My Depression

It is tempting as a therapist to talk about mental health stuff like it’s a science and we’re in a classroom. People want to hear what their counselor says, right? I have all kinds of relevant articles and YouTube videos we can watch in my office. Hundreds, maybe thousands, of files with enough advice in them to keep you busy for a few lifetimes.

The longer I do this the less I believe in good information helping people change their fundamental personality. If you haven’t had real depression I’m not entirely sure you understand what is truly going on. I wish I was not saying that you can’t really speak intelligently about this topic without practice but nobody is asking me to describe how it feels to have a baby. Cancer patients want to talk to cancer survivors who understand the hell that they and their family are experiencing. Addicts understand addiction on a different level than my wife who grew up as a pentecostal and still hasn’t really consumed alcohol on any level that could result in sloppy sex. You don’t need to be an addict to counsel an addict because counselors know a great deal about poor impulse control and craving for sex or acceptance or meth. Addiction is more about trauma than what your vehicle of choice is. People self-medicate with hundreds of things, not just drugs or booze or sex.

I rarely talk about this publicly on any meaningful level but I had a pretty decent run with depression. My world fell apart and I lacked the coping skills to pull myself out of it, and at least a bit of the reason that I still do this for a living is because of the lessons I learned in the valley of the shadow of death.

I was very depressed for a significant period of time. It became a way of life, the fog that defined my existence. People who know me from that time are not traditionally my friends at this stage of my life, and the few who stuck around don’t need a memory cue about that Scott Williams. It’s been enough time that I can disconnect from that sad little clown, and looking now from a bit of distance he was a pretty hurting unit. So ya, like many who have come before me I fell into a life of depression for a serious piece of my story and I still remember how crazy that bastard was. Depression can gut you. It can take away everything and everyone you love and make your life a crawling waste. There were times when I was so broken that I put myself at the risk of personal harm, and months of such emotional abandonment that I didn’t care if I lived or died and didn’t care that I didn’t care.

I have apologized to my boys countless times but I still carry the stain.

There are people who come to me believing they are depressed because they are deeply sad or grieving or crying every day before work. That may be a form of depression or dysthymia but people who have gone full freaktown deep-dive depression often describe it as feeling nothing at all, not caring or hoping or functionally coping. Meaninglessness and pain and hopelessness. It got dark and nasty for a bigger chunk of time than I can admit to myself and if it wasn’t for Celexa, a few good friends, and the responsibility to solo parent two hurting kids I may not have made it out sane. Days and months and minute after minute after damned minute of despair and depressed thoughts and music that makes you want to hurt kittens. Some of you out there know how slow time can go when every minute of the day is more disappointing than before but you really don’t give enough of a crap to feel anything beyond your own pathetic non-existence.

No one wants to hear it, btw. In the insanity of those days it was a testimony to how messed up I was that I honestly believed other people wanted to hear my litany of pain and woe. News flash 2001 Scott – people don’t want to hear it. If you are a pessimist who is prone to complain to your spouse or friends I need to tell you in love that no one wants to hear you constantly complain. I take that back, there are other complainers who love to talk about that garbage for hours but most of us are far too attention deficit to listen to you talk about your stupid stupid problems that you refuse to deal with year after year after year. We get it, some people need to complain in order to release that bad karma and that is a real thing and I get it. Still. Do yourself a favour and find another miserable friend, someone who shares your interests.

As a counselor, I can tell you that depression is one of the hardest mental health challenges to overcome without time and some decent help along the way. There is no quick fix for such a crippling and insidious illness, and people who tell you to just jog it off or read this or that book or blog (and you will be jim dandy!) are full of crap. It takes months of dedicated work before you even feel like doing anything beyond Netflix and licorice and how do you get motivated to tackle this monster when you can’t even get motivated enough to get motivated? There is nothing I can say to you today, if you are in the valley of the shadow of death, that will pull you out of that funk.

I’m not implying, however, that you should give up or stop reaching out. It all felt meaningless to me for a very long time but sitting on the couch watching daytime television was not the balm it was advertised to be. Moving forward in depression is exhausting but there eventually came a time when I actually didn’t have a bad day. First I would take a few minutes off from my feelings, then a few more. One day I didn’t self-indulge for an entire hour, then a morning, then eventually a day. There was no magic ticket or special medication that pulled me back from the precipice but only a series of little things and a couple of amazing kids and friends who never gave up on me. I started listening to audiobooks between tears, then comic books. I ate real food again and got out of bed before the crushing mind games could pull me under the covers. I went out, even though I hated every minute of it.

In those dark days, I was convinced that this was my forever. I look back and am thankful that I never jumped off that bridge. The only advice I give people who are battling with serious depression is – stay alive. Talk to someone who understands. And get out of bed.

A Letter To A Friend

I have spent some time thinking about you lately. I know, that sounds so creepy.

You told me that you have lost some faith in the process and life is not working out for you, right now. I can hear you talking and sometimes there are silences because I am absorbing the weight of your despair. You carry a very heavy burden, and have been for a while. This has been a long drought.

At this point in the journey counseling rarely helps in any tangible way. I think a person gets beaten up for so long that, like in any prize fight, eventually you are so punch-drunk that it’s impossible to stand up straight; and it seems like you will never stand tall again. I get that. Counseling is hard enough to believe in when things are going your way.

There is a cardinal rule in counseling that, as a therapist, you never make it about you. Good counselors don’t abscond with the pain and diminish the journey of those who are suffering. But this is a letter and I’m not charging you for this session. So I will be ever so brief when I contend that I know a little about what it feels like to be suicidal, and I’m familiar with years of gut-wrenching pain. In a very unfortunate way, many of us can relate to this living death, and this is a club that no one wants to join. Welcome to our team, we suck.

There are lessons in life that you only learn in hell. As cliché as this may sound, it is oft repeated because it also happens to be very true for oh so many of us. You are visiting the living death, and I can only imagine how soul crushing that must be. In your particular case, there was no life-killing death or disease, just the relentless grind of the ordinary, and the profanity of a world that kills our dreams. Someone hurt you very bad, all those years ago, and some kinds of scars don’t go away without mountains of therapy. Those of us who have been neglected, or bore physical or mental “deformities”, those who were bullied or beaten or raped, that stuff is very real and it will wreck your life if you don’t take this very seriously. But enough preaching.

Don’t give up. Nothing I can say to you is going to help right now, but there is one thing I do know for sure. If you stick this out you are going to be wiser. This is meaning of life stuff. You believe that this life is going to go on forever and that’s normal. Virtually no one really understands where the journey is going to end when it has been months and years of failure and broken promises.

Sometimes, when I listen to the stories all day long, I get caught up in the hopelessness. There have been times in our sessions when your frustration and hurt washes over me, and I get just a glimpse of what it must feel like to live in your reality. I have literally watched hundreds, perhaps thousands, of people who have been punched in the throat and are convinced that their problems are terminal, and are tempted to give up. Hell, many of us give up all the time.

