High Anxiety

 

So I’m about 3 hours off my second psychologist appointment, having woken up with a filthy headache (gone now, all praise panadeine), and that constricted feeling in the throat is rising, meaning I’m feeling the onset of some level of anxiety.

I walked out of the last session feeling so good, then a few hours later crashed so strongly (having allowed myself to get too wrapped up in my own definitions of words), that there’s some level of nervousness in just approaching the next session.

One of the side-effects of deciding to confront all of these issues is, quite frankly, a significantly more acute self-awareness. (I’ve always been reasonably self aware that there’s been issues, but (and there’s no way around this), I’m a damn good liar when I set my mind to it, and I’m also so regularly reserved that the average person who has known me for years wouldn’t really have noticed much, if anything, anyway.)

With that significantly increased self-awareness comes a self-admission that I can at times feel somewhat anxious about having to deal with new people and new situations. Not to the point that you’d call it a phobia, but there’s definitely that strong introvert sitting there wanting to shutdown, withdraw and have some solitude when things get ‘new’. For instance, on Wednesday night Darren and I went to a comedy club in North Melbourne with a couple of his work colleagues, and suddenly confronted by (a) having to meet new people who I had practically zero frame of reference for, (b) doing it in a location I’ve never been, and (c) going to a type of venue I’ve never been, I had to drag myself out of the house, and at every step along the way found myself mentally clawing for an escape route.

It wasn’t until the first of the three comedy acts was over that I found myself actually letting go of that desire to flee.

In the introductory session I touched on my fight-or-flight desire with the psychologist, mentioning the irony that I can happily stand up in front of a large group of people and talk about something I’m a subject matter expert in, but the notion of going into a small situation with unknown people who I have to make small talk with is about as terrifying as zombies to me. (Well, I didn’t mention the zombie-phobia to him, but that’s a quicker way of explaining it here.)

But it’s probably something I need to explore a little more.

 

 

Yesterday morning I made my first visit to a psychologist. It was more of an introductory session – exploratory, if you will. The psychologist was probably as much as anything wanting to make sure that we could achieve results together, since everyone in mental health seems very clear that one of the biggest challenges is matching a patient to a compatible therapist.

Yet, some things did get discussed – enough, at least, for me to walk out of the session having been told some useful things, namely:

  • Yep, I’ve been dealing with depression for likely some time.
  • My depression comes from various items of trauma, and is unlikely to stem from an actual disorder.
  • I don’t have anger management issues – I have anger over-management issues.

Net result, I was told, was that I should reassure myself that I’m not ‘crazy’ but I just simply have some issues that I need to resolve.

So, I walked away from the clinic with a spring in my step that I hadn’t felt for ages – discussion had started, I was walking that (potentially long) path towards clearing up, I can reassure myself that I’m not crazy, and I equally don’t have a disorder I’ll have to learn to manage. I just have issues.

And I felt really good for about 2-3 hours, until my self analysis kicked in.

The curse of being intelligent is that you’re often your harshest critic, and so my thought process eventually turned down the following path:

  1. So I don’t have a mental disorder.
  2. I don’t have a physical disorder.
  3. I just have issues.
  4. Does that make me a failure as a person for having not dealt with them?

So yesterday afternoon, all into the night and then through to early this morning, I was stuck in that loop. No actual ‘excuses’ for the failed thought processes, so it’s just a failure on my part to actually deal with my issues under my own steam. The ‘breakthrough’ of deciding to see someone wasn’t a breakthrough but an admission of failure. It doesn’t matter that having learnt the term this week that I’m aware I frequently have impostor syndrome. Self awareness and intelligence, it appears, is a bitch when it comes to mental health, since it means lengthy stretches of cognitive dissonance – such as in this case simultaneously holding the world view that I’m a failure and knowing it’s not the case.

This morning though, after a night of existential nightmares, and ramping up into the same feelings of failure, I managed to get myself onto enough of a different tangent that I could see the issue in a different context.

