Showing posts with label obsession. Show all posts
Showing posts with label obsession. Show all posts

Wednesday, March 14, 2012

Bad Twitter Vibes

We're struggling today.  Something happened yesterday or last night (we think) or at the very least it was quite recently, and it's upset us and we are unable to move on past this incident.  I don't know how to get over it without discussing it with my psychiatrist, but I don't see her until next week, and I can't wait that long for someone to console us.  So I'm going to tell the tale here, at the risk of embarrassing one or all of us K's on Twitter. That's where all this started. Twitter.

I began using Twitter sometime in December of 2011, from what I can tell, although we had the account for much longer; I created my blog close to New Year's Eve. I used the account before December to occasionally tweet to my husband, and to myself.  That's right, I tweet to K.  It helps us remember things, people, places, events.  So I think I tweeted to myself for about 2 years before I ever followed or was followed by anyone.  I was completely anonymous on Twitter.  I told no one that we had an account or a blog. NONE of my real-life friends know I have a blog or Twitter account. I used the blog to empty my mind of all the crap that was pounding in my head at most every moment of every day. I wrote in our blog as a way to release my confusion, frustration, and tension. I could say how I felt, and no one would ever know or judge me.  But I was severely depressed in December, and someone in our head got the idea that perhaps we could find some type of support group online using Twitter.  Or at least, find another person, anyone, who understood what it is we go through everyday.  What I'm talking about is our dissociation.  Hallucinations, voices, lost time, severe memory loss.  All of these things together make my everyday life quite a challenge on many days.  We have good days and bad days.  Sometimes we forget we're ill.  Other days we are so ill that we cannot function at all.


So anyway, I began to search Twitter for someone "like me".  I don't even know now how I found anyone at all....I can't remember.  But somehow we found some people who were at least similar to us, for example a woman with OCD, and we began to follow them, and this led to people following me, and so on and so forth.  Now I can't recall exactly when this happened, but at some point I came across a person on Twitter who had a blog and who wrote about the same kinds of experiences that I have.  This person described symptoms just like mine, and I was thrilled to know that I'm not the only one.  I began to read her blog from the very beginning; it took me weeks, even months, to read all her posts from the beginning of her blog.  But I got to this one part in her blog where she talked about finding someone online who was "just like her".

I was elated-this woman had gone through a situation exactly like my current one.  She had found someone who seemed would understand her and her illness.  Of course I'm not giving any names, but this woman contacted the other woman she'd found, and apparently they ended up becoming friends.  Now let me say this first and foremost-I was NEVER expecting to be friends with the woman with the blog.  I was just hoping she might answer a few questions, or give me some advice about how to handle my symptoms or at least what to say to my shrink.  I was first diagnosed with Dissociative Identity Disorder way back in 2004, but shortly after that I had to move and so I lost both my psychiatrist and my psychologist, who was helping me explore my diagnosis and treatment options.  When I moved, I forgot. That's right, I forgot my diagnosis. I guess it was just too much for us to handle and so we pushed it out of our mind.  I forgot about the therapy sessions in which I'd "switched" and I forgot about all the different "me"s who had shown up for therapy.


What was left in my memory was my prior diagnosis, which was Schizophrenia.  I'd been diagnosed with that around 1998, and that was the label I wore for all these years.  I saw different doctors, but they always assumed that my diagnosis was correct, simply because I heard voices in my head.  I know now that this is not indicative of being Schizophrenic, it's just a classic symptom.  So basically, what happened was I'd been going through my day-to-day life thinking I was Schizophrenic.  I certainly had some of the same symptoms-hallucinations, delusions, loss of train of thought, social withdrawal, and paranoia, in addition to the voices which I heard in my head.  So this diagnosis seemed to fit, and it was assumed by each doctor that I saw that this was the proper diagnosis.  No one had ever explored other options, except for that one psychologist who'd finally identified the real problem but whose diagnosis I had forgotten.

I'm telling you all this so that you understand how it is that I believed myself to be Schizophrenic when in fact I wasn't.  I wore the label for years, as scared as I was of it.  I told only a couple of people whom I trusted, including my sister.  Fast forward a few years, and K began dating a man who was in college, studying psychology.  It was he who first declared my misdiagnosis.  He said he simply did not believe I was schizophrenic, but rather that I had some sort of dissociative disorder (Apparently I had "switched" in front of him before).  I knew nothing of such disorders, but it was only a few months later when my psychologist threw out the term Dissociative Identity Disorder.  I really don't remember too much from that period in my life. It feels like a hundred years ago. But I've lost my place in this story and to be honest we don't even remember what it was that we were writing about.  I hate when that happens, and it happens frequently.  Oh yes, now I remember.

I found the woman with the blog who had the same symptoms that I had.  I thought, after reading her blog, that I had finally found the answer to all my questions about what was wrong with me.  I've been called "mentally ill" since I was first hospitalized at the age of 16, and I've been diagnosed with a dozen or more different disorders, but I've never had a doctor give me a satisfactory explanation as to why or how.  This woman's blog opened my eyes to this new term, which was somehow strangely familiar to me.  Dissociative Identity Disorder.  It seemed to ring a bell somewhere deep inside of us but I just couldn't put my finger on it.  But what I did was this: I began reading everything I could find on DID. Every book at the library was checked out and read.  I Googled and Wikipedia'd and read any information I could locate on this disorder.

