Going To A Treatment Facility

Yesterday I went to a treatment facility. It’s a place which houses inpatients, day patients and has services for outpatients, like me. I met a therapist in this building which looked a lot like an old Victorian mansion where Lords and Ladies would have spent their time doing nothing but being rich and entertaining themselves. It also wasn’t particularly helpful that they were playing funeral music in the waiting area.

It was strange to be in a place purely dedicated to the treatment of mental illness. Before now I’ve only gone to hospitals and surgeries which treatment both mental and physical illnesses. There though, every patient was there for a broadly similar reason, yet still none of us would meet each other’s eyes or, if we did, it would only be for a brief self-indulgent second. Maybe that’s part of what the stigma around mental illness does to, it makes you internalise a sense of shame for being ill which not even being around other people in similar situations can heal.

I was taken up a grand staircase, trailing this woman that I knew I would have to open up my heart and soul to; a stranger with my life in her hands. The upstairs part of the building looked like a posh English boarding school with it’s cracked brown leather chairs, folders sprawled across the floor, art and books haphazardly covering every wall, a battered wooden desk and regal window frames that were not fit for purpose. It was surreal to be in this messy office and know that this would be the site where I would have to fight tooth and nail for recovery.

I answered the same questions I’ve covered with many, many people before over and over again. Initial mental health assessments all really follow the same formula and there never fails to be not enough time to cover everything you wish you could explain. I think I did the best I could though. I was scared and wanted to burst through the heavy door, run away and never return as soon as I took a seat on the sofa. There’s still a large part of my mind and body that wants to fight against and avoid treatment despite knowing that I need it. I stayed though and answered the questions. Then I accepted an appointment for next Thursday which makes it seem real to me – I really am returning to therapy.

The psychologist I saw also said that she was keen for me to see a psychiatrist and said that she would try and arrange an appointment. It’s difficult to know how to feel about that, considering I told her some things that I never told anyone else before. For now, I guess I’ll leave this here before I bore anyone reading this into having to click off this page! Thank you reading this far through, if you’ve got here.

 

If you want to hear my daily ramblings, follow me on Twitter.

Some of my other mental health posts:

Six of the Most Harmful Mental Health Narratives

Daily Physical Symptoms Of Anxiety

I’d Be Invisible

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Mental Health Treatment Is Not Fair

It is the patients who fight relentlessly to be heard, who chase-up their delayed referrals, who refuse to leave appointments until they are seen by those necessary who will find quicker access to mental health services, at least in my experience. However, this is completely contrary to how treatment needs to be supplied at the point of access. The energy and mental effort it takes to reach out for help when you are struggling with mental illness is hard enough as it is, without then having to deal with the rejections and knock-backs you are then subsequently put through. The turmoil you are put through having to be vulnerable with your most inner-held thoughts is enough to go through once when you are trying to reach therapy or other help, let alone having to repeatedly stress the situation you are in and justify your requests for help. Having reached out for help countless times and gotten nowhere seemingly on most of those occasions, I can tell you without doubt that gaining access to mental health care is not simple, quick or easy.

A recurring theme of attempting to access mental health treatment is having to prove again and again that you are sick enough to be treated. This is a fact that makes me sick to my stomach. Patients with mental illnesses are not believed often enough to have early interventions and because of this people are forced to deteriorate  with their mental illness before they get help. It’s not until people hit rock bottom that they are deemed worthy of getting help, which is disgusting. So many people go through unnecessary suffering and trauma because of this.

 

Sorry but I needed this rant. In no way am I discouraging people from seeking help by the way, I just needed to get these feelings of impatience and annoyance off my chest.

 

If you want to see my daily ramblings, follow me on Twitter.

Some of my other mental health related posts:

Daily Physical Symptoms Of Anxiety

Mental Health, Medication & Stigma

A Mental Health Update

What Am I Going To Do?

As I said in my last post, I have withdrawn from University for the time being and I’m aiming to restart my second year in September. Obviously this leaves me with a lot of free time that I was not expecting to have and have not planned for. Apart from trying to gain access to therapy, I know that I will need to occupy my mind during all of this free time. If I’m not being productive in any way my mood plummets and negative thoughts are free to take hold of my brain. So, I have decided on some (admittedly small) goals that I want to achieve during my time out.

