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<channel>
	<title>NC Psychiatry and Psychology Blog</title>
	<atom:link href="http://www.carolinapartners.com/blog/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.carolinapartners.com/blog</link>
	<description>A Mental Health Dialogue for NC Patients and Providers</description>
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		<title>Weighty Issues</title>
		<link>http://www.carolinapartners.com/blog/2012/02/weighty-issues/</link>
		<comments>http://www.carolinapartners.com/blog/2012/02/weighty-issues/#comments</comments>
		<pubDate>Fri, 03 Feb 2012 15:20:32 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Being overweight]]></category>
		<category><![CDATA[Dieting]]></category>
		<category><![CDATA[Dieting issues]]></category>
		<category><![CDATA[Getting thin]]></category>
		<category><![CDATA[psychology of being overweight]]></category>
		<category><![CDATA[Weight issues]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2012/02/weighty-issues/</guid>
		<description><![CDATA[<p>Let’s be honest. We all have weight issues. Whether it’s our own or somebody else’s. We all have a standard for beauty or propriety or some form of conformity to a “fit” fitness that guides our perceptions. In part we have to. After all, a morbidly obese person can’t fit into an airplane seat or, [...]]]></description>
			<content:encoded><![CDATA[<p>Let’s be honest. We all have weight issues. Whether it’s our own or somebody else’s. We all have a standard for beauty or propriety or some form of conformity to a “fit” fitness that guides our perceptions. In part we have to. After all, a morbidly obese person can’t fit into an airplane seat or, if they can, they make it incredibly uncomfortable for the person sitting next to them. Well, maybe. Maybe not though for any physical reason, but for the reason that THAT much emotional baggage is hard to deal with day-to-day.</p>
<p>See, that’s the real issue with obesity: emotional baggage. You might just say fat IS emotional baggage. Protection I assert. I assert because I was. Fat. I lost it all though. By the time I was in my mid 20s I was 5:11 and weighed 160 lobs. I was skinny. I ran five miles a day and ate conscientiously. Of course I was no happier than I was when I was thin, but I WAS THIN. I accomplished the goal that stared at me in the face (in the mirror) everyday of my life growing up. I lost weight. I also lost the erroneous impression that weight was the root of my problems. My problems were actually the root of my weight.</p>
<p>I discovered when I lost weight I was alone. Literally. I had moved away from my mom and was living alone in a city where I barely knew anyone. I worked sparingly and then went back to school and worked sparingly some more. I felt no particular attachment to anything and got by through accommodating myself to that which was there for me. In other words, I made friends and did what I could to survive. Normal stuff, right? Not really. I lived like a guerilla warrior on the periphery of life. I didn’t exist as someone with my education and background should. I lived dodgy and oddly. I lived alone. Thin but alone. Thin but still protected by emotional baggage.</p>
<p>I had gotten very used to the old, fat me who knew how to live with people. Once he was gone, I realized that I didn’t know how to live with people because as a fat person, I had never thought of myself as actually being there to live with them. I “played” myself while I was fat as opposed to actually being myself. I was not the person I saw in the mirror everyday so I accentuated and performed the part that was given to me. I was TOO funny or TOO mad. I was “off the charts” in many, many ways. I probably stabbed around borderline personality issues. But by the time I lost the weight, I was in a strange wide and deep valley made up of all the distance that already existed between me and the world. When I had to step up and be me, as it were, I ran off to a place where I could place myself in a quiet and solitary middle of emptiness.</p>
<p>I can never get the years of childhood back. Of course. No one can. I think in some ways I missed a maturation process that I find myself going through now. And though I hate the idea that there is a “process” that everyone has to go through, it does seem to have some relevance to my life. In many ways I’m twelve years old, often snarky and supercilious while seeking to connect and feeling amazingly vulnerable all the time. This is… Well, this has GOT to be a fledgling step in the process of emotional maturity. One that some people probably took earlier than I did because, well, I wasn’t there, remember?</p>
<p>I have more to say on this so more on weighty issues next time.</p>
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		<title>What I&#8217;m Thinking Sitting Across From You During Therapy</title>
		<link>http://www.carolinapartners.com/blog/2012/01/what-im-thinking-sitting-across-from-you-during-therapy/</link>
		<comments>http://www.carolinapartners.com/blog/2012/01/what-im-thinking-sitting-across-from-you-during-therapy/#comments</comments>
		<pubDate>Fri, 20 Jan 2012 11:58:24 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[The process of therapy]]></category>
		<category><![CDATA[what a patient thinks]]></category>
		<category><![CDATA[with a psychologist]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2012/01/what-im-thinking-sitting-across-from-you-during-therapy/</guid>
