An Explanation

I read something on the internet the other day. Here is the link: http://ocduk.org/types-ocd

This is me.

Violent Intrusive Thoughts – obsessive fears of carrying out violent acts against loved ones or other people. Intrusive thoughts include:

Violently harming children or loved ones.
Killing innocent people.
Using kitchen knives and other sharp objects (compulsion will include locking away knives and sharp objects).
Jumping in front of a train or fast moving bus.
Poisoning the food of loved ones (compulsion will include avoiding cooking for family).
Acting on unwanted impulses, e.g. running someone over, stabbing someone.
Thoughts about accidentally touching someone inappropriately, with the aim of hurting them.

Most sufferers with these types of fears often end up labelling themselves as a bad person, simply for having the thoughts. They falsely believe that having the thoughts mean they are capable of acting upon them. The constant analysing and questioning of these disturbing aspects of OCD becomes incredibly upsetting and because of the nature of the thoughts many sufferers are reluctant to open up to health professionals to seek help, fearing they may be labelled.

A person with these types of intrusive thoughts will avoid public places like shopping centres and other places, where social interaction may be required, to avoid coming into close contact with people that may trigger the obsessive thoughts.

To sufferers and non-sufferers alike, the thoughts and fears related to OCD can often seem profoundly shocking . It must be stressed, however, that they are just thoughts, and they are not voluntarily produced. Neither are they fantasies or impulses which will be acted upon.

J didn’t understand when I told him about this, and, let me tell you, it was not easy to talk about. He thought I was talking about fantasies. He told me that he had a fantasy that his wife was dead and everyone was feeling sorry for him, and that is a normal fantasy when you think that you are taking care of everyone all the time and not getting cared for. Or he had a fantasy about shooting a guy’s tires out because he cut him off on the road.

When I told him these aren’t fantasies he tried to make them logical. Like if I have the urge to stab my husband in the back with a kitchen knife it is probably because I am annoyed with him for snoring and keeping me up in the night.

He never understood. But maybe whoever wrote this website understands. However, I am not sure if what I have is OCD, or if I am just an evil person. J told me that thoughts are not actions. But thoughts can be bad. And it’s not always thoughts, it often feels like a very strong urge. I don’t know what that is, and why I have that. My aunt told me she has it too, so maybe it is some genetic fault in our family. Badness in the genes.


Recent Keyword Searches

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Good question. I wonder if this person found what they were looking for on my blog.

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I don’t even know what to think about this one.

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Whoever you are, I am sorry you are sad. Reading my blog probably made you sadder.

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I would like to know also. Is that all it takes to overcome anxiety – a tattoo with a magic phrase?

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Some suggestions: tutor, nursery school teacher, virtual assistant, travel agent (from home)

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not sure if the intrusive thoughts are about food, or occur while eating or digesting food…maybe you’re hungry?

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Do you want them to have Thanksgiving at your house? I know it’s hard to say no, but I hope you did!


Mindfulness Again

Not feeling very well. And I’m gaining weight. I don’t understand it, I’m really watching my calories. I had 1400 calories today – and I even counted the stuff I don’t normally count that really adds up, the sweetened iced tea, the chocolate candy, the red bull energy shot, the margarita. And I gained 2 pounds. I feel sick. I have to starve myself to lose weight. I’ve gained 9 pounds since last summer, and I felt great last summer. Something has to change.

The drinking seems to be somewhat out of control. This morning I didn’t feel very well when I got up due to the excess of wine last night, and I swore I wouldn’t drink today. But the first thing I did when I got home was to pour myself a margarita. Getting on the scale tonight is definitely a deterrent to drinking any more this evening!

I started running again this week. Well, I ran once this week – Tuesday morning. I was going to run tonight, but we had thunderstorms. So maybe tomorrow morning. I’m only doing 20 minutes, and at a 2/1 run/walk ratio (2 minutes run/1 minute walk). Maybe I’ll go on a long bike ride this weekend. Not burning enough calories.

I went to Best Buy to get some videos. Guess what I got? The Bourne Ultimatum, The Wrestler, and Along Came Polly. Two depressing, one funny. And I’m doing my 5 minutes of listening to mindfulness for every 20 minutes of Jason Bourne.

