Category: psychiatry

Re: Sanity

I took a break from media for three days and found that I could translate the world news with a bit more detachment. I wanted to find out how to be sane in an insane world. Making sense of things for me is mathematical. I take my experience, add the ideas of trusted experts, blend in what feels like intuitive common sense, and I might end up with some clarity. Actually that reads more like a recipe, so go ahead and take a bite out of ‘Clarity’, and let me know how it tastes.

Freud comes to mind when I think of the search for sanity. Most people attach his genius to sexual things, especially motivations. He certainly has been maligned by that one aspect of his research. I consult Freud, in my imagination (WWFD?), when I’ve had a dream. In that subconscious state I am more relaxed and that is often key to embracing sanity. I can’t think well when I’m in an emotion state of craziness. During the softness of a dream, in day or night, I can fit puzzle pieces together in a more caretaking way. It’s no mystery to me that I can do better at a New York Times crossword when I am just a little tired. Performance anxiety is not a good partner when I can’t get that darn three letter answer to the clue.

Insanity has long been an excuse for bad behaviour. Sometimes an aggressor can get off in court for a ‘crime of passion’. We want to explain away a mass murderer because he couldn’t possibly be in his right mind. Wars are justified because the other side is mad, or worse still, not-human. In my book, any act of violence is an act of insanity because in moments of anger we have truly lost connection with ourselves. Insanity is a sign that we must check to see if we are still plugged in to our psyche. As far as punishment goes then maybe, in computer terms, we need a re-boot (not a boot in the butt, as violence begets more of the same).

I’ve been insanely in love. During those almost panic moments I have been of such singular mind that I’ve been a danger to myself. I once manically peddled my bike along unlit country roads, to deliver a rose, dark rain splashing around my clinging clothes. I was in a mental fever. Losing one’s sanity is not funny, but it does contribute to artistic expression. We have all had moments where we have snapped. Hopefully there has been someone around to safely guide us back to finding reason where we thought there was none to be found.

Admittance to an insane asylum used to be an answer to the fear that folks had of letting lost souls run amok in society. Visions of torture-like treatments, padded rooms, and straight jackets can still be found as reality in some parts of the world. Compassionate care remains a hallmark of a healthy society’s approach to times when citizens lose their way.

Re: Kept

I don’t have any well kept secrets because I’ve never been good at hiding things. I don’t enjoy keeping people guessing if there is news to tell. I can keep to my own thoughts though, and I’ve sometimes kept a diary. I’m reasonably good at keeping up with a conversation. I’ve kept going to work when it was the last thing I wanted to do just to keep up appearances. I have reluctantly worn a silly hat in keeping with the situation.

Julia is a television series created by Daniel Goldfarb. In the second season, episode two Stockard Channing has a guest role as Frances Field. While at a dinner gathering, her character makes a short speech. Frances says” “We’re all kept…I know I’ve been kept. I was kept by my late husband…I assume you’re kept…good fortune comes and goes. Here’s to sharing everything you have. Here’s to being kept.” There is a long pause as people leave the table saying goodnight. Frances turns to her date and says, “Was it something I said?”

I wondered about that speech. I tried to trace examples in my life of being kept. I asked my 95 year old special mom for an opinion. She said immediately “I am kept” and then “but I don’t feel hard done by.” My mother-in-law is such a realist when it comes to figuring out life. Being almost blind and hard of hearing means she is very dependent on others for her care. So in that way she is kept, but content and grateful to be so, we mutually concluded. Her response has kept me thinking.

The phrase ‘kept woman’ flashed through my mind as I reviewed that conversation. I started to realize that Ms.Field was perhaps feeling equally blessed when she gave that dinner toast. She felt her needs were being looked after and she didn’t mind suggesting that some of her autonomy had been lost as a result of being kept. She was being realistic however, in implying that getting along in life requires exchanges and compromises that don’t necessarily have to diminish one’s character.

Yet where do we draw a line for ourselves? I don’t wish to be someone’s puppet; kept on strings in a case, in a corner. Neither do I wish to be in the driver’s seat for someone else. I respect that everyone has a right to their own life and to live it as they please. For a number of years in my youth I was often left in charge of my sister. Our mother made it clear that she didn’t want us to look unkempt, lest neighbours grow suspicious of her shirking her parental responsibilities. I was expected to get my sister to and from school, sometimes also making her lunches and dinners. I was told to look after her until mom or dad came home from work. I was my sister’s keeper.

My parents kept me in line. I became responsible as a result (perhaps neurotically so). I’ll continue to share parts of me. And I’ll show gratitude whenever someone chooses to look after my needs.

