Mental Hygiene

Negativity is like a virus. Even if you are vigilant about taking your meds, challenging irrational thoughts, praying, meditating, and practicing self-acceptance, forgiveness, and compassion, it just takes one negative comment--one careless psychological sneeze--and you're contaminated.

I've had 3 people sneeze on me today. In an effort to avoid contaminating you with too much negativity, I'll just tell you about the most egregious of the 3 incidents.

I had my follow up appointment with my psychiatrist today. Thank goodness I only have to go twice a year. It's a 3 and 1/2 hour drive round trip for a 30 minute appointment, and there's very little about that 30 minutes that is therapeutic. While my psychiatrist knows his drugs, he's not a particularly good therapist, to put it mildly. Which is OK, I guess, because I have a therapist. But I have to talk about something.

Because I have chronic sleep issues due to my night-owlness, I confessed that I've been struggling with regulating my sleep cycle now that I'm not working. Every time I tell him what time I go to sleep and wake up, he makes this judgmental face that looks like he just sucked on a lemon. Then he proceeds to tell me what the research says about the importance of waking up at the same time every day, especially when you have a history of depression. How I need to get morning sunlight, I shouldn't take naps, I need to be more disciplined, blah blah blah.

I am not good at constructive criticism, but I did manage to say that I'm trying. That I spend an inordinate amount of time obsessing about sleep. So much so that it probably interferes with my sleep. He can read my blog if he wants proof.

But I wish I could say something more honest. Something like, you make me feel like crap when you make that stupid face and give me a lecture on sleep hygiene that I already know by heart because I am a clinical psychologist, in case you've forgotten.  Every time I see you, you just give my inner critic ammunition to tell me how I'm failing at sleep hygiene and that I suck. You are supposed to be helping me with my mental health--not making it worse. Oh, and by the way, your waiting room smells like mold and you need to clean your freaking office and water your damn plants. It doesn't reflect well on you that your plants are dying! 

But I don't want to come across as being too negative.

Does anyone ever give their doctor honest feedback when they do something unhelpful? I try to imagine what my reaction would be if a client brought to my attention that my facial expression conveyed blatant disapproval of what a terrible job they're doing of trying to get better. It would be a shock, no question. But I don't want to convey disapproval and judgment, so I think I would want to know. I think I would try to be more aware of my facial expressions. But as I mentioned in a previous post, we are terrible predictors of how we will act in the future. So maybe I would just be pissed off.

Maybe I can think of this as an opportunity to practice constructive criticism. Maybe I'll talk to my therapist about it and see if she thinks it's worth it to say something. Not what I wrote above, of course. But something.

Or maybe I could just tell him that my latest blog post is dedicated to him so he should read it. That would be hilarious!

I'll let you know what I do. In the meantime, I encourage all of you to do your part in preventing the spread of negativity. Please remember to cover your mouth before your criticize. (And not in that passive-aggressive way where you cover your mouth while you fake cough and mumble something critical under your breath, either. You know what I'm taking about.)

 I think this doodle looks like germs.

Constructive Criticism

I have trouble giving constructive criticism. I prefer the passive-aggressive route: just avoid the person altogether, or put their call on speaker phone and do my blog homework while they're talking.

I know this doesn't reflect positively on me as a psychologist. When I have a client who has problems being assertive, I have all kinds of good suggestions. And they usually take my advice. Which is a perfect example of why I often think my clients are more courageous than I am.

Part of the problem is that I can't stand hurting other people. If it's a choice between being annoyed by them or hurting their feelings, I choose to be annoyed. Because I can take it. But all those annoyances start to add up after awhile. Like being bitten by 1000 mosquitos. And I'm allergic to mosquitos, too. That's why I have to keep reminding myself to pick me.

The other obstacle is the whole hyperempath thing, combined with being highly self-critical. When I think of how I would feel if someone were to tell me that I brag about myself a lot, I would be mortified. I'd probably never speak again.

Sometimes the other person is so sensitive that they, too, will obsess about it for the rest of their lives. We can never have a conversation again where the person doesn't think about it, apologize for it, justify their behavior. It's painful. It feels just as bad as when they were annoying me, except now I feel guilty, too.

That's why I prefer to be so attuned to how other people feel that I can sense their annoyance and figure out why without them having to say a word. Which, admittedly, isn't a great strategy--especially when you're prone to depression. Because afterwards you have replay every social interaction over and over, trying to figure out where you offended the other person.

I can do it when it involves tennis. Especially when it involves wasting someone else's time by being late, not showing up, etc. I may not think my time is valuable, but I won't tolerate someone in my group or on my team who wastes other people's time. But sometimes I still obsess about how I did it. Maybe if I had said it differently, I wouldn't have hurt their feelings.

The reality is, sometimes there's no way you can give negative feedback without hurting the person. And it's not really my job to make sure that no one ever feels pain. Sometimes pain is necessary. It lets us know that we need to change something. And if something's bothering me enough to tell them about it, then I am definitely hoping for change.

Sometimes I wish I could be one of those people who are so oblivious that they don't care that they're annoying. Someone who can dismiss criticism with some rationalization. Or someone with a really bad memory for negative feedback. But I can't. I'm me. Empathic, sensitive, guilt-ridden me.

Perhaps I can think of this as yet another opportunity to practice self-acceptance.

Fatigue

I don't know if you've noticed or not, but I have a tendency to be a little hard on myself at times.

Yesterday I had another one of those days where I slept 14 hours and didn't get up until 4 p.m. And then I still went to bed at my normal bedtime (1 a.m.) and didn't get up until 9:30. So as punishment for my excessive sleeping, I decided that I didn't deserve a cappuccino today. My colleague thought that seemed a little harsh, but it makes perfect sense to me. 

But in an effort to be kinder to myself, I'm trying to come up with alternative explanations for why I have been so tired, other than that I am weak, crazy, a bad person, etc. Here's what I've come up with:

1.  I'm depressed. But other than the fatigue and excessive sleeping, I don't really feel depressed. And even if it is depression, I'm already doing everything I can to treat it.

