Tag Archives: Mental Illness

What Good Is Life Without Your Health?

“The first wealth is health.” –Ralph Waldo Emerson

“When health is absent, wisdom cannot reveal itself, art cannot manifest, strength cannot fight, wealth becomes useless, and intelligence cannot be applied.” ―Herophilus

Hello friend,

I spent some days last week in a hellish level of back pain, so bad that my mind was pulled toward a topic I had no wish to visit: suicide.  To be clear, I was not suicidal; I was merely pondering suicide as a concept, examining it from multiple angles, considering the motivations.  The pondering itself, and even more so the strength of the magnetic pull to the topic, was telling of my state of mind.

It took me back nearly two decades, the last time my back exploded and had me almost delirious in pain, culminating in a body full of drugs and an emergency surgery.  Through all of my days of agony prior to the surgery, one subject came through clearly in my otherwise desperate mind: suicide.  I had never thought so much about it in all my life (and haven’t since).  My mind was all over the topic: the how, the why, the who, the aftermath.  The everything.  I couldn’t seem to clear it from my brain.  I am fairly sure the obsession stemmed from the fact that, racked with pain at a level I had never imagined possible, for the first time in my life I could totally get why some people no longer want to live.  Honestly, I don’t know how much longer I could have gone on like that if I didn’t believe a cure was coming.  Pulled from an otherwise blissful life, I suddenly had absolutely no capacity for joy.  It didn’t feel like a life at all.  It just felt like misery.

Some years before that episode, when I was in graduate school, one of the professors in the department was suffering from bowel cancer or colitis or some other very serious disease of the digestive tract.  And when I say “suffering,” I mean truly suffering.  I hadn’t known him well and had only heard that he had something and did not understand its severity until I took a brief visit to the bathroom one evening before class.  It was a tiny bathroom, and I spotted someone’s feet in the single stall as I stepped up to the lone urinal.  That’s when I heard the sounds of a man in the throes of pain and anguish, still trying to keep quiet.  I felt terrible as I rushed out of there, haunted by another human’s suffering.  A few months later, I heard that he committed suicide.  I understood why.

I have been wildly blessed throughout my life, probably in no area more important than my mental health.  I mentioned to you in a letter once that one of the things that has surprised me most in my years on this Earth is just how prevalent and truly commonplace mental illness is.  When I was a kid and learned that a family member had an eating disorder, it absolutely floored me.  I never dreamed someone close to me would have psychological problems, and I was sure it shouldn’t be mentioned to anyone.  As an adult, the more I learn, the more it feels like almost everyone is dealing with some measure of addiction or other mental illness, or at least has dealt with it.  I am grateful to have been mostly spared.  Because of that, my only insight into depression (or other)-induced suicidal thoughts is from Psychology classes and lots and lots of memoirs.

So, though it is a fascinating topic to explore and one that I would like to know more about, I am not here today with strictly mental states on my agenda.  Not the kind that decide it is preferable to be dead than alive based only on how dark and painful it is inside the mind, anyway.  Rather, I want to know about how physical pain and disability shape one’s sense of the value of one’s own life.  Because one day I was feeling physically fine, with a few aches and pains like anyone my age has, and I was thinking I was living a great life full of blessings that I wanted to keep experiencing indefinitely.  And the next day I was doubled over in pain, wondering if it was all worth it to go on.

I admit, that instantaneous loss of my life’s value freaked me out a little.  Okay, maybe a lot.  I mean, is the value of existence so fragile that once the body stops cooperating, the whole game needs to be forfeited?  If so, what of all these emotional and intellectual gymnastics we constantly perform to keep ourselves believing how sturdy and enduring our many blessings are and how they will carry us through the low points in life?  The love of our families and friends, our connection to the Divine, our sense of accomplishment from the work we have done, the creations we have provided the world, the dreams we are on our way to fulfilling.  If it all collapses with the slip of a vertebrae, how solid was the ground that sense of Value was built upon?  I am being haunted by that question now.

