5 Reasons I Hate Leaving My House

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Anxiety is a bitch! It has been several years since I have had a full-blown panic attack – the one where you can’t breathe and you think you are dying – but on a regular basis I have bouts of anxiety where my heart races, I get a bit short of breath, and I fear I may go into panic mode. These smaller anxiety attacks, along with some low levels of depression, are enough to make leaving the house a big chore for me.

Top 5 Reasons I Hate Leaving My House

1) Showering takes more energy than I have on most days. And then there is the fixing of the hair, and OMG! make-up, and God-forbid getting out of my pajama pants. I mean, come on…that’s a lot to ask of a girl. By the time I do all of that I am ready for a nap!

2) Driving is stressful. I live in a busy metropolitan area and traffic is heavy. Patience, concentration, and sometimes aggressiveness are needed to safely navigate the roads around here – all of which I basically lack.

3) Social anxiety. Leaving the house often means going to some sort of social event, and I don’t feel comfortable around other people because small talk is like nails on a chalk board to me! I’m definitely an introvert and prefer to be alone or with my immediate family. Also, if it is a larger party, the noise and extra stimuli is overwhelming to my senses.

4) Fear of public places. Leaving the house also often means going to the store or some other public venue where crowds gather and strangers abound. Yikes! What if I see someone I know? What if I get mugged? Kidnapped? How claustrophobic I feel standing in lines and squeezing down isles. How it makes me lose my breath to bump into others or feel them in my physical space! And again, the noises, lights, and movement are all overwhelming to my senses.

5) Agoraphobia. Agoraphobia is an intense fear and anxiety of being in places where it is hard to escape, or where help might not be available. This would explain why if my husband is with me, I feel much less anxious when out of the house. He drives, I stick by him during parties, and follow him through the stores. Now if only he could shower for me. 🙂

Although I hate leaving the house, I do force myself to on a regular basis. Sometimes I have to take an anti-anxiety pill before I leave and sometimes I don’t. I think it is important for me to desensitize myself to these stressful situations as much as I can, because if I don’t my anxiety will only get worse.

I also grade the tasks in a way that will make them more successful for me. For example, when I go to the grocery store I only get a few items at a time, and leave the big list for my husband (he’s the best!) When my daughter has a 3-day sports tournament in a loud crowded gym, I will only attend one or two of the days. When going to a social event, we will only stay a short while or not go at all if I am not feeling up to it. We go out to eat early in the evening (with all the old people) so we don’t have to wait for a table. These are just a few examples of how I compensate for my increased anxiety.

As you can see, there are ways around anxiety. It doesn’t have to make you a prisoner of your own home. Although, sometimes it will. But it doesn’t have to all of the time.

How does your anxiety limit you, and what are some ways you have found helpful to decrease these limits?

How to Use Media to Improve Your Mental Health

If you are like me, watching too much news can wreak havoc on your mood. I begin to think our world is nothing but an evil, horrible, negative, cesspool of a place to live. I lose hope in humanity quickly as I hear story after story of war, murder, robbery, rape, kidnapping, and abuse. I become cynical, despondent, and downright depressed. Therefore, I limit my exposure to the news.

I noticed that my local news stations post the more horrific stories on their Facebook news feed than they broadcast on television, so I stopped following their pages. This has helped my mental health tremendously since I check in on Facebook multiple times throughout the day versus watching a televised newscast only once per day.

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5 Types of Media That Have a Positive Affect on My Mental Health

1.  Blogs that offer hope

I enjoy reading mental health blogs written by those who have struggled or are struggling, and are trying to get better. It is uplifting to read stories of perseverance, effort, compassion, and faith.

There are many bloggers out there who write only of their destructive ways; who are stuck in their illnesses and show no signs or interest in wanting to get better. They do not seem to have the insight or awareness into the things that they can change, and that is ok. They aren’t there yet, and I am not judging them for that. However, their negativity and anger is something I have to steer clear of for my own mental well-being, just as I have to with people in real life as well.

