Tag Archives: therapy

Monday Musings: Mental Health and My Complacency — A #HoldOnToTheLight Post

#HoldOnToTheLightI should have enjoyed last week. We had the release of The Chalice War: Stone, the first book in my new Celtic-themed urban fantasy. Lots of spring migrants (talking ’bout birds here) moved through our area of the Cumberland Plateau, so I had plenty of good bird sightings. The weather was cool and clear (mostly), and my morning walks were crisp and golden. As I say, it had all the makings of a fine week.

Yet, it was one of the most difficult weeks of my entire life. And most of the difficulties were of my own making.

I’m not going to go into details as to what happened, or where our family conversations went. Suffice it to say, I did and said some stupid things and hurt both my daughters, two of the three people in this world (along with Nancy) about whom I care most. But the issues in question went far beyond my foolishness in the moment, to encompass deeper matters that go back several years. In a sense the immediate crisis triggered a reckoning with longer-term issues. And that was the painful part.

I have made no secret of the fact that I suffer from generalized anxiety disorder and panic disorder. These conditions have plagued me for much of my life, though I have only identified them and started working to come to terms with them over the past few years. I have been in therapy, I have read about anxiety disorders, I have tried to work into my routines various coping mechanisms. In short, I have taken the process seriously, and have worked at making myself healthier.

To a point.

Life has been challenging and complicated these past couple of years. Much of the mental health work I have done has been geared toward getting myself onto solid emotional ground, enabling myself to get through the day, to be productive in my work, to be functional in social settings. And yes, these are reasonable goals. No one can fault me for wanting any of those outcomes.

The problem is, at some point in the process, I became satisfied with those goals AND those results. I made them not just my immediate aims, but my ultimate ones. And as I found that solid footing, those productive days, the ability to navigate social settings, I settled in to a more comfortable approach to my therapy. I allowed my goals to shift to maintenance of the improvements I had managed to make in my life. I lost sight of the more distant — and more difficult — aims of my mental health regimen.

And so this week, as the crisis with my daughters deepened, I found myself confronted by a reality I had ignored and forgotten in recent months.

Namely this: As with the mental health issues of so many, mine are not just about me. They are about the people in my life, the people who have to coexist with me, who deal with my anxiety and its manifestations on a daily basis. I am not the easiest person to be around under the very best of circumstances, but when my GAD kicks in, or when I hover at the edge of a panic attack, my anxiety can be disruptive for everyone around me. Since I tend to be especially prone to my anxiety problems when I travel, or at times when we are interacting with a lot of people, like at holidays, my kids often have a front row seat to my worst moments.

It became clear to me this past week that I had grown complacent with my therapy and the rest of the mental health work I do. I might have been maintaining an easy middle ground that allowed me to function in most says, but that same middle ground had not yet addressed the deeper problems that have impacted the lives of my spouse and my children. I needed to be reminded of this, and for that I feel badly. I should have known better.

But the important thing is I’ve learned the lesson and taken it to heart. I have already been in touch with my therapist and have arranged to resume more frequent sessions. I intend to work on some potentially curative protocols that will be more demanding, more tiring, but which could make big differences in my daily life and in these crucial relationships. And I am considering other possible remedies as well.

More to the point, I have vowed to my family — and I now vow to you as well — that I will do whatever is necessary to improve my mental health, to make myself an easier person to be around, and to be a better father and husband and friend.

Because here is the fundamental point. It wasn’t merely complacency that held me back. It was fear as well. Fear of the hard work, fear of the difficult revelations that may lurk ahead of me, fear of the emotions I know I will have to wade through to reach the other side. And because of the fear I was not only short-changing my loved ones, I was short-changing myself. I was doing less than I could for me, and so was settling for less emotional health than I deserve.

No more.

I offer this glimpse into my private health in the hope that perhaps others in similar situations and predicaments might find my experience illustrative. If that’s you, I hope this has helped.

Have a great week.

