Thursday, June 28, 2018

When Anxiety Brain Attacks

More and more lately, I feel like I'm taking control of the parts of life that Anxiety Brain has long ruled. Identifying the difference between my own thoughts and the ones that Anxiety Brain sends my way. Telling Anxiety Brain off, frequently multiple times each day. Facing my fears in direct defiance of what Anxiety Brain tells me. But the more I fight for control, the more viciously Anxiety Brain fights back. I grow weary. I pause to catch my breath and regather strength. And those are the moments when Anxiety Brain attacks.

When Anxiety Brain attacks, it takes full control of my nervous system. My body switches into full-on fight-or-flight mode. My heart races. My breath quickens and shallows. My muscles get ready to run, tensing up in anticipation; if I don't move my hands and legs begin to shake. My digestive system turns off any hunger and feels ready to dispel any remnants of what I last ate. My eyes well with tears that refuse to fall, at least at first. I try to snap out of it. I take a deep breath - or two, or three, or a hundred. I try to use up the energy built up for flight, shaking out my arms and legs, bouncing in place, pacing the room, even taking a short sprint given the opportunity. I analyze the thoughts Anxiety Brain is sending my way and counter them with logic and facts, telling myself not to worry, that everything will be fine. I cope. I push through. But I can't seem to seize back control of my nervous system - not when Anxiety Brain attacks.

When Anxiety Brain attacks, memories of the past begin to haunt me. I remember my embarrassing words and actions of the past and wonder if those who witnessed them continue to laugh. I remember the time spent with people and wonder if I was truly welcomed or merely tolerated. I remember the conversations I've had and wonder how many things I said that made the other person think less of me, or how many things I said that offended them. I remember all the times I've failed those around me - as a friend, as a relative, as a neighbor, as a colleague, as a teacher, as a leader, as a citizen, as a Christian, as a person - and I wonder if I'll ever be forgiven by those that I hurt in my failure. I reflect on these memories and try to hold onto the good. I look for the bright sides. I cling to the positive feedback, verbal and non-verbal, shared by those who were a part of each memory. But I don't fully trust my own perceptions of things past - not when Anxiety Brain attacks.

When Anxiety Brain attacks, my most valued allies become my greatest enemies. The person who first caringly identified the signs of an anxiety disorder within me becomes the person I'm most afraid to share those same struggles with for fear they'll be disappointed that so little has changed in the decade since that life-altering night. The person who has more than once checked in on my mental health and told me to contact them when times get rough becomes the person I'm most likely to skirt around the truth with and resist contacting in those hard times for fear I'll be a nuisance with my inability to cope. The person who first demonstrated to me that it was okay to be open about mental health struggles in our friend group becomes the one I'm most afraid to be open with for fear they'll judge me for not conquering my similar struggles as well as they have. The person who I've told multiple times "You keep me sane!" becomes the person whose possible potential negative opinion of me drives me insane with a worry that keeps me up at night as I over-analyze my every word and action of the past, present, and future for fear that I'll at some point do something to devalue myself (if I haven't already) and lose their friendship. I try to combat my fears by taking these people's words and actions at face value. I hold to the clear moments of love, acceptance, encouragement, and support. I try to believe that they are being honest when they tell me that I am valued, and that they won't abandon me for my imperfections. But I wait for the other shoe to drop and the relationships to fall apart because I can't find it in me to fully trust other people to stick around - not when Anxiety Brain attacks.

When Anxiety Brain attacks, I feel stupid. I feel ridiculous. I feel irrational. I feel weak. And then I glance up from my writing to discover a recently-completed art project. It is simple, but deeply meaningful - filled with words of positivity. Each color representing a different person. Some friends, some family, some mentors. Ones who have known me since childhood and ones who've come to know me only recently. People who have taken a moment to share thee good they see in me. Each word representing some aspect of me. What I've done. What I've said. What I've written. Who I am. But that's when Anxiety Brain attacks again, fogging my vision with a cloud of doubt. "That may have been true then, but it's not true now," Anxiety Brain says. "They wouldn't say that if they knew __________," it says. I pause and read each word again, recalling the full quote that was the source of each - quotes stored away in a separate, equally treasured place; each nearly memorized at this point. The cloud of doubt doesn't disappear, but it does thin. Often only time can heal when Anxiety Brain attacks. But those positive words, the memories of the people who shared them with me - they help lighten the load while I wait for Anxiety Brain's attack to subside. They remind me why I keep fighting. They strengthen me for the next time when Anxiety Brain attacks.


