midlifedude

Man at midlife making second half matter

Archive for the category “mental health”

Debt: The Mosquito in my Ear

Debt nags me like a mosquito buzzing my ear as I try to sleep.

I’ve spent my midlife trying to get out of debt while preserving assets – in other words, reducing debt with current income while attempting to avoid incurring more liabilities Debtor depleting investments. Sometimes I have had to unload investments to pay off debts, and always feel bad about it, like I’m filling a city street pothole that is sure to crater again.

Overall, I’ve been fairly successful at paying down and staving off debt. Still, whenever I become completely debt-free, something seems to suck me back “into the red” – a job loss, a major repair, education costs, or simply operating a budget that gets out of whack and spending beyond current means, a cash flow problem. I’m not alone.

Americans are swimming in debt:

  • The average American household that carries credit card debt has a balance of more than $15,000 on the cards, according to a 2017 NerdWallet survey. The same study found that the average American household carrying student loan debt owed $46,597 in education expenses, and the average American household with auto loans owed $27,669 for their vehicles.
  • A 2014 Urban Institute study found that 35 percent of Americans had delinquent debt. That debt typically came from credit cards or medical or utility bills that was more than 180 days past due and had been turned over to collections. The debts averaged more than $5,000.
  • In 2013, 7 out of 10 graduating college seniors were entering post-college life with student loans, which averaged $28,400, according to the Project on Student Debt.

Debt limits freedom and choice. Debt triggers shame and guilt. Debt causes stress and distrust in relationships. Worry over debt can lead to physical health problems, such as high blood pressure.

Debt makes me irritable, anxious and angry. I’m not alone in suffering from negative emotions related to debt. Research has found links between financial health and mental health.

Researchers from the University of South Hampton who analyzed 65 studies on debt and mental health determined the likelihood of having a mental health problem, particularly depression and anxiety disorders, is three times higher among people who have debt. The link between debt and suicide was especially pronounced: People who committed suicide were eight times more likely to be in debt.

Drug abusers were more than eight times more likely to be in debt, and problem drinkers 2.5 times more likely.

Short-term debt, such as credit card debt and overdue bills, was associated with greater depressive symptoms, according to a 2016 study in the Journal of Family and Economic Issues. People in the latter stage of midlife and closing in on retirement, 51- to 64-year-olds, were among the groups where the link between debt and depression was the strongest, along with people who were not stably married and those with no higher than a high school education.

Researchers aren’t unified in what causes what – whether stress related to debt causes mental health problems or mental health problems lead to poor financial management. But the two woes are close partners either way.

As midlife progresses, the urgency to escape debt and then keep it at bay increases. Time becomes the enemy; opportunities to get out of debt and recover start to diminish. Wives have been horribly miscast; debt is the real proverbial “ball and chain,” and not something one wants to drag into later adulthood. Whenever I hear that mosquito known as debt whining in my ear, I’m going to slap it silly.

The Fog of Mental Illness: I Know There’s Another Person in There Somewhere

Of all the midlife tasks I’ve encountered, caring for my ailing mother was hands down the most difficult.

That includes two job layoffs; getting fired from another job after seven years because of a personal conflict with a boss; a dispiriting divorce; a career change necessitating a six-year slog through graduate school; and a devastating injury requiring more than a year of rehabilitation.

I use the term “caring” loosely. I’m not the greatest caregiver – at least that’s what my first wife concluded.

I was the typical “sandwich” during midlife, raising kids while becoming a surrogate parent to my parent.

My mother tested my love, patience, tolerance and temper, down to my last nerve. And I have to acknowledge, when my mother was in her greatest times of need and was in her most depressed, ornery and bedeviling states, it was not me who truly was her prime caregiver and manager, it was my patient-as-a-saint second wife. I just tried – sometimes unsuccessfully – to follow her lead with an open heart and mind.

Now that my mother has died, I feel a little more freedom to tell a deeply personal family story, significantly abbreviated. I recognize most people wouldn’t air their family’s laundry, would keep it tight in the family, in the shadows. As a counselor, it’s part of my job to bring mental illness out of the shadows, to reduce the stigma. My mother had mental illness.

My mother’s depression occurred during various stages of her life, manifesting later in her life as bipolar disorder, meaning she cycled between depression and manic, or hyper, behaviors. The combination of mental illness and accumulating physical ailments, including intractable rheumatoid arthritis, fueled each other, contributing to an unremitting downward spiral in my mother’s final years and resulting in her sudden death from an undetermined cause at age 73.

Depression first hit my mother full force in her 30s, coinciding with her divorce. From my ages of 11 to 15, my mother suffered from several bouts of severe depression requiring a couple of months-long hospitalizations. When she was home as a single mother during that period, often she was barely functional, leaving my younger brother and me to largely fend for ourselves. There were times I was convinced she would die as a young woman, as her lack of appetite and insomnia caused her to wither away physically and treatment did not seem to work.

She eventually recovered later in my teen years, entered the workforce and went on to live a reasonably productive and stable life. She was a beautiful – but complicated (aren’t we all?) — person. She was a good friend to others, my number one supporter, and cared for me deeply. She wore her passions on her sleeve, such as politics. If not for her, I likely never would have run for political office, of course as a Democrat, the only party for her.

But she also carried demons from childhood that inhibited her life, and were amplified when her mental state was out of balance. Her parents were critical of her; she was never good enough, a “bad girl.” Her self-esteem suffered, compounded by her feelings of shame because of her family and home’s relatively impoverished condition. Her parents also were overly worried and fearful – neurotic, my mother would say – and as a result, over-protective. My mother responded in a positive way – by rebelling, asserting her independence, being stubborn, acting willfully, behaving in sneaky ways, including probably fibbing, to avoid her parents’ disapproval, and satisfy herself.

While those traits likely served her well during a challenging childhood, I believe they may have made her harder to deal with in later adulthood when mental illness flared, though dealing with anyone with bipolar disorder can be a nightmare regardless of personality characteristics. My mother had long periods of stability, stretching many years. But when in the grips of a bipolar episode, the illness was ferocious, grabbing hold of her like a rag doll and dragging her around at its whim. She was a wild card – we never knew what we would get from day to day.

