Showing posts with label treatment. Show all posts
Showing posts with label treatment. Show all posts

Wednesday, 1 June 2016

My Year Without Self-Harm

Yesterday marked me reaching one year without self-harm. This is an anniversary that seemed distant for eleven months, overwhelmingly difficult for the entire twelve months, and yet I was determined to reach it. It’s not that a year is the longest I’ve ever managed. Nor can know for sure that I will never self-harm again. But it was important for me, as a personal kind of challenge, to be a year without incident by this summer. I set my mind to it and, no matter what occurred, and a lot has happened over that time, I didn’t want to use my usual methods to cope with it.

You may or may not struggle with self-harm. There may be other coping strategies you use that you find equally unhelpful, but familiar; whether that be overeating when stressed, retreating from the world when afraid or drinking to numb your emotions. I would like to share five things that have helped me stick to my promise of reaching my year’s milestone. I hope that, wherever you’re at, they can help you in some way too.

Count the moments, not the days.

I made the mistake, early on, of noting what date would signify my year without self-harming. Whilst this was helpful so that I knew where I was heading, it made it more difficult day-to-day. To know that I still had months to go was disheartening when I was struggling. To look to a date in the future also took away from the achievement of not self-harming on single, difficult days. If you’ve used a means of coping for a number of years, it becomes addictive and automatic. Therefore, it’s such an achievement when you manage a moment without it. This moment should be counted.

Do the opposite of what you want to do.

When everything in my mind was telling me that I needed to hurt myself, either as a means of coping with stress or as a way of “punishing” myself, the biggest way I could choose not to act on those thoughts was to do the very opposite of what they were telling me to do.

If I felt like I couldn’t cope with stress, I would continue to pursue what was making me anxious. Of course, that isn’t to say that if you genuinely don’t have the resources to manage, you should put yourself in impossible situations. But I know that stress often occurs for me in situations that are manageable, albeit difficult.

Secondly, if I want to punish myself or attack myself physically, the very best way of counteracting that is to do something nice for myself. If I have a tough therapy session, I’ll take myself to a coffee shop for coffee and cake. If I want to use my hands to damage my body, I will use them to paint my nails or rub in moisturiser. If I want to withdraw from positive opportunities, I will leave the house and intentionally find something I will enjoy.

Stepping back from the intensity of my emotions by acting opposite to them gives the space needed to find a helpful resolution and to consider alternative options. It tells my body that there are numerous ways of responding which don’t have to involve self-harm.
Ask if there is another way of seeing the situation.

I am prone to very black and white thinking. If I struggle to speak, I’m a “failure.” If life isn’t how I want it to be, I “need to die.” I think in extremes of good and bad, right and wrong. But the world is many shades of grey and filled with “fairly goods” and “not quite rights.” If you aim for a situation to go a certain way and it doesn’t, it’s easy to feel desperately disappointed. Rather than feel bogged down by that, I ask myself what could have made it better, what may have got in the way, and also consider what was positive about a situation.

I have had therapy sessions where I have been silent for thirty out of the sixty minutes. I get frustrated that I am losing time I could be utilising. I get angry at myself for not doing something so seemingly easy as speak. But if I have only been silent for thirty minutes, that’s still half an hour I used well and, if I manage to turn a session around at the end, that’s taken strength. Even if I’ve needed to write my therapist a letter explaining my prolonged silence, I’ve done something proactive and helpful. There is something positive to take from every situation. Therefore, just as there may be reasons, in my mind, to harm myself, there are reasons to treat myself kindly.

Remember that thoughts aren’t necessarily facts.

“I am a failure.” “I am better off dead.” “I always screw things up.” “Everyone hates me.” These are thoughts that enter my head on, probably, a daily basis and that make the temptation of self-harming all the more appealing. However, it doesn’t take many moments of talking to someone else about these thoughts before they begin challenging them. “What about the degree you gained?” “What about the goals you want to achieve?” “What about the success of your writing or artwork?” “What about your family?”
I treat every thought as if it is factual and accurate, and then respond accordingly. This isn’t helpful. I could have the thought that I’m a millionaire, but if I act as if that is true, I would have bailiffs on to me in a matter of days. Acting on our thoughts has consequences, so it is really important that we check the facts. Is what I am thinking based on evidence and fact? Or is it personal opinion and wishful thinking?

If I challenge my negative thoughts with alternatives, which are factual, there is lesser likelihood that I will want to self-harm. This isn’t to say that I don’t screw things up, but that there are times when I do things well, which deserve just as much attention in my thought-life.

Don’t use the past as a reflection of what your future will become.

There are numerous, substantial events from my years growing up that have a huge effect on how I feel about myself. I blame myself for situations in which I was the victim and I remember cruel words bullies and abusers said to me. I often think that is how my life will continue to look into the future, thus leaving me desperate and wanting to take it out on myself.

However, just because I have a past that is painful and people have hurt me, it doesn’t mean that my future will look the same. I get to decide what I’m worth and my actions demonstrate that to others. There is no way of knowing what difficulties any of us will face in the future, but that is independent of where we have come from. We can choose what we make of the years to come, the amount of value we place on ourselves and what we are willing to put up with from others.

I’m hopeful of another year without self-harm. Using the above methods has helped me immensely, as well as considering what the pros and cons of hurting myself would be. This is a day-to-day process for me, but it is possible to succeed. Every moment is worth counting.


Monday, 4 April 2016

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.


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