My Writing Space at a Glance


The Art Project




Wednesday, June 20, 2018

Getting Comfortable with Being Uncomfortable

For the first time since I graduated college, I feel like life is falling into place enough that I get to have a relatively normal summer. Most summers I prepare for my life to be completely uprooted and try to plan for whatever the following school year will bring without actually knowing where I'm going to land. This year I'm lucky; I don't yet know the full details of where I'll plant myself next year, but I know enough to feel calm and settled and motivated to tackle the tasks I need to in order to find my footing again. When I realized just how many uncertainties were taken off my plate, I got excited. I started planning for a mostly anxiety-free summer. Except I've realized it's not going to be anxiety-free - but not for the reasons you may think.

For the majority of time that I've seen therapists since my initial mental health diagnoses, our appointments have consisted of crisis management. It's been 8 years of major life stressors (or occasionally minor life stressors that Anxiety Brain blows up until I'm no longer being a functional human being). Outside of building coping skills that work in both times of major crisis and times of minor stress, I've never really progressed in battling Anxiety Brain. I've spent a lot of time getting pushed backward and trying to regain the ground I once had only to get pushed back again, sometimes landing me further behind than I was before. I haven't quite figured out how to move beyond where I was when I first realized that I had a problem. I haven't figured out how to start gaining new ground.

With most major life-stresses off my plate and very few plans for the summer, I decided that I wanted to take this time to start tackling some of my battles with Anxiety Brain head-on - and one battle in particular rose to the top of my priority list. Anxiety Brain likes to tell me that no one wants me around, and it knows that its biggest enemy is people demonstrating that they actually do want me in their lives. Anxiety Brain is also a crafty self-preservationist, so it targets particular people - those who are the most valuable to me, most supportive, most likely to help me grow as a person (or some combination of all three) - and turns those people into my biggest enemies. Anxiety Brain takes a single person or group of people and tells me that that person or group's opinion of me is the only one that matters. And then Anxiety Brain tells me that they don't like me, that they don't want me around, that they think I'm some horrible awkward person that's maybe allowed to exist but only if I'm off hiding in some dark hole where I can't bother anyone. Then, because that person or group is so valuable to me, I'm desperate to convince them that all the things Anxiety Brain says they think about me are wrong (whether they actually think those things or not). So when I do get to hang out with that person or group, I spend the whole time afraid to do anything beyond existing, afraid that I'll say or do something that will rain down their judgement upon me, afraid that if they don't already think all the things that Anxiety Brain says they do, I'll manage to change their minds so that they agree with Anxiety Brain by the end of our time together. It's why I spend the hours, days, and even weeks leading up to social plans feeling nauseous every time I think about it, half-considering backing out of the plans altogether. It's why I spend the hours, days, and even weeks afterward replaying conversations in my head, over-analyzing what was said and the non-verbals accompanying it, reinterpreting even the positive parts of conversation as negative. Doing this often gets so exhausting that I eventually retreat into isolation, occasionally daring to enter social situations but only when someone else reaches out first.

Until this Spring. Until out of nowhere I started finding insane moments of courage to fight back against Anxiety Brain. Until I decided to stop isolating myself and start letting people in. I've finally learned that not only do I need people in order to survive, but I really need people in order to thrive. When I look at life over the past year, my ability to effectively manage anxiety directly correlates with how connected I feel to people I've claimed as a part of my support system. So as I looked at a summer with no consistent social activity planned, I realized that in order to continue the positive projectile I've been on for the past few months, I needed to find ways to be around people.

But I was left with a dilemma. In order to spend time with people, you have to make plans, and to make plans you face two scenarios - to either extend an invite or to accept an invite extended by someone else. Each of these seems simple enough - but not when you have Anxiety Brain around to complicate things. You know those comic strips and cartoons that depict a character trying to make an important decision with an angel sitting on one shoulder and a devil sitting on the other, each arguing which option is better? Living with Anxiety Brain is kind of like that sometimes. Except they're both devils (because there's nothing angelic about Anxiety Brain). And they're competing with each other to make each option and its consequences sound more terrifying than the other. And they're less trying to get you to choose one way or the other but instead trying to make you feel paralyzed because both options sound horrifying and awful, and you wish you could somehow not have to be in charge of choosing either one. That's what my last few months have been like as I've tried to figure out the best way to make sure I spend as much or more time with other people than I do with just Anxiety Brain this summer. To extend invitations or not? To accept invitations or not? Anxiety Brain has had me spinning in circles for weeks.