During one manic episode, we had to literally restrain our mother from chasing police cars down streets in Washington, DC, so convinced she was that they were heading to Capitol Hill to intervene in a terrorist attack and she wanted to be part of the action. Without intervention, we were sure she would end up injured, abused, jailed or dead.

What many people don’t understand about dealing with people with significant mental illness is how difficult it is to get the sufferer help. Hospitalization is strictly voluntary, except in cases where it is evident the person is a risk of harm to herself or others, a standard that is quite difficult to prove to law enforcement.

During my mother’s two serious manic episodes in later adulthood, when her behavior was wildly erratic and mood swings drastic – essentially, like dealing with a person possessed by another being — we struggled mightily to get her to voluntarily commit to hospitalization so she could be stabilized. She resisted stubbornly for weeks on end, at times perversely turning those who loved her and were trying to help her into her enemies, behaving belligerently toward us and targeting us for biting comments, as if mental illness obliterated her filter and her subconscious assumed dominance.

She nearly torpedoed the sale of her house, a project on which her family had worked for months to get her into a better situation, where she would be safer physically, less isolated socially, and perhaps even receive care on site. She made the Realtor a target of her ire, as she did numerous medical and therapeutic professionals, out of frustration and distrust, believing they had consistently failed her or attempted to deceive her.

It was incidents and behaviors like these and more that caused my fuse to burn short and my temper to erupt more frequently than I like to admit. Even though I knew it was mental illness acting and talking, not my real mom, my frustration and despair at my seeming inability to influence a change or make a difference sometimes overwhelmed me and made me feel despondent and helpless. Counterproductively, I often relieved my anger by taking it out on my mother, feeling terrible afterward.

At the time she died – alone in her new apartment, with no one aware – she had come out of a manic phase and was stabilizing mentally and emotionally. As much as she fought in later adulthood against receiving professional help and being hospitalized – surely the result of wretched hospitalization experiences in her 30s – I believe she realized deep down that she needed help, that she couldn’t conquer the illness through sheer strength of will, that the people who cared about her had her best interests at heart. Because each time, after dragged out, emotionally exhausting battles, she did submit to voluntary hospitalization, and got better.

Unfortunately, her last go-round with the disorder must have taken a huge toll. She never got the chance to fully recover and get back to a normal life. We’ll never know what impact her mental illness had on her ultimate physical demise.

Unfortunately for me, my memories of my mother are clouded by that final intense, dramatic chapter, by the veil of mental illness shrouding the real person, when, try as I might have to be forgiving, accepting, patient and understanding, I was not always on my best behavior and didn’t always hold my tongue, just like my mother. And, perhaps worst of all, I never had the chance to apologize, forgive or say goodbye.

Good Money

When I would tell people I got a new job to start a new career in another state and would be moving, one of the first questions they’d inevitably ask was, “How much will you be making?” Or, so as to be less crass, “Will you be making good money?”PileOfMoney

In our competitive, capitalist, consumerist society, it is only natural that money is the first thing that comes to mind when someone accepts a new position. To be sure, why would anyone choose to move more than 500 miles and three states away for a job if not to make good money?

I had three answers for that question, and all had validity:

  1. Yes, of course I would be making good money, because there’s no such thing as bad money.
  2. No, I wouldn’t be making good money, compared to the much better money I had made in previous jobs.
  3. None of your friggin’ business what kind of money!

The answer is not simple. My job as a therapist under a two-year provisional license pays considerably less than my previous positions in public relations. I am at the entry level in the mental health field, where salaries and pay, though variable depending upon many factors, are relatively low compared to many other professions.

However, my job pays considerably more annually than the series of Gig Economy counseling internships and part-time and temporary jobs I had pieced together for the final two years of my counseling master’s degree program after leaving my full-time job. So viewed from that perspective, my new job does pay good money, and I’m grateful for that.

In midlife, we evaluate what we’ve already done and what we’d like to do with our remaining years, which no longer seem infinite. Priorities change, as we shift from the achievement-oriented, ladder-climbing, self-focused goals of younger adulthood to an increased desire to make a contribution to others, pursue meaningful activities and leave a legacy. My change to a career in counseling reflects the internal re-evaluations of the midlife transitional period.

When you realign priorities and make a significant change, there will be sacrifices. For me, one of those was money – good money. I knew that consequence of my decision from the start, when I embarked on the graduate program nearly six years before actually entering the counseling field. But I ignored that inescapable fact at the time.

Now that my new level of pay is a reality, I’m adjusting my life and budget to match. I may not yet qualify as a full-fledged Minimalist, but I’ve moved closer to that end of the scale in my spending, decision-making and thinking.

I don’t want to minimize the importance of making money – good money – or pretend I don’t care. It certainly helps in many ways and I always endeavored to make good money – at least the best I could in any given circumstance. I’d certainly rather be well-off and feel secure than poor and living anxiously paycheck to paycheck. Wouldn’t everyone? Fortunately, I have some financial cushion, enough to allow me to overcome the financial anxieties of making a career change, but far below some golden threshold to claim money doesn’t really matter.

But making ever more good money – however one defines it — isn’t the end-all be-all path to an ever more glorious Shangri-La, as a 2010 Princeton University study concluded. The Princeton researchers found that no matter how much more than $75,000 per year that a person earned, their “degree of happiness,” or emotional well-being did not increase. It also found that, though earning less than $75,000 in and of itself did not cause people to feel more unhappy, it did magnify and intensify negative feelings from life problems they had.

Beyond the practical realities of how I spend and the reduced margin of discretionary money available to save or burn compared to my previous work life, I’ve had to make a humbling mental adjustment: Here I am, in my 50s, peak earning years, with two graduate degrees, making less than half of what I made at my last full-time job, and less than or equivalent to many workers with much less education or years of experience than I have. Yet, I would still contend I am making good money, not bad money.

I gain fulfillment and a sense of purpose and contribution from counseling people and helping them improve their lives. Work is stimulating, rewarding and challenging, which I couldn’t always claim before. I look forward to my future in this new profession, and its many opportunities for learning, growth and entrepreneurship.

For those reasons, I know I can take this to the bank: I am making good money, with the promise of better money to come. When you truly enjoy what you are doing for a living and apply yourself with a passion because of that, the money naturally tends to follow. Good money.