I have known others in this journey who have spent years, and I mean years, struggling to cope with a reality they never dreamed possible. Lives of loss and loneliness and the fear that their lives don’t matter and they will die, forgotten.

Don’t give up. Someday is coming, it’s just probably going to take years longer than you have been promised or believe. Longer than anyone imagines. I told something this morning that it could take years to move beyond some mental health challenges. Keep reading and thinking and arguing with me, I can take it. I do this job because I firmly believe it is possible to create a different future, and I watched my father systematically do so as I was growing up. The people in my family believe that the future is not set because my orphaned parent fought against all odds and fixed his shitty reality. Some lessons only come with time and sometimes it isn’t time, quite yet. Most of us don’t have an inspirational orphan story to keep us going when we have only known failure all our lives. How can you embrace a future you believe only exists in movies and for other people.

Reminds me of that quote, “passing on what you didn’t learn”.

My Dog Has Generalized Anxiety Disorder. And He’s A Racist.

My dog has Generalized Anxiety Disorder. This is my day job and I have watched literally hundreds of human clients who have struggled with GAD so I feel qualified to diagnose my dog. Human persons with mental health issues are diagnosed primarily on symptomatology; you tell the doctor what is wrong with you and he sends you to a psychiatrist who will, after talking with you for a part of an hour or two, tell you what is wrong with your head. Don’t get me started on misdiagnosis. Continue reading “My Dog Has Generalized Anxiety Disorder. And He’s A Racist.”

Stupid Little Pill

In a recent conversation with a friend I accidentally referred to anxiety medication as “aspirin for the brain”. I meant it in a good way. Why is taking something for anxiety any different than taking the exact same thing for insomnia?

There is much stigma around medications and it is tempting to believe any number of ridiculous cognitive distortions we all battle, from time to time. As simple as it sounds, people generally push back when a professional prescribes a stupid little pill to cope with the uncopeable. We have been told that people with depression are emotionally weak and need to “snap out of it”. Anxious people seem skittish by nature and those panic attacks might just be a personality flaw. Taking medication for depression or anxiety or (insert name of mental health issue here) means that I have somehow failed or given in or given up. I shouldn’t need to see a counsellor to take an SSRI or go on disability. People who take meds because they cry allot are weaklings. Continue reading “Stupid Little Pill”

I’m Sorry I’ve Been Absent So Here’s A Rant

One of my best friends, intelligent and knowledgeable when it comes to psychological stuff, went to the doctor today. Something serious happened in her family and this has obviously affected her in very real ways. We have talked about her life for years. All I asked was for the doctor to prescribe something for anxiety. She has a history of anxiety. I know her extremely well, we’ve known each other close to 20 years. We talk literally every day. Just give her the damn meds. Continue reading “I’m Sorry I’ve Been Absent So Here’s A Rant”

The Valley Of The Shadow Of Death

Even though I walk through the valley of the shadow of death, I will fear no evil, for you are with me; your rod and your staff, they comfort me.
Psalm 23:4

I have seen darkness in people which defies comprehension. We’ve talked about this before. There is a time in many journeys when our lives completely break. Type “swerve” into my search bar to find out more. or “The Event”.

Most of us grew up believing our lives would somehow turn out just fine. The weight of the truth can be devastating, at first. We are shocked when the ugly truths sink in.

Not many people walk through my door because they want to. Reality has punched us in the face and it stings. Few of us imagined we would have a lifelong battle with anxiety or depression or the fact that your Uncle Tom was the tomcat people said he was. A divorce or a death or the death of a dream can take you places your World of Warcraft account never could. Dark places. Even though I walk through the valley of the shadow of death.

People kill themselves in this place, and call it what you want, but I could make a good argument against the notion that only a coward would take their own life. They aren’t selfish people and they are not necessarily even weak. Every rope has an end.

How could someone let it get so bad? Why would anyone kill themselves over a situation? I’ll tell you how. Come down and play at the other end of the pool for a while and watch your life and everything you value taken from you. Witness your finances and family and friends abandon you, and then tell me how bad things can get. Wait until they take your children. Sane people don’t kill themselves; and that leads invariably to the conclusion that on that day when you tried to jump into the river or overdose or whatever private version of hell you sought to inflict upon yourself, you were kind of batcrap crazy. We don’t call it that anymore but Wikipedia still does:

Insanitycraziness or madness is a spectrum of behaviors characterized by certain abnormal mental or behavioral patterns. Insanity may manifest as violations of societal norms, including a person becoming a danger to themselves or others, though not all such acts are considered insanity. In modern usage, insanity is most commonly encountered as an informal unscientific term denoting mental instability.

Any chance that sounds like someone you know? I was almost expecting my picture to show up beside the definition. Sometimes things get so absolutely beyond our capacity to cope that we crack, just a little bit. I have been to the valley, and anyone who has been there knows what I am talking about. You can take all the psychology you want but that doesn’t mean you will be prepared for the death of a child or the end of a dream. I have stated on multiple occasions that, in my book, if you lose a kid you get a free pass… forever. I don’t know if I could endure that. There are a few things that no bible verse or medication or drunken binge can heal. Some people do move on but they weren’t using any tools I can teach. That stuff is called grace.

I’m not saying you are crazy, I’m saying some of us have undoubtedly camped on Insane Island at least once, and it changes you. I want to validate that. You have learned lessons and endured pain that could and does cripple people for life. When I was in darkness no amount of therapy or Patron could touch me. What did matter was knowing that I was not somehow “less” and it was ok to drownproof in the deep end until I was able to sort shit out.

Don’t believe anyone who diminishes the gravity of the emotional battles you may face. I preach this all the time – this stuff takes years, not months, to flush out and sometimes absolutely nothing changes for a LONG time. I’ve written about his often. If you are bored check out other articles hereherehere, and here.

Fast change is usually bogus change. I cannot tell you the numbers of people who have informed me they quit smoking, drugs, yelling, medicating, and have joined a gym, all in one week. I generally label such radical intentionality a probable failure. You should probably start getting up earlier as well and stop drinking coffee and soft drinks. Throw in a few more broken hopes and live your life damaging your self-esteem as you invariably fail. Loser.

Doing a bunch of crap I didn’t want to do, with little or no motivation, didn’t really work for me. It began, slowly, when I allowed myself to do things I once loved and things I needed to do in order to get better, regardless of how I felt. I’m not even talking about therapy stuff, I’m admitting it can get so bad you can’t even get up to do the things you love. Every day sucked. I wish I could tell you it worked magnificently, but most change came unnoticed and for most of us there was not epiphany or religious experience. I’m not suggesting this isn’t possible, it just didn’t happen to me.

11541183_10204345272140927_242916198_nHere’s the thing – what do you do when you don’t even feel like getting better? It’s too much work. Change is exhausting. It’s like writing a book; great in theory. In reality, writing is often a grind with the added bonus of English 101 and days of editing. All for free.