I am thinking of the many times an injury has kept me from doing the things I wanted to do.  I have always been an active guy, and I have had my share of injuries along the way.  Usually, I just play through it, as I cannot stand to be inactive.  But even so, when I cannot do everything I want, I know that I don’t enjoy myself as much.  Just this Summer, when a slow-healing gash on my foot kept me away from my favorite activities for a couple of months, I found life much less fulfilling.  Sure, I found other things to do and enjoyed them, but it was much less satisfying than what I wanted to do.  I swallowed my frustrations and did my impatient best to be patient and positive, but that was because I knew the end was in sight.  But I wonder: What if there was no end in sight?  What if I could no longer swim or run or play?  Would my base of happiness start to erode?  I am fairly certain it would.  And then, how quickly would it erode?  And even bigger picture: when I hit my low point with it, would that level still be called “Happy,” or would it be something very different?  Would that something different be something I could go on living with?

Even at this point in my aging/erosion process—I am almost half a century old—I can’t do so many of the things I once could due to previous injuries and simply the reality of a body at this age.  I can no longer go out for a real run.  Bending over to lift heavy things can take me out of commission for weeks.  My elbow hurts after I play tennis, and I cannot serve even half the speed I once could.  Believe me, the list goes on!

For a guy most at home when playing a sport or sweating out an outdoor adventure, this new reality is deeply frustrating.  I was tempted to say it is awful, but it only relatively awful.  That is, when I imagine how much fun it would be to still be doing that stuff, it feels awful to my heart.  And yet, I definitely don’t find that my life is awful.  I am quite happy (just maybe less satisfied than I could be).

I can’t say how it will be as I age and gradually lose more and more of my physical capacities–perhaps my mind will continue to adapt as well and find increasingly innovative ways to find Joy in my little world and offset the thrills and satisfaction of physical exertion and mastery–or if I suffer an injury or illness that renders me instantly unable to perform.  This is something I would like to interview some elderly and physically disabled folks about—the ways they have adapted, and what their perception of their own happiness is compared to how it might be if they had all of their physical tools working at full capacity.  Do we all just go through our journeys constantly adjusting our standard for Happiness and Fulfillment based on what seems realistic given our physical circumstances, most everyone finding themselves able to say, “Yeah, I’m doing alright” even if they would have felt sorry for someone in their present circumstances no so long ago?  Are we that wisely and graciously adaptable, or are we deluded suckers?  I hope it’s the former.

With my foot injury this Summer and at other times in my life, such as when limbs were in casts, even though I was unable to use the limb, I had the benefit of not being in constant pain.  So, even though I may have been frustrated—which I may have described as “misery” at the time—I was not in physical agony.  As someone who has suffered the worst kind of back pain, I can tell you that that is where this whole issue turns into something different.  When you are racked with an extreme, unrelenting physical pain that leaves you simply unable to enjoy anything—no, it’s not that you can’t “enjoy,” but rather that you can feel only anguish, only suffering–we are in a new realm.  This is, I am guessing, where my old professor was.  It is where I was in the days before my back surgery.  The only difference was that I believed that surgery was going to improve my situation; I would have deemed it unbearable if that wasn’t an option.  He didn’t have any assurances.  I understand the route he chose.  “There, but for the grace of God, go I…”

I see now that this is where the discussion really splits and there is a need for two separate inquiries.  Loss of the use of your physical abilities—even with some accompanying moderate pain–is one thing, but severe pain is quite another.  I am coming to believe through experience that I will still be able to be grateful and happy if or as I lose my athleticism and flexibility and such.  I am less sure that that I will feel fulfilled without that physical element, but I believe I can achieve happiness.  I have faith that my life can still feel fun and valuable to me.  I don’t have that same confidence when it comes to living with chronic pain.

I would like to believe that it is simply mind over matter and that I could find joy, gratitude, and peace of mind in any physical state.  But I remember the pain I was in last week as I tried to get out of the car and walk down the sidewalk without collapsing and without crying.  And I still shiver as I think about those days before my surgery years ago, my body stuck in a wholly unnatural position due to the spasms from the herniated disc in my back and me barely able to breathe without sobbing uncontrollably.  That was not a life that could be maintained.  If it had value, I couldn’t see it at the time.

In the end, I guess my answer is YES, my life can still be quite valuable without all the things I love about being fit and active, but that value probably begins to deteriorate once chronic pain gets past moderate intensity, with the value then becoming inversely proportional to the pain as I move toward full-on agony.  It’s a theory for now.  I hope I don’t have to find out the truth.