A Tragic Tale of Alcoholism

Alcoholism is an insidious disease. Those with the hubris or self-delusional thinking to believe they can confront it and defeat it or manage it without professional help and community support, or who are oblivious, willfully or otherwise, toward recognizing their problem, invariably lose. That’s not to say that people with alcoholism who choose to go it alone are senseless, just that they are human and flawed, and as such, stubborn, prideful, in denial, and resistant to surrender. This is the tragic story of one of them.

*Names have been changed.

I received a text message overnight from Monty*, the head tennis pro at a community recreation center near where I was teaching tennis for the summer at a seaside resort. We had met early in the vacation season to talk about whether he had need for assistance and whether I could work around my schedule to teach at his club.

As a last-minute replacement hire, Monty also struggled to find housing for his three-month gig, which is prohibitively expensive and scarce at the shore.  So throughout the summer, it was common for him to text me to help him with his housing search or to let me know his teenage assistant wasn’t working out and to ask whether I had any availability to teach.

But this text was different. It was shocking, but unfortunately, not entirely surprising: “Adam, I heard your friend Kevin* is no longer with us. If it’s true, I’m sorry for your loss.”

I didn’t see the text until the morning, just before I started teaching for the day. When I VodkaBottlegot home, I searched online to see if I could find any confirmation of what Monty had relayed to me. I did. It was a sad, bizarre and surreal article in a Caribbean newspaper, but rang true to what I knew about my friend Kevin. Alcohol did him in.

The article described how Kevin had traveled to the Caribbean island from the U.S. Heartland in hopes of securing a tennis teaching job at an island resort. In unusually detailed reporting, the article also explained that Kevin was unable to land a job because he remained drunk all day and night, and had numerous cuts stitched up on his head from falls as testament to his non-stop drinking.  According to the article, Kevin drowned in shallow waters beneath a coastal town’s popular boardwalk, lined with restaurants and bars. By the time passers-by spotted him and pulled him out, he was gone. He was 61.

The Odd Couple

Kevin and I not only were roommates for summer 2016, but taught tennis alongside each other at the large coastal resort. We spent more time together than a married couple, especially since Kevin did not have a car. He said his car had some mechanical problems and that he did not want to take it on the long trip from the Midwest to the Atlantic shore. I took him at his word at the time, but now I suspect he might have lost his license due to drinking-related violations. It might have been one of those little lies he told others and himself to mask an unpleasant truth.

I took him on shopping and banking errands, restaurant outings and side trips, and we usually drove to work together, with his bike on the back of my car in case our departure times were different. He called me his “wing man” on social outings. We shared lunch breaks at the tennis center and barbeque dinners at home. When it rained, we sometimes taught side-by-side on the same indoor court. Together, we watched his favorite Midwestern teams compete in the NBA Playoffs and hockey’s Stanley Cup at restaurants until our cable TV got hooked up, then from our couch.

When I first made Kevin’s acquaintance by phone, I got the impression that Kevin, at age 60, was mellow and wise, a sage who would bring harmony to any situation. While that impression wasn’t entirely inaccurate, it missed the mark. From the moment I met Kevin on my first day at the tennis resort, when he burst through the clubhouse doors sweaty and pepped up from his bike ride to the facility, and zeroed in on me immediately as his new roommate, colleague and man he had communicated with by phone and email for several months, I knew he was more like the proverbial “real pistol,” a whirling dervish, belying his near-senior citizen status.

We were The Odd Couple – he the big-talking extrovert prone to braggadocio, the raconteur of uproarious stories, the unabashedly gutter-mouthed chatterer, the lifelong bachelor, the conqueror of beautiful women, the bon vivant, the energetic go-getter, the confident expert in his field; me the introvert, the married man with kids, the calm and contemplative one, the boring one satisfied to do solitary things at home and rest, the relative newbie at big-time tennis teaching who didn’t know if he fit correctly within the zeitgeist of the profession. But somehow, the yin and yang worked; we played off each other like Felix and Oscar.

I’ve Got to Get out of this Place

Kevin – who introduced himself as “Coach Kev,” the same as he was called by his students — got in touch with me in spring 2016, several months before we both showed up in the beach town as seasonal tennis instructors, to make my acquaintance and discuss strategies for searching for a place to live for the summer. We talked numerous times about our backgrounds and experiences, and our prospects for securing housing.

In the course of those discussions, Kevin revealed that he was an alcoholic, had attended Alcoholics Anonymous, had a sponsor, and had been sober for three years. He said he had been sidetracked from his tennis teaching and coaching career by an illness and death in his family, forcing him to return to his Midwestern hometown after globetrotting for two decades, bouncing around among eight states from the Southeast to the Mid-Atlantic to the Midwest to the Northeast, with an interlude in China.

In hindsight, I suspect that transient existence may have had something to do with Kevin’s battles with alcohol.

He was eager to get away from what he called his “gloomy” Midwestern home state and a grunt-labor factory job he worked while caring for his family member to “build a nest egg” to jump-start a better life doing what he loved. The tennis court was his sanctuary.

“Can’t wait to get out of here and to the beach!!!” he wrote in one email.

“Let’s work hard and have some fun and learn something about each other and the rest of the team this summer,” he wrote in another.

Fish Tales

I secured a room for rent in a homeowner’s house two miles inland from the beach, and connected Kevin with the homeowner Steve*, who rented Kevin the other available room.

The three of us became friends during the summer of 2016, engaging in fraternity-like banter about each other’s social lives, eating and shopping habits, athletic prowess, and quirks. Kevin told stories about living with a trio of Swedish girls while working in a ski resort town and adventures in Alaska, where he claimed to be a friend of singer Jewel. We all laughed at Kevin and Steve’s evening rituals of lawbreaking, when they would walk through neighbors’ property to fish in the adjoining private golf course’s pond and play the closest three holes as freeloading non-members, both activities prohibited.

Steve and I cracked up as Steve recounted Kevin’s reaction when admonished by a golf course superintendent that fishing was not allowed on the golf course.

“What do you MEAN there’s no fishing?!” Kevin bellowed incredulously to the golf course official, fishing line dangling in the water from the bank, as if those golf course fish were Kevin’s God-given right to catch.

