suicide awareness

Letting Go: Dealing with Loss

loss is like the sea
Grief is like the ocean; it comes in waves ebbing and flowing. Sometimes the water is calm, and sometimes it is overwhelming. All we can do is learn to swim.
— Vicki Harrison

It is said that every loss is a form of death. In every instance, where there once was something; an idea, experience or person that brought your life meaning and now it no longer exists. Inevitably, coping with loss always involves the same dynamics. Whether you are dealing with the loss of a friendship, job, pet or loved one, we are forced to reconcile with the fact that we will never experience something or someone again.  But where there is a loss, I believe there is also the opportunity to rebuild and perhaps even strengthen what once was.


When you’re dealing with cancer or a significant loss in any form, I believe you lose bits and parts of yourself over and over. With cancer, there is the loss of your appearance, the physical sense of who you once were is stripped away little by little, or at times seemingly all at once.  


 It starts with the three words you have dreaded hearing your entire life, “You have cancer,” and it doesn’t stop. It’s a slow cascade of loss starting with the loss of your current plans, followed by your hair, and for many the ability to work, become a parent, sleep comfortably or move without pain.


But as bits and parts of you get stripped away, I believe there is the opportunity to rebuild what once was into something stronger; a version 2.0 of yourself. Just as scar tissue is stronger than regular tissue in a biological sense, I believe so too is the potential for your body and your psyche to transform for the better during these times.  


It starts with the realization that you are strong, and you can handle way more than you ever have imagined. Things will get better. Although, it doesn’t feel like it. It’s not easy, but it gets easier.


Still, sudden loss in any form has a way of ripping you open, making you emotionally raw. Even when you have been carrying on successfully, many years later, a thought or a memory has a way of bringing you to your knees. It’s been 17 years since I lost my loved one to suicide, yet a memory of us has the ability to still make me weep nearly two decades later.


I believe a lot of this pain stems from the realization that we will never see our loved one again in this life, no matter what we do. The word “never” itself is a difficult concept to bear. “Never” hurts because it means that it can’t be changed. While change can be scary, within it lies opportunity. We as humans at some level like the idea of change because it means it’s not permanent, there still exists a possibility. This makes us feel good deep down. However, true loss in a sense means it’s over. It’s gone. You can’t bring a dead person back to life. You can’t redo a past mistake or unsay the words that destroyed a relationship. For when it’s gone, it’s gone, and it will never be the same no matter what you do. In a psychological sense, this destroys a small piece of you. A piece that you must learn to rebuild.


When we lose a relationship, for instance, it’s meaning is stripped away from our lives. Suddenly, something that created so much meaning and purpose in our life no longer exists. As a result, we tend to feel a sense of emptiness where the meaning used to reside. We begin to question ourselves, wondering if we made the right decisions. Sometimes, our questioning turns existential. We begin to wonder if life is actually meaningful at all. This lack of meaning is commonly known as depression.  While depression and sadness typically occur together, they are not the same.


Sadness occurs when something feels bad. Depression occurs when something feels meaningless. The difference is when something feels bad, it still has meaning. When you’re depressed, everything becomes a big empty void. The deeper the depression, the deeper the pointlessness of any action becomes, to the point one starts to struggle to get out of bed, shower, eat and even speak to people.


Depression has many faces and moods. It never looks the same. It's also not always obvious. Sometimes it's very visible, and many times it goes unnoticed. It is an illness that can affect anyone, and prescriptions for antidepressants are soaring, yet depression is still badly misunderstood.


Depression does not discriminate. Men, women, rich, poor, white, black. No one is immune. It is not just an illness for people with dark, mysterious pasts or chaotic presents. It is everywhere. It’s your sister, your coworker, your brother, your, wife, your cousin, your mother and the barista at your morning coffee stop. Depression is omnipresent but is still often talked about in hushed whispers, due to the stigma that surrounds mental health.


In recent years, the tragic deaths of Robin Williams, Chris Cornell, Chester Bennington, Kate Spade and now Anthony Bourdain are helping to shine a light on the severity of depression and the reality of suicide. Many people wonder, how could this happen?


