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Showing posts with label take care. Show all posts
Showing posts with label take care. Show all posts

Saturday, 13 June 2015

Take Good Care. Being Cared For and Caring for Myself.

Caring in practice. A friendly hug is a wonderful thing
(Image copyright Jessica Florence)

I’m off on my travels again, this time to New York for a wedding and then after a brief stopover at home, on to Poland. As I’ve mentioned before in this blog, much of what I am trying to apply against my type is to be able to recognise when I need care and take whatever steps are necessary to provide it.

Find out more and pledge to contribute to caring in your own neighbourhood, here


This week is Carers' Week, so I've been thinking a lot about this topic. I'd like to honour all of my carers, the mental health professionals. Without all of these people and my beloved husband, family and friends I might not be here today to write this. I'm grateful to all who have taught new things about how to recognise negative thought patterns and how to try to apply these skills to troublesome times where all my unhelpful skills at over thinking, rumination and comparisonitis come into play with a fervour which could win awards. The fact is, we can't survive unless we care for each other.



However, for this blog, I would like to focus on two people – one I value above all others: my husband, and one I value much less and should probably attempt to value more: myself.
I’ve nearly been with my husband for ten years, and plan to post more about the fantastic ten years we have spent together. As with all relationships, we do of course have the occasional argument, about whether he should really be touching the kitchen knives given his propensity to cut himself badly by scarcely grazing the blade, or whether it’s really necessary to buy another book to add to our currently building-foundations-endangering collection…(No.)

Mat and me. Just two hamsters taking care of each other. In pots.

When we began to go out many years ago it was clear to me that this was a relationship unlike any other in my previous experience. We agreed since the start of principles of sharing bills and building a partnership. We both earned a similar amount when we started to see one another and wanted to build a relationship based on equality in sharing the restaurant bills, the cinema tickets, and over time, our living space from rented accommodation to our first bought house.

True love. Except Mat didn't have to wear the hat.
Probably for the best, he would have sat on it or something.

And even in our wedding (under sufferance!) my poor love forced himself through about a billion conversations with me about how our perfect day would truly be ours. He isn’t interested in clothes or shopping of any kind so to become involved in things such as wedding planning or even buying a new pair of jeans could not be farther from his interest level. A good book (or even a mediocre one), a nice cup of tea and a lovely piece of fudge would be his preference over any shopping-related activity.
I suppose our romance was something of a whirlwind after the initial total non-start (to be explained at length in another post to celebrate our 10 years together). We moved in together after 6 months and have been firmly by one another’s side ever since.

(Don't worry, I'm the one holding the flower in case 
Mat drops it and the poor butterfly gets hurt!)

At the beginning of our relationship I had just signed up to a tough intensive teaching and leadership programme which caused me a lot of stress, fatigue and money worries, as well as all of the amazing things that I experienced while working with some of the most brilliant students and excellent teachers and leaders. After only three months of dating, I was at the GP broken with tiredness and physical as well as mental symptoms across the board, such was my extreme struggle to keep going and maintain my job, do it well, maintain my (new, London) personal life and fit in some time now and again to live my new life in London.


Mat didn’t initially seem to understand (fully, at least) that I needed to take medication to continue to be able to function, work. He said he didn’t really agree with taking medication for depression, and initially had a hard time accepting it as something that required anything more than (every depressive’s least favourite phrase) “Pulling yourself together”. It was a real struggle at the time. I myself never wanted to be on medication for my depression. I preferred to not pollute my body with medication that had no guarantee of working, was still in the process of being developed. I also hated the fact that every single one did (and still does) give me ridiculous side effects that mean I take more pills to cope with them just to be able to keep taking the depression medicine. Ridiculous!



