Mental health according to Mel Brooks

You know the phrase “It’s never your successful friends posting the inspirational quotes?” This is a pretty elastic concept. I would posit that it’s never your sane friends who are constantly posting insights about mental health.

Let’s take it even a step further. You know who knows the most about good mental health? That’s right: Mel Brooks. Specifically, Mel Brooks at the absolute apex of his powers, when he made Blazing Saddles. You might think of the film as a one hour and thirty-five minute spoof of westerns that skewers racism and includes more than the average number of fart and uh schnitzengruben jokes, but it’s actually also rich treasure trove of good role models for mental hygiene. Shut up, it is. I’ll tell you all about it.

Then, because my friend Nora asked me to, I’ll include which drinks pair well with each concept. Nora is a nurse, and you have to do whatever nurses want.

Read the rest of my latest for the Catholic Weekly.

10 things Catholics (and others) should know about therapy

For World Mental Health Day, I’ve updated a thing I wrote a few years ago. It’s all still true! And since then, other members of my family have started seeing therapists, too. We’re so dang mentally healthy around here, I don’t even recognize us.  

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I’ve been seeing a therapist for several years now. I make a point of mentioning it because a lot of Catholics (and others!) are resistant to the idea of therapy. I understand much of that resistance, so I thought I’d share my experience. Here are some basic observations:

1. Therapy is not a replacement for confession or spiritual direction. You may end up addressing the same behaviors in both therapy and confession or spiritual direction, but you’ll learn different things about where they come from and how to deal with them. If you go to therapy, it doesn’t mean you think you’re not responsible for your actions. It means you’re serious about trying to change them.

2. At the same time, therapy is not incompatible with Catholicism – or it shouldn’t be. Ideally, they should dovetail. In my case, I’d made no progress trying to conquer certain behaviors through prayer and confession, so I turned to therapy to help me learn practical ways to do it.

3. It’s far better to see a good therapist who doesn’t know much about your Faith than it is to see a faithful Catholic who’s a second-rate therapist. I went in with the idea that I’d listen with an open mind to whatever my therapist could offer, and I’d do the job of filtering out whatever was incompatible with my faith, and I’d integrate whatever was compatible. Once I got to know and trust the fellow, I let him know that I felt defensive about my Faith, and that I was afraid that he’d see my religion as something to be cured – that he’d see my big family and my spiritual obligations as the things that were dragging me down.

He said that it’s true that some therapists see religion as an unhealthy thing, and they may or may not be aware that they have this prejudice; but he said that most of the good therapists he knows will want to treat the whole person, and that includes their spiritual life; so he encouraged me to be more open about matters touching on religion. I have done this, and it’s worked out well.

This makes sense, because I have made a deliberate effort to integrate my faith into every aspect of my life, so it’s not as if I can compartmentalize it anyway.

At the same time, occasionally bringing up matters of faith with someone who doesn’t share my religion has made me examine pretty closely what I really believe and why. It’s all been to the good, even if it was an uncomfortable and somewhat frightening experience. 

4. Therapy is not for losers. Knowing there’s a problem and not going for help is stupid. Knowing there’s a problem and going for help is what adults do, for their own sakes, and for the sakes of the people they live with. 

5. Of course it’s hard to get started. Important things usually are. It is hard to make the first phone call, especially if you have to make lots and lots of phone calls, and explain over and over again that you need help, until you find someone who is taking new patients and accepts your insurance. Just keep calling. Set a goal per day – say, six phone calls – and just keep plowing through. If possible, if you need it, ask someone to make the phone calls for you. Just get the ball rolling.

6. Don’t assume you can’t possibly afford it. Therapy might be covered by your insurance, or they might offer a sliding scale fee structure, so at least make some calls and find out. If you call an office that does not take your insurance, ask them if they can recommend someone who does. Also ask at your parish. There may possibly be some grant money available. 

7. You might not find the right therapist at first. Give it several sessions, and if things seem really off, it’s completely normal and useful to say so and try someone else. The whole point of this is to help you, and if it’s not helping, then what are you doing?

I was set to see a therapist for an introductory visit, and she didn’t return my phone calls, and then left a message saying she would call back, and then didn’t. So I fired her before I even met with her. If I want to get treated like crap, I can just hang out with my four-year-old at home for free.

