Archives for posts with tag: mental-health

I woke smiling this morning, although in pain, and feeling light-hearted, balanced, and calm. This would seem almost commonplace, except that last night, at the end of a wonderful evening with my traveling partner, some particular turn of phrase, repeated several times in conversation in relatively quick succession, triggered my PTSD symptoms. My emotions quickly spiraled out of control, and somewhen in the midst of it, I directed my dear love to go, to leave, to walk on…and found myself alone and crying; he respected my boundaries, which sucked then, but this morning it is something I cherish. I can count on him so utterly.

p.s. I love you.

p.s. I love you.

He phoned me after he left, upset and concerned. He pointed out my symptoms (because I am not always aware that I am interacting with some other experience). We talked.  Afterward, I took time to meditate. I calmed and soothed myself – relying on emotional resilience and self-sufficiency that I am building over time through all manner of practices (like meditation). I reflected later on what went down, and how and why. Moments like last night are outstanding for monitoring growth and progress – but they still suck completely and entirely. I emailed him an unreserved heartfelt apology, making no excuses for my behavior (let’s be real here, it’s been much much worse in the past, and that’s not relevant to treating someone I love badly now!), which was uncomfortable for both of us, and unpleasantly emotional. I was already over it such that I could also express gratitude and appreciation for what he was attempting to discuss and help me with, and I had taken time to follow up on our shared concern and the practical relevant details… like a grown up. 🙂

I made a note for myself to follow up later on developing more effective ways to gently communicate that some particular detail, phrase, approach, or behavior has the potential to trigger me – not in the hope of having it avoided, but because in real life these things come up, and one by one I must move past them, for my own emotional well-being, and as a loving investment in my relationships, and wouldn’t it be nice once in a while to just say ‘Oh hey, could you rephrase that one this time? I’m still working on that and I’ve got some challenges with that verbiage’. It takes time, but I no longer view improving on these things as unachievable; I may have some measure of PTSD for the rest of my life, but there is nothing about that which suggests I can’t continue to improve, to grow, and to become the woman I want most to be.

We've all got some baggage.

We’ve all got some baggage.

When my traveling partner had gone, and I was sifting through my chaos and damage, it was quickly very clear that the entire problematic exchange wasn’t at all about or with him (or us) in any way at all; I could feel my violent first husband standing in the room with me. It was an eye-opening moment to be so able to clearly sense the anachronistic miasma of ancient fear and pain. It was also part of what allowed me to move past the moment – and my symptoms – so quickly last night, once I was alone. I could really feel that it didn’t source in my real experience of the moment in any way at all. I had been triggered – and I don’t mean mainstream press too-pc-for-adulthood-don’t-say-things-I-find-discomfiting- “triggered”*.  I mean no bullshit, I was having a post-traumatic stress flashback. Generally, in the past I have had no way of clearly discerning that such is the case until well afterward. This is growth. I don’t know what to do with it, but it is very promising, anyway. I haven’t had a flash back in a long while (months, and well before I moved into my own place, back in March).

Every moment of growth is as a rainbow in a stormy sky; a promise of better things.

Every moment of growth is as a rainbow in a stormy sky; a promise of better things.

Last night – and a couple of times early in the day – I was having a strange very severe headache in a weird location, that throbbed with a deep dull nauseating ache that pulsed every 10-15 seconds or so. I’ve no idea if it was related, causal, or worth consider a serious concern… except that any headache that is unusual is also of great concern for someone with a TBI and a family history of stroke. This morning I made a point of emailing my physician to make note of the headache, and ask if I should make an appointment. I haven’t felt it yet today, so perhaps it was just a headache.

Today I'm not making this complicated.

Today I’m not making this complicated.

I am okay right now. Love is okay right now. Human beings persist in being human, and life offers opportunities to learn, to fail, to grow, and to connect our hearts through what is difficult more often than through what is easy. It’s worth becoming skilled at managing my worst moments more skillfully; I can count on most of the best moments to take care of themselves.

It helps to have the right tool for the job.

