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How to discriminate mental health from physical health issues

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@shimmerz That's a worthy question. And my first response is "I don't know". It's all just such a familiar refrain. I don't remember a time when I didn't have some version of it.

I don't think I can answer with out bringing DID into it. I guess there are protector parts that say we can suck it up. We've done it before so we can do it again. Yes, those protector parts still need to learn how to smooth out some rough edges. And I guess, when I start feeling beaten down, I start listening to them more? Like, I know we could have sucked it up and gone to work. But should we have? I'm not sure. And this is a conversation we just barely touched on with my T and she gave me this look, like "come one" but I honestly do get confused. I wish I knew which of me to listen to. Heh.

I wish it was all white/black. If you feel x, y, and z stay home. If you feel a, b, and c, walk your dog, find something to make you laugh and go to work.

I mean, I guess it's me I'm trying to convince. I've sucked it up in one way or another my whole life. I keep hoping that the cost won't be so high. That at some point I will finally get to rest and things won't be such a battle.
 
The reason I asked was because I am finding it helpful myself. I am going through something right now that has my chatter inside engaged. And I know it is because there is a conflict between my parts.

So, yeah, I am working on it myself and do hear you about the protector parts. The thing is with them (I am having such a hard time tearing them down), they don't mix at all with my attempts to do self care. They don't give a shit about my body!

And I am trying to figure out if they are the only parts that need convincing that I don't actually need to justify my taking care of myself, so thanks for bringing up your thoughts about that. I am doing my best to be certain that I can literally see the 'part' of me that is concerned for the body when it is ill. It is slow go but it is starting to make strides.

Best of luck @Muttly
 
I can related to that a lot. Maybe our protector parts never learned the price our bodies pay? honestly, the only part that is truly invested in caring for the body is a six year old. And when we aren't listening she retreats.

I have a tendency of apologizing for making posts and there is still a part of me that feels like I am being selfish and self-centered by making all these posts. BUT!!! I recognize that isn't a valid thought, that's old tapes playing. The truth is I'm getting a lot out of this thread. I feel like I'm connecting some doubts... hahahahha... I'm leaving the typo in because that one may have been a freudian slip. What I was trying to say is I'm connecting some dots.
 
I have a difficult time differentiating physical issues from mental health issues because they overlap in symptomology...,for example;

I have Chronic Fatigue Syndrome and I don't know if I am fatigued from mental or physical stressors.
I also have fibromyalgia i.e.; chronic physical pain which is worsened by mental stress.
I have Major Depression, but depression is also a symptom of all five of my chronic illnesses.

So I can relate to having a difficult time with knowing the difference between mental and physical health issues. It is almost like the chicken and egg thing, ya know which came first? Who knows? It is all one ball of wax to me and so, I often cannot sort things out myself. Not too much on being helpful here, but wanted you to know that you are not alone and hopefully it will get easier for you!!!

My best to you,
Lion
 
It's all connected in some form or fashion, much more than I ever realized, or even wanted to realize, to be honest. I had been diagnosed with an arm's length list of both physical and mental health issues through the years. Chronic issues I'd been told would mean I'd simply have to learn how to live with taking multiple meds for life to deal with it, and/or be prepared to undergo several surgical procedures to "try" to fix things to ever think about comfortably managing and living the rest of my life.

It wasn't until I totally and drastically changed my entire lifestyle from the inside out (prompted by an ER visit in which I was facing organ removal as the alternative) that I discovered much of each and everything thing I suffered with had been created/worsened/amplified by my daily choices and consumption habits over a span of four decades. None of the docs ever discussed that. Most of the folks I was seeking help from happily indulged in the same choices that were making me mentally and physically ill, (meat, dairy, eggs, gluten, artificial sweeteners/flavors/colors/flavors/etc., caffeine, alcohol), so I didn't find any suggested or supported alternative options in those insurance approved arenas, that's for sure. It was only by the generous grace and kindness of a few "alternative" healers willing to barter that I lucked into finding actual relief that I've been able to sustain for a few years, thus far.

All of the energies I was choosing to drink/eat/breathe/marinate in/clean with/launder with/etc., once I made time to learn about the depths of the energetic exchanges and the road each thing took to get to me, along with the products/chemicals/other foreign to-my-body substances/ingredients had just as much of an effect on my overall well-being as did the supposed genetic influences and such that I felt I was simply too uneducated to ever innerstand it all well enough to "get it", based solely on how I'd been taught to view and think about things. I'd been taught to just hush up and leave those sort of things to the professionals and just let them do their job. I'd also been taught to beLIEve no one would ever market and sell things to us that aren't safe. Beep. Wrong answer.

Once it became even more painfully clear that them doing their job kept making me worse instead of ever making me feel I was making any forward healthy progress, I HAD to look deeper and dive into other alternatives. Their way obviously wasn't helping and only seemed to create even more painful/uncomfortable mental and physical "mysterious" issues needing more of their treatments to cover up the side effects from the last suggested treatment, and so on, and so on.... It felt like an endless vicious cycle that I couldn't escape, no matter how many specialists I visited.

