A Crash Course in Depersonalization

Depersonalization is like having amnesia.  You don’t know who you are, you’ve “lost” yourself– your identity or your personality.  You try to jump-start yourself.  You pray, make deals with God, but it doesn’t help.  You are stuck.

There is a pervading feeling, like doom.  It saturates your thinking, flavoring everything with a sense of finality.  It is as difficult as you can imagine, to lose yourself– to become unreal to yourself.

Depersonalization is a symptom of an anxiety disorder and not a stand alone condition. How do we know this? Because depersonalization cannot exist without anxiety BUT anxiety can exist without depersonalization.

Depersonalization is caused by a shift in the part of the brain that provides us with a ‘real’ awareness of our environment; this part of the brain is directly linked to the Amygdala, the organ in the brain responsible for anxiety.

Terms commonly used to describe the symptoms and sensations of Depersonalization:

  • unreal
  • disembodied
  • divorced from oneself
  • apart from everything
  • unattached
  • alone
  • strange
  • weird
  • foreign
  • unfamiliar
  • dead
  • puppet-like
  • robot-like
  • acting a part
  • like a lifeless person
  • two dimensional
  • ‘cardboard’ figure
  • made of cotton-wool
  • having mechanical actions
  • remote
  • automated, a robot
  • a spectator
  • witnessing ones own actions as if in a film or on a TV program
  • not doing one’s own thinking
  • observing the flow of ideas in the mind as independent.

Treatment is to deal with the anxiety, depersonalization, although disturbing in itself, is not harmful. [Although the experts have never had to go through it].

As a Christian believer I reach out for the presence of God in this mental state.  Even though it is hard, I reach out in faith on the basis of His word; He will never leave or forsake me, He has forgiven me and not abandoned me.  That He understands my thinking from afar off.  These truths all strengthen me.

Give Us This Day, Our Daily Meds

My particular issue is with Bipolar 1, with psychotic features.  I have social anxiety which factors in as well as weird delusions.  The anxiety and delusions are pretty much one and the same.  They are often the things that will touch other people, while the rest is less obtrusive and can be hidden.

I have a tendency to hatch mini-conspiracies almost daily.  They can be really paranoid as I think the worse about people and life as it enfolds around me.  Facebook with its social networking helps but it has also intensified my issues.  I am very much a recluse, and only get out about twice a week.

Depression, which is part of the Bipolar, has been less of a factor just in the last few months.  Suicide, that dark word, will deepen if the depression goes too long without lifting.  My last bout was over New Year’s and the SI got really bad.  I drew up plans and everything.

Being a believer gives me a reason to live.  The Holy Spirit is so patient with me.  His companionship is far more helpful than any anti-depressant.  He doesn’t require that I become symptom free to fellowship with Him.  Instead, He weaves with the materials He has, and my discipleship is really no different than another Christians.

Overall, in spite of a tumultuous and see-saw life, I find that life with Jesus (discipleship) is truly grand.  He understands me, and is guiding me.  He is the Shepherd who is good, and I am His sheep who needs kindness and forgiveness always. He bruises no reed, nor does He quench the smoking candle (Matthew 12:20).

One more thing.  Having a mental illness has, I believe, made me more compassionate and tender toward others.  When I meet a difficult person, I will be the last one to give up on him.  Others will bail out, but I stick.  I guess this can be a bad trait, but I can’t help it.  I love people, esp. those who hurt.

Here’s a list of my daily meds.  I hope this helps someone navigate the seas of psychiatry safely.

AM- Lithium, 600 mg/Zoloft 200mg/Seroquil 400 mg/Provigil 200mg

NOON-Seroquil 200 mg

PM-Lithium 600 mg/Seroquil 400 mg/Lunesta 3mg

The Lithium works mostly on mania, but does help depressive states.  The Zoloft is an anti-depressant (similar to Paxil)  The Provigil is for alertness, I have had issues with daytime sleepiness, esp. since my brain tumor.  Finally the Lunesta is a sleeping pill.  If I can help explain any of this, please let me know.  I aim to please!