2.  Google Images

Sometimes when I am feeling down or just bored I will search positive keywords on Google and browse through the images that come up. I often add the word “quotes” to my keyword and then many photos of positive affirmations and sayings appear. For example, this one is from searching the words “friendship quotes”:

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And of course, you can find just regular photos of anything you can think of that makes you happy, including all the puppy and kitten pictures you could want!

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3.  Pinterest

I use Pinterest because it is a great way to save all of those images you find. That way you can come back to them again and again to boost your spirits whenever you need to. Plus, on Pinterest you have the advantage of having a million other people’s search results at your finger tips on the same topic you are interested in.

4.  YouTube Music and Photo Videos

Listening to your favorite music on any media device can help improve your mood.  You can find many songs on YouTube as well.  What I like to use YouTube for is to find non-mainstream type music that helps my mood, such as relaxation or meditative music.  Music that I wouldn’t necessarily buy, but that I might want to listen to every once in a while to help calm my nerves on a particularly stressful day.

I also like searching for photo-music slide shows.  They can be very soothing.  If you would enjoy photos of wooded areas, this one is nice.

5.  Twitter

If you search the hashtag “#affirmation” on Twitter, you can read all kinds of positive messages that will help lift your mood.  I know it helps me stay in a good frame of mind.

Do you know of any other ways to use media to improve your mental health?  Please share them in the comments below.

Mental Illness and Emotional Vulnerability

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This week I opened myself up to some close friends who didn’t yet know about my bipolar and alcoholism. The conversation shifted to topics where it became convenient for me to disclose this information to them in a natural way versus making some sort of out of the blue “announcement.”

They received the news quite graciously, and I felt neither judgment nor fear from them, but more support and curiosity than anything. They asked some questions about my experiences and shared some stories of other people they have known with the same conditions.

Yet, as I lay in bed that night, I couldn’t help but worry about the possible effects my disclosure may have on our friendship. Will their behavior change towards me in the future, even if subtly? Will they think differently of me? Will they be wary of me? Distrust me? Fear me? Worry about me?

Ironically, I am worried that I may lose the intimate connection I have with them due to me sharing one of the most intimate things I could have shared! I feel very emotional vulnerable. Most people avoid being emotionally vulnerable, myself included, because we don’t want to be rejected or hurt. But then I got to thinking…

When we put on a façade or hide who we really are so as not to be rejected or hurt, aren’t we in a sense already rejecting and hurting ourselves? If I am not being my authentic self then I am rejecting who I really am. That is so sad to me. Oh, how I don’t want to treat myself that way! To not allow myself to be who I truly am hurts my self-esteem and confidence, which in turn hinders my ability to develop and maintain healthy relationships.

When we do it to avoid being uncomfortable, aren’t we already uncomfortable? Now, I realize being uncomfortable comes in different degrees, and maybe putting on a façade is less uncomfortable than being real, but I think there comes a time in every relationship where the façade has to be dropped in order for true joy to occur. If your goal is to merely have a warm body next to you then keep the façade, I suppose. If, however, you want more than that, consider being emotionally vulnerable at some point in time.

When we hide who we really are to avoid losing friendships or relationships, if that were to happen, do we really want those types of relationships to begin with? Like I mentioned above, if your goal is to have someone, anyone, in your life then maybe so. If, however, you want the real thing, the good stuff, then love yourself and be real.

This brings me to a final point. In order to be our authentic selves, to be emotional vulnerable without the risk of wanting to harm ourselves if rejection were to happen, we first must have some level of self-love and self compassion in place. Getting to this point is not easy. It took years of therapy for me to get to this level, and even now I still have a fear of vulnerability, but I know I will be ok if I do lose those friendships.

If your fear is great, I suggest you work with a counselor or therapist or spiritual advisor. It is definitely worth the effort to be able to be emotionally vulnerable. Your life will be much better for it.

Why Being a Hermit Doesn’t Work

We all have problems. Let’s face it: humans are problems. We create problems, we live problems, we solve problems, we prolong problems, we complain about problems, we hate problems, some of us love problems, we…well, you get the idea.

Whether your problems come from within such as in the case of an illness, or from something outside of you, such as your demanding boss, research shows that we are more likely to better cope with our problems with some kind of support from peers who have been in the same situation as we face.