So how do you get motivated when you aren’t motivated to be more motivated? I ate more candy and less parsnips. No parsnips. I started going to movies and laid in the sunshine and began to read. I listened to hundreds of books, many of them useless, until I cared about something enough to read on purpose. I have publicly stated, on multiple occasions, that I earnestly believe audiobooks saved my life, once a long time ago. I stopped lying to people about being too busy to hang out or talk. It took love and help and self-acceptance, and the capacity to hope once more. Like all of us, I am a work in progress, screwing up and muddling though this. I hope you are as well.

I salute the survivors, the ne’er-do-well and the battered warriors. I know some of you win just by getting up in the morning. You may never get a trophy for endurance but know that you are doing the best you can, right now. I believe the goal is for all of us, on both sides of the desk, to figure out how this life thing is done, before it’s too late. Hang in there, or as my old buddy Chris Anthony used to mock, “keep on truckin’.

(photo props to Brain Pickings)

You Feel Me?

My friend Lori the art nerd, that’s her legal name, has to critique another student’s play. I would stink at that. As a psychology geek I would be all like, “but there’s too much criticism in the world already and I have no idea what kind of hell this person has gone through. How old is she, 30? That means she’s a senior student. Good for her! But wait a minute. A senior student, what went wrong? Why is she back at school now. Some bastard broke her heart! Good for her! How can I criticize Cheryl, she’s a hero!”

You probably don’t really need someone like me to remind you of your problems. You know your problems. You didn’t just pay me to tell you what is obvious to you, did you? You have a bead on your problems, what is missing are solutions.

Or am I wrong?

Granted, someone like me gets paid to help you look through another lens. Trust me on this one, you want that. I tell people who are going through something like grief or depression, addiction or anxiety, that they should think of themselves as insane. You heard me. Screen Shot 2012-09-18 at 12.19.55 PMWe simply need to put some heavy limits on our application of the word. When you are depressed you cannot think rationally because your frontal cortex is getting slammed by three greasy hippies on cocaine driving a Vega (I especially like the mini wagon with fake wood) spraying warm tapioca from your primal and basically cray cray brain. I like to impress readers with my technical know-how.

When things were bad in my hemisphere I am completely certain that I was absolutely and coldly nuts, much of the time. I was so entirely broken that it framed every decision in my life. Some of you know of what I speak. So yes, I was a little insane, thank you very much. Probably a great deal more than a little. You would never want someone in that mindset to walk your pet, let alone make decisions of any import. In retrospect I probably shouldn’t have remortgaged the house twice because I “didn’t give a damn”. You feel me?

(What does that mean, anyway, “you feel me?”. I would, frankly, prefer that very few people actually “feel me” so I guess I should say, “please stay appropriately behind the yellow line and I’ll greet you with a firm hand shake”)

It’s easy to wear our failures like a hairshirt. If you want a list of my shortcomings just ask me. Either I figured it out or it was driven into me a few hundred thousand times. Pointing out your obvious flaw may make you think I’m Kreskin, but chances are it will simply reinforce how useless you already feel. Thanks for that, best friend! I know I have problems, I made them.

relaxing-on-beachHey listen. You’re coping the best you know how, right now. Most of us live our whole lives never living up to our own expectations, much less everybody else’s. Sometimes you need to be a little easier on yourself. You are on a journey and you are making this up as you go along. Few of us figure this out at the same rate. Life is profoundly more complex than the poster promised. I am virtually a full-time student and I am keenly aware how stupid I was only a few years ago. Will I say that again in five years?

Wisdom takes time, unfortunately. No one gets a free pass and that means no one. My goal is to figure this out in my current decade and it is taking far longer than any of us imagined. We can only do the best we can with the light we have right now. That’s as good as it can get, short of a scholarship to Cambridge. What is important is to play the hand given me well and eat as much candy as I can. If you need a kick in the butt feel free with my compliments, but don’t forget to eat some kitkatKitKat ice cream and listen to a comedy. I just watched Trevor Noah: African-American on Netflix and finally learned how to correctly pronounce Zebra (it sounds like Debra).

I can be hard on myself tomorrow.

The Golden Ticket

There is a huge reward for all the work, I just can’t explain it to you yet. I lied all those times, there is a Golden Ticket, you just can’t have it. The Golden Ticket is curiosity. The reward is wisdom. This is an example of something called Philosophical Psychoanalysis.

For many of us, coming to the place in our life when we again embrace wonder is difficult and arduous. It usually comes from pain and loss, though not exclusively. It may happen in a person’s second-half of life and often after a divorce or death or mental health tremor. For one of my closest friends it just became, out of a lifetime of anxiety and self-medicating and living on the emotional fringe. Many of us end up there, feeling misunderstood or lonely or like a freak. I often ask clients at the beginning of this period of rediscovery, “Do you remember fun?” Look around you – few of us seem to be Jedi’s.

We talked for five years. We are still talking, but it’s different now. I don’t have as much to teach her as I once did. She is as motivated, more motivated, than I am. We talk about books and art and history, philosophy and psychology and politics. The subjects are as varied as the universe. Oh ya, we often talk about the universe as well.

If you come see me professionally I will ask you if you read. You cannot remain my client if you do not read. I’m sorry but I don’t have the time. That sounds arrogant and I don’t mean to be condescending. The simple truth is, it’s too hard to do this without continuous input; and if you aren’t filling the tank on a regular basis you are screwed. It may not be books but it should be a source that is teaching you. That glass of wine after work may help you wind down but won’t take you where you want to go. Good tequila, on the other hand… (thanks Kim!).

I gave her A Brief History Of Nearly Everything by Bill Bryson. She read about cognitive behavioural therapy and The Wisdom of Psychopaths. Paul Ekman. The Tipping Point and Heretics and Heroes. The Hunger Games. Buddha’s Brain. She learned how to place a deadly serious psychological game from the mockingjay (Real Or Not Real?). Michio Kaku. The Renaissance. Augustus and Genghis Khan. The list was endless.

“Getting better” may be more about wisdom  than anything else. The Twelve Step people are very correct – the wisdom to know the difference. Understanding the meaning and context for my life is probably the best and surest route to emotional wholeness. Don’t take this wrong, it is as Art Williams says, I’m not telling you it’s going to be easy – I’m telling you it is going to be worth it.

She doesn’t have as much time to be depressed anymore. She has, in her fifties, four university classes to get unrealistic marks in. Her little-o-bit of self-diagnosed OCD means that every morning the Byzantine Empire comes pounding in, not her anxiety and regular panic attacks. It is all about wisdom. It is all about curiosity.

Here’s a little secret to happiness – learning is a drug. Many of us are, however, only recreational users and merrily go about our lives, most days frantically absorbed in our petty existence. I mean no disrespect, I’m a professional at petty.

Einstein-talent-curiosityWe were talking and she suggested that I make up a Required Reading List. It would be the strangest list imaginable – physics, neuropsychology, science fiction (don’t get me started on Ursula K. Le Guin), obscure movies like The Razor’s Edge (Bill Murray version) and obscure books like The Myth of Certainty. Hundreds and hundreds of books. and graphic novels, movies, comedians and philosophers.

