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Mental Illness...Here take this assessment!

Last post 12-06-2009, 6:13 AM by Trish-411. 11 replies.
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  •  10-01-2009, 2:23 PM 66170

    Mental Illness...Here take this assessment!

    Dan,

    What do you think about those self-assessment mental health surveys? I’m not talking about the stuff on Facebook but stuff from more legitimate sources like a mental health website, a brochure that you might find in your doctor’s office or maybe one passed out from your wellness center at work. Do you see any value in these types of tools? Do they really tell you anything about yourself?

    Even when you are trying to fill them out honestly, it isn’t easy. Do you feel hopeless? Sure some of the time, doesn’t everyone? How often? Every day, half of the days, occasionally? Who knows how to answer that…some days I feel hopeless only in the morning when the dog has pooped under the piano, the kids are late for school, I’m having a bad hair day, I only got 3 hours of sleep and oh yeah…I remember that my husband is paralyzed. That happens a lot, but am I hopeless all day long, probably not. Do you think you would be better off dead? Sure some of the time, doesn’t everyone? When you are in a constant battle with insurance companies, doctors, lawyers, in-laws yeah some days I wish I was dead. Are you having trouble sleeping? Yes, every single night but maybe that is because of some of the caregiving duties I have throughout the night. I really have a hard time even making a realistic self assessment. Maybe I over think the questions.

    So I know you’re thinking, then why would you even take such a survey. Good question. Sometimes we are forced into such things. Let’s just say something like a “healthy lifestyle” insurance premium requires that you don’t smoke, you wear your seatbelts, have your bp checked at the wellness center yearly, submit to a Chem24 & CBC yearly (wanna see my big bruise) just to mention a few things. You get my drift….sort of Big Brotheresque I know, but sometimes you do what you gotta do to stay in compliance. I’m just hoping I don’t get reported to EAP. Any thoughts? Not about EAP...I was joking there but about these assessments.

    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  10-06-2009, 12:45 PM 66331 in reply to 66170

    Re: Mental Illness...Here take this assessment!

    No one will argue that your life is extraordinarily difficult, more so than most humans on this planet. And most would understand that sometimes you are frustrated, despairing, hopeless and angry. But just because these emotions are understandable, it doesn't mean they are healthy. If you aren't already clinically depressed, hopelessness and helplessness are both symptoms and precursors. And, no, not everyone thinks sometimes they would be better off dead. Those emotions can either be seen as symptoms of depression (and there are) or they can be seen as a voice coming from deep down inside of you telling you that what you are doing and how you are doing it is harming you. That voice is telling you you need care. And my fear, Trish is that if you don't listen to that voice now, it will get louder. Same thing that happens with our bodies when we ignore a symptom.

    I am not simply telling you to go to a shrink, talk about your problems and take some medication. But I am telling you that it's time for you to take some of the world off your shoulders, catch your breath and get a massage. And after that, divide that world up. Let others take care of pieces and have faith that the rest can take care of itself. And if you need a psychotherapist to help you navigate those waters, so be it.

    All of this stress wears on all of us on both sides of the wheelchair. And even though misery might be understandable, it's still misery!

    Dan (psychotherapist/blogger/friend)


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"will be released April 2010
  •  10-10-2009, 6:22 AM 66464 in reply to 66331

    Re: Mental Illness...Here take this assessment!

    Dan,

    Thanks for your comments. They have left me unable to form an intelligent response. I’m sure I could come up with something in the bogus category, but I’ll try to skip that for now. I mostly just go back and forth wondering if I should have some genuine concern for myself or more likely my response is what does it really matter. I’m not saying that to be flip, but rather realistic. You find yourself living a life with actions and thoughts that once upon a time might have seemed abnormal, but they become very normal now.

