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.