What am I going to do?

1) I want to re-learn French

I did French at school for about 11 years. Although I got an A in the subject at GCSE my ability to speak the language was never good and, because I haven’t studied it for three years, a lot of what I learned has left my brain. I think learning a language is a really constructive pastime and I’m determined to be able to speak French fluently at some point in my life.

 

2) Grow my NBA social media accounts

This is a fact that most of you probably do not know about me but I love basketball. I have a Twitter and an Instagram account dedicated solely to basketball news and my opinions on what is happening in the NBA. Watching basketball is a relief for me, it de-stresses me and takes my mind to another place, so I want to make it an even bigger part of my life whilst I’m not at University.

 

3) Talk to you more!

Recently, I have neglected my blog quite badly but I get a lot out of writing down my thoughts and interacting with you guys. Writing a post makes me feel like I have achieved something and reassures me that I am at least capable of completing some tasks. So, I would love to get back into the swing of things and post more regularly on here!

 

4) Exercise

I am writing this goal with a certain amount of reluctance because exercise and me have not gotten on well together since I was about 10 years old. I feel very self-conscious whilst I am running or just being active generally because my self-esteem is so low. However, I cannot ignore the fact that I want to feel fit rather than panting every time I go up a flight of stairs! If you guys are interested, maybe I will document my fitness journey?

 

5) Tackle my to-read list

I have a lot of books in my room, many of which lie neglected and unopened and I want to change this. I firmly believe that reading, whether it be fiction or non-fiction, can teach you a great deal. Also, I love the escapism which engaging in a good book gives you. If any of you have some good book recommendations, please leave them in the comments below so I can check them out!

 

This is the end of the list of things I am going to do whilst I am taking time out from University. I know many of these things will see small and insignificant to some but I am going have to be patient with myself and take baby steps to try and get to a healthier state of mind and being. Thank you for reading this post and if you have any suggestions for future blog posts I should do please comment them below!

 

If you want to hear my daily ramblings, follow me on Twitter – @RyanBInNature

January Recap/The Worst Month Of My Life

TRIGGER WARNING: REFERENCES TO SUICIDAL THOUGHTS, SELF-HARM AND ALCOHOL MISUSE.

You may have noticed that I haven’t posted on this blog in quite a while. In all honesty I have not been mentally well enough to build-up the energy required to write a blog post. January has been a whirlwind of anxiety, depression, intrusive thoughts, confusion and excessive amounts of alcohol. I had four assessments (two exams and two essays) to complete during January in order to finish my first semester’s classes. However, I did not turn-up to either exam and I did not write the essays, let alone submit any. During the week I was supposed to do my assessments, I spiralled out of control and eventually had to tell an advisor at my University’s Student Life Centre that I no longer felt I could keep myself safe. So, the day culminated in my trip to Accident & Emergency where at least I felt I was in a safe and protected environment.

For context, over a two week period, I had been getting black-out drunk everyday, self-harming, unable to eat properly so I was faint and found it difficult to walk and having brutal panic attacks. So, I became suicidal. I felt like life was not worth living if I was going to have to struggle miserably through everyday of my life. I was shocked by how low I had become so quickly, I had never once come close to skipping exams and abandoning deadlines or felt in such a depth of crisis. So, I abused my body; hoping to die of alcohol poisoning due to the amount I was drinking, cutting became a refuge in which I could express my self-hatred. Intrusive thoughts filled my mind everyday, graphic images of committing suicide and hurting myself. I was hopeless.

I returned home from University and realised that only option was to temporarily withdraw from University and restart my second year in September. I knew that if I went back in February when my next semester was to start I would be putting myself in a very vulnerable place because, honestly, there was no way I could cope with being at University and pretending all was well with my as I continued my studies. So, I have now withdrawn from University until September. It’s hard not to feel like a failure at the moment, like I have disappointed myself and those around me greatly. However, I know that this is what I needed to do for my health’s sake.

