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Keeping The Conversation Going

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When Robin Williams committed suicide back in August, a friend predicted that everyone would post obsessively about depression awareness for a week before forgetting about it and moving on. Apart from the duration – the posts lasted for two weeks – her prediction was dead-on.

Three months after the death of Mr. Williams, Facebook and Twitter posts about mental illness had all but disappeared. Then a woman named Brittany Maynard started trending on social media when she chose assisted suicide over a horrible death from cancer.

Reactions to her death have been all over the place. There are those who believe Brittany’s decision showed courage and strength of character, and there are those who are convinced that she is burning in hell because of her selfishness and disobedience of God.

I want to make it clear that I am in no way equating the deaths of Robin Williams and Brittany Maynard. Robin Williams fought a long battle with depression. He felt desperate and hopeless, and when he looked into the future all he could see was a bleak, desolate landscape. Brittany Maynard was not suffering from depression, and she did not want to die. She simply knew that her death was both inevitable and imminent, and she wanted to spare herself and her family the ravages of brain cancer.

The only thing the two deaths have in common is that both individuals chose to take their own lives.

Whether or not terminally ill people are obligated to see their diseases through to the bitter end is a matter of personal opinion, and that’s another debate for another day. The thing that I took issue with after Brittany died was a comment posted by one of my Facebook contacts on a link to the story.

“Anyone who commits suicide is selfish.”

I was certain that I had seen the commenter’s name crop up in one of the discussions following the death of Robin Williams, so I started digging around in the bowels of her newsfeed. It took a while, but I found it: a statement to the effect that people really shouldn’t judge those to take their own lives without walking a mile in a depressed person’s shoes.

I’m not usually one to start a fight, but one thing I cannot stand is hypocrisy, and as an advocate for mental health awareness, I couldn’t just let it go. So I went back to the Brittany Maynard discussion and replied to her comment, reminding her of what she had said when Robin Williams died. She didn’t respond. Unfortunately, her comment about suicide being selfish was far from isolated.

I am left feeling somewhat disheartened. Did we learn nothing from the Robin Williams tragedy? If, three months later, people are spouting those cruel stereotypes that they previously vowed to help fight, how are we ever going to move forward? Will we ever be able to continue the discussions, or are we going to keep having to start the same discussions over and over again?

I don’t expect everyone to start posting endlessly about mental illness, but I would love to see it consistently treated with the same respect that is given to physical illness. I would love for people to feel able to talk about their experiences with mental illness without fear of embarrassment or shame. I would love to see the judgments and blame replaced with understanding and support.

And I would love to see more meaningful conversations that are not triggered by tragedy.

This is an original post by Kirsten Doyle. Photo credit: Victor. This picture has a creative commons attribution license.

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10 Things I Have Learned About Mental Illness

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1. It’s not my fault. As much as we humans like to be in control of our lives, the likes of depression, anxiety and PTSD are not things we can control. They happen to us, and we deal with them as best we can.

2. It has absolutely no bearing on whether I am a good or a bad person. The fact that I made some bad decisions twenty years ago that triggered a whole mess of crap does not mean I don’t deserve to be happy and well.

3. The fact that an illness exists inside a person’s mind rather than in another part of their body does not make it any less of an illness. Mental illness should be given the same respect as physical illness.

4. Mental illness can, if left untreated, be fatal. Suicide and suicidal ideations are not selfish, as many people believe. They are manifestations of an illness. People contemplating suicide do not necessarily want to die, they simply feel that there is no other course of action available to them.

5. Depression is not the same as sadness. Being depressed is like being in a black pit of despair from which there seems to be no escape.

6. There is not always a reason for depression. If someone tells you that they are experiencing depression, please, please, please don’t say things like, “But you have so many great things in your life to be grateful for.”

7. I am not alone. Although my specific circumstances may be unique to me, I don’t have to look far to find someone who more or less understands what it’s like.

8. Far too many people either die or spend their lives in a state of absolute anguish because they fear the stigma of mental illness, so they choose not to talk about it.

9. Mental illness is the same as physical illness in terms of treatment: what works for one person won’t necessarily work for everyone. You have the right to make choices about your treatment, just as you do for a physical illness.

10. People with mental illnesses can, for the most part and with the right support, function well in society. They can be successful in their careers, make valuable social and economic contributions, and maintain healthy relationships with the people around them.

