Losing grip on reality

I feel am losing my grip on reality. I just don’t seem to know what is real or what i have dreamed / made up / imagined. It’s a bizarre feeling. I seem to have lost the ability to put things in chronological order / timescale. Things that happened weeks ago seem like yesterday and things that happened today/yesterday seem to be from weeks ago. I don’t know if this is a coping mechanism or something else. Am getting confused with things that have actually happened and things that i have dreamt and imagined. I know i’m not losing my mind but my mind just seems to be a lot more jumbled than it normally is.

I Struggle with getting things done, always thinking I’ve got plenty of time to do it and then realising that i don’t. I’m stressed and worried because i feel like i have so much going on at the moment and in reality when sitting down and working it out, its not a lot 2 or 3 big things and there’s nothing i can do straight away its waiting for appointments or waiting for the correct time to arrive. When I was ‘well’ before my breakdown, i was working as well as coping with everything else and now i cant seem to 2 or 3 things. It is so depressing and humiliating. I know i’m unwell and not in great health but it just feels wrong and makes me feel guilty and makes me feel like a failure and i’m letting everyone and the world down. I didn’t ask to be Ill and don’t like asking for help, but know i’m struggling. It’s very difficult to ask for help as i don’t know what help is needed/required or what is available.

I’ve recently restarted counselling and this may be what has thrown me out of whack lately as we did talk about a number of different things in-depth. Its scary being scared of everything and talking about it as it really does make you think you, you are crazy.

On the flip side there has been some good things happening.

  • Restarted counselling, I know its small steps and its working on one problem at a time, but anything is better than just stopping and doing nothing.
  • Under going tests for Autism It’s not another thing I suffer from, but a solution or answer to why and how i react / think of things. And so far things are making a lot more sense in regards to this. Have only had one diagnosis session so far and the result was that i have autistic traits in all 4 areas.

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.

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!

 

Feeling Worthless or Guilty

I feel so guilty all the time. Feel guilty for having dark thoughts for not being full of joy and life. I know its part and parcel of Depression and PTSD. Its part of my illness but still hate it. Feeling guilty for needing someone to talk to or asking for help. Its my issue, my illness so why bother others? Well as the saying goes ‘Problem shared is a problem halved.’ I’m slowly starting to open up and the blog really does help.

Some days i just gotta focus on myself as my mental health or physical health isnt great. But feel so guilty to say i need time out or i need a rest day!

 

Its not just me:

“Feeling Worthless or Guilty

People who are depressed may tend to think of themselves in very negative unrealistic ways. They may become preoccupied with past “failures,” personalize trivial events, or believe that minor mistakes are proof of their inadequacy. They also may have an unrealistic sense of personal responsibility and see many things as being their own fault. For example, a car salesperson may spend a great deal of time blaming himself/herself for not meeting certain sales quotas even when the overall sales of cars in the area is down and other salespeople are having similar difficulty. Sometimes this belief of personal responsibility can become delusional. For instance, a person may begin to believe that he or she is to blame for civil unrest in other parts of the world.

Self-loathing is common in clinical depression. This can be a downward spiral when combined with other symptoms such as lack of energy and difficulty with concentration. For instance, if a person has been unable to keep the house clean or finish assignments at work, he or she may look to that as proof that he or she is a bad person. The more things do not get done at home or work, the worse a person feels about him or herself. In reality, the person has problems at home and work because of the effects of a depressive illness, not because he or she is a “bad person.”

Diagnostically, a person would experience feelings of worthlessness or excessive guilt almost every day for a period of two weeks in order to meet criteria for major depression. However, beliefs or thoughts that do not meet the criteria for major depression include feeling blame for being ill and not meeting personal responsibilities as a result of clinical depression.”  [whohit]Feeling-worthless-or-guilty[/whohit]