		<description><![CDATA[<p>I don’t often know what it is I’m there for. I know overall. I have issues or simply unhappiness. Life isn’t what or where I want it to be, and I need someone to help make it right. Of course you’ve been telling me that’s my job, but in reality &#8220;me&#8221; is made up of [...]]]></description>
			<content:encoded><![CDATA[<p>I don’t often know what it is I’m there for. I know overall. I have issues or simply unhappiness. Life isn’t what or where I want it to be, and I need someone to help make it right. Of course you’ve been telling me that’s my job, but in reality &#8220;me&#8221; is made up of me and you because I’ve been talking to myself way too long already. Not to mention my spouse, mother, brother, best friend, etc. I don’t like talking to myself anymore so I’m talking to you. Actually, I just need help and you’re giving it. I’m paying you of course, or my health plan is, but I recognize that you also do this because you care. You enjoy what you do, and so I feel I’m with someone who cares about this for more than the dollar.</p>
<p>So I talk about stuff. Maybe about my mom or my wife or my job or lack of one. I’ve tried to do this or that. I’m hoping for this. I’m expecting that. This frustrates the heck out of me. I should do better here. Why didn’t I do that? When is life going to change? You just sit there and listen. You nod your head. Or not. You ask questions. You probe. Perhaps you do what I was taught when I trained for the Samaritans suicide hotline: you angle for the pain, go for what you sense is the root of the misery. Of course I may not help you with that. Believe me, experiencing the pain is not easy and not looked forward to, even if it is ultimately why I’m there.</p>
<p>And when I find the cause of the pain, I’m surprised. I’m not surprised at the identity of the cause or even that I didn’t think of it until now. It’s just that when it hits me it hits me fresh and freshness is by nature surprising. THIS is what was wrong. THIS is what’s been missing. I’ve taken hundreds of thousands of incremental steps away from this basic need for happiness, and I just now figured it out. Extraordinary! I’m relieved. Really, I am. Because I got control of it. </p>
<p>That’s it in a nutshell. Control. I don’t want to use “control” in some sort of yuppified phraseology, where I have to be in control of every aspect of my life, but rather as a step in maturity. Real, honest-to-goodness maturity, maturity that I staked out myself rather than what was mandated for me by the parent I didn’t trust or the wife I didn’t trust. Trust was the key for me. You knew I had to trust myself. And you helped me get there.</p>
<p>It’s not like that’s the end of it, but for today, nice job.</p>
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		<title>Mental Health Workers: Your Patients Appreciate You!</title>
		<link>http://www.carolinapartners.com/blog/2012/01/mental-health-workers-your-patients-appreciate-you/</link>
		<comments>http://www.carolinapartners.com/blog/2012/01/mental-health-workers-your-patients-appreciate-you/#comments</comments>
		<pubDate>Sun, 01 Jan 2012 17:49:32 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[does therapy work]]></category>
		<category><![CDATA[Mental Health Patient]]></category>
		<category><![CDATA[Patient's thoughts]]></category>
		<category><![CDATA[should I choose therapy]]></category>
		<category><![CDATA[Therapy results]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2012/01/mental-health-workers-your-patients-appreciate-you/</guid>
		<description><![CDATA[<p>Having been a mental health &#8220;consumer&#8221; for several years, I think I’m decently qualified to talk a bit about what it’s like to be in the chair opposite you. I’ve had several different therapists over some 17 years, all of whom have been helpful. Some have been better than others but I can’t fully say [...]]]></description>
			<content:encoded><![CDATA[<p>Having been a mental health &#8220;consumer&#8221; for several years, I think I’m decently qualified to talk a bit about what it’s like to be in the chair opposite you. I’ve had several different therapists over some 17 years, all of whom have been helpful. Some have been better than others but I can’t fully say that there has been one experience or relationship that far exceeded the other. Basically because the bulk of the work fell and always does fall on me. As it should.</p>
<p>The work of going through therapy from the patient side is often one involving ego or some other word that may be better but which I can only think of “ego” to point to. See, there were times in therapy where I would come in and just be moody, angry and unresponsive. Really I just wanted someone to know how I was feeling, someone to care, even if it was someone paid to care, imprisoned if you will by that 50 minute session. I wasn’t in a mood to work on my problems but rather in a mood to remind myself and the therapist that I had them and they mattered. Or I mattered.</p>
<p>That’s a chief point for us patients. We want to matter. Oftentimes we don’t feel like we do. We feel diminished by one thing or another or several, and we want something or someone to give us power, give us a stake in things, give us a choice, or the capability of choice. Being petulant is part of the process sometimes.</p>