2.  I have some physical illness like chronic fatigue syndrome. This is possible, given that I didn't know I had asthma for a long time, and it accounted for what I perceived as a lack of mental toughness on the tennis court. On the one hand, it would be a relief to have a valid excuse. On the other hand, there would probably be some medication that I would have to take for that condition, too, which would be annoying. 

3.  I'm tired because it's the end of the semester, and I'm always tired at the end of the semester. This would make the most sense, but it still bothers me because my colleagues don't collapse from exhaustion at the end of the term, so that still makes me feel weak.

4.  I'm tired because I'm captaining and playing on 2 tennis teams and playing 4-5 times a week. This also makes sense. Until recently, I was only captaining 1 team and playing 2-3 times a week. But how lame is that to be exhausted from too much recreation? Boo hoo!

5.  My anxiety is leading to mental and physical exhaustion. This is also possible. But then I start beating myself up about not having a reason for feeling anxious. And I'm not really sure what I can do about that other than to take the Ativan sooner when I'm having an anxiety attack rather than suffering for several hours. But the Ativan might make me sleepy.

6.  Blogging is mentally exhausting. All this honesty and self-disclosure is pretty draining. And I hardly ever used social media before. Now I have to use it all the time as part of my blogger duties, which kind of feels like homework. Still, I've never heard of anyone needing more sleep from intensive blogging.

7.  I don't need to know the reason why. My feelings are always legitimate. It doesn't matter what other people are or are not able to do; I have to honor my own needs. I may really need more than 8 hours of sleep, and most of the time I don't even get that.

If this were a multiple choice question where I had to pick the best answer, I guess I'd have to go with #7, because this is what I tell my clients, over and over again, until they believe it. And I don't want to be a hypocrite. Because my inner critic would give me a hard time about that, too.

Anxiety

I have always been an anxious person, but ever since my last depressive episode, my anxiety has gotten worse--especially around sleep. Which is terrible, because I love sleep more than anything. I started having anxiety attacks in the middle of the night. Or when I'm trying to fall asleep. Or when I wake up. Or before, during, and after a nap. In fact, I refer to naps as demon sleep. But I rely on naps to make up for the sleep that I miss out on because of my 1 a.m. bedtime.

I don't want to call these episodes panic attacks, because that does injustice to people who have full-blown panic attacks. I don't feel like I'm dying or having a heart attack. I'm not completely debilitated. But it does hurt. It's like I have a bunch of bees buzzing inside my body. Or I have the psychological equivalent of a high pitched noise in my head that I can't turn off. Or I feel physically and emotionally paralyzed. Or I feel like someone has punched me in the heart. I think that's why my chest muscles are so tight--I have to absorb anxiety's blows to my body.

I've written about how obsessive I am and how easily my inner infant gets rattled. Those forms of anxiety are annoying, but I've gotten use to them. I'm learning to accept that they are just a part of how my brain works. But when I have an anxiety attack with no apparent trigger, I feel crazy and weak. 

It's funny, because if I'm talking to someone else, I can convince them that they don't need a reason to be anxious or depressed. That their feelings are valid, even if they don't make sense. That it doesn't make them crazy or weak. And they feel better afterwards. But saying these things to myself doesn't have the same effect.

I guess that's why it helps to tell someone else. Because without someone else's reassurance, it's hard to release the power that your inner demons have over you. When it's just you and your demons, they convince you that you're letting yourself off the hook too easily. You're just lying to yourself. You're really a bad person.

Last week when I wrote the self-compassion post, I was beating myself up for my lame excuses for feeling depressed. But after I gave myself permission to write them down, they didn't seem so lame. And then when I got all these messages from people asking me if I was OK, I started to feel like my suffering might be real. And then I felt better!

So I thought I would try it again this week. And I just took half of an Ativan for good measure.

The Inner Infant

So my inner child, Sophie, has a younger sister. She is an infant and doesn't have a name yet. While my relationship with Sophie is pretty good, I confess, I'm a terrible mother to my infant. But I'm working on it.

It's easier to enjoy Sophie because she is playful, funny, cute, and full of energy. But like most kids, she can be a brat and gets on my nerves sometimes. And she doesn't like it when I'm alone. She's afraid something bad will happen to us. She advocated for my last relationship and was terribly anxious whenever she thought we might break up. It took awhile before I learned how to comfort her and assure her that I can take care of her by myself.

I only became aware of the infant about a year ago--mainly because I was neglecting her so badly it was affecting my health. I wouldn't feed her when she was hungry. I wouldn't soothe her when she was upset. I yelled at her when she cried for no reason. If Social Services could have seen how I was treating her, they definitely would have intervened. After awhile I was having so many physical problems that I was forced to attend to her needs. It was starting to affect my tennis.

I've had to get to know my infant the same way any parent gets to know their child: by paying close attention. You don't automatically know which cry is the hungry cry, the poop cry, or the tired cry; you learn from experience. She is usually upset when I wake up on the weekends because I sleep in and throw off her feeding cycle. So if I'm feeling depressed or anxious when I wake up, I get something to eat because she's probably hungry.

Or she could be crying because that's what infants do when they wake up--especially after a nap. It's funny that we just accept that young kids cry when they wake up without understanding why and without being mad at them for it. I wonder at what age we start expecting people to have a good reason to cry.

I guess some people do acknowledge that they're in a crappy mood when they wake up and turn to things like coffee, cigarettes, and drugs to calm them down. Those are not good ways to comfort a baby, though. And maybe they're not ideal for us, either, really. But that's for another blog post.

She also gets upset whenever I'm rushing around, which is essentially all the time. She is very sensitive to transitions: leaving for work in the morning, rushing to a tennis match, rushing to the grocery store. I have no idea why. Maybe my stress upsets her. Or maybe I'm neglecting her when I'm on the run. This is the distress that is the hardest for me to be compassionate about.

So now there's this mantra I have to say multiple times a day to soothe her: It's OK. Everything's going to be OK. You're fine. Everything's going to be fine. And when I'm frustrated, I add although I have no idea what you're anxious about!  It's a process, accepting that she deserves to be upset and comforted, even when it doesn't make sense to me.

