therapy – Novelist of YA Psychological Mysteries, YA Fantasy Books & Dark Noir Suspense Thrillers

Every Recording Has a Ghost: When Trauma Changes What We Hear and Remember

There is something unsettling about an old recording. A photograph freezes what someone looked like. A recording does something different. It brings the person back into the room with their breathing, pauses, and hesitation before answering a question. Their voice hasn’t aged even though everyone who heard it the first time has.

That idea sits at the center of my forthcoming, soon-to-be-released novel, Every Recording Has a Ghost, which kept me up nights to complete because of the intensity and proximity the subject is for me. The ghosts in this book aren’t necessarily the kind that walk through walls. Some of them live in memory. Some live in trauma. And some were deliberately put there by other people.

The Real Mental Illness Beneath the Suspense

Every Recording Has a Ghost follows podcaster Remy Ireland as she becomes caught in a mystery involving old cassette recordings, a psychiatric hospital, missing information, manipulated memories, and a past she has never fully escaped.

Remy also lives with something much less mysterious: anxiety. For her, the telephone itself can be a source of dread. Calling a stranger, being transferred, waiting on hold, wondering whether she’s explaining herself correctly, and hearing the ringing continue while she waits for someone to answer. These aren’t supernatural experiences. They’re recognizable forms of anxiety. According to the National Institute of Mental Health, anxiety disorders involve more than ordinary temporary worry. They can persist, become difficult to control, and interfere with work, relationships, school, and everyday life. NIMH estimates that roughly 31% of American adults experience an anxiety disorder sometime during their lives.

And mental illness as a whole is far from rare. The latest available national survey from the Substance Abuse and Mental Health Services Administration found that 23.4% of U.S. adults—about 61.5 million people—experienced a mental illness during 2024. About 14.6 million experienced a serious mental illness. That means mental illness isn’t some unusual condition belonging only to characters in frightening books. It is part of ordinary families, workplaces, marriages, and lives. That distinction matters to me when I write psychological suspense.

Trauma Doesn’t Always Stay in the Past

One of the ideas running through Every Recording Has a Ghost is that something can be over and still not be finished. Trauma works that way. Someone can leave a hospital, leave a relationship, survive an accident, grow older, move away, build an entirely different life, and still discover that the nervous system remembers things the conscious mind would rather forget.

People exposed to traumatic events can experience anxiety, anger, sleep problems, difficulty concentrating, intrusive thoughts, and heightened reactions afterward. Most people’s reactions lessen with time, but when symptoms persist and significantly interfere with daily functioning, they may become part of post-traumatic stress disorder. People with PTSD can experience frightening memories, emotional numbness or detachment, sleep disturbances, and an exaggerated startle response.

That exaggerated awareness of possible danger is especially important to Remy’s story. Because once someone has learned that something terrible can happen, the brain can become very good at watching for the next terrible thing. A ringing telephone can stop being merely a telephone. A hallway can stop being merely a hallway. A person’s tone of voice can become evidence. And a cassette tape can become something you are almost afraid to play.

When the Brain Starts Searching for Threat

One of the strangest things about anxiety is that it can make uncertainty feel dangerous. You don’t know what the person on the other end of the telephone will say, why someone hasn’t answered, what is hidden on a recording, or whether the pause you heard meant anything. The anxious brain often wants an explanation immediately. And when it doesn’t get one, it starts creating possibilities. What if something happened? What if I misunderstood? What if they are angry? What if I said the wrong thing? What if this means something worse?

That thought pattern can create an exhausting cycle in which uncertainty produces anxiety, anxiety increases vigilance, and vigilance discovers even more things to worry about. It’s one reason Remy’s phone anxiety matters so much to Every Recording Has a Ghost. Her fear isn’t simply a character quirk. It affects the way she investigates. The way she communicates. The way she interprets silence. And sometimes the hardest thing she does isn’t entering an abandoned place or listening to a frightening tape. Sometimes it is simply staying on the telephone.

