Suicide questionnaires & ADD don’t mix

I went to a psychiatrist last Friday. As a matter of protocol, I had to fill out a suicide questionnaire. Which felt weird. I mean, if you’re feeling suicidal (which I’m not), I can think of few things more soul-crushing than filling out paperwork. Especially poorly worded paperwork that treats sensitive, personal questions with all the delicacy of a sledge hammer.

Q: Do you really want to die?

No, I don’t really want to die. I only kinda wanna die. Indeed, rather than dying, I’d much prefer filling out paperwork for the rest of my life!

Q: Do you ever experience feelings of hopelessness?

Why, yes. Now that you mention it, there is one very particular occasion where I experience massive feelings of hopelessness: while answering stupid questions.

Q: What would your mother say about your smartass answers? Well, Nurse Ratched…

Just kidding. That last one was not a real question.

Maybe this is totally Elitist Writer of me, but is it too much to ask that suicide questionnaires exercise a little more eloquence in matters of tone? And also, how about not giving me how-to ideas? This next question really DID appear on the suicide questionnaire:

Q: Do you have a suicide plan?

Oh! I need a plan? No wonder I suck at killing myself–I’m an ENFP! We don’t make plans. Thanks for the tip, Suicide Questionnaire.

Against all odds, I completed the necessary paperwork without fleeing the building screaming at the top of my lungs.

Actually, I am nowhere near wanting to kill myself. The only thing I want to kill is my ADD.

I’m finally taking it seriously–after only 35 years.

For one thing, when I was growing up, we didn’t believe in ADD. We did, however, believe in character defects. I was a sinful procrastinator, daydreamer, tangent-taker–oh! look! unicorns! I was “unfaithful” in properly completing my chores. I was “inconsistent” and “all over the place.” I had “flashes of brilliance” but bad follow-through. Furthermore, I was intentionally inflicting my character defects on other people.

I believed this about myself. And so I created elaborate coping mechanisms. Since I knew I was prone to being late, I used all kinds of timers to make sure I arrived early. I am now consistently punctual if only because I see tardiness as a huge character defect.

Guess what? Guilt works! Shaming works! Voila! And mwah-ha-ha.

Through the years I’ve used planners, to-do lists, calendars, timers and punitive consequences to bring my errant, scatterbrain into line.

“I expend tremendous amounts of energy to execute tasks that come easily for other people,” I explained to the psychiatrist once I was seated in her very comfortable, calming office.

“Take, for example, going to the grocery store,” I continued. “That task completely overwhelms me. I go in looking for carrots and end up getting all distracted by oooooh! what kind of mayonnaise is this?”

Unless I enter the grocery store armed with an iron-clad shopping list, I am utterly distracted, overwhelmed and rendered useless. This is why my husband does most of the grocery shopping.

There are other things, too. I don’t see mess. I literally don’t see it unless someone points it out to me. The other day I cut a bunch of roses and put them next to the sink. Ooooh! So pretty! All I saw was this:

Ooooh! Pretty flowers!

But take a wider shot. What other people see is this:

Why yes, I *am* still using Christmas dishtowels--from 5 years ago!

I honestly didn’t see the dirty dishes until I snapped the picture. I mean, part of this is being an ENFP—I tend to prioritize picking flowers over washing dishes anyway. But this is only exacerbated by my ADD which renders the dirty dishes invisible. Also, the laundry is invisible. And so is the layer of dust on the furniture. You see how this is going?

I am very familiar with people reminding me (through clenched teeth) that I have, once again, forgotten something.

I leave drawers open. My desktop is a scattered mess. Right now, a strand of used dental floss is sitting next to me. I know it’s mine but I don’t know how it got there. I suck at emails, returning phone calls and writing thank you notes. Usually, I reply in my head and then totally forget that I haven’t done it in real life.

I used to think I had a major character deficit. Like maybe I was lazy and doing all these things on purpose and if I just tried harder I could stay on task like everyone else. I have overcompensated and struggled to smash my errant brain into being orderly, detail-oriented and analytical. I have berated myself for making my friends feel like I didn’t care about them. I have hated myself for not being a Good Wife who keeps up with things.

On the other hand, I can hyperfocus and organize on a micro scale. Also, I have this thing with words. I can write (but only in small chunks). Hence, blogging.

The point is, I live with a near constant state of static in my brain. I have tried terribly hard to manage it on my own.

But I’m tired now. I’m ready to ask for help.

Next week, I’ll be starting a similar medication my son with ADD is using. It worked miracles for him. If it only works partially for me, I’ll consider that a slamming success.

