Category: Anxiety

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Pharmacological Sanity

     When I was originally diagnosed with ADD, it was called Minimal Brain Dysfunction. This diagnosis was designed to address children who seemed to function poorly in school and other social settings, but could not be clinically diagnosed as mentally retarded. For a time, this worked, but then someone noticed a discrepancy between these children’s school performance and their IQ scores. While their IQ’s tested in the normal to high range, their performance was abysmal. Researchers realized children with this diagnosis seemed to struggle in focusing long enough to take in information in a way that allowed them to retain it. This new theory lead to different types of treatment. I underwent testing for food allergies, adhered to a strict diet with mineral and vitamin additives, biofeedback sessions, and was even in a trial study for Prozac. My father claims I would have blackouts while on Prozac and even began having suicidal thoughts at the age of 8. I received therapy from several immanent psychiatrists and psychologists, one of whom was Dr. Hunt who still runs the Center for Attention and Hyperactivity in Tennessee. My father had his masters in counseling and when Dr. Hunt suggested that my parents check me into a mental institution, forget they ever had a son, and focus their time and energy into their “healthy” daughter, my Father asked Dr. Hunt, “Why can’t you just admit that you can’t help my son?” Needless to say, this concluded our sessions with Dr. Hunt.

     My entire family worked hard to stay with me throughout my years of rebellion and boundary testing. Through the overdoses. Through the depression. Through the denial and rage. They showed me, through modeling and through actions, what it means to truly love someone. But that’s not what this post is about. This post is about the benefits and risks of medication vs alternative/holistic means of treating ADD/ADHD.  
   
     While I have ADD, I am also a marriage and family therapist who has worked with many families and individuals who’s lives have been impacted by this disorder. Some articles claim exercise reduces symptoms of ADD and it is difficult for me to think of a reason why, after consulting a physician, anyone would not incorporate exercise into their daily routine. For me, this has not been enough. Despite diet changes, added vitamins and minerals, and lots of other attempted fixes, what has worked for me is medication. I still exercise, and I should probably eat better, and at this time in my life and for the past 16 years, medication has helped control the symptoms of my ADD. It has helped me maintain my marriage and provide me with a greater amount of impulse control and levels of tolerance.

        This post is being written in reference to a twitter conversation I recently had. My decision to take medication to help with the symptoms of a neurological disorder was fairly quickly disparaged. The reply asked if I had every tried taking an art class rather than simply using medication to treat my symptoms. While my illustrations are evidence I did not pay attention, I have taken art classes. What got to me about the tweet is this: If I were taking medication for depression, would the same person have been as quick to ask if I had tried alternative means of treatment?  
     
         No doubt about it; ADD is over diagnosed and over treated. Many children are over medicated for a variety of reasons. However, this does not mean medication is not necessarily effective when used appropriately. To that extent, I would suggest more research be done in the area of diagnosing. Finding out if ADD/ADHD has a trauma or relationship attachment component to it vs. it being organic and purely physical. More accurate diagnosing for many disorders may play a key role in allowing doctors to target treatment and medication in order to treat the person rather than just treating symptoms while having very little etiological understanding.

        In the meantime, let me tell you a story about a friend of mine who was in high school with me and had been diagnosed with ADD and refused to take medication. When I asked why he chose not to, he stated that he didn’t want to and it felt weird. I asked my friend why he wore glasses. He said he was near sighted and without his glasses probably wouldn’t have been able to function day-to-day. I reflected back to him the incongruence that he chose to wear glasses to correct his vision but refused to take medication to correct his neurology. He laughed me off and said it was different and complained that I didn’t understand. The truth was, I deeply understood, and wanted him to experience the same form of freedom I had.

        Medication isn’t the answer. No pill will ever make someone perfect; and if it could, it would be at the expense of their own humanity. However, unless it’s doing more damage than good, please be careful not to disparage a persons means of maintaining sanity.

Pharmacological Sanity
(C) Nathan D. Croy, 2014
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Optional Vision.

