Mental Health

Estimated reading time: 11 minutes

My feeds are full of the news of the sudden death by suicide of Stephen “tWitch” Boss. Everyone is shocked that he’s dead. It’s a travesty. Simultaneously, the world is knocked off its axis by the idea that a seemingly happy man/father/husband/celebrity who appeared to be living his “best life” with everything to look forward to, in fact, committed suicide.

But, I’m not shocked that anyone commits suicide anymore. Life is hard. Many of us contemplate it, some of us go as far as to meticulously plan it, still others attempt and too many succeed. As someone with Bipolar 1 disorder, I’ve become intimately aware of the statistics that 20-60% of all people diagnosed with bipolar will attempt suicide at least once in their life and 4-19% will succeed.

Depression does not discriminate. It gives no fucks about what you or anyone else thinks your life should feel like. Mental illness doesn’t care how wealthy you are or how charismatic you are. It strikes and it’s a cruel, clingy and unjust bitch. Once she has her greedy hold on you, she doesn’t want to let go. Wave after wave of sadness, grief and melancholy battering every inch or your heart, soul and body. It’s no wonder we start to drown in the seas of sadness. Survival is not guaranteed. Only by the grace of the universe, holding on for literal “dear life” determination and the support system to keep fighting through immeasurable pain, self-doubt, loathing and loneliness until the storm passes do we get to see another day.

To the outside world, Boss seemed like a man who had everything; a beautiful wife and 3 lovely children, a loving marriage and a career that was glowing up in all the best ways. He looked his happiest when he was with his family. He literally seemed to radiate from within. However, the truth is that we have no idea what was really going on in his heart and his head. He was beloved on the internet for his big personality, devotion to his family and all the good he brought to the online world. He was someone we needed; he was light. But even the most optimistic person has worries and weight. Most importantly, who did he see in the mirror? How did he feel in his own skin? Who was the real him to tWitch? The public is left bewildered and maybe even a little scared because if “it” could happen to him, it can happen to anyone, right? I feel this deeply because I’ve been on the precipice of eternal darkness before and it’s a terrifying and out-of-control place to be.

In my weakest moments as an adolescent, I spend many hours lying awake in the night, quietly full of despair silently sobbing into a pillow because I felt trapped in an inescapable hell, completely and utterly alone. Part of me wanted to disappear and another part of me wanted to be noticed and saved but that other part wanted to cease to exist and quietly float off into the ether. I wanted the peace that could only be found alone in the silence and darkness. These were my constant, ever-pervading thoughts throughout my early teens my early 20s.

But if you were to ask 99%of the people who knew me then, they would describe me with words like “nice,” “sweet”, “smart”, and “FUN” (yep, bipolar mania, professional and consummate compartmentalizer skills), and “funny”. I laugh a lot and I like to make others laugh even when inside, I’m falling apart. I’m one of those people who always holds it together; the deeper the pain, the quieter I get about it, and the less I scream and yell about it. I retreat into myself. I hide in plain sight.  If you know, you certainly know what I’m talking about. Feeling sad sometimes feels shameful because where the hell do I get off feeling sorry for myself when so many others have it so much worse? That’s what I told myself.

In high school, I was the smart, quiet “girl next door”, the “most likely to succeed” type. I got up, went to school, did my best, and got through my days pretending to be happy and good-natured; friend to everyone. I was the type that teachers and other people’s parents loved. But my thoughts were dark. I was sad, scared, anxious and angry. No one knew what was going on at home. I never told them. I was ashamed. At home, I was the victim of physical and emotional abuse from an alcoholic father. Every moment, of every day was erratic and school was my solace. From 8-3 pm every day, I was safe. I was normal.

By the time I got to college, I had become comfortable with pretending. I was on my own for the first time in my life, I was away from my boyfriend and friends, everything was new and overwhelming. I felt out of control. In the beginning, I was scared and felt swallowed up whole by the experience but then I just let go or rather I broke under all the weight of bending. Let me explain, I pretended to be care-free. I pretended to be cool with a lot of things I wasn’t. I pretended that being completely alone in a new place, wasn’t scaring me to death. I pretended that waking up with a guy (I thought was a “friend”) on top of me, slithering off like a thief in the night while I slept…never happened. I pretended that I was tougher than I was. I pretended to be happy. I pretended to be the life of the party. None of that was true. It was quite the opposite.