I know this probably sounds silly to some of you, but it works really well. I use this analogy often with clients as a way to get them to pay closer attention to what they need, to honor their feelings, to have compassion for themselves, and to learn how to take better care of themselves. It can work surprisingly quickly, once you reassure them that having all these parts doesn't mean they're crazy.

So if you ever find that you are arguing with yourself, or that you're frustrated because your thoughts/feelings/actions don't make any sense, you might want to ask what part of yourself you might be neglecting.

Self-Compassion

My compassion reserves are running low. In my last relationship I took the words of Jesus and Buddha literally about how we should be able to love everyone. It was practically a 3 year exercise in compassion. But by the end I wondered if perhaps I had misunderstood what they meant about loving others. It was a lot of work to have to channel Buddha and Christ just to tolerate being in his presence. I feel like I'm experiencing a backlash now. All those feelings I tried to deny are coming out with a vengeance. I guess I was supposed to have compassion for myself, too.

I'm not very good at self-compassion. Every time I try, the Inner Critic berates me for whining about my problems when I have a good life. I don't know what pain is. I'm not living in a war-torn country. My life hasn't been devastated by natural disasters or school shootings. All of the people I love are still alive. Who am I to complain? 

But surely I must have the right to honor my feelings. My suffering must count, too, if God cares about all of us. So I'm going to write about what's upsetting me, without apologizing for it or justifying it or willing myself to be positive. 

This week I will be moving closer to divorce. Filing forms. Getting documents notarized. More tears. More snot. You would think there would be a limit to how much it's possible to cry over something. That 4 years would be more than enough time. I used to pray to God--plead, even--to tell me what I could do that would allow both of us to be happy. Leaving seemed like it would just make us both miserable. And it has. And I don't see an end in sight for me, at least. I'm trying not to blame God or myself. But in this moment, my faith in a happy future is wavering and I feel like I deserve the pain.

I have 2 family members who are currently on the opposite ends of the bipolar spectrum. My brother is trying so hard but still feels terrible.  It hurts me that he's hurting. My dad is manic. Mania feels great for the person experiencing it, but it's hell for the rest of us. But what power do I have to make him see?  If he were my client, I could make him see our psychiatrist, get him on meds. But as a daughter, I am practically useless.

I'm afraid to answer the phone when my parents call. Which makes me feel horribly guilty, because I know their time on earth is limited and I will regret not talking to them more when they're gone. But the call is almost always about something bad. Something I'm expected to fix. Or something I don't want to do. At minimum, I'm supposed to be a receptacle for the stress, but I can't take it. It's too much. I'm not able to function afterwards.  

So I have to be strategic about when I call or when I answer. It has to be a time when it will be OK if I fall apart. But since it's hard to choose something where there's a good chance you'll fall apart, I often forget to call altogether. Which makes me feel even guiltier and reactivates the vicious cycle. I wish it could be easier. I wish there were some way I could be a good daughter but also protect myself. 

It takes a lot of work to maintain my health. Since I have GERD, allergies, and exercise-induced asthma, I have to take shots, nasal sprays, pills, steroid inhalers, rescue inhalers. I'm not supposed to have coffee and chocolate. I can't eat or drink 3 hours before exercise or bed time. If I drink too much during a match, I'll even throw up water. It's frustrating to have to worry about throwing up every time I play. Or brush my teeth, even. But giving up dental hygiene and tennis are not options.

My mental health is always hanging in the balance. It's work to maintain my sleep cycle because of my night owlness. I can't miss any of my drugs. I can't miss Ativan for even one night. I meditate, pray, journal, exercise, and all of the other self-care strategies. But despite my best efforts, I can never make it to the end of the term without burning out before I cross the finish line. I can't handle the stress of my life. I can't get out of bed right now. It makes me feel weak. Inadequate. Unable to do the basic tasks of life.

Just got a call from my lawyer friend that my paperwork looks good to go, so I guess I'll be filing for divorce this week for sure. If you believe in God, feel free to say a prayer for me. If you don't, send positive vibes my way.

Head Games

Competition can bring out the worst in people. It is not uncommon to see anger outbursts on the tennis court from people who are ordinarily even-tempered. They'll yell, hit the net, or knock the ball out of the park. You don't see too many people break their racket at our level, but I had a partner do it once because he was mad that I wasn't coming to the net.

I actually think that I have a better attitude in tennis than I do in real life.  For example, since I obsess about money, I would never break a $200 racket. Plus, I try to not let my opponents know that I'm upset because that gives them a mental advantage. Plus, I love my racket in part because it's purple, and if I had to get a new model it would not be purple.

Some people will use head games to gain an advantage. They will intentionally make bad line calls or accuse you of making bad line calls. They will argue about the score, time violations, lineup changes, coaching, and bathroom breaks. Or they'll do seemingly positive things to disrupt your concentration like crack jokes, be chatty, or tell you how awesome you're playing.

I admit, sometimes I'll use positive head games to counteract negative ones. I try to capitalize on the fact that it's hard to be mean to someone who is being fair and kind. Last year I played against this person who is known for causing drama and making bad line calls, so I was super nice to her from the start. It worked for the most part but she still made one bad call. My partner went ballistic but she insisted the ball was way out, which was a flat out lie. I said "it may have been out, but it wasn't way out," just to end the argument. There were no other disputes about line calls and no hard feelings by the end of the match.

In a relationship, however, if my partner uses head games I yell at him for trying to manipulate me.

Another common way to deal with frustration is to blame your partner for blowing the point. If my partner criticizes me I either ignore it, call them on it, or never play with them again. This is one place where I won't try to make the relationship work at all costs.

I rarely criticize my partner on the court. In fact, I take pride in being able to bring out their best game. I praise them for the things they're doing well. I help them stay focused and positive. I get them to dig deep when we're on the verge of losing.

However, in real life I am pretty sure my exes would tell you that I have no problem doling out the criticism.

