Mystery Potion

I never, never want to change my psych meds. The overwhelming urge is to leave them alone, because I’ve found a regimen that has a minimum of side effects. Problem is…they’re not doing the job right now. I’ve had a consistent pattern of frequent hypomania for months, and the symptoms are starting to impact my life more. My rapid and disjointed speech is sometimes noticeable to others. Sleep is worse than my already-bad levels. I am hypercreative, but unable to settle to one project or get anything on paper. The urge to self-medicate with overeating is strong, and I’m not always able to resist it. So, it’s time for me to open my mind to a change. The last change I did was just a slight increase in the med I was already taking, but this one is adding something new.

Imagine you’ve been handed a magic potion in an opaque flask. You know you need to drink it, but you have no idea what it’s going to do to you…caught between the misery of the moment and your fear of the unknown, you raise it to your lips and swallow. And then you wait.

The next day, you feel sick. And the day after that. Or you’re semiconscious, or your mouth is so dry you can barely speak, or you can’t have sex anymore, or you’re heart-poundingly anxious, or you have sudden self-destructive thoughts, or you’re dizzy…but you continue to drink the potion, because you’ve been told all this is normal and will pass soon. But when will I feel better? you plead with the wizard. In six to eight weeks we’ll see, is the common reply.

Yes, though there are a few “big guns” of psych meds that have immediate effect, such as tranquilizers and antipsychotics, most others manifest side effects long before any therapeutic effect is felt. Which is why the popular misconception of popping an antidepressant to lift one’s mood is a pile of crap.

After an eternal couple of months, it’s time to assess whether the new med seems to be helping–and if not, it’s time to start over again with the next candidate, beginning the cycle of side effects all over again. Anyone who thinks psych meds are a crutch used by people who want to avoid the pain of life is invited to ride this merry-go-round a few times, until they understand it’s not the easy way out. It sucks, and we wouldn’t do it if we weren’t convinced it was our best bet for being more present and useful to the world and the people we love.

Pain We Obey

“To goodness and wisdom we only make promises; pain we obey.”

-Marcel Proust

I was 32 when chronic pain changed my life. I know many people who experience worse suffering than the pain that comes with my cracked vertebra…but when it’s your pain, and you have it all the time, it feels consuming. I know what it’s like not to be present in the moment because I’m counting the minutes until I can lie down and take painkillers. I know what it’s like to plan my days around pain, to quit activities I used to enjoy, and to struggle with the simplest daily tasks.

When it became clear I was an addict with a capital A and needed to go the abstinence route, I felt so sorry for myself. My black-and-white thinking painted the future as an infinite desert of unrelieved pain and bleak depression. It felt unfair. I had to change my attitude a lot to have a chance at staying clean.

When I went to rehab for the last time (well, let’s hope it was the last time) doctors told me that overuse of meds had screwed up my pain processing system to the point that my body was creating and amplifying some of the pain. They said for every year I had used narcotic painkillers, it would take about a month clean to figure out what my true pain level was. I’d used them for eleven years. So the first year of recovery was going to suck pretty badly.

Today, I can say with gratitude that the doctors were right. Though chronic pain is still part of my life, my average pain level is far lower than before I got clean. It gets bad occasionally, but “bad” now is what was normal back then. That’s only my story, of course. I got lucky.

Living with chronic pain, like living with mental illness or being in recovery, opens us to trying things that might not have been on our agenda if life had stayed “normal.” Spiritual exploration. Meditation. Trying to find and do small things that give pleasure. Examining our ideas about what we are if we’re not our jobs or our productivity. All of you who let pain steer you into a quest for growth inspire me: how amazing that we perform, however imperfectly, this mysterious alchemy that turns pain and despair into something beautiful.

Goldilocks

I have come to the conclusion that Goldilocks is not an addict.

It’s not that she is without issues, most notably a lack of respect for others’ personal boundaries. But her behavior is clearly abnormal when considered from an addict’s perspective.

Come on–she samples two bowls of porridge and finds the third one to be “just right.” She eats it. Satisfied, she goes and finds a nice place to take a nap.

What’s wrong with her? Why isn’t she rummaging through the bears’ kitchen, trying to find more of that perfect stuff? Or trying to mix the hot and cold porridge to capture that “just right” again? Or just gulping down the too-hot and too-cold porridge, because it’s better than nothing? How is it possible that she is moving on?