    Last week taught me a lot; some good and some not so good. I guess now I see why many caregivers fill their every minute with the many tasks at hand. It is sort of a mechanism that keeps your mind busy and away from introspection. When I start thinking too hard I begin wondering how long can I actually do this? Can I do this for another 10 years? Can I do it when I’m 60, 70? What if I can’t? I tell myself I must, but what if I just can’t. It’s a question with no solution and a situation with no way out. That’s the part I don’t want to think about. See why I don’t like thinking.

    Next week is hectic at best. The kids have a full schedule of extra activities, and I’m at least 3 days behind at work. What a relief; next week back to my level of normalcy. The 5 day monsoon has finally stopped and the sun is shining this morning. Hooray, bring on a new week! Doing is way easier…thinking is very hard. I’m taking my thinking cap off today.

    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  10-13-2009, 12:50 PM 66544 in reply to 66464

    Re: Mental Illness...Here take this assessment!

    Dear Trish,
    although I love that flip, sarcastic comedy part of you, it does keep the world at arms length.
    I really don't want you to have genuine concern about yourself, you have enough genuine concern in your life.  What I'd love you to have more of in your life is compassion and (dare I say?)  even love.
    I know there are very few people, if any, in your life who feel the kind of compassion and love for you that you need.  But you do have a tender heart that cares deeply that can feel compassion and that can love in the face of great adversity.  So all that good stuff is in there, it's a question of accessing it.

    Your thoughts are frightening and, who knows, maybe realistic.  But your thoughts are about the future and the far future at that.  And I certainly understand how you don't want to dwell in the middle of all of those nightmarish thoughts.  I certainly don't love it when that happens to me.

    So I think you're on to something when you say you don't want to thank.  I endorse that.  Thinking is scary.  But what I do want you to do (hold on here) is think about thinking. I know I might be sounding like Billy Crystal in "analyze this", but stick with me. 

    Sounds like you suffer because you have too many responsibilities.  But then you said you work this way in part to protect yourself from thinking.  So what you are really afraid of are your thoughts.  So if you can start just noticing your scary thoughts without getting all involved in nightmare scenarios, the intensity might diminish over time.  Imagine living without being afraid of what goes on inside your head.  Imagine living without being afraid of your emotions -- especially your fear.  Yes, it's possible to be less afraid of your own fear.

    But it all begins when you stop thinking and start thinking about thinking.  Trust me on that kiddo, because that could help.  I think so anyway (oops)


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"will be released April 2010
  •  10-17-2009, 7:35 PM 66698 in reply to 66544

    Re: Mental Illness...Here take this assessment!

    Dan,

    Your advice sounds like just what I need, but why is it so hard to find that place where you are less afraid of your own fears? When some of the worst case scenarios seem to always come true in your life, it is difficult to quiet your mind and not be afraid of what it is telling you.

    Several years ago this guy I knew from work asked me to trust him and take a little adventure with him. He was a rather free spirit type, and he always thought I was up tight; imagine that. Anyway, he took me to this new age kind of place where they had these sensory deprivation tanks. He had signed us up to “float” for an hour. This tank was filled with about 18 inches of a nearly saturated salt solution which was heated to body temperature. Inside the tank was pitch blackness and total silence. The idea is to remove all sensory input and create a state of sensory relaxation; at least that is what I think is supposed to happen. Great, so I’m floating naked in this tank in total darkness. The first 30 minutes I spent thinking…what if there is a fire, what is someone sneaks in and steels my clothes, what if there is a police raid on this place (it seemed a little shady), what if I fall asleep and drown in this tank, what if I can’t get the door open to get out. You get the idea. When we first came in, I heard people talking about having hallucinations in the tank. I knew I didn’t want to get that relaxed, but the last 30 minutes were survivable. I’m not sure I ever really “got it”, but at least I tried.

    Maybe this is all something that takes practice, but right now I am very inadequate at accessing the good stuff… wherever it is. I hope it’s not in one of those tanks. That was a little too freaky for me.

    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  10-20-2009, 12:32 PM 66772 in reply to 66698

    Re: Mental Illness...Here take this assessment!