Memory Is Not a Recording

There is another psychological idea underneath the novel that fascinates me even more. We like to imagine memory as a recording. Something happened. The brain saved it. Years later, we retrieve the file. But human memory doesn’t work exactly that way. Memories can be influenced by attention, emotion, later information, context, suggestion, and the circumstances in which we remember them. That doesn’t mean memory is meaningless. It means memory is human. And that creates frightening possibilities when another person holds authority over the environment in which those memories are being formed.

That possibility becomes much darker inside the psychiatric institution Remy investigates. The hospital archive contains thousands of recordings. Patients were observed, conversations were preserved, identities were manipulated, recordings were edited, and the deeper Remy goes into the archive, the more she begins to understand that the supposedly supernatural story surrounding the hospital may have provided perfect camouflage for something much more human: control.

The Hospital Is Frightening Because People Had Power

I deliberately didn’t want the psychiatric hospital in Every Recording Has a Ghost to be frightening simply because mentally ill people had once lived there. Mental illness isn’t the horror. Vulnerability being exploited is. There is an important difference. The frightening part of the hospital’s history is what can happen when vulnerable people are placed in an environment where someone else controls information, medication, observation, access, interpretation, and authority.

In the novel, sedation, repetition, recorded material, surveillance, and psychological pressure are used together in ways they never should be. It isn’t magic or a supernatural machine capable of instantly controlling someone’s mind; instead, it’s coercion. And that is more disturbing to me. Because human beings don’t need supernatural powers to damage one another. Sometimes they only need access, authority, and someone who isn’t being believed.

What About Hearing Voices?

Because Every Recording Has a Ghost deals so heavily with voices and recordings, there’s another real-world distinction worth making. Hearing a voice that no one else hears can occur as an auditory hallucination. Hallucinations are one possible symptom of psychosis, a group of symptoms involving disrupted perception and thinking and, at times, difficulty distinguishing what is real from what is not. But hearing voices does not automatically mean schizophrenia.

Psychosis can occur in several mental illnesses, and NIMH notes that psychotic symptoms can also be associated with neurological conditions, severe sleep deprivation, some medications, and substance use. A person can also experience psychosis without ultimately being diagnosed with schizophrenia. That distinction is important. Mental illness is far more complicated than the shorthand often used in thrillers and horror stories. And a person experiencing hallucinations is still a person—not a plot device, a threat, or a monster.

In Every Recording Has a Ghost, that uncertainty becomes part of the suspense. When Remy hears something disturbing, the question isn’t automatically: Is she losing her mind? The better questions are: What did she actually hear? Who recorded it? Was it altered? Who wants her to doubt herself? And perhaps most importantly: Who benefits if nobody believes her?

When Other People Define Your Reality

That may be the mental-health theme of this novel that affects me most. There’s something terrifying about being told that your own perception can’t be trusted. Maybe you’re overreacting, misunderstood, remembering it incorrectly. Maybe anxiety is making you imagine things or the recording never said what you thought it said. Sometimes those statements can be true. Anxiety can distort perception. Memory can be imperfect. Mental illness can affect the way someone experiences reality. But those facts can also be weaponized. A person’s diagnosis should never mean that everything they say can automatically be dismissed.

That distinction becomes increasingly important for Remy as she uncovers what happened inside the hospital. Because once people know you’re frightened, anxious, traumatized, or psychologically vulnerable, it becomes very easy for someone acting in bad faith to say: See? That’s why she thinks this happened. And suddenly the illness becomes more believable than the witness.

Why Recordings?

I keep coming back to recordings because they seem permanent. You can doubt a memory, question a witness, and argue about what somebody thought they heard twenty years ago. But then someone presses PLAY. There’s the voice, breath, room noise, interruption, and sentence that shouldn’t be there. And suddenly the past has evidence. At least, we want to believe it does. But recordings can be edited too. They can be taken out of context. Someone can decide when to begin recording and when to stop. A person asking the questions can influence the answers. A tape can preserve the truth. It can also preserve someone’s version of it. That ambiguity is where Every Recording Has a Ghost lives.