All that, and the fact that we were in the first stages of being together, where we hadn’t known with the wisdom of hindsight, but only in the first flush of true love – that he wouldn’t leave me realising that I was a difficult case…someone with difficult, heavy, unwieldy emotional baggage connected to (at times) acute mental illness. I think it would be fair to say that Mat didn’t understand depression the way that I did, because he had never experienced it to such a long degree, with so many bursts of down periods and my inability to get myself out of bed, take an interest in seeing museums or going on walks. I am so lucky that neither of us gave up on one another. I (as insecure as I was) knew how much I loved him and wanted to keep him at all costs; but the other part of me wanted to be honest In our relationship, and I knew that It was ever going to work out between us than I needed to be honest about an illness which I expected (and have been proved right) never really goes away forever, at least not in the last two decades.



Here we are, ten years (just a few days short) and counting. My lovely Mat has now had nearly ten years of experience living with me in my highs my lows, my delights and despairs, and my sloughs of despond. Many, many, sloughs of despond. (Which you would think would be attractive and interesting given the onomatopoeia of this phrase. It’s not. At all.) Because he understands depression and anxiety – at least from my point of view – he accepts that depression is a multi-faceted and complex illness; it doesn’t mean I can't get through a full week of work, see friends, run, walk, socialise (a bit, only at the moment but still…). He can make me laugh seconds after I’ve been in tears, and I can go and have a perfectly nice afternoon only to come home and need to retire because the whole social activity or the very act of going out has left me feeling totally defeated and exhausted.



So how does it work for us? I cannot express here in a single post how much Mat does for me. He makes every effort, in every area of our lives, to try to make my (at times) unbearable life worth carrying on. He loves doing things for me, and – I guess – that when he doesn’t love doing them, when he is actually wishing I could just be better or that this whole, boring and difficult stage of our lives could be over and I could be content, reading, writing, painting…shopping even…But he does carry on. He tells me here’s there and always will be.

Well all right then. I think I can make that work.

He emails me, tweets me, messages me pretty much every day while we’re both working, or if I’m at hospital appointments, to ask how I’m doing and send me things that cheers me up. When I can’t get out of bed he comes to see me, to kiss me and hug me and tell me, as I rest in bed shutting the rest of the world out, that there will be a better day to come and that I should accept that there are bad days, but they are not all bad.



In my darkest periods over my last few months I’ve stayed in bed many, many times all day. I’ve got up, showered, dressed and eaten, but just barely, from bed. I’ve cried after he has come home because I’ve been lonely and sick of myself. I’ve cried during social functions and we’ve had to beat a retreat or try to let Mat hold my hand and help me get through it. He notices. He holds my hand and looks at me without talking. He has told me again and again that he loves me and even though I find it hard to believe myself to be worthy of love quite often he persists. He seems to think I’m work it. And I am so grateful for this love which seems boundless.



I still quite believe it but I work on telling myself what he tells me, and get a little bit closer to believing in it, and recognising how amazing our life together is – despite the challenges I bring with my depression. He cooks, cleans the kitchen when I can’t, brings me flowers, buys me glasses of Prosecco and mini burgers or hot dogs because I adore them. HE truly is the most wonderful person in the word, and the fact that I spend every single day unsure of how I will feel is a massive burden on him to cope with all my mood changes, free-flowing tears without warning. (Especially in restaurants lately. Yes, I've become a restaurant crier.) And repetition of how bloody hopeless the whole thing is, and how I can’t go on (or don’t want to) and more.

Beware friends. I now do this ALL THE TIME. 
Don't say I didn't warn you when I start blubbing over the bruschetta.

Now in return I do things for Mat – because we are still very much a partnership. I’ll buy takeaway for us and take us out regularly to say thank you to him; I’ll paint and write him little cards, give him the sugary treats I know he loves (M&S ginger men and any kind of hand-made fudge are particular favourites), And I tell him that I love him but I would understand if he would leave. And he stays. It’s a miracle to me that he does.


The second topic I wanted to cover here is caring for myself (or self-care as we in the mental health area often call it). When it comes to this my ability to provide appropriate self-care for myself, for someone who has unrelenting high standards I’d say I perform pretty awfully in this respect. The fact is, that we are all responsible (as far as we can) for looking after ourselves and making sure that we can exist and survive adequately, and – if we’re lucky – happily.  