To someone with Social Anxiety, extending an invite is clearly a terrifying experience. Even the informal "Hey, we should hang out sometime!" can trigger debilitating anxiety levels. Extending an invite risks rejection. Even a simple "No" is something that Anxiety Brain reinterprets to mean "You're horrible and awful and weird. Why would I, or anyone else, ever want to spend time with such a depressing waste of space? You're such an annoyance! Please just stay out of my life and never ask me to spend time with you again. Also, if you see me somewhere else, just stay away. Wow, I can't believe you actually thought it'd be a good idea for us to ever hang out together! " That's out of a simple "No." So now imagine what Anxiety Brain does when that "No" is elaborated on. Even the "I don't have time right now" or "I already have plans" get twisted into "I'm lying to spare your feelings, but let's never, ever hang out together, and please don't ever invite me to spend time with you again." Complete non-responses turn into "Who on earth do you think you are? Do you really think that you're actually good enough or liked enough to spend time with me? What are you, delusional or something? I'm just going to ignore you and hope that you go away." On the days that Anxiety Brain is feeling particularly cruel, it brings up all the times in the past that an invitation was met with rejection and the feelings of embarrassment and defeat that followed and then asks if its worth risking the possibility of repeating that experience. The unknown of how someone else will respond to an invitation is a limitless playground for Anxiety Brain to dream up every possible negative outcome. This means the simple act of sending a text saying "Hey, we should get together sometime!" is one that often takes me months to convince myself is worth the risk of sending.

You'd think, then, that receiving and accepting an invitation would be easier. It's not. Turns out that Anxiety Brain makes it just as intimidating. Because Anxiety Brain's first question is always "Are you sure they didn't invite you by mistake?" Anything from someone saying "Hey, we should hang out!" to sending an invite to an actual social gathering brings forth this question. What if it was a mistake? What if they meant to ask someone else? What if the whole purpose of the invite is because they want to sit down and tell you how awful you are? What if they accidentally included you in a group that they didn't intend to? What if the invite was sent out of obligation, and they didn't actually want you there? What if they regretted the invitation as soon as they extended it? Then, if by some miracle I make it past the questions of the invitation's legitimacy and genuineness, Anxiety Brain bombards me with all the things that could potentially go wrong if I actually show up. What if I wear the wrong thing and look out of place? What if I don't know what to say to keep the conversation going? Or what if I say all the wrong things? When I'm supposed to bring food/beverage to share, what if they don't like what I bring? When it's a gathering of multiple people, especially large numbers of people, what if I don't fit in? What if I get left out of the group? What if I'm left on the outside looking in - or, even worse, on the inside but feeling like an outsider?

Anxiety Brain's tactics have had me spinning in circles for months about all the woes of inviting people to do things and whether I should accept invitations once I've been invited to a social gathering. I've lost more sleep over this issue in the last few months than I have over this Spring's job search. And I'm sick of it.

Like I said before, I need good people around me not just to survive but to thrive. Plus I simply love being around people that I care about. Being an introvert may mean that I often get over-stimulated by large groups and loud spaces, but I still love being around people. My favorite hobby is to learn about people and their life stories; I collect and strive to remember every detail because people matter to me. I want to spend time with them. And I'm ready to be done listening to Anxiety Brain tell me not to. So this summer I made a choice. I decided to step out of my comfort zone in an attempt to achieve something I've wanted for a long time: more time spent with people in my life that I value.