I still have the hilarious image in mind of Kevin striding purposefully down our neighborhood street, wearing his floppy fishing hat and fishing vest with dangling lures and hooks, wading pants and boots, fishing pole carried erect, looking comically out of place amid the trailers and modular homes with no river or lake within proximity. Invariably, he would come home in darkness with a fishing tall tale, immediately pulling out his cell phone to show me photos of and describe in vivid detail his evening’s triumphs.

The Big Dog

On the tennis court, Kevin was intense and driven – perhaps too much so for a resort environment. He had a strong desire to demonstrate his knowledge and skill, and seemingly to show he was superior to other tennis coaches, The Big Dog, which appeared true but may have rubbed some the wrong way.

He sometimes became frustrated with lackadaisical players on his court during clinics, urging them, “Move, players, move!” Some liked to be pushed; others felt browbeaten – after all, they were on vacation, not training for Wimbledon. On occasion, when players failed to listen or couldn’t understand instructions, Kevin would turn his back to players and perform the religious ritual of crossing his chest and looking toward the heavens in mock – or in his case, perhaps all too real — despair.

Kevin was an excellent tennis coach, with a knack for explaining technique, strategy, shot selection and court positioning in simple, succinct and understandable terms. Players who were truly interested in improving their games gravitated to him, booking private lessons. Parents who wanted to help their kids compete at a higher level often sought out Kevin to be their coach for a week or two, or intermittently during the summer, deeming him the instructor who could produce the most results.

I learned a lot from Kevin about tennis coaching and teaching. I often watched his lessons and took notes on his sayings, advice, instructions and drills. Invariably, Kevin would bring his day at work home with him, recounting each teaching hour of his day, analyzing individual players on his court and their idiosyncrasies, describing what went well and what didn’t, and sharing his observations of other coaches, administrative staff and the entire tennis resort operations. He assumed the role of self-appointed management consultant and evaluator, seemingly unsatisfied to limit himself to his more narrow daily duties.

He would ask me about each of my clinic hours and students, and offer commentary on what he observed of my on-court performance. We often engaged in hours-long discussions on the finer points of tennis stroke production, doubles strategy and movement, ball-feeding patterns, purposeful drills, and how to keep clinics fast-paced, engaging and informative. He used his fingers to diagram and explain drills on our kitchen counter, moving them along the Formica® to demonstrate the flow.

His intensity and high standards often extended to the tennis club’s administrative staff, which caused him anguish when he believed they were lax or did not communicate well, especially about scheduling and booking issues. “They’re taking money out of my pocket,” was Kevin’s frequent refrain. As a result, tensions mounted between some of the young desk assistants, who may have felt intimidated or unfairly criticized, and Kevin, who expected a high level of professionalism. His reasonable but firmly delivered demands for accountability may have hurt him in the end.

Kevin was full of bluster and confidence. Even though he was 60, he approached the tennis teaching gig like he was 25, insisting with bravado that long hours on his feet in temperatures hovering around 90 were “a piece of cake.” Recognizing his desire to work and customers’ appreciation of his coaching skill, the club worked him hard. Some days, Kevin would start with an 8 a.m. lesson, and would finish with the 6 p.m. evening clinic, arriving home by bike at 7:30. The grind finally wore on him. “They’re riding me like a mule!” he would confess, sweaty and red-faced.

Voluntary and Involuntary Transitions

As the summer wore on, Kevin realized it was time for him to search for his next gig, as our tennis center dramatically cut its teaching staff after Labor Day. After several weeks of negotiations, Kevin proudly announced that he had secured a tennis teaching job at a large Florida facility. Kevin, who came from a family of eight siblings, called one of his brothers to share the good news, and became frustrated when he was met with skepticism and disapproval.

Late at night, after the phone call, he knocked on my bedroom door, wanting to talk. He lamented that his brother and other siblings didn’t share his joy in nabbing the Florida job, but instead seemed to want him to head back to his Midwestern home base and hunker down with something more stable and secure. He assured his brother that he was doing well, was happy and sober, and was excited about the new opportunity. Sad and reflective during our conversation, he seemed distraught by how difficult it had become to relate to close family members and their seeming lack of confidence in him and support for him, and needed an ear to bend. Coach Kevin was headstrong. He wasn’t the kind to do what others wanted him to do with his life, and resented the insinuations that others knew what was best.

Soon after Kevin scored the new job and his distressing phone call, things began to unravel. I’m not sure if a slip from drinking abstinence precipitated trouble at our tennis club or trouble at the club precipitated drinking. As far as I could tell, Kevin had done a fantastic job staying sober, resisting temptations, grinding on the tennis court and keeping himself on track all summer.

But in August, Kevin was let go from his job. He received a call one morning, and left home early for work. During busy morning clinic hours, when Kevin typically could be heard five courts away barking instructions and exhorting his players, Kevin was nowhere to be found. At lunch, the tennis director and head pro pulled me aside, as a courtesy since I was Kevin’s roommate, to let me know they had let him go that morning.

Relapse came fast and hard for Kevin, and with it, the ravages of alcoholism. Within a few days, his descent was so steep I couldn’t even recognize the Kevin I knew, from confident, energetic, strong and outgoing to weak, bumbling, indecisive and lost. He was a shell of his former self. For several weeks after his firing, with nothing to occupy his time, Kevin’s days revolved around drinking and were spent secretively in a drunken fog and the throes of violent physical illness, and in desperate but futile attempts to stop.

He knew he was sick and needed help, but refused to accept help from his roommates and a few other friends, always appreciating and thanking us for offers but never following through. He resisted regularly attending a nearby Alcoholics Anonymous meeting. He stubbornly persisted in his effort to slay the dragon on his own through sheer force of will, or maybe perversely preferring to wallow alone in misery as a form of self-punishment, shame and guilt. He startlingly and rapidly declined physically, lacking sleep and nutrition and looking like he had been in a barroom brawl from numerous cuts on his head, hands and legs incurred from falls, similar to what was reported in the Caribbean newspaper about his final weeks.

With prompting and help from Steve, Kevin got his act together enough to pack some of his stuff, buy a bus ticket to Florida, and hitch a ride to the bus depot with Steve for departure. But I suspected in his condition, his new venture would be doomed from the start.

An Unexpected Reunion?

Kevin and I left messages for each other several times in the fall, but had difficulty connecting. In messages and short conversations, it wasn’t clear exactly what he was doing, but I gathered that Florida had not worked out and he ended up back at his Heartland home base.