The Ghost May Be the Person You Used to Be

There’s another kind of ghost in the novel: the earlier version of ourselves, the nineteen-year-old who was terrified, the person who didn’t know what was happening yet, who believed an authority figure, who kept quiet, and who survived something and then spent years trying to make it smaller. Trauma can create a strange relationship with time. Something that happened decades earlier can suddenly feel emotionally close when a reminder brings it forward. A voice can do that, as can music, a smell, a room, a telephone ringing, or an old cassette with your name written across it.

That is the part of Every Recording Has a Ghost that feels most real to me. We carry earlier versions of ourselves everywhere. Most days they remain quiet. Then something presses PLAY.

Every Recording Has a Ghost

The title began as something eerie. The longer I worked on the book, the more literal it became in a completely different way. Every recording contains someone who no longer exists exactly as they did when it was made. The person has aged, changed, recovered, forgotten, remembered differently, disappeared, or died, but the recording hasn’t moved. It waits. And when someone listens again, the past and present occupy the same room.

That is where Remy Ireland finds herself in Every Recording Has a Ghost. She begins by investigating recordings. Eventually, she realizes the recordings are investigating her past too. The novel contains mystery, cold cases, an abandoned institutional history, manipulated audio, hidden surveillance, phone anxiety, trauma, memory, and voices that seem impossible to explain. But beneath all of that is something much more ordinary. The human need to understand what happened to us. And the fear that once we finally know the truth, we may never be able to put it back where we found it. Because sometimes a ghost isn’t a dead person. Sometimes it is a memory that finally found its voice.

Now Available: Where Voices Go to Hide

A Haunting New Phone-Anxiety Thriller by Angela Grey

What happens when every telephone call reveals more than the person on the other end intends to say? Where Voices Go to Hide, the first novel in Angela Grey’s new Phone Anxiety Thriller series, is now available.

Elena Sterling has always dreaded answering the phone. The ringing triggers an immediate surge of fear—the racing heart, tightened chest, shallow breathing, and overwhelming urge to let the call go unanswered. But Elena’s fear is not simply ordinary phone anxiety. When she finally answers, she hears two voices. One belongs to the person speaking. The other reveals what they are trying desperately to conceal. Buried beneath polite greetings and carefully chosen words, Elena hears fragments of terror, guilt, resentment, and violence. She hears thoughts that were never meant to leave the safety of another person’s mind.

Then an unknown woman calls Elena’s fiancé. The woman’s voice sounds controlled, but beneath it Elena hears panic. She also hears a thought belonging to her fiancé, Theo Lockhart: Not again. Those two words open the door to a pattern of missing women, carefully protected secrets, and a past Theo refuses to explain. As Elena begins questioning everything she believed about the man she loves, the telephone becomes both her greatest source of evidence and the instrument of her deepest fear. Every call brings her closer to the truth. Every voice gives her another reason not to trust anyone. And someone already knows what Elena can hear.

A Thriller Born from a Real Fear

Where Voices Go to Hide was inspired in part by my own experience with phone anxiety, sometimes called telephobia. For people who experience it, an incoming call can cause genuine emotional and physical distress. The sound of a ringing telephone may trigger dread, racing thoughts, nausea, trembling, difficulty breathing, or an intense fear of saying the wrong thing. Even listening to a voicemail or returning a routine call can feel overwhelming.

I wanted to explore what might happen if someone already terrified of telephone conversations suddenly had an even greater reason to fear answering. What if every caller carried a hidden voice? What if silence felt safer—but answering was the only way to stop something terrible?

