Disabled, or Handicapped? What’s the Difference?

photo (6)One of my medical school guest professors, let’s call him Dr. X, came to class in a wheelchair.  He had not used it all of his life.  In fact, he had only begun to use it in the past couple of years.

Dr. X was a normally functioning medical student with a wife and two children when one day he woke up, got out of bed, and fell on the floor.  His right side was completely paralyzed.  He was taken to the hospital in an ambulance; tests were done; and he was diagnosed with Multiple Sclerosis.

Eventually the right-sided paralysis moved to his lower body, and with intensive physical therapy he was able to walk using two forearm canes, the kind where the whole forearm is supported by a rest and the hand grips a handle.  He finished medical school and did a residency in Rehabilitation and Physical Medicine, in which he was an expert due to his own experiences.  His disability proved to be an asset, even, because newly injured patients could not cry out accusingly, “You don’t know what it’s like!” because he obviously DID know “what it’s like” to struggle with his disability every day of his life.

When he came to visit us, in our second year of medical studies, he spoke at length about the difference between a disability and a handicap.  A disability, he said, is a physical or mental difference in the way our bodies or minds work, when compared to what he called the “temporarily able-bodied,” which means everybody else, because everyone, at some point in their lives (for the most part) will lose some kind of physical or mental function.

Then what is the difference between disability and handicap, other than the former being a more politically correct term than the latter, for describing a person who is “differently abled”?  The difference, he said, id that a disability is a condition where the body/mind is altered from the accepted standard, while a handicap prevents the person from functioning in society.  It is, he said, mostly a self-defined condition.

He went on to say that everyone who finds her/himself either suddenly or gradually differently abled must struggle with the question, “I know the things I can no longer do; but what are the things that I CAN do?  In fact, what does my disability make me an expert in? How can I use it to my advantage?  Or, what are the things I am already an expert in that I can still do?”

Obviously this does not apply to someone who is God forbid in a coma, or psychotic, or immobilized by depression.  But it immediately brings Steven Hawking to my mind, and Christopher Reeves, Virginia Woolf, Sylvia Plath, and even Edgar Allen Poe.  Hawking never mentioned his disability, but instead focused on science, with occasional wanderings into philosophy.  Reeves, once he regained enough strength to become an activist, poured his energy into promoting research for spinal injuries.  Woolf and Plath used the creativity that often accompanies mental illness to write exquisite prose and poetry, before their illness got the best of them.  All of these people eventually died as a direct result of their disabilities, but during their lifetimes they made contributions to science and culture that will last forever.

I am often thinking about this, now that I have received a seven page disposition from a federal Social Security judge, declaring me totally and permanently disabled beginning on the date April 4, 2000, which is the date that I had my devastating breakdown.  For a few weeks after receiving the letter, I despaired of ever being of use to society again.  I contemplated suicide night and day, as I felt that I would only be a burden on society and my family, even though I rarely see any of them because of my reclusive habits, which are due to my illness.

After a while I began thinking that my lack of employment could be used as an opportunity to write the memoir that has been hanging around the edges of my mind for decades.  My life really has been stranger than fiction, so why not write it?  This has led to taking mini-courses on various aspects of writing and publishing.

And due to the encouragement of my friend Ruth Jacobs, author and anti-prostitution activist, I have begun writing on the topic of sexual exploitation.  I was exploited as a youth, and until now this was a source of shame and distress.  Ruth has shown me that I can use my own experience to reach out and help others who may be in the same position to see themselves as survivors rather than victims, and to help each other heal through our solidarity.

I am working on the art of being disabled, not handicapped.

© Soul Survivor and A Canvas Of The Minds 2013. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Soul Survivor and A Canvas Of The Minds with appropriate and specific direction to the original content. This work is protected under a Creative Commons Attribution-Non-Commercial-NoDerivs 3.0 Unported License.

Where in the world am I?

photo (6)Good heavens, it seems like forever since I’ve posted on Canvas.  I feel an explanation is due.

If the truth be known, I am totally consumed by writing (FINALLY) my memoir.  I have a lot to write about.  I have not had a “regular” life.  No, really, I haven’t.