Professional Wednesday: What Holds Me Back, part I — Life Issues

As we turn the calendar to March, I thought I would turn to a new series of posts in my Professional Wednesday feature. This month, as I struggle with a bit of work-related inertia, I have decided some might find it helpful to read about “What Holds Me Back.” Because let’s be honest — those of us who seek to make a living as professional creators face no shortage of obstacles to productivity. We have to be self-motivated, we have to be disciplined, we have to be imaginative and prolific on demand. None of this is easy and at times it seems hobgoblins lurk in every corner, threatening to undermine even the most sincere determination to get stuff done.

What — or who — are my hobgoblins? How do they disrupt my work patterns, and what do I do to keep them at bay? These are the questions I hope to address in the next several Wednesday posts.

This week, I address perhaps the most obvious and formidable hobgoblin of them all: Life.

Life is a fickle bastard, with a cruel streak a mile wide, a perverse — at times evil — sense of humor, and a preternatural knack for intruding at the absolute worst moment. But Life can also be charming, deeply attractive, kind, generous, and downright fun. This is part of what makes Life such a difficult opponent in the battle over productivity. Life is as changeable as March weather, as unpredictable as the best storyline, and as relentless as time itself. Life happens constantly; Life will not sit quietly in a corner reading a book and respecting our need for calm just because we have a looming deadline or a new idea we are eager to explore. Life lives to mess with us.

All strange metaphors aside, in my experience, relating to my own work output and also my interactions with other professionals, general life disruptions are responsible for the vast majority of missed deadlines and punted obligations. Sometimes it’s the (relatively) small stuff — a kid with a bad cold or stomach bug, a blown car engine or flat tire, a flooded basement or loss of power. Sometimes it’s more serious than that — an ailing elderly parent, a dire illness in the family, a failing marriage, the death of a friend or relative. I’ve faced my share of such things — not all, but enough; every one of us has.

And in the short term, there is nothing we can do about them. Life imposes its own exigencies. When our kid is sick or our parents are fading or a relative or friend is in need, we have no choice but to prioritize the people we love and the obligations we’ve taken on as parents and partners, offspring and siblings and friends. No one with a thread of compassion or decency should punish or blame us for this. Those who would, do so at their own risk, because eventually they, too, will be on the receiving end of Life’s caprice.

The problem comes later, after the crisis has passed, but while the aftermath lingers. Nearly two years ago, when our daughter received her cancer diagnosis, I withdrew from . . . well, pretty much everything. I told my agent and editor that I wouldn’t be able to make a deadline that was still a couple of months away. I stopped seeing friends. I hunkered down with my fear and my grief and my anger, and I essentially surrendered to this terrible thing Life had done to my family and me. I was sure I couldn’t work through it, and so I didn’t even think it worthwhile to make the attempt.

Nancy responded differently, not because she is better or stronger than I am (although she might well be both . . .) but because she deals with emotional strain differently. She is great at compartmentalizing, which is good, because at the time she had a high-stress, high-profile job. In the time since, she has advanced to a position that is even more high-stress and high-profile. Her ability to compartmentalize has served her well.

I don’t have that ability. I can’t compartmentalize. But, I realized, I had a different ability I could harness. I had learned years ago — when we lost my parents, and later when we lost my eldest brother — to channel my grief and pain into my art. And it didn’t take me long after hearing the news of our daughter’s illness to understand that was precisely what I needed to do. Within a week of calling my agent and editor to tell them I was pulling back, I sent them new messages. I am working through this. I will make my deadline.

INVASIVES, by David B. Coe (Jacket art courtesy of Belle Books)And I did. The book was Invasives, by the way. It contains the best character work I’ve ever done, and that is no coincidence.

I suffer from anxiety and panic disorder. I sometimes walk the edge of depression. I know as well as anyone that coping with life is hard, and that glib, easy-fix solutions to the shit life throws at us are worse than useless. Such facile responses can actually hurt, because they suggest to those of us who struggle that the problem isn’t the circumstance but rather our inability to deal with it.

But I know as well, from my own experience, that we don’t have to be whole to create. Life elicits emotion and those emotions can overwhelm and paralyze. The thing is, though, we’re creators, and emotion is our bread and butter. Yes, at times the emotions we feel in life’s rawest moments are like a downed electrical wire. We touch them at our own risk. As I found a couple of years ago, however, we can be resilient in the face of the worst circumstances. Long before I was ready to interact with other people, I was ready, even eager, to take hold of that live wire and use it for something constructive and healing.