    Dear Trish,
    I know you are aware that I am writing another column about you Monday in the Philadelphia Inquirer and you will be joining me the following day at noon on my web chat (www.Phillynews.com/askdan but I wanted to give you a preview of what I will say.

    You don't have to go into a tank or do anything that will deprive your senses.  I want you to do the opposite -- I want you to experience your senses.  When you race around like most of us do, always thinking about what needs to be done or what will happen if..., we usually don't experience our lives, just our thoughts.  I recently opened a lecture by telling people that I missed breakfast that morning.  I ate breakfast, but because I was thinking about the lecture and the rest of my day and my children and on and on, I didn't taste anything.  I missed the flavor of the yogurt, the warmth of my coffee or the music in the background.  Because of my thoughts I was missing my life.
    You cannot shut your thoughts down, you need big league medication (or meditation) for that.  But if you are noticing your life rather than being absorbed inside of it, you will also notice that your thoughts are pulling you away from your experience.
    It's a funny thing about thoughts, we just assume they are the voice of truth, that they are some kind of reality.  We have no idea what they are, but we do know that 95% of them are worthless.  And yet you live inside of them allowing them to guide your life.  Silly humans!  Why do you think dogs are so happy and so many of us are miserable?  Thoughts!  We have tons of them, they don't (I don't think).

    So, wanna change your mind?  More details are in Monday's column, but you can start by dropping in every now and then and just notice how fast your mind is going, notice what emotions you might be feeling, notice how your body feels, the temperature in the room, the sounds and smells.  Just a drop in a few times today.  And when you are doing that, just noticing your mind and body, I want to know who you are at that moment.  Are you the one who notices or are you a mind that is being observed?

    Is all that clear?  If so, all you have to do is say "tanks" (sorry about that)


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"will be released April 2010
  •  10-23-2009, 5:11 PM 66901 in reply to 66772

    Re: Mental Illness...Here take this assessment!

    No Dan, none of this is very clear to me. That must be my problem. It’s true, I’m missing a lot of my life because I am merely trying to jump from one task to the next so that everything gets done and nobody struggles. That's my current mechanism I think.

    The comments on your Philly blog were pretty enlightening. Merely sitting in one place for 20 minutes is almost impossible for me. I am trying, really I am. It’s just very hard. 20 minutes feels like an eternity when you are trying to corral a mind that races from one thought to the next at lightning speed.

    The other remark that caught me off guard was this statement. “I also wonder if this role of caretaker or "the responsible one" has become part of your identity. I have a sneaking suspicion that you have been doing this to a certain extent much of your life.” My initial reaction was “no way, he’s got that all wrong. I’m like this because of my husband’s paralysis.” Then I started thinking, ut oh, maybe you’re right.

    I began thinking about my childhood. I have a sister that is 11 months older than me, and then there is an 7 year gap before the other siblings came along. Actually right now my sister and I are the same age (it happens every year at this time). We are very close in many ways. When we were in Jr. High and high school, I remember having to wake her up nearly every morning. She always slept through her alarm, and I would go in her room, turn it off for her, and wake her up. Most times she got up, but then she would get out of the shower, wrap a towel around her head, crawl back in bed and fall asleep again. I constantly had to keep my eye on her in the morning so she wouldn’t miss the bus. She never seemed too concerned herself. I think I was worrying for both of us.

    Later in high school she started seeing this guy that my parents did not approve of. She was the queen of sneaking around, and I was her accomplice. I covered for her so many times and kept her out of so much trouble. She should still be thanking me today. I hate seeing anyone struggle, and I certainly knew my parents would be disappointed and upset with her if they found out what she was doing. So I protected her.

    It’s not like I set out to be this way, it just feels like part of my persona. Then when you suddenly get thrust into a major caregiving role, this persona seems to take over your life big time. I don’t want this to be my identity. I know that caregiving will always be part of my life with my husband; I just don’t want it to be my identity. I’ve experienced a whole lot of thoughts…far too many. Some day I hope I can experience my life again. I wonder if that is possible. That and a good night’s sleep would be the ultimate.