8. Therapy isn’t magic. You have to actually do the things throughout the rest of the week. Just showing up for your appointments isn’t going to help anything.

9. Even when it’s working, it takes a while. Things often get harder before they get easier. It’s normal to have ups and downs, and it’s normal to regress at a certain point. You should be seeing some progress at some point, but don’t expect to be on a dazzling upward trajectory from day one.

10. Therapy is smarter than you think, smarty.  So give it a chance, even if your therapist uses words or ideas that sound goofy at first. If you have a decent therapist who seems intelligent, responsive, and respectful, then keep an open mind.

I had a hard time, for instance, getting over the word “mindfulness.” I was like, “But I do not balance crystals on my forehead when I get overwhelmed by yoga pants shopping, so get away from me with your mindfulness nonsense!” Well, it happens that I went in for help changing some behavior that I do out of habit, that I do without thinking, and that I do when I feel like I’m not in control of my responses. So guess what I’m working on? Mindfulness. La di dah.

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If you’ve had a good (or a bad) experience with therapy, what would you add? What would you like your fellow Catholics to know?

Image via MaxPixel (Creative Commons)

When anxiety comes disguised as love

Anxiety is like a strangling vine. Rooting it out feels perilous, because you’re afraid that all the wholesome, fruitful shoots will be uprooted along with it. If I stop fretting, will I stop caring? If I stop freaking out, will I stop making an effort? If I’m not suffering, is it really love?

Read the rest of my latest for The Catholic Weekly.

photo credit: L____ photo_0014 via photopin (license)

You are not dead. You are waiting.

One winter vacation when I was in college, I went with my mother to a charismatic healing Mass. You could say that I had been “struggling” with depression, but that’s not really the word. I lived there.  I was being swallowed whole by it, day after day, and I could not get out. Wherever people led me, I would go, whether they liked or loved me, hated me, or just found me useful. So I went with her to ask for healing, not with hope, but just because it couldn’t hurt.

The service was emotional—tacky, to be honest— and while the priest was fervid, the scattered congregation sounded sheepish and forced as they softly hooted and called “Amen!” into the chilly air of the church.

We lined up and the priest recited some words of healing—I forget them utterly—over each of us.  Then he gave every forehead a firm shove, to put us off balance in case the Holy Spirit wanted to overcome anyone.  A few people crumpled and passed out, snow melting quietly off their boots onto the tiled floor.  Most of us just staggered a bit under the pressure, recovered, stepped around the fallen, and went back to our seats.

Well, I thought, another dead encounter with dead people in a dead world.  I slid into my pew.  Nothing had changed because nothing could change.  I was dead, and everyone else was allowed to be alive.  Why?  Who knows?  Someone had been sent for help, but help would not come.  Help was not for me.

And then I heard these words in my head, “You made Me wait.  Now you can wait for a while.”  They were not my words.  The tone was warm, a little sad, with a small vein of humor.  I think I was being teased, chided for taking so long to send for help.  You like games, talitha?  All right, I will play.  Now, wait.

Then I went home. Nothing happened, that I could see.

Years later, I thought of that day as I read Tomie dePaola’s The Miracles of Jesus with my four-year-old daughter.  She listened attentively, but I could see that most of the wonders didn’t impress her much.  In these short narratives, some kind of grown-up problem is introduced—and then poof, God solves it, The End.

I think she saw Jesus acting more or less like all adults act:  making good things appear arbitrarily, making sick people feel better, occasionally being cranky and strange, and wishing people would say “thank you” more often.  It was cool, but it didn’t mean much to her. They were miracles, not the kind of thing that happen in real life.

Jairus’ daughter, however, really got her attention—probably because it was about a child, and also because it was a full story, with suspense, despair, and a happy ending, plus the hint of a full life to come.

Jesus hears the news that the girl was sick, but He isn’t teleported to her bed. He walks, one foot in front of the other, on His way to her.  And when He gets there, it’s too late. Her family is weeping; the girl, the poor little thing who wanted to be healed, is already dead.

My daughter got very quiet at this point.  We read on:

“But Jesus said, ‘Do not weep.  She is not dead.  She is asleep.’
And the people only laughed at him, knowing that she was dead.