So about this mindfulness stuff. I have already told J that I need to keep my mind going in order to avoid the intrusive thoughts. He doesn’t understand. On the mindfulness audio, it says I should notice my thoughts without judgment. He doesn’t understand me either. Examples he gives of thoughts that may jump into a person’s head are “My husband and I had a terrible argument last night.” Or “I better work on that presentation or my boss will be angry.”

He doesn’t talk about what to do about thoughts that jump into my head like, “Oh yes I’m washing this knife, and I can pick it up and stab myself in the heart right now. Or stab my kids in their hearts.” Or “I need to go put hamsters down the garbage disposal and turn it on.” How about those Jon Kabat Zinn? What do you have to say about those kinds of thoughts? Still non-judgmental? Ha!

I’m trying not to dwell on the fact that my daughter is leaving in 15 days. I’m trying to stay in the present, not think about what it will be like around here without her. Not to think about the fact that my kids are adults now, that I am aging and entering a new stage of my life, that my job is just about finished, that I really don’t have a function anymore. I’m seriously trying not to ruminate about these things, to stay mindful of what is happening minute to minute. I really am trying.

But you know what? You know what, Jon Kabat Zinn? Even though I’m not thinking about those things, they still exist! How about that!!! They are now in my sub-conscious. They don’t go away. And I can be as mindful as you, but those things are all festering below the surface. And I’m watching depressing movies, and listening to depressing music, and drinking, and crying for what seems like no reason. What do you have to say about that Jon Kabat Zinn?


The Purell Perplexity

Something has been bothering me for a while. When I go to my therapy appointments, I sit in the waiting room (for about 15 seconds since I get there right on time) and then J opens his office door, looks in the waiting room, says hi, I get up and walk into his office while he stands by the door, I sit down, he closes the door, then he walks over to his desk and Purells (using that as a verb, as in pushes down the pump top on the purell bottle and rubs it on his hands). Then he comes over to his chair and sits down.

At first I wasn’t sure if this was lotion or Purell, but a while ago I took a look next to his computer and saw that it is indeed Purell. I am wondering why he feels the need to Purell himself after I walk into the room. My first thought is that I am so gross that I emanate germs just walking by him and he needs to antibacterialize himself right away. Then I think maybe he thinks there are germs on the doorknob that he just touched to open the door to let me in. But I am the first client, so where would the germs on the doorknob have come from? The only person touching the doorknob since he left the previous evening would be him. Plus germs don’t live that long on doorknobs.

So I am back to the being totally gross theory. This is why I am in therapy I suppose. Because when someone Purells in my vicinity I think it might be because I am disgusting. Does that make me a narcissist? Thinking whatever anyone does must have something to do with me? I just want these crazy thoughts to stop, is that too much to ask?


Unmindfulness

I know I am supposed to be more mindful, but I am finding that being unmindful can be very helpful.

Yesterday I had to cut something with a knife. Knives are a problem for me, the sight of a knife generates bad thoughts, and actually holding and using one can be scary. But I like to cook and eat and therefore I must use knives.

How to solve this dilemma? Unmindfulness! While using the knife, allow your mind to zone out. Don’t pay attention to the smoothness of the handle, to the shininess of the blade, to the first squirt of lemon juice that pops out as you slice the lemon. Zone out …. have an imaginary conversation with someone in your head, pretend you are in Zambia about to go on safari, think about your 8th grade graduation and how your friend’s little brother unscrewed all of the lids from the salt shakers in the restaurant so that the next time someone went to shake salt on their food the lid fell off onto their steak.

Whatever it takes to forget that you have a knife in your hand that you are using in an aggressive manner. Yes, you are just slicing a lemon, but hey, that is aggressive. Live in the past, live in the future, worry about your taxes, obsess about whether you should turn on the heat or the a/c tonight, do all of those things Jon Kabat Zinn says we are not supposed to do.

What will be the result? No one has been stabbed, you haven’t cut your wrists, and you have a nice sliced lemon that you have no recollection of slicing.


Adventures in Beigeville 5/25/10 – Part 2

So let’s see what else we talked about. J didn’t really address the items on my lists specifically, I guess because they all come down to me finding negative things about myself. And he seems to really not bring up suicide or death at all, those issues were on the list and he just ignored them. I didn’t mention how often I think about this, how the “equipment” is in the back of my car, how I did a trial run, etc. I brought it up a couple of times in previous sessions, I have emailed him about it, we talked on the phone about it, and I guess he figures that his work in this area is done. That he has convinced me to stay alive. And since he doesn’t ask questions he doesn’t know anything unless I bring it up. And it is difficult to keep bringing it up all the time. So I guess we’re done with the suicidal ideation discussions.