Around this time, I found an old diary which talked about my diagnosis of DID, and it was a tremendous help; I took it to my psychiatrist.  But what was most informative to me was this other woman's blog.  She described my experiences perfectly, although of course we lived very different lives.  I decided that I absolutely had to contact this woman, just as she'd done when she'd found someone else "like her".  I figured if she could do it, if she could find a similar soul and communicate with them, then so could I.  Again, I never expected to become good friends with this woman, I just wanted some advice from someone who suffered from DID.  I got her email address off her blog and I guess it took me days to get the courage to write the email, I can't remember.  I just remember that when I sent the email, I was excited.  I was excited by the thought of her emailing me back and telling me she understood.  That she'd been there, that she'd gone through the same things.  When she didn't respond to my email, I realized that I'd told her about the blog but forgotten to give her the address, so I sent another email, this time with all my contact information as well as my blog URL.  I thought maybe she would read my blog and agree that I was DID and that perhaps she could help me figure out what to say to my newest psychiatrist, who had not yet fully diagnosed me but who was in the process of doing so.

Well, I waited for what seemed an eternity, and I never heard from the woman.  She never responded to my emails.  I thought I must've come across as some psycho stalker or something; I couldn't remember what the emails had said.  I was discouraged but determined to make contact with her, for she was the single person I'd come across in my entire life who seemed to understand the symptoms we have.  Months had passed since we sent the email, or at least I think so.  One of the K's is very bold and wanted to send her a Direct Message on Twitter.  Well, that's how we found out we'd been UNfollowed.  Now we know for a fact that she had followed us at one time, for we never delete our messages and so we still had the email from Twitter, telling us she'd begun to follow us.  That could, in fact, be how we found her in the first place; I just don't know (damn this memory loss!).  But I tried to send a DM and that's how I found out she was no longer following us. So without thinking about it much, I sent a Tweet, saying she'd begun following me in January and I wanted to DM her but she must've unfollowed me because I couldn't do that and she responded, very coldly I thought, "I never followed you back. You have our email."  So my feelings were hurt.  I admit it, I'm overly sensitive. But for her to assume that I'd followed her first really pissed me off.  SHE followed ME first, and I had an email to prove it.  Anyways, I took this straight to heart and got my feelings hurt and I never did send her another email.

However, I continued to read her blog.and learned how she'd been able to better understand her illness through her writing. So I wrote. A lot.  I blogged, I had a diary on my laptop, I had a hardbound journal, I had a sketch diary.  I wrote and wrote, and indeed began to learn things about myself and my symptoms.  The first time I read a blog post that had been written by one of the other K's, it really freaked me out.  I mean, there was now solid evidence that I was going through something major.  Still, I didn't mention it to my psychiatrist. I just continued to research, to read, to learn.

I don't know how I had the courage to do it, but I actually went so far as to contact the other woman with DID, the one that had advised my blog writer when she'd written her an email.  I was scared to death that she was going to be mean to me, like I felt the first woman had been.  But she wrote me back and was very nice.  She told me a few things about dissociative disorders and said while she didn't have time to be a great source of support (she's very busy), she'd do her best to answer the occasional email or Tweet.  I have since made contact with her a handful of times (we think) and she's always been very nice. However, I found out, upon reading her blog, that she considers herself to be cured.  She no longer suffers from DID-she'd gone through something called integration, in which all of the personalities merge.  So I was back at square one. The one person I'd communicated with was no longer suffering from the illness I was trying so hard to understand.  So I continued my search. I was successful in finding a woman who has a dissociative problem, but after I emailed her I found out that she does not have DID.  Still, she became, and remains, a tremendous source of support for me, and I owe her so much for all the advice she's given me since I first contacted her.  She's the person who told me how to create a blog actually.  Her blog is brilliant, and I'd post a link but again, don't want to embarrass anyone.

It was a gradual process, but I began to find others like me, other people who heard voices and lost time, and I even found a few with DID. Now it's extraordinarily difficult for me to talk to strangers, as I suffer from Social Anxiety Disorder, and I fear most people.  So just sending an email to someone I don't know is very difficult for me.  Which is one reason I'm proud of us-we actually reached out to some people on Twitter and met some folks with similar disorders and symptoms and we attempted to be social and supportive in the hopes that what goes around would come back around.  And it did for the most part.  I met some wonderful people, who didn't think less of me because of my mental illness, who didn't judge me, who understood moodiness and depression.  Still, it bothered me that the DID woman with the blog never wrote me back.



Then one day, she wrote a blog post, and I gained some insight into her feelings.  She blogged about how much she appreciated her readers, and that she was so happy to be able to help others struggling with similar disorders.  She wrote that she loved getting emails from people who'd been helped through her blog.  So I decided to once more send her an email-I thought since she said she appreciated the positive response from her readers, well I thought she'd like to hear how much she'd helped me.  But before I could find the courage to send such an email (I mean, this would've been the third email sent to her, and that was like stalker material), she wrote another blog post.  This one stated that she didn't read the blogs of other mental patients, because she found them to be triggering. Well, that certainly made sense to me, as I am often triggered by things I see or read.  So I never sent the email to thank her for her help, the help she doesn't even know she's given me.  I'm afraid of her now.  I really am.  She hurt my feelings twice, and I can't risk getting hurt a third time.  I began to focus more on the people I'd met on Twitter, and on my own blog.