This is an original post by Kirsten Doyle. Photo credit: Bell Let’s Talk.

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2013: Magic Moments From Around The World

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2013 was not a good year for me. After a reasonable enough start, I lost my job in May, at around the same time one of my best friends passed away. Throughout the summer I fought an uphill battle with depression as life dealt me one blow after another. Fortunately, though, I am a natural optimist. I go through life with the attitude that no matter how bad things are, they will always get better, and there is always something for me to be thankful for. I have my husband and children, a roof over my head, clean running water and autism services for my son. That alone puts me way ahead of many people in the world.

Among all of the loss and heartbreak, there have been some shining moments this year. I had a very enjoyable and much-needed break in Niagara Falls with my family, I ran a half-marathon personal best for my autism run, and after years of procrastination I wrote a book in thirty days.

I posted a message on Facebook asking people to share their best moments from 2013, and I got some great responses. There was a lot of joy going around this year.

My friend Patti, for instance, has been dreaming of going to Europe for a long, long time. This year, she finally got to go.

Margie, who never fails to inspire me with how spectacularly she has turned her life around over the last few years, got married to the love of her life.

In January, Debbie from South Africa became a Grandma! She has also been rethinking her attitude to life by surrounding herself with inspirational people, things and activities.

One of my favourite responses came from liver transplant recipient Bill. He says, “I am alive. Every day above ground is a good day. Everything else is just icing on the cake.”

Noella sent one of my other favourite responses. She lost her beloved husband to cancer – a scary and sad time for her – and yet she is focused on how her needs have been met to the extent that she can help others. Here is what she says: “I am amazed at the outpouring of love and help from my local and internet community. I thought this season would be extremely difficult, but I have felt Bill with me almost every day these last several days, and he says to me, “It’s okay, I’m okay, and you’re going to be okay; it is the way it’s supposed to be.” There was even a moment when I was taking a shower when I remembered him walking in on me and joining me. Made me giggle as he seemed so close like he was doing it again. Gives me great comfort.”

Then there is fellow Canadian Jacquie, an online friend who I had the absolute pleasure of meeting this year. Jacquie is a special needs mom like me. Her younger son is adopted. Jacquie’s highlight was going to an adoption conference and learning that she is not “a bad and crazy mother”. I could have told her that for free, but you know… Adoption is not easy – as an adoptee I can testify to how challenging it was for my mom as I was growing up – and it gave Jacquie great comfort to know that she is not alone.

Kane used to live in Michigan, where there is lots of snow. This year, he moved to Texas, where there is – well – not a lot of snow. His reason for moving? To be with the love of his life. He says, “This is the most awesome I have ever been.”

Tawnya, another fellow Canuck who has been a great source of friendship and support this year, didn’t have a great year. Her husband contracted a very serious lung infection – so serious that doctors told her to call family members. She received overwhelming support from family and friends during a very scary time, and her husband survived.

Finally, my crazy New Zealander friend Karyn (whose initiation as a runner I totally take credit for) shares another story of survival. Her father-in-law had Stage Four bowel cancer. Anyone who knows anything about cancer will know that this is not good. But he got the all-clear, proving that sometimes, miracles do happen.

I am truly grateful to the people mentioned in this post for sharing their stories, and for giving us a slice of happiness to take with us into 2014. I wish the best of years to every single person reading this. If you have your own gem from the last year to share, please do so in the comments!

This is an original post by Kirsten Doyle, with input from some pretty awesome people. Photo credit: jenny downing. This picture has a creative commons attribution license.

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How A Different Mindset May Save Lives

Everyone, it seems, has an opinion on what is or is not to blame for the Sandy Hook shooting.

I have seen arguments and statistics on both sides of the gun control debate. While I am not personally a fan of every man and his dog having a gun, I have to remind those pushing for gun control that this year we had two shooting sprees within a month of each other. In Toronto. Where there is gun control. On the other hand, countries with gun control do have fewer mass shootings than countries without it.

Then there’s the religion argument. Apparently, “keeping God in the schools” would solve the problem. I don’t mean to sound cynical – not much, anyway – but do proponents of this view really believe that saying the Lord’s Prayer before class every day would have stopped the perpetrator from doing this? Let’s also consider the fact that shootings of this nature rarely happen in secular countries where there is strong separation of church and state.

