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October 19, 2009

how to break the mental health taboo

In the genre of “things you don’t talk about at dinner parties,” mental health issues rank higher than politics, sex, and religion.

But why? Why do we shy away from discussing the difficult things? Particularly when the difficult things, the things that make us the most real, are usually also the things that make us the most similar. There’s commonality in crisis. The rawness of our struggles can bring us together.

It only takes one person to start a conversation, even a tough one, and I’m starting this one right now. The life cycle of my mental health has been something like this:

Turn 15. Attend your grandmother’s funeral. Watch your mother spiral into depression over the ensuing months. Feel helpless. Ask questions. Get answers of silence. Depression isn’t something to be discussed. Live your mother’s day to day struggle. One medication to another. And then another. And another. Notice that your family is falling apart.

Graduate high school. Leave for college. Get sucked into the whirlwind of pressure and intoxicating freedom. Listen in shock to the news that 3 students committed suicide during the first week of classes. Question how anyone could take their own life. Feel sorry for them, people you don’t even know, but feel superior at the same time. Pat yourself on the back for having your shit together.

Spend the next 6 months living it up. Love that you’re having the time of your life. Feel a sudden shift in mood. Start to notice that your days are either sparklingly perfect or horrifyingly sad. Analyze external factors. Tell yourself that it’s college, that everyone must feel like this. Chalk it up to the combination of too much drinking and too little sleep. Too much stress and too little of everything else. Ignore the warning signs for as long as possible.

Start Junior year feeling pretty pleased with yourself, proud that you’re going to graduate a year early from such a great school. Continue to ignore the mood swings. Get rocked by a horrible breakup. Fall apart. Put yourself back together. Berate yourself for having so many bad days, even after you’ve gotten over the heartache.

Make an appointment at the NYU Wellness Center. Start using your 12 free counseling sessions, the ones the school started offering after the string of suicides. Sit across the room from a psychologist named Kathy. Feel supremely awkward. Keep telling yourself, over and over, that you’re fine and that you should be able to handle your feelings on your own. Lie to everyone about being in therapy.

Use up all 12 sessions. Refuse to pay for more. Wonder angrily why your insurance doesn’t cover mental health treatment. Feel embarrassed about needing help in the first place. Think that if your insurance company doesn’t consider this a real problem, you should be able to just sack up and get over it already. Cry. Hide in your room. Cry. Skip class. Lie to everyone about what you’re going through. Sleep as much as possible. Wonder if the world and the people in your life would be better off without you. Start to understand suicide. Drink a lot of vodka.

Switch from vodka to tequila. Go through a simultaneously coincidental shift in mood. Start to pick up momentum. Feel euphoric all the time. Sleep less, talk more. Think less, do more. Live impulsively. Love how raw and powerful your sexuality is. Get off on drawing people into your dramatic tornado. Drink more tequila. Hook up with people you shouldn’t hook up with. Spend money you shouldn’t spend. Do one thing after another that you aren’t coherent enough to know you’ll later regret.

Go from euphoric to irritable. Lose your shit over the smallest things. Get a referral to the National Institute for the Psychotherapies. Start seeing a doctor you call Hillary, due to her physical resemblance to Hillary Clinton. Talk to her. Talk more. And more. Get diagnosed with Cyclothymia, a mild form of bipolar disorder. Make an appointment to see a psychiatrist. Talk to her too. Fill your first prescription for Lamictal, a mood stabilizer. Hate the way it makes you feel. Hate hearing that even though you hate the way it makes you feel, it’s necessary. Fight your doctors. Fight everyone.

Take the medication for about 6 months. Feel dull the entire time. Continue to see both doctors. Talk. Feel dull. Repeat.

Stop taking your medication. Feel your impulsiveness spiral out of control. Watch as New Year’s Eve 2007 quickly turns into one of the worst nights of your life. Cry for days. Decide you can’t handle living in NYC anymore. Pack everything you own and move to California to get away from it all.

Spend hours laying in the middle of the floor, crying, when you realize the truth to that old saying that “no matter where you go, there you are.” Feel the mood swings picking up speed and aggression. Spend days in bed. Days where it seems like nothing will ever be okay again. Feel better. Tell yourself you’re going to be fine. Look in the mirror and reassure yourself that you have it all under control.

Go through a summer of extreme emotion. Experience real insomnia for the first time. Spend your days as high as a kite on sleeplessness and caffeine. Spend your nights pacing around in the dark, making list after mental list of everything you need to do to be as incredible as possible.

Spend the fall and winter completely breaking down. Make an appointment to see a new therapist in December of 2008. Pick her randomly off a list of people covered by your current insurance. Quickly realize that nothing is random because this woman saves your life. She asks the questions that need to be asked, and when you don’t answer right away, when you’re scared of yourself, she asks again. And she waits. She’s kind and nonjudgmental. She doesn’t put you back on medication, but tells you not to rule it out as a future course of treatment, if necessary.

You spend 8 months under her care. Halfway through that time, you’re forced to switch to a different kind of insurance that doesn’t cover mental health treatment. She sees you anyway, at an incredibly reduced rate. You’re more grateful than you have ever been.