<p>I know for example that I had mom issues. That’s a bit of a simple way to put it but we’re on a deadline here. One of those issues was the safety I felt or needed to feel by being under her influence, letting her decisions dominate mine, which she did because that was our dynamic. Breaking free of that meant I sometimes needed that figure to be petulant or childish to, who would not dismiss me out of hand, who felt responsible for my predicament but would not suggest solutions that I didn’t want to hear. In loco parentis you might say but without the actual parenting part. The trick of course is in therapy as in your life you have to do the work as opposed to your mom doing it for you. As a patient you know that&#8217;s true, but you still know you need to be that child for awhile. You just do.</p>
<p>Look, we patients like you guys. We do. And the work you do matters even when we don’t show it or seem to be making progress. In fact, especially when we don’t seem to be making progress because that’s when the work is hardest for us, when we see no change, no improvement, nothing that justifies our faith in the work, but where we realize that the work is part of the process of simply being in control of our lives and accepting that life is ours to control. It’s scary. It’s always scary because oftentimes we’re coming from worlds where the people in control were not very good or comfortable at it. It’s square one for us and you make it even possible to be square two and on up.</p>
<p>Just wanted to say thanks you all for the work you do. It matters. It’s appreciated.</p>
<p>Have a Happy New Year.</p>
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		<title>What does happiness feel like?</title>
		<link>http://www.carolinapartners.com/blog/2011/12/what-does-happiness-feel-like/</link>
		<comments>http://www.carolinapartners.com/blog/2011/12/what-does-happiness-feel-like/#comments</comments>
		<pubDate>Mon, 05 Dec 2011 19:14:42 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/?p=170</guid>
		<description><![CDATA[<p>In life you can have long fallow periods, times when your life is a struggle, where you aren’t getting all you want and don’t feel you will anytime soon. Perhaps some of us feel our entire lives are like that. Sometimes it can be difficult to imagine a moment where that ends, where you suddenly [...]]]></description>
			<content:encoded><![CDATA[<p>In life you can have long fallow periods, times when your life is a struggle, where you aren’t getting all you want and don’t feel you will anytime soon. Perhaps some of us feel our entire lives are like that. Sometimes it can be difficult to imagine a moment where that ends, where you suddenly emerge from the blackness into the sunlight, where you accomplish what you set out to do, where you are suddenly free or safe, or somehow liberated from the chains of your previous state of being. </p>
<p>What a world that is. To wit:</p>
<p>As I walk into that world in my mind I see my mom and dad who are gone now. Yet in my heart I feel them still here, still right by the phone or near enough to touch. I feel the world as near as the possibility of shooting baskets at the court in the park across the street. I feel the sun as fresh as any day there ever was. I feel new possibility with no particular reason why. And I feel my point of view focused on the moment at hand, this one moment when I see the world no further than my field of vision will go. I am in the moment and that’s just wonderful.</p>
<p>I walk down my street, the one I grew up in, and it is beautiful again. The old neighbors are in their houses. Their lives that I know so well are playing behind those walls. Like ants scurrying in their farm they add life to the undercurrent of the majestic canopy of trees that ascend over my head and have since my memory began. In my heart and soul the world has moved back to its roots. I am in that one and only place where the world is simply the world.</p>
<p>I look to my left. The alley in the middle of the street is there leading so secretly to the next block and, even more secretly to another smaller alley perpendicular to its midsection which will take me back to the street half a block behind me. What wonder! What pleasure to know this secret path that is reserved it seems simply for me here in my own little world. It is a blessing in this sun drenched, tree-filled place to have something carved from history that only those of us with knowledge can be privy to.</p>
<p>What privilege dost thou purport to need further in such a place? Be thee not awash in serendipitous plentitude in God’s own grotto of salient happiness and bliss? I spin with the rush of the breezes through the ample, burnished leaves. The divine speaks in these millions of tiny crashes and flames of sun. There is deafening silence where angels dare you into thoughts that are not thoughts but unreasoning oblivions. You rise into the indescribable. There is not a moment anywhere in the universe that could match this.</p>
<p>This is happiness.</p>
<p>I give thee moments of greatness as the simplest yet most perpetual source of joy in all creation. There is nothing that will ever match the touch of my mind with the mind of the eternal, with the gift of God’s voice, warm and hushed in this flash of revelry. Let all the world know what I have seen and heard. I have been as glad as glad can possibly be, exulted in my simple life by merely my willingness to see what is there to see. Thank you, Heaven, for this delirious moment.</p>
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		<title>One Flew Over the Guidance Camp</title>
		<link>http://www.carolinapartners.com/blog/2011/11/one-flew-over-the-guidance-camp/</link>
		<comments>http://www.carolinapartners.com/blog/2011/11/one-flew-over-the-guidance-camp/#comments</comments>
		<pubDate>Fri, 18 Nov 2011 00:05:35 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[acting out]]></category>
