It's okay to cry.

I’ve been thinking a lot about grief lately, in particular dealing with grief at a young age like I’ve had to do. It’s messy and tricky and there’s no manual to it. Adults a lot older than you will tell you that they know what you’re going through because they’ve also lost someone recently – but they’re a lot older, wiser and more experienced than you and it’s not the same.

There was a particular phrase people used to say to me a lot shortly after my mother’s death, one that I loved hearing at the time but now I hate. People frequently would say to me ‘You’re so strong!’ Because I didn’t cry, because I went to school and did my work, because I got on with my life immediately after with a smile on my face. And because people kept praising me for this, I felt like I was coping well. That this ‘strength’ of not crying and feeling my emotions that were lying underneath was a good thing, and that if I ever did cry or feel upset I was weak.

I know now this is so wrong.

For so long I withheld my emotions because I thought that way I was ‘strong’ and that was good. People seemed so impressed by my positivity and lack of emotions that I suppressed anything I felt. And because of this, I didn’t grieve. Instead of feeling my emotions and dealing with the death of my mother, I pretended it didn’t happen. Part of this was because I wasn’t emotionally mature enough to even comprehend my mother’s death, but the way in which people reacted to my behaviour also inadvertently encouraged this behaviour. Nobody sat me down and told me it was okay to cry, that I needed to deal with my grief and try and process it. At one point I do remember trying therapy, aged 17, because everything was beginning to feel overwhelming and there were some days I couldn’t even leave my house and go to school.

But I couldn’t talk. Every time I tried to talk about how I felt, the words wouldn’t come out and I would just cry. After one session I decided therapy wasn’t right for me at that point and I went back to burying all of my grief.

Looking back, I can acknowledge that there were a number of reasons why I didn’t deal with my grief at the time. At 15, I just wasn’t emotionally mature or ready to deal with something as monumental as the loss of my mother. I also wasn’t a very emotional person anyway, as I barely cried at anything. I also understand that everyone grieves and reacts differently. But there were little things that people said to me that contributed to my denial as well.

I’m not blaming anyone in particular, and I know it’s hard to figure out what to say to someone who’s experiencing a great loss. But sometimes being ‘strong’ isn’t the right answer. Crying and feeling your emotions is healthy. It doesn’t make you weak, and don’t let anyone ever make you think it does. Grieving is a long process, and a hard one at that. Whether it’s the death of a family member or the loss of a close relationship in your life, please remember it’s okay to cry. Let yourself feel things. It will get easier, eventually.

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Why I Stopped Therapy

A few months ago, I hit a point in my life where I realised that while the anti-depressants were helping my anxiety, it was making it known to me that I had other issues to deal with. Suddenly I was more aware of routines I was doing that I hadn't even realised were happening. Such as washing my hands before and after going to the toilet. And also having to wash them with two pumps of soap, water and then two more pumps of soap and water to make sure they were clean. 

That was just one of the things I noticed myself doing and thus I self-referred myself for online therapy. I've done CBT (Cognitive Behavioural Therapy) in person before and it did help at the beginning by the last few sessions I was lying to the therapist because it was easier than feeling like a failure because I couldn't do something.

I thought this time would be different.

I'm not sure why but I just thought that it would be. Because I needed so badly to get better. And therapy just felt like the last straw for me. If this didn't work, I wasn't sure what else was left.

Obviously if you read the title of this post then you know that therapy didn't work but it also did. In a way that I definitely wasn't expecting.

I started therapy about three weeks after referring myself which was amazing. I was officially diagnosed with OCD and that part of therapy was, well, very theraputic. I suddenly understood so much of my life. Those teenage years that I thought I was just being, well, an angsty teenager? I was actually just struggling with undiagnosed OCD. So many little things in my life that I didn't even know were habits made so much more sense to me. Fears that I have about odd things, it all just sort of connected in my brain and I have to admit, it made me feel so much better. I suddenly had a reason for things.

Of course, just being diagnosed is not the end of the journey.

