Showing posts with label psychiatrist. Show all posts
Showing posts with label psychiatrist. Show all posts

Saturday, 20 September 2014

32. Could You Hold This Box Of Hopes & Dreams While I Go To Work, Please?

I’ve promised myself that I’m going to be more positive in this blog. It’s not good to keep ranting and raving and going on because I’m miserable. I’m going to focus on the positives in life and I’m going to use Tony Robbins to do it! Only because I can get free videos on YouTube and his talks usually last as long as my journey home. Bonus. See how positive I am?!

I was reading an interview with Executive Producer and Writer, Bob Lowry. He stated that he had been in therapy a lot over the years and that one therapist once said to him ‘Most people don’t wake up until they know they’re going to die.’ Ok, so this isn’t taking the cheery turn I had hoped for but I’m going to try hard to save this blog. Bear with me. Well what Tony says is similar to that way of thinking but he applies a little more to it. He states that not taking the opportunity to make the right choices for you can lead to depression and people wanting to end it all, because they’re miserable.

I think both of these statements are true. In one statement the results of impending doom can lead to a more positive outlook. In the other, positive changes early on can help to avoid a negative outcome. I expect most of us sleepwalk through life. I know I do and I put that down to the fact I wasn’t medicated for bipolar until 2 years ago. I have achieved a lot in those 2 years now that I have some clarity in my head but I know that I could have achieved more if things had gone differently. For others illness isn’t a factor but normal, everyday things can be. How many of you are putting off living your dreams while you raise your children, which could potentially take 20 years away from you while you wait. How many of us go to work every day and dream of being something else? Have you signed up to a course so you can start that degree or is money holding you back? Let’s face it, none of us ever have enough time or money and we use these obstacles as a reason for not moving forward with our dreams and desires.

Since I started this blog I’ve been reliving my dreams from my teen years of becoming a professional writer. The fact that I don’t know where to start, how to approach newspapers, can’t finish a novel to save my life, struggle with storylines in scripts and have major problems with tenses (you’ve probably noticed) isn’t going to stop me! I have a plan. I’m going to research tense and really try hard to perfect that as it affects every aspect of my writing. Then I’m going to send any articles and blog links to various appropriate papers, magazines and forums for review. It’s not a glamorous start but it’s a realistic one. And on top of it all it gives me a goal to work towards and a positive outlook on my future, which has helped with my depression a little.

https://www.facebook.com/myfamilyandjanice?ref=hl#!/AForayIntoPsychology/photos/a.252429588193012.38575.178422632260375/436848546417781/?type=1&theater

As Tony says, the key to starting to resolve issues in your life and feeling as if you’re taking some control is to take a problem and keep it realistic. We are all capable of dramatizing and catastrophising which blows our problems out of all proportions. An example of this, say you’re overweight. You may feel there’s nothing you can do about this. You justify that by saying ‘I’m big boned.’ Think about this reasoning for remaining unhappy with your weight. You’ve basically said there is nothing you can do about your situation. You can’t change your bone structure, size or weight, so you’re NEVER going to be happy about it. A better way of looking at your situation is to be realistic. You eat badly, but you don’t’ know how to change that. That’s understandable. I had no education in nutrition and a bad upbringing which left me with anxiety about hoarding food and overeating. I know changing these aspects of your life is not easy. But making a doctor’s appointment is easy. Speaking to the doctor and admitting that you just don’t know what to do to change this and would like some dietary advice is a small step in the right direction, and suddenly you’ve taken some control. This is a basic example but it does show how we over-think things and put obstacles in our own way at times.

Please let me know your thoughts.

Saturday, 13 September 2014

31. Desperately Seeking Normal

So you’ll be pleased to hear that I had my psychiatrist’s appointment this week. It went as well as it usually does. I met my new doctor. They change every 6 months because they get moved from one trust to another, I guess it’s done so that they pick up as much experience as they can get. I’m sure this is good for the doctors but I’m not so sure it’s always good for the patients. Personally I feel like I never know what I’m going to get when they change. Some are nice, some can’t make a decision to save their life (or mine) and some are just plain dismissive.

I went in to my appointment wearing jeans and a smart top plus my usual make up and jewellery which was my first mistake. I look far too stable when I do that. The key to getting good NHS care is to act as nutty as you feel. Some of the people I met (and had to step over) in the waiting room had this down to a fine art. They shook, they shouted, they drank red bull after red bull to get their energy levels to peak performance. One guy read my ‘Wellbeing’ magazine over my shoulder, which was fine, personal bubble not excluding, until he started to dribble. Luckily I’m relatively fit because I found the only way to get away from him was to straddle the coffee table and edge myself down the room.

When Dr G called my name he seemed genuinely ok. I shook his hand and he offered me a seat. Polite, friendly smile, this is all going well so far, I think. He started our meeting by asking me how I’ve been. I told him about my new job, how I’d experienced a hypo-manic episode during the first six weeks and how I was now feeling quite depressed most days and was thinking about taking a handful of pills next Friday (to be specific). He wrote these things down as if he was writing a shopping list. Carrots, chicken nuggets, suicidal tendencies.

Then he used the word that no person who DOESN’T have to live with bipolar should EVER be allowed to use on someone who is afflicted with it. He told me that ‘This is all quite NORMAL for bipolar.’ Normal. NOR-MAL. What the f**k does he know about normal and bipolar?! How can that word even apply to the life I lead? NORMAL!!!!! *Starts shrieking at the laptop as she types furiously*

*Deep breaths.*

*Licks an M&M all over like a long desired lover.*

And calm.