What the world saw was not me. It was some version of me. She was the only reason I survived. She was the fake it until you make it Debi. Or maybe I was the push it til you break it Debi. Around this time, my eating disorders kicked into high gear. At one point it was so bad that I was consuming roughly 200-300 calories a day while purging (without the binging) sometimes up to as many as 10 times in any given 24-hour period. I felt trapped inside my own body and mind. Never free to be the real me. No. I couldn’t handle that rejection.

In those days, I survived on 3-5 hours of sleep a night, worked full-time, went to school full-time 1.5 hours away from where I lived and had to drive back and forth every day and still maintained a boyfriend and robust social life. I lived like a frat boy, drinking into the early hours of the morning, satiating my id and sleeping on the sofa at my best guy friend’s house. Pretending to be okay. No one met the real me then.

There was a Debi for school, one for work, another for the boyfriend, one who pretended to fearlessly sleep on the sofa of a house full of guys, and even one more Debi for nightlife. I felt like a little girl playing dress-up. I was not ready for any of this. The time I was the most myself was in the 3 hours I was in the car alone, blaring Alanis Morrisette and Mazzy Star, singing at the top of my lungs. No one knew me. I was a lot of people for a lot of people but I was almost never “me”.

I was tortured but when I was doing what I needed to do, when I was chin-upping it I could avoid reality and the reality was that I wanted to die. Living was too painful. Breathing was a chore. Slipping on and off personalities like comfortable coats was exhausting.

It felt like everyone wanted a piece of me but only the palatable pieces. No one wanted or cared enough to move past the “me” that they needed to really see the “Me” that I actually was. This explains how the body dysmorphia got so bad. My therapist once told me that my perception of myself is so skewed that I can never trust my own eyes to know what I really look like. So, the cost of the chameleon life I led, straddling reality and pretending to be everything to everyone is that I no longer get to see the real me. I’m gone, vanished from my own sight.

As you may surmise from the previous paragraphs, I was chronically and acutely depressed with suicidal ideation and I had a plan. I even had the opportunity and motive. My point is that to the outside world and even to those closest to me, I seemed okay. Some people even called me the life of the party. I was good at hiding the darkness. I was great at pretending to be happy and go lucky when inside I was breaking. I compartmentalized my life in such a definitive way that I built a fortress around my innermost me that cut myself off from everyone and everything I loved. I lost my joy. Even when I was smiling, I was probably actively planning how, when, and where I was going to give myself over to that eternal quiet darkness that I was longing for. I was done but I couldn’t share that part of me with anyone. I didn’t want them to console or stop me. At the time, I felt like there was no way out and I was destined to a fate of pretending to be alternate versions of myself to be loved by others. The burden was too heavy but I wore it like a dress with pockets and no one seemed to notice the gravity of it all.

In the end, we see what we want to see. We choose to believe that some people have it better than others. It’s the lie we tell ourselves to help us make it through the days. To be fair, we only see what people allow us to see of themselves and they only see what we give them access to of ourselves. In a world built on flawless filters where people are so busy that they seldom look up from their screens to see a sunset, how can any of us be expected to check in on our friends who seem to be okay? Or worse the ones who seem to be good? And that, my friends, is the problem.

We live in a world where we don’t have the time or bandwidth to care about others the way that we’d like to believe we do.  We’re a society saturated in our own woes and even when we want to, it can seem futile. But we put on our brave and happy faces and we soldier on until we can no longer endure.

I don’t know what happened Monday to trigger and escalate the situation for Boss. I don’t know what his “no longer can endure” breaking point but I know the pain it feels to be there in the thick of it. I know the sorrow and thick melancholy that makes it hard to breathe and even harder to live. My heart goes out to Boss and his family. It breaks my heart to think of how alone and desperate he must have felt in those final moments when no longer existing seemed the only option.

