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Archive for the ‘Fantastic CPN’ Category

It’s been a dreadful week [again] thanks to my amazing ‘insight’ which I’ve actually decided isn’t insight at all, simply knowledge and knowledge I only have as the other people I share my mind/life/body with choose to share it with me, I know why.

Having thought about and discussed the events of the week I’m left in a quandary [again] as to what to do with my new found knowledge.

Thinking back to the social work assessment I mentioned briefly in my previous post- I know what went wrong.

One of the peculiar upsides of DID is the ability to recall events from a third- person perspective, it scares the shit out of you when you first realise that not everyone ‘remembers’ things this way but you soon learn to file it under ‘handy skills’ with the rest of the ‘mental but useful’ stuff- like always having someone available to paint the nails on your dominant hand. So I’ve replayed the tiny portion of ‘film’ I have from Wednesday and watched it multiple times.

The assessment began ok, the right set of skills were present but around 8 minutes in, when the questioning turned from “name, address, date of birth” to “so tell me about [redacted]” it all went horribly wrong. At that point I left the room- I think it was under the thinly veiled excuse of “going to ground myself” but this was a classic trauma response- fleeing, running-away. I wasn’t going to ground myself at all (for the most part this is something I’m still incapable of doing except in very controlled circumstances); I had switched and from that point on had totally lost control of the situation and my mind. The assessment should’ve ended there instead of continuing to compound the trauma and chaos. I’m torn between thinking it was my responsibility to call the assessment to a halt at that point and feeling horribly let-down that the Fantastic CPN failed to notice what had happened at a time where I was unable to see it.

I’m very selfves-sufficient, whether this is borne out of strength or a complete inability to trust or rely on anyone else is debatable. My pathology suggests the latter. Self-sufficiency morphs all too easily into taking responsibility for everything, which in turn just becomes guilt and cries of

“It’s all my own fault”

To be fair though, I have very little evidence that it’s safe to trust or rely on anyone else. Again, my pathology suggests this mindset is firmly rooted in my distant past but two years or so of being let-down and betrayed by the mental health profession is fresh in my mind- unlike the distant past.

It’s all become a bit cyclical.

So I know what happened, what I don’t know is what to do next. I am driven, compelled to educate anyone and everyone about DID. I do this obviously here on one of the best blogs on the internet when I discuss the details, I also do it here and elsewhere subversively just by being who I am and saying what I say. This I can cope with, in fact I enjoy it or I wouldn’t do it. If, by telling my story more people learn about DID then that’s a bonus. What I don’t enjoy is the continued fight to get those who should understand to understand.

I’m told the social worker responsible for the shambles that was Wednesday felt “really bad”- she phoned the Fantastic CPN to tell her this, adding helpfully “I felt like I’d abused her”, the Fantastic CPN in turn then told me this. On one hand I’m glad the social worker was able to recognise she’d made several grave errors but I could’ve done without having to accept the guilt of someone else, particularly someone who had caused a lot of damage. I’m also still waiting for her to contact me to apologise…….

I’ve pondered over whether there is any point sharing what I know with those who need to know it. Is there any point in me telling those who made mistakes what those mistakes were or do I just cut my losses, stick to those who do understand and keep myself safe?

Obviously if I share what I know I have the ability to prevent something similar happening to me again. Though as the social worker made it quite clear I was the wrong kind of ill for the support they had available then gave me some bullshit about how I wasn’t eligible for direct payments as I had no physical care needs, I doubt I’ll be seeing her again. If I share what I know then perhaps the next person like me won’t have to suffer in the same way? How will anything ever change if nobody tries to change it?

I don’t think I can change it. I don’t think I can make people who can’t or don’t want to understand, understand. If the social worker cared enough to try and get it right, she would’ve done some work beforehand, perhaps even contacted me, maybe emailed me the assessment form so I could’ve looked over it, and seen it was far too triggering and not bothered with the assessment? If after all this time the Fantastic CPN still thinks it’s ok to say “I know it was dreadful but you did ask for it” then either I’m explaining things badly or I’m wasting my time.

I suspect this is how people with DID end up with no support. When support becomes something that poses a potential risk, it’s safer for us to go without.

I’m tired of the fight; I’m tired of not fitting, not being what those who should be helping me need me to be. I can’t imagine if I had the kind of illness that presented in a more traditional way, if, for example I wept throughout the assessment on Wednesday that those two professionals would’ve carried on. The fact that I switched chaotically and constantly was probably missed by both of them- except that I do recall saying at one point around 20 minutes in “I don’t know; I’ve only just got here”. I’m aware a lot of my switches can be subtle but when I had verbally drawn attention to it, perhaps it was time for someone to step in and protect me when it was clear I was incapable of protecting myself?

I’m tired of the fight; I’m tired of having to fight by myself for myself. My complaint about NHS Fife is still with the SPBO, it came to light a couple of weeks ago that they didn’t have any of my notes from the Fantastic CPN- I had to contact them to tell them this. It came to light this week that they didn’t have my notes from the Fab Psychologist- I had to contact them to tell them this. I had to send copies of emails between myselves and the Fab psychologist to them as they didn’t have them either. I’m losing the fight, the process is too triggering and I know that the important bits, like the conversation between those in my ‘care’ team where they decided not to help me obtain the correct diagnosis as they believed it would be stigmatising for me, won’t be written in any of those notes anyway.

I’m tired of the fight; I’m tired of having to explain DID to people who I need to help me.

After the assessment on Wednesday I turned to friends for comfort, I relayed 3 of the questions I could remember and immediately friends replied “they should have known how triggering that would be for you” so again- friends get it. None of my friends are qualified experts in trauma and dissociation but they get it. I’m told by them, they get it because I explain it so well. I think it’s more to do with the fact they are willing to listen, accept, learn and care.

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I don’t think  I’ve ever detailed my virulent hatred of CBT (cognitive behavioural therapy) on the blog, I talk about it a lot on twitter and as some of my poor victims will know, I used to practise it there.

In times of distress I was always available to offer therapy, mainly along the lines of-

WHY ARE YOU DEPRESSED? OTHER PEOPLE ARE FAR WORSE OFF; SOME HAVE DEAD PETS. JUST STOP IT!

And

YOU ARE EMPLOYING MAGICAL THINKING. JUST STOP IT!

And

YOU’RE NOT BEING PARANOID. PEOPLE DO HATE YOU- BECAUSE YOU’RE RUBBISH. JUST STOP IT!

I’m in semi-retirement from my CBT practise these days, though rest-assured, should I spot you indulging in a little black and white thinking, mind-reading or catasrophising then I will point it out and insist you desist.

It may surprise you to know that I’m not a trained CBT practitioner, but I am a quick learner and managed to pick-up quite a lot during my own very brief dalliance with the technique. I had three sessions of CBT before I was declared too mental; I don’t remember much, in fact all I remember is

“WHY WOULD YOU MAKE YOURSELF VOMIT? THAT’S JUST STUPID”

Which as you can imagine was enormously helpful for someone who at the time was attempting to ‘regulate their emotions’ by throwing-up every morsel of food she ate. I waited 9 months for some harridan in a maxi-dress (she may have been a psychologist) to berate me for being mental. I’ve never been so glad to be declared ‘un-helpable’ in my life, being discharged was a gift.

CBT was never going to help me; I’m quite capable of berating myself, I don’t deny I sometimes indulge in all the common cognitive distortions but I’m a multiple so I also know when I’m doing it, why and what to do about it. I can administer CBT to myself. It doesn’t make me any better or help at all in any way but I know I should keep doing it or everything will go completely wrong and end in disaster. Furthermore it will all be my fault; I know others will blame me for everything as they all think I’m rubbish anyway.

There is one psychotherapeutic technique with a cognitive basis I don’t despise completely- reframing. I love a good reframe. I often reframe my days in order to make myself feel better; I’m quite the Polyanna and on balance, probably wear my rose-tinted spectacles as often as I wear my shit-tinted ones. At this stage I probably would lose the will to live by 10am most days if I didn’t paint everything with rainbows-

Forget an entire day- it must’ve been rubbish anyway.

Got lost in Tesco- accidentally found the stationery aisle.

Haven’t been out of the house all week- didn’t run away to Paris/Newcastle.

Drank too much wine- didn’t mix with benzos.

It’s a useful technique but there is a danger that a reframe can become a wanky platitude. The two run very closely together, I’ve sketched a graph to illustrate.

I can also spot a reframe a mile away so often feel patronised and invalidated, sometimes this is justified. Back in the day of the frequent dissociative trips that ended in police involvement, MHAs, helicopters, trips to A&E and the bin etc the Fantastic CPN would always comment “but you came back and you’re ok”. I’m not sure what my response at the time was, these ‘trips’ left me confused, terrified and ashamed but the fact I was still alive was supposed to be enough to comfort me when it was quite clear I had completely lost control of my mind and my life. So reframing, whilst useful can also be a tricky balancing act.

The 7 year-old has returned home, earlier than I planned. I’m not entirely sure how this came about but I’m sure there’s a paper-trail somewhere. Today I finally have a man coming to fix the TV- you can’t have a 7 year-old child in the house with no working TV, well you can if you

a)     dislike children

and

b)     are happy to provide round-the-clock entertainment

I’ve mentioned before that this kind of situation, where I have to allow a stranger to enter the smallest house in the world is very challenging for me. I don’t imagine for a second that the TV man presents any real threat (other than to the bank balance) but I am crippled by hypervigilance.