Then, in spring 2017, he contacted me to let me know he was making a comeback, literally. He was up for two seasonal tennis director jobs at a country club and the planned community recreation center along the same stretch of Mid-Atlantic shore that we both worked the previous summer. He offered me to be his assistant during my off times at wherever he landed, knowing that I was returning to the bigger tennis resort at which we both had worked the previous summer as my main job. I said I was interested, but couldn’t guarantee him anything, owing my allegiance contractually to my employer and working unpredictable schedules day-to-day.

He took the job at the community recreation center, keeping me updated on his programming plans and anticipated needs for an assistant pro. Once again itching to leave the gloomy Midwest behind, he arrived at the shore a good two months before the busy summer season began in earnest.

In one phone call before the summer season started, Kevin sounded particularly anxious and downbeat about his inability to find a reliable assistant, a lack of support and tennis industry knowledge on the part of the recreation center management, and the challenges of designing a schedule, implementing programs, establishing a budget and purchasing equipment. The responsibility all fell to him as a one-man operation, and he seemed to be feeling the pressure.

Downward Spiral

Within days, I got a call from Steve saying that Kevin had fallen off the wagon, had been hospitalized and had lost his tennis director’s job, replaced in an emergency hire by Monty. He hadn’t even made it to Memorial Day.

Kevin eventually caught a bus back home to the Midwest. I talked to him a couple of times while he was there. He told me ruefully that he “screwed up,” that he was depressed and about to enter a 30-day rehab program, that if he didn’t he feared he would die. But about a week later, I received a voice message from Kevin. In our previous conversation, he said he wouldn’t be allowed to have a cell phone in rehab. I concluded he had decided not to attend rehab at all, or bailed or got kicked out after a few days.

I didn’t hear from or about Kevin again for the rest of the summer, until I got the text late at night on September 1 from Monty, who had heard the news from the board president and manager of his recreation center/tennis club, where Kevin had preceded Monty as the short-lived tennis director.

In an odd and admittedly delusional way, I feel like maybe, just maybe, I could have changed the course of Kevin’s life and saved him from his drunken stumble to his death off the gorgeous island’s boardwalk. Maybe if I had been able to offer him more assurance that I could assist him in his new job at the shore, relieving some of his anxiety. Or perhaps if I had been in touch with him more frequently over the summer, providing him someone less judgmental than family members in whom to confide or vent fear and frustration. But I know that is unrealistic, fooling myself about having any power or influence over the death grip of alcohol and its captive. Without the alcoholic’s full surrender to the indomitable potency of alcohol and to a power greater than oneself, bystanders can do little to save the alcoholic from himself. Lord knows, Kevin’s many family members must have tried mightily to exert power or influence over the years, only to be rendered helpless in the end.

This is speculation, but my best guess is that Kevin had a tennis industry contact on the Caribbean island who encouraged him to relocate with the promise of leads for tennis teaching jobs. The newspaper article said Kevin stayed at a private residence on the island before moving into a hotel, a possible indication that drinking may have disrupted his stay with someone he knew.

Maybe Kevin wanted to make the ultimate escape, leaving behind the U.S. mainland, family, friends and acquaintances, and past job failures and bad memories, all together for a tropical paradise, where everybody is in good spirits, the slate is clean, and beauty abounds. Problem was, he couldn’t escape himself and his disease. Ultimately, it appeared, he ended up in a place where nobody – or perhaps practically nobody — knew him, where he could blend into the scenery and surrender, willfully or not, to his vice and disease unfettered, instead of to a higher power, without the watchful eye or emergency intervention of anybody who cared, a paradise that paradoxically turned ultimately into his own private hell.

I haven’t been able to stop thinking about Coach Kevin since I heard the news and found the article. It doesn’t seem real, but more like “fake news.” I keep thinking that I will hear from him again, about his next stop in his series of adventures, and to check in on me. But his disease was all too real.

Though he could drive me a little nuts with his hyper-analysis of our tennis teaching days and critiques of my performance – often backing off later saying, “Ahh, don’t listen to me…I’m just trying to help ya” – I appreciated Coach Kevin as a one-of-a-kind character. I’ve never met another Coach Kevin in my life – the intensity, the bravado, the humor, the sailor’s mouth, the entertaining stories, the wide-ranging opinions, the passions, the insights, the hard-learned wisdom, the friendliness, the complexity of his personality and being. He was one of those people you come across in life who you never forget, who makes an indelible impression. I was glad to call Coach Kevin my friend and I’ll always remember him, even though we were so different and entered each other’s lives late and for only a brief period.

I am deeply saddened by the loss of my friend. It would have been wonderful to keep in touch for years to come, sharing tales of new adventures and offering support and encouragement. The only solace is that Coach Kevin is free from the demon that he just could not tame despite what had to be many repeated Herculean, gut-wrenching efforts.

I imagine him looking down at me during my last few days teaching in the summer of 2017 and saying in his own inimitable, blunt-spoken way: “That lesson was miserable! What were you doing? I could have had that woman ripping topspin forehands into the corners in five minutes! Pow, pow, pow. Ahh, but don’t listen to me…”

 

Intersection of Beginning and Ending

For the second straight day, I couldn’t get my mother on the phone and got no reply to my messages. The last time I called from work and left a message, I got a sick feeling. I knew something was wrong.

I called my wife Amy and told her to meet me at my mother’s apartment building, where we had struggled to move her a year earlier during a period of my mother’s physical health decline and struggle with a mental health disorder. At midlife, roles had reversed and we had become my mother’s caretakers and support system.

When we got no response to our knock on the door, dread came over me. We entered and found her dead on the bathroom floor, cause of death unknown. Though she had been experiencing health problems, they were more the nagging kind than life-threatening—until they were even more than that, suddenly.

It was a tragic start to a political campaign. Only five days earlier, I had registered in dontknockfront-cover_6283732Maryland’s capital of Annapolis as a Democratic candidate for state delegate. I had never told my mother I was considering running—our relationship had been strained during her time of unpredictable and volatile mental health, exacerbated by her stubborn nature and rebellious streak. I didn’t want to mention a political run until I was fully committed to entering the race and felt she was on firmer ground. I had planned to let her know I was in the race the next time I saw her. I never got that opportunity. I felt terrible I had never shared the news.

