Category: medications

The Sheer Hopelessness of Mental Illness

 

Bear with me please. This was written in March of 2012.
Right or wrong, it was where I was at with my illness. I hope it will bless, and bring hope into that situation that seems very hopeless:

“The Lord is near to the brokenhearted
    and saves the crushed in spirit.”

Psalm 34:18

Depression makes you understand hopelessness.

I’ve seemed to have settled down into a blackness that defies all explanation. I’m dodging being hospitalized, and they can’t put me where I don’t want to go. I don’t want to be locked up again. I’ve been hospitalized four times for depression. Six months of my life wasted.

It’s the hopeless/helpless thing, a “one-two” punch that is the most devastating to me. It crushes and pulverizes until I lie in this sad pathetic mess I’ve become. Dante had it dead-on when ascribed the gates of hell with the words, “Abandon hope, all ye who enter here.” In hell you’ll know what despair is really like. Perhaps heaven and hell really do start here?

And there was another writer, just as clever, said something along these lines,“Shut up! Unless you have been lost in this particular section of hell before,  just be quiet.”

And perhaps we should? Nothing can trump personal experience. The survivors, if you can find them, will understand what I’m saying. 

How is it,
People fear the dark?
Not me, I’m reconciled
as every day I see
the blackness grow,
I’ve come to terms with it,
it knows I know.

–Rod McKuen, Alone

Hopelessness swirls me around and I feel like a bug going down a drain. Thoughts of suicide are becoming more concrete and despair is becoming a frequent visitor.  Mental illness is frightening. Those who have experienced it, will learn not to say anything, but pray.

Durability may ultimately prove to be the most significant factor in this “mixed state” of Bipolar disorder that I am wandering through at the moment. Can I outlast these demons that plague me? My irrational mind plays tricks on me, I see mirages of wholeness and peace, but they don’t seem  real. It is a big, fat lie. It is nothing but a delusion, or a trick of the brain. 

And yet something inside of me steadfastly hopes for God’s grace and mercy. 

I can’t explain this.

I know that Jesus has conquered the dark. I must cling to Him. I must let this darkness go. He’ll need to work this out.

Up and down, side-to-side, where it stops, no one knows?  But God…and right now He isn’t saying. Jesus hold on to me. I hold on, by faith to the promise given to me–

“And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.”

Philippians 1:6

I don’t mean to be this raw. Sometimes I just let it “all hang out.” I hope you’ll forgive me if I’m too open. I just wanted you to have a picture of a “broken believer” and more so of the grace that saves me.

I know He loves me. I somehow cling to this.

 

Social Anxiety Understood

“In any social situation, I felt fear. I would be anxious before I even left the house, and it would escalate as I got closer to a college class, a party, or whatever. I would feel sick in my stomach-it almost felt like I had the flu. My heart would pound, my palms would get sweaty, and I would get this feeling of being removed from myself and from everybody else.”

“When I would walk into a room full of people, I’d turn red and it would feel like everybody’s eyes were on me. I was embarrassed to standoff in a corner by myself, but I couldn’t think of anything to say to anybody. It was humiliating. I felt so clumsy, I couldn’t wait to get out.”

Social phobia, also called social anxiety disorder, is diagnosed when people become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with social phobia have an intense, persistent, and chronic fear of being watched and judged by others and of doing things that will embarrass them. They can worry for days or weeks before a dreaded situation.

This fear may become so severe that it interferes with work, school, and other ordinary activities, and can make it hard to make and keep friends.

While many people with social phobia realize that their fears about being with people are excessive or unreasonable, they are unable to overcome them. Even if they manage to confront their fears and be around others, they are usually very anxious beforehand, are intensely uncomfortable throughout the encounter, and worry about how they were judged for hours afterward.

Social phobia can be limited to one situation (such as talking to people, eating or drinking, or writing on a blackboard in front of others) or maybe so broad (such as in generalized social phobia) that the person experiences anxiety around almost anyone other than the family.

Physical symptoms that often accompany social phobia include blushing, profuse sweating, trembling, nausea, and difficulty talking.

When these symptoms occur, people with social phobia feel as though all eyes are focused on them. 

Social phobia affects about 15 million American adults. 

Women and men are equally likely to develop the disorder, which usually begins in childhood or early adolescence. There is some evidence that genetic factors are involved. Social phobia is often accompanied by other anxiety disorders or depression, and substance abuse may develop if people try to self-medicate their anxiety.

The use of anti-anxiety drugs may be used and they can help you get through “bad patches” when anxiety becomes too much. It’s possible that these meds can help. Let your doctor guide you.

Understand that social anxiety can be successfully treated with certain kinds of psychotherapy or medications. You probably should find someone who understands what you’re dealing with. They need to be good listeners and have an encouraging voice.

Bringing in a pastor or elder must be considered.

Prayer and counsel are critical. Holding on to God’s promises is necessary and as you deal with this it can be God’s way of strengthening your walk. The Word is packed full of His promises. The Lord knows-He wants you to take up and understand what He wants to give you in this.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.”

Isaiah 41:10

Facing Down Your Dragon

“For I am ready to fall,
    and my pain is ever before me.”

Psalm 38:17

Over 85 million Americans live in chronic pain. That’s amazing. Maybe you’re one of them and maybe you just want to understand — perhaps you have a friend or family member who is hurting. They’re facing their dragon and that can be a challenge.

Pain can be constant, or, it can be intermittent. It shows up unpredictably. One never knows when. But believe me, it is terribly real, even if it’s not continual. I look at my dragon in the eye far too often. Way too often.

There are different kinds and various levels to it. Healthcare people often use the Numerical Rating Scale (NRS). Pain is ranked by numbers between 1-10, the higher the number the greater the pain.

Christians are part of that 85 million. We’re not immune just because we believe in Jesus. Some of us will hurt.

Coping with Chronic Pain

  • Learn all you can about your particular issue. I’m constantly looking and hopefully learning all I can, I want to be an expert. Research things. Google and Wikipedia can be deep reservoirs of knowledge.
  • Learn how to worship and pray in a brand new way. Things have changed now and seeking Him becomes a challenge, and, it can be easier.
  • Insomnia
  • Depression or anxiety, or both.
  • Fatigue, or stress.
  • Mood swings.
  • Doctors and meds.

Advice to Caregivers

I have to warn you, severe pain can make your dear one irrational. Pain can get so intense that you will find it impossible to relate to the sufferer. I once had a fierce battle with Complex regional pain syndrome (CRPS) in both forearms. Most doctors rate this as one of the worst types of pain to have.

Morphine didn’t help. Lynnie (my wife) could only watch and pray as the dragon kept attacking me, over and over. She watched me writhe in pain and she was pretty much helpless.

I was very angry, wildly rude and terribly mean. I was frustrated because I couldn’t communicate how bad the pain was. Over and over I tried to share how I was feeling, but words were not enough.

Some advance the idea that you need to find enough faith to be healed, but what about having enough faith to live in constant pain?

“Pain is no evil, unless it conquers us.”

     Charles Kingsley

Paranoia & Delusions

superhero_400pxDelusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis“ in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences.

In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.

 

Copied materials. NO COPYRIGHT INFRINGEMENT INTENDED. All content belongs to its rightful owners. Not for monetary gain. For educational purposes only.