Those of you who have been following my personal blog (shameless plug #1:) http://www.bipolarforlife.me will have been getting a fairly significant preview of coming, uh, attractions.  The utterly delightfully wonderful Ruby Tuesday has given my new blog  http://dinaleah.wordpress.com/  a plug in one of her new posts here on Canvas.  (That was Shameless Plug #2.)

The experience of writing my life story, pushing through the trauma to get the words out, has been both gut-wrenching and liberating.  Did I mention terrifying?

Yet, as I used to explain to my son when he was small, if you draw a picture of the monsters from your nightmares, they get trapped in the paper and can’t get out to scare you anymore.  It worked for him, and it’s working for me.

I have a lot of fear surrounding the personal nature of it, and the fact that even though I’m using a pseudonym there’s always a chance that someone will recognize it and tell my childhood abuser, who is still alive.  Then I would be subject to more abuse.  What would I do?  Would I stick around and take it?  Would I run, as I have done all my life?  Or would I stand up to her and say, this is my reality.  This is your part in it.  If you choose to accept it and deal with it, fine.  If you choose to reject it, to throw it back on me as you always have, to point the finger and say “it’s your fault, you piece of sh*t” like you always have, then I’m out of here, but this time I’m walking, not running.  I’m gone.  Forever.  Just like you say you want.

Whew, it looks like I’m making some progress here.

© Soul Survivor and A Canvas Of The Minds 2012. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Soul Survivor and A Canvas Of The Minds with appropriate and specific direction to the original content. This work is protected under a Creative Commons Attribution-Non-Commercial-NoDerivs 3.0 Unported License.

Guest post on Soul Destruction blog by Ruth Jacobs

Reblogged from Bipolar For Life:

I'm so very honored to have been asked by Ruth Jacobs who is a strong voice in the fight to dispel the "happy hooker" myth and get the story out there about what it's really like to sell your body and with it, your soul.

I really went out on a limb with this one. If you have the intestinal fortitude to see why, click the link http://souldestructionblog.wordpress.com/voices-of-prostitution-survivors

Read more… 2 more words

It's a fact that kids with psychiatric diagnoses are much more vulnerable to being runaways or "throwaways"--children whose caretakers throw them out to fend for themselves. I started out in the first category and later ended up in the second because after a year on the streets, I would no longer put up with the verbal abuse and said so; so I was invited to leave and did so. Naturally mentally ill street youth are vulnerable to predators of all kinds, because we have no recourse. If we go to the police we are arrested for being runaways and locked up, where we are highly likely to be sexually abused by our jailers, with no recourse at all. And after that we are usually either shipped "home" or to foster care, where the cycle of abuse continues. So it is much better to keep one's head down and put up with street life rather than risk telling anyone who might lead us into something even worse. Here is a little bit of my story, appearing on Ruth Jacobs' Soul Destruction blog. I encourage everyone to take a look around her blog and see her fantastic work. She is working hard to dispell the "happy hooker" myth that keeps women from getting out of the slavery of prostitution. WARNING: PTSD TRIGGERS

Therapy

photo (6)I can’t believe I haven’t written about my therapist yet. After all these years: we’ve been partners in this odd relationship since 1999 or so. On and off, but still. She’s seen me through some fearsome places. She tells me now how much better I am, and I believe her, because she’s been there for me when I wasn’t.

Back then around the turn of this latest century, I was a pretty busy humanoid indeed. I had just moved to beautiful Western North Carolina from even more beautiful Northern Utah, ostensibly because I wanted to spend more time with my father, who had just suffered a minor heart attack and got a stent for his trouble.

In reality, I had been having job trouble. I know that when you’re bipolar you’re supposed to have job trouble, but this wasn’t that kind. I was working for genuine crooks, who paid me a fancy salary to be their high class medical whore, and I was fed up with being expected to dance a fine line between good and bad medicine in order to fill their pockets.

It happened that the town my parents live in was fresh out of a pediatrician at that time. They offered me a quaint little building and half of my present salary to start up a practice from scratch. It was great. I loved it.

