Recovery and Rebuilding

People – It’s Complicated

Dealing with People – It’s Complicated

After going through some tough weeks, I’ve been reevaluating my life choices and doing some deep thinking. The truth is, interacting with people can be quite stressful for me, I become tired and overwhelmed, and it’s challenging to keep myself in check especially when stress continues to pile up from seemingly unnecessarily difficult interactions. I have found myself walking away from these encounters, reflecting more and more on how complicated, stressful, or enjoyable they were. As I try to understand why this bothers me, I have been contemplating how and why we adapt our personalities in different circumstances and interactions, and how others then perceive us differently depending on the situation. Is this what we truly want?

It often feels like I’m acting out different roles in a play. At home, I’m a caring and nurturing parent; at work, I adopt a more disciplined managerial persona, and with friends, I become a supportive companion. I don’t know if these are right and because each role requires different behaviors, it influences how others see me. Sometimes these roles overlap, and one characteristic takes precedence, further altering the perception of the person I’m interacting with.

The way we communicate and show empathy plays a crucial role in how others perceive us. Depending on the situation or context, we allow people to form different opinions about who we are. Going back to my work example, I may adopt a professional demeanor but the truth is I often feel stressed, overwhelmed, and busy, and this might lead some to see me as being “forthright and efficient,” as I move through my day, while others may perceive me as “cold and factual.” but the reality is, I am just trying to get it all done. It’s interesting to think about how my actions, not my true self, contribute to those assumptions.

The Impact On Self Image

A more significant concern is how these perceptions impact my own self-image. I see myself as someone who is flexible, curious, and caring, but that might not be how others see me. It can be challenging to understand why people’s opinions matter, but unfortunately, they often vocalize their character assumptions about us without considering the effect it has on our self-esteem and perceptions. Phrases like “You are …” or “I understand you are …” can be so powerful, shaping how we see ourselves and how we feel about our identities. I have been feeling increasingly adrift and my confidence is definitely being shaken on a weekly basis. This lack of self-confidence bleeds across other areas of my life, and before long, it adds to my mini spirals and has me questioning – my life choices.

What does it mean to be British?

Cultural norms and societal expectations also have a significant impact on our interactions. My British background has influenced me to be sarcastic, self-deprecating, and dismissive of challenges, whether they are genuine or not. However, it didn’t take me long to notice that these traits are often misunderstood in this culture, making it difficult for me to be my authentic self.

My true personality is characterized by being off the cuff, funny, and yes, sometimes a bit dark and offhand. Unfortunately, this doesn’t always align with societal expectations, so I find myself holding back and presenting a more carefully crafted external persona. It’s a way to fit in and adhere to what I perceive as the cultural norm in my current environment. Consequently, others may not always understand what I’m genuinely thinking or feeling. I suspect that many people also navigate these complexities and adapt to the cultural contexts they find themselves in. The truth is, because of this adaptation we aren’t even our authentic selves anymore and eventually it can be difficult to truly know who we are.

Beyond my Britishness, the context of a situation also shapes how I present myself. In professional settings, I emphasize competence and professionalism, while in casual settings, I showcase humor and light-heartedness. However, my darker sense of humor rarely sees the light outside of my close circle.

Realizing that we appear differently to different people in various circumstances highlights the complexity of human identity. It’s not fixed; instead, it’s adaptable and influenced by social roles, cultural influences, and subjective perceptions. Accepting this diversity in perception can foster empathy and respect toward others’ unique identities. It’s not always easy, and sometimes it requires insight and maturity to truly grasp this concept. For those of us who are neurodiverse, like some members of my household, we have to be deliberate and honest in our conversations because nuances are not easily recognizable. Expressing emotions explicitly becomes crucial, as facial expressions and voice intonations may not convey them naturally. This understanding has made me more aware of the intricacies of all interactions, not just extreme ones.

Navigating these complexities can be challenging and draining, particularly when dealing with people who have vastly different views. However, recognizing the fluidity of identity and understanding how our responses may change in different situations can lead to more understanding and less struggle for everyone involved. Being honest and clear in communication, paying attention to body language and tone, and actively listening can go a long way in reducing guilt, anxiety, confusion, or delight in understanding what others are trying to convey. I hope that by applying these principles, I can find some relief from overload and return to a more balanced state soon.