She looked at me with big eyes.  They laughed at Jesus!

Jesus took her by the hand and said, ‘Child, arise.’
And her spirit returned and she got up at once.  Then Jesus told them to give her something to eat.”

At this point, my daughter hurled herself at me and gave me a big, squeezing hug. She got that part!  She knows about being sad, needing help, waiting far too long, being rescued, and then having something to eat, because all these ups and downs make you hungry.  And then life goes on, once you have been saved.  Here was a miracle she could appreciate—the kind that’s part of a story.

I got it, too, because I knew that story. I had been that girl. And I had heard that voice. It was a long time, and a lot of steps, before my slow rescue from the dead came up to the speed where it was recognizably healing, recognizably a wonder. But I never forgot the words I heard, telling me that help was on the way. That I wasn’t really dead; I was waiting.

If you have ever lived inside a black hole; if you have moved about the world enclosed in a dome of sound proof glass, with no voices but your own voice, which you hate above all other sounds in the world; if you have felt so bad for so long that you don’t even want life to get better, you just want it to be over—then you will understand that it was very, very good to hear this voice that simply said, “You are not dead. You are only sleeping. And I am on my way.”

I was not merely sitting in that cold pew, it told me. I was sitting and waiting.  Someone was with me; or at least, someone was on the way.  I was happy to wait.  I was happy!  This was new.

That was how I began to be healed, more than twenty years ago.  It was a long road of waiting, after I began to be healed.  It is a long road.  I’ve been in therapy for over three years, and now I’ve started spiritual direction. I don’t know what is next. The road keeps getting longer, to be honest, and every time I think I am finally healed, I see that I am not, not yet. But I can see Christ better and better as He approaches, step by step. My healing started when I asked Him, without hope, for healing.

That is what our breath is for: To call out for help. As long as we still have breath in us, we are not dead, we are only sleeping.  We are not alone; we are waiting for Christ to arrive.

Can you wait a little longer? You are not dead. You are waiting.

 

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Photo by Jon Tyson on Unsplash

Related reading: I thought good Catholics didn’t need therapy. Then I went.

Mindfulness, meet my bumper

Don’t shoot those helicopters down

Ten things about therapy

Passing through the moor

When you are sad, cry.

Don’t you realize comedy is a matter of life and death?

Faith, reason, depression, and help

A version of this essay originally ran in the National Catholic Register in 2011.

 

 

 

On mindfulness (and nosefulness)

This week, I’m driving up and down, up and down the same twenty-mile strip of road every day. I was getting terribly bored, even though the car is stocked with a CD flip folder of the complete works of Pavement (I dunno).
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So I decided to stick my head out the window and see what I could smell as I drove and drove and drove. And there I was! Wet pavement, hot pavement, hot dust, dry dust, several kinds of pine, mold and mildew, wood fires, wood chips, wet wood chips, all manner of sweet grasses and sweet and spicy weeds, lighter fluid, and, in one lonely sumac grove, a startling cloud of chicken pot pie. So many invisible, disembodied, very insistent presences ready to be named as I hurtled past them down the highway.
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Strangest of all was when I couldn’t smell anything for minutes at a time. I could see with my eyes that there were things to smell: shining bogs, waving clusters of chicory, downed pine logs abandoned in piles and overcome with wild grapes and clematis. But no smell, just the everyday air. Either they somehow cancelled each other out in some kind of arcane chemical process, or else they smelled of something I live with day to day and don’t recognize as a thing anymore. I sniffed and sniffed when I didn’t smell anything, but I didn’t get anywhere. I was seized with a desire to change that, to know exactly where I am, nosewise.
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This olfactory walkabout made the ride fly by; and it’s also a pleasant way of practicing mindfulness, which in its basic form just means choosing not to skim heedlessly over the surface of your day, but to deliberately root yourself in the world and moment you’ve been given. Happily, olfactory mindfulness also brings extra oxygen up into your brain, which never hurts (assuming the air is clean).
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I was glad to happen across this way of spending time because I waste and disregard and scroll past so much of my life, and I want to do that less. It’s a beautiful world, and you can choose to gratefully, actively partake of that beauty, or you can choose to let it slip by.
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But also, the last several weeks have been intensely stressful for several reasons. I sometimes find myself panicking without really knowing why. Habits of mindfulness, olfactory and otherwise, help enormously. When I stop and decide to practice mindfulness, I don’t try to figure out or solve anything; I just mentally pause and deliberately name all the things I’m feeling as I hurtle down he road. No judging, just categorizing. If I feel guilty for feeling something, then that gets named and put on the list, too.
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Then, once I’ve taken a few minutes to narrow in on the best possible words to describe the top five things I’m feeling . . . they often sit back and let me deal with them. It’s like sorting a nightmarish mountain of dirty dishes into tidy stacks of plates and bowls: You still have to wash them, but my goodness, it’s suddenly a manageable task, rather than overwhelming chaos.
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Sometimes, once you’ve sorted everything, the task ahead of you turns out to be not as bad as it looks; sometimes there was a lot of empty space in between pots and pans, and the actual workload is much smaller than you thought; and very often, a few things can be dispensed of with a quick rinse, and then you’re done with them.
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Then maybe you do come across a grisly, blistered old broiler pan that’s going to take some extra work, if it can be salvaged at all. Well, you’ll feel a lot more at peace about letting it soak a little longer once you’ve cleared away the easier stuff. But you won’t be able to tell which is which until you pause and do a little sorting, naming.
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And yes, breathing helps. Get more oxygen into your brain. It may not make you feel calmer right away, but it will help you think clearly. Mindfulness is not a substitute for prayer or for a spiritual life (and there’s nothing especially eastern or pagan about it, even if your posture while you’re being mindful happens to resemble a downhearted dog or whatever); but it serves your spiritual life very well. It’s easier to pray once you’re calm and know clearly what is on your mind, and it’s easier to speak to God once you’ve rooted yourself, with attention and gratitude, in the world He’s given you. Including the smells!

