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Heather McCready, experienced days filled with "desperate sadness and intense darkness" and was diagnosed with depression and bipolar disorder and then hospitalized for mania and suicidal depression. Ms. McCready's voyage through mental illness deprived her of her creative abilities for six years. Finally, after all medicines failed, she underwent electroconvulsive therapy (ECT) and now enjoys fewer dark days.
So how should we cope with the loss of a negative coping skill? We should build, maintain and rely on a support system; we should understand and accept that we are grieving a loss; and we should concentrate on taking care of ourselves.
Last week, I looked down and realized I needed something I haven't needed for a very long time. A bra.
For a long time I didn’t wear sandals. No, not because I don’t like them or because my toes have an aversion to open air but because of the scars on my ankles – that’s where I used to cut. My ankles looked like there were pink, wriggly worms embedded in them. And I was scared that everyone would see them and know what happened, know what I did. I figured people would take one look at me (zero in on my ankles for some reason) and then judge me as being a freak and a lunatic and I would be ostracized from normal, human interaction. That was a bit of an overreaction on my part driven by the shame of self-harming in the first place. I’ve gotten over it.
When I read the heading of this post, the words mental illness and addiction sort of mold together, like a candle, dripping wax into the same spot. Mental illness and addiction go hand in hand--those diagnosed with a mental illness have a much higher incidence of addiction, this is known in the psychiatric community as co-morbid illness. Fancy words to apply to the content of this post.
Last week, I wrote a post about stress possibly leading to self-harm. Here, I discuss the fact that really, it's the anxiety that lives between the stress and the self-harm of which you may want to take note.
It's not my place to tell her about what abuse she has to look forward to in her new relationship with my ex-abuser. It's none of my business that, from this distance, I can clearly sense what is happening. If I approached her, she would probably get mad at me. I'm sure he's told her what a head-case I am, warned her to limit her contact with me. At the very least, he's agreed with her perspective on how crazy I must be to have left him, that it takes two to tango, that I have baggage I didn't work through in all those years we were together. But if I were to write her a letter, this is how it would go:
People trapped in an abusive relationship hear, "You're so much better than this! Why are you staying?" I knew I was better than my experience. I knew I didn't deserve to be treated that way. Yet, when someone pointed that out to me, I wanted to dig in my heels and fight to stay. I knew I was better than how he treated me, but I thought my abuser was also a better man than how he behaved. I saw us as equally hurting. I thought we both were trapped in an abusive relationship. 
Those of us who rely on the healthcare system for our peace of mind and ability to lead productive, useful lives, have plenty to say about the state of medicine today. We complain, a lot! As a group we are complainers by nature, but when it comes to the gyrations we must endure to achieve mental health we can, and do, go on for hours about what is wrong and what is worse and what really cheeses me off and those darn pharma companies and crazy shrinks and chintzy insurance companies and the polecats nesting in my basement, etc. I would never suggest that finding appropriate, affordable treatment for mental health issues is easy, certainly not. But, I would suggest that healthcare for the mentally ill has never been better, as a quick look in the rear-view mirror will show.
People self-harm for many different reasons and self-harm in and of itself is not a symptom of bipolar disorder. But like many people with extreme pain in their lives, many people with bipolar disorder do self-harm. I have been one of them. And as sure as I’m sitting here I can tell you, stress precipitated most of the self-harm.

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Comments

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.