I is for Inconsistency

Case in point: how many days/letters I just skipped. This is a fact of life. Anything I start has a good chance of not getting completed the way I or others envision it. I have to either abandon a project or be willing to come back to it humbly, again and again if necessary, owning my past neglect and trying not to make excuses for it.

We all have to do it. We tackle our horrific bathroom, chiding ourselves for letting it get this bad. We try to save a dying plant, knowing it wouldn’t be dying if we’d been more diligent about its care in the past. We start exercising again, bemoaning the body that would be so much stronger if we hadn’t stopped.

Yes, we all do it. But when I’m coming out of a depressive dip–or a series of them with some good old procrastination in between–it’s a big barrier to get over. It’s bad enough when it’s a chore, or paperwork, or my health, but it’s worse when it’s relationships I neglected.

This is a topic I’ve written about before and will probably write about for the rest of my life: finding the balance between appropriate remorse and destructive shame. Not being someone who saunters around saying, “Well, this is just how I am!” but also not hiding away from the world and refusing to give what I can.

E Is For Elephant in the Room

You know the one. Someone brings up the topic of addiction, or mental illness, or meds…and suddenly the elephant is there, pointing its trunk right at you, and there’s an awkward pause in the conversation. Or maybe you’re watching a movie with friends, and the plot introduces something to do with the condition(s) you have, and you feel tension in the room as others wonder how you’re reacting and you wonder whether the fictional character is changing the way they see you. Or you’re at a support group meeting and someone’s sharing about the horrible things Person with Condition X has done to them and people who know you flick their eyes towards you and away and you’re there thinking, “Well, Person with X sounds to me like a total asshole who just happens to have Condition X.”

I’m only one of many who experience this kind of thing. An even more pervasive version is experienced by a Black woman I know who finds it incredibly frustrating to be the only person of color at a gathering because people see her as a “representative” and expect her to react to and weigh in on any remotely race-related topic. She can’t just be in the group as herself.

Sometimes the elephant is present when people know just a little about me and what I have. They’re curious to know more, but they’re uncomfortable about asking. Every decision point makes them unsure whether they will offend. Meanwhile, every misconception they’ve absorbed in their earlier life is coloring how they see me and their judgment of whether I’m a safe person to invite closer.

So when my book is polished a bit more, can I just carry it around and force every new acquaintance to read it? Unfortunately, I don’t think it works that way.

D Is For Despair

Sometimes despair looks like roses.

It did for me, one day in 2011, when I looked at the roses in my yard for what I thought would be the last time as I prepared to leave and carry out my plan for suicide. (Spoiler alert, I didn’t go through with it.)

Despair looks different on everyone. It can look like slumping on a couch, surrounded by paraphernalia of one’s substances of choice, staring into the distance. It can look like careening through one destructive relationship or hookup after another. It can look like sitting at a computer all night, whether working or gaming, not wanting to see the external world or another person’s face. It can look like a perfectly normal life and come through in nothing but occasional body language cues and microexpressions.

One person’s hallmarks of despair might not indicate despair on another person. They might just be in a fallow period, or a mentally hyperactive period, or be acting out a bit following a breakup.

How is despair different from depression, or grief? I think it’s different because it’s more than a set of phenomena like symptoms, emotions, or behaviors. Despair is any or all of those things grown into a worldview; a set of beliefs. Beliefs about what life is, what possibilities do and don’t exist, and the worth of one’s own self and experiences.

If emotions are weather, despair is geographical change. Sometimes it sets in abruptly, like an earthquake, but more often its effects are slow and insidious. And sometimes it lifts or alters abruptly, with a change in circumstances, but it can also recede as subtly as it came.

That’s what it was like for me. The return of hope was so quiet, so gradual, that it was a shock when I realized it was there.

B Is For Brain

Does changing my brain mean changing who I am?

I believe in some type of consciousness that surpasses matter. But in everyday life my emotions, thinking ability, and creativity are profoundly influenced by the physical qualities of the lump of soggy goo that lives inside my skull. It requires fuel. It responds to its chemical environment. When I get sick, it loses function. When I took drugs, it responded to that. And when that lump of soggy goo developed bipolar disorder, it changed my life on so many levels I can’t imagine a hypothetical self without it now.

There’s a novel in which the protagonist, an old man, gets his brain transplanted into the body of a young, beautiful woman. He had his original brain and all its memories, but that brain was now bathed in a different chemical soup. The author chose to have the character, a heterosexual man in his old body, become bisexual with a strong preference towards men. The explanation given was twofold: a bond with the previous owner of the body, and the influence of female hormones.

Do I think that explanation is realistic? No, and I think some of the author’s attitudes about gender are quite dated, but it is food for thought. How much of our sexuality, for example, lies in the body, how much in the brain, and how much in a mysterious entity that is neither? Extrapolating, how much of my very identity lies in each?

I don’t mean to define myself by a diagnosis in a self-defeating manner, nor do I mean to discount the role of attitude and insight in my quality of life. I’m simply saying that understanding that I’m coping with a certain kind of brain can help me structure and create a life that suits it as well as possible. I know there’s a huge amount I can do to influence it–but I’m still starting with my individual lump of soggy goo.

A Is For Acceptance

I used to think acceptance was the coward’s way out. It would be wrong for me to accept my conditions or their limitations, because that would mean I was giving up instead of fighting, fighting all the time, fighting to create a “normal” life like all the inspirational stories out there tell us a disabled person is supposed to do.

The culture I live in glorifies fighting. When a person develops cancer, their process is framed as a battle. Their perceived job is to fight–and if the cancer proves to be terminal, the battle is lost. Death is framed as a failure. For millions like me, life with compromises is seen as a failure. Accepting that I cannot work full-time, or spend too long in certain environments, means stepping away from the meritocracy and accepting a role of someone who’s not in the race.

Settling into a regimen of care that doesn’t fix everything but has been sustainable for years is seen as a failure. I’m supposed to be trying things, constantly seeking alternative treatments, and spending my life in an endless search for a cure instead of living it.

Of course, there’s a balance needed between accepting and fighting. There are many battles to fight every day. If a heavy depression has kept me from washing my hair for days, accepting my greasy locks and itchy scalp isn’t the best choice. Better to fight the inertia, if I can, and drag myself to the shower. Ditto for hundreds of other arenas where I take on my demons to win the prize of some meaningful action.

But accepting myself, in general–accepting that I have the life I do–is key, no matter what it costs.

