Posts Tagged ‘therapy’

Bratty Brain

Posted: May 29, 2017 in ADHD, anxiety, Life, mental health
Tags: , , ,

“Well, I can confirm that you have ADHD.”

The feeling of relief was palpable and intense. After all these years, to finally hear a psychiatrist proclaim what I’d long suspected. It was overwhelming.

“Also, the testing you took also shows that you have anxiety disorder.”

Anxiety-cartoon

Wait. What?

Anxiety? Pfft. I’ve managed to deal with stress all of my life. Sure there were times when the stress got to be too much and I had to take measures to lessen it. But it wasn’t a disorder. It was just normal stress. Everyone has stress at one time or another.

I dismissed it. Didn’t give it another thought. That was seven years ago.

And the years went by.

A few weeks ago I found myself tossing and turning in bed. Normally, when I crash, it takes all of two minutes for me to drop into a deep sleep.

Not this time. As I turned over yet again, I realized what was preventing sleep: I was having trouble breathing.

I got up and watched a couple of hours of TV. That made me drowsy enough to finally fall fast asleep.

Unfortunately it meant I only got a couple of hours of shut-eye, and then I had to get up for work.

The next night it was the same. And then, during the following day during my waking  hours I found myself struggling for breath.

“That’s it”, I thought. “Something’s wrong.” And so off to the ER I went.

They triaged me, and decided my symptoms were serious enough to take me right away and run some tests.

Seven hours later, the doctor finally finished doing her final ultrasound test. She said “well your tests all show that you’re okay physically. Are you worried about something? Your symptoms would indicate that you’re suffering from anxiety.”

I frowned. “I don’t think I’m stressed out about anything. Thanks doc. I’ll think about it.”

The only thing that came to mind was the fact I had agreed to act as manager for a week. After acknowledging that, my symptoms seemed to lessen. I was pretty sure that was it. Every time I felt the heaviness in my chest, I just thought about my acting manager job, and the stress seemed to go away. Acknowledgement was the cure.

A few days later I had a conference call with my team. My ADHD was in full effect: I would be talking about a subject, but then these wayward thoughts would find their way to the forefront and interrupt me.

I’ve never had it happen that way before. The thoughts were so strong and insistent that they demanded attention. Picture a toddler screaming at you while you’re on the phone with a friend. That’s how it was with me.

toddler

The thoughts were so strong I had to stop, mid-sentence. “Sorry guys, it’s not that English isn’t my mother tongue; it’s that ADHD is my dominant language right now, and it’s having a field day.

My team laughed in understanding.

I tried again, and it happened again. It was bizarre. I’ve had ADHD symptoms all of my life but this….THIS was out of control, and embarrassing.

A few weeks later I found myself once again having trouble breathing. This time I walked around as much as I could, then sat down near a Starbucks, set a timer for 10 minutes, closed my eyes and attempted to meditate by concentrating on my breathing.

I was a model of meditation actually: I observed the little aches and pains and thoughts, let them wash through me, and kept thinking about my breathing.

meditate

It didn’t work. My thoughts betrayed me, and I kept falling out of meditation time and again. And each time I did, I struggled to get back to just thinking about breathing.

Finally, I called my boss. “Listen, I’m not handling things very well. I think my anxiety is back.”

Honest to God, if you have to work for someone, you couldn’t find a better boss than this guy. He understood immediately, and he talked me down.

We discussed the trigger at my job, and he lifted that burden from me. He honestly didn’t think it belonged with my group anyway. (I won’t go into details, as that would be a blog in itself).

Then he said “what you need to do now is take some time off. Stop thinking about this place. Get some help. Talk with your doctor. And then, come back to work only when you feel better. You’re no good to me, to your team or yourself when you’re not at your optimum.”

He was right. I took his advice.

It’s been years since I had therapy. Tonight’s the night I have my first session with a psychologist.

The first part of this blog is here:  Swimming in the Uncertain Ocean (Part 1)

He enjoyed his solitude.  An existence of peace that he had only experienced as fleeting moments while driving in his car.

Or in the occasional evenings when he pretended to be working on a late-night project.  A fiction he’d told his wife so that he could take advantage of an angst-free and clean hotel room.  An oasis of sanity in a desert of whirling incessant drama.