About the Novel

Blending psychological suspense, relationship secrets, missing-person mystery, and the claustrophobic fear of unwanted communication, Where Voices Go to Hide follows a woman whose unusual ability forces her to confront truths that others have spent years concealing. The novel explores:

Phone anxiety and the fear of unexpected communication
Secrets hidden within intimate relationships
The difference between spoken words and private intentions
Manipulation, obsession, and buried guilt
The dangerous consequences of believing you alone can hear the truth

This is a dark, atmospheric thriller for readers who enjoy morally complicated characters, unsettling domestic secrets, psychological tension, and stories in which the person uncovering the mystery may be hiding something too.

The Beginning of a New Series

Where Voices Go to Hide introduces the Phone Anxiety Thriller series, a collection of suspense novels centered on telephone calls, concealed voices, private fears, and the terrible things people reveal when they believe no one can hear what they are truly thinking.

The next installment, A Frequency of Secrets, is currently in development. The telephone may stop ringing. The voices do not.

Get Your Copy

Where Voices Go to Hide by Angela Grey is now available in paperback and ebook formats. Step into Elena Sterling’s world—but think carefully before answering the next call. Some voices speak aloud. Others wait beneath the words. And some truths should never be heard.

Thresholds Between Worlds: Writing the Dreaming Mind

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There are nights when the mind becomes a borderland—not waking, not sleeping, but something tender and trembling between. That’s where my stories live. When I write, I’m less interested in plot than in passage—the subtle moment when reality begins to shimmer and something unseen breathes through. It’s the hum before a dream takes shape, the hush in a library where imagination crosses the threshold.

My novels Dreamcatcher, Ink & Ivy, and Whimsy and Bliss were each born from that in-between space: where dream logic and daylight ache overlap, where imagination is both refuge and revelation. I’ve come to think of them not as separate stories, but as three rooms in the same house—the House of the Dreaming Mind.

1. The Doorway in the Dark

The idea for Dreamcatcher began with an image: a girl climbing through a fire-escape window, brushing against her grandmother’s dreamcatcher, and falling into another world. For Dash, my protagonist, the dream realm of Baumwelt is not a fantasy world in the traditional sense—it’s a reflection of her inner life. Every creature she meets, every landscape she crosses, echoes her memories, fears, and ancestral lineage. The world outside her window dissolves, but what replaces it is not pure invention—it’s memory rearranged by sleep.

Dreams are the language of the unconscious, but they are also archives of ancestry. In Dakota tradition, dreams carry instruction; they are bridges to spirit, not mere illusion. Writing Dreamcatcher, I wanted to honor that worldview—to let dream be teacher, not escape.

The dreaming mind, after all, has its own geography. It’s where past and present fold into each other, where the living and the dead keep company. Dash’s journey through Baumwelt is really a journey into inheritance—into how memory, myth, and trauma shape the self. When she wakes, nothing around her has changed, but she has. That’s what every good story does—it sends you somewhere so that you can return with new eyes.

2. Ink as Spellwork

If Dreamcatcher is the dream entered through sleep, Ink & Ivy is the dream entered through creation. Marisol, the girl who runs a hidden bookshop, learns that the stories she writes can alter reality. What she pens becomes what she lives; language itself becomes a portal. But her gift carries risk: every act of creation has a cost. Words can heal, but they can also harm.

In that sense, Ink & Ivy is about authorship as alchemy—the idea that writing is both spell and surrender. As writers, we are always crossing thresholds between imagined and real. We live half in the world and half in language. The line between the two blurs until even we can’t tell which is which. When Marisol writes, she’s not escaping grief; she’s giving it shape. The ink becomes her ritual of remembrance.

Writing, too, is a dream you enter deliberately. When I’m deep in it, time dissolves, sound thickens, and the body becomes peripheral. That liminal state—the creative trance—is the same consciousness that dreams speak from. It’s what poets call flow and mystics call vision. I’ve come to believe that all art is a form of lucid dreaming: we are awake, but we allow the dream to guide our hand.

3. Between Wonder and Loss

Then there is Whimsy and Bliss—a story set not in another world, but in the precise moment before girlhood fades into adulthood. Abigail Whimsy is the dreamer; Lainey Bliss is the realist. Together, they chase “thin places,” secret corners of their lakeside town where the fabric between worlds wears thin. Their summer map becomes a pilgrimage of goodbye—to childhood, to friendship, to the certainty that magic is only for the young.