I was starting to communicate with a number of Tweeps and actually, for perhaps the first time in my life, I felt accepted in spite of my psychiatric condition. I gained confidence and started initiating conversations with people on Twitter.  This is unbelievable to me as I write these words-I have NEVER been able to approach a stranger and start a conversation.  So I seemed to be making progress, getting better.  Plus, I was sometimes offering my support and experience to help others on Twitter, sometimes a young girl who was cutting, sometimes a man with an anxiety problem.  I felt like I was doing something that made a difference.  I felt like I was helping as well as being helped, and this made me happy.

At last I had the courage to bring up the subject of dissociation with my doctor, and was happy when she agreed with me, that yes, I had a dissociative disorder.  She didn't say I had DID-it will take a long time for her to positively identify my disorder-but she told me I was on the right path.  So I continued my reading and researching, and talking to people with DID.  They all seem to think that DID fits me like a glove, and I have come to believe that too, but I won't know for sure until my doctor has treated us for a long time, probably years.  I am impatient but understand her point.  She wants to get to the heart of our illness and see what's really going on in my head.  My biggest fear at this point is that we'll have to relive the childhood trauma which she believes is the cause of this illness.  Otherwise, I'm feeling more positive and confident and social. I even got an invitation to join a DID support group, which I did. The people there seem incredibly supportive and understanding. Hopefully I'll be courageous enough to participate in the group.


But now here's where the bad part comes in again.  One night, maybe last night, I'm just not sure, I was on Twitter, just lurking really, not talking to anyone, just reading the timeline, and I noticed a person with whom I'd communicated several times was on there and seemed to be having a very difficult time.  So I thought I'd reach out and let her know that she wasn't alone.  Well, I'm not sure how it happened, but she misunderstood me and got all upset and accused me of yelling at her.  I was shocked. I'd never had a disagreement with anyone on Twitter.  And, as is my nature, I took it personally.  It completely smashed my self-esteem and I was crushed at how mean she'd been to me when I'd only been trying to help.  I guess I'm not very good at offering help or advice.  And so I've come to a decision.  I've decided that I won't be using Twitter as I had been doing up to this point.  I'm not going to try and help people, for it only sets me up for rejection and ridicule and failure and pain.  I'm going to take some time off from Twitter; my husband says I'm obsessed and spend far too much time online anyways.

So I will continue to blog, as it is something that I do for myself, not for anyone else. The blog is my outlet for my madness.  I'm always surprised if someone reads it, and delightfully stunned if I get a comment.  But it seems to help me better understand the different K's, we communicate with each other through the blog you see. So that's pretty much all I wanted to say.  That I was blogging and using Twitter to help myself get better and find support, but that I'd been hurt and felt like I failed. And so I'm not going to do the Twitter thing for awhile.  At least, I'm going to try and stay away from it.  I DO have an obsessive personality, so it will be nearly impossible for me to give up my current obsession cold turkey.  But it must be done.  My feelings are hurt and my confidence is blown.  I'm scared to use Twitter right now.  I shall miss my new Tweeps, and I'll definitely miss the support I received from the other mentals out there.  But this is how I feel right now.  I'm hurt. It's going to take me some time to get over it.  I take everything so personally, it's a character flaw I have no control over.  So there you have it.  That's why I won't be on Twitter for awhile.  It's also why I don't trust anyone on Twitter anymore.  Too much negativity.  Too many bad vibes. Too much disappointment.

NOTE: Not all of the K's necessarily feel this way.  Some of us may continue Tweeting. And we'll definitely continue blogging,as it seems to make us feel more "sane". Hopefully, I'll see you Tweeps again soon. I just have to be sad for awhile, and we need to be alone to sufficiently sulk. That's all I need right now-just a private pity party for the girl who made a fool out of herself, not once, but three times.  I wonder if I'll ever have the courage to speak again to someone in need.  I wonder if I'll ever be able to comfort someone, cheer someone up, make someone smile.  I have my doubts. It seems everything I do now is wrong.

Monday, March 5, 2012

Twitter to the Rescue

[I still have the second half of my two-part blog post called "The Evolution of My Self-Mutilation" ready to go. It really should probably be posted here, now, but I still don't have the courage to publish it. I'm just too ashamed, too embarrassed, too humiliated to let people read about the secrets contained in that post. I might just sit on it forever.] So instead... I've been racking my brain trying to think then of what subject would best follow two posts (really just 1 1/2) about self-harm.  I've decided that I don't know, and I'm just going to empty my head and see what this post ends up being about.  My mind is working at a furious pace right now; I can't even put into words how fast the thoughts are coming at me and the voices are all excited and talking at once and I'm overwhelmed when I pause to listen to the inner workings of my brain, to all the conversations. This is exhausting, all this thinking. I never went to bed last night because of it, because of all the noise in my head, all the ideas bouncing around in my skull.  I believe it started yesterday afternoon but it could have been the day before.  I just can't remember.  All I can say for sure is that I've been reading, researching, studying, Googling, Wikipedia'ing obsessively about dissociative disorders, especially Dissociative Identity Disorder.  I've also tried to develop some friendships online, and more importantly, I've been seeking out others who suffer from dissociative disorders such as I do. Keep in mind that my Social Anxiety Disorder makes it unbelievably difficult for me to reach out to people, to talk to people, and especially to initiate communication with strangers. So I must pat myself on the back for making the effort. (only one person I tried to talk to was rude to me)  It seems to be paying off in ways I hadn't even imagined. Not only have I met a few people online with whom I enjoy chatting and who I'm hoping to one day call my friends, but I'm beginning to develop a bit of a support system, which I desperately need.  I've never had a support system before.  I've hidden my mental illness from everyone, my whole life, so I don't have any real-life friends I can talk to about it, I've never confided in a boyfriend, hell my own sister didn't even know I was ill until just a few years ago.  My father never understood how I could have everything a person needs and still be depressed.  Now, it's just my mother, and she's too old and set in her ways to be open-minded enough to even talk to about all of this.  So I hide my symptoms from her.  I avoid her when I'm having an especially hard time. Sometimes I just have to disappear.  Wow, I guess that sentence takes on a whole new meaning when it's used in reference to someone who may be suffering from DID.

