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The reasons that a person might harm themselves are as vast and complex as our individual genetic makeup. However, there seems to be one predominant goal associated with self-harm: release. “I would resort to cutting myself for two reasons: the first being to release the tension, the build-up of emotions and thoughts that I just could not deal with. I wanted to scream but couldn’t,” said Julia P. who has battled and overcome self-harming behavior.
As I write this post, I am attempting to manage a hectic work week. I am in the middle of a 45-hour intensive training, seeing clients, answering emails, and maintaining some of my social life. Is this going as planned? Hardly, but I am accepting that I am doing the best I can. This statement, or the willingness to accept that in the moment you are doing what works to be effective, given the circumstances, is a key component to maintaining a positive relationship with yourself. Beating yourself up, focusing on the “shoulds” or past and not accepting that you are trying, leads to unhealthy and low self-esteem.
Do you want a quick way to take anxiety down a notch? Would you like to undermine the power anxiety has over you by sweeping its feet out from under it? When I feel it intensely, I certainly would! You can take anxiety down a notch before it undermines you!
When you see a child acting out and misbehaving, or an adult who seems unable to focus, connect or control emotions, how often do think to yourself, "Hmmm, I wonder if there's trauma in that person's background..." More often than not we just blame and feel abused and/or frustrated by such behaviors - even when they're our own. Understanding the link between childhood trauma and negative behavior patterns can be critical to treating them.
Parenting a child with mental illness is challenging enough. Add to that a snarky attitude and it does not bode well for anyone. So what do you do with a stinky, snarky attitude? Unfortunately, you need to deal with it. For example, Bob's 12 now and has been increasingly responding rudely and disrespectful towards me (which upsets me to no end because I'm his mother & primary caregiver). Beyond the usual suspects for snarky attitude - physical illness, hunger or fatigue, Bob's attitude can be attributed to the onset of puberty. But, some of it is also due to his inattentiveness and impulsivity (symptoms of ADHD-combined). When on medication, Bob's mouth is less rude. Once the Concerta (12-hour release) is out of his system, there comes the 'tude. Bob has a tendency to express more negative attitude as a result. After my own Saturday dose of snark from Bob, I came up with  some tips on how not to get frustrated when Bob's mouth runs away with itself.
The Internet is a repository for mental illnesses of every description, but did you know that the Internet is also one of the leading causes of mental illness? That’s the conclusion of researchers at The Institute for Advanced Study of Studied Institutionalization (IASSI) who recently published a comprehensive white paper detailing their findings. At a recent press briefing, IASSI spokesman Reginald Frampton elaborated. “Mentally Ill People, referred to as MIPs in our document, are particularly susceptible to the sustained level of psychosis that characterizes Internet traffic. “MIPs are already having difficulty sorting out what’s real from what’s not, and extended immersion in the stew of dementia found in Facebook and other so called 'social networking' sites – which we at the institute call ‘nutworking’ sites – exacerbates an already worrisome situation. “Unlike most think tank studies, which are roughly as deep as a Frisbee or the typical TED Talk, we have provided 5 action steps which, if aggressively implemented, will make the Internet safer for MIPs, and a whole lot less tiresome and irritating for non-MIPs. Here they are.
Recent events have left us, as a nation, shocked and disturbed. For me, the explosion in West, Texas hits closer to home than the bombing of the Boston Marathon since I used to live in nearby Waco. And the floods in the Midwest are literally a few miles from my apartment. Sometimes our emotions and mental health symptoms can get triggered by national tragedy. So how do we emotionally handle a disaster?
The question of whether or not to take stimulant medications for adult ADHD has been discussed vigorously. I believe strongly that taking Ritalin, or the equivalent at times, has helped me to function as the adult I want to be. I spent 2009 mostly not taking any stimulants and not only did my work ethic become nonexistent, but I didn't like myself as much.  I look forward to hearing your opinions on this!
Addiction comes in many forms.  Often when we think of this disorder we think of its impact on the individual.  There are many harmful effects associated with addiction: poor health, legal consequences, and psychological problems to name but a few.  For most individuals who are in active addiction their lives are ruled by the relentless desire to get more of the substance despite how bad things become. But addiction goes far beyond the problems associated with the individual addict.
Mental illness and rage often go hand in hand---primarily when the illness is not yet treated. Rage is scary and stems from irritability and anger. It represents, and feels like, complete loss of control. What is rage and how can we confront it when living with mental illness?

