowing they were doing “their part.” In fact, I’m not sure they actually want to understand what I would need in terms of help.

Many people offer their help to me and in doing so, I see the love they want to provide. They are good people; caring people. People I am lucky to have in my life. But they don’t get it. I don’t know if they can’t because they don’t know what it feels like, or maybe because they aren’t really listening to me the way I need to be listened to. Or maybe I’m not being clear because I don’t know what I need, let alone what I need specifically from them.

To me a cry for help needs to be answered immediately and never is. To me a cry of help is yet another pathetic demonstration of why no one should answer. Honestly, i’m pretty sure just a good cry would be more helpful than anything else.

I’m Tired.

I’m tired today.

  • I’m tired of trying so hard to keep it together every day.
  • I’m tired of following a sleep regimen and still waking up fatigued.
  • I’m tired of trying to do everything “right” – going to the gym, losing weight, calling friends, not drinking, being vegan and not eating anything processed, and still not feeling good or having extra energ.
  • I’m tired of not being able to have more than a day or two of stability and balance.
  • I’m tired of having to make decisions.
  • I’m tired of not having a purpose that isn’t about myself. While I don’t miss working crazy long hours, I miss having a job where I am spending time thinking about others and doing work for them.
  • I’m so tired of seeing all of the hate and ignorance in the world today. Of watching history repeat itself.  Of knowing it will never stop and will only get worse. And not knowing what to do. Because $15 isn’t enough. Volunteering isn’t enough. There isn’t a job that will be enough. And people don’t really want to listen, to learn, to compromise, to change. I don’t want to stand aside – but I feel so useless.
  • I’m tired of not liking myself.
  • I’m tired of trying to understand why I do not like myself.
  • I’m tired of being told to have hope, to think positive, to just keep trying.
  • I’m tired of not being able to help the people I love. To watch them in stress, in pain, in sadness. Shitty stuff happens, but I wish I could just alleviate some of it.
  • I’m tired of the constant shame I feel about who I am.
  • I’m tired of the guilt I allow myself to carry.
  • I’m tired of not knowing what to do next.
  • I’m tired of not knowing the “right” thing for “me.”
  • I’m tired of caring so much, about everything. Of feeling so much.
  • I’m tired of trying so hard to just keep it together for everyone: my family, my friends, my therapist and psychiatrist. I’m just tired of feeling responsible for adding stress or pain to their lives because of my stress and pain. Of trying to make them happy or relieved.
  • I’m tired of all the dichotomies in my life. Of wanting to be alone but feeling so alone. For wanting to be happy but feeling like it’s a charade anyway. For wanting love but not the strings that come with it.
  • I’m tired of being so scared to do things. I don’t know when I became this way but I’m so fucking tired of it.
  • I’m tired of feeling like I have lost so much time in my life, so many chances, so many opportunities, and still wanting sometimes to just end it all because I’m just too tired to try to catch up.
  • I’m tired of my fucking side effects.
  • I’m tired of trying to imagine what it feels like to wake up without a mental illness. To have shitty days and stress and life, but not have to take drugs that make me feel like shit to just survive them, while others take none and are able to function just fine. To go to bed without fear that tomorrow I might not be able to get out of bed. Or wake up without knowing if I will be able to make it through the day.
  • I’m tired of feeling so guilty that I want more. That this is unfair. That I don’t deserve this. And then feeling guilty for thinking that. It just cycles over and over again.
  • I’m tired of having to change. To constantly fight myself, to unburden others, to hold back my anger, my frustration, my words to not hurt others. To get up every day and try to want things, work for things, be effective, have goals, work to get better at who I am. To push down the bad thoughts, the urges, the desires, to assuage others.
  • I’m tired of never knowing who to blame: is it the meds? the disease? my circumstances? me?
  • I’m tired of only seeing the mistakes I make. The failures. The not good-enoughs.
  • I’m tired of having hope. It’s almost more exhausting than just admitting defeat.
  • I’m tired of thinking.

I’m just tired.

How Can I Move Forward if I Can’t Trust My Inner Voice?

I have come to understand that it takes me a lot of time to process most decisions. It’s not that I don’t understand them – it’s that my mind needs time to explore and analyze the issue from different viewpoints, possible understandings – it needs to ask further questions. People don’t really like this. In the hustle and bustle of life, having someone hesitate to react, to want time to think things over, doesn’t settle well. Still, I am trying to quell my initial response. What may feel like anger when a friend does not react as supportive as I want, turns out to be fear that they may not love me. My feelings and choices, therefore, change drastically.

