Asperger’s Syndrome

During a counselling session last week the Counsellor has admitted  that he is only able to help so far and has identified a number of things. We have been looking at things in depth and using mood diary’s to help. But a lot of the underlying issues we found are ingrained in my mind and cannot be changed, which is causing issues. He thinks I will probably be Diagnosed with Asperger’s Syndrome and he thinks getting the diagnosis will help, in my understanding and will open up other treatments more geared to help me.

I will still be seeing my Counsellor a couple of more times to help with anxiety symptoms and coping mechanisms but wont be a complete fix. Have chased up the Autism assessment and waiting to find out how long the waiting list is.

 

What are the Symptoms of Asperger’s Syndrome?

Symptoms include

  • Difficulty maintaining eye contact
  • Difficulty managing social situations
  • Unable to respond appropriately in verbal interactions
  • Unable to decipher facial expressions or body language
  • Unable to show emotions, may seem emotionally robotic
  • May focus solely on their own needs
  • Focus in on specific subjects they are interested in. Usually the topic is very literal.
  • Resistant to change. May expect the same thing to occur day after day.

On-wards and upwards

Taking a break works wonders. The start of September was particularly difficult, I was very depression and struggling with a number of things. I had also restarted counselling with Bury Healthy Minds.

Took a weeks break and headed to London to visit family and this coincided with a number of Transport events and open days. We had a Trip on London’s Mail Rail, Visited Brooklands Museum and the London Bus Museum, this was followed by visiting the London Transports Acton Depot Open day. And the week was rounded off with a spectacular look behind the scenes of London’s Charring Cross Tube station with Hidden London.

Concorde at Brooklands Museum:

London Bus Museum:

Acton Depot Open Day:

Charring Cross, Hidden London:

Saw almost every type of transport imaginal. Am a huge bus and train enthusiast and these really were very special moments that really did make my year! Could have spent hours or days exploring these places more. So much to see. Had a very positive impact and really need cheer me up and get me out of my depressive episode I was in before.

Am now back in Manchester and working with counselling to hopefully improve things. We’ve had 3 sessions so far and have delved right into thoughts, my past and my beliefs. Its quite amazing how intertwined everything is and even my counsellor is realising that focusing on one particular thing wont work or really help. So i’m doing numerous Mood Dairy’s to record what i’m thinking and feeling during the times between the sessions to see if anything stands out. Feeling very positive so far and think my current counsellor is actually starting to understand what life is like for me. On-wards and upwards…

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.

Darkness of Depression

I cant seem to win or move forward with my recovery. People keep telling me that i’m doing well and they have seen improvements but whats happening in my head/mind doesn’t agree. I seem to have so many problems that its always playing catch up, sort one thing out and another rears its head. If its not anxiety, its depression or PTSD or Physical issues, not forgetting financial troubles.

For the past 2 weeks I have been attending an anxiety group workshop. It’s been difficult on so many levels, this week in particular as we have been focusing on Negative thoughts. This just seems to be making my depression darker/deeper. Which in turn is causing anxiety as i don’t want to end up like i was at the beginning of 2014 when i was suicidal. The current focus of the anxiety workshop is focusing on negative thoughts and turning them into positive thoughts. I’m really struggling to find any positive thoughts that i believe though. Which is making me feel depressed. The medication i take for my anxiety and depression doesn’t allow me to feel anything, it reduces or blocks my emotions, which i have mentioned to the GP and she’s happy for that to continue as she doesn’t want me to be depressed or suicidal again. I currently take 200mg of Sertraline which is the maximum dose. So if i did go back to the GP for a medication review, it would mean changing the medication i was and trying to find one which works again, which isn’t the best idea, i think as that too could increase my anxiety or depression.

I hate feeling like this, i wish i could feel something else. Just don’t know where to turn. I’m in therapy, i’m on medication i’m doing everything i can but just seem to be getting worse.

Running on Empty

Feeling both physically and mentally drained. Its been a while since my last post, but this past month has been exhausting. I feel I’m just going through the motions.

I have completed my one on one counseling sessions with Bury Healthy Minds and am now on a waiting list for group anxiety therapy. Their will be 8 to 10 people in the group. Hopefully I will be able to cope with it and come out stronger than when I went in. During my one on one sessions with my counsellor she recommended that I had a blood test done by my GP and that I get referred for an Austism test ( GP agreed and just awaiting appointment). The results from the blood test came back and showed high levels of enzymes in the liver, so GP has referred me for an Ultrasound at the hospital.