How to celebrate World Mental Health Day like the crazy bitch you are

On a bus? It’s only courteous to apologize to everyone for the noise your head is making.

Primal scream therapy has been largely debunked. Instead, try emptying your mind, relaxing your muscles, opening your throat, and then, for as long as you can sustain it, make a noise like a wabbit*. I think you’ll find it immensely liberating (for other people).

Throw glitter on people, so they will understand what a strong person you are! Or something! I don’t know, I saw it on a meme.

If you can’t find your pants, simply stand in the middle of the house and shout, “PANTS! PANTS! PANTS! PANTS! PANTS!” until someone comes running with your pants. I know you’ll think I’m just saying this because it was on a TV show, and you’re right; but on the other hand, it actually works. It sometimes takes a while, e.g.. when no one else is home, but this is when persistence counts.

Hey, why don’t you smoke a lot of pot? That will help! Smart smart smart!

Those “hippe-dippie” calming mantras are actually surprisingly effective, and can really ease anxiety and restore your sense of peace and proportion. Just be sure you have found one that is completely unique to you. If you accidentally use someone else’s mantra, they will know, and — you know what, nothing bad will happen, probably. It’s just something to keep in mind. You know what, it’s probably fine. Don’t worry about it.

Break into your therapist’s office after hours and hang up all his friggin’ pictures. The Ansel Adams and the generic tree landscape, and that dreadful framed inspirational poster with the kayak, that have all been leaning up against the wall since your intake visit, marking the spot where they are supposed to be hung. And also the clock that always shows 9:53, with the unopened package of batteries balanced on top of it. Seriously. Is this just to make you feel more sane in comparison, or what? Is this some kind of social experiment? Is that even ethical? Why 9:53???

When did you last eat something? Fingernails doesn’t count. Geez, go have a spoonful of peanut butter and then we can figure out if existence is really empty and meaningless or not. I’m not saying it’s not. I’m just saying, have some peanut butter.

Always remember: It’s okay to shoot your TV screen for saying “Flappity flippers!” one more time. You warned it.

*(“WABBIT!!! WABBIT! WABBIT!”)

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Image: Asiir at English Wikipedia (Asiir) [CC BY 2.5 (http://creativecommons.org/licenses/by/2.5)], via Wikimedia Commons

When you are sad, cry.

On the drive home this morning, I decided not to turn on the radio. I wanted to cry, instead, and I didn’t want to be distracted.