I have extremely keen senses- all of them, they are my useless superpowers. I’m always on the lookout for signs of danger, be they real or imagined. I am permanently primed, ready to freeze, flee or have a complete meltdown at the first sign of peril. It’s not a good way to be, physically or emotionally- hypervigilance makes me mental, bonfire night in this house is probably similar in many ways to bonfire night in Battersea Dogs Home. I can’t just stop being hypervigilant and so, at times I hate myself for it.

I clearly needed some sort of reframe, so you can imagine my unbridled delight when I found this article that confirms that I am not only super-human but Spiderman. I have nothing to fear from the TV man, unless of course his name is Norman Osborn…….

click image to read article

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I’ve thought a lot about the blog- how it should continue, if it should continue at all. As a Madosphere blogger I feel I have a responsibility to talk about mental illness, to challenge stigma, to help people try and understand what it’s like. But I don’t want this blog to become ‘a DID blog’ there are plenty other great DID blogs out there and anyone who is literate and has rudimentary internet skills can find loads of information on DID. I want this blog to continue to tell its part of the story.

It’s been 3 weeks and 3 days since I was declared ‘officially DID’ or as I prefer ‘officially multiple’ and in those 3 weeks and 3 days, as I predicted- nothing has changed, I’m still waiting for the ‘right help’ with no idea what the right help will look like when it comes, if it’s coming and if it will be right and help. The day my broken leg was confirmed I was given a plaster to put on it, not a plaster cast- an elastoplast. Whilst this was the best elastoplast I had ever been given it washed off in the bath the next day. So my leg is still broken and it still hurts an awful lot.

The NHS don’t do DID (although NHS Fife did tell me in response to complaint number 2 that “our staff are very experienced in dealing with dissociative disorders…” they were referring to the staff in the last bin I spent time in. Yes that’s right the bin I entered barely able to complete a sentence with a stable identity, confused, suicidal, distressed- basically very mental indeed. The bin I left less that 24 hours later having being assessed by the nurse in charge as ‘seeming perfectly rational’. Needless to say the complaints process is ongoing, I’m not sure it’s making any difference whatsoever and its quite clear the people dealing with the complaint know nothing about DID but it needs to be done.) There are no NICE guidelines for dissociative disorders and it appears in the absence of knowing what to do- the NHS do nothing. My current ‘treatment plan’ revolves around 4 zopiclone a day so I may drug myself to sleep when it all gets too much. The Fantastic CPN is being as fantastic as ever and those few hours a week are precious. I’m not sure the CPN agrees, I imagine it’s a lot like being ambushed.

I am currently waiting for a private sector provider to draw up some sort of ‘something’ I actually don’t know what. I do know that this ‘something’ will have to be paid for, I also know the NHS Fife funding panel meets on the 4th of April, I don’t know if we’re going to make it and if we do, will we be considered worthy of the cash?

One of the most difficult things about being officially diagnosed is that you don’t always believe it, you don’t always even know it’s happened, you don’t think it can be right sometimes, it’s confusing and upsetting- there are days when the realisation that the devastating diagnosis, the one thing we never wanted it to be- is true. Then you get smacked in the face with the mental stick as you realise only a multiple can’t always accept they’re a multiple because not everybody inside agrees….

One of my favourite things about being mentally ill- aside from the great pay and decadent lifestyle has to be wanky platitudes. I get new ones now I’m a multiple-

“it’s an amazing survival mechanism, it’s helped you survive”

But it’s a survival mechanism that makes you acutely mental, eats your entire existence and destroys your life as you know it. It also makes you survive; regardless of how awful your day to day existence is. The whole ‘survival’ thing is a hornets nest in itself, another blog for another time maybe?

“We are all in ‘parts’”

Yes, I agree everybody has different parts of themselves- for most people however these parts work seamlessly together and manage to represent the person with the parts as a whole, functioning human being.

Most peoples ‘parts’ don’t act completely independently of each other, they don’t seize control of the body and go off and do their own thing- without telling any of the other parts. Most peoples ‘parts’ don’t get up in the night, attempt to remove a limb and leave another part to clean up the damage. Most people’s ‘parts’ don’t buy things from Amazon that invariably get collected from the postman by another part who has no idea what to expect when they open the package. Most people’s parts don’t buy their own clothes (opening the wardrobe in the morning makes me feel like a mental Mr Benn), most people don’t have two or three parts that believe they are not parts at all but are in fact completely able to live independently, most people’s parts don’t send emails, write notes to each other, have conversations with each other……. I could go on.

“They are all parts of you”

This has to be my favourite, I lied, I fucking hate it. In fact I hate the term ‘parts’ they’re not ‘parts’ they’re ‘people’. I’ve developed a new response for this kind of thing ‘I know logically you are correct but that’s not the way I feel’ this response makes me sound calm, rational and accepting. It’s actually cover for

‘Uh-huh right….? You are talking shite, I don’t believe you for a second but I know if I say that out loud it’ll sound mental’ (and we wouldn’t want that).

So I’m still here and it’s April- I survived March. It’s not getting any easier, every day is painful, long and disjointed, I still have absolutely no quality of life and I fear even when the right help comes there will be little or nothing left to save. If I’m not doing/saying/thinking things I don’t want to I’m almost incapacitated by ‘head noise’. I’ve always complained of head noise but I’m not sure in all my time in the MH system anyone has asked me to define it. I found this short film, it’s not perfect but it’s close, enjoy.

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2011 has been a dreadful year, a year which has seen my mental health decline rapidly, as I sit, writing this I have little hope that the 366 days coming up in 2012 will offer me any relief from the fear, confusion, pain, sadness and chaos of my current existence. I dread each one of those 366 days and nights as I have dreaded every day and night for some time. 2011 has taught me that there are places lower than ‘rock bottom’ and places far scarier than your worst fears. I have been badly hurt, betrayed and let down this year, mainly by the medical profession but other people in my life have had a go too.

I don’t know how I’ve made it this far, I don’t know if I want to make it any further and the truth is I don’t know, I just don’t know.

Being New Year (however much denial I am in about the whole hideous event), I thought it might be appropriate to do an honours list; I checked the honours list this morning (around 4am) and was disappointed not to be included- again. In fact nobody who I thought should have been included was so I am going to right that wrong, right here, on one of the best blogs on the internet.

The Professionals


I have encountered far more than my fair share of professionals this year, not just in mental health but also the police, air-ambulance team, medical staff, social workers and paramedics.

The highest honour I can bestow, the order of the ‘sparkly, rainbow-tailed unicorn‘ must go to the obvious recipient-

The Fantastic CPN

The Fantastic CPN has continued to be an enormous source of support to me, she is at the mercy of a system that inherently appears to treat people badly but she continues to do her job and do it well. The Fantastic CPN is caring, compassionate, understanding, determined, clever and funny. She has never once made it obvious that she would just like to run away and leave me in the hands of someone else, I’m sure she’s been tempted, I’m not the easiest patient. The Fantastic CPN is representative of an army of individual, conscientious mental health professionals that are out there in our communities, doing what they can with damaged and broken people caught up in a badly broken system. I wish everybody who needs one could have someone like the Fantastic CPN but of course you can’t have the Fantastic CPN as she’s mine and I’m not very good at sharing.

The next honour, the order of ‘the sparkly box of empty promises’ goes to-

The Awesome Psychiatrist

The Awesome psychiatrist receives a mention in the honours list in recognition of his wonderful job of re-traumatising me. Whilst this was a largely horrific affair for all who experienced and witnessed it, it allowed the truth about my mental health to come out. Unfortunately the Awesome Psychiatrist will be stripped of his honour immediately as he refused to believe the truth he had helped to uncover. I still enjoyed the time I spent with him and think that should you ever be the kind of mental that fits neatly into a psychiatric box then you will struggle to find a more knowledgeable, caring, skilled gentleman to meet your needs.

The order of the ‘Schrödinger’s stickers’ goes to-

The Fab Psychologist


I don’t doubt I have presented a bit of a challenge to the Fab Psychologist this year but I am grateful that for the most part she appeared to take it in her stride in spite of the obvious challenges she faces professionally and personally. I’ll be very sorry to lose her in March and even sorrier that her blind hope I will somehow be any better by March will not come to fruition. I like to think I’ve played a part in the professional development of the Fab Psychologist, I just hope it’s not that the next time she gets someone similar in the patient raffle she runs screaming from the room.

The order of the ‘sparkly, magic, disappearing hammer intended for nailing mental jelly to a wall’ goes to-

All the mental health professionals who have assessed me under the Mental Health (Care and Treatment)(Scotland) Act and the Mental Health Act this year.


Well done all of you, you all made the right decision…….

The order of the ‘ever-present fear you will see me in the Spar and recognise me’ goes to-

The Police (both forces involved)


Thanks for tracking me down all those times, I’m less grateful for the place of safety order but I appreciate I generated a lot of work for you this year. You did your job well.

