Where to start?

Argh! Don’t know where to start or what to do for the best. I have so many different issues both physically and mentally that need addressing. I have noticed however all these issues overlap and interact with one another. The way the mental health team and the GP work is to focus on one issue at a time. Which in theory would be a good idea, but by doing this its causing different issues to get worse or has unintended consequences.

I have just finished an ‘Anxiety group Workshop’ course of treatment. To be honest I think it made things worse than it did in actually helping. It was good to find out and hear from others that they were experiencing the same anxiety symptoms as I was (although for different reasons) so I learnt that I wasn’t alone and that I shouldn’t be so scared of the symptoms of anxiety. But it did show how bad and deep my depression was, we had an exercise where we had to challenge ‘negative thoughts’ and turn them into positive ones. For example I’m nervous of going out of my flat. “Something bad will happen if I do” so we had to change it into a positive thought “something good will happen if I go out” but I found that although I could make up something and change it into a positive I didn’t actually believe it and just made me more depressed.

Things that need to be sorted:

Depression – Have had depression for around 15 years, It comes and goes but is always there. I was in an abusive relation for 6 years, in a job that i was constantly bullied in for 10 years. A lot of people have taken advantage of me and my good nature, which makes trusting new people difficult. Have struggled with coming to terms with my sexuality, and struggled with my disabilities – Dyslexia, Hearing loss, musculoskeletal issues, mental health issues. and often depressed about money. Feeling low increases my anxieties. I have been suicidal and don’t want to fall back into that.

PTSD – Still getting flashbacks and nightmares of the events in 2013. This increases my anxiety and depression.

Anxiety – Because i’m anxious all the time and have physical symptoms (sweating) and panic attacks means I often don’t go out, makes me feel guilty and stops me from doing the things i used to enjoy and this makes me depressed.

Health – Due to musculoskeletal issues I’m constantly in pain, which makes my mood low, I tend not to go and get anxious that if i do go out i’ll be in pain or make it worse and i’m not in the right mental state to face surgery on it. I’m on 13 tablets a day, which i know is a lot and proves to me everyday that i’m unwell and increases my depression and my anxieties. I’m very conscious of my hearing aids and how people might react to it.

It’s only a brief description of the things i need sorting, because theirs lots more involved and i’m not comfortable sharing or bringing up everything at the moment, hopefully will give people an insight into how everything is interlocked and overlapping. So when your focusing on one single issue the other issues get worse, and its like taking one step forward and 2 steps back. GP wants to know how i want to move forward with my treatment and what i want to focus on, but i really don’t know as everything is connected. Nothing is worse than anything else, they are all as bad as each other. Ideally would need to work on all of them at the same time to slowly reduce the effects but the Health system doesn’t appear to be set up to accommodate that.

Flashback Re-emergence

After having my breakdown in 2013 I had loads of flashbacks due to PTSD. Almost all of them were me ‘flashing’ back to the Time that Greater Manchester Police were in the flat, The Hi-viz jackets they wore were so visible in the flashbacks. I had some Therapy in 2014 which used an NLP approach to help me deal with the flashbacks caused by PTSD. It really did help and I had thought I had gotten a handle on it, however they have re-emerged this week.

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The trigger this week was due to Greater Manchester Police turning up at the flat again. (Nothing as serious as 2013) but it brought all the memories back again and the flashbacks. The flashbacks are a mixture of the 2013 events and this weeks, yet again the officers hi-viz clothing is extremely vivid.

I Have been so anxious and shaky since they turned up. Just as I thought I was getting somewhere, something simple throws me back.

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Advice, Assistance, Directions…

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I don’t know what to do for the best…

When i finished my last counselling session in 2014, i was starting to get back on track and finding my way again. The sessions helped with my PTSD. My flashbacks and nightmares were the biggest challenge at the time. Then in January 2015 i felt strong enough to get help for my next issues which was anxiety and my GP Referred me for CBT (Cognitive Behaviour Therapy). Which I agreed was right for me at the time. However i was expecting a 12 month waiting list. I’m now 9 months in and social anxiety is my biggest issue, however I’m not sure that CBT is now right for me in my current state of mind. I think talking to someone about my anxieties and things that had happened in my past (domestic abuse and past issues) that seem to be running rampant around me mind at the moment.

I’m scared of saying anything to my GP or asking for different help, cause i really don’t know what is for the best. I don’t want to end up in the same situation, if i cancel or change the CBT, i might then go back on a waiting list for another 12 months and that wont help. But at the same time, doing counselling/CBT when your not ready for it or in the right frame of mind, is also dangerous. (Numerous GP’s and mental health people have said this).