No Help To Be Had

This morning I made calls to ten more therapists whose names were given to me by the network my health care plan referred me to because they have no more capacity. I have now contacted about fifty therapists and found no openings in a process that has lasted six months. Even before that, my visits had been dropped to one every six weeks.

The pandemic has ripped the band-aid from several wounds in our society, and I hope this is one of them. There is something fundamentally wrong about mental health care for the non-wealthy; it has been wrong for a while, but this is a tipping point. The ERs are going to be flooded more than they already are–mental health ER visits have increased markedly in many areas.

California’s process for licensure as an MFT or social worker is one of the longest and hardest in the nation, and structured in a way that makes it nearly impossible to achieve working part time because if you don’t finish in six years they make you start over. Counselor trainees, and anyone not working in out-of-pocket private practice, are overworked to the point of breakdowns. Usually, their one goal is to get into private practice and escape their hell.

What is the answer? Peer counseling? A lower-level licensure to work with clients who mostly need coaching and someone to listen? What the hell do we do about this? I want to help, but licensure has been off the table for a while because I can only work part-time. I know I could do useful counseling, if there was a framework to do so. But there isn’t.

The Conversation’s Getting Harder

Ever since the pandemic began, I’ve felt an unusual amount of pressure to keep it together. Not surprising…health care workers of all kinds are overloaded, so it makes sense that as a concerned person I’d want to avoid making them work harder.

Non-emergency mental health appointments are very difficult to get. My health care system dropped my video visits to once every six weeks, then none. I either cope on my own or, if I feel as if I’m going to harm myself, I am supposed to go to the packed, overwhelmed ER. There’s nothing in between.

I am all right, relatively speaking, so far. But I continue to be worried about others who need more care to manage their conditions—and when my symptoms rise, I’m afraid for myself too.

The conversation about needing help is harder to have these days, especially when extreme political turmoil is added to pandemic stress:

Person With Mental Health Issues: I’m not sleeping.

World: Duh. Nobody’s sleeping right now.

PWMHI: I’m…feeling really depressed.

World: Duh…

PWMHI: I’m anxious all the time. I can’t sit still. I really have the urge to use drugs.

World: Join the crowd.

PWMHI: …. (Struggles to find words to convey that their symptoms are more than just feelings, that they’re in danger from them. Gropes for words that might get them some understanding without making them look like a selfish person who just wants attention.)

World: Are we done here?

Splat

It happens so quickly. One moment, I’m me. I’m dealing with symptoms, but have a decent sense of self at the center of it all. Then a question comes up. Someone wants to know if I’m up to doing an optional, often recreational, thing. It might be as simple as watching a certain movie. But I freeze.

Am I up to it? Is my brain able to cope with whatever the thing is at the moment? I stare at my questioner like a deer in headlights as my brain whirls. What’s worse, to turn the person down or to try the thing and have it not work out? I think about all the reasons I should say yes; all the times I’ve had to say no in the past…and as I struggle to find words, I’m plastered against a wall of shame like a bug on a windshield.

Still staring at the person who waits for a reply, I’m consumed with hatred for the cycle of apologies that shapes my days. I despise that the necessity for some apologies remains, no matter how well I take care of myself or how much I grow in self-acceptance. I go through a miniature version of the anger and shame I felt when I was first diagnosed, or when I first realized my condition wasn’t going to let me do certain jobs.

At last I answer the question. But whatever my answer is, my mini-crisis churns inside me and tries to taint my experience.

Why Am I Surprised?

I know how this works. I’m hypomanic for a while. I get all sorts of great ideas for projects. I even work on some of them. My mind whirls with possibilities…then comes the crash.

Then come the nights of less and less sleep as the exciting part of hypomania turns into a complete inability to focus on one thought for amy length of time. Then the disorientation. Then the onset of a depressive phase.

I know how this works. So why is a tiny part of me still taken aback when it happens? Why am I surprised that now my mind is sluggish, or that I react to questions with a “deer in headlights” expression? Why am I surprised that the happy projects of a few days ago seem as far away as the moon and just as unattainable?

Why can’t I accept that I, in effect, have lost a good part of my intelligence for a few days? That I’m going to be physically clumsy and have to take care not to fall and hurt myself?

No matter how much acceptance I achieve, there’s a part of me that fights. I don’t want to be like this. I don’t want to slog through the days ahead and wait for the spark to return. I don’t want to be spending way too long writing this post because of the constant typos my fumbling fingers are making.

I don’t want it, but that’s the way it is.

Who Counsels the Counselors?

I’m not working in the counseling field right now. I may never be able to work in it again; I don’t know. But my experience from both sides of the relationship makes me acutely aware of both sides of the mental health crisis which is a secondary effect of the pandemic.

In the last six months, the therapist my health plan allows me to see (a sad once a month) has been replaced three times. There are no longer any therapists there qualified to run certain groups, the only type of help available more often. Counselors all over are quitting many jobs like rats leaving a ship because their client overload and working conditions become too much to handle.

The people who need ongoing therapy for their conditions need it more than ever. People who didn’t need help before now need some. And it’s getting worse as those who marshaled all their strength and white-knuckled it through the last six months feel their grip begin to slip.

Counselors have always faced a high risk of burnout. They must fight to protect their psyche against “vicarious trauma” that builds up when engaging with a client’s trauma. Well, I’ve heard it said that we are all experiencing low-level trauma right now. That means that the stress on the counselors now is not just a matter of time and energy. It’s a matter of extra injury to their minds and souls.

Passing for Normal

I felt normal today because I got to drink coffee from my favorite place, something I haven’t done since February. There were tables very far apart, so I sat drinking and feeling a breeze on the lower part of my face. Such a normal thing that I’ve missed a lot. It made me think of other times I’ve felt normal, or—more likely—just felt as if I looked normal.

I remember passing for thin. Around 2013, I was at the tail end of a very low-calorie diet that took my weight down close to “ideal.” I took a ballroom dance class but never lost the feeling of being an imposter. The body I had, even as it moved while held in someone’s arms, felt like an illusion tricking them.

I remember passing for normal as a mom, mostly when my daughter was little and I’d sit in the park exchanging innocuous facts with other mothers while laughing at toddler antics. Although I was far, far from okay on the inside, the outside looked wholesome.

I remember passing for a normal person at a ball game. The SF Giants were in the playoffs and I was in the stands with my spouse and daughter. I wore an old orange Giants T-shirt of his. I was in orange, just like everyone else. I felt happy to be part of the crowd.

And oh, God, I remember passing for normal at jobs, back when I could. Wearing an ID badge, nodding at meetings, writing up notes. Helping others. Looking competent and adult between my secret anxiety-attack bathroom breaks.

