Life of the mind – Page 3

Backtracking here … some official words about mental illness

I realized the other day that though I started this blog in part to share my experiences with mental illness, I haven’t necessarily given some good definitions of the term or the different kinds of illness that people may experience. As I have written about how I feel and continued to get feedback from friends, I realize that I haven’t made clear enough what exactly “official” mental illnesses do, and how they are different from the regular ups and downs that everyone experiences in normal life. So here goes.

From the National Alliance on Mental Illness comes this information about depression:

Unlike normal emotional experiences of sadness, loss or passing mood states, major depression is persistent and can significantly interfere with an individual’s thoughts, behavior, mood, activity and physical health. …

Depression occurs twice as frequently in women as in men, for reasons that are not fully understood. For more please visit NAMI’s section for Women and Depression. More than one-half of those who experience a single episode of depression will continue to have episodes that occur as frequently as once or even twice a year. Without treatment, the frequency of depressive illness as well as the severity of symptoms tends to increase over time. Left untreated, depression can lead to suicide.

Major depression, also known as clinical depression or unipolar depression, is only one type of depressive disorder. Other depressive disorders include dysthymia (chronic, less severe depression) and bipolar depression (the depressed phase of bipolar disorder). People who have bipolar disorder experience both depression and mania. Mania involves unusually and persistently elevated mood or irritability, elevated self-esteem and excessive energy, thoughts and talking.

Now for a definition of bipolar disorder, also from NAMI:

Bipolar disorder is a chronic illness with recurring episodes of mania and depression that can last from one day to months. This mental illness causes unusual and dramatic shifts in mood, energy and the ability to think clearly. Cycles of high (manic) and low (depressive) moods may follow an irregular pattern that differs from the typical ups and downs experienced by most people. The symptoms of bipolar disorder can have a negative impact on a person’s life. Damaged relationships or a decline in job or school performance are potential effects, but positive outcomes are possible.

Two main features characterize people who live with bipolar disorder: intensity and oscillation (ups and downs). People living with bipolar disorder often experience two intense emotional states. These two states are known as mania and depression. A manic state can be identified by feelings of extreme irritability and/or euphoria, along with several other symptoms during the same week such as agitation, surges of energy, reduced need for sleep, talkativeness, pleasure-seeking and increased risktaking behavior. On the other side, when an individual experiences symptoms of depression they feel extremely sad, hopeless and loss of energy. Not everyone’s symptoms are the same and the severity of mania and depression can vary.

More than 10 million Americans have bipolar disorder. Because of its irregular patterns, bipolar disorder is often hard to diagnose. Although the illness can occur at any point in life, more than one-half of all cases begin between ages 15 and 25. Bipolar disorder affects men and women equally.

As I do believe I have mentioned, it seems apparent (as much as is possible with these complex brain issues) that I have a form of bipolar disorder. One doctor, who has written a fine book and puts information on a website as well, has a great explanation that is quite detailed showing what a broad “spectrum” of symptoms people can experience anywhere between the “unipolar” extreme of clinical depression and the other extreme of “bipolar I,” which includes manic episodes and full delusional mania. For a really detailed explanation, visit Dr. Phelps’ site on this particular topic. In other words, I’m somewhere in the “middle of the spectrum.”

I’d say I’m typically a fairly “normal” person. When I’m feeling pretty normal, I manage to weather ups and downs of life with maybe a little complaining and some irritability. I think most people understand what THAT’s like! But when I’m pushed outside of those “normal” chemical boundaries, then I find it either impossible or much more challenging to weather the regular ups and downs with my regular coping tools. I am on medication that makes it much easier for me to stay in the “normal” frame of mind most of the time. But even so, medication doesn’t put me in that “normal” place 100% of the time. I still end up in an extreme irritable state or depressive place every so often.

One point I’d like to make clear is this: as Dr. Phelps says:

Depression is Not a Moral Weakness.

It Has a Biological Basis.

He shows there are real proofs to back up this statement.

hiptopcut — A view of the hippocampus from Psycheducation.org

The other point to make clear is this: doing the normal things that “normal” people do who are facing some sadness or frustration won’t kick someone who has a brain chemistry problem back into healthy chemistry and normal ways of seeing things. Trying to put a smile on your face or just counting your blessings or looking at all the positives won’t do the trick entirely. I’m not saying they’re not worthwhile, but if someone has gotten into clinical depression, those “tips” won’t fix it.

That’s why I am writing about this topic. I’d like more people to understand what it feels like, what it means, to grapple with a mental illness. If you haven’t grappled with it yourself, it’s hard to grasp what it’s like. So I hope that by writing here, I can bring more understanding to those of you who know me or someone else who does have a chemical/biological issue. I’d like to feel that when I say I’m getting depressed, I’m not just complaining about how life is a little extra hard. I’m actually saying I’m struggling and I need support. I’m asking for help. (And honestly, I don’t do that very often, I think. I like to go out and help other people, but I hate feeling “weak.”) And I think this is what many others in my situation are trying to express as well. I don’t want to be seen as a whiny complainer who needs to just buck up and get a stiff upper lip and understand that life can be hard. I just want to be understood a bit more as someone who has a particular biological problem that sometimes makes life a little more challenging to deal with than usual.

I don’t know how successful I’ll be. I just hope that I can reach a few people. If I do, I suppose that’ll be success. Thanks for trying to learn more and understand!

Too depressed to think of a name for this post

Sometimes the depression end of the mental illness that I get to enjoy hits me like a nice thick fog with claws. I can hear it coming but still can’t quite escape its nasty grip. It grabs on and envelops me, surrounding me in a dark cloud no matter which way I try to turn. But pretty soon I don’t try to turn any way anymore.

Cathy alone — This ugly depression erases companionship out of my life and surrounds me with a dark cloud, and, to add insult to injury, it zaps me of the motivation to make a nicer-looking illustration with Photoshop.

It’s sadness and frustration and hopelessness all rolled into one entity. It’s wishing all that feels wrong could just wink out of existence, that somehow I could wave a magic wand and have everything better. On extreme times, it’s wishing I could wink out of existence. The cloud allows me to see out, and I know others can see in just fine, but they can’t tell that anything’s happening. It somehow eerily makes others blind to my inward suffering. I end up feeling alone, isolated, and misunderstood.