The order of the ‘it must’ve been awesome; I wish I could remember it’ goes to-

The Air-Ambulance Crew


Thank you for using your skills and valuable resources to rescue me, even though I suspect I was a little reluctant to be rescued.


The order of the ‘magical teleporting to hospital machine’ goes to-

All the paramedics I have inconvenienced this year


I think some of you saved my life, I think some of you had a wasted journey, I am grateful to you all for the work you do.

The order of the ‘itchy steri-strip’ goes to-

All the A&E staff I encountered this year


I don’t actually remember being in any A&E departments but I know I was, you all did a fantastic job, I’m sorry for taking up so much of your time.

So there are the professionals all honoured. To the mental health profession as a whole, I cannot resist awarding the order of the ‘just how much do people’s lives have to be destroyed before you do anything useful?’.

The next bit is hugely predictable for anyone who knows anything at all about me. It has to be done.

I cannot put into words the honour I would choose to bestow on the following people; your importance in my life is priceless. There are not enough rainbows and unicorns and there isn’t enough glitter in the whole world to illustrate just how much you mean to me.

All my Twitter Followers


Since the giant follower cull I have been fortunate to gather a rather small group of very important people to help me through my days. Thanks for all the hand-holding, advice, soothing, virtual cups of tea, news, virtual toast, politics, company, presents (real and virtual), letters, mental mentoring, weather reports, cards, music, care, reports from the future, understanding, acceptance and love. Thanks especially for all the laughs as we do like to laugh.

I don’t doubt for a second that it is down to you that I have made it this far.

There are less than 12 hours of this year left, I’m glad and I know many of you are too. I also know that many of you share my dread of the upcoming year.

There isn’t really anything left to say, I was going to say “I hope we can all make it through safely and that things improve for us all in 2012” but in all honesty I am out of hope and have been for some time.

We’ll just take the time-honoured approach of crossing our fingers and tweeting voraciously, see you all there.

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You’ll remember that last time I blogged about my mental health I referred to the “constantly emerging jigsaw that is my mind and my life”? Well, good news! We solved the jigsaw, it turned out to be complete after all, most of the pieces were there in the box all along, the edges were completed, those tricky bits of sky inserted into the right places and the picture on the box emerged.

The picture on the box turned out to be so abhorrent, so distasteful that the Awesome Psychiatrist decided that not only could he not see it, he refused to believe the picture on the box existed at all. The Awesome Psychiatrist is not alone in his denial of the existence of the picture on the box, indeed he appears to be in good company. I’m still waiting for a title for my picture; I think we’ve ascertained it’s not “bipolar” but my picture for all its vibrancy, colour and impact remains unnamed. Incidentally there is a very similar picture to mine contained within the DSM-IV but that is clearly not enough for the MH profession. I have gone from “concerning, troubling, confusing and complex, someone who needs help” to “Woah! Fuck, retreat, retreat!” you’ve never really tasted stigma until you’ve been stigmatised by the psychiatric profession, I have gone from “heart-sink patient” to “toxic patient” and nobody it seems knows quite what to do with me. If it were not for the Fantastic, Ninja, refuses to be beaten by psychiatric arrogance CPN and the Fab Psychologist I would have no input from MH services at all and it’s not because finding my picture has in some way cured me.

Zoetrope

I feel like I am being punished for drawing the wrong picture; I didn’t draw it, if I had it would be of stars, rainbows and unicorns, my picture was drawn for me and there isn’t a rainbow in sight. My picture, for all its ugliness is a fair representation of my past, present and future- it doesn’t look good. If I could erase the picture and redraw it I would in a heartbeat, my crayons are poised, I have attempted to redraw my picture many times so that others would like it more but my picture, as with everything else I do is honest, it is true and I cannot help it if others do not like it.

A cursory glance over my exterior would suggest all is well (perhaps except today, it is Thursday, I have worn and slept in the same clothes since Tuesday), I’ve stopped saying “I’m fine” have substituted “I’m OK” it means the same thing- breathing, not dead, no active bleeding so most of the time I am “OK”.

My quality of life is non-existent so I’m currently thinking of a way to reassess that as well, I’m thinking of awarding QOL points to every cup of tea to see if that helps. I make it through most days in one piece mainly thanks to online friends, luck and a weekly wine coma (the administration of enough alcohol to ensure no movement, thoughts, dreams, ideas or voices for up to 7 hours) so far so good- still here, still OK.

The 30th of November marks the 2 year anniversary of my coming to the attention of mental health services (this time around) on the 30th on November 2009 I went to see the Wonderful GP and confessed I was rather unwell. This was mainly as I could no longer hide the rapid and severe weight loss I had experienced from friends and colleagues. In those 2 years I have played the game, answered the questions, tried the drugs, sampled the hospitality and all around me life has fallen apart. The woman who went to see the Wonderful GP that day had a job, a life, a future. I have nothing and it’s not my fault.

But I’m OK. HMRC Tax Credits finally got back to me yesterday, having done the sums I can now reveal that I will have £9.21 a month left over once fixed expenses are paid- fixed expenses does not include food, the Stupid Car, clothing, indeed anything else you can think of so it looks like I may lose my home too.

But I’m OK.

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I think this may be one of those posts on depression I talked about, I’m not sure, I’ll just write and see what happens.

It’s been a funny day- as in not at all amusing in any way shape or form and in fact nothing funny has happened so I’m not sure I can qualify that summing-up. It just feels funny. I’m sure there are many pathological explanations for this- a shift in mood state, the inevitable come-down after a period of elevation, the fact I stopped taking the dreaded lithium on Sunday night? It’s not my area of expertise so I’ll stop speculating.

I’ve had a hard week, again, nothing particularly difficult has happened (especially when you contrast this week with the past 3) and I haven’t actually done anything or been anywhere.

Monday- a social worker from the local children and families team came to carry out an assessment in light of the 3 “child at risk concerns” from the police following my behaviour over recent weeks and contact from the ninja CPN. The assessment was a gruelling affair and ultimately felt like a lynching. I had it all under control for around 45 minutes until the ninja CPN arrived (45 minutes late) and in my words “painted me as a total loony” in her words “told the truth”. Either way the assessment went on too long and I lost it towards the end, partly due to nicotine withdrawal, partly due to being talked about as though I wasn’t in the room and partly due to the social workers insistence on informing me that there may have to be a child protection investigation.

The social worker herself was patronising and clearly had little understanding of mental health. I know I’m not the best mother in the world and I know I don’t always try my hardest but to have to sit and listen to a complete stranger tell me just how badly I was failing was very difficult indeed.

Of course maybe she never implied that at all? I have noticed this week that every interaction I have had with the ninja CPN where I mention something someone else has said, she insists on me recounting it verbatim so that she can point out where I am misinterpreting things, employing magical thinking or just fabricating things. I can’t even trust my own thoughts and impressions any more. I feel stupid, childish and powerless.

I am not surprised or ashamed that my family has come to the attention of social services; I’d be more surprised if we hadn’t. My argument against their involvement is simply that they have nothing appropriate to offer. I was also more than a little annoyed that suddenly they were intruding on our lives when in all the time the 17 year old lived here and his autism wreaked heartbreak and havoc on us all they never offered a service, in spite of being asked. What my family needs in order to function properly is for me to be well- thinly veiled threats about child protection measures aren’t going to help me achieve this. The social worker wants to come back- well at least I think she does, I received a letter addressed to me and the 6 year old, making an appointment to visit the 6 year old and someone else who doesn’t even exist. Clearly just an admin error and my rage over it is no doubt my own fault for being difficult and misinterpreting things but it pissed me off anyway.

I assume the appointment is to see the 6 year old and the 14 year old again. The 14 year old is largely unimpressed with the social worker, her opening gambit of “I know it’s not easy being different, well some people like to be different- like Lady Gaga” sealed her fate with the 14 year old. The 14 year old is a wonderful creature, intelligent, engaging and probably the funniest person I know. She may be a little “old for her years” at times but she can spot a patronising bastard a mile away. I don’t disagree that the 14 year old would benefit from some emotional support, after all if I had cancer others would be falling over themselves to ensure she was ok, I’m just not sure that social services are equipped to offer her the kind of support she needs.

So the intervention of social services has me hell-bent on proving that their services are no longer required, maybe that’s the way it works?

Tuesday- the Fab Therapist visited me at home, she was impressed by my apparent fineness given the horror stories she had been told by other “team members” since our last interaction some 6 weeks ago. I don’t think we talked about much, I’m not really sure but we can’t have done as I don’t recall having a meltdown after she left. It was kind of her to circumnavigate my avoidance by visiting me at home and I expect our next appointment in 4 weeks will only have me moderately filled with dread and fear as opposed to having dread and fear seep out of every pore like usual.

This brings me to the realisation I’ve been generating this week- mental health professionals cannot make me better. I have a great “team” (that makes me want to vomit) an Awesome Psychiatrist, Fab Therapist, Wonderful GP, Lovely Dietitian, Fantastic ninja CPN and even an ok-ish community based psychiatrist (promoted from “dickhead” after he didn’t put up a fight against my discharge from the local bin last Thursday). They are all very knowledgeable, compassionate people that work very hard but there are no magic wands.

At the end of every appointment, at the end of every day, I am alone with the mental.