"Who me? I need to care about myself too? I totally forgot about that."

The fundamentals of what I should be doing for my self-care are to keep myself fed, clothed, clean and get enough sleep to function. Largely I manage to do these things, simple as they may appear. On terrible days I will often (now, as I become more self-accepting) call an achievement something like getting up, showering, washing and drying my hair. Those small acts on terrible days where I am drained, tearful, and devoid of hope might exhaust me, so the right thing to do for myself at that point might go to bed and rest some more – distract myself from my wretched thoughts with sleep, reading, watching Netflix box sets (particular ones…probably another post to come about what I can and can’t watch at these times).

Eat and sleep as well as you can. 
I find drinking fresh juices helps to reduce my anxieties.

If I can do it I care for myself by creating a nice space to be in – fresh bedclothes, fresh air, walks, cleaning the house (which is good exercise and good for the process of seeing things become clean and tidy when I long for order from my disordered, hectic and unrelenting mind.
There are other more complicated steps I know I have to keep practising (in both senses of the word) to take care of myself. I’ve learned (and continued to learn) to be more honest about my health on a day to day basis both with my husband, whose care and love I cherish above all else, with my work colleagues, with my mental health support professionals, and to a degree (using the assertiveness techniques I’ve learned) with everyone I meet.


For me, working towards self-care is not trying to make everyone like me (which I usually do). Not trying to make it my role to be the heart and soul of the party, exhausting myself (and probably everyone else) in the process so that everyone ‘has a good time) and I’ve clearly made an effort to be a good party attendee. It’s also about not telling myself off every second, well, second about something I’ve done that’s not been right in the past – like the time I shouted at Mat when I shouldn’t have, or the time I drank too much wine and fell asleep on the sofa at a guest’s house, drunk. If an elephant never forgets then I sure hope that particular species of pachyderm doesn’t have a propensity for depression, because my memory is never as razor sharp in its accuracy when I’m remember and flagellating myself for past wrongs. If there were awards for self-loathing and self-reproach, I feel sure I’d be a contender for the top spot.



Every day I just care for myself as best as I can, and some days I’m better at it than others. Mat helps me – every day - and I am so lucky to have him in my life in the first place, on top of which he is the most loving and giving soul to this mixed up, messy woman. And I want to care for myself because I’m working towards feeling like I deserve it – because I know I would always tell a friend or loved one that they were. You are worth caring about. You are worth caring for. You are special and even if it’s hard to see it, you have a place in this world. I will try to read this post again so I can remind myself that what I would tell others probably applies to me to. Till next time, please all take CARE. x

Wednesday, 4 February 2015

Beat It: The Real Deal on Coping with Mental Illnesses

I imagine and hope that tomorrow will feature a fair amount of press coverage of 'Time to Talk' day which +Time to Change Campaign has promoted as a day where they are asking people to take 5 minutes to talk about mental health, with the hope that they will achieve a total of 24 hours of conversations in total.

So what will you be talking about tomorrow?


The three most common types of mental illness (or issues associated with mental illness) are stress, anxiety and depression. The NHS and many other useful websites promote tips on how to counter feelings of stress and anxiety (and depression, though anxiety and depression are somewhat opposite in the way a sufferer experiences them). I'm going to look at the tips, and my response to what this means for someone (me) who has suffered from all three of these conditions at one time or another:



Okay, so pretty much no one looks like this or has a sunsetting beach to run along. And she looks like she's in a female hygiene products commercial.
 Plus I bet the sand is stinging her feet. But getting active can help. 

1.  Be active:



I think physical activity is a wonderful idea. Fresh air helps and getting out and about can lift your spirits by taking you out from where you were and helping you to relax.

“BUT, I don’t think I can get out of bed. I feel terrible today. I just want to stay here and sleep.”