I want to scream and cry sometimes. I want to talk it out. But talking doesn’t help because there are no solutions, and the people around me have nothing to say that can change the stark reality of the dreary fog. I want someone to have answers. I so desperately want that. I want someone to fix it. When I’m pushed into the depression it’s usually because circumstances in my life have become a bit too much for me to be able to handle anymore. This time around, it’s all the things I wrote about earlier in the week. It’s not having any time to myself to think or write or just care for my inner self for the whole summer. It’s having huge expenses and a bunch of seemingly nonstop little ones drain my bank account this year and make me nervous about spending any little sum, so I don’t even want to take all of my kids to see a full-price movie for a nice change of pace (even at matinee prices, it would cost almost 40 bucks for the five of us to see “Brave.” I mean, come ON!). It’s this darn broken foot. It’s the frustration of having no control over almost anything in my life lately. So many things have conspired to drain me of my resolve and my strength, and now I am down to the level of near-hopelessness.

Oh, I wish a miracle would happen. I wish my blog and website could be wildly successful. I wish I could get some time and inspiration to write the book I’ve been planning and researching for months now: and to feel that it’s even possible to get it published if I do manage to get that mythical time and inspiration together. I wish that I could find the motivation in myself to lose some weight. But with a broken foot, the exercise part of the equation is more than challenging: the recumbent bike sessions I’ve been doing this week aren’t going to cut it.

I wish that I could feel comfortable enough with more people to really say how I feel, but I don’t trust many people to do so. I’m pretty much afraid of how people will respond. My husband at least has learned over the years to stop saying anything that I could remotely construe as platitudes (because those make me go from 0 to 60 in angry miles almost instantaneously), but now he just says nothing. That’s only a slight improvement on the cliches and pep talks; I just wish he could say something that would really comfort me or encourage me. I wish I could find it in me not to feel at all resentful that he can’t do this for me, because it’s really not his fault. Very few people are very good at dealing with someone who’s laboring under the fog of depression and that utter hopelessness. That’s what’s so frustrating: it isolates so quickly and easily. No one knows how to respond. I know. I get that. But it still makes me feel alone, and angry, and doubly sad. I am deathly afraid of people’s judgment, of their fear, of the possibility that they’ll think I’m weak or that I am just a complainer. (I usually feel fairly strong. That’s the problem: I’m too strong. So even when I feel weak and hopeless, everyone else still thinks I’m fine and just leaves me alone.)

I’m afraid. I’m tired. I’m exhausted. I’m actually just overflowing with “sick-and-tired”-ness. I’m at wit’s end. I’m utterly sick, sick, sick of feeling like this on a somewhat regular basis, of feeling that life has me cornered, that I have no control over my own destiny, that I’m Sisyphus pushing, pushing, pushing on that rock. I’m SICK of looking at that rock.

That’s the thing: I’m not the type of person who expects to have anything handed to me on a silver platter. I don’t think the world owes me a living. It’s the opposite, really. I work hard all the time to take care of myself and my kids and my husband. I work hard in volunteer roles to help other people. My heart goes out to everyone else I hear about who’s in need in any way and I wish I could help. I am always doing something that’s practical in some way. But when I get into this down mode, I wish that all of my efforts would finally bear fruit, that the rock on the hill I constantly am climbing would just sprout some legs already and MOVE, dammit. My arms are tired.

Again, I guess that’s why I’m writing this blog. I want to put into words what I experience, in the small hope that what I say can be of help to someone else out there climbing their own hill, pushing on their own insurmountable, immovable rock. Man, I wish I could just pick up your rock for you and toss it away, let it crumble into a million pieces as it rolls down and hits the valley floor. I wish you could do the same for my rock. And I wish that I could help everyone out there feel more comfortable talking to someone in my position right now, make you feel able to say something encouraging, able to sit it out and not run away cringing. I want to feel less alone. I want others like me to feel less alone.

It might be another thing that’s impossible, but like all the other goals in my life that seem impossible right now, I just have the tiniest hope that they might, might, MIGHT be possible, in some other universe in which I am happy and capable again.

The best moms … know their limits

Much talk has been made over the years and even recently about “good moms” or moms who “do everything for their kids” and so on. The Time piece titled “Are You Mom Enough?” stirred quite a bit of controversy and buzz. But there are clearly as many ways to parent out there as there are parents. I would venture to say that a number of those methods employed by some parents are probably not so great, but in general, most parents get the job done passably well. But I think what bugs me the most is when people make judgments about parents whose kids are doing just fine and start saying that their parenting style is lacking. About a month ago, right around the time I was in dire need of a little me time, a Facebook “friend” posted that she was so disappointed in all the mothers who were complaining that their kids were driving them crazy. She ended by saying, “It’s about attitude!” I gently responded with a couple of kindly worded comments to the effect that just because some of us mothers were rightfully saying our kids were making us nuts (this is summertime, people!), it doesn’t make us bad parents. Just normal. A few hours later, my comments (which were completely appropriate) had been deleted. What the heck, man?! But that’s a whole other story.

Let’s just say that I consider myself in many ways a pretty normal, typical mom. For years, women have dreaded the summer months in which a passel of kids would be constantly underfoot and looked forward to school starting again (even a popular Christmas song refers to the relatively short winter break: “And mom and dad can hardly wait for school to start again!”). So feeling nutty here at the end of the summer does not make me an unusual mom, let alone a bad one.

I will say that what makes a good mom, I think, is knowing your limits. I figured out long ago that, given my personality and my mental health issues, having consistent and dependable time alone, preferably weekly, can keep me going at my best. I’m a gas-guzzling, large-capacity van, let’s just say, at this stage of my life, and I need frequent infusions of gas, oil, and water to keep me running effectively and continually transporting my load of children through their lives. I also need good quarterly maintenance.

Unfortunately, the summer months disrupt my fairly well-planned and nicely balanced routine that keeps me at my mothering best. I know this going in and start feeling a little nervous come May. But I do the best I can to plan and make allowances. And then I still end up running low on gas and oil and burning out at least once, sometimes twice, usually in the middle and at the end of the summer. A month ago, I felt myself snapping, stretched to my utter capacity for patience and sacrifice, and I scheduled a Saturday for myself. I hadn’t had more than an hour to myself in about two months. I hired a niece to babysit for the day and I went for a lovely bike ride and then had lunch and manicures and facials at the beauty school with a friend. It was wonderful. And not nearly long enough. I was not ready after merely seven hours to get back into the grind. The timing the next day of that Facebook post of my friend (unnamed here) was very unfortunate. I thought it was insensitive and judgmental. After having my comments deleted, I deleted the friend (this was not this person’s first “offense” at overreacting to innocuous comments, either). At the time, I felt it was the simplest and quickest solution to help reduce the negative influences in my life. Again, I suppose that’s a whole other story.