Then one day she wasn’t depressed anymore. That was years ago now. She’s going to be an art historian. The Golden Ticket is the narcotic effect of such momentum, this wonderful gift called curiosity. The more I learn, the more I thirst. The larger my understanding becomes the more I comprehend how ridiculously little I know. I am baffled by the certainty of zealots; I’ve been doing this for thirty years and I still see “through a glass darkly”. In my meagre experience I’ve found that learning about the big stuff, the thoughts that bring healing or hope or meaning, these occupations birth a feeling of awe deep within me. Wonder intoxicates. Times in seclusion become precious and thinking about your upcoming art trips to Berlin and Italy make you smile. She is not wealthy but she is passionately curious.  This week she discovered, really understood, the history of Constantinople. She’s writing a philosophical play for one of her classes. That need to spin her neurological wheels is slowly becoming an asset. Perhaps some of this is about making peace with the person who is Scott or Liz or Steve or (insert name here) and not running from who I am. It’s also a bit about timing. It’s hard to be smart with three or four rugrats incessantly baying for your attention. You people have a harder job, though perhaps more dire.

If nothing else, it won’t be boring.

She gave me a few books this week from a series called Mrs. Peregrine’s Home For Peculiar Children. It’s a wonderful tome for “young readers” so I could understand it. The tale is a mix of the X-Men for kids and fairy-tale magic. The moral of the story (for me, thus far) is to embrace your pain and turn it into a weapon. We want to run from our personal truths even though we know this will not work. Wholeness comes with something I have been preaching lately called radical acceptance. As I stop fighting my story and begin to look for grooves in which to surf, the demons from my past become a part of a powerful narrative. I relearned that today from a child’s book.

I have thousands of audiobooks and I’m not exaggerating, as some of my patient clients can attest. What started out as a distraction eventually became a passion, and it isn’t hard to read anymore. The problem is what to read, in a world of a million choices and limited time. This month I’m promoting Brain Pickings, a wonderful and profoundly insightful act of love from one smart individual.

And pick up Miss Peregrine’s Home For Peculiar Children, it’s a great read at any age.

Sometime

“Courage is not something you have, it’s something you earn.”

the_blitzMalcolm Gladwell tells the story of the bombing of London in World War Two. The Germans called it the “blitzkrieg” or just the Blitz“In the years leading up to the Second World War, the British government was worried. If, in the event of war, the German Air Force launched a major air offensive against London, the British military command believed that there was nothing they could do to stop it. Basil Liddell Hart, one of the foremost military theorists of the day, estimated that in the first week of any German attack, London could see a quarter of a million civilian deaths and injuries. Winston Churchill described London as “the greatest target in the world, a kind of tremendous, fat, valuable cow, tied up to attract the beast of prey.” He predicted that the city would be so helpless in the face of attack that between three and four million Londoners would flee to the countryside.

In 1937, on the eve of the war, the British military command issued a report with the direst prediction of all: a sustained German bombing attack would leave six hundred thousand dead and 1.2 million wounded and create mass panic in the streets. People would refuse to go to work. Industrial production would grind to a halt. The army would be useless against the Germans because it would be preoccupied with keeping order among the millions of panicked civilians. The country’s planners briefly considered building a massive network of underground bomb shelters across London, but they abandoned the plan out of a fear that if they did, the people who took refuge there would never come out. They set up several psychiatric hospitals just outside the city limits to handle what they expected would be a flood of psychological casualties. “There is every chance,” the report stated, “that this could cost us the war.”
David and Goliath, Malcolm Gladwell

The government was sure that the residents of London would be shell-shocked. Everyone knew that it would be only a matter of time before Britain was boarded. Everyone was wrong. For a lot of reasons that Gladwell illustrates, people in London in World War Two gave ‘the finger’ to the Nazis and shrugged it off.

The experts are often wrong. That psychiatrist who diagnosed you might not have had a clue what was really going on. Those meds may work for some people but that does not mean they work for you. Research is changing so fast that none of us can keep up, and I do this all day. Sometimes the people we trust to know the answer are googling it while you are waiting in their office (This is, in point of fact… a fact).

The experts believed that the people would be afraid. It turned out that when people survive a bombing they begin to feel invincible, and in the end the Germans only managed to make a strong country into a very pissed-off enemy. That was one of the lessons of the story, I suppose. They were not afraid, they were afraid of being afraid. In counselling we call that catastrophizing. What was the worst that could happen if the Germans came? What if we lose? Making a mountain out of a mole hill. Come on, you know what I mean. The people who should know were convinced that the Blitz would be the beginning of the end. It turned out to be the end of the beginning. Everyone underestimated the RAF, and never have so few given so much for so many, or so the story goes. Churchill stood alone against the world, a ragged bulldog who just wouldn’t lie down. The worst didn’t happen. Not even close. And that is why history is cool.

Sometimes, often, I care way too much about crap that shouldn’t matter. I get sucked in to the drama and forget to reach for my Wisdom Rock. It’s hard to be Zen when the kids are screaming. But hear me here: It’s not about last time, it’s about sometime. Sometime you will get better than this. Sometime things will be different. ‘Sometime’ is not a cognitive distortion. Sometimes this stuff works. Sometimes. We call that hope, and without it you’re pretty much screwed.

There are moments when catastrophizing does WAY more harm than good. It can take me places where I have a hard time coping. I know there is that statistic somewhere that can prove me right, the one about how most of what we are afraid of never really happens. You know the one. But let’s be honest, it’s not about who is right and who is hurt. It has to be about me.

Try that on for size. It’s even hard to write. It has to be about me. I am no good to anyone if I am not strong. People count on me. I do this for a living and it gets inside me, infects me, for better and worse. What good am I to my wife, my kids, my partners, if I am emotionally wrecked? This is a hard lesson for a Canadian to learn. It feels selfish to my prairie ear.

Many of us are afraid of the unknown. The “what-if’s” have happened more than once. What the Germans didn’t understand, and what we all tend to forget, is that you cannot break a spirit that gets stronger every time you bomb. The Brits were prepared to gas the Germans on their own beaches, if pushed. You do not piss off the British Empire. They are stronger than they let on.

Sometimes you just have to endure and learn.  It’s not about last time, it’s about sometime. You cannot be beaten if you learn every time you are hit. You will win in the end. I have to believe that because I’ve seen it happen literally hundreds of time. I’ve felt what it feels like to be “ok” and I want more of that. A bunch more.

You can do it. You are, like the fairytale, stronger than you know. Courage is not something you have. Courage is something you learn. Malcolm is, in the end, right as rain. You’ll have it when you need it if you practice what you have learned. That isn’t rocket science but this stuff is hard and it is important. It needs to stop being “hurt enough I have to” and start becoming about “learning enough I want to”. Getting better is about learning – I will die on that hill, if necessary. You can’t get better if you aren’t getting smarter about your own particular piece of crazy. We’ve argued about this before. I get paid to research and I listen to audiobooks like a drug addict, what can you do?

