I’ve missed you and for months I’ve felt guilty about not being here. I’ve even avoided PsychCentral.com.
I know these are not excuses to abandon you and my blog, but I was really beginning to think I had nothing more to offer in this forum.
“Hi Sandy – I just spoke at the Winnipeg Mental Health conference – May I Please Link In with you?
- Stuart Ellis-Myers”
After connecting, he immediately followed up:
Winnipeg . . . . icy cold brrrrrrr
the conference focus was on suicide
I live with Tourette’s and the buffet table of disorders that comes along with the diagnosis so know the depression driven suicide experience well
The audience were awesome, everyone from parents, practitioners, government . . even a school district leader I shone the light of recognition for attending.
may I send you a YouTube shot from the conference? I just need your real email
mine is email@example.com
cheers and all the best
would love to speak with you sometime soon
The first thing that jumped out was that Stuart said he “lived with” Tourette’s rather than “suffered from” it. I loved that.
He signed his note “Twitchy.” I loved that, too.
This means I haven’t been walking my dogs or lifting anything heavier than 10 lbs. for weeks. I’m immobile. For the first time in years, my favourite exercise, walking my dogs, is verboten.
I don’t enjoy solo walking. Furthermore, the weather has been anything but walkable, so I’ve stayed home and fallen off my eating plan for my eating disorder.
Then, at my annual physical last week, I had a chat with my GP. I stepped on the scale backwards, so I couldn’t see the number. I didn’t have to. Although weight is one number you don’t need to know, I know I’m heavier and I don’t like the way I feel. I hate it.
My doctor didn’t recommend a diet, which for anyone with an eating disorder is a dirty word and a dangerous pursuit.
“Just get back on your eating plan and get out and walk, without the dogs if you must, but not too much,” she advised me sternly.
She knows how easily I can get obsessed and addicted to exercise, my form of purging.
In this morning’s New York Times magazine, former journalist Lori Gottlieb wrote a feature titled The Branding Cure, My so-called career as a therapist, about the dying practice of psychotherapy. As a newly minted psychotherapist, she sat in her empty office awaiting patients to flock to her door for her help. They neither flocked nor walked. They stayed away in droves.
In an effort to find out why, Gottlieb discovered that according to Dr. Katherine C. Nordal in a 2010 American Psychological Association paper titled “Where Has all the Psychotherapy Gone? that psychotherapy as we know it – or at least I know it as 50 to 60 minute face-to-face sessions with a caring and knowledgeable psychiatrist or psychologist – is quickly becoming archaic.
Meanwhile, as “managed care” has declined dramatically, “pharmaceutical companies spent $4.2 billion on direct to consumer advertising and $7.2 billion on promotion to physicians, nearly twice what they spent on research and development,” Gottlieb reported from Nordal’s paper. Increasingly more and more patients are receiving medication only – 57.8% in 2007 or 30% more than 10 years before.
I find that shocking and sad, but I know it’s true.
Having lost my only kidney (yes, I was born with one) to carelessly monitored Lithium Carbonate back in the 1970s and 1980s – iatrogenic acute endstage kidney failure – I know that unmonitored medication can be perilous.
Nordal admits at the outset that “while medication is an appropriate part of a treatment plan for many mental health disorders, psychotherapy has been documented as the preferred treatment for many common psychological disorders.” I have learned that medication PLUS psychotherapy is the best route, but that is my experience. My psychiatric experience started in the 1960s, its dark ages with precious few pharmaceutical choices.
Yesterday was my birthday. I’m not sad. Not manic, either. Just celebrating aging and a joyous day. Here are 10 reasons why:
1. It went on for three days, beginning Saturday. I had my hair cut. Very short. It’s a brush cut. I love carefree hair. Who has time to fuss with hair, so every eight weeks, I’m buzzed.