Heat regulation in bipolar disorder, mood disorders and dysautonomia

Heat regulation, bipolar, mood-disorders

It’s been a hot one around here already, and apparently, we are going to hit an unprecedented heatwave this summer, or that’s what B keeps telling me anyway.  In the scorching embrace of summer, our bodies are pushed to their limits as the sun’s radiance engulfs us in its fiery glow. Amidst these oppressive conditions, we find ourselves susceptible to perilous conditions related to heat exhaustion. I began to get more interested in temperature challenges after hearing about a bipolar phenotype referred to as “Fear of Harm disorder”.  This disorder highlights heat regulation problems associated with bipolar and other mood disorders in adults and children.  I want to unpack this a little more and look at the link between extreme temperatures and the delicate balance of our physiological systems. Stay with me here as this might get complicated.

Fear of Harm hasn’t yet been universally accepted by the medical world yet (once again, can we all pause and take notice of how our medical establishments are hesitant to acknowledge anything that can’t be controlled through clear definitions and pharmaceutical regulation? Does anyone else share this observation? No, me either, just curious if you did. Anyway, off on a tangent..) Let’s discuss FOH first and the diagnostic criteria behind that diagnosis.

Unspecified Bipolar

This diagnosis is classified currently as an “unspecified Bipolar” and refers to a “Thermoregulatory Sleep Dysregulation Disorder” but commonly known as “Fear of Harm.” This is allegedly a complex and debilitating condition characterized by mood disturbances, fear of harm to self or others, thermoregulatory disturbances, sleep/wake disturbances (this has been an ongoing issue), aggression (link: he was 9 and worth a read), and significant impairment in functioning. That’s what got me interested in this proposed diagnostic criteria for Fear of Harm, clearly recognizing many of the symptoms, and offering my own as well as other possible potential causes, and the implications of the disorder on individuals’ lives.

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Since I learned about FOH (Fear of Harm), I’ve been actively participating in webinars and joined the only Facebook parenting group dedicated to this disorder. I’ve been immersing myself in personal stories, trying to understand how it relates to our situation.

However, today something alarming happened—my mother fainted in Walmart. To be fair, this isn’t the first time it has occurred. I’ve witnessed it happen multiple times, and as I reflect on those instances, I notice a pattern related to temperature and extreme situations. Today, it was incredibly hot and humid, and she was in an overcrowded grocery store. On other occasions, it happened during a minor medical procedure and once during a blood draw. It appears that heat and stress, trigger fainting episodes. Interestingly, my sister seems to experience the same issue.

Given that B has consistently shown distress and discomfort in hot temperatures throughout his life, often excessively sweating, it seems worthwhile to explore whether there is a connection to FOH.

Why this makes sense:

Since he was 8 months old, he has been plagued with an inability to sleep. We learned quickly to not put a blanket over him as we went to bed. Lately, he has been articulating his complaints of heat at night and then being too cold in the mornings. He does live in a camper so I was attributing a lot of complaining to that. Anyway, fuel for my ADHD, I am constantly ruminating about these things and wondering how it all fits together. More to the point, what can we do about it? We had settled pretty much on a diagnosis of dysautonomia for him and vasovagal syncope for mother, but is it really that simple? Does heat regulation really impact bipolar and other mood disorders?

So here I am (as I often do here) unraveling my thoughts around the multifaceted consequences of temperature dysregulation on our bodies.

What happens when we get too hot?:

    1. The Role of Thermoregulation: At the heart of our body’s defense against thermal stress lies the remarkable mechanism of thermoregulation. Our body tirelessly strives to maintain an internal temperature within a narrow range, allowing vital biochemical processes to function optimally. When exposed to excessive heat, this delicate balance is disrupted, giving rise to a cascade of physiological responses.
    2. Impact on Cardiovascular System: As temperatures soar, our cardiovascular system leaps into action, attempting to restore equilibrium. The body responds by diverting blood from vital organs to the skin’s surface, facilitating heat dissipation through sweat. This redistribution of blood can strain the heart, leading to increased heart rate (B regularly hits 150) and increased blood pressure. Although in my mother’s case, it seems more like a fast reduction in blood pressure. Regardless, the resultant cardiovascular stress may trigger symptoms like dizziness, palpitations, and even fainting.
    3. Altered Fluid and Electrolyte Balance: With perspiration being the body’s primary cooling mechanism, the loss of fluids and electrolytes becomes a critical concern. Heat exhaustion disrupts the delicate balance of sodium, potassium, and other essential minerals within our cells. Electrolyte imbalances can impede nerve function, muscle contractions, and cellular communication, causing fatigue, weakness, and potentially life-threatening complications. Our bodies run on electricity. “The elements in our bodies, like sodium, potassium, calcium, and magnesium, have a specific electrical charge. Almost all of our cells can use these charged elements, called ions, to generate electricity.” University of Maryland Graduate School, Amber Plante  Our whole family takes Vitassium Capsules to keep up with our electrolyte needs (if you have dysautonomia and rely on electrolytes give them a call, they offer discounted pricing for those of us with higher needs) –  Electrolytes we take daily: Vitassium Daily Salt Pills for Dysautonomia Management.
    4. Disrupted Central Nervous System: Temperature dysregulation profoundly affects the central nervous system, which coordinates vital bodily functions. Elevated temperatures may impair cognitive abilities, memory, and attention span, making it difficult to concentrate or make sound decisions. Additionally, irritability, confusion, and altered behavior may ensue, indicating the brain’s struggle to cope with the excessive heat. With that in mind, I bought him a cooling blanket to see if it helped any. He would give it 3 stars and said it does help but he still struggles even with the air-conditioning at full blast. Everlasting Comfort Cooling Blanket for Hot Sleepers – Dual Sided Bamboo Summer Blanket Reduces Body Temp in Under 5 Mins
    5. Gastrointestinal Challenges: The gastrointestinal system, responsible for digestion and absorption, can also suffer the consequences of heat exhaustion. Elevated temperatures can lead to decreased blood flow to the digestive organs, impairing their functionality. This may result in nausea, vomiting, and diarrhea, further exacerbating fluid and electrolyte imbalances.
    6. Musculoskeletal Strain: As the body grapples with heat-induced stress, the musculoskeletal system is not spared. Muscles, tendons, and ligaments may experience cramping, spasms, or even heat-related injuries. Dehydration and electrolyte imbalances can compromise muscle performance and increase the risk of sprains, strains, or heat-related muscle damage. This is why I personally continue with the Vitassium Electrolytes – I often have spasms in my arms and legs while I sleep. B always has a bad back, the AMAZON list of back stretchers and pain relievers is plentiful. One day I may list them all in a post but this is already longer than I wanted.

[embeddoc url=”https://lovingthespectrum.com/wp-content/uploads/2023/07/DYSAUTONOMIA-and-syncope.docx” download=”logged” viewer=”microsoft”]

Now, if you are still with me, I am assuming that we have a basic grasp of Dysautonomia, Vasovagal Syncope, and Thermoregulation dysfunction and their potential correlation with similar fight-flight-freeze symptoms, and we are left with important questions: Why does this happen? and Who else is pondering the same? How many of these symptoms overlap, and who determines clarification? I actually know the answer to that last one so consider that rhetorical.

Personally, I find it hard to believe that mental illnesses, mood disruptions, anger, frustration, depression, and other related disorders are simply random occurrences. There was a major controversy last year when it was revealed that serotonin may not play the role in depression that we once thought. This revelation makes sense to me, especially considering the high levels of dopamine and serotonin found in B’s spinal fluid during spinal taps. However, we still don’t have clear answers about the reasons behind this or the potential consequences. Nonetheless, it seems that B’s depression doesn’t align with the conventional understanding of low serotonin levels, or at least that’s my assumption based on the information we currently have available.

Then there is still Bartonella, GLUT1, and NASH, etc., etc., etc. which begs the question, “Which came first – the chicken or the egg? The bipolar/ mood disorder or the heat dysregulation?”

This psychology today article does align more with my thoughts about depression and other mood disorders and it’s worth reading in its entirety but to highlight:

  • Serotonin may not explain depression, but research on other brain pathways may provide answers.
  • The wiring and rewiring of our brains (neuroplasticity) is influenced by our lifestyle and may affect depression.
  • Our inflammatory state is affected by things like diet quality and sleep quantity, and has been linked to depression.
  • The gut-brain connection and our hormonal state are influenced by lifestyle choices, and are connected to brain health and depression

How can we find more answers when it seems like so few people are looking outside of what we already think we know? I don’t think I am the only one either (have you been on Reddit lately?). Anyway, I also saw this Twitter thread that someone had posted to Facebook and read with interest. Is it finally becoming time for psychology and mental health to focus on triggers not just symptoms?