		<category><![CDATA[Carolina Partners in Mental Healthcare]]></category>
		<category><![CDATA[summer camp]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2011/11/one-flew-over-the-guidance-camp/</guid>
		<description><![CDATA[<p>I have a history of acting out. It started a short time after my parents’ divorce and resulted in my spending a summer at a special day camp for kids with “issues”. I wanted to talk a little about that.</p>
<p>My acting out took the form usually of tantrums, tantrums induced by my teams losing. This [...]]]></description>
			<content:encoded><![CDATA[<p>I have a history of acting out. It started a short time after my parents’ divorce and resulted in my spending a summer at a special day camp for kids with “issues”. I wanted to talk a little about that.</p>
<p>My acting out took the form usually of tantrums, tantrums induced by my teams losing. This included both my little league baseball and basketball teams and the professional and college teams in my town. Losing equaled an opportunity to blow up. And I took it. I took it and took it. </p>
<p>So my parents sent me to “special” camp. It was pretty normal on the surface. We had a variety of activities, including hiking and the like, all of which was fine and completely forgettable. What I remember vividly though were the kids I met, the other inmates. To me all of them looked strange, like the fellow patients of R. P. McMurphy in “One Flew Over the Cuckoo’s Nest”. Like McMurphy, I was there under false pretenses, or so I felt. Being there was what mattered to me; the acknowledgement of my parents that I needed special attention. Whatever form that attention took after that point was utterly negligible.</p>
<p>Perhaps it was for this reason that, despite their best efforts, no one at that camp was able to reach me. They reached others. I saw it happen. One kid in particular. I made one friend over the summer there. I don’t remember his name but he was decently normal by my standards. He wasn’t “damaged” or otherwise a cartoon. I sound cruel here, but the truth of it was I regarded most of the kids around me as caricatures, one dimensional semi-freaks. Perhaps they thought the same of me. I don’t know. One boy was so slight and weak he was almost not there. He had a huge burn mark on his left hand and arm which he told me was from an accident with hot grease. Years later I’m left wondering how much of an accident it was. Another boy was a marauding bully who got ultimately punched out by a perpetually smiling kid who I swear one day became a serial killer. Still another boy was intent on singing “Snoopy and the Red Baron” whenever the opportunity arose.</p>
<p>But my friend was like me, a poser, another R. P. McMurphy. He didn’t buy into the camp and its mission. In fact, by the last few weeks of the summer we had determined to do some bad business. We were going to reset the clocks and do other little misdemeanorish stunts. We were going to…ironically…act out.</p>
<p>But we didn’t. My friend got co-opted. I remember the day it happened very well. The day came when we were set to do our little crime spree and I found my friend contemplative about life. He told me the plan was off. When I asked him what was up, he told me he had talked to one of the counselors and had changed his mind. I remember the counselor. He was a balding Hispanic gentleman, rather burly but non-threatening looking. I guess he was a decent male role model for my friend who obviously needed it. I did not. I shook my head at my friend’s decision, thinking on one level how utterly and sadly predictable it was. Sigh. Another one bites the dust.</p>
<p>I had an “exit interview” some weeks later. The head of the camp, a woman, and I chatted over a game of pool. Actually, I played. She just talked. She asked how things had gone and I told her fine. To this day I sense that she didn’t really like me and that on some level she actually kind of feared me. Maybe it’s just my imagination. </p>
<p>Maybe indeed the camp helped. My behavior improved, though, as I said, I think just the fact that my parents cared enough to send me was what I wanted.</p>
<p>Yet years later I’m left with this lingering feeling that everyone else there got a message I didn’t. Whatever those lost boys needed or wanted, they seemed to find because by the end of it, I was the only one left scheming, the only one not buying in. Maybe I’m just over thinking this, but the overwhelming sense I had at the time was that someone was trying to control me, not that someone was trying to help me. </p>
<p>And to this day that hasn’t changed. I&#8217;m not sure that&#8217;s a good thing.</p>
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		<title>Mental Health: It&#8217;s About Power</title>
		<link>http://www.carolinapartners.com/blog/2011/10/mental-health-its-about-power/</link>
		<comments>http://www.carolinapartners.com/blog/2011/10/mental-health-its-about-power/#comments</comments>
		<pubDate>Mon, 24 Oct 2011 14:07:04 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Feeling empowered]]></category>
		<category><![CDATA[mental health in North Carolina]]></category>
		<category><![CDATA[mental health in Raleigh Durham]]></category>
		<category><![CDATA[psychiatry in North Carolina]]></category>
		<category><![CDATA[Psychology in North Carolina]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/?p=163</guid>
		<description><![CDATA[<p>It’s about power.</p>
<p>After all the years, all the games, the heartaches, the hope, the praying and the fretting for all that mattered in my life: my mom, my dad, my brother, aunts and uncles and even my cat(s), I’ve come to realize it was always about power.</p>