How about you?  How does your health dictate the value of your life?  Open up your journal and your memory and search for times when your health shaped the way you value your life.  What are your very worst experiences with your health and physical abilities?  Are they illnesses that knocked you flat and made you feel like garbage?  Migraines?  Are your worst times from acute injuries that brought your pain immediately to an extreme intensity?  Do you have chronic pain at a high level that shapes your perception of your life’s value?  Whatever your worst experiences, did they ever reach a point where you began to wonder if you could go on much longer in that state?  Did you ever, at your very worst point, realize that it no longer even felt like living, but instead just endless suffering?  If so, how did that realization play on your psyche?  If you haven’t experienced this level of physical agony, do you know someone who has?  How closely do you believe you can empathize with it?  Who in your life has lived for long stretches in the greatest physical pain?  Was it from an illness—like cancer or arthritis—or from injury (e.g. spine trouble or concussion)?  Have they adapted and created a happy life in spite of the pain?  Do you think you could be happy no matter your level of chronic pain?  Do you believe there is a level of pain that would lead you to take your own life?  Do you have any judgment about people who do?  Okay, let’s switch gears.  How much does a diminished physical capacity affect your mindset?  Have you ever been incapacitated with an injury that limited you enough that it affected your happiness or life satisfaction?  What did it keep you from doing or feeling that you missed so much?  Did you find a substitute for that previous ability to fill in the happiness gap, or did you simply adjust your standards?  Was your loss temporary or permanent?  What can you no longer do that you once could (e.g run, play a sport, garden, etc.)?  How has that loss affected you?  Do you harp on it psychologically, reminding yourself how much you miss it and maybe cursing your luck?  Have you given yourself grace as you have aged, letting abilities go without too much bitterness or mourning?  Have you found that life can be just as good without the physical gifts of youth?  Can you think of a physical loss that would almost certainly cause you to devalue your life (e.g. paralysis, blindness, obesity)?  Is there a physical loss that you can imagine making life seem no longer worth living for you?  Are you at all embarrassed to admit to that last answer?  Are we weak and shallow for tying so much of our happiness and life satisfaction to our health—rather than, say, spiritual peace or wisdom–or is that just the reality of the human condition?  Leave me a reply and let me know: What good is your life without your health?

Be as well as you can,

William

P.S. If this resonated with you, please share it with your community.  We rise together!

P.P.S.  If this way of self-exploration appeals to you, consider buying my book, Journal of YOU: Uncovering The Beauty That Is Your Truth, at your favorite online retailers.

What Has Surprised You Most About LIFE?

“I know enough of the world now to have almost lost the capacity of being much surprised by anything.” –Charles Dickens, David Copperfield

“But better to get hurt by the truth than comforted with a lie.” –Khaled Hosseini

Hello friend,

Watching the news lately is a horrifying experience for me.  A couple nights ago, I was listening to the anchor detail the skyrocketing number of hospitalizations and deaths due to COVID-19 all across America, leading some states to begin to place restrictions on schools and businesses, as well as announce mask mandates and recommendations for gathering sizes.  The next story relayed the pushback from the new restrictions, including the angry, sometimes-gun-wielding protesters refusing to wear masks, claiming their rights are being violated by having to cover their nose and mouth before entering places like the grocery store (or the hospital where their loved ones are dying from COVID).

My first reaction was to wonder which story was more sad.  Because seriously, a quarter of a MILLION dead Americans is a truly depressing thing to consider, especially when you know it didn’t have to be this way.  But how about those anti-maskers, demanding the right to harm their community members because they don’t want to be inconvenienced?  I couldn’t help but be captivated by these folks and their line of reasoning, such a sucker am I for a peak into how others view the world we all share.

So I started thinking of other things these folks probably do in the course of their daily routines that are the same as you or I do, none of us ever wondering why or protesting the oppression of it all.  I am guessing most of those people who won’t be shackled by the oppressive mask probably put on a shirt and shoes before they enter a store.  They probably cover up their genitals with a swimsuit or other clothing at the public pool or beach, even on really hot days.  I would bet that they stay reasonably close to the speed limit when they drive, or at least slow enough that they keep control of the car and not hurt themselves or anybody else.  They probably even wear a seatbelt, follow the rules of the road, and have auto insurance, all things designed to protect oneself and the people around you.  I do all of those things, and I am guessing you do, too.  I haven’t seen any protests about those fascist speed limits lately.  No gun-toting folks storming the state capitol building about those pesky indecent exposure laws.  Not even anyone plotting to kidnap the governor over that dictatorial “No Shirt No Shoes No Service” policy the stores continue to enforce.

