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Admitting I Have Mental Illness - Would It Really Be My Downfall?

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MT Johnny

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I'll be up front here - I need people to tell me "it's ok" to do that - because I have so NOT been ok with that concept for 2 1/2 plus years now.

It's all so ... complicated. Summer of 2012, I had a workplace incident of threatened violent death, and I snapped. That was just the icing on the cake anyway, my entire life I have had issues with depression and anxiety, and I grew up in a very abusive home, ugly ugly domestic violence. Summer of 2012, in the course of a couple of weeks, I became a total wreck, massive panic attacks, complete insomnia, hypervigilance, extreme flight response. It was all very PTSD, very classic PTSD.

So, I reached I point I said "no more, I need help" - and that blew up in my face. I went to a psychiatrist and said "I have symptoms X, Y,Z, and I want to deal with it with outpatient therapy, medications, and extreme discretion". I thought tha was exactly what would happen.

Wrong - because I told the psychiatrist I was having a lot of suicidal thoughts, the panic button was pushed, long story short, I was threatened, in a not very professional or very compassionate way at that, with being hauled off, more or less, and stuck in the inpatient ward. There was kinda a compromise, although it felt like total defeat to me, I ended up doing a few weeks at a partial day program/partial hospital progrm.

And in that very moment when I was given a quickie 5 minute diagnosis of bipolar and told to report to the psych ward, I thought "that's it, my life is over." I felt like the shame of that, the stigma, the being locked up would be the end of me, in every meaningful way, career, family, home, assets ... all gone.

Worst of all, to me, it all felt very much like some kind of criminal justice experience, it did NOT feel at all like medical treatment - it felt like I'd done something very, very bad and was being punished for it. Last I knew, if someone is diagnosed with any physical disease, they don't view themselves as "having done a bad thing deserving of punishment".

So, 2 1/2 years later, and in a lot of ways, I have fought a valliant fight to "fix it" - but it's not been the RIGHT fight or the right approach. Because ... I don't completely level with anyone about any of this. Not my therapist, who I gloss over certain things with ... and certainly not the psychiatrist I've seen for about 2 years now --- who only hears glowing reports of how great I'm doing, that the prozac I am on works wonders, and I'm recovering from all of the crap that went down 2 1/2 years ago.

Don't get me wrong, it took a lot of time to find a truly good psychatrist, and the current one is as good as the first one was terrible. It's not the current doctor's fault I lie about things in such a big way.

Why do I lie and paint this rosey picture - because the thought of being labeled "mentally ill" and "bipolar" -original diagnosis, I'm just not sure, I have some aspects of that, but ... PTSD also explains almost everything I do just as well, and in many ways better - so terrified me that I did a Nixonian style cover up to try to "clear my good name and reputation."

There is a real -world problem with this - it's NOT a public relations issue - it's a real-world mental health issue, and, well, I'm pretty miserable these days.

I've been discussing with my therapist, who I see twice a week, the concept of "coming clean" to the psychiatrist and finally saying "ok, I need REAL help here".

If I do that it goes against everything I did for 2 1/2 years, trying to "make it go away" and trying to "clear my good name".

Intellectualy, I recognize that as pretty warped thinking - very distorted - something like PTSD or bipolar or whatever isn't a "punishment" or a "crime" it's a medical condition - I didn't do anything wrong in the first place, I didn't ask for the abusive childhood or the workplace incident or any of the other life stresses that have shattered me - and I have been a good guy all of my life, I have a clean conscience about things in that respect.

So I need to find it in myself to make another leap of faith, say "OK, I have these problems, let's deal with them like rational adults" and realize that doing so isn't going to destroy me ... well, doing it this way is close to destroying me, so a massive course correction is in order.

Help! I need to know that it's "ok to be a little broken" and life will go on even if I have diagnosis X and medication Y in my Blue Cross file.
 
I would say come clean to both your therapist and your psychatrist. They are legally bound to keep your secrets unless it involves harming yourself or others. I learned the hard way that trying to make things look good doesn't work and just prolongs getting the help you need. They can't truely help you if you don't tell them everything. My therapist and my psychatrist are the only ones I tell everything to because they are legally bound to not tell anybody unless I tell them it's ok.
 
Worst of all, to me, it all felt very much like some kind of criminal justice experience, it did NOT feel at all like medical treatment - it felt like I'd done something very, very bad and was being punished for it. Last I knew, if someone is diagnosed with any physical disease, they don't view themselves as "having done a bad thing deserving of punishment".

That is completely understandable. I would have felt exactly the same way. They reacted absolutely horribly. I'm sorry that this was your experience when you tried to get help for yes, a medical condition.

It is true that things aren't going to change if you keep pretending they're all well and good. Nobody can help you when they don't know there's a problem. I am all to familiar with that cycle...
 
You know all if your other posts where you complain about having been in treatment for 2+ years but you're still ill? I hate to break it to you, but until you come clean and throw yourself into healing, much of it is for naught. Yes, I'm telling you that you are indeed your own worst enemy and denying your illness isn't going to make you better, rather it's going to make you just spin tour wheels.

I'm not even sure why I'm replying. You've ignored all of my other replies to you so I have a feeling you're not ready to heal yet as you still just want it all to go away without doing the hard work.

Read up on Buddhism. Read up on ACT. Both modalities will indeed show you that you are prolonging your own suffering. No, you aren't at fault for the initial cause of suffering, but you are indeed responsible for continuing the suffering. You have the power to heal. Stopping the denial is the first step.
 