Stretched to snapping — Mama’s stretched to snapping: it’s not a pretty picture.

A month later, I am back at snapping point. Having four children with all their demands (and whining and fussing amongst themselves, which can just grate on one’s nerves) around nonstop; then having to make sure the two older ones get to a girls’ camp; then the oldest, who can actually babysit, be gone for an entire week at band camp; then breaking my FOOT and being unable to do the things I need and want to do; then not having any time or brain-space for thinking clearly in order to work on the writing projects that mean a lot to me personally; having other big responsibilities on my plate that still need to be taken care of, broken foot or not (band boosters [the band director needs us to raise $150,000 for new instruments over the next three years?], being in charge of my university’s local alumni chapter, other volunteer things); then throw in PMS, and it’s a recipe for burnout. (Not to mention having all kinds of large and small expenses pop up until the point of ridiculousness this past four or five months, and the astonishing number of things that have kept breaking down on me the past few months till where I’m begging the financial universe for mercy…) It’s the rubber band being stretched entirely too far. It SNAPS.

I wish I could be the kind of mom who enjoys every single moment with her children. I wish I could savor every moment during the summer with them. I have done some fun things with them here and there. I just haven’t been their everything for every moment. (Nor do I think that is good for them, anyway.) I am still absolutely ASTONISHED at the amazing journey a dear friend took this summer with her seven children. They drove in a pop-up camper all the way from the western United States to Alaska and spent two months making the trip. I would have gone nuts probably on the second week, the third at the latest. How she did it is beyond me. But I am in awe and I tip my hat to her. What an amazing experience for them all. But me, I’m just getting my kids through the summer at home, barely gripping on to my sanity.

I am still trying to figure out right now how to just survive the next eight days until my children start school. It sounds silly now that I’ve managed to get through a whole summer, but the last days are seeming like an eternity because I’ve already snapped. I have no spring left. I pretty much want to curl into a ball in my bedroom, take some kind of sleeping pills so I can coast through the next days mostly unconscious, and lock the door.

I would probably be a slightly more “normal” mom if I didn’t have my mental health issues. But I do the best I can to stay on top of them. I take medication, check in with my psychiatrist, and have regular visits with a therapist. I try to be reasonable in my expectations. I’ve been trying to repeat all kinds of useful and inspirational mantras the past weeks to keep myself positive enough to survive until I have some time alone to just regroup in pretty much every way. I just don’t know who or how to ask for help. And unfortunately, when I mention my feelings and am aware that I am being stretched too far, I end up with mostly unwanted advice (one-sentence cliches that too often start with “just”… if you’d just do X, Y or Z, you’d be fine. Or just “let go and let God.” Yeah, I know all that. Doing it is really the battle, isn’t it?) I don’t want advice. I want support and practical help. Someone want to take my girls on a vacation for a few days? That would be most welcome. No mantras, no judgment. Just support and caring.

As you can see from this long post, my manic side is coming out a bit. Sorry ’bout that. But it’s my reality. I am who I am, and I’m daily trying to improve the parts of me that can be improved, and manage the things I can’t change (genetics, brain chemistry: I’m talking ’bout you). But I’m still working on it. I’m going to fall down a lot and fall short a whole lot. I just wish I were better able to figure out ways to practically deal with the snapping of the rubber band before it stretches too far. My aspirations for being a great mom are simply in knowing my limits and not pushing past them. I’ve given my children so much and taught them so much and love them a great deal. Yeah, I need some time alone, away from them, sometimes in order to be able to continue to be a good mom to them. I just want to be able to stave off the snapping.

My starfish friends

Thanks to my girls, I’m pretty familiar with the tween movie “Aquamarine,” about a teen mermaid who gets some time out of the water. In one scene, she introduces her new girlfriends on land to the earrings she wears, small starfish that “compliment her.” And no, she doesn’t mean “complement her.” She says, “They literally give me compliments. They talk to me. Starfish are notorious suck-ups. They love to give me compliments.” She picks out a few great specimens from the sea and proceeds to attach them to her earlobes and those of her friends. The starfish latch on and very pleasingly spout many sweet sayings into the girls’ ears. “Aquamarine is soooo lovely. She is awesome. And she is so smart, yes, like tuna.”

I’ve often thought it would be perfectly wonderful to have my own set of starfish earrings. Every woman, especially busy, harried mothers, needs that kind of encouragement on a very regular basis. Some men are good at being starfish for their wives or girlfriends; many are not. This doesn’t mean that women don’t need to hear good things to buoy them up through their busy days.

Me, I like to hear that I’m still pretty, though I’m older and thicker around the waist. I like to hear that I’m smart and talented and capable. I especially need to hear that I’m doing OK, that my efforts for my family and my community and my own interests aren’t unappreciated or just going to waste. I want to know that I’m needed, that what I do matters, that my choices have been good ones, even though sometimes the outcomes haven’t been what I’d anticipated. I need those encouraging words like … well, like a fish needs water.

I have some friends who are particularly great starfish. They give me that encouragement, those sincere words of appreciation and caring that keep me going. I just wish that I could carry those wonderful friends around with me in my pocket or attached to my earlobes! But I’ll take what I can get. Their love and support keep me breathing, keep me moving on, keep me strong enough, just barely, to persevere through busy and frustrating days and weeks. I salute you, my dear starfish. You are my lifeblood. I hope I can be as useful and loving a starfish to you as you have been to me.

The gift that keeps on not giving

So I wrote yesterday about how I’ve been overwhelmed by all the huge obligations and responsibilities of mothering four growing girls. I’ve been feeling low on the coping scale for a few weeks, so by the time my birthday hit the other day, I wasn’t steadied by very many more reserves of patience or understanding.

I knew my “special day” would be crazy, so I expected that. What I also knew, after 19 years of experience, is that my husband is nearly completely unable to surprise me with anything, including gifts. I have to tell him ahead of time for any kind of occasion what I would like. Either he goes out and gets it and wraps it for me to unwrap and exclaim, “Oh, that’s great! I love it!” or we sit down to order it online together (he’ll click the “order” button so it’s from him), or we’ll go out shopping together after the fact.

I’ve largely grown accustomed to this setup, and I do appreciate that 1) I am difficult to buy for because my mood is always changing and 2) not everyone is a great gift-giver. I like to think I’m pretty good at selecting presents for others. I mostly really enjoy it, in fact. It’s so fun to always keep my eyes peeled for little ideas that come up in the course of conversations and then seeing something in a store or online that just matches up. It’s then so fun to see how the person reacts to what I found. I really love it. But no, not everyone can do that very well.