Life can disrupt our art. We all know this. But we are alchemists at heart. We can turn grief and hurt and fear and anger into golden moments on the page (or the canvas or the guitar or the stage — whatever). And, for me at least, that is how I keep life from holding me back.

Keep writing.

Monday Musings: Facing Down a Big Birthday

I am staring down the barrel of a big birthday. This time next week, I’ll have passed a dubious milestone, and the fact is, right now I’m struggling a bit with the whole getting older thing.

Yes, I know the clichés. Even on my birthday, I only get a day older. Age is a state of mind. Growing older beats the alternative.

None of them is helping right now.

I remember feeling similarly ten years ago, as I neared my last milestone birthday. I was (and am again) acutely aware of being far closer to my dotage than to my youth. Since that last big birthday, I’ve lost a brother, watched as my older daughter battles serious illness, lost my mother-in-law and a brother-in-law, and more friends than I care to count. Life has been challenging, and at the same time wondrous and fun and rewarding, making it feel all the more precious.

Sometimes I write posts with a lesson in mind, or as a way of dispensing what little wisdom I might have. Other times, I write searching for answers. This post doesn’t fit neatly into either of those patterns. I have no wisdom today. I don’t know what lesson I might offer to myself, much less to someone else. And, frankly, I am not seeking advice from others. As I say, I know the platitudes. I am deeply grateful for all I have and all I have accomplished. And I am certain the answer for what ails me right now lies entirely within.

I think in part I am eager — impatient, even — to get on with the next phase of my life. Nancy and I have raised our children, we have enjoyed our careers, we have worked hard to set ourselves up financially for what we call “retirement,” although I don’t think it will really be a retirement in any traditional sense. I don’t intend to stop working, and while Nancy is ready for whatever might be next, she is also open to any and all possibilities in that respect. All I know is that I am looking forward to changing the pace of the life we share so that we can enjoy each other and the things we love doing together.

And so in a way, my resistance to this birthday is rooted in that impatience, but also in the understanding that the work we did to get to this point in our shared life took thirty-plus years and swooped by in a flash of laughter and love, struggle and grief. The time we have left to enjoy the fruits of that work feels potentially too brief by comparison.

When Nancy and I started dating (in our mid-late twenties), we told each other we would give the relationship eighty years, and if at the end of those eighty years together we felt the relationship wasn’t working anymore, we’d go our separate ways. Obviously, we said this with tongues firmly in cheek. But in all honestly, I want my eighty years. Every one of them. Right now, that romantic fantasy is bumping up against the reality of my 60th birthday.

I have written before of my emotional health issues. I have been candid about my struggles and also about the comfort and growth I have found in therapy. I have learned that whatever I am working on at a particular moment rarely impacts my mood and health in a vacuum. It’s all connected, even if I don’t always see the connections right away. I am certain my current hyper-awareness of my own mortality is tied to my brother Bill’s death five years ago, and also to my ongoing worries about my daughter’s health. I know it is connected as well to lingering professional ambitions and dissatisfaction with elements of my career path.

This is what I meant when I said the answers lie within. I know that next week I will only be seven days older than I am now, not a year. I know as well that the coming decade will be filled with . . . well, with life — with pleasure and pain, joy and sadness, good days and bad. Many have told me that they have LOVED life in their sixties. I intend to as well.

But to draw inspiration from the incomparable Ned Ryerson, I also know that first step is going to be a doozy . . . .

Have a great week.

Monday Musings: What Matters? Part III — People and Relationships

We lost my older brother a bit over five years ago, and, as you might expect, in the aftermath of his death, my emotions were roiled and at times conflicted. Among other things, I was angry with him. Deeply, almost cripplingly angry. Why? Because in his youth he engaged in a lot of self-destructive behavior, and one could draw a clear line from his poor choices early in life to the cause of his death at too young an age.