I know, it’s a sweet gig.

Cue the cheesy ending – “You’re bigger than you know”.

Grief

It’s very hard to describe to someone how grief feels. I remember when I was going through my own persistent hell I was taken to a doctor who flippantly told me, “you’ll be fine soon”. He was, not to put too fine a point on it, a condescending idiot. Doctors are not trained in counselling and frankly he was talking outside his pay grade. Comments like, “time will heal” and “just move on” are seemingly wonderful platitudes that are, frankly, usually useless or even harmful. No one who is not experiencing your grief has the slightest clue what you are going through. If you have ever been crushed by a failed relationship, dealing with saying goodbye, or working through your private hell, you know what I am talking about.

The longer I do this the more I have come to understand that grief is an oft misunderstood and pervading emotion, that is not confined to the death of a loved one. People grieve for a myriad of reasons, from the death of a dream to the break-up of what “should/could have been”. People can grieve the loss of innocence or a dream, the hurt inflicted by a parent or child, even the loss of a job or a hope for the future.

There are, of course, levels of grief. No one who has lost a child would appreciate this being compared to the loss of a job, by way of example. Some grief is overt, palpable, intense, overwhelming. As far as I’m concerned a parent who loses a child is given a “free pass” in my world for the rest of their life. Some hells are beyond comprehension.

Grief is not just an emotional state or feeling. Sometimes, when the waves come (and many of us describe grief as a “wave”), your body hurts. Exhausted. Finished. Grief can come in crests that are all-consuming. Your world is so consuming that you cannot understand why everyone seems to be able to go about their lives as if nothing has happened. You can’t stop crying, or you can’t start. Your heart races and you wonder if you are going to die. It never seems to end. Bad counsellors have told you that it will get better someday but you know it will never end. It consumes you. It defines you. You begin to wonder if you are insane. You can’t stop hurting, wave after wave after wave. You don’t care if you live. You often wonder about death, your death. Nightmares turn into daymares as each day, each hour and minute, seems to last forever. You are destroyed. Broken. Life has no meaning.

I’m not making this up. There are readers here who tell you that I’m not even remotely exaggerating. Quite the reverse, actually. People die from grief, and some people who survive never really recover. There is nothing that anyone can say that will make a difference today, but that’s ok. Helping someone who is grieving is about “presence”, not snappy advice. In that time that cannot be named there was nothing you could have said to me that would have “snapped me out of it”. Recovery was a series of infinitesimal movements that I probably had no idea were happening. Time and tears and waves and waves. Emptiness. Then one time, for reasons that escape you, you don’t have a horrible day. Maybe you didn’t cry today. Sometimes that is a huge win. Let’s not pretend, however, that you were happy. Happy? Not bloody likely. Little by little life was less horrible, though it seemed to take forever.

There is no magic pill at the end of this tale, no Prince Charming to swoop in and rescue us. There is only coping and learning and surviving in spite of it all. As we always say around here, there are some lessons that are only learned in pain. They still aren’t worth it, usually. Pain may have given me a measure of wisdom, but I still would have preferred to stay stupid and idealistic and unscarred.

Once again, there is more philosophy in psychology than many realize. These conversations bring up questions of mortality, and faith, and fairness. Learning to cope with a life you never wanted, in a world you never imagined, is a harder thing than most of us would have supposed; If we could have imagined it at all. I grew up in a world where right always triumphed in the end and cool guys never looked at explosions, they just walked away looking like Fonzie or Bruce Willis, Arnold and Clint. Real men ate red meat and drank martinis that were shaken and not stirred, for a reason I have yet to appreciate. Learning that life doesn’t end like in the movies is a painful lesson that we learn and relearn.

Maybe wisdom is learning how to live in a world that is unfair, and where everything doesn’t necessarily happen for a reason. Lowering my expectations, one more time. It has helped me a great deal when I realized that life offered me no guarantees, only days. Learning to find contentment in the moment has been an arduous journey. Learning to let go of things that hold me back has been harder still. I am still hoping for success someday.

I am often reminded of the second half of the Serenity Prayer, the line where it says “that I may be reasonably happy in this life”. Reasonably happy.

I might have a shot at that.

71% (Or… Beating the Mental Health Odds)

In my ongoing quest to possess the world’s largest private collection of audiobooks, I am reading/listening to an amazing book called Rock Breaks Scissors.

The book is a meandering collection of scientific beauties that most of us have never heard about. How to use science to win the lottery, or at cards, or when betting on tennis, football, baseball, and especially soccer. This book is part of a genre of popular science books written to beguile the amateur. I read as many as I can get my hands on. I have names if you want in.

So let’s learn something new about soccer.

In this little known study scientists studied soccer penalty kicks between the years 1994 and 2010 during the FIFA World Cup. What they found was incredible. Scientists have studied professional soccer goalies and found that when their team is trailing they will choose to jump to their right side 71% of the time. That is a huge statistic for a game built on seconds and millimetres. It only takes 1/5 of a second for a kicker to put a ball in the net and it is statistically impossible for a goalie to know which way the kicker will kick. Or is it?

If you knew which way the goalie would jump, seven out of ten times you were faced with a penalty kick while your team had the advantage, this would be statistically important information to have. Science tells us (and here’s where they start to suck you in to their cult) that because of millennia of conditioning and probable biological predisposition, humans will look to the right when confronted with a precarious situation requiring their attention. You look to the right first when you enter unfamiliar room, for example. Test yourself if you can somehow not prejudice the experiment because now you know what is supposed to happen.

All this is to say that knowing this information may win you games. If your team plays forty games and has, say, 40 penalty kicks a year, occasionally you would be facing a goalkeeper who is wondering which corner you will pick. This may not be a frequent occurrence but consider also that in most soccer leagues there is the occasional infamous “shoot-out” where you can have up to ten penalty kicks in a single match. Knowing this information could mean three or four goals. And in soccer, 3 or 4 goals is everything.

Knowing the statistical likelihood of anything will vastly increase your ability to make good decisions. Suppose I were to tell you that 80% of people with depression got better after one year of good counselling (this is a theoretical question only). Most people who suffer with depression would surely put in this time, right? After all, 80% is a very high number and you have at least a decent shot at transforming your life.

I’m not so sure.

I have seen hundreds and hundreds of people who were only months away from radical transformation, but were simply unwilling or believed they were unable to do what needed to be done. Most mental health issues, for example, can be much better managed with a modicum of effort. Most people still do not put in the time.

Therein lies the nugget of hope. Good things come to those who don’t give up. I have had a front-row seat to many hundreds of changed lives. To a person every one of them undoubtedly told me at some point that things would never change. I have listened to them describe in great detail the impossibilities they were forced to endure. Every one wanted to give up, sometimes every day. Most though I was lying when I said that they could be whole. They were the ones who didn’t quit.