From the outside looking in, they appeared to have all the trappings for success which should bring happiness and meaning, yet they still chose to end their lives. But why? I believe the following metaphor sums this up so eloquently.

When we look at a mountain we see one face of it, and even if we wake up and gaze at that same mountain every single morning of our lives, we do not see its wholeness. We can hike it, fly over it, traverse its circumference a thousand times and still we won’t see its entirety, every layer, every element, every atom. To know a mountain, or a person, is to see a whole being in its fullness at all times in all seasons — every mood, every moment. If there is a God, this is what God sees. But we are not gods, and so our view, no matter how vast, is always partial.
— Sara Benincasa


We all wear masks to cover up our true selves, and we can be terrific actors when we choose to be. Anthony Bourdain left us tragically far too soon, in the same manner that Kate Spade did the same week. It’s, unfortunately, the way many artists, teachers and visionaries have left us, and it is how I’ve lost loved ones and at times even contemplated leaving myself.


Those who turn to suicide often don't get enough credit for how long and how hard they fought the hopeless thoughts that relentlessly tormented their minds. Unless you have lived it yourself, I feel no one can truly understand the psychological agony of living with an unquiet mind. You are truly stuck in an invisible war where every word and every action is scrutinized by an insatiable inner critic that seems hellbent on your destruction. You are fighting the fight of your life every day, against yourself, and against a world that still, unfortunately, doesn’t understand.


 Suicide can be an act of depression, of despair and of true belief that nothing will ever improve. It can also be an act of absolute panic. When the noise inside your head gets so loud, or the physical pain seems inescapable, or the abuse seems like it will never end, it is in those moments, suicide may appear to be the ultimate act of relief.


While suicide may appear outwardly as a choice, I tend to refute that notion. I believe the final act was the result instead of an illness that simply got the better of their mental faculties and the ability to make a rational decision at that moment. Just as we would not blame someone for dying of cancer or Alzheimer’s disease, we should not fault or judge one from dying of suicide.  


It is neither a failure of character nor an indicator of a genius mind to contemplate suicide. It is just a thing that happens, and it happens more often to some of us than to others. There is pain, and the management of it looks different to all of us, and sometimes the managing of it becomes exhausting. It’s in times like these that the allure of death becomes stronger and one might get the urge to quit fighting.


We all have our battles, our losses we must endure. It’s simply a matter of life, and unfortunately, no one is immune. I believe that you never get "over" losing a loved one, but you learn to cope and heal over time. The wound will scab, but you'll always have the scar.


Scars are a sign of experience and strength, and maybe that's what healing looks like after losing someone you love. Showing off your scars to help others know they're not alone and that they will indeed survive their pain if they ever experience something similar.


In that sense, I believe dealing with loss is as much letting go as it is about hanging on. It’s letting go of what was and hanging on to the possibility that things will get better. It just takes time. And that’s life. We are all given battles we must learn to fight and losses we must overcome. Ebbing and flowing, like the ocean. Sometimes the water is calm, other times it seems it will swallow us whole. All we can do is keep on swimming. The choice is ours.

swimming underwater.jpg

Peaks and Valleys

peaks and valleys

When I was a little girl, my grandmother would always tell me when I was discouraged or facing a difficult time, “Life is just peaks and valleys, this too will pass.” The older I’ve grown, the more I’ve come to realize how wise and true that statement really is.

Life definitely has its ups and downs for all of us. We all experience the good “peaks” from time to time like new jobs, relationships, and babies. Then there are the “valleys” we must face—losing loved ones, jobs, or becoming sick or injured. We all have those times that try our patience and test our faith. Life definitely hits in waves and can knock us off our feet, but it is up to us to keep swimming and go with the flow. I firmly believe we have to learn to surrender to what is in order to achieve what could be.

 I think having this duality—this mixture of good and bad is what helps us to appreciate and give meaning to our lives. For just as without the blackness of night, we would be unable to see the beauty of stars, this dichotomy helps to shape us and mold our character. Because if life was all sunshine and rainbows all the time, what would we learn?

In other words, it’s the really the bad times we should embrace and be thankful for because they are what helps us to appreciate the good times. It’s a hard lesson to always remember when you’re in the midst of a seemingly negative event, like having cancer, but it’s so incredibly important.