So my dear hubby really tried to come up with some fun things for me on my birthday (the other big problem for him at this time of year is that my birthday and Mother’s Day are always very close together: two big occasions to honor me right in a row, or even on the same day). He came up with a couple of ideas, one of which was one we’ve already done a few times, and which I do enjoy, but in this case, I wasn’t really in the mood and wanted something different. The second ended up being ridiculously expensive, therefore, out of the question. The upshot: on my birthday, as I was racing around doing mommy stuff and wearing myself out, I ended up with not a single present to open.

It was not a pretty combination. In fact, that snafu ended up being the match that lit the powder keg. I won’t go into detail on my reactions.

What I keep trying to tell my husband is that I really like gifts. I was informed a couple of years ago about the Five Love Languages, and what I really appreciate are Words of Affirmation and Receiving Gifts. Like the website says, gifts are not about getting “stuff” or anything fancy or expensive; it’s about what goes into it. I love just little tokens that say something meaningful, or even semi-meaningful. I want to be thought about and have that thought go into that kind of action. My husband and I have discussed the love languages a few times since our introduction to them, and he knows exactly what I really like. Has he succeeded in learning and applying that knowledge? Not so much. (Let me even quote from the site: “A missed birthday, anniversary, or a hasty, thoughtless gift would be disastrous — so would the absence of everyday gestures.” Ha! See?!)

My mom says that most men are terrible at gift-giving and that I should just accept that my husband, as great as he is in so many ways, will never be able to surprise me or give me good gifts. I wonder if that’s true. If it is, then why would the people behind the love languages encourage couples to do better at speaking their spouses’ languages? It would be a lost cause. I still have hope it’s possible to change or at least improve a little.

I’d like to simply say, no, I’m not selfish or self-centered; I don’t think I have high expectations. I just want a simple but fairly meaningful gift on special occasions and just cute, sweet little tokens to surprise me throughout the rest of the year. I think I’m worth it. In fact, I need those expressions of love and appreciation to feed me, to fill up my tank so I can keep going, keep super-mothering. I simply can’t run on emotionally empty.

What say you? Are gifts important to you or someone you care about?

Enough

I think about the idea of “enough” so often that I considered using it as part of the name of this website. In the end, obviously, I didn’t, but the concept comes to my mind frequently.

I’m not the type of person who wants more things. In fact, I’m usually working to get rid of things. Years of moving have taught me to pare down wherever possible. (I’m not a minimalist, however: I love my kitchen gadgets, and I use them. That’s a topic for another post.) I’m satisfied to keep a computer for seven or eight years or a TV for 10 or 15 years, even if they’re getting snazzier, wider and thinner. I have some clothes I’ve worn for years; I have a sweater I just adore that I bought in high school (guess it’s stretched out over the years…). So “enough” doesn’t apply to stuff. Well, it does, actually: I can say with confidence I have enough stuff.

No, “enough” applies to actions. I worried in high school if I had enough on my list of activities to show my dream university I was fit to enter. (I did.) Mostly, I’ve worried over the years if I’ve done enough. As a mother for about 16 years now, I think I worry the most if I’ve done enough for my four daughters, who are truly the most precious gift I’ve been given. I have generally been of the opinion that children will do best if given plenty of free time to find their own way, to keep themselves occupied and use their imaginations and their own inner resources. I haven’t scheduled them in lots of activities or sports or lessons. I haven’t spent all of my free time finding ways to keep them busy or happy. Even knowing that this strategy seems to have worked pretty well for them so far, I have moments of wishing I could just do more or be more for them because they are so amazing, so talented, so delightful. Because they are my only offspring, and these years I have of them living at home with me are my only chance to raise them: I just get this one shot. Because they deserve everything I can offer, everything the world can offer. Again, not stuff, but opportunities.

I’ve given my girls time. I’ve read with them, countless hours curled up on our beds, usually at bedtime, with countless books, many of which are now well worn, pages slipping out of their bindings, bits torn off corners. As they’ve gotten older, I’ve just sat and listened to them talk, telling me about their days, about their friends, about all kinds of thoughts swirling in their heads. I’ve not generally considered that a sacrifice, especially now that I have a high-schooler. She in particular has so much to say, so much that’s entertaining and interesting, at turns humorous and sweet. I cherish these tete-a-tetes. We’ve had “the talk,” we’ve talked about life and the big things, about faith and family; we’ve also talked about all the hilarious things that boys do and all the tasty morsels she ate for lunch. It’s been a pleasure; it’s been a treat.

Perhaps it’s a direct result of that time I’ve spent with them that I feel the urgency to do more, to give my girls the world. I’ve seen inside their souls and seen all that is possible, and I want to give it to them. Now that my oldest has realized how much she enjoys dance, she’d like dance lessons. But when would we fit those in among the band concerts and rehearsals or church activities or that extra class she’s taking in the evenings? Or as I see how much is lacking in our educational system nowadays (thanks to legislation, lack of funding and the bad economy, you name it…), I wish I could home-school or supplement with some somewhat structured lessons of my own. Oh, there’s so much I wish I could do.

But time limits me. Energy certainly limits what I can give. My budget limits me. My own needs, weaknesses and limitations keep me from being able to give all. (If you read about my struggles with my mental health, this will seem even clearer.) The number of children I have limits how much I can give to each, in some ways (I can’t be two or three places at once, sadly). But those things don’t limit how much I love.

At the same time, I know when I think about it seriously that my limitations are just part of life, even part of my children’s lives. They live in the same world I live in, where you can’t get everything you want, where you can only do so much, where the people around you aren’t perfect. No one should be handed everything on a silver platter, now or ever. Life isn’t perfect. There are always disappointments, always choices to be made between two or three good things. Giving my children everything would be doing them a disservice.

So I know in my head that I really am doing pretty well by my girls, that they are happy and well-adjusted, that they truly feel loved and secure. It’s just I struggle on some days when particular things crop up that I wish they could have or do. I wage a battle in my mind and — eventually — conquer my feelings of “not-enough” with the knowledge that they are happy, that they are loved.

I also struggle with that feeling of doing or being enough outside of my small family sphere, with the wide world around me. Every day, I see people and organizations that desperately need help, that need money, that need volunteer hours. There are children all around the world who need food; who need clothes and shelter; who need a strong, loving parent. And I don’t have to look far to be aware of those children. Teachers I know have those children in their classrooms. My daughters have these children as peers. Every time my oldest, in particular, mentions to me how grateful she is that I cook healthy food for her, that she has a comfortable house and plenty of clothes, that she has two parents in her home who love her, it’s because she has been reminded at school that all too many other kids don’t have those things. And my heart breaks, it just starts opening wide and trying to send feelers out to all those other children who don’t live in my home, to show them that someone cares. Oh, how I often wish I could parent so many other kids. Practically, however, I know I’m at my limits with the four I have right now.