And thus my therapist and I started to tackle my OCD, tried to stop routines and habits using CBT techniques to re-train my brain. To let it know that everything will be okay.

It wasn't easy. But I also didn't expect it to be easy.

I was making really good progress and I was proud of myself. And then we hit a road block. I gave myself a behaviour to overcome that I essentially found too difficult to do. And I knew I could tell the therapist that I had done it and it was fine but I didn't want to lie again.

So instead I was truthful. Explaining that I had been too tired and busy to psyche myself up enough to break the behaviour down.

The response?

That maybe therapy isn't the right thing for me right now. That if I was too busy, maybe I should take a step back and re-refer myself when I felt more able to complete the tasks.

Queue my panic. My worry. My sadness. I was not cureable. I was going to be stuck struggling through day to day life forever. I was not worth the time to fix. I was just wasting everybody's time, including my own.

Recurring thoughts. Round and round. Spiralling out of control. I really struggled after hearing that. I had needed therapy to work. I had wanted to be truthful and get everything out in the open and I was told that I just wasn't trying hard enough so essentially didn't care enough about my own recovery. And that is where my brain took me and things got worse.

Until they didn't.

Until I realised that, at the end of the day, I am in control of my mental health. It does not control me. And I do not need a therapist to make me believe that I am a lost cause. I also do not need a therapist to help me.

Because I have incredible friends and incredible strength. I know what my routines are, I know what I need to do to break them down and so I am now doing that. I no longer wash my hands before every single meal. I don't even wash my hands before eating finger food. I know that sometimes I still feel I need to but just the fact I don't every time is a major step for me.

I also don't wash my hands as much as I did.

I have cooked in my microwave again.

I have eaten off of plates that haven't just been cleaned.

They are small steps. Small things. And things that other people may not even think about. But to me, they are milestones. They are things that I have overcome. Challenges that I have completed without therapy. Because I am strong enough. 

And so are you.

(Therapy did not work for me. But that does not mean it will not work for you. So please always try it. Without therapy I would not have the tools to help me continue fighting alone.)

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10 Things I Wish I Knew When I Was Diagnosed With Anxiety

I’ve been living with anxiety for over ten years now and I’ve learnt a lot about it and myself along the way. When I was first diagnosed, I remember being very scared and was given very little information about what having this mental illness meant for me from health care professionals. Looking back there is so much that I wish somebody had told me when I was first diagnosed, so today I wanted to share with you the ten things I wish I knew when I was first diagnosed with anxiety.

Panic Attacks Can’t Kill You 
Even though it really feels like you’re dying sometimes, panic attacks can’t actually kill you. My first therapist told me that most panic attacks usually don’t last longer than 20 minutes. Knowing this made having a panic attack a slightly less terrifying prospect and made them lose some of the power they had over me.

Avoidance Makes Things Worse
When I first developed anxiety, I quickly learnt that a great way to not feel anxious was to completely avoid the things that made me scared which later developed into agoraphobia. Although it’s really tempting to hide away from the things that scare you so that you don’t have to deal with them, it usually just makes the anxiety surrounding the situation worse. Every time you avoid a situation that makes you anxious you are feeding that belief. In my treatment for anxiety, I have learnt that the only way to get over a fear is to become familiar with it and create positive associations and memories around it. It takes a lot of courage to take that first step, but every time you face a fear it loses some of its power and gets easier the next time around.

Medication/Therapy Won’t Change Who You Are 
I used to be so afraid of the idea of taking medication for my anxiety or telling a therapist my deepest darkest thoughts and feelings. I was worried that by treating the mental illness it would mean changing a part of me. I wish I knew how much taking medication and going to therapy would help me so that I would have done it sooner. Medication and therapy has not changed who I am, it hasn’t messed with my brain and made me into an unfeeling zombie. It’s simply made me a less anxious person who can better manage their mental illness.