You must remember that this is all new territory for us-I'm still in a state of shock about my psychiatrist telling me the other day that my Schizophrenia diagnosis was incorrect.  I wore that label for more than a decade, and I suffered discrimination and ridicule and self-hatred because of it.  It's been a heavy diagnosis to bear, and I am beyond thrilled to find out that it is wrong. I am NOT Schizophrenic!  So then, what am I?  Well, my shrink tells me that I am definitely suffering from a dissociative disorder, she just doesn't have enough information yet to properly name it. I found my diary from 2004 wherein my doctor first attached the possibility of DID to my chart, and I've been reading about all the "episodes" I'd forgotten. My psychiatrist wants to use that diary in our sessions. It seems I've been in denial for the past 8 years.  I've been doing some reading on the different types of dissociative disorders, and more importantly, I actually found a few people on Twitter who suffer from Dissociative Identity Disorder or who have problems with dissociation.  These ladies have been wonderful and have helped me tremendously in a very short period of time. I learn a great deal from reading their blogs.  I had some basic questions which they were happy to answer for me.  One of them put me in touch with another one who directed me to a Yahoo group specifically for people suffering from this type of disorder.  As I said earlier, my doctor hasn't officially diagnosed me as having DID, but from what I've read, from what I've been told by people who have it, and based upon my symptoms, I'd say DID is a good fit. In fact, I've never found a disorder which seemed to describe me as well as DID does. So, for the moment, I'm going to study all I can about Dissociative Identity Disorder. If it turns out I have something else, well then we'll just study that instead when the time comes.  But I really and truly feel that I'm closer than I've ever been to being properly diagnosed and treated for my mental illness(es).

I've been going from doctor to doctor since 1986, and each one gave me a new diagnosis and a different explanation for my thoughts and behaviors. And then there are the medications-Oh the thousands of pills I must've consumed at this point.  Anti-depressants, tranquilizers, SSRI's, anti-psychotics, sedatives, hypnotics, sleeping pills, uppers, downers.  So many pills.  I wonder sometimes-a lot of the time actually-what I'd be like if I didn't take the medication.  Now to be realistic, I am far too ill to go "all natural" and give up all medications.  I have gone down that road many times, thinking each time that I could do it, I could handle it, I could live without chemical assistance.  Each time, I failed miserably, and always ended up feeling much, much worse than I'd ever felt even before I began taking the pills. The truth is, I have something wrong with my brain.  It does not work as it's supposed to.  I am destined to take some sort of medication for the rest of my life.  But what kind? Which pills?  My sister believes I'm overly-medicated and wishes I'd take only the bare minimum.  Just what I need to function day-to-day.  But how do we figure out which pills those are? I currently take seven prescriptions, a dozen pills a day.  Surely some of those are unnecessary, wouldn't you think?  I mean, if I'm not really Schizophrenic, it seems we should be able to drop some of the pills I'm taking everyday.  But instead of cutting down on our meds, at my last therapy session my shrink actually added a prescription to my regimen. Maybe she's just trying to pull me out of this pit of despair I've been living in since October.  I don't talk much about my depression, because it really is one of the lesser of the mental evils for me at this point in time.  I've been depressed my whole life.  I'm used to it.  I know how to do it.  I'm good at it.  But I must admit, my traditional holiday blues this year have lingered, as they're usually over by mid-February. So yes, I guess I AM more depressed than usual, and struggling to maintain my sanity.  I find it extremely hard to get out of bed, to shower, to get dressed.  Mostly I sit around in my pajama's, reading and talking to myself and wallowing in our misery.  My energy level is at zero.  If my body worked out as hard as my brain does, I'd be built like a supermodel. (except much shorter)  All this excessive thinking, this obsessing, has me physically exhausted.  Yet sleep doesn't come easily, especially when it's supposed to. No, whenever I lie down to catch up on my rest, that's when my brain seems to be at its most active.  Maybe someone inside me is doing this on purpose to get my attention.  We don't know what to think anymore. I'm a hundred emotions all at once-I'm excited, I'm scared, I'm sad, I'm worried, I'm eager, I'm anxious... I just want to get to the meat of the matter.  I want to know what is wrong with me and I want to know how to get better.  If that means pills, OK.  If it means weekly therapy sessions, OK. I am willing to do whatever it takes to get to a point in my life where something makes some sort of sense, because nothing ever has before.

Friday, February 3, 2012

Don't Look At Me!