 

Delusions Understood (Sort Of)

When I first watched the "Matrix," I completely flipped out. It explained too much.

by Bryan Lowe   

I need to briefly share what delusions are like.  I’m going to flip the switch and flood the room with light, and watch the “critters” scuttle to find a hiding place.  I’m doing this to help heal myself, and for you to understand this awful state of mind.    

First of all–definitions.      

Delusion n.
A false belief held despite strong evidence against it; self-deception. Delusions are common in some forms of psychosis. Example.  Because of his delusions, the literary character Don Quixote attacks a windmill, thinking it is a giant. (that’s the dictionary for you.)   

Delusion de·lu·sion n.
A false belief strongly held in spite of invalidating evidence, especially as a symptom of mental illness.   

Typically, my delusions have a common core of pride or self-centered thinking. For instance, I have experienced all of these:   

  • A woman loves me and she is secretly trying to be with me. This is very flattering and egocentric.  This  one can really mess with your thought-life.
  • I’m the center of the universe, people really do not exist, except when they come into my life or influence.  [This one is a bit metaphysical.]
  • I have special powers that ‘know” a person’s motives, plans and heart.  I am hyper-discerning.  The opposite can be true at times, where I become exposed to people, which necessitates me never leaving my room. I feel “naked” and of course, very uncomfortable.
  • I get paranoid, thinking people are plotting with each other behind my back, working to destroy me.  Chat rooms, and Facebook are focal points for me with this one, but not always.  With this one I get really verbal, and I start zapping people.  I guess because it’s the internet I can do this with impunity.
  • Clocks are always at the top of the hour, like- 7:00 am.  Or they are at the bottom of the hour, like 11:30 pm.  I call this “chrono synchronism.” I believe this is evidence that my life is orchestrated, purposeful, and this is evidence I am very significant.  This is my latest.  And it really isn’t super disruptive.
  • I can read secret messages in books meant for me.  I also line up spaces in what I’m reading to form an unbroken line.  I compulsively do this.
  • The big one is this, I am in my form of “The Truman Show“.  The universe is just a set and I am the only living thing out there.  Everything is focused on me (of course).
  • I hear voices sometimes, but mostly a radio or sometimes the “dot-dash-dot” of a telegraph.  I think its trying to warn me in some code.  It can be persistent. And it can be disruptive.

I guess all of these have things in common.  They are self-centered.  They are unreasonable.  They are compulsive. And meds do work.  And the above list?  The delusions are only mild-to-moderate issues of delusional paranoia.  There are so many Christians and non-Christians who have worse. I once met a man who seriously believed he was Jesus.   

As a believer working out his discipleship, I’ve discovered that humility and openness is always the way of keeping one tethered to reality.  However, I have a fear that I will break loose and never come out again.  I MUST live in “brokenness”.  So in a strange way, following Jesus Christ is easier.   

 Also, I must be open to things that will invalidate my delusion.  Even if I’m 99% convinced, that 1% will cause me to consider thinking through a scenario.  Truth is your best friend when you are challenging a delusional paranoid.  But it has to be gently applied. Life doesn’t have be lived this way.

People have prayed for me, more then I have prayed for myself.  Your intercession bridges a gap over this illness.  When you pray, you power up the energy cells and get instructions.  It may mean wait, or proceed.  Every person and situation is different.   If I can help, send me a comment.

   

A Day in the Life of a Mentally Ill Patient

6:30 am. ”Rise and shine,” but you simply just live and walk , in this kind of a desperate fog,  Simply put, ‘there will be no sunshine for you today.’  But, which only just seems to really matter to us,  who have no hope.  You exchange brief greetings with your roommate, which only just seems proper, even at this level.  We are given “ratty” old surgical scrubs to wear through out the day.

We head down en mass to the cafeteria.  I see the servers on the line, I notice that they avert their eyes from us as we form a hungry queue.  Sometimes, they will give us  choices: “bacon or sausage?“  To a mental patient, this can be a Gordian Knot of complexity.  So the line moves slowly, as we try to sort out this conunderum.

There is no coffee for us, as patients.  It has been two weeks for me, and I dream of a cup of hot coffee, with cream.  Some of the attendants drink Pepsi, although it is done hiddenly, but we all know it.  We resent their liberty, especially when we have none.  There is a question of equity, with us, which has been violated.