Then he asks me if I’ve heard any voices or seen anything strange.
‘Yes, I say,’ thinking back to the last time I heard from Janice. ‘In February.’
‘No,’ he snaps. ‘I mean in the last week.’
Oh I’m sorry. I didn’t realise that when it comes to hearing voices in your head there is a time when it really does become passé for everyone else around you to keep hearing about it! Next time I’ll keep my delusional behaviour current or I’ll keep it to myself.

It’s at this point that I dare to ask whether there is anything the NHS can do to help me through this difficult time. Do they, for example, provide some sort of counselling service for people who are feeling so low they wonder how much vodka they will need to drink before their liver finally gives out? He looks me in the eye and states that the NHS doesn’t offer anything as basic as counselling. The best he could offer was CBT (cognitive behavioural therapy) but why don’t we wait until I have my next blood test for lithium levels? I think this must have been the point at which I snapped because I just remember there being a lot of snot and tears from then on. I’m not quite sure how a blood test will help him decide that I’m actually sick enough to warrant some attention here but his next suggestion just floors me.

He states that I seem to get worse when I’m feeling lonely so the other option he can suggest is that he hospitalises me. But he then tells me that I’ll only be even lonelier in a hospital. As if this is supposed to make me feel cared for in some way.

As I try desperately to calm down through the sobs I notice that my right eye has begun to twitch. The way a serial killer’s might.

So my options are, do nothing, let nature and my paring knife find their own way or go into hospital and be strapped to a bed where I’ll suffer endless loneliness and never be allowed out because my condition only ever seems to deteriorate. Brilliant. Psychiatry at its best.

Anyway, I just had to get all that off my chest. Please feel free to let me know your experiences, NHS based or otherwise. Personally I’m starting to understand why so many turn to drink and drugs.

Saturday, 23 August 2014

28. From One Extreme to Another

This week I’m a lot more up and down than I expected to be. This is obviously not one of those periods of remission that I’ve read about! In this week’s blog I’m going to talk to you about some upsetting things so be warned. If you’re not feeling up to it, skip this blog and either come back to it another time or just pretend it never existed. I won’t be offended.

Last Friday I worked from home (that’s not the upsetting bit. Hold your horses!) and as I’ve explained to you previously, I don’t do well with being on my own for long periods. Even half an hour can be a bit of a stretch if I’m in one of those moods. Anyway, I noticed that as the day went on my thoughts became more and more dark and irrational. At the time they didn’t seem irrational, they seemed like valid worries that might affect the rest of my life, but looking back on them now, I can see that if I’d been able to anchor them just a little bit more in reality it’s possible I might not have got in such a state.

What I mean is, I was thinking about my marriage. Often when I’m down everything that I don’t have in life, everything I want but can’t reach and every reason for not being able to progress with my life falls to restrictions caused by my marriage. I don’t know why this is particularly or even whether there is any validity in it at all, but that’s how I feel when I’m down.

For example, I want to earn a bit more so we can go on holiday and travel. My hubby wants to give up work and start a business which I know we’ll struggle with. It will be stressful and there will be no money for years, if ever. We very rarely want the same things in life. So I think about what life would be like if we weren’t together. I think about moving out. How would I cope? I’d be exhausted, life wouldn’t be good, but then life’s not good now. The more I think about it the more depressed I become. So what’s the alternative? And that’s usually when I think to myself that there is no alternative and I may as well end it all now. You see. Not a very rational argument seeing as lots of people have split or got divorced and they manage somehow. But this is the thinking of someone for whom logic isn’t high on the agenda right now.

You know what scares me most about a suicide attempt? The thought of surviving.

I don’t want to have to go through years more counselling, justifying to everyone why life was just too tiring and altogether too much in that moment and probably always will be. I don’t want to have to explain to anyone I love why they weren’t enough to keep me here when in reality nothing could keep me here. For some of us suicide is an option only in as far as when it will happen, not if it will happen. And I think that’s because for some of us the disorder we carry around in our heads is priming us to self-destruct.

I don’t mean all this to be doom and gloom. It’s hard to discuss this subject without upsetting someone in some way. I‘m just telling you how I see things for me. You may agree, you may not.

Then yesterday I was listening to a lesson run by a life coach. She was very inspiring and I always feel uplifted after such talks. But she said something which made me think about my stance on suicide. She was talking about people’s pasts, saying that your past should not hold you back or stop you from trying again and making a success of things in the future. She then said that you have to align your frequency to the plan the universe has set out for you. Now this bit does sound a bit Star Trek but nevertheless her point was valid.

She continued to say that each of us is made happier when we align our actions with our desires, ie, if you want to become a vet, you don’t go to accountancy classes. If you do you’ll be miserable because you’ll be ignoring your inner desire and never allow yourself to work towards that goal. However, if you make the decision to follow the path that has been set out for you, ie, enhance your own abilities in areas you are naturally drawn towards, it will lead to you contributing something worthwhile to the world. If you align your frequency to the path the universe has assigned you, you will be happier.

Then she said that in essence everything is dictated by the universe. None of us would be here if the universe hadn’t allowed it, if life hadn’t been breathed into you. I know this is all a little hairy-fairy but it made me think that perhaps suicide is not my decision to make after all. I’ve been given this life by something else out there. For some that might be god, for others the universe. I have always assumed it is my life force to take and do with as I please, but she made me wonder whether I really have a right to fling it back at the universe when I’m done with it?

I know from my own experiences and how debilitating depression can be that there are those people out there who really can’t hold on any longer. For whom life is just too painful. I also know from a lot of years’ experience that if you hold on for just a bit longer you can often find something worth holding on for. My psychiatrist told me once that these desperate thoughts and feelings are a symptom of bipolar disorder and I will always get better if I give it time. As a symptom of an illness it’s pretty extreme, but he’s right. You get a cold, you’re going to experience the symptoms, that doesn’t mean the cold has to define your actual thoughts and feelings about life. If you’re going through a similar state to the one I’ve described then have faith that in another day or two you will have come through the worst of it.

