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Recently, I’ve noticed a pattern in my clients that I call the “tipping point”.  The “tipping point” is basically a time in people’s lives when, for various reasons, the strategies they have been using to compensate for their ADHD challenges no longer seem to be working.  This “tipping point” is often experienced along with feelings of overwhelm and chaos.  Up until a “tipping point,” people have been able to balance known or unknown challenges with ADHD with strategies they may not have even realized they were using.  Up until the “tipping point”, they had been able to adapt and cope well with their symptoms, even going as far as being under the radar for an official diagnosis of ADHD (in other words their symptoms were not interfering with their functioning). But for some reason a life change – it could be a job promotion, relationship change, a school change, or any myriad of different things – renders the current strategies ineffective and over time there is a sense that things are no longer “going well” and in fact, life seems to be falling apart in a big way.
Admittedly, I'm late. Again. Instead of making an excuse, let's just say that at 40, I'm more aware of my inability to accurately gauge time. It is a symptom of my ADHD, but it is not an excuse. As a kid, I didn't know that I had ADHD, but now that I am aware, a number of events from childhood forward make a lot of sense. I'll share an example and what I have learned as well as how I continue to struggle with timeliness.
Sometimes people hurt themselves. Self mutilation. Cutting. Scarification. Pulling out eyelashes or hair. Hitting. Biting. Pinching. Starvation. Drug and alcohol abuse. Fighting. Overeating. So many ways people inflict pain on their bodies. But why? Does it mean they are suicidal? Not always, but depression is common in people who self-injure. Does it mean they like it? Not necessarily. But it can serve a purpose. And if they don’t figure out what benefit they are receiving from the pain, they may escalate and cause permanent damage.
I once wrote a post called, My Bipolar Symptoms Aren't Your Symptoms: I'm More Bipolar Than You. The point of the post is that two people can experience bipolar disorder very differently. Even when two people meet the Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria for bipolar disorder, their individual list of symptoms can be quite different. One might be expansive when manic, the other might be irritable. One might sleep too much when depressed, the other might sleep too little. And so on and so forth. Neither one of them is the “right” kind of bipolar and neither one of them is “more” bipolar, they are simply suffering from the same illness differently. Similarly, treatments are also individual. What works for one person simply doesn’t work for another. And that’s OK.
Every so often, I am asked why I decided to write about my experiences with anorexia under my own name. The simple answer? Because I refuse to be ashamed.
Psychotropic medications are life-savers, but how can the pharmaceutical companies make a good thing even better?  More Than Borderline's, Becky Oberg, talks about possible improvements.
I saw a quote recently that said, "Before you diagnose yourself with depression, make sure you're not simply surrounded by jerks." Abuse in relationships does cause depression over time, but being depressed and being unhappy are two different beasts. More than likely, a doctor's diagnosis of depression will overshadow your chronic unhappiness, and instead of seeking to solve the cause, you will resort to treating the symptom (the depression).
For years, members of The National Association of Mental Health Professionals Hoping To Influence Public Perceptions of Whackadoomiousness (NAMHPHIPPW) have sought out ways of educating the public, eroding stigma, and charging off expensive lunches at swank restaurants. The PR wing of this advocacy organization is very excited about a new, innovative public awareness campaign they’re calling, Odd Aid. NAMHPHIPPW officials agree that the best way to shift cultural perceptions is by going directly to popular public figures. Building on the success of Live Aid and Farm Aid, Odd Aid will feature a host of legendary performers; with one important difference. Every participating Odd Aid artist will be performing an original song specifically designed to shed light on a particular form of mental illness. Stigma beware; this plethora of plucky performers is out to get you!
I hate to admit it, but when you live with a mental illness there are probably triggers to avoid--triggers that upset the stability we have fought so hard to find (Don't Wait: Prepare for Mental Health Triggers Beforehand). First, let's break it down a little bit.
I've had the privilege of meeting many wonderful people who happen to be diagnosed with mental illness and look forward to many more. There are many stages we go through with any life change, and mental illness is no exception. Families have stages of acceptance, certainly the Person Affected by Mental Illness (PAMI) does too. * When I talk with a PAMI who is at a stage of acceptance of his mental illness diagnosis, takes her own meds without supervision and is living a functional, productive life, I often ask if there were any particular turning points in their recovery process. In particular, I want to know: Was there a moment when it clicked? When you accepted your diagnosis as true? Not once - not once! - has anyone said, "My mother finally convinced me I have schizophrenia."

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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!