8:40 am.  We are all race to be the first in line for our morning meds.  It almost seems we are afraid they are suddenly going to run out.  I get my Seroquil, my lithium, my Zoloft.  Additionally, because I am post op brain tumor, I am given a mild stimulant called Provigil to help me think clearly.  I have no idea if it works, or not.

We then gather into a day room full of clunky and ugly furniture.  It is big, and the chairs encircle a grimy tile floor to make a large open space.  This is not an orderly place, as people are wandering about, some stare at the wall or at a fake plant in the corner.  It is noisy, some even shout.  Others just “rock” back and forth to a song that only they can hear.  A few of us lie in “fetal position” of hiddeness, just wanting to disappear.

The thought occurred to me one day, of a ‘giant aquarium.’  It was constantly moving, swirling about.  If you stopped moving, it meant that you were dead.  Everyone was moving, and oblivious to the others who were also moving.  This seems to explain much.  You will need to accept the aquarium if you really want to process the moment.

On one of my stays, weeks went by before I realized that this particular meeting actually existed, but I was very confused and seriously beyond any correction.  I was really struggling with clinical depression and beside meals and meds that was really could manage.  When I finally figured this out, I quickly joined the fish bowl.  It was both good and bad.  But mostly good.

11:00 am.  One thing you do notice is a lot of disjointed conversations.  You would speak to someone and 10 minutes later they would answer.  And for the most part, conversations would be muted, whispered to people.  As if there was a conspiracy involved, and a certain appropriateness must be taken.

Sometimes an attendant would turn the TV.  I can remember watching cartoons and just maybe I would think that they where communicating to me in code.  We did have a VCR for movies, but because one guy urinated into the machine, it shorted it out.  So, no more movies.

During one stay, and there were several, I was suicidal.  The staff watched me like a hawk, sitting at my door out in the hallway. But I was desperate to cut my wrists, I got up in a chair.  I wrapped up the clock in a blanket, to muffle the sound of breaking glass.  I managed to slash my wrists deeply and often, before the nurse came in my room.  For a moment, I brought an excitement to the staff.  And perhaps a certain meaning to me.

When you’re in a psych ward your days are very tedious.  One day is like the next.  The psychiatrist comes to see you and it is a high point of your day.  You discover that explanations are seldom given to you except by the doctor.  That is one of the first cardinal rules on the Ward.  Ask a nurse or an aide, and they invariably dodge.  But the psychiatrist “rules the roost.” Everyone follows his decision.

1:00 pm.   Suddenly a young teen girl with schizophrenia, screaming and pounding her head against the wall who becomes the focus.  Every couple of days this happens, and obviously punctuates the drabness of the day.  She is artfully restrained by the staff and taken to “the padded cell.”  It is for her own protection,  but we as patients, we all rally behind her fight.  When she makes a break from the nurses we all cheer her effort and want her to escape.

The second cardinal rule of the floor is that you don’t “stick out” in any way. Creating an issue is never tolerated, whatsoever.  Demanding more TV time, or coffee, or a newspaper will hardly ever go over well.  Just before Thanksgiving, 2003, I timed my meeting with the pdoc to raise an issue of a fresh cup of coffee.  There was a nurse present at our meeting, and she had to respond to the doctors order that I was to be given coffee on Thanksgiving morning.  The next morning the coffee was delivered, but the nurse insisted that she would set in a chair next to me until I finished.  Nevertheless, it was a glorious moment.

3:00 pm.  I soon developed auditory hallucinations.  First, I kept hearing a CB radio, squawking constantly.  A few days later, I started to hear a telegraph, “dit dot dash.”  They both were very loud and insisting that I pay attention.  Also, I would have 3 or 4 moments of seeing black and hairy spiders climbing at me.  They were so real, and even volitionally know they were not real, but make believe.

4:30 pm.  They’re other issues as well.  I basically hated phone calls from family.  When they did come they always seemed intrusive and seemed to work against the thinking on the Ward.  When friends did visit, I would be abrasive and rude.  Wishing they hadn’t made the effort.  I imagined their hearts processing me and my decision to be there, and it disturbed me.  Since I lived about 300 miles from the hospital, it took effort on their part to try to see me.  Looking back though, I wish I had been nicer.