I am also less critical of myself in tennis than I am in life. Most of the time I'm able to let mistakes go and focus on the next point. I don't get too upset about losses. In fact, my current record is 7-11. But I play so much tennis that another opportunity to win is just around the corner.

In relationships I focus on all the negative outcomes and wonder what I'm doing wrong. In tennis, I focus more on the process than the result. As long as I'm happy with how I played, I don't mind losing. And it's fun to win, but the thrill of winning doesn't last as long as the joy of trying to get better, looking forward to the next match, and fighting for the win on the court.

Maybe I should treat my next relationship like a tennis season.

100th Post!

One of my favorite books of all time is What Alice Forgot, by Liane Moriarty. It was our most popular book in our Remedial Book Club; we actually had a meaningful discussion about it for the entire meeting. Ordinarily we talk about the book for 30 minutes--mostly about who would play the characters if the book were turned into a movie--and then we eat, drink, and gossip about people in the tennis community for 2 hours.

The book is about a woman who falls off her bike in spinning class and loses her memory of the past 10 years. In her current life, she is about to turn 40, has 3 children, and is going through a bitter divorce. After the accident, she thinks she is 29, madly in love with her husband, and is about to have her first child. The book also follows the stories of Alice's mom, sister, and grandmother, all of whom are in the process of letting go of grief. In addition to being hiLARious, the book also makes you reflect on who you have become and what you thought your life would be like.

I am now in the process of filing for divorce, at my husband's request. I am glad that I waited until he was ready, because now he understands why our marriage can't work. I have a better appreciation for the significance of rituals. Even though it's just a formality, since we've been apart for almost 4 years, the legal aspect of it has reawakened my grief about losing him. Of all the people I've been with, he is by far the one who was the most stable, reliable, and trustworthy. It saddens me that this wasn't enough to make things work.

I will be 45 in a few months, and I would have never predicted that this is what my life would look like. Although it is still sad and scary to be alone at times, I am thankful for this opportunity to get to know myself better. I am still experiencing compassion fatigue from my last relationship, and I really want my next one to be different.

I'm currently reading The Art of Empathy, by Karla McLaren. It's the first book I am aware of that teaches hyperempaths like me how to keep from burning out. I'm hoping that this will help me be more intentional about my next relationship. I'm hoping that it's possible to break the pattern of relationships that you've grown up with and that you've followed all your life and to start anew.

Since I have reached my goal of 100 posts, I thought I would also take stock of my blogging life, which is much more positive. This blog is the first time that I've shared my writing with others, and I am so proud of what I have written so far. Even prouder than I was when I finished my dissertation.

I've been trying to write on and off for about 10 years now but only took it seriously a few years ago. Until then, I never realized how demon-filled the writing process was. Every time I sat down to write, Perfectionism, the Inner Critic, and the Drill Sergeant were all there to meet me, reminding me of how much I suck. So to commit to blogging 3 times a week--and to share the most vulnerable parts of myself in every post--is a huge accomplishment.

However, now that I've learned more about publishing, I am forced to accept that the odds of writing a best seller are not great, and even if it does happen, it won't be any time soon. I'm not going to give up, of course, because I never give up, but I'm trying to focus more on the process of writing rather than the end result.

I'm trying to approach blogging the way I approach tennis. I've made $60 in prize money, which was several years ago when I won the 35 and over singles division of a tournament. (I was also the #1 rated 35 and over singles player in Virginia that year!) But I spend hundreds of dollars a month on tennis, so as a money-making enterprise, it's a failing business.

But that's OK. I'm not doing it to make money. I play tennis because it's fun, because it challenges me, and because I have made wonderful friends. Although my romantic relationships have been a disappointment, my friendships have far exceeded my expectations.

Blogging is also fun and challenging, and I enjoy getting to know my readers and other bloggers. And it's way cheaper than playing tennis. So I'm going to set another goal, which is to write another 100 posts by my blog's first birthday, which is September 24.

Hope to see you then!

Grace

I've received a lot of comments from readers lately about being too hard on myself. Which is a little scary, because these comments were in response to posts where I purposely avoided criticizing myself. But perhaps people know me well enough by now to know what I'm thinking, even if I don't say it out loud.

It's hard to be honest about how these comments make me feel, because I don't want to seem ungrateful. But if I'm afraid to say it, that probably means I should say it.

When I read comments that are meant to be supportive, I feel a little angry and defensive. I feel like I'm being told that I'm failing at self-improvement. The words forgiveness, self-compassion, and self-acceptance are in almost every single post, so it's not like I don't know that's my problem; I'm just not getting better at them fast enough, apparently.

This morning as I was driving to work, I realized something about my reaction to these comments. I realized that they are hard to take in because it's hard to take in love--love from others, love for myself, and love from God.

I have spent the last week in an email exchange with a loyal reader and friend who is trying to convince me that I don't need to work so hard to earn God's approval because God already loves me just as I am, in all of my glorious imperfection. I know that's true for other people, but something in me resists believing that it's true for me.

You would think it would be a relief to hear the thing that you most want to hear, but it often isn't. You don't want to let yourself off the hook. You don't want to risk being too full of yourself. You might get complacent. You might become a sloth--which is a deadly sin.

That's how the Inner Critic is for people like me. It's like an abusive partner who does everything it can to make you feel bad about yourself as a way to keep you dependent on it. It uses the language of morality and turns it against you.

In therapy I address this part by telling clients that once they leave my office, the Inner Critic will try to undo all of the progress we have made. That perhaps it is even talking to them now while we are in session, telling them not to listen to me. It helps to let them know that I know all of its tricks.

I also tell clients that accepting love is a gift, and rejecting it hurts the giver. These clients are highly motivated to do good, so it is often eye-opening to reframe self-criticism as a form of rejecting others.

When I thought I could blog my way to self-acceptance, I assumed that sharing my vulnerabilities with the world would be sufficient. It helps, but it's not enough. Without feedback from others, it's still just me and the Inner Critic, duking it out.

