Tag Archives: talk therapy

Taking Off the Training Wheels

I am happy to say that the last month or so has been going fairly well.  Sure, there have been some slight ups and downs, some blips on the radar…but overall, I am actively coping with my life, with this illness, with the relationship between the two, and with the bigger picture.

I have been in individual talk therapy for over half of my life, or since I was about age 16.  I find therapy to be extremely useful and heaven knows that Goddess of Mindfulness, was around to be a party to most of that.  She was the world’s best therapist, and she probably is still out there, therapizing those in need and playing the magical singing bowls.

I have done further individual therapy at the community mental health center in my town, which I have also found helpful.  Fifteen-plus years of therapy will lead you to a lot of “ah-ha!” moments, and while I don’t think I am necessarily done having those moments, I feel like I need to test my coping skills in this life I am leading, without the direct benefit of individual talk therapy.

After discussing this with my current therapist, The Scribbler (takes vigorous notes), we decided that I would take a one month break from individual sessions.   I will still have expressive therapy, group DBT, and medication appointments weekly — just leaving out the talk therapy for the moment.  To me, this is kind of a test of sorts.

I have a safety net.  I can call her and reschedule for a sooner appointment at any time, but I really feel like maybe I can use the natural supports in my life and the coping skills that come from DBT and really deal with anything the next month is going to throw at me.

I have no doubt I will need therapy again at some point, but I think it is really important that I take this break so I can prove to myself, not to mention anyone else, that I really can deal with issues as they come in a calm and wise-minded fashion.  At least, I think I can *right now*.

Who knows where I will be this time next year, or next Spring, or any of the other times in space when I traditionally crash and burn.  This is my little experiment, and I hope that I can document a good bit of it, so I can come back and look at it later, because that always seems to help.

still becoming


Filed under: Collection of Thoughts Tagged: Bipolar, bipolar disorder, coping skills, DBT, depression, dialectical behavior therapy, individual therapy, mania, mixed epiode, structure, talk therapy

Men & Depression: NHL Goalie, Clint Malarchuck

Clint-Malarchuk-hockey-depression

This is an interview that Clint Malarchuk did for ESPERANZA Hope Magazine. I’ve been looking for it and finally found it. It’s a brilliant interview. Very worth everyone’s time to read.

http://www.hopetocope.com/men-depression-nhl-goalie-clint-malarchuck/

The former hockey goalie shares his story on confronting his depression and anxiety.

By Linda Childers

There was a time when the face mask Clint Malarchuk wore as protection against hurtling hockey pucks mirrored the façade he donned to get through the day. In a rough-and-tumble sport where players are valued for their “manly” ability to get physical and play aggressively, the award-winning goaltender became a master at hiding the inner turmoil of anxiety and depression.

“Goalies are the guy everyone looks to for confidence,” explains Malarchuk, who began his professional hockey career before he turned 21. With his high-pressure job plus the stress of keeping up appearances, he says, “I felt that I had to be twice as strong.”

Over 14 years, Malarchuk tended the crease for the National Hockey League’s Quebec Nordiques, Washington Capitals, and Buffalo Sabres before finishing out his playing days with the Las Vegas Thunder of the International Hockey League. When he was out on the ice, immersed in a game, he was able to find some peace. Off the ice, not so much.

“In the locker room, I was the easygoing clown of the team, yet inside, I felt like my brain was on fire,” he recalls.

From puck drop to final whistle, Malarchuk was focused on “the save”—keeping the puck from entering the net. Nowadays “save” has a different interpretation for him—as in, keeping others who grapple with mental distress from feeling alone and hopeless.

He’s a powerful role model for other men. When he speaks in public, Malarchuk tries to stress that depression isn’t just a “woman’s disease” and how important it is for men to confront their depression and seek out treatment.

“I always knew I was physically tough, but I believed I was mentally weak until I started talking to other men and finding out how many of them also suffered from depression,” he says.

At a recent event, Malarchuk recalls, he was approached by a father and his teenage son.  Malarchuk told the young man something he wished someone had shared with him at an earlier age.

“I emphasized how there’s help … not only in the form of medication, but also in therapy, and in talking openly with others.”

‘COWBOY UP’

Malarchuk, 53, details his own struggles in his new memoir, A Matter of Inches: How I Survived in the Crease and Beyond (titled The Crazy Game in Canada). Take that “survived” literally: In a horrifying 1989 incident—witnessed by a nation of TV viewers tuned in to a Buffalo Sabres game—Malarchuk nearly lost his life when a skate blade slashed his neck.

The accident left Malarchuk with post-traumatic stress disorder—although it wasn’t diagnosed until years later—and deepened an emotional maelstrom that began during his difficult boyhood. He got a very different message then from the one he now promotes.

“From childhood, I was taught to cowboy up and move on,” says Malarchuk, who was raised on a ranch in Edmonton, Alberta.

His mask was already in place as he struggled through school and spent restless nights at the mercy of his anxiety and fear. “I remember thinking I was the only person on the planet who felt like their head was always spinning,” he says.

When he was skating, hockey stick in hand, the spinning stopped. The ice was his refuge, and the ebb and flow of the game would override his troubled thoughts. Malarchuk threw himself into the sport—and into obsessive conditioning. He would run 12 to 20 miles each day, lift weights, and box.