Since the day I found out I had cancer right before my 32nd birthday, I made a silent promise to myself and my family that my story isn’t over yet and I would do everything in my power to have this experience make me BETTER not bitter.

I’m not one for tattoos because of my tendency to pass out with needles, but if I were to get one it would incorporate the phrase “WARR;OR.” The semicolon in replace of the “I” in the word warrior would be to pay tribute to  Project Semicolon to honor my battles with cancer and bipolar disorder.  

To me, a warrior is an individual with incredible strength who is extraordinarily brave. These individuals fight difficult battles and endure terrible pain. Even though a warrior is strong and brave, sometimes the battles and pain they endure cause them to fall, but only for a brief moment. Warriors may fall, but they always get back up and keep fighting.

 I believe we each have an insurmountable strength and exceptional bravery deep inside of us. Every time we choose to do something extremely brave or strong, we are a warrior.

This is especially true for those among us with mental illness, who fight a difficult battle every day, enduring pain of the body, mind, and spirit. We are strong and brave and yet sometimes the battles we fight and the pain we feel causes us to fall— but only for a short time. Still, because we are warriors, we get back up and keep fighting.

With mental illness, we fight every day to get out of bed, take care of our bodies and protect our minds from the torpedo of emotion brought on by disorders. We fight for control over our lives when our mental illness tries to take that control away from us.

The battle is exhausting and can leave us feeling weak and tired. Sometimes, the battle seems too grueling, too much for us to handle. It’s those times we warriors fall slightly and contemplate what it would mean to not have to fight anymore.

Many mental health warriors have lost their battle, and many of us sometimes wish we would. Sometimes, we just want to find an end to our suffering. Sometimes, we are too tired to be strong, too broken to be brave. We let our thoughts of giving up consume our strong and capable minds until those thoughts become a battle themselves. Then, we have to fight to stay alive. As we fight for our lives, we look to one little symbol, one small weapon, to give us hope and restore our strength.

The semicolon is our symbol of strength and hope. It is our small weapon against suicidal thoughts and ideation. The semicolon is used when an author chooses not to end a sentence. In our case, the sentence is our life, and we are the writers. We look to the semicolon to remind us we can’t end our sentence and to gain hope and inspiration through its meaning. The semicolon means keep going, don’t give up and don’t stop writing.

Throughout my life, I’ve experienced the polarity of emotions and my existence. I’ve personally been so depressed and hopeless, I’ve contemplated taking my life. I’ve also fought with every fiber of my being to stay on this Earth for my family. In this way, having cancer and bipolar disorder has given me a unique perspective. I know what it’s like to be in so much physical and emotional pain you just want to find peace, even if that means taking your own life. And I know what it’s like to be told in the seemingly prime of your life you might die. I’ve also lost loved ones to suicide.

But I’m here to tell you I’m so happy I kept fighting. And if you happen to be battling demons no one else seems to know about or understand, I’m here to tell you that you are enough, and if you can just hold on a little longer it WILL get better. 

 You matter. Your story matters. After all, don’t you want to see how your story COULD end? There could be some twists and turns you weren’t expecting. =)

Life surely hits in waves but with the right mentality, we can stand whatever storm comes our way. I believe the key to weathering the storm is to find meaning within the adversity we are facing. As quoted from Dr. Viktor Frankl in my previous post, “We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation—just think of an incurable disease such as inoperable cancer—we are challenged to change ourselves.”

For I cannot change that I was born with genes that made me susceptible to developing both cancer and bipolar disorder. It’s just the hand that I was dealt. But I can change my perspective and I can use my journey to hopefully help to ease the burdens of others. I hope my story can show that just because you've been "diagnosed" with something serious like mental illness or cancer, it's not a death sentence. It's just one chapter in your story. 

My journey is far from over but today was another “peak” along the way. I found out that my stage 3 Hodgkin Lymphoma has resolved itself after threes months of immunotherapy and two cycles of chemotherapy. I still have several months of chemotherapy left before I finish treatment but I can officially say I’m in remission!

So to all my fellow warriors, keep fighting. Don’t give up. Keep writing your story. You never know what twists, turns or surprise characters may be just around the corner.

