Therapy Unplugged

I Defend to Death my Right to Self-Destruct

By Sonia Neale
August 17, 2009

I went to see my therapist today.

After about fifteen minutes of settling in and seeing where my head was at, she pushed me back into the couch, pinned me down with grim determination and a steely glare from her icy blue eyes and said, “Let’s talk about the elephant in the room.”

At first I thought she was talking about me as I have gained a considerable amount of weight recently. But she was talking not about my appearance, but about my health issues which include the trifecta of diabetes, high blood pressure and high cholesterol. If the Perfect Storm killed George Clooney, then my own personal Perfect Storm will kill me as well.

I’ve lived by the maxim that “I defend to death my right to self-destruct”, but my therapist has a whole lot of other ideas and is reading off a completely different instruction manual. “Ve haf vays of making you healthy,” is her new motto for me and surprisingly enough I am finally receptive to her authoritative stance.

It upsets her that my health is not good, but she is not judgmental, sneering, condescending, disdainful or coming from a position of moral superiority and dispending wisdom from the safety of the clouds where the normal Gods reside, she is down there getting her hands dirty in the front-line trenches with me.

Ok, so the opening paragraph may have been slightly exaggerated, but I am a creative writer after all, and I now have to be very creative in getting my body back into shape and wellness.

My children have grasped the health and wellness issue in spite of their mother being addicted to food, alcohol and cigarettes. They, along with my therapist and husband, are dragging me kicking and screaming towards a healthy approach to life, the Universe and everything else. Along with my little dog who, due to lack of exercise has grown some very long nails, hidden by her long coat which recently got shorn and showed me, in such a visceral manner, just how much my health issues were pulling her down as well.

I immediately took her to the vets, as she has an anal infection as well, also missed because of her long shaggy coat. Rather than crucifying myself, we are now simply going to start going for walks and creating a better head-space so I can look after her health as well as my own. With my dog and my therapist by my side, how can I go wrong?

I’ve been to hell and I’m still there with my weight and health issues. I prayed for anorexia at 15, discovered bulimia and laxatives at 22, was diagnosed with depression and anxiety at 33, got the gastric lapband at 35, lost it due to slippage at 42, got a second lapband at 43, lost it due to erosion at 46, quickly gained 60 pounds, and now at 47, I’ve reached the end. I’ve defended my right to self-destruct and now I’m fighting for my life and the right to self-construct. To reconstruct, reinvent and reconstitute myself. Or die trying.

I nearly died last year. Without medical intervention I would have died. If I lived in Outer Mongolia or Zambia and did not have instant access to emergency surgery I would have died due to a complete bowel obstruction, due to internal surgical scars and adhesions; this is where I thought my stomach was having a heart attack and I vomited black bile for twenty four hours under the influence of bucket loads of morphine.

I was bed-ridden for 10 days and gained 20 pounds due to masses of IV fluids. When I got out of hospital I still wasn’t getting it. I was in a life threatening situation and went straight back to my old habits; eating fatty, sugary foods and smoking and drinking like there was no tomorrow.

If I don’t stop there will be no tomorrow. Sometimes I lie in bed waiting for the call again, the excruciating pain of another bowel obstruction or a heart attack or just for something slightly different, a stroke. That would put an end to my psychology studies, writing my third book and teaching literacy skills to a bunch of people who are truly motivated to learn something new and turn their life around. I could learn a lesson from them.

My therapist, utterly beautiful, gentle, kind, wonderful, caring, healthy human being that she is, is willing to take me on another journey, this time down the road to health. I said to her that I didn’t know where to begin and we decided taking the dog for a walk was the start. Visiting an endocrinologist is second and then we will go from there. I will keep you posted on my success. I think my mental health issues will then decrease exponentially.

Being a type 2 diabetic, if I smoke and continue to have high blood sugar levels eventually the circulation to my limbs will cut off and they will wither and die and I will end up an amputee, a double amputee if I am lucky because death is the other alternative.

I’m 47, and I’ve dodged the grim reaper for a long time, but I can feel his fetid breath on the back of my neck now unless I outwalk, outrun, outswim, outyoga, outpilates out anything to get away from him.

It’s my choice.


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11 Comments to
“I Defend to Death my Right to Self-Destruct”

wow thats a mess! take control girl!

I really relate to this too - when I was severely depressed I really didn’t care what I looked like or what I ate or anything because I was certain I wouldn’t be around much longer anyway. I am much better than I was, though the ADs that have helped, have also contributed to my weight gain. Sometimes it feels I can see clearly again now, and know I need to take charge of my health again, but it’s hard to give up that “self-harm by stealth” attitude.

Good luck with the dog-walking, that sounds a really good place to start. Sadly we lost our elderly dog just a few weeks ago - far too soon to think about getting another, but maybe I will have to find one to befriend.