Not Everyone Will Understand 
The biggest frustration for me when I was first diagnosed with anxiety was how little the people around me seemed to understand about it. For many years my family were at a loss for what to do to help me, they just couldn’t understand why I was terrified of such normal mundane things. Something that really helped things click into place for my family was when I explained mental health in metaphors and related it to the way we treat physical health. Give the people around you time, be as open and honest as you feel comfortable with, pull information from the internet and learn as much about your illness as you can so that you can better explain it. The people you love might not always understand, but them asking questions and wanting to know more shows good intentions and is a starting point so don’t lose heart.

Take Baby Steps
The best method in confronting anxiety for me has been to break things down into baby steps. Scared to walk down the street? Start by just opening your front door. Increase how long you can keep that door open for. When you start to feel more comfortable, take a step outside. Work up to taking three steps away from your house. When you’re ready, walk to the nearest lamppost. See what I’m getting at here?

When it comes to facing your fears you don’t have to dive in at the deep end. Start with the step that feels the most doable to you and work your way up to the bigger stuff at your own pace. It doesn’t matter if it takes a week or a month or even longer to achieve your goal, you’re still kicking anxiety’s butt. Make sure that you celebrate your successes no matter how small they may seem, they’re each a step in the right direction.

Bad Days Are Allowed 
I used to worry so much if I was having a bad day/week/month with my anxiety that it meant that I was going backward. Now I’ve learned that it is completely normal and okay to have a bad day. Even people who don’t have a mental illness have bad days. Life isn’t perfect and there will be ups and downs along the way. These days, if I’m hit with a bad bout of anxiety I try to ride it out like a wave and if I have to take things back a step because everything suddenly seems too hard that is okay. Go back to your easiest step and start building yourself back up again.

Put Yourself First 
Like any illness, when you are unwell it is important that you prioritise and put yourself first. I used to feel really terrible if I had to cancel plans or let somebody down because my mental health was bad but now I realise that on the grand scale of things your health is more important. Never push yourself to do something you don’t feel ready to do for somebody else. Respect yourself, your boundaries and your health and don’t be afraid to take time out to rest and look after yourself.

Mental Illness Does Not = Crazy/Dangerous 
Oh boy, when I was first diagnosed with a mental illness I was so afraid to tell anyone in case they thought that I was crazy and/or dangerous. There is a really negative belief out there about people with mental illnesses and that they might pose a threat or be a danger to society. I used to be really frightened of myself and what I might be capable of. Having a mental illness does not make you dangerous or crazy. You are not about to go on a murderous rampage just because you are ill. So many people are living and functioning in this world with a mental illness. If having a mental illness turned us all by default into the crazy killer stereotype that horror writers are so fond of portraying then the world would be apocalyptic right about now.

Living Life Trumps Fear
Something that I have learnt only recently is that fear is not a good enough reason for me to not live the life I want to, not anymore. Every time that I have felt like I was going to pass out from panic but carried on anyway it has been worth it.

Every. Single. Time.

When it comes to doing the things I want to and living my life, fear is not a good enough reason to hold me back. I would rather be terrified and get to do what I want to, than let anxiety dictate what I can and can’t do. My life is of more value to me than fear.

You Will Get Better 
You know, people used to say this to me and I never believed them. I couldn’t imagine ever getting rid of this albatross that I carry around with me everywhere. Here’s the secret, when people say you will get better they don’t mean that your anxiety will get better, they mean that YOU will get better at managing it.

Ten years on from my diagnosis and I am still living with anxiety, it hasn’t gone away completely and to be honest, I don’t think it ever will. But *I* have gotten better. I have gotten better at dealing with it, I have gotten better at putting myself first, I have gotten better at riding out a panic attack, and I have gotten better at facing my fears. It takes time, but you come to learn your illness and how it affects you and at first you begin to cope and then you begin to thrive. Anxiety doesn’t get better, but you do my friend, you do.

If you enjoyed this post, you can find more on: 

 Bloglovin' | Twitter | Jess Hearts Books

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My Journey with Anxiety

About 20 months ago, I dropped out of University. There were a multitude of reasons this, but the biggest was probably my rapidly deteriorating mental health and anxiety.