The shooter “may have” had autism and OCD. Really? Well, the shooter “may have” had hayfever. Does this mean we have to start perpetuating discrimination against people who have hayfever? Yes, the whole idea of autism being to blame is that ridiculous.

We need better access to mental health care. With that one, I think we’re getting closer to the root – or at least one possible root – of the problem. There are some people who are just inherently evil, and nothing we do short of incarcerating them or killing them will stop them from committing unspeakable acts. But there are people who are genuinely sick, who do not get the help they need, and who end up doing things like this. I am in no position to say whether the Sandy Hook shooter fell into this category – I am just making the point that mental illness, when left unchecked, can have terrible, tragic consequences.

Mental illness is like just about every other illness or condition on the face of the planet. The earlier it is detected and treated, the better. We could talk all day about how mental health facilities need to be more easily available to those who need them. Few would argue the validity of helping people who need to be helped.

But the challenge begins before the mentally ill person even gets to the point of discovering that the help they need may be hard to come by.

We live in a society that, say what you like, is not very accepting of mental illness. I mean that in a very literal sense: there is a deep-seated reluctance in many people to acknowledge that there is such a thing as mental illness. I have a list of mental health issues, including no less than four different kinds of depression. When I have tried to enlist the support of those around me like the websites say you should, I have been hit with stuff like this:

* “You’re depressed because you’re dwelling on the past.”

* “All you need to do is change your attitude.”

* “You need to have more consideration for your family.”

* “You need to choose to be happy.”

And my personal favourite:

* “You need to snap out of it.”

When people with mental illnesses are bombarded with messages like this, what are the chances of them actually being motivated to seek professional help? If someone has depression, anxiety, PTSD or any other mental illness, the last thing they need is for a doctor to tell them they are imagining it, or that they are somehow to blame. Many people in that position do not seek help because that is exactly the response they fear.

The truth is that mental illness is very real, and very frightening to those who experience it. It is not something that can be fixed through a simple change of attitude. You cannot just “snap out of it”. People who commit suicide are not, as many believe, “just thinking of themselves”. They have simply reached a point where they cannot see a way forward.

Just over a decade ago, when I was a new arrival in Canada, Toronto news was full of a terrible story about a woman who had leaped into the path of an oncoming subway train while holding her six-month-old baby. The baby died instantly, but the mother hung on in hospital for a while before succumbing to her injuries. The public was outraged. How could this woman have deprived her child of life? What kind of monster was she?

The story unfolded to reveal a woman who was so desperate that she didn’t know what to do. Following the birth of her child, she was caught in the grip of post-partum depression. She did not receive the help that she needed in spite of having told her nearest and dearest that she was depressed and frightened. They just didn’t understand the depths of the problem, and in all likelihood, she was too ashamed to go to a professional.

Do I condone what that mother did? No, of course not. I never think it is OK for someone to kill their child or anyone else. But having gone through post-partum depression (which, by the way, was untreated for over a year because I felt too ashamed to seek help), I can appreciate just how scared and depressed and absolutely hopeless she probably felt.

People with mental illnesses need to be encouraged to seek help for their conditions. In order to accomplish that, we need to change the way we think about mental illness. People who have mental health problems need to stop being told that it is “all in their head” or that they have the power to change things under their own steam. They need to be given the message that help is available to them and that there is no shame in seeking it out.

Reducing the stigma surrounding mental illness would not fix everything that is wrong with the world. It would not eliminate all tragedies. But there is a very good chance that it would save some lives.

(Photo credit: Steven de Polo. This picture has a creative commons attribution license.)

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Autism: The Good, The Bad And The Ugly

When my firstborn son was first diagnosed with autism five years ago, the force of it all was like a kick in the head. I honestly did not know how I was going to live the rest of my life as an autism parent, especially with the doom-and-gloom picture that was presented to us by the diagnosing doctor.

But life has an uncanny way of continuing, no matter what. We adapt and survive, and sometimes we even manage to see the positives in a situation that is, by most people’s standards, less than ideal.

The Good

* Every moment of accomplishment is a cause for celebration. I have a true appreciation for what most people think are “the little things”.

* My son can problem-solve rings around the rest of us. His thinking is at times very effective while also being wayyyyy out of the box. It offers a whole new perspective on life.

