It’s been a while since I last posted. I have been on a long road of self-hatred and destruction. Thankfully with a mixture of effective and non-effective support, I have come out the other side stronger, and more determined, than I’ve probably ever been.
The truth is that I came dangerously close to not being here. It took that very near miss to make me learn a few lessons about my life, as it is, and as I want it to be.
I decided that although I have yet to see improvements from therapy, that it is worth persisting with, if there is a chance that I could learn to stop the past repeating itself. So I’ve kept going, been fully involved in trying to improve myself and started to think about what I really want from life.
I made the decision that I have so much that I still want to achieve with my life, and this time when I was discharged from the crisis (Home Treatment Team), instead of seeing it as a threat to my well-being, I saw it as an opportunity.
What has helped has been being told by my care-managers that I can’t do what I want to do, what I dream of doing. One of my best qualities is stubborn determination and if I’m told that I can’t do something, often I will work even harder to prove that I can.
Another thing that has helped is better pain management, this has meant more energy and ability to focus on the things that I enjoy. It’s not a drastic change and I still have to live with some pain, but it’s at a more manageable level than it was.
Another lesson that I learnt was that I need to become more self-reliant. Instead of looking up to others and relying on them to help me when I’m in a dark place, I need to figure out what I can do to help myself, and, if that fails, then figure out who are the best people to approach for help.
I learnt that I need to be more self-aware of when I’m on a path of self-destruct/close to causing myself harm, and what to do to nip it in the bud before things get to the point where I make stupid, life-affecting choices.
I have also started trying new things as a way of changing the rut that I’ve been in for far too long. I’ve returned to writing, I’m now back to blogging (which will probably be a more gradual process) and I’m preparing to finally return to uni (my second year) in September. I will be studying creative writing and I’m really excited at the prospect.
I just wanted to say that I appreciate your patience and encouragement towards me throughout what has been an extremely difficult time, and hope that eventually I can prove that you were right to have faith in me. I’m sorry for the mistakes that I’ve made and just wanted you all to know that if you are struggling with difficult feelings and mental illness, you are never alone. Please contact an organisation like the Samaritans (who are the reason, along with medical professionals, that I am still alive). And please try to never give up on yourselves and what you are capable of because even if you doubt what you are capable of – I believe in you!
If you’d like to continue the conversation please comment below or tweet me @spursbythebeach .
Fed up, what can I do to make it better?
For the past few days, I’ve been completely panicked that something is wrong with me, physically because of how exhausted I’ve been, sleeping constantly, especially during the day. I am awaiting blood test results and, like the drama queen I am, I even called the out of hours doctor. What I forgot is, I’ve been here before. These are all symptoms I’ve already experienced and likely will again. These are most likely symptoms of depression, anxiety and stress.
There is a depression checklist in a DBT (Dialectical Behaviour Therapy) book that I have that makes it even clearer. Here’s the checklist and my response:
Persistent low mood: I feel rock bottom. I feel alone, worthless and like I will never amount to anything.
Increased appetite/ Decreased appetite: I’m not eating regular meals but when I am eating, I do tend to binge.
Difficulties falling asleep: This sentence should continue with ‘At the right times’. I’m becoming nocturnal, when I want to sleep I cannot, and when I want to stay awake , my eyes start to become heavy.
Feeling empty: I really feel like this, especially since my failure at university last year. I had put so much of my energy into becoming a successful student and now I see myself as nothing/a nobody.
Social isolation: This is partly my fault and partly the fault of others. The main reason it’s my fault is that I left London and all my old friends there and came back to Swansea where my friends had moved on. Even if they haven’t and I’m just being paranoid, that’s what it feels like.
Problems with memory: I have no problem remembering the things that haunt me, but the mundane, everyday stuff, that I need to remember is becoming a lot more of a challenge.
Persistent anger: As you can probably already tell, this is mainly directed at myself. Why do I always get it so wrong?
Irritability: Again, this is mainly directed inwards, I am extremely frustrated with myself for not making university work out, for not being near the end of my first year. Who knows how different my life could have been?
Decrease in motivation: When I’m well/stable, I want to be a successful mental health and fashion, beauty, lifestyle blogger, that means raising awareness of what life is like with a mental illness and how you can help. I want to help form an online community that makes up for the community I’m missing out on in the real world. When I’m like this, I lack the motivation to do anything because I feel like I don’t have the ability to make things happen.
Feelings of hopelessness: I feel like this a lot lately. What’s the point of trying when I just mess up anyway? I know that’s an extremely negative attitude to have but I started this blog to be completely honest about how I feel and how I (hopefully) get through it.
Weight gain: As usual, when I’m depressed I eat rubbish, which leads to weight gain.
Waking early in the morning: I more likely haven’t gone to sleep yet from the night before.
Restlessness: When I’m awake I’m really edgy in my own company (Most of the time) and feel like I have to be keeping busy or sleeping.
Low self-esteem: My self-esteem is beyond low, I really feel like I am capable of nothing. I spend all my time comparing myself to others and how much more than me they can do.