I had my first panic attack on the evening of the 8th of January 2015. I won’t go into details but due to also being a hypochondriac I came to the conclusion that I was dying, went to a hospital less than 8 hours before my English exam for them to tell me that no, I was not dying, and that my body had just panicked a bit. It was probably due to my exam and other things going on in my life at the time, and that it would probably be a one off experience.

For the next 6 months, I had a panic attack almost every single day.

There were days when I would have up to five or six in a day, days when all I would do is go from my bed to the sofa downstairs and back up again in the evening. I was terrified to leave my house, terrified to be separated from my safe place and my safe people. I was exhausted all the time due to my body being constantly on edge and my appetite decreased dramatically. I was miserable and scared, and what was worse was that nobody was taking me seriously. Doctors fobbed me off with anxiety meds but no diagnosis, my dad would tell me to ‘just calm down and stop worrying’. If you have any experience with anxiety, you know this is the worst thing to say.

Over those six months, through a combination of therapy and learning to recognise my thought processes, the panic somewhat lessened. I went from 5 panic attacks a day to one. I got a job in a fast food restaurant in my local town which gave me a purpose and something to keep my mind occupied, although there were many nights I ended up calling my dad on my breaks sobbing that I couldn’t make it through my shift.

With time and therapy though, I began to understand what was happening to me. I learned that when the panic kicked in, my brain was thinking illogically and that by doing sums or counting I could force my brain to think logically to help me calm down. I figured out what my triggers were, things including large crowds of people in a small space, heights, illness and feeling generally out of control. By understanding my triggers and what to do when my anxiety was running high, my panic attacks became somewhat less frequent and more manageable.

In June 2015, I went to the USA for three months. I spent two months working at a summer camp and one month travelling. In my time there, I had one, very minor panic attack in a Walmart that I managed to get a hold of within 2 minutes. With the stress of camp dynamics and having a job where I was ‘On’ for 22 hours a day, I didn’t really have the time to panic, and so my anxiety took a back seat.

When I returned home in September of last year, everything was great. I managed to get a job within a month and I was much calmer and more relaxed than I had been before I went. Around December however, the panic attacks started returning.

They were small at first, things I could handle with two minutes and a sit down in the stock room. But then at the end of a shift in about April a major one hit. Luckily it came on about 5 minutes before I had to clock out so I rode it out and immediately went into the changing rooms to do my counting and breathing exercises that always brought me back eventually. It took me half an hour to calm down, and I spent the rest of the evening in bed because I was so exhausted.

Thankfully, I haven’t had a big one since then. I still sometimes can feel my heart racing or feel a bit dizzy, but I can usually intervene with the exercises I’ve learned help me before it escalates. However in about a month I will be returning to University, thrown into a city I don’t know with people I don’t know and I’m scared it’s going to flare up again. I’m well aware that these past few months have been a good patch and that I will probably be dealing with anxiety for the rest of my life. But that’s ok; hopefully through understanding my triggers, therapy and knowing what works to calm me down, I can take on University and life and not let my anxiety hold me back in the process.

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You're Braver Than You Know

You're standing on the edge of a cliff. There is a ten-thousand foot drop in front of you. Jagged and sharp rocks are at the bottom. Ferocious waves are crashing against the rocks. Would you jump? 

The natural answer is no. As soon as your body sees the dangers, its natural fight or flight urges come to forefront and will warn you that jumping is not a clever idea because the risk is too high. There is probably a 1 in 1000th chance that you won't hit the rocks, but then you have to hope that you don't die simply from the impact of hitting the water and then that the ferocious waves don't smack you against the rocks. There is probably a very, very minimal chance of surviving the jump.

Now, most people will never actually have to worry about this sort of thing. The chances that you'll be in a life-threatening situation is small but our bodies naturally have this instinct in our bodies. This instinct, when activated outside of a life-threatening situation is called anxiety.