Holding On

So what’s the pandemic like through the eyes of a mental patient and recovering addict?

Well, there’s a lot of pressure to keep myself together, of course. Strong voices telling me this is NOT the time to have an episode or need a meds adjustment. And certainly not the time for a relapse on drugs.

It’s scary, because while not doing drugs is something I can control to a degree by practicing recovery techniques, the mental health thing is under less control. I can take my meds religiously. I can try to eat well and get a little exercise and do things that connect me to what I value. I can do all this, and it still might not be enough because neurochemical shit happens sometimes.

Meanwhile, all the “normal” people around me are experiencing levels of anxiety they aren’t used to. They need me to be functional so I don’t drain their energy away from managing their own stress.

“One day at a time,” is more real than it’s been for a while. I try to make plans…what part of mask sewing I’m going to work on today, what I’m going to eat for lunch, whether I’ll go for a walk. And while I do that I’m acutely aware of the degree of privilege I have compared to some of my fellow sufferers.

I have loved ones in my house. I have access to the medicines I need. For now, my family isn’t in danger of losing our home or not having enough food. I’m lucky.

Do you hear that, brain? We’re lucky. Now show your gratitude by refraining from any shenanigans until further notice.

Sidelines

Yesterday, I heard an opinion that those like me who live with mental illness won’t suffer as badly during the pandemic as those who are used to being happy and productive.

The logic goes like this: we’re used to feeling bad, we’re used to sitting on the sidelines and not being able to do much, so how is this different?

I didn’t know how to react when I heard this. I wanted to talk about what it’s like to be seen as a constant liability to the world. I wanted to point out that right now a lot of mentally ill people are trying extra hard not to be a burden on an overloaded system. When their symptoms torment them, the knowledge of the crisis feeds their shame and lowers their resistance to judgment and stigma.

There is no time to be mentally ill while the world burns, the thought repeats. So what if they’ve run out of their meds, or if the only thing keeping them going was that therapist they can’t go see now.

They will not ask for help. They will try to cope as best they can. Some will fail to make it through.

Meeting a Reader

I had another “first” last week; the first of many new experiences for someone who’s never written a book before.

I was at a sort of cheesy group mindfulness class. Most of us had been referred there because we suffered from depression, addiction or other conditions, and didn’t get to see a one-on-one therapist very often on our health plan.

So, one woman in the class talked about not thinking the techniques we’re learning would work for her. I’ll paraphrase what she said:

“Okay, so maybe this homework will help with my depressive thoughts and feelings. But what if I have depression and addiction? What if I have depression and addiction and trauma to deal with? I’m supposed to just let it all in? It’s too much. I could never address it all at once. But if I stop working on any of them they sneak in and sabotage me.”

Her voice was edged with both resentment and resignation. Resentment because she was already feeling dismissed and expecting to be patted on the head and told to go play like a good girl. Resignation because even as she spoke, she didn’t think speaking up was going to do any good.

I wanted to let her know she was not alone. I wanted her to know someone understood what it’s like to deal with multiple conditions. Understood the “it’s too much” feeling, understood what it was like to feel different no matter what therapy you’re trying. What it’s like to throw yourself into treating one thing and work your ass off only to be tripped up by one of the others, until you’re where she is: a place of “it’s too much.” And I wanted to tell her there is life and growth coexisting with that place.

I said some things. I named the different conditions I live with. But what I really wanted to say to her would have taken a long, long time.

What I really wanted was to give her my book. Have her take it home, curl up and read it cover to cover and know she wasn’t the only one to feel some of what she felt.

The contents of my book are what I wanted to say to her. And that makes me feel that, no matter how hard the writing and editing is, I am on the right track.

Safe

“Safe space” is a concept these days, and I’m for it. But is there really such a thing as a safe space for me?

I’ve been struggling lately with the fact (as I’ve mentioned) that I no longer feel safe talking about any kind of physical or mental health issue with some people. From now on, when certain people greet me and ask how I’m doing, I am in perfect health and having a good day. Like a gazelle in a herd, I must not show weakness or injury lest I be targeted by wolves.

“But wait,” I interrupt myself, “isn’t it important to be authentic about your issues? Might you be missing an opportunity to be helpful to someone?” Well, I don’t put up shields lightly. This is a case where I’ve shared my truth several times and had it discounted.

So that’s become a space that is safe for me to talk about writing, but not other things. There are spaces where I can talk about addiction, but too much talk of psych treatment might get me rejected. There are therapy spaces where I can talk about mental health, but have to hold back on talking about my writing lest I be accused of intellectualizing.

Sometimes being unsafe is the right thing to do, of course. Sharing honestly in a recovery meeting may help someone feel less alone, so it can be worth consequences to me. I have to weigh the risks and benefits and make a choice about how transparent to be.

The book in progress, of course, represents a choice to be extremely transparent. It’s possible to do because I can tell myself that no matter how many “unsafe” places it ends up, it has a good chance of also reaching places where it could help someone else feel a little safer. A little more seen.

When Truth Doesn’t Matter

“Wait a minute,” I can hear readers thinking. “This author’s all about self-disclosure and authenticity and all that jazz. Truth has to be important to them.”

You’re right. Truth, in general, is of paramount importance. But I’ve recently been given food for thought about one particular circumstance in which truth may be a bit irrelevant.

Cognitive-behavioral therapy has been very popular for a while, and is helpful for many people. A central principle of CBT is to question your negative thoughts and assumptions, learn to recognize illogical thinking, and use various techniques to decrease the number and severity of negative thoughts you have.

In other words: get into the habit of believing, and trying to prove, that your negative thoughts about yourself or your life are not true (or at least vastly exaggerated.)

Although I find many of the techniques useful, I have encountered two issues with this. First, since the goal is to change my thinking, I feel like I’ve failed when negative thoughts are still such a big part of my consciousness. Second, the content of some of my negative thoughts is true and trying to argue with it doesn’t help at all.

My planet really is in trouble. I really do regret not writing for decades. Relatives really are going to get harder to deal with as they age. I really did irreversibly fuck up my body in some ways. The odds of my book getting published really are low.

Anyway, I just finished a book called “The Happiness Trap” that was recommended to me. I tend to avoid self-help books, as a rule, but I decided to give it a try. It advocates that we don’t try to argue with our negative thoughts, or control how often we have them, but rather work on coexisting with them and using mindfulness techniques to be less affected by them.

It suggests that when I’m aware of a negative thought I’m having or story I’m telling myself, I don’t ask myself whether it’s true or not–only whether, at this moment, it is helpful.