Let me tell you, it has been hard. It's a good thing I decided long before summer started that I wanted to spend time being more social because it took months of drafts of messages and conversations to start reaching out to people. Initially I waited for an insane moment of bravery where I felt invincible enough to not care the consequences of reaching out to people, but that moment wasn't coming soon enough. In the time apart from consistent, positive social contact, Anxiety Brain was quickly taking over. Instead of an insane moment of bravery, it took sheer will-power to start contacting some people (though I'm still working on finding the bravery and/or sheer will-power to connect with others). Suddenly I had multiple days on the calendar with plans scheduled to hang out with people, and I have a number of other plans in progress. It turns out that I discovered a whole new set of Anxiety Brain battlefields along the way (brought on by the new experience of having 5 electronic conversations going on at once between Facebook and texting), but I forged ahead anyway. Beyond extending invitations myself, I also (so far) have yet to turn down an invitation to spend time with friends, though accepting invitations has taken just as much extreme fortitude to do as it did to extend invitations. Through it all, I've fought through most of the anxiety, and I've generally been pretty proud of myself. I've also been exhausted. Anxiety Brain takes a lot of hard work and energy to fight, and it's just as unnerving as major life stress - so I'm exhausted. But I also know that choosing to attack this particular battle head-on will, at least theoretically, be good for me in the long run.

You see, after I'd already made my big plan to work beyond my anxiety comfort zone this summer, I shared it with my therapist. She pulled out a picture of the "Window of Tolerance" - a graph split into three sections with a line representing a person's stress. The goal is to stay in the middle section - too high and you go into fight-or-flight mode, too low and you go into freeze mode, either way you can't effectively deal with the stress that you're feeling. We talked about how I live most of life at the top of the graph in fight-or-flight mode. With decreased life stressors for now, I'm mostly in the middle section - but my middle section is a lot narrower than the average person's. The good news is that when you're not spending all your time outside of that middle section, that "Window of Tolerance," you can work to stretch it to be bigger. Choosing to push yourself just past your threshold eventually retrains your brain to believe that you'll make it through that stress, and it becomes part of your Window of Tolerance, and that window grows.

I had already known that I wanted to fight Anxiety Brain this summer in order to better expand and strengthen my growing support system. I knew that I wanted to find the courage and tools and coping skills to deal with the anxiety-triggering scenarios that have often divided me from my support system in the past. But until that appointment, I had never consciously considered that putting in the hard work might mean that the power of those anxiety triggers diminish, that they could be everyday, manageable life stressors instead of energy-sucking, paralyzing ones.

So this summer I'm taking advantage of this time with fewer life stressors, and I'm forcing myself to get a little more comfortable with being uncomfortable. It's terrifying and challenging and draining. Anxiety triggers don't change overnight - but if gradual, repeated exposure means that coping with them becomes easier, I'm all in. So I'm trying. I'm trying to spend time with more people - whether that means extending an invitation or accepting one from someone else. I'm trying to remain open in writing about my anxiety struggles - the big and the small, the understandable and seemingly insane - even though I've hit a point where every time I finish writing any sort of post I'm ready to run screaming in the opposite direction as far away as possible to find a cave where I can barricade myself in and cease to let people see all the less-perfect sides of me. I'm trying to have real conversations with people, ones where I'm willing to admit all my flaws and failures, anxiety-related or not. I'm trying to not only accept but invite constructive criticism, to allow people to share their opinions and advice with me without letting myself feel like a failure for being less than perfect and without assuming that my inability to have previously followed their advice (or my inability to follow it in the future) dooms the future of our friendship. I'm trying to grow.

All these things I'm trying to do are anything but comfortable. Some moments or even full days the mere idea of willingly facing all these anxiety triggers makes me want to curl up in a ball on the couch, snuggle with my dog, and spend the rest of the summer bingeing the long list of shows I want to watch and re-watch on Netflix. And some days (like last Monday), when I need a break from the toil of growing, that's exactly what I'll do. But most days I'm going to keep trying. Keep pushing myself. Keep building my ability to tolerate those anxiety triggers. Keep taking deep breaths and telling myself that even though I'm intentionally putting myself in uncomfortable situations, I'm going to be okay. I'm going to keep working toward the skills I need to be a healthy, functional human being and not a falling-apart, dysfunctional mess.

As I strive to get comfortable with being uncomfortable, the conversation I had with my roommate one morning earlier this week comes to mind. We've been friends for 19 years now, and she's been one of my closest friends through all that time - but I've only in the past few months started actually sharing what it means when I say that I'm having a "rough anxiety day." In recent weeks, our conversations have evolved into me saying "Hey, want to know the stupid thing Anxiety Brain has been telling me today?" and her listening and providing sometimes repetitive feedback as I circle through the same conversation with Anxiety Brain over and over again. It's been both freeing and petrifying all at once - but it's made a difference. And this particular conversation stands out.