This is one of those subjects I didn’t really know whether to broach in a blog. I certainly don’t want anyone thinking I advocate the idea, despite me saying I don’t judge those who must be in so much pain they feel they have no choice in the matter. However, it is a subject that, as bipolar sufferers, I suspect we’ve all faced in the past and possibly will do again. I hope that knowing there is someone out there who knows what you’re going through will help at least, and I’d like you to know that having you guys to share with helps me too.

http://www.nytimes.com/2014/04/14/us/suicide-prevention-sheds-a-longstanding-taboo-talking-about-attempts.html?smid=fb-nytimes&WT.z_sma=US_SPS_20140414&bicmp=AD&bicmlukp=WT.mc_id&bicmst=1388552400000&bicmet=1420088400000&_r=3

Saturday, 9 August 2014

26. It's ALL about ME!

I’ve been feeling sorry for myself the last few days, I can tell you. It’s partly to do with this story I’m writing and all the stuff it’s kicking up from my past and partly because I’m still feeling very shaky about things in my personal life and relationship. I’m one of those people who is always looking for the next thing that will make me happy. And that next thing never turns out to be enough. I blame my childhood.

In fact, the more I look back at my past the more I realise just how often I was having episodes which could be attributed to bipolar (although mild, I think they were definitely there, and my husband agrees). I wonder now whether I always had it. This is a big deal for me. I was only diagnosed in my thirties and was happier thinking that it was brought on by my nervous breakdown than I was thinking that I was always a bit defective.

I was a very sensitive child. I could over-empathise to the point of driving myself into a worse state that the person I was empathising with. The thought of global warming turned me into a nervous wreck from the age of 8 onward. I even had suicidal thoughts then. What was the point of carrying on, it seemed, if we were all going to drown, freeze to death or perish under a fireball from the sun?

I had terrible OCDs. I couldn’t fill an ice cube tray with water and put it in the freezer if I’d been thinking about anyone I loved because it would mean their essence would be frozen and they’d be in pain because of me! I was terrified throughout most of my childhood of all the man-made issues in the world, not to mention the issues of abandonment I was dealing with when my parents divorced, the loss of people and things that meant a lot to me, a lack of love from my mother, no guidance of any kind from adults in my life and an inability to talk about my problems when there was no one there to listen anyway. Is it any wonder I turned into a little bag of nuts?

http://www.inforum.com/event/article/id/430212/group/Life/ - Half of all lifetime cases of mental illness begin by 14.

My husband says that my need to be adored and desire to be the centre of attention is due to the bipolar but I’m not so sure. I don’t want to be the centre of attention. Not in the way you’re thinking. Yes, I want to be successful and happy, but in an understated way. I want my talent and what I can do to be recognised.

I think all that stems from being a little girl with no one to give her what she needed. I’ve spent my entire adult life, and continue to spend it, fixing the problems that that life installed in me. I think what he actually means is, it’s very easy to fall into the trap of becoming a little self-absorbed when every day you have to be very aware of your own feelings, thoughts, rationale, and logic in order to assess how well you are.

This is why, when I see others suffering, I feel bad that I am this self-absorbed person, always asking that my needs be met no matter how illogical or outlandish they might be at times. I came into work this morning and my colleague is in a bad way. He seems very stressed and exhausted. Because he’s a work colleague I don’t know him well enough to probe so in a roundabout way of cheering him up I asked him to help me with the new software licensing acronyms that we’re going to add to our asset management system. I’m pleased to announce that we came up with the following, and a job well done I might add:

Ass.LicK - Assigned License Keys

U.Ass.LicK – Unassigned License Keys

SNot.LicK – Secure Notes License Keys

Saturday, 26 July 2014

24. Feel What's Real


I’ve been going through a stage for some time now where I feel very calm. Overly calm in fact, almost feeling nothing at all at times, but not in a bad way. Not in the way depression robs you of your feelings and leaves you empty. It’s more like I’m happy inside because there’s nothing bothering me, no stress in my life, I’m not worried about any big decisions. This is odd because I do have all of those things to think about but I’m loving the peace this state brings and therefore I don’t want to question it too much.

I confided to my counsellor that despite wiping out all the stresses and strains I usually experience, this state has also robbed me of the feelings I have for my husband and I’ve been doubting whether I should be with him. Since she’s gone through our ups and downs for the last 2 years along with us she reminded me that when my hubby and I are together and working well, we’re VERY good together. I agreed. She then said that it’s difficult to tell what feelings are real when you go through ups and downs in mood on such a frequent basis. I agreed… then burst into tears. Don’t worry, I do that a lot.

She talked me through some of the different moods I end up experiencing thanks to bipolar. There’s this one, where I feel very little but am in an ok state and relatively happy. There’s the one where someone else takes over and I’m not in control, that one I don’t like. There’s the well of depression, which I like even less. There’s the edge of mania where Janice sits, beckoning me to join her. And there’s the actual hypomania. I described that to her in the form of a pizza, ie, if you order a pepperoni pizza from your favourite pizza parlour you’ll get the same thing every time it comes. You order a box of mania and you’re likely to get a new set of gremlins bursting out of it every time. I think she got the idea.

Then she asked me what I thought was really causing me to feel this way about my husband and as is the way when you start talking about something you’re not even conscious of, a lot of stuff came out which surprised me. The upshot was that I was protecting myself.

