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I hear from people over and over again how they can’t reach out to others because they are too sick. Normally this is because the person is too depressed, but it could be because the person is too anxious or in some other mood state. And I know for myself that asking for help can be the scariest thing in the world, but if we ever hope to turn the tide, if we ever hope to beat back bipolar, we need to be able to reach outside ourselves for help and support.
Ahh Valentine’s Day. A whole day traditionally devoted to celebrating love. And as it is quickly approaching, my thoughts turn to relationships, all sorts of different ADHD relationships, and how ADHD can be a test for even the strongest connections. When I work with adults, often the focus of our coaching sessions turns to a request for the best ways to handle conflicts with partners. I often hear these concerns:
As family therapists, we are seeing more and more young people who are suffering from various degrees of teenage depression, childhood anxiety, addictions and social isolation as they try to mask all of the emotions and negative consequences associated with these self-defeating behaviors. We also see many concerned and baffled parents who struggle with trying to find ways to help their wounded and isolated kids.
Surrender (v) - to give oneself up, as into the power of another; submit or yield. Addiction is a powerful thing. For millions that live with this disease, life can be a constant struggle to go on from day to day. Often, despite their own best efforts, many addicts have difficulty coming to terms with their illness. This is often displayed in the form of such defense mechanisms as denial, blaming, and intellectualization, to name but a few
Things are changing in the world of mental health. This blog will focus on one of these changes: The average age of diagnosis. Yes, this might seem like a boring topic but I'll work to make it interesting because it's important. Bob Dylan said it best: The Times They Are a-Changin'. . .
Hiya, friends. I’m Elizabeth Prager, an almost 30-year-old gal with between ten and twenty white hairs. More than half of them spawned this summer during cadaver lab in my first semester of Physical Therapy school here in Maryland. I live with my lovely spouse, who will someday save the world, and my two cats, both of whom are constantly seeking to overthrow the current power structure. One really important thing about me: I’m obsessed with Iceland.
I was a depressed teen. Well, that's sort of putting it lightly. I had thoughts of suicide from a very young age and much of my time in high school was spent either contemplating suicide, or experimenting with the slow suicide of dangerous drugs.
My son Ben, diagnosed with paranoid schizophrenia at age 20 after five years of confusing onset symptoms, has often seemed "frozen in time" in this phase of recovery; emotionally and cognitively stuck at the age he had been when the symptoms began during high school. Despite three relapses during this near decade of stabilization (all due to instances of refusing meds),  Ben has been in recovery most of those years and has progressed in many ways, as I wrote in an earlier post, Mental Illness Frozen in Time Can Thaw. But, until recently, Ben had few friends and I wondered if he would ever get that particular joy back in his life, or when he might reach the stage of self-acceptance that is crucial to healthy friendships. Would he ever again regain what he had before schizophrenia set in; the simple joy of having people with whom he could share a meal, see a movie, laugh and talk, or just hang out?
I came up with this topic when I was in a state of serious depression--less than a month ago. I was certain I would never become well. Those of you who live with a mental illness understand this on a very deep and personal level. While I was glued to the couch I started thinking about how much time I spend exhausted--some days less and some more. Mental exhaustion and physical (or both) can define a large part of our lives. Without further explanation (coffee in hand) let's explore this topic.
When I took over this eating disorder blog, I did so with two purposes in mind. First, to offer support to those who are also in recovery from their own eating disorders and educate them on how to make their recovery stronger. Second, to help the friends and family of those with eating disorders better understand what their loved one is going through. I think to this point, I have done a decent job on the first purpose. However, my own fear of "too much" self-disclosure has kept me from accomplishing the second. To be honest, it's hard to put into words just what kind of hell living with an eating disorder is. Especially in the midst of it, when your head is spinning and words seem difficult to grasp. As a result, most of my writings from my worst days of my eating disorder seem to ramble and go off on tangents and almost always ended with the conclusion that I wasn't really sick, I was just crazy and I should just kill myself for being such an attention-seeker.

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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!