Re: Zoo

I don’t like to keep words in boxes (dictionaries). I respect the notion that language is forever evolving. For example, when I come into contact with the word Zoo I jump to initial conclusions based on my experiences. The very sound of that word triggers an emotional response. Before I enter into a discussion regarding zoos, in general or specifically, I need to consider the context of the engagement. Perhaps my understanding of the meaning of this word will change as I consider a different point of view. With this word Zoo I have now covered all the letters of the alphabet. Maybe one day my effort will serve as a children’s ABC style learning book but for older folk: P is for Price, A is for Art, Z is for Zoo etc.

Language researchers like lexicographers or etymologists enjoy studying words. I am not a researcher yet I like writing about how the English language has made me who I am. Most adults have a vocabulary of 10 000 words used on a regular basis. Human beings separate themselves by language, physical borders, personal boundaries or behaviour. It almost seems natural that we seek to enclose ourselves.

Zoos as an institution can depress me. Aquariums for aquatic mammals are jails. Captivity is not something that appeals to me. Keeping (owning) pets of any kind is a questionable human habit. Surprisingly, I used to aspire to working in a zoo. I once visited a hobby farm or ‘family zoo’ that appalled me. The star attraction both times, 30 years apart, was a very sad looking chimpanzee. After all that time the pathetic creature was in the same cage, not looking any wiser. The film Planet of the Apes comes to mind. In the late eighties some zoos underwent a transformation from the confined structure of old bars, iron gates and concrete screened buildings to more open air enclosures where the wild habitat was imitated to a certain degree. On a visit to such a zoo in Europe I was enthralled that I could walk about in an open field with giraffes. I came very close to chucking a career in teaching during a mid-life crisis after reading that Al Oeming had started a conservation area for ungulates in Alberta and wanted workers educated in wildlife management. Pick me!

It’s funny how we throw our arms in the air in exasperation saying, “It’s a zoo out there.” Clearly we have built our own self confining spaces. Sometimes we live in cages of our own design. Maybe that’s why we feel a zoo is ok for animals. Maybe that accounts for our belief that it’s acceptable practise to incarcerate fellow humans. I truly think planet Earth would do better if it was less managed by our species. With climate change, perhaps we are being shown that we can’t continue to harvest/corral/confine everything just to make our lives better, richer or safer.

‘We reap what we sow’ sounds fitting in this context. 

Re: Relax

I once took a course in anger management. When I indicated this fact on a resume, at a subsequent job interview for a high school teaching position, the boss asked if I had anger issues. I said, “No but a lot of people seem to.” The tension dispersed and he laughed. I explained to the Principal that in teaching I found it helpful to have a variety of skills for defusing the anger I had found in my classrooms. He was listening. I told him that some strategies also benefitted me when it came time to talk through issues with adults during parent/teacher reporting sessions. I said it was an aspect of teacher education that I thought was missing from my original training. He seemed impressed, but I didn’t get the guidance counsellor position that I was applying for that day. I was disappointed. I don’t think it’s sour grapes to say that I suspected he was looking for an administrative policeman in his school, not the conciliator model I was presenting. His loss.

Anybody who has been in a tense situation will tell you the aggressive moment can escalate quickly if someone says the equivalent of, “Just Relax.” As I get older I find it easier to find a calm place to reside in most situations. Tension usually comes looking for me when I have to wait for something, so being retired from the strains of working life sure does help the blood pressure. I’ve also learned that considering priorities before making a decision helps me to wind down enough so that I can make a better decision. ‘It can wait’ are three helpful de-stressing words and not a bad philosophy: ‘acuna matata’, ‘don’t worry be happy’ ‘manyana’. All cultures have suggestions for taking it easy before blowing a gasket.

I think another secret is to build comfort into your day. I could make a list of suggestions but everyone knows their own keys to going with the flow. Some are wise enough not to seek stress to begin with, however, an uneventful life is not very fulfilling. That’s why they call it Stress Management; too much relaxation and we become slugs needing to be fed, too little down time and we can become a bomb ready to explode. I’m getting better at delegating the things I know will create anxiety. I’ll let a trusted friend drive me places because I tense-up in traffic. I am learning to step aside while another friend or colleague solves a problem. I trust my life partner to work by my side. I don’t need to take on every responsibility that’s on my menu of life.

Being high strung maybe okay for high pitched orchestral instruments but not for people. For those who tend to be edgy there are plenty of relaxation techniques to practise. When all else fails I’ll take a glass of spirits, a chill pill or THC brownie without any accompanying guilt. There is a lot to be said for recognizing when our anxiety is getting in the way of our better selves. Life is way too short to let urgency set your agenda, even if that sounds contradictory.