Sources:

The Mighty

Project Semicolon

 

 If you need to talk to someone immediately, the National Suicide Prevention Lifeline can be reached at 1-800-273-TALK (8255) and the Crisis Text Line can be reached by texting HOME to 741741.

 

 

 

 

 

 

Dealing with a Difficult Diagnosis

Getting diagnosed is a double edged sword. On one hand, you can find comfort and a sense of relief in finally knowing what’s going on inside your body. But on the other hand, being diagnosed forces you to see yourself in a new, often negative light. You realize that you are not well. Part of your body is dysfunctional. For me, that was a difficult truth to face.

Whether you were recently diagnosed with a terminal illness, or you are battling an invisible illness or injury—a diagnosis can bring sense of isolation. You feel separated from the outside world. You now know without a doubt that part of you is unwell.

Normal every day life starts to feel hollow. You start to feel like you are living in two different worlds. One inside your head, where the reality of your illness consumes every waking thought. On the outside, you can smile and pretend at times that you are fine, but the truth is, the reality of your illness is never far from your mind.

For me, I was first diagnosed with a serious illness at 15. It was 2001, and a year of great personal change and societal upheaval. In the spring of 2001, my aunt took her own life. This was the first time I lost a close family member. It was a shocking and traumatic blow to my close-knit family. During the same time, my beloved grandfather was dying of leukemia. Then in the fall, 9/11 happened and life in the U.S., as well the entire world, was forever changed. 

I felt like I was losing control. It was all too much.  I felt scared and alone. Soon I just wanted to sleep and shut off the outside world. When I wasn't sleeping, my eyes were filled with tears. The constant stream of scrutiny in mind was unending. In my head, I was failing my family, my friends and even school. I could not find any hope in my current situation or the world. When my family would ask what was wrong, all I could do was answer, "You just don't understand."

Soon the negative thoughts consumed nearly every waking thought. I was hardly eating or sleeping. I wanted it to stop. I wanted the pain to end. It was then that I first attempted to take my life.

Thankfully, my mom found me before any serious harm came to me. My suicide attempt was truly a cry for help. I needed help getting control of all the thoughts in my head.

After my suicide attempt, I was diagnosed with bipolar disorder. I was given a host of medicines to try, from anti-depressants to lithium. I began to go to therapy. We were told to limit stressors and identify triggers. The medicine helped to slow down my racing thoughts but the rest of the world seemed to slow down along with it.

I felt like I was standing alone in a crowed room, screaming at everyone around me to hear me and see the pain that I was in. But everyone else was moving so fast that they could not hear or even see me. They were not on my level. Once again I was alone. 

While I wanted to fully accept my diagnosis and treatment plan, part of me rejected the idea that I wasn't well. After all I had been through that year and early on in my life, who wouldn't have a hard time adjusting to this much change and tragedy?

In my head, being told I was bipolar at 15 was a death sentence. My aunt who took her life was bipolar. I assumed that I was destined to meet a similar fate since there is no cure. I began to rebel and thought it was best to live fast and hard since I was destined to die young. So I did.

I fought the ups and downs of bipolar disorder for over 5 years. Throughout high school and my early years of college, I went on and off medicine and in and out of therapy depending on the severity of my symptoms. I ultimately had to leave college when I became pregnant with my first child at the age of 20.

The patterns of mania and depression were obvious to everyone but myself. It was only after I lost control again and was on the brink of suicide that I finally sought and accepted the help and treatment I so badly needed.

Taking Control

When I found out I was pregnant at age 20, life as I knew it was forever changed...for the better. By honoring the new life growing inside me, I was able to finally start to heal. I wanted to be better, not just for myself, but I wanted to be there to love, guide and nurture the new life growing inside me. 

Whether you are struggling with addiction, mental illness, trauma or serious illness, I believe the first step is acceptance. You need to accept and surrender to your situation in order to fully move past the negative and find the positive.

In a 12 step program, recovery starts by admitting you are powerless, but that a power greater than yourself can restore you to sanity. For some, they find strength by finding a higher power in religion, while others find solace in nature, their pets or in living for their family. 

