The Collector

I have a new diagnosis (or two)! More to add to my collection! So far I’ve been told I have:

- Major depression

- “Double” depression (major + dysthymia)

- Alcoholism

- Borderline personality disorder

And now, drum roll please:

- Generalized anxiety disorder

- Obsessive compulsive disorder

Frankly, I think all these diagnoses are sort of all bullshit at this point. I know I’ve met the diagnostic criteria for all of them at one point or another and I currently meet the criteria for GAD and OCD, hence the new “diagnosis.” But honestly, these don’t mean anything to me anymore. Nor does the DSM mean much to me these days. I know what I have and I know how to fix it (brains + cash + support + time).

Yet when my doc sprung this on me yesterday, it was still a disappointment. Half: “well, of course” and half “oh no, not again.” He wanted to leap right into a discussion of treatment options and therapeutic interventions and I was like…. Stop. Let’s just process the fact that you’re saying this to me. Let’s just process what this MEANS and feels like. Let’s start with identifying what was the chicken here and what was the egg.

I dunno, somehow, it’s really important for me to understand what came first. If you had cancer, you’d want to know that it was the chemo that was causing your nausea, not the cancer or some other, horrible, underlying illness. And I kind of think that this might be what’s happening here: getting better is causing some things to get worse. It’s like trading one, horrible debilitating illness for four, smaller slightly less annoying ones. Watch:

Age 0-7:

I know I started with a genetic susceptibility towards emotional sensitivity. I own that. I’m sensitive in all the good and bad ways that word connotes. I’m also creative and intelligent – another asset/liability depending on what day it is. Growing up, my home environment preys on this. My parents’ inability to regulate their emotions spilled over and made me even more hyper-vigilant. Their invalidation & narcissism alters my perceptions of the world and necessitates coping mechanisms like dissociation and near-psychotic (albeit creative) interpretations of reality. (I cannot control trees, no matter how much I believe I can. (I think.))

- Diagnosis at 7: gifted

- Treatment: play Battleship with the school shrink

Age 8-14:

Now, add to this mix an actual, tangible reality that I had to LIVE in every day with things like school and peer pressure and adolescence and loss… and I get pretty worn out. It’s hard to be the crazy one. It gets old. I want to escape. I think about death. A lot. Remember, the rules don’t apply to meeeee!

- Diagnosis at 14: major depression

- Treatment: go directly to hospital. Do not pass go. But maybe stop in at your local liquor store.

Age 15-27:

Wow. That whole crazy/hospital thing really got everyone’s attention. Maybe a bit too much… but, WOW. I’m gonna tell everyone I meet about THAT. Maybe even make it my new “thing.” Oh, and alcohol works great!

- Diagnosis at 27: double depression & alcoholism & borderline

- Treatment: how much money have you got? Double it and mail directly to the nearest mental health provider. Also: cutting releases endorphins! Do that.

Age 28-36:

So. Maybe I went a bit overboard… That whole crazy thing tends to make nice things like husbands and jobs and car keys disappear. Maybe I should try getting - and then keeping - my shit together. But to do that, I’ll have to hold on tight. Really dig my nails in deep and keep everything under perfect lock and key. Measure it out to the nearest microgram. And worry. Don’t forget a heaping spoonful of worry. That’ll help the medicine go down.

- Diagnosis at 36: GAD & OCD

- Treatment: to be determined.