I had been diagnosed with severe IBS, severe fibromyalgia, severe osteoarthritis, severe inflammation, severe nervous stomach, severe insomnia, severe adhd, severe depression, severe anxiety, etc., etc. Pretty much a severe damn life. Most all of those professionals also chose to totally overlook and ignore the multiple traumatic events (reported to them, along with all of my symptoms, in great detail, in writing) I barely lived through from childhood on up, as if none of that would have any bearing on my current state of being.

I was only diagnosed with things they could more easily try to medicate, it seemed, and I was their guinea pig, of sorts. Once I became more consciously aware of every single thing I ingest, absorb, use on my being, and allow within my living spaces, I learned much of my suffering was based on and highly aggravated by things I'd long since been educated and lead to beLIEve were "safe" and "necessary" for my existence. I felt like I'd been punked my entire life. How are these things not being openly and freely taught everywhere? Twighlight zone-like shit is what it felt like, for sure.

I still suffer, as I expect I always will to some degree in this twisted and highly scripted existence, but I can more easily recover and sit with myself just as I am in times of pain, uncertainty, and discomfort, as well as times of joy, awe, and excitement, now that I'm not drowning in the same heavy sea of tox-sick-city that left me feeling incredibly miserable, hopeless, and pretty much bed ridden each day.

I learned there's a fine line between the two and each and every choice I make and thought I think can totally f*ck me up worse or nurture me back to a more comfortable state of health. It's now up to me much more than it's up to the folks I seek for help, and that within itself is a scary damn thought after a lifetime of being told and taught I had very little worth in any arena, much less the cell-ph care arena.
 
I frequently have my ribs bothering me, where they've been broken. They feel like they move out of place and just move weirdly, and hurt, and pop, and I know that it's healed, that it's just my mind playing tricks on me. It was my most recent "heavier" injury, I guess. It wasn't long ago that it was legitimately keeping me up at night, making it impossible to position myself comfortably, and just making me have to be careful with how I moved, and sat, etc.

An older spot hurts from time to time, too. That one has been healed for over a year.
 
I do so much somatisation as a form of avoidance. It was really hard for me to look back at my CFS and realise I was depressed, which I would not accept at the time, and I was somatising to avoid people. I started somatising when I was a very small child. It meant that the abuse would stop. When you are never allowed to have a voice or have a say then you have to express your feelings in some way, and my way was through bodily symptoms. If you said that to me I would be highly reactive about such an idea, and I would cut that person off from my life. I was not going to be "crazy" on top of everything else that I had lived through. But slowly, over many years, I started to come to terms with what my issues surrounding my body were.
 
An update. I have just been able to manage work, pet care, and maybe a bit of chores and then I am dropping in exhaustion. That's why I haven't been around. I have a cough, that's getting worse. The last few days of work, my knee was getting worse. I know this isn't working. I know something needs to change. Ok, I did do one thing. I applied and interviewed (yesterday) for a new job. I think it would be less rough on me. I think I should probably go to the doctor for the cough.

I can't even focus enough to read the longer posts here. And I need to do taxes. I need to pay bills. I haven't even figured out what's due. For all I know, I have overdue bills. Less important, I need to get the house cleaned up a bit. It's so messy right now it's depressing. I haven't walked my dog and he's being obnoxious because he hasn't gotten the exercise he needs. And as stated above, I need to make some changes. I have a few days off, but since I have all this shit to do, will I manage to recharge? And what do I about my job? Or do I hope that rest and maybe a doctor's visit helps. That's a short term solution, but I should probably apply for some other jobs, so if the one I applied to doesn't work, I have more options. I keep thinking about quit. I've never just quit a job and honestly, that's a stupid plan. How would I feed my critters. I also need to start eating better. Feeding myself has always been a huge challenge. It's all tangled up in triggers, food sensitivities, and old eating disorder issues. Whenever I start thinking about this I just going into complete overwhelm.

And I think there is a difference this time. I some of the stuff my therapist has been saying is getting through? It's like, self-care is actually an option. Or I'm realizing just how ingrained my lack of self-care is and understand that's creating a lot of this. And in that way, it is like @Lionheart777 said and it's a chicken and the egg argument. Because, why did I go back to work a week early after my knee surgery? Why did I plunge right back into the harder, physical job of night crew? Why did I then go, not just into full time, but working over time? Why yesterday, was I the one pulling the heavy loads? The smallest guy and the one who just had knee surgery. Why the f*ck (sorry) did I not just say, "hey, you get this"? Yeah, I know part of going night crew is because I have a plan for my life, and night crew is a step in that direction. But it couldn't wait a few weeks? Why do I just joke about lacking common sense and decide that's how I am and keep doing the same stupid shit over and over?
 
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