Trigger warning: discussions of mental health and suicidal thoughts below.
People who know me, know that I’m in substance abuse recovery. I
don’t drink or do drugs, and haven’t for over forty years. I
don’t keep that a secret.
I also need to “come
out” on my mental health problems. I thought of waiting to do a
reveal in Mental Health Awareness Month, but that’s not until May.
I’ve also had
problems with suicidal thoughts. So I considered Suicide Awareness
Month, but that’s September, so I missed it. There are reasons I
don’t want to wait (some of those reasons are pure egotism, but
there’s also some discomfort with trying to hold this stuff in), so
I’m putting it out there now.
I’ve been
diagnosed with an anxiety disorder by a psychiatrist who has the
credentials to do so, and I’ve been on medications to manage it
(the ones I used didn’t reduce the subjective feeling of anxiety
much, but I’m still here, so they may have been effective in
reducing the suicidal thoughts to a manageable level). Now, I’m
fairly sure that some neurobiologist is gonna come along and tell me,
“No, it’s impossible for things to work like that; the biology of
your brain doesn’t allow that to be true.” But this is the way I
think my anxiety disorder works:
To have an anxiety
disorder flareup, I think you need two things:
The event or
condition that causes the anxiety, and
The psychiatric
condition that inflates the anxious feelings to an unmanageable
level.
I suspect most
people get some anxiety sometimes; things occur to cause worry in
most lives. I don’t know what the subjective experience is like for
others; I only know my own experience. Sometimes, the worry is not so
bad for me; I am able to continue with my daily life without much
dysfunction. Other times, when the disorder flares up, I have
suicidal thoughts, pain in my thighs and the backs of my upper arms,
insomnia, either poor appetite or overeating, diarrhea and (rarely)
vomiting. I ruminate through the night and can’t sleep. (The worst
time is often 2:00 or 3:00am, because I don’t feel like I can call
anyone, and there are few things I can do at those times to distract
myself or get help.)
But even when I
don’t have the triggering event or condition that causes the
anxiety, sometimes I think the “disorder” part manifests. I can
feel a general sense of unease; I get anhedonia (nothing feels right
or tastes right, or “sparks joy”); I have poor concentration; I
have a hard time focusing on responsibilities, or even listening to
what people I care about have to say.
I’ve been going
through a bout of that recently.
Some of it has to do
with my suicidal thoughts. Now, except for a short time one night a
few months ago, I haven’t had a serious episode of the anxiety
problem since I quit working (much of my anxiety problems are tied to
either work or relationship issues luckily, the latter appear to be
in good standing). Suicide screening is something I know something
about (I was a mental health screener for a few years – ironic,
right?). And when you’re screening for suicide, one of the things
you ask about is whether the person has a plan, how close or easy to
achieve that plan is, and whether the plan is likely to be fatal. For
example, a person who says he or she wants to suicide by overdose,
but doesn’t have the pills, and doesn’t know which pills are
likely to actually be fatal, and hasn’t done any research into
either question, actually has a comparatively low likelihood of
suicide (although that doesn’t mean you don’t take the issue
seriously). The person who intends to shoot himself (usually) or
herself, and has the gun and ammunition, is a much more worrisome
case.
When it was really
bad, my plan was to jump off a bridge. The Morris and Donald Goodkind Bridges are the bridges that carry Route 1 over the Raritan River:
the northbound bridge is named for Morris and the southbound for his
son Donald. Morris has more-or-less convenient parking, and does not
appear to have suicide-prevention fencing or other measures in place.
That’s the bridge from which I was going to jump when I was in the
worst of my anxiety.
I’m not in that
anxiety anymore, and have no intention of pursuing suicide. But the
plan doesn’t evaporate just because I no longer have the intention.
So the answer to the question, “Do you have a plan?” is yes, and
the plan is both proximate and likely to be fatal… which will make
the inexperienced screener commit me. But the truth is, my life is
good now, and I have no intention of suicide, which is why I’m
still at large and not on unpleasant medications.
Further, most of the
times I cross either Morris or David, I’m reminded that, while
things were bad once upon a time, they are not so, now. Every
crossing of those bridges is a reminder that I’ve successfully
survived this long, even though, at times, it was not clear that I
would. Every crossing is a little triumph.
And the reason I
didn’t want to wait for months to post this stuff, is that I was
fairly sure that writing and posting it would relieve some of the
craziness I’ve been feeling – and it has worked; I’m much
better for having this out there. I’m lucky in that I’m retired,
and my livelihood would not be affected by my honesty about my mental
health condition (and, having worked in mental health and substance
abuse, I’m sure that even then, I had more flexibility than most in
the workaday world, although even among my peers in that field, there
is some stigma to having the same problems we treat in our clients).
I know that not everybody can be as honest as this about a similar
condition.
But I want to be
“out” as a person who has suffered from mental health problems.
It’s possible that my having been honest about this might be a
disincentive for some people
to seek help. But if it’s possible that my experience might get
another person closer to getting the help they need… then isn’t
it pretty much my responsibility to do it? Especially when I now have
so little at stake?