<p>Having it, not having it.</p>
<p>What am I talking about?</p>
<p>I’m [...]]]></description>
			<content:encoded><![CDATA[<p>It’s about power.</p>
<p>After all the years, all the games, the heartaches, the hope, the praying and the fretting for all that mattered in my life: my mom, my dad, my brother, aunts and uncles and even my cat(s), I’ve come to realize it was always about power.</p>
<p>Having it, not having it.</p>
<p>What am I talking about?</p>
<p>I’m talking about what leads to mental health issues. At least what leads to most of mine.</p>
<p>Circumstances crushed me at a young age. Divorced parents, being overweight, economically disadvantaged&#8230; Many in my boots would’ve checked out, gone the way of the arcane, who haunt the periphery of the normal lane. You see them. You know who they are. They form small groups and disappear from the main stream. I didn’t do that. I took responsibility. I didn’t fault my mom for her emotional anomalies or my dad for his. I clung to power as I clung to life, as a dream available somewhere, someday down the road, a dream that I would begin to build towards in whatever fashion I could. I would not let myself be defined out of the world I felt I deserved to be in.</p>
<p>So what did I do? Without having power, I dreamt of it through characters in movies, comics and sports teams. My local college, which brought my parents together and defined their lives, became the scion of my quest, the symbolic fount of all that was good in the world. Thus as a child I embraced the college football team. I clung to it and rooted for it. When they lost I ached in the realization and remembrance of my own real problem, my own lack of real power.</p>
<p>Beyond my mad love of my dramatic heroes on page, screen and gridiron, I largely sleepwalked though life. I was not noticed as I felt I truly was amidst my brethren. I played myself rather than was myself, for it seemed the first step in becoming was to blow something up, even perhaps myself. I was so enraged. I was hyper-critical of others because I was terribly jealous of their achievement, not the fact of it, but the peace that seemed to allow it; the fact that they could do what I wanted without the madness that slammed me every time I really tried.</p>
<p>And when I say madness I mean panic, stress, the need to break things, to do real and honest damage.</p>
<p>I survived (obviously) and as I got older and more able, power began to tease me. It was no longer down the road but closer, seemingly right in front of me and urging me forward. It appeared in the form of things as simple as grades and as complex as women. It took the guise of accomplishments, winning arguments and dominating other men. It appeared in ideas that seemed so right, so true and vibrant yet so hard to catch and tame into words and pictures. It appeared in projects, great and mighty plans that as I began them seemed to stretch further and further away into impossibility.</p>
<p>And yet they’re still there, burning brightly in my mind; all the dreams, the desires, the possibilities. They blaze away and I still believe in them. I really truly do.</p>
<p>I’ve grasped some power in my life. I have. I feel diffident about it often though. The power I really seek is still out there. I have more ability and importantly more instruments to get that power now, but also now the stakes are higher. There’s more risk. Much more. But I take the risk. I still take the risk. Why?</p>
<p>Because it’s still about power, the power I need to make up for the powerlessness I felt long ago.</p>
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		<title>Ambition</title>
		<link>http://www.carolinapartners.com/blog/2011/09/ambition/</link>
		<comments>http://www.carolinapartners.com/blog/2011/09/ambition/#comments</comments>
		<pubDate>Mon, 26 Sep 2011 16:01:22 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[ambition]]></category>
		<category><![CDATA[Carolina Partners in Mental Healthcare]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[obsession]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2011/09/ambition/</guid>
		<description><![CDATA[<p>For a long time I’ve had an ambition, a goal. It was a goal I began to put together in high school. It has stayed with me. Over time that ambition became something of a vision, something I felt I literally had to achieve. Without going into details, since we all have our goals and [...]]]></description>
			<content:encoded><![CDATA[<p>For a long time I’ve had an ambition, a goal. It was a goal I began to put together in high school. It has stayed with me. Over time that ambition became something of a vision, something I felt I literally had to achieve. Without going into details, since we all have our goals and things we need to achieve, I’ll say that it is something I still feel with the same fervor I did 35 years ago.</p>
<p>Which means that it’s been 35 years, and it’s still not done.</p>
<p>When does an ambition become defined as an unhealthy obsession? And perhaps one that exists for its own sake?</p>
<p>When I was in college I was pre-Law (or pre-med, what’s the difference?), until I found just how difficult that choice was. It began with taking calculus my freshman year, which I did because my advisor admonished me that economics was necessary for law and calculus was necessary for economics.</p>
<p>Ugh.</p>
