Showing posts with label bipolar. Show all posts
Showing posts with label bipolar. Show all posts

Tuesday, September 16, 2014

The Price of Stability


I have rarely suffered this sensation before of staring at a blinking curser immobilized and incapable of finding the right words.  Words were never elusive before, even when emotions like happiness and contentment were.  Yet, now I sit here erect and feeling empty, wondering where all the words have gone.  Where are the emotions that would fall insistently forth upon the empty screen or blank page? Where are the feelings incapable of being contained, bursting seams and breaking barriers? Where are the voices ceaselessly petitioning for an outlet? Now I prayerfully implore them to come out and play, to reveal themselves and vacate their secret hiding places.

I admit I have been dishonest, yet, for constant creative words were absent for many years.  I was unaware of their absence, though, or I didn’t miss them as I was then assisting others to spark their individual imaginations or kindle their creativity.  I didn’t know that my own voice was being hushed and quieted until I was left completely alone.  When I finally spoke up again, with my own, most authentic voice, however soft or shushed, I yearned to be surrounded with wonderful words again – to write, invent, express, emote. 

I further realized that in addition to damning voices of a fearful and agitated authority, my medications were muting me.  That immense creativity and passion that had once been present had become absent in my lethargy, but I accepted this as a component of my necessary stability.  After a change of medication, I had regained a voice I didn’t know how critically I had needed and missed. No more mood stabilizers and just anti-depressants.  Later, though the drugs tormented me with nightmares and missed doses led to staggering migraines and shocking anxiety, I feared change and I dreaded a return to complacency.  I was willing to endure the atrocious side effects and instability to keep the creative portion of my mind active.   

Then I could no longer endure and the anti-depressants, at any dosage, were ineffective, so I tried another combination – another prescription – another shot-in-the-dark at some kind of healing and normalcy. And now I here I am – sitting, staring at a blinking cursor, unsure what to write next and losing the words that once flowed so freely from my fingertips.  I feel like I have lost a part of myself.  Is this the price of stability?  Please let this not be the price of stability.  

Wednesday, August 20, 2014

Why I Didn't Write About Robin Williams

Most surely you’re aware that beloved comedian and actor Robin Williams was recently found dead in his northern Californian home, having lost his battle against major depressive disorder.  It has been nearly impossible to escape reports of this tragedy, and the abundance of subsequent tributes and responses.  Admittedly, upon hearing of William’s death, I was filled with immense hope that maybe – just maybe – this tragedy would result in less stigmatization and more understanding of mental illness.  If an individual such as Williams, who brought humor and joy into hearts and homes across the nation, could suffer from mental illness, then most surely society would come to understand that major depressive disorder, bipolar disorder, and similar ailments are not a choice.  Such outcomes have largely been my goal when sharing my own stories and struggles with bipolar disorder and post-traumatic stress disorder.

Subsequently, it occurred to me that I should create a post addressing the issue.  After all, wasn’t this an opportunity to further my mission and raise more awareness of mental illness?  However, I had second thoughts: Was it selfish to view a family’s tragedy as an opportunity?  How vital was it that I put up a new post while William’s suicide was still “trending” in social media?  These considerations gave me pause, and in this interval, the internet had already been flooded with responses that sounded as if they had been pulled directly from my internal thoughts.  I would like to tell you that this post ends here; I have provided you with the reason for my failure to respond to this actor’s death.  It had all already been said and done, so it was that simple, but that’s not the real reason I failed to respond to the loss of this comedic legend.

It was within 24 hours of Williams’ body being discovered that I was sitting on my kitchen floor sobbing and swallowing down pills, completely convinced that I was nothing but an inconvenience to my family and friends, and therefore the world would be a far better place without me.  I was exhausted and overwhelmed – exhausted from trying my hardest to remain positive despite the challenges my illnesses (and life) continue to present.  I felt unloved and underappreciated, and my illness had effectively convinced me that such feelings were my own damn fault because I was, in fact, unlovable.  I was a worthless, miserable failure who only presented problems for those I most loved.  Even my two beautiful children, who have been nothing but incredible blessings in my life, would be so much better off without me.  They would have a father who could commit fully to their happiness and well-being if he were no longer totally tapped out trying to fix me and all my fuck-ups.  I needed to die.  I deserved to die.  My death would ultimately be a favor to the world. 