K was diagnosed with Body Dysmorphic Disorder about 10 years ago, but she's had it much longer than that, I'd guess since she was a pre-teen.  Body Dysmorphic Disorder is a mental illness characterized by distorted body image and obsessions about perceived physical shortcomings.  A person with BDD is extremely concerned with their appearance, and this manifests as a preoccupation with a perceived defect of their physical features.  Simply put, K's obsessed with how she looks, because of her (self-declared) flaws.  This causes psychological distress that impairs occupational and/or social functioning.  The person complains of a defect in either one or several features of their body, or vaguely complains about their general appearance. (K complains both generally AND specifically.)   The disorder is generally diagnosed in persons who are overly critical of their mirror image, physique or self-image, even though there may be no noticeable disfigurement or defect.  In other words,  K sees an ugly (read=imperfect) reflection upon looking in a mirror, even though no one else sees anything wrong with her appearance.

BDD is often misunderstood as a vanity-driven obsession, whereas it is quite the opposite; people with BDD do not believe themselves to be better looking than others, but instead feel that their recognized "defect" is unforgivably ugly or not good enough. People with BDD may compulsively look at themselves, or do the opposite-cover up and/or avoid mirrors. They typically think about their appearance for at least one hour a day  (usually more) and, in severe cases, may drop all social contact and responsibilities as they become a recluse.  K positively must look at herself in any mirror she comes across, and spends hours making herself "presentable" before she will leave her house.  We haven't dropped social contact altogether, but do go through periods in which I'll avoid people for days or weeks at a time.

Common symptoms of BDD include:
  • Obsessive thoughts about a sensed defect(s)
  • Delusional thoughts and beliefs related to sensed appearance defect(s)
  • Chronic low self-esteem
  • Seeing slightly varying image of self upon each instance of observing a mirror or reflective surface
  • Major depressive disorder symptoms
  • Suicidal ideation 
  • Strong feelings of shame
  • Social withdrawal, isolation or social phobia
  • Perfectionism 
  • Alcohol & drug abuse
  • Feeling self-conscious in social situations; thinking that others notice/mock their perceived defect(s)
  • Repetitive behavior (such as constantly applying makeup or checking reflection in mirror)
  • Compulsive/repetitive body modification (such as multiple plastic surgeries)
I exhibit all of these symptoms.  I must point out that K has never had plastic surgery however.  Instead, my body modification rituals include tattoos, multiple body piercings, cutting, and branding.  One therapist told me that my tattoos and piercings were another form of self-injury, and that my methods had evolved from cutting with razor blades to piercing with needles.  I guess I could believe either explanation.  I am trying to permanently alter my appearance to distract from our flaws (BDD), but K very much enjoys the pain and gets pierced to help her deal with reality or emotional distress (SH).

A person with BDD may exhibit obsessive and compulsive behaviors related to perceived appearance defect(s). (K does all of these things.) Some of these include:
  • Compulsive mirror checking OR avoidance of mirrors-- I can't walk past a window or a reflective surface without looking at myself;  I'm not vain, I'm checking my flaws.  On the opposite end of the spectrum, there is a K who hates to see herself in a mirror and tries to avoid it (she also doesn't like to get her picture taken)
  • Attempts to camouflage perceived defect (such as wearing lots of makeup, hats, or baggy clothing)--A couple of the K's wear little to no makeup, but most of us use a good deal of concealer and liquid foundation, and a bright red lipstick to draw the eye away from our flaws. (The Kellie loves to be dramatic and wears heavy eye makeup as well.)  All of the K's wear hats (K collects hats) and most of us wear baggy clothing to hide our body.  However, The Kellie will wear fitted clothing, and she loves to wear corsets. Note that corsets also alter the appearance of the body.
  • Use of distraction techniques (such as wearing extravagant clothing or excessive jewelry)--Each of the K's has a different style, but almost all of them stand out in a crowd and are over the top with accessories-hats and scarves and tons of jewelry.
  • Excessive grooming behaviors (hair-combing, eyebrow plucking, skin picking)-- Throughout the day, most everyday, K smooths or touches her hair, plucks her eyebrows and also picks at her skin. I'm not sure if this counts, but she also paints and repaints her nails and toenails.
  • Seeking reassurance from loved ones-- I seek constant reassurance from my husband, friends, and family about how I look.  "Do I look OK?" comes out of K's mouth dozens of times a day.
  • Comparing appearance to that of others--Not only do I compare myself to every female over the age of 16, but I almost always feel that every other girl I see is more attractive than I am.
  • Compulsive skin touching (to feel the perceived defect)--I catch myself constantly touching the areas of our face and body which I feel are unacceptable; I don't know why...maybe to see if the flaw is still there or has grown larger?
  • Self harm--My first memory of self-harm is from 4th grade, and it's gotten worse over the years.  I intend to do a blog post soon about my experiences with self-injury.
  • Obsession with plastic surgery--As I said earlier,  I've never had plastic surgery,  but I do constantly think about which procedures I'd  have done if I could afford it. (breasts reduced and lifted, tummy tuck, forehead lift, butt lift, facelift, all-over liposuction...) In extreme cases, patients have attempted to perform plastic surgery on themselves, including liposuction and various implants with disastrous results.  I have to admit that I have done some minor work with a scalpel, but certainly nothing drastic. 
The three most common areas of which those suffering from BDD are critical are the hair, the skin, and the nose.  For K, the obsession focuses on her skin, especially that of her face, and she's particularly critical of her chin/jawline/profile.  She's been obsessed with her teeth for as long as she's been seeing a dentist.  She's also obsessed with her overall body, mainly the legs;  to a lesser degree she obsesses about her nose and hair.