Part of my problem is I don’t know where I am or what I should be doing. Am I ill? Am I recovering? Am I all better now? Should I be taking it easy? Should I be trying harder? I simply don’t know. The last few weeks have been a kind of perpetual crisis and I knew what I had to do then, I had to fight, fight against the horror that is admission to the psych ward, fight against the intrinsic death that is psychotropic medication. I won both of those fights- my prize?

I’m still mental.

This evening I find myself back to struggling to find the will to live. I am aware I have very few coping strategies for times of “distress” (that also makes me want to vomit) so I’ve had a quick look on some websites to find out how other people do it. I’m still none the wiser. Yes sure I can sit here, in my corner and name all the colours I can see but that won’t help sort out the mess that is tax credits, it won’t help me be able to put up with the simultaneous noise from the TV, the DS and the 6 year old when he is here, it won’t help me be able to sit and enjoy a film and some mother-daughter bonding time with the 14 year old, it won’t get the school uniforms washed, dried and ironed in time for school on Monday, it won’t help me get back to work, it won’t pay the mortgage, it won’t cut the grass or fix the bathroom…..I could go on. When your life is a catastrophe, it’s very easy to catastrophise.

Wednesday- I have no idea what, if anything happened on Wednesday- oh yes, I wrote my last blog post and sure enough as I said in reply to one comment I am still as lost and clueless as I was when I wrote it.

Thursday- again, nothing happened that I can recall but in truth it’s therefore not impossible that there was a zombie apocalypse or a plague of sharks or something, my recall of events is sketchy at best.

Friday- AKA today. Well I think I’ve outlined above where I am today, I’m not sure even if I read it back I will have any idea. I think I’m back at the “must get a grip” stage, I have a to-do list for tomorrow- it has one item on it-

Get washed and dressed

 

In all honesty that will be a major achievement, wish me luck.

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Again so much I could write here, I’d have no idea where to start with an account of the time since I last blogged. Those of you who know me will know there is an awful lot I could write about. To sum up, in handy list format-

The stupid car is 157 miles away

I’ve been in two different hospitals in two different countries in a week

I didn’t get sectioned (three times)

I don’t think I am very well

I could recount all the gory details but to be honest I don’t remember that much of them, there are “highlights”, again in handy list format-

 Having to get all my appointments with my entire team rearranged as I had “discharged myself” from mental health services.

 Almost puking my own skeleton up during a 20 hour Parvolex infusion (a fitting punishment for my abject stupidity).

 Meeting my newest psychiatrist and being told a hot milky drink was the cure for that chronic, severe insomnia I talked about.

other hot milky drinks are available

The Fantastic CPN becoming the “ninja CPN” after she appeared, unseen, unexpectedly, unannounced and played the pivotal role in ensuring my most recent “episode” didn’t end in disaster.

9 hours or so in A&E (157 miles away) practising my dinosaur impressions, pacing, being stalked by security and getting into completely unwinnable, protracted arguments with mental health professionals.

I have been a monstrous consumer of resources of late, again a list-

      Ambulances

      Doctors

      Nurses

      Police

      Social workers

      Psychiatrists

      CPNs (both ninja and non-ninja)

      Hospital beds

So I haven’t exactly covered myself in glory recently. If I do a little CBT reframing of the past week or so I can come up with the following list-

 I’m still alive (in all honesty undecided if this is a positive but feel obliged to say it)

I didn’t get detained under the Mental Health Act or the Mental Health (care and treatment) (Scotland) Act.

I was again reminded that a lot of people care very much about me and will go to great lengths to help me. (thank you all for everything)

 The children appear well and happy (though I am aware I am raising the next generation of mental health service users).

So what’s next? In all honesty I don’t know, there are a lot of unknowns at the moment. I could make some predictions based on my knowledge to date but for fear of any of them becoming self-fulfilling prophecies I’ll resist.

I am considering re-starting Lithium therapy, this decision deserves its own post and it will get one. I had that MRI I was agonising over in my previous post, no results yet but am now also awaiting an appointment with a neurologist, these tests are mainly to rule things out, just a case (no doubt previously unheard of) of a psychiatrist being thorough. I have an appointment with the Fab Psychologist on the 13th of September, I will agonise over that nearer the time.

So yeah, I’m still here and again if rapid-cycling was an Olympic sport, I could be a real contender for the gold.

So a short post, covering a short time where an awful lot has happened, there’s a lot missing, follow me on twitter for the minute by minute account of the pantomime that is my life.

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I’m always a bit wary about blogging about depression as posts about depression have a tendency to be very depressing and as you know I like to entertain my audience not drive them away. But I do like to blog about me and my days so I’ll throw caution to the wind forewarn the Samaritans and go ahead and write.

Today I am very, very depressed I’ve never been very good at imagery so I’m not sure whether I feel completely hollow or filled to the brim with a toxic, black sludge. My chest feels crushed, it hurts to breathe, it hurts to move, I have lain in bed all day, my body aching and my mind tender and throbbing. I find the abject misery of depression difficult to put into words. I could draw it and I think I may have done in the past but I feel bad enough without having to deal with the utter boiling frustration that my interactions with a scanner appear to bring.

Obviously I’ve been here before several times but yet again I didn’t see it coming until it hit. A cursory glance over my last few blog posts will reveal the pattern that my illness has become, I wish I’d taken time out to read them.

Depressive episodes are very hard to bear and I decided today, not for the first time that I wasn’t going to put myself through it again. At 10pm tonight, Wednesday the 13th of July 2011 I was going to take my own life.

I have harboured a latent desire to take my own life for some time now and it has rapidly become my normal, the motivation to actually do it varies in intensity but the desire to wake up the next day dead never leaves me. Today I had the desire and the motivation.

Like many mentalists I have a plan, my plan involved large amounts of various medications that I have accumulated throughout my journey- my stash. I have lovingly nurtured my stash for some time now; adding to it when anything my careful research told me would be helpful in fuelling my final journey was prescribed. I have an inventory of my stash at the back of my diary and a handy note of how much of each to take and in what order to ensure that the outcome was death and not just a quick trip to A&E followed by a spell on the local acute psychiatric ward. My stash was kept in a shoe box in my bedside cabinet, close at hand so that when the time came, I could grab it, jump in the stupid car, drive to my desired spot (here) and carry out my plan.

So today, I decided, was the day. I was being tortured, I have no idea how long the torture will continue and I know that I will be here again at some point in the future- so it was time for it all to stop.

I checked my stash, checked my diary, consulted Dr Internet to ensure I had the most up-to-date (over)dosage information and made up my mind that this was going to be my last depressive episode- ever.

So I lay in bed, motionless and played my plan over and over in my mind to ensure everything was in place. I gain comfort from my stash and I gain comfort from my plan, today my plan had got closer to the action stage than I’d previously been comfortable with but playing it over in my mind reassured me I could escape, I was getting away, this was going to stop and it was never going to happen again. I sunk even further into the stinking pit of depression. I berated myself for being an awful mother as the children were left to fend for themselves. The 14yo has applied undercoat to the walls of her brothers bedroom and the 6 year old has lived on Quavers and shortbread all day. In my suicidal state I theorised that they would be better off without me.

So I lay there thinking, occasionally weeping somewhat self-indulgently and just generally feeling tormented.

At some point my rather petulant, self-protective side snuck out and firmly stated it’s refusal to be “complicit in my murder”. I was a little confused by this turn of events and frankly cringing a little at the sheer drama of the statement. I mulled it over for a bit and realised I was getting into very unsafe territory and that I was indeed planning to murder myself- which seemed odd as I can’t imagine, even given my desire to cease to exist that I would just stand there and let someone murder me. I certainly wasn’t going to stand back and let me murder myself.

Have I mentioned that I am mental?

I knew what I had to do- I had to get rid of my stash.

For someone who is usually chronically out of touch with their emotions I began to grieve very quickly for my stash and started weeping uncontrollably. I texted the Fantastic CPN and requested she come and collect my beloved pharmaceutical death-cocktail, having theorised that if I simply put it in the bin, I could simply take it out again.

The fantastic CPN arrived, we drank tea, chatted, I ranted and cried at the sheer horror and unfairness of it all and basically spent over an hour putting off actually handing the stash over. I eventually handed it over; the Fantastic CPN told me I was “taking responsibility” which was nice of her- but not as nice as what she did next.

The fantastic CPN gave me two stickers in return for my stash. I was elated- well as elated as anyone with severe depression can be. For a moment as I held those two stickers in my hand I really felt like I’d achieved something.

Of course I then immediately began to question The Fantastic CPN as to why, since our first encounter in December 2009, she had never given me stickers before- did she give other patient/clients/mentals stickers and what had they done that was so good they deserved stickers? I know I must be one of the most irritating mentalists to have in one’s caseload but surely over the past 19 months I have done plenty to deserve the odd sticker?

The Fantastic CPN and I discussed alternative activities to my planned suicide and I decided upon a hot bath. The Fantastic CPN left, taking my stash with her- I shut the door, sat on the floor in the hall and wept. I wanted my stash, I wanted my escape. I didn’t want to be responsible I wanted to be dead. Though I do also want more stickers so I dried my tears, got up and carried on.