There are so many worthy organizations out there that I could give time to. It’s hard to limit myself to just a few. Even as I say yes to one, I know there are many others I simply must say no to. It makes me feel bad to have to choose, to say no. It breaks my heart. The need is great so many places right now, especially, with our economy the way it is, but the need is always great in terms of hearts that need healing, souls that need to be nurtured.

I can only keep reminding myself of a story that I’ve heard a few times over the years. A man goes walking on a beach early one morning and finds a young man on the shore, bending down and picking up starfish and throwing them into the ocean. He keeps bending to the sand, grasping one starfish at a time, and throwing. The beach is just covered with starfish, who are likely going to die if left where they are, washed up on the sand. It seems a ridiculous endeavor, this picking up starfish one at a time and throwing them back. So the man asks the thrower, “Why? Why do you bother? You can’t possibly save them all. This won’t make a difference.” The young man’s reply, as he threw yet another starfish wide into the ocean, “It made a difference to that one.”

That’s the philosophy to which I cling in those times my heart breaks because I can’t possibly save the world. There are so many people in need, so many causes that are worthy. But I have to tell myself, what I do matters to “that one.” I just read about Mother Teresa’s similar thinking: “If you can’t feed a hundred people, feed just one.” I am making a difference to the four children with whom I’ve been entrusted. I hope to make a difference to the women I’ve been assigned to watch over in my church’s visiting teaching program. I hope to make a small difference in what I write here, that if what I say helps just a few readers, I’ve spent my time wisely. You, my friends, are my starfish. I wish I could rescue all the starfish lying on the beaches of the world, but I’m throwing back one at a time.

I watched this video for the first time yesterday and thoroughly enjoyed it. I hope that I can just make one person’s burden lighter each day because I’m willing to share. Enjoy this beautiful, inspiring message.

Spirituality and mental illness

As a faithful follower of Christ my entire life, my spirituality and connection to the divine have always meant everything to me. My life would not be what it is without my knowledge of and faith in God, my Heavenly Father, and His Only Begotten Son, Jesus Christ. I have always depended on the great gift of the Comforter that Christ left with his disciples, the Holy Ghost or the Holy Spirit. I’ve been taught since I was young how to understand what the Spirit is trying to communicate to me through his still, small voice. It is explained to people in various ways because it can affect and teach each of us a little differently, so each of us must learn exactly how he sounds to us. A scripture in my faith’s canon says that the Holy Ghost will speak to me in my mind and in my heart, and that really rings true in my experience. I can often just feel ideas popping into my head, and I can feel in my heart a good feeling that confirms they are from a trusted source.

But my challenges with my mental health over the years have thrown wrenches into that beautiful process off and on, in various ways. The depression, irritability and anger I’ve felt have blocked that positive flow of messages from a loving God, leaving me to feel adrift and alone and cut off. I’ve sometimes felt that there are just no answers coming to prayers, and I’ve given up asking. I’ve even gotten angry at the heavens then for leaving me in that isolated state, with no communication coming my way. All of it leads to me feeling that I’m alone and undeserving of God’s love, that for some reason he just isn’t paying attention.

Even medication I’ve taken has caused difficulties of its own. As I wrote in my previous post about my long list of medications over the years, when I tried Abilify for a few months about a year and a half ago, I felt absolutely numb. It was unnerving because I’m usually a bubbly person who often sees the bright side of things and, in terms of faith, relies on (even might take for granted) the wonderful peaceful feeling that comes from turning to prayer and scriptures and other messages of a spiritual nature. I know that when I listen to good music that reminds me of God and Christ or when I read a scripture or an inspirational magazine article, I’ll feel uplifted and recharged. I’ll feel the influence of the Holy Ghost, a marvelous gift. So for the few months I took that medication, I didn’t feel anything, including those spiritual feelings. I didn’t feel bad, but I didn’t feel good. I didn’t feel peaceful or Spirit-filled whenever I did all the things that would normally make me feel that influence. It bothered me a great deal. It was a strange feeling to go to church, where I would normally feel happy and inspired, and just feel … nothing. A black hole where there would normally be gardens in bloom with all colors of gorgeous flowers of faith.

What got me through that time was just the knowledge I had still in my mind about all the experiences I could remember. My brain had stored away the memories of knowing that God had answered my prayers at specific times and that I knew that the Holy Spirit had usually been in my heart. I couldn’t feel it then, but I trusted in my head that it had happened before and would come back to me, no matter what wacky tricks this medication was playing with me. And sure enough, when I got off that medicine and got to mostly myself again, I did feel that peace again. The black hole was gone, filled again with light.

So the wrong medication can play tricks on faith. Depression and other mental illnesses can do their own brand of damage. I’ve been through that emptiness before and am kind of feeling it again, and I’m sure I’ll keep experiencing it throughout this mortal existence. It’s not pleasant, and I’d rather not have to go through this. But my feeling is that this is my cross to bear, so I’m doing the best I can to handle it gracefully. Saying I’m doing my best is the truth, but even then it feels silly to say because “my best” can sometimes not be a whole lot. I feel alone inside of myself and that God isn’t sending me answers or the positive feelings I need. But I know in the part of my brain that’s not “messed up” somehow that he’s still there.

I think what I want most to do here is connect with other people who experience these feelings. I think that faith communities are slowly doing better at directly and publicly addressing matters of mental health in the context of religious belief, and that’s wonderful. But depression and other mental illnesses work hard to isolate their sufferers. Those of us who know in our minds and in our hearts that God is aware of us and loves us but sometimes don’t really “feel” it the way we should because of neurochemical vagaries can talk to each other to buoy each other up not just in our specific trials but in our faith. We’ve been given a great gift to have a Savior and the good news of the gospel he has taught. I believe there are still miracles today. Honestly, though, some days, amid the clouds that create a darkness of despair in my heart and head, I don’t feel a conviction that God will work a miracle in my life. And since I know that isn’t true, deep down, I have to work hard to combat the feeling that is false. A dear, dear friend of mine told me a couple of times that she and her mother were able to talk to a well-known Christian writer of our faith after he gave a talk they attended. She wrote me to remind me what he had told them: “He suffers from depression and told my mom and me that being faithful means that you remember the Lord is with you and mindful of you even when the depression doesn’t let you ‘feel’ it. He is still there!” I just cling to that like a little round life saver thrown to me in an ocean of big waves. Eventually the waves die down, and I’m still clinging on for dear life: alive and well yet again. Still.