Sick Squared

Being sick is depressing, sure. For me, though, being sick is clinically depressing.

Maybe those of us with mental health issues are more sensitive than usual to the tiniest changes in our brain chemistry. If we’re on meds, maybe illness changes the way our bodies metabolize them. Whatever the reason may be, even a minor illness seems to guarantee a sharp depressive dip for me.

It was just a bad cold, for heaven’s sake. Severe congestion, touch of fever, no huge deal, only lasted three days…but I’m clawing my way out of leftover mental fog, compulsively pessimistic thinking, and hair-trigger anxiety.

Yesterday was the first day I actually thought about my writing projects again, and it wasn’t pretty. Every gloomy, nihilistic, they’re-no-good-and-even-if-they-were-it-wouldn’t-matter thought I’ve had about them came cascading down at once.

I know what to do; what I’ve had to do thousands of times. Baby steps. Little things like this. Do not try to tackle everything that has piled up, or I’ll end up crawling back under the covers.

I want my brain back to its best functioning now–but what I’ve got is a blog post and a sink full of clean dishes. And that’s probably it for today.

Inspiration or Hypomania?

Both of them present the same way: I have an idea. An amazing idea. The best idea I’ve had in a long time. My head begins to whirl with plans for executing it, alternative plans, and alternatives to the alternatives. I sleep even less than usual because the ideas keep chasing themselves around in my head.

Eventually, one of two things happens: If it’s just inspiration, I question it obsessively, but (hopefully) eventually overcome procrastination and insecurity to take some step toward carrying it out. If it’s hypomania (a symptom of my condition, Bipolar II) I just whirl and whirl until I eventually burn out and crash. After I come back from whatever self-destructive crap I might have done while crashing, the idea seems ridiculous or lackluster.

But what if it’s not either-or? What if it’s a little of both?

The large-scale planning of my book continues. It’s reached the next level after a recent attempt at rounding out a chapter instead of focusing on shorter segments. For several days, I could tell my brain was in high gear, no matter what I was doing. I did mindless things quite often in an effort to slow down and relax, but while I was doing said mindless thing the thoughts were churning in endless circles.

Then a breakthrough seemed to happen: I had a vision for a new way of organizing the chapters that would be more blended and less choppy. It calls for changes about what goes where, using the 90,000 words I have so far as raw material but not necessarily in their current segments.

Evidence on the side of inspiration: I’m already making a lot of notes and at least trying to get the ideas down in some form, which counts as action.

Evidence on the side of hypomania: My brain fucking hurts and I really want to go eat donuts to club it into silence.

In Case of Emergency, Become Sane

My brain is weird.

This isn’t news, of course. But one particular weirdness is obvious this week: the way horrible, debilitating anxiety can click over into calm action during an emergency.

I can have gasping, chest-hurting anxiety over a phone call or a doorbell ringing. But a few days ago when our house was two blocks from the edge of a fire evacuation zone, I sat calmly writing a list of what to grab.

When my daughter had unexplained stomach pain the next day, I worried and obsessed constantly about what it was. But when it became clear we needed to go to the ER, I became completely focused. Driving with someone vomiting and moaning in pain in the passenger seat isn’t easy, but I did fine.

Turned out to be a kidney stone. A night later, she had to go back because she couldn’t keep down her meds. The night after that, she had a sudden, new symptom. Things had been calming down, and when this happened it hit me like a blow from a club. I lost my breath, my chest hurt…what is this? Will it go away? Should I call someone? Should I take her to the ER again? But after it was clear we needed to go, the magic switch flipped.

My husband asked if I was OK to drive. I told him yes. He knew it was true. He could see it clearly–the wife who had been pacing and gasping only a minute ago now met his eyes with solid certainty. And even when the scary symptoms got worse on the way to the hospital, I kept my eyes on the road and got us there. (She’s going to be fine, thank goodness; it was an uncommon meds side effect and they were able to treat it.)

So what’s the story? I know I’m not the only one; I’ve heard others talk about it too. Some highly anxious people actually thrive in crisis-oriented jobs like ER work. I think it has something to do with defined tasks that leave no space for indecision. Whatever choices have to be made must happen fast and be followed by action. The urgency blots out the endless future tripping and second guessing.

Someone I know thinks it’s a type of dissociation, and those of us with certain kinds of brains or trauma are just better at it. That makes sense to me.

Whatever causes it, I’m grateful I can be less of a liability in an immediate crisis. But how I wish I could flip that mysterious switch on command!

My Mind’s Pants Are On Fire

Once again my mind is lying to me. It often does. Logical arguments don’t help much, because these kinds of lies are built around a core of reality.

Here’s how it goes: My brain becomes especially anxious. Physically, biochemically, something is going on. No idea why. But my psyche won’t tolerate free-form anxiety. It insists on finding a focus for it.

What to choose? I have many sources of stress in my life. The anxiety zeroes in on one of them and hangs itself on it like a coat on a hook. I begin to worry obsessively about the thing.

Nothing has changed recently with the thing. There’s no new data. But suddenly I’m incredibly worried and can’t stop thinking about it. My mind is lying to me about how serious the thing is, because a day or two ago I was coping with that exact set of circumstances and was much less anxious.

It’s also lying because it’s not necessarily choosing the most urgent of my worries. It just reaches into the grab bag for one. It could have done the same amplification for any of the others.

Even though I know this, it’s hard to argue with it when the core worry is a real one. I can’t tell my brain there’s no reason to worry about it, because my brain will know I’m lying. All I can do is try to stay aware that I’m experiencing an exaggerated version of the truth.

The Devil’s Playground

There’s an old saying that “an idle mind is the Devil’s playground.” This can be especially true for addicts. Not only addicts, of course, but anyone to whom the inside of their skull is a potentially dangerous place.

Today I have the house to myself for eight hours. I’m not used to being alone here for more than a couple of hours at a time, because between my spouse and our 19-year-old there’s usually someone around. But my daughter just got a job (yay!) so she’s at work (weird!) and I’m here by myself until it’s time to go pick her up.

It’s not that I don’t have plenty of things to do. I could work on one of several writing projects I have going. I wouldn’t even have to write; I have storyboarding and planning I need to do. I could unpack more stuff. I could put away the laundry sitting in the dryer. I could take a walk, or do ten minutes of my neglected Tai Chi. I need to take a shower. If I feel the need to be completely unproductive, I could watch a show or read a book or play a video game.

Or, I could eat things that harm me. I could sit and stare at the wall, building darker and darker scenarios in my head, with no one here to ask me if I’m okay. I could call up someone toxic in my life and have a conversation I’ll regret. Anxiety has been especially troublesome for me lately, either paralyzing me or goading me into unwise action.