8:48  pm.  Getting ready for bed.  It seems that is what I have waited for this all day.  These are moments I have started to live for.  Sleep = oblivion.  I fade to black, and life is paused.  There isn’t any issues for me to figure out.  For eight hours, I find peace,  Sleep is a deep mercy, a gift given to us from the Father.  Those of us, who struggle hard against the dark, understand the “gift” of grace in the form of sleep.  Depressives very often long for sleep. We often want to hide into sleep, as if it would solve our problems and issues.

I want to sleep, to close my eyes and to be gone.  I suppose that is true, for all of us who want to “commit suicide by sleep.”  We seek oblivion, and long for the moment when we can “check out.”  We want to be forgotten and overlooked.  Simply, we want to be forgotten, and disregarded.  We deeply want to be erased, and move directly into forgottenness.

But I have been assured, by those who have gone ahead of us.  We have gone through so much.  Things will become more complicated, and as we keep up with these extrapolations, we will become tired.  Things will often seem far away, but in reality be very close to us.

When we have been committed to the Ward, we will be shaken to our core.  Our insertion into a floor of mental illness, will certainly introduce us to a deep desperation.  There is a darkness that is pursing us far beyond what seems is right.  We must call out to Him who can save us.

Shedding Self Importance

Bryan & Lynn, Still learning to be servants

Shortly after Lynn and I were accepted by KBCC to be their senior pastor we traveled to California to be with family for a few weeks.  On our return to Alaska we drove from Anchorage to our home in Homer on the Kenai Peninsula.  I could hardly wait to jump in and be a pastor.

As we drove into Homer I noticed the marquee on the movie theater.  It read, “Congrats to Bryan and Abi”.  I immediately stopped the car to gawk in amazement.  I was flabbergasted.  I suddenly felt a warm flush of self importance.  Homer was recognizing me as a pastor, as well as ABI, the Bible school in town that I had been teaching at, also in Homer.

I was impressed with how enlightened my town had become in recognizing me since my trip ‘outside.’.  I actually drove around the block to take in this wonder and took another look.  I was completely taken in by this marquee.  My pride took over and I felt invincible.  Words would pour off my lips and my little town would be guided by my spiritual brilliance.  I felt a warm surge of heavenly authority.

About two weeks later I picked up the local newspaper.  As I paged through I came across an announcement for a wedding for someone named Bryan and Abby.  I suddenly pieced it together.  Abby had been an employee at that movie theater before she got married!  The management had put this message on their behalf.

Immediately the Lord jolted me back into reality.  My arrogance and pride drained from me.  I felt like a pompous ass.  I had so inflated myself, thinking I was so impressive and important that the crash devastated me.  I was not as awesome as I thought I was.  I was embarrassed by how easily I was led into this spiritual trap of self-importance.

The Bible has a great deal to say about our pride and arrogance.  “One’s pride will bring him low, but he who is lowly in spirit will obtain honor.”   I would like to say that I have overcome this arrogance, but I catch it growing in the corners.  I can say that even though I was so self-absorbed and self-important that I am now immune from this sin.  But that would be a lie.

Jesus loves the humble.  He favors those who are poor in spirit.  But he resists people who are proud and self-sufficient.  He stands against the arrogant.  The Father hates my pride and my arrogance.

I want to encourage you to come to Jesus now.  Come as you are and He shall meet you.  Dispense with your pride and “humble yourself before the Lord”.  We do all right if we see ourself as ordinary and average.  Satan will look for any handle you give him.  Pride is one of his favorite ways to control you.  When the disciples tried to figure this out they ended up fighting.

26 But it should not be that way among you. Whoever wants to become great among you must serve the rest of you like a servant.27 Whoever wants to become first among you must serve the rest of you like a slave. 28 In the same way, the Son of Man did not come to be served. He came to serve others and to give his life as a ransom for many people.”

Matthew 20:26-28 (New Century Version)

The marquee incident was 10 years ago, but I am determined to remember how the Lord revealed to me my pride.  It has become humorous to me now, but at the time it was brutal.  I have had to learn through weakness.  When I am weak, He is strong.