The Other Shoe

I’ve been doing something dangerous recently: taking better care of myself.

After a very long downward spiral of diabetes/low thyroid/weight gain/depression feedback loop fun, things have begun to move in the other direction since spring. It began with a desperate, no-holds-barred attempt to bring my blood sugars under control with a change in eating–a change that, surprisingly, worked well. It accelerated when this change, somehow immune to my eating/weight baggage because it was serving the blood glucose meter and not the scale, began to have the side effect of taking off a little weight. It accelerated more when something about what I was doing affected my thyroid and my levels approached normal for the first time in years. My most recent labs are a thing of beauty compared to the values of last year.

So why is this a dangerous thing?

It feels dangerous because a part of my psyche is convinced good things won’t stay. A lot’s been written about the psychology of growing up in a household of substance abuse and/or violence, but you have to be one of us to know the sickening plunge of fear that comes when the unpredictable trouble erupts. Everything seems all right, then the floor drops out from under you and you’re in fight/flight/freeze mode. And because you’re a kid, sometimes the third one is the only available option.

Anyway, that part tends to make itself heard when things are going well. I have an inner conviction that something awful is about to happen, and when something bad does happen it’s taken as a confirmation that I was right.

The more I feel a sense of hope about the improvements in my health, the more convinced I am that some terrible punishment awaits. The resistance I battle every time I write something or do anything else positive is almost palpable. It fuels itself with everything from little symptoms to relatives’ ailments to the news:  “You, or someone you love, or the planet, is going to pay a price for your selfish behavior. It’s only a matter of time.”

Too Little, Too Late

The phrase haunts me. Whenever I find a lump where a lump shouldn’t be, or even have a twinge of pain in an unfamiliar place, the fear comes up. I’m turning into a hypochondriac, and I don’t like it.

It’s not just that I am afraid of dying, although I am. It’s that part of me is still waiting for a judgment from the universe–a judgment saying I’ve had enough second chances. A judgment saying my current efforts are too little, too late.

I recently spent time with a fellow addict who is on dialysis. For three years, she tried to quit smoking in order to get on the list for a kidney transplant and could not do it. She finally succeeded—two months before a heart complication showed up and derailed the whole process. Too little, too late.

My blood sugars are lower than they’ve been in a long time–but with every exam I fear the onset of some complication born during the less controlled times. My weight is improving slowly from the place it reached last year–but with every sore knee or backache I fear that I’ll never dance again.

It all feeds into the roar from the ever-present peanut gallery that observes my efforts at writing: You’re too old! It’s too late! There’s not enough time left to accomplish anything that is worth doing!

Isolation

We use the word as a verb often these days. I’m isolating a lot. She started isolating. He tends to isolate when he gets depressed.

Isolating is different from just being an introvert or enjoying solitude. Isolating is ducking phone calls, declining invitations when we do get them, shunning gatherings or meetings we used to attend.

We do it because of depression, or shame, or pain and fatigue. We do it because we are too tired to face the dreaded question “How are you?”

Then we keep doing it because we feel guilty about having done it for a while. Guilty about the phone calls we ducked and the meetings we skipped. Overwhelmed at the thought of trying to explain why we flaked out on interactions when we don’t really understand how it works ourselves–or, if we do understand it well, we may have also learned that understanding it doesn’t make it any easier to explain.

It’s dangerous for us. It can make depression worse. If we are in recovery from an addiction, it increases our chance of relapse. It’s bad for our physical health and narrows our world in a way that can let our negative thoughts and traits begin to dominate.

So how do we stop doing it? How do stop doing it?

One thing that’s really hard for me to accept, even after years of work, is that my mental health issues may always manifest in cycles of mood and ability to interact. For me, the struggle is about harm reduction and trying to reduce the shame and fear that extend a cycle of isolation past its natural life span.

And when I find a foolproof way of doing that, I’ll be sure to let you know.