Thursday, February 4, 2016

Fuck Positive



Fuck Positive

Life has been a motherfucker lately; it’s always a motherfucker, but this year my mom has a lung disease that should kill her sooner if not later.  I’m not the primary caretaker, holy no—she has insurance and a loving husband--I’ve only had to run around doing menial last wishes chores. It took her bank I don’t know how many resubmitted applications to get a safety deposit box transferred to my son; it seems nothing can ever be done simply over the phone. I walked with my mom through rows of clothes and boxes of novelty sweaters—in the end, she could part with nothing to give to the poor because she liked it all.  “You’re the poor, Debbie, so you can just come get it after I die.” 

Having a dying mom makes for a less than baseline positive self and I’ve always been a depressive person so let’s just say I’ve been grim lately. More anxious than usual. Other family members are probably progressing in their respective treatments for their various illnesses, but managing all their appointments and issues is a bitch; I’m always on the phone. I have phone phobia to begin with—I get clammy palms and a racing heart when I talk to a disembodied voice—and here I act like a receptionist almost every day with medical appointments.  Prioritize your own healthcare, everyone says. Put the oxygen mask on Mommy first. But of course, I always haven’t.

The sort of psychotherapy that dead broke Louisiana seems to push when it can’t provide actual services for those who live in pain and wretchedness is Let’s Focus on the Good Stuff. I have nothing against positive thinking, but I’d rather have the 40 hours a week childcare that the state owes me for my disabled daughter. Sophie is on a 10 year waiting list for a sitter, and I also have a disabled husband and the world’s judgement because I’m not going out and making more money. Oh right I have a mental illness myself but the free clinic only has so much time to offer me so I’m not getting the proper medical attention I need. But positive thinking works as well as the yoga and tai chi I don’t have time to do because last week I juggled six medical appointments for the disabled members of my family who DO have Medicaid, plus the dog got her ovaries yanked out.  Meanwhile I can’t see a doctor without insurance in this town for issues other than my bipolar--my sprained ankle won’t heal, I have sciatica pain, and although the new governor has promised health insurance for my income group by July, I still don’t have it, and folks at the clinic on Government street says that unless more people are hired to handle the applications, Medicaid for thousands ain’t happening soon.  So while the water heater breaks, the plumber comes by for his monthly visit, while various social workers call in late or tell me they have to re-do assessments for my son or daughter they didn’t do right the first time (my son is about to get a shiny new diagnosis of high-functioning autism like his dad), while my mom goes around telling every grocery clerk and bank teller that she looks great but the doctors say she could go anytime now, I try to be positive.  One thing I’ll say for myself—I try. It’s probably my subclinical OCD and perfectionism that makes me want to report back to the social worker at the clinic: “I TRIED BEING POSITIVE LAST WEEK.”

Being positive often involves going outside and enjoying the yard, but yesterday it was cold and a hard thunderstorm had blown all the early blooms off my favorite magnolia tree.  My son’s at-home therapist was late. David Bowie was still dead. I had too many phone-calls yet to make.  

I told my husband, “I feel like I’m in charge of a mental ward when I really should be one of the patients.”

“That’s silly,” he said, “People in charge of mental wards have more staff than you do.”
So I tried something else.

I remembered that years ago, during my first hospital stay at Brentwood, a very nice facility in Shreveport, back when I was under my dad’s insurance, back when I was a teenager and before there was any suspicion of bipolar 1, I was diagnosed with major depression and an eating disorder. In group therapy, people were asked to image the worse that could happen and to accept it. One girl, who had an eating disorder similar to mine said that her worst fear was getting fat—she cried and accepted getting fat if that meant she could live and everyone congratulated her and there was much ooh wow wonderfulness all around. Then we got around to me and my worst fear was dying, and I said I couldn’t accept that, even though I had already tried to kill myself, and I admitted this was a paradox, and the doctor said we’d get around to me next week.

We didn’t. I left the hospital against medical advice soon after.  I’d been there for months, not getting any better, and my dad was convinced I’d get better at home. I actually did get better at home, if you consider gaining weight and going back to school and not dying getting better. As they say, there’s always room for improvement.

So yesterday I thought about my whole worst fear ultimatum the Brentwood psychiatrist had delivered.

I wondered if it was the same.  Do I still fear death and crave it?  Suicide is no longer an option when you have family depending on you. Many times, even very recently, I’ve wanted to die because life just sucks. But I thought harder, and no, that wasn’t at my worst fear. My worst fear was plain just dying too soon and leaving my needy family.

Could I accept the fact that I might have a shorter life span than 90 and that I might go out in 15 years? That like David Bowie and my mom, I will die of some disease in a proper timely age (honestly, it’s not gauche to die in one’s 60s) and leave my oh so dependent family? What about my very special needs daughter?  State care for the rest of her life? Having bipolar 1 statistically shortens my life but my grandmas lived hella long so genetically that boosts me some, but the fact is, I’m not getting any younger and I only have maybe a decade and a half of true vitality left. And probably more hard work ahead of me given my luck.

Could I accept that?

I did.

I felt better when I did. I figured that I would probably whine more somewhere down the line but I didn’t cry. There was nothing else to do but know that I would die, that I would leave my Sophie and Asher and Max to fend for themselves, for better or worse, in that worse case scenario. 

Oddly enough, I think accepting worse case scenarios, even making them real, takes away some anxiety if not all of it. It’s not positive thinking at ALL.  But after imagining myself only living for another 15 years, I started planning, in my squirrel with nuts way, for a trip to California. I didn’t check Facebook. I didn’t listen obsessively one more time to David Bowie’s creepy last album about death. I had an afternoon cup of coffee while the plumber wrote me another bill and I did some math (amazingly, without crying) with an eye towards that California trip.

After all, I figured, it might be the last family trip I might take. Not just before I die but before Max gets Alzheimer’s –or more realistically, Asher grows up and moves out on his own. But allowing myself to think about negative scenarios and accepting them let me calm down in my own way. Fuck positive. Really. That’s just not me.