Mental Health Awareness Day

Today is Mental Health Awareness Day. 1 in 5 adults in America experience a mental illness and nearly 1 in 25 live with a serious mental illness. However, there is still a significant stigma toward mental illness in our society. We’re not supposed to talk about it. People experiencing mental health conditions often face rejection, bullying, and discrimination. I myself have experienced this before. This stigma can prevent people from reaching out for help and can sometimes have fatal results; Suicide is the second leading cause of death of youth ages 15-24 and the tenth leading cause of death for all Americans.

 I live with depression and ADHD (and probably a bit of undiagnosed anxiety, tbh). Though these conditions are mostly controlled, they have had a huge impact on my life in the past and continue to do so now. They’re part of me, and I’ve chosen to embrace them and talk about them openly to help combat that stigma and help others. I’m happy to talk about these things and if you ever need someone to talk to, please reach out!



The World Health Organization also has a great video series on what you can do to help prevent suicide. 

The National Alliance on Mental Illness has a whole page on fighting stigma and helping those with mental illness; I highly suggest you read it. 

NAMI also has a whole bunch of initiative and guides on their Mental Illness Awareness week page.

It's My Fisher Wallace-versary and the Anniversary of Getting My Depression Under Control

Selfie-ing it up with the Fisher Wallace Stimulator. I tend to use a sweatband with it instead of the included Velcro headband; it just has always worked way better for me.

Selfie-ing it up with the Fisher Wallace Stimulator. I tend to use a sweatband with it instead of the included Velcro headband; it just has always worked way better for me.

A year ago today, I received my Fisher Wallace Stimulator in the mail and used it for the first time. My depression was REALLY bad then, despite being on two anti-depressants already, and I was desperate to find something that worked. The Stimulator had great reviews and a 30-day return period so I thought - why not?

Within a few days of use, it kicked in. And since then, my clinical depression has been more consistently under control and my brain has been more stable and happy than ever previously. I still do have some issues at times, but usually those relate to - me not using my Stimulator enough or me going through a particularly stressful experience. I am consistently happier, calmer, and more focused in my life. I don’t snap at my husband as much and we can talk about tough topics now without me getting overly sensitive.

And once I made space in my brain for something besides just trying to survive emotionally, I rediscovered my love for writing and started really pursuing a career in it. Since then, I’ve had numerous stories published, self published one short story myself as an experiment, and have made a ton of writing friends on twitter and in person. My writing life makes me so so happy and I am utterly delighted that the Stimulator helped me get that life.

I’ve written about my experience with the Stimulator more in depth in the past here, so I won’t repeat it all now. But I just wanted to mark this day for the important, life changing event it was. I am so so thankful that this technology exists. ❤️

FYI: you do need a prescription to purchase it. It isn’t covered by insurance and usually costs $799, but they have a sale going right now (only for TODAY, it looks like) where you can get it for $399. I highly suggest it! It doesn’t work for everyone (i mean, does any medical treatment work for anyone?), but there’s a 30-day return period where you can get your money back if it doesn’t help you.

As always, if anyone out there had questions about the Fisher Wallace Stimulator, depression, ADHD, chronic pain, or any other of my pet topics, please feel free to reach out to me here, on twitter (@rachaeldickzen), or on Facebook ( :)

An ADHDer's Guide to Chronic Pain: Getting a Diagnosis

If you haven’t read the other parts of this series yet, here they are!

An ADHDer’s Guide to Chronic Pain: Daily Management Part 1

An ADHDer’s Guide to Chronic Pain: Daily Management Part 2

I’m a young adult with both ADHD and chronic pain. These two issues can often work counter to each other and cause a lot of frustration, but over the years, I’ve learned a few tips and tricks to get better about dealing with both of them. This two-part blog post series will hopefully help other people dealing with the same issues- the first one will address getting a diagnosis, and the second will address day to day management. 😊

First, a little background.