I’ve had my bath so now I’m clean and suicidal. I’m blogging in an attempt to stop me researching alternative plans. I will never have access to the kinds of drugs I had in my stash in such large quantities again and at the moment my paranoia and social anxiety prevent me going into shops so replacing the stash in any form is going to be difficult if not impossible.

So far so good, it’s now 10pm and I’m still here- still dreading waking up tomorrow, still despising my lack of insight, my illness and mentalness in general. I don’t have a plan now and I feel a bit adrift so I suspect I will make another at some point but today I deserved stickers.

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As usual I have so much to say, so much to say I fear I will never be able to pull it together into one clever, coherent, mental illness stigma challenging, hilariously entertaining, educational, accessible blog post.

I don’t know where to start; I could fill the internet with an account of the last fifteen minutes of my life.

Yet again I am in a new phase of mentalism, it’s probably got a name, I think the Fantastic CPN mentioned “acceptance” earlier. I don’t know what it’s called but I know I don’t like it.

Where to start?

I last blogged properly on Sunday the 19th of June but probably left more unsaid than I actually said and in the interests of sharing every detail of my life with the whole wide world I feel I must go right back to Wednesday the 15th of June, feel free to stop reading now but I urge you to hang around, it’s going to be good. Anyone reading could be forgiven for thinking I have a photographic memory- I don’t, I have a Tweet stream and a rather comprehensive diary, verbosity fills in any gaps. So get a cup of tea and your biscuit of choice, grab an extra Hob-Nob for me and enjoy.

Wednesday 15th June 2011

That day I set out to buy a new fridge- in fact I was determined I was going to source, buy and install a new fridge before the day was out, little warning signs of impending mental crisis were evident even then. I was completely uninterested in fridges- that’s not mental that’s normal, fridges, particularly integrated fridges are spectacularly boring objects- I am referring to my inability to stay in a fridge shop for more than 4 minutes, my desire in B&Q (where I purchased a rotary washing line) to climb on to one of the shelves and sit there forever, weeping and rocking, pausing only occasionally to scream.

I carried on.

I emailed the Fantastic CPN and hinted that I wasn’t very well- physically or mentally. As usual I didn’t say enough, the Fantastic CPN urged me to visit the Lovely GP and most unusually I heeded her advice and made an appointment for the following day. I was surrendering, another little warning sign that I seemingly chose to ignore completely.

Thursday 16th June

I saw the Lovely GP, I’m not sure what I said to her but I have it noted in my diary that she weighed me, I had lost weight again and she was going to contact the Fantastic CPN and the (still haven’t though of a suitable adjective) Psychiatrist and get back to me. I realise now I never did hear back from the Lovely GP. The fantastic CPN visited and again, according to my diary she informed me I was “severely cognitively impaired” and I cried- a lot. An emergency appointment was arranged with the <insert suitable adjective here> psychiatrist for the following Monday (she was off sick) or as I have it in my diary “supposed to see drug-pusher on Mon- not going”. Also have noted in my diary “haven’t eaten a thing since Tuesday, couldn’t decide food/zopiclone, went for zopiclone, sad” and so Thursday drew to a close.

Friday 17th June 2011

The day started innocently enough, I woke up full of energy, I chose to display this both in real life and on Twitter as a good positive, industrious energy. In truth I could feel myself being slowly mentally poisoned. I had that infuriating urge to run away (see “P” for Paris and “S” for suicide) I had many intrusive thoughts and I knew it was only a matter of time before I snapped completely.

Being the self-aware and self-compassionate kind of girl I am I completely ignored all the massive warning signs that I was teetering on the verge of yet another crisis and I carried on. My first mission was to obtain a spiky thing in which to insert my new rotary washing line. This may come across as a very trivial pursuit indeed but to me this had become the Holy Grail.

The new washing line had come with a spiky thing- I had installed the spiky thing but the ground I had chosen was too soft and the washing line began to list precariously. I requested that the social worker rectify the situation by moving the spiky thing and then the next day (Thursday 16th June) I demanded that he move it and stood over him whilst he did it- the spiky thing broke. I asked the social worker to buy a new spiky thing as soon as possible to prevent a backlog of laundry or an over reliance on the very expensive to run tumble dryer. The social worker assured me he would see to it and would return from work on the Thursday evening with a new spiky thing. He didn’t.

I returned from Argos (having sat outside for some time waiting for it to open- I was ahead of the game- yet another ignored warning sign) with a brand new spiky thing. I had a go at installing it but for some reason, seemingly unknown to me and certainly not due in my mind to the very early stages of malnutrition, I didn’t have the strength to complete the job. Again I demanded that the social worker install the spiky thing and he did- as I stood over him.

THE BASTARD SPIKY THING HAD A SMALLER DIAMETER THAN THE NEW ROTARY WASHING LINE.

I calmly smoked and requested that the social worker “please get it sorted”. Again he assured me he would………

The social worker and I then set out to attend the 6 year olds school assembly. The six year old did us proud, wore a hat with a beetle on it better than any of the other pupils and read his part, clearly, fluently and confidently. I marvelled at how unaffected by my descent into mentalism my baby appeared and I spared a moment to be grateful for the stability and nurturing he had received in school. I obviously couldn’t take any credit.

I don’t remember much from the assembly but I know I was on a knife-edge the whole time. I chose to ignore another big warning sign of impending mentalist doom- I had hypersensitive hearing and olfactory senses- I Tweeted in typical humorous fashion about the smell of the school (Plasticine, wee and mashed potato) and my general discomfort at being around others. How I didn’t hear and alert others to the alarm bells I have no idea. I was able to sit through the assembly and engage with the necessary small talk that such occasions demand and other than being alerted to the fact I had drunk a bottle of diet coke in approximately 50 seconds by the social worker, I probably appeared completely normal the whole time. Appearances can be very deceptive.

I vividly remember one particular part of the assembly as for some reason it marked the total destruction of what was left of my ability to continue functioning normally.

Hymn books were distributed amongst the audience- I Tweeted about it again humorously and remained seemingly unmental. Inside my head I completely and utterly lost it. I don’t know if I am skilled enough to articulate how I was feeling and what was going on or indeed why but I’ll try.

I am an antitheist, I’d much rather be a meh-theist as I truly believe that mehtheism would be a sensible healthy position to take on organised (or disorganised) religion. I am a vehement antitheist; I could accurately be described as a devout antitheist, a fanatical antitheist indeed a religious antitheist. I have particularly strong views on religious education and activities in schools, I’ll resist the urge to go into them too much here- suffice to say, I don’t like its heavy focus on Christianity. I very purposefully didn’t send my children to a faith school but it appears the Scottish curriculum has some of its roots firmly intertwined with the teachings of the church. I don’t think the practising of religion; any religion has any place in our schools. I am in favour of educating children about religion but would rather schools avoid the insidious, furtive indoctrination.

When those hymn books were handed out I froze, my head was filled with noise and was empty all at the same time, the social worker tried to hand me the book but I recoiled in horror. The chosen hymn number was announced- by the 6 year old- in that moment I was convinced this was a deliberate act by school staff done purely to further aggravate me. I was not angry but I was considerably disturbed and paranoid. The audience rose for the hymn- I remained seated, from that point on I was completely immersed in total and utter mentalism. My brain had turned into a noxious soup of unhappy, incoherent thoughts.

I returned home, the social worker went to work; I embarked on a cleaning frenzy- another sure sign that something is amiss. I despise housework and my enthusiastic doing of housework should always, always be viewed as a symptom. So I cleaned and hoovered and dusted and of course, Tweeted updates. All the while my brain was getting noisier and noisier, by this time the noise was nothing coherent just a general mix of thunderous rumbling, crashing and whooshing- a bit like having Niagara  Falls take up residence in my pre-frontal lobes. The only distinctive part of the noise was the repeated instruction and compulsion to “Go Out!

Going out is an everyday kind of thing for most people as it is for me- I do the school runs and make the occasional trip to the shops/bank/post office when necessary. My urge to “Go Out!” on this occasion was however just my brains lazy code for-

Take massive stash of saved up medication from hiding place in bedroom

Get in car

Drive

Stop somewhere quiet

Take aforementioned medication until death occurs

So I made preparations- I put my stash in a bag and located my car keys.

My hazier than usual memory will now, unfortunately impede the telling of the next part of the story so I think I’ll resort to a handy list format, which might in turn help to make this epic piece a bit easier on the eye for those of you still reading.

-The Fantastic CPN visited, I think she had also called, by this point I was making no sense at all but I think I expressed my vehement desire to “GO OUT!” (my volume increased every time I made the demand) I was instructed to go nowhere until she had visited.

-The CPN came round and there was a protracted standoff in the bedroom where I spent variable amounts of time a) Demanding to exercise my right as an adult to GO OUT! And b) regressing horribly and weeping at the Fantastic CPN.

- The Fantastic CPN laid down an ultimatum- I could go out but she would phone the police. I was able to rationalise that if police involvement were necessary this would probably involve me being touched at some point so I was keen to avoid it. The Fantastic CPN contacted the Different GP and he was on his way. I continued to ask the Fantastic CPN if I could GO OUT. She made a futile attempt to hide my car keys but I snatched them back and put them in my pocket.