* My two boys have a healthy amount of sibling rivalry going on, but they also have a great deal of love for each other. My younger son’s empathy and kindness toward his brother that has to be seen to be believed. It makes me well up with tears every time.

* Let’s face it, many kids with autism are computer geeks. And it’s very handy having a built-in computer geek.

* I believe that having a child with autism makes me a better and more patient parent.

* Kids with autism can have funny, quirky senses of humour that take you where you least expect to go.

* Hugs from kids with autism can be the absolute best.

The Bad

* When my child is trying with all his might to express something and doesn’t know how to, the look of frustration and desperation in his eyes is heartbreaking.

* Sometimes my younger son tells me that he wishes his brother didn’t have autism. There are no words to describe how that feels.

* Autism is unbelievably, phenomenally exhausting, and that’s just for me. I cannot imagine what it must sometimes be like for my son.

* There is a lot of frustration involved in advocating for my child in the school system. The vast majority of teachers are genuinely good and caring people who mean well, but a lot of them just don’t get it.

* I worry about my son’s future every single day. Will he ever be able to brush his teeth and take a shower independently? Will he ever learn to look both ways before crossing the street? Will he be bullied in high school? Will he be given the same opportunities as other kids? Will he be OK when, someday, I am no longer here?

The Ugly

* There are holes in the drywall from all the headbanging incidents. They are not pretty.

* We are frequently the targets of people who stare and say rude things. They are not pretty either.

* As much as I think that autism has made me a better parent, I am only human, and sometimes I lose it. Big-time. I slam things and scream like a banshee.

* Sometimes, I have to battle my son’s autism and my depression at the same time, and it’s such a battle. I teeter on the edge of these big black pits of despair, and it is absolutely terrifying.

(Photo credit: Kirsten Doyle)

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Guest Post: If I Look so Healthy, Why do I Feel so Rotten?

I met Simona Rinfreschi through the World Moms Blog community, and it quickly became apparent that we had a lot in common. We share many character traits and have had similar life experiences, and there is a good possibility that our paths crossed over twenty years ago when we both attended the same university, majoring in the same subject. As I’ve gotten to know Simona, she has shared with me some of her medical challenges, and she has graciously agreed to write a guest post for me today.

Isn’t it dreadful that, recently, I found myself praying that they would find something wrong with me?
I can see you shaking your heads.  Why on earth would you want an abnormal blood test result?  In my case, it’s simply because I’ve been battling severe pain and fatigue for 8 years already and so far nobody has really been able to help me!
My symptoms, combined with an absence of positive test results,has led to a diagnosis of Fibromyalgia. The medical dictionary definition of Fibromyalgia is:  ” a neurosensory disorder characterized by widespread muscle pain, joint stiffness, and fatigue. The condition is chronic (ongoing), but pain comes and goes and moves about the body. The disorder is often misdiagnosed or unrecognized and is often complicated by mood and anxiety disorders.”
I’ve encountered two main types of medical professionals so far, those who think that Fibromyalgia doesn’t really exist and is a psychosomatic manifestation of my clinical depression,
(Definition of psychosomatic:
1. Of or relating to a disorder having physical symptoms but originating from mental or emotional causes.
2. Relating to or concerned with the influence of the mind on the body, and the body on the mind, especially with respect to disease)
and those who are happy to have given me a “diagnosis” even if they have no clue how to help me!
I actually find myself getting angry when they tell me I’m depressed, because I’m actually not depressed right now!  I did go through severe episodes of clinical depression as a teen and young woman, as well as post-partum depression following the birth of my son.  That’s how I know that this pain and fatigue is not caused by depression! I can remember quite clearly how I felt when I was depressed and I don’t feel at all like that now!
Ironically, psychologically, I’ve never been better!  Around 3 years ago I was hospitalised for 4 weeks in a psychiatric hospital. There I learnt how to get out of the pit of depression once and for all!
In the last 8 years I have spent a small fortune on medicines, blood &  other diagnostic tests, alternative therapies, supplements and consultations with a wide array of “specialists” including 2 psychiatrists, all to no avail!
I now find myself with a dilemma.  Do I simply accept that I have to live with this pain and fatigue for the rest of my life, or do I keep fighting and searching for a way to feel better?
Depending on the kind of day I’m having, I’m either willing to keep searching or I tell myself that it is what it is, and leave it at that!
So, this is how I’m dealing with my Fibromyalgia at the moment:
  •  I’ve come off most of my chronic meds (under medical supervision) because (since they weren’t really helping) I thought I’d save myself some money!
  • I’ve sent my medical records to yet another doctor for review, because it is possible to have Fibromyalgia and something else too!
  • I focus every day on all the things that I am grateful for
  • I do my best to listen to my body and eat what I feel I need to, rest whenever I can etc.
  • Ensure I have a good laugh at least a couple of times a day (luckily I have an amazing family & friends with a great sense of humour to help me with that!)
Like everything else in life, the diagnosis of a chronic disease or disorder per se isn’t what counts.  What counts is how you choose to live with it.  I know a couple of Fibromyalgia sufferers who don’t work at all and who are all “woe is me”.  I’d rather laugh …  and have my friends and family laugh right along with me!
Do you suffer from a disease or disorder which makes you appear perfectly healthy even though you’re not?  How do you deal with the fact that you get accused of being “lazy” or “faking” it because people can’t see the pain you’re in?
This is an original guest post by Mamma Simona (a regular contributor to World Moms Blog) who is the proud mom of two terrific teens.  She also shares her Cape Town home with a super supportive husband, 2 cats and 2 dogs. For more of Simona’s most intimate and candid thoughts,  feel free to check out her alter ego, Phoenix, at  www.blogbythephoenix.com
(Photo credit: Simona Rinfreschi)
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GUEST POST: Fighting With My Shame