Since being at home, I’ve had to have difficult, honest conversations with people. I have felt guilty burdening my family with my daily presence considering how low and anxious I have been, I know I am dragging the mood down everyday. I feel helpless. I have spent a lot of my time trying to find a psychotherapist, even considering committing to day hospital. For now, I’m not sure what I will do.

 

If you want to hear my daily ramblings, follow me on Twitter – @RyanBInNature

Fading Away

I don’t want to talk,
Don’t call me ‘brave’ or ‘resilient’,
I just want to fade, be numbed,
Feel a spiritual anaesthetic in my veins –
Don’t give me compliments,
Their falseness turns my stomach.

Childhood Memories

It is hard for me to remember;
Part the sea of hazy vague glimpses
Which comprises my childhood memories.

An adolescence spent at war,
With the nucleus of my life,
Leaves little room for remembering
Or understanding what it was like before –
Before something else became my normal.

Instead I am left only with fragments,
Small throw-away details,
Seemingly without value,
Like opening fruit shoots with my teeth,
Falling over in a car park,
Eating rice cakes on a family walk –
Small moments,
So tiny, they may seem insignificant
When you are not the owner of this brain.

I Will Write What I Write

Time pressure is on,
But I don’t mind what I write.

I was told to be ashamed of the subconscious in me,
But, in everything, I just let what the deeper me, be what I am.

I love being an anigma; being a crazy secret; the letter/the symbol I inhabit,
The letter that I am,
The reality that I create;
The person I am.

My Goals For 2019

As 2018 comes to a close, I can’t help but wonder what 2019 might hold in-store for me. Creating long-term goals and having aspirations for the year ahead can be positive for my mental health; it gives me something to keep going for, ways to occupy my mind and shifts my perspective on what I can do with  my life. So, I decided to write down some of the goals I want to achieve in 2019. The reason I’m not using the term ‘resolutions’ is that ‘goals’ sounds more positive to me and gives me more room to adapt my plans throughout the year rather than having to stick completely to what I have resolved to achieve for the entirety of 2019.  

My Goals for 2019:

1. To stop playing scratch-cards

2. To find a more permanent/secure living arrangement

3. To create a treatment plan for my mental health

4. To at least be on the waiting list for top-surgery by the end of the year

5. To do more advocacy for mental health and transgender rights

6. To read 25 books

7. To do regular volunteer work for a charity during my summer break

8. To get my drivers’ licence 

9. To let go of toxic relationships and to not harbour unhealthy anger over them afterwards

10. To improve my relationship with food and achieve a healthy weight

 

If you want to see my daily ramblings, follow me on Twitter – @RyanBInNature.

 

Feel free to leave some of your goals for the New Year in the comments below!

 

The 12 Questions of Christmas Tag

I saw this post over on Northumberland Mam’s site and thought this tag looked really fun (plus I thought my blog needed some more festive content on it!).

Go see her post here.

1. When does your Christmas tree go up? Who will decorate it?

My Christmas tree went up on the weekend, at my brother’s insistence! One of my brothers is very into Christmas and loves having the lights, tree and decorations up around the house, so I just helped him when he asked. It was odd actually taking part a little bit in decorating the tree this year because I have sat that activity out for so long. Christmas is often one of the toughest times of the year for me mental health wise, so in recent years I have tried to live in denial that it was approaching.

2. Christmas Eve or Christmas Day?

I prefer Christmas Day, mostly because Christmas Eve consists of a lot of tension in my house as we are all convinced that we must have forgotten something! Also, when it’s Christmas Day, I can see the end of the festive period in sight which is often a relief when I have spent about a month feeling low and anxious in my Christmassy surroundings.

3. What is your favourite Christmas advert this year?

The John Lewis one with Elton John at its centre. I grew-up listening to a lot of Elton John, so his music and story always makes me feel nostalgic and a bit sentimental!

4. Is there anywhere you would love to visit at Christmas?

Hogwarts! Jokes aside, I have never been to the Hogwarts in the Snow feature at the Warner Brothers’ Studio Tour in London and I think that would be an amazing spectacle to go and see, especially for a Potterhead like me.