ADHD: I was diagnosed with ADD (now referred to as ADHD) in my junior year of high school when I basically had a depressive breakdown due to stress from my undiagnosed focus issues. I went on ADHD meds at that time (Concerta) and remained on them through college. I eventually stopped taking them for a couple of years, not really for any good reason that I can recall. I went without them for probably 5-6 years, but got back on them after about 8 months into my current job. My job can often be repetitive and unexciting, and these things set my ADHD off like crazy, so I really needed to have the meds to function. I’ve been at my job at just over 2.5 years now, so clearly they’ve helped! My main ADHD symptoms are forgetfulness, time blindness, focus issues, and impulsivity. I use a lot of different techniques to keep focused at work, which I blogged about here.


Chronic Pain: I have experienced some degree of stiffness and pain in my neck since at least high school. I cannot recall exactly when it started. I was officially diagnosed with osteoarthritis in my cervical joints (neck joints) in 2017 shortly after I turned 29. I’ve tried a TON of different things to help my pain, but currently, I get my arthritic nerves burned off with radiofrequency ablation 1-2 times a year, I get massages at least once a month, and I do daily physical therapy exercises and stretches. The PT is a really recent addition, but it’s been WONDERFUL; these exercises have really improved my symptoms!

I have also had some other recent chronic pain issues that are of a slightly more private nature that I’d rather not discuss in too much detail. However, I handled getting the diagnosis of this pain MUCH better than I ever handled my osteoarthritis pain, so I’m going to use that process as an example for a lot of my tips here.

Getting a diagnosis of your chronic pain can be a complicated and frustrating process even if you DON’T have a mental condition that reduces your ability to remember symptoms and advocate for yourself. But hopefully this guide helps!*

(*Quick note: this guide doesn’t address money and insurance issues because that’s a whole complicated issue on its own that I’ll try to discuss in the future.)

1.     Pay attention to your pain. Don’t ignore it; your body is telling you that something is wrong! It almost certainly won’t go away on its own, and ignoring pain can lead to exacerbated symptoms over time.

I ignored my chronic neck/shoulder pain for YEARS, to the point that I literally can’t remember when exactly it started. Part of this was ADHD forgetfulness – I’d intend to go to a doctor and forget to put it on the calendar and part of this was just not wanting to make a fuss. Women in particular in our society are often taught to just grin and bear it, and I think I honestly took that too much to heart. I didn’t want to be annoying or a burden. In addition, when something is chronic, you often get so used to it that you don’t even consider it something abnormal or worth reporting. So I said nothing and I did nothing about it until it became too painful for me to ignore. And that’s sad, because honestly, if I had received treatment and physical therapy years ago, I probably wouldn’t have developed the level of osteoarthritis I have now. This is not a reversable condition, so it’s just something I have to manage from here on out.

Let me emphasize something here. Chronic pain is not normal. I don’t care if the pain isn’t too bad or if it’s manageable. It needs to be addressed.
Fortunately, when I developed New Fun chronic pain this past year, I started addressing it much more quickly and scheduled a visit with a doctor right away.

2.     Document Everything. As someone with ADHD, I’m really bad at remembering things. This led to some trouble when I tried getting my neck pain diagnosed, as I’d get asked if there was any inciting incident, or exactly when it started, and I had to say that I genuinely didn’t remember. That was fun.

When I developed my New Fun chronic pain, I started writing down when my pain appeared and where it appeared. I initially chronicled this (unintentional pun!) in the notes app on my iPhone. Eventually I downloaded the Cara app, which allows me to track a LOT of different things and symptoms – pain but also what food I was eating, when I was working out, etc. This was really helpful in tracking down what my actual issue was.

3.     Persist in Advocating for Yourself. The first doctor you see for your chronic pain may not be the right one. Pain in any one area can originate from several different places! And the doctors or health professionals you see may not be terribly helpful in giving you next steps to take in figuring out your diagnosis, so you’ll have to keep working on your own to get there.