I've felt this often. If you can, take a shower and get dressed. That counts. And there’s a lovely feeling about feeling clean, even if you go straight back to bed afterwards. Even if you don’t have a shower but make it to the kitchen you’re doing really well. Don’t be hard on yourself if you can help it. What you're feeling and experiencing is hard enough without beating yourself up about it.


I do love a shower. Don't listen to my husband saying that northerners are unclean. We do wash. Well, sometimes. 

2.  Take control

The NHS says ‘There’s a solution to any problem’. This is true, for the most part, but you do need to read the tips on managing your time and calming yourself before you can do anything.

“BUT how can I take control when everything is overwhelming. There is no solution to my problem. I don’t know what to do and I can’t stop panicking.”

If you’re massively stressed or anxious your brain cannot think straight to do this, so it’s time for deep breathing and water first, and calming yourself down, before you start to think about taking control or the steps to do so. Again, take care of yourself. You're not well enough to start addressing the things in your life that feel out of control if your anxiety/depression is 8-10 on a scale of 1-10. 


If only this button did what we all really wanted it to do...

3.  Connect with People

Talking can definitely help.  The NHS says: 'A good support network of colleagues, friends and family can ease your work troubles and help you see things in a different way.'

“BUT, I don’t feel like leaving the house to talk to people and I don’t want to talk to anyone right now.”
“BUT, I don’t have anyone I can talk to about this.”

It can be hard to reach out when you feel dreadful. I have been there. It still happens to me now. But talking does really help even if it’s hard to get started. And if you don’t feel like you have anyone to talk to / anyone you can talk to, organisations like the Samaritans are there and someone you don't know, but has been trained to be there for you in hard times can help. The main thing is, do try not to let all the negative feelings build up inside you. Sometimes I just say to my husband: "I'm having a bad day," and nothing more. But it means I have stopped feeling like my feelings are choking me from the inside because I have given them a voice.


Yes, your Facebook page is fascinating. 
Now can you help me? I've got third degree burns from holding my tea cup all this time.

4.  Have some 'me' time. 

Apparently we UK inhabitants work the longest hours in Europe. And it’s true, we do, and it doesn’t help. The NHS recommends doing what you can do to take time out.

“BUT, I’m worried I might lose my job if I want to work shorter hours to take time out for me. I need to check my emails even outside of work to make sure I stay on top of things “

You do need to take time out even if it’s sitting on the loo for 5 minutes. Continuing to be stressed or feeling bad without giving yourself some sort of break (even if a short one) to change your scenery and remove yourself from difficult situations is crucial. You can also get outside at lunchtime. And leave your phone. You wouldn’t be able to answer it if you were in a meeting, would you? So give yourself a break. You may not always be able to relax during ‘me’ time, because learning to relax is another thing you will have to master gradually if you're used to feeling tense all the time. I'm not great at relaxing - and I used to be dreadful at it! Try not to give yourself to hard a time about this.


Even if you're having 'me time' on the loo. 
Which obviously I'm not going to post an image of here.

5. Challenge Yourself

The NHS recommends setting yourself goals and challenges. In some cases I think this is a great idea. Ask yourself, what do I want? Is there something different that I could do to make my life more worthwhile to me?

"BUT, I'm overwhelmed as it is. I cannot deal with adding more challenges. I just cannot take on anything more because I can't cope. Please don't ask me to add more to what I'm going through."

It is tough to face the future, even the next few hours or the next day, when you're very low or anxious. The negative thoughts can be overwhelming and goals and challenges do seem hard. I find this one horrendous sometimes because I already feel overwhelmed. But even if it's only a goal to get across the road to the newsagent to buy yourself a chocolate bar, getting up, or picking up the phone to call a friend, try to do something. That something is a goal. Or maybe a holiday to look forward to. If you can do it - great. And again, just don't give yourself a hard time if you can't. You might need to calm and soothe yourself first. I know that's how it is for me.


Sometimes getting out of bed feels like this. 
But luckily with fewer ice picks and more blankets. Brrr!

6.  Avoid unhealthy habits

The NHS says: "Don't rely on alcohol, smoking and caffeine as your ways of coping."