It helps to have the right tool for the job…

Today is a good day to practice good practices. Today is a good day to take care of me – and to take care of love. Today is a good day for listening deeply, and connecting honestly. Today is a good day for authenticity and vulnerability. Today is a good day to say thank you, when love shoulders the heavy load my post-traumatic stress carries every day. Today is a good day to walk on, and enjoy blue skies. I am okay right now. 🙂

...and perhaps a change of perspective.

…and perhaps a change of perspective.

It's a journey. Each step I take is my own.

It’s a journey. Each step I take is my own.

*Just an afterthought…Can I just say that I find it damned inconvenient that people have undermined the value and meaning of the word ‘triggered‘ by diluting it for their everyday over-sensitivity or bad-tempered moments? For someone with post-traumatic stress the experience of having symptoms triggered is not a mildly uncomfortable moment, or inconvenience – it’s a pretty big deal, associated with brain chemistry, volatility, mood, physical experiences, and isn’t something that can be easily turned away from or ‘managed’. By mis-using the word to cover feeling uncomfortable to read the ‘fuck’ in a news article, or because a moment of provocation caused a bit of temper, people who really need to express an experience are robbed the language to do so. Knock it off – go find your own words. Seriously. There’s a big difference between being a bad-tempered over-sensitive little bitch, and being having one’s post-traumatic stress triggered – trust me, I’ve had both experiences, and I’m pretty clear on the difference. 🙂

I would write more than I will, if I could. It’s been a peculiar day, and more stressful that it had any right to be. Any deep dive of the details I might attempt would only go too far, and say nothing meaningful or of lasting value; I am tired, and I have been through too much today.

Let’s be fair about the day? It wasn’t tragic, just trying. It started well and finished with a cascade of challenges interspersed with a couple of things that were quite nice, and turned out well. The things that went awry weren’t crises of any magnitude – it was all small stuff, unworthy of stress. I simply found myself pulled down, anyway.

The morning was lovely. It’s enough to say that, and linger on the lovely morning, without thinking about the strangely disturbed night’s ‘sleep’ that wasn’t really sleep which preceded it. The morning wiped all that from my consciousness for many hours, and the challenges of the day were simple reminders that I must be vigilant and assertive about taking care of me.

Reset! Let's try again tomorrow.

Reset! Let’s try again tomorrow.

I’m tired now. I’m home and safe. The water in the community is back on – a shower at the end of this hot day will be just the thing. It’s chill time, and there is nothing to fear or to doubt. Tomorrow will unfold on its own merit, as days generally do.

I woke around 2:30 am, drenching in cold sweat, feeling a vague sense of panic, breathless, heart pounding…and anxious. I tossed and turned for some moments until I was awake enough to realize I was struggling with, rather than responding to, my feelings.

"Anxiety"  10" x 14" - and she feels much bigger than that, generally.

“Anxiety” 10″ x 14″ – and she feels much bigger than that, generally.

By the time an hour had passed by it was clear that self-compassion, reassurance, and a little meditation were not sufficient to put this particular anxious moment to rest. I got up for a few minutes and did some yoga (specifically a sequence of postures that are described as ‘calming’). I took a Benadryl (over-the-counter, fairly safe, and one of the oldest pharmaceutical anxiolytics). I got comfortable in bed, with some soft dim light, and read something light and entertaining for a few minutes. I got back to sleep.

I woke this morning, having slept in until past 7 am, anxious. Great. It’s going to be that holiday weekend, is it? I remind myself of two things as I head for my coffee: I overslept my usual timing on my thyroid medication, that can sometimes make me feel anxious, and anxiety is a liar.

  • My anxiety tells me ‘something is very wrong’. There isn’t anything actually wrong, based on observation of my environment and circumstances right now.
  • My anxiety tells me I have clearly done something terrible to feel this way. This is more a reflection of learned responses; as an anxious child, my parents reinforced the idea that anxiety is an indicator of unstated guilt. (Anxiety may or may not be associated with feeling guilty – it is a separate emotion, and correlation would not prove causation.)
  • My anxiety tells me I am ‘not good enough’ and backs that up with delusional ‘examples’ that ‘prove it’. (Taking a look at each offered example from another perspective derails the seeming factual nature of those arguments – but the anxiety exists; it is its own thing, requiring no ‘proof’, and refuting an example successfully doesn’t end the anxiety, it feeds it with attention.)
  • My anxiety reminds me that ‘time is running out’ – which, while true, is more about playing on a basic understanding of ‘how things work’ to terrorize me from within; what I do with my time is what sets the pace of my experience, not the sweeping second-hand on a clock.
  • My anxiety is a very physical experience that dissipates quickly if it can’t get a solid emotional foothold and a steady infusion of new chemistry; it will whisper anything it has to into my vulnerable consciousness to achieve emotional domination. Anxiety is a bad ass – but not to be counted on for truths.
  • My anxiety finds ways to put doubt, insecurity, and fear in my path; if I am consumed by those I stop questioning the anxiety and build it a home, instead.