So for the moment, I decided to do this. And now that I’m done, I’ll have to decide what to do next.

You Don’t Say?

So, my psychiatrist thinks I am depressed.

More than usual, I mean; my general diagnosis includes a type of depression. But just because I told him about how often I’ve been thinking about death lately, and how much I’ve been struggling with food and other self-destructive behavior, and how much time I spend in circles that talk a great deal about the dark aspects of all our futures on this planet…he thinks I need more help with depression.

So out he comes with this particular health care organization’s chart of meds and starts suggesting things to add to my regimen.

Poor man. He means well. But either he hasn’t been taking notes at our previous sessions, or he hasn’t been looking at them.

The names of the meds are listed in little boxes by group, and as he proposes things I have to keep shooting him down.

No, we can’t add anything from this box. I’ve tried many of them, and they increase anxiety to a dangerous level. No, I don’t care if this one is new, I’ve seen the chemical formula. They moved a hydrogen atom so they could get a new patent, that’s all.

No, we can’t add anything from this box. They’re all addictive. I know my addiction history is in my chart. I made a point of putting it there.

Dear God, no, we can’t add anything from this box. Two of them almost killed me when I tried them; I’ve told you that before. You cannot give me any of these unless I’m an inpatient under close supervision so I don’t walk into traffic.

We could try a slight increase in this one med I’m already taking, or we could try one from this tiny box here…or maybe we could get me a therapist I could see more than once every six weeks.

Ha, ha, just kidding, I know that’s not going to happen.

Through the Cracks

I just found out I am one subject of criminal irresponsibility on the part of my particular health care system.

After some of the struggles of this spring and summer, I decided it was time to make a couple of appointments with my mental health team. When I went onto the website, the name of the psychologist I see was gone. I inquired with the department and discovered she doesn’t work there any more.

I assumed I would be scheduled with a replacement, but was told that it would take some time. Basically, I am going to be treated like a new patient again.

It took nine months to get in to see someone when I was new.

So, first, putting me back in the new patient group isn’t right. Second, even if they had to, someone could be letting patients know their care provider is gone and put them in the queue for upcoming openings, instead of only starting the process when the patient (who, hello, has a mental illness that affects their functioning) manages to reach out.

I’m upset on my own behalf, but I think I’m more upset about people who are doing worse than me right now. Being cut off like this may tip them from barely coping to needing hospitalization.

Not to mention the stress of losing what may have been an emotional support without warning, or a chance to say goodbye, or a single sign that anyone associated with their treatment gives the slightest fuck about them.

Doing Nothing

My job today is to do nothing. Specifically, my job is to do nothing self-destructive. I hate days like these, where I’m just trying to get back to zero by letting my body and mind recuperate from whatever abuse I inflicted on them recently.

But the days when I’m actually doing the harm are, of course, worse. After nearly a year and a half of grace on my let’s-keep-diabetes-in-remission way of eating, I began to struggle in the spring and have not yet recaptured the blessed place I was in. A week or two of difficult abstinence has tended to be followed by a few days at a time of the hideous and painful rituals of binge eating. Although I haven’t relapsed on drugs, the eating disorder brings plenty of suffering in the form of sickness, shame and secrecy.

Sharing about this is important, because I don’t ever want anyone to get the idea that the work I’ve done on myself has solved anything. It hasn’t. I’ll be dealing with my issues for the rest of my life, just like I’ll be an addict in recovery the rest of my life.

If you think that’s a defeatist attitude, I understand, but I must disagree. Understanding that these things are a part of me and my life, rather than some demon I can exorcise forever if I just get it right, has been vital in acquiring more self-acceptance.

This is only day two back on plan. If and when I rack up a few days and get my mind clearer, I may look at whether to get in touch with my psych team over the general pattern I’m seeing (sleep worse than usual, biting nails until they bleed, anxiety spikes.) It’s the usual dilemma: are my struggles a sign that I need more help with my symptoms, or do I just need tough love and other attitude adjustments?

But today, the goal is nothing. Like the old story of someone who’s deep in a hole crying out to their God, “Please, God, get me out of this pit!” And God replies, “Okay, but I can do it faster if you stop digging!”

I’m not digging today. And that’s going to have to do.

Raw

Don’t you hate it when you bite your nails late at night until they bleed? And tear bits of skin off around the nail beds, exposing raw red flesh? And it hurts, but only for a little bit, and you finally go to sleep. Then you wake up in the morning feeling as if your fingertips have been dipped in acid.

Washing your hands is excruciating. The thought of doing the dishes makes you want to cry. But the dishes don’t care. They sit there waiting. And you don’t live alone, so you can’t just let them pile up. And you think about asking someone else to do them, but you tell yourself you don’t deserve that kind of consideration, because you did this to yourself.

Then you try to put bandaids on all ten fingers so you won’t keep bumping the skinned flesh into things. Then you realize you need to wash your hands.

Then you sit down to work on a poem and can’t stop looking at your stubby, raw, red fingertips moving over the keyboard.

Oh….what’s that you say?

Not everybody does this?

Shit.

Flooded

How do we know when we’re writing too much?

It’s tempting to think they’re’s no such thing as too much. Maybe that’s true for some people, especially if the things they write cover a variety of styles and subject matter.

But this week, I’m conscious that I may be writing too much of a project too quickly. My nonfiction project contains many memoir-style pieces for the purposes of outreach, and I am working on some that cover a very dark time in my life.

My task is to convey, at different times, an authentic tone of what it’s like to be a practicing addict, to take doses of drugs you know might kill you and not care as long as you get high, to be deep in clinical depression or overwhelming anxiety, to be suicidal, to be convinced that suicide is the best thing you can do for those you love, to know that you have lost and drugs have won, to plan your own disappearance and death, to know that you deserve nothing better…

My task is to write it so well that an addict or a mental illness sufferer will identify strongly, while someone not familiar with the feelings will have a window opened to a bit of understanding.

Strong feedback I’m getting tells me I am at least partially succeeding in this. But there’s a cost: I’m writing it authentically enough to affect myself as well.

Floods of old emotions, ones that are always there but more in the background, wash over me. Old grief, guilt, and shame come up often. The otherworldly loneliness of that time echoes.

Too much of this is dangerous to my current mental health. I’m noticing hits to my self-care and changes in how I relate to my family.

These things need to be written…but I need to pace myself.