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By coping better I mean we may live happier lives, have less stress, increased psychological well-being, and decreased negative symptoms.

Now, while you might not join a support group to deal with an a-hole of a boss, you may want to consider one if you deal with chronic mental or physical illnesses, bereavement issues, weight loss or addiction issues, or if you are a caregiver for someone who is ill or dependent.

In one study (1), 82% of the 129 members of the Manic Depressive and Depressive Association were hospitalized before joining the support group. After joining, only 33% reported any hospitalizations.

In a substance abuse study (2), 180 participants with high self-help (Alcoholics Anonymous, Narcotics Anonymous) attendance rates used alcohol and/or cocaine less than half as much as did those with low self-help attendance. In a second study (3), in the 18 months following treatment, the more days the patient attended Alcoholics Anonymous self-help meetings, the longer their abstinence lasted.

In a bereavement group study (4), 197 widows and widowers over age 50 who participated in self-help groups experienced less depression and grief than the 98 nonparticipants if their initial levels of interpersonal and coping skills were low. (If their interpersonal and coping skills were high they still benefited after eight weeks of participation.)

I have been attending support group meetings for alcoholism for the past 10 years and believe I would not have remained sober for this long without doing so. Currently, I am participating in an online smoking cessation support group that is proving to be an invaluable part of my quit program. And let’s not forget this wonderful blogging community, which I consider to be a large part of my mental health “support group.” Thank YOU for that!

The greatest thing in the world to hear while you’re in the depths of your struggles, whether it is with an addiction, a mental illness, the loss of a loved one, or just a crappy day is, “I understand how you feel. I’ve been where you’re at. You are not alone.” And that, my friend, is why hermithood is not for me.

If you enjoyed this article, please consider sharing it.

Resources:

(1) Kurtz, L. F. (1988). Mutual Aid for Affective Disorders: The Manic Depressive and Depressive Association. American Journal of Orthopsychiatry 58(1): 152-155.

(2) McKay, J. R., A. I. Alterman, et al. (1994). Treatment Goals, Continuity of Care, and Outcome in a Day Hospital Substance Abuse Rehabilitation Program. American Journal of Psychiatry 151(2): 254-259.

(3) Pisani, V. D., J. Fawcett, et al. (1993). The Relative Contributions of Medication Adherence and AA Meeting Attendance to Abstinent Outcome for Chronic Alcoholics. Journal of Studies on Alcohol 54: 115-119.

(4) Caserta, M. S. and Lund, D. A. (1993). Intrapersonal Resources and the Effectiveness of Self-Help Groups for Bereaved Older Adults. Gerontologist 33(5): 619-629.

Psychiatric Medication and Heat Illness

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There are many medications that affect the way your body cools itself during extremely high temperatures that could put you at risk for developing heat-related illnesses. Beta-blockers and amphetamines are examples. Many of these medications are ones taken by psychiatric patients, yet rarely do we hear warnings on the news to check on this population along with the elderly and children during extreme heat like I think we should.

I am on propranolol (beta-blocker), Adderall (amphetamine), Cymbalta (antidepressant), Risperdal (antipsychotic), Ativan (antianxiety), and Topamax (anticonvulsant), all of which increase my sensitivity to heat.

So, when we were boating last weekend in the 95F degree weather and stopped for lunch to which the group “leader” thought it would be a great idea to sit outside and eat, I said, “Are you crazy?!”

I didn’t really say that, but I did ask if everyone would rather eat indoors, to which the leader responded, “No way!” and everyone else followed suit by sheepishly smiling. So, I got up, recruited my husband to walk with me into the restaurant and we sat in the air-conditioning until our food was served. By this time, I was cooled off and probably saved myself from the beginnings of some heat exhaustion.

Even though my friends know I am on psych meds, they don’t get the seriousness of the side effects. It’s up to me to be assertive enough to take care of myself, and that’s what I did.

The next morning we went on a hike, and while the morning temperatures were cooler, the steep hills got my heart pumping and pores sweating. We took a 15-minute rest break on a bench by the lake.