Tearfulness: I cry at anything and everything, especially when I’m feeling overwhelmed, which is often.
Loss of interest in things: I usually would love to read and write creatively, but at the moment, I’ve completely lost interest.
Feelings of worthlessness: I feel like the world would be a better place without me.
Loss of enjoyment in activities: I’ve even considered stopping the blogs because I feel like I’ll never get to where I want to be with them.
Poor concentration: I either struggle to focus on a single thing or try to focus on a few things at the same time.
Thoughts of suicide: Yes my old enemy thoughts have started to come back to the forefront of my mind. I feel like everyone would be better off without me.
Waking frequently during the night: At the moment I’m awake most of the night. When I do fall asleep though, I do wake frequently.
Increased sleep: I’m currently sleeping on average between 16-20 hours a day.
Feelings of helplessness: I fear that there is nothing I can do to make things better.
Feeling guilty: I feel guilty for my negativity when I KNOW that there are others worse off than me.
Mental confusion/ Difficulty making decisions: I feel so out of it and confused most of the time, I can’t make my mind up what to do for the best from trivial to more serious things.
Inactivity: Much as I’m trying to keep busy, I’m struggling to do anything.
Lethargy: When I’m not sleeping I feel exhausted.
Dwelling on the past: As you can see from this and recent blog posts, I’ve been dwelling on the past quite a bit recently, especially my university failure and recent hospitalisation.
What can I do to make it better?
- Balance activity with rest.
- Attend my appointments with my care team and,
- Being honest.
I worry that this blog will become a negative place, that people will avoid it because it’s so depressing. All I want is to be honest.
How are you feeling? Are you struggling with any of the stuff on this list? How do you handle it? Either comment or Tweet @spursbythebeach.
Write a letter to a person you are angry with. Say everything you are feeling and wish you had the nerve to say.
Dear David Cameron,
Thank you for helping to make my life even more of a misery than it already was.
First of all, your cuts to social care services make getting the help I need, near impossible. You make getting help from physical disabilities teams as well as Community Mental Health Teams, almost impossible. It has become a complete postcode lottery.
When it works
In some places, having a mental illness, full stop, means that you can get the help you need, especially without having to become a psychiatric hospital inpatient.
On the two occasions I’ve returned briefly to London, I’ve found good preventative measures in place that are simply non-existent in Wales. Ideas like the south-west London recovery college, this runs courses on better management of your mental health condition, as well as more therapeutic classes such as how to tell your story and journalling for self-expression (see my previous post) https://brokenglassshimmers.wordpress.com/2015/02/01/mental-health-recovery-idea-journalling-for-self-expression-day/ .
In Islington they have come up with the fantastic idea of having crisis houses, which people in mental health crisis can move to for a couple of weeks, as an alternative to going to hospital.
The only issue with these crisis houses are that the buildings that house them are rarely disabled accessible, which in reality, with the increasing number of disabled people, the likelihood of them experiencing both physical and mental illness has increased, with the two types of disability aggravating each other in a vicious cycle.
Why not UK-wide?
These ideas, although far from perfect, should be learnt from and rolled out on a UK-wide scale, instead of it being the case that getting the right care is dependent on where you live.
Your tightening up of criteria for help from a once great idea, Direct payments, has made life even more challenging for those living with physical and/or mental health conditions. The only thing I am guilty of, is moving out of the area I live in for a couple of months, before returning. As a result of that, I permanently lost my help from the Community Mental Health Team (CMHT) , both care management and Direct Payments, as well as my independence.
A daily struggle
I struggled to pay for my carer from my DLA once I returned, as going without her would probably lead to suicide. Instead of me contributing half the cost of my care and social services meeting the other half, I have had to pay for all of it, as well as the other costs related to my disabilities. The struggle financially as well as mentally, resulted in me ending up in a psychiatric hospital as an inpatient.
Inpatient DLA rules
The really ‘well thought out’ rule of stopping DLA for hospital inpatients once they have been in hospital for 28 days, is another idea that makes no sense to me. Just because someone with a disability/illness is in hospital, doesn’t mean that they can stop having a disability, or stop the additional costs that are involved in having that disability.
I feel especially bad for people who have leased cars, mobility scooters or electric wheelchairs through the Motability scheme. As well as that, what happens to people, like me, informal psychiatric patients who have some remaining freedom, but who rely on a carer to help to keep that freedom a reality?
My carer was the only reason that, till now, I didn’t become institutionalised , and was the difference between me getting off the ward or being stuck here day in, day out. Now I have lost both Direct Payments and my carer as I cannot afford to keep my carer for the moment and I’ve ended up losing her to someone who can afford her.
Problems piling up
I am absolutely heartbroken. In hospital I have been threatened and scared, despite the efforts of some of the few kind, but underpaid and overstretched nurses, I feel afraid and alone, that I am an easy target, and that this could cost me my life.
You may wonder why that is? Well add financial pressure, to loss of mobility and independence, on top of physical disability, mental illness and isolation. With all of that piled on me, whilst being expected to survive on my own, is it any wonder that I struggle?
