I’ve had intrusive thoughts that I’m being mutilated by sharp objects, usually broken glass or knives, for most of my adult life – since I was 28.

I’ve had years, even multiple years, when I didn’t have them and many, many more where they have repeatedly banged on my brain and battered my psyche.

In thirty-four years, they have never changed in content. That’s incredible to me. With all the work I’ve done, therapy and medicine, the content is exactly the same.

What has changed is where I place the blame. I used to blame myself, believing there was some fault within. I now think there is likely something “not right”, but with brain chemistry or structure rather than character.

So, how to respond to what, seemingly, won’t change, but is so hard to bear?

• Be honest with yourself
  • Admit some days are really tough
  • Admit some days have some really cool moments
• Focus on those who can and do support you; forgive those who can’t or won’t
• Hire first-rate professionals to be in your corner
• Acknowledge suffering is real, as well as that you’re not the first or last to suffer
• Take lots of naps: they’re great brain re-sets
• Help others: it’s good for them and you
• Be curious
• Enjoy the life you’ve been given
• Most of all: never give up!