Me: I don't know if I should go to that social event next weekend.
Roommate: You should definitely go.
Me: But I'm pretty sure the invite was a mistake.
Roommate: It wasn't a mistake.
Me: But what if it was a mistake, and then I show up, and then it's awkward?
Roommate: It wasn't a mistake. They invited you because they want you there. You should go, and you'll be fine.
Me: But what if it's still a bad idea for me to go?
Roommate: Am I going to have to kick your butt out the door to go to the social event that day?
Me: Quite possibly. (Pauses) What if the invite was a mistake, and then it's awkward, and then the person who invited me wants to cancel the plans we have later this summer.
Roommate: They're not going to cancel the other plans you two have. And you should go to the event.
Me: But what if it's awkward?
Roommate: It won't be awkward, and you should go. Is that what Anxiety Brain needs to hear?
Me: Yeah... Or you're welcome to share your actual opinion, too.
Roommate: You should go, but it might be awkward.
Me: Okay. (Takes deep breath because that's not necessarily what I wanted to hear, but I'm trying to appreciate the honesty, which I asked for, as Anxiety Brain starts telling me all the ways it could possibly awkward). But what if it's not okay that it's awkward?
Roommate: It will be fine. That type of social event is pretty much always a little bit awkward, but you'll be fine, and you should go.
Me: (Thinks for a moment) You know, the last two times I went to that type of social event, neither of which involved the extra circumstances that are freaking me out about this one, it was a little awkward. But it was okay. (Internally: That means if I go and it's awkward, it's probably the type of event making it awkward, not me making it awkward).

In that moment, I realized how often in life we as humans have to force ourselves to face the uncomfortable. From the awkwardness that accompanies certain types of social events to the awkwardness which we experience when trying something new. It wasn't just an Anxiety Brain thing - it was a normal person thing. I could work to accept the likely awkwardness; I could let myself get comfortable with the idea that the event might be uncomfortable.

What makes this conversation even better? Three months ago, the conversation wouldn't have happened. Three days beforehand, I probably wouldn't have asked her to share what she really thought. I felt ridiculous as I spewed every single question that Anxiety Brain was throttling at me that day, most of which she had heard before, most of which she will probably hear again before I hopefully convince myself that I should attend the event. But I was working to get comfortable with the uncomfortable. And in doing so I not only made some anxiety triggers a little less triggering, but I grew a little bit as a person - and that was the whole point to begin with. To face my fears of interacting with people so that they can be there to support me and to help me grow. I got a little more comfortable with feeling uncomfortable and because of that my world changed just a little bit - and I can't wait for it to change like that again.


Friday, June 8, 2018

I am a Duck

"You guys - Heidi is our duck!" I heard a voice announce as we prepared for our concert that evening. I was incredibly confused. I'd never before likened myself to a duck. The only person I knew who had was one of my teaching mentors who was referred to as "Mama Duck" because of how she watched out for all her "duckling" students. Somehow, I figured that this wasn't the same thing.

"Okay..." I responded, unsure how I was supposed to take the comment.

"Calm on the outside, paddling like crazy underneath," it was explained to me. I smiled at the thought and took the analogy as a compliment. It meant that my fellow choir members saw me as someone that looked to have it together, someone they could count on to perform well in the evening's concert. But they also knew me well enough to understand the nerves and inner chaos that would go on as I performed. I had just that day declared while parsing through all my concert music that I'd be fine so long as I remembered to actually think about what I was doing while I was singing. I knew all of my frequent mistakes and how to fix them; it was a matter of paying attention during those moments through the music. Plus, as a singer, I'm almost always a bundle of nerves, no matter how much fun I have during an actual performance or "sparkle on stage."

But the best part of the analogy given to me by a member of my choir family is that, unbeknownst to them at the time, I've been a duck for most of my life. I've spent the vast majority of my life attempting to look like I have it all together, hiding any imperfections while on the inside I've been crumbling. I was diagnosed with social anxiety disorder when I was nearly 22 years old; I'm pretty sure it had been around since I was about 7. Through the 15 years that passed between, almost no one ever suspected that I was falling apart inside. My grades were some of the highest among my peers. I was physically healthy by most normal measures. I had enough friends to keep me from appearing to be a loner. I was involved in a variety of activities both at school and at church. I was often seen as a model - and I was determined to hold on to the image.