After our rest break, I noticed my friends’ faces were no longer perspiring or flushed. I, on the other hand, felt like I was running a fever and was feeling light-headed and nauseous. I decided it would be best to call my husband to come pick me up rather than continue on the rest of the hike with them, so that is what I did.

It bums me out that I can’t keep up with my friends in the heat, but without my medications I wouldn’t be able to do anything with them regardless of the weather.

Here’s a brochure by the Ohio Dept. of MH which includes a list of some of the medications that can impair the heat response, as well as what to look for and do in the case of heat exhaustion and heat stroke.

RxList is a comprehensive drug index that provides in-depth information on probably every drug you are on. Search the medications you are currently taking to see if they make you sensitive to the sun or heat, or ask your doctor or pharmacist.

Heat illness is very serious. Make sure you know if your medication is putting you at risk. Let’s keep summer safe!

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Is Drug Addiction a Mental Illness?

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I’ll get right to the point: YES, drug addiction is a mental illness. Let me explain the two main facets of drug addiction. First, there is the physical aspect of it – the physical craving for the drug because of the person’s chemical dependency upon the drug. In the case of alcohol, one will find that once they take a drink they will not be able to control the amount of alcohol they consume thereafter no matter how hard they try.

Second, there is the mental aspect of it, which is the obsession of when, how, how often and how much of the drug one can get. The addict’s thoughts are consumed with obtaining and retaining access to their drug of choice. It is a form of obsessive-compulsive disorder in my opinion, and it is lethal. It is not a moral shortcoming. It is not a choice. It is not a sin. It is not a lack of discipline or will-power. It is a mental illness!

According to the National Institute on Drug Abuse, drug addiction qualifies as a mental illness because “addiction changes the brain in fundamental ways, changing the person’s normal hierarchy of needs and desires and substituting of new priorities connected with procuring and using the drug.”

While the addict may have crossed the line into non-choice when it comes to using his drug, he does always have the choice of whether or not to get treatment for his illness/addiction, just like one who has bipolar or schizophrenia can choose to get help for his illness or not.

However, as in the case with many mental illnesses, sometimes a primary symptom is that which tells the person that they don’t have the illness. This symptom is called denial, and unfortunately, it can delay treatment long past what is appropriate or safe for the individual.

Resources:

National Institute on Drug Abuse
Alcoholics Anonymous
Al-Anon
Narcotics Anonymous

3 Simple Ways to Combat Worry

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I am a worrier. Worry is one of the major symptoms of depression, and I have come to accept the fact that worrying is a part of who I am. Some days are better than others, but overall, my mind is usually running amuck with worrisome thoughts. Here are some ways in which I try to combat the worry in my life:

1) Practice Mindfulness

I try to stay focused on what is happening in the present moment. I asked myself, What am I seeing right this very second with my eyes? What do I hear? What task am I performing and how does that feel? For example, the laptop is hard and flat on my legs. The keys are small and black, and the cursor blinks methodically as I sit and think of what to type next. I am staying in the moment, not thinking of past or future events – not worrying! Being mindful by engaging in productive activity is one of the best ways I know of to stop worrying.

2) Prayer

I am not a religious person, per se, but I am a spiritual person. I believe in a higher power that gives me strength to deal with what comes my way in life. I have a plaque hanging on my wall that says, “God doesn’t give us what we can handle, He helps us handle what we are given.” I truly believe this, if we only ask for His help via prayer. It has always worked for me. Not always in the time frame that I want, but has worked eventually, nonetheless.

3) Talking with others

When I share my worries with others, especially others who have had similar fears, it seems to unburden the worries from my mind. It’s as if naming them aloud releases the power they have over me. By telling trusted friends how I am feeling, I also get the benefit of their insight and wisdom on how they dealt with the same worries, and their now broader perspective on the issues. It is also just nice to know that I am not alone in my struggles.

Are you a worrier? Is there a particular worry you can’t shake? How do you cope with worry?

This post is linked to Write into the Light’s Weekend Mental Health Writing Prompt – Worry.