Sometimes a bit of anxiety may be a healthy indicator that I am stepping outside my comfort zone in a positive way – that’s not what this morning is about. I am nauseated, and my body is enduring physical sensations I associate with imminent threats, terror, impending physical attack, terrible consequences, and future preventable loss followed by the dismay of others on a ‘how could you??’ level. It isn’t real. How am I so sure it isn’t real, when it feels so real? Because both thoughts and emotion lack substance until we give them substance. Emotions are physical experiences that manifest themselves both in physical and cognitive ways. Feelings. I feel. However, I am also able to make some sense of reality (in whatever limited way is available to me as a human primate with a complete set of common place senses and faculties) – and there is nothing in my environment that would cause this experience.

I am so human. Without question there are circumstances and experiences in my adult life that might cause some moment of mild anxiety…but this is not that. This experience qualifies as ‘disordered’, if for no other reason because it is very clearly and demonstrably not based in my real experience of now. Still, the small things that tend to drive small anxiety hop right into the ring with the Anxiety-with-a-capital-A of the morning; there is a chance that putting those to rest one by one may ease the Anxiety, but it isn’t a given, and is as likely to make things much worse if I become frantic or driven over it, by becoming invested in the outcome.

I am drenched in sweat. The apartment is a comfortable 72 degrees, and I am not exerting myself. Hormones? Still? Maybe – or just the anxiety, over coffee. Oh hell yes I am still having my morning coffee – with caffeine – in spite of the anxiety. Basic self-care demands it; the headache I’d be having later today if I don’t have my morning coffee would only put me at risk of being less able to continue to work through the anxiety if it lingers.

I have PTSD, and anxiety is part of my experience sometimes. I have a brain injury that results in executive function impairments – one of which is that I lack skill at managing strong emotions; I tend to put it all right out there, and find it difficult to ‘wrap things up’ in a timely way, sometimes remaining immersed in an emotional experience that is long behind me. These two things do not play nicely together. I write those simple words and tears start falling (I still find being quite so broken a sad thing, I mean, fuck – I’m 52 and still dealing with this bullshit!) – quite possibly the healthiest thing I could do for me right now are these honest tears – the science suggests that this will bring my cortisol level down more rapidly than most things I could do right now. Still sucks. I feel like a big cry baby (yeah, I hear the beratement and derision there, and recognize my demons on the war path, attacking me when I am vulnerable – it’s not helpful to treat myself callously right now).

I don’t like writing about anxiety…but if I were to omit this experience from my writing in a willful way, then I would also be a liar, leaving you thinking that somehow I had magically cured my anxiety issues with some sitting still, a few good books, and the occasional walk in the sunshine. It isn’t that easy. If it were, I wouldn’t be 52 and crying over my coffee because I am just that anxious on a lovely summer morning, utterly without cause. Writing about it, in a practical way, without ruminating over the details that my Anxiety would like to direct my focus to, seems helpful this morning; I am (after 1000 words or so) considerably less anxious now. Experience tells me it may surface again a few times over the course of the day or weekend, ready to become a weapon of mass distraction in some future interaction; today I will continue to take care of me.

Huh – there it is again. Is it my commitment to taking care of me this weekend that is actually causing the anxiety? Just now, as I considered taking yet another day focused completely on taking the best care of me, my anxiety shot through the roof… interesting. Am I still harboring feelings of guilt over putting me at the top of my agenda day-to-day? It’s a question worth considering some time.

Few things are more delightful than a leisurely morning over coffee with someone I love dearly.