Every single time my anxiety says hello to me, I know that my body imagines the above. It imagines that I have a minimal chance of surviving. To have that feeling and to still "jump" (eat the food, enter the crowded room, sleep without doing x,y, or z), is incredibly difficult. I can't just jump. I need to first tell my brain that there is no danger and that is not an easy thing to do. I often need to do things to make myself feel better about the situation, to help myself feel more in control of the situation. 

When I had my Cognitive Behavioural Therapy a few years ago, my therapist called me brave. The reason for this is because I knew a certain situation was going to fill me with anxiety but I went anyway. At the time I shrugged it away. I wasn't brave, I was just doing what everyone else did. I was just getting on with life. My reasoning for this was that I could avoid what was going to make me anxious (i.e. not eating the buffet food at blogger events) or have a time out if I needed it.

But then Laura posted this post last week and on Wednesday Jess told me that "I was amazing" because she couldn't tell that I was having an anxiety attack about eating some food. Admittedly I actually had a few anxiety issues the day I saw her. And due to all of that I realised that I am brave. It's one of those things that I find difficult to admit (see this post) but I need to because I am starting to realise that it's true.

Bravery is about feeling the fear and doing it anyway. And this is what I do on a daily basis and is something that I'm doing a lot more of now too, to try and battle my anxiety completely. The more I do things I'm uncomfortable doing, the sooner I can remind my brain that I am completely safe and eating that food with my fingers without washing my hands right beforehand is not a life or death situation. And if I can do that, maybe one day I can just go out and be with my friends and not worry... well... at all.

I know there are still times that I avoid things. Times when I throw food away because I simply can't look past my anxiety, times when I cancel social events with strangers or return to my car to double check I locked it but no one said I had to be brave every day. And it's okay to be weak every now and again but that doesn't belittle everything else I've done. This is just another thing that I also need to remind myself every day too.

If you've done something today that makes you brave, I'd love to hear about it so do tell me all in the comments or on twitter!

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My Mental Health Treatment Journey Part 2: Therapy

This is the second part of my mental health treatment journey all about therapy. Make sure you check out part one about medication here.

Like taking medication, I was very reluctant to go to therapy. I think I was around fifteen when I went for my first therapy consultation and I was very self-conscious. I was worried that someone I knew would see me go into the mental health section of the hospital and tell everyone I was mad. Back when I was a teenager mental illness was still a very taboo subject that had a lot of misinformation surrounding it. There was no Depression, Anxiety, PTSD and OCD known to my friends, there was just sane and crazy and nobody wanted to be associated with the mad girl.

That first therapy appointment was a bit of a disaster. Back then I didn’t have a diagnosis and just assumed that I was depressed. My GP had referred me to the children’s mental health services at my local hospital and I remember being very nervous. This was the first time that I’d ever told a stranger my story. At the end of that appointment the lady I’d poured my heart out to for the past hour basically told me that she wasn’t really qualified to treat me. You see, what triggered my mental health problems was being in a mentally and physically abusive relationship with a boyfriend. I was essentially a child with a grown up problem that that particular therapist had no experience in handling. After weeks of getting my hopes up and psyching myself up to tell someone, I was sent away and told that I would need to see an adult psychologist. Sorry.

I was on the NHS waiting list for a good six months before a letter came through with an appointment to see a therapist at the big doctor’s surgery in my hometown. The only problem was my mental health problems had gotten so bad at that point that I could no longer leave the house never mind go to a place near where trauma had happened to me. After months of waiting I’d hit another dead end. I remember overhearing my mum on the phone to our doctor in tears begging him for help “She can’t go, I don’t know what to do” she whispered into the phone. He said that if I “refused” to go to the appointment there was nothing more he could do. Even my doctor didn’t understand that I desperately wanted therapy but I physically could not leave my house.

Deciding to take matters into our own hands, my mum found a local domestic violence support group who we got in touch with. They said they could send a support helper to our house for weekly appointments. I was so relieved to find someone who could help me. At the time a lot of mental health professionals had stopped doing home visits because of safety reasons (so I was told time and time again) so I couldn’t believe I’d found someone who not only had dealings with people who’d experienced domestic violence but who could also come to my home so I didn’t have to go out.