We’re fine. Thank God, we’re not dealing with floods and sinkholes and wild boars and floating fire ants, and we’re not refugees or victims of famine. I’m just sad because, among other reasons, I left my five-year-old off at kindergarten for the first time. In her excitement, she ran too fast, tripped, and scraped her knee. With a bloody cut and a hole in her tights, she suddenly lost courage, and so did I; so we clung to each other a little longer than I planned. It’s a tiny, manageable loss, this child heading off to school. But I did want to cry on the way home.

We sometimes want to erase grief immediately, to send an emergency brigade out with a firehose to wash things clean. When a mother miscarries, for instance, she may report to her doctor that she cries, feels sad, and is having a hard time sleeping. I’m not talking about months down the road; I’m talking about grieving immediately after the death of a child. Of course she feels sad. But a doctor’s response is often, “You are depressed. Let me write you a prescription so you feel better.”

Let me be clear. When grief and sorrow are debilitating, antidepressants are a godsend. If sorrow lasts too long and has too much power, it can become paralyzing depression, which roots itself deep in your psyche and separates you from living a full life. I have been on antidepressants myself, and so have some of my family members. Some people castigate mental health drugs as artificial or as a mere band-aid, but in many cases, they can truly heal and restore us to health, to our true selves.

But grief and sorrow are not in themselves pathological. They are, in fact, the only appropriate responses to death, to grief, to separation. I forget the context, but Florence King once skewered oafish do-gooders who couldn’t even wait for the blood to stop flowing before they lept in howling, “Let the healing begin!” There’s nothing healthy about trying to erase grief before it can even declare itself.

That’s why I didn’t want to be distracted by the radio this morning, even though I knew it would stave off tears. Distractions don’t heal grief; they merely chase it into hiding, where it eventually morphs into something uglier, and harder to live with than tears.

We are afraid of grief, and rightly so; but we should also be afraid of losing the ability to feel, and the ability to understand ourselves. When we chase grief away the moment it appears, we are deliberately blinding ourselves to some true part of our own lives. No good can come of that. When we don’t know ourselves, we aren’t free.

Maybe it’s easy for me to say so, while my sorrows are small. But I take my cue from the Psalms, where people with big sorrows also felt free to pour them out without reserve. They wanted the healing to begin, yes, but not before they had their say:

“Is it nothing to you, all you who pass by?
    Look around and see.
Is any suffering like my suffering
    that was inflicted on me,
that the Lord brought on me
    in the day of his fierce anger?

13 “From on high he sent fire,
    sent it down into my bones.
He spread a net for my feet
    and turned me back.
He made me desolate,
    faint all the day long.

[…]

16 “This is why I weep
    and my eyes overflow with tears.
No one is near to comfort me,
    no one to restore my spirit.
My children are destitute
    because the enemy has prevailed.”

It is good to sit with sorrow for a while. I know it’s not a new idea, and not a ground-shaking one, but maybe you need to hear it today. If you are sad, let yourself cry. If someone you love is sad, don’t try to steamroll them into healing right away. Sorrow has its place, and sorrow will have its due.

Check out my segment on the Jesuitical podcast!

I chatted with the delightful Ashley McKinless and Olga Segura about Catholicism and mental health.

Talking about mental health isn’t easy. And when you throw faith into the mix it often becomes even harder. Many Catholics mistakenly think that needing mental health treatment amounts to a kind of spiritual failure. This week, we talk with writer Simcha Fisher, author of The Sinner’s Guide to Natural Family Planning, about how she learned to balance her Catholic faith and therapy.

You can hear and download the podcast that includes many other topics of interest to Catholics.

I thought Good Catholics didn’t need therapy. Then I went.

Sometimes, I have to take my therapist’s words with a grain of salt or filter them through a Catholic lens. More often, I discover that my lifelong spiritual failings are actually emotional wounds. And as they heal, it becomes easier to follow Christ.

Read the rest of my essay for America magazine.

We can’t just decide to stop being afraid, but we can manage it

Most of us realise we’re not supposed to live in a state of constant fear. It isn’t any fun, for one thing; and we can see it leads us to make bad decisions. Jesus came right out and told us, “Be not afraid!”

How, though? Much as we’d like to, we can’t just decide to stop being afraid.

Read the rest of my latest for The Catholic Weekly.