Kerry White has a few things in common with me. She was also born in South Africa, and she also lives in North America (Texas, to be exact). Like me, she knows what it’s like to parent a small energetic boy. And like me, she knows what it’s like to live with mental illness, including depression and social anxiety.

I first got to know Kerry through a now mostly-defunct Yahoo group called Homesick South Africans. During its heyday, this group was the venue of some lively discussions – a few of them controversial, many of them humourous, almost all of them supportive. Several friendships that formed during the group’s active existence have continued through social media. I am so grateful to the Internet for existing, because without it, my friendship with Kerry would not have evolved in the way it has. This is a woman for whom I have a great deal of admiration and respect.

As I strive to talk about my own struggles with mental illness, I am immensely grateful to Kerry for this post, in which she frankly and courageously shares her own journey.

So I think I’m crazy. Absolutely strait-jacket-heavily-medicate-me-and-lock-me-up crazy! I have felt this way for a very long time, probably since I was about ten years old and reading my first Stephen King books. I recognized the signs of madness in my mind from the characters in some of his books.

As a much more jaded adult, I now recognize myself for what and who I am. I have severe depression, social anxiety, obsessive compulsive disorder, and it all comes bursting forth in the less than neat and tidy package of major panic attacks. I live with mental illness, and I am terribly ashamed of it. I feel broken, less of a person, less of a woman, and worst of all I feel like a terrible mother because of it.

Growing up in South Africa in the 80s, my mental illness was not recognized for what it was. My anxiety, and shyness, and my odd acting out behaviors gave the impression that I was a difficult child; not that I was a child in dire need of some thought of help.

Don’t get me wrong, my childhood was not unpleasant at all. My parents were hard-working and loving individuals who did the best they could for us during rocky financial times. But there was no such thing as depression, anxiety, panic attack, mental illness. There was just doing what needs to be done, threatening electroshock therapy when I refused to communicate about an assault when I was a teenager, and threatening to send me away to a mental institution. At 16 I was admitted to a psychiatric hospital for teenagers who are in crisis. I felt normal! I felt accepted! I felt safe! I was there for two weeks and then released, but promptly tried to kill myself because I didn’t get the support I needed at home. I spent another several weeks in there, but soon learned that I was better off shutting the part of myself I thought to be crazy away. I was never going to get support outside of the walls of that mental health hospital. I was always going to be told to just suck it up and get over it. Because that was just the way things were handled.

I have spent the better part of my adult life trying to just get over it, trying to avoid the idea that I have a problem that no amount of “getting over” will fix. I have tolerated abusive partners, abusive bosses, and abusive coworkers; because I felt I wasn’t worth more.

When I had my son, my depression and anxiety kicked into high gear – but I expected it to. I refused to take the prescribed antidepressants, in case they made me worse (as others have done in the past), or someone saw me as too weak to raise this child. But I do recognize now that I should have not only taken the medication but sought out help. Help wasn’t offered for my “baby blues” and I didn’t go find it. It got to the point, several times, where I wanted to end my life because I was so miserable and felt like such a failure.