Medications and me

Having a mental-health concern (that seems most likely now to be a bipolar disorder) for the past 25 years or so has naturally led to my being on various medications to try to improve my quality of life. I’ve already discussed a bit how it’s been a challenge to figure out exactly what I’ve been up against over the years (just some depression? anxiety? postpartum depression or PMS? bipolar disorder? nothing at all?), so I’ll try to go back and address what kinds of medications my doctors and I have tried to use to help me feel a bit more “normal,” or, more accurately, just better able to cope with the usual stresses and strains of life.

The first I ever took some kind of an antidepressant was toward the end of my LDS mission when I was feeling serious stress. The resident older missionary/retired doctor prescribed me a medication that would supposedly help with that. At this point, I honestly don’t remember what it was he gave me. What I do remember is that I was in pretty bad emotional shape and just going about my regular busy schedule just with a new medication didn’t help me feel any better. Besides, it usually takes a few weeks for those kinds of medications to even start making a difference, and in the meantime, I just kept feeling stressed — and guilty or bad about being stressed while I was supposed to be happy and spiritual and serving God and my fellow beings. It just wasn’t a good recipe for success as a missionary or a happy human being. So I ended up having to leave the mission behind and go home to seek help in a different environment (already talked about how that went).

I was next put on lithium when hospital doctors decided I was bipolar. I took that for a bit less than a year, I think. I felt better as time went on, mostly, but I also went back to college, where I felt more at ease and myself and had my friends around me. I am sure that the medicine must have helped though, looking back, because otherwise I probably still would have been seriously depressed/angry/stressed. But the change of environment did contribute, and after a time, I just felt that 1) the diagnosis of bipolar disorder couldn’t really fit me because I didn’t fit the “classic” signs of the “full-fledged” disorder and 2) lithium is a serious drug to be on: it can potentially damage the liver. I was having my blood tested every few months to make sure my liver was fine, but it was still a real concern. So I went off the lithium. During all this I was seeing a counselor at school, so I didn’t do all this just on my own without any professional support, but I don’t know if I had a psychiatrist on my “team” at that time.

After I married and moved to California with my husband, I know I ended up seeing a psychiatrist regularly, but I cannot remember if she had me on any medication. I know I didn’t go back on lithium. She might have put me on some kind of antidepressant, if anything, but I don’t remember for sure, and I have no idea what it was if I did take something. I do know that the first year of my marriage was very rough for me emotionally, and I prefer not to think about the way I acted. It’s too embarrassing. Luckily, my husband stuck it out with me. I also know that I was on hormonal birth control pills for the first two years of our marriage, and I am convinced that fiddling with the sensitive balance of my hormones was not a good thing for me emotionally.

I know that there were months and years I didn’t take any kind of psychiatric medicine, and there were other months and years that I did. It was always some kind of antidepressant. I took Zoloft and Wellbutrin at a few different times off and on after and between pregnancies. I took them together for a year or so, mainly because Zoloft did take away my sexual response. That’s something that’s a warning when you take that and various other medications, such as Prozac, and it’s definitely true for me. It can seem like a small price to pay, but it’s actually a pretty big sacrifice when it comes to a full intimate life with your spouse, so it bothered me greatly. Taking the Wellbutrin with the Zoloft took that side effect away.

After probably my third pregnancy, my gynecologist prescribed me a new medication, Lexapro. He said it worked well and had no significant (definitely not sexual) known side effects. I was eager to sign up. The morning after I first started taking it, I got out of bed in the morning to use the bathroom and then ended up passing out on my way back to bed. I was so scared about the weird feeling I had during that few moments that I told my husband to call 911. The paramedics came out and pronounced me fine. They said I’d most likely rubbed the back of my neck or something and had some kind of vagal episode. OK. Fine. Unfortunately, over the next 5 or 6 days that I took the Lexapro, I still felt weirdly faint and out-of-body-ish, and I figured the only thing that had changed in my life was that new medication. I visited with my general doctor, who told me that was ridiculous. But I decided it was the cause, and I stopped that Lexapro. I instantly felt better, well, fainting-wise. (The lesson here: even if your doctor says you’re being ridiculous, you still should trust your instincts.) So I went back to Zoloft or something similar, I think.

I started going to a psychiatrist again, which I hadn’t done for quite some time, just getting antidepressants from my gynecologists or general physicians, although I had still gone to see counselors for talk therapy more regularly. The psychiatrist I saw at that point, probably in 2007 or so, put me on Effexor eventually, which worked well for me for a while. He did suggest I might be experiencing bipolar disorder and might benefit not from lithium, but Lamictal (lamotrigine). He even gave me a sample pack. Even though I did consider that option, I told him that since I was feeling pretty good taking the Effexor, it seemed silly to stop taking something that was working just to try something else. He thought that was reasonable and kept me on the Effexor.

Then in 2008, my family and I moved to California from a long stint in Alabama, and life became unbelievably stressful. I’d also been taking the Effexor for probably a year or maybe a little less. At any rate, I’d probably only done well on an antidepressant for a year or so at any time I’d taken one, either because after a while, my life had settled down and I’d gone off a medication and been fine, or the medication had seemed to stop working. In this case, I just kept taking the Effexor, but my new general physician upped my dose. Shortly before another momentous, life-changing event for me, the death of my beloved dad, I started trolling the Internet and found the site I’ve mentioned already by Dr. Jim Phelps, which made me start to seriously consider the possibility that I really did have a bipolar disorder. But this psychiatrist was making the point that there was a wide spectrum of bipolar disorders, not just the “biggie” in which people stay up without sleep for a few days at a time, go on wild shopping sprees and spend tons of money, and do otherwise really foolish things they wouldn’t otherwise do. So I found a psychiatrist in my new town who was on my insurance list and made an appointment. He put me on Lamictal, which my previous physician had suggested a couple of years before. It did seem to slowly make a difference, and I was happy to be off the Effexor, although it did take a solid two or more months to very slowly wean off of that very addictive medication. (If I didn’t get a dose, I’d start feeling kind of headachy and light-headed, in a distinctively Effexor-less way.)

So I think the Lamictal gave me some relief and some hope that I was on the right track, but a couple of months into that, my dad died and sent me spinning. My psychiatrist asked me at the first appointment after Dad’s death (merely two or three weeks afterward, mind you), “So, how are you feeling?” Uh. BAD. My dad died. I’m miserable. Hard to say how the medication is working. I’d feel rotten no matter what. And that’s how it went.