<p>It was brutal, horrible. Hard hard hard with a side of freaking, ridiculously hard. Truth to tell all my classes were hard (except tennis—that one I breezed through). Embarrassingly, I have to admit that even the easy classes were hard for me. And you know what? They shouldn’t have been. Leastways they probably wouldn’t have been if I didn’t have my “ambition” to fall back on.</p>
<p>See, my secret goal I believe was nurtured by the difficulty of slaving over “The Logic of Collective Action”, “The Communist Manifesto”, Portrait of the Artist as a Young Man, Brain Perception and Behavior and Gibbon’s Rise and Fall&#8230; In other words, as I struggled with college, this “vision” of mine grew in importance, this other thing that made my lack of success in the classroom seem okay or less ego-destroying. Thus, I didn’t confront the real problem, or see it as a problem. I didn’t see I was having as a real issue with being a college student. I didn’t see reality. Instead I ran from it into a fantasy world where I was an inherent genius, lost in the wrong place at the wrong time.</p>
<p>Ambition is about something inside you that you simply must do, is it not? Yet how many of us do this thing we must do? How many of us make a “healthy” decision to do something less stressful? And why didn’t I?</p>
<p>How healthy is a dream? I ask this honestly, not meaning to be provocative. I have had a dream and followed it for what is now the vast majority of my life, and I have caused pain to both myself and loved ones. I’ve suffered and struggled and given over many of my neuroses to my children. Why did I do that? Why do I do that?</p>
<p>And would I have done that anyway? As a lawyer, doctor or Indian Chief?</p>
<p>When we’re young, we take on the problem in front of us. When we’re nine years old, or eleven or more likely fifteen or sixteen the problem is vastly different than what we see when we’re thirty-five, forty or fifty. When you’re a teenaged male, you see your problem essentially as “competition” from other men over the women out there, and the need you feel, I believe, is to find a thing that differentiates you from the herd and pushes you to the top of the wolf pack (pardon my mixed species metaphors). With such a narrow perspective on the real world, you inevitably make equally narrow choices and launch yourself on to narrow paths which allow little deviation.</p>
<p>George Bernard Shaw once said: &#8220;If at age 20 you are not a Communist then you have no heart. If at age 30 you are not a Capitalist then you have no brains,” which I interpret as you really ought to be practical as you get older. However Mr. Shaw also said: “The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore, all progress depends on the unreasonable man,”</p>
<p>Again, as I have consistently done here, I have to ask what is mental health? I think that mental health is about being able to live with the person you are and decisions you make. It is about fending off the inevitable travails of the moment and keeping an eye on whatever that prize is, even if the prize is the continual realization that you gave up that stupid notion you had when you were a kid. Right? Right? Someone out there with a degree give me an answer here.</p>
<p>See, when you get right down to it, as tough as it is and as guilty as I always always always feel, I’m still about changing the world, about being that “unreasonable man”. I’m about making absolutely sick and monstrous progress. Really. That is my problem and my family’s. It is my issue in spades—a spade flush really.</p>
<p>Now, if someone would just tell me if I’m freaking sane…</p>
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		<title>Fandom</title>
		<link>http://www.carolinapartners.com/blog/2011/09/fandom/</link>
		<comments>http://www.carolinapartners.com/blog/2011/09/fandom/#comments</comments>
		<pubDate>Tue, 06 Sep 2011 21:33:31 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Carolina Partners in Mental Healthcare]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[emotional disturbance]]></category>
		<category><![CDATA[neurosis]]></category>
		<category><![CDATA[Personality disorder]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/?p=160</guid>
		<description><![CDATA[<p>I’ve been a sports fan most of my life. It started with baseball, moved on to football and has flirted with hockey and basketball (sports I can’t play as well). As a kid, I spent evenings listening to the radio, following the local teams. I’d get emotional about it. I’d want my guys to win. [...]]]></description>
			<content:encoded><![CDATA[<p>I’ve been a sports fan most of my life. It started with baseball, moved on to football and has flirted with hockey and basketball (sports I can’t play as well). As a kid, I spent evenings listening to the radio, following the local teams. I’d get emotional about it. I’d want my guys to win. They wouldn’t often and I would live with that. Sadly. Toughly. I’d go to school the next day and be alright. Though for awhile there my mom was concerned I was getting too involved, too upset when my team lost. She even sent me away to a special camp one summer for kids with emotional issues.</p>
<p>So what was going on? What was I really living with? What was I acting out on? I had many frustrations in my life back then, many difficult issues that I could not overcome but had to endure. Things that were not my fault. Tell me then: Did I use being a fan as a means of working those problems out? Did I use being a fan as a means of experiencing these problems, maybe fighting them in a way that I could not in reality?</p>