In therapy, I tell clients that they are worthwhile as many times as it takes for them to believe it. Maybe that's how blogging works, too. I will continue to write about what my demons say, and readers will keep telling me that I'm being too hard on myself, and I will get pissed off, but eventually I will believe them. Maybe one day the Inner Critic will lose its power to make me feel bad about myself.

Maybe God works through blogs, too.

Embarrassing Moments

If you were ever to meet my tennis friends, I guarantee they would tell you about several embarrassing anecdotes involving me being loud and occasionally dangerous. But since you probably won't meet them, I'll out myself and tell you what they are.

The first thing they would tell you is that we have to keep going to new restaurants because I get us kicked out for being too loud. It all started when we were going to a Christmas concert and had dinner at a Chinese restaurant beforehand. We were getting ready to leave and I made a comment about why you shouldn't have sex on the first date a little too loudly, and the owners were not pleased. Luckily, we were already on our way out, so I wasn't officially kicked out, per se.

Later that evening, we went to Starbucks after the concert, and I swear I thought they closed at 11, but they said they close at 9 and asked us to leave. I've often been in restaurants where the staff give you dirty looks while they sweep and put the chairs on the tables, but I've never been told that we have to leave. Of course, my friends said that it was because I was being too loud again. Two establishments in one day. This sealed my reputation as someone who you don't want to take to your favorite restaurant.

The next anecdote involved this Mexican restaurant we often go to after tennis. You know how sometimes the waiters and waitresses will sing Happy Birthday to you and give you a free dessert when it's your birthday? Well at this place they like to startle you by popping a paper bag and smear whipped cream on your face instead. My friends were on a kick of saying it was someone's birthday so they could watch this happen.

I had a couple of friends tip me off that I was their next victim, so when I heard the pop, I knew what was coming.  When the waiters came toward me, I stood up so they couldn't corner me. They tried to grab my arms so I couldn't move, but I freed one hand and flipped the plate in the air. It flew across the room, about 10 feet away, and the plate shattered, whipped cream flying everywhere. Dead silence. The waiters were so shocked they just turned around and walked away.

Again, technically I did not get thrown out, but my friends used this incident against me, just the same.

The last anecdote involved a New Year's party shortly after the Mexican restaurant fiasco. My friends were relating this incident to all of the people who did not have the pleasure of witnessing this spectacle first hand. I was trying to defend myself, explaining how the waiters were holding me down, and I demonstrated how I flipped the plate out of the waiter's hand. Well wouldn't you know I was wearing this heavy watch, and that sucker flew off my wrist and hit one of my friends square in the forehead. Hard. From about 12 feet away. It happened so fast he didn't know what hit him until the watch fell in his lap.

My friends had a field day with that one. They joked that the he had 8:30 permanently tattooed on his forehead. He bandaged his head with a fake bump made out of a meatball to show how badly he was injured. Another friend filed a fake lawsuit against me on behalf of the injured party. And even though this happened over 6 years ago, they were talking about it last night while we were at the Mexican restaurant.

There was a time when I would have been mortified by anecdotes like these. I felt like everything about me was wrong, so I scrutinized every interaction after the fact to make sure I hadn't offended anyone. But now I have friends who know that I'm loud and that if you try to hold me down I might assault you with a deadly watch. But they love me, anyway.

Still, if you ever meet me, you might want to choose your restaurant wisely.

Obsessiveness

I don't know if you've noticed, but I'm kind of obsessive. I can't blame people for being annoyed with me. Sometimes I annoy myself.

I'm an excessive planner.  For example, because of my GERD and exercise-induced asthma, I'm constantly obsessing about what and when to eat. Last night I made rice at 1 a.m. while I worked on this post because it will save time and decrease the likelihood that I will throw up on the court tonight.

Sometimes obsessing is a memory device. Like I'll repeat a sentence that I want to say over and over until I see the person. Writing it down helps, but I can't always do that--like when I'm driving. Lots of obsessing while I'm driving.

You know how I said that blogging is my new boyfriend? Well, I'm kind of a stalker girlfriend.  I will check my blog stats repeatedly--hundreds of times on the first day I publish a post. Thank goodness it can't break up with me.

Sometimes I obsess like it's a hobby. I might obsess about my next blog topic.  Or what my strategy will be in my tennis match. Or when I can schedule my next haircut and if I want to try something different, like get bangs.

Obsessing is the most painful when it is fueled by the inner critic or drill sergeant or perfectionism. Then it's this relentless voice pointing out all my flaws (Your arms look fat in that picture!). Or when I'm not being productive (Get out of bed and do something!). Or how stupid I am for making a mistake (You shouldn't have dated that loser!).

There are things that help. I take antidepressants, which also help with anxiety. And when the obsessing gets out of control, I take Ativan. I used to obsess for days rather than take the Ativan, but my psychiatrist reframed taking it as a way to have control over my anxiety. And I'm all about having control.

I also practice mindfulness meditation.  You're not supposed to judge how well you meditate, so I will just say that I obsess about random things for 95% of the time while I'm doing it. But it seems to work, nevertheless.

I tell myself the same things I tell my clients. I remind myself that I don't know what will happen and I can't prepare for every possible scenario. To take one worry at a time. That no matter what happens, I will be able to cope with it. And that I have an excellent memory and won't forget.

Most importantly, I try to accept that this is a part of who I am. Some people may not have to deal with obsessive thoughts, but everyone has to deal with something. This is my thing.

Since blogging has helped me accept other aspects of my personality, I thought I would try blogging about my obsessions. Sometimes it helps just to say them out loud. And it's an added bonus when readers say they can relate.

I still obsessed all the way home about what to eat before and after tennis tonight and how to end this post, though. Oh well. I guess practice makes perfect.

Stop Doing Bad Things

At the risk of sounding completely inconsolable, I have to admit, I don't find most of the self-help articles on social media helpful.

Take, for example, the article 30 Things to Stop Doing to Yourself. I have no problem with the suggestions themselves, but I don't like advice that begins with the word stop. In therapy, if after the first session I were to say "You're problem is that you look exclusively to others for happiness. Stop doing that," I'm not sure the person would come back.