He went off on the mindfulness stuff again. How my problem is anxiety and my mind thinks too much. He asked if I have ever been to the Grand Canyon, and I said yes. He asked how I felt when I saw it, and I said I was scared I would fall in. He looked dismayed and I realized that I gave the wrong answer. So I said, “It was amazing. It was big.” He talked about how a person can be in the present when they are in a situation like seeing the Grand Canyon for the first time, and I should be mindful instead of letting my mind go crazy. I said what am I supposed to do, go to the Grand Canyon every time my mind wanders? He said that wouldn’t work, he doubts the Park Rangers there are impressed after they have been working there for a while.

A while ago he had suggested I get an audio cd called “Mindfulness for Beginners” by Jon Kabat Zin. I had read his book “Full Catastrophe Living” previously and liked it. So I got the audio version and put it on my ipod and listened to it, but I haven’t listened in a while. I found that while I was being mindful and letting my mind empty itself of its never ending thoughts, that is when the bad thoughts came in. I told J that, and he said that is common for distracting thoughts to enter people’s heads when they practice mindfulness. And I told him that most people probably think things like, “Oh I better pick up the dry cleaning.” But I think really bad thoughts, and they just come into my head, and that is why I have to keep my mind working at all times. He said, “So the perseverating is a defense against bad thoughts?” Yes! Exactly!

He looked kind of baffled, like he doesn’t know what to do about that. Hopefully he is googling the answer so that he’ll be able to find the solution.

So I’ve been listening to the audio book, and I got to a part that I didn’t really understand. I wish there was a print version of this, but there doesn’t seem to be. I transcribed this:

The interesting thing really happens when you start to question who you are and where you are going. How much do we actually know with certainty who we are or are we just creating some gigantic story for ourselves and then when the story seems to be going well we’re just tremendously happy and full bore ahead into what’s next and when the story turns a corner or maybe even for one reason or another even from early childhood is a story of mayhem and disaster and abuse and neglect or not being seen then the story we tell ourselves is one of being completely imprisoned or completely unworthy or completely unintelligent or whatever it is that we tell ourselves to create this story that there is no hope for us. And what mindfulness is saying is “This is just all thinking”. It’s highly supported by all sorts of evidence that you can xxxx (couldn’t understand this word) from your past why you’re no good or why you’re the greatest thing to hit the planet since sliced rye bread, but all of those are just obsessions around self-centeredness. That when you begin to question it or look at who is doing all this talking inside my own head you realize that you don’t even know. And if you actually want to taste wholeness which is the root meaning of the word healthy, the word healing, the word holy, the irony is that it’s here in all moments; this rotation in consciousness that allows us to actually see and realize that we are seeing, to think and to know what’s on our minds, to feel, to experience emotion and to be in relationship to a new way that is actually wise and is actually self-compassionate and doesn’t saddle ourselves with stories of how great we are or stories of how horrible we are or inadequate we are that then kind of serve like cement blocks that keep us sinking in some kind of ocean or some morass of our own, to a very large extent, of our own creation. So from that point of view it’s not like meditation is saying you should know who you are, it’s much more can you question who you are and be comfortable with not knowing because when it comes right down to it people say well who are you ….

And this leads me to think: What the fuck? First of all it is insulting to anyone with a messed up childhood. They are obsessing around self-centeredness? They are making up a story? That’s basically the only thing I understand in this paragraph. What the hell is he talking about?

There are other parts that I need to transcribe and post here, that are equally as non-understandable. But basically he is saying that mindfulness is being aware. I think I’m pretty aware. So I don’t understand what I am supposed to be doing exactly. Turning off my mind I guess. And J tried to convince me that I would never do the things that my mind comes up with, that they are just thoughts not actions. And he told me I am always questioning whether I am a good or bad person, but there is no way to know. I said that was discouraging, and he said, why? If you know it is impossible to find the answer it is a relief. You don’t have to keep asking. That is totally confusing to me.

J also said something about how with some people he has to dig deeper to figure out their emotions, but that I feel too much. Is it possible to feel too much? He told me this once before, that I need to water down my feelings. This after he has told me repeatedly that I am not too sensitive.

Does he even know what he is talking about?