I have known more than a few people who have spent time in prison. Talking with them while they were doing time was often very difficult. I could not convince them that one day they would be free. While you are in the trenches all you can imagine is the war. It is only looking back that they believed things could change.

There was a time I believed I would always be broken. I instinctively knew I would always carry that backpack of pain. It defined me. It absorbed me. I would never be well. I could not understand how other people could go on with their lives as if nothing had happened. I cried every hour of every day. Every hour of every bloody day. Usually much much more.

Then one day I didn’t anymore. One day I had a good day. One day I didn’t feel sorry for myself. It started with a few minutes, then a few more. Little by little. Digging yourself out of depression, or anxiety, or trauma can be unimaginably hard. Some of us can barely get out of bed. People who struggle with mental health or addictions, past traumas or abuse must spend hours and years doing and thinking things that are uncomfortable, difficult to endure, and incredibly demanding of us emotionally and relationally. It is far easier to self-medicate, check out, or get bitter.

Like many of us I still bear the scars of that time. Other scars too.

Rejection

We’ve all felt it. I felt it again very recently. One would think that inasmuch as I do mental health for a living I would be beyond such things, but alas. Rejection is, obviously, very personal. It’s hard to blow off because it is ultimately about a perceived flaw in our character, or a shortcoming, or a failure. Someone has chosen to treat us as “less” – usually someone we care about or whose opinion apparently matters. People have an uncanny way of finding what hurts us, don’t they? Most of us are intimately familiar with rejection. We have experienced it all our lives. We were the fat kid, or the ugly kid, the mouthy brat or the wallflower. Sticks and stones will break my bones but names will never hurt me. What tool wrote that? What kind of an emotional child could actually believe that “names will never hurt me”. I understand the cliché, it speaks to that part in each of us that feels strong enough to not let disparaging comments hurt us. How is that working out for you so far? iuI once got hit in the face with a big rock, thrown by a much older teenager while I was riding my Pursuit 5 bike. It was a very cool bike when I was ten… but that’s another story. The scar healed and there is no longer any physical trace of the injury. Some of my emotional scars didn’t heal quite so well. Being told by my grandmother that I was “useless and nobody will ever love me”. Rejection by the love of my life, so many years ago. You have your list and we could get them out and compare. Sticks and stones… Part of wisdom is understanding that some of those voices from our past (and not so distant past) need to be dealt with and put to rest. I often do such exercises with patients – working through those horrific childhood memories until they are bored enough or healthy enough, have learned enough and cried enough, to move forward. Some of us are still haunted by messages we heard in early childhood. We were picked on at school by other children, called names, labelled and abused. “Have you ever met a five-year old?” I will say to them. “Do you know how stupid little children are? Would you believe them today if they came up to you and insulted you?” Of course not. Children are morons and their opinions about my self-worth are meaningless. But still the voices carry. Some of us were rejected by an abusive parent or lover. We understand cognitively that their opinions of us are less than stellar, and subsequently less than reliable. We wouldn’t  believe a word out of their mouths, but we have. Their criticisms still bite, in spite of such an unreliable source. We are hard-wired to believe the worst, especially when the worst is about us. If you don’t believe me, do this little experiment. Think of a stressful, negative, frustrating situation you are dealing with. Spend ten minutes thinking about all the possible issues. How did things end? If you have an amygdala chances are you started catastrophizing. Catastrophizing is a great psychological word because you don’t ever need to explain it (much). It’s making a mountain out of a molehill. Few of us have the wherewithal to argue ourselves happy in a bad situation. We naturally think of all the worst-case scenarios. We think of ourselves as “realists”, when in all likelihood many are pessimists who simply cannot fathom labelling themselves something so negative. Catastrophizing is the minds natural response to stress and fear. Some of us are professionals. I wish I could end this article with a snazzy little anecdote and tell you that there will be people who will get you and not reject your love. I don’t actually know that to be true. What I have come to understand is that the more healthy I am, the better my self-esteem gets, the more I learn to accept and even appreciate myself, the less that kind of stuff hurts in the long-run. A healthy Scott is quicker able to put things in perspective, better suited to not catastrophize or feel like my world is coming apart. A healthy Scott knows that chocolate and kayaking and sunshine and self-talk can sooth, a little at a time. I have a brain injury. A few years ago I had a grand mal seizure and stopped breathing. It happens sometimes to people for no obvious reason, but I was very fortunate that this happened at the doctor’s office where I worked. I had two of the best docs I know ramming in an airway and giving me emergency triage within seconds. It undoubtedly saved my life. I have written about this before if you care to look. It has radically changed my existence, but interestingly enough not all for the bad. I have lost a great deal of my memory, which is bad. I have a difficult time staying angry or remembering slights, which is very good. It has given me the gift of forgetfulness. And the curse. I still remember things, although to a much lesser degree. I still remember the day my best friend showed up at my door and told me he didn’t want to be my friend anymore because I wasn’t spiritual enough, or at least that is how I remember it. Smaller hurts, though, I cannot recall. This, at least, was a blessing in disguise. On a related note: If you have some of my books or DVD’s I still want them back. I will look surprised when you return them but whoever has my signed Churchill book or my War of 1812 coin, you’re stealing from a mentally disabled person! But as usual I digress. I wish you peace and contentment in a world that is designed to hurt you; in a society that preys on its weak and slanders the broken. The best thing you can do for yourself is become free and strong. The only real armour against rejection is personal wholeness. And a really thick milkshake.

Waiting for Change

Waiting-chorus-string-quartet-pianoAnd waiting.

I remember hearing the song, “Waiting On The World To Change” and thinking, that’s not going to happen anytime soon! Things tend to get worse before they get better, or so the maxim goes. What I have found is that things get ridiculously old before they change. Most of us spend day after day, month after month, even year after year desperately praying for change, until things slowly move. And we’re talking slowly. I don’t have any recollection of when I got out of my all-pervading, soul-stealing, life-draining, ‘who gives a crap about anyone or anything’ depression. There was no “ah ha!” moment, no prayer meeting that turned the corner, no epiphany, no medication, no counselling appointment that finally turned the tide. No conversation seemed to help at the time, though later it was obvious looking back that small change was beginning.

I remember, when I was grieving, going to see a really terrible religious counsellor. I went religious because I could get it cheaper. Mistake. Some religious counsellors are undoubtedly fabulous, but they never met this guy. I should have saved the money and bought a milkshake. NOTHING he said helped. But then again, nothing anyone could say at that point made much of a difference. He was extra pathetic inasmuch as he couldn’t keep confidences and literally ratted me out, exacerbating the situation exponentially. Long story short… he sucked. Sadly, many counsellors do. They go into this occupation to save the world and somehow fix their own dysfunction. They are rarely successful. By way of example, hundreds of addicts I have worked with, and we’re talking hundreds, are convinced six weeks into sobriety that they want to be a drug and alcohol counsellor, or work with youth. People love love love theoretically working with youth… until they work with one and realize that adults actually listen, most youth in counselling have no longer than five minutes of attention span (thank you every adolescent male for the stimulating conversation), and adults won’t attempt to give you a wedgie during your coffee time or fart out loud and blame you at Starbucks. These are, of course, only theoretical examples and I’m not really upset with that little puke who blamed me at the coffee shop I frequent almost daily by yelling and holding his nose, pointing and gagging. Completely theoretical.