Research supports the idea that stop statements are not helpful, because when you say something like "stop being idle," you put the idea of being idle in the person's head. If you've taken psychology classes, you've probably heard the example "don't think about a pink elephant." You probably weren't thinking about one before, but you are now.

A lot of people do find advice like this helpful, and that's great. Personally, it makes me feel more judged than inspired. I respond better to strategies that emphasize empathy and compassion, self-acceptance, and forgiveness. And I prefer suggestions that encourage me to be the best version of myself to admonitions for doing things wrong.

If I were to come up with a list like this, here's how I would paraphrase their recommendations:

1., 13., 19., & 20. Spend time with people who bring out the best in you.

2. & 23. Have faith in yourself; it's the best investment you'll ever make.

3., 25., & 26. Commit to being honest with yourself and to others.

4., 21., & 27. Put your needs first. Period.

6. & 8. Practice forgiveness of yourself and others.

7., 23., & 29. Take risks, even if it means that you will fail.

9., 10., & 28. Happiness cannot be found out there in the future; it comes from within, in this moment.

11. & 12. You can move forward, even when you don't feel ready.

14. Let people get to know you, even if it scares you.

5., 15., & 16. Make your standard of comparison the best version of yourself rather than someone else or some perfect ideal.

17. & 18. Negative experiences teach us lessons that we wouldn't have chosen to learn on our own.

22. Think of mindfulness as exercise for your brain.

27. Practice gratitude regularly,  and thank the people who you are grateful for every chance you get.

It takes a lifetime to put these values into practice, so be patient, have faith, and be kind to yourself in the process.

I'm adding designer marbles to my doodle collection.

Anger

Have I mentioned that I have problems letting things go?

That's why I obsess so much. And why I stick with knitting projects that make my life miserable. And why I try to make relationships work at all costs. And why I have a hard time forgiving myself. 

It's also why I can hold on to anger for so long. I know some people like anger because it's more empowering than feeling hurt, but I hate it. It's downright painful. If I could will myself to let go of anger--or any emotion, for that matter--I would. And even though I know better, I still get mad at myself for not being able to stop being angry.

Recently I had a friend tell me that when you get older you become more forgiving of yourself. That might be true for normal people, but I'm no so sure it's true for me. Because I've heard women say the same thing about being in their 40's, and I'm pretty sure I'm just as self-critical and guilt-ridden as I was in my 20's and 30's.

I am having a hard time letting go of my anger about my last relationship, even though I'm glad that it's over. I have made a concerted effort to turn to my friends and share how I feel, but in all honesty, sometimes it just makes me angry at them.

Most people aren't very good at saying helpful things. Which is why I wrote the post on good intentions. I'm trying not to take it personally. Not everyone can be a good listener. I would be out of a job if everyone were. But it's still frustrating to try to talk to someone about how angry I am, only to feel worse afterwards.

I've tried other things, too. I've prayed. I've meditated. I even apologized for being angry. Which doesn't make any sense, really, but I was desperate for some shift in the intensity of my anger.

Today I tried 3 new things. First, I gave myself permission to be angry for a day.  Which had the unintended effect of making my anger seem forced and difficult to sustain. Sort of like the whole reverse psychology thing--although psychologists don't actually call it that. 

I also looked at a journal entry from right before the breakup. It reminded me that there were a lot of things that I tried to be OK with because I thought my anger and sadness and anxiety were a product of my neediness. Or a result of being too demanding. Or were figments of my imagination. 

Now I realize that I felt those things for a reason.  I'm mad at him for letting me believe that my feelings were my fault. And I'm mad at myself for not trusting my feelings.  But reading that journal entry reminded me that my feelings are always legitimate--even if they don't make sense at the time. So I have renewed my commitment to honoring my feelings.

The last thing I did was to give myself permission to blog about my anger. I have thought about doing it for some time now but decided against it until today because I thought it would be too negative. Even though I write a lot about negative things, I try to end on a positive note. I didn't think there could be a positive note to end on in a post about unrelenting anger.

But then I remembered that the point of my blog isn't to be positive. The point of my blog is to be honest. And my anger is just as much a part of me as anything else.

And you know what? I actually do feel better...for the moment. So blogging about it helped after all.

I don't really have any art work that reflects anger so I thought I would feature some self-promotional art work instead.

Be Productive! Or Not

You know that saying you can never be too rich or too thin?  I think they should add productive in there, too.  Because as much as I would love to be richer and thinner, I judge myself the most harshly for not being productive.  Which is weird, because I am the queen of productivity. 

Even if I only have a few minutes to spare between clients, I have to do something. Write my progress note. Answer an email.  Read a paragraph of an article.  Check my blog stats. I can't just sit there and wait for the person to show up.  That would be wasting time.

I feel the same way about watching TV. I need to do something else at the same time--like knit, or make jewelry, or do something blog-related. Or I have to get up during every commercial break and do something useful, like pick out my clothes for the next day. Sometimes I'm so obsessed about what I'm going to do during the commercial that I can't focus on what I'm watching. Even if it's something I love, like a tennis match with Federer or a UVA basketball game.

This need to be productive makes it hard to cope with down time. Because of the nature of my job, I will have prolonged periods of stress followed by prolonged periods of having nothing to do. My drill sergeant will try to fill in the gap by making up a bunch of mandatory chores. Do some laundry! And then go to the gym! You're wasting money on that membership! And figure out some way to make more money!

It makes my time off so depressing that I can't get out of bed until I am propelled by shame because I've slept the day away. And then I cram in all of the things that the drill sergeant wanted me to do in a short period of time. Sort of like procrastinating until the night before the exam. Which I never did when I was in school, because that would have been unproductive.

This is another reason why I prefer the concept of self-worth over self-esteem. In order to have high self-esteem, you have to earn it. You have to accomplish something, or make money, or get in shape. This proves that you're important. This justifies your existence.

And even when you are successful at being richer or thinner or more productive, it doesn't really lead to high self-esteem like it's supposed to. Because you didn't do anything special. You just made up for what you should have been doing all along. You were underachieving before. So there are really no winners in this game of moving targets. Not for me, at least.