After decades of living with an eating disorder, I know how to eat in a way that my body and brain like. I’ve learned, the hard way, that starving myself sets me up for an inevitable compensating binge. I’ve learned, through much trial and error, which foods trigger cravings and are best avoided. I’ve learned not to deprive my body of fats and other things I used to be trained to withhold. When I eat the right way for me, I feel stronger, calmer, and in less pain. I don’t obsess about food between meals. My body and mind send me messages amounting to “About time, dumbass!”

There’s just one problem–I’m nothing like Goldilocks. The concept of moderation, of just right, of enough...my addict brain squirms in discomfort. No quick gratification from weight loss? No resolutions to starve virtuously after the latest episode of binge eating? No “tomorrow will be different?” Weird.

Embracing the reality of my eating disorder, and the need to deal with it even while other conditions might seem more urgent, is a balancing act I will never master. This process will never end, only ebb and flow. And I have to love myself anyway. Weird.

MacBeth Shall Sleep No More

Shakespeare characters suck at sleeping, just like me. Hamlet wanders around the castle and sees ghosts. Henry V soliloquizes about how lucky peasants are to labor all day because they can sleep soundly at night. MacBeth, when talking about his murder-induced guilt, focuses on the fact that he’ll never again know peaceful sleep.

They all know the loneliness of being awake while the world sleeps around you. The worry of knowing you’ll be too tired to function in the morning and knowing you must. The pain and fatigue and vague nausea all the next day. Trying not to wake up those nearby while wishing they would wake up and keep you company; telling them to go back to sleep and resenting that they can.

For thirteen years now, I’ve had a pretty intractable case of insomnia. During my years of drug abuse, I used ever-increasing amounts of sedatives and hypnotics to cudgel my brain into sleep, only to have them stop working as I developed tolerance. The longest I’ve ever gone without any sleep at all is six days, a bipolar episode that ended in the hospital. Normally, I would drop off sometime between 3 a.m. and dawn, often to the soothing first chirping of the birds, only to be awakened by my alarm one to three hours later. It made my other issues worse; not surprising, considering the effects of sleep deprivation on everything from mood to pain threshold to executive function.

It was awful, all right…but what a bonanza of self-pity for an addict! I always had a plausible excuse for retreating to my room and skipping something I didn’t want to do. “Sorry, the sleep deprivation’s crossed a line and my survival requires a nap.” It was useful to the side of me that wanted no part of responsibilities that would get in the way of taking painkillers.

Fast forward to recovery, and needing to abstain from all the meds I used to abuse: I had to work at changing my attitude about sleep; I had to become willing to stay clean even if it meant I’d never sleep through the night again. I had to accept that I’m not in charge of how much sleep I get, and that I’ll get just enough when I need it badly enough. It meant practicing acceptance when lack of sleep interferes with my energy or mood. It meant letting go of any question of fairness about it all.

Of course, I fail at these enlightened principles. Often. I want to snarl at people who give advice on how to sleep…yeah, thanks, I haven’t tried your sleep hygiene tip any time during the last decade and a half of suffering. I have to guard my mind against the human, understandable, but very dangerous thought: “I really need one night of sleep. Just one night. I’d feel so much better. I haven’t taken sleeping pills in years now, so one would probably work really well. No one would have to know…”

But I don’t need “one night of sleep.” Not at the price I’d end up paying.

Eating Disorders Have Weird Rules

Yes, lest those who read my stuff ever forget: I’ve lived with an eating disorder since I was thirteen or so. It coexists with my mental health issues and with my life as an addict in recovery. It’s there to a greater or lesser extent every day of my life.

I’ve been blessed in recent years with being able to take better care of my body in some ways. Many days are relatively free of compulsions, many other days are moderate, but a few still take me back to the worst days.

A couple of days ago, I felt myself teetering close to a binge and didn’t want to go there, so I tried to do some “harm reduction.” At the grocery store, I bought a couple boxes of artificially-sweetened treats (yuck) to bribe myself out of buying other things.

So there I am, yesterday, with a terrible stomachache from the treats my body is not liking. I decide, disgusted, that I don’t want them around any more. I don’t want them around tomorrow, because if they are around tomorrow, I will eat them and have another stomachache and feel like crap all day.

