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Psychologist Helen Block Lewis said, "Guilt is about doing. Shame is about being." In fact, shame in PTSD recovery and otherwise is an emotion that is tied not to a specific behavior but instead to whom you feel you are deep inside. Most often it comes from an imagined defect in who you are. That's right, imagined. Trauma creates so many lies, myths and distortions it's easy to lose sight of fact and reality. That's when shame can really sink its teeth and start shaking you around.
Humpty Dumpty sat on a wall. Humpty Dumpty . . . whoa, did you see that squirrel run across that wall, well, I guess it’s a fence, chasing . . . eggs . . . I need to go to the grocery store because we have no food because I keep forgetting to go and I’m tired of fast food . . . that squirrel was fast and he’s gone . . . I love fall . . . I keep forgetting to schedule my daughter’s senior pictures. Wait. What was I doing? Oh yeah, reading this nursery rhyme. Ugh! How am I going to be able to hold down a job if I can’t even read a stupid nursery rhyme? I guess I wouldn't have to remember going to the store then because I wouldn’t have any money. I’m so useless. How am I supposed to concentrate when there’s so much pressure in my head? Make it stop! What is wrong with me?
On World Suicide Prevention Day, let me start with the good news: suicide is preventable. That exact thought, however, haunts a family that has lost a loved one to suicide. The regrets are undeniable. There is a plethora of what-ifs and should-haves that nag at you from within; the guilt is unbearable. Looking back, we see so much that could’ve been done. In hindsight, you might even be able to pick the exact day, the exact hour, the minute, the second, where if you had looked a little harder, spoken a different word, been a different person, well, you just might have changed it all. Looking back, the signs are so obvious, but in reality, the answers are never that clear. Families, living their ordinary lives, doing their ordinary things are not at all equipped to deal with the extraordinary task of saving a loved one from suicide. Most of the times, they aren’t even aware. I wasn’t aware.
When struggling with a mental health or substance abuse disorder, there are a variety of treatment methods available. One of the most commonly known methods that is used at many different locations and in all levels of treatment is group therapy. Group therapy is a form of psychosocial treatment in which a small group of patients meet regularly with a therapist to talk, interact, and discuss current problems with one another.
Yesterday I talked about how to predict who is at risk for a suicide/suicide attempt. Today I want to talk about how to use that information to prevent suicide and what to do if you see the signs of someone experiencing suicidal thoughts.
We can quote textbooks and specialists all day long, but in the end, it is how we perceive ourselves and our individual conditions that really count. In that respect, is attention deficit/hyperactivity disorder (ADHD) truly a disorder? I don’t like terms like illness, disease, or disorder because they all imply there’s something wrong, and I don’t entirely feel that’s the case.
Like many people, I have been diagnosed with more than just anxiety. While it is possible to be diagnosed with just an anxiety disorder, I was not fortunate enough to be one of those people. As I have discussed before in this blog, I have co-occurring bipolar and anxiety disorders. As readers of my blog will know, each of these disorders is awful in its own way. Occasionally, I’m asked which one I hate more. Sometimes, I wonder this, myself.
In the United States, one person every 13.3 minutes dies of suicide. Suicide is the 2nd leading cause of death among young people (15-24). More people are killed by suicide than by homicide and yet it’s never suicide that people fear. Some people say that no matter what we do, there will always be suicide so efforts to stem the tide of deaths are pretty much useless. I say that’s poppycock. I say we should aim for zero suicides. I believe that not one more life should be lost. And suicidologists (yes, that’s a thing) would agree with me. September 10th is International World Suicide Prevention Day. Here’s what you need to know about predicting and preventing suicides.
I am an avid video game player. Recently I discovered Half the Sky Movement: The Game. Based on the book, it educates the player about poverty issues around the world. It's not all sweetness and light--one character is sold into prostitution at age 11, another character has an abusive husband--but it educates the player and offers solutions in the form of charitable gifts. It made me think about offbeat ways people with borderline personality disorder (BPD) can educate others about the disease.
Roughly 10 years ago this week, I was moving out on my own and attending graduate school. Many other big changes were happening at the same time in my life, but looking back, I can honestly say that those two had the biggest impact on my eating disorder spinning out of control around that time. It is no surprise that major life changes or transitions can, unfortunately, be triggers for a number of events or conditions in one's life, including eating disorders. Here's a bit about my experience on this and how it related to my mental illness.

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Elizabeth Caudy
Hi, boo-- Thanks for your comment. I am 100% certain I have schizoaffective disorder, bipolar type. I've been diagnosed with this for decades. Also, you're right, gaining weight isn't the end of the world, and I work very hard to unlearn my fat phobia. Being a feminist helps with that. Lastly, I am not ableist. Elizabeth.
Pam
Thank you for this. If it helps my daughter I feel blessed. Thank you for sharing your emotions thru poetry.
Mike
Our daughter is 34 and about 1 year ago, something triggered her schizophrenia. She has withdrawn from everyone in her family and most of the world. She has blocked anyone on her phone that she thinks is a threat. Now; not paying her rent or bills and has shut out the landlord who is a friend and wants to help but with no luck. Now they have no choice put to evict her.
Where do we go from here? Most of the family thinks just to let her hit bottom and then if she reaches out to help any we can. Some want to just keep paying her bills and just let her sit in the house with no responsibilities. Never been on medication and impossible to get to her when she refuses to talk to ANYONE.
Help.
Bob
I would love your advice. I had been texting someone I met on a dating app, we moved to instagram and talked all day everyday for 2 weeks, she told me about having Bipolar Disorder. When I shared some of my struggles she would reply in the sweetest, understanding ways. We had really good, deep talks and started talking about meeting up. I liked her a lot, I feel like we really connected.

On the day we agreed to videochat to make things less awkward IRL she woke up with a migraine so we rescheduled to the day after, I made sure to assure her that it was okay and to take her time. Later that day, in the late evening we had a nice chat but suddenly she stopped replying, even though nothing had happened. The day after I texted her good morning and said I hope she was feeling a little better. she wouldn't open my texts.

A couple days after I sent her a longer text saying that even though I had only known her for a short time I care a lot for her and would like to know how she are doing, telling her I'm there for her, assuring her I'm not going anywhere even though things might not be very easy. She wouldn't open it.

A week later I sent a text saying not to feel bad about not answering and that I will be there when she is able to answer again. It's been two weeks since this and she still hasn't opened my texts. She hasn't been active at all.

I don't know what else I can do. I assumed she might have fallen into a depression. I have tried to just not think about it anymore, and I haven't that much but when I do it sort of kills me inside...
boo
its because it's probably not schizoaffective or bipolar, it's likely autism and meds are making things worse bc its something to adjust to not "fix". also gaining weight isn't the end of the world, try unlearning your fat phobia and ableism.