We’ve been through a lot in the last few years since my diagnosis. I haven’t always felt able to be totally open and honest with him about everything that’s going on with me. Sometimes that’s because I’m protecting myself and other times it’s because I need to protect him. And most of us can say that I expect. Honestly ISN’T always the best policy in my world. If I went around telling everyone I do contract work for that I have bipolar and would really love it if I could get one of my hallucinations to clock in every day when I fancy a day off, I’m pretty sure I wouldn’t be invited back.

But equally, to not be able to talk about these things makes them seem shameful. As if the disorder we carry around with us and have to deal with every day is ours alone to live with. And even for someone like me, with a loving husband, I still live with it and deal with it, on my own for the most part.

So what am I protecting myself from? Rejection? Pain? Hurt feelings? Someone who I can never expect to fully understand what I deal with every day? I’m pushing him away so that when the day comes that he decides he’s had enough and he can’t take any more bipolar surprises, I won’t have committed my entire being to him. I can walk away knowing that I pulled back before he could and therefore protected myself. And in the meantime I’ll live in a half fulfilling relationship, with a man I only allow myself to get close to when the mood takes me. And I see the flaw in my plan, I really do. But I never said I was good at all this emotional stuff.

My counsellor advised me that this state I’m in now is not one in which I should be making big decisions like filing for divorce or moving to New York to start a new life. She says that my feelings are lying to me. Clouding what’s real. Like depression clouds emotion and only allows the worst through, this state of calmness coupled with my underlying fears about my condition are causing me to question my feelings for my husband.

This is where logic needs to come in. Large decisions require logic and a bit more logic. Because any decision I make now I might regret later on.

Saturday, 14 June 2014

18. Just Who’s In Charge Here?!

Apart from finding myself in situations where I’ve given in to my irrational feelings and behaviours, I also find it very difficult to figure out who, or what, is making the decisions in my life sometimes.

The most recent example I can think of is my last contract. The one at the IT company came to an end recently. That was the one where I dared to call 2 of my team mates old women when the workload got a bit frantic and they started flapping about one week. I politely advised them to join the Women’s Institute, and was never able to live it down with the rest of the team. From then on, every time I received an email request for software it would usually be accompanied by an order for raspberry jam. Anyway, before my contract actually ended they offered me a job... and a scone.

All the while they were talking about the job I was very excited and determined I was going to take it when they made the offer official. My hubby kept telling me to consider my options and think about the benefits of contracting and how much I like the freedom of it, but I told him this was a great IT company and it would stand me in good stead for the rest of my career if I took the job.

Then they actually offered it to me and I suddenly felt bored by the whole thing. I couldn’t be bothered to read the spec, stopped trying too hard, lost my motivation and eventually decided I really didn’t want the job at all. By which time my hubby was trying to convince me to take it because a week ago I’d been extoling the virtues of a career with a steady pay cheque. Poor guy doesn’t know whether he’s coming or going.

It’s this massive swing in opinion, desire, direction, call it what you want, that drives him a little potty. He never knows which me is talking or when the scenery might change. Can you imagine decorating a room with me? You’d start in pink only to find me crying on the stairs because ‘when I said pink I wanted yellow.’ How does anyone stand a chance?

How can you ever be sure that your decision isn’t based on a dip in mood or the fact you forgot to take your pills yesterday or even a bad night’s sleep? And if I can’t answer that, being the one who experiences these swings, how can I expect anyone else to? My counsellor (yes I’m lucky enough to have access to one) told me that when I’m going through an episode of any sort I need to use my feelings to direct me, but not in the actual decision making process. What she was explaining was that it’s useful to analyse your feelings and moods, decide whether you feel you’re in a rational or clear frame of mind based on those feelings and then decide whether now is even the right time for you to be making any large decisions. If you feel you’re capable of making one you won’t regret then you should include logical thought and facts in the decision making process and not let your emotions lead you entirely.

I should think that a lot of us will find it hard to fight the impulses that bipolar sends to our brains but what she is also advising is that we slow down and take our time over decisions. This is good advice I feel. Whether I can do it or not is down to me and the discipline I will need to muster.

My manager once said to me that when dealing with a bully you have to stay calm and outwit them. Bullies work on emotion. Their arguments are based on it and therefore logic doesn’t come into their thinking. This struck a chord with me. Not that I class myself as a bully, but the thought that irrational and aggressive behaviour is born of emotion makes total sense. Emotion has no tether after all, no desire other than to be calmed and the only way to do that is to reason with it.

So there you go. Reason with emotion.

Good luck with THAT!

Saturday, 7 June 2014

17. Irrational? Me?! Screw you... Nan!!

They say that both bipolar type 1 and 2 are synonymous with irrational behaviour and feelings. I know the most common feeling I experience which is highly irrational is loneliness. I can be on a crowded train, surrounded by people and feeling happy one minute. The next minute I’ll feel I have to reach out to somebody right now or I might die of the desperate feeling that’s just slammed into me. The loneliness feels as if it’s eating me from the inside out and I know it’s irrational even when it’s happening, even when I’m desperately checking Facebook for the ten thousandth time for a comment or a sign that someone is online to talk to.

Most recently I’ve been chatting via text to a friend of mine every day. We discuss creative things we both like, writing, photography, websites, films etc. This week he told me he was going away for 2 days. He was taking his phone, he could still text but he wasn’t going to be in the place that I always imagine him when he usually texts me, he was going to be miles away. We’ve gone long periods without talking before but once I knew he was going away up North I suddenly felt extremely lonely, when in reality nothing was going to be any different.

I think this is a throw-back to the days when I was constantly depressed. I suffered due to the feeling of loneliness then too. I remember once being at a cocktail party (it wasn’t a posh one, it was one where everyone ended up showing their knickers at the end of the night). At one point I looked around and I wondered if everyone there was pretending too, if the happiness and the smiles were all plastered on, just like mine. And I felt incredibly lonely in that room full of friends.

