Tag Archives: Mental Health
Winter
Self-Worth
For the first 35 years of my life, my self-esteem was primarily based on grades. I made good grades, so you would think that meant I had high self-esteem, but I didn’t. This is true of any external measure of worth: the positive feeling you get from an accomplishment is short-lived. You get a hit of dopamine and feel some pleasure, but the dopamine also makes you want more, so you need another good grade to keep feeling good. But I didn’t know that at the time.
I remember when I was in my first year of grad school, another student had just defended his dissertation. He rented a limo and decorated it as though he had just gotten married and was driving around town, honking his horn. I thought that was a great idea and that I would do the same thing to celebrate once I got my Ph.D.
But that wasn’t what it was like at all. I thought that I would feel smarter or whole or something. Instead I felt…exactly the same. Maybe even worse. Because by this point, I realized that there was no goal I could accomplish that was going to make me feel better about myself. I had reached all my goals; there was nowhere else to go. So I got depressed instead.
These days I don’t talk about self-esteem at all in therapy. Instead I try to convince clients that they are inherently worthwhile, regardless of their accomplishments. This is a tough sell in our culture. Initially they say they don’t believe in inherent worth. They see themselves as a stock whose value rises and falls depending on their performance.
But like I said in my last post, for an agreeable person, I’m pretty good at arguing. And this is one of those arguments where I know I’m right. So I use whatever it takes to convince them of their worth.
I tell them that we feed and care for our pets all the time–not just when they’re good. We put up bird feeders because we like looking at them. They haven’t done anything to earn them. People chain themselves to trees, try to save the earth, polar bears, whales, and bald eagles because they believe that being alive is sacred, and we need to protect life. Our life can’t be worth less than any of these things.
Many of them do start to believe it, not so much because of my compelling arguments, but because I believe in them. Deep down we all know that we are inherently worthwhile; we just need someone to tell us that we can trust that part of ourselves.
So if you didn’t have anyone to tell you to trust that part of yourself before, you do now. Because I believe in you.

In Need
I don’t like the word needy. I much prefer the word crazy to needy. Crazy can have many meanings, and not all of them are negative. Sometimes crazy can be a compliment. At least that’s how I interpret it when I’m feeling good about myself. Neediness, on the other hand, is never a compliment.
I admit I am sensitive to the word because I have been accused of being too needy, too demanding. I have tried to correct for this, but I don’t know how to distinguish my unreasonable demands from my needs.
I’ve tried to deal with it by giving my partner the benefit of the doubt. If he couldn’t give me what I needed, then perhaps it was a demand that I mistook for a need. How important is meaningful conversation anyway, really? How much contact is actually necessary for the survival of the relationship?
This approach hasn’t gotten me very far. I seem to have overshot my mark. My therapist tells me that I cannot disavow my needs in order to make my relationships work. Sounds good to me. But how do you separate the needs that are necessary for survival from the ones that make people accuse you of being needy?
Let’s say that you came across a boy who you met in the woods while hiking one day, like the wild boy of Aveyron. You feel bad for him so you invite him over for dinner. But he’s really hungry, so he eats all the food in your house and still wants more. Obviously, you wouldn’t blame the kid for this. You wouldn’t accuse him of being too hungry, because it’s not his fault he was abandoned in the woods to fend for himself.
Psychological needs are no different. Neediness is the product of prolonged emotional starvation. You may not be able to give the person what they need to feel satisfied, but that’s not their fault. It’s not yours, either.
But it feels like it should be someone’s fault, doesn’t it? Someone should take the blame!
I prefer to reframe a needy person as someone who is in need. Perhaps their needs are so great that I can’t help them. That’s OK; I don’t have to be able to help everyone–although I do still try.
I am trying to think of myself as someone in need, too. I am just learning what these needs are, because I’ve spent my life focusing on other people. There are a lot of them, and they have gone unfulfilled for a long time. I’m not blaming anyone for this, but I’m trying not to blame myself, either.