I, too, gained weight on meds–bipolar for me. 50 lbs. in 12 yrs. so now on high blood pressure meds & high cholesterol meds & am testing in the diabetic range (both parents were diabetic). Plus, it has damaged my marital relationship. Self-esteem (never good)is in the gutter. I have been taken off the offending medication & am taking a diabetes educ. class & signed up for a “boot camp.”

I did quit smoking on the medication for bipolar.

Something I read recently: What price are you currently paying for not taking control? I’m paying a HUGE price for not being in control of my eating & exercise, both physically & emotionally. I am disgusted w/myself & husband not real happy either, as I was actually very active & kept my weight under control previous to starting on meds. But, of course, I smoked & was having severe mood swings & suicide attempts.

So I will have to pay a price for giving up those destructive behaviors–the immediate gratification that food can provide (for me it soothes me, relieves stress at the moment–helps me blank out my mind)–plus of course, the taste & feeling of fullness are an immediate reward.

Today to complete my exercise was a major hassle (do it at home w/stairmaster & treadmill & DVD’s) as I kept getting interrupted w/phone calls & had an easy excuse–that I use often–to just quit & of course, I will do my full workout tomorrow or so I will tell myself (delusional? thought I was over the delusional thinking!). Yeah, how many times have I told myself that? Enough to be 50 lbs. overweight!!

Dear Sonia:

Yes, it’s your choice. But, what about what you’re doing to your kids and your spouse? Have you no concern for them?

I have had prediabetes all my life and was recently diagnosed with IBS. Also, I have other painful chronic ailments. To feel better, I had to change my diet drastically, lose weight and exercise more despite knee and back pain. I tried statins to lower my cholesterol but they poisoned my muscles. Counseling didn’t seem to help and I saw two friends with chronic illnesses give up on their lives. One became an alcoholic and the other died from diabetes. So, I was on my own. It was change my diet and exercise more or die. I got depressed and wanted to give up. Life felt too hard; I had grown bitter. Why me?

Slowly, and begrugingly, and with the encouragement of my physician, I started making changes to my diet and life. By gradually eating better and by taking long walks, I lost a lot of weight. And, I started feeling better. By changing jobs, I lowered my stress level and no longer overate to deal with anxiety. I still have a long way to go. I’ve been making new acquaintences and have started doing volunteer work to give my life more purpose. It looks like I am going to make it. Have patience with yourself. Embrace gradual change. Try new interests and activities. Find substitutes for alcohol and candy. I’ve learned to love strong unsweetened iced tea and plain pecans and pistachios for snacks. The pastas I thought I could not do without? Well, I’m doing just fine without them. Don’t beat yourself up; just keep trying and you may be surprized at what you find out about yourself.

Best to you.

I don’t think any of this is your choice at all, and I would say instead: “Let go of control, girl!”

I understand every single word you are saying, and I understand what you are feeling, Sonia. I have outlived you by 4 years.

Maybe more later, KAT

Stop trying, Sonia. Trying backfires! Don’t try to stop anything. just introduce some good things, like walking the dog, and then automatically the balance will shift and there is less room for self destructive stuff.

You are not doing any of this to hurt yourself, or destroy yourself. You are doing it to feel better, and because you have no control at all. I know what it’s like. It’s a big and long story, so don’t think I am diminishing you. You are acting from desperation and helplessness, not an attitude!

KATRIN

Ted M, I really appreciate your comment and did not mean to oppose YOU at all. Really glad you are going in the right direction. I just don’t think it’s always as simple as a matter of choice, and which does not mean that you didn’t have one. Sorry if I came across harsh. I was just feeling Sonia differently, and much like myself. KAT

Sonia, who or what really is the Elephant in the room? Did you talk about that specifically? Or was it just assumes what that is, after you realized it wasn’t about your extra few pounds.
(That was really cute, though, your first thoughts!)

The elephant in the room is my ongoing weight gain and poorly controlled diabetes. Every time my therapist brings it up I change the subject. Last time I saw her we addressed the issue directly. I am now medication compliant and the poor dog goes for several walks a week. Small steps for me though - I have addressed two major components of my life.

Three if you include getting a real job.

And your comments on control are simple but priceless. Yes, it’s all about letting go of control.

It’s not all psychological, either. I have struggled with these problems much of my life, although it is so much improved. I have insulin dependent Diabetes and have had so for some 35 years. Type 2 is in many ways even more difficult, and with both, much of the bingeing is physiological.

Your blood sugars go too high, and you spill a lot of the sugar, and then you get really hungry at night. It’s a vicious cycle. The better able you are to keep your blood sugars as normal as possible, the easier it is.
High and low blood sugars both are also mood altering. High blood sugars for me was one of my earliest addiction.

One thing that really helped me was Prozac. Kat

And if you are on a beta blocker for high BP, make sure that isn’t making you depressed because it really can as well. So do high blood sugars but you already know that. And stay away from Dietitians. They are killers.

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