Well, that’s one way of looking at it. I mean, that’s what I tell people and what I try to tell myself. But the truth is: I am terrified that no matter how much I process something, my answer will be wrong. And I have begun to realize that perhaps part of this “processing” has to do with the events from my past that have made me constantly question my choices, feelings, and thoughts. I worry that the processing might not be me trying to find the truth, but rather trying to push aside the doubts and the voices that tell me contradictory, “truthful” answers.

Since I was a child, people have told me that I am over-sensitive; I think too much; I over-exagerrate the impact of things; that my memories are embellished and magnified; that the things that happened as a child didn’t really happen the way I felt them happen. In short, that what I think and feel is wrong, misguided, naive, and warped. This all was supported by my low self-esteem, and growing depression and anxiety.

I stopped trusting my decisions. I forced myself into situations I did not want to be in; I pushed my feelings down; and I hated myself and felt so ashamed and disgusted at myself for even feeling what I felt. I lost all trust in my abilities to make decisions, to know the right thing to do – whether it is how to feel about what someone has done; how to react to something; what life decisions are “right” for me; if it’s okay to make decisions others think are wrong, etc.

I still constantly question what I feel. I wonder, is this real? Am I making this up? Why would I make it up? Am I being reasonable? Is this okay? Am I being a baby? What is the difference between what I feel and what is real? I question my choices because I question the validity of my inner voice.

I question choices as simple as what to eat or what to wear, as well as large decisions like what step I should take in my life. I have so many voices in my head telling me completely different “truths” while questioning each one of them. It’s like they are all yelling their answers at me and getting in side arguments with each other – in my head; at the same time; while I am trying to decide whether to leave the house or not. It’s exhausting.

It leaves me wondering which voice is authentic. Which one is “right,” and which one is trying to somehow lead me to ruin and self-sabotage. I get so far in my head about what is in my head, I find myself frozen, confused, panicked. In the past, I think alcohol helped slow my thinking down; allowed me to make decisions without actually feeling whether or not it was what I wanted – just doing whatever others wanted. It was a way of temporarily fleeing from the chaos of fear and failure that I felt constantly.

They say that in all real relationships you need trust. But if you can’t trust yourself, I don’t think you can trust anyone. I want to believe I trust people, but I constantly imagine what they must be really thinking in their head. They say they love me, that they understand, that they support my decisions; but maybe it’s actually disappointment, forced sympathy, perhaps adulation in hopes of getting what they really want. Which one is it? Is one simply what I want to believe? Should I trust what I feel? Or am I being naive, trying to believe something because it’s what I want to be truth. How do you know which “truth” is right?

If without trust you cannot have intimacy, authenticity, depth, love, or truth in a relationship, where does that leave me – with both myself and others? How do I move forward? How do I let people into my life and believe they are there because they sincerely want to be? How do I stop freezing up with every decision because I have lost the connection between what I feel and what I think? I believe that is the core of the problem. If your inner truth is found through mind and body, and you no longer trust your emotions, thoughts, or feelings, how do you make a decision?

This component of self-hate has stifled so much of my life and led me into traumatic events which I now have to face. It’s frightening and I’m scared.

At least I think I am.

Life Lessons I Have Found Through Spinning

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I couldn’t find a realistic picture of someone spinning, so I had to just go with the bike by itself. FYI: if you’re smiling while spinning, you are doing something wrong.

I fell in love with spinning about two years ago. I’m not talking about Soul Cycle where you are in lines next to people like factory-farmed pigs, and the person leading the class has maybe 1% body fat. I’m talking YMCA spin classes with people over 60. I’m talking, waiting until a room is open, and spinning alone.

Spinning, for me, is about being healthy, getting rid of anxious energy, and letting out endorphins. And perhaps more importantly, it is about deciding what challenge I want and choose to achieve that day. I realized recently that spinning actually serves as a fantastic analogy to the work I am doing in my life outside the gym. I never thought sitting on a stationary bike could provide life lessons, but it really does.

Here are some examples:

~ Life is a personal challenge. It’s not about what the people around you are achieving or what their goals are. You set your own expectations.

