- magine that almost nothing interests you or gives you pleasure. You could not care less whether your grandchildren come to visit, or whether Barack Obama or Sarah Palin will be the next president or whether your favorite sports team wins the championship game.
- Imagine that you live with unrelenting sadness, regretting the errors and lost opportunities of your past, hopeless about your future and thinking that death would be a relief.
- Imagine that you frequently miss family and friends who have died, that you see their "ghosts" when you pass a place where you used to spend time together, and that you feel there's no one left who cares about you or who you care about.
- Imagine that you are constantly irritated, that you overreact to insults and that you have only harsh words for your family, friends or caregivers.
- Imagine that you worry all the time. Did you lock the door? Did you insult your friend? Did you tell your daughter to get married once too often? Are the new people in the neighborhood dangerous?
- Imagine that you believe that someone who comes to your home to help you is robbing you, or that a neighbor is spying on you.
- Imagine that you cannot bring yourself to get rid of old newspapers, broken bric-a-brac, and clothing you will never wear because they are your connection with a lost life.
- Imagine that you feel you have no more to contribute to your family or your community and that your life has become meaningless.
- Imagine that you rely on alcohol to sleep or to ease your fears or that you become addicted to painkillers that dull your mind.
- Imagine that you are responsible for an older family member, who needs help to dress, to eat, to bathe, or to go to the toilet. For years you have had to be there morning and night and too often have had to manage life-threatening crises when you should have been at work, with your own children, or asleep. Has the stress worn you down? Have you burned out yet?
- Imagine that one day you cannot remember the way home and that over time you cannot remember enough to have a conversation with old friends or to use skills that have defined you but that have slipped away.
These are all symptoms of mental illness, and isn't it obvious that they are enormous barriers to living well as you age?
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