I’ve found myself mentally standing on a ledge, with nothing behind me, not even one hand to reach out and pull me to safety. But then the knowledge of the small body pressing against me, raising out a hand and calling out for “mommy” reminds me that if I jump off of this mental ledge then he loses himself, too.

As my son’s needs have changed, so has my mental illness. It has to. I have to get us dressed and get him to daycare so that I can work. I work at home, which just encourages my social anxiety. We need to go to the store and get milk and the occasional toy car, so I steel myself and leave the house. For him.

I’ve made myself get on a plane to visit family; I’ve made myself go visit friends. But it is hard. I have to find a way to change this, for my son.

So what is my next step then? I have more anxiety than will allow me to even see a therapist. What if they deem me to be as unfit of a mother as I feel some nights when sobbing over a panic attack or crying in my office when he is at school? I can’t just “suck it up and get over it.” I have tried. Believe me, I have tried.

I feel crazy. Insane. Broken. But this is my normal. I just wish I didn’t feel so much shame and fear along with it. How do I find the inner strength I need to get help and not feel so broken? Help that will not judge me as being weak or unfit as a single parent?

My heart breaks for others who feel like I do, and I do my utmost to help them. I even write helpful blogs and books for a counselor who helps women like me!

Why then can’t I find what I need in order to help myself work through this? At what point will my son notice that his mommy isn’t like other mommies? I do not want to continue trying to bury my mental illness, but I do not know any other way to function. I am not strong, I am doing what I need to do in order to provide for this boy that the universe has seen fit to place in my care.

To find out more about Kerry and the children’s books she is writing, visit her website!
 
(Photo credit: Kerry White)
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Mental Illness: Don’t Be Ashamed

I am participating in the 2012 Wordcount Blogathon, which means one post every day for the month of May.

Today’s post is written in observance of Mental Health Awareness Month, which runs through May.

Several years ago, as I sat nursing my newborn baby, I watched a talk show in which Tom Cruise said something to the effect of post-partum depression not being a real condition. All these moms needed, he said, was to follow good exercise and nutrition plans, and they wouldn’t have a problem. He was convinced, he said, because he had done research.

The timing of this talk show, with its rantings by someone who by definition will never know what post-partum depression is like, could not have been worse. I was in the thick of post-partum depression myself at the time, and although my particular brand of it never included a desire to hurt my child, fantasies of my own death were a very real part of my life.

I did not seek help for my condition, and in fact I would never have been treated for it had my family doctor not noticed that something was amiss during a visit for something completely unrelated. I had a whole set of issues with that particular doctor, but I fully credit him for saving my life. That’s how close I was to the edge of the cliff.

The fact that I suffered from post-partum depression at all was no surprise to me. If anything, I had been surprised when it hadn’t struck after the birth of my first son.

Even as a teenager, I was prone to bouts of depression. My parents were not really aware of it, and on the few occasions when someone actually noticed that I was not OK, it was always put down to adolescent hormones.

“You’ll grow out of it,” people told me.

Except I didn’t. My depression continued into adulthood, coming in waves that sometimes threatened to drown me completely. It would hit completely without warning, hang around for weeks or months or even years, and then disappear just as suddenly.

During my teens I blamed hormones. For two decades after that, I blamed myself. I blamed the fact that some unwise choices I made during my college years led to trauma that had a lasting effect.

I didn’t seek help. Of course I didn’t. My depression and everything that went with it was my own fault, right? I didn’t deserve to be helped.

When it came down to it, the mental health issues that I have experienced throughout most of my life – be it post-partum depression, good old garden-variety depression, anxiety, and everything else – have been a source of shame to me.

And that, my friends, is a big problem in our society. Too many lives are destroyed and lost because people suffering from mental illnesses feel too ashamed or embarrassed to seek help. Feelings of unworthiness and self-blame act as barriers to the pursuit of inner peace and happiness.

Tom Cruise sitting on his high horse effectively blaming mothers for a debilitating and often life-threatening condition did not help the cause of the mental health community one little bit.

Eventually, just over a year ago, I finally made the very difficult decision to seek professional help. The road since then has not been smooth. With the guidance of my therapist, I am reliving past traumas and undergoing oft-uncomfortable introspection in search of the roots of the conditions that plague me. But I at least know that I am heading somewhere other than a dead end.