I think what bothers me is that when I get two seconds of peace from my ever churning and changing emotions I realise that there’s no way I want to be like this. Those moments of peace are like waking from a bad dream in which all irrational feelings and odd behaviours have seemed entirely normal. It’s only upon waking from it that you realise they are far from normal, but by then you’ve probably lost a friend or two or become obsessive to the point you’ve driven someone away.

I wouldn’t mind if the doctors could tell you what’s going on in your own brain. Why it’s backfiring and conspiring against you to make you unsociable and odd to the extreme. But they can’t. They tell me it’s a chemical imbalance but they don’t even know which chemicals are playing see-saw in my brain.

So if pumping 1 in every 100 people full of battery components does the trick most of the time I guess we have to go along with it. I love the lithium and the effect it has on my tired yet busy brain. But just like the symptoms it aims to control, I find I’m totally at its mercy.

I often find I become more than a little fixated on things. I look to Facebook one hundred times a day for someone to reach out to and when I’m met with the standard ‘Like’ in response to my posts I find myself feeling even more desperate and alone.

What I want to write:

“Do you ever hate your life so much you can feel it crushing your chest? Have you ever felt so lonely you think you’re going to drown in sadness? Do you feel as if your insides are empty of everything except liquid pain sloshing about in the gaps between your ribs? No. Me neither (except I do really).”

What I actually write:

(Post a picture of me looking happy with my family).
“You can tell we’re related by the genetic uni-brow.”

I usually try to make the posts I write funny, but at times they hide what I’m really trying to say which is ‘I’m drowning here. I need someone to reach out and save me.’ The funnier the posts, the more frequent, the more I’ll find I’m flailing and the more dependent I become on nothing more than a networking site to quell my loneliness. And so today I wrote this note to Facebook as a way of trying to break my dependency.

“You know what, Facebook? We’ve had some great times together. No, some AMAZING times. Remember the time you posted a picture of a seagull dive-bombing me on the beach in Spain and me and my friends all laughed and laughed? Ahh, good times.

“The trouble is that just lately I keep feeling like our relationship is taking a lot of effort. And I feel as though I’m the one putting in all the work, if I’m honest.

“I hate to tell you this, but I’ve started using Blogger. I’m sorry, I can see the pain on your face… book. The thing is, it just feels so easy. No short, stunted sentences or awkward jokes. I don’t have to hide behind the laughs and I don’t have to check in monotonously. Blogger just lets me talk and talk and be myself and when we’re done I just walk away. Sometimes for days.

“So I guess what I’m trying to say is… I think we need some space. I need to get my head straight. Stop looking so hurt. I know you see other people. The evidence is there for all to see, so don’t bother denying it.

“It’s over, ok? I’m sorry, but we’re done. At least until Friday when I’ll undoubtedly weaken after a glass of wine and pine for the length of your timeline like I always do.

“Just know that no matter what happens from here on in, I’ll always love you.”

Saturday, 24 May 2014

15. Alcohol And Take Aways...Mmm

As a continuation of last week’s blog here are some things I’ve found which have helped me to create a little bit of calm in my BPD teacup since diagnosis.

I’m not putting these things down on paper to try to guilt anyone else into doing something that doesn’t sit well with them. I’m just trying to let you know that these things work for me and therefore they might work for you if you fancy trying them.

My first line ‘Follow a bit of a routine’ might horrify some of you. The thought of it horrifies me. I’m a free spirit. Wild and young(ish) and I don’t want to be bogged down by routines and boring schedules. But I have discovered you can have a ‘bit’ of a routine which satisfies the disorders needs but still gives you freedom to live your life the way you want to. So bear that in mind before you storm out of my blog having decided I must have a stick up my bottom. I can assure, you that’s something I save for the weekends.

Follow a bit of a routine – It doesn’t have to be set in stone but it does help. Go to bed at a set time and plan to get 8 hours of sleep a night. A routine involving bath and bed, aromatherapy, or something relaxing and pampering like moisturising will help you feel as if you’re doing something for you, rather than getting an early night just so work comes around quicker!

Avoid alcohol as often as possible – Obviously you don’t want to offend by not toasting the bride but equally going on a vodka-laced bender over the weekend isn’t likely to make you feel on top of the world afterward.

Caffeine – I’ve found I’m surprisingly sensitive to caffeine and if I drink it after midday I won’t sleep and quite often feel anxious all day. If you get jittery periods try limiting your caffeine intake to the mornings for a week and see if it makes any difference.

Diet – Take a look at what you eat. We’re all guilty of eating fast food, packet meals, ready-made goodies and sweets for energy but you may find that all the hidden additives and sugars are playing havoc with your mood and ability to relax. Plus you really don’t know what it’s doing to your physical health. I once had a cold for two and a half months! It would NOT go away. I changed my diet and hey presto… well, it turned into a chest infection. But after THAT, I was good.

Exercise – This doesn’t have to be blood pounding, run a marathon, Kung Fu kick your way out of a drug fuelled district of LA with Jackie Chan behind you, style exercise. Yoga can be incredibly relaxing while toning and tightening the muscles. Most yoga classes will tag on a period of meditation to the end too, which is great for the soul. And it’s funny to hear people snoring when they drop off. I’ve seen young and old do yoga and I’d say the hardest thing about it is stopping yourself from giggling when someone accidently lets one rip.

http://authentichappiness4live.wordpress.com/2014/03/11/does-exercising-make-us-happier/

Doctors – Keep your appointments and, if you can, keep a mood diary. I’m not great at taking my own advice here but it is a great way for a doctor, who may only see you for 10 minutes every 3 to 6 months to know what’s been going on with you. Only you know how you feel and if you feel the doc is downplaying something, push a bit harder to get a response that satisfies or take someone with you who will push for you when you’re just not feeling up to it.