Bill and I were very close, despite the nearly fifteen years between us. When I was young, I worshipped him. Later, I saw his flaws more clearly, but I still adored him. His death clobbered me. I was devastated and for a while that devastation manifested, in part, as rage — at the loss, at the injustice, and, yes, at what I perceived as the needlessness of it all. At the same time, though, I didn’t want to hold on to the anger. I wanted to grieve for him properly, without the resentment. And I got there eventually. But it took years, and several long, painful conversations with my therapist.

In writing my “what matters” posts over the past couple of weeks, I have thought about this particular post a good deal. We may devote a good deal of our time to work, but most of us expend the bulk of our emotional energy — another finite personal resource — on our relationships with friends, family members, and romantic partners, as well as with work colleagues.

In my first post of the new year, I wrote about a different set of anger issues that I have been trying to control in recent months. I honestly can’t discuss these publicly, but suffice it to say I know this anger is no more productive for me than was the anger I directed at my brother. In my view, anger is not always a negative emotion. Righteous anger can empower and even inspire. But simmering resentments tend to wear on us and drain us.

In the past couple of years, I have tried a different tactic — although clearly from what I’ve written here, I am still figuring all of this out. In my professional dealings, when I encounter people who are dishonest, disrespectful, disruptive, I cut them out of my life. It’s that simple. I have no patience anymore for the kind of people I’m referencing here. (And some of them, if they’re reading this, may well recognize themselves.)

This is harder to do in our personal lives. But often it’s every bit as necessary. Toxic interactions, abusive friends and family, interactions that leave us feeling badly about ourselves — no one needs this.

I have started this post with the negative, and that may have been a mistake. Because the truth is, personal relationships mean more to me than anything, beginning with my marriage and my relationships with my daughters. I love my extended family, I have many years-long friendships that I treasure deeply, and I am fortunate to have a number of professional friends and colleagues whom I respect and enjoy seeing at conventions and other events. And just as negative interactions leach away my emotional energy, these positive ones boost it. I know this, and no doubt you know it in your life as well. It’s intuitive. And yet, so many of us continue to engage with people who suck more out of our lives than they put into them.

As I discussed last week, we have limited time for all the things we want and need to do, day to day and week to week. Spending time with the people we love, the people we enjoy seeing, the people whose company enhances our lives — nothing matters more, in my view. But I would also say it’s very nearly as important to avoid those encounters that rob us of joy, of energy, of confidence. Sometimes they can’t be avoided. We can choose our friends, the saying goes; we can’t choose our family. And, I would add, we can’t choose our friends’ friends. Nor can many of us choose our co-workers and the people we interact with in parts of our lives over which we have less control.

We do have a choice, though, as to how we engage with the people around us. What matters, it seems to me, is continuing to feed the relationships that nourish us in return, and to set strict boundaries around those that don’t. As I say, we can’t avoid entirely the people who aren’t good to us or for us. But we can keep them at arm’s length. And, on those occasions when we have to interact at greater length or in greater depth than we would like, we can remind ourselves at every opportunity of our own worth, and of the histories that let us know a given person can’t be relied upon or shouldn’t be trusted.

I should add here that I don’t want my glib solutions to minimize the dangers of a truly abusive relationship. Extricating oneself from such situations is far more complex and difficult than I have made all of this sound. There are excellent resources available for those who find themselves in such circumstances, and if you are in an abusive relationship, please, please, please seek professional help.

We have limited time. We have limited emotional energy. We deserve to have as much time as possible with the people we love and who love us back for who we are. I believe devoting time and energy to those relationships should be at the very top of the list of things that matter in our lives.

Have a wonderful week.

Monday Musings: My Decision to Start Therapy — A #HoldOnToTheLight Post

#HoldOnToTheLightShortly after I graduated from college, back in Medieval times, I corresponded with a dear college friend, one who continues to this day to be a close friend. At the time, she was dealing with some emotional issues and had started therapy. “Counseling is the best thing in the world,” she wrote to me. “If everyone was in counseling with a good counselor there would be world peace.”

I wrote down the quote at the time, and have returned to it many times in the intervening years, sometimes with amusement (it’s just a great statement) and at other times with the sense that I ought to take to heart the lesson of her words.

Only this year, with the cancer diagnosis given to my older child, did I finally act on her wise advice and start therapy.