This where the awful rules kick in. You see, I am not allowed to throw the treats away. No. I bought them, I made that choice, and now I have to pay for it. If I don’t want them around tomorrow, there is only one allowable way to get rid of them. I have to eat them. All of them. Tonight.

I hate the rules.

Interrupted

I’ve been feeling overwhelmed by how far my two book projects have progressed…well, the universe found a cure for that! For two weeks, I’ve been flattened by a flare-up of my old back issues. On bad days I shuffle, stagger or crawl from bed to bathroom to recliner. My creativity is blotted out by pain and worse insomnia than usual. It’s frustrating as hell not to be able to do the dishes, take out the garbage, or even pick up things I drop.

In my counseling training, I met many folks who were in the field of “somatic psychology;” that is, the study of how the mind’s issues can affect the body. It’s a growing field, full of promise. But, like people in any field, students of this one can go to extremes. It made me crazy when anything from a sneeze to a sprained ankle caused classmates to start diagnosing some kind of emotional source.

That being said, mind/body connections are real…so am I somehow the author of this flare-up? Is there more going on than “shit happens?” Did my body arrange for me to be forced to take a break, to put everything on hold, to step away from all the “what now” questions about my manuscripts? All I can do is try to engage my thoughts with honesty as I heal from this.

Whether they are related or not, my mind and body both need to know that they don’t have to break down to get a break. Fallow periods are normal for any creative person. I’m allowed to have them without a physical or mental crisis existing as a reason.

A Is For Acceptance

I used to think acceptance was the coward’s way out. It would be wrong for me to accept my conditions or their limitations, because that would mean I was giving up instead of fighting, fighting all the time, fighting to create a “normal” life like all the inspirational stories out there tell us a disabled person is supposed to do.

The culture I live in glorifies fighting. When a person develops cancer, their process is framed as a battle. Their perceived job is to fight–and if the cancer proves to be terminal, the battle is lost. Death is framed as a failure. For millions like me, life with compromises is seen as a failure. Accepting that I cannot work full-time, or spend too long in certain environments, means stepping away from the meritocracy and accepting a role of someone who’s not in the race.

Settling into a regimen of care that doesn’t fix everything but has been sustainable for years is seen as a failure. I’m supposed to be trying things, constantly seeking alternative treatments, and spending my life in an endless search for a cure instead of living it.

Of course, there’s a balance needed between accepting and fighting. There are many battles to fight every day. If a heavy depression has kept me from washing my hair for days, accepting my greasy locks and itchy scalp isn’t the best choice. Better to fight the inertia, if I can, and drag myself to the shower. Ditto for hundreds of other arenas where I take on my demons to win the prize of some meaningful action.

But accepting myself, in general–accepting that I have the life I do–is key, no matter what it costs.

Five Minutes

I just sat down and wrote a list of five-minute activities. It felt pretty cheesy, but I need to find the willingness to pick one when I feel adrift instead of turning to eating or video games.

As I’ve written before, I’m fine with video games to a point. And I know where that point is; I’m not getting any fun or relaxation out of the game if I pass it. So unless I’m in near-crisis and just have to buy time, it is better to get up and do something else.

Why five minutes? It’s an attempt to break through the block that says something’s only worth doing if I’m going to go the whole nine yards. A walk has to be a long one, scrubbing a toilet has to involve cleaning the whole bathroom, etc. This perfectionism feeds into the “well, I’m not feeling up to all that, so I’ll wait for a time when I am.”

I’ve been ignoring my physical therapy exercises for a hip pain. The whole routine takes a half hour twice a day and feels as far from me as the moon. But wouldn’t it be better to do a few of the stretches than nothing?

Nonzero is always, always better than zero for me. Staring disgustedly at a poem draft for five minutes is light-years ahead of not bringing it before my eyes at all.

Things I’m Not Doing

Right now, a drug addict paces in the ER, so desperate for a fix that COVID-19 holds no terror for them.

Right now, some sick person is waiting too long for an ambulance because two paramedics are running up to an addict’s apartment to Narcan them for the third time this month.

Right now, an addict is spamming one of their doctors’ overloaded phone lines with demands for prescriptions.

That addict could be me.