- The Different GP arrived and proceeded to bombard me with questions, I dazzled him with my cognitive abilities by remaining folded up in the foetal position on my bed repeating my mantra of “I’m fine” over and over again. I had naturally assumed that he would fall for this and disregard the fact I never looked at him once, spent an inordinate amount of time wailing like a wounded animal and refusing to do anything other than insist I just wanted to GO OUT!

- The Different GP then issued his own ultimatum- be taken to the local acute psych ward in an ambulance or be taken by the Fantastic CPN. The mere mention of the local acute psych ward sent me reeling and I refused to go- I switched the mantra from “I’m fine” to “I’m not going anywhere, no, no, NO”.

- Somewhere in all of this the social worker appeared, until this point, in spite of me telling him otherwise in very graphic detail earlier in the week, the social worker had assumed I was fine. I’m not sure what he was thinking when he launched into his passive-aggressive anti-suicide pitch as I stood determinedly in the bedroom, completely mental with only going OUT on my mind and half a pharmacy in my bag. I now had another reason to GO OUT- the social worker was mad at me.

- There then followed a period of waiting whilst forms were filled out and phonecalls were made, I prowled the house all the time plotting my escape- hence the reason the Fantastic CPN followed me everywhere.

- To my relative relief the Different GP announced there were no beds available on the local acute psych ward- I immediately assumed this would mean I would be given carte blanche to GO OUT unimpeded. A bed was found on a psych ward in another part of Fife. My “I’m not going no, no, NO” mantra returned.

- The fantastic CPN somehow persuaded me to get in her car and to agree not to jump out of her car at any point. I love the Fantastic CPN so would never do anything that I think would directly have a negative affect on her career- just in case they took her off me.

- So off we went to Kirkcaldy and to the scabbiest, mankiest, most unkempt psych ward I’ve ever seen- and that’s saying something. I didn’t want to leave the Fantastic CPN as I feared she was going to leave me there- at this point I still believed I could convince the duty psychiatrist I was fine and should be sent home and given a nice cup of tea. I was prised off the Fantastic CPN and taken to a room to wait. It did not escape my attention that the room was adjacent to the main exit from the ward- from my vantage point I could still see the Fantastic CPNs car so I knew she was still there so I sat and waited.

The next part is such a blur that I will probably have to make it up but in the interests of bloggers integrity I will try and list what I can remember-

- I was offered a cup of tea, I never refuse a cup of tea but when I saw that cup of tea in standard psych hospital issue, green, stained, plastic beaker I couldn’t even bring myself to touch it.

- Various members of staff came to see me at various points and they showed themselves to be far lovelier than any of the staff I’d encountered at the previous psych hospital. I didn’t care though; I had decided that the minute the Fantastic CPN left, should she leave without me- I was off.

- Unfortunately for my cunning plan I was then the victim of a kind of mental health professional pincer action- the Fantastic CPN returned to the room with the duty psychiatrist and another member of staff.

- In an unbelievable, very non-therapeutic fashion that will haunt me forever the duty psychiatrist for some reason came bounding in, ruffled my hair and then physically tried to get me to lift me head up to look at her, she grabbed my head. I lost it and screamed “Stop touching me!” and I think I repeated it under my breath several thousand times in an almost self-soothing fashion.

- The fantastic CPN had to leave- and I was not going with her. There followed a period of my clinging and shrieking “Please don’t leave me here Fantastic CPN (not her real name) I promise I’ll eat and I won’t kill myself, just don’t leave me here” she prised me off and left and I just switched off completely, fully immersed myself in lala land, it’s always much safer there.

-I was assessed by the duty psych who finally realised that I really fucking meant it when I said stop touching me as at one point she patted me on the arm and I said “I really fucking meant it when I told you to stop touching me”.

- I stated repeatedly that I wasn’t staying; I didn’t need to be there and finally after a long gruelling assessment got told the following “you need to agree to stay or they’re going to detain you”.

Now had I been in my right frame of mind or indeed any frame of mind, this clear abuse of the Mental Health Act would’ve been apparent to me and I would’ve challenged it. As it was I was led away, defeated, offered tea and a place to smoke and handed a bag of toiletries (I had left the house with nothing- assuming I would be returning home) and horror of horrors- an NHS nightdress.

I don’t do nightdresses, I do pyjamas, to me a nightdress symbolises helplessness and trauma as they invariably attack you at some point during the night and attempt to asphyxiate you.

I was helpless by this point, completely helpless so I cleaned my teeth, put the nightdress of doom on, got given medication and went to bed.

Saturday 18th June 2011

I slept for two hours as is the norm these days (I still haven’t written that post on sleep, don’t think I’m going to it’d be incredibly boring) and when I awoke at 2am a member of staff came rushing to my bedside to inform me I was on constant observation as I was “At risk of self-harm and absconding”. Given that I had just woken up and actually at that point had no idea where I was or what had happened all I did was nod and accept the green sheet of paper outlining the details of the constant observation. Basically I was being watched- constantly.

Extract from the 1995 CRAG document Nursing Observation of Acutely Ill Psychiatric Patients in Hospital (revised 2003)

5.9 Constant Observation

The constant level of observation should be used for patients considered to pose a significant risk to self or others. An allocated member of staff should be constantly aware at all times of the precise whereabouts of the patient through visual observation or hearing. The method and purpose of maintaining observation must be clearly determined and stated at the time of review. Respect for privacy should be an important consideration, but a balance should be struck on the side of safety in all matters such as escorting to the toilet, bathroom, or public telephone, etc. In some circumstances the patient may be permitted to leave the ward or other clinical area in the company of an escorting nurse, other informed professional worker or appropriate relative. This decision must be part of the risk assessment process and the comments referred to in the previous section should be noted. Appropriate members of the multi-disciplinary team (generally a minimum of the nurse in charge and duty doctor) should review the need for constant observation at least every 24 hours.

 

Being under constant scrutiny was a major irritation for me, having someone watch me sleep, watch me smoke, watch me drink tea and watch me lie in a fetid cloud of my own misery was very strange. It seemed like psychiatric overkill but to be fair, I have form. It was unusual for an “informal” patient to be on constant obs though and even the staff were a bit bemused- a fact that, to my delight they shared with me. The psychiatric profession can be very bitchy when they want to be; obviously I encouraged it as it was all fuel to the fire I was building in my mind.

So I had a constant minder, every time I moved- they looked and followed. My minders also watched me Tweet and rushed in every time to ask who I was calling/texting, I couldn’t be bothered to explain Twitter.

Which brings me nicely to the bit in my blog where I gush about Twitter for a bit.

Yet again in my moment of need, Twitter came to the rescue and I received many messages from followers. As is my wont I even created a # tag for my stay (#inthebin) though I often forgot to use it- a good reflection of my mental state during that weekend. This next bit may be very touching and poignant or it may just be quite “sad” as the kids would say.

When I Tweeted my distress call that Friday night Twitter responded in a way I never expected and I received messages from followers who I never expected to care about my mental crises. Something strange happened to me over that weekend, I started to realise that people genuinely did care about me- even people I had never met. I am plagued by a general sense of unworthiness so I’m always surprised when people like me but I actually began to think that maybe for as repugnant as I found myself there was something there worth caring about. A little bit of self-compassion finally started to seep in to my emotionally vacuous, soulless body.

My weekend on the psych ward was hard, they are not good places. This psych ward was far better in every way than the one I spent so much time on last year but no amount of tea and friendly staff can ever erase the utter horribleness that is time spent on a psych ward.

Nothing especially interesting happened that weekend; I spent most of it lying in bed, hopeless, foodless and cold. I was the personification of misery. I attempted to get discharged on the Saturday (in order that I could go home and go out) but was persuaded to stay and have the constant observation lifted instead.

Being in a psychiatric ward always presents one with the dilemma at some point- tell the truth or get out. Nothing makes me want to escape more than being put on a psychiatric ward and told not to leave- leaving becomes my all-consuming focus. I become obsessed with getting away- to the point where walking past the exit gives me butterflies and an urge to flee. I spent much of my weekend deliberating over whether to tell the consultant how I was really feeling or tell him what he wanted to hear.

Sunday 19th June 2011

I have no idea what happened on the Sunday, I have noted in my diary “still haven’t eaten (5 days) I need to learn how to lie and quick

Monday 20th June 2011

Nothing could say it better than my diary entry for that day so here it is-

Waiting to see consultant, all showered and dressed sane. Fantastic CPN says she can’t look after me at home if I’m not eating. I don’t know what I want; I think I still want to die. Terrified if I tell the truth I will be detained and I know my reaction will be to run.

Later….

Saw consultant he said “there is nothing more we can do for you”.

Later again….

Home now, can’t decide if the social worker is scared or selfish. Ended up going to B&Q for a washing line spike myself. Ate a bowl of cornflakes, feel like death. Promised the Fantastic CPN I would see her tomorrow. Fab Psychologist wants to come round tomorrow but the house is a pigsty and so am I. In bed at 9 need to sleep, want to die. So very hopeless and depressed”.

I have no idea what I said to the <insert very negative adjective here> consultant, so I don’t know what he based his rather defeatist attitude on but all I cared about was that I was out of the hospital and home- even though it is apparent that being at home did little to ease my state of mind.