I’m just trying to make my way out of the woods.

Midlife
I don’t like getting older. I even obsessed about it as a child. When I was around 7, I remember asking my dad if you get to choose your age when you go to heaven, and he said yes. Every year I would choose my current age, because I was sure that the next year would be worse.
I had a plan for what I would do when I got old: I would use Oil of Olay to prevent wrinkles, Clairol to dye my hair, and Coast soap to bring me back to life–because that was their slogan, which I took literally. That shows you the power of advertising.
I didn’t consider myself middle-aged until I turned 43. I’m immature for my age in a lot of ways because I still live the life of a college student–a night owl with no children and no spouse whose work revolves around the academic calendar.
Although my mind is still somewhere in my 20’s, my body has proceeded at a normal developmental pace. Once I hit 43, I became far-sighted. My knees hurt all the time–not just after playing tennis 5-6 times in a row. I started dying my hair.
I don’t want other people to get older, either. Every year I tell my niece that she has to stay the same age. Whenever I leave my parents’ house, I feel anxious at the thought of seeing them sick or debilitated someday. I am terrified of losing them. I got a glimpse of what it would be like when my dad was depressed, and I did not handle it well.
I try to practice gratitude, self-compassion, and mindfulness to accept the aging process. I try to remember what I have to be thankful for in this moment, try to enjoy my blessings while I have them. I tell myself that lots of people have these fears–it doesn’t make me crazy. It doesn’t mean I’m a bad person.
It helps some. But I’m still afraid.
There are only two things that I look forward to about getting older. One is that I will continue to become a better therapist because I will have seen more clients, had more life experience, and will possess more wisdom.
The other thing is that my writing will improve for the same reasons. I have wanted to write a book since high school. In the 10th grade we had a writing assignment where we had to project what we would be doing in the future. I wrote a mock interview where I was 45, answering questions about my book.
So it’s no coincidence that I made my first effort to publish my writing through blogging at the age of 44. I realized that if I wanted to make something happen for myself, I had to start now.
So I guess that’s one good thing about being middle-aged: as you reflect on the first half of your life, you realize what you have to do to make the most out of the second half.

46 Lessons Learned from Blogging
Since the original intent of my blog was to help people, I thought I’d provide a cheat sheet of the lesson in each post (except for the random ones). That way, you don’t have to go back and read the whole blog if you don’t want to. But hopefully you still will!
1. Night Owl Syndrome: Prejudice against night owls is a form of discrimination that has been perpetuated in part by Ben Franklin.
2. Massages: Massages are not as relaxing when you obsess the entire time about how much they cost.
3. Knitting and Relationships: Challenge yourself every now and then, but you don’t have to knit a dress.
4. Positive and Negative Feedback: It’s easier to believe erroneous negative feedback than it is to accept legitimate positive feedback.