It’s been more than eight years since I got clean. Since I experienced the magic mix of luck, grace, privilege, and yes, hard work too, that helped me (so far) beat the odds.

If I were still deep in my addiction right now, I could do any of the things I’m thinking about. It would feel like a matter of survival to get the drugs I needed, and the threat of deadly illness to myself and others would feel very far away.

Someone who routinely takes a handful of pills they know might kill them isn’t exactly dialed in to any logic of self-preservation, let alone consideration of others.

I’m not doing anything great in the pandemic so far. I don’t work in an essential business like health care or food acquisition. I’m one of the many whose most useful contribution is to stay the fuck home and take really good care of myself to minimize the chances of getting sick, or having to go the ER for any other reason.

But at least I’m doing that instead of being an active liability. And if all I’ve accomplished in the past eight years is just developing the ability to be less of an asshole at a time like this, I’ll take it.

Sidelines

Yesterday, I heard an opinion that those like me who live with mental illness won’t suffer as badly during the pandemic as those who are used to being happy and productive.

The logic goes like this: we’re used to feeling bad, we’re used to sitting on the sidelines and not being able to do much, so how is this different?

I didn’t know how to react when I heard this. I wanted to talk about what it’s like to be seen as a constant liability to the world. I wanted to point out that right now a lot of mentally ill people are trying extra hard not to be a burden on an overloaded system. When their symptoms torment them, the knowledge of the crisis feeds their shame and lowers their resistance to judgment and stigma.

There is no time to be mentally ill while the world burns, the thought repeats. So what if they’ve run out of their meds, or if the only thing keeping them going was that therapist they can’t go see now.

They will not ask for help. They will try to cope as best they can. Some will fail to make it through.

Safe

“Safe space” is a concept these days, and I’m for it. But is there really such a thing as a safe space for me?

I’ve been struggling lately with the fact (as I’ve mentioned) that I no longer feel safe talking about any kind of physical or mental health issue with some people. From now on, when certain people greet me and ask how I’m doing, I am in perfect health and having a good day. Like a gazelle in a herd, I must not show weakness or injury lest I be targeted by wolves.

“But wait,” I interrupt myself, “isn’t it important to be authentic about your issues? Might you be missing an opportunity to be helpful to someone?” Well, I don’t put up shields lightly. This is a case where I’ve shared my truth several times and had it discounted.

So that’s become a space that is safe for me to talk about writing, but not other things. There are spaces where I can talk about addiction, but too much talk of psych treatment might get me rejected. There are therapy spaces where I can talk about mental health, but have to hold back on talking about my writing lest I be accused of intellectualizing.

Sometimes being unsafe is the right thing to do, of course. Sharing honestly in a recovery meeting may help someone feel less alone, so it can be worth consequences to me. I have to weigh the risks and benefits and make a choice about how transparent to be.

The book in progress, of course, represents a choice to be extremely transparent. It’s possible to do because I can tell myself that no matter how many “unsafe” places it ends up, it has a good chance of also reaching places where it could help someone else feel a little safer. A little more seen.

Sick Squared

Being sick is depressing, sure. For me, though, being sick is clinically depressing.

Maybe those of us with mental health issues are more sensitive than usual to the tiniest changes in our brain chemistry. If we’re on meds, maybe illness changes the way our bodies metabolize them. Whatever the reason may be, even a minor illness seems to guarantee a sharp depressive dip for me.

It was just a bad cold, for heaven’s sake. Severe congestion, touch of fever, no huge deal, only lasted three days…but I’m clawing my way out of leftover mental fog, compulsively pessimistic thinking, and hair-trigger anxiety.

Yesterday was the first day I actually thought about my writing projects again, and it wasn’t pretty. Every gloomy, nihilistic, they’re-no-good-and-even-if-they-were-it-wouldn’t-matter thought I’ve had about them came cascading down at once.

I know what to do; what I’ve had to do thousands of times. Baby steps. Little things like this. Do not try to tackle everything that has piled up, or I’ll end up crawling back under the covers.

I want my brain back to its best functioning now–but what I’ve got is a blog post and a sink full of clean dishes. And that’s probably it for today.

You Don’t Say?

So, my psychiatrist thinks I am depressed.