The profile story on my candidacy in the Baltimore Sun with an October 8, 2013 dateline coincidentally hit the newsstands the same day that Amy and I found my mother dead. That day, I was going to proudly present the article to my mother, my biggest supporter, as I broke the news to her about my candidacy.

I wrote about my mother’s political influence on me and the impact of her death on my nascent campaign in Don’t Knock, He’s Dead: A Longshot Candidate Gets Schooled in the Unseemly Underbelly of American Campaign Politics:

I credit my mother Sandra Sachs, a diehard liberal Democrat from Boston who had a fascination with the Massachusetts Kennedy clan, a devotion to other charismatic pols and a penchant for volunteering for campaigns, for getting me interested in politics…

The Sun article provided me a nice opening salvo. Now I just had to back it up with real action. That is, as soon as I could plan a memorial service for my mother, meet and make plans with funeral directors, coordinate with out-of-town family, untangle her financial affairs, launch the bureaucratic estate settlement process with the Register of Wills, negotiate with her landlord, make repairs to her apartment, sell her furniture on Craigslist, and move all her other belongings out of her apartment within three weeks. Not the ideal way or frame of mind to launch a campaign.

So the first month of my campaign was put virtually on hold while I dealt with my mother’s affairs and coped with the sudden loss emotionally. In a spiritual way, I felt Sandra Sachs with me during the campaign, watching over me as I traveled door-to-door and marched with people who were struggling day-to-day. It occurred to me that maybe it was fate that I was running at all. It was my mother who loved politics and took pride in identifying herself as a Democrat, the party of inclusion and champion of the vulnerable, with her roots as the daughter of Eastern European immigrants who settled in the gritty outskirts of Boston and who lived a hardscrabble, working-class life. She would have been proud, I thought, looking down. No one from my family had ever run for political office before. The Kennedys we were not.

My mother’s keen interest in politics landed her on Capitol Hill as a staffer for U.S. Senators Bill Bradley (D-NJ), who ran for president in 2000, and Daniel Moynihan (D-NY), no small feat for a woman who spent her initial post-college years in the 1960s into the 1970s raising kids, and then battled back from debilitating depression to gain a foothold in the workforce.

At one candidates’ forum in particular, at a large residential retirement community outside of Baltimore, I felt my mother’s presence with me. I eschewed my usual stump speech in favor of an effort to connect with the seniors on an emotional and personal level, as excerpted from Don’t Knock, He’s Dead:

“I have a good idea of the issues you have faced and your current challenges,” I told the Charlestown [Retirement Community] residents, “but not because I read it or heard a policy wonk or a politician talk about them. I know from personal experience, from trying to help my mother with problems the last couple of years of her life before she died, when her health was going downhill.”

I told them about my mother’s challenges with downsizing and finding appropriate housing; exploring assisted living facilities; searching for viable transportation when she couldn’t drive; navigating a poorly coordinated, frustrating health care system; determining finances; and finding social outlets.

I wasn’t aiming for sympathy, but nevertheless several of the attendees and my fellow candidates offered me condolences and said my speech was heartfelt afterwards. Once again, I didn’t know if my speech had earned me any votes, but I was proud that it was memorable.

Nearly four years later, following a dinner celebrating my daughter Rebecca’s graduation May 20, 2017 from the University of Maryland, Rebecca told me she was sad that Nana – my mother – wasn’t there to celebrate with us. Another prideful campaign sadly missed. Whenever Maryland plays the University of Michigan, often now that Maryland is in Michigan’s athletic conference, Rebecca said she’ll think of her grandmother, who took great pride in transcending her poor, neurotic family in working class Malden, Massachusetts to arrive at a beacon of rah-rah American collegiate life in Ann Arbor, Michigan, and who ingrained the “Go Blue!” Michigan chant in her grandkids.

And I’ll always think of my mother when I recall my run for politics, one of her other great loves.

Midlife Men and Divorce: Risky Business

For the capstone class – the 22nd! – of my 5 ½-year master’s degree program in clinical mental health counseling, I had to choose a narrow “clinical population” for a research project. Somewhat shamelessly, self-servingly and unimaginatively, I essentially chose myself: a midlife man who has experienced divorce.

The findings were not pretty for the divorced midlife’s male’s future, though I acknowledge I intentionally selected research that highlighted why this population would be candidates for mental health treatment.DivorceHeartPhoto

Research has come to varying and sometimes contrasting conclusions on divorce and midlife men (roughly age 35 to 60), and mitigating factors are difficult to account for. However, numerous studies have shown that midlife men who have experienced marital breakdown have had greater propensity to become depressed, anxious or develop other psychiatric disorders; abuse alcohol or drugs; suffer from higher rates of illness, earlier death and suicide; harbor anger; live with loneliness and social phobia; qualify for work disability; and experience lower levels of physical health, mental and emotional well-being, and happiness and self-esteem.

And the majority of time, men aren’t the ones pulling the trigger on divorce, which studies show is one of the most psychologically distressing events in life. Research indicates that wives frustrated by an inability to improve their troubled marriages may be more likely to end them, with one study concluding that husbands initiate only a quarter to a third of marital separations.

These are research-based outcomes of divorce that pose challenges for the midlife man:

  • Recently divorced men were more likely than other groups to receive psychiatric treatment and be prescribed medication for mental health disorders. One study concluded that major depression was nine times higher among men who had been separated or divorced compared to stably married and single men.
  • Remarriage in midlife brings with it a whole new set of complications and negotiations that cause stress, indicating that marriage alone does not prevent mental and physical problems. One study found that remarriage was associated with an increased risk of depression compared with men who remained divorced.
  • Men often rely on their wives for their social lives and support for their health and emotional well-being, as women generally have stronger social support networks. Without their marriage, men can become prone to social isolation and loneliness.
  • A common dynamic of divorce is “non-acceptance” of marital dissolution. The ongoing feelings of attachment are associated with depression. The reality for some divorced fathers is continuing angry disagreements with and hostility toward their former wife a decade or more after breakup.
  • Once divorced, men’s physical health can decline, as wives often assume a role for monitoring and influencing their partner’s health behaviors.
  • While women experiencing divorce were at higher risk for mood and anxiety disorders, men were at higher risk for new substance abuse disorders. One study indicated that divorced 46-year-old men comprised a disproportionately higher share of binge and heavy drinkers compared to other groups of the same age.
  • The mortality risk for inconsistently married men (those who had divorced and remarried) was more than 40 percent greater than for consistently married men, and men who were currently separated or divorced had a mortality risk 2.5 times greater than consistently married men.
  • Men who had been divorced had a higher prevalence of work disability many years after the initial divorce.