Today I saw 9 clients.The maximum number of clients that I can schedule in one day is 7.  But today I had to squeeze in 2 emergencies. I was brain dead by the time I got home. So you know what I decided to do at 11 o'clock tonight? Finish this blog post on productivity. Which I started during my lunch break.

It's always good to end the day with a little irony.

Fear of Sadness

Most people find it difficult to tolerate negative feelings like sadness.  This task is even more difficult when you suffer from depression, because any time your sadness feels too intense or lasts too long, you worry that the depression is coming back.  And if you've ever been depressed, you know how terrifying the prospect is of going back to that dark place.

Your loved ones also become hypersensitive to your sadness, which just exacerbates your fears.  If you're feeling down, they ask you if you're taking your meds, or if maybe your meds need to be adjusted.  Don't get me wrong--I'm all for meds.  I've tried to go off them several times, and each time I got depressed again.  But it's unfortunate that once you've been depressed, every feeling has to be scrutinized for potential pathology.

There's also this added sense of failure associated with relapse.  Like you should have been able to prevent it this time, since you've been there before.  And even though you recovered before, you fear that if it happens again, you won't be so lucky the next time.

And even if you do recover, you fear that the wait will be agony.  I fear depression much more than anxiety because when I'm anxious I can take an Ativan and I feel better immediately.  But antidepressants don't work that way, so there's not much I can do to feel better right away when I'm depressed.

Whenever I am afraid I'm becoming depressed, I journal about my fears, my sense of failure, and my pain.  And when I look back at these entries, I realize how strong I am.  There are a lot of things that suck about depression, but I have no doubt that it has made me a stronger person, even while it tries to convince me that I'm weak.

But how do I know when I'm sad versus depressed?  To be honest, I don't always know.  Sometimes I feel depressed for a day.  Sometimes I feel sad for what feels like an eternity.  The line is not as clear-cut as we'd like to think.  But regardless of whether it's sadness or depression, the best I can do is to control what I can control.  This includes therapy, meds, stress management, and self-care. 

And most importantly, for me, it means practicing self-acceptance--of my sadness, my depression, and everything else that makes me who I am, for better or worse. 

Free Will

When I was in college, one of my fellow psychology majors asked me if learning about psychological theories made me question whether we had free will.  It did not.  Although his question did make me read through the theories again, just to make sure I understood them correctly.  But I was still convinced of my free will.

In my last post I used the example of an alcoholic father to illustrate how difficult it is to sort out blame and responsibility.  If alcoholism is genetic, and his parents were alcoholics, and all of his friends drink, what chance does he have of living a sober life?  How much of his behavior is in his control?

What if you have someone who is depressed with no family history of depression and no apparent cause, and she can't get out of bed to make it to class.  Is her depression real?  Does she deserve to fail?  What about if she refused to go to therapy and start meds?

I mentioned in my last post that these problems require forgiveness.  We have to forgive ourselves for having the disorder.  We may have to ask for forgiveness from people whom we have harmed.  And we may have to forgive people who have added to our suffering. 

When I'm depressed, I think everything is my fault.  In the midst of an episode, I am angry at myself for not being able to function.  I don't think I have an excuse to be depressed.  In those moments, it's hard to forgive myself for not being able to control everything.

I also mentioned that there is always some part of the problem that we can take responsibility for.  It may not be the alcoholic dad's fault that he is prone to addiction, but he can join AA.  He can stay away from friends who pressure him to drink.  He can see a therapist.

I believe that knowing our limitations allows us to have more freedom.  In my work, clients often try to convince other people that their suffering is real.  I tell them that they have limited control over what other people think about their disorder.  However, they don't have to blame themselves.  They can take control of what they can control.

Some people think that going to therapy is a sign of weakness.  In reality, therapy increases your degrees of freedom.  And I want to make sure I capitalize on all the freedom I can get.

Judgment

There are certain personality types that are sensitive to being judged, and I have one of them.  It takes very little criticism for me to feel ashamed that I have done something wrong.  Sometimes I interpret neutral comments as criticism.  And in some cases, I've even interpreted positive feedback as criticism.

Once my first husband was talking about a picture of Alicia Keys and commented on how she had big hips.  I replied with, Are you calling me fat?  Which really annoyed him.  I kind of thought it was funny but true.  Even if I get what is intended to be a compliment about having an athletic build, I take this to mean that I look fat.  This is why it's better to refrain from comments about women's bodies in general. 

Although I have never had an eating disorder, I can relate to being obsessed about my body.  I also have a similar personality to the types of people who develop anorexia.  I am prone to anxiety and depression.  I am perfectionistic.  I am highly motivated to avoid harming others, even if it means hurting myself.  And I am so sensitive to criticism that I never forget a mistake.

This is why I am drawn to Buddhism--especially the practices of mindfulness and compassion.  I find comfort in the idea of letting go of what I "should" be thinking, feeling, and doing.  That I can accept whatever is true of myself at this point in time, without judgment or criticism--even if it's something that I hope to change. 

I often point out to clients when they are using judgment words to describe their feelings.  For example, if you say I feel pathetic, the word pathetic is not a feeling.  There is no emoticon for pathetic.  Sometimes it's actually hard to come up with a feeling word.  Usually when you can't think of one, you're probably feeling ashamed.

Even when we're successful in describing our feelings, we often get judged for them.  For example, if I say I feel depressed, someone might say You shouldn't feel that way.  You should be happy because you have so much going for you.  This is meant to make me feel better about myself, and perhaps it works for some people, but it never works for me. 

Sometimes I have tried to point out to the person that they are judging me, but people who judge others are often sensitive to being judged.  So they usually get defensive and say they were just trying to be helpful--that I'm being too sensitive.  So then I judge myself for being too sensitive.

But I am all about controlling what I can control.  Today, I realized that I can't control whether someone else chooses to practice nonjudgmental acceptance of my feelings.  I can only control what I say to myself. 