<p>And if I did, was that smart? I hear talk sometimes of the concept of “clarity”, meaning, you hear the truth about yourself and your limitations, and it waylays you for a moment, but ultimately you’re better off going forward. Should I have had an intervention telling me what was happening? Would it have mattered? At that time in my life could I have faced the truth about my limitations? Could I have faced the facts about what my position in society really was? What my family’s was? How we were regarded? Could I have left my fan’s paradise and seen stark reality?</p>
<p>I was afraid. I was always afraid that a shot of truth would be a shot in my head. It would kill me. Looking back I think that was not true, and I think maybe it would have been alright and a healthy thing for me to go through, but how many of us really face up to that? How many families talk in such terms to each other? Who would’ve intervened with me then? And, honestly, how did the problems in my family start in the first place? My problem didn’t spring from nothing.</p>
<p>When you have no power and your teams do, or you think they do, you very much need to live with and in their power. Really, you do. And nowadays when I hear so many people calling into sports talk shows, so aligned and connected with their teams as I was, I know where they are. I know what they are, and it makes me sad.</p>
<p>This is not to say I’m cured myself. I only know the problem. I can see it and try to act on it, as I’m doing now. But it will not just leave overnight. I have too much work to do filling in for the need fandom still fills. I have too much to do to make me feel empowered. And there’s a lot of need to fill. Probably more than most people.</p>
<p>Fandom truly is about being nobody, about being powerless, and there is nothing that can fix it other than time and changes in your life. I know this. Mental health is about years of good filling in for the years of bad. If you’re powerless, you have to be powerful. </p>
<p>Perhaps the drug analogy is truly the best. You medicate yourself with a power substitute and you hold on to it even after you really should no longer need it. You get used to it. You can’t just quit it. You have to go after that which you know is the real source of your power, whatever that is.</p>
<p>I’m trying now to be a fan of only myself.</p>
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		<title>What is Mental Health?</title>
		<link>http://www.carolinapartners.com/blog/2011/08/what-is-mental-health/</link>
		<comments>http://www.carolinapartners.com/blog/2011/08/what-is-mental-health/#comments</comments>
		<pubDate>Sat, 20 Aug 2011 13:52:29 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[Carolina Partners in Mental Healthcare]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2011/08/what-is-mental-health/</guid>
		<description><![CDATA[<p>Well, my last post was a bit of a rant so I wanted to scale things back this time and try for a more meditative view of a subject. Once again it’s mental health (they all are) and this time it’s more pointedly about just what mental health is. Try as I might, I still [...]]]></description>
			<content:encoded><![CDATA[<p>Well, my last post was a bit of a rant so I wanted to scale things back this time and try for a more meditative view of a subject. Once again it’s mental health (they all are) and this time it’s more pointedly about just what mental health is. Try as I might, I still cannot quite suss it out.</p>
<p>Perhaps it’s like pornography. You can’t describe it, but you know when you see it. Perhaps it’s an attitude, a confidence or a sense of reality that someone has that somehow “feels” true. I really don’t know. I’m not trained. But even those trained aren’t always that healthy (are they?), which doesn’t mean they don’t know what they’re trained to know. It just means you can’t always practice what you preach.</p>
<p>I think about myself and I wonder: Am I healthy? Should I be if I’m writing something that is meant to get people’s attention? Should I rather be provocative and daring? Perhaps overly risky? Perhaps neurotic like a Woody Allen so I can be funny? How professional is it to be healthy? Is Maureen Dowd healthy? Paul Krugman? She seems fixated. He seems angry. Yet they’re both successful, as is Woody Allen for that matter, and some people think he’s a pedophile.</p>
<p>I don’t get it. I really, really don’t. What makes mental health? Is anyone I know mentally healthy? I’ve never asked them. It’s not something that really “comes up” in a typical evening. I suppose several folks I’ve known (and me) have at the very least gone through skeins of being healthy, if they haven’t been so every second of their lives. Still though you look at the choices some of your friends make and you wonder. Of course they do the same with you. Well, so you wonder.</p>
<p>I bet any mental health professionals reading this are either smiling, frowning or somehow reacting with wisdom to my admittedly naïve questions. I would guess that they’ve debated these questions themselves, probably in some undergraduate class or in a coffee shop (or bar). I’ll bet they’ve gone far beyond my inner-bull session level of interest to some more all-encompassing and strong definitions of what is and is not mental health. I’m sure they’ve worked this stuff out and have a well-understood set of standards by which they can determine if a patient of theirs is “in the good zone” or not. They know the models that have been seen before. They know the borderline personalities, the manic-depressives, the classic neurotics (assuming they are “classic”). They have the facts and the theories at their fingertips. They did the work.</p>