In most cases, BDD is under-diagnosed.  It is often associated with shame and secrecy; therefore, patients often fail to reveal their concerns about their appearance for fear of seeming vain or superficial.  BDD is also often misdiagnosed because its symptoms can mimic that of major depressive disorder or social phobia.  K, like most people diagnosed with Body Dysmorphic Disorder, is shy, introverted, and neurotic. Certain personality traits make people more susceptible to BDD.  Others include perfectionism, sensitivity to rejection or criticism, unassertiveness, and social phobia.  K is bothered by all of these things.  Treatment for Body Dysmorphic Disorder includes both cognitive behavior therapy and medication, namely SSRI's.  K is currently being treated with both of these.  Writing about it now, and seeing everything in black and white, the diagnosis seems so simple and easy-to-see.  If only it had really been that easy for our doctors! Perhaps then K would be living a different life now, with more confidence and fewer mirror checks.
        

Thursday, January 12, 2012

My Newest Obsession

I've mentioned before that K has an obsessive personality and tends to go overboard when she gets an idea in her head.  Well, the idea currently inhabiting her brain space is the possibility-nay, likelihood of her being diagnosed with a dissociative disorder.  Based on the clues which I seem to be leaving myself-notebooks, lists, folders on my laptop filled with helpful websites, and the all-important diaries-I was first labeled MPD/DID back in 2004.  I'm looking at the calendar and seeing that it is now 2012, which can only mean one thing: I've been in denial for about 8 years, or so it would seem. My theory is that the paranoia took over and I refused to accept the diagnosis, for I certainly didn't want to be THAT crazy...  I've been under a doctor's care-regularly, without a break-since 2002.  So that must mean that it took my therapist and psychiatrist roughly 2 years to figure out what was going on with me.  Apparently I've been misdiagnosed over and over again, for all these years, ever since I saw my first psychiatrist at age 16.  Every doctor I see takes notes and makes a diagnosis based upon the "me" that is sitting in the doctor's office.  I can't say for sure how many of the K's went to therapy, with that wonderful therapist whom we loved so much, (who later dumped me after 7 years together) but I have recalled a memory or two in regards to that period of time and my current state of mind. I thought I'd share these memories with you (plus, it'll help me remember again in the future)


I remember one time going in to see the therapist (this was about 5 years ago) and she asked me to do a homework assignment;  I was to draw a picture of the way I viewed myself.  I think the assignment was supposed to help me with my Body Dysmorphic Disorder and self-esteem issues.  Well, she was blown away the next week when I showed up with a whole handful of pictures of different K's, each with her own fashion sense and musical tastes and hobbies.  I didn't get what the big deal was; I just did the exercise as it was assigned to me.  Now I'd give anything to get hold of those drawings again.  I can see some of them in my mind, but it's all fuzzy, like it was a dream.  I think perhaps I'll do this exercise again and see what happens next time.  I wonder how many drawings there will be...?

Another interesting memory is really several similar memories, all taking place at different points in time.  I remember my therapist asking me what my name was.  I remember that well.... in fact she asked me for my name on half a dozen or so occasions that I can recall.  I never knew what to say.  I never knew the answer to the question.  Although the question stirred something within me, I couldn't put my finger on the point of it all.  So I forgot about it, until recently.  Now it's true that I've probably developed an unhealthy obsession with Google and Twitter and the web in general.  In fact, I'm so focused on doing "research" on the subject of DID that it pisses me off I have to stop for eating and sleeping.  There's no time for such trivial matters!  I'm working on a deadline here! I don't know how much longer I can stick around and take care of things.  All I can remember clearly about my being here, in this "lifetime" is that I once had my own office and kept lots of photos, to remind me of my life-literally-and when everything fell apart, (as it always inevitably does) I ran away to a different state and became a different ME.  And that's how I usually handled working a job-stay and do well until the pressure builds and we snap and disappear, go away.  But I've totally gotten off the track of our subject!  Damn!  I HATE when that happens, when I "lose my place" and have to reread everything I've written and try and figure out where I  left off.  Sigh.

I can't remember what the point of all this was, I just wanted to share with you my theory about K.  I think she's got DID, and I think she's been in denial for years because it's too frightening a diagnosis for her to bear.  Also, I've been researching and have found that DID is the same as MPD, so those 2 diagnoses, made by different doctors at different times in my life, were actually the same thing and thus gives us more reason to believe that K does in fact has this disorder.  I just wish I had read all those diaries and journals I've been keeping all my life.  So much time has been wasted at this point already...

Monday, January 9, 2012

The Discovered Diaries

So much has happened that I just do not know where to start.  I can't remember the beginning, and we've not yet come to the end, at least I hope not, and so that must mean that this is the "present time".  I've been doing some research since my last blog post, and to say that is an understatement of tremendous proportions.  I've been obsessing over websites and news articles about dissociative disorders, to the point of not eating or sleeping; to stop and do either of those things would mean sacrificing our precious time, and I'd rather use however much time we have left here to seek more knowledge.  I hunger for knowledge, not food, I thirst for facts.  I cannot stop reading about these different conditions and their symptoms and I really feel that for the first time in what seems an eternity (to us) that I've stumbled upon something important, something that describes how I, we feel, something that makes sense to me, and to K. I feel as though I'm opening my eyes for the first time...although I have proof now-physical proof-that this is indeed NOT the first time I've had this sense of "clarity" as I've been calling it. Some time ago, we don't know how long ago exactly-could be minutes, could be days-we found a diary...