When I was young, being in therapy carried a stigma. Mental health and mental illness were even less well understood than they are now. Seeking a counselor was an admission of “weakness,” of being unable to hack it on one’s own. I grew up in New York, a bastion of liberal thought and cutting edge cultural trends, and was raised in an educated, privileged family. And still, I grew up with this bias ingrained in me. People like me didn’t need therapy, because we were “strong” and “normal” and “healthy,” whatever the hell those words meant.

It took me a long, long time to overcome that element of my upbringing. Which is really too bad, because I now know that I have suffered from anxiety and panic disorder my entire life. I denied this reality for years. I was “high strung.” “Type A.” I was “a worrier.” Given time, I could probably come up with a dozen other euphemisms that I used, or that others used on my behalf, to help me deny the obvious. Because “high strung” was okay. Suffering from anxiety suggested something deeper, more serious, more systemic. It implied that I wasn’t “well.”

Guess what. I wasn’t well.

Back in 2017 and 2018, after my brother died, I went through a really dark period. I was grieving, grappling with all sorts of difficult, nearly crippling emotional issues. At the time, it was the most troubling period of my emotional life. Still I made excuses, explaining away my decision not to seek therapy. Our younger daughter was just starting college and we couldn’t afford the added expense. It was natural for me to be having a hard time — I was in mourning. I could handle the problems on my own.

It was a terrible decision, and I shudder to think of what might have happened had I not fallen back on the next best thing to seeking the help of a counselor. I wrote about my brother. Not just a journal entry (although I should add here that regular journaling has also become a key part of my mental health regimen). I had conversations with people from his life and delved deeply into family history and the papers he’d left behind. The piece I wrote about him is one of the best things I’ve ever done. Few have read it, and for now that’s fine with me. The process itself was the point. It saved me from myself — my stubbornness, my denial, the lingering effects of my upbringing.

With my daughter’s cancer diagnosis earlier this year, which came on the heels of a period of deep anxiety during the fall of 2020, I realized the obvious: I needed help. More, I was  for help. I couldn’t do this on my own anymore, nor did I see the need to.

Starting therapy was revelatory. I was fortunate, in that I found on my first try a counselor who understands me, who knows when to challenge my assumptions and when to let me ramble and find for myself a helpful emotional path. Early on, as we talked about an episode in my life that had been particularly formative and painful, she said something that spoke powerfully to my experience, not only with her, but also with the piece I’d written about my brother.

“When you talk about something painful like this,” she said — and I believe she could also have said, when you write about this sort of thing — “you assert control over it. You’re no longer subject to it. Rather, it answers to you.”

Yes. A thousand times, yes.

This was why writing about my brother and his death proved so therapeutic. This was why my sessions with my therapist have been so positive and helpful. This was why my beloved old friend could see universal therapy leading to world peace. When we acknowledge the things that afflict us, when we accept them and speak to them and come to understand them, they cease to be our enemy. They don’t vanish, at least not immediately. But by embracing them, by asserting control over them and making them ours, rather than us being theirs, we rob them of their power.

This, at least, has been my experience. And all those arguments against therapy, which I used to delay what I never should have put off? I reject them now. The stigma? Fortunately, society has progressed beyond this, and I have been dragged kicking and screaming into the 21st century. The money? Many health insurance policies cover mental health, making it as affordable as most common prescription drugs. The time commitment? I take time every day to exercise, because I know that doing so is good for me. Why would I begrudge an hour each week to do something equally healthful?

And so I stand before you (albeit virtually) as an unabashed booster of therapy. I waited until I was in the midst of a family crisis, and I wish I hadn’t. If I’d had the wherewithal as a much younger man to seek professional help, I might have recognized my anxiety for what it was in my twenties or thirties rather than in my fifties. I could have saved myself so much torment, so much sadness and angst. I choose not to consider this for too long. Water under the bridge as the cliché goes.

But I will say this: If you’re suffering, if you feel that you need help, but have been reluctant, for whatever reason, to seek it out, please take the plunge. I believe you’ll be glad you did. You may find peace, healing, and tools for coping that have eluded you up until now. And, as my friend suggests, you might even move us one step closer to world peace.