As for me, I was the prototype of the midlife divorced male: separated at 42 and divorced at 45 in an action initiated by my ex-wife, with two pre-adolescent kids. I also have remarried, and while my wife Amy has been a wonderful social and emotional support, as the research indicated about wives, the second union has inevitably come with some stress due to new family dynamics and inter-relationships, financial complications and psychological adjustments.

I have avoided many of the pitfalls of the midlife divorced male, such as substance abuse or physical health decline, but did not escape divorce unscathed. When first threatened with divorce and teetering on the brink, I suffered from depression that affected my appetite, sleep, energy level and concentration. I struggled with non-acceptance when the reality of pending divorce flooded me like an unstoppable tidal wave. I lost a big chunk of my social connections and outlets. Worst of all, it was hard not to feel like a failure at something so important, and as a letdown to my kids.

Researchers have come to different conclusions over whether such a thing as a “midlife crisis” really exists, or whether it is a pop culture phenomenon, especially for men. But there’s no doubt that midlife is the time men walk through the landmines of marital upheaval, and when they are most prone to its potentially harmful and long-lasting mental health effects.

 

‘Play the Whole Tape:’ The Struggle of Addiction

Alcoholic_AAMtgThe lanky young man with the tattoos took a break from his intricately-detailed pencil-sketching to look up from his art and turned to face me after I introduced myself to the group.

“Have you ever been addicted to drugs?” he asked.

“No,” I responded.

“Ever been addicted to alcohol?”

“No,” I said again.

“What can you know?” he mumbled with disgust and turned back to focus on his artwork.

It was my first day as a co-leader of a substance abuse therapy group, an internship for my clinical mental health counseling master’s degree as I make a career transition from public relations to counseling. The group leader smoothed the edges by telling the group members they can learn different things from counselors who had addiction problems and those who haven’t. The leaders with whom I have worked had substance abuse histories and can talk the language of the streets and drug culture; I can’t.

When a member glorifies the days of using, as those in substance abuse recovery are wont to do, one leader admonishes: “Play the whole tape,” meaning remember the misery that accompanied the action, the “ripping and running.”

Later in the session, the young man apologized to me and the group for his abrasiveness, saying he had discovered just before the session that a good friend from childhood had died by drug overdose. That type of emotional volatility and chaotic, unpredictable life is common among members.

In my two months co-leading and leading this three-hour-long group session, I have learned from members and have become more comfortable guiding and interacting with them. The members provide a fascinating window on life’s struggles and many life themes: redemption, commitment, determination, acceptance, grace, hope, resilience, courage, meaning, generosity, self-centeredness, self-destruction, temptation and despair.

Group members represent a microcosm of society: male and female; fathers and mothers; black, white and Hispanic; teenagers to seniors; those from childhoods of abuse, neglect and deprivation and others from relatively stable, caring families; workers and jobless; people doggedly seeking change and others going through the motions.

Some have been homeless, shunned by family members. Many have been imprisoned, and some still are dealing with charges that could result in jail time with any transgression. Some have risked their lives to get drugs, running dangerous streets at all hours, banging on doors of drug dealers. They have lost children, jobs, health, relationships, dignity, trust and respect over their addictions. Many have been through rehab before, but reverted to previous habits, some as soon as they exited. Their emotional lives have been engulfed with fear, shame, guilt, resentment, anger and damaged self-worth.

I don’t have any particular unique or profound insight into the scourge of addictive behavior and those who come under the influence of alcohol and drugs. I only have impressions as a person and professional new and fairly oblivious to this world. My biggest takeaway is that these individuals are not addicts, but people with addictions. In our society, we tend to apply labels to people that come with proscribed traits and characteristics, effectively straight-jacketing people into circumscribed boxes.

The experience has reinforced for me that addiction does not define the group members, a lesson I also learned first-hand when a roommate suffered a relapse. In fact, addiction is not at the core of their being at all. They are so much more than “addicts.” I appreciate the regular group members I have gotten to know for their sense of humor, loyalty, caring, openness, friendliness, raw honesty, suffering and commitment.

One woman exemplified the power of passion, hope and resilience – and the difference between those who truly accept and want to beat addiction and others who may be biding time – in an activity I led challenging the members to identify their strengths. Some struggled to come up with more than two; a few others declined to offer even one when called upon to share. But this woman, for whom the phrase “to hell and back” would apply, rattled off about a dozen assets. She appears to want recovery bad; her emotional pain is palpable. She has a medical condition that might keep others away, but she refuses to miss or give up. She’s a good person who got some raw deals in life and made some regrettable choices that sent her into a downward spiral, like many of the members, and she’s developing the courage to own it all. She is recognizing her worth as a human. She expresses faith.

I’m pulling and praying for her and the others to beat their addictions and find serenity and contentment, and hope I can be a positive influence, however small, on their recovery.

 

Thoughts on Struggle, Resilience, Gratitude and Grace

Counseling has given me a new perspective on struggle, resilience, gratitude and grace, at this time of year when we may slow down enough to think about these phenomegracena.

I’m working as a therapist intern at a mental health agency in Baltimore that serves low-income clients. Many have substance abuse problems. Some have been drug dealers. Some have spent time in prison. Many have been victims of crime or domestic abuse; some have perpetrated violent crimes.

Some have been homeless or evicted with no place to go, and some are on the verge of homelessness. Some are shunned by their families. Some were criminally abused or neglected as children.

All are struggling mightily, yet they have resilience. They want better. They want to overcome. They don’t quit. The question, however, is always: How motivated are they to change? When I think about resilience I’ve had to summon to face challenges, it doesn’t compare.

Many of our clients are on the margins of society, nearly invisible. Many have dropped out of the job market. Some want to return, but it’s a struggle to re-enter. Some have become isolated or reclusive, out of distrust or fear of failure, rejection or disappointment. They want independence, but it’s a struggle to get there; many have to lean on others for help. It’s easy to see: Once you fall into a hole, the climb to emerge can be arduous.