I feel i’m not only letting myself down, but letting friends and family down. Everyone wants me to get better ASAP, even though there is no official timescales for recovery. I don’t want to be a burden, a worry or a cause of stress for anyone.

There is always the crisis team, which i know have helped others before, but without a GP or someone referring me, i feel like a fraud asking for help. I just don’t know what to do or where to go!

 

Unsettled nights….

Since my breakdown in 2013, I had huge sleeping issues. Loads of nightmares and Flashbacks (PTSD) and really wasnt sleeping. I went for counselling in 2014 and we used an NLP approach (Neuro-linguistic programming), to try and get rid/reduce the unsettled nights. It worked the nightmares and flashbacks have ‘stopped’ and i’m no longing waking up in panic.

But it seems to have had a different side effects. I still appear to be having nightmares but the NLP approach stops me remembering them, which stops me waking up in panic. But lately I’ve been waking feeling very anxious and i’m not getting great sleep, lots of tossing and turning. Because i cant remember them, I don’t know what’s caused the anxiety so i can’t fight it or overcome it. Just have to put it down to nightmares and carry on.

Although the NLP approach has helped to stop the panic attacks and is allowing me to get some sleep, I don’t really know how to over come the current issues. Hopefully as treatment continues (on waiting list for Cognitive Behavioural Therapy), it will help address these issues. Positive thinking anyway.

 

 

PTSD – Flashbacks

Since my Counselling Started to help reduce my Nightmares and flashbacks from events that happened in Nov 2013. I have had a good couple of months without them, but had had the first one in ages the other night. Scared the crap out of my was screaming as i woke. But it didn’t disrupt my whole day like they normally do. Small victory but a huge step forward for me.

Flashbacks are horrible. Takes ya right back there to all the sounds, smells and feelings i had at the time of the incident. Its definately not like recalling a memory. Terrified, but shows the counselling works as i could calm down and more on soon after. It didn’t ruin my whole day.

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Small steps..  [whohit]PTSD-Flashbacks[/whohit]

Steps

Counseling Continues…

Since my breakdown have been struggling with a lot of things. I was referred to Counseling through my GP. I Had an assessment with the Mental Health team where i live and we agreed that the Sleeping issues and Flashbacks were the first priority. I wasn’t sleeping at all. And this mean me very tired, no motivation and making me very depressed. I couldn’t sort anything out until my sleep had been either sorted or at least helped with it. I was offered Counseling from the Mental team and agreed a course of treatment – Neuro-linguistic programming (NLP) as an approach to coping with the flashbacks and nightmares. As per the current rules, i had a maximum of 6 sessions booked for me, to go through the steps to the road to recovery.

Gotta say it had been great and worked really well, My Counselor is great. The NLP approach has helped me to get rid of the flashbacks and reduce the amount of nightmares. All the nightmares related to the November incident i can now control and I’m not in such a state waking up. I can actually fall back to sleep (most times) after having a nightmare.

I’m still having nightmares but no where as severe as they were and still having lots of trouble sleeping. I have discussed the thoughts and reasons around why this is affected me and we have come to the conclusion that its now the Anxiety disorder which is now the main thing.  A lot of the nightmares and trouble sleeping are now down to being in a constant anxious state. The Counselor feels that we have completed and done everything to resolve the nightmares and flashbacks and its now time to look at the next treatment. At the moment the way the Mental Health service works is that you are first referred by your GP, you have an Assessment and are allotted up to a maximum of 6 sessions. They Will only focus at one particular issue at a time. (So as i have multiple Mental health issues, i would need to be referred multiple times.) Once you have finished with the 6 session you will need to wait at least 6 weeks before starting any new sessions.

I had my 6th session on Friday, however my counselor wasn’t happy to discharge me from her care. I have been described as an ‘An at risk Adult’ and ‘A vulnerable person in my current state.’ As we have reached the maximum number of sessions, she had to discuss my case with her Manager. They have both agreed to continue the Counseling on an ongoing basis and they are unhappy for me to be discharged from the Mental Health team and counseling at this stage. Mainly due to the risks involved, but also because of the relationship and trust that i had built with my counseling and she feels were are making progress together and that if i was discharged. The things might get, worse and may slip back into old habits and undo the good work. So will start working now on the Anxiety.  [whohit]Counceling-continues[/whohit]

So both good and bad news. Good news is that i wont have a break in terms of my therapy and wont have to change counselors. This means i should hopefully be able recover and move on with my life after my breakdown. The bad side to it is that I’m still so unwell they wont discharge me.