Mental Illness and Physical Pain: When the Brain Destroys the Body

My body is a clunker! And a great deal of the reason is that mental illness and physical pain are inextricably intertwined. Unlike most other illnesses, which are contained in one part of the body, mental illness sabotages the whole organism, much like the flu.

When I was about thirteen or fourteen, maybe even younger, I was at the dentist. He noticed that my canine teeth (the sharp ones that would look like fangs if they were longer) were completely flat. He was stunned that at my young age, I had already done that much damage to my teeth. His first question, asked almost in a joking tone, was, “Are you stressed out or something?” I sheepishly nodded “yes,” and he almost chuckled and asked, “What does a guy your age have to be stressed about?!” I wanted to say, “Everything in the whole world!” but by then I had learned that my obsessive brain made me weird, and so rather than answer him, I just nodded and gave him a you’re-right-my-life-is-blissful smile.

Grinding my teeth was only the first physical symptom of mental illness and physical pain joining forces in my body. Throughout high school, every doctor or PE teacher who has ever tested my flexibility (that sounds naughty if you have a brain like mine) has concluded the same thing: “Wow, Tim, you’re really tight!” As a kid taking the Presidential Fitness Test, I never thought anything of this consistent observation. It just seemed to be the way I was.

Then, two years ago, I developed severe tendenitis in my elbows. I tried to ignore it for awhile, but eventually I reached out to pick up my phone, and the twinge of pain was more than I could stand, so I dropped it. This seemed like a good time to call a doctor, which I did, and before long, I had my first doses of cortisone in each elbow. Over time, I would have 5 more between the two elbows. Oh, and one surgery with another soon to follow. I would put some good money that my tightness and my elbows were/are symptoms of my brain’s problems. My body simply shouldn’t be breaking down like this at my age.

There are plenty more examples where mental illness and physical pain intersect, such as my chronically bad back and persistent headaches, but the last one I want to mention is a horrible way that the brain harms the body in a very literal and deliberate sense: self-harm. On the inside of my upper left bicep – the most tender part – there are 8 prominent scars, slightly raised, looking like organized rows in a garden.

On my inner right forearm there are countless smaller and less conspicuous similar scars. That night the inner pain wasn’t quite so all consuming and I didn’t feel the need to be as aggressive in my pain seeking. I both cut and burned that time, but none of the scars show unless you look quite closely.

And on my inner right thigh, there are two red marks that have taken over a year to fade to skin color. Those are my most recent episodes of self-harm, brought on when someone I considered a friend reached out to tell me that she had unfriended me on Facebook because what I said was too negative for her. Already nearing desperation, I broke. I got my knife and lighter and decided to see how hot I could make the knife and how long I could touch it to my skin.

The first examples are about the unconscious harm our brains do to our bodies, while the self-harm examples demonstrate that sometimes our brains come out of hiding and demand that we do ourselves harm. It’s quite literally insane that anyone could get twisted up enough to start hurting himself. No one does it for fun. People do it because, in an odd way that no one could understand unless they had done themselves harm, it alleviates the horror of that particular moment. Imagine the despair of a brain seeking to inflict harm on the body that houses it, like a car that flattens its own tire.

Mental illness doesn’t make sense. It doesn’t follow the rules of logic or normalcy, and that’s why many people call us “crazy.” For those who suffer from any form of bodily harm at the mercy of your brain, I wish for you the ability to love your broken self. I hope you will see that broken people are the best part of being on this earth. We are the ones who are forced to do what some others will never learn to do: love ourselves, forgive ourselves, and accept ourselves.

And for those of you who are trying your best to support us but get tired of our incessant aches and pains, do your best to put yourself in our shoes. Imagine having a stroke. Suddenly the right side of your body is worthless. But neither you nor any of your friends think you’re faking it because it can be seen on an X-ray. The only difference is you’ll have to trust us and the doctors who diagnose us that there really is something very wrong in our brains. Our bodily symptoms are no different than stroke symptoms: the brain turning on the body.

And for all of you, please know that you are never alone. I am here for you, always available on this page or at And I hope that if you don’t already have them, you will find friends who speak the language of mental illness.

And supporters, you, too, can email me. And I urge you, too, to find friends who have a similar situation as your own. You need grace and kindness for yourselves as well. This is very hard; no one fully understands it.

We are all driving through a 5-mile, pitch-black tunnel without working headlights. The least we can do is to pile in the same car and face our fate together.
I write this blog because I want people to feel encouraged that they are not alone. Please share it with someone who might need to read it. Thanks!

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Born with Burns

Born with Burns

Sometimes I feel like I was born with a scorched body that never healed. I’m walking around in the world, a world full of sharp edges and prickly branches and concrete landing spots. These things hurt everyone when they pass them by or fall onto them, but for me, after 41 years of observation, I feel quite confident saying these things hurt me much more than they do the average person.

At the moment my wife 14 years and I are going through a divorce. It’s not that we don’t love each other or care about each other. It’s just that things aren’t working and they haven’t been for a long time. There’s a lot of friction that causes unnecessary pain and angst for us and for our children. It’s been a hard and years-long decision, but the last few weeks as we have taken definitive steps has been brutal.

On top of that, and forgive me for complaining publicly, but most of my closest friends and family have entirely failed to offer any comfort in the midst of this. I watch as my wife’s family and friends rallied to her side day after day and just feel consumed by loneliness at the lack of calls on my phone or texts to say “I’m with you.”

Today I actually feel like I want to die for the first time in a very long time. I’m grateful that his been so long since I felt this way, but I forgot how awful it is. I’m at that point just prior to being truly in danger where I just hope something tragic will happen to me and it will all be over. Like I said, I feel like a burn victim who is more wounded by the ordinary events of life than most others would be.

Life is painful no matter who you are but when you have a mental illness what might otherwise be tolerable pain becomes virtually intolerable. What might be deep sadness turns into soul-and-life-threatening sadness. What might be Xanax-requiring anxiety about the future turns into wanting to drink yourself into oblivion even though you haven’t had a drop in over seven months, as is the case with me.

As much as it may seem so, I am not writing to air any dirty laundry or to be passive aggressive toward anyone. I am writing because it is more apparent to me and ever day like today how much we need each other. People without mental illnesses simply do not and cannot get it. They can try and some of them are very very good at trying. But unless a day like today has led you to feel what I have described it is probably very hard to relate to what I’m talking about. I could understand if you wanted to say to me “Tim, pick yourself up by your bootstraps and move forward.”

But I’m not writing to those of you who feel that I should do such a thing. I’m writing to those of you who read what I said and immediately thought “I completely understand what he is saying.”

And I have a challenge for you that I will never quit giving as long as I write this blog: if you understand what I’m talking about please find someone in or around you inner circle and make a habit of inserting yourself into their lives.

All of us need each other. But those of us whose sanity feels so tenuous need the support of others all the more. If there can be one good thing that comes out of me having a really terrible day, I hope it will be that you are reminded of how much good you can do for another human being simply by understanding what they’re going through. That’s the greatest, and really the only, gift we have to give.

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