Re: Fix

I remember my dad used to fret so much when a television repairman had to be called to our house. In the first place he had to admit to himself that his skills with dials, tubes and antennae had been for nought. Secondly it would mean he might be shamed after the technician could fix the problem with a turn of a screw. Then of course came the bill, which would set my factory working father back half a day’s wage.

When my dishwasher went on the fritz recently I thought of my dad. I started into a brain spiral about repair vs replace. I called and got some opinions, which still left me in a quandary. On the one hand I had a perfectly good appliance that only needed a gasket (or so I thought). A competing idea had me considering the domino effect of falling/failing returns on my original investment. My DIY skills are limited, but like my wonderful dad, I have a certain amount of pride in looking after the things that I own so when they fail I take it personally.

Some things you just can’t fix on your own, especially problems of a non-material sort. Especially problems of the relationship sort! My bride and I have generally done a great job ironing out our differences. When problems between me, her or us crop up, we use different strategies to overcome the missing or damaged parts. I usually try to charge in and fix things but my wise woman often tells me, “I just want you to listen.”

Getting a fix on things is a way to focus attention on the important things. I want my mind to stick with the essentials during a problem solving exercise. It’s no coincidence when we use the phrase, ‘glued to the task’ to indicate just how deep our concentration can be when we are attending to the job at hand. I have an image of my dad trying to apply a fixative to a broken china cup handle. He had to hold the pieces until the epoxy set, all the while unknowingly sticking his tongue out of his mouth as if to tether his thoughts.

I can rarely control my imagination, so I have to rely on structure to anchor my wandering mind. When a problem is too overwhelming, I occasionally turn to the medicine cabinet for a prescription. I  recently rewatched the dramatic film Man With a Golden Arm starring Frank Sinatra.

https://www.tcm.com/video/198811/man-with-the-golden-arm-the-1956-i-need-a-fix/

I think of the many folk who are drawn to street drugs in our city. Illicit drug use is a problem with no easy fixes for millions through the world. The things that make our lives better sometimes make them worse. When a device, friend or situation lets us down we may feel temporarily defeated. Sometimes a technician of the mechanical, digital or psychological sort can help us fix the problem. It’s worth it to make the call.

Re: Stress

Trump is back in the regular news cycle and that has me stressed. I’m not alone. That man! Even his name produces stress in many folk. When the 45th President of the United States was on the last election hunt, I asked my doctor for some psychiatric help. The specialist he referred me to asked why I felt anxious. He looked stunned when I named The Donald at the top of my list. History has born me out. Meanwhile I’ve now got the mental health support I need to weather the next storm.

We humans are elastic for the most part. We like to think that we can accommodate, collaborate or compensate but there are times when it becomes mighty hard to even tolerate a person, a group or a situation. Our capacity for stretching can be based on individual temperament which may be grounded by our genes, our upbringing or our experiences. It’s complicated. So complicated that we must never suggest to another to “Just get over it.” People, like cars, have been known to have breakdowns. Even steel bridges snap under pressure.

I was a career elementary school teacher; a profession often ranked high among stressful occupations. My colleagues and I were taught how to see challenges as eustress: a sunny, positive label that encouraged us to master our own fate. Natural body chemicals like adrenaline or dopamine can help. Caffeine helps others. Many turn to jogging, yoga, alcohol or drugs. Back then we didn’t talk much about mental health. Stress leave was stigmatized but prevalent. Going to the psychiatrist was considered a failure in character.

Studies in animal behaviour have suggested that stress produces a fight or flight response in almost all creatures. I’ve discovered that I can mimic those two reactions very quickly in my head, however society frowns on me acting out with a punch, push, slap, or a hasty flight down the stairs and out the back door while shouting obscenities. (Ahem) Besides that, I have found that other F responses have worked for me in tense situations. For example, I’ve been known to faint. My favourite bird example, in stress management, is a Killdeer, who fakes a broken wing to save her nestlings. Sometimes I will ingratiate myself by fawning. Flailing about saying nonsensical things  can confuse an aggressor. I may distract my opponent by fucking, flaunting or feigning my way through a predicament. Or, I can put on a brave front, but it may not last long before I beg for forgiveness.

Identifying my stressors has taken me a while to pin down, yet it has been an essential starting point to create a sense of inner peace. To most people I appear calm and obliging (It’s magic!). However, I’ve become aware and confident enough that I can say to myself and/or others; “This is stressing me out.” I try to avoid the triggers that make me want to shout those words. I’m not afraid to ask for professional help. My brain, after all, is just another body part that needs love and attention.

