Showing posts with label psychiatric treatment. Show all posts
Showing posts with label psychiatric treatment. Show all posts

Monday, January 3, 2011

Staying Afloat


Kind of felt like throwing in the towel for the last few days. First off, let's get it out of the way - I used last week. Wife and kids were out of town for the day, and I had a "bright idea." Same old stuff - porn and DXM. An hour into the fog, I shut it down. Reemembered this isn't me anymore, I'm sick of feeling like a loser, and for the first time in years, I have dreams. Things that I care about and hope for. I should have blogged about the good stuff before the bad stuff happened, but oh well.

I'm encouraged that I made it more than four months - that's the longest in a while - but feel ashamed and stupid enough that my mind goes to dark places. I've been in dialogue with my psychiatrist and therapist for the past few months about how persistent my thoughts of suicide are. Having to face a relapse fires these up into a frenzy. I won't do it though, because I have kids. It's just discouraging to have it nagging at my brain all the time.

The other option that presents itself is to go out. For good. To just stop trying, get high all the time, live in the porn-bubble, and hide it well enough to fool someone into taking me in. Of course that wouldn't work, duh - but that doesn't stop my addict from bringing it up over and over. Bastard.

So when I land back on earth and realize that I need to keep trying, keep growing, asking for help, listening to others' wisdom, working a program, just basically doing what I'm supposed to do, I've felt kind of blah. It's interesting - usually after a relapse, I feel inspired and freed, ready to get back on the wagon and make something of my life.

This time is different, I think because I called and asked for help instead of getting caught. It's like my addict is sulking in the corner, resenting me because he could have slipped in a few more highs before the crash. I cheated him of that. Even worse, I gave him a taste of paradise instead of asking for help before I used. Now he remembers what it's like - still has the sound of ecstasy echoing in his ears.

I remember an addiction specialist telling me that for many chemical addicts a sexual addiction is hiding as the primary addiction. I'm understanding more and more that I'm that person. I don't start a relapse by craving the chemical high. I start it by slowly moving from perusing fashion sites to stockpiling porn images, and when that's not enough I augment the rush with chemicals.

I love the biblical story of the manna. The Israelites received just enough to sate their appetites, no more, no less. If they tried to save for later, it spoiled. There was no guarantee for tomorrow's food besides faith.
So like I said earlier, I have found myself ready to let this blog go. Ready to either abandon it or delete it. Recovery in real life is a mix of rewards and challenges, and I wasn't sure the ratio here was worth it - more challenges than rewards.

But some manna fell for me recently, in the form of a couple of comments. Patricia Singleton, from Spiritual Journey of a Lightworker, wrote, "Things can get better when and if you both want them too. [My husband's] patience and our combined love for each other has gotten us through the worst of times." How comforting to hear the wisdom of someone who has walked the difficult path of healing from the wounds of incest, and who continues to grow in her marriage. Sometimes I just need to know it's possible - that my efforts to stay sober and her efforts to heal are worth the pain.

And Invisigal wrote, "Your posts have been a great help not only to me but to several SA men that I know. One of those men came to the realization of his addiction after reading your blog when I sent him the link." And that pretty much says it all right there. That makes it all worth it.

Tuesday, September 8, 2009

Drugs - The Good Kind



This is not what I thought it would feel like to be 35, I told Linsey. She asked what I meant: Did I think I'd be the Composer in Residence for some college orchestra? More successful, career-wise? A better dad?

Not really more of anything, actually. The only way I knew to say it was, I thought I would be less lost.

The weeks after a relapse, even a quickly aborted one, are inevitably brutal. I've screwed up my brain chemistry: things that should feel good feel bland, things that should feel bad feel excruciatingly painful. Food for thought next time I get a “bright idea.”

But this one goes deeper. In this chapter of my life I find myself haunted by some of my more tenacious demons. Sometimes my sobriety feels like a game of Jenga. I think all of the pieces are there, that my stability is secure, and by a mistake of omission I pull a cornerstone. Each time the tower falls, I relearn the importance of vigilance.

I can learn much during this post-relapse period, as I tear away the band-aids that my addiction has plastered over my wounds. When I manage these hurts in healthy ways, I am prone to forget they are there. (I guess that's called healing.) But when I wake up from my addiction, there's a unique opportunity to look at whatever I was running from. What void was I filling with all the wrong things?

So I'm realizing that I've been a little sloppy in treating my depression. First, the usual caveats: depression is not an excuse for my relapse. And I'm not suggesting psychiatric treatment as a substitute for a rigorous 12-step program - depression and addiction are not the same thing. But, in my life at least, they feed into each other, in a wickedly symbiotic manner that leaves me no option but to face them both down, unflinchingly and relentlessly.

A week after I used, I left one of my regular meetings feeling supported and encouraged. I don't know what happened on the way home that night, but the bottom dropped out of my world. I took off my seat belt and took my van past 110 mph, praying to be killed in an accident. I'm either too chicken-shit or too grounded to ever follow through, so I talked myself down from the ledge and went home and called someone. I'm proud that I picked up the phone that night. People came over, we talked, I felt loved. After they left I carved myself up with a razor blade. I've been doing this for years and I never talk about it, because to talk about it seems self-important, like a “cry for help.” The silence has not served me well, so I'm ending it.

Obviously there are pieces of my relapse in that night, shards of guilt and shame and self-loathing that are achingly familiar. There is also a kind of narcissism in any self-destructive act. But I know that there is also a component of under-treated major depressive disorder-recurrent that I cannot afford to minimize. I know this for a fact. I know it because I've been on and off medication for all of my adult life, and I know what the “brain chemistry” part of depression feels like. I know what if feels like to be properly medicated, and this isn't it.

Towards the end of my college years, I gave a composition recital. I also tried to kill myself. My acceptance at that point of the inescapable roll of prescribed psychotropic medications in my life was tinged with sadness. I feared that if I medicated the blackest parts of my mind, the colors would fade as well. They did not. During this time, I fell in love with a child and lost her, and every shade of compassion and heartbreak I experienced was vivid, sharp, saturated. I composed the most honest and moving pieces of my career, all while under the treatment of a psychiatrist.

I guess the “recurrent” in my depression diagnosis was true. I guess it's time to put in some more work on that front.

[Photo by size8jeans under C.C.License]

This post is also at The Second Road.