There was just the smallest part of my pure heart and rational head that remained and tried to speak, but I found that voice was muted.  That voice was unable to say I want to live because I would never abandon these children.  I want to live because I have friends that really do love me.  I want to live because there is yet light and promise in this world.  Those thoughts went unheard and instead a voice told me to grab a bottle of pills. Ironically, though not uncommonly, I thus swallowed down anti-depressant after anti-depressant.  Failing to do their job in the prescribed form, I suppose they may have been ultimately successful as I would no longer feel crushed by this heavy depression in death.  But death was just one more goal I would fail to reach as my husband woke from his slumber and halted my progress.

Consequently, I ended up in the emergency room and then in a locked behavioral health unit.  When I might have been home typing a brilliant post in response to Robin Williams’ struggles in an effort to end the stigmatization toward mental illness, instead I was being admitted to a small white room and having my belongings inspected for safety.  Although I did not write that post in a timely fashion, here is what I want you to know now: Robin Williams did NOT kill himself.  Depression killed Robin Williams.  Had I actually been successful in my attempt, I can only imagine how much it would have pained me to then be blamed for my own death.  I was not in my right mind when I believed I needed to die and that suicide would actually be a favor to my family.  That was not me; it was the major depression.  My illness was responsible for my actions.  If I were fully in charge, I wouldn’t struggle with feelings of worthlessness and self-loathing in the first place.  If I were fully in charge, I would never take my life and leave my two young children behind.  I wasn’t in charge; it was the illness.  You need to know this, so I repeat that Robin Williams did NOT kill himself.  Depression killed Robin Williams, just like it has formerly made me cut myself and it more recently made me swallow those damn pills.

While on the unit, another patient asked about my family.  I showed her a photo of my children and she expressed how beautiful they were.  She then asked about my home and my career.  After sharing a bit of my life with her, she then said, “Well, look at you.  You have a strong education, a beautiful home, and two amazing children.  Your life sounds pretty damn good. How can you possibly be depressed? Why are you here?”  My reply to her was very basic as I simply stated, “Because I have a mental illness.”  This, too, is what I had hoped society would recognize from Robin Williams.  It does not matter how many external blessings you have in your life.  You can have a wonderful, loving family.  You can have a strong education and a promising career opportunity.  You can even have fame, fortune, and admiration.  None of that matters if you have a mental illness.  Mental illness does not discriminate and no amount of wealth or wisdom can cure it.  It is; it just is. Yet this question came from a woman who was sharing a behavioral unit with me.  Even she didn’t get it.  If she didn’t understand, how could I expect the world to understand although it earlier appeared to me that it had all “already been said and done”?  We need to keep on saying.  We need to keep on doing.  It’s going to take a lot more than 48 hours of trending articles in reaction to an actor’s death in order to change the misconceptions that exist about mental illness.  Mental illness is an ugly, ugly beast and we better start paying attention to it as I assure you it refuses to be ignored for those who are suffering. 


Despite my earlier considerations, I have decided it is not selfish to talk about mental illness in the wake of Robin Williams’ death.  It is necessary, just as it is every single day, to continue to educate society about mental illness and suicide.  In addition, the act of suicide itself is not a selfish one.  It is indeed tragic and devastating, but we must hold major depressive disorder and mental illness responsible rather than the ailing individual. Approximately 38,000 people die from suicide annually, and 107 other individuals lost their lives to suicide on August 11th, the day the world lost Robin Williams.  We can’t ignore those numbers. We can’t continue to ignore mental illness and expect that individuals just “snap out of it” because they have good things in their lives.  The illness can speak louder and then one only sees a distorted view of the world – a view in which the world is far better off if he or she were just dead.  Trust me.  Please trust me because I know, and I know our attitudes and beliefs about mental illness MUST change.  Every moment should be an opportunity to make a difference and end the stigmatization of mental illness.   