His journey to self-awareness was a gradual thing.  It began with the helpful doctor-therapist he had been seeing, as she merely reflected his journey back at him.

His life took on a patina of gratefulness, as his mental chaos slowly subsided.

He grew to appreciate his now mostly-permanent peaceful home.  It began to be a place of joy, where he could still his racing heart.

For many years, he grew to enjoy his bachelor existence.  To be sure,  he liked being with people too.  But the prospect of that solitary nest always beckoned him at the end of the day, as a target – one that promised a whisper of studied silence, settledness wrapped in a certainty of cushioned peace.

He still experienced moments of panic.  Often, when he stayed out late he became aware of an unreasoning anxiety.  He hadn’t called anyone to let them know he would be late.

Then he realized: there was no one to call; no one to whom he need be accountable.  He was on his own.  His time was his own.  He found himself laughing out loud at the absurdity of his thoughts.

It would be a number of years before he truly grokked what his freedom entailed.

His life took on an examination of the variables that had put him in a position where he had almost committed suicide.

Religion played one of the largest factors.  Rules and dogmas to which he’d adhered; demands which had enslaved him to a life of torturous upset.  He couldn’t blame the preachers or his friends and companions of the religious fog.  He had walked into the scene, willingly, with his eyes wide open, as he knew many people do.

His ultimate rejection of religion was therefore singular.  He decided that he didn’t want to make it a grand thing. He wasn’t interested in loud proclamations of the futility of following man-made religious laws.  He only knew that he had to make peace with the fact he was walking away from it.

Though not from God.  His belief in the divine was too real.  But it was also much less defined than he had at first thought.

His solitude became routine.  Routine became boredom.  Boredom provoked dissatisfaction.

Dissatisfaction provoked realization.

Having divested himself of the limits of marriage, and of the laws of religion, he realized that he was bereft of a ton of limits.

Were there any, beyond the limits of the laws?

Not much, he found.

There were the limits of his character, and of his morals, of course.  Those he held as precious necessities.

Beyond those though, there wasn’t much in the way of limits.

He was subject to the whims of others.  His job was his, only as long as his employer required him.

His house and home was subject to the limits of his employment.

His health was subject to his behaviours (which he could change), to his genes as exhibited by his parents and ancestors (over which he had no control), and to the vagaries of fate (he could be hit by a bus at any time).

Ultimately, he realized, there were no guarantees and for all practical purposes, no limits on him.

This understanding was both negative, and positive.   The negative was obvious.

The positive, though.  That was new.

Put simply, there was nothing he could not do.  If he had a mind to do something, and the determination to do so, there really was nothing to stop him.

One day, not so long ago, he realized this.  Not just understood it conceptually.  He knew this.

He could do anything.

The only thing stopping him was…..himself.

He knew what that meant.

Routine, boredom and habits were no longer his friends, crutches on which he could depend.

That enlightenment blew him away.

Suddenly, he could  see the changing horizon, a distant place of shifting colours, full of the promise of possibility, absent of definition and finality.

He was undone.

“You are so cold”

I was thus informed, at the end of a heated discussion.   The topic wasn’t worth remembering, which is why I can’t tell you what it was. 

What she meant though was “you’re not taking my side; you’re not offering me comfort.”

Also: “you’re not willing to spend your time listening to me complain without offering suggestions.  I don’t want your suggestions, I want you to listen.  And I’m quite okay with staying miserable – I’ve been this way for months.  Why can’t you understand that?”

For all of our wealth, it seems our society is filled with pockets of the pity-people: folk who are miserable, and have no intention of doing anything about it.

Part of the problem, for some, comes from their mental illness: there is absolutely zero to be gained by telling a clinically depressed person to cheer up.  It’s like asking a banana to peel itself. 

Or like telling a diver, in mid-dive “please don’t get wet”.

Shit’s gon’ get wet, yo.

I think everyone handles such unfortunate people differently.  My preference – and this is not a perfected process yet – is to mention some ideas they should consider so that they won’t be miserable anymore, and then vacate the area.