So, is there a link between heat, bipolar, mood, and nervous system dysregulation, Smart money says yes, but solutions? In the relentless battle against the sweltering heat, our bodies valiantly attempt to maintain equilibrium. However, when pushed beyond their limits, the consequences of temperature dysregulation may be more than we realize beyond heat exhaustion. Heat exhaustion may just manifest as a formidable adversary, disrupting the intricate harmony of our physiology.

Maybe the best we can expect is to understand the multifaceted impact of heat exhaustion and empower ourselves to take proactive measures. Can we address heat regulation and positively impact bipolar, and other mood disorders by staying hydrated, seeking shade, wearing appropriate clothing, avoiding excessive physical exertion in high temperatures, and safeguarding our mental health? There is a webinar on the Children’s Mental Health Resource Center’s website  coming July:

  • July 2023: Cooling Strategies & Cooling Plans (register)
    • Cool, cool, cooling for the hot, hot, summer. Families and practitioners alike, come learn about how to use simple at-home cooling strategies to manage Fear of Harm symptoms all summer long. We’ll go over how to build a plan to integrate these thermoregulation techniques into daily life. Each goes a long way to reducing overheating and making sleep, moods, and all of daily life more manageable.

CMHRC hosts monthly informational webinars on the 3rd Wednesday of each month, from 7:30-8:30 pm Eastern time via Zoom. These events are free and open to the public and may offer more ideas, strategies, and solutions for those of us who need them.

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Ketamine therapy for depression

Ketamine Therapy, Depression, Mental Health, Recovery

Ketamine is a dissociative anesthetic that has been used for decades in medical settings, primarily for anesthesia during surgery. However, in recent years, there has been growing interest in the potential therapeutic effects of ketamine, particularly in the treatment of mental illnesses such as depression, anxiety disorders, and post-traumatic stress disorder (PTSD). We started hearing a lot about ketamine and had already noticed that when B had been under anesthesia a couple of times, the few days after were surprisingly pleasant. I was intrigued. I spent some time reading and researching and found it is another good fit for those NMDA receptors that are not working as they should – and as we had already had some success with amantadine, a trial of ketamine therapy seemed a logical step.

We had a long discussion about depression and while we don’t necessarily see the “sadness” of depression, it seems possible some of the anger and frustration is related to the feelings of being alone, sad, isolated, etc. leading to depression. The knowledge from previous trials of amantadine and Namenda, also played into the decision to try ketamine. We hoped this might be a positive response rather than paradoxical like so many others have been.

Ultimately this wasn’t a quick decision, I was terrified of the infamous bladder stiffness side effect, and while that is linked to ketamine abuse it still terrifies me. I can’t fathom that if one takes it recreationally the side effect is there but if it’s RX’d it isn’t, that doesn’t make sense to me, so that remains a source of concern. His neurologist explained that the use of ketamine for this purpose typically involves low-dose intravenous infusions or nasal spray administration under medical supervision. With that in mind, instead of infusions, we decided on a trial of nasal ketamine which seemed a good place to start. His neurologist sourced the ketamine from a reputable compounding pharmacy and it arrived within about 5 days after ordering. We were really hoping this was going to have a positive impact on the symptoms that were assumed to be depression.

Mayo Clinic lists some of the depression signs that may indicate a problem in teens and adolescents and for us, these were definite checks on a page of symptoms:

  • Feelings of sadness, which can include crying spells for no apparent reason
  • Frustration or feelings of anger, even over small matters
  • Feeling hopeless or empty
  • Irritable or annoyed mood
  • Loss of interest or pleasure in usual activities
  • Loss of interest in, or conflict with, family and friends
  • Low self-esteem
  • Feelings of worthlessness or guilt
  • Fixation on past failures or exaggerated self-blame or self-criticism
  • Extreme sensitivity to rejection or failure, and the need for excessive reassurance
  • Trouble thinking, concentrating, making decisions and remembering things
  • Ongoing sense that life and the future are grim and bleak
  • Frequent thoughts of death, dying or suicide

In fact, all these symptoms have been pervasive throughout the past 10 years. Nothing seems to work, nothing makes it better, and it seems everything can make it worse. In the spirit of always hoping for better, we decided to try ketamine therapy. After all, there is a lot of research showing that ketamine may have rapid-acting antidepressant effects, providing relief for individuals who have not responded to traditional antidepressant medications.