In Whimsy and Bliss, the dreaming mind is not only nocturnal—it’s emotional. The dream here is nostalgia: the ache for what can’t be returned to, the shimmering almost-memory of who we were. When Whimsy and Bliss explore abandoned libraries and climb water towers under moonlight, they’re searching for wonder before it vanishes. They are practicing a kind of everyday mysticism—the belief that the ordinary world is already enchanted, if only we pay attention.

This, to me, is the heart of the dreaming mind: it notices what others overlook. It lives in metaphor, in symbol, in atmosphere. It insists that even grief has its own radiance.

4. Dream as Bridge, Not Escape

People sometimes ask why I write “fantasy.” I never quite know how to answer, because my worlds are not so much invented as revealed. Fantasy, for me, is not an exit door—it’s an entrance. Dreaming and writing share a purpose: they make the invisible visible. They bridge what logic can’t. When I write about portals, I don’t mean only magical doors. I mean threshold moments: the second before grief hits, the silence after someone says I love you, the pause between inhale and exhale. These are the real portals, the moments where transformation begins.

The dreaming mind knows this. It’s always translating feeling into image: a locked door becomes fear; a rising tide becomes memory; a missing key becomes forgiveness waiting to happen.

In Dreamcatcher, Baumwelt is Dash’s subconscious given form. In Ink & Ivy, imagination becomes tangible, able to wound or heal. In Whimsy and Bliss, dream takes the shape of longing. Each story moves through a different register of the same truth: that what we imagine is not separate from who we are.

Fantasy still matters because it reminds us that the world is layered. Beneath the surface of the ordinary lies a pulse of mystery, waiting to be remembered.

5. The Craft of Crossing

Writing the dreaming mind requires a particular discipline of attention. It’s not about inventing strange worlds, but about listening for what already hums beneath language.

I’ve learned to approach each story like a lucid dreamer: half-awake, observant, unafraid. When a sentence feels too rational, I let it unravel. When logic tries to take over, I ask what image might speak instead.

A novel like Dreamcatcher grows through atmosphere before plot; it must be dreamed onto the page. Ink & Ivy demands reverence for language itself—every word carries spell-weight. Whimsy and Bliss thrives on emotional resonance—the threshold between childhood and adulthood is its own kind of magic realism.

To write the dreaming mind, one must accept unknowing. The story reveals itself only as you move through it, like a dream that solidifies upon waking. You can’t outline it entirely; you can only walk with it.

6. Waking Gently

What I love most about dream-based writing is how it teaches you to wake differently. When you step out of a story like Dreamcatcher or Ink & Ivy, you don’t just return to life—you return to it changed. Readers often tell me they see their own dreams differently after finishing these books. That is the greatest compliment I could receive. It means the stories have done their work: not to distract, but to awaken.

The dreaming mind is not a place we visit only at night. It’s a consciousness we carry—a sensitivity to meaning, pattern, and possibility. It’s the part of us that still believes rivers can whisper, that trees remember, that words are alive.

Writing through that lens keeps me tethered to awe. And awe, I think, is a form of prayer.

7. The Threshold Itself

I return often to that fire-escape window from Dreamcatcher. The girl climbing through it. The touch of feathers, the shift of air. The dreamcatcher trembling like a heartbeat.

That moment—between step and fall, between real and imagined—is the space I write from. It’s the threshold itself that matters, not what lies on either side.

Because the dreaming mind isn’t about choosing one world over another. It’s about learning to live in both at once. To walk through daylight with a trace of starlight still on your skin. To carry the dream with you, awake.

Every story I’ve written is, in its own way, a map back to that place.

Dreamcatcher taught me to honor ancestral dream as truth.
Ink & Ivy taught me that language is alive.
Whimsy and Bliss taught me that growing up doesn’t mean losing wonder.