A couple of weeks after contacting the group a lady was sent to my home to learn more about my situation. I explained about how I was in an abusive relationship and how that had triggered some sort of depression. I was so hopeful that day but again was left disappointed. The lady didn’t seem to know what to do with me. All of her information sheets she gave me to read were about women who were married or have children and not for a teenager like me. At the end of the session she suggested making an appointment for both me and my ex to talk about the abuse because she wanted to hear his side of the story. The last thing I wanted was to see my ex again after finally breaking away from him. I had a huge panic attack and when she left I spent the rest of the afternoon in my bedroom in tears. I can’t explain how disheartening and lonely it feels to get knocked back time and time again when it comes to something so very personal.

With another road blocked off to me I went to see a new doctor who wanted me to get a proper diagnosis. A couple of weeks later I went to the mental health building at another nearby hospital to get assessed by a psychiatrist who diagnosed me with PTSD, Anxiety, OCD and Depression. It felt so good to finally know what was wrong with me. I went back to my new doctor with my diagnosis and explained to him about what I now knew was my Anxiety and PTSD making it impossible for me to go to places locally that triggered panic attacks and flash backs from past abuse. He was really understanding and referred me to a quiet little practice an hour’s drive from where I live.

Once again I was put back on the waiting list and this time it took eight months for me to get an appointment. By this point with no treatment for over a year I had untreated PTSD, crippling Anxiety, OCD and Depression. I was basically a recluse whose days consisted of debilitating routines and safety checks that could go on for hours. On that first appointment I had to share my entire back story again and was so scared that I would be turned away and told there was nothing they could do for me. At that point I was desperate for help. When she started talking about the type of therapy she wanted to do with me and asked me to make another appointment with her I burst into tears. I was just so relieved that I’d finally found someone who could help me.

The NHS gave me 24 appointments with my psychologist and she decided to treat me with CBT (cognitive behavioural therapy) a type of therapy used to stop a cycle of negative thoughts and create positive associations with things that scare you. Having CBT is one of the hardest things I’ve ever had to do. I constantly had to face my fears and challenge myself. I described the fear I felt to my family as feeling the same way they’d feel if they were put in a cage full of lions. We focused most of my sessions on treating my OCD which was probably the most out of control at that point. It was incredibly difficult and I didn’t enjoy it one bit but I slowly noticed myself getting better and started to find things easier. I’m pleased to say that as I type this my OCD is now pretty much completely under control.

I was so disappointed when my 24 sessions were up because in that time I’d managed to tackle all of my little fears and was now ready to move on to the big stuff and we hadn’t even begun to treat my PTSD. I was advised to take a break from therapy for a while and put the new strategies I’d learned from CBT into place on my own. Both my psychologist and doctor thought that I’d really benefit from some counselling which at the time I wasn’t ready for. I knew that counselling was going to involve talking about the past and I’d just got to a point where I was starting to feel better and build a new life for myself. The last thing I wanted to do was to look back to where I started. I wanted to move forward and was determined that I could do so and I did. I spent a few years out of therapy putting the things I learned from CBT into practise in real life situations and continued to move forward on my own with the help of medication.

Last year I got to a point where I felt like I’d got as far as I could go on my own and now I needed some more help. I’d started to build a solid new life for myself and felt strong enough to look back. My doctor said that what I’d been doing was putting a plaster over the wound which fixed it for the moment and stopped it from getting worse but it was now time to take the plaster off, go in and clean it up and stitch it together properly so that it could finally heal.

Going to counselling was one of the bravest things I’ve ever done. I managed to find an excellent private counsellor. I didn’t want to have to be put on the NHS waiting list again, this time I wanted to do treatment my way and be able to have as many sessions as it takes. She knew my financial situation wasn’t great and so she very kindly charges me half her usual rate. Her house is in the middle of the countryside it’s so peaceful and I love going there. Together we’ve looked at my past and how that affects my present and how my PTSD being left untreated for such a long time made it dangerously worse. I trust my counsellor completely and have started taking my biggest steps in treatment under her gentle guidance.