A few months after that, I mentioned to some people in my church congregation that I was struggling with mental illness, and a few recommended I try a different option, a natural formulation called EMPower that was sold by a company called Truehope. The company says that the formulation contains micronutrients that are found to correct the imbalances found in those with bipolar disorder and other mental issues. I have always felt that ideally, it would be nicest to treat the actual cause of a problem rather than just the symptoms, if at all possible. This sounded like a very reasonable option, and Truehope has actually been doing scientific studies showing the benefits of EMPower.

I felt that I needed to at least give this option a shot. If I didn’t, I would never know if it could have helped me or not. So I went in to my psychiatrist, who naturally told me he didn’t agree with my decision and that he couldn’t continue to see me if I went off my prescription and took EMPower instead. I knew he’d say that, and I was ready to say, “OK. I won’t be back.” He said he knew I’d be back in a few months in even worse condition.

I tried the supplement, which is actually pretty expensive (probably about $100 a month, and not covered by insurance, of course), for about six months. I felt at first it really did help, but after a few months, I was just not feeling good enough. I tried a few adjustments and options after some phone calls with the company’s support techs, but I finally had to make the decision to end my own personal “drug trial.” I am sure that the supplement truly does help lots of people, but as with anything, nothing helps everyone. I did struggle, however, with what to do next. I firmly did not want to go back to my previous psychiatrist. He was too abrasive, and I felt I couldn’t work comfortably with him to find the best options to treat me. I finally decided to go see a nurse practitioner working in psychiatry 45 minutes away from my town because my therapist had heard good things about her from several other clients. I felt that it was going to be best for my mental health process to work with a psychiatrist who I felt comfortable with, that we were really a team, that she would be supportive. So I made the appointment. This new person, who I still see almost 2 years later, turned out to be a really good fit personality-wise, which I think makes a big difference in getting the best care possible. The only drawback is that my insurance doesn’t cover her, so I have had to pay entirely out of pocket. Luckily, I have had the spare funds to be able to pay for the visits, and it has been a good choice for me.

I’ll just call my nurse practitioner by her first name for ease of writing. Susan really went into a lot of detail with me, talking to me about the options and what she thought might work to help me, even explaining why she felt that way. I personally have really liked her approach. I like to feel that we’re on the same page, and knowing her reasoning helps me to feel more confident that is happening. We tried probably four or five different medications over the course of probably four to six months, during which time I’d go back every month to see her and check in. We tried Abilify, Prozac, and maybe Celexa. I can’t remember exactly. I did notice Prozac didn’t make me feel any better, and it just made me feel completely dead sexually, which was super-frustrating for me. So that was a no-go. I also know the Abilify didn’t do it on its own, and it actually made me feel, rather than “more normal” or “more like myself,” just kind of numb emotionally. I wasn’t stressed, kind of, but I was just dead. I didn’t feel anything. I felt like a zombie. I absolutely did not like that. She ended up adding in Cymbalta, which felt pretty helpful. Eventually, we took out the Abilify to see if that would help me feel less numb. And it did work. The Cymbalta, at the time, on its own, was a good fit for me. I’ve now been on that for perhaps 18 months.

Unfortunately, I’m afraid that now we’re getting to a point we need to tweak again. I’ve been on just antidepressants before, and I’ve either just gone off them or they’ve stopped working, and I fear this is happening now. I’m just feeling unhinged. The stresses and huge demands on my time are taking a huge toll on me, and I’m not proving up to the challenge of dealing with them in an appropriate manner. I’m coming up in a few weeks on another check-in with Susan, and I think this time we’ll have to address now how to change my dose or try something else. It’s been nice, though, for the past year, feeling pretty good and “myself.” Descending back into my “crash” mode is a scary and upsetting thing, for me and my family, and it’s nerve-wracking for me to ponder how much trial-and-error it’s going to take to get me back to happy. Will it take a couple different medications again and weird feelings of numbness or just not-effectiveness (so I’ll just feel unable to cope for a few more months? Yikes!)? My main fear is looking ahead at a few months of not being myself, far from it, especially with summer months coming on and my kids being out of school and all the stresses that places on me every summer. It scares me.

So that’s where I am, medication-wise. I’ve been a bit of a guinea pig for the past 20 years. It’s difficult because treating any kind of illness can be tricky and require some finesse. The basic stuff is kind of straightforward (infection? take an antibiotic; cold? take some antihistamines and Sudafed and wait it out), but other health issues take some trial and error. Then when it’s mental health, which is still a kind of slippery creature in the early 21st century, and every person’s needs and body chemistry is unique, it’s a science that’s more art than anything else. Being the doctor is probably a challenge, but being the patient is truly difficult. Being that guinea pig, the one on different kinds of medicines, is tricky and frustrating as all get-out. I’ve said for ages I wish there were a control group for me. But there isn’t. Good science requires a control group and an experimental group, and in this case, giving just me a medication and seeing what happens isn’t truly good science. And the onus is still on me as the patient to make the judgment calls, to figure out what’s changed, what to tell my health-care provider, about what might be significant. Do I feel better taking Lamictal even though my dad just died? Can I possibly separate out the effects of that from my normal stress reactions? Can I say I feel better on something even though a bunch of stuff has been happening in my life? If I could put myself in a quiet room without any interference from outside sources, I could judge better. But that’s never possible. (And if I could be by myself in a quiet place — resort, maybe? that would be amazing — I may very well be able to get to feeling better without the medication. Maybe. At least I wouldn’t be bothering anyone else.)

This post is incredibly long; perhaps I should have separated it into a few parts. But it’s the best answer to those who would like to know what my experience is with medications. I hope it might be of some use to those of you who struggle with similar problems and need to figure out how to look at your own situations with more clarity. Perhaps it will just make some of you more sympathetic with those in your lives who have challenges similar to mine. Or maybe those who know me but don’t know all these details about me will feel more empathetic with me. Either way, I hope this is of use to someone out there. This is an ongoing story, so I will need to update as the next few months come along and I visit my nurse again.

Perfect to a T

A visitor the other day asked me, “So, are you a perfectionist?” Ha! I had to chuckle. It’s like asking me if I like chocolate. Or ice cream. Or books.

Uh, yeah. I’m a perfectionist. I’d like to call myself a “recovering perfectionist,” but that would be implying I’d actually improved a bit and stopped some of my perfectionistic ways. Nah, I’m firmly off the wagon.