~ You are allowed to change your “goal” as many times as you want, whenever you want. Some days, you are not going to be able to do as much as you thought you could. And that’s okay. That’s what tomorrow, next week, or next month is for. You decide what you can do today. Because living is fluid, changeable, and varied. And if that change is permanent, if the expectation was unreasonable or no longer viable, it doesn’t mean you have failed. You just need to change your perception and definition of your “goal,” or maybe even decide you don’t want one.

~ Some days, you will push yourself farther than you can imagine, and other days, you just have to show up. Both are accomplishments.

~ You are not alone. You are surrounded by others who face their own challenges and there is power in that. However, just because you are together, doesn’t mean your challenges, decisions, or choices are the same. Nor should they be.

~ Sometimes, you may feel that no matter how hard you work, you’re not moving forward or improving; that you’re stuck in a stationary place. Just keep at it. You are changing and becoming stronger through your efforts, even if it feels like you aren’t going anywhere.

~ If you can just get on the “bike,” you may be surprised at how far you can push yourself; the work you are capable of doing; and how good you can feel. Trying is an accomplishment all on its’ own. Acknowledge your effort, not just the end goal.

~ Some days are just shit. They’re boring and hard and annoying. Try to be compassionate towards yourself.

~ Sometimes you need a few days to step “off” and relax. Giving yourself breaks are an integral and necessary part of the process – they are not failures.

~ Some days it’s going to feel easy, like you’re on a flat, straight path; and some days that hill is going to feel so hard, it’s going to take all you’ve got to not give up. Just do what you can.

~ You don’t know what is going to happen or what you might achieve until you start. Some of your best days may be on a day where you feel tired or off. If you can just get on the bike, you may surprise yourself. You won’t know until you try.

~ There is more than one definition of success. You can define it. You can change it. And you can work to reach it, day by day.

~ This shit is hard. It takes tenacity, time, good and bad days/weeks, acceptance of change, and self-care. It’s sweaty and exhausting. It’s not always fun or fulfilling. You can only do what you can or want to do in that moment, and that is good enough. Just keep spinning/living.

The ironic component to this post, is that lately I have gotten so sick of spinning. I feel like my motivation has just died out. I’m going to try and go to more classes and see if I can recharge and rev up some enthusiasm. I have to accept that it’s okay if I can’t do it alone. Sometimes you need to be buoyed with support from others to make it through. See, look at that! There’s even a lesson in my anti-spin feelings.

Now, if I can just believe all the things I just wrote. ;)

Facing Facebook: Lamenting the Losses of My Past Life

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I have a complicated relationship with Facebook. When I was in DC, it was a great way to reconnect with old friends and to highlight the civil rights work my organization was doing. I used it to complain about society, my life, and post fun, witty comments. I interchanged with a lot of people and it was a convenient social outlet.

After my first breakdown, I came home and lived alone for a year in Berkeley. Facebook became a feeding ground for my depression. As we all know, people don’t really post about shitty things in their lives. They paint this magical vision of perfection – with their child, on a cool vacation, laughing with their friends. I also didn’t know what to post. I knew people would want to know where I was, what I was doing. I felt like if I just vanished completely, then no one would ask and I wouldn’t have to say how I was unemployed, living with my parents, doing nothing, thinking about nothing, and just breathing, eating, sleeping, and crying. As much as I wanted to see people grow, at a certain point it started to feel masochistic.

Since then, I have gone on and off Facebook. I have deactivated and then reactivated. I have agreed to only go on once a week to see if there were any birthdays. I have taken people off my news feed who upset me. I have stopped posting.

However, a lot of the jobs I am currently looking at, want to see you have social media experience. They also do research on prospective applicants online. So even though I am currently in a phase of deactivation, I went on today to review my previous posts and make sure there wasn’t anything too inappropriate.

Looking back on my posts from 2009-2012, before the breakdown, I feel this melancholy for all I have lost. Not just in time, but in friendships. I started thinking about all of the people who enjoyed me, even as acquaintances – from college, previous jobs, interns, people I had met through others, roommates, even childhood friends. Even though we might have only connected when they liked an article I posted, or when they were in town, and even though I can tell I was bullshitting my “I’m a happy go lucky gal,” it was still a human connection process.

