WillSpirit!

Where Will meets Spirit
∞ Love, Clarity, Balance, Peace, & Bliss ∞

A science, mental health and spirituality blog written by a physician.








  • Red_Exclamation_DotDisclaimer
    • Dear Visitors:
      Although I trained and practiced as a physician, my background does not include formal instruction in psychiatry beyond basic medical education. This journal presents ideas about treatment philosophy, but must not be considered therapeutic advice. Abrupt changes in one's psychiatric medications can trigger profound cognitive, emotional, and physical symptoms, including suicidal thoughts and actions. Consequently, pharmaceutical agents should not be increased or decreased without supervision by a mental health clinician.

    • ON THE OTHER HAND, your brain belongs to you, and your opinion counts. If you decide that changing your medication regimen will serve your best interest, then I believe your providers have an obligation to help you try to achieve your goals. I want everyone to be educated about their options, and do what will be most helpful for themselves. No one should feel pushed around by dogmatic and/or limited viewpoints, whether those of psychiatrists, anti-psychiatry advocates, or myself.


Awakening to the Glass House

Criticizing people, systems, or the entire modern world has become too easy. My last post made some valid points, I’m sure, but it looks unbalanced to me as I reread it. Without doubt, since I entered the hospital occasional staff members have treated me with shocking insensitivity. On the other hand, there have been some pleasant interactions, especially during the past two days.

One older nurse took time to inquire about my dogs. It was the first set of truly personal questions I’ve answered, and it felt good to be talking about subjects that warm my heart rather than abdominal pain, nausea, and constipation. It felt delightful to be treated as a unique individual rather than just another patient.

Another nurse shared with me her feelings of conflict about whether to continue living far from her boyfriend or move closer to him. She grew up in this area and is loathe to leave it for a region she likes less; and yet, long distance relationships never fully satisfy. I appreciated her confiding in me, if only briefly. It increased my sense that we share the common human experience, with its constant ebbs and flows of pleasure and pain.

And I must admit that my behavior as an inpatient has not always been laudable. I’ve accepted cell phone calls while staffers took my vital signs, when I should have kept my attention on the living, breathing person next to me rather than tuning in to a plastic box. Even when the box is transmitting words from a loved one, and the person checking my blood pressure is a stranger, the latter deserves my attention more.

Plus, I’ve acted demanding and entitled at times. When they moved me out of my private room into one with three beds, I raised a fuss. Indeed, the shared room robbed me of sleep and raised my anxiety, but why should I feel myself above experiencing such duress when someone must? What makes me so special? They eventually isolated me after I spent twelve hours vomiting: obviously a distressing experience for my fellow patients. But I feel a little chagrined, looking back on my whining.

In my defense, I haven’t eaten a meal (or at least not one that stayed down) for six days. I’m in constant pain and sleep poorly. I’m worried about my future and discouraged that my budding acupuncture business has been dealt another body blow. But don’t we all have excellent reasons for acting like jerks? The trick is to be kind regardless.

The point isn’t to punish myself here. I’m only human, just like everyone else. We all need to work on improvement; it’s a never-ending call. I still believe that modern health care could be enhanced with more attention to personal warmth and less emphasis on technology, but I need to remember that many people who work in the field feel strongly about their mission and strive to provide compassionate care.

Criticism is easy, but so is praise. In the end, we do best with a little of the former and a lot of the latter. This is true whether we are on the sending or receiving end of things. The health care system needs reform, but it also deserves praise for managing so much suffering, day after day.

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Diagnosis: Roadblock


The same as last time, I’ve written another entry that may go onto a blog separate from this one. I won’t name that site until it actually posts one of my essays, just in case what I’m writing doesn’t suit the needs of that venue. But since I’m spending my time getting material to that website, and not writing specifically for this one, I’ll enter some of the pieces here. Hopefully, they will be interesting to those who drop by. Eventually, I’ll work to sustain writing for both locations, but right now I’m building an inventory of posts for this new project. The entry that follows encapsulates my experience as a designated ‘bipolar patient’. It is meant to be cautionary to those who may be recently diagnosed, and anyone who questions a doctor’s gloomy predictions about the potential productivity of ‘bipolar patients’.


RoadBlock&Detour

The years 1999 and 2000 were the worst of my adult life. Work-related spinal injury ended my career as a surgeon. I found out the damage in my neck foreshadowed lifelong pain with the possibility of paralysis. In 1999 my wife and I abandoned the city we called home, and a house we’d lovingly renovated, in order to move closer to my work and spare my neck the long commute. But even so, within a year I could no longer operate. My colleagues reacted negatively to what they perceived as my abandonment of responsibilities. As an added blow, a long-running lawsuit settled against me. I felt very alone and very lost.

Soon after, I found out how badly my mind could go awry. Depression had been an intermittent companion for twenty years, but I sank to depths that exceeded anything previously experienced or imagined. I ended up in a psychiatric ward on a suicide watch. Discharged after twelve days but not feeling much better, I left the hospital on a powerful new antidepressant.

Five days later I landed in another psychiatric unit, only this time in a state of extreme mania and florid psychosis. The new medications may have triggered it. Never having experienced such insanity in myself, I feared my mind had permanently snapped. Those were my lucid moments. More often, I drifted in a novel world where God spoke to me and magic was everywhere.

The intense mania resolved quickly, but full recovery has been slow and painful. My psychiatrist convinced me that my mind now had a terrible illness. Depression that hitherto had been unpleasant, but never disabling, had morphed into a dangerous brain disease. My moods needed potent medications and lots of coddling. Slips into hypomania threatened my sanity in ways my doctor assured me were dreadful, but never really explained. Rather than encouraging me to regain strength and reenter the world, she cautioned against ‘taking on too much’.

I became hesitant and fearful. I abandoned career opportunities when confronted with difficulty and conflict, because of my psychiatrist’s ceaseless admonition that I now had ‘poor stress tolerance’. Better to live a boring and disabled life than risk jostling my fragile brain.

That message led me into a trap that is proving difficult to escape. I’ve weaned off most of the drugs, and feel eager to work. But after ten years of minimal productivity, potential employers no longer take me seriously. My future probably depends on developing a freelance career, but the long running discouragement eroded my confidence. And years of inactivity have sapped my endurance.

I write this as a warning to others. Be very cautious about allowing your doctors to set limits on your potential. It is safer for them if you stay at home in a medicated daze than if you take risks. But it’s worse for you. Our minds may be different, but they remain vital and capable. Be your own best friend, and don’t let the concept of mental ‘illness’ limit your dreams.

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