My only friends are either completely lost as to understanding what I’m going through, or they themselves are in the mental health system and struggle to deal with my issues on top of their own. My carer was the only one who didn’t find me too much for her and now I’ve lost her. I’m so broke that I can’t even afford to visit my family, including my newborn niece.
Walk in my shoes
Just for a minute, take a walk in my shoes. Pain, fatigue, a constant desire to harm yourself, isolation, loss and an unstable mood. I feel powerless over my own life and what happens to me, which is a scary place to be. You have power over the lives of others as well as your own life. You have the power to change my life.
So next time you talk about the need to reduce mental health stigma, think of the practical things that you are able to put in place to do just that.
My mind returns to a few months ago, when I had a life, ambition, was closer to my loved ones, had a suitable place to live and was far less isolated. If I hadn’t been wrongly advised by DWP and majorly let down by your government, I might actually be in a better position to cope right now, instead of in a room on a psychiatric ward.
Whether or not I make it, as I have lost faith that anyone can, or will, be able to help me, I want you to really think about what you are doing. I want you to consider the destruction you are causing and the lives that are being lost as a result of your cost-saving measures. I’m sure even after you do that, you will return to your cosy life and your cosy family and forget all about us but I want you to spare at least one minute of your time, thinking about what you have done to us.
What follows are extracts from a letter I wrote to someone while I was in my third week of hospital admission in a psychiatric ward. This was a real turning point for me and by writing it I came to realise a few things…
‘…My memories of you and thoughts of you are what keep me fighting harder and harder every day…And I’ve realised, although it’s taken me a stupidly long time to realise, that if I die then I will lose you, so even considering dying is stupid because I CAN’T lose you.
Writing this has made me more aware of how much I need to get better and has finally sorted out my head. I think I’m ready to start thinking about leaving hospital.
…I just need to think carefully about how I’m going to stay in this frame of mind, put stuff in place so that I can leave hospital without coming back. I don’t ever want you to go through this worry again.
It doesn’t mean that I’ll ever be completely cured but I’m not spending my life in hospital waiting for that day to come when I could be out in the real world, living my life…
…I’m not going to go to supported accommodation either. I’ve thought about it and even if it means losing support and having to go back to my temporary accommodation, I need my own space.
The only thing keeping me here now is pain management but I’m going to speak to the doctor asap to ask what can be done about that if I go home on Monday or Thursday at the latest (hopefully). I’m a voluntary patient so as long as I can prove that I am ready, they’ll be happy to let me go home and I may even show them this letter to fight my case.
I’m going to call a few people, speak to my carer and a member of staff and hopefully I will then have some good news for you…
The past few weeks have been some of the most challenging of my life. I’ve learnt so much about myself, my relationships with others and my battle with mental illness. I’ve pushed myself and many loved ones, to their limits and there were times I (and I’m sure many others) weren’t sure if I was going to make it.
By using the support I’ve received from my partner, family, friends, staff and other patients, I have begun to come out the other side and I now have the smallest shred of hope that I need to hold on to tightly.
The lessons I’ve learned about the impact of self-harm and suicide , have taken many long years of battling mental illness, to accept.
I’ve read so often about the finality of suicide and never really took it in. It won’t just mean an end of physical and mental pain, it means an end of my relationships with the people that I love, an impact on people whose lives I may have touched – even in the smallest of ways, and giving up before I’ve had a chance to see if I can achieve my dreams.
When life is at its bleakest, those lessons are hard to accept and we often delude ourselves, ignore them or fight against the truth. I just hope that this is the beginning of a new attitude towards my life.
For a long time, my life stretched on before me full of fear and negative predictions. The fear hasn’t completely left me and the negative predictions haven’t all gone away. I’m sure there will still be times when I feel frustrated, disappointed and hopeless. The difference is, now I’ve finally admitted to myself that I have a great deal to lose and a lot of hurt to cause, if I give up on life.
The decision about supported accommodation has been given a lot of consideration but I have recognised that although hospital has been beneficial, I don’t want to live my life permanently in that sort of environment.
I also have yet to be assessed by Swansea Community Mental Health Team. This is something that really frustrates me. I feel extremely disappointed in the mental health provision that I have received in the community and that it has taken a hospital admission for me to receive the care that I so desperately need. It worries me a great deal that nothing has been put in place and I’m sure that Swansea CMHT will do everything they can to avoid taking over my care, despite my high level of need.
Despite that, I have now recovered some of my fight and I will not be giving up so easily once I am discharged. I just hope that the fighting pays off.’
That was weeks ago and a lot has happened since for me to fill you in on. I will be trying to update you as soon as possible with the latest going’s on as well as other issues related to having a mental illness and physical disability.
I wanted to share this so that hopefully I can challenge some of the stigma about mental illness and hospitalisation and show that being admitted to a psychiatric ward does not always have to mean the end of the world.
Have any of you been admitted to a psych hospital? If so, what were your experiences and how did you know when you were ready to leave? You can comment below or add me on Twitter @spursbythebeach or email firstname.lastname@example.org .