5. Karaoke Pusher: Singing in front of other people is a good way to let go of fear.
6. You Know You’re Filipino If…: Things that embarrassed you as a kid will make great anecdotes when you get older.
7. The Courage to be Vulnerable: Sharing your vulnerabilities with others makes people feel closer to you.
8. The Unathletic Athlete: Even if you were picked last in gym class, you can still grow up to be an athlete.
9. Tennis Courtships: Someone needs to come up with a website that can help tennis players find a doubles partner.
10. The Uses of Prayer: Sometimes God answers your prayers by giving you opportunities rather than results.
11. Boundaries: Being Asian makes setting boundaries even more difficult than it already is.
12. Massages, Part 2: Don’t drink coffee before a massage–even decaf.
13. Boundaries, Part 2: Blogging is a good way to let people know that you don’t want to be told that you’re fat.
14. Children: Play with your inner child every now and then.
15. Can Love Conquer All? No, but it’s still worth the risk.
16. Body Image: Small gains are better than nothing.
17. Hard Core Fan: It takes dedication to root for a losing team.
18. Warriorism: When things get tough, channel your inner warrior.
19. Self-Portrait: You can learn a lot about yourself from doodles.
20. Solitude: Sometimes when you think you’re alone, you’re really not.
21. Self-Acceptance: We all have different parts of ourselves, many of whom don’t get along.
22. Meet the Drill Sergeant: Save your inner drill sergeant for emergencies.
23. The Inner Critic: Defy your inner critic every chance you get.
24. Thanksgiving: Miracles really do happen.
25. Perfectionism: Blogging about mistakes can help you accept them.
26. Stress Management: Sometimes stress management can be stressful.
27. Self-Care: Blogging is a good way to put yourself first.
28. Grief: The best thing we can do for someone who is grieving is to be willing to listen to them talk about their pain.
29. Yes and No: Learn to say yes to what you want and no to what you don’t want.
30. Blogging is My New Boyfriend: You can’t fail if you never stop trying.
31. Friendship: Don’t be afraid to ask for help when you need it.
32. Empathy: If you’re high in empathy, choose your friends and partners wisely.
33. Breakups: If your relationship is ending, try to leave with love rather than hate.
34. In Times of War: Make choices you can live with, regardless of the outcome.
35. Angels: If you ask people to send you angels when you’re struggling, they will–and it works.
36. Forgiveness: For people with a harsh inner critic like me, self-forgiveness is the hardest part.
37. Gratitude: Practicing gratitude may not turn your depression into happiness, but do it, anyway.
38. Love: Our love may never be perfect, but I think God is OK with that.
39. Forgetting: Forgiveness is a process.
40. Moms: Moms are often unsung heroes, so thank them every chance you get.
41. New Year’s Resolutions: Restating your resolutions every year is not a sign of failure; it demonstrates that you are choosing to live intentionally.
42. In My Head: I thought I was weird for thinking so much, but it turns out that it means I’m a writer!
43. Bipolar and Brilliant: You can be brilliant and mentally ill, but you can also be dumb and refuse to take your medication.
44. Night Owl Syndrome, Part 2: It takes practice to let go of unnecessary guilt.
45. Competitive Latch-Hooking: Sometimes the sibling that was your mortal enemy in childhood becomes your most loyal blog follower as an adult.
46. Honesty and Trust: Surround yourself with honest people; it takes less energy than being paranoid.
Honesty and Trust
I have often been accused of being too trusting. Like it’s a bad thing. And maybe it is. It’s caused a lot of problems in my relationships.
My first husband described himself as a poor, half-breed bastard. As a result, he had a less trusting world view than I did. He could spot a liar from a mile away. Once when I was making conversation with his brother’s girlfriend about her studies in nursing, he told me afterwards that she was lying. That people often lie while making conversation. I didn’t know that.
This was a downright foreign concept to me. I figured you should at least have a good reason to lie, even if it didn’t make it excusable.
Once my purse was stolen at Burger King on the way to a bowl game. I forgot to get it when we walked out the door. I realized it about a minute later, but in that small amount of time, they took it. My ex knew who stole it right away and he knew that the employee who took our order was in on it. He even went up to the guy and confronted him.
While there were some advantages to his street smarts, ultimately, his lies destroyed our marriage. I tried to trust him again, but he didn’t trust himself, so we agreed to get a divorce. That was one of the many lessons I learned from my first marriage: be wary of people who don’t trust others, because they probably lie, too.
I wish I could say I have been more careful about who I’ve trusted since then, but sadly, I have not. I seem to be pathologically trusting.
I dated someone who told me straight up that he had problems with lying. And I caught him lying several times right away. Like my first husband, he didn’t think he could be honest, either, but he wanted to change. I kept rooting for him. You can do it! I have faith in you!
My therapist would repeatedly tell me that if the person says they can’t do it, believe them. I guess this was the most honest thing they had said to me, but I didn’t want to believe it. I never wanted to give up on anyone.
But I finally get it: you can’t trust people who don’t trust themselves. You can’t will someone to have faith. They have to choose it.