I think it’s important to note that while ketamine is showing great promise as a treatment for symptoms of mental illness, it is not a first-line treatment and is only typically considered when other standard treatments have been unsuccessful. As the effects of ketamine are relatively short-lived, we combined the nasal spray with CBT therapy and other forms of treatment.

Ketamine’s mechanism of action in mental illness treatment is not yet fully understood, but it is believed to involve the modulation of glutamate, a neurotransmitter involved in learning and memory processes. Ketamine may also have neuroprotective and anti-inflammatory effects, which could contribute to its therapeutic potential. Ketamine does have some other pesky potential side effects and risks, including dissociative experiences, elevated blood pressure, and in rare cases, hallucinations or other psychological disturbances, again pretty terrified to get started.

He started out at 2 sprays once a day before bed, then we went to 3 sprays twice a day if needed. He actually did do well on this medication. It was fairly instant because of the delivery and he was happier for about 2-3 hours after he did the sprays. Ultimately, after 2 or so months, he started to refuse to take the medication. He started feeling crystals in his nose from the sprays and he began to really hate the feeling in his throat as it trickled down. A few days after the complaining and refusal started, we were done. Overall, I do think it helped. Thankfully, I don’t think he experienced too many side effects from the nasal spray and I do think we had a quality product. It was expensive, about $79 per small bottle which lasted about a month, so wasn’t terrible but not the best either. While that trial has ended, I continue to think somehow the NMDA pathway is part of whatever this is that’s going on. I spend a bunch of time rabbit hole-ing in the middle of the night and have found articles like this one (linked below), which makes me think there is a connection and not just our anecdotal history.

Oligodendroglial NMDA Receptors Regulate Glucose Import and Axonal Energy Metabolism

Highlights:

• Oligodendroglial NMDA receptors regulate GLUT1 trafficking and glucose import

• Mice lacking oligodendroglial NMDA receptors develop late-onset axonopathy and neuroinflammation

Click below to read why GLUT1 is so important to everything our bodies need to do.

Anyway, it may be that in the future he chooses to try ketamine again, maybe via infusion, to see if it really can lift him out of whatever this quicksand is that’s dragging him down constantly. All I know is, no child should have to live this way, with this much pain and internal angst, certainly, no child should be blamed for the way this manifests and the symptoms exhibited because of feeling just so low and worthless all the time. It has to be exhausting.

As with any medical treatment, it’s essential to consult with a healthcare provider to determine the potential benefits and risks of ketamine treatment for a specific individual’s circumstances. Mental health professionals can help assess whether ketamine treatment is appropriate and guide patients through the process, ensuring comprehensive care and monitoring throughout the treatment.

Inner Motivation

Embrace the Power of Inner Motivation:

Unlocking Your True Potential

Motivation, ahhh motivation if you read yesterday’s post, this is something I get to work on constantly. It is said that motivation is supposedly the driving force that propels us toward our goals and aspirations. It is the fire within our bellies that fuels determination and pushes us to go the extra mile (allegedly). If you are a regular reader (thank you for being there for me) but also you already know I have done a lot of self-reflection over the years, I always seem to be on a journey of self-discovery and personal growth. To be fair, I love learning new things and every day I read or learn something new that I say “hu, I never knew that” and add it to my brain’s trivia files for future reference or that never going to happen quiz night.

Anyway, lately I have become very interested in ideas that promote harnessing the power of inner motivation because the key to unlocking my true potential seems to be lacking in me sometimes. I wonder if that’s just not my ADHD truthfully, because I do tend to jump down rabbit holes faster than a rat terrier. So is it finally time to embrace this inherent internal power, focus my attention on one thing and embark on a transformative journey? Is that even a thing? A bigger question is, is that something I personally am able to achieve, and do I possess this magical motivation? Everyone who lives with ADHD will probably relate to that on some level. I jump into things like a rabid raccoon, learn all the things, buy all the stuff, then see a new shiny thing to run toward leaving the old thing to gather dust and attic space, and the thing is done for me forever.

So, I went looking to find ways to discover a new pathway for myself, I want to feel alive again, to feel value and worth, and to put quiet motivation into the noisy, chaotic cluttered joy in my life. So here goes, 4 things we can do to curate motivation in ourselves.