All three remind me that imagination is not an indulgence—it’s a responsibility.

The dreaming mind keeps us human. It holds the world together, one dream, one story, one word at a time.

“Whimsy and Bliss” by Angela Grey

Shady Oak Press (2025)
ISBN: 978-1961841468
Reviewed by Stephanie Elizabeth Long for Reader Views (09/2025)

Abigail Whimsy and Lainey Bliss have been best friends since the second grade. Like yin and yang, their opposites somehow fit together like errant puzzle pieces. Whimsy exists in a world of vibrant dreams and imagination, while Lainey is pragmatic and even-keeled, which anchors Abigail. Because nothing good can last forever, the girls have one final summer together before Lainey goes off to a fancy college, leaving Abigail behind.

Before Lainey leaves, Abigail has devised a plan. They will create a map (complete with a detailed legend) and explore all the mysteries of their town—dismantle the “thin” places, using her late grandmother’s journal (chaotic musings) as a guide.

As they delve deeper into the journey, Abigail’s reality becomes skewed, and Lainey’s attempts to keep her friend’s sanity in check become more difficult. The places they visit awaken a humming within Abigail, and the more they add to the map, the louder the hum becomes.

Whimsy and Bliss is a coming-of-age literary masterpiece. Angela Gray’s writing is known for its vivid imagery and deep metaphors, and this novel is no exception. Readers will quickly be immersed in Abigail’s world of wanderlust, where magic and realism become blurred. Beyond that, the character-driven story explores themes of friendship, self-discovery, and bridging the transition from childhood to young adulthood.

Sometimes it can be hard to decipher the difference between imagination and illness. The author has done an excellent job of illustrating Abigail’s unraveling—the whispering of nature, the ebb and flow of the hum, and the excitement turned obsession. With every place Abigail and Lainey traversed, I fell more in tune with Abigail’s frequency, at times questioning what was real and what was fictitious—this is the type of story that makes you see the world differently.

Whimsy and Bliss certainly highlights the plight of mental illness, particularly hypomania. Still, at its core, the novel’s overarching message is one of connection and trust—it’s the impenetrable sisterhood between two young women on the cusp of adulthood. In a world that is often stuck in the me-versus-you mentality, the solidarity between friends is refreshing, teaching us that we don’t have to suffer alone; we can lean on others for support.

For readers who love young adult books about friendship and adventure with a focus on mental health, this literary gem will appeal to you. Angela Gray’s exquisite prose is unmatched, and the multilayered characters are memorable. Abigail and Lainey’s map of thin places will forever hold a special place in my heart.

When Characters Refuse to Stay Secondary: The Day One Draft Split Into Three Lives

Some stories begin with a single spark. For me, it was a scene in a psych ward where Nico and Zibby from The Cartography of First Love found themselves alongside Abigail Whimsy from Whimsy and Bliss and Aspen James from Shadows We Carry. At first, they shared the same space—four voices pressed together by circumstance, four fragile hearts mapping escape routes in whispers. But as I wrote, each one began to grow beyond the walls I had built, demanding not just a role in a shared narrative but the full breath of their own.

What began as one writing endeavor quickly branched into three novels. I realized I loved each of them too much to let them be shadows in someone else’s story. Nico and Zibby’s romance needed its own compass. Whimsy’s dreamlike adventures deserved to unfurl before her diagnosis became part of her arc. And Aspen’s haunted sketches needed the weight of silence and discovery only their own narrative could hold. By giving them individual pages, I gave them the freedom to tell me who they really were.

The backstories I first drafted in that shared ward became scaffolding—notes, fragments, hints of a life I would later let bloom fully. For Whimsy and Aspen, I wrote them at a point before hospitalization, while their lives were still luminous with magic and not yet marked by diagnosis, though Whimsy’s epilogue eventually folds that thread in. It was the only way to honor their wonder as much as their struggle. For Nico and Zibby, I leaned into the familiar rhythms of the ward itself—the routines, the hush, and the clamor—because their love story was inseparable from that claustrophobic yet strangely tender landscape.