Context is without a doubt a core problem for me. I’m going to make a bold claim here and suggest that I may have synaesthesia. If you’ve heard of it, you’ve probably heard of it in the context (ha!) of associating/seeing colours with sounds, or seeing words and text in colour. It’s a condition that has several formal recognised versions and considerably more informal ones that haven’t been studied enough to be formally recognised.

Mine? If it’s not synaesthesia it’s likely going to be some variant of a linguistic disorder. It all stems from how I learnt to speak though. I had a speech impediment as a kid that was so strong I had to go to speech therapy, and a considerable part of the learning there involved having flash card sessions. A picture of a cat, with the word “cat” underneath, and having to repeatedly say “cat” until it sounded close enough to move on to “dog”, or whatever the next flash card would be.

So I learnt to read while I learnt to speak. And for years I thought that was the only net effect of it, until only recently I realised that it affects how I communicate, too. In fact, it affects it hugely. Darren and I will periodically have contextual failures in communication, and it goes like this:

Darren: So, Steven said X.

Me: Oh, that’s interesting.

>I go off on a mental tangent about another person, Stephen<

>Context has switched, I’m now thinking Stephen instead of Steven<

Darren: And then Steven said Y

Me: Huh? What? What are we talking about?

You see, I make a contextual switch based on the words, not the content of the discussion, and I lose track of the actual discussion. Spelling becomes meaning, for a start – but my interpretation supersedes meaning. Why?

Because of the stupid fucking flashcards.

I don’t just see words associated with things, I see meanings associated with words. There are whole books and theories of academic studies about whether language shapes thought or the other way around, and I’ve got the entire fucking battle running around in my head on a daily basis. So, particularly as I run through things in my head later, I’ve got those flash cards in my head tagging my meanings to the words that come back. If it’s just about cats, dogs, place names, people’s names, inanimate objects, that’s all fine.

Words that can have interpreted nuances, though?

Something Darren says frequently in instant messaging is “fair enough”, as a response. It’s a statement that he’s seen and understood what’s been said to him, felt it necessary to  acknowledge it, but has nothing further to say, quite possibly because there is nothing further to say.

“Fair enough”, for me, still interprets as “Oh fair enough!”, with extreme exasperation. And so every time Darren says “fair enough”, I have that “blink blink” moment where I first see my interpretation, then pull out of it and see his interpretation. Or more correctly, see a more likely interpretation. Indeed, another best friend in Melbourne happens to say “fair enough” when he chats online with me as well, and I have to equally do the same “blink blink” every time he says it.

This, as a quick side point, is why I react so strongly towards hate speech. I’m not just seeing the words. I’m seeing the meaning, overlaid like an augmented reality over the words. I see the anger, the depraved need to hurt and cause injury all wrapped up in the words.

Maybe my synaesthesia is that on non-neutral words, I don’t just see the word, I see the emotion of the word, or the interpreted meaning of the word. Not always – I’ve got some theories about how it triggers, but I’m still exploring that.

But where does any of this come back to my plummet yesterday?

Issues.

It all hinged on the word issue, and how I naturally interpret it. For me, an issue is that I can’t find a file on my computer I need to use. Or I’m looking for a pair of scissors I misplaced. It’s a minor, niggling thing. So once that self-analysis kicked in yesterday afternoon – fuck, if all I have are issues, that’s pretty lame – I’m pretty lame. And that’s where the loop started.

Yet, in no way is that what the psychologist meant yesterday when he said I had issues. So now I’m going through that period of cognitive dissonance where I’m simultaneously aware of what I mean by ‘issues’ and what he meant by ‘issues’, reconciling the differences between the two, and dealing with the need to not see my meaning when I think of him talking about ‘issues’.

(Of course, this is now the bit where my natural curiosity kicks in. Do others who had to do similar speech therapy as children deal with language the same way (or at least a similar way) to how I do?)