But I wasn’t taking any medicine. Didn’t have time, etc. and of course with the stress and long hours I began to slide. And slide. And then A_ showed up in my life, to make things more dramatic and exciting, because I didn’t have enough to do, running a solo pediatrics practice.

Oh, and I forgot about R_, who was already making things exciting, but in a more quiet way, not the kind of roller coaster drama that would really get my blood racing. So there were the two of them, cordially duking it out for my hand, while I played my hand down the middle and went to work seven days a week, ten hours a day.

The therapist? She entered the picture when A_ asked me to marry him and I thought it might be a good idea to get some premarital counseling. I was seeing a psychiatrist, finally, because I had become so depressed that I was having to pop into my private office and cry between patients. Since I schedule six patients an hour, that was throwing my schedule off something fierce, so I thought it might be time to do something about it. The shrink I hit upon turned out to be terrible, threw big awful SSRIs at me, not having picked up on my bipolarism, and I could barely function. All of this, and big A_ was in the same boat, being an undiscovered bipolar himself. So there we both were, tossing about in a stormy sea of mental illness and discontent. R_ sadly yet wisely excused himself from the dysfunctional trio, and he was much the better for it.

We went to my therapist because she was listed in the insurance guide book as doing premarital couples counseling. She was milder and pleasanter than anyone I had ever encountered in my life. She evinced tole painting and warm brownies and snow globes shaken up with the flakes all coming down around the quiet church. After the session, as we were all filing out of the office, she laid her hand on my arm and said, smiling, “May I see you for a minute?”

I watched A_ recede into the waiting room as I was drawn back into the therapy room. I sat back down. I waited.

“I don’t normally see people for individual therapy,” my therapist said. “But I want to see you by yourself. Would you be willing to come and see me for several, let’s say six, sessions?”

I said that I would.

I can one hundred percent tell you that she saved my life. The confluence of influences that was brewing at that moment very soon blew itself into a full blown conflagration. I was hospitalized twice. I spent every waking moment, and many non-waking ones, thinking about ways to kill myself, more refined, better, less messy, undetectable, etc.

And here we are, thirteen years later. I’ve been lots of places and done lots of things since then, some of them more functional, some of them less. I landed back here in Western North Carolina s year and a half ago: my father is older and much sicker, want to spend time with him. I was overjoyed to find my therapist still in practice, very part time, and willing to take me back! For, dear reader, I am going to need her. I need her now, but I feel the rumble of distant thunder that informs my consciousness of impending tempest, upheaval, and without good and proper intervention, potential disaster. So I take my medicines and I go to therapy. And I hope to be able to give you all a good report, as we all roll along life’s trajectory, doing our best to keep it between the ditches, right side up.

© Soul Survivor and A Canvas Of The Minds 2012. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Soul Survivor and A Canvas Of The Minds with appropriate and specific direction to the original content. This work is protected under a Creative Commons Attribution-Non-Commercial-NoDerivs 3.0 Unported License.

Insomnia One, Drugs Zero

photo (6)Sleep eludes me tonight. 
I have taken the appropriate doses of the appropriate pharmaceutical cocktails, to no avail.  I know this feeling.
It is born of anxiety, of a tightening in the muscles at the back of my neck, and in my diaphragm, restricting my breathing.  I have to pay special attention to the jaw muscles so they don’t get stuck, Heaven forfend.

Unmitigated, this can escalate into one of those dreaded “mixed states.”  Highly unpleasant, although not add hard to get rid of as depression, yet more acute and all encompassing.

I hope I can accomplish a sufficient pharmaceutical knockdown, but one that won’t leave me zombified in the morning, or what passes for morning, for me.

Bumping up the Seroquel would mean dreamland for sure,   but it would be fuzzland tomorrow, and I have to drive and take care of my dad.   Another Ativan will have to do.

© Soul Survivor and A Canvas Of The Minds 2012. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Soul Survivor and A Canvas Of The Minds with appropriate and specific direction to the original content. This work is protected under a Creative Commons Attribution-Non-Commercial-NoDerivs 3.0 Unported License.