5. What traditions are you looking forward to most this year?

Probably seeing my dogs open their presents on Christmas morning! Their excitement is hilarious and seeing their tails wagging fast is really sweet!

6. What are some food and treats you can count on having every Christmas?

There aren’t many staples that I insist on having every Christmas. Especially as the only vegan in my family (everyone else eats meat and dairy), I don’t join in much with the food-aspect of Christmas like everyone else does. However, seeing as I will be alone for most of Christmas Day this year, I can tuck into all my favourites (which probably means having cereal for lunch!) without feeling awkward. 

7. When did you stop believing in Santa?

I can’t remember what age I was exactly but it was pretty early because I had older siblings who didn’t believe in him. To be honest, I think I was quite relieved as I didn’t like the idea of a stranger coming into my house at night, even if he was delivering presents!

8. As a kid, did a sibling or friend ever receive a present that you wished was for you?

Being given girls’ clothes when I was kid was obviously quite problematic for me being a trans person, so I think I was always jealous of the clothes my brothers were given and wished that I could receive similar things too.

9. Do you like giving gifts or receiving them better?

I prefer giving gifts because the attention is less on me at that point.

10. Are you guilty of peeking at your presents or do you like the surprise?

The reason I have never peeked at my gifts is that my mum would have been completely outraged if she had ever found out! Also, my paranoia plays into this one quite a lot because if I’ve convinced myself for a long time that if you know you are going to be given a gift then you will jinx yourself and never be able to receive it (I know this doesn’t really make sense, it is one of my irrational thoughts which comes with my mental health issues).

11. If you could be in any Christmas movie what would it be?

The Polar Express! For some reason I find trains magical and it beats being in ‘The Grinch’ and being accosted by a green, furry man who lives on a mountain. 

12. What would you like to find under your tree this year?

I don’t get too invested in what presents I want for Christmas anymore. However, if someone buys me a book, I will be more than pleased!

 

If you want to see my daily ramblings, follow me on Twitter – @RyanBInNature.

Find some of my other Christmas-related posts below:

Anxiety At Christmas

The Christmas Tag

Unpopular Opinions – Christmas Edition

 

Night Guard and Onto 40mg?

Today was the day I had been waiting for in fearful trepidation. The thought of going to the dentist and the hygienist is truly nerve-wracking for me, so I spend the week-or-so leading up to the appointments worrying about what might happen and agonising over everything that could possibly go wrong. I am relieved to say that both the dentist and the hygienist were very happy with my teeth and gums. However, I did have to be fitted for a night guard to wear over my teeth at night to prevent me damaging my teeth and jaw through grinding and clenching them. I already knew that, due anxiety and stress, I clench my jaw in my sleep but the dentist wanted to prevent long-term damage coming from it, so wearing a mouth guard in my sleep is going to be an experience!

I went to my GP again last week and was told to double my antidepressant dose from 20mg to 40mg. To me, this is nerve-wracking, as this particular antidepressant caused me side-effects when I went on it initially (after trialling Sertraline unsuccessfully for a year), so I am worried that these side-effects will return. However, I do see the logic in doubling my dose because I have been particularly low recently; having suicidal ideation and engaging in destructive behaviour. It feels slightly like I am in a catch-22; if I don’t double my dose I risk carrying-on feeling this way, however if I do make the increase then I face having all of the side-effects return which will possibly make me more depressed because they may leave me unable to do much.

Recently, my focus has moved away from criticising myself for the things I do and the ways I feel towards accepting these negative aspects of myself and trying to protect myself as best I can from them. Constantly fighting against the dark parts of me has been making me feel lost and hopeless, so until I get the therapy I require to attempt to undermine these negative thoughts and behaviours, I will instead just try to prioritise protecting myself from long-term damage. Hopefully, when I eventually do get more treatment, I will be able to rebuild my habits in a healthier form with the help of a mental health professional, right now trying to do this on my own seems an insurmountable and possibly dangerous task.

 

If you want to hear my daily ramblings, follow me on Twitter – @RyanBInNature

 

Find some of my other mental health related life-updates here:

My Relationship With Alcohol

Antidepressants and Nightmares

A Mental Health Update