Some people have suggested that perhaps we can be friends down the road. Yes, he lies, but it won’t matter in a friendship. Except that it does.
In the second half of my life, I want to surround myself with people who are honest and trustworthy. I want to choose people who believe in themselves, so that we can believe in ourselves together.
I found a new art app that creates patterns using mathematical properties. Artsy and nerdy at the same time. How cool is that?

Night Owl Syndrome, Part 2
Bipolar and Brilliant
I just finished Haldol and Hyacinths, by Melody Moezzi, and it is one of the best memoirs on bipolar disorder that I have ever read. A lawyer and human rights activist, Moezzi talks about how her passion and aspirations come from the same place that her mania and psychosis come from, and sometimes it is difficult to separate the two.
In An Unquiet Mind, the gold standard of bipolar memoirs, psychologist Kay Redfield Jamison says the same thing: that she was the most productive and most brilliant on the way to mania–until she became psychotic.
From personal experience I would argue that it’s true that for some people, it’s a thin line between brilliance and mania. I have never reached the heights of brilliance and mania that Moezzi and Jamison describe, but I know what it’s like to walk that line between productivity and emotional instability. Most of the time I stay on the side where I know the rules and try to follow them as obsessively as possible.
But there have been periods where I have had one foot in this world and one foot in the other. A world where the lines between black and white, good and bad, and reality and fantasy are blurred. I have had some of my best insights at those times, but I was also the most reckless during those periods. It is both freeing and dangerous. At those times, I pay close attention to where I’m standing and do my best to maintain my balance.
My impulsivity primarily expresses itself as impulsive shopping of inexpensive but unnecessary things, poor decision making in dating, and excessive exclamation point usage when writing in my journal. Nothing that would put me in the hospital, but a notable change from my usual behavior, which is usually over controlled. Ordinarily, I would never use multiple exclamation points in one journal entry.
Four of the six people in my family are bipolar. The kind of people who light up a room when they walk in. People are drawn to them when they are manic. At least in the beginning, But at some point, the light becomes blinding, and they can no longer see how they are hurting themselves and other people with their actions.
Sometimes people with bipolar disorder don’t want to take their meds because they don’t want to dull their creative side, kill their buzz. And it’s true that when you’ve reached the peak of mania the drugs you take are meant to put out the fire, so they dampen everything for awhile. And who wants to feel dampened when you were on a natural high?
But there’s a lot you can do to keep from crossing that line. There are a lot of things that are in your control. You can be honest about your diagnosis. You can be compliant with treatment. You can pay attention to the warning signs and intervene right away. You can practice self-care.
It often takes a person with bipolar disorder many years before they can reach this place of self-acceptance, as these authors demonstrate. But they also demonstrate that you can still be brilliant when you’re stable. Which is the best of both worlds, really.

In My Head
Remember how I was talking about the movie The Secret Life of Walter Mitty? I went to see it because I always liked the short story when I read it in high school. I could relate to someone who lived most of his life in his head.
All my life people have told me that I think too much. I thought that as I advanced in my education this would change. It didn’t. My classmates in grad school thought the same thing. My colleagues tell me the same thing. Not as a criticism–just that they’re surprised that I have so much time to think.
The reason why I can’t fall asleep is because I can’t turn off my brain. I started that last New Year’s post at 4 a.m., despite my best efforts to talk myself into waiting until I woke up. I tried to tell myself I could get up early like a normal person, which would have been a few hours from then, so I wouldn’t even have to wait that long. But no. My brain wanted to write the post right that minute. I was pissed off at it, but what can I do? My brain has a mind of its own.
As soon as I wake up in the morning I want to talk to someone. That’s one of the hardest things about being alone. It’s not like you can just call your friends as soon as you wake up and say, hey stop what you’re doing. I want to tell you about this weird dream I had last night. Granted, it would be in the afternoon because that’s when I wake up, but still. They have spouses and children and jobs. They don’t have time to listen to my dreams and random associations.