Few things are more delightful than a leisurely morning over coffee with someone I love dearly.

…It is hours later now, about 2 and half hours actually. My writing was interrupted by the door bell. I checked through the peephole expecting someone canvasing the neighborhood for sales or prophet, and to my great delight my traveling partner was on the other side! We shared a leisurely morning coffee, catching up on small things, celebrating life, love, and enjoying each other’s company greatly. His is that rare presence that nearly always eases my anxiety, regardless of circumstances. I find myself on the other side of the anxiety, feeling comforted, safe, and assured that ‘all is well’. Good practices, trusting that the anxiety will pass, being frank about its appearance in my experience, and refraining from investing in holding on to it all help greatly – the addition of a pleasant intimate connection with another human being finished it off.

It’s a promising start to the day. I put on music, make a second coffee, and consider this pleasant moment. What could be worth more time, study, investment, or practice than Love and loving? 🙂

I struggled with a bad bit yesterday. It was the first significant experience with loss of balance, volatility, and my chaos and damage since I moved. The lovely morning began to slide sideways fairly early in the day, as I reacted to fairly commonplace work stress while also struggling with my hormones. I made choices that caused both to be more serious challenges than they might otherwise have been.

I realized where my state of being was taking me around mid-day, and made the choice to start the holiday weekend early. A hot day, no clear agenda, enough background stress to repeatedly find myself clenching my jaw…I followed up my early departure from work with the choice to head to the nearby mall…an odd choice for me these days, but I found myself wanting to window shop and consider my quality of life ‘to do list’ for home and hearth, and enjoy the colder a/c for a time.

Choices matter. This choice was not ideal for me, fortunately I still have free will.

Choices matter. This choice was not ideal for me, fortunately I still have free will.

Clenched jaw. Headache. Irritability. Backache. A persistent feeling of frustrated anger simmering in the background. Feeling disconnected – and unable to connect. I felt very aware that the issue was my own, and not something anyone else was causing. As I wandered the aisles of ‘retail paradise’ I repeatedly pulled my focus back to ‘now’, working to maintain awareness, and presence in the moment. I was not expecting to find myself unable to find joy in the varied colorful displays of merchandise offered for my consideration; “retail therapy” used to be something I could easily rely on for a diversion, if nothing else. It was not working yesterday; I am not the person I once was.

I got an icy cold creamy chocolate-y coffee beverage ‘for medicinal purposes’ (yes, in my experience the combination of chocolate and coffee does help with hormone challenges). I sampled some fruit teas, and bought a nice one for iced tea for the weekend. The mall had nothing else to offer [for me], unless perhaps I had a much bigger kitchen, and an unlimited budget for high-end kitchen gear – neither of which are the state of things. I felt irritated with the noise – I went to the mall while I was struggling with noise sensitivity, too? What was I thinking? I headed for home feeling pretty low, and rather dismally disconnected from self.  The heat of the day contributed to being so cross by the time I got home that I was near tears. I sent my traveling partner a heads up that I was dropping offline for a while to take care of me, and that I was not at risk of self-harm; worrying loved ones doesn’t help with longer term stress management.

As soon as I got home I reached for the checklist. Mine is personalized with some additions that are specific to my own needs. First things first – I went down the list and checked off what I knew I had already managed and discovered something I wasn’t fully aware of; there were some significant misses. I set the check list aside, and in a ‘first things first’ sort of way, had a leisurely shower to rinse off the stickiness of sweat and the heat of the day, and changed into ‘comfy clothes’ [for me that’s yoga pants and a loose tank top]. At that point I put down everything else – including my concerns, doubts, stress, and emotional weirdness – and took time to meditate, no timer. It was a struggle. My mind wandered, again and again, fussy over nothing, irritated with minutiae, distracted and out of focus, and feeling vaguely sad. Each time I came back to my breath it got a little easier, and I felt a little more calm. My headache began to ease. My clenched jaw finally relaxed.