So, as I undergo therapy, it’s clearly something I’ll have to clearly spell out to my psychologist – my contextual failures aren’t just something that causes me to lose track of conversations as I’m having them, it’s also something that affects my post-conversation analysis, too.

The old clichéd saying is that every cloud has a silver lining. It may have taken me around 33 years to work out the negative impacts of the speech therapy I had as a kid, but I wonder whether they can be harnessed in a positive way? In the simplest form, obviously by retaining as much as possible a foreground awareness of how they impact my interpretation of information, I can start to control and limit that interpretation, channeling it in the direction it should go rather than the direction it would naturally go (for me). But what of other possibilities? For instance, I’ve always been atrocious at learning languages. For example, after 2 years of study at high school, I can introduce myself and ask if someone speaks English, in French. But would I be make better progress on languages if I did it via flash cards?

I have much food for thought.

Will the vulcan klingon? I certainly hope not.

 

Fight or flightIn the limbic system we have a basic survival mechanism, “fight or flight”, that triggers when we’re in situations where we feel threatened. It challenges us to do one of two survival actions: fight whatever is threatening us, or run from it.

One of the focuses of RU OK day was as a means of suicide prevention – that by asking someone if they’re OK, and then helping them, you might assist them down from whatever mental ledge they’re sitting on, or corner they feel they’ve been backed into.

Suicide to me has always been a complete anathema. I’m not judging someone who goes down that path, but it’s a path that I know with 100% certainty that I’d not, even for a moment, consider. Maybe it’s the simplicity of being an atheist … if I go down that path, that’s it. I’m not going to wake up somewhere else in a better afterlife. Once I’m gone, that’s it.

What I do sometimes imagine – usually when I’m in a situation where I’m feeling particularly crowded or uncomfortable – is a strong fight or flight urge. At times I can imagine that moment where everyone’s back is briefly turned, or attention otherwise occupied, and I get up, walk out of a situation, and then just keep on walking, never looking back, never coming back.

I’d say I’m 99.99% certain that it’s not something I’d ever follow through with. Hell, the notion of 2-star hotels is enough to send shivers up my spine, so deliberately becoming homeless is not really on the cards. But that’s not to say there’s a momentary “what if” flash of processing that sometimes happens.

If you see me in a crowd looking particularly alone, or with a slightly stressed look on my face, there’s probably a good chance it’s playing on my mind.

 

 

In “Gay report shelved, say beyondblue ex-staff” (The Age, 30 September 2011), ex Beyond Blue staff talk of a report that was done into the mental health issues of the GBLTI community, which was subsequently shelved for around six months before finally being released without any media announcements. The statements are fairly damning:

Australia’s depression charity restricted access to a key report into gay and lesbian mental health because staff were concerned about the views of the organisation’s chairman Jeff Kennett, former employees – and the report’s author – claim.

What struck me most about the article was a quote from Labor MP Caroline Hogg. We’re told:

Former beyondblue board member and Labor MP Caroline Hogg backed Mr Kennett. ”Sometimes the things that he says sound a bit clumsy. But I don’t believe him to be homophobic. I would not have worked on a board with a homophobic chair,” said Ms Hogg, who oversaw the commissioning of the gay and lesbian research. ”He has put in so much effort, you have to take the rough with the smooth.”

Well, here’s the rub: why is that we’re always the ones taking the rough? I appreciate Ms Hogg’s efforts, but that sort of white-washing becomes offensive over time. It’s like someone making excuses for a bully “oh, he means well”, or “it’s all just horse play”.

Stop making excuses

Previously, we’re reminded in the article, Kennett likened a bisexual football trainer to a paedophile working as a masseur for young boys. That’s rough, for sure. Then just in August he quoted a report which supposedly stated heterosexual marriages were the best for the mental health of children. That’s pretty rough, too. Particularly since the author of the report has himself condemned Jeff Kennett’s interpretation of it:

The author of a report into family breakdown in Australia has rebuked commentators who seized on it to lash out at same-sex marriage and same-sex couples raising children.