My quest for mental health is by far the hardest thing for me to write about.  Because in spite of the steps that I have taken to get help, I have not quite managed to shake the decades-old conviction that this is something for me to be ashamed and embarrassed about.

If I stay silent, though, I remain a part of the problem of the stigma associated with mental illness.

In starting to speak out, however tentatively, I hope to become a part of the solution.

(Photo credit: http://www.flickr.com/photos/militaryhealth/3485865665/. This picture has a creative commons attribution license.)

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The Good And The Bad

I am participating in the Health Activist Writers Month Challenge, in which I publish a post every day for the month of April, based on health-related prompts.

April 27 – 5 challenges, 5 small victories: Make a list of the 5 most difficult parts of your health focus. Make another top 5 list for the little, good things (small victories) that keep you going.

Autism can be a very complicated thing to live with. Its manifestations change from day to day. One day, my son will be able to tolerate loud noises but a small change in routine will send him into meltdown. The next, we’ll be able to turn his entire routine upside down but anything louder  than a whisper will set him off. Different strategies work for different kids on different days, and everyone you might see guidance from is convinced that their opinion is the right one.

The things I find most challenging about being an autism mom don’t really have to do with the autism itself. Whatever might be going on with my child on any particular day, I just deal with it. Sometimes it’s hard, but I always know that I’m doing my best, my son is doing his best, and at the end of the day we’ll all survive.

My challenges tend to come from sources other than my son and his autism. I list them in no particular order.

  1. The judgmental critics. It’s a moment every autism parent has lived through at least once. You and your child are in a grocery store, which let’s face it, is a mecca for sensory overload, and your child is getting more agitated by the second. You throw things into your cart at quickly as you can, but just as you get to the checkout, your child reaches his breaking point and explodes. As you are trying to calm him down, some snarky stranger loudly proclaims, “What that child needs is a good hiding.” I once heard someone say (referring to me), “If that mother was doing her job properly, this wouldn’t be happening.” Like I’m not already carrying around enough angst with me. With my social anxiety, I’m not great at the quick comeback, although I’m definitely better than I used to be.
  2. The third-person talker. These are the people who will talk about someone who is present as if that person were not in the room. The chances of this happening increase exponentially if the subject of conversation happens to have autism. I get it all the time. “Would George like a hamburger?” they will ask. My answer always seems to throw them a little: “Ask him,” I say. Yes, it is true that George is not the world’s greatest talker, and may not respond to everything that is said to him. But, you know. At least give the kid a chance to try. If he struggles to answer, I will help him.
  3. Guilt. I was educated at a girls-only Catholic school run by nuns, and I am married to an Irish Catholic man. I can therefore say with some authority that the Catholics turn guilt into an art form. And some of the guilt that I feel as a special needs parent (hell, forget special needs – just as a plain old parent) almost makes me think I should just convert. I feel guilty about everything. Did the Taco Bell I ate during pregnancy cause George’s autism? Did I give him enough affection as a baby? Am I paying enough attention to my other son? Did I get too mad at George when he tipped over the laundry basket?  The list goes on and on, and my guilt makes me constantly second-guess myself when I should just be following my parental instincts.
  4. Time. Time very often seems to be my enemy, so much so that I sometimes regard it as a person. Time with a capital T. No matter how much I try, Time seems to run away from me. At the end of each day, there is always something that remains undone. Parenting is my absolute number 1 priority, so my kids’ needs are always taken care of. But I tend to let other areas of my life slip occasionally, and that is detrimental to my physical and mental health.
  5. The Internet. When George was diagnosed with autism five years ago, the first thing I did when I got home was Google autism. I obsessively read web page after web page. Every link that I clicked on seemed to have some information that flatly contradicted something I’d read somewhere else, and in the end my brain was hurting from information overload. I was overwhelmed by not knowing what information to trust. Since then, I am wiser in my use of the Internet and I have learned, for the most part, how to tell the good information from the noise. But the Internet, with all of its gazillion theories about the causes of autism, can still hinder more than it helps a lot of the time.

In my house, there is no such thing as a “small victory”. Every single accomplishment, all of the positive things in our lives – are massive, big things. That’s the way it often is in special needs families. We tend to place extra stock in things that other families take for granted. And as hard as it can be to live with autism, there are many things that I am grateful for, that enable me to keep chugging along even at times when I just want to cry.