Re: Dream

Rare is the night that I don’t dream while I’m asleep. Lately, I’m absorbing the world’s troubles and processing them somehow while in bed. Problem is, come morning, the result of all this subconscious mind spin is not resolution but exhaustion.

Dreaming holds a fascination. In my twenties I picked up lots of books on dream interpretation. Anything by Sigmund Freud I leapt on. Horoscopes held an amusing fascination. Texts didn’t have to be scientific in their approach to questions of a neural nature. I had the classic youthful dreams: going to school in underwear, being chased, escaping a locked room, peeking into a closet, running up an endless inclined plane, flying amongst the clouds. A recurring nightmare through my grade ten year had me staring at a dot in the distance, it got bigger as it approached, gained texture and, just before I identified it as a massive Brillo pad dripping with sticky honey, I woke shouting and in a sweat. I disturbed the household often enough that my mom considered taking me for therapy. To this day if someone asks me how I think I might die, I answer reflexively, “With a blow to my head.”

More positively, I believe I am a dreamer by nature. I love the way the word Dream appears in the songs I’m most fond of humming: Imagine, Dream Weaver, Rainbow Connection, I Dreamed a Dream. In this regard, here’s Rita Wilson singing one of my favourites.

https://www.youtube.com/watch?v=5Cm7U9SCFPk

I love to project my thoughts of a better future while daydreaming. I’m looking forward to spending long stretches of time with my grandkids exploring clouds and watching dragonflies. Dream Boards were popular for a while. Cutouts arranged in a collage for the wall or a private journal are made with intention, while dreaming of better days ahead. Wishing is a close cousin to Dreaming; it’s a projection of all that stuff going on in your headspace. Hopefully the wish can be made manifest in order to keep hope alive.

Our grey matter is a marvel. At times I feel may brain is like a massive parabolic antenna , picking up ideas, messages, multiple conscious musings from countless souls. I long to be tuned to the right channel. It could be a super power like Charles Xavier has as Professor X. I could tap into others’ thoughts not to interlope but to understand my own convoluted self just a little bit better.

During my first year of university I went on a date to see a student production of Shakespeare’s Hamlet. On the walk back to residence, the girl commented that I seemed like the main character to her.  I thought she was teasing, but I recognized that I had a brooding sort of personality. When we parted at her dormitory door, as if to make up for a potential slight, she kissed me on the cheek and called me a dreamboat. What a night! I strolled off to my room reviewing the words of the Danish Prince; “To sleep, perchance to dream!”

Re: Relief

“Plop Plop Fizz Fizz Oh what a relief it is.”

If only other forms of relief came this easily. Tummy troubles are one thing yet I have an atmospheric feeling that there are currently so many troubled people in this world that relief may be hard to find and a long way off.

My daughter-in-law recently gave birth to a premature baby, my second grandchild. After they both returned from hospital, safe and healthy, I asked her what her first thought was as she held her child. She said, “Relief.” Her head had been spinning with tension of the event and the wave of relief, that her babe was now well, filled her consciousness. I was relieved that I could be nearby.

In my youth the idea of being a relief worker had certain attraction. Red Cross, CUSO, OXFAM, CARE were all possibilities back then to anyone who had wishes to provide humanitarian support to the globe’s needy. As a teen I only thought of relief in terms of the dramatic: helicopters, food drops and maybe the blue berets of the United Nations mobilizing to save lives in crisis.

Our games recognize the need for relief. For example, wrestling has its tag teams. Football has defensive and offensive lines. Baseball coaches send in a relief pitcher when the starter underperforms. Religion respects the need for relieving our worries. When we are feeling guilty about something it is helpful to be told that we have not been responsible or that someone has taken that sin from us. With the burden removed we walk taller and with more assurance.

Most times relief is easy to find; a cool shower, some shade, a friend who listens, a drink of water, aspirin, an answer to a question, sleep, a good book, music, a meal. Often, however, life is so layered with complications that it is hard to figure out what might bring us relief, so instead we numb the pain. Or we try to take it away all together by attempting suicide.

I’m not very patient with pain. My medicine cabinet is stocked with whatever I can acquire to be there for me when a part of my body protests over the normal stresses of life. I try to keep my complaints to myself because they are minor. I feel fortunate everyday that I don’t have a chronic condition. I have visited a psychiatrist who admits his specialty is more related to pain management than a specific DSM-5 condition. He understands that there is pain in anxiety as our body responds to the stress of living.

Drug use is at crisis levels in North America, as people turn to physicians, or failing that, the street, to cope with the pain of life. Reasonable people, denied access to medication that once brought relief are seeking other ways to chemically address their symptoms. Many die taking these problems to the underground economy, where relevant controlled dose measures are not part of the deal.

Buyer Beware!