Each character is close to my heart because their beginnings trace back to my own. I was hospitalized repeatedly between the ages of 13 and 15 for an eating disorder. I remember the unlikely friendships, the long hours, and the way we mapped impossible escape plans—California always our imagined salvation. Those memories, both heartrending and inspiring, found new breath through Zibby, Nico, Whimsy, and Aspen. What started as one shared room became three worlds, each carrying a piece of that past and reshaping it into a story.

Regarding Letters to the Author

There’ve been a few letters from young adults that I’ve put on the back burner over the last six months, but the similarities between them don’t seem to decrease, as with the latest of this week. With this latest one, I wanted to strongly encourage anyone going through similar situations to talk to an adult or call a helpline and speak to anyone who will listen. The National Sexual Assault Hotline has confidential (anonymous) help 24/7 and can be reached at 1.800.656.4673 or find them at online.rainn.org.

My story revealed in the above two books only ended after intervention with kindhearted first responders and social workers. There is a way out of that dysfunction, and it might not be the way those involved in your situation may be suggesting, so please call the National Sexual Assault Hotline.

Regarding the recurring theme of forgiveness, I believe I’ve forgiven my stepfather(s) and my mother for choosing him and turning her back on her daughter. As it was pointed out in two of the letters from you readers that I received earlier this year, if I genuinely forgave them, then I should be able to reconnect with my birth family. I’ve heard that before, too. That’s not always the case. I wish all of them the best and that the light of God/Creator shines down on them abundantly. I just don’t have the mental fortitude to put myself in their presence or that environment. Each person in similar situations will be able to handle things better or worse to varying degrees. Just because they tell you to forgive them and get over it doesn’t mean you can or should without outside intervention in the form of the National Sexual Assault Hotline, teachers, therapists, or social workers, especially not if you’re underage. And yes, seventeen is still a minor. Don’t listen to anyone that tells you that you’re an adult and should buck up.

I appreciate the letters and emails I receive about the wide variety of topics and apologize for not addressing this subject matter sooner. Mental fortitude affected my lack of words to tackle the weight of this matter until this most recent connection made it a necessity.

Schizophrenia’s Lifelong Treatments

Schizophrenia is a severe mental illness where contact with reality and insight are impaired, an example of psychosis. Symptoms of schizophrenia include psychotic symptoms such as hallucinations, delusions, and thought disorder (unusual ways of thinking), as well as reduced expression of emotions, reduced motivation to accomplish goals, difficulty in social relationships, motor impairment, and cognitive impairment.

Schizophrenia is a severe, long-term mental health condition that requires lifelong treatment, even when symptoms subside. Treatment with medications and psychosocial therapy can help manage the condition. In some cases, hospitalization may be needed.

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Medications are the cornerstone of schizophrenia treatment, and antipsychotic medications like Seroquel, Risperdal, Lithium, or Haldol are the most commonly prescribed drugs.

First generation antipsychotic medications, meaning discovered in the 1950s, formed one of the greatest breakthroughs in psychiatry. However, first-generation antipsychotics have frequent and potentially significant neurological side effects, including the possibility of developing a movement disorder (tardive dyskinesia) that may or may not be reversible. Fortunately, for me it was in my case. Newer, second-generation medications are often preferred because they pose a lower risk of serious side effects than do first-generation antipsychotics.

Newer mood stabilizers are also used to treat the condition, as is in my case. Mood stabilizers work for me because the hallucinations and delusions vary based on my mood. For example, on New Year’s Day of this year, I was admitted to the emergency room for breathing problems and an upper respiratory infection that was not COVID but was severe enough to scare me. And with the added stressor of loved ones not being allowed into the room with me, the voices were incredibly terrifying. So, my mood being down, the voices were predominantly negative, suggesting that I take my own life. The following three weeks found no relief since I was put on prednisone, a glucocorticoid, which amplifies feelings and/or conditions. In my case that was the negative voices.