She helps you in a way you never thought possible. She’s there for you when you lose a close friend to suicide. She works with you as you make the decision to go the nomad route, to travel and pursue your best life. She tells you to be careful, warns that a lack of routine could easily shift you back into crushing mood swings. She makes you promise to call if you need anything. You promise. You hug her goodbye.

You pack up and leave California, set out on the path of a professional nomad. You feel pretty damn stable. Then, late one October night during your travels, you learn that a former camper of yours has committed suicide, that she suffered from deep depression and that she hung herself the night before. You hear this, you understand it, and yet you can’t believe it. You cry throughout the entire night and wonder what could have been done differently to change the outcome.

You realize, finally, that mental illness isn’t something to be ashamed of. You admit that you have a mood disorder, and that luckily, because of the right help, you have it under control. You decide that you’re not going to be quiet about it anymore, that you aren’t going to pretend you have all your little ducks in a row, because you don’t. Because your honesty and openness, no matter how difficult, might inspire more honesty and more openness and that from it, we can work together to build a world where we’re not afraid to reach out for help, to be there for each other, to look each other in the eye and say, “I’m not okay,” and, hopefully, to save each others’ lives.

Posted in: how to

{ 102 comments… read them below or add one }

Jurgen Nation October 19, 2009 at 5:06 pm

I submit that all of us who struggle with mental health issues write our own stories like you just did. Beautifully, I might add. I respect and admire so much those who can not only discuss it but who OWN IT. Because, guess what. It's not as if we choose to be this way.

(Also, if you're comfy with it, would love if you submitted to IndieInk.)

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Molly Hoyne October 19, 2009 at 5:06 pm

You brave, beautiful woman you. You're right- we don't need to pretend we are anything we're not. It's within our power to live authentically- with all the emotions, swings, highs and lows. To really love and listen and be present. To be peace with just BEING.

Powerful connections are made on openness, vulnerability, the ability to hold compassion for ourselves and each other.

You're opening up an amazing level of honesty, Nicole. Stick to it warrior. I've got your back.

Smooch. Molly

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Luther Grey October 19, 2009 at 5:08 pm

Wow, that's quite a story. A kid I know recently committed suicide after he got caught shoplifting. Apparently he was afraid of going to trial and spending his young adult life in prison, so he just took that as an out. It's so difficult to deal with, and I think even though physical ailments are pretty taboo, mental disorders are considered even more so because nobody wants to be offensive. Still, please take the time to talk to someone if you notice a change in their behavior. It can make a huge difference in someone's life just that there's a person who's willing to spend their time doing so.

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Erin October 19, 2009 at 5:09 pm

Thanks for sharing this! I wrote about mine here (http://ewalker9.wordpress.com/2009/10/14/not-craz… Mental health is nothing to be ashamed of, if we were all so able to talk about this stuff then I think less people would go untreated.

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cdp October 19, 2009 at 5:11 pm

<tears>

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Jess October 19, 2009 at 5:11 pm

Great post. As someone who dated a person with severe manic depression, I saw first hand the biggest part of his battle was public acceptance of his condition. He referred to it often as "not a real disease," and as such, didn't take the medication or go to the therapy that he truly needed. Mental illness is as real as any physical illness (it can actually cause physical illness for crying out loud) and I respect your being honest about your own struggles. Hopefully, more people WILL talk about mental health and it will stop being a taboo subject in society.

So sorry for you loss. Sending my love and support. XOXO

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RondaMarie October 19, 2009 at 5:14 pm

I wrote about my depression on my blog, because it is an illness. Just as someone would blog about any other illness, I blogged about mine. I did it so I wouldn't be ashamed of it, I did it because I know I'm not alone. I'm glad you did it too.

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Just K October 19, 2009 at 5:16 pm

amazing post on a very important "taboo" topic. Hugs and support!

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David October 19, 2009 at 5:17 pm

As you may or may not know, I'm all for talking about taboo topics. Because if we can't talk about things, we can't learn. And if we can't learn, how will we ever grow? So bravo to you for coming clean and giving it a voice!

Hate to plug my own blog, but these 2 recent posts of mine may be helpful to you…
http://diamondkt.blogspot.com/2009/10/my-deepest-…
http://diamondkt.blogspot.com/2009/10/giving-tabo…

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Mike Siete-Cinco October 19, 2009 at 10:26 am

Powerful stuff for sure. I feel the overall sentiment and i think That this post is going to appeal to many. Through your vulnerability you become real and raw and relatable, to me anyway. I think the days of people hiding what’s inside of them while simultaneously judging everyone around them is coming to an end. Or maybe not, but it’s a nice thought :)

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Cheddar October 19, 2009 at 5:28 pm

Amazing post. Everyone is affected by mental illness somehow, even if they don't realize it. You are so awesome and brave to be sharing this, I hope it inspires others to break the taboo. Mental illness isn't something to be ashamed of. I'm sorry to hear about your camper, I hope pieces like this can help break the cycle. Hang in there x

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lsk October 19, 2009 at 5:28 pm

aaaaand now I'm crying at work. I have problems, and I am ashamed of them. I really should see someone.

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Mrs. Priss October 19, 2009 at 5:32 pm

Amazing post! I have definitely found that the more open and honest you are about personal issues, the more you realize how many other people are going through similar things. It always helps to know you're not the only one.

