psychiatry | RobertLovesPi.net

There are quite a few posts on this blog on the subject of mental health, and they can be easily found by simply looking at that category, in the pull-down menu on the right side of your screen. In these posts, I have been quite candid about such things as my own panic disorder, PTSD, and Asperger’s Syndrome.

What I have not done, until now, is explain my reasons for my openness on this subject.

First and foremost, I am trying to do what I can to remove the stigma which surrounds the entire subject of mental illness. This stigma is harmful, for it keeps millions of people who need help from mental health professionals from seeking it, out of fear of being labeled and/or ostracized — or worse. I learned this the hard way: by experiencing it. I had my first panic attack at age 16. Like most panic attacks, this one lasted perhaps twenty minutes, or less. Few people have panic attacks that last longer than that — unless they fail to seek treatment, and the panic attacks continue to happen, which is what happened to me.

Over time, panic disorder tends to become worse, if not treated. The fear of the panic attacks themselves becomes an issue, for those who have them frequently, and such fear can lead to people avoiding situations where they fear a panic attack would be particularly embarrassing, and/or debilitating — somewhere like, for example, the middle of a Walmart, or their church, or their workplace. In some cases, untreated panic disorder leads to full-blown agoraphobia, with some people actually reaching the point where they simply do not leave their homes at all — until they die.

In my case, I avoided treatment for my own panic disorder (or any other mental health problem) for about a decade, specifically because of my fear of the stigma of mental illness. I tried to keep my panic attacks a secret, but, of course, that did not stop them. They grew in intensity, and the duration of the attacks increased as well. A ten-hour panic attack — something which is incredibly rare — is what finally drove me to get over my fear of this stigma, and make an appointment with the man who is still my psychiatrist.

In the years that followed, I grew more and more disturbed by the existence of this stigma, and finally made a decision: I would do whatever I could to neutralize it, for the benefit of others. I do not wish anyone to suffer the effects of deliberately delaying needed medical treatment. After much thinking, I eventually figured out one thing I can do, toward this end: be open about such matters, simply to help others know that mental illness can, with appropriate help, become transformed into mental health. In other words, as with many other illnesses, those with mental health problems can, and do, get better. This is why I have chosen the category-name “mental health” for these posts, rather than “mental illness.”

Of the particular struggles I have which involve issues of mental health, PTSD is the most difficult to treat . . . but I work hard, with the help of my doctor, to get better. What’s more, it is working, although I cannot claim this work is complete. I want everyone to know that getting better is a goal which is both realistic, and achievable.

With Asperger’s, my motivation for openness is somewhat different, for this condition is not actually a mental illness at all, as evidenced by the fact that it was recently “de-listed” from the latest version of the DSM (Diagnotic and Statistical Manual of Mental Disorders). Asperger’s Syndrome is simply a difference in the way some people think, as opposed to an actual disease. Some “Aspies” (our culture’s own nickname for ourselves), however, do suffer greatly, because of the difficulties involved in interacting socially with others, especially non-Aspies. I share what I have figured out, on this subject, with two goals in mind: (1) helping my fellow Aspies who struggle, and sometimes suffer, because of these differences, in any way I can, and (2) helping non-Aspies understand us better, so that these difficulties in interaction between Aspies and non-Aspies can become less of a problem — for everyone.

Finally, it simply feels good to no longer be trapped, in a metaphorical closet, regarding these things which are, after all, part of my life. As the saying goes, borrowed from the gay rights activists who invented it, “closets are for clothes, not for people.”

I much prefer letting the sunshine in.

Issues of Control

There’s a common phrase which has been said to me many times — often enough, in fact, that I sometimes now find it amusing when I hear it. You’ve probably heard it, also, or perhaps have said it to other people, yourself: “You have control issues.”

I sometimes wonder why anyone would feel the need to point this out to me. It’s something that is so blindingly obvious, to myself, and to all who know me well, that it really doesn’t even need to be said. My usual response, the last few years, has been the following: “Control issues? I don’t merely have control issues. I’ve got a lifetime subscription.”

The painting at the top of this post was a self-portrait I painted many years ago, while still struggling with (metaphorical) inner “demons” that bother me much less now, compared to how I was even a few years ago, at a time when my mental health was far more precarious.

Am I, to use an informal term for it, a “control freak?” Well, yes, I am — but not of the common variety. I’ve discerned that there are two very different types of control freak in existence, and have labeled them, simply, as type I and type II control freaks. I’m of the second type, but the first type is far more common.

Type I control freaks, as I define them, put a lot of time and energy into controlling other people, or at least trying to do so. I see such people as insecure, on an unconscious level, and suspect they have a strong drive to force their will on others, simply as a way to help them feel more secure about themselves. Such people are extremely unpleasant for me to be around, and I avoid them whenever I can. When forced to be around them, conflict is common.

Type II control freaks are very different from those of the first type. They — or, rather, we — have no particular urge to control other people. We do, however, still have very strong issues related to control, and, yes, this can cause problems at times.

(As an aside, I should explain my use of the word “freak,” since some people find that word offensive. It’s a word I’ve applied to myself since childhood. I don’t ever use this word as an insult. If I call someone “normal,” though, that’s another matter. “Normal” is a word I do use, when I use it, as an insult — a synonym for such terms as “boring,” “ordinary,” or “typical.” The idea of being normal is, to me, horrifying in the extreme — and to be a “freak” is, of course, the exact opposite.)

So what’s up with these people I call type II control freaks? In short, what’s our problem, and how do we differ from control freaks of the more common variety? Well, in my case (and that of others like me, I suspect), we were subjected, when very young, to extreme amounts of manipulative, controlling behavior by others — to such an extreme degree that we are now hypersensitive to any real (or perceived) efforts to control us. In my case, this overly-controlling person — the overwhelming monster of my childhood — was my father, deceased since mid-2010, and, at least by me, completely unmourned. When I painted the painting above, he was still alive. Now that he is gone, and can, therefore, never harm another person, the chains depicted in this painting have, after many decades, finally been broken, even though I still have to deal with lingering PTSD, and likely always will, because of the trauma he inflicted on me in childhood. (The difference is that, now, I simply have to deal with the fact that I used to be “chained up,” and cope with the resulting memories, whereas, before he died, the chains were still “on,” even though we were estranged for many years.) Hearing the news of his death was, quite possibly, the most liberating moment of my life.

Type II control freaks have no need to control others — we simply have an overwhelming need to keep others from controlling us. We are lovers of freedom and liberty, and need it almost as intensely as all humans need oxygen. At least in my case, I can’t even stand to see the first type of control freak in action, against another, without feeling an overwhelming urge to do almost anything in my power to stop them.

I have no qualms about being, and openly admitting to being, a control freak of the second type. It’s simply a part of who I am. There are certainly less healthy ways to react to childhood trauma, after all — such as when someone turns into the same type of monster that terrorized him or her in the first place, thus perpetuating a multi-generational cycle which is unhealthy in the extreme.

As for the type I control freaks, I am unable to feel any sympathy for them. They victimize others whenever they can. They’re bullies. They need to be opposed, and they need to be stopped. They are, in a word, evil — and that’s not a word I use often, nor one I use lightly.

I’m a permanent part of the resistance to such people, and have no reservations about this. If it were in my power to change this part of who I am — and it isn’t, anyway — I certainly would not choose to do so.