  1. Love. Love really does make the world go around. Out of all the challenges my son has, lack of affection is definitely not one of them. Both of my sons give the best hugs that I can carry around with me all day. My favourite moments are when my boys somehow manage to squeeze onto my lap together to give me a hug. I sit there, with my arms full of squirmy, giggling kid, and never want the moment to end.
  2. Running. Yes, running keeps me sane, and when something stops me from doing it – like illness or injury – depression starts to creep in. The fact that it keeps me in good physical health is almost a by-product of running. My prime reason for doing it, along with raising funds for autism, is to keep my mental health on an even keel. I struggle with mental illnesses like depression and anxiety, and there’s no better way to combat my darker moments than a good long run. I am stubbornly resistant to using medication to deal with my issues, and running acts as a decent substitute for chemicals most of the time.
  3. Therapy. It has been said that running is cheaper than therapy, and while that is certainly true, I actually do need both. The therapist/client relationship is a very strange one. It involves the client placing complete trust in someone they actually know nothing about. I have been going to my therapist for a little over a year now, and it has taken me almost all of this time to build up my trust to a level where I can really open up during my sessions. Sometimes the sessions are very hard and they make me feel all weirded out for a while, but the truth is that once a week, I get the opportunity to talk without reservation in the sanctuary of my therapist’s office. I can say whatever I like and there will be no judgment or anger.
  4. Writing. I am somewhat inept as a verbal communicator, and I experience high levels of anxiety in social situations. When I am talking to other people, I hold back a lot, not only because of my natural shyness, but because my brain actually doesn’t work well during conversation. I can formulate a completely coherent thought in my mind, and even mentally phrase how I want to say it, but when it comes time for me to speak, my words get lost somewhere between my brain and my mouth. With writing, that doesn’t happen. I truly have a voice, and I treasure the opportunities to speak my mind on things that are important to me.
  5. The Internet. The Internet is both a blessing and a curse. Despite the evils described in my “bad” list, the Internet is a haven of sorts. I belong to two Internet support groups – one for moms who have suffered pregnancy or infant loss, and one for parents of children with autism. Both of these groups are places where I can vent my concerns, ask for advice, or celebrate good news. Some of my best friends are people who I have known online for a long time, but have never met in person. Here’s the wonderful thing about the Internet: no matter what I am going through on any particular day, I will always be able to find someone who knows, at least to some extent, how I feel.
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Out Of The Wasteland

Once upon a time, life was normal. I was a regular young woman with regular ambitions. I had a few friends, and although I was never a party-animal, I had a reasonable social life. I kind-of-but-not-really knew what I wanted to do with my future. Nothing was cast in concrete, but I did have something loosely resembling a plan.

One day, all of that fell apart. The events that led to the undoing of my life as I then knew it are not important. Let’s just say that things changed. I went through some experiences that completely changed the direction of my life. Although the events themselves were not always positive, they did ultimately lead me down a path to becoming a stronger, more resilient person than I might otherwise have been.

These events did, however, leave me emotionally raw. I ended up with a propensity to depression that has plagued me several times over the years. Sometimes the depression hits abruptly, as if someone has thrown a switch in my head. Sometimes it creeps up so gradually that I don’t even notice it until I wake up one morning to realize that it’s there.

The depression is always bleak and frightening. When it’s there, I feel as if I am trapped by myself in an emotional wasteland. I have this sense of having to travel over inhospitable terrain where no-one is able to reach me. Outwardly, I go through the motions of existence. I get up and go to work, I parent my children, I keep in touch with people enough to avoid letting on that something is wrong. But on the inside, I am barely making it from one day to the next.

In the end, though, I have a natural optimism that gets me through. Even when I am in the midst of my darkest hours, I operate under the belief that no matter how bad things might be, they have the potential to get better. And somehow – after a few days, a few weeks or a few months – I emerge from my emotional wasteland. I start to feel the sunshine on my face again. I notice the colours around me, and I hear the laughter of my children.

This week’s Indie Ink Challenge came from Sir, who gave me this prompt: Write about the character trait of your that’s the most frightening.
I challenged  Michael Webb with the prompt:You are walking in the forest and you trip over a wooden box. You open the box and find…