More than usual, I mean; my general diagnosis includes a type of depression. But just because I told him about how often I’ve been thinking about death lately, and how much I’ve been struggling with food and other self-destructive behavior, and how much time I spend in circles that talk a great deal about the dark aspects of all our futures on this planet…he thinks I need more help with depression.

So out he comes with this particular health care organization’s chart of meds and starts suggesting things to add to my regimen.

Poor man. He means well. But either he hasn’t been taking notes at our previous sessions, or he hasn’t been looking at them.

The names of the meds are listed in little boxes by group, and as he proposes things I have to keep shooting him down.

No, we can’t add anything from this box. I’ve tried many of them, and they increase anxiety to a dangerous level. No, I don’t care if this one is new, I’ve seen the chemical formula. They moved a hydrogen atom so they could get a new patent, that’s all.

No, we can’t add anything from this box. They’re all addictive. I know my addiction history is in my chart. I made a point of putting it there.

Dear God, no, we can’t add anything from this box. Two of them almost killed me when I tried them; I’ve told you that before. You cannot give me any of these unless I’m an inpatient under close supervision so I don’t walk into traffic.

We could try a slight increase in this one med I’m already taking, or we could try one from this tiny box here…or maybe we could get me a therapist I could see more than once every six weeks.

Ha, ha, just kidding, I know that’s not going to happen.

Pain 1, Me 0

Chronic pain sucks.

This week I am receiving a reminder of this. I did something to my back 8 days ago; thought it was no big deal at first but it got worse as the week went on. It’s been hurting at the level that used to be going on all the time for me.

I’m spoiled these days; often pain free with occasional flareups. I haven’t had one this bad in four years or more.

So right now I’m being reminded how much pain screws me up–and I’m getting to see how it screws up parts of myself necessary for writing.

One: Pain makes me afraid. I future trip like crazy–what if it doesn’t get better? When can I go back to my regular activities? How am I going to function when sometimes I can barely function without pain? Writing in a state of fear tends to be joyless and stripped of its usual juice.

Two: Pain makes me stupid. Even less sleep than usual, fatigue from stiff muscles; it all leaves me cloudy. Writing is slow and awkward.

Three: Pain triggers bad memories and cravings. Back pain will always be associated with the worst time of my addiction. The physical sensation triggers memories of standing in line, filling out forms, and talking to doctors in order to get more painkillers. Even though I know all that is in the past, my body isn’t sure. Writing is harder because it’s difficult to stay in the present.

Four: Pain ups my level of depression. Understandable. Limited mobility leads to boredom, which makes me more vulnerable to depressive content from my head. Writing is harder because the grayness of depression works against my creativity.

Five, and most dangerous of all: Pain makes me self-absorbed. I regress, as many in chronic pain do, to an ego state where I lose perspective and my pain becomes the center of the universe. Writing is hard because I lose touch with why I write.

I really hope this won’t last much longer. But if it does, I need to remember that the imperfect writing I can do in this state is still approximately ten thousand times better than a blank page. So what if it’s not quite up to my usual standards? That’s what editing is for.

Useful

How do I maximize my usefulness to others? How do I assess my strengths and weaknesses honestly and make good choices about how hard I should push myself at any given time? How do I repeat this assessment frequently and deal with the self-doubt that tries to make me push myself too hard out of guilt or shame? How do I resist the impulse to apologize constantly for what I am doing and the fact that it’s not enough?

I’ve written on this theme before. I’m sure I will write about it at intervals for the rest of my life. Two years ago I wrote this, in fact:

“I don’t want to live my life as a walking apology, but I also don’t want to become the kind of person who sees no need for regrets about how my condition and/or my shortcomings affect others.

Where is the line; where does a realistic assessment of my condition end and making excuses begin?

Could I be allowed to stop making promises, or even implied promises, that set me up for the inevitable apologies?

There’s no way for anyone else to assess, or even for me to assess reliably, the subjective amount of effort I’m making. So how can I, when unable to perform consistently, express that the thing, principle or person is still important?

Can I ever be good enough, do enough, love enough to have it mean something?”

Looking that up was interesting because it really made my point: This theme recurs. It recurs because the question is always relevant in a world that needs us to do our best. It’s not going to stop recurring, and I need to meet it with honesty and humility whenever it arrives.

Through the Clouds

I want to believe I’ll be creative for the rest of my life.