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  • http://twitter.com/sharigreen Shari Green

    Good luck with your treatment. I hope it’s really effective for you! :)

  • http://twitter.com/creativemercury James Rule

    the interesting thing about this, is that whilst it is all very familiar, I do project management for a living. It works for a few reasons. firstly, I put lots of failsafes in my processes, checking, proofing & more checking, & the client has to sign off. Second, planning does not come easily to me. It’s too boring, however, I am very good at making things up as I go along.  Third, I am also fortunate to have what psychologist call hyper-focus, when I need to I can focus very acutely, but it takes a lot of energy, so it only gets called on when the adrenalin is high.

  • http://twitter.com/emaconly Lee Macon

    The second part of this made me laugh, because, well I’m just the same way.

    But the first part really, really, rreeaaaalllyyyyy made me cringe, because, well, when you’ve had a suicide plan, and you’ve filled out the suicide questionnaire and each question is TERRIFYING because you don’t realize until RIGHT THEN how far you’ve fallen, 

  • Sheilamlange

    I was looking at the SECOND photo when my 3 1/2-year-old daughter walked into the room, and said, “Those are be-YOU-tiful flowers!”

    Hmm…

  • Dev

    I’m an ENFP as well and could have written the latter part of this post. Hell I didn’t even notice the dishes in the panned out photo until you read it. I’m wondering if you’d explain more why you are going the ADD route? I feel like if I had ADD there would be a lot of other symptoms apart from my fickle scatterbrained way of life. Would really like to hear how you arrived at the diagnosis as I would hope there’s more too it or maybe I need to see a shrink too? ;)

    • http://deird1.dreamwidth.org Deird

      Dev – As someone with a wide experience of ADDers, I was not at all surprised when Elizabeth mentioned she had ADD. From what she’s said about her daily life, it makes enormous amounts of sense.

      If you’re interested in the indications of ADD, google “ADHD adult checklist”.

  • http://twitter.com/mistysmornings Misty’s Mornings

    You have captured the static well in this post and I will pray that your medication does offer a sense of calm and focus for your busy mind.  :) 

  • http://heretichusband.blogspot.com/ Heretic Husband

    Good for you!  I struggled with anxiety for 30 years before deciding to try medication, and it was one of the best choices I’ve ever made.  I was afraid the medication would make me not myself, but instead I feel more like myself (if that makes any sense).  The anxiety is what was making me “not myself”.

  • http://cuppboard.blogspot.com Elizabeth Erazo

    Nony at A Slob Comes Clean helped me realize how to start “seeing” mess. She calls the habit of looking over mess “slob vision”. Of course, my husband helped as well, but  from him it felt like criticism whereas with Nony it felt like teamwork! :)

    I love her because she actually shows pictures with messes! Real messes! Not like “Oh look at this super-hip vintage accessory “mess” that somehow manages to look like a real life collage!”

    • Anonymous

      Ack. Why can’t we call it something more cute like: “ENFP vision”? :)

  • http://faithandfood.morizot.net/ Scott Morizot

    Good luck with the medication! Hopefully it will help.

  • Zachmasonjenna

    Truth be told…I so missed you….
    “Missed me?”, you ask? Yes! I missed you during what felt like the eternity of 40 some days of Lent when the EE I know, love, admire, long to read, because she says outloud whats hidden in my head…was on a unrelenting happiness sebatical.

    So…nothing against happiness! I just wanted you to know that although happiness extended month did challenge me to evaluate my attitude…I really missed your down to earth, write it like it is, this is who I am, take it or leave it, how do you like me now, everday, Im not perfect and oh by the way writing….

    You rock EE!!!!…. I cheer you for going to the doctor!!!! And cheer youR writing!!!! ENFP is beautiful:)

    • Anonymous

      I missed me, too. Honestly, I can’t write 31 Days 2 Happy anymore. It’s just not…..me. :) So glad someone else noticed and doesn’t mind that I’ve sorta given that up. :) hee hee.

  • KatR

    “Do you REALLY want to die?”

    YES. YES, I DO. Ok, no, I don’t, but if you want to come at me like that, questionnaire, in this ugly waiting room with nothing to read but old Readers Digests, you and I will THROW DOWN, do you hear me?

    • Anonymous

      Yep. You got it. That’s exactly how i was feeling!!!

  • Anonymous

    This is a wonderful post. Thank you for sharing it.

    I remember being sure I was not in a depressive cycle, but still feeling out of sorts. The struggles I had were not new, per se. Instead, the things I had always had trouble with were rearing up all at one time due to the responsibilities that come with motherhood and being a ministry wife, or any kind of wife actually. I could put things off in school and childhood. You can’t keep putting off parenting. You can’t put off listening to your spouse. You can’t suddenly, on impulse, raise your children overnight the way I could always do ALL of my English writing portfolio in one impulsive evening.