2. Then, I met my closest girlfriend and we walked to a tiny perfect new sushi spot for a delicious Bento Box lunch. Very intimate. We had the place to ourselves. This is our annual ritual because our birthdays are three days apart, though I’m one year older. We exchange small gifts ~ I knit her a scarf in her favourite colours ~ and we celebrate our friendship. Without fail.
3. Then I went home, worked for a bit – I never feel right unless I work everyday. We watched a great HBO documentary about Ethel Kennedy, made by Rory Kennedy, her 11th and youngest child born six months after the 1968 assassination of her father, Senator Robert F. Kennedy.
All over my neighbourhood, walking my two Dandie Dinmont Terriers today, I’ve encountered people harvesting or clearing out their gardens, a little prematurely placing Hallowe’en pumpkins on their porches and celebrating the splendour of the autumn colours. You have to see them to believe them.
Last Thanksgiving, I was starving, skeletal and anxiously waiting to start an eating disorder program.
You may have thought that and I wouldn’t blame you.
Work is the greatest therapy of all. Here’s why:
Last summer, before beginning his first year at Robert Land Academy 15-year-old Peter Darwin (who requested that his real name not be used) weighed 360 lbs. Since then Canada’s only military-themed school for adolescent boys with multiple challenges has transformed him.
Darwin has dropped 105 lbs., and now weighs 252 lbs., since boarding at the 33-year-old school in Southern Ontario’s Niagara Peninsula. This summer he hopes to continue losing weight and ultimately reach his 210-pound goal.
Morbid obesity, an increasingly critical societal, cultural, medical and emotional concern, especially for young people, jeopardizes every sphere of their lives.
“At home, I used to raid the fridge whenever I wanted and I used to think I ate pretty healthy,” Darwin said, at this year’s graduation ceremony. “When I got sad, though, I’d eat a lot. Emotions controlled my eating.
“Robert Land Academy taught me a lot. It taught me how to set goals properly, to value my nutrition, to work out properly. Now, I eat three times a day. I like the food here. It tastes good. They don’t give you too much or too little. You control your portioning. Learn to make choices.”
Another class of mature, respectful, goal-oriented and successful young men completed their high school education at Canada’s only military-style boarding school for adolescent boys, some as young as 11 years of age.
Nestled in southern Ontario’s Niagara Peninsula, these boys flourish in a school environment unlike any they’ve previously attended.
It stresses academic excellence, athletics, leadership and teamwork. Extracurricular activities “make it worthwhile,” said class valedictorian Paul Burrill, 17, from Burnaby, B.C., describing games and sports of every kind, plus rock climbing, boxing, wrestling, “even jumping out of a plane.”
Their family relationships heal. They develop confidence while achieving top academic marks that open doors to any university, college and career they choose.
Hailing from all over North America, Europe, Hong Kong and the Middle East, they arrive with a rash of challenges and diagnoses.
ADHD, ADD, Oppositional Defiant Disorder and different learning disabilities. Some have critical physical problems demanding lifestyle regulation. Morbid obesity. Diabetes. Others have abused alcohol and drugs or flirted with the law.
In her new book, “Alone Together, Why We Expect More From Technology and Less From Each Other,” cultural analyst and psychologist Sherry Turkle describes the Goldilocks Effect like this: “Not too close. Not too far. Just right.” It’s also known as the Goldilocks Principle.
(Last year, when I was in the throes of my eating disorder I was driving myself and everyone around me to distraction by wanting to be “just right.” But it was an ephemeral obsession because “just right” for me was always five pounds less. Impossible, of course.)
This is the new normal of our digital age of texting and emailing and posting and online connecting in all its many forms and endless platforms. It’s a factor in digital intimacy, but I’m not going into the Robotics side of this story here. Too much for me to handle right now.
You know, I have lost count of my Facebook “Friends.” At this very moment, as I am in Blogging overdrive so I don’t care about the numbers of Twitter or Linked In or Pinterest connections I have. I hate numbers anyway.
“Less is more,” for me. But then, I’m not normal in any way, new or otherwise. We know that, don’t we?