    I hate it when someone else figures out something about you before you even figure it out yourself. Dan, how did you do that?
    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  11-03-2009, 12:55 PM 67239 in reply to 66901

    Re: Mental Illness...Here take this assessment!

    Trish there was a study done several years ago exploring whether toddlers had compassion. The experimenter was sitting at her desk in a room with a toddler. She would "accidentally" drop a pencil or paper on her desk and inevitably the child would pick it up and hand it to her. When she dropped it on purpose, the child ignored it. This experiment was repeated that many children with similar results. Compassion may arguably be inborn.

    Ideally in families grown-ups can take care of themselves and can take care of their children. Ideally. For some reason you had to not only take care of your sister, but protect her from your parents. Of course, you could have also been wired for caretaking (any others in your family?).

    So caretaking begins with kindness and compassion. Often, depending on one's situation, it turns into an identity which then becomes habitual. And like everything else, we do what we know how to do best because even when it is distressing, it's comfortable.

    Like any other fixed identity that is neither completely true nor false, it becomes a habit that can be modified.

    I know, I know -- how?

    so let's revisit that 20 minutes of torture. Keep reading.

    Don't ever try to corral your racing mind, it's impossible. Even the Buddha's little-known disciple Morty once said "when I am nuts, I am nuts." Of course, that could be why Morty is so little known but I do think he had a point.

    All I want you to do for those 20 minutes is be in your life.

    Close your eyes and take about two minutes just to find yourself in your body and did as comfortable as you can. Notice where you are uncomfortable and comfortable. Notice where you hold your tension, notice the temperature in the room and whatever emotions she might be feeling at this moment. But just notice.

    And then focus your attention on your breath. Best you can feel your in breath and then notice the moment you begin to let it go. Notice how each breath is different.

    And after you've done that for about 10 seconds, your mind will begin raising. That's okay, that's what minds do. But when you notice that your mind is racing, gently bring your mind back to your breath and began tracking it again.

    In that moment you notice your mind is racing, you are building neural pathways in your brain. You are beginning to teach your brain how to let go of thoughts.

    Take care


    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"will be released April 2010
  •  11-09-2009, 4:25 AM 67408 in reply to 67239

    Re: Mental Illness...Here take this assessment!

    Letting go of thoughts sounds like exactly what I need. I’ll have to trust you on the neural pathways part. But 20 minutes is seriously a very long time. I’m not sure when it actually happened, but I can no longer just sit quietly and still for 20 minutes. Anytime I sit down, at about the 5 minute mark I start going over all the things that are still left undone. I have the thought if I can just get everything done then I’ll sit here for a while. Problem is there never comes a point when everything is done. I’m sure this is the case for many people, but caring for a high level quad greatly intensifies the amount of things that are always undone. I know I could be a single mom because I basically do that gig anyway. It’s when you throw in the challenges of careginving on top that tips the scale.

    Here is the thing about thoughts. I think I have too many. And I think I have so many because there really is no outlet of all of these thoughts swirling around in my mind. When you’re pregnant, raising teenagers, juggling work and a home you find many people to talk to. Other women can relate, offer support, and share a “you’re so right about that” moment. But with caregiving it’s not the same. What I do is not like taking care of your sick child for a few days or helping your husband recover from surgery. My type of caregiving is permanent. Most don’t want to hear about it, and most people can’t begin to imagine the intensity of this type of caregiving.

    I once read this book about a woman’s struggle with caring for her husband with MS while raising their 3 children. It took many years, but she really just went over the edge and ended up putting him in a nursing home. However, I totally understood her. I knew where she was coming from. The book was harsh, brutal, but realistic and true. 10 years ago if I had read that book I would have thought she was some kind of monster. Today I felt nothing but compassion for her. Some of the thoughts caregivers have seem just too intense, too awful, and too harsh to even say out loud. They remain just thoughts constantly occupying the mind.