Tuesday 21st June 2011

The Fab Psychologist did a housecall, I had therapy in my pyjamas. I have no idea what we talked about but I’m sure it was profound, healing and meaningful.

I saw the Lovely GP that afternoon and I note in my diary- “Lovely GP was lovely, gave me 28 Lorazepam” so it’s quite clear where my focus was that day.

The fantastic CPN also visited that day as promised, in my diary I note-

Fantastic CPN came round and gave me a whole heap of shit on bulimia- I AM NOT BULIMIC I AM A FAT ANOREXIC” she’s coming back on Friday

I laugh at this now, somewhat wryly. As I stated in my confessional post on my eating disorder I do not fit the diagnostic criteria for anorexia or bulimia- the diagnostic criteria are very, for want of a better word, slim.

There is something intrinsically insulting to a “restricter” to be labelled bulimic and anyone reading this up to their armpits in an eating disorder will be nodding, the rest of you will be bemused so I will attempt to explain.

To me, as an eating disordered person, restricting food intake (AKA starving oneself) represents control, utter control over ones body and mind. Eating food in any quantity represents a lack of control- binging on food represents an extraordinary loss of control.

I have had periods in the past where I have binged- this time last year I invested a great deal of my time in ingesting large quantities of food and then vomiting. Now I largely avoid food and tend to vomit when I have eaten anything. In my eating disordered mind this is control and I am winning. When I am being rational (it has been known) I can see how absolutely fucked up this is but it doesn’t stop me. The Fantastic CPNs insistence that I was bulimic was insulting- I was better than that, I could deprive myself of nourishment for days, I never binged, I was in control, I was strong……….

I never claimed that any of this had to make sense.

That evening I drank wine and tweeted- a lot. I’ve just read what I tweeted and I’m blushing so I wont go into it.

Wednesday 22 June 2011

On Wednesday I took delivery of and installed my new fridge – in what I suspect is a Twitter first, I live-Tweeted the installation (#fridge). I enjoyed it immensely and astounded myself with my ability to turn my hand to anything.

I spent the evening with my Stolen Friend, I call him that as he is actually an old school friend of the social workers but he is mine now. For the first time ever I was honest with the Stolen Friend about how I was doing and our evening involved crying, hugging, talking and ultimately laughing uproariously at Stewart Lee (officially the 41st best stand up ever). I left the Stolen Friend with instructions to obtain tickets for Stewart Lee’s next live performance in Scotland- and he has- 12th of August in Edinburgh.

I had been mulling some things over for a while and mulled them over further on the drive home from the Stolen Friends house. That day I decided I was going to tell the social worker our relationship was over. I was also going to resign from my job.

In my diary I wrote “Self-compassion or mental and impulsive? I think it may just be the former, Look after yourself Zoë

I often refer to myself in the third person in my diary, I do it on Twitter too, when I do it on Twitter I somehow know it’s time to step away for a bit, it’s sign of mentalism for me and one I usually manage to pay heed to.

Thursday 23rd June 2011

On Thursday I saw the Lovely Dietitian, that self-compassion was still there and after all the gruelling talk of food, weight and meal-plans I asked her for a hug and got one.

I’m not sure what I did for the rest of Thursday, I thought a lot about my decisions and I emailed the Lovely Boss to inform her of my decision regarding work.

The decision to resign from my job was actually very easy. I am not ready to go back and won’t be for some time. Career wise now is the time to go back as it’s the start of a new Parliamentary session; having missed so much of last session through illness I have no desire to return part-way through a session again. Having the job there, waiting for me to go back in to it did nothing but allow me to heap pressure in myself to “get back to normal” and encouraged me to declare false recoveries to my care team and myself. That self-compassion I talked about made me realise that I still had a very long way to go before I was ready for full on real life again- and that was OK. I needed to remove the pressure- so I did- and what’s more, it worked.

Obviously at some point soon I will have to deal with the grim, practical realities of being mental and unemployed but I will deal with them when I am ready. By resigning from my job I have indirectly “resigned” from a lot of future opportunities but I have rationalised that when I am really ready there will be other jobs and other opportunities.

That evening I informed the social worker of my other big decision- I didn’t want to be with him anymore and I wanted him to leave. In fact that’s all I said- repeatedly and monotonously.

News of my decision did not please him and there followed a rather uncomfortable standoff in the kitchen- him questioning my ability to care for the children (“everyone knows the mentally ill don’t make very good parents”) and me stating repeatedly and somewhat robotically “I don’t want to be with you anymore and I want you to leave”. He ate a peach, said he “wasn’t going anywhere”; 40 minutes later he was gone. There followed an uncomfortable exchange of text messages before the social workers adult side re-emerged around midnight. He was hurt and more than anyone else on the planet I know that hurt and how hideously painful it is- I was torn between comforting him and shouting “HA TAKE THAT YOU BASTARD! HOW DO YOU FEEL NOW?” I threw him a shred of comfort for old time’s sake and went to bed.

In truth (sorry social worker) I realised I should never have taken him back, I was vulnerable, I was aware that others were concerned about my ability to care for the children and had a huge desire for me to have a “responsible adult” at home. The mental health profession wanted me to have a carer, I needed a carer and he, motivated by love and huge amounts of guilt was there. I have some residual anger that I feel I was forced back into a relationship with someone who had hurt me so badly, I’m not very good with anger so I suspect it will either dissipate over time or fester into something huge and uncontrollable at some point in the future.

I will always love the social worker and we did have many happy times together but I can never forgive him for what he did in October 2009 and where it led me. I don’t blame the social worker for my mentalism but he certainly played a huge part in accelerating the “mental health car crash waiting to happen” that I was. On reflection our relationship was never as good as either of us would have ourselves or others believe, there was an intrinsic toxicity about it and I had to end it before I started actively hating him.

Friday 24th June 2011

I woke on Friday feeling a strange mixture of liberated and hugely hugely guilty for the pain I was about to inflict upon my children by telling them the social worker and I were no longer going to be a couple. I felt like the worst mother in the world but I still knew I had made the right decision.

The Fantastic CPN visited and I suppose we largely talked about my big decisions.

That evening the social worker and I assembled the children in the living room to tell them what was going on. The 14 year old already knew as I had told her the previous evening after the social worker left. The 6 year old reacted calmly but sadly, stated he was “worried” and I held him for a while as we both cried. The 16 year old reacted in a quite typically autistic way and stated that he was “annoyed” the social worker and I assured him that this was no-ones fault and not done with the intention to wind anybody up. We talked about how things would work from then on. The 6 year old was cheered up immensely by the thought of having two homes again “wow, 2 TV’s, 2 bedrooms, will you get a house with stairs Daddy, I love stairs”. Then we all went to a local restaurant for dinner.

Dinner was lovely, the atmosphere was peaceful and conciliatory, the social worker and I questioned how each other were doing, he assured me he would always be there if needed and I told him to take good care of himself. We laughed a lot that evening and proved that the social worker and I make much better friends and much better parents when we’re not trying to be a couple.

Saturday 25th June 2011

Again, nothing explains the day better than my diary-

Ate too much, drank too much, purged too much. Awful self-destructive. Took Zopiclone and 2 Lorazepam, feel guilty, need escape. Bad. Not good.

So here I was again, stuck in a sneaky hate spiral- directed against myself and not surprisingly, alcohol was involved.

Sunday 26th June 2011

I set out early on Sunday morning to get the newspapers, I don’t know why I bothered, it took me all of my mental energy to look at the pictures. The Sunday papers used to be one of the highlights of my week but the whole experience now does nothing more than shine a light on my poor level of functioning and general disinterest in everything. I’ve had a few political moments this week- largely thoughts around feeling irritated by a political party that takes £8 a month from my bank account and I feel no longer represents me in any way. I feel another big decision coming on regarding this but I’ve decided to wait for a bit to see how I feel.

The social worker took the six year old out for the day and the 14 year old and I set off on a road trip. I was determined to buy something that day, couldn’t decide between an espresso machine or a small pet of some kind. We ended up at Ikea where various things we didn’t really need were purchased.

I had made a commitment to the Lovely Dietitan earlier in the week to eat a snack at around 2pm every day. Yes that was me in the restaurant in the Edinburgh branch of Ikea- panicking at the lack of food that came with nutrition information. I eventually settled on a children’s yoghurt as it was the only thing available with a nutrition information label. So at least I knew what was in it- even if I didn’t like what was in it. Being a children’s yoghurt it was made with whole milk- that yoghurt was my nemesis.  For those of you lucky enough not to have an eating disorder, all of this will be difficult to understand, as I said to the Stolen Friend last night “I wouldn’t understand it myself if I wasn’t in it”. I knew it was the right and proper thing to do, to eat that yoghurt so I did, but that one pot of yoghurt (Strawberry and banana, organic, no added sugar) left me feeling so guilty, so ashamed and so much of a failure my mood dropped and I wanted to do nothing more than go home and climb into bed. That’s my reaction to one small snack, imagine having to go through that much deliberation, that much anxiety and have to risk feeling all those painful emotions every time you eat. That’s life with an eating disorder; it’s a very cruel mental illness indeed. If I was an alcoholic or a drug addict I could quit, I’m good at quitting things. You cannot quit food (well you can, as I have proved but it’s a very bad idea) you have to find a way to both consume food and stay sane; it’s a constant battle and a very long one.