Anyway… what were we talking about? Oh right, depression. Happy times.

Coming out the other side of depression seems to take forever. By the time someone lands in my office to actually deal with such things they usually are so far gone it can take months just to talk them into getting up in the morning. I never start by asking a depressed person to do much of anything. The key problem with depression, as I oft recite, is the lack of motivation. The number one thing you need to get out of depression is… motivation. So how do you get motivated to get motivated? Certainly not by going to a doctor who prescribes an hour or walking, journaling, or going out socially on dates. Such goals are laughable, in the beginning. Unfortunately doctors are left to diagnose and prescribe such maladies on a daily basis, while having little understanding of psychology or mental health in general. It simply isn’t really covered all that much in medical school. But again I digress.

I cannot point to a day when I felt better because there wasn’t one. Coming back from the living dead took years of reading and crying and praying and talking and talking and talking… and not a little bit of drinking, much to my chagrin. I don’t recommend taking a depressant for depression. It’s similar to smoking pot for your anxiety – short-term gain, long-term pain. Doctors recommend that too!

It is the same with trauma, anxiety, and much of the mental health spectrum. There is no fad diet or cleansing that really can make you whole again; no magic pill or medication that will solve your problems. Some of us desperately need to be medicated, but with an understanding that medication alone is rarely sufficient. What really needs to happen is time. Time to move beyond the raw beginning. Time to let all that good stuff you are learning congeal and begin to take effect. Healing takes time. Real healing always does.

I tell this to patients all the time. Even with the best counsellor change rarely happens overnight. I find, and this is not even remotely scientific, that my clients usually take about three months of intense therapy before stuff starts to vibrate. Six months to a couple of years to deal with trauma, or anxiety, or serious depression. Sorry to say but a combination of co-morbidities could require longer than that. Some of us know this, though it’s counselling suicide to speak of it out loud. “Short term interventions” that we were all teethed on in college are only relatively short, when compared with how long it takes to not get better. Consider then, if you will, that most extended health plans cover 5 or 6 counselling sessions. So why aren’t you better yet?

Depression is not necessarily a terminal illness. Neither is anxiety or trauma. What is true, is that they are not easy to overcome. It took me years, and I still bear the scars even today.

Waiting.

 

 

Innocence

howbigisyourbraveI like doing groups. Usually, at the beginning, I dread losing another night of my week for something that resembles work. I wonder why I volunteered again. Here we go… again.

But something happens after a few weeks. People begin to open up. The group starts to jelly. Friendships are born and confidences given. One by one the participants let us into their pain, their dysfunction, and their beauty. I begin to count the weeks differently – now I’m counting down the days until the group is over. I’m not sure what will happen, this time. What if we decide it shouldn’t end?

One of the groups I created, that I do from time to time, it called “Welcome to Normie Land”. I hold it at the Addictions Centre where I spend some of my week, usually for a room full of people who are living in transitional housing, trying to swim their way back to what they once lost. They are good people, wounded people. I walk well with this part of the population, having spent most of my adult life working with the poor, the oppressed, the addicted. The lowly. They are my people now, for better or worse. But back to the story…

She had been coming to groups where I work for over a year, a long time to be in transition. She had a hungry mind and loved to talk about neurochemistry, among other things. I loved hanging out with her.

In one part particular group, while we were talking about relationships, she began talking about her new romantic interest. With eyes twinkling she sheepishly admitted that she was struggling with dating ‘clean and sober’. She was embarrassed. Without her “buffer” she had depended on for so many years to deaden the emotions she was suddenly shy, emotional, even “girly” around one particular cute guy at church. She went on and on about how mortified she had been after letting her emotions get the best of her whenever he was around. She told the group that she felt like a loser. As she continued speaking I couldn’t help it, I blurted out, “That’s so amazing. That’s absolutely wonderful!”

What I had realized, what nearly everyone in the room except for this person knew, was how amazingly alive she sounded. She was falling in love, living in a storybook, most likely for the first time in her life. What years of abuse and pain had taken, time had begun to restore. A return to innocence.

That’s what can happen, if you want it bad enough and the stars manage to align. One of the greatest perks in my job is the front row seat I get when people discover who they really are. Every once in a while someone wakes up, having hurt enough and striven enough, won and lost and gotten up again. After what seems like years and years, change comes to those who don’t quit. Actually, those who have probably quit a hundred times and still are in the fight. Over a matter of weeks I watch things radically change, from the way you dress to what you now believe. You have done what you said you would never do, you have moved on. It was impossible those many days ago, unimaginable. You laughed when I suggested that things could be different. I remember but it’s ok, everyone seems to in the beginning.

And that’s the good news at the end of the fairy tale, or is it at the beginning? I was always a firm believer that good things happened to other people. Then I grew up a little. I wasn’t sure I wanted to get better, but I did. Much slower than I thought, but it did. People who are reborn know that when your parts go back together again they fit differently, somehow. You are changed and you know it. Happiness means something different now than it once did. You have finally said goodbye to your emotional youth, though not without a fight.

But it’s not really a fairytale, is it? I hope. Normal people who don’t look good under florescent lights can relate to this story. Even the almost happy ending. Don’t give up, it always seems impossible at the beginning. Even if that beginning is the sixtieth beginning. And while we’re talking about it I give you permission to let go of some of the shame and guilt. Seriously, haven’t you done enough penance? Sure you screwed it up, welcome to the real world. I keep screwing it up and I get paid to know this stuff. Time after time clients complain that they constantly fail. They have broken self-esteem. Some people even stop coming to see me because they are so embarrassed that they screwed up again. Please, don’t think like that. It doesn’t matter if you fell down again. Don’t listen to the critics, especially if you are one of them. When people come to me and sheepishly confess that they are abysmal losers all I ask is, “So what lessons have you learned?”. No guilt, no shaming. I might be an idiot but even I know that you have beaten yourself up enough.

I learned that I was usually more vulnerable that I wanted to admit. I realized that my issue was a lot stronger than I wanted to believe and I needed to respect my opponent. I finally learned that each and every one of my failures taught me something about myself that I needed to know. And one day, that last day, I walked away. I don’t why it was that time but I must have been ready. And many, many of us can testify that they finally healed.

How Long Can This Take?

It’s very sad. I have watched it happen for years but it continues to haunt me, just a little bit. She quit. She had been coming for just over two months and she was frustrated. The change that she was promised has not happened and probably never will. Something inside of her suspected this would happen but she thought she owed it to herself to at least give counseling “a shot”. Two and a half months.

So close.