Friday, May 30, 2014

Things We Don't Want to Say (But Need To)



I showered today.  Trust me that this is sincerely an achievement worthy of mention here. I took a shower, and it’s a really big deal.  I know that most of you probably won’t understand this at all, but I think it’s about damn time that society as a whole start trying a slight bit harder to comprehend this struggle.  These are the confessions most individuals who suffer from mental illness don’t want to make, and the very same announcements the rest of the world would almost gladly not hear.  You may not want to know that my showering today was truly a triumph as I spent the last three days mostly confined to bed, wearing the same dirty underwear, matted hair pulled back in a messy ponytail, teeth not brushed and face not washed.  You may not want to know that my uncleanliness was of no concern because I had no will to live.  I didn’t feel like a human being of worth and value; I was just a lump of tissue and meaningless mass. 

You may not want to know that nothing could bring me joy; even the smiling, fresh young faces of my two loving toddler children could not break through this thick depression – this impenetrable suffering.  You may not want to know that while it was a sunny 85 degrees outside, I just hid under my covers and tried to shrink away from the world and all its accompanying labors.  I would rather be asleep than awake for only in sleep could I truly hinder my self-hatred, anxiety, worthlessness, anger, and fear. 

These are the things I often don’t want to say, and don’t want others to see.  I don’t allow many people to observe my suffering as I fear they will falsely judge and label me – crazy and incompetent.  My illness is not all I am; I am so much more than this bipolar disorder, anxiety, and post-traumatic stress disorder.  Such a large portion of society fails to perceive my illness as akin to any other medical condition and simply cannot comprehend that I too am capable of being intelligent, creative, dedicated, and valuable.  Thus, I am taught to be silent and to keep secrets because the whole of society will all too readily diminish an individual’s worth if mental illness is discovered.  My mental illness is a massive black smudge on an otherwise brilliant resume.  This is not as it should be, but such is the reality.

Although doctors did recently discover a pre-malignant tubular adenoma and thus remove it from my person, (fingers crossed) I have never suffered from cancer.  However, I would never say to the individual who is suffering from this illness, “Why don’t you get out of bed?  You can’t really be that exhausted.  You know, I don’t have cancer and I’ve never felt that way, so I just don’t get it.”  I certainly hope you all agree that such statements are demonstrative of immense cruelty and ignorance.  If agreed, perhaps then you can tell me why it’s acceptable to tell me, “I’ve never been depressed. I guess I just don’t get it.”  You don’t have to experience my illness to show some kindness and understanding.  Why does it seem acceptable to propose that I “just snap out of it?”  Just like the cancer patient can’t miraculously cure his or her illness of sheer will alone, neither can I just brighten my mood by changing my attitude or being more appreciative of my blessings.  Mental illness is not a choice; it is a legitimate medical disorder and must be recognized as such.   

There are things we don’t speak about because too many individuals continue to believe that depression and anxiety are chosen and desired.  I, myself, cannot think of one single reason why I would choose to spend three straight days in bed when I could be out gardening, playing with my children, enjoying the sunshine, doing these things I love to do when I am well.  But I am not well.  Episodes of great depression can overtake me so suddenly, just like an unexpected fever or infection that keeps the mentally well person somewhat restricted for a period of time.  This individual has the knowledge, though, that the fever will pass and they will be wholly well again.  During my severe bouts of depression, I am filled with an all-encompassing distress and anxiety that I will never again recover and I will never again be valued or loved by another.   I don’t normally speak about such apprehension though, for if others knew of such fears, would they then accept my alarm as reality and thus be even more dismissive of my abilities? (I will get better, and I am capable of abundant achievements.)