<p>I don’t. And without them, without the facts, the question of what is mental health becomes eternal. And it matters. I want to know if I’m right. I want to know if what I’m doing is right. How can I know? How can I really, really know if I’m healthy? I wish there was some easy way to do a self-test to determine this. If someone can point one out to me, I’d be really grateful.</p>
<p>For now though, I’ll just go with the notion that I’m probably pretty healthy if I’m questioning whether or not I’m healthy. See, I read once that if you’re crazy you sleep like a baby. I sleep pretty well, but I worry about the fact that I do. </p>
<p>So, you know&#8230;</p>
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		<title>Wayward Grownups</title>
		<link>http://www.carolinapartners.com/blog/2011/08/wayward-grownups/</link>
		<comments>http://www.carolinapartners.com/blog/2011/08/wayward-grownups/#comments</comments>
		<pubDate>Tue, 02 Aug 2011 14:22:56 +0000</pubDate>
		<dc:creator>Abby</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[adults]]></category>
		<category><![CDATA[grow up]]></category>
		<category><![CDATA[mental health]]></category>

		<guid isPermaLink="false">http://www.carolinapartners.com/blog/2011/08/wayward-grownups/</guid>
		<description><![CDATA[<p>For the last 30 odd years I’ve been noticing the devastation of college towns by the minions of former students like myself, adults seeking to reconnect with their college experience. This influx of wayward grownups has all but ruined Harvard Square, turned it into “glitz central” catering to no culture whatsoever and certainly to no [...]]]></description>
			<content:encoded><![CDATA[<p>For the last 30 odd years I’ve been noticing the devastation of college towns by the minions of former students like myself, adults seeking to reconnect with their college experience. This influx of wayward grownups has all but ruined Harvard Square, turned it into “glitz central” catering to no culture whatsoever and certainly to no student needing things inexpensive and a world that is there for him and not a CEO.</p>
<p>Ann Arbor, too. The downtown is stylish now. Not like in the old days. Stores are hip and restaurants, too. And I hate it. It’s nothing like what it was. Now sure part of this is crotchety old man syndrome. No doubt. But another part, the important part, has to do more and more with the mental health of adults or what passes for it.</p>
<p>We do not grow up. 60 is the new 40… 80 is the new 50… Recent stories highlight longevity studies that will make us live 150 years. 200. 1,500! I’m sorry. Those of us born and raised after World War II share an almost inexhaustible ability to not believe our kids deserve the same world we did. In other words, we are competing with them step by step and inch by inch to consume the world around us, and it is the most unfair competition imaginable.</p>
<p>What has happened? Well, I believe it has to do with the fact that mental health is not just about individuals, it’s about cultures and societies. I don’t know if it’s just me, but the mental health of the United States quite honestly only questionably exists. Why? Because there is no cultural norm connecting adults anymore. There is no culture really. There is only a variety of experience delivery strings concatenated into media, which we, in our interactions with one another, spew out as baldly as Chris Matthews, Bill O’Reilly or Judge Judy. Nobody converses. We simply remind each other what we’ve heard. Without a conversation there is no culture.</p>
<p>Now sure, the 1950s culture was restrictive and lacking. And dull. There were landmines all over that Alexandrian plain: Poverty, racism, sexism, political repression. No question things needed to be changed. And they were, bit by bit and inch by inch. We struggled through the 60s, made horrendous mistakes, many well intentioned. We staggered into the 70s tired and were slapped in the face with our own world dominance by OPEC, the monster we had in fact created. By the mid-70s, principle had generally left the conversation, having been debated so fiercely in the 60s. It curled up and went to sleep in its nicely heated room listening to Carly Simon remind it just how cruelly it had been abused growing up in Scarsdale.</p>
<p>We lost our sense that the privilege of even being middle class required a sense of purpose. Nobles oblige applied to everyone with even a chance at a good life. It wasn’t until the 70s somebody began to yell that this only applied to the very wealthy.</p>
<p>I think it was because mental health could no longer accommodate society. There was too much information, too much world, too much of everything. We “checked out” and the crazies, those who could easily keep a distorted and untenable world view, took over. Those who asserted in the face of every fact that their world view is true could more easily function within the national and international latticework.</p>
<p>Now, I fear mental health is not about integrating and interweaving with the inevitable physical losses and emotional gains that come with maturity. It is rather all a fake out of the grim reaper and his cohorts of baldness, erectile dysfunction, crow’s feet and cellulite. We don’t grow up. We grow over, under, above and away. Hell, just name a preposition, as long as it&#8217;s not &#8220;up&#8221;.</p>
<p>I don’t know what is healthy anymore. I can’t know. No one can. Health just isn’t healthy enough to comprehend.</p>
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