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Claire
Good heavens, we may have been friends with the same person. I befriended a woman about 3 years ago when we first moved to this new town. At first, I thought she was sophisticated and well-bread, but the incessant complaining, finding fault, nitpicking, promising to appear somewhere and then cancel due to a myriad of issues; headaches, sleeplessness, mood, anxiety, and other issues....Every social media post is cryptic and always a put-down of the food, the area she lives in, and people in general. I finally had it after she said she needed medical insurance as a retiree and wanted a part-time gig with insurance benefits. She gets the interview, then rants that they didn't call her back ASAP to start onboarding. Then she onboards and is eligible for insurance in 30 days. She simply fails to return to the job. No call. No text. No email, nothing. Worst of all, my husband works there and the upper management barbed him on the new hire and her no-show, no call, no communication. I asked her what happened. She states, "Nope. not for me. too many red flags." "I" 'm just going to focus on my dogs and my weight." I wanted to throw my phone across the room, I was so outraged. She literally couldn't care less how this action affected us. We look like a fool for giving her praises to the management team... I have since just stopped liking her posts or commenting. She used to attend our bible study on Wednesdays and claimed to like it. Now, she is no-show completely. I finally just had it. No more communication with her and life is better. I don't often give up on ppl but once I see where they're heading, it's just a no-win for either party. It's been a little over 3-4 weeks now and I feel just plain better to be away from it. No guilt on my end. I tried, but I am not going to drain my life energy for this person.
Taylor
I am 35yr old and have adhd. I didn't get my drivers license until I was 29. I have very poor sense of direction when driving and even when I have taken the same path to and from home several times. I can't go anywhere without my GPS. I even have great difficulties finding my car when I'm done at the shopping center. It seems to be connected to my adhd struggles.
Paula
I have a lifetime of trauma and BPD and depression & anxiety and i can really identify with everything you have said chronic low self esteem and believing i nothing worthwhile to contribute to any conversations in social situations, iv grown up believing i was a bad evil person who doesn’t deserve anything good that life has to offer, even when im with my family i again feel like im an outsider and all the above caused me to isolate for 16 years and this made my situation a million times worse when i came back into society only months ago, im absolutely filled with Paranoia and i dont feel safe around humans unless im with 2 people that i can sort of connect with but its not often this happens and on any given day im that terrible or feel unable to have a conversation with people i can retreat to isolation again which again makes me worse everytime, i feel like i suffer if im out with people and i suffer if i isolate, im just constantly in a state of anxiety and terror and it paralyzes me and makes me brain shut down where i cant even think of a sentence to strike up a conversation with people, it’s absolutely horrendous and all the negative things my head tells me about myself it’s disturbing! I wouldn’t talk to anyone else the way i talk to myself but i just dont know how to stop it its been so ingrained in me for at least 4 decades now and im 45 years old.. i keep hoping one day it will get easier, but my heads such a mess, honestly and im not a bad person, iv just had a lifetime of trauma since i was a little girl that it completely changed me, that I don’t even recognise myself and neither does my family or anyone who knew me, but i might have more serious mental health iv just never been able to get out the house to go to mental health assessments.. but i wish you all luck!
Anonymous
Hi I'm 15 and I have severe anger issues that I can't control. I don't know why I am like this but when I am super mad I like to punch myself in the head repeatedly until I pass out and I sometimes slam my head against the wall. I used to cut but I try not to. I would just take scissors and you know, snip snip. I think this started when I was younger- around 12 years old. I always thought about sh but now I actually do it. I wish I had never started because once you start you can't go back. It's like a one-way road. There is no way you are going back to where you started.
anon
I do not have a BPD diagnosis (or think I should), but I can relate to much of what you're saying. I had a parent who was bipolar and struggled with addiction and who ultimately died when I was in my twenties. My other parent was extremely religious and I was raised in a controlling and punitive environment. I am extremely codependent on my intimate partners but can simultaneously hold others at a distance when I feel overstimulated or just want to be alone. I too am very triggered by perceived abandonment and really struggle to communicate with others because I feel too much too intensely and cannot make others understand it..I don't always understand it. Despite all of this, I feel very triggered by this post?? I have a friend who also struggles in the same ways I do, but I suspect it is much worse for them. I notice they ALWAYS have plans even when they feel burned out because they are terrified of being alone. We used to be very codependent on one another but now I find myself keeping my distance. And sometimes for unrelated reasons, I have to cancel plans. OR I will state upfront that I tentatively agree to the plans but reserve the right to cancel if I don't feel up to it. I don't know if that makes me a bad friend or not; I have been in counseling for years learning how to hold space for both myself and others. And sometimes that looks like cancelling or rescheduling. I know that this is a trigger for my friend- they not so casually mention other "flaky" friends in conversation- but at what point am I supposed to cater to someone else's (sometimes irrational) needs at the expense of my own peace? Why do I have to give you a play by play of my thought process (and maybe a doctor's note) to get out of doing something? What's an acceptable reason to cancel? This friend recently encourages me to just say I don't want to do something (almost aggressively mind you), but when I do, I feel like I get the silent treatment or otherwise passive aggressive responses. And I am constantly hearing stories about this person's disappointment in other friends who cancel or are perceived as flaky. I want to give them space to process their feelings about cancelled plans, but sometimes I feel annoyed and overlooked. Like their pain is more valid or important than my own. I have not had the courage to talk to my friend about this but feel I need to soon or else I will continue to harbor resentment. Anyway, I know there's room for all of us to feel our feelings but it's so hard to navigate right now. I have been a caretaker in one form or another my entire life. I really need to take care of myself and not feel guilty about it. The end!