Often when I’m walking around the mall or the grocery store or even just turning a corner, I run into someone because I’m oblivious of my surroundings. I actually have to remind myself that someone might be on the other side of the door so that I don’t freak out when I see someone standing there. It surprises me when people appear suddenly, even in public spaces, because I’m so in my head, I don’t fully register their presence until I literally run into them.
Remember that whole Waco siege that went on for 2 months back in 1993? I was in grad school at the time and I had no idea it was happening because I spent my free time watching reruns of the Flintstones and Gilligan’s Island. After the attack my classmates were talking about it and I was like, what’s going on in Waco? They were appalled. I was humiliated. But the truth is, it’s safer in my fantasy world with Fred Flintstone than in a world where things like Waco happen.
Still, I force myself to watch the news occasionally so if something happens like a typhoon hits the Philippines or the government shuts down, I’ll know what people are talking about.
But you know what? Blogging is actually a really good thing for people who think too much. Even if I have to wake up and pee in the middle of the night and decide to check my blog stats, that’s kind of crazy, but you sort of have to be obsessive about your blog if you want it to succeed. And writers are always coming up with subject matter at random times because they’re constantly thinking about writing. So maybe being in my head all the time just means I’m a writer.
So that’s why I’m writing this blog so early in the morning. Now maybe my brain will let me go back to sleep.
I think this doodle kind of looks like a brain.
Forgetting
Based on people’s comments about my post on forgiveness, it seems that forgiving others is more of a problem for most people than forgiving oneself. So I thought I’d say more about that.
It’s important to distinguish between forgiving and forgetting. We can do one without doing the other. We have memories and feelings for a reason; they are survival mechanisms. If someone has hurt you or someone can’t be trusted, you want to remember that. You want to avoid people who can hurt you and cause you pain–especially if they have no remorse for doing so. And you don’t want to continue to put yourself in harm’s way.
Forgiveness does not condone the other person’s actions. And the other person doesn’t have to earn your forgiveness by apologizing. In fact, someone can apologize without really knowing what they’ve done wrong and without any intention of changing their behavior. So you’re not forgiving them for them. You forgive them because it benefits you to let go of your anger at some point. When you’re ready. Because it allows you to take away their power to hurt you.
Although we always deserve an apology when someone has wronged us, we don’t always get one. Sometimes it has to be enough to know that you were wronged and to forgive so that you can control the suffering that is in your control. Because really, there is so little that is in our control.
However, you might want to reconsider being in a relationship with someone who never apologizes for hurting you. Which is more about boundaries than forgiveness. You can have forgiveness with boundaries.
The part of our brain that houses emotional memories makes no distinction between past, present, or future. It does not know whether the pain is real or imagined. It does not remember whether the person apologized or whether you have forgiven them. The pain is always fresh and new when we are experiencing it. This is why people have flashbacks in Post-Traumatic Stress Disorder (PTSD).
I don’t have PTSD, but I am an emotional person with an excellent memory. So it doesn’t take much to trigger a memory of something that someone has said or done to hurt me. When that happens, it is as though I am living that moment all over again, and my feelings are as intense as they were when it first happened.
This is why forgiveness is an on-going process. You don’t decide to forgive and suddenly all the anger and hurt are gone. You forgive, and then the memory comes up, and you forgive again. And again. And again. And maybe in some moments you decide not to forgive because you’re really mad this time. And then you start all over.
Forgiveness requires patience, because our heart does not follow the time table of our mind. You cannot will yourself to be ready to forgive; you just have to be open to forgiveness and wait for your heart to follow.
I find great comfort in this because of my excessive guilt problem. Wherever I am in the forgiveness process is OK–even if it’s more on the “I hate this person” end–because in Buddhism, you accept all of your thoughts and feelings without judgment or criticism. At some point, I trust that my heart will be in a different place.
I may not be there today, or tomorrow, or next week even, but at some point I will be at peace. Because I am choosing to move in that direction. That is something I have control over.










