Hey folks. I thought about posting this on psychology but I figured that so much more clinical subreddit and figured this would be the best place. While you can respond to me personally I'm very interested in your thoughts about the themes as a whole as well.
I constantly think about what I have named The Labyrinth of Self Assessment. Nobody can progress in anything without self-assessment. What's going well, what's not, what's causing problems, what needs more attention and focus, what strengths are present which can be drawn upon. But we are also, I believe, to some degree always unreliable narrators. Though I have a history of mental health issues so that may be clouding my judgment there. And to complicate things further, I am excessively self-critical and also self-aware in many many ways, but also have blaring blind spots. Hence the labyrinth.
I'll get into the meat of it where this all plays out for me in real context. I have severe ADHD. I have battled with depression my whole life, though I feel like at this time I have put a huge amount of work in and have gotten on top of the specific depression side of my thinking. It's definitely still there though, largely in my attitude, specifically learned hopelessness. I've worked specifically on this a lot but I still experience it regularly and actively combat it constantly (shout out learned optimism by Martin seligman, this book changed my life and really got me out of that mindset generally). As I've mentioned I'm simultaneously hyper self-critical as well as very self-aware. I also have chronic anxiety; I believe mine is what I've heard called silent anxiety, nobody knows from working with me, most are surprised it's an issue. But internally it's a constant bombardment: I need to be getting more things done, relationship anxieties are constant, I'm letting my life slip away, I feel like a whole lot of it is caused by not being productive because of my ADHD which causes me to feel like there's a million things looming over my head at all times. My teeth are chipping apart from constant clenching, which also causes constant jaw pain. I am medicated but my doctor sucks (getting a new one soon) and I think I'm under medicated, and either way, medication only does so much. I genuinely exercise as much as I can, I eat well, I have a therapist and a psychiatrist. I genuinely feel like I'm doing as much as I can with what I've got. But... The labyrinth of self assessment.
Despite my issues I am capable. I have had periods when I've been fully productive all day everyday. Things were a bit better in my life then. I have some chronic pain which is slightly limiting; and the really fun part is it could all be completely solved by doing the home exercises I've been given in physical therapy. But I just struggle so badly to do them. Other than that I'm perfectly healthy; well I do have other stuff going on but not terribly relevant.
So my issues are self-focused anxiety, some chronic pain, struggles with productivity due to ADHD. All of these things have very straightforward treatments that I believe absolutely would/will work if I do them. Meditate at least once a day ideally in the morning and then I think it would really help to have a short one in the afternoon and evening to ground me. Meditating helps, it just straight up helps a lot. I don't do it. Maybe a couple times a week. Journaling. This helps, it's less immediate than meditation but I know that a regular journaling habit helps me. Eating and exercise. I'm doing okayish here but I could be doing a lot better. If I could just stick to a better schedule with eating, that helps me out a lot. I really struggle to do my exercises for physical therapy, I'm somewhat on and off with it, but it's generally a very real struggle. When I do exercise I have a tendency to overdo it, usually going on a run for longer than I should, which often just sets me back. I've drawn up ideal daily routines multiple times of when to eat and exercise and stretch and meditate and journal and read etc. I just don't stick to it.
I want to get better so bad. Like I ruminate constantly about just wanting to get better. I have all of the answers in front of me and I know all the solutions. I know the tools that will help me with mindfulness, what will help me with my body, etc.
Which leaves me with why. Why aren't I doing these things. Which which causes the true entrance of the labyrinth of self-assessment. One thought, only because its like a legally mandatory accusation from therapists and others when you're trying to get better and struggling: "A, maybe you actually don't want to get better you're just a little sad boy who loves this suffering or B, you're afraid to do the work". I think that's horseshit. But guess what, it's me, so yeah maybe there's a chance. But I've done a whole lot of much harder things than meditating and journaling and eating well. I've gotten through some severely crazy life situations and come out the other side, I don't really see how it makes sense that doing these basic things every day to get out of this suffering would be what's holding me back.
Maybe it is biologic and I need better meds. I doubt it, I've done way way better for a periods of time in the past without medication. I put a very large amount of effort into building up a fulfilling life and I thrived for a while. If I built myself up like that without meds I would think I should be able to do it when medicated.
Is it motivation. I've done so much therapy and journaling about this whole subject. I have motivations. Just feeling better in and of itself is a huge motivation. I want to find my person in life. I want to do things like run a few races every year and go on trips. Honestly the biggest motivation that helps is envisioning my future self living a full productive life, nothing specific, just me thriving.
Similar to motivation, do I need a catalyst. In the past when I have gone from struggling to thriving, there has often been a catalyst. Once was me realizing I really want a future with someone I was with, and I turned around pretty much everything in my life. Another time was simply going to the hospital and getting the help I needed, I came out a different person.
So, I know my weaknesses. I'm disorganized, unproductive, not very mindful, often don't have a great attitude, and I'm hyper self-critical. I know the treatments for each of these things. But I can't do them. There's a number of theories why. And I'm attempting to address each of them as much as possible. But how does one even navigate this labyrinth.