Mental illness alone gives me much reason for concern.  I worry that a bout of illness will occur at a most opportune time.  I worry that my illness will be obstructive and prevent me from achieving my goals, hopes, and dreams.  I worry that my illness will affect my children and they might hate a mother who brought them into this world while fully aware she might not always be physically and psychologically available to them.  I worry that I will lose loved ones who have grown too exhausted and frustrated with this miserable beast of an illness.  I worry that my past manic behaviors might return and I could destroy my marriage or my finances.  I have all these worries, and so many more.  I don’t need the additional worries of being misunderstood and misjudged due to the stigma of mental illness.  This is not as it should be, but such is the reality. 


I want to believe that perhaps – just perhaps – we can alter the reality if we break the silence and agree to speak out, to not be shamed, to not be victimized by stigma.  Yet, I fear that I can scream as loud as I want, that I can try every single outlet to educate others properly about mental illness, and it all won’t make a damn bit of difference until others are also willing to listen and identify with these struggles.  You may not want to hear about this hopeless, heavy depression, but you need to.  I’m here saying the things nobody wants to say, so now it’s your turn to listen.  Please listen; it’s time to start trying.   When we rid the world of this dreadful, damaging stigma, this too will most certainly be an achievement truly worthy of mention. 

Friday, March 7, 2014

Brushstrokes of Blue


I don’t know why they call this the blues.  Blue speaks calmness and serenity to me.  It whispers of the ocean waves, crested with white, rhythmically rocking back and forth and lulling me into a restful slumber in the sun.  It tells of the limitless blue sky that surrounds the world, constantly reminding each and every soul of possibility and promise.  Blue is the voice I hear when I look into my daughter’s beautiful, bright eyes and that voice declares, “I love you and I need you.  You make my heart happy, mother.”  The blues, then, is such an inapt term for what I’m feeling now.

Lindsay Malboeuf Painting
Blue - 7th Wave by Lindsay Malboeuf
There are shades of gray perhaps – each dull and poorly drawn.  Ashen and drab, dreary and leaden – those are the tints and shades that more accurately portray my somber mood.  Calling it a mood, however, is quite inaccurate as well.  Its proper names are mental illness, bipolar disorder, seasonal affective depression, and not those basic blues that most people speak of.  Ah, yes, the blues, a lovely term used to minimize the true effects of depression – the colors and odors no one wants to speak of.
 

Black is the most prominent color.  Lights out in the bedroom, which I am terrified to leave, hiding under the covers while my mind races irrationally and anxiety hovers all around me in steely shadows.  Black as I close my eyes and the voices of depression wish for them to remain forever closed, to never see again, and for my heart to stop feeling this god-damn persistent pain.  Into the black as the debt piles up with more missed days of work due to illness.  If there’s any blue in this picture, it’s only in that my being feels beaten, black and blue and deeply bruised, by this disease.

Sometimes I rage red.  I’m infuriated with this lying bitch of an illness and my temper squalls like a wicked, thundering storm.   I’m irritated with the stigma that surrounds it, the sideways glances and condemning whispers behind my back.  I hear your words, your words full of ignorance and judgment, your words that make me want to crawl back under the covers and fade into blackness.  Sometimes I even credit your inane words and then I became wrathful toward my own person, believing I am worthless and weak to the depression, as if I had a choice to simply snap out of it.    

If I were a painter, I would add brilliant brush strokes of radiant color to this dark, depressive world.  I would add wisps of that blue, calming and inspiring.  A blue sky overhead as I breathe in the fresh air and feel glad to be alive.  I would enhance my canvas with a glowing, brilliant burst of yellows.  A bright, yellow sun dazzling down upon me, warming my soul and instilling me with hope and promise, making my whole being as glowing and resplendent as the sun shining in the sky.  I would splatter shades of green and purple, capturing the blooming of vines and flowers, the lilacs and the lilies.  I would toil not; I would bloom and grow and feel whole again. 