"BUT, a cigarette / a glass of wine helps me calm down at the end of the day. I like having it. Why can't I do it?"

The NHS is right - these are temporary releases which won't actually help in the end. Caffeine will make you jumpier if you're already anxious. I've given it up because it interferes with my medication and I'm tired of being so jumpy. I don't smoke, but I used to drink nearly every day. Now I've radically cut down on the alcohol because I've realised it is dangerous for me to mix too much alcohol with medication. Unfortunately I like wine and food in equal measures. And for goodness sake we are only human. But take care of your health in these matters - because adding to your existing problems with potential health problems or addiction will not help. 



7.  Help Other People

I really believe in this one. I've found that helping other people in some way, even if it's only holding the door and getting a thank you in return, would make me feel better momentarily. It's for this reason also that I've tried to volunteer for Mind and Time to Change: helping to raise awareness of mental health is important to me, and the thought that I might help other people is something that can lift me in my darkest times.

"BUT, how can I help other people when I'm in this state? I can't even help myself!"

Even the smallest things like putting a duvet over your partner in the middle of the night when it's fallen off and he's cold, feeding your cat, making a cup of tea for someone, is being helpful. Try to remember that and give yourself a break.


We can all help in small ways. Some ways are very cute. Like this.

8.  Work Smarter, Not Harder

Good time management is not something everyone has, but the NHS reminds us that "You have to get a work-life balance that suits you."

"BUT, I've got so many other commitments, I can't possibly work 'smarter' because I just have too much on! You don't know what it's like for me."

It's great to try to be efficient, to consider what really matters. However, when you're ill sometimes you can only do so much. Just try to work out - with help from others around you - what is important for you to get done now, and where you can get help for this, and make a note of other times that you can get done the most pressing things, again with help from others. The most important thing is to try to alleviate some of the pressures that you're feeling. Mind has some great tips on this. It's hard to generalise on this one: if you're a city banker or lawyer you likely feel you can't take any time out at all, but remembering that you got hired for a reason and that you are a smart person is important. Take a breath and reflect on that. And do take a break (even if just for five minutes) to do deep breathing before you try and tackle that mountainous 'To-Do' list.



9. Be Positive

"Are you serious? How can I be positive at a time like this? I feel so dreadful. Everything is awful and I just don't want to be here anymore. It's all too much."

The NHS says 'People don't always accept what they have.' Yep. That would be true. I am not thinking about my house, my husband and my great job when I'm miserable and ill. I doubt even people with a cold aren taking time out to feel grateful for any of these things when their noses are snotty and they're coughing and spluttering with a killer headache. Whatever the illness, we're all in it together feeling like crap and how on earth can we get ourselves out of it? Again, it's important to calm or soothe yourself first before you can try to think positively. This isn't easy at all. I have needed help from a therapist and a good psychiatrist to help me to see myself and my outlook more rationally and more positively. And I can't do it quite a lot of the time. It takes work, so start this kind of thinking, using techniques like mindfulness when you are feeling a bit less ill so that you can actually participate in them.


You can't always get what you want. But if you try sometimes...

10. Accept the things you can't change.

"Changing a situation isn't always possible," the NHS says. Again, Yep. 

"BUT, I can't do anything about my work, I can't change my family situation."
"I'm stuck and I can't get out."

I think the NHS is right here. There are going to be things you can't change and hard as they are to accept, we just have to try. We just need to make it to the next day (or the next hour). And then the next. I think acceptance, particularly self-acceptance is the most important step in dealing with mental health.

Above all, we can all play a part in continuing to talk about mental health de-stigmatising mental illnesses. It's not something to fear, to shun, to avoid, to pretend it doesn't exist. It doesn't mean you can't do a great job, be a great parent, live a good life, make a difference. It doesn't even mean you can't be happy.

Mental health illnesses are complex and difficult. But not talking about them worsens the condition, so please think about that and talk about it tomorrow and the next day and the next. Let's keep talking.