I was looking for something in the nightstand drawer, I can't remember what exactly, I just recall that I was very intent on finding it and so I was going through the drawer thoroughly. I came across a sketch diary, which I'd begun on my birthday in February of 1999 and which I used to remember important things and people and places and events by a combination of drawings and words. We've had our memory problems for quite a long time now, and so K has always tried to keep a diary, a journal, a sketchbook, anything which she could look at and relive experiences through, as well as just keep on top of basic information which other people seem to be able to hold onto in their minds so easily but which she cannot, things like friends' names.  She began her first diary around age 5.  It was a very small white diary with a picture of Donald Duck on the cover, I remember that well.  I'm not sure where that diary is located at the moment, but I'm almost positive that we still have it, since K absolutely hates to throw things away for fear of losing something important.  Something that she might need to use in the future. Also, she's very sentimental and still has, for example,  every love letter ever penned for her, every card, every poem.  We keep all these things in a box which has grown too full to hold anything new, but that's OK as we now are married to the man who will love me forever and never leave us, in spite of our illness.  At least, that's the master plan.

Now we're already losing track of the subject, and we've only just begun; this is terribly frustrating as well as inconvenient, for we once again are at the mercy of time and we seem to have so little of it right now.  There is so much which needs to be said and done before we run out of time, before I have to go away again.  I don't know how much time there is before that happens, I only know that it will happen, I will go away; not to a physical place, mind you, but rather to a different kind of place, on another realm of existence, or at least that's how it feels to K.  I'm not K, but am what our husband refers to as Switch Kellie, and I don't know how long I have been here this time but I can see from my notes that I've been doing a lot of researching, a lot of studying, a lot of prep work.  I suppose this is all because we go to see our psychiatrist soon.  Not today, and not tomorrow, but the next day.  I'm starting to work on these notes for the doctor now so that perhaps it will save her some time later, in helping her to properly diagnose K and hopefully, after that, put us on the road to recovery through the use of therapy and medication.  K takes more than her fair share of medication, that's for sure, but we were thinking that maybe if we had the RIGHT medication(s) then maybe we wouldn't have to take so MUCH...maybe we could get away with just a few pills a day or something much more "normal" than the current handful of 10-12 pills.  That's a ridiculous amount of pills for someone so young to be taking, and besides that, it makes us all groggy and sleepy (not to mention all the other dreaded side effects) and we feel as though our life is literally slipping past us and if I don't stand up and ring the bell to tell the bus driver that I want off, then I may just miss the whole thing-life I mean.

Now according to my notes, there happens to be some information which is of vital importance to K's recovery, (that is the current, and most important, project) inside these diaries. (Yes, plural-we have found three now) K always has a number of projects going at any given time, or at least most of us do, but not the K that's been around here lately... No, she's done nothing but sleep and be lazy and depressed and embarrass us and make us angry, not to mention the fact that it just downright looks bad in front of our mother and husband, both of whom we love very much and want to make happy.  This sad and lazy K has been with us before, oh it feels like we've met her a number of times over the years, although I don't believe that she ever came around until after K had to drop out of college, when the pressure became too much for her to bear.  I'll tell you that story later in the game.

Now back to our tale.  We have come across 3 different diaries, one begun in 1999, one begun in 2004, and one begun the first of January, 2010.  I find it absolutely fascinating, what's contained in these books, and my only regret is that we didn't find these and read them sooner, so that we could've told someone, some medical professional, one of our therapists, about them and the secrets contained within their pages.  I have to stop here and admit that I have not yet actually read all 3 diaries from start to finish; I simply have not had time to do that, at least not enough "Kellie Time", which is a measure of time all our own, which K's friends have gotten used to and often joke about but which they don't seem to understand (or perhaps some of them do) is truly the only sense of time that K knows.  I can tell time, perfectly well, I just don't wear a watch and can't always get to my cell phone or a clock to check the time around me.  "Kellie Time" is usually about 30 minutes behind the rest of the real world, but that can vary with K's different realities.  What I mean by that is, each K has her own sense of time and space, and so that 30 minutes could be as little as 15 minutes or as long as 2 hours, depending upon which K is trying to tell the actual time. I imagine none of this makes any sense to you, and I suppose it shouldn't either, as it couldn't possibly make sense to anyone who's not had a peek inside K's mind.  It honestly doesn't even make sense to K, and she's the one living through all of this madness.  If SHE doesn't get it, then how could anyone else?