My palette doesn’t currently contain the colors I desire.  No gentle blues, no soft lavenders, no silky violets.  I don’t want more doors painted black; I long for open doors with the saving sunlight flooding quickly in.   Although I crave color, my entreaty goes unheard for this illness is a violent screamer that hearkens not to my hopes and perceives only the black, the red, the ache, the rage.  To be blessed with color, I needed to be born into this world as a different girl.  However, I won’t fault you if you put on a smock and pull forth a paint brush in an attempt to color my world.  I may always be an incomplete canvas, but sometimes the most beautiful works of art come to fruition from the greatest struggles. 

Writing Prompts

Tuesday, March 4, 2014

On Unicorns and Rainbows: Things You Shouldn't say to Someone with a Mental Illness


In a terribly misguided attempt to understand my struggle with mental illness, my husband once inquired about my inability to leave the house during especially exasperated episodes of my depression or anxiety.  He explained, “I just don’t understand why you can’t get up.  I don’t know what I can do to help.”  He then posed the following question, “I mean, what if I told you they were giving away free unicorns and rainbows at work, then would you go?”  I despised him at that moment.  Free unicorns and rainbows? I thought to myself. Christ, what kind of ignorant dick did I marry?
 

The truth, however, is that he’s not a dick at all.  He’s a kind, considerate man who is frustrated with a very complicated invisible illness. No one wants to see someone they love suffer, so those around us often try to offer advice and encouragement.  Despite best intentions, however, there’s some things we’re sick of hearing.  The following phrases are not helpful, and should be avoided when attempting to support someone who suffers from mental illness.  

1.       “Just cheer up! Look on the bright side of life!”

Are you kidding me?  This is about the dumbest shit ever you could say to someone who is suffering from depression or bipolar disorder.  Yet, I have heard this (and similar phrases) too many times to count.  I can’t “just cheer up”; I have a chemical imbalance.  I don’t choose to feel this way.  There’s a difference between being pessimistic and being bipolar.  The problem is not that I see the glass as half-empty; I have a problem with nerve cell communication.

2.       “Things could be worse.”

 Of course things could be worse.  I could be homeless and on the streets, fighting to survive, badly beaten and malnourished, addicted to methamphetamines. However, the consideration of hypothetical negative situations does nothing to improve my current mood.  I’m not ungrateful.  I know I have a wonderful, supportive family and many other blessings, but none of this negates the fact that I’m bipolar.  No one considers telling a cancer patient that things could be worse, so why does it seem an acceptable response to mental illness?

3.       “… but we love you.”

My own spouse has been guilty of this phrase quite often.  He might say something like, “C’mon Angela, you can get out of bed today.  I know you’re depressed, but we love you so much.”   This makes me feel so awful and guilty.  He thinks he is simply expressing affection, but when I hear that “but,” I hear, “I know you’re depressed, but if you loved us enough, you would get out of bed.”  I don’t know how to love my family any more than I do.  They are my everything, and I love them with my whole heart.  My depressive episodes are not linked to their love for me or my love for them.  After explaining this to him, my husband now simply says, “I love you … period.”

4.       “Maybe you should see a therapist.”

To this response, I want to shout, “Why thank you!  Hmmm … do you realize that in my over two decades of living with mental illness I had never before considered that therapy could be beneficial?  Thank you so much, you incredible genius.”  Here’s where that sarcasm font becomes necessary.  I already have a therapist, as most people with mental illness probably do too.  The woman I meet with, though, is a licensed psychotherapist – not a wizard.  Therapy teaches us how to manage our illness; it cannot cure it.  Mental illness is a chronic condition. 

5.       “Just snap out of it already!”

Okay, remember when I said above that “just cheer up” is about the dumbest shit you could say to an individual who suffers from mental illness.  I might have lied; this one is the ultimate ignorant douche-bag response to mental illness.  Again, would you tell the man who suffers from diabetes to “just snap out of it”?  Would you suggest that the blind man just “suck it up” and see already?  I would hope the response to these questions is negative, as the situations most assuredly seem absurd.  Likewise, it’s absurd to expect an individual who suffers from major depressive disorder, or some similar mental illness, to just snap out of it.  That suggestion implies that mental illness is not a legitimate, valid health disorder, and that belief demonstrates brazen ignorance and disregard.    