People always want to know how and why someone could do such a thing, especially when they seem to have it all. The thing is “having it all” is worthless when you feel completely alone and unworthy of your blessings; when you hurt so much that you can’t even find joy in the things that used to make you profoundly happy; you can’t function normally under the heaviness of the sadness. You begin to doubt the point of your existence and wonder if removing yourself might actually be better for your family and friends.  I’ve been there and now; my daughter is there. Sometimes, I think I survived just for this moment. I’ve been on both sides of the darkness as someone’s child and now, as the parent of someone mired in the darkness and it’s worse than you can imagine.

If you or someone you know is feeling alone in the darkness, having suicidal ideation and/or making a plan, reach out for help. You are not alone. There are so many of us who have survived. There is no switch to turn or pill to take to be all better. It’s painful to survive BUT it’s worth it. Take it day by day, hour by hour or even minute by minute. The pain seems unbearable and the crisis unsurmountable when you look at the big picture, so look for the tiny moments to get you through to the next.

If you’re in the United States, you can call the suicide and crisis lifeline at 988, available in Spanish and English language, 24 hours a day. Someone is always there to listen. You are worth saving. You matter.

Estimated reading time: 7 minutes

These past few weeks of motherhood have been thus far some of the hardest ever. Shit has happened that no one teaches you about in the parenting books. I’ve studied the whole of the DSM and I still couldn’t have been prepared, as a mother, for the kind of emotional toll that has been taken on me. That’s why I’m realizing how to protect your mental health while taking care of everyone else is so important for parents.

You know there are things you expect, in the back of your head, in the bottom of your heart and right there in the pit of your stomach. Things that you know can happen, like all those terrible side effects they warn you of when you are taking the drugs that will save your life. You take them anyways because living is more important than having the shakes. Well, my friends, this shit was not on the warning label when I got pregnant. Or maybe it was and I chose not to believe it.

I have been struggling with mental illness since the teen years. There is a whole list of disorders and illnesses that I can speak of at length and in-depth. That should have been a red flag to me that maybe I needed to be a little more prepared for what could happen if the girls got triggered. But, I thought, I’ve got this. I found my way out of the darkness. It’ll be fine. And it was until it wasn’t anymore.

In my teen years, my mind was held hostage in a dark abyss. I couldn’t find my way out or at least it felt like I couldn’t but, true to Debi fashion, one step at a time, one moment at a time, I survived. Barely. Even though there were days when it was so painful to be alive that I prayed something or someone would kill me because I couldn’t do it myself and hurt my mom. She was my savior and she had no idea of the dark thoughts that were infiltrating my brain. It’s probably better that way. But I know.

In those days, it hurt to breathe because it felt counterintuitive and I cried more tears than I thought were even possible. But, my childhood was tumultuous to put it nicely. A lot of bad shit happened to me and when you’re a kid, you can only take so much before you break. Or so I thought. I’m more resilient than I ever imagined because I never actually broke, I just bent as far as my child mind and body could.

I promised myself that I would never allow that to be my daughters’ stories. They would live a “normal” life. As if I even know what that looks like. I promised myself they would never be triggered and I thought I could protect them from my same fate. But I was wrong. There are some things we can’t actually stop from happening, no matter how hard we try or how ‘good’ we are at this parenting thing. Maybe this is why I feel like such a fraud when people compliment me. I know the truth. There are simply some things that are beyond our control. That’s a hard and bitter pill for this recovering smother mother to swallow.

How to protect your mental health while taking care of everyone else is a hard, but imperative, balance to find

Today, I took my daughter to her first adolescent group therapy session. Never expected that to be a milestone. She almost cried when I left her. I almost cried when I left her in a room full of strange kids in their own turmoil. Is this a good idea? Is she going to get ideas or learn bad habits? But isn’t this supposed to help her live? All that matters is that she makes it through, by any means possible. She is the most important thing in my life. She and her sister are truly my entire reason why.