Motherhood and Borderline Bipolar

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I am a mother, and I have bipolar disorder and borderline personality disorder (BPD) traits, meaning I have some but not all of the criteria needed to meet the diagnosis for BPD. Two years ago, my life was changed due to learning the skills taught through Dialectical Behavior Therapy (DBT). Below is part of my story which was originally published at Healing from BPD.org.

What it used to Be Like

I bee lined down the hall into the bathroom, and shut and locked the door behind me before falling to my knees. Covering my face with my hands, I sobbed. Outside, my two and six-year-old girls banged on the door. “Moooommy! Moooommmyyy!” I thought, “Oh, my God! Why can’t they just leave me alone?”

I dialed a friend’s number and when she answered I cried, “I can’t do this. I can’t be a mom. I don’t know what I am doing. It’s too much. I can’t do this!” She calmly asked me what was wrong. I babbled through snot and tears, “One won’t eat her dinner, the other one always needs her diaper changed, they are fighting over toys, the Disney channel is driving me insane, and of course my husband is working all night again!” I was spiraling out of emotional control…over every day, typical motherhood stuff.

That was six years ago – four years before I would be diagnosed with Borderline Personality Disorder (BPD.) On many occasions, my husband would have to come home from work to calm me down during times like this. Feelings of inadequacy, fear of harming my children or myself, anger, self-pity, gripping anxiety, immobilizing depression and loneliness were my constant companions.

The unpredictability of the children’s behaviors and moods, and my inability to set boundaries and provide structure in my own life, let alone theirs, only heightened my anxiety. I was permanently in fight or flight mode – instincts gone haywire. I was filled with self-doubt and self-hatred. I felt like a caged animal ready to chew off its own foot to escape the chains shackling it to the cold and filthy floor.

Then I learned (in Dialectic Behavioral Therapy – DBT) that this chaotic environment, in which I felt like a prisoner, was imitative of my own childhood home. Sure, I wasn’t walking around drunk all of the time like my parents, but the moodiness, anger, and self-absorption that consumed me were not much different from theirs. Also like them, I had no real sense of how to be a parent.

Everyday interactions with my children baffled me and left me reeling in emotional binges filled with terror like when I was a child. I felt as if I lived in a carnival fun house filled with mirrors that distorted my view of the entire world while everyone else had regular old mirrors to look at. In hindsight, this was closer to the truth than I realized at the time.

The Turning Point

I was already being treated for alcoholism and bipolar and anxiety disorders when my psychiatrist suggested that I might have BPD as well. My first response was, “Great, another fricking diagnosis!” What I didn’t know, however, is that being diagnosed with BPD would be the best thing to ever happen to me and for my mental health recovery. For if I was never diagnosed with BPD, I may have never sought out DBT, which did for me in one year what years and years of individual and group therapies based on other psychological theories could never begin to do.

What it is Like Now

In DBT I learned how to be mindful of and radically accept my limitations as a highly emotionally sensitive person and mother. For example, this past spring I was beating myself up over not being emotionally balanced enough to take my children to church on Easter. The old me would have ignored my high anxiety levels and begrudgingly gotten them ready while screaming at them to, “Hurry up. Do this. Don’t do that!”

Then I would have suffered through the service feeling like a martyr while becoming angrier by the minute. Or I would have had a panic attack and then drove us all back home in a dangerous state of mind. Then I would have spent the rest of the day in bed, completely abandoning the kids to the television and their own devices. And let’s not forget the verbal hell my husband would have received for having to go to work, thereby leaving me to deal with the children alone, and on a holiday at that!

Instead I sat back and observed my thoughts and feelings as if I was watching another person go through them. I acknowledged the guilt and anxiety rather than fighting them. I also consciously did not make them who I was, but chose to view them as an experience of something separate within me. I chose to believe that deep down all was ok – that I was ok – no matter what thoughts and feelings occurred in my mind. I also made special care not to judge my thoughts and feelings as good or bad. The just were there or they were not…period.

Later that morning, I found an Easter service streaming live online, and my girls and I worshiped along with them from the comforts of our family room. It was a blessed day in which I owed no apologies at the end, neither to my kids or my husband, and most importantly, to myself.