Caregivers – When you, as a bipolar sufferer, are feeling well it’s a good idea to turn to your caregiver and make sure they are looking after themself too. Most of us only have 1 person we rely on heavily and that person often has to neglect their own needs to help us with ours, which can be stressful for them. It doesn’t hurt to make sure they know how much you love them for the things they do.

What works for you? Please let us know in the comments section.

Next week I’ll be reviewing mood diary apps.

Saturday, 17 May 2014

14. That’s One ‘First Time’ I Could Do Without

The first time I went to the doctor after my nervous breakdown I was in a bit of a state. As you can imagine, nervous breakdowns don’t tend to leave you looking glamorous and at the peak of health. I remember there being a severe need for waterproof mascara and a box of Kleenex for all the snot induced crying fits. Equally, if you know of anyone who found a way to keep their dignity during their nervous breakdown I’d be interested to hear about it. I could use some tips for the inevitable next one.

My husband came with me and explained in no uncertain terms that I was mental, needed to be put into a straight-jacket immediately and asked whether HE could have some pills to help him cope with all this. Thankfully he was joking but I’m not sure my GP really knew how to take him.

I was assured that, given the circumstances and all the snot, I was an emergency case and I could expect to hear from the psychiatrist for an assessment (not treatment) in THREE MONTHS TIME!

An EMERGENCY case. In my book emergency’s don’t usually hang around for 3 months, hence the urgency of an emergency. If I’d been anorexic and my kidneys were shutting down would they have fobbed me off with 3 months? What’s more urgent than an emergency when the symptoms of your problem could kill you?

Anyway, I moan only because I was on the brink of giving up on life. Nothing major. In other ways I can’t fault our NHS and mental health system. Not really. We do always seem to have trainees in psychiatric positions for 6 months at a time, but they tend to be pretty good and my first psychiatrist was the best of the lot. He arranged Cognitive Behavioural Therapy for me, counselling and later on, once I plucked up the courage to tell him about my ‘other’ symptoms reclassified my condition from ‘Severe Depressive Disorder’ to ‘Bipolar Type 2’. He changed my life. He helped me achieve a positive outlook for times when I’m well and a coping strategy for times when I’m not.

I can safely say, looking back to that time and how fragile I was then, that the NHS and its community mental health team has made me strong again. Despite the flaws of never getting to know your psychiatrist because they move from one place to the next and despite the long waiting times between appointments, once you are on their radar they do as much as they can to help – in my experience.

I’ve also found that it’s up to you to take their advice and the education they offer about your condition and work hard to make your own life better. There are things you can do to help yourself and I’ll talk more about those next week.

https://www.facebook.com/myfamilyandjanice?ref=hl#!/photo.php?fbid=690403364335565&set=a.180798161962757.37670.157585027617404&type=1&theater

Saturday, 10 May 2014

13. Ginger Sheepdogs

Despite feeling unmotivated at work recently, I do still appreciate everyone I work with. They are a lovely bunch. This morning I went downstairs to find a load of them having a christening party for Romulus and Remus, the two new servers. I’d like to believe my colleagues named them that because they’re all big fans of Roman legend, but I have a sneaking suspicion I may be wrong about that.

On a different note, I read recently that there are also physical symptoms connected to bipolar such as obesity, heart disease and diabetes. These are often linked with the medication used to treat the disorder and a lot of people writing about this subject on the internet express concern that the medical profession doesn’t seem to consider it to be an issue in as far as helping sufferers to control the effects of weight gain, not to mention the subsequent health problems this weight gain can cause.

It made me think that I really should try to lose some weight. Unfortunately for me I’m a bit of a lazy moo and my first thought was ‘I’ll start with a haircut.’ I have really thick hair (imagine an old English Sheepdog, in a car, on a hot day – that’s me. With a hint of ginger). So I think I can probably lose a good half pound just by getting the shears out.

Then there’s jewellery. I like big, chunky costume jewellery. I could probably lose a half a stone if I ditch that for plastic bangles.

I’m wondering how much a middle toe weighs. I mean, as far as amputating limbs for weight loss goes I feel a leg or major organ might be going a bit too far, but I could probably lose a toe or two and not even notice it.

I guess I could eat a salad or two as well but only if it’s accompanied by chips and bbq sauce, plus some chicken wings and hold the salad.

Just a side note. If you’re thinking that the underwire from your bra probably weighs a lot, I can tell you, it doesn’t. Plus, removing it just presents a whole NEW set of problems.

Saturday, 12 April 2014

9. Black Holes

I started this blog with some trepidation, but I must admit it has helped me to focus on my condition in a way that I haven’t ever done before. However, in focussing on it more keenly I seem to have more and more questions about the condition.

I’d never read anything about Type 2 that relates to hallucinations or voices but the trusty old internet (surely it’s never wrong?) says that these are symptoms of Type 1, the more serious condition. I very much doubt I have Type 1 just because I have seen how hard it is for people to deal with and my hypomanic episodes don’t even vaguely resemble a manic episode in severity. So what’s going on? Could I have more than one condition? Wouldn’t that be fun! Most people collect spoons or Barbie’s but no, not me. I’ve started collecting psychotic disorders. So it’s on my ‘To Do’ list to speak to my psychiatrist and find out once and for all what’s going on.

Since writing this blog I’ve found a site that states hallucinations can occur in type 2 sufferers and that they will only appear in line with an episode of depression or mania, not during ‘remission’ which seems to match my symptoms. Phew. I’d hate to be considered weird or anything.