For me, timing with counselling was everything. I think you can have the best counsellor to talk with who gives the best advice but unless you’re in the mind set where you’re ready to put the work in and be uncomfortably honest, you won’t get the most from it. It’s hard work and it’s so easy to miss an appointment or to hash over the truth. I know that if I was to start counselling back when I’d finished my CBT I wouldn’t have opened up in the way that I have now and said the things I needed to say. I was like the person who desperately wanted to be thin but didn’t want to do the diet or exercise to get there, it just seemed too hard for me back then, I wanted immediate results and none of the hard work. With therapy, unlike medication, the hard work is ultimately down to you. It’s difficult and leaves you feeling like your heart has been scrubbed raw some days but my god is it worth it.

If medication is my shield then therapy is my battle plan. It’s knowing what areas are going to be difficult so I can prepare, it’s knowing my strengths and putting strategies in place to get through the hard times. Now I’m at a place where I have my shield in hand and my battle plan in the forefront of my mind. The war inside my head is not over but I’m in the midst of it now and I’m not alone. I have trusty allies by my side and confidence in knowing that when the battle is over and the dust has settled I have a future waiting for me on the horizon and it’s one worth fighting for.

If you enjoyed this post, you can find more on: 

 Bloglovin' | Twitter | Jess Hearts Books

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My Mental Health Treatment Journey Part 1: Medication

The other day I was talking to a friend about my experiences with medication for treating my mental illnesses. She was starting the same medicine that I’m on and wanted some guidelines on what to expect. After talking to her I realised that talking about what medication you’ve tried and what sort of therapy has helped you isn’t a common topic of conversation. 

When starting a new course of treatment it’s normal to have questions but other than talking to your doctor there’s nowhere to really turn to for these discussions. So I’ve decided to share with you my experiences with medication and therapy in the hopes of encouraging people to start having these conversations and also to hopefully shed some light on the different kinds of treatment out there. 

It wasn’t until I started writing this post that I realised that my story is a long one and so I’ve decided to split this into two parts, this first one is about medication and the second part which will be up later this month is on therapy. 

As a disclaimer it’s important to know that different medicines and therapy are used to treat different mental health problems and one set way doesn’t work for everyone. This is just my personal journey.

My first step in treating my mental health problems was with medication. My family noticed something wasn’t right with my mental health before I did, so when I was fourteen after a lot of coaxing (and the promise of a McDonalds after) my mum took me to see our family GP. I remember him speaking to her rather than me and them talking about my moods and how important it was for me to get through my GCSE’s. He prescribed me a low dose of Prozac and wrote off my moods as stress from school. The Prozac seemed to do the trick; it got me through the next few years although I did notice that I often felt happy or sad with nothing in between. When going for my medication reviews this was wrote off as typical teenage mood swings.

When I was sixteen my mental health got vastly worse and so I went back to my GP who put me on a higher dosage of Prozac. That’s when things went very bad. My moods were either very high or very low. I’d either spend my days constantly on the go or struggling to get out of bed and go to school. One morning I got out of bed and honestly felt the worst that I’ve ever felt in all of my years living with mental illness. In tears, I made it downstairs and collapsed on the living room floor hysterically crying. I was inconsolable and had no idea what I was crying about but I couldn’t stop. I felt deeply depressed and just wanted the dark cloud that seemed to be following me around, weighing heavy on my shoulders, to go away. I felt like I'd literally hit rock bottom lying on that floor. My mum couldn’t get me off the floor, never mind to the doctors, so she made an emergency phone call to him. He said I’d had a bad reaction to the Prozac and that I was to come off it immediately. Slowly, as the Prozac came out of my system, I started to feel better. My mental illness was still there but I didn’t feel as bad as I did on Prozac.