4 Ideas for a New You

  1. Discover Your Passion: To cultivate inner motivation, start by discovering your passion. Identify the activities that make you come alive and ignite a fire in your soul. Whether it’s painting, writing, volunteering, or entrepreneurship, find what sets your heart on fire and pursue it wholeheartedly. When you align your goals with your passions, motivation becomes an organic force that propels you forward.
  2. Set Meaningful Goals: Once you have identified your passion, set meaningful and achievable goals. Make them specific, measurable, and time-bound. Break them down into smaller milestones, creating a roadmap to success. When you have clear objectives in sight, motivation becomes a natural byproduct. Remember to celebrate each milestone achieved, as it will further fuel your motivation to continue striving for more.
  3. Cultivate a Positive Mindset: A positive mindset is crucial for maintaining inner motivation. Embrace challenges as opportunities for growth rather than obstacles. Surround yourself with positive influences, inspiring books, and supportive individuals who believe in your potential. Practice gratitude daily, as it reminds you of the progress you have made and the abundance in your life. With a positive mindset, you will become better equipped to overcome setbacks and stay motivated through adversity.
  4. It’s not you (or me) or actually, it’s all of us. Fuelled by Coffee and Chaos (my favorite URL ever btw) shares some motivation to get us started: “walk after lunch, don’t spend the evening in front of the TV…anything different basically, the choices are endless.Why? Because our brains are forced to “rewire” and create new creative connections, giving our brains some increased focus. Routine fatigue is a thing! (Sidenote: Don’t add things that can potentially be a bad habit, make them things that are physically, mentally and socially better for you)”. Read more helpful words of wisdom: 5 Proven Tips To Boost Your Motivation and Feel Re-inspired

I am committed to embracing the idea that the power of inner motivation will begin a transformative journey that allows me to unlock my true potential, or at least find that peaceful-quiet-internal joy I seek so badly. I will start by aligning my goals with my passions, actually setting meaningful objectives, cultivating a positive mindset, focusing on what I want, and also how to get there. I hope to ignite an unstoppable drive within myself to calm down, which sounds counterintuitive but unless I make it a goal, unless I focus my efforts. Unless I treat this as a focused project, I am fairly sure it will never happen.

Consider joining me on this journey. Embrace this force, and embrace joy as we achieve greatness beyond our wildest dreams. Repeat the mantra and try to remember, “The power to change the life we are living lies within ourselves.”

“Knowing others is intelligence;
knowing yourself is true wisdom.
Mastering others is strength;
mastering yourself is true power.”
― Lao Tzu, Tao Te Ching

Grief and Loss

Experiencing and Resolving Grief and Loss

when your person is still here

Can we survive and thrive when our loved one has a mental illness (whatever the reason for the dysregulation may be)?

This is a tough one to write because we are never supposed to negatively share our feelings about our loved one’s health condition. The understood thinking says we are supposed to be supportive, kind, accepting, understanding and all those other words that say “I am a good person”.

However, the reality is, when you live with someone who has a mental, emotional, or behavioral disorder it can simply make your life miserable. When your loved one cannot function independently, if they chronically verbalize all the negatives in life, can’t (not to be confused with won’t) appreciate your input or sacrifices, when they take far more than they give, when their non-negotiable rules rule your life not theirs, YOU STILL LOVE THEM, you are still committed to being this person’s parent or loved one – and you desperately always, always, always want the best for them, even when it can be hard.

If this is you – keep reading, you are probably parenting or loving someone with a “mental health condition” even if you consider these behaviors as a symptom of their medical illness.

This life is not for the faint of heart. Life is full of ups, downs, and turnarounds for most of us but when you realize the person you love the most has a different developmental or functioning ability to your “norm” it can be confusing, shocking, upsetting, and debilitating for everyone. If your loved one is always angry, curses at you, if you have to walk on eggshells, if things must be done on demand, if they seem highly intelligent but unable to function, if they fight and argue and scream when the simplest things go wrong… it can be chaotic, confusing and frightening for all involved. The person dealing with the huge surges of emotions that they can’t control, the people trying to support the person, and the siblings and friends involved in the situation are all affected by this seemingly random tornado of behavior and cycling crisis events.