I want to believe that if I get very ill I’ll use the time and the change in perspective to write, or at least expand my mind by learning a new language or something. I want to believe that if I die of natural causes at an advanced age, my feeble fingers or quavering voice will still be trying to communicate. I want to believe that my mind is and always will be more powerful than my body.

I want to believe my drive toward thought and clarity can always overcome issues with my body. And there is some truth and merit to the idea; there’s truth in the idea that my mind and soul have a great deal of power. There’s truth in the idea that the battle for clarity is not hopeless and that it’s well worth fighting.

That belief, however, is not always backed up by actual experience. My experience has been that my mind’s activities are linked to the functioning of a physical object known as my brain. This organ, whether I like it or not, is a part of my physical body. It’s affected by every other organ I have. It relies on the contents of my bloodstream for oxygen and nutrients. When my body gets sick, or is affected by hormone fluctuations, or takes a new medicine, my brain gets a different cocktail. There’s a tipping point to these things beyond which it’s very hard to muster enough energy or original thought for any productive act.

The truth is that for someone like me, the state of optimal body and brain function is more like a theoretical norm than an actual one in the sense that there always seems to be something going on. As I age and experience more physical issues and age-related cognitive decline, the clouds may get thicker. This thought scares me quite a bit.

As I often do when I feel fear, I grope for a metaphor. Today it’s astronomy.

Astronomers, as least the old-school or amateur types who must perform their observations from the surface of the Earth, try do their field observations on clear nights. When it is cloudy, they reschedule, because the portable instruments they have may not be powerful enough to get anything useful through the cloud cover.

But what if the climate changed and it was always, or nearly always, overcast? They’d have two choices: give up astronomy or build more powerful instruments (or do all their observations from space, but in this metaphor that seems like a post-death thing and we are looking at this lifetime.)

Even if they began to build better instruments, they’d have to accept that they now get less data for more work. They’d have to decide it was still worth the work and dedication.

I have to accept a similar thing. I have to believe that an effort I make on one of my bad days is still vastly, stupendously superior to doing nothing.

Dishes Lie

(Reposted from my old site Not This Song, 2015)

Don’t trust the dishes.

Don’t get me wrong–I’m proud of being able to wash dishes. For years, it was a task shuffled off to my spouse; even more so than other mundane tasks because the specific posture and movements dishes require triggered my lower back pain intensely. Today, he can come home and have anywhere from a 75% to 95% chance of finding the sink and counter clear. Maybe not clean, but at least clear of objects.

The presence of clean dishes can, like laundry or a walked dog, be diagnostic. It can mean that I’m doing well enough physically and mentally to take positive actions. It makes sense that someone who loves me is pleased to see it.

But sometimes dishes tell gleaming, ceramic lies.

Sometimes clean dishes don’t mean anything at all, and the effort that produced them has nothing to do with how I am doing. Sometimes they’re the one task I do that day, not as a small accomplishment but as a ritual of guilt. Sometimes doing the dishes was just a postcard to a distant land where what I do means anything.

So, if your loved one is living with significant depression, don’t believe their foamy sales pitch. Don’t let the dishes convince you that things aren’t that bad. Understand that those duplicitous cups and plates don’t mean that your loved one washed their hair lately, or took their medicine, or had a day free of harming themselves.

And it’s not just dishes that can be lying bastards. Anything can. I used to meet weekly with a woman living in the most crushing, despairing gray mental landscape imaginable. The only time she left her cluttered and neglected home was for appointments related to her physical and mental health issues, but when she arrived to see me she was nicely dressed, clean and made up. Once a week, she’d dragged herself through a misleading shower, put on false-tongued cosmetics and walked into the world for a short outing before reverting to what was real for her.

People can love us, but they can’t save us. So I’m not saying that it’s anyone’s job to read our minds–I just want us, those who suffer both directly and indirectly from these scourges of the mind–to know that there’s often more going on than meets the eye.

You don’t have to have a diagnosis for this to be true, of course. Your boss who seems so full of himself cried like a baby in his therapist’s office earlier today. The guy who sold you a car spent last night compulsively masturbating to Internet porn, missing his wife who left him over his addiction. The prom queen’s bulimic, the football captain was molested; pretty much everyone has a disconnect between how they seem and how they are really doing.