Seeing Strength

I spend a lot of time making sure I am aware of my weaknesses and limitations. Not (most of the time) in a self-critical or self-defeating way, but out of the necessity for managing my conditions responsibly. No one is helped if I take on too much and end up unable to do anything. So, through the years since the last time I needed hospitalization, I have worked hard on this.

Last weekend, though, I got reminded that it’s okay for me to take a moment to see strength. For the first time in nearly ten years, I attended my local Unitarian Universalist church. I used to sing in the choir there, and met some wonderful people…and, eventually, slunk away because of my insecurity and my worsening mental health issues. Already near-suicidal, I came away from every sermon more ashamed and more depressed, the calls to action and social justice reminding me how little I was doing for the world as I struggled just to stay here in it. 

I had considered trying again for a while, and on Sunday I got to see that things have, indeed, changed in the last ten years. The old tapes did play, often, but they did not rule me. I felt plenty of social insecurity, but not enough to make me flee. As I sat and listened to the sermons, I realized that the process in my head was different. Alongside the old tapes, a different track played…ideas for poems, ideas for other ways I might be able to help, a consciousness that, even though I am not doing as much as I might wish, I am doing something.

I came away more at peace with what I am and what I do these days. More at peace with the fact that my battlefield is the psyche, that my focus is on helping others like me escape from prisons inside their skulls–so that, one day, they can be more present in the world and help fight the battles that need fighting.

Blankets Kill

I hear a lot of blanket statements about mental health care these days. The people making them usually mean well, and do not realize the harm they are causing.

In recent years, there has been growing awareness about the overprescription of psych meds, the irresponsible assigning of diagnoses and other toxic aspects of the domination of Western medicine perspectives. This is a good thing.

Unfortunately, however, it is getting translated into a common and frequently aired attitude that ALL psych meds are bad and anyone taking them is some kind of a) ignorant victim in need of enlightenment or b) lazy, compliant sheep unwilling to face their feelings without some kind of crutch.

Blanket statements about ANY group of people are dangerous. When the group of people is at constant risk for serious to fatal behaviors, blanket statements can kill. They can kill by increasing stigma and decreasing the tendency to get help.

Anyone managing a mental health issue has been on the receiving end of so much stigma and judgment already that your words have incredible power.

So you’ve got opinions about this issue. So you think Big Pharma is evil and out for money. Fine. But quit with the black and white thinking and admit you don’t understand the contents of everyone’s skull. Open your mind to the idea that there can be people who have tried many things and found a responsibly managed meds regimen to be the least of evils. People, like me, who choose it because it allows them to be more present in the world, to help their families and others, to stick around instead of hurting themselves. People who find it a useful tool to add to the psychological and emotional work they ARE doing.

You want to help? Advocate for making competent help available to all, so people aren’t getting these meds from unqualified doctors. Advocate for making competent psychotherapy and counseling available to the non-wealthy, since we know that with or without meds this is a huge need. Advocate for a general decrease of stigma.

And stop judging us. Somebody, somewhere, committed suicide today because they were caught in a web of shame and saw no road out. Blankets kill.

My Book is a Bastard

So what are these projects that have been sucking up my writing spoons? Well, as far as poetry is concerned, I am trying to put together a chapbook for a feature I am doing in November. It will be the first time I offer written poems for people to take home. It’s just a low end thing, but I have to go through the horror of figuring out which poems to put in it.

The other one, the really new one, is my nonfiction book. I have always had a vague idea of using the essays I’ve written for the last five years as raw material for something, but recently I’ve hammered out much more of a plan and begun writing pieces that are targeted specifically for that.

This book is a bastard. A hybrid. A mutant.

Why?

Because it doesn’t fit into an easy category, like memoir or inspiration or self-help. I don’t want it to be just another “here’s the story of some shit that I survived” memoir–but there will be memoir pieces in it designed to help a reader identify or get a perspective on eating disorders, addiction and mental illness. It’s not a “here’s what to do to change your life for the better” book–but it will contain some ideas of things that might be worth trying, or tips on finding your own ways. It’s not a psychology book–but part of what makes it a bit different will be the experience of going through some of this stuff as a person who already had a clinical background, and where knowledge is and isn’t helpful. It’s not a “spiritual inspiration” book–but will certainly contain some metaphysical thoughts on why not to give up.

From a marketing perspective, some might say I’d be well advised to change it to fit a category, because bastards are hard to market. But I don’t think I can do that; I need the outreach element to be there. We’ll see. It’s all so embryonic that the most important thing to do at this point is to keep writing.

Something New

Six years of essays, three years of poetry…and now adding something completely different.

My essays have always been personal, but in response to some feedback from fellow writers that saw a few of them I’ve been experimenting with longer pieces of more intimate and detailed memoir. These would ultimately form part of my pet long-term nonfiction book project.

I’ve gotten very good response on them so far, but it is a new kind of writing for me with a new quality of emotional experience. I need to be careful not to get overwhelmed.

I also don’t want to neglect my poetry (haven’t so far) or posting here on this site (which I definitely have.)

I have this idea that I’ll challenge myself to post every day for the coming month of October–but, knowing me, there’s a certain probability of that being bullshit. I want to post a lot, though, because there are interesting things happening with my creative life and its interaction with my health and sanity.

Discomfort Zone

When I grow, it’s because I did things beyond my comfort zone. Granted, there are times my comfort zone is smaller than my own skull, but whatever it was at the time, I made conscious efforts to leave it. In everyday living, in social interaction, and especially in writing, I try to push the edges and perhaps push them a little further next time. And, naturally, I dance with the questions of whether it’s wise to push a certain edge at a certain time.

It isn’t productive for me to push in ways that will render me nonfunctional for days. It’s productive for me to push just enough for discomfort, just enough to require some courage. Enough to have consequences in my thoughts and emotions for days or weeks, but have them be consequences that I can manage without being propelled into a serious dip that will make me useless.

I’ve been sharing poetry with others for two years now, and I recently began to share prose for the first time. My essays on my blogs, theoretically, have been shared for years, but never critiqued by other writers or otherwise given feedback. That’s the new thing I did this week, and it was a very different experience from sharing poetry.

One piece of feedback I got is that people wanted more personal detail in some of the pieces. They encouraged me to depart a bit from the conversational style of these essays and branch out into a more personal viewpoint. So this week, I’m writing a piece that focuses more on describing an experience and isn’t about outreach per se.

It’s hard. It brings back the memory in a more visceral way, without the intellectual and the clinical to soften the edges. Even without that discomfort, it’s just different. For the millionth time, I’m the new kid at school.