It takes a while to understand, to realize this is not what you read about in the “What To Expect” books, and you recognize the need for assistance. It’s at this point typically you seek help and advice from a trusted professional – someone who has a background and education in this subject matter. You trust this advice is going to resolve what you see in front of you. You work the steps, you show up to the sessions. You seek out treatment. You do the work. Until you realize this advice is often not super helpful or what your loved one seems to need and even if it kind of works, it doesn’t always help to calm down what is happening on a daily basis.

When you follow all the tips, tricks, ideas, and helpful (often loving) advice and your person STILL lives with these symptoms described above, you find that the helpful people start to become less available, and your family and friends turn on you slightly or switch off, they stop offering advice because on some level – like our children, the assumption is, we are not giving it our all, we are not doing the work, we are not fully committed or complying because surely if we were – our loved one would be “cured”. It might be seen as a parenting problem or a lack of structure, a lack of connection, or even a lack of discipline but especially with younger children, it is rarely seen as a medical condition.

At the very worst, advice becomes negative. Ideas such as “Just call the police” or a stranger uttering “My loved one would NEVER speak to me that way” in a grocery store parking lot, or the most helpful “force them to comply” or “make them do it“. Dr. Phil’s “Commando parent their ass” or another favorite “throw them out and make them cope” or my absolute worst-favorite was being given the book “Train Up The Child.” Mostly all these things speak to the idea that you should just “abandon this person for their obvious noncompliance” when in reality you and I both know, this is often when our people need us the most. Someone has to be there to help them cope.

We are stuck in a cycle of they can’t, we have to, they won’t, we must, the if you love them let them go cycle just does not apply here, because if you do, you are sure they will die by suicide or substances, end up homeless, unloved, uncared for. This is NOT what you want for the person who carries your heart.

Conversely, at some point, you start fantasizing about the same for yourself just to make it all stop. Many nights sobbing in the rest area or at a random Petsmart parking lot has taught me to feel this wave of disbelief, sadness, and the overwhelming fear that it truly may never get better, while also realizing if I want to remain in the game, I have to commit and force myself to do that.

I am tenacious to a fault, I love my child, I want to remain in the game because that person holds my heart in theirs. I promised to love them unconditionally and this, this to me is the epitome of “loving unconditionally” loving someone on their absolute worst day(s) is just part of the gig. No, I do not have a savior complex nor am I enmeshed with my child, but those are both things that people level at you as a diagnosis for taking the role of parent seriously. God forbid it is because your child is medically unable to do the things that are expected.

Now, when this is a spouse, I get it, I understand, I realize that’s a gray area where we cannot commit unconditionally to a never-ending cycle of negativity and abuse, but when it is your child, buckle up, because on so many levels it’s your responsibility to manage.

Someone recently shared this article with me: Living with a child with mental illness

Mental illness is a dirty little secret. You won’t be putting a bumpersticker on your car proclaiming your child has a mental illness. That would be admitting that somehow your child is broken, that you are broken. YOU broke them. You learn to scream in silence so no one can hear. People don’t want to hear. No one wants to even imagine their child with mental health problems. No one wants to get near or go there…it’s too dark. You go there because you have to. There is nowhere else for you to go because YOU LIVE THERE.

It resonates… doesn’t it?

Living under this constant stress has several negative consequences for both our physical and mental well-being and the immense grief over what could have been, the feelings of loss, even the jealousy of how easy other’s lives appear to be, just compounds the stress and sadness we have to resolve within ourselves. The irony of it all is that the constant stress we feel ends up making us feel similar to our loved ones.

We feel despair, sadness, regret, like an outsider, misunderstood, helpless and hopeless even worthless. The unintended consequences of this stress seep into our daily life:

Health issues: Prolonged stress can have a detrimental impact on our physical health. It can contribute to various health problems such as cardiovascular disease, high blood pressure, weakened immune system, digestive disorders, and chronic pain. Stress triggers the release of stress hormones like cortisol, which, when chronically elevated, can disrupt the normal functioning of our body systems.

Mental health challenges: Persistent stress can significantly affect our mental well-being. It can contribute to the development or exacerbation of mental health conditions such as anxiety disorders, depression, and burnout. Stress can make it difficult to relax, concentrate, and enjoy life, leading to a decreased quality of life and overall happiness.

Impaired cognitive function: Living in constant stress can impair cognitive abilities such as memory, attention, and decision-making. Stress triggers the release of stress hormones, which can interfere with the proper functioning of the brain. This can result in difficulties with concentration, learning, and problem-solving, affecting our overall productivity and performance.