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Legally Fabulous October 19, 2009 at 5:33 pm

Good for you for writing about this… I know what a struggle it is to deal with something like this, as I've fought my own battles with mental illness.

I heart you!

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nora October 19, 2009 at 5:36 pm

It's so very important for us to talk about the things we don't want to discuss! I should take a cue from you and discuss my dealings with HPV or other taboo topics I've experienced but don't discuss.

I can't wait until we can hang out again because honestly, Nicole, this post makes you even more beautiful, amazing, strong, fantastic and proud of you, too. xoxox

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kori October 19, 2009 at 5:37 pm

as someone with an anxiety disorder, who's been through much of the same, i really appreciate this post. thank you for being brave and sharing your story.

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Doniree October 19, 2009 at 5:42 pm

I'm so, so proud of you. In knowing you these last 8 months or so, and seeing the transformation your life has taken in even that amount of time… in reading this and feeling the sincerity and the love and the compassion you feel not only for yourself but for others experiencing any kind of 'this isn't quite right' type feeling.

I love you more and more each day. :)

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Jen Laceda October 19, 2009 at 5:44 pm

I work in the mental health field, so I totally get you. And I'm not just saying this because I work in mental health, but because I've had my personal struggles lately. I've recently revealed my bout with depression on my blog. In a way, it was cathartic. It helped me face my own issues and admit to the world that maybe, I'm not OK now…but I will be.

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ashley October 19, 2009 at 5:46 pm

This is great, Nicole. Thanks for sharing.

As the wife of a guy in the mental health field – I see how messed up it is that Medicare and SO many health insurance plans don't cover counseling or therapy. It's so, so wrong.

Instead of getting to the root of the problem, people have to treat symptoms.

Thank you for being vocal.

I love you!

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Matt October 19, 2009 at 5:46 pm

I had a witty comment about switching from Vodka to Tequila… but I didn't feel like posting it- because what I really want to say is- I love your crazy. I hope you know this.

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flippy October 19, 2009 at 5:53 pm

This is an absolutely amazing post — one that so many people can relate to. Thank you, Nicole, and I wish you the best of luck with your new nomadic lifestyle. I have no doubt that your writing will save many people.

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Megan October 19, 2009 at 5:58 pm

My husband was diagnosed with bipolar disorder a few years ago. He also took Lamictal at one point. (For the past few years, he's been prescribed anti-convulsants, anti-depressants, anti-psychotics, etc…) He's off medication now (aside from his ADHD meds), and he's much more stable since we've been married. He still isn't sure it's bipolar. (His doctor has mentioned cyclothymia as well.) Though we don't have insurance, his psychiatrist still takes him at a reduced rate, and we're SO THANKFUL for that.

It's tough for him to talk about it sometimes. He likes to hide it because he's embarrassed by it. It's not even something I've talked about on my blog. I'm proud of him, though, for how far he has come.

Thank you for posting this … for taking one step toward breaking that taboo.

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Formica D October 19, 2009 at 6:09 pm

This moved me to tears. I started therapy and medication this summer after a horrible breakup and being with someone who made me feel "crazy." I discovered that I wanted to be around people who don't consider this topic taboo, those who were okay with me saying I was in therapy and on anti-anxiety meds. The people who didn't think I was suddenly "sick" and "crazy" because of it. I've got many words to say about it all and have been trying to bring myself to blog about some of it, but it just feels too soon. This is an inspiration though. Thank you for sharing your story.

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kristi October 19, 2009 at 6:11 pm

i don't want to sound as dramatic as i'm constantly accused of being, but this entry, at this time of my life, is absolutely a lifesaver. yup.

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rachael October 19, 2009 at 6:23 pm

You're so brave to tell your story. A girl at my University started a chapter of a club called Active Minds to help reduce the mental health stigma. Two of the members are on this website (Melissa and Kristen) http://www.mindingyourmind.org to help shed light on mental health. I think you definitely have the ability to truly HELP others with your story!

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Mike October 19, 2009 at 6:35 pm

Being "normal" isn't really a reality for anyone. It's important to own all aspects of ourselves, even the ones we struggle with. Those struggles tell us who we are.

Why hide that?

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Mary October 19, 2009 at 6:59 pm

Depression and bipolar behavior are things that have been a part of my life since I was a very young girl. Before I experienced it myself, I watched it yank on the lives of my family and pull at the threads that hold us together. It is a constant battle, a terribly difficult thing to deal with, both in your own life and the lives of those you love. It should not be a stigma. It should not be too hard or too expensive to get help if you need it. It should not be something we are ashamed to admit or pursue treatment for. It should not destroy lives. But it does.

Thank you for writing this. Honesty, with yourself and those who care about you, is the very first step in learning to live with something that can leave you loving life one day and ready to leave it behind the next. Every person who stands up and says "This is me. I'm not ashamed." saves at least one life.

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phampants October 19, 2009 at 7:07 pm

::hugs:: I understand more than you ever know

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inkpuddle October 19, 2009 at 7:26 pm

I'm glad you posted this. I quit pretending that I don't struggle with it – and while doing so may not be any more socially acceptable in blogland than it is in the real world, I don't give a flip anymore. Good on you.