The last time I went I told him about the few episodes I’ve had (before I was diagnosed mostly) in which I was obviously experiencing a hypomanic episode from what my friends tell me. I was chatty and talking at 100 mph as well as telling jokes and making everyone laugh. But ask me when this was or who I was with and I couldn’t tell you. On three occasions I’ve been told by friends that I was doing or saying something and I don’t remember being in that time or place. After years of carrying this around I told my psychiatrist who reliably informed me that this is not normal. I’m not sure why I needed a psychiatrist to tell me this! I never really got an answer on that. Saying that, this is the same psychiatrist who once told me that I seem to have a heightened awareness of my condition. My condition is in my head, I couldn’t be more aware of it if I stepped in it.

My problem with having periods in my life in which I can’t recall a thing is not knowing for sure how many periods like this I’ve actually had and that’s when bipolar can become quite a scary condition.

So then I wanted to know whether bipolar is one of those things that with proper medication and a banana a day, would eventually go away. And it would appear I’m living in cloud cuckoo land if I believe that. There are periods in between hypomanic and depressive episodes where normality reigns. Some call these ‘periods of remission’. But I’ve also discovered that there are aspects of bipolar which can exist between episodes. I believe I suffer these as I’m rarely comfortable that I’m ever experiencing anything truly ‘normal’.

I find it equally odd that at times when I’m going through a hypomanic episode, I don’t know anything is wrong until I come out of it. Looking back is the only way I can tell that things haven’t been quite right, which makes it difficult to fill in a mood diary when you feel perfectly ok. Funnily enough it’s usually after these happy, more wired episodes that I feel I’m not sure I can carry on like this. It makes sense if you think about it. If you had the power to do anything you wanted, the conviction that you were capable of achieving those things and the belief that things could only get better for you for weeks and then you woke up one day to find that all of those things had been taken away from you, you might feel that you don’t want to keep going through that cycle of feelings either. It’s a tough fall to break and I quite often feel very battered by the landing.

Knowing why things are happening doesn’t make them any easier, but it does remind you that it won’t last forever.

Saturday, 5 April 2014

8. Flashing Signs And Beepy Buttons

Humour is something my husband and I have always used to get us through the tough times that my non-stop mental health issues have put us through over the years. It’s hard to say where I’d be without him and it makes me wonder how others, who don’t have a strong framework of support, get by. This is the conversation we had at 6.15 this morning while he dropped me off at the train station.
‘I hate this car. There’s always a light flashing or an alarm beeping on it. It’s becoming less and less like a car and more like a low-standing shed every day. I’m just waiting for the wheels to drop off,’ he says while tapping the petrol light. I’m pretty sure that one needs attention whether it’s lying to him or not.
‘Why don’t you buy a new car?’ I ask.
‘Because we can’t afford it.’
‘Why don’t you swap it for something equally as pointless like an ice cream machine?’
‘How am I going to get to work on an ice cream machine? On a giant trail of Mr Whippy?’
‘Yeah,’ I laugh imagining the congestion that would cause. I can see him in a Mr Freeze outfit.
‘You’re not thinking this through, are you? Then I’d also have to buy a snowboard and that’s MORE cost.’
‘Oh yeah. Silly me.’

It made me think that there are times when you really want something more obvious to happen when you’re not feeling right. A flashing sign, beeping alarm or to turn up at work and find your psychiatrist waiting for you at your desk, picking through your best pens while pocketing a few paperclips. You’d know something was up then. How can you tell people that you’re not feeling right when actually you’re in a fabulous mood, ready to do karaoke at the drop of a hat, stand on tables, throw your knickers* at the DJ and be the life and soul of the party?

Depression is a little different in that it presents itself slightly more obviously, but again, there are a lot of people out there who are very good at hiding just how bad they’re feeling. But generally you can see that someone with depression is very down and not in a normal mental state. You can count the pills in the paracetamol packets every morning and you can keep an eye on things hoping that tomorrow the tide will turn and that person will start to feel better. You can feel slightly active in their care because you’re aware they need some, is what I’m getting at.

But, you try and stop someone experiencing hypomania from being overly happy or overly irritable and you’re likely to find yourself on the business end of a full-scale hissy fit. Rational behaviour like the rest of the world knows and expects from another human being isn’t always on the cards during a hypomanic episode. I would say ‘And certainly not during a manic episode,’ but I would be speculating. I don’t think anyone reading this needs or wants me to do that, but if you suffer these types of episodes yourself and want to leave a comment to educate me and other readers, then we’d be happy to read it.

They say that hypomania is often credited with increased creativity and productive energy. I definitely find this is the case. Most recently it has affected my work because that’s where my focus has been after finishing a long contract, but I have noticed, before diagnosis, that I would have regular and persistent periods where I would commit to something, a hobby say, like art. I would learn everything I could about it almost obsessively, develop very quickly, produce lots of work in a matter of months and then, for no apparent reason, totally lose interest and never go back to it again. Not having any idea what bipolar was at that time I can’t say whether these phases coincided with any mood changes but I suspect there was more going on than I was fully aware of.

My point is (yes I do have one), the best way to let others know how you’re feeling is to tell them. It’s taken me a very long time to come to this conclusion because, as I’ve said before, bipolar can be pretty scary. The symptoms are one thing, but it’s the unknown reactions of others that has scared me more. I don’t want people to look at me differently just because they now know I have a bunch of people talking in my head or because I see werewolves in car parks. I mean really, people, do you have to judge?