I try to be pretty honest about how I’m doing–at least to the degree that I am able to be honest with myself. Even so, it’s just not possible to brief my loved ones in depth constantly; they’d be unable to function in their own lives if I did. When a family member asks how I am, the answer they get is never the whole story, and when I say goodnight in the evening there are always unread chapters.

Yes, I and others do sometimes make cries for help. But we do the opposite too. We try to look better, just a little, because we hate being a burden. Because we’re sick of trying to describe how we feel, and we imagine that the people we love are just as sick of hearing about it. We try to tough it out, and we try to do something, anything, to inject a little normalcy into the lives of those around us.

We do the dishes. And that’s a good thing, to do something. It’s better than staring at the wall.

But dishes lie.

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.”

Burning

I am rediscovering my rage toward addiction.

I anthropomorphize the general phenomenon of addiction; many of us do. Especially as we struggle with abstaining, it can be helpful. You want to resent something? Resent that. You need somewhere to direct your rage, your hatred, your frustration? Hate the thing that wants you dead; that wants us dead. Hate the thing that wants to eat your soul and replace it with its eternal craving.

It’s not that we deny our responsibility for our situation or our duty to keep fighting. But in the midst of the humility we need to seek and find, sometimes we need to rebel. So yes, I welcome the rage and the rebellion sometimes.

I recently spent time in the hospital with an addict who has been on dialysis for years and has now just had open heart surgery. Still on methadone, she has the accompanying high tolerance for pain meds. I listened to her repeated begging for more medication as the pain resisted treatment. I watched her be in the power of nurses–some kind, some not–who questioned the validity of every request.

I watched her frail body curling in on itself, like a leaf curling and withering in a flame. I could almost see addiction as the fire in which she burned.

And I hated that fire.

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!

Are We Disposable?

(Originally posted on my old page Not This Song, 2014)

It’s a selfish question that hovers around the edges of my mind when I think about the state of our world. I’m not involved in politics, and I tend to be ignorant of many topics that speak of important developments–I don’t like that about myself, but it is my truth. As my readers know, there are times when my main contribution to society involves working on ways not to be an active drain on it.

Those who share some of my issues are often seen as an impediment to the prosperity of others, and certain voices try to shame us when we use the services our governments may provide to care for those who have trouble caring for themselves. I’d like that to be different, but I don’t imagine it will ever be uncomplicated.

In the end, we are all still animals competing for resources, and only the trappings of civilization introduce the idea of giving any resources to the helpless. Some have said that the measure of a civilization’s advancement is related to how much, and how well, they care for their children, their sick and their elderly.

Whatever one thinks about the world situation, it’s pretty clear that overpopulation will continue to be a problem. Resources will be at more of a premium, and there will begin to be more sorting of which kinds of sick or disabled are worthy of help. Mental health may not be highest on the list. Addiction-related issues are likely to be even lower, since addicts are usually seen as deserving their suffering.

This, from a Darwinistic point of view, may be a regrettable but unavoidable thing. But how much should we resist its progress? How much should we fight to be seen as something besides a liability? Is there a place for us in the future?

Sometimes, when my mind is spinning its catastrophic phantasies, I go postapocalyptic and imagine how long I, and many I care about, would last. I always imagine myself as a liability to whatever group I’m with, unable to function very well without my meds, or unable to see because my glasses got broken. I see myself as useless, without a lot of physical strength or swiftness to build or get things the group needs. I see myself as the first to fall behind and become lunch for zombies–unless a friend gives me a helping hand.

And why should they?

Why should they, unless we have some kind of value that isn’t strictly practical?

Why should they, unless those crowded barracks or underground warrens need us? Unless humanity is incomplete without us? Unless there’s a spark that’s worth maintaining, a spark worth a bit of food or a place near the fire?

Why should any society help its disabled, even when a cold equation might say the help isn’t bringing a sufficient return?

I got on this subject with my therapist during one of my dark and hopeless spirals recently, and we talked about the idea that humanity, by nature, will always need its shamans, its poets and its weird people in general, as well as the wisdom of its elders. “That may be true,” I said, “but you can’t deny that in a crisis state the strong and able will be valued most. The women who can bear healthy children, the physically strong, the mentally stable: these are the ones who can outrun the zombies or will get rescued first. You can’t deny that I’ll be one of the first to go.”