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deutlich October 19, 2009 at 7:28 pm

words can not express how wonderfully raw and honest this post was. some of the stuff you've gone through mirrors my own battle with MI.

I'm really fucking scared of the winter because I've found that it wholly exacerbates the issues I have. While during warmer/sunnier months I only deal with major anxiety & A.D.D., in the cold, dreary winter I shut down completely. I should do more as far as getting help, but I detested the last two doctors I saw and … ugh. Who am I kidding? I'm just scared as hell and overwhelmed too easily.

And luckily? The parity law says that health insurance companies HAVE to treat mental illness just as any other health complication and thereby provide many, many more people with MI health services. Of course, it only passed last year and getting the ball rolling has been difficult.

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Kyla Roma October 19, 2009 at 8:18 pm

Oh my goodness, Nicole. This is beautiful. Totally beautiful- thank you for putting this out there. I knew you had a superhuman capacity for energy the first time I met you in person, and it seemed to be a beautiful part of how you are built- but I'm so sorry that it has a flip side for you that's this hard.

I had an anxiety disorder when I was in junior high through to a few years ago, and while I've got myself to a place where it doesn't effect me day to day now, I remember that initially it was definitely a feeling of "Oh great. I'm a complete freak. Like I need more things to be anxious about!!" I think it's profoundly difficult to explain how alone you can feel, both before you know what's wrong, and after you find out it has a name.

But this definitely captures it, and I'm so happy that you've dealt with it in such a positive way- and that you are brave enough to put it out here. You're an amazing lady =)

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AshleyD October 19, 2009 at 9:07 pm

I love you and I love this story. This honesty and openness is what we need more of in our crazy world today. Thank you for sharing.

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Lisa October 19, 2009 at 9:27 pm

<3. The free counselling sessions at universities are great! We get 10 per calendar year, but I know from experience that nobody keeps count. I strongly feel that everybody should visit. Thanks for sharing this post!

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Ellie October 19, 2009 at 9:30 pm

Wow, your post really hit home with me on a personal level. A member in my family suffers from bipolar disorder. I've been struggling a while with the decision to see a mental health professional. I feel a lot of what you describe. I want to thank you for what you wrote. I think that I am closer to my decision now. It's time for me to talk to someone.

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Leah October 19, 2009 at 9:59 pm

I never knew that such a large stigma existed around mental illness until my brother was diagnosed as bi-polar this year. His life has been nothing but shit ever since he started getting sick and knowing that you had a similar experience makes me extremely happy because I met you and had NO idea that you had gone through something like this. If you can find a routine and medicine that works for you and have normal days where you're social and feel free to have fun, then that means he can too. Thank you so much for posting this.

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Kaci October 19, 2009 at 3:09 pm

Beautifully put, Nicole. As is the case with everything you write, I’m now in love with you even more…

As someone who’s often wondered if she suffers from (a mild form?) bipolar disorder, this really struck home for me. The sad reality is however that growing up in a small community where quite literally everyone knows everyone’s business doesn’t give one much confidence to get the help they made need.

So I agree with you. Mental/mood issues aren’t something we should be ashamed to talk about, even if we aren’t suffering ourselves. Good for you, N, and thank you.

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Andrea October 19, 2009 at 10:17 pm

"Wonder angrily why your insurance doesn’t cover mental health treatment. Feel embarrassed about needing help in the first place. Think that if your insurance company doesn’t consider this a real problem, you should be able to just sack up and get over it already. Cry. Hide in your room. Cry. Skip class. Lie to everyone about what you’re going through. Sleep as much as possible. Wonder if the world and the people in your life would be better off without you. Start to understand suicide. Drink a lot of vodka."

I was there. I was *right there.* Sometimes I sort of feel like I left part of myself there and I visit that part on occasion, with increasing frequency. Anyway, thank you for writing this post, because, if I remember correctly, long long ago, you were the first person that I ever told that I had been there…

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Lisa October 19, 2009 at 10:18 pm

I love you, Nicole. I really, really do. You are strong and gifted and wonderful and so crushingly frank. You and I both know enough to know that there will be struggles ahead, but I truly believe that because of who you are, and because you seek the help you need, you will always be fine.

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Elly October 19, 2009 at 11:24 pm

Hurrah for being brave enough to speak up, hey. That's really brilliant of you :)

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Maggie October 19, 2009 at 11:26 pm

Thank you for posting this. This helps me realize that more and more people are seeking help, even if they don't talk about it. I think it would make it easier for others if you talk about getting help. I have my first counseling session tomorrow evening and even though I'm feeling a bit uncomfortable about it, I'm sincerely hoping that it will help me get through life feeling a bit more alive.

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Elle October 19, 2009 at 11:29 pm

This is why I love your blog. Such raw honesty – there should be more of it. Thank you for sharing it with us.

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Jenn October 19, 2009 at 11:33 pm

I'm so happy that someone is finally talking about this…I hate feeling like it's a taboo topic with my friends…Thanks so much for this post!

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katelin October 19, 2009 at 11:45 pm

nicole this is an amazing post and i love you even more for putting it all out there and sharing your story. hopefully everyone can take your lead and get help when they need it instead of being afraid. seriously, heart you.