The surprising thing is, I don’t think many people do judge. In the few weeks I’ve been posting this blog I’ve had no strange or probing questions, I haven’t found any ambulances pulling up at my front door to take me away. What I have found is a lot of private message from people who find life hard in their own way, telling me they think I’m brave for sharing. And that’s truly lovely to hear. It’s been a relief and a release, because I’ve been carrying this stuff around for a long old time now. Perhaps, with the help of both friends and strangers I’ll be brave enough to let a lot of my issues go and trust that everyone will understand.


*I would like to make the point that I have never thrown my knickers at ANYONE. And that time I threw them at the cat I was actually aiming for the wash basket. Just wanted to make that clear.

Sunday, 9 March 2014

4. Vanilla Me, A Second Scoop

I think I must have spent around 2 years hiding my symptoms until it became more and more obvious to me just how debilitating they were becoming. I finally relented and told my psychiatrist. He is a wonderful man who taught me a lot but it still took a lot of courage to tell him. I don’t think I stopped being scared about the repercussions of telling someone until… well, I’m not sure I’m all that secure about it now. I still don’t tell anyone I work with although I do write a letter to personnel stating what my condition is and that it hasn’t affected my work before now if I’m taken on somewhere new. This covers you because if you take a job and later on something about your condition manifests which means you need to go part time or take some time off to treat it, you can’t be accused of withholding anything from your employer. Believe me, I’ve been in that situation before and I was glad I’d written the letter then!


But back to my psychiatrist. He surprised me when I told him. I didn’t tell him everything, of course. Just about the noise in my head and how difficult I was finding things. He knew immediately that it was bipolar and recommended I go on lithium that same day.


I then had to go through blood tests and ECGs to make sure I could take it because of how strong it is. You want to be scared, you just need to take a look at the list of side effects that stuff can cause.


Pretty soon I started taking the lithium and within days my hands had started to shake uncontrollably. I couldn’t read a book because the shaking made each page blur! I also started to drink pints and pints of water every day. I was so thirsty all the time.


And then one day, I was walking along the street thinking about life in general, and someone switched the world’s colour on. Just for a few minutes my surroundings went from black and white, 2D, to 3D, full colour. Things had meaning, people’s faces weren’t flat with nothing behind them, they had souls and personalities and warm, red blood running through their veins giving them a pink, rosy glow. I nearly cried, I was so overwhelmed by this amazing revelation, at this riot of colour and clarity and beauty before me. My head was clear. I could hear my own thoughts and I had no doubt they were correct and being contorted by nothing. I remember it so clearly that even today, two years later, I could tell you where I was and what I was looking at when the world filled out in front of me.


And then it disappeared again. Life returned to 2D, grey, with constant noise in my head and negative thoughts skipping through my brain, skewering anything light and happy that dared pass by in front of them. But I was elated. If this was what was to come then bring it on!


I started to look forward to those moments of clarity which, over the following weeks, grew longer and more intense. It was like I’d been living in a dark, cold dungeon all my life up until then and someone had just unlocked the door to the outside world.


And so here I am. The person I always knew I was supposed to be but who was beaten down by mental illness for years. I still have a lot of days where I don’t feel right, obviously, but for the most part my life is better due to the medication.


Before I forget, I saw a werewolf today. It was cool.



Sunday, 2 March 2014

3. Vanilla Me

So my last post introduced you to ‘bipolar’ me. This time I’d like you to get to know ‘me’ me. I’m the rather boring side of the personality Rubik’s cube that is me. I like chocolate and tele and I love my family and my cats and because I’m the boring, neutral, vanilla part of me, I fear the other personalities might gang up on me one day and bury me in the woods somewhere. I think they’re capable. And they know I have no sense of direction so I’d never make it back again.


Since I was a kid I wanted to be Melanie Griffiths in Working Girl. I wanted to wear a suit, work in the city, earn mega bucks, have MASSIVE hair and use big words like ‘infrastructure’ and ‘acquisition’. That was my idea of success. It was so far removed from my world as a child where I had no control over anything. This world of ‘The City’ was where dreams came true and on top of it all you could be rich and loved by Harrison Ford. Who wouldn’t want THAT?


So that’s what I’ve worked for. However, I have the distinct feeling that depression held me back for a loooong old time. Now I’m not making excuses here, don’t get me wrong, but depression is an illness and if you had flu every day for 15 years your career wouldn’t be as perky as a cheer-leaders butt cheeks either.


I had a nervous breakdown at the age of 29, fought my way out of the well of depression that I fell into only to find that at the top of the well wasn’t the home and the family I knew but a hyped up, slightly insane version of the world which shouted in my ears and made me feel as if I was going crazy every day. I think this was when the bipolar started showing itself. Of course, at that time I had no idea what bipolar was or why I was feeling so unable to keep a grasp on reality at times. I started seeing things (which still happens even today). Mostly people lurking in bushes or hiding behind lamp posts, sometimes other things like animals.


I couldn’t follow people’s conversations if there was more than one person talking in front of me. It was like I couldn’t hear them or my brain wasn’t able to react quickly enough to take everything in. I also felt as if I was 2 inches inside myself, if that makes sense. Like I was looking out of my head and not quite part of my own body. Not attached, just, following it around. Have you ever sat in a noisy school canteen where everyone’s talking but you can’t actually make out anything clearly? That was the state of things in my head.


Life was tough and confusing as well as isolating, but I refused to speak to my psychiatrist about any of what I was feeling. I didn’t want to be put in a straightjacket or carted off to hospital. I’d read so many horror stories about those who end up in mental wards and what they go through while they’re there, not to mention what it might do to any career I managed to salvage after all this was over. They even ask you when applying for insurance whether you’ve ever been committed! So I kept quiet, but the feeling of going mad only grew stronger.


To be continued…