Ok Anonymous - I'm pretty sure I did respond to several of your other posts to me - maybe not with a direct quote and point by point response, but I think I did - even if not (because I'm really in the fog these past few months) I certainly read and thought about your answers to me.

Not trying to be a jerk here either, you have made a lot of good points all along the way. Thanks.

I'm not sure how you figure I'm "not doing the hard work" - because I keep doing what the professionals tell me to do. Yes, true enough, if they don't have the whole picture they can't chart the right course.

The Buddhism thing - well, I guess the thing that turns me off of that is ... Religious ... Kinda bugs me, I'm not a big fan of religion. ACT/CBT - I 've just never run into any therapists who actually teach and practice those methods - maybe it's not something Blue Cross likes to pay for? My current guy does "Brainspotting" which sounds all new -agey but it seems powerful - we actually aren't doing it right now it was kinda too intense under the present circumstances.
 
I had a similar problem as you. What I did was ask to take the MMPI-2 Test, and my misdiagnosis was removed. It's a test that is very difficult to trick. But you may not necessarily like the results. This test has questions to detect lies and defensiveness, so it's best to be honest on it. But it's hard to argue with the results.
 
I suspect your therapist (and probably your psychiatrist as well) are aware that you are in more distress than you are letting on. When I first started seeing my former therapist it was to work out the stress of being a single parent. When I finally "came clean" about all of my other issues, he was seemed a little surprised at the number and magnitude of my issues, but told me he knew there was something other than the standard "Adjustment Disorder NOS" but was waiting for me to take the lead. And he talked to me about whether or not I wanted the PTSD diagnosis submitted to my insurance company (there were a number of other ones he could have submitted). At that time, I had already had a PTSD diagnosis "on the record", so it really didn't bother me in terms of the insurance company knowing this (although, it did bother me that he had to speak, more than once, with a representative from the insurance company about why continuing coverage was necessary).

In the US, PTSD is supposed to be covered under Mental Health Parity laws - but these laws vary from state to state, and I think sometimes the insurance companies push hard not to comply with them (arrrgh - insurance - I pay close to 5K a year for coverage for me and my kids - plus deductibles and co-payments - and they bitch and moan about providing coverage...I can feel a rant coming on).

And to echo what someone else said, one of the core beliefs of the type of therapy I do is that while I am not responsible for what happened to me, I am very much responsible for doing the work required to heal. And it's hard work.

And, finally, it is absolutely "ok to be a little broken" and, unless you chose otherwise, life will go on even if you have diagnosis X and medication Y in your Blue Cross file.
 
The Buddhism thing - well, I guess the thing that turns me off of that is ... Religious ... Kinda bugs me, I'm not a big fan of religion.

I consider myself Buddhist and I view it more as a spiritual practice than a religion (which may not be semantically accurate, but there you are). Anyway, not trying to proselytize, but some of the Buddhist writings have been immensely helpful to me - one that comes immediately to mind is Pema Chodron's "When Things Fall Apart".

And I will also raise the DBT banner here - it combines CBT therapy with mindfulness (yes, Buddhism) in a way that resonates with me in a way no other therapy had previously.
 
Hey, a big thank you to everyone. I wanted to respond to more of you but I'm in and out of availability to do so right now.

It's actually been a tremendous battle to just get myself emotionally to the point I can even think of some of these things - if anyone had suggested say, 2 years ago this month, I'd even be contemplating some of what I'm contemplating now, I would have said, "Oh, Hell No" .. which was one of my mantras during and after the day hospital program.

The fear of all of this has been intense and visceral - it just came to me as such a natural reaction to the circumstances (the visceral part), and so strong and powerful- kind of the perfect storm.

But yeah, I think at this point I'm more afraid of the real world reality of things like depression and anxiety than I am of the very remote hypothetical of "they're going to lock me up because I'm crazy".

Probably the most interesting conversation I've had to date with the current psychiatrist was when I had seen her maybe 5-6 times, and I asked "what if I came to you with the same statements and in the same condition, wouid it be an automatic trip to the locked ward or the day hospital" and her answer was actually really reassuring - it was "no, there are a lot of alternatives to that." My current therapist has said the same thing.
 
To answer your original question: no, admitting you have a mental illness is not a downfall. It is the beginning of your healing. I hated to admit it, too. In fact, I suffered with symptoms for about four years before I sought therapy. At that point, I was so lost and desperate, I knew I had to do something to help myself. Now, I have actually posted on my Facebook page about having PTSD and there have been surprising results. One person sent me a private message about her experience; others like my posts and encourage me. This is on Facebook! Where most people do not have PTSD! I am glad I had the guts to be open about this, because I am really disturbed that so much media coverage is about violent people with PTSD, whereas, of course, most of us are NOT violent. So I wanted to be an example.
 
Having been 'out' for 12 years now, I have very few regrets about telling people that I have PTSD. Of the maybe 100 people that I've told, there was one who used my illness as an excuse for dismissing what I had to say on a range of issues. That's a pretty good success rate, really.

These days, I make a real effort to talk in relate-able terms, and find that most people don't really want to know very much. When my work is disrupted, they want to be reassured that I am getting professional help, to have an understanding of what to expect, and to know if there is anything they need to do to keep the workplace safe for me. I really appreciate that my current employer has run a training course on mental health for their staff - in Australia, awareness is pretty good.

It's only recently that I've started telling customers about the fact that I have PTSD (the last 18 months), but my experiences there have also been quite positive (I'm careful about who I tell, and only do it where there is an established relationship - people don't introduce themselves in a professional environment with "I'm diabetic" either).
 
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