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Tristan October 20, 2009 at 12:13 am

It's always refreshing to hear such honest reflections and, what I perceive to be, strength.
I must admit, however, that I think discussing mental health is no longer as taboo as it once was, at least in some circles. And I think it's becoming more and more common to experience depression, be on medication, see a therapist, etc. etc. The more we talk about it, the more we all realize that we're not alone in feeling so fucked up, that it's actually quite common and {gasp} normal! And maybe that will help us all feel a bit less fucked up to begin with.

I could go on and on about how amazing it is to find a great therapist, how your story sounds so familiar, and how much I admire your ability to tell it so openly and so well. But, for now, I'll just say, thank you for sharing and hello! I've been kind of lurking the last few months, but reading still. You are, as always, a breath of fresh air.

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Emily October 19, 2009 at 5:51 pm

Heartbreakingly beautiful post.

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Elle October 20, 2009 at 1:21 am

This is so inspiring. There is nothing to be ashamed of in talking about mental health issues. NOTHING. Psychologists, therapists and the like are there to help. You are honestly an inspiration to so many by writing this. Including my younger sister.

Thank you.

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Elizabeth October 20, 2009 at 1:52 am

This is beautiful Nicole. The hardest things to talk about are often the most important things to share, so thank you for this. A cousin of mine committed suicide, seemingly out of the blue, and since then, I have been so convinced that everyone needs an outlet. You're so brave for having this be yours.

xoxo

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Amy --- Just A Titch October 20, 2009 at 2:13 am

You've already read my story, so obviously I love you for telling yours. I can only hope that if more of us speak out, share and speak honestly, there will be less stigma, and more people feeling like they're okay.

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ReinventingAmy October 20, 2009 at 2:16 am

I am so beyond impressed by this post. As a person with a degree in psychology- I really wish everyone could be so honest. I, myself, am starting to understand my own problems with anxiety and where my eating disorder comes from and starting to be honest about things for the first time ever. I think we all have some sort of "mental illness" on some level. Thank you for writing this.

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Emily Caswell October 20, 2009 at 2:43 am

Thank you for this post. For being honest. I try to do the same. I see my therapist on Thursdays btw. I wish more people were. See my post "Eric." I am sorry for your loss. xo

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raeleighjo/bsg October 20, 2009 at 4:54 am

nicole, you are such a wonderful, amazing person. i have loved your blog from day one and i am so glad you shared your story.

for me, the worst it's ever been is just a hormonal imbalance that seems to be pretty much evened out with birth control. but on those bad days… being trapped in your own head can be pretty scary, and despair is a really shitty feeling. i said something about having considered suicide once to my mom, because i figured it was no big deal, and something everyone felt at one time or another, and apparently i was wrong. she'd NEVER felt like that. i mean, really? and it wasn't like i SERIOUSLY considered it, but the fact that it ever crossed my mind freaked her out a lot i think. i feel pretty great most days, and of course i have days that NOTHING can touch me, but there's days that i just want to cry. i haven't ever blogged about it, because i don't feel like i was ever "really" depressed, so i have no room to talk. but i'm glad you did. thank you.

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Jen October 20, 2009 at 5:29 am

You are not just amazing and brave and everything else that has been said in the comments before me … you are so much more. The word that comes to mind is inspiring and I admire you so much for having the balls to tell your story. Bravo!

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Ali October 20, 2009 at 8:15 am

Thank you and keep strong!

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clairebear October 20, 2009 at 11:25 am

I love this post. You are so right, generally topics like this are not open for discussion with a lot of people, and are greeted with silence. Boo to that.
When I was a teenager, I was diagnosed with depression. It seemed to get worse the older I got, and after I had my kids I became almost unrecognisable – my behaviour was uncharacteristic to the point that I didnt even recognise myself. I was told by family that medication would not solve the problem, or that I was just looking for an excuse.
In the end, I was smart enough to talk to someone. I had a mild form of bipolar, which used to be called manic depression, so people just used to lump it in with all other kinds of depression and medicate with antidepressants. Not effective for mood disorders, which made me understand why the meds hadnt been helping at all. Also, I found out I had postpartum depression after the birth of my oldest son, which was the reason for my extreme change in behaviour. I didnt recognise it because I had a completely different idea of what ppd actually was.
I had always been so scared to admit something was wrong with me, especially after I had children, because of what that would mean for me as a mother, or for peoples image of me as a mother and as a person. Now I realise, that its something I can control, and its not something to be ashamed of. It was by talking about it that I stopped myself from becoming what I was scared of everyone seeing me as.
I am so glad you wrote this.

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Josef October 20, 2009 at 11:50 am

Can I like, hug you forever? I say that hoping to keep you safe but I know that everyone needs to take charge of their own life. I pray you will have more ups than downs and that you will have a lot of strength for the downs.

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Jessica October 20, 2009 at 1:49 pm

Thanks for telling your story. I really appreciate especially since I'm struggling with some similar feelings.

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Lacey Bean October 20, 2009 at 3:08 pm

You. Are. Amazing.