Time To Pay the Piper

Well, it is starting. My “up phase” is transitioning to the not-so-fun part of the process. The energy that sparked through me, that last week required caution to manage, is now turning to anxiety. I can almost feel it–it’s like listening to an engine rev and then suddenly hearing a grinding, clanking sound. Energy is now stuck and fouled up in the gears of my brain instead of passing through. It’s overflowing into my body, making it hard to breathe deeply or sit still.

Bipolar II, like its more acute cousin Bipolar I, is classified as a mood disorder. However, sometimes it makes sense in my own experience to think of it more as an energy disorder. Some more philosophical types even compare it to kundalini energies and such–whatever it is, the brain is taking in and/or processing some type of energy a different way. Mood changes are either a result or a parallel process. Not that other issues don’t relate to energy as well–one reason those who deal with depression suffer so much frustration when given advice that is only mood-based. 

At any rate, I feel it and I know from experience what will come. “But wait,” I can hear the next self-appointed free-lance psychiatric counselor I meet say, “Aren’t you being negative expecting bad things like this? What about the power of positive thinking? You’re creating defeat for yourself.”

To which I reply, take your chemically balanced brain and go…well, to put it politely, just go away.

Understanding my patterns and making “weather predictions” based on past observations is NOT defeatism or negative thinking. It does not exclude the presence of grace, the opportunity to make progress in handling whatever happens, or the power of hope. It’s a tool like any other. It’s hiking through mountains and canyons with my eyes open instead of being blindfolded and experiencing terror with every drop.

The Eye Roll

Part of living with bipolar disorder is encountering the Eye Roll from loved ones.

The Eye Roll goes like this: I, currently in an “up” state of mild or moderate hypomania, gush about all of the new things I have decided to do. Classes I have decided to take, new languages I have decided to learn, writing projects I have just decided are awesome and should receive devotion, exercise programs I have decided to start…you get the idea.

These bursts of dedication can happen to anyone; certainly we have all had the experience of starting and abandoning new projects. However, with hypomania they are ALL trying to happen at once. In a single week or less I experience–and babble to my family at length about–all of the above and more.

So the Eye Roll is a normal reaction developed over years, in someone who has watched me start so many new projects only for them to disappear during my next depressive phase (and often, rather than reappear during my next up period, be replaced by my NEW set of great ideas.)

My loved ones want to encourage me in taking actions. They’d rather see me engaged than depressed, so they try not to make the Eye Roll obvious. Nevertheless, it is felt and I have enough self-knowledge to respect it.

The spirit behind it has helped me put some cautions into practice. If an idea or desire recurs over months, during a series of up phases, it may be worth following up. However, if it is brand new, it’s not an idea I should spend significant money on or make any life-altering decisions about.

A little money, well, that might be okay. Buying a new wall calendar to lay out plans, or downloading an app, is no big deal. But it’s NOT the time to buy a treadmill, spend hundreds of dollars on a class, or get a tattoo. I need to wait and see if my wonderful new idea has legs or not.

Useful

How do I maximize my usefulness to others? How do I assess my strengths and weaknesses honestly and make good choices about how hard I should push myself at any given time? How do I repeat this assessment frequently and deal with the self-doubt that tries to make me push myself too hard out of guilt or shame? How do I resist the impulse to apologize constantly for what I am doing and the fact that it’s not enough?

I’ve written on this theme before. I’m sure I will write about it at intervals for the rest of my life. Two years ago I wrote this, in fact:

“I don’t want to live my life as a walking apology, but I also don’t want to become the kind of person who sees no need for regrets about how my condition and/or my shortcomings affect others.

Where is the line; where does a realistic assessment of my condition end and making excuses begin?

Could I be allowed to stop making promises, or even implied promises, that set me up for the inevitable apologies?

There’s no way for anyone else to assess, or even for me to assess reliably, the subjective amount of effort I’m making. So how can I, when unable to perform consistently, express that the thing, principle or person is still important?

Can I ever be good enough, do enough, love enough to have it mean something?”

Looking that up was interesting because it really made my point: This theme recurs. It recurs because the question is always relevant in a world that needs us to do our best. It’s not going to stop recurring, and I need to meet it with honesty and humility whenever it arrives.

Suddenly, It Sucks

Many writers know this experience. We’re chugging along with our stories or poems or whatever. We don’t think they are perfect, but there are things we really like about them. Then, WHAM! We hit a pocket of insecurity.

Suddenly, everything we have written sucks. It’s cliched. Trite. Boring. Unoriginal. What were we thinking?

I experience an augmented version of this when I am in a depressive phase. Today, I am aware of a general feeling of pessimism about all aspects of my life. My writing is no exception; I am looking at drafts that pleased me a week ago and wanting to scrap them.

Actually, as recently as two days ago I was really happy with a work in progress that I’m planning to read at an open mic this weekend. I had that impish grin I get when I’ve just successfully completed a draft, and was looking forward to reading it. Now I’m not even sure I want to go, and not at all sure I feel comfortable reading my new creation if I do.

The good news is, I’ve been through some crap that has taught me I shouldn’t always believe what I am thinking.

The Importance of Being Evil

I cannot be a whole person unless I understand and accept that I am partially evil. This understanding took me years of work, and the acceptance of it will probably be a lifelong task. 

The idea that we all have evil is not new, but I am not concerned with that. Nor am I taking on the endless task of defining what exactly evil is and is not. I am only speaking for myself: some of the things I personally define as evil undeniably exist in my psyche. There is some dark crap in there, and it’s not going to go away. Self-improvement and spiritual work can help me improve my behavior, but there are some things that cannot be changed. I will never be pure. 

Why is understanding this so important to me? It’s hard to explain. It’s hard to explain the huge leap in self-acceptance I made when I was able to incorporate these parts of myself into the whole. It’s hard to explain how much closer it makes me feel to the rest of humanity (a feeling of closeness I need, since I so often feel alienated.)

Instead of my self-esteem being based on inherent goodness, I can base it on my behavior. Now I don’t have to feel like an impostor every time an uncharitable thought or angry fantasy comes into my mind. 

I can be angry at people doing bad things and still understand that I am not a different species from them. I can know that however dark and twisted the labyrinth of their actions and motivations might be, it is still a human labyrinth and I have one too. I can understand that I am just as capable of terrible things as anyone else given a different set of circumstances, different brain chemistry, different trauma–even different past life baggage if you’re into that kind of thing. I’m not better than anyone. I am a potential supervillain.

Battling addiction, mental illness and general despair requires a powerful sense of self. Anything that makes me more connected with that sense of self has the potential to save my life and give something to the world. I’d rather be a partially evil person trying to act non-evil than someone whose useless quest to be good helped to kill them.