Having an anxiety condition and suffering from depression I have difficulty waiting on things. Waiting on referrals or test results, gives time for my mind to race through the what ifs? Hopefully one day people won’t have to wait.

My counsellor, family and friends have all wanted me to reapply for PIP (Personal Independence Payment). I had been holding off on this as its so complicated and delves deep into thoughts and physical issues. I had already received and completed a medical questionnaire back in December for the DWP (department of works and pensions) and said I might be called for a health assessment. So wanted to get this out the way first. After 3 months I hadn’t heard anything so applied for the PIP.

My worst nightmare came true when I received both the PIP form and a letter asking for me to attend the health assessment, arrived on the same day. I’m so scared, its my illnesses and me being judged and vetted. I understand the need for them, but wish their where less intrusive ways, and better questions than “So why haven’t you killed yourself yet?” Being asked. I know in my mind its a standard question and why they ask it, but makes me feel insignificant, unwanted and makes me feel a burden and wasting peoples time.

I didn’t choose to have physical illnesses and didn’t choose to have mental illnesses but they way I have been treated wether intentionally or not, makes it feel like its my fault. Which then makes the depression deepen and the anxiety worse. I’m sure I’m not the only one to feel like this but really is a poor way of handling things.

My GP has changed and increased my pain medication, is a lot better than the last one but doesn’t completely rid me of pain. As anyone who’s been in pain for a long time can understand it too leaves you feeling exhausted.

I really did think I was getting better at the start of the year but the past 2 months have shown me that although there might have been some improvement there is a long and hard road to recovery to go. That is indeed if I can recover. I know I won’t ever be the same again, but hopefully I will be able to wake up in the morning with enthusiasm and have a pain free day followed by restful nights sleep eventually.

Starting Treatment

Well I’ve started having treatment through Healthy minds Bury. Only had one session so far.

Since my Breakdown in 2013 I’ve been asking and asking my GP and any mental health workers I come into contact with. Asking and sometimes pleading to have someone to talk to, someone i can discuss what happened, what i was feeling at the time, but no-one seems to want to listen to me. Everyone seems to want me to do CBT (Cognitive behavioral therapy). In order to help treat and manage my anxiety, depression, PTSD symptoms. Which in time would help. however i cant shift the feeling that i cant work on controlling my symptoms until I understand whats causing it. I cannot go forward until i go back.

Healthy Minds Bury are doing a CBT treatment course with me. And i’ll be honest i’m not sure. I’ll give it a go and back it 100% but its not what i asked for and kinda think the problems will continue afterwards. I’ll only be getting six sessions, lasting 30 minutes each every 2 weeks. I Know the NHS is stretched and Mental Health services are not that well funded, but do think this is a little poor. People like myself who have “imploded” and have numerous issues are kind of stuck. You can only focus on one thing at a time, then you have to have a pause after the sessions have finished to give time for what you’ve learnt to sink in and for you to adjust, before you can start the next issue.

With the amount of issues i’m currently facing, its difficult to establish which symptoms i’m having is physical or mental health related, this is how i found out i had badly damaged my hearing. With so many different symptoms some of which overlap its difficult to try and focus on one particular issue.

It’s taken me almost 3 years to get some help and this is only one step. A very long road ahead.

 

Starting to move forward again

Well things are starting to move forward again, after grinding to a halt.

I Have received my appointment for the Orthotics Department, Was referred to them back in January 2016 and was told of a 9-13 month waiting list, but its come through after 6 months months so hopefully will be able to help. Although i am meant to be doing physiotherapy along side this, but that still up in the air between the mental health team and the physio departments.

After speaking with my GP and saying i didn’t think that CBT (Cognitive Behavioural Therapy) was right for me at this time. I was referred to the Healthy Minds team in Bury. And Have an assessment next week with a Psychological Wellbeing Practitioner. Hopefully will be able to get someone for me to talk through things, as thats what i think i need and have been trying to get since 2013 without success.

Also Purchased a new pill box for myself:

pillbox

As I Take 6 pills of different medication daily (42 a week, 168 a Month!) I kept getting confused with which ones I had or hadn’t taken that day. Put now can just have a quick look and i’ll know. Also saves lots of space as don’t have big boxes stacked on each other anymore.

All Small Things, but all positive.

Asking for help

After speaking with family down in London, Went to GP and told her that I didn’t think CBT (Cognitive Behaviour Therapy) Was right for me at this time, I needed someone I could talk through my thoughts and feelings with. So I Have been referred to ‘Healthy Minds Bury’, so will see