    Be advised, I’m working my way up to 20 minutes. How long does it actually take to build a neural pathway? Please don’t say 30 minutes!

    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
  •  11-10-2009, 12:52 AM 67448 in reply to 67408

    Re: Mental Illness...Here take this assessment!

    Hi, Trish. Thank you for the email. I will respond to it hopefully tomorrow. I just returned from the Abilities Expo in Atlanta, so am pretty exhausted. The expo was amazing.

    I read your conversation thread tonight, because, you are right, i have not posted for awhile. I've been going through an insomnia relapse and have been trying to work through that again as well as feeling overwhelmed - the two go hand in hand for me.

    The reason I'm mentioning this is that I have a couple of wonderful crutches that help me get out of my mind and into observing my thoughts. They are meditation and guided imagery recordings by Jon Kabat-Zinn and Bellruth Naperstack. My favorite is Bellruth's series on 'Healing Trauma'. They can both be found on amazon.com.

    I periodically reach the point where I have so many thoughts of unfinished business that I find every muscle in my body is tense. I try to notice the tenseness and let it go. What I have discovered, however, is that much of my 'tenseness' is related to my body's continual and conscious process of trying to maintain core stability and balance.

    One thing I have started to do is to stop thinking about all that I have to do and replace those thoughts at the end of the day congratulating myself for the things I have completed that day. My reminder lists are about daily accomplishments rather than keeping endless lists of what I need to do that were impossible to finish.

    I have also started doing something fun at least two to times a week with friends and ignore list making altogether on those days.

    Best wishes and think about trying some guided imagery too just to see if it helps. If nothing else, they both have soothing voices to listen to. ;-)
  •  12-01-2009, 12:54 PM 68059 in reply to 67448

    Re: Mental Illness...Here take this assessment!

    Trish, sounds like you are getting some pretty good advice.

    Let me suggest this. You don't have any more thoughts than anyone else. Everyone has this bizarre and hyperactive human mind. Most don't notice it. You notice it when you sit still. I am amazed that you are able to do five minutes without your mind racing.

    So here's the task for you -- when your mind starts to race, just notice it. And then go back to your breathing.
    In the moment you've noticed it, you are no longer in your mind that you are outside of it observing. In that moment you are in deep meditation and beginning to rebuild the way your mind works. In that moment.

    Of course, you and I both know that you will come back to the breath and it will last for maybe a minute, maybe and then it will start racing again. Same thing. Without judgment or blame, gently bring your mind back here breath. This is exactly what the practice is.
    Just between you and me, after a decade of doing this, sometimes I am only able to sit with my breath for a couple of minutes before I race the way.
    But I do find myself less reactive to everything. If I have a thought or an emotion, I'm usually okay just sitting with it and watching as it comes and goes in my consciousness. I am no longer my mind. When I am in good shape, I am bigger than my mind. And when I am not in good shape I get lost in my mind. And then I notice...

    Dan Gottlieb Ph.D.
    www.DrDanGottlieb.com
    "wisdom of Sam: observations on life from an uncommon child"will be released April 2010
  •  12-06-2009, 6:13 AM 68183 in reply to 68059

    Re: Mental Illness...Here take this assessment!

    Dan,

    Don’t feel so amazed about my 5 minutes.  I can hardly control my racing mind for 5 seconds.  What I meant to imply is that I can’t control my body for 5 minutes.  Meaning I can’t even just sit in one place for 5 minutes trying to breathe because I feel compelled to get back to the tasks of the day.  Do you ever have that feeling that you can’t go to sleep in a messy bedroom?  Well I have this feeling that I can’t sit down for 5 minutes until nearly everything is done.  I could never go to bed with dishes in the sink or a pile of laundry needing to be folded.  It’s that feeling that makes me give up after 5 minutes.  It seems like this breathing might take years of practice.  


    Trish

    "Life isn't about waiting for the storm to pass...it's learning to dance in the rain."
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