In my 20s, I talked to my primary care doctors several times about my neck pain. One of them thought it might be just due to stress, and told me to stress out less (that was helpful). She also briefly put me on anxiety medication, which didn’t help my pain at all, and made me feel like I was losing control entirely (I got off it really quickly). I saw a pain doctor in Chicago who put me on some prescription strength NSAIDs, but said he couldn’t do anything more for me without an MRI, which I couldn’t afford at the time (my insurance was….really bad at the time and my deductible was sky high). So I had some pain relief for a while, but then I ran out of refills and went through minor withdrawal. I also saw masseuses, a chiropractor, an acupuncturist, etc. – nothing worked. This was over the course of YEARS. Once I got my current job and got good insurance, I went to my current pain doctor, who diagnosed my arthritis with one X-ray and started getting me treated immediately with radiofrequency ablation. After a couple years of that, I was still having more pain than I liked, so I went to physical therapy this last May, and finally got my pain really reduced!

A screenshot of the Cara app I used to track my symptoms.

A screenshot of the Cara app I used to track my symptoms.

For my New Fun chronic pain, I initially thought it was due to one specific issue, and went to specialist A for it. Twice. Specialist A ran tests on me twice and said they were clear, but didn’t give me any idea what else it could be or any guidance on what to do next. She DID however help me, because she made an off-hand remark about “oh there are thousands of things that can cause X,” which made me realize I really needed to go to my primary care doctor next. I went to PCP, he ran some tests, those tests were also clear. By that time, I had done a decent amount of research online and talked to my family about their various medical histories and come up with a hypothesis as to what was causing the pain; so after the third test came up without any problems, I went to specialist B, he ran a test, and FINALLY, I got a diagnosis and got put on some meds to get rid of the problem.

I had to do a lot of work by myself. I had to continue booking appointments with doctors until I got a diagnosis, google a lot about my symptoms, gather information from my family, come up with ideas as to what the issue might be, and keep track of what it definitely was NOT so I could relay that to my doctors throughout the process. It was kind of exhausting, and not cheap (even with my very good health insurance). I highly suggest ZocDoc for finding doctors in your area that take your insurance and setting up appointments; I know my ADHD brain always procrastinates making a phone call, and just being able to book an appointment online was a huge weight off my back.

 So that’s what I have for getting a diagnosis. Next blog posts in this series will deal with pain management for ADHDers. You can read those here:

An ADHDer’s Guide to Chronic Pain: Daily Management Part 1

An ADHDer’s Guide to Chronic Pain: Daily Management Part 2

Inexpensive Sponge Replacements for the Fisher-Wallace Stimulator

I wrote recently about my experience with the Fisher-Wallace Stimulator; in that post, I mentioned a cheaper source for the sponges for the electrodes. Here’s how that works!

The Fisher-Wallace Stimulator has significantly improved my life, but it’s not exactly cheap. For me, it’s totally been worth it, but I wanted to find a way to continue using it without spending a ton of money. The sponges in the electrodes have to be changed every week or two or they lose their effectiveness (believe me, I know. I’ve tracked this and my depression symptoms definitely get worse if my sponges are old). However, the sponges they sell on the FW website are…hideously expensive. Like $1 a sponge. No.

Sponge detritus, the sponges cut out to size (they’re thin and compact before they get wet), and the finished product in the electrode for the Fisher-Wallace Stimulator.

Sponge detritus, the sponges cut out to size (they’re thin and compact before they get wet), and the finished product in the electrode for the Fisher-Wallace Stimulator.

So I set out looking for replacement sponges that were cheaper. I couldn’t find ones that were exactly made to fit the stimulator, but I found these on Amazon for $19, coming out to under 40 cents apiece. They’re intended for cosmetic use, but they work great with the stimulator! You do have to cut them down to size to fit, but I’m totally willing to spend 10 minutes cutting down sponges to save so much money!

Here’s the price breakdown - if I used the FW sponges for a year and replaced them weekly like you’re supposed to, I’d be spending $104 just on sponges. However, with these, I end up spending under $40 per year on sponges, and I can spend that extra money on pretty much anything else. 😁😁😁