I believe that the first step toward recovery lies in finding a motivation outside yourself. For me, my saving grace was having my daughter. Feeling the flickers of life growing inside me filled me with hope for me future—for the first time in my life.  She became the cornerstone upon which I built the foundation for my new life. Having the courage to have her, gave me the strength and confidence I needed to finally face my fears and grow into the woman I knew in my heart I was capable of becoming. 

By finding the right mix of medicine along with cognitive behavioral therapy, I was finally able to take back control of my life and find the stability that is so often elusive when you are suffering from mental illness. Outside of medicine and therapy, what helped me the most to come to terms and accept being bipolar was the unwavering love, support and guidance from my (now) husband, parents and close friends.

I believe having a strong support system outside of medicine and therapy is critical for long-term success. Their unconditional love allows me to feel at ease confiding my thoughts, no matter how strange or silly they might seem. This helps me understand if I am processing and reacting to a situation in the right manner.

One of the most challenging parts of dealing with bipolar disorder or cancer is learning how to separate yourself from your illness so you can learn effective strategies to cope with the anxious or obsessive racing thoughts.  What helped me tremendously was understanding that intrusive thoughts are a symptom of my disorder. 

Intrusive thoughts are thoughts that consistently enter your mind against your will. They're considered intrusive because you simply cannot get them out of your mind, and they often pop up at unusual moments. Intrusive thoughts may also occur in flashes, and often cause significant anxiety when they enter your mind. Examples of intrusive thoughts include unwanted memories and violent or sexual thoughts. Through cognitive behavioral therapy and by practicing mindfulness and meditation I was able to learn how to better control them.

A book that helped me enormously to come to terms and learn effective coping strategies was Take Charge of Bipolar Disorder: A 4-Step Plan for You and Your Loved Ones to Manage the Illness and Create Lasting Stability by Julie Fast. If you or your loved ones are suffering from mental illness, I highly recommend reading this book. One of the reasons this resonated with me is the author Julie Fast has bipolar disorder. She wrote the book along with her doctor. Her honest perspective about dealing with mental illness coupled with the medical advice make this book one of the best I have ever read on the topic.

After committing myself wholeheartedly to my treatment plan, I was able to go back to college, graduate with honors, get married, start my career and a family. Life was finally coming together. Then I was diagnosed with cancer. It's a shocking turn of events to accept when you feel that your life is finally getting on the right track.

However, I am choosing to view my cancer diagnosis with an open and grateful heart. I’m grateful because I believe all my past experiences have prepared me for the difficult journey ahead. One of the ways I have been able to remain strong, positive and focused on my recovery is by applying a growth-centered mindset to my current situation.

As Eckhart Tolle explains in his book, "A New Earth: Awakening to Your Life's Purpose:

The primary cause of unhappiness is never the situation but your thoughts about it. Be aware of the thoughts you are thinking. Separate them from the situation which is always neutral, which always is as it is. There is the situation or the fact, and here are my thoughts about it. Instead of making up stories, stay with the facts. For example, “I am ruined” is a story. It limits you and prevents you from taking effective action. “I have fifty cents left in my bank account” is a fact. Facing facts is always empowering. Be aware that what you think , to a large extent, creates the emotions that you feel. See the link between what your thinking and your emotions. Rather than being your thoughts and emotions, be the awareness behind them.

 


He goes on to say that, “Life will give you whatever experience is most helpful for the evolution of your consciousness. How do you know this is the experience you need? Because this is the experience you are having at the moment.” 

According to Tolle, the root of our suffering has a noble purpose. Instead of wishing it away, we need to fully embrace it. For it is through embracing our suffering that we will awaken to our true purpose. While some things look negative on the surface, you will soon realize that space is being created in your life for something new to emerge.

The fact is I have cancer and bipolar disorder. I can't change the fact I have these illnesses, but I can control my actions, and in doing so I can create a positive mindset focused on healing rather than fighting. So I am choosing to embrace the uncertainty of my illness. I am learning to honor and accept my pain. For I believe this is all temporary and preparing me to be better, stronger and wiser on the other side. Every painful or uncomfortable moment is getting me one step closer to being both cancer free and whole again.