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Maureen October 20, 2009 at 3:34 pm

Nicole,

I am so glad so many people are choosing to speak out about mental illness. I have bipolar disorder and generalized anxiety disorder – at one point i was so tightly-wound that the nerve in my face broke down and i had facial paralysis for months. It was, among other things, a wake-up call. We are all getting healthier every second that someone writes or talks about it. The stigma is fading.
Also, I just finished a fantastic book called An Unquiet Mind by Kay Redfield Jamison. You should read it:)
-Maureen

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ShandaR October 20, 2009 at 3:38 pm

((HUGS)) Thank you for being brave and honest with us, strangers to you, but feel like I know you a lil. Hope everything is going great with your travels. Stay strong and focused. =)

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Serial Insomniac October 20, 2009 at 9:17 am

I applaud you for speaking out about your mental ill health. It is something I am starting to be able to do, but your post has encouraged me to try and do it properly. Good stuff.

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chasingparadise October 20, 2009 at 4:32 pm

Refreshingly honest and raw. You are wonderful and beautiful for sharing it. Mental health seems to be the ultimate taboo topic, and for what damn reason? People are ashamed? It's ridiculous. NONE of us are perfect. ALL of us have our problems. If only people would be more honest, this society might not be so quick to stigmatize everyone. I'm so glad that you got the help you needed. I really want to hug you right now, but all I can do is offer up some heartfelt thanks for sharing your story.

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thatShortChick October 20, 2009 at 4:37 pm

I'm so sorry to hear about your loss. And I commend you on your bravery and strength in writing about all of this. you have a great 'voice' and really know how to use it.

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Jenny, Bloggess October 20, 2009 at 4:53 pm

Beautiful and poignant and amazing. Thank you.

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Gofahne October 20, 2009 at 5:27 pm

Nicole, I already think you are incredible…and you know this :) . But, I literally had CHILLS throughout my body when I read this. Proud would not begin to describe how I feel about you writing this. I've never struggled like this, but I've had people around me that have and I know the devastation on the other side when they feel they can't talk to you no matter how much you love them. Thank you for writing this. Thank you for being so incredibly brave. We are ALL perfectly imperfect and the more we admit, understand, and accept that…the better this world will be.

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shine October 20, 2009 at 6:18 pm

"I'm not okay." Some of the scariest words to utter.

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tia October 20, 2009 at 6:51 pm

you are awesome. i really admire your bravery and honesty.

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Steph October 20, 2009 at 8:05 pm

I believe I started a slow clap halfway through reading this.. now it's at a standing ovation. For real, you are awesome.

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MissB October 20, 2009 at 10:06 pm

I just bawled at this post. I can't believe I'm over here spiraling into my own depression and your post appears in my reader.
I'm not okay.
Thank you.
Tomorrow, I'm going to call and get an appointment with a councelor. I hope to find one as good as yours. I've been through a couple so I don't have high hopes, but all I can do is try.

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Amanda October 21, 2009 at 3:58 am

I hope you know how amazing of a person you are. Honestly, I feel lucky to know you. To share this and say "fuck all" to the judgmental people out there is awesome and inspiring.

And, on a completely random and terribly selfish note, thanks for the birthday message. I, too, sometimes feel the machete stabbing feeling.

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Sam Davidson October 21, 2009 at 11:04 am

This is fantastic. This is the best thing I've read online this week.

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Lollygagger October 21, 2009 at 2:00 pm

Thank you for sharing yourself so freely. I've been surrounded by many people with mental illness, and I always find the stigma attached to it so frustrating. I agree that sharing is a wonderful step in the right direction for breaking that stigma. As you allude to, you just never know what someone else is going through and it's a good reminder (imho) to always keep at bay.

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Miss Dallas October 21, 2009 at 3:17 pm

I love you for doing this. After dealing with depression at about the same age, and realizing that being in therapy held an uncomfortable stigma with it, I quit before I could really accomplish the kind of progress I needed. I know now that everyone needs at least a little nonjudgemental talk therapy at least once in their life. We shouldn't be ashamed of being strong enought to actually reach out for help when we need it.

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Joy @ Big Time Fancy October 21, 2009 at 6:39 pm

This post is AMAZING, Nicole.

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Erin October 21, 2009 at 10:47 pm

Thank you for sharing this! One of the reasons that Ted and I were ultimately rejected from the Peace Corps was because I saw a counselor in college. I had broken up with a controlling and abusive boyfriend, I couldn't get out of bed, I was lonely and scared, and I needed help. Apparently, seeking help and being honest about it meant that I'm not a good candidate to help people. Lame.

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Allie October 22, 2009 at 3:59 am

So well written. I have so many thoughts – I can't even express them in a simple little comment. Next time we're in the same city…

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Cheryl S. October 22, 2009 at 2:55 pm

Wow. THat was incredibly brave. I'm sorry for the friends you've lost. I have depression issues. Bad enough that I will be on medication for the rest of my life. After fighting taking meds for many many years, I finallyt agreed. They saved my life for sure.

I wish there was no stigma to mental illness, but there is. God bless.

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Alexis October 22, 2009 at 3:47 pm

It took me a while to come & read this post, because I knew I would need to be able to give it full attention. I've been down this road with a father & then on my own. Well, not on my own, really…I'm blessed with amazing people around me that held my hand or helped carry me.