A couple of weeks ago, her depressive episode got so bad that I could see her slipping into that same dark abyss that I used to live in. I lived there for years. I honestly thought I’d never escape. I resigned myself to living there alone with my pain until it killed me. For me, it started at 12-years-old with body dysmorphia, then the major depression and suicidal ideations started around freshman year of high school, onto eating disorders beginning around 17 ( bulimia then anorexia with extreme exercising), and ultimately a diagnosis of bipolar 1 when I spent most of my college years and my mid 20’s manic AF. I didn’t have my first panic attack until I was 35-years-old but according to my psychiatrist, anxiety was there first.

As a child, I was prone to terrible stomach aches that landed me in the emergency room on more than one occasion. That’s how little Debi’s anxiety from living with an abusive, alcoholic father first manifested. But I learned quickly, around 7-years-old, how to develop my coping mechanisms. I’m a counter. It worked for years until my husband lost his job when I was 35. #mommysfirstpanicattack Yep, if I’m anxious and talking to people (pushing through my anxiety) I’m probably counting every word you are saying and all the letters in the words.  I know I’m an extrovert but I also have my limits. I didn’t even realize I counted or what it meant until about a year into my therapy. Did I mention now ADHD is on the table? Aye aye aye. Like seriously, what the actual fuck?

Anyways, most if not all of these things are in control ( save for a little mania that gets triggered when I’m under duress…you know like when you’re dealing with the guilt and pressure of passing along your fucked up brain chemistry to your children). You have not had mom guilt of this level if you haven’t genetically fucked your kids up. It is a special kind of hell because it is in fact my fault. I’ve been crying about this a lot lately.

Right now, I’m trying to keep my shit together while putting out a seemingly unlimited amount of mental health trash fires over here daily. It’s a lot. I’m overwhelmed. I’m triggered and I’m trying my best to do what’s best for everyone, especially my girls. I thought I was holding it together. I mean I know that on the inside, I’m falling apart but I thought on the outside, I was taking care of business. I think I am for the most part but I’m neglecting myself. I know this because the other days while I was sobbing about my daughter’s mental health crisis, I could hear my pressured speech and feel my pressured thoughts machine-gunning out of my head and my husband gave me a hug and said, “But Debi, you haven’t looked happy for a while.” And he’s not wrong. I’m too overwhelmed and exhausted and scared to be happy because what right do I have when my children are in pain?

That’s how I know that I need to step back, take inventory and do whatever I need to do to get my own mental health in order. Because skipping myself isn’t doing any favors for my children or my husband. In fact, I’m adding to the pile of neverending trash fires currently going on. Look, I’m not complaining. This is me processing. I write, that’s how I survive. If you’ve ever wondered why my feeds are not perfectly curated, it’s not because I don’t know that it’s what people want its because I refuse to live a lie. My battle with eating disorders made me a liar for about 8 solid years. You have to lie to hide the fact that you are slowly killing yourself from the people who love you. If not, they will stop you from your slow suicide. And I preferred to exile myself from everyone than to let them know how truly vulnerable and pathetic I was. I spent so many years striving for perfection and I’m still a fucking relentless overachiever. It’s just who I am. If I stop moving I die. But now, with years of therapy and doing the work to not only understand my disease but myself, I will never silently suffer again and I don’t want that for my daughters either. I never want them to feel that alone and afraid to live. So how do I protect my mental health while taking care of everyone else? I have to be vigilant that I take care of myself first or I won’t be able to take care of anyone else. I know from a mom’s perspective, it sounds very selfish but it’s not. It is giving myself permission to heal so that I can help the people I love the most heal and get the help they need with my full support.

Estimated reading time: 5 minutes

Look at me. I probably look just like a lot of you. Most days, I look a little tired, wearing yoga pants, an oversized sweatshirt and a messy bun and some days, I look cute. But, there are subtle differences, ones you can’t see, bubbling right beneath the surface like well-placed Botox. Lately, I’ve been feeling a sort of way; like I’m walking a tightrope of mental health. Any wrong move could send me toppling and it’s exhausting. I feel like my bipolar diagnosis has been standing at the back of the room hanging out and suddenly, the pandemic has got behind that diagnosis and begin to nudge me uncomfortably forward. This might not make sense to you, if you’re not a person with mental illness but if you are, you know exactly what this feeling is. This is my diary of a manic mom.