I’m not talking about the person who just lost his job, or the woman whose husband just left her.  Offering helpful “next steps” to either – especially immediately after the moment of crisis – borders on insane, not to mention cruel.  I truly think that you need to feel the pain and the hurt before you can carry on.  Before you should carry on, in most cases.

And to be fair, the “I just want you to listen” complaint mentioned above is often fair.   It seems to be a male-female thing.  A lot of women seem to want us guys to listen without offering suggestions.  Many of us guys just see a problem that needs fixing.  This issue isn’t about that.

The bedraggled person I’m talking about has been miserable for months, and seems unable or unwilling to extricate himself from his pain.  My experience – based upon years of trying to help various people – is:  he or she needs professional help.

I’m not equipped.  I haven’t had the training.  Even if I did, I would imagine that being close to such a person (related or friend) would preclude my ability to provide any kind of effective help. 

doctor

If one is a warm, inviting person, one becomes a target for the marginalized and hurting person.  This is acceptable.  What’s not okay is the person who wants to bend one’s ear, for days and weeks on end, about the same topic, and with the same result.  Which is: nothing.  Stasis.

It’s a hard thing, saying “no” to such a person.  I’ve employed a technique similar to the ones used on me, when being rejected as a date companion. 

“I like you, just not in the way you like me.”
“We can certainly meet.  I’ll get back to you when I can figure out a date that’ll work.”
“Sorry.  I’m at work right now. Can we talk later?”
“Listen, it’s been great chatting, but I’m late for an appointment/work/washing my hair.”
“Can I get back to you on that?”

(Just kidding about the first one)

Coming right out and saying “I agree that what happened to you was unfair and wrong, but you need to get help”, might be the right answer, but I’ve never known it to work. The minute you say something like that, you get:

“So…you think I’m crazy!”
“No, I don’t think you’re crazy.  I—”
“Only crazy people need counselling!”
“Um, I’ve gone for counselling.  Am I crazy?  Also – did I say you were crazy?”

I’m frankly amazed that there’s still such a stigma about mental illness.  Some people are honestly in need of help, and would benefit so greatly from it – whether that helps comes in the form of chemical balancing (drugs) or cognitive therapy. 

Have you noticed – there are still some adults walking around who have no idea who they are.  Some are quite okay and are functioning well in their ignorance.  Some may go their graves that way, and that’s fine. 

Others will experience just one thing going wonky in their carefully constructed utopia, and their world will crash.  They have no idea what happened, or what to do, or why they became such a target for pain.  They just know something isn’t right, and that someone else should pay.  And, not seeing that person/company receive justice, they become embittered and enraged and inconsolable.

And they want to talk about it.  At high volume.

They have no idea they’re broadcasting at such a high volume, and so when you decide you’ve heard enough, and you want to help them, what they see is you coming along, offering a Pollyanna answer, sure that what you’ve told them will bring sunlight and butterflies to their miserable existence.  How dare you. 

In effect, offering such a response means you’ve become their mortal enemy.  Just like the company/person whose offended them, you are against them.

They’ll continue to vent to you (if you let them) but they will watch you with a now jaundiced eye, expecting you to continue offering advice – because it’ll prove to them that you’re still against them.  This time they’re ready, and they will lash out.

You’ve now got a toxic friend.

The only thing left – at least when I face such a person – is to cut him off.  Regretfully.

It’s necessary to do so, I think, if you want to maintain your own sanity. 

I wish I had hope for such people, but I frankly don’t.  I get the sense that many of these folk will go their graves, still toxic.  Their gravestones will read “I died alone, you bastards.”

I still see a lot of people dealing with toxic folk by continuing to be their sounding board, day after day, year after year.  You can see the lines of stress on their face, as they’re sure they’re not doing enough for their friend.  How could they be, since their friend is still miserable?

I wonder at these long-suffering and patient friends.  On occasion I’ve asked them “what’s the point?”

They shrug, resignedly.  There is no point.  Not really.  They’re building after-life credits, I suppose.  They prefer to see themselves as helpful and kind, and are worried that others will see them as cruel if they’re not there for their friend.

What they are not doing, from where I stand, is living.

I could be wrong though.