They are grateful for people who care about them, whether a therapist, a social worker or a friend or family member who stuck by them during difficult times when others didn’t. They are grateful for sobriety, kids and grandkids, and new chances.

Our clients inhabit a world and have lived through experiences with which I had no familiarity until my counseling internships. For the clients who have let me into their worlds and taught me about the enormous challenges they both inherited and created themselves, I am grateful. They have blessed me with a real-world education that books and classes can’t approximate. I hope I am providing a certain kind of education for them in return.

As for grace, Gerald G. May, M.D. described “living into grace” in Addiction & Grace:

“Living into the mystery of grace requires encountering grace as a real gift. Grace is not earned. It is not accomplished or achieved…It is just given.

“But living into grace does not depend upon simple receptivity alone. It also requires an active attempt to live life in accord with the facts of grace [which]…are simple: grace always exists, it is always available, it is always good, and it is always victorious…

“The risk, of course, is to my addictions; if I try to live in accord with grace, then I will be relinquishing the gods I have made of my attachments…I must make conscious efforts of will; I must struggle with myself if I am going to act in accord with those facts. Living into grace requires taking risks of faith.”

As we enter a new year, I hope and pray our clients are able to recognize grace working in their lives and find the strength to take the risks of faith to live into grace.

Ch-Ch-Ch-Ch-Changes: The Midlife Transition

At midlife, I’m in transition…constantly.

Over the last year, in my early 50s, I’ve faced more challenging transitions than any other year of my life. It keeps me always somewhat on edge.

My life has been like a David Bowie song, minus the stutter:Changes_DavidBowie

Ch-Ch-Ch-Ch-Changes

Turn and face the strain…

As my kids reached the ages of 20 and 18 and I pursued a second career change, I have:

Left a full-time job in public relations after seven years, been unemployed and learned to live without a steady paycheck

Become a full-time graduate student

Scrambled to find part-time work, even trying out as a “coach” for a company that teaches soccer and educational skills to pre-school kids, something out of my element

Completed an internship in a new field, mental health counseling (therapy)

Adopted, to some degree, the minimalism approach to life

Switched from graduate school and the counseling internship to a six-day-per-week job as a tennis instructor for the late spring and summer months for a much-needed cash infusion

Moved from the D.C.-Baltimore suburbs to a Delaware beach town to work as a seasonal tennis instructor

Transitioned from married and family life to bachelorhood, living with two single roommates for my summer hiatus at the tennis resort

Adapted to an empty nest, with one child in college and another entering this fall

Acknowledged that my 20-year-old daughter really has become an independent adult, observing her navigate a semester abroad in France and travel around Europe

It’s been a lot of change for one year; most of it was of my own volition and some of it was thrust upon me. Overall, encountering transitions has been positive, though sometimes admittedly nerve-racking. It has kept me motivated, challenged and stimulated. One thing’s for sure: I have never been bored or complacent during this transitory period.

The transitions have required me to look within and summon my confidence and belief in myself, which has been something I’ve often struggled with. I’ve had to do this on a daily basis in both my counseling internship and tennis teaching job, working in environments that were completely unfamiliar and in positions where I’ve had to try to project confidence immediately with strangers.

The transitions will keep unfolding. I expect to graduate with the counseling degree in May 2017, and then embark on the new career for real, but in what capacity, I’m not sure. My son will move out for good to his campus dorm in August. I’m even thinking of moving from the area I’ve lived for the past 28 years to a smaller locale in the South, as I transition to the new career and seek a warmer, slower-paced, more gracious lifestyle more befitting of the minimalist philosophy.

Transitions have been healthy for me. At a time of midlife when many may be stagnating and biding time until a retirement of unknown purpose and activity, I feel optimistic and excited about my future and the opportunities and meaning transitions will bring.

For anyone contemplating a meaningful transition in midlife, I recommend taking the risk, or you may regret missing your window down the road.

The Rewarding Work of Helping People Change Their Lives

Until you work in a mental health setting, you never realize the prevalence of depression, anxiety, mood and attention deficit/hyperactivity disorders, trauma, substance abuse, paranoia, anger issues, family dysfunction and other mental health problems in our society.

In the midst of a career transition from public relations to counseling, I just completed the first year of my internship at an outpatient mental health clinic that served Medicaid recipients for my counseling degree program. I counseled people with all those issues. All took medications as part of their treatment. Therapy was the other half of their recovery and managing their symptoms.

Gaining better awareness of ourselves and understanding our current behaviors and how the past may have affected them can be a lifelong and complex process. At the risk of oversimplification, recovery and a more healthy and satisfying life for people suffering from mental health issues (excluding those without severe mental illness or psychosis) comes down to several key factors:

  • Desire and readiness to change

  • Commitment to take actions

  • Ability to implement new ideas or behaviors

  • Willingness to accept reality

  • Fortitude to replace negative or destructive thoughts with more positive ones

I found clients were able to change their thinking and behaviors, and as a result, their feelings and emotions, to varying degrees and on different timetables. One client reported she had consciously changed a negative pattern of thinking to a more positive one within a few weeks, and as a result had significantly reduced stress and anxiety and slept better. Her entire presentation changed from forlorn and dragging to bright and eager. That told me clients had the ability to make rapid and meaningful changes. When you observe someone change like that, it’s a beautiful thing.

Others struggled with the same issues of anxiety, anger or dependency for months with small improvements and back slides. They had walls that were harder to penetrate, built over lifetimes of learned behaviors, ingrained messages and adaptations to survive circumstances.

Overall, the internship provided a fascinating window into the human experience and human behavior through my adult and child clients and their families. It was a privilege to get to know them, and difficult to tell them I had to leave when my internship ended.

The internship also taught me how little I know about mental health disorders and strategies to help people who suffer from them. There’s so much to learn about the science and art of mental health and therapy. And about how to be comfortable just being with people, showing authentic caring, developing a connection and earning their trust. But I’m learning, and excited about expanding my knowledge, getting better at being helpful and more courageous about challenging people to dive deeper below the surface to confront the roots of their problems. All signs indicate it will be a rewarding new career. I’m glad I took that gamble.

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