    During that confusing time, I was reading a novel. Ok, when am I not reading a novel? In the book, a man was diagnoses with adult ADHD. He described my life to a tee. I stared at the book incredulously. Adults could have ADHD? Since when? I did what I always do when I have questions, I searched the Internet frantically and went to the library to Read All The Books. I felt increasing relief. Not because I wanted to have ADHD, but because I wanted to not be crazy. 

    • Anonymous

      LOL! Loved this. It’s so true–raising children is a long haul. Then again, just recently, I’ve been wondering where all the years went and my, how time flies.

  • http://humbled-pie.blogspot.com/ Kari

    A little bit of Adderall each day and I am a changed woman.  I’m still me – I just function a lot better (in this society at least!).

    Don’t get discouraged if the dose needs to be tweaked or if the first medication you try isn’t the best one for you.  Sometimes it takes a little while to work out the best medication and dose  for each unique brain chemistry.  But I’m praying that gets sorted out in short order!

    • Anonymous

      Thanks for the encouragement, Kari!

  • Lara

    Hmm…interesting.  I’m an ENFP.  I am the exact same.  I never really thought of myself as broken though.  I just thought of myself as “this is the way I am”.  I have unique struggles and unique strengths.  I’ll be interested to see if taking ADD meds makes you a better house keeper.  And if it’s any different than coffee.  Hmmm….

  • Falfie4

    So, to be fair, the fact that those questions rubbed you the wrong way is proof that you aren’t suicidal.  But, to someone who is, they aren’t all that far fetched.  You’d be surprised at how honest people are when answering questionnaires like that.  Knowing if someone has a plan lets the clinician know if they need to call the police or not.  Those questions can save a life.  But, your take on them was quite humorous.  :)   Hope the meds work for you!!  You are inspiring me to get evaluated.  I’ve always wondered if I had ADD.   

    • Anonymous

      You’re totally right. For someone else, those questions might truly save their lives. It was just MY take on the questions–I didn’t mean to sound flip about how it sounds to others….ack! Realizing that it may have sounded that way? Blargh!

      • Falfie4

         Well, like you said, you are an ENFP, and say what comes to mind… which is what makes you so much fun to read.  :)

  • marie

    Elizabeth, thanks for sharing (and the humor you added:))  We are in the process of determining if our son has ADD, and I am almost positive that I do. 

  • Sunflower

    I don’t see any messes either.  It makes life much nicer. :)
    I have a very hard time with all that futile housework.  In fact, I am rather suspicious of neat and tidy rooms.  
    I’m nearly 60 and am having my own little identity crisis and realizing that maybe  I have caught the ADD from my hubby and sons.  Never could see it in me at all.  Ha!  Keep on learning and do read the fine print on the meds.   Then, go do something fun. 
    Perhaps as a recently discovered ENFP I am thrilled to find out that I am not a stick-in-the-mud structured boring kind.
    All you need is a clipboard with the weekly list of important stuff.  Then, you try to keep track of where the clipboard is.  Every year or so I clean it out. 
    You will do fine.  Thanks for writing. 

    • Anonymous

      This comment really made me smile this afternoon. You’re so right: a clipboard with the weekly important stuff would be perfect! I get so bogged down with trying to create an intricate organizational structure with all kinds of tabs, color-coded and sorted alphabetically! :) Thank you for sharing your story with me. I appreciate it.

  • Melody

    Elizabeth, I am finishing a masters in counseling next month, so suffice it to say, I don’t have a ton, well any, psychiatric experience.  But as a future counselor, I do know that I’ve been trained to ask exactly the questions that were on the questionnaire at your doctors.  Research shows that a professional asking about suicide does not cause people to commit suicide.  As clinicians, the two things we look for that make suicide risk a reality are “do you have a plan” and “do you have the means”?  Asking these questions help us identify how great the lethality is and respond appropriately. That said, I like to ask those questions face to face, not on a questionnaire.  I agree that it does indeed sound impersonal and a bit offensive.

    Good luck with your new meds!  My guess is they will make a world of difference!

    • Katherine

      Melody, I am glad you pointed this out about the questionnaire. I am sure it sounds silly to the respondent, but it is a valuable tool when evaluating how dire the situation is. Some people do come in with very specific plans and having those details allows the therapists to better the treatment. We are thankful you are not in that situation though, EE :)

    • Anonymous

      Yes, I think FOR SURE if these questions were being asked by a kind, helpful counselor face-to-face they would have a completely different feel and tone. Thank you for pointing this out!!