Holding It Together

I’m functioning, so I guess I’m not having a nervous breakdown. Thank you to everyone who answered my questions yesterday, I really appreciate the knowledge and experience that you shared.

I’ve been in NY since Friday evening with my mother and daughter, and I’m holding it together. I had a meltdown Friday night and I yelled at my daughter pretty badly and then at my mother after she told me to stop yelling at her. Thinking back on that 2 or 3 minute episode makes me feel sick to my stomach. I used to yell at my kids all the time like that, but I rarely lose it now. It causes me a lot of shame when I do.

So since then I’ve been using every ounce of energy to restrain myself when I feel like I’m going to get out of control. Everything my mother does causes irritation, even the stupidest things that I shouldn’t bat an eyelash at. I’m just trying to keep breathing.

And at night I drink, which isn’t very good. Because I’m not feeling very well when I wake up in the mornings, and I should be running on the hotel treadmill, but I feel somewhat sick.

I alternate between wanting to go home and not wanting to go home, because home is usually my safe place, but now home is where I can kill myself. The suicidal thoughts are constant. Practicing in my head over and over, planning a trial run, etc. Being dead sounds so appealing. Just being nothing, being gone. I feel like nothing, so I may as well be nothing.


Parrot T

So I’m sure you are all anxiously awaiting my recap of my session with Parrot T.  Not!  If anyone is interested here you go.

Her office is in her home.  I got there a few minutes early and she had told me to park behind her in the driveway, due to the snow in the street, however there was another car in the driveway.  I was a little early, so I drove around the neighborhood.  I got back at 11:58am (my appointment was at noon) and the car was still in the driveway, so I parked in the street.  The snow was fairly well cleared away anyway.  I went to her door and she said to push the buzzer, which I did, and then the door buzzed and I went in.  There was a little waiting room with a couch, chairs, tv, books, radio, etc.  I heard a very loud noise, like a cartoon on a tv, or even children talking really loudly.  I thought maybe her children were home from school or something.

Then she comes into the waiting room with the parrot.  The parrot was screaming, “Good bye, goodbye, goodbye, goodbye…”  She said, “Hi, I’m D.  This is Guinevere.  I’ll be with you in a minute, make yourself at home.”  She left, with Guinevere.  I sat and looked around.  There was a little fountain, and an electronic yahtzee game, and a little tray of sand with a little rake and some rocks in it.  There was also a parrot stand with a colorful strand of beads hanging on it.  The furniture was mostly plain, it was comfy though.

Then another woman came into the waiting room, I guess the previous patient.  It was a little past noon by now.  (Hmm, not very strict with boundaries?  Could be an issue for me.)  She said Hi and and I said Hi, and she left.  Then D came back out to get me, showed me where the restroom is, and led me into her office.  She told me which chair to sit in.  Her office is small, and she has a desk that was messy.  Her computer still has Windows XP.  There was another parrot stand with more colorful beads on it.  She said she had to call my insurance company and she could do that while I filled out paperwork, but when I told her what the insurance company told me when I called she said it doesn’t sound like she will need to call after all since I had all of the information.  She was looking for papers on her desk, and it was messy and she couldn’t find them.  She shuffled around for a while, then got the papers and put them on a clipboard and gave them to me to fill out.  She sat and watched me while I did that.

Then I got to ask her my questions, which she answered happily and easily.  She doesn’t do email, but doesn’t mind me bringing in things to read, collages, slideshows, etc.  She said she is quite happy to have other methods of communication like that.  She is 62 years old, and she said, “I bet you didn’t think so,” and she was right, she looked younger.  As for her look, well, it’s nothing like J.  She is a bit overweight, and her clothes are the baggy, flowy kind of look that older heavier women sometimes get into.  She had on a pretty necklace.  I didn’t like her shoes, they were somewhat orthopedic looking.  The clothes were like those loose things from Chico’s.  She has huge boobs, but not in a good way.  She could have used a consultation in a lingerie shop, better undergarments would be an asset for her.

After I asked her my questions I handed her my list of issues.  I left off a few of the biggies off though – cutting, suicidal ideation – and she read it.  She asked me for a brief history of myself, which I gave her.  Purely facts, places, people, etc.  She focused on my anxiety, I guess because it was towards the top of the list, and asked me how it affects me.  I kept getting teary eyed, which is unusual for me because when I’m with J I never feel any emotion.  I talked about my  anxiety history a bit, and then said I don’t think that is my biggest issue.  She asked me what I thought my biggest is, and, again getting teary, I told her that I don’t like myself, I have low self esteem, I don’t think I’m good at anything, not a good wife, mother, friend, etc.