I've always felt more for those people around me, it must be so frustrating & terrifying to watch someone you love go through that fire without understanding it or knowing what to do. It's why I give my mom so much credit since she's done it with two of us…

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TherapueticRamblings October 26, 2009 at 1:58 am

That was very well done. Our society needs to come to terms with Mental Illness, as it is all around us. It is sad that so many suffer in silence.

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k8zimm October 28, 2009 at 2:35 pm

I am very open about my lack of mental stability and the hard work I've done to manage it on a daily basis. I figure the only way people will be able to relate is if I actually SAY IT OUTLOUD. And I am no longer ashamed.

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Sarcastica October 28, 2009 at 6:53 pm

Very amazing post, it's true…to often are we quiet about mental illness. It's definitely not something to be ashamed of, not at all. I can think of a thousand more things to be ashamed of.

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laura November 5, 2009 at 7:35 am

This is an incredible post. Thank you for writing this, you superstar.

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nic November 13, 2009 at 5:05 am

First time commenting here, but I couldn't think of a more poignant thing to respond to. I've been fighting back depression since I was 10 and finally found help that "fit" a few years ago in the form of a therapist and a psychiatrist who actually listens to me when my medication isn't working. I know what you mean when you write that it can save your life. I'm still on the Lamictal though. And the Wellbutrin. I don't know if I'll ever be able to go off of them completely because my problems seem to absolutely be chemical. The most miraculous part of growing up with depression though is right now…being able to own it and talk about it both with the people in my day-to-day life and with people like you who open up about it with complete strangers like me. Knowing that it's not a secret and not something to be ashamed of is a weight lifted. Thank you for your post and for your honesty in sharing your own struggles.

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Katrina November 29, 2009 at 6:06 am

I must say I haven't read your post and don't know you from any other stranger in the world but your story still brought more then a few tears to my eyes. Thank you so much for that and helping some of us realize we're not alone.

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Carolann December 5, 2009 at 12:03 am

Continue to tell the truth to yourself and everyone else. The truth does set you free. God bless.

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Nicole December 8, 2009 at 4:14 am

Got here through your Internship with theBloggess and read the hilarity and then saw your guides, and I read this and cried. A range of emotions are available on your blog! Anyway, my mom's family has a long legacy of mental health issues, her grandmother had bipolar disorder and it just goes on from there to each of her children (one of whom committed suicide, we think, we're not really sure because it's all so hush hush) and then on through the generations. Anyway, as a consequence of seeing family disowned or just go off the deep end and stop talking to everyone, I've become very open and vocal about my own mental health issues (dysthymia since childhood with a major depressive episode after college, in which I also learned to understand suicide, and some anxiety attacks thrown in for good measure). It makes me sad when people think they can't change. Cognitive behavioral therapy has been my lifesaver. Thanks for putting your story out there!

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zellie December 14, 2009 at 10:04 pm

Thank you for telling your story.

I suspected that I had OCD as soon as I read about it. When my mom saw me reading a book about it, she told me that my aunt, cousin and grandfather have it, but I didn't say anything. My cousin had just been instatustionalized and diagnosied with bipolar disorder and I was afraid that if I admited to being "crazy" I might end up institionalized too. I continued to suspect I had OCD during high school, but I was back on my ADHD medicine and I had a deep disgust with myself for needing chemical assistance. I convienced myself that OCD wasn't that bad if I learned to use it to ballance my OCD. Then, around 18 I discovered that OCD also explains what I call my "bad thaught." I still didn't want any medical help, because that would mean discussing it with my mom and I could tell she feared OCD. I went through my first two years of college without much trouble, until the semester I went abroad. Overall it was a fun trip, but more than once, I had to fight my bad thoughts when schedules changed.

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zellie December 14, 2009 at 10:04 pm

I finally decided to seek help when I was unable to help my friend figure out what bus we needed becuase I was too busy with visions of pushing her into the middle of the street. I recieved consuling and started taking prosiac, which ended up helping with other issues as well. On the bright side, my need to talk to a friend who had also taken anti-depresants, was what drew me closer to the man who is now my fiance.

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Ashley December 30, 2009 at 2:02 am

Wow. Thanks for this. One of the best (and most identifiable) blog posts I have ever seen.

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Theresa January 18, 2010 at 4:39 pm

I am crying with understanding because I completely relate and still hope even after 3 useless dr. that I will find the one who can finally help me…your story has given me the strength to keep searching and to stop being ashamed that I'm not okay and that I need help

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Brooke vs. the World February 3, 2010 at 9:51 pm

Oh my goodness – feel the same way. I was diagnosed with major depression and anxiety disorder last year (in the middle of my travels) and kept it secret up until recently. I felt like I couldn't talk about it with anyone, that it was taboo, but it is really serious! It's an illness and we can only get support if people know about it.

I was planning on doing a post of my own – would you mind if I link to your article in it?

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Rachel February 8, 2010 at 5:43 pm

My goes something like this:

Never feel like you fit in. Get caught trying to slash your wrists during 6th grade. Get taken to a shrink, who suggests meds, and then never see them again. Spend the next five years sleeping twenty hours a day and trying to pretend everything is ok while constantly feeling disconnected from yourself and the world around you. Talk yourself out of killing yourself everyday. Fight with your parents everyday. Get put on medications only to be taken off of them as soon as your mother can convince herself you are ok.

Never be ok.

