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Traumatic experience of many kinds, as well as repeated exposure to trauma, can lead to PTSD. Our guest, Michele Rosenthal, experienced a very traumatic event at the age of 13 and lived 24 years before a diagnosis with PTSD helped her to heal. 
Today I read another article on a reasonable person's assertion psychiatric medication doesn't work. The evidence is thin, they say, and the studies don't always show a meaning difference between the drug and the placebo. According to them, everyone with a mental illness doing better on psych meds is experiencing the placebo effect. OK, so let's look at this for a minute.
I have always been very open about my past struggles with alcohol abuse and eating disorders. I also struggled with generalized anxiety disorder, panic disorder, and self harm. I often felt like the only one who struggled with so many comorbid diagnoses. The reality is people rarely struggle with only one disorder. We simply do not fit in the pretty boxes of diagnoses, nor are we supposed to.
I attended a meeting last night of a community health care consumers group. Essentially, they are a group that seeks to inform and educate the public on local and national policy making, while also taking the temperature of the public and their view on certain aspects of health care. One of the attendees was discussing all of the technological advancements in medicine in the last half-century, but duly noted was a lack in advancement (aside from pharmacology) in the area of mental health and treating mental illness. This got my wheels turning.
Sometimes borderline personality disorder (BPD) can make us do extremely stupid things. A case in point happened after a heated argument with my mother. I stormed out of the house into a below-freezing night, with only one spare set of clothes (khaki pants and a short-sleeved T-shirt), very little money, and no plan. My mother's anger quickly turned into fear and when I returned the next day, I learned she'd considered filing a missing persons report.
It's no secret that psychiatric illness is treated as a whole different animal than "physical" illness. I find myself comparing the two often, usually trying to determine the best way to cope with Bob and his behaviors. Perhaps the most prominent difference (or, in my opinion, at least the most frustrating) is the elusive nature of psychiatric diagnosis.
So far all my posts here have been from the parental point of view.  As you may know, I am the mother of a wonderful kid, now 29, who was unlucky enough to develop paranoid schizophrenia in his mid-teens (diagnosed at last by age 20).  My book Ben Behind His Voices, is told mostly the parental perspective - though writings from Ben himself as well as  from his sister, Ali, round out the story as best we can. The title of this blog, however, is Mental Illness in the Family - and so I don't want to leave out the experiences of siblings, spouses, and children.  This post is about - and for - you. I have taught NAMI's Family-to-Family course over a dozen times, as both teacher and trainer (guiding others to becomes teachers in Connecticut), and each time I am reminded that my experience as parent shares much with the other "relative groups" - but not all.
At some point in the past 40 years some (undoubtedly) new-age guru decided saying nice things to yourself in the mirror was the key to happiness. "Yay me. I'm so great. Look at me go." Really? Seriously? You need to look in the mirror and say that to yourself? And you're buying it? Are you four?
It takes two to tango. I despise that phrase because it implies equal responsibility for the abuse inherent in an abusive relationship. It is true that for every abuser, there is a victim of abuse. If the victim refused to stay, there would be no abuse at all. While that is true, it puts equal responsibility for the abuse onto the victim, and that isn't right (Things Victims Say and Do To Cause Abuse).
Our guest, Chrisa Hickey, is a mom like so many other women, but in some ways she is quite extraordinary. She parents a son with schizoaffective disorder, Tim, who was diagnosed at the age of 11. She shares with us the challenges of parenting a child with schizoaffective disorder (bipolar type), what the journey has been like and the reality of what they will likely face in the future.

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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.
midnightvibes
I’m so sorry that you’re going through this. It sounds so difficult and I can’t imagine what it must feel like. I know what it’s like to feel like no one in the world cares, that they’re all just caught up in their lives, and I’m so sorry that you’re feeling that way. I would just say stay strong and seek the help you deserve. You deserve to be alive in this world. Even if it feels like you don’t, you 100% do. I don’t know you but I can tell from this post it’s seems like you are resilient and care about others and have some hopes for the future. Stay strong friend, seek help if you are able to, and have hope if you can. I believe in you so much <3