Then she said that the way I just described myself is not how she sees me at all.  She said I come across as very “put together”, and “confident”.  I said I don’t think I am that way at all.  And she again repeated that is what she sees, except she noticed that my hands were a bit shaky.  Hmmm.

We talked a little about my son and how I feel that I made so many mistakes and that is why he is where he is.  She said it can’t be all my fault, I have a husband and my son has some influence on himself.  Well, I said that is what I think.  We talked about faulty beliefs, and my previous experience with therapy for anxiety, and my son’s anxiety and his experience with therapy.  I told her about my new job and how I think my new boss will find out I’m a fraud, and how I’m worried that people will always find out the true me and not like me.  We talked about a lot actually.

I had intrusive thoughts on the list and she asked me to tell her a little about that, but I said I didn’t really want to and she said that was fine.

She asked me what I do when I’m anxious and I told her about breathing, and relaxation and thought stopping and mindfulness.  She told me about someone she works with on her own personal growth and the things she has learned from him.   She asked if I’d heard of grounding exercises and I said I had.  She wanted to know if I would do one and I asked her what it entailed.  She explained it to me, and we tried it.  I had to close my eyes, although she said I could keep them open if I wanted to.  She did it with me and I peeked at one point and she had her eyes closed.  It was all about feet, and feeling them, and them being on the floor and then roots coming out of them into the earth.  I tried to concentrate, but my mind kept wandering.  It was somewhat relaxing though.  I kept tearing up and had to wipe tears away at one point.  When we were done I actually used one of her tissues.  I would never use J’s tissues.

She told me about when she was doing her dissertation and she had to get up and speak in front of a lot of professors and she was very nervous.  She went into the rest room first and did grounding exercises, and she wrote on her note cards “G” to remind herself to ground herself while she was speaking.  She said these grounding exercises have made her more self confident.  I guess if you are relaxed enough to speak in public it does wonders for your self confidence?

Then it got to be time to go, and I asked her how she works her payment.  She says I would pay her every week (J always bills me at the end of the month which is nice – no money stuff going on during session) so I wrote her a check.  She asked me about next week and I told her that I had to see J, we haven’t had a goodbye session.  Then I said, “Actually I have some decisions to make.”  She wanted to know when I would get back to her and I asked her if I could call her Thursday morning.  She seemed hesitant, but said it would be ok.  I said if anyone wants the time slot next Tuesday not to hold it for me if that was going to be a problem.  Then she suddenly changed gears and said I should meet with J before I made a decision about whether or not to see her anymore.  I said that wouldn’t be until next week, and she said that would be fine.  She said she is hoping that I decide to work with her because she enjoys starting with new people and getting to know someone new, or something like that.

I told her that I have problems with the phone, but I would call her and let her know either way.  Then I left and the parrot was in another room saying really loudly, “Goodbye, goodbye, goodbye, goodbye….”

It was so weird.

She is very nice, kind of bland, nothing about her is my style at all, but that really isn’t a problem.  She said she works exclusively with adults, mostly individual therapy but some couples, and she doesn’t work with severely mentally ill people anymore, although she used to when she was younger.  She doesn’t have any children, I didn’t ask if she is married.

I just kept thinking that she isn’t J.  Which is true, she isn’t him.  But I actually felt emotion in her office, and I didn’t feel the need to look and dress perfectly for her like I do with J, since he always looks and dresses perfectly.  I had no idea what she would look like or how she would be dressed or how old she was before I went, but I just didn’t feel the anxiety.  That was kind of nice.

But as I drove around afterwards I was thinking how great it is that I got this new job so that I can afford to continue seeing J.  I just don’t know.  How does one make a choice between two things that are so totally different?

And I have more to say about my new boss, but I’ll leave that for tomorrow.  I’m starting to feel so much pressure, he thinks I’m perfect or something.  Argh….