Through the Clouds

I want to believe I’ll be creative for the rest of my life.

I want to believe that if I get very ill I’ll use the time and the change in perspective to write, or at least expand my mind by learning a new language or something. I want to believe that if I die of natural causes at an advanced age, my feeble fingers or quavering voice will still be trying to communicate. I want to believe that my mind is and always will be more powerful than my body.

I want to believe my drive toward thought and clarity can always overcome issues with my body. And there is some truth and merit to the idea; there’s truth in the idea that my mind and soul have a great deal of power. There’s truth in the idea that the battle for clarity is not hopeless and that it’s well worth fighting.

That belief, however, is not always backed up by actual experience. My experience has been that my mind’s activities are linked to the functioning of a physical object known as my brain. This organ, whether I like it or not, is a part of my physical body. It’s affected by every other organ I have. It relies on the contents of my bloodstream for oxygen and nutrients. When my body gets sick, or is affected by hormone fluctuations, or takes a new medicine, my brain gets a different cocktail. There’s a tipping point to these things beyond which it’s very hard to muster enough energy or original thought for any productive act.

The truth is that for someone like me, the state of optimal body and brain function is more like a theoretical norm than an actual one in the sense that there always seems to be something going on. As I age and experience more physical issues and age-related cognitive decline, the clouds may get thicker. This thought scares me quite a bit.

As I often do when I feel fear, I grope for a metaphor. Today it’s astronomy.

Astronomers, as least the old-school or amateur types who must perform their observations from the surface of the Earth, try do their field observations on clear nights. When it is cloudy, they reschedule, because the portable instruments they have may not be powerful enough to get anything useful through the cloud cover.

But what if the climate changed and it was always, or nearly always, overcast? They’d have two choices: give up astronomy or build more powerful instruments (or do all their observations from space, but in this metaphor that seems like a post-death thing and we are looking at this lifetime.)

Even if they began to build better instruments, they’d have to accept that they now get less data for more work. They’d have to decide it was still worth the work and dedication.

I have to accept a similar thing. I have to believe that an effort I make on one of my bad days is still vastly, stupendously superior to doing nothing.

Just Sick Enough

When you have a psychiatric diagnosis, there are times when it’s obvious you need help. Other times, it might not be as obvious.

I had to jump through some hoops recently to get seen by a psychiatrist with my new insurance. Among these hoops were multiple rounds of the same questions about the nature and severity of my symptoms.  As I tried to answer as patiently and honestly as possible, I was aware of feeling anxiety about whether I would be deemed “sick enough” to be worthy of care.

You see, although I have been under some form of care for many years, it’s been seven years since the last time I was in a hospital outpatient program and nine years since the last time I was hospitalized outright. I’m only on one relatively benign mood stabilizer.

In recent years, I have been aware of how lucky I am to be where I am. I work hard not to throw this good luck away by falling back into addiction or other self-destructive behavior. But should “doing well” mean I don’t need help any more? Especially with bipolar, where patients are quite likely to float out the door while in a happy place, stop their meds, and wind up in the ER?

So it’s a dance. Be sure to appear “sick enough” to be taken seriously, without appearing so ill that you get a level of intervention you don’t need or want. Be eloquent enough about what goes on in your head to make sure someone knows you aren’t “fixed.”

Why? Why not just have enjoy having fewer appointments and one less thing on your current record? My reason is simple: my condition means that matter how well I am doing, it is possible for me to have a serious episode and need more help. Having a psychiatrist of record means having someone to call for an urgent meds adjustment. In the event of dire need, it means I have a name to give the ER staff.

It’s regrettable that people like me must defend our need to be responsible and prepared for trouble.

The Trap Door

An old dating show had prospects standing on a trap door above a dunk tank while being asked questions. At any moment, the contestant asking could push a button and splash! It was all over and the next person would move to stand on the trap door.

I often feel as if I’m in that situation. The feeling grows stronger when I meet and interact with new people, especially if I have a strong desire for those new people to like me and want to see me again. Everyone can have the “If they really knew me, they wouldn’t like me” feelings, but mine tend to center on a few specific things.

For example, yesterday I spent the day with a group of writers at a workshop (an awesome experience, and I am so grateful I was invited despite my lack of funds.) The social part also went well, but I did have one instance of the “trap door” feeling. It happened during lunch when the topic of psych meds came up briefly and several people expressed the common attitude of all psych meds being bullshit and/or evil.

The gears rumbled to life in my head and I began to project. So, if and when they know that I’m someone who chooses to take medication, they will have contempt for me. They’ll decide I am weak, or lazy, or unwilling to face difficult times, or just a compliant sheep controlled by Big Pharma. They’ll write me off. And if they would write me off for this, how quickly will they write me off once they know I am a drug addict in recovery? Should I speak up and tell all of these things about myself as early as possible so they can go ahead and write me off instead of wasting their time?

I felt the trap door opening under my feet. I felt the familiar brick settling onto my chest. I felt the familiar loneliness that tells me “You don’t belong. Don’t get fooled into thinking you could.” 

These moments are part of life for me, and I try not to let them control my actions. I try not to let them trigger defensive counterjudgments or mentally put people into boxes, but it’s hard sometimes. I’m aware that when I do that I am judging people in the same way I don’t want them to judge me.

Poetry…Because Drugs Didn’t Work Out

I used this phrase when meeting my new psychiatrist and got a quizzical look. He’d just asked me what coping mechanisms I use to deal with my symptoms. I’ve used the phrase before with others, or referred to poetry or writing as my “newest vice.” Some people get it right away, some don’t.

It’s like one of my favorite snarky T-shirts, that says “Writing…Because Murder is Wrong.” That one either gets a laugh or a vaguely uncomfortable look.

Poetry, and other writing, are indeed a coping mechanism for me. Doing them is part of my ongoing efforts to break the old patterns that want to keep me silent, ashamed, and stuck. Doing them can help me get through the disorientation or despair of an episode, or at least give me reference points before and after.

Poetry, and all art, is a form of therapy as well as whatever other purposes it has. Some might sneer at those who seem focused on this aspect of it, or draw distinctions between such people and “real” artists. I believe there’s a place for a critical voice in our process, but I also believe there’s a special corner in some hypothetical hell reserved for those whose contempt or elitism discourage creation.

The word therapy comes from the Greek root for to serve. Psychotherapy translates to serving the soul. Whether it’s our soul or others, or what the ratio is, the service exists. When we create something–anything–we influence the world.