I can also choose not to share my feelings with people who judge me.  I think I'm going to start doing that, too.

Listen Carefully

Last night I gave a presentation to some students about how to provide support to those who have been affected by the accident last November.  My advice is simple yet difficult to do:  listen carefully.

Most of the time we're too focused on ourselves to listen to what others are saying.  We're thinking about what we want to say, what we don't want to say, whether the other person is listening to what we're saying, what we're going to do once this conversation ends.  You get the idea.

As I got better at listening, I noticed that people put out feelers about important aspects of themselves, just to test the waters--to see if anyone notices.

Once I was watching my ex play in a basketball tournament, and I had to sit with a bunch of wives I didn't know who were also watching their spouses play.  I was having the usual conversation when I meet someone new.  What do you do for a living?  I'm a psychologist.  Oh, I bet you're psychoanalyzing me right now!  Yup.  I've got you all figured out. 

This was not the response she expected.  But she still asked more questions.  Do you specialize in anything?  Eating disorders, multicultural identity, positive psychology.  Interesting!  I had an eating disorder once.

Of course this got my attention.  It was my turn to ask questions.  At first I worried that she would be offended by my prying into her mental health history, but it was the exact opposite.   She had never told her story to anyone.  Back then no one talked about eating disorders.  Bulimia wasn't even a diagnosis.  She wanted someone to hear what she went through.

This is always the response I get when I follow up on those feelers that people throw out there.

There's nothing magical about being a good listener.  Anyone can do it.  The best way to get better at it is to pay closer attention to yourself.  We spend so much time trying to will ourselves to think, feel, and do what we think we should think, feel, and do that we don't really know ourselves.  This is often what I do therapy:  teach people how to observe themselves without judgment.

It's not easy to do.  It takes practice.  This blog is one of the ways that I practice listening to myself, and you can see how hard it is for me to do so in a nonjudgmental way.  But I am trying to treat myself the way I would treat anyone who I care about deeply, and I suggest that you do the same.

Because hopefully you are someone who you care about deeply.

Night Owl Syndrome, Part 2

I started this blog with a post about the stress of trying to regulate my sleep cycle.  Particularly since it was the beginning of the year and I had been off for 3 months--plenty of time to revert to my more natural night owl state.

I am in the same predicament this week, except that my sleep cycle is even more out of whack than usual.  In addition to the normal job stress and abrupt transition into having nothing to do at the end of the term, I was also dealing with the fallout from the student death and extended periods of loneliness and isolation.  I fell into a pattern of going to bed at 4 am and waking up at 4 pm, with a few hours of wakefulness in between.  And as usual, I was racked with guilt and self-loathing about this.

My dad and two of my brothers are also night owls.  While my family was together over Christmas, my dad hardly slept at all, and when he did it was well past 2 am.  One of my brothers went to bed around 6 am.  The other brother woke up around 6 pm.  Yet they did not appear to be racked with the same guilt and self-loathing as me. 

Which is the reason why I originally started this blog.  Accepting who I am, including my obsessive tendencies, problems with guilt, and wacky sleep schedule, takes continuous practice.  If I neglect to do it, I fall prey to depression and anxiety.

And writing about how I was feeling during that period definitely helped.  It was cathartic.  It helped me to remember what I tell my clients. It provided me support, positive feedback, and extra angels.  And some of the most depressing posts were among the most popular ones, so I know I'm not alone.

Perhaps I should start recommending blogging as an important component of self-care.  Right up there with sleep, exercise, food, and mindfulness.

Last night I went to bed before 1 am without having to rely on extra Ativan.  And I woke up at 7 am because I had a doctor's appointment.  That's as close to a "normal" sleep cycle as it gets for me.  So going back to work has been a good thing.  Still,  if I didn't have to go back this week, I wouldn't have. 

Fortunately, sometimes you are forced to do things that are good for you, whether you want to or not.  

In My Head

So remember how I was talking about the movie The Secret Life of Walter Mitty?  I went to see it because I always liked the short story when I read it in high school.  I could relate to someone who lived most of his life in his head.

All my life people have told me that I think too much.  I thought that as I advanced in my education this would change.  It didn't.  My classmates in grad school thought the same thing.  My colleagues tell me the same thing.  Not as a criticism--just that they're surprised that I have so much time to think.

The reason why I can't fall asleep is because I can't turn off my brain.  I started that New Year's post at 4 a.m., despite my best efforts to talk myself into waiting until I woke up.  That I could get up early like a normal person, which would have been a few hours from then, so I wouldn't even have to wait that long.  But no.  My brain wanted to write the post right that minute.  I was pissed off at it, but what can I do?  My brain has a mind of it's own.

As soon as I wake up in the morning I want to talk to someone.  That's one of the hardest things about being alone.  It's not like you can just call your friends as soon as you wake up and say, hey stop what you're doing.  I want to tell you about this weird dream I had last night.  Granted, it would be in the afternoon, but still.  They have spouses and children and jobs.  They don't have time to listen to my dreams and random associations.

Often when I'm walking around the mall or the grocery store or even just turning a corner, I run into someone because I'm oblivious of my surroundings.  I actually have to remind myself that someone might be on the other side of the door so that I don't freak out.

Remember that whole Waco siege that went on for 2 months back in 1993?  I was in grad school at the time and I had no idea it was happening because I spent my free time watching reruns of the Flintstones and Gilligan's Island.  After the attack my classmates were talking about it and I was like, what's going on in Waco?  They were appalled and I was humiliated.

So I force myself to watch the news occasionally so if something happens like a typhoon hits the Philippines or the government shuts down, I'll know what people are talking about.

But you know what?  Blogging is actually a really good thing for people who think too much.  Even if I have to wake up and pee in the middle of the night and decide to check my stats, that's kind of crazy, but you sort of have to be obsessive about your blog if you want it to succeed.  And writers are always coming up with subject matter at random times because they're constantly thinking about writing.

So that's why I'm writing this blog so early in the morning.  Now maybe my brain will let me go back to sleep.

I think this doodle kind of looks like a brain.