On the other hand, I’m typically even-keeled, and some say optimistic a good portion of the time. So, the limited voices correspond to my mood and reveal themselves to be cathartic, even encouraging, but mainly limited in their ferocity thanks to the mood stabilizer, Abilify, which I’m on maximum dosage. After a few more months of this leveling off, I’ll go back down to a moderate dose. But, after many years of being overly optimistic about my condition, I’ve come to the realization that I’ll be on a mood stabilizer, if not anti-psychotic, the rest of my life.

In addition to medication, there is the ongoing psychosocial therapy. That too, will be lifelong, hopefully not as often as I’m currently required to see the therapist. So, like the 3.5 million others battling this mental illness and the 100,000 new diagnoses each year, I will continue to press onward and upward so that I’m not in the 3.5 times more likely who ultimately take their lives. Schizophrenia isn’t a death sentence and many of us with it choose to say we battle it as opposed to suffer from it.

The most difficult thing to deal with, for many, isn’t the disease itself but the stigma surrounding it; but, for me, that’s probably in part to my social anxiety disorder, which is a comorbidity. Schizophrenia is most often seen in patients that have an underlying or overlapping condition such as depression, anxiety, PTSD, OCD, and panic disorder, which makes it difficult to diagnose and why so many suffer without the therapies, whether medication or psychotherapy, that assists them in battling the condition.

Enjoyed this post? Why not check out my YA novels or Native American mystery series on Amazon, or follow me on Twitter, Instagram, Facebook, Goodreads, LinkedIn, Bookbub , or AllAuthor.

Journaling to Reduce Anxiety

Journaling may whisk your worries away. Keeping a journal has many health benefits, and according to research it is a highly effective technique for managing stress and anxiety.

Studies also show that journaling can help boost self-confidence, improve mood, relieve depression and improve focus, further reducing your anxiety. There are no rules to journaling. You can write freely or use journal prompts for anxiety.

Research shows that journaling can help

Boost mood
Release negative thoughts
Reduce stress
Reduce chronic worrying
Release pent-up feelings
Induce better sleep
Enhance self-awareness of anxiety
Help with depression
Increase productivity
Boost memory and comprehension
Help achieving goals
Strengthen self-discipline

Journal Prompts for Anxiety (as taken from a UMN Center for Spirituality & Healing class group work):

What do you feel most anxious about and why?
What 3 positive things have happened to you today?
What are today’s worries?
What are 3 things that you are most afraid of and the reasons why.
What is your dream job?
Write about 5 occasions in your life when you were truly happy?
Write about what you have learned from a past failure.
What strategies have you used to help you cope with anxiety?
Make a list of situations when you are anxious.
What triggers your anxiety or makes your anxiety worse?
Write a letter to a person that caused you pain explaining that you forgive them.
Write about the 3 lessons you have been given by your anxiety.
Is there a situation or person that you need to let go of? Write your reasons for holding on.
Make a list of all the things that you are grateful for in your life.
Take a moment to imagine your life without anxiety. What would you be doing in this life?
Write down at least 10 things that always make you smile.
What are your greatest qualities?
If you could meet anyone in the world who would that be and why?
If you could travel anywhere, where would that be?
Choose a fear that you would like to overcome and write a list of ways how you could overcome this fear.
Describe your biggest accomplishments.
Make a list of things that you like and don’t like about your body. Next to each item write a reason why.
Write down all the people with whom you have a good relationship with and the reasons why.
Think about people who you have a bad relationship with. Make a list of these people and the reasons why. Also, write next to each person why they are still in your life.
Write down your most re-occurring negative thoughts and the reasons why they keep repeating.
What brings you peace and why?
Make a list of 3 things that you want to change about yourself. Then write action points on how you could accomplish this.
Where do you feel the safest and the reasons why?
Who loves you truly for who you are?
Write about what you look forward to every day and the reasons why.

Category: therapy