Then he told me that, although it might be true in some situations, it doesn’t mean I deserve it. Then he said something that cheered me up: he told me that if it does happen, maybe I’ll discover that the zombies are in need of poets too. Feeling better, I began to imagine my new dream job as Poet Laureate of a zombie city.

I don’t know if we are disposable. I don’t know, not for sure, whether our existence has intrinsic value. But I do exist, and I am grateful for it, and I have a daughter for whom I want to model values of love and not shame. I want her to see me doing my best, and believing I have something to give the world, so that she might learn to believe the same thing.

So I send love to all my peers, and invite us to go down swinging if the time comes, and hold our heads up until then. As a token of my affection, I enclose the opening poem from my potential future body of work:

Brains

Arrrgh brains brains
Brains gurgle thud howl
Brains brains crunch splat
Brains brains brains.

Estimable

(Originally published on Not This Song, 2013)

The good news is that I’m dressed and I’m wearing shoes. I took my vitamins, ate what I’m supposed to and I’m ready to tackle the rest of the day. The bad news is that it’s 1:47 p.m. where I am.

What is success, and who decides the difference between success and failure? I’ve had to change my ideas about it several times, because the alternative is self-loathing and despair. I’m honestly able to give myself credit for the good things I manage to do, and the harmful things I manage to refrain from doing. Sometimes. I compare myself to other people less often and less harshly than I used to. Sometimes.

I’m honestly pleased with myself for getting through my latest severely anxious phase. I’m pleased because I didn’t lose sight of the big picture and I didn’t do a lot of things to make it worse.

An accomplishment–but not the kind I can put down on a resume. Not the kind that makes good party conversation. Not the kind that comforts me a lot when I hear about friends and former classmates who are doing things…who are having accomplishments that can be listed and quantified.  During college, and later, I got to know some people who forged on and now do some pretty neat things. One works for NASA. A few others are scientists doing research with major institutes. Several are kick-ass teachers helping the next generation have a chance to learn. One’s an amazing minister and social justice advocate.

One of my biggest regrets about the last ten or twelve years is that I drifted further apart from many of these people. Inertia and laziness played a role, but most of it was my own insecurity, because I thought of them often. I never knew what to say when people asked me how I was doing, and I hated the idea of being seen as the “one who had so much potential.” I convinced myself that I had little to offer, and that they were too busy with their important and successful lives.

I was wrong. I lost touch with our shared essential humanity…I objectified them by forgetting that they have their struggles too, and I didn’t have the courage and humility to keep offering myself and let them decide what they wanted. As I grow, I hope to work on this…I don’t expect to be able to repair all of these relationships, but I want to become the kind of person who does things to show I’m thinking of them and I care.

This means I have to continue to work on my own insecurity, and learn to view myself as having something to offer even though it’s something different. It’s back to evolving a standard of success for myself, one that fits with who I am, what I have to work with and what I believe. One that will inspire and drive me, but not be used as a tool for self-shaming.

The psychologist Karen Horney once said “If you want self-esteem, engage in estimable behavior.” I love that quote because it makes it clear that building a good view of self isn’t about rubber-stamping all of my flaws…I don’t want to feel great about myself when I sit on the couch and do nothing. Compassionate, maybe, but not admiring or self-satisfied. The way to feel better about myself is to get up from that couch and do something, anything, that fits with my values.

Karen Horney didn’t define what “estimable behavior” is, that’s for me to do. If I’m in a crippling depression, I have to accept that dragging myself outside or to a meeting qualifies. If I’m having an anxiety attack, I need to give myself some credit for writing about it, and cutting out collage pictures to occupy my hands, and being honest while it was going on. All of the things I am doing that are out of my comfort zone are estimable in their own way, if I can avoid comparing them with someone else’s version.

This is my fifty-third post on Not This Song. That means that in the last three months I’ve written more than fifty essays. Created fifty things that didn’t exist before. Opened up fifty times about some idea that has meaning for me. Would anyone care to guess how many pieces I wrote in the previous five years? That’s right. Zero.

I will be proud of this.
I will learn to admire the accomplishments of others without turning them into a condemnation of my own.
I will allow my essential self to purge the poisons of envy and shame from me.
I will.
Even if it takes more than one lifetime, there’s no better time to begin.