And yet, that mask.  That thin layer of cloth covering the nose and mouth in a global pandemic of a respiratory virus.  Yes, that is a bridge too far for these folks.  That is the proverbial straw that broke the camel’s back, the hill they choose to die on.  The utter absurdity of this is staggering to me.

REALLY, PEOPLE?  REALLY??????????

This whole thought exercise, besides just making me sad and angry, serves as an unpleasant reminder of how, despite myriad examples over the years, I am continually floored by how petty and ignorant grown folks tend to be throughout their lives.  I say it floors me, but it shouldn’t, because, as I said, I have seen it over and over as I have aged.  I think its power to shock me must be in its historical place in my mind.

You see, growing up, like most kids, I was taught to respect adults and do what they say.  I never wanted to disappoint a teacher, coach, principal, neighbor, or even a friend’s parent.  Somewhere in that superstructure of respect, I guess I unconsciously bestowed upon all adults a lofty presumption of maturity and moral superiority.  I believed that with all of those years under their belts, they must be highly evolved beings, sure to make the wisest decisions, with everyone’s best interests at heart.

It seems that most generations, as they seek out their independence and navigate their late teens and twenties, begin to question those who came before them and attempt to buck the system a bit.  I had some of that in those years.  However, it is only as I have aged, especially as I moved into my thirties and forties and watched my own generation move into full-fledged adulthood and my parents’ generation move to senior status, that I have come face-to-face with the frightening reality that folks don’t really mature all that much.  There is a suffocating normalcy to pettiness and small-mindedness.  Ignorance persists.  I find myself often comparing people in their forties, sixties, even eighties to high school students or elementary students.  Stunted.  (Sadly, I have also been amazed at how much mental illness is out there, and I know that plays into some of this stuntedness.)

Even after studying adults for decades, this immaturity is still hard to wrap my mind around.  It has probably been my single biggest surprise about this thing called Life.  I totally had it wrong from how I thought things worked when I was a kid.  It may be the biggest, but it’s not the only thing that has come to surprise me.  And I don’t mean about my own life; I definitely had that journey mapped out wrong in my head, too, though.  I mean Life—capital L—in general.  The way of the world.  How things are.  You know: Life.

I suppose it is fitting that I guessed wrong about the wisdom and maturity of adults, because I also have been surprised, as I have aged, to learn how “young” a person feels inside (the spirit, the mind, etc.) when she gets old.  I remember decades ago, my Grandma Jeanne once telling me how she still felt like a kid and had felt that way all of her life long (and she seemed so old to me then).  I didn’t get it at all and assumed she was the lone exception.  My 75-year-old mother talks the same way now, and I can feel that in her.  Heck, I still feel my young self inside my nearly half-century-old shell, despite all these extra scars and wrinkles from a full life lived.  I’m still silly.  I still want to play sports and have adventures and eat candy.  I think my spirit might even feel more free now than then.

When I was young, adults always seemed old; I didn’t think I could relate to them.  Now I am that age, AND I work with a lot of kids, and I can tell that they are thinking the same thing about me.  I want to have real conversations with them—feeling myself near to their age and in touch with what they are going through—and they are not the least bit interested.  I am often reminded of my old teachers and coaches; they must have felt as frustrated and disappointed as I do now.  We feel like it was just yesterday when we were that age and so of course we can relate to them, but they feel like we are not just a generation apart but rather eons.  It is one giant missed opportunity in our culture (I tend to think that other cultures navigate this divide much better than we do).

That surprise about how young a person feels when she is old connects with my next surprise about Life: how astonishingly fast it moves.  I did not see that coming at all when I was growing up!  Along the same lines, I did not have any sense when I was young that Time goes faster the older you get, which, from my experience, it plainly does.  I remember as a kid, when my parents said we had to wait two months until school was out or the next family trip or hockey season or whatever, it was like they were talking about some distant era when cars might be flying.  That was so far in the future!  The wait seemed unbearable.  Similarly, when they talked about doing something when they were in high school, I could only picture that in black-and-white.  Their life may as well have been with the dinosaurs.  It was completely unrelatable to anything in my life.  Meanwhile, even as a high schooler, ten years into the future seemed unimaginably far.  Now I look at my kids and realize I have been a father for a dozen years and have had both of them for at least a decade.  Where did that time go???  I feel for my parents, who are now wondering where the 50+ years went since they started having kids.  I can already tell I will be pleading with Time to slow down for the rest of my life, begging for more of it as I approach my end.  It just goes by so fast.