I’m very weird. When I want to unwind I love to strap on my ear buds and listen to cosmology or physics or history. Atoms fascinate me. So does the universe. Like most of us who endured Physics in high school I learned that Physics is boring; and the only people who became physicists were the kind of people who would never have to worry about things like having a girlfriend or being popular. Physics was cylinders and math and radiuses..es. Bill Bryson was the guy who introduced me to this alternate reality. There was a book I once read about a journalist who was on an airplane flight and he realized that he didn’t know why the airplane was in the air, didn’t know anything about geography or science or the stars so wrote a book about a bunch of cool things I had never really taken the time to appreciate. I can’t remember the name of that book but if anyone has read it, let me know.

It was Bill Bryson’s book “A Short History Of Nearly Everything” that really rocked my world. I have read it cover to cover four times and will probably destroy it when I eventually read it again and again. Bryson helped me imagine 10,000 billion billion stars. He wrote about how on the very smallest level, far tinier than atoms, the basis of life is music. I am naturally a storyteller and this book has provided hours of fodder. It has helped me understand how precarious and unlikely life is, while showing me that there could possibly be a million worlds that could support intelligent life, though probably nothing like us for many reasons that I have learned from books like this. I met people like Michio Kaku and actually read Hawking. I am listening to “The Magic Of Reality” by Richard Dawkins but he is bitter and is killing my fascination with the magic of reality so I may listen to the original BBC radio dramas of Sherlock Holmes next to cleanse my palate.

So what do trilobites and neutrons and anxiety have to do with each other? I almost forgot… quitting.

I never took that second Physics class that Bryson talks about, the one that introduced you to real physics – the universe, the atom, the amazing. I was stuck with the volume of a cylinder and boredom and the pledge to never read physics again the rest of my life, so help me God. So close.

Apparently the next year you were introduced to the meaning of life, the beginnings of the universe and the mysteries of existence, so all-in-all I probably didn’t miss much.

I have mentioned in other articles here, here, and here that most people do not really change, especially if they are dealing with anxiety or trauma, because change is very hard and takes a long time. We have been sold the lies that promise to transform us with little or no effort. We are in love with shortcuts and our brain in neurochemically wired from an amygdala level on up for novelty. Many of us have also helped evolution along through our excessive use of drugs or alcohol, maybe our parents drank a bit when we were in the womb, perhaps we have inherited the douche bag gene, etc. Whatever the situation you can bet your 1984 Klondike Days Commemorative Coin Collection that you won’t be over your mental health issues in two months… or six months… or probably a year or two. It just takes however long it takes. There is no epiphany day for most of us. After three months of intense introspection (literally a few weeks after she quit) most people begin to notice something happening, though they are hard-pressed to describe it or even understand what “it” is.

We meet and something about you is different. Maybe you decided to go for a walk this week after ten years of depression and guilt because your psychiatrist, who never took the time to meet you, told you that you needed to walk for an hour, every day. What an idiot. Don’t even get me started…

Don’t quit. You only have one shot at this and contrary to what I really, really really want I probably won’t find a time machine so that I can go back to high school with all I know now and rule! Being free of those demons that haunt us is something that must be earned, and comes at a terrible price for some. All I can say is, I know personally that it is worth any price. I’m not there yet, but to paraphrase Martin, I can see the mountain top.

Some of you know what i mean.

Bore Me To Life

I have spoken with a lot of people about trauma. It’s kind of my job. Rarely a day goes by without hearing about someone’s life taking a tragic detour, of heartache and ruined families and ruined lives. That’s pretty much what we call “a week day” around here. I love it and I hate it.

Most of us know a little something about trauma. We’ve seen enough and heard enough to believe that people who have deep-seated resentments need to “get it out”. Pain breeds bitterness and bitterness breeds an ugly and petty life. Just get it out.

I used to think that “getting it out” meant that we had to go over every little ugly detail, line by line, over and over again. We called it Exposure Therapy, we called it CBT. We called it a lot of things. Over and over and over.

There may be something to that, though maybe something different from what was initially intended. Talking does, for reasons that often even escape me, help. This is not even a controversial truth. Everyone, with the possible exception of a few Scientologists out there, understands that counseling can have value.

Quite a bit of this is really about boredom.

The jury may be out on whether or not rehashing your childhood “until you can let go of it” is even possible. What I do know is that if we talk about this stuff long enough you are going to grow tired of rehashing it over and over. Eventually I am going to wear you down until you care about that issue – 1% less. With time the emotional death-grip that this hurt has on you begins to loosen, very very slowly. With time the details seems to matter a little less. Talking about something you have spent your life trying to ignore helps to loosen up the vice. There is insight and perspective, arguments and pain. One day you realize you haven’t grieved in a few days and you know that you are learning to walk again.

Time heals, sometimes.

Working through your issues and coming through to the other side is less about techniques and more about showing up. If you find a counselor that doesn’t suck and are willing to put in the effort, anything is possible. It may take a lot longer than you first imagined but it is always, always worth it. You have only one life, and I don’t know about you but I do not wish to spend that life broken.

Maybe moving forward begins with some of us walking into a counselor’s office and saying, “bore me to life”.

The Great Perhaps

I’m tired of pessimism. It is the world I live in. It is the state of things around my chunk of the party. I have often said that by the time people get to be about 40 they have seen enough pain, been abused and slandered enough, that it’s hard to be an optimist anymore. Most of us have more than enough reason to be pissed off.

My dad is an optimist. It would be fair to say that he is “the optimist”. If you got in a car accident and lost a leg he would encourage you and remind you how much cheaper it’s going to be only having to buy one shoe. That’s my Pop. They don’t call him “Happy Howie” for nothing.

Annette likes to talk about how, no matter what news you give my dad, he somehow makes it sound like a good thing. He recently released his memoirs and named the book ever so aptly, “Life is Great. And It’s Getting Better”. My kids hold him in near-mythical awe. When I recently told one of my sons that I was buying my dad’s old CRV he turned to me with a straight face and said, “You’re so lucky, Grandpa sat in that seat.” It does not suck to be my old man.

I want to get better, getting old. So mature and wise that I think I understand the meaning of life. And cool. Someday I hope to be cool again. I think I’ll wear a fedora everywhere and put on suits again. And flirt with younger women. Give out sage advice with a wink. Have my first mint julep. Spend some time in California with my two buddies who live there. I’m going to float on a small boat in a hot place with the woman I love.

I go to seek the great “perhaps”. Perhaps the next part of our lives can be the best part. Perhaps this time we can deal with it and let it go. Perhaps there will be more time for good friends and food, more moments lying on the grass in the sun and swinging little children. And laughter.

One of the surest signs that a person is working through their depression, for example, is the renewal of hope. One day they come into my office and don’t talk the way they did in our previous appointments. They walked a bit more, talked a bit more, and felt a few more somethings. I am constantly surprised when this happens, and it happens around this office quite often. We can never identify the “when” and rarely even the “why”. It just happens. Hope can do that to a person. Allowing yourself to think about a different and happy future is one of the first – and always one of the most important – steps in any recovery.

Perhaps.