So yeah, I’m sad. Not just because I lost touch with so many people, or because I can’t remember who they are. It’s because I wonder what my life could have been if I had been the person I am now. I wonder how different work would have been. I wonder if I would have actually gone to the events I wrote about, or actually met up with the people in town. I wonder if I would have utilized Facebook to keep myself connected and bolstered with friendships. (Looks like someone has the case of the “what-ifs.”)

I told my therapist that the idea of looking for a job right now is scarier than when I was fucked up. Because I knew how to live life and do the things you do when I was fucked up, because that was just who I was. And even though you would think I was weaker then, now, not being clinically depressed, and having gained strength in my understanding of myself and the damage I have incurred, I feel so vulnerable and that makes me feel weak.

I mean, I don’t know how to live life as this person I am now?! Technically, I have more skills for how to deal with stress, anxiety, and bad days, but they’ve never been tested “out in the field.” (I don’t count being able to go to the grocery store alone even when I feel like crap as “out in the field.” That’s more like basic training.) And feeling vulnerable before jumping into a new world, especially where old habits will most likely feel tempting, I guess I’m just scared for and of myself.

I wonder if this new me will be a person who goes on Facebook? Who reintegrates back into her old world but as a different person? Am I still that person? Can I be that person without the crippling depression, anxiety, and hypomania? As I question whether I am strong enough to have a job, I also wonder if I am strong enough to be actively involved on Facebook. I laugh and resent that Facebook has the power to invoke enough thought for a blog post. But I do believe it is another thing from my past that represents a larger component of life and has brought me pause.

Like most things in life, Facebook can be an asset and a danger. It can connect you to the world, and it can also make you wonder if you are meant for this world. I no longer look at people’s pictures and feel shitty about myself. I am happy for my friends and I know that their lives are a lot more than a post or two.

And maybe, one day soon, I will be ready to be present…on social media. But for now, I need to put my energy into forming and strengthening the beginning of a person I might one day become. I have to be ready to be present…in the present.

I know, within myself, that I have a lot to be proud of, but none of it can be displayed or captured on Facebook. And that’s okay. Because it’s bigger than a picture, a video, or a two sentence quip. I am in a state of growth, a complicated, undefinable, unknown space of evaluation, process, experimentation, and decision-making. It’s hard and shitty, but amazing and special – and I don’t need to share that with anyone for now. Well, I guess, except with you. :)

The Dilemma of Accountability and Mental Illness

There are a lot of shitty components to being mentally ill. But one of the hardest, at least for me, is identifying accountability.

Growing up, I was told I was too sensitive and empathetic. I didn’t know why, but I was lazy, a whiner, indecisive, a drama queen. I got sick a lot.

I hated myself. I mean every part of me – inside and out. What I looked like, things I said , things I wanted, both physical and emotional. I could not stand my personal evolution and I knew no matter what I did, I never would. So when things didn’t go my way, I understood my culpability.

And I blamed myself for all of it. Somehow the fact that there was nothing good in me, nothing worthy of life, was a weakness, a failure…and my choice.

Once I got diagnosed with my repertoire of mental disorders, I was told that so much of my life was not in my control. That my choices weren’t really mine because I wasn’t really myself. The way I felt was not my fault, but rather a consequence of my disease. Okay, that’s an oddly chilling concept, but I get it.

But I still made choices that affected others. Maybe my brain was not able to think “correctly,” but I still hurt people and my life by the decisions I made. When they say “it’s not your fault” is that entirely correct? I was thinking under a depressive hypomanic state, but I was still functioning. I have lost so many friends because I never returned phone calls, text messages, and emails. My reasons weren’t rational or healthy, but I still made those choices, and in doing so, I hurt them. (Sometimes to a point where I have found them unwilling to forgive.)

So where does the buck stop? Because unlike a cold, this isn’t going away. All I can do is temper and manage my brain chemistry, try and develop and practice techniques to help guide me, and hope I have the moxie to push through the torrential shit of life.

It may not be my fault that I thought that way, but I still feel I am accountable for my actions. I didn’t care at the time because I figured I’d be dead soon, but I am still responsible for the pain I may have caused others and the outcomes that now lay before me.

So where is this line between the disease and the person? Does it even exist? At what point is it me and not my illness? Or when is it not me, but my illness? How do I know with every decision and choice I make, if it’s truly “me” making it? Is it possible to not be responsible but still accountable? Who is to blame and who must handle the fallout?

Consider me befuddled.