For me, social anxiety is ironically less about fearing people and more about fearing abandonment. Through most of my life, my disordered brain has convinced me that if the people around me see my flaws and failures, they'll cut me out of their lives forever, leaving me isolated and alone. So I hid my flaws and avoided all failure. I freaked out over every grade that wasn't an "A" (or, as a young child, over every grade that wasn't 100%). I never shared my beliefs and opinions unless I knew for certain that the people around me felt the same way. I avoided confrontation and allowed myself to be a doormat. I followed all the rules, including never entering a building through a door labeled "Exit." I avoided authority figures when I could and followed their every command to the letter when avoidance wasn't an option. Stuck in the middle of two opposing sides, I remained silent, afraid to disappoint either one. With each person in my life, I wore a mask conforming to their image of what I should be, my life littered with thousands of such masks. Occasionally I'd consider letting down my guard. I'd say what I thought, question authority, stop trying to be perfect in school, at work, or in social situations. Each and every attempt blew up in my face. So I put the masks back on, resigning my life to one of exhaustion caused by trying to live up to every person's idea of perfect.

Being a duck is supposedly a good thing. It's a "Don't let them see you sweat" mentality. And there are plenty of times that's true. More than once through the current school year, I've been told after both formal and informal observations that I stay visibly calm during what feels to me like chaos. The days my lessons fall apart, the days the kids are rambunctious,  even the day that a fight nearly broke out in one of my classes? I'm told I appear calm and collected, and on the outside it didn't show how much my brain was racing trying to find solutions to whatever the day's problems were.

And it goes beyond teaching. A year ago I joined the board of a small non-profit in my hometown that raises scholarship money for graduating seniors in the local school district by way of putting on an annual variety show. I spent most meetings with my head swimming having no clue what was going on, too scared to take on any role beyond being in charge of t-shirt ordering, and even that sent me spinning. It took a month of panic attacks to get the process rolling, and there were more panic attacks along the way even after that. But apparently I hid the stress well because lo and behold I was asked to consider taking on a couple of different executive positions on the board - because that sounds like a good idea for someone who was having panic attacks about t-shirt ordering of all things. (Though, in a big step for me, I did agree to take on the secretary role because I love the organization and that's a role that theoretically shouldn't trigger as many of the anxieties that come from, you know, talking to people.)

Often people think of being a duck as an admirable quality - but it's challenging to be a duck. It means that  it's not easily visible to the people around me that I'm crumbling inside. When I'm sitting on the couch staring at my phone, it's not because I'm bored or too lazy to tackle the million projects I should be tackling - it's because it's taking every ounce of my energy to keep from spiraling down an anxiety black hole. When I sit and stare at my computer screen for my entire prep time at work rather than writing lesson plans or creating materials for my kids to use or contacting student families, it's not because I feel like wasting my time but because I'm holding back the tears and/or panic attack lying under the surface. When I cease to reply to friends' attempts to contact me, it's not because I don't care about the friendship but because I don't know how to communicate with people when I feel like I'm falling apart. I look (relatively) normal on the outside while I'm internally teetering on the edge of a cliff, grasping at my remaining scraps of sanity, attempting not to fall.

Because of the stigma surrounding mental health disorders, being a duck is also dangerous. It means that I cling to my projected image of strength and normalcy to keep people from seeing my inner brokenness. It means that in the times I'm struggling the most, when I let anxiety brain convince me to make unhealthy choices like deciding to see how long I can last without eating or considering whether life is still worth living, most people will never know. Being a duck meant being so functional that my social anxiety went undiagnosed for far too long, probably would have remained undiagnosed had I not one summer grown so tired of my frequent, usually hidden, crying spells that I finally asked for help.

I will probably always be a duck, whether I'm managing my anxiety well or not. I'm even learning that I often have to tell my parents when I'm having rough anxiety days because I look calm and collected on the outside. And even when I'm successfully managing my anxiety, my relatively calm image doesn't mean that I'm not paddling like crazy underneath to maintain that level of functioning. My goal, then, is to be a duck who tries to show the world both sides of the water - both above the surface where I can be (or at least appear to be) calm enough to be a functioning adult and underneath where I have to constantly battle to keep going. Because in order to combat the stigma surrounding mental health disorders, the world has to see both. And in order for me to keep some semblance of sanity, the world has to see both.