And even though I know that about Time intellectually, I still haven’t internalized it yet.  I don’t think I am alone, either.  We all seem shocked whenever we are confronted with another reminder from the calendar: when we turn another decade older, when our kids hit double digits, when we receive a graduation or wedding announcement in the mail from a “kid” we knew as an infant.  This lesson about Time flying is one that seems to be an ongoing, until-the-day-you-die kind of surprise.

A whole new category of Life surprise for me has surrounded the stories our society grooms us on.  I have been shocked to learn as an adult—often through my own research and critical thinking rather than anything suggested by the powers that be in media or government or even education—that almost all of these foundational stories are half-truths or outright falsehoods, and often quite fairy tale-ish in nature.  As a kid who very much appreciated being thought of as on the winning team and one of the good guys, I totally ate up all of the wonderful, heroic things that American society tells its children not just about American history but also about Christianity (and religion in general).  I find myself as an adult so often saying to myself things like, “Wow, we really have been a terrible people!” or, “How come I never learned that in school?” or, “How could any rational, clear-minded person truly believe that?”

I guess I hoped we were better than we have proven to be (in just about every way).  It has surprised me how lowly-evolved we are.  Human beings in groups are, on the whole, really horrible to each other and so very far from “enlightenment” in any aspect of our development.  Given how lofty my beliefs were about us as a child, that has been a most unpleasant surprise.  We are just not very good at any of it.

In examining all of these aspects of Life that have surprised me as I have aged, I notice that each of them is a disappointment, in varying degrees.  That all by itself is pretty sad.  Is that inevitable for a natural-born optimist like me?  Are those of us who expect the best from people and from the world destined for disappointment?  Maybe that is only for those of us who attempt to push past the superficiality of the stories we are told and look for the Truth in all matters.  It may be more pleasant to believe only what suits us, but I think I will keep going for the Truth, even if it tends to rattle my foundation.  I can evolve.

How about you?  What has surprised you most about Life as you have aged?  Open up your journal and take a deep dive into Existence and how you once imagined it to be.  To begin with, how did you look at the world and the way things seemed to work when you were a kid?  How did you view the adults in your world?  How did you see authority figures?  Did religion play a major role in how you understood the events of the world and your place in it?  What role did your formal education play in your worldview?  How did your heroes shape the way you saw your future?  Did you believe that the way you grew up and the people around you were “normal” and basically the way things were everywhere else?  What was your impression of people in general?  Did you believe that most people were happy and living the way they desired to be? Did you feel that adults, even senior citizens, were relatable?  How much trouble was out there in the world?  What was your sense of Time and how quickly Life passed?  Was your outlook on humanity and the world and the future generally a rosy one, or were you more pessimistic?   Based on all of those aggregated impressions, what has surprised you most about Life?  Has its speed surprised you?  Does Time fly faster the older you get the way it does for me?  When did you first get a sense of that?  Will that keep surprising you until the end of your life?  How about people?  How do they surprise you?  Are they generally better or worse than what you thought as a kid?  Were you aware of all the addiction and mental illness in ordinary people all around you?  How about your foundational beliefs about your country’s goodness or the righteousness of your religion?  Have you come to doubt those stories that you were told?  If so, is it more that you have learned the actual facts or is it just a general feeling that you have or a reasoned doubt?  Are you more or less of a true believer now?  Which direction do you see that heading in the years to come?  Do you imagine that there are even more surprises in store for you beyond the ones you have already experienced, perhaps about relationships or priorities or views of death as it draws nearer?  What has been your most pleasant surprise so far?  How about your most disappointing?  On the whole, have your surprises been more pleasant or unpleasant?  Do you think that is due to how optimistic or pessimistic you were in the first place (i.e. optimists being more likely to be disappointed and vice versa)?  Which one aspect of Life continually surprises you?  Leave me a reply and let me know: What has surprised you most about Life?

Keep growing,

William

P.S. If this resonated with you today, please share it.  Let’s grow our worlds together!

P.P.S. If this way of fleshing out your story appeals to you, consider buying my book, Journal of YOU: Uncovering The Beauty That Is Your Truth, at your favorite online retailers.  Namaste.