My diagnosis of Bipolar 1 came the year after I got married, from the unlikeliest of places, my gynecologist. I know, her specialty is cervixes and uteruses not mood disorders with a side of mania but lucky me, I met a gynecologist who also happened to be the mom of a daughter with bipolar. This is where my journey from broken to bent began. Let me tell you, it is a relief when you realize there is a diagnosis and you are not in fact broken.

The diagnosis was terrifying at first. I had no idea what that meant, which made it even scarier considering everything I’d ever heard about the illness up until that point was limited misinformation and worst case scenarios. The consensus from my doctors is that I started having episodes in my teens and by college, they were at their peak. I can only speak to my particular flavor of mental illness but for me, it waxed and waned between full mania and extreme irritability. My “low” is the extreme irritability that comes from not being able to slow down. It’s like racing towards a brick wall going 125 miles an hour. I see the wall. I know it might kill me. I want to slow down but my mind keeps pushing the gas pedal. It is so bad that I get on my own nerves. That is a new level of irritability.

When I’m in a manic episode, I lose my ability to think rationally. I become reckless in all the ways you can imagine. I also feel invincible mentally, physically and spiritually. I’m naturally an optimist but when manic, its beyond reason and consequences were never considered. I am also inspired because all boundaries are null and void.

My diagnosis was not easy on the Big Guy, myself or the marriage. It took a lot of therapy, medications, research and willingness to embrace my disorder. I had to put everything into accepting my diagnosis, otherwise, I could not have learned to live with it. My husband also had to learn about and come to terms with my diagnosis. From that point on, he became my accountability partner, meaning we’ve discussed it and he knows the difference between my normal moods and reactions and when I’m becoming episodic. I need him to tell me if he recognizes the train going off the tracks, in case I’m not aware.

My experience with a mental health diagnosis has made me a mental health advocate. I had to learn about bipolar disorder. I believe every single person could use some therapy, especially during this pandemic, children and adults alike. My family knows this and we’ve all been in therapy at one point or another. I don’t believe in needlessly suffering when help is available.

I don’t have episodes like I used to. In fact, since the onset and diagnosis, I can only think of two other occasions when I’ve experienced a full manic episode. However, thanks to self-awareness, education and all the work I’ve done over the years to understand my illness, I’ve been able to find my way through them without losing total control.

With the pandemic and some of the situations that has brought with it (quarantining, best friend is a doctor who keeps me abreast of all the latest CoVid news, virtual learning, masks, an election, going back to school, deaths in the family, constantly worrying about the people I love and never being able to hug them), I have felt anxious. I’ve been able to deal with the anxiety. I’m aware it is happening but I push it to the side and move on. However, that constant state of anxiety has triggered what I’ve felt like was a manic episode.

What did it feel like? It felt like running in high heels across the Grand Canyon on a tightrope. Other times, it feels like I’m stuck on a roller coaster perpetually going up, violently coming down and going right back up again. When this happens, all I can do is try to process my feelings while separating the noise and chaos from what must be done. Sometimes that means shutting completely down and being still until the attack of everything of the world is hurling at me can pass. I need to make things digestible or I will be swallowed whole. The most important thing is knowing myself and being aware of the symptoms that accompany my illness.

Giving myself over to those old reckless and self-satisfying behaviors is no longer an option for me. I’m a mom. Not only do I need to be mentally healthy for myself, I need to be healthy enough to take care of and love my family. Being mentally healthy is for my family. Knowing how to recognize, treat and work through my illness is the only way that can happen. There is no room for ignoring and denying in mental health because in the end it can mean the difference between life and death. Also, our children are always watching. I want them to know that there is no stigma to being mentally ill, seeing a therapist, taking medications or whatever needs to be done. The important thing is that we can embrace our disorder and love ourselves.