  • Patricia

    EE–I am on medication for depression and social anxiety.  I also have a master’s in social work.  So, I have been on both sides of the helping equation.  And, I could SO relate to some of your reactions and descriptions.  In my case, the depression meds were what helped to quiet the “static” in my head.  And, in my case, the problem with the grocery store was the size of the store and all the people.   It’s true–talking about suicide isn’t known to cause it.  With that said, though, I TOTALLY get your point about sensitive issues being treated with the delicacy of a sledgehammer.  That initial appointment can be SUCH a vulnerable time!  I remember how surprised and almost helpless the psychologist looked when I started to cry after he cut me off while I was trying to answer one of his questions.  All that to say, yes, it can be hard, and even seem pretty “through the looking glass” at times, but overall, I’m glad I did…and I hope you will be, too.

  • kisekileia

    I can identify with a lot of this, especially the belief that your ADHD symptoms were character flaws. They are NOT. They are not your fault. They are caused by the way your brain is wired. Stick your guns about that, and don’t blame yourself!

  • http://thinkinggrounds.blogspot.com/ Anonymous

    Um, so, yeah. Back in the day I totally had a suicide plan. I knew exactly how I was going to do it. (Turns out? My plan would have failed. I’d have been very ill, but not fatally so.)
    The thing is, I’ve often found these forms comforting, not terrifying or soul-crushing. This is because it showed me that someone understood what I was going through. People had been here before, and there were people who could help. After all, someone had to make these questions. Also, dwelling on my problems was a thing I did, and questionnaires are great vehicles for that. “Hey, here’s ANOTHER way I can talk about my problems (without, you know, actually having to talk to anyone about my problems in person, because I’m way too screwed up to do that)!” It validated my sense of being screwed up.

  • Christian H

    Geez, this is awkward. Elizabeth, can you delete that comment below? I’m not so “Anonymous” with a link…

  • Anonymous

    (EE, here. I’m posting this comment on behalf of “anonymous” whose former comment didn’t post anonymously. So, I’m lending a helping hand. :) )

    Um, so, yeah. Back in the day I totally had a suicide plan. I knew exactly how I was going to do it. (Turns out? My plan would have failed. I’d have been very ill, but not fatally so.)
    The thing is, I’ve often found these forms comforting, not terrifying or soul-crushing. This is because it showed me that someone understood what I was going through. People had been here before, and there were people who could help. After all, someone had to make these questions. Also, dwelling on my problems was a thing I did, and questionnaires are great vehicles for that. “Hey, here’s ANOTHER way I can talk about my problems (without, you know, actually having to talk to anyone about my problems in person, because I’m way too screwed up to do that)!” It validated my sense of being screwed up. –Anonymous

  • Chendrik

    Trying again, I hope without accidentally linking to my blog this time (thanks for the removal, Elizabeth!):

    Back in the day, I totally had a suicide plan. (It wouldn’t have worked, though. I learned much later that it would have only made me very ill, but not fatally so.) I did have it all planned out, but I didn’t go through with it either because I didn’t /really/ want to die, or because I knew how much it would hurt my family. I can’t remember which.

    I’ve always felt more comforted than terrified or soul-crushed by these questionnaires. First, it seemed like someone understood; whoever wrote the form must have known what it was like, or spoken to people who knew what it was like. Others had been here before; there were people who could help. Second, I liked talking about my problems, but not to REAL people, so these forms were another way of dwelling on my issues without actually going through all that difficult stuff with talking to people about <i<feelings. Ugh. Writing it down was so much better. So, for me, that paperwork has usually been a good thing. (I think that they think in psychiatric work that you might not be as likely to tell the truth or confess to everything if they just ask you outright. But if you’ve put it on the form, they can say, “Well, it says here you can’t sleep. Can you talk about that?” And then you pretty much have to talk about that, ’cause you already put on the form that you can’t sleep. And if they do think that, they’re right about this guy here. Not everybody, sure, but they can’t know whether you’re a form person until after they get your form back.)

    • Anonymous

      What happened to my formatting? I’m not very good at this at all today…

    • Alexandra

      Yup, we were taught in counseling class that people will write things down which they would never tell anyone.  It’s easier to be with a piece of paper and their own head than to have to deal with telling it all to someone else.

  • Liz S.