So here’s what rubs me up the wrong way – especially as someone who was regularly tormented growing up – having someone say trite comments such as “you have to take the rough with the smooth” is a cop-out. It’s a way of avoiding the real issue – that an organisation which is meant to be focused on the mental health issues of all Australians isn’t, because the spokesperson seems to have his own, contrary agenda. That’s rough.

I don’t doubt for a moment that Jeff Kennett has done excellent work for Beyond Blue, but it’s time for people to stop making excuses for his behaviour. It’s not a case of just taking “the rough with the smooth” if it’s the same group of people who are consistently getting the rough treatment.

You don’t fix a bully by saying its all horseplay, and you don’t fix homophobic behaviour in someone by making allowances for the things he does well.

 

The old idiom of “the journey of a thousand miles starts with a single step” doesn’t only just apply to physical journeys.

Yesterday was quite a surreal birthday. The day started with a plethora of people posting happy birthday greetings on my Facebook wall (that continued right through until this morning, in fact), and ended with a birthday dinner with my two best friends. On that definition, “surreal” doesn’t seem applicable, until you add in what I did in between … I went to my GP and started a conversation about my mental health. In particular, about my struggles with depression and my anger management.

Leading up to it, I was practically in two minds about it. Part of me was detached and content that the ball was going to start rolling, with a strong curiosity as to where the conversation would go. The other part of me was quite literally, terrified. That part of me would have traded the #112 tram ride with having to speak in front of 6,000 people in a conference about a backup product I’ve never used, in a heart beat.

Yet obviously I managed to avoid leaping off the tram at every stop (other than the correct one), quite likely for the simple fact that Darren was on the tram with me to offer support. And mercifully, when I arrived at the doctor’s, he was pretty much running on time. If I’d sat for an hour in the surgery the potential of chickening out would have likely started to rise.

It was almost soothing that I could start the conversation with a general medical question. The dryer climate in Melbourne is allowing a couple of allergies to resurface and for the first time in over a decade I had to ask for a prescription to deal with those allergies. So that was an ice breaker. It even had allowed me to start the conversation with “I’ve got two things I’d like to talk about, one simple, and one that’s a lot more challenging.”

And, as I’d been assured by a half dozen people or more, the conversation, once started, flowed remarkably easily. It was also quite clarifying for me. That analytical, reserved part of me, was able to process the general chatter and start nudging me in particular directions even as the conversation flowed. Even in that short consult – maybe thirty minutes or so – a lot of things gelled for me about where issues were springing from. We are ultimately conditioned with what we experience during childhood, and even that conversation linked back to something mentioned almost in an off-hand comment in the R U OK forum – my anger suppression likely comes from a time when I’d be incessantly teased but then castigated for getting angry … I was just being a bad sport. And so, other than a few eruptions when I completely lost control, I learnt while growing up that the way to deal with anger was to just bottle it all up. That’s not a solution though – in fact, it’s pretty toxic.

At a subconscious level, you could say that I already knew a lot of what was going to be discussed. Despite those moments of self-doubt (and sometimes, they come fairly regularly), I also know that I’m strongly introspective, articulate, and have an above average IQ. You can’t be in that position without having a good level of self-insight, and therefore I can’t say anything in the conversation took me by surprise.

Sometimes you just have to start the process with someone outside your “loop”.

I was particularly glad of one thing though – my doctor didn’t want me to go on anti-depressants. I think that was partly what had held me in reserve for so long from talking about it. I’m not knocking them – for some people, they’re so important and useful they literally save their lives, and I have no doubt of it. Yet my entire job and most of my interests and pleasures lay entirely within the realm of my mind anyway. Chemically altering that has always left me with a profound concern that it would, subtly, be replacing me rather than fixing me. Again, that sounds judgemental towards anti-depressants – it’s not, it’s most definitely not. This is a personal thing, between me and the drugs, nothing else, and not reflected on anyone else. It’s the path I’ve taken.