What is it like for you as a mother with BPD? Or if you are the child of a mother with BPD, what is that like? What are some positive aspects of being a highly emotionally sensitive mother?

How to S.T.O.P. Anxiety

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When I have a stressful event coming up, such as a holiday, a trip, or out-of-town company coming to visit, I usually spend the days leading up to it preparing myself physically and mentally by scheduling very light, easy days. I make sure not to book any doctor’s appointments or other trips too far away from home. I make sure to get plenty of rest, and may even get a massage. I leave plenty of time to clean my house, pack, or prepare meals for the event, or whatever may need to be done; always asking for help from others, and always doing a little each day and not all at one time or at the last-minute.

Well, this weekend we are going out-of-town for a stressful social event, and due to circumstances out of my control and to prior commitments made I have major plans every day this week, leaving me not one day to rest my body and mind in preparation for our trip. Because of this my anxiety level is through the roof!

I fear I may not be able handle this weekend very well because I will not have had the proper time to prepare mentally and physically for it.

My anxiety plays out in funny ways. It makes me a bit hypomanic. I can’t sleep. I become obsessed with cleaning and organizing my environment, as if by making my surroundings perfect I will somehow feel more put together on the inside, too. I become irritable and agitated; I start eating poorly, and I get headaches.

I suppose I could go through the rest of the week like this OR I could S.T.O.P.

Sit still.
Take a deep breath.
Observe my feelings.
Permit them to be.

I tend to “run away” from uncomfortable feelings like fear. I used to run from them by abusing alcohol. Now, I become too busy cleaning or shopping or doing things for the kids to pay attention to my feelings, and become just as sick as when I used to drink, only you could call it an “emotional hangover” instead of a physical one.

I find that when I am able to take a conscious moment to be quiet, breathe, acknowledge what I am feeling, and allow myself to feel it, the feelings lessen, if not dissipate all together. It is when I ignore them, run away from them, or fight them that they become more intense, and sometimes unbearable.

It is now time for me to S.T.O.P.

How about you?

What to Do When the Holidays Trigger Mental Illness Symptoms

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I am facing the peak of the holiday season as today is my children’s last day of school before their two week winter break. Not only does the stress of Christmas shopping, increased social engagements and family get-togethers, and the intense hustle and bustle of the general public wreak havoc on my mental health, but having school-aged children home for two weeks cooped up indoors is enough to drive a mama crazy! What to do? Here are some borrowed sayings I try to live by:

First Things First

My first instinct is to climb into bed, draw the covers up over my head and go into hibernation until it is all over. Obviously, I can’t do that so instead, I ignored the dishes in the sink and the presents needing wrapped, and took a two-hour nap this morning. I’ll do the dishes and the presents this afternoon after I write this post. No big deal.

Easy Does It

Tomorrow I am going to get a massage. I think it will help me de-stress and also prepare my body for the upcoming added stress of family engagements, especially since I am hosting Christmas dinner at my home. I plan on drinking a lot of water, and getting plenty of rest as well.

K.I.S.S. – Keep it Simple Stupid

I plan on cleaning one or two things/rooms a day and not the whole house in one afternoon as is my tendency. That way I don’t overwhelm myself to the point of tears and a complete mental breakdown; that and a crabby attitude toward the rest of my family, including playing the martyr role. Oh yeah, and I will not be doing everything myself…I will ask my family to help!

Practice an Attitude of Gratitude

I did a wonderful guided meditation on gratitude yesterday. I’ve never felt so relaxed while awake and not on some kind of drug! I will try it again throughout this week, and I will also be making gratitude lists whether on paper or just mentally each day to keep my thoughts positive.

To Thine Own Self Be True

Overall, I have learned that I have to take care of my body, take care of my thoughts, protect my time and my personal space, take my meds, abstain from alcohol, exercise, get plenty of rest, and keep some PRN Ativan on hand at all times.

How do you cope with holiday stress? I hope everyone is doing well. I know the holidays are a rough time for many. Please reach out if you are struggling. I would love to hear from you.