My doctor wanted to try me on a different medication but after my bad experience I was very reluctant to give anything else a go. Slowly my mental illness (which I didn’t have a name for back then) was steadily getting worse. My typical day consisted of waking up and feeling too anxious to leave my house so I’d stay in. Trying to make myself useful, I’d fight off the depression that was demanding that I stay in bed and force myself to shower, prepare meals and tidy up all of which required me to check certain objects or touch switches and door knobs repeatedly until the feelings of anxiety subsided - a ritual that could go on for hours. Then, mentally exhausted, I’d collapse into bed and sleep the rest of the day away. Something had to change but I was so scared of going back to my GP in case he wanted me to try medication again, which at this point I was really against. After much persuasion from my nearest and dearest I went to see a different doctor. Before doing anything he wanted me to get a proper diagnosis, something that other mental health professionals have since told me should have been done all along.

Two weeks later I had a one off appointment at the mental health branch of a local hospital and was asked some questions for about an hour by a psychiatrist. After the appointment finished she asked me “What do you think is wrong with you?” and I answered “Depression” it was the only mental illness that I’d heard of at that time that somewhat fit my symptoms. She diagnosed me with PTSD, Anxiety, OCD and Depression. I was confused, I said to her “I thought PTSD is what soldiers who’ve been to war have? And isn’t OCD when you need things to be clean and worry about germs?” She was brilliant and explained to me that the abusive relationship that I was in at that moment in time had created trauma in my brain and that OCD is more about the obsession behind the acts rather than what you actually do to stop the anxiety.

Having that diagnosis changed everything for me. My doctor now knew what was wrong with me, I could research the illnesses online and find people like me. It made me better understand my moods and  knowing what was wrong made it treatable. If you think you have a mental illness I’d strongly recommend asking your doctor for a referral to get properly diagnosed by a mental health professional so that you can get the right treatment. There are a wealth of mental illnesses and conditions out there that you may not have even heard of or considered. Knowing what you have and treating it correctly can make all the difference. It's like if you went to your doctor and were treated for eczema when you’ve actually got impetigo. Getting the right treatment for your condition is crucial.

When I went back to see my GP with my new diagnosis he then prescribed me Citalopram. I was very cautious about this but my doctor was really great asking me to keep in touch with him if it made me feel bad and saying that I could come off it or we could try something else. He told me that just because one medication didn’t work, doesn’t mean that none of them will. Those words were the real turning point for me and are something to keep in mind when going through treatment. Confident in my diagnosis and trusting my new GP I bit the bullet and tried Citalopram, because of the severity of my mental condition at that point I was put on a high dose of 60mg. At first it didn’t feel like the medication was doing much but a few weeks in and I started to feel very numb and a bit like a zombie. I hated feeling that way so in my medication review I was honest with my doctor who decreased it to 20mg which turned out to be the perfect amount for me.

Taking Citalopram certainly didn’t cure my mental illnesses but it did soften the sharp edges of my mind making the PTSD, Anxiety, OCD and Depression easier to live with. It also didn’t come without a trade; I put on weight, lost my sex drive and often felt lacking in energy. But to some extent I got my life back so guess who won that trade off? I’ve been on a 20mg dosage of Citalopram for the past ten years; it suits me and has improved my life so much.

I’m so glad that despite my bad experience with medication I tried again. There is so much negative stigma surrounding taking medication for mental illness and I was someone who, for a time, believed that stigma and refused treatment that could have made me better sooner. For the record, taking medication hasn’t changed my personality - if anything it's made room in my brain for my personality to shine through now that it’s not so cluttered with obsessive thoughts and all that darkness. It hasn't dulled my creativity (hello blogging!) and I still experience other feelings vividly and intensely. For the longest time I truly believed that medication was my enemy. That taking it was weak and wrong and would change who I was. Medication is not my enemy. It’s the shield I use to stop the mental illness from hitting me so hard. Deciding on whether you want to take medication or not is a personal choice, but know before you decide that there is no right or wrong option and that there is no shame in picking up that shield.

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