 
 
If even the prospect of unicorns and rainbows can’t “cure” my mental illness, please trust that none of the above comments is going to be the answer I’ve been waiting for either.  Instead of offering up misguided advice and ignorant, tired clichés, I suggest you try education and empathy.  I make these suggestions not only for myself, but on behalf of your sister, your best friend, your co-worker, your coach, your aunt, your uncle.  Too many individuals suffer their mental illness in silence for fear of receiving judgment and responses like those above.  Let’s make an effort to break the silence and truly support one another together.
 
 
 
 
 
 
 
 
 
 
 
 

Tuesday, October 29, 2013

I Am Changing Woman


"Remember, as different as we are, you and I, we are of one spirit. As dissimilar as we are, you and I, we are of equal worth.  Unlike each other as you and I are, there can be no harmony in the universe as long as there is no harmony between us."

-- Changing Woman

 
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There is a Navajo Indian legend of Changing Woman, or Asdzaa Nadleehe. Changing Woman represents the cyclical path of the seasons, born in spring, maturing in summer, growing old in the fall, and dying in winter.  Upon encountering this brief description of the revered mythical woman, I felt an undeniable affinity to her.  I identified with Changing Woman, my moods so often cyclically aligned with the seasons. My connection with Changing Woman was not solitary; rather I found myself among a great sisterhood.
 

In the spring, rebirth arrives, and I await the sunshine and the warmth as desperately as an addict craving the next fix.  I need the snow to melt as severely as I need air to breathe, for with the melting of the snow comes also a sloughing off of my heavy depression.  In the summer, beneath the nurturing rays of the sun, I bloom and grow.  I feel joy and contentment, expressing greater gratitude for the gifts of this earth.  I feel more connected to the universe when I am able to smell the dew on green grass or relax in the sandy pebbles of lake beaches.  As Changing Woman was a child of the Earth, I feel most alive when the land too seems to be at its greatest height -- when the heat most warms the body, the trees bloom the boldest, and the birds chirp the loudest.  
 

As autumn arrives, and the leaves celebrate change in a brilliant display of colors, another shift falls upon me.  There is a mellowing in mood, yet this is no cause for sorrow.  My heart does not grow somber, but instead overflows with warmth and wisdom.  The breezes blow through my body’s frame, reminding me to keep moving on for my maturation and search for knowledge should be a journey without end.  Despite these blessings of astuteness and cool comfort, I suddenly become stunted with the violent approach of the proceeding season.


Winter comes on like a heart attack, dropping me to my knees.  My heart literally aches and my tears fall like snow, creating icicles inside my soul. It becomes increasingly difficult to arise, smile, laugh, as this illness builds inside me.  I lose myself and become a shell of that exuberant summer girl.  My mind turns to darkness and a piece of me expires with every wicked winter.  As Changing Woman alters herself continuously, but never dies, I do not fully decease either for then spring arrives and rebirth accompanies her arrival.


My own ever-changing moods often cause me to doubt my value.  Who would wish to be companion to a woman who cannot be constant?  We all desire smooth sailing, yet rough waters rush alongside me.  When self-loathing floods upon me, I then wait for the words of an unknown source to gently remind me that the most beautiful stones have been tossed by the wind, washed by the waters, and polished to brilliance by life’s strongest storms.
 

Like Mother Nature, who brings those winds and waters, Changing Woman represents the power of the earth and of women to create and sustain life.  I alone am not Changing Woman; each member of my gender is this legendary goddess.  Among the Navajo, becoming a woman is something to be proud of and announce to the community.  Therefore, my fellow women, let us stand together and announce our brilliance, not despite, but because of our many battles.  We can create, change, and witness our own rebirths.  Although we differ in many ways, we each have worth in this world.