Relationship strain: Stress can take a toll on our relationships. When we are constantly stressed, we may become irritable, moody, and less patient, which can strain our relationships with family, friends, and colleagues. Additionally, chronic stress can make it challenging to find time for meaningful connections and engage in healthy communication, leading to feelings of isolation and loneliness.

Reduced productivity: While short-term stress can sometimes enhance performance, living in a constant state of stress can have the opposite effect. Chronic stress can lead to decreased productivity, difficulty focusing, and increased absenteeism. The mental and physical exhaustion caused by stress can make it challenging to meet deadlines, handle responsibilities effectively, and maintain consistent performance.

Sleep disturbances: Stress can disrupt our sleep patterns and lead to various sleep disturbances. Constant worry and racing thoughts can make it difficult to fall asleep or stay asleep throughout the night. Lack of quality sleep can further contribute to fatigue, decreased cognitive function, and worsened stress levels, creating a vicious cycle.

Negative coping mechanisms: When under constant stress, individuals may turn to unhealthy coping mechanisms such as excessive alcohol or drug use, overeating, or withdrawing from social activities. These behaviors provide temporary relief but can have detrimental long-term effects on physical and mental health, potentially leading to addiction or other harmful consequences.

and if you ask me GRIEF. 

Very Well Mind offers this as a cycle of grief:  The 5 Stages of Grief is a theory developed by psychiatrist Elisabeth Kübler-Ross. It suggests that we go through five distinct stages after the loss of a loved one. These stages are denial, anger, bargaining, depression, and finally acceptance.

Kübler-Ross described these five stages in detail about facing death from a terminal illness, and the part of it that stuck in the public imagination was the idea that when a person is diagnosed with a terminal illness they go through a series of emotional stages.
  • denial – “No, not me, it cannot be true”
  • anger – “Why me?”
  • bargaining – attempting to postpone death with “good behaviour”
  • depression – when reacting to their illness, and preparing for their death
  • acceptance – “The final rest before the long journey”

But now maybe we can recognize that anything can create such a cycle not just death and dying. Mental health is often a diagnosis of a long-term chronic situation that will end but probably not for a very long, long time.  We can recognize our grief and loss for all the things we miss out on along the way, and if we recognize that, will our stress subside? When our stress is reduced can we renegotiate our grief and loss cycles? Sadly no, or at least not for me. I can recognize the cycle in my life, but I feel stuck. The reality is I am stuck.

  • denial – “No, not my family, it cannot be true.” I don’t spend as much time here anymore. I no longer live in denial.
  • anger – “Why me, why us, what did we do to deserve this?” I generally will begin back here often, usually triggered by a graduation of a friend, or my other child, or a vacation we couldn’t take, an event we didn’t attend, etc. etc.
  • bargaining – attempting to postpone the inevitable crisis cycle with “good behaviour”. For us: that’s typically me silently begging, “If I do this, please don’t let that happen”… Our crisis is usually a very angry response to something we don’t even know about, some trigger, some imagined slight, something wrong with what I said, did or when maybe I accidentally breathed wrong.
  • depression – when reacting to this as a chronic illness, and preparing for the inevitable cycle to play out over and over again, and then returning to
  • acceptance – “The rest before the next crisis hits” nothing final about it but just accepting that is it calm for now, all is okay.

Unfortunately, in my world, I don’t see where there will ever be an end, so the cycle will remain constant, perhaps that is my level of acceptance.

Overall, it is important that I recognize the signs of chronic stress and take steps to manage and reduce stress levels through self-care, relaxation techniques, seeking support, and making lifestyle changes but the reality is, this is my life. I can prioritize my own mental and physical well-being which will help mitigate the downsides of living in constant stress and can promise to promote a healthier, more balanced life for myself.

Download our one-page “grief cycle” and give yourself permission to be all over that chart – some days we can hit all those points and start over because it has to be ok to feel that grief, accept our lot in life and still be angry, still experience disbelief and even jealousy over the things we hoped for but didn’t and probably will never get. Find ways to get yourself to acceptance just a little quicker, find things that make you happy, journal, yoga, meditate, pray, wish, whatever that thing is, it’s important to remember you are not alone, while there may be limited answers the only solid plan is to keep going forwards.

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