I bought an espresso machine and stole the necessary crockery from a branch of Costa Coffee. Well I say stole, I reckoned that as I’d paid close to £7 for two drinks and a granola bar that cup and saucer were rightfully mine. Though technically I think it’s still stealing. I feel I should add here “I’m not proud of it” or something but I’m not going to, I wouldn’t say I was proud as such I just had a problem and found a way to solve it in my own unique mental way. It’s not something I intend to make a habit of.

That evening I realised that the one thing the social worker reliably did that I would now have to do, the ironing, still needed done. I think this next bit is going to even confuse me so you’re forgiven if you read it and it makes no sense.

I cannot iron.

I had forgotten that I spent 5 years as an RAF wife and I can in fact iron- quickly and really well (creases in sleeves and trouser legs optional). The ironing turned out to be a piece of piss; my body just seemed to remember how to do it. My mind still thinks it is one of the most incredibly boring tasks ever invented and I will still have to try and find ways to avoid it in the future though.

So Sunday all told was quite good, I enjoyed my time with the 14 year old, she is very good company. I spent far too much money on things I didn’t need and I will have to stop doing that very soon.

Monday 27th June 2011

Sleep was becoming a major issue for me; it’s too dull to go into much detail. Basically I’m not getting very much in spite of minor prescription drug misuse. I’ve cut back on caffeine (that espresso machine was a waste of money) in an attempt to help but nothing has really changed. The advice from the <?> psychiatrist is to take 2 Zopiclone at night- thereby demonstrating the psychiatrists total lack of understanding of  a- the problem and b- the way Zopiclone works. But as I said I can’t be bothered to go into it, maybe I will write that post on sleep?

Monday started well, I walked the 6 year old to school and popped into town for bits and pieces and some tea. I had decided that in my desperate pursuit of sleep it was worth sacrificing my beloved tea so I was going to have no more caffeine after10am. Well that’s what I said.

If you read the previous post you will see that the 6 year old was sent home from school that day for the most spurious of reasons. As he wasn’t actually unwell and was his usual boisterous, fun loving, demanding, messy, noisy self- I managed to go 4 hours without tea.

I’m not sure what happened the rest of the day but I know I was feeling severely depressed. I hide it well though (even from myself) and was able to get on with all the things I needed to do. That evening I did an interview for SRN on mental health and social networking.

Tuesday 28th June 2011

Tuesday was a long hard day- I know that because that’s what it says in my diary, unfortunately it’s rather thin on detail as to why! Maybe that was just a bit of self-indulgent journalling? Tuesday was also the day I started writing this piece, as things stand it’s now Friday 1st July 2011 and I still have no idea if I’ll finish it, let alone publish it.

The Fantastic CPN visited, I cried at her, we talked about acceptance, I think I get it and I think I am doing it. It hurts- a lot. I was going to resist the upcoming verbal self-pity but it just appears to be flowing from my fingertips so I’ll go ahead.

I don’t want to be mentally ill, I want to be normal. I want to react to things normally, view myself normally, eat normally and lose that latent desire to cease to exist. I have accepted that I am ill and I have also accepted that I am going to take some time to recover- I think that time is currently pencilled in as 18 months, I’m trying not to be black and white about and actually set a date- that’s how accepting I am!

I accept that I have to do things differently and I accept that I will not generally find life easy. With acceptance has come a little more self-compassion but I even find that excruciatingly painful, it is difficult to allow yourself to feel compassion for someone you hate.

I feel as though, mired though I am in self-pity and crippling low mood, that I have moved on in some way, it’s just very difficult to define.

Tuesday evening was sunny and warm so the 14 year old, 6 year old and I went for a walk. We walked to town, the children had ice-cream, I denied myself ice-cream and cried a little inside. I enjoyed the walk, my children are very good company.

Wednesday 29th June 2011

I woke after 4 hours sleep, I took the 6 year old to school (in the car, in my pyjamas) came home took 2 Zopiclone and 2 Lorazepam and slept for a mammoth 2 hours. I was shattered but the after effects of the Lorazepam helped me see out the day in a mellow haze of warm benzodiazepine fuzziness.

I spent the evening at the 14 year olds end of term concert, as usual the standard was high and it was quite enjoyable if a little long. I adore the sound of violins, in fact stringed instruments in general so was particularly impressed by the Senior Strings Group. I reserve my right to abhor the sound of the clarsach though and sure enough that night I think I found the worst sound ever- “Don’t Stop Believin’” plinked, plunked and dragged from the strings of a clarsach it’s like having little fiery swords of death rammed into your ears. Horrible.

The 14 year old sang with her singing group at the end, they did a great job, she looked like she enjoyed it and she made me very proud, she also looked resplendent in her blazer, shirt, tie, skirt and Converse with rainbow ribbons for laces. She is her mother’s daughter, in all the good ways.

Thursday 30th June 2011

I took delivery of a surprise trampoline for the six year old and spent most of the morning assembling it. Stopping occasionally to Tweet, smoke, drink tea and shelter from the rain.

I saw the Lovely Dietitian in the afternoon and we discussed my progress. There’s not a lot of progress to be honest but there is some. I have a long way to go and I find it incredibly daunting and scary.

I finally had to admit defeat with the stupid car and booked it into a local garage to get the gears fixed. I can’t afford the car in all honesty but I don’t think I could go without it. I don’t even want to think about it so I’ll stop writing about it too.

The Stolen Friend visited in the afternoon, we drank tea and chatted.

The social worker came to visit, he annoyed me but I’m not entirely sure I’ve figured out why yet. So he annoyed me further by texting to ask if I was annoyed at him and if so why was I annoyed at him?

By 6pm the sneaky hate spiral was back and I fell at the first fence and went out and bought a bottle of wine. I can avoid alcohol easily- when I want to but once I’ve taken that first sip I have committed to a journey on the self-destruction train, it’s a through service, there are no stops- until you get to the end.

So last night involved self-abuse with alcohol and toast (only the eating disordered can self-abuse with toast) but no vomiting! I know most people make it through most days without making themselves vomit so this may not seem like a big deal- but it was and it’s something I am trying very hard to be proud of.

Friday 1st July 2011

I can’t believe I might actually have almost finished writing this post. Today is Friday 1st July 2011; I have 2 hours and 8 minutes left before the six and a half week long summer holiday begins.

I have no idea how I’m going to cope over the summer holidays; I confess that parenting isn’t one of my more finely honed skills. I suspect we will have lots of lazy days and that trampoline will get a lot of use (if I ever finish assembling it). I think the summer holidays may provide me with many opportunities and challenges regarding eating so it could be a very healing time. I am looking forward to relaxing a bit and enjoying fluid bedtimes and hopefully some late starts. I have no plans as yet for any activities as such but we have wonderful beaches on our doorstep and provided the stupid car doesn’t die completely and I don’t get a sudden pang of responsibility when I take the Barclaycard out, I presume we’ll have some good days out.

I don’t know what I feel today. I am deeply ashamed of my trip on the self-destruction train last night and have again decided to give up alcohol for a while (I think that’s the third time this week). My mood is low and I feel aimless and a bit jumpy so it’ll have to be one of those moment-to-moment kind of days.

The house is an utter mess so I must be quite relaxed and all I have done today is pop the 6 year old on the school bus and write this post.

I still have that wonderful feeling of freedom but in a bit of a Spiderman moment I realise that with freedom comes great responsibility and I may have to take a quick reality check on just how much freedom I actually have and what this really allows me to do.

So there you go 16.5 days in my life in just under 8000 words. I really should write that book, at least then I might get some money for sharing so much with so many!

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Given everything that’s happened to me since I last blogged I really feel I should insert a profound, poignant, detailed post here but I’m not going to as I’m not up to fluent prose at the minute. Instead I thought I’d share a little bit about what I’ve learned in the last week in handy list format- with numbers for easy reference.

1- Never go without food entirely for six days

2- Never go to Argos

3- Always avoid situations where hymns will be sung

4- Never let your first interaction with a different GP be largely wordless aside from incoherent shrieking and an insistence that you are “fine”

5- Never get in a CPNs car

3- Never tell a psychiatrist that you intend to kill yourself

4- Always inform health professionals in advance that you do not like to be touched- loudly and assertively

5- Always take an overnight bag if you are taken to a psychiatric hospital to be “assessed”

6- Always challenge the use of the Mental Health act if you perceive it to have been abused

7- Always assume you won’t see a doctor and be discharged until early evening at least

8- Never underestimate how much people care about you

9- Never assume you can leave it to someone else to get the spiky thing to put the washing line in

10- Never underestimate your ability to install small domestic appliances and make it entertaining

11- Always measure, mark and then drill, don’t just drill

12- Always pay attention to that little white stick and those little red lines on your cars petrol gauge

13- Never tell people you are fine when you are not

14- Never assume nothing is unforgivable, some things are so terrible they are

15- Always trust your instincts

16- Never go four days without washing your hair

17- Never forget that stubbornness and arrogance can be used for your own benefit too

18- Never underestimate the power of tea

19- Always make time for toast

20- Always remember that “the best thing about Mama’s bed is that it’s got Mama in it

So another quiet week then………..

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