So the diaries...let me tell you a bit about them.  I opened up the first one I found, the little black book, and I was pleasantly surprised to find that its first page was fully illustrated in bright colors, outlined all in black Sharpie marker.  Black Sharpie markers are K's favorite medium and she's been using them for decades now to draw pictures and tell stories of what's happening in her day-to-day life, and while a trusted few have seen these drawings, or some of them, (K does the drawings for herself, no one else) very few people (one or two) have actually taken the time to READ the drawings, or try and interpret them.  Only one of our therapists or doctors has ever seen these drawings, and when she saw them she seemed to get excited or eager or something I can't put my finger on, but which made us quite paranoid,  which is a very common state of mind for us to be in.  These drawings vary in appearance, as they are not all drawn by the same K, and most of the K's seem to have their own unique artistic style.  It's interesting to flip through the diary, and note the changes in mood from page to page, I mean the whole physical appearance of the diary entries, not just the words but the pictures and the colors, everything.  It's like reading a book written and illustrated by many different authors.  I, personally, Switch Kellie, as Husband likes to call us, am fascinated by these diaries and the words contained on their pages. I've been reading them like novels, each is like a new novel that I've never read before and which perhaps I've been told about because some of the stories are familiar to me and it seems I've heard the stories before, but I can't remember actually reading or writing these tales for the most part, and certainly I can't remember living all of these things.  It's as though it all happened to another person (or persons), or in dream or something.  Not "real life" (whatever that may be).

In addition to the physical appearance of the diaries, look closer and you will find that the words are different too, the writing style as well as the handwriting, and I am intrigued by this fact.  I want to know more about these books.  I must read them, all 3 of them, before I go and see the doctor on Wednesday.  My laptop tells me that this currently is Monday morning, so hopefully it won't be too much longer before the day comes when K goes to the psychiatrist with her husband (I need him as a witness!) and wherein she can finally tell someone this tremendous secret she's keeping. This secret is so big, so enormous, that if I stop to think about it, it makes my brain ache.  I literally can feel my brain begin to throb and pulsate and the pain intensifies until it gets to the point in which I fear I'm going to have a stroke or give myself an aneurism or something terrible like that. Thinking about The Secret, in fact, is enough to (almost) immediately induce a panic attack, and so we must be very careful about what information we share with whom, i.e. which of the Kellie's.  I'm the strong one, I'm the one who takes care of us, and so I'm much better equipped to handle the details contained in the diaries, much better able to deal with the overload of information, all of which must be organized and put into some sort of order before any recovery can begin to take place for us.  I just hope that I have enough time in this current state of mind to get the facts down on paper, to at least scan each of the diaries and take notes about what needs to be brought up in therapy.  There's so much to talk about, I fear that this project may take years and years, but I'm hoping that this is not the case; I'm hoping that by organizing all the data around me, I can put together some sort of picture of what's going on inside the mind of K, and be able to explain it rationally to our doctor.  Rationally?!  What the hell does that mean?!

I, Switch Kellie, am taking it upon myself to be in charge of the diaries, to navigate these waters as it were, to read them and analyze them and figure out the mystery that IS K.  I am curious about her, I really am.  I think that perhaps she is a piece of me, or I am a piece of her....I haven't figured out yet how all of this works but I'm hoping to at least get some sort of grasp, some idea of what exactly is happening right now and will happen in the near future, when The Secret is revealed.  I have to stop now and tell you that this big secret is too much for K's mother and therefore we will NOT be telling her anything about any of this.  She absolutely cannot know, she mustn't find out what's been going on right under her nose, for that information would be too much for her to bear, she's not open-minded enough, she could never imagine the likes of what I need to to say, to share, to understand.  K's mother is over 80 years old and is very old-fashioned and naive about things, particularly things which one generally does not hear about on TV or in newspapers. She doesn't really have friends at her age, aside from a couple of relatives who come to check on her and socialize with her from time to time. These times, the times when, say Aunt B comes over and takes Mom to the grocery store, these are the times which K looks forward to, not because she doesn't enjoy being with her mother-she does love and enjoy being with her mother-but because while Mom is out of the house, K can relax her brain and let go and not have to put forth such an effort to appear "sane", which is absolutely exhausting for us to do everyday.  K's mother has no real concept of what the internet is, she just knows that she can ask K a question and K can look it up on her computer and find an answer usually.  This is important!  This is how I intend to find out about what's "wrong" with K, even though I detest that we must use that word "wrong", for it implies that K is defective, which I suppose she must be to be going through all of these symptoms and what have you, but which I, Switch Kellie, find hard to accept.  I don't want to be defective. I just want to be happy.

Happy is a fairly foreign concept to us, to K, for she's been unhappy for so long that she can barely remember what it's like to feel anything else, except that now that she's gotten married, this feeling of "happiness" has come over her and to be honest, it freaks her out a great deal.  It freaks her out because it just feels so alien to her, this feeling of true happiness (we have faked being happy for eons); K has suffered from depression for almost her entire life and she's therefore used to being unhappy and she understands these dark feelings of doom and gloom and while they may not be ideal for her, she's at least familiar with them and is comfortable feeling them.  This new feeling of "happiness" makes K very nervous, for we are unsure how to go about it, it's something different, something scary, something we've not been around much, and K doesn't know exactly how to "be" happy.  It frightens her, this new concept, although she'd very much like to experience it the way that other people, regular people, seem to experience it.  And wouldn't it be lovely if K could appreciate life and all that it has to offer, without being bothered by that nasty depression cloud which has hung over her head for so many years now...Perhaps we are on the pathway to that place, that feeling, to being "happy" (which we've been on and off before throughout the years but the feeling never lingers, it's always been a temporary rush).  I just hope I can get there, to that place, to "happy" before I run out of time.