Another look at the checklist, and I began working my way down the list item by item…a healthy meal…some exercise…music, dance, yoga…I picked up and completed a couple small projects, and planned the weekend around taking care of me, and enjoying some leisure time. I stayed away from social media, and video brain candy. I looked into the face of my anxiety fearlessly, and allowed myself to consider that I might go completely to pieces that evening and find myself in crisis management mode, and affectionately accepted that I have challenges to deal with, even now, and that life isn’t about ‘perfect’ or ‘happily ever after’ and that the variability and intensity of my emotional life is also part of how I feel the intensity of the love, passion, and delight that I do in other moments. I reminded myself this would all pass, as things typically do; the intensity is not really sustainable.

The hormone piece is a real bad-ass as challenges go; I’ve passed menopause, and the tendency is to think this means I am done with complicated mood swings and whatnot resulting from the reproductive hormone cycle, but that’s a gross oversimplification, and this week I had screwed up the timing on my HRT – which means hormones became a factor that needed acknowledgement, attention, and self-compassion. The disinhibiting qualities of my TBI contribute to my volatility; I have trouble managing intense emotions, however fleeting, and the stress caused by my fears that I may ‘lose my shit’ unexpectedly and lash out in a socially inappropriate way doesn’t make it any easier.

Over the next few hours of taking care of me with my whole attention, and nothing else on my mind, I managed to find my way to a more comfortable place. I didn’t stop when I got there, and enjoyed several more opportunities to meditate, to treat myself with compassion and tenderness, and to restore order to my thinking through the living metaphor of restoring order to my experience, and my environment.

This morning I woke at the usual time, without the alarm, and got up long enough to take my medication on time, and return to sleep for a delicious additional 2 and half hours. I woke easily, feeling content and comfortable in my skin, and in my head. I overslept my original plans, but didn’t feel disappointed; I have a plan B. I enjoyed a few minutes of conversation with my traveling partner, in the digital world, and made coffee. I took time to enjoy my coffee without distraction, feet up, listening to music. Meditation, yoga, and dancing got my on my feet and enjoying the pleasure of movement. I took on a couple small household projects, like reorganizing the pantry for the shelves that will arrive next week, and making a home for the bin in which my journals remain packed (I once needed to see them displayed all around me to feel secure). The additional living space and order feel very good, and I recognize that the lack of order was causing me stress; these were details that felt very much that I wasn’t finished moving in.

Blooming in my own time, when conditions are right; I am learning to tend the garden of my heart more skillfully.

Blooming in my own time, when conditions are right; I am learning to tend the garden of my heart more skillfully.

It is one truth that I will face my demons until they are vanquished. It is another truth that although I have taken many steps, there are many more ahead of me. It is yet another truth that I am okay right now, and right now that’s enough.

I feel sure of quiet mornings. I don’t know why. I do know that serious disruption of a morning that starts well puts me at high risk of a crappy day; I don’t recover easily from having a quiet morning blown with OPD, emotional baggage, residual angst from unremembered nightmares, or anger. It has been awhile since I missed out on the simple joy of a quiet morning – and quiet mornings may be reason enough [for me] to live alone.

What is more representative of a quiet morning than my cup of coffee?

What is more representative of a quiet morning than my cup of coffee?

I’m not “a morning person”. I say that because it is true. It doesn’t show at all, here, alone on a quiet morning. I am content, and enjoying my coffee. A soft smile lingers on my face; it arrived while I showered, resulting from the innocent sensuous pleasure of water over skin. I feel good, and calm, and generally wrapped in a sense of well-being. How did I get here? Is that a question that needs an answer? There are choices and verbs involved. Some of them matter more than others. Emotional self-sufficiency – building it, and enjoying it – is an important piece of my puzzle, and I continue to work on it with the attention of a craftsman, and the commitment that results from a passion for living well. I am not yet sufficiently skilled, or strong enough, to be so sure of myself and my choices when I live with someone I care for deeply, and reaching that place is one of my challenges – not necessarily to then live in shared domesticity, but rather simply because it is a healthy goal that gives me more options.