Even that conversation was interesting – for people without a diagnosed condition, he’s seen anti-depressants as being something to be used to give someone the equilibrium to actually reach a point where they can ask for help.

In a long, hard and painful struggle, I’d already got to that point on my own.

So, I now have a referral to a psychologist to discuss depression and anger management, though I’m sure other things will come up as well. I also have a bunch of basic blood tests to do in case there’s contributing physical factors (hey, I’m in IT, and I’m not into sport … I’ll be surprised if it doesn’t show a vitamin D deficiency), and I’ve been put in front of a path that will, undoubtedly, be an interesting journey.

Lions and tigers and bears.

 

There seems to be something suitably ironic in the fact that the first appointment that I could get with my GP in order to start the “I think I’ve got a mental health issue” discussion happens to be my birthday. Since it’ll be followed by a birthday dinner with my two best friends, I guess that day will end up being all about balance, though.

It’ll also mean I’ll be able to say “Hell, I lasted 38 years before…”, but there’s already now that analytical part of me ticking away in the back of my head, which is thinking “Maybe that’s not something to be so proud of”. Any of you who know me have probably already seen it in action – it’s the bit where I’m wall flowering: sitting back, taking things in, observing. So there’s a detached observation that’s causing me to wonder how these discussions will go, what the diagnosis (or diagnoses) will be, and what the treatment path will be.

I’m probably not ready to discuss some of those paths that self-analysis part of me are taking, yet. (Though it’s fair to say that given there’s a number of diagnosed manic depressives in my extended family, if there’s any genetic predisposition towards that, well, you get where I’m headed there.) No, I’m not going to walk into a doctor and say, “I think I have <x> syndrome” – it’s one thing to do a bit of diagnosis by Google when there’s an irritating cough that won’t go away, or some other physical malady. But the mind? I’m not going to introduce the risk of a failed diagnosis into the one part of me that I happen to enjoy spending time with most.

But still, while there’ll be part of me that’ll be shaking and practically shitting my pants to sit down and start that discussion with my GP next week, there’ll be that “mini-me”, in the back of my head, watching and listening and trying to predict the direction that conversation, and future ones, will go. Step right up, step right up, place your bets, folks.

 

Crazy world

Earlier in the week I blogged about going to an RU OK forum, leaving with much food for thought, and needing to do some processing.

It’s funny how you can come up with all sorts of rationales and sophist responses as a shield against facing up to reality. When you’ve been doing that for quite a while, it becomes second nature, but that doesn’t make those responses any truer.

For years my response to “Are you OK?” or “How are you going?” has regularly been something along the lines of “I’m coping” – a neat little bit of sophistry. Having had some time to process the information from the forum though, the one thing that stuck most for me was the notion of a “window of cope”.

And yesterday, I came to the conclusion that my “window of cope” has shrunk to levels that are definitely no longer healthy. There’s always been a partial shame in hiding these emotional issues, but I was surprised how cathartic it was to say to a friend yesterday via IM chat, “I think I’m approaching the time where I have to consider that I need to see someone professional.” Aside from a little tear here and there when listening to a sad song, or watching something sad, it actually let me cry, and cry properly. Significant, much? I think the last time I cried real, gut wrenching sobs would have been when I was 18, or maybe even younger. I’ve always suppressed it. It’s probably not the strength I’d always insisted to myself that it was.

“Crazy ride” of course is disingenuous. I don’t really think of myself as “crazy” – well, when I’m not slumping, I don’t – but, like any other medical condition, it’s finally time to admit that there’s something slightly awry in how I think.

I’d not be entirely honest with myself and my friends if I blogged about everything else except this – so, allow me the melodrama of calling it a “crazy ride”, and feel free to watch the ride from time to time as I work out a solution.

Step 1 – this coming week, it’s time to make a doctor’s appointment for the non-physical.

 

 

 

 

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