The “man up” message also drove Malarchuk to less healthy ways of coping: drinking heavily and erupting in anger.

“I don’t get angry anymore, but in the past, my drinking would often lead to me picking fights and being verbally abusive. I wasn’t even aware of some of the things I said when I lashed out,” Malarchuk recalls. “When I relapsed, I was angry at myself for not being strong enough to control the feelings I thought I had put behind me.”

After working with the team’s doctors and then a psychiatrist who diagnosed his obsessive-compulsive disorder and depression, Malarchuk finally found medication “that helped tremendously.” It also helped with shame and self-doubt when the psychiatrist “compared taking antidepressants to a diabetic needing insulin,” he recalls. “The doctor was the first to explain that my OCD and depression were the result of a chemical imbalance.”

While medication didn’t erase all Malarchuk’s symptoms, it did serve to quiet his mind. He continued his hockey career as a goalie and, after hanging up his jersey in 1996, as a coach.

BETTER TOOLS

Learning to manage his depression has been an ongoing enterprise. After a serious relapse in 2008, Malarchuk finally sought out talk therapy. He was challenged to face unresolved emotions related to his traumatic neck injury years earlier.

“In therapy, I had to … cry, and to acknowledge my feelings,” he admits.

He also learned more about overall mental wellness.

“I’ve tried to change my habits and focus on staying in the right emotional, mental and spiritual state,” he says.

Malarchuk relapsed again while writing his memoir, turning back to old coping methods as old anguish resurfaced. He was goaltender coach for the Calgary Flames at the time, and team administrators offered to send him to a treatment center. Part of the month-long rehab involved targeting the underlying causes of his alcohol use.

Malarchuk says he learned more about tools like self-talk, personal time-outs, problem-solving and relaxation techniques.

Last summer, Malarchuk began a new chapter in his life. He retired from hockey to live full-time on his ranch in Nevada, where he’s been raising emus for years. He is devoting himself to a second career as an equine chiropractor and dentist.

Malarchuk is living the dream, part 2. As a teen, he worked as a ranch hand during summers and thought about becoming a veterinarian. Throughout his hockey years—the dream, part 1—he maintained a love for horses, ranching, and rodeo. (Thus his nickname “the cowboy goalie.”)

“Being around horses comforts me,” Malarchuk says. “The smell of the barn and the horses, even watching them eat calms me.”

(He also gets some animal therapy from one of the house dogs, a Yorkie, “who senses when I’m anxious or upset,” Malarchuk says. “He’ll come up to me and want to nuzzle close to my neck and offer comfort.”)

FAMILY MAN

Where playing hockey was once his escape, now the barn is Malarchuk’s refuge. His office is there, and a gym space where he lifts weights and works out every day he’s home.

“Sometimes when I start to feel down or anxious, I’ll tell my wife, Joanie that I need to take some time out and go to the barn to meditate,” Malarchuk says. “Joanie has been very supportive and is great about encouraging me to do whatever I need to, in order to stay healthy mentally.”

A father of three, with one teenage daughter still in the nest, Malarchuk tries to be open with his children about his depression. He recalls one occasion last winter when depressive symptoms arose and he began to cry. Instead of hiding away, he asked his daughter to come sit with him.

“I asked if she had ever felt depressed, and I told her that no matter what she was going through, that she could always talk to me,” he explains.
Malarchuk hopes he can be there for his own children the way his mom, Jean, has been there for him.

“My mom and I are very close,” he says. “She has always supported me through good and bad, and I don’t know what I would do without her and Joanie in my life.”

In recent months, Malarchuk and his wife have been traveling across North America to promote his book. At book signings and in emails, other men often thank him for “being honest about my feelings because it has helped them to be more open and to better manage their own depression,” Malarchuk says. “I also get e-mails from women who thank me for helping their husband or their son realize that depression is a true illness.”

In the past, Malarchuk’s honesty has opened him up to attacks that he’s somehow weak. He’s heard taunts—“Hey, Malarchuk, pop another pill.” He recognizes that depression can be hard to understand for someone who hasn’t been through it. That’s partly why he’s so passionate about speaking out.

“I used to think my purpose in life was being in the NHL as a player and then a coach,” Malarchuk says. “I realize now that playing hockey gave me the platform for my real purpose—to raise awareness of mental illness, and to help reduce the stigma surrounding depression and anxiety so that no one has to feel alone.”

Sidebar: How Clint copes

By looking outward: Malarchuk has learned that focusing his energy on helping others is an antidote for his own depression, whether it’s caring for horses or answering e-mails from people who write him about their struggles.

By looking inward: Malarchuk practices his own form of meditation. “I lay down and read a book of daily reflections, and I meditate on the reflection,” he says. “I also use this time to pray about the things in my life that I have control over, and that I can take charge of, while releasing the things that are beyond my control to a higher power.”

By looking beyond: When Malarchuk begins to feel anxious or depressed, he searches for the root cause. He was experiencing symptoms after a recent trip and determined that he hadn’t been sleeping enough while traveling. “I’ve learned that it’s important for me to get 8 to 10 hours of sleep each night in order to feel my best,” he notes.