     Short post, and I’ll let Brian Regan present most of the content (thanks Brian!), but this is something to reflect on. My wife has horrible vision. It’s true. I asked her the other day if the two colors I had on matched. She said she didn’t have her glasses on so she couldn’t tell. This means her vision is so bad she can’t see colors without contacts or glasses. Colors, people! Sometimes she will complain about her current prescription not keeping up with the degradation of her eyesight. She will still wait 9 months to a year before she ever calls someone to make an eye appointment, but who cares? It’s just vision!
     The truth is, we all do this. We put on hold the truly important and critical things in our life because of the busy-ness of day to day tasks. I am just as culpable of this as everyone else. The trash needs to get taken out on Thursday night. The bills have to be paid. My children’s diapers need to get change. These things need to get done. Because we all have responsibilities to the world that will not wait, we must make times for the things that cannot be denied. Time to relax, to be with family and friends, to get out of our comfort zone, to regain our existential sight. To remind ourselves who we are, why we do what we do, and what is important in life. When we make time to do this, the little things of life will be recharged with meaning instead of being burdensome chores. We will take out the trash so someone else doesn’t have to. We will be grateful we have money to pay the bills (or we will reevaluate what is important to spend money on if we are unable to pay our bills). We will change diapers and be reminded of how our children are truly dependent on us for their safety in this world. We will remember falling in love with our spouse, our first real success in school or work, or that there is someone else in the world that loves us, possibly more than we love ourselves. And that is how we can make optional vision become optimal vision.

Myopic
(C) 2014 Nathan D. Croy
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Indebted Love: Part B

“The essential characteristic of love: That the lover by giving infinitely comes into – infinite debt.” Kierkegaard, Works of Love, 2006, p. 172.

     I truly enjoy Star Wars. To clarify, I enjoy the “real” Star Wars (episodes IV-VI). I even read the books and bring my lunch to work in a Star Wars lunchbox. Not even kidding. One of my favorite relationships throughout the series is Han Solo and Chewbacca. The life debt Chewie swears to Han began as the fulfilling of a cultural institution, but grew into a genuine relationship of Love. If I can have a bit of license, I think Chewie’s life debt is a fantastic illustration of healthy Indebted Love.

      When Han prevented Chewie’s clan from being enslaved by the Empire, Chewie took a life debt to Han. Now, this doesn’t mean that Chewie is Han’s slave. Nor does it mean that Chewie’s life debt is fulfilled if he saves Han’s life. What it means is that without Han, Chewie would not have a life, so he willingly (see Intentional Love post) gives his life in service to Han.
     Articles on Star Wars state that the idea of a “life debt” is fictional and does not exist in the real world. I would suggest that it does exist and we call it marriage. Kierkegaard continues to expand on this idea when he writes that “for his own sake the lover wishes to be in debt; he does not wish exemption from sacrifice, far from it” (Ibid, p. 174). For instance, is there anything that can be done, any act that can be committed, that will fulfill the vows of marriage so that one is no longer married? No! That makes no sense and renders marriage useless.
     Any relationship based in Love must be based in a willingly taken on indebtedness. Perhaps, instead of saying indebtedness, it may be more accurate to say selflessness. Selflessness, truly understood, is being joyfully indebted to another whom we Love. This does not mean we sacrifice self to another. If that were to happen, then “we” couldn’t be in the relationship, could we? In fact, a relationship would not exist at that point. Kierkegaard addresses abusive relationships by submitting that staying in them would be tantamount to enabling, which is one of the least loving things we can do. However, we are not to give up on the other.
     One seemingly inescapable conclusion of this line of thought is the inability to remarry after a separation. While I do not have an argument to defend staying single after a separation or divorce, I would offer this: Would people be as quick to rush into Love relationships based on indebtedness if they knew the ending of that relationship limited their access to relationships later? If we were obliged to suffer the consequences of our relational choices until death, would we act any differently? Would we be more free to love? More free to make mistakes? What if, as Kierkegaard wrote, we were to live relationships of Love “imprisoned in freedom and life” (Ibid, p. 176)?

If a Wookie gives you a Valentine, you take it!
(C) Nathan D. Croy

 

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Anxiety or Fear?

“I define anxiety as the apprehension cued off by a threat to some value which the individual holds essential to his existence as a self.” ~ Rollo May (Psychology & The Human Dilemma, 1996, p. 72)
    

     Who would have thought that amongst the dust bunnies and forgotten Army men there existed a demonic force that no one would dare challenge. At least, no one under the age of 5. It would disappear when adults looked for it. Later, a movie with Fred Savage taught me that they really just turned into clothes, but I was unaware these powers existed at the time. The emotion was palatable in the darkness of night and, if I listened closely, the sound of breathing would be the only thing to comfort me. Once, it sent a minion out and as it scurried across my floor I screamed. Not ashamed to admit it, I screamed like a little girl. Father came rushing in, scanned the room, looked at me, and asked what happened. My mind rushed to create a logical explanation, otherwise the existence of the minion may be completely in question. What, in the real world, is black and scurries soundlessly across the floor and is about the size of a coffee mug? There’s only one obvious answer and you’ve probably beat me to it: Tarantula.

      I explained to my father that a giant tarantula had scurried across my floor. He looked at me, and managed to hold it together for a good thirty seconds before his expression of concern cracked and became laughter. He explained that it was “probably” just a mouse and he would buy some traps the next day. Fine by me. Mouse traps would probably work on giant tarantula’s, right? Of course!
      So, here’s the question: What was 5 year old me feeling? To whit; is there a difference between anxiety and fear? In The Courage to Be, a book often referenced by May, Paul Tillich draws clear, and perhaps arbitrary, distinctions between multiple forms of anxiety. However, one thing they both agree on is this: Anxiety is the fear of “no thing”. Kierkegaard calls it, “the dizziness of freedom” (i.e., potential). For me, that is distinction between fear and anxiety. Fear has a clear and distinct source: A lion about to pounce, a car swerving into my lane, emotional distance of a spouse. To quote Tillich, “Fear and anxiety are distinguished but not separated. They are immanent within each other: The sting of fear is anxiety, and anxiety strives toward fear.”
     The concept that “anxiety strives towards fear” is crucial. As a 5 year old lay in his bed, imagining monsters waiting to destroy him, a mouse running across the floor was the object upon which I projected my anxiety. Today, I’m trying to learn how to sit with my anxiety, but I doubt I’ll ever master that ability. People aren’t designed to exist in a nearly constant state of anxiety. If you don’t believe me, get some history on your neurotic friends; you’re going to find a great deal of anxiety. I always want to know why I’m feeling anxious, not simply that I’m feeling anxious. However, I have gotten better at realizing when my anger is misplaced fear/anxiety and it helps me realign my priorities and consider my actions in a new context.
    In other words, there have been times where my wife, my friends, my coworkers were just mice going along their way when I projected the fear of under-the-bed-monsters onto them. Then, trying to make sense of my irrational fears made real, I tried to think of a logical way to explain my anger with them: they must be tarantulas (things that I know exist and/or have seen/experienced in the past). However, understanding what I have projected onto others, my own transference and countertransference is a crucial step in being able to begin to know if how I perceive other people is more or less accurate. In other words, are my feelings for the other person based more on our interactions or on my presuppositions and projections? If the former is the case, then I can begin developing a genuine and authentic relationship. If it is the latter, then I am in a relationship with myself more than the other and most attempts to work on difficulties in the relationship will be for naught because the difficulties may lie more in myself than the other.
     What do you think? Are the terms “anxiety” and “fear” merely synonyms or are there real, meaningful differences?

(C) Nathan D. Croy, 2013
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Mediocre Expectations

     Kierkegaard, in Works of Love (2009, p. 246) writes that “The eternal does not even understand, it divorces itself as vanity the cleverness which speaks only about the extent to which one’s expectation has been fulfilled but does not at all consider just what the expectation was. In eternity everyone will be compelled to understand that it is not the result which determines honour and shame, but the expectation itself. Therefore, in eternity it is precisely the unloving one, who perhaps was proved right in what he [frivolously], enviously, hatefully expected for the other person, who will be put to shame — although his expectation was fulfilled”. Expectations matter. But what may be even more important than our expectation is an awareness of them and then being able to act on them authentically; genuinely.
     I remember reading a case about a man who desperately wanted a divorce, but was unable to ask his wife for one for multiple reasons. Instead, he began verbally and emotionally abusing her. It started a little at a time with passive aggressive comments about her cooking, her weight, or how long it took her to get ready. These escalated into more direct comments about who she was a person, how she was a failure, and could never make anyone happy. This went on for several months, nearly a year, before, she had an affair and left eventually left him.
     After the divorce he found himself in therapy trying to make sense of why he wasn’t happy. After several months, the therapist asked, if he could remarry his ex-wife, would he?  After thinking about it, he said no. The therapist then asked, “so, what’s the problem?” The client looked up and said, “the problem is, she left me and I was supposed to leave her.”
     These things may seem like technicalities or hair splitting, but they matter because they expose intent. If this man had been authentic and asked his wife for a divorce there would have been fighting, but there was plenty of that anyway. What he would have retained is the knowledge that he was honest; i.e., genuine because his intent was congruent with his act. And who knows, maybe a marriage could’ve been saved because both parties would know something was wrong. With his passive aggressive and inauthentic actions, his wife, and his self, were merely fighting shadows. Inauthenticity produces anxiety that takes an excessive amount of time to abate. Authenticity may produce discomfort and fear, but not anxiety. Discomfort and fear may give way to acceptance and courage. If anxiety as the byproduct of inauthentic actions, it merely conceives more anxiety.