One very important choice I have made along the way is to refuse to wallow in regret over small things. There are a lot of little things I enjoy greatly that I am choosing to do without day-to-day, in order to take care of me with greater skill over a longer time. I miss morning coffee with my traveling partner…I don’t miss arguments over small things, or emotional storms, that sometimes resulted because I just wasn’t yet quite awake enough to make sense, or to communicate easily, or needed a few more minutes for me. I could allow myself to focus on the regret and the loss, and sit idly by while resentment and hurt builds over time…I could take it very personally and blame him, her, them, the world, circumstances… oh the sorrow and the tears! It would get ugly fast, and then… where would my quiet mornings be? I might wake every day feeling only the losses. That sounds like a very poor quality experience. I didn’t understand, years ago, how much of my experience – and my emotions themselves – is chosen by me.  It isn’t forced on me. There are verbs involved. It matters not one bit if I refuse to recognize my choices, or the power of my will (or my won’t) – they remain steadfastly what they are. The outcome is generally quite predictable if I allow myself a moment of clarity to consider circumstances calmly, with awareness, compassion, and non-judgement. Meditation has been a tool with great value for me where perspective, awareness, compassion, and non-judgement are concerned; just ‘thinking about’ things takes me very different places than meditation does.

Begin at the beginning, it's a very good starting point.

Begin at the beginning, it’s a very good starting point.

I’m not saying that I ignore things that hurt me – emotional or physical – doing so tends to cause damage, and the wounds fester over time. Still, considering quiet mornings, why does acknowledging an experience I miss require me to raise hell with my traveling partner over it? What does my sense of loss actually  have to do with him, at all? My emotions are my own. Considering how much of my experience – and my emotions – are chosen, how does the hurt-angry-blame game even factor into it? Where is the utility? If drama and emotional weapons of mass distraction seem appropriate (or irresistible) in some moment, I will find that I have failed in some obvious and elementary way to clearly and effectively communicate some element of my values, my needs, or failed to share my expectations explicitly – or have callously forgotten that he has his own. That’s some bullshit right there, and it can be relatively easily managed, in the sense that there are choices to be made, that can be made – and it’s not that damned difficult from the practical perspective of making one better choice after another. (It does require practice, and your results may vary.) One of those choices [for me] is investing in the small victories, versus wallowing in the small losses; I enjoy quiet solitary mornings, smiling over my coffee, without regret, doubt, or insecurity – because quiet mornings please me so much, and nurture the best bits of who I am so well.

It's hard to go wrong with good basics...

It’s hard to go wrong with good basics…

This morning, I quickly backed out of Facebook after briefly checking it… my feed is filled with fear, hate, intolerance, doubt – did I mention fear and hate? Oh, and the anger. I don’t need it. Change is scary for people, and between marriage being legal, people who don’t want to see an antique flag with racist overtones flying over centers of government, and people in Oregon being allowed to smoke pot, there is a portion of the world just freaking right the fuck out over the terrible decline in society – I’d like to laugh, but frightened, cornered animals act aggressively, and there are few things more dangerous than feral humans acting out their aggressive impulses righteously in the name of their god, or ideology. That shit is damned scary. They are, however, human – we can’t just put them down, forcibly medicate them for their own good, or exile them for the good of society. When I have the energy for it, I do make a point of blocking all such relayed hate in my feed – regardless why it was shared, regardless which friend of mine that I know and care for may have shared it, I block the source (it’s easy to click ‘don’t show me stuff from ___’). Doing so certainly improves my feed over time, and I can’t be stopped from making the choice not to participate in hate. I even hope, in some small way, that perhaps I am ‘breaking the chain’ just by stopping more of it from reaching me; people who post hate often post hate regularly, people who post intolerance often post intolerance regularly, people who engage in trolling are often… trolls. Block. Experience improved.

A helpful practice, indeed.

A helpful practice, indeed.

Choice is a powerful tool. Making choices deliberately, with thought, with strategy, with commitment to my own values, unapologetically, frees my choices from the web of coincidence and happenstance; then the outcome is mine to enjoy, to be accountable for, to celebrate – and to change. I like that kind of power…the power to be. In circumstances where events are inflicted on me by others, I still have that power to choose, that power to be – because I can choose my reaction and choose to continue to live my own values. Viktor Frankl wrote a very important, rather depressing although enlightening book on the subject.

It’s a lovely quiet morning. Today is a good day to enjoy being and becoming, and to enjoy my power to choose – how vast and unlimited is that power?! Today is a good day to change the world.