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On Twitter a follower asked me about a specific side effect of a medication. She was considering taking the medication and was worried she might suffer from this side effect. This is a reasonable concern and it’s good that she’s researching the drug's effects and possible problems ahead of time. But the thing is, while knowing about the possibilities is good, worrying about the possibilities is pretty useless. You won’t know if you will get the side effect unless you actually try the drug. The only way to know what is going to happen is to roll the dice.
This is not, in any way, a political statement but--YES, we can! Of course we can accomplish goals when living with a mental illness! Why not? We have brains that work and bodies that move. But accomplishing, or even setting goals when you live with a mental illness can be difficult. It can be difficult when we don't feel great. But we can turn this difficulty into a positive--yes--a positive experience!
It has been nearly three weeks since my last of six ECT treatments. And I feel great! ECT (Electroconvulsive Therapy) may be the most controversial treatment that exists for mental illness. In my case, it was severe depression that did not respond to antidepressants and talk therapy.
In the last post, I wrote about my fear that I will damage (or kill) any healthy relationships I now enjoy due to my inability to trust the ones who deserve it. I mentioned that it is much easier for me to trust a stranger than my lover, but that dilemma is, I think, easily explained: strangers on the street do not have intimate knowledge of who I am that they could use as a weapon. Strangers may use a gun, but that type of killing is not the one I fear.
"I don’t need help! I don’t need antidepressant medications. I don’t need counseling. I just need more will power.” It is a myth that people can relieve their depression by just trying harder to “get over it”. Yes, negative thinking can make it worse and positive thinking can help. And yes, it is “normal” to get depressed sometimes. So what is the difference between a normal reaction to something and having depression that needs intervention?
I recently returned from a trip to Chicago. I was at the National Council’s Conference on Addiction and Behavioral Health. I had a great time and met lots of great people (including our own Randye Kaye, author of Mental Illness in the Family here at HealthyPlace). But the conference was in Chicago, and while a great city, it did mean a day’s worth of travel and two time zone changes to get there. And travel has been known to really take it out of me. But I have learned tips for navigating travel with less disruption to my bipolar disorder.
[caption id="attachment_794" align="alignleft" width="170" caption="Senator Tom Daschle Delivered an Inspiring Keynote - including an encouraging answer to my question about the Value of Personal Stories to Healthcare Reform!"][/caption] What a week! Had the privilege of speaking with behavioral healthcare providers and more at the 2012 National Council Conference in Chicago. I not only got the chance to share our family story - from chaos to recovery -  in a session, but I also got to meet Healthy Places' Breaking Bipolar Blogger, Natasha Tracy in person, attend her session "To Blog or Not to Blog", and share some amazing tapas with her at an Iron Chef restaurant!  Natasha is a wonderful writer, and amazing person. We had a great time. The education track for my presentation was called "Personal Stories of Recovery." But it can't just stop with the story. We tell our stories of mental illness for a purpose...and, in this case, I asked the group to note, as they listened, which provider actions worked to help my son, Ben, and our family through crisis to recovery, and which did not (or even made things worse). Here is the "Top Ten List" that was the take-away:
Trust eludes victims of abuse during their abusive relationship. As much as I wanted to trust my ex-abuser--and told others that I could trust him--it just wasn't so (Trust Issues and Abusive Relationships). I thought if I was trustworthy and expected to be able to trust him, then he would magically become trustworthy and our relationship would spring to life. That never happened because you cannot ever trust an abuser with your heart. But you can learn to trust after your abusive relationship.
Hi, my name is Amie Merz and I'm glad to be teaming up with Jack Smith on this blog and sharing my thoughts, knowledge and experience on coping with depression. I am a counselor in private practice (my credentials: MA, LPC, NCC, CASAC, ICAADC, SAP) in a rural area south of St. Louis, MO. in the United States. I have worked in the mental health field since 1991, with all age groups, income levels, issues and dynamics. I have learned that mental illness does not discriminate; so many people have been affected by it. My hope is that the negative stigma of getting help can continue to fade away so we can help more people feel better.
That might seem like an oxymoron, and maybe it is, on some level. I'm going to use the example of depression because it is something everyone experiences. Whether you have a mental illness or not, depression is part of the human condition.

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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!
Mj. Bean
You're definitely not alone. My boyfriend has DID and more often times than not, we dont get throiugh the day without arguing or disagreeing at least once. I'm head over heels in love with "Super Max" which is who he basically is when he reaches this sort of "peak performance" and the "lesser" maxs' are the ones that can get downright insane. One talks like an 8 year old, another one acts like he's around 20 years old. I didn't have any idea he had this until we were 3 months in and i had already fallen hard for him. Most days he's in "annoyed/angry max mode" where he is literally the biggest control freak on the planet. Obsesses over silly things like "spilling" things and such. It can be exhausting but the violent max is the one that, while i rarely see him, he's still the only one i dread and have only seen a handful of times.

My point being, I'm right there with you. I hate the rollercoaster. I just want to live life without being in a state of constant fight or flight mode, only for his character to change and de-escalate and I fall for the person I fell for all over again.
Exhausting is a horrible word. The understatement of all understatements, if you will.

I wish there were better support groups for this kind of mental health condition.