I was laying on my therapist’s couch the other day (yes, I see a therapist and yes, I lay on his couch), when I looked up at him and asked, “What the fuck is wrong with me?”

One of the things I love about my therapist is he will lovingly but bluntly let me have it when such a response is warranted. This was one of those times. He basically said that I am a perfectionistic, anxiety-filled, traumatized, recovering addict who refuses to put self-care above escapism and achievement. And if I keep pushing myself so hard, one of three things is going to happen:

• I will have a heart attack,
• He will be forced to hospitalize me,
• I will learn to cut myself some slack.

Sometimes it’s hard to accept that I am human with limits, and even harder to accept that I am a human with multiple potentially terminal conditions. I have “muscled” through many of the challenges in my life to date, and unfortunately that is at best a temporary solution – survive for now and worry about the consequences and long-term effects later.

Well, now it’s later.

I’m at the point in my life and my recovery that not taking care of myself is probably not an option. I wouldn’t be surprised if I am one of those people who should be on a massage table or an acupuncture table once a month, not as an indulgence, but as a necessity. And it’s not that I don’t know about self-care; I just suck at consistently applying these principles to myself.

Did I mentioned that, because of our conflicting travel schedules, I don’t get to see my therapist again for nearly a month? It’s not that I can’t go that long without seeing him, I just don’t like to. Looking at it from an optimistic perspective, this is giving me the opportunity to take on more responsibility for taking care of myself and to rely more on my support system (because I also suck at asking for help too). I think this will also be a month of more – more music, more sleep, more gardening, more exercise, and more hugs – less mindlessness, more mindfulness.

A friend suggested that my default answer for the next month should be “No.” I appreciate her advice, but I know that can’t be a hard and fast rule. There are too many awesome opportunities, things that I really want to do. My challenge will be being thoughtful about the opportunities that I accept.