Driving Into a Tree

Yesterday morning I woke up thinking about driving my car into a tree. I’m not sure if I was thinking about it while I was asleep, or if it came to me as I woke up. I’ve thought about this before. So I went to the computer and googled crash tests. I watched the crash test videos over and over, watching the dummy flail around as the car crashes, watching the airbag deploy, some of them even have a child sized dummy in a car seat in the back. It seems the whole front third of the car crumbles upon impact, as cars are designed to do that in order to absorb the shock. These cars are driven into other cars, or into concrete barriers. I was going to drive into a tree. I also did some research and found that the crash tests are done at 35mph, which seems slow to me. That could be incorrect information though.

So I did spend a lot of the day driving around, and while driving I was looking for suitable trees, feeling what 35mph feels like. It would have to be a tree next to road with no curb. Another problem we have here right now is the three foot pile of snow lining every road. I started feeling panicky about driving, and I drive so much in my normal day that it would be totally dysfunctional to develop a driving phobia right now.

Then I was thinking about why I want to drive into a tree. Other than getting this weight off of me. It’s not to die. What I think I would like is to have some kind of minor injury that would require me to stay in bed, or at least resting, for a week. I’m such a lazy ass that I’m actually thinking of getting into a car accident so that I can be lazy for a week.

But then I think about how angry my husband would be if I wreck my car, and how it would inconvenience everyone, and it would cost us money, etc …..

But the urge is really really strong. I just want to drive into a tree. I don’t know what is wrong with me.

Then last night I dreamed that I was in the hospital and I had to stay for a week. They wouldn’t let me out because they didn’t know what was wrong with me. I had to get a lot of injections. One doctor came up to me and said, “I would rather treat a dead animal than treat you.” Then she stormed off. But there was another doctor and she was really nice to me. All of the doctors in my dream were women. Since I wasn’t feeling sick they let me walk all over the hospital doing whatever I wanted, but they just wouldn’t let me leave. I wonder what that all means.


Therapy Recap 2/16/10

Yesterday I went to see J. I curled up in a ball on his couch and refused to look at him. This is very unusual for me, normally I make eye contact continuously as it is the only way I know what he is thinking and feeling. But yesterday I didn’t care.

J did touch briefly on how suicidal I was last week. I told him that I had a lot of pills at home and I didn’t want to commit suicide by od-ing so I didn’t go home. He said, “So you had the urge, but you talked yourself out of it?”

We talked about my son and how it makes me feel. He tried to get me to see that I am angry and frustrated, but I wouldn’t go there. He tried to convince me that if I don’t see that what my son is doing is unfair then I won’t be able to have leverage in implementing consequences. I tried to argue with him about why change needs to be based on negatives rather than just out of my desire to help him become more independent.

J contradicted himself by starting out saying we need to deal with the feelings and then later on saying that he is trying to help me with the here and now situation of my son, but I went down another road and made it about me. I asked him if I did that and he said that perhaps we did that, and I said, “No you did that. You gave me an assignment that made it out about me rather than my son.”

He asked me why we started talking about my son to begin with and I told him that a couple of weeks ago I said that I wasn’t doing well due to some stressors in my life and he wanted to hear about the big ones, not the garden variety ones (his words) so I mentioned that I had a goal that I was going to do something about my son by the end of January and I never did. He tried to get me to say that I brought up the topic of my son because I want help with it, but now I’m turning it into an issue about me.

One thing I really liked about the session was the moments of quiet. We have never had those before. Usually J fills in all of the silences with stories. He only told two stories yesterday, one about his neighbors and their 19 year old son, and one about the clients he had to send to the collection agency recently. But there were definitely long moments of silence, and it was so nice. Maybe if we had been having those all along I would have felt safer in the office, like there is less pressure on me to fill in the space, even though it is him that is always filling the space.

I realize that it might have been the last time I see J, so I think I’m taking everything he said and making it negative so that I end up being angry at him, and even hating him. It will make the end easier. I told him I’m not coming in next week, and he asked me if he would see me in 2 weeks. I said he would.

I called a hotline last night. Not my hotline of course, but one in a neighboring county that I heard was good. And it was good. I talked about my son and the counselor was really helpful. One thing she said that was so helpful was, “Right now the mistakes you may have made in raising your son don’t matter, right now what matters is finding a solution and moving on.” We talked for 22 minutes, and I actually cried a lot on the phone, something I never do in J’s office.

Do you think it’s possible that there is an unlimited number of tears in the human body? How is it possible that they never dry up? I’ve got a lot of suicidal ideation again. I’m cleaning the house, that’s not a good thing. I haven’t run in three days, and that’s not a good thing either.