Turn 16. Get your license. Stay away from your house as much as humanly possible. Become an RPGer. Do anything to feel like you will fit in. Have a lot of awkward, drunken sex with strangers because that is what you thought you were supposed to do. Take a lot of scalding hot showers because you feel dirty.

Turn 17. Attend 17 funerals in eight months, starting with your grandfather. Graduate high school early, move out of your parents' house. Live without electricity for two weeks because the mere thought of calling the electric company gives you a panic attack and makes you want to die.

Turn 18. Start college, because you are supposed to. Have no idea who you are or how to function as an adult. Start attending the gay club circuit in a city 2 hours away. Decide to move 1,500 miles away, to a city you don't know anybody except for the friend you are moving with. Move to Chicago and start learning about yourself.

Turn 19. Find a large lump in your right breast. Go four months thinking you have cancer before you have a lumpectomy and find out that it is not. Shave your head. Leave a bad living situation to live on your own. Start therapy. Start meds. Start working with children.

Figure out what you want to do with your life. Get a diagnosis of Bipolar II and Asperger's. Figure out how to cope. Start school again. For the first time that you remember, wake up and want to be alive more often than not. Have the strength to leave a mentally abusive friendship. Find a place where you feel normal for the first time. Graduate school.

Have sex for the first time without feeling like a dirty whore. Actually be able to picture yourself in a real relationship.

Be open about shit. Get told that you define yourself through your mental disorders. Tell them that you are more than your disorders, but your disorders are part of you and help to make you who you are. That you like who you are and you are proud of yourself.

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Ally B February 23, 2010 at 5:54 am

I've been reading you for awhile now and decided to click on this from your How To links and… wow. This is amazing, and as a girl who can't help but feel fucked up sometimes (most of the time) because my brain is fucked up sometimes (most of the time), I thank you.

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jennie April 1, 2010 at 11:13 pm

Ive always been a firm believer that everyone should see a therapist. They can be life altering. And life saving for that matter. (Certainly saved mine.)
The fact that mental health care is not covered absolutely infuriates me.

Thank You, posts like this help to spread awareness to people who don't understand it.
You are a beautiful woman.

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Jessica April 20, 2010 at 12:22 am

I love this post.

I’ve struggled with a mild mood disorder too for the last few years. I never know when it’s coming but when it does, life really gets interesting.

I’ve learnt that I’ll almost always get through the depressions so I can learn to live through them. Part of me thinks it’s growing pains – growing up and realising that the world is not “nice”, and that it can be a struggle.

I’m also reading this book on psychololgy called The Road Less Traveled, and am starting to be convinced that there is a reason behind depression and sadness – I always come out of it feeling a little more in touch with my ever-changing world.

Anyway, great post, I’m loving your blogs!

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overandout May 2, 2010 at 3:49 am

Your honesty is inspirational. I hope to be able to emulate it someday.

Thank you so much.

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ellievsEleanroe May 11, 2010 at 8:21 am

Thanks for sharing! I found this today and it totally excites me that I’m not the only one who has ups and downs! I recently started a blog just to get it out, (stress, anxiety, snarky rude things you should actually say outloud) and it helps.

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Rach June 11, 2010 at 11:33 pm

Thankyou for this post
(yes I am methodically working my way through all your old blog posts!)
I suffered from an eating disorder a couple of years ago and I still experience depression. It’s funny how people react to it. Even the people I’m closest to do not recognise that I had an eating disorder- as though they pretend it never happened. This makes me a little sad. Because it’s a part of who I am. I went through it and I want to take ownership of that.
None of us ever use the word “depression” either. It’s “I’m feeling sad today” or “It’s Rachael’s time of the month”. I’m embarrassed and they can’t accept it.
I’m glad that you can do what noone else seems to be able to.

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Justme June 16, 2010 at 9:59 pm

I now believe in signs.

I’ve been depressed and suicidal for about 10 years now (maybe longer) but have pretty much kept quiet about it. Only just started seeing a therapist, who wants me to open up more. Finding this post today inspired me to finally stop with the “I’m fine” bull and tell the truth. If you can bare everything like that, I can certainly admit to my mom that I’m feeling down.

Bravo on posting that, I can’t imagine the courage it must’ve taken.

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Whitney September 3, 2010 at 10:17 pm

i think you just summed up (with a few differences) the last 7 years of my life. thanks for the read, and the encouragement. :)

i also commend you on your nomad-ness. brave, and adventurous, and awesome. :)

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Sage October 12, 2010 at 1:21 am

There was a reason I was drawn to this blog, this is it. I suffer BPD (Borderline Personality Disorder) and I am currently having treatment for it.

I loved what you wrote, so real, so raw, so honest. I will be coming back to read more about you, you are an inspiring, beautiful young woman and I am blessed I found you.

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Kathryn January 22, 2011 at 12:31 pm

Thank you. I hide. I gained a lot of weight. I am on many drugs and somedays I spend all my time trying to convince myself not to die.

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K-Tee March 29, 2011 at 12:08 pm

an absolutely beautiful post.
you are so brave for sharing your story with the world. I am slowly sharing the details of my own bi-polar story with those close to me and it’s scary as hell, considering how damaging my actions have been.
thank-you. thank-you. thank-you.

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