    Hey, EE! I’m an ADD (married to an ADHD, as a matter of fact…and let me tell you, ADD+ADHD does not equal 2ADDs…more like ADD-squared! But I digress…) Anyway… I felt broken my WHOLE life…some days, I still do. But I wanted to share that I recently discovered Stacy Turis and her memoir, “Here’s to Not Catching Our Hair on Fire”. It was like she wrote my own story. And it was mostly funny, too! I highly recommend it. She also has a FB page, ADHD Superhero (or something close to that). Another good FB page for info is ADD Crusher. Hope this helps! We are doing major diet changing in our house, going as Paleo as we can afford, in the hopes that it will help! Our ADHD 4yo takes fish oil with good success, but we

    • Liz S.

      Grr! Stupid iPhone…anyway…we are not opposed to meds for him in the future–as they work wonderfully for my husband and decently for me. Just wanted you to know you are not alone in this! There are many,any,any of us out here, dealing with it too… Hugs!

  • Cheekypinkgirl

    Elizabeth,
    I have had ADD my whole life – diagnosed when I was 4 years old in the early 1970′s when girls just weren’t diagnosed with it because it was a boy only thing then. That’s how bad it was.

    Ritalin, and later Adderall changed my life. That’s all I can say. Support groups and counseling, OK, fine, but it was the drugs that made a difference and I’m just going to be honest and open in saying it.

    But don’t put yourself down too much. There are great gifts that come with ADD, whether medicated or not. And contrary to what the naysayers claim, I never once lost an once of my self, my fiesty personality,  my creativity, etc., while on the meds. Rather, they helped take those qualities to a new level.

    When I got married, I went off the meds believing I would instantly get pregnant (good Catholic that I am, ha!), but didn’t. It took a year and a half, then pregnancy, then breast feeding, then post-partum depression. In short, I was off ADD meds for about 5 years total. In short, I look at those years as HELL, but exacerbated by all the conditions I just mentioned.

    Unfortunately, not long after I had the courage to go back on the meds, right now, there is a U.S-wide ADD medication shortage. It’s affecting certain states worse than others (I’m in one of the sort-of bad areas), so I’ve had to use my medication on an as-needed basis, saving it for the days when I think I’m going to really need it. My life doesn’t suck so much without it because over the years, ADD people develop inner coping strategies (which are actually amazing skills that many employers value if the ADD person can get those skills across.)

    Off meds, my house looks way worse than yours, my big mouth gets me in trouble because my brain is constantly running and has no editing or “shut up!” skills, and depression easily sets in because of that overwhelmed feeling you so aptly describe.

    But it can and does get better. The real beast is fighting the depression that has come along with ADD – the self-hatred and beating oneself up. Take the meds and keep up the journey.

  • Carla

    After our teenage son was diagnosed with ADHD  he made me go to the doctor.  The meds make a huge difference.  You hit the nail on the head, I felt so flawed and exhausted from trying to keep up with life.  Too bad I didn’t get help sooner, raising the kids would have been so much more fun and easier. 

  • sabahmom

    I’m pretty sure I don’t have ADHD, but my kitchen sink looks way worse than that – and I don’t have flowers on it either! :-(   But seriously, I’m so glad you’re getting help! The ADHD people in my family have been so helped by meds. Just wish we had known lots sooner.

  • http://www.sordidcityblues.com Mister_Wolf

    You know, whenever people talk about ADD, it sounds REALLY familiar. I don’t know. I’m really distractable, and really obsessive, and the two seem to cancel each other out, at least when it comes to things I’m interested in.

    Now, anxiety and depression, those are another kettle of fish. And for me, meds have really helped with that.

    So, good luck with the ADD meds!

  • http://somewiseguy.com ThatGuyKC

    Hey Sista,

    Glad you made it to the appointment and found humor in the humorless forms.

    My brother had to endure 3 hours of forms and testing when he was getting diagnosed. Make a kid w/ ADD fill out forms?! Can you say “cruel & unusual punishment”?

    I’ll be praying for you as you start the similar meds as your son. I hope they prove to be a blessing and open a new world to you.

  • Miles O’Neal

    I’m not a professional counselor, psychiatrist, or even a professional psycho. But I have dealt with suicidal and depressed people, and the mere fact that they relegate this to a questionnaire you fill out is very disturbing. What’s next, an online Survey Monkey survey on whether you’re suicidal so they can decide whether to grant you an appointment?
    Maybe they could have an automated telephone survey.
    “Press one if you have never contemplated suicide (we know you’re lying). Press two if  are just sort of contemplating suicide. Press three if you contemplate suicide a lot. Press four if you have a suicide plan. Press five if you have a gun in your mouth right now. If you have already committed suicide, please hang up and call nine one one. To hear these options again, press nine.”

  • http://twitter.com/joshkelley Josh Kelley

    I thought I was lazy until I was diagnosed last year. Thanks to Ritilan, my preaching vastly improved and I was able to start on my book.