This moniker is accurate despite the fact that my friend came into my house while I was in the middle of vacuuming my dining room. The chairs were arranged haphazardly along the edge of the living room carpet, and I was wearing a ratty old T-shirt and sweats. My hair was up in a clip and I was, as is typical for a weekday, without any makeup. Luckily, and unusually for a weekday inside my home, I was wearing a bra, and this is only because there were men in my house installing some new windows. My four-year-old was running around doing whatever while I vacuumed, which was the precursor to mopping (which only happens about once a month around here, though I’d like it to be once a week). With the men stomping around upstairs and creating some background noise, plus occupying my driveway with their big truck, my home was the site of some serious action, and I was a little sweaty and rattled. My main goal was to get the house clean and put the preschooler in her room for some quiet time so I could sit down and rediscover my equilibrium.

Mostly, I wouldn’t point to these markers as signs of perfectionism. Perfectionists’ homes are just naturally clean, with outsiders never seeing the behind-the-scenes action (like the best of magic tricks, everything looks amazing with some sleight of hand); female perfectionists always are stylishly dressed with neat coifs and impeccable makeup; their children do not run wild. But I know the truth: cleaning my home is a must because I am a perfectionist. I like clean floors and surfaces. I like them to stay clean. Since people (children and husband included) live here, they do NOT stay clean. I am perpetually frustrated.

I can’t explain away the lack of makeup, the hair always in a clip on the top of my head, or the fact that I ALWAYS wear sweats and old T-shirts at home (or, if I leave the house, blue jeans and T-shirts without holes). Perhaps that’s the one category in which I just let myself slide because even I have realized I can’t do it all. (Unfortunately, I have yet to realize I can’t even do half of it all, but I keep on trying.)

And people do see me sweat because I go to the gym every day. And I certainly do not wear makeup or have my hair fixed there (although in that case it’s in a ponytail rather than a clip).

But I can’t point to these habits and say, “See? I’m NOT a perfectionist.”

A whole list of qualities and habits shouts loudly that I most certainly AM (this is only a sampling, mind you):

I can’t stand having unfinished projects lying around. When I sew, for example, which is maybe once a year, I just get it all done in two days. I may sew four dresses at once, but I will sit at the sewing machine almost nonstop until they are done and I can put away all my materials and the machine back into their appropriate “homes,” out of sight.
Look at what I do for a living: copy editing. Can one be more perfectionist than that? The goal is to have an article or manuscript with NO ERRORS. No misspellings, no grammatical blunders, no style mistakes, no factual goofs, no libel. It kills me to look back on a story I’ve edited that still contains an error that I MISSED. That fault on my part will haunt me for days.
I’ve already written about my body issues and will continue to do so. Let’s just observe that my glaring imperfections (hello? 40, possibly 50, excess pounds?) do not slip by my eagle eyes. But in the interest of full honesty, I will say that I’m generally content with my hair and my face. I think I have a pretty face with some very fine features (always got compliments on my eyes and smile) and good hair that rarely gives me problems, unless it’s in dire need of washing.

The thing is, I’ve always been like this. My mom says I was born this way. I believe her. My family dynamics and circumstances tended to reinforce that tendency, but it was always there. My first two children didn’t inherit the trait, but my third has. I sympathize with her. She’s always going to excel in school and activities, but she’ll feel tormented when she doesn’t do as well as she’d hoped (it already happens, even with pictures she draws).

No, I’ll never be labeled “laid-back” or “easygoing.” But people like for me to be in charge. I get things done — and well. But it comes with a price. I’m not the friend you want to take to the beach. I won’t sit there quietly and companionably for five days running, the sand tickling my toes and the sun kissing my skin, thinking only about wispy clouds and bright blue skies. I can only sit and do nothing for about two hours. After that, I’ll be grabbing your hand and leading you on a tour somewhere, or hooking up to the Internet to write or edit or search for useful information. No, I’m not a relaxed gal most of the time. Mostly, I’ve come to be OK with that. And I’ll insist on that until stress makes my cortisol hit freakish levels and I have a heart attack. But when I’m gone, you’ll look back on my body of work and say, Look how much she got done. Wow, those articles are completely error-free. She was amazing.

A shout-out to the blog that started this conversation

Early last month, I saw this lovely post linked from a friend’s Facebook page. It got me thinking about my situation, and I decided it would be useful to start a blog that talked openly about mental illness. So here we are, about six weeks later.

Being Sunday, I will focus today on some faith-related observations. I don’t necessarily intend this blog to be focused entirely around faith and my religion in particular, but from time to time I’d very much like to address belief because it is very important to me and how I experience life.

I am of the opinion that my church, the Church of Jesus Christ of Latter-day Saints, has done a nice job bringing some of these more sensitive topics to the attention of the church membership worldwide. The official magazine of our church is called the Ensign, and it comes to homes monthly with lots of wonderful inspiring articles and first-person experiences of how the gospel of Jesus Christ has changed people’s lives. The magazine has featured over the past decade more and more articles that address special situations like how to parent and teach people with disabilities, for instance, and how to tackle the problem of pornography. It has featured articles about mental illness, as well, from the viewpoints of licensed therapists and from those who have struggled with it personally.

So in no way do I think our church has tried to sweep the issue under the rug or act as if it isn’t a challenge to many people. I have definitely enjoyed the articles about mental illness in the official magazine, and I have appreciated books that have been published about the topic that are aimed at the LDS audience.

But I do think that more can be said, more can be done to bring what was once rather a taboo topic out into the open. I’ve already written about how more people seem to understand physical illness, and I liked how this blogger mentioned the same feeling. Our church women are known for providing meals to those who are sick or who have just had babies. We’re great at delivering casseroles. But while I have been given some meals over the years postpartum, I haven’t been provided much sustenance when it’s come to my mental recoveries. I think that there are basically two reasons for that: 1) few people even know when someone’s suffering from mental illness (in general or a bad episode of it) and 2) our society as a whole still just doesn’t talk about it enough so that it’s something people all feel comfortable with. Sure, not everyone is even good about talking about physical illness, shying away from the “C” word, for example, but even so, I think that the more a topic is addressed, the more people can become comfortable with it and the less it will feel like a taboo.

So here I am, again writing these words out in public so they can feel less strange, less taboo, less “other,” less misunderstood. The topic of mental illness is extremely personal to me, and I could continue being very private about how it’s affected me, or I could do what I’m doing now: just speaking out loud. I think this whole blog has that same purpose: to contribute to a conversation, to raise awareness, to increase sensitivity and understanding. I think that in our day we have been blessed with the gift of technology, and if we use it to improve and uplift people’s lives, we will be giving a gift to others.