4 min read
For most, suicide is not option D. This bit of wisdom was shared by Ana Marie Cox in an interview on mental health. A doctor gave her this insight after she was institutionalized after attempting suicide. I was as shocked to hear that first sentence, just as she stated she was in the interview. Really? Everybody doesn’t think about suicide?
In my teens, I thought about suicide in excess. If options A, B, or C did not work out I always had D. It wasn’t a ploy for attention on my part because I felt I was alone. That may not have been true, my family may have been there for me, but I felt alone. The loneliness a sign that my depression has been hanging around for much longer than I thought. I never made an attempt at suicide in my youth, but looking back I can see the inclination to do self-harm. There was an uneasy voice in my head when I was near danger, “what if I just leaned over this railing even more?”
Even with self-harm and suicide lurking in my younger years, I had a stupendous fear of death. Having never been convinced of any sort of afterlife, thoughts of my own demise were paralyzing, even into my forties. To me, death is not like falling asleep or a vision of walking toward the light. Death is like abruptly ending this observation midway through the third sentence above. The thought of my death would result in a panic attack, insomnia, and the occasional bad poetry.
Last year, I went to the hospital because that fear of death was gone. I had a break down. Guilt from my behavior, shame from addiction, and fear of showing my weakness to the world overwhelmed my native dread of death. I wanted to give up. I believe that fear is still missing. Though, I’ve started to wonder if it is the big bad behind my low self-worth.
There’s a colossal belief within me that a key to “getting better” is finding my own self-worth. As it is now, I live off of the acceptance and approval from others. I am desperate to be needed because I don’t believe I have a right to be in the same room with you. The emotion behind that is fear. It is a fear that I have no worth. Could it be that I’m afraid of dying without having proved my worth? Am I that cliché male of the species who distresses that he has nothing to leave behind when he is gone? That’s an ugly thought. It feels petty and pathetic to be worried about my legacy.
As I share my mental health story, occasionally I wonder if it is manipulative. Since I don’t feel as if I am accepted by others, perhaps I can get them to have simpathy for me. You can see how questioning my own motivations is driven by the fear that I am not behaving as I should be. I judge myself rather than accept who I am, grey hairs and all. I desire to be received by others because inside I don’t believe in me.
The urge for validation from the people around me ties nicely with the toxic idea of leaving a legacy. I am attempting to measure self-worth with money and things. Comparing myself to others only continues the depression and low self-worth. Even looking at what I’ve done in this world, my deeds are never enough.
That feeling may be a product of the competitive nature of our world. Even so, many of us look at our accomplishments in a very warped way. We want forward progress we can see. That’s not always the case though, is it? Ray Bradbury’s A Sound of Thunder gives us the idea that the simple act of stepping on a butterfly in the past can affect the future. Rather than fearing that my wages are a disgrace to my spouse and family, I might hope that the simple act of saying “thank you” to the bus driver yesterday helped her get through another tough day, week, or year of work.
I’m not sure if that’s blue-sky thinking or a valid concept. My depression and fear carry considerable weight in my thought process. Still, making generous assumptions about my simplest of acts could be something to work towards, a way to find some worth within. What are your thoughts?
10 min read
It happened last month. I broke.
See, I used to be tortured by thoughts of my mortality. My impending death would keep me up with insomnia for weeks at a time. Occasionally, the topic would get me so worked up that I would physically tremor. Therefore, I did everything I could to ignore the topic. That is, until last month.
I came apart in a grotesque way. I did my best to push everyone away because I wanted to leave this world. When that seemingly dramatic thought entered into my goals and I started looking for ways to make my exit, I knew something was wrong. That unnerving fear of death was completely gone. It was a strange sort of peace. For once, I was living without that anxiety. The downside was that I spent 2 days fixated on ways that I could end my existence. Somewhere buried beneath all my self-hate was that passing thought, something was wrong. “Do I want to die? Yes. That’s not the problem. It’s weird though, a few days ago I wouldn’t think about this at all.” This was my “alarm.” What I’m trying to say is that I went to the emergency room not because I was afraid of harming myself, but because I wasn’t.
In the U.S. May is Mental Health Month, and here in Canada Mental Health Week is the first week of May. I don’t know if I’m really ready to share my story, but I feel compelled to do it now because it is May. Help is out there for those that need it. The first thing we can all do is take the issues of mental health seriously. There’s a stigma around mental health, it’s the second sentence of this post. The idea that I’m “broke,” wrong, damaged, odd, abnormal or disabled by my condition is what we need to correct. Statistics on suicides are frightening. According to the 2 year old documentary The Mask You Live In, from ages 20–24, men are 7 times more likely to commit suicide than women. The numbers appear to rise as we get older. As men, society tells us to “toughen up and be a man.” So the last thing we want to do is admit we’re abnormal or, science forbid, weak.
My Saturday trip to the emergency room was eye opening. Once my number came up, I was taken to a special section of ER for mental health cases. Looking back, that’s sort of shocking isn’t it? So many people are coming in that there’s a different section and I’m not just a curtain away from a guy with a broken nose or something? I was in the ER for a couple hours and discharged. The doctors told me that I didn’t need to be in a psychiatric ward. I felt like I failed again. “I didn’t communicate my feelings well or something? Do they think I’m a faker? A joke?” I was given a suicide hotline number if I needed to talk to someone, and the name of a clinic at the hospital that could help me on a weekday.
It’s tough to describe where I was at after that. Simultaneously, I wanted to be alone, buried in a pit where no one could find me and also I was frightened to be by myself, with my thoughts. When the weekday finally arrived and I made my way to the clinic, I spent 15 minutes filling out a questionnaire about my mental health. Writing it down put me in tears again. It was real. The doctor at the clinic looked over my paperwork and saw that I had seen a therapist before. “Go talk to your therapist. Have a nice day.” Okay, it wasn’t that bad. That’s how it felt, though. I had seen a therapist once every 2 months to talk about anxiety. Sometimes I could visit monthly, if it was possible. The clinic was supposed to be a daily program for 14 weeks. That really sounded like what I needed. Of course, the doctor was basically doing triage. There were other potential patients who were a higher priority than me. So, there I was, outside the clinic in absolute shock. There’s no help for me.
I sat there for nearly 2 hours, lost.
“Should I have told the admitting doctor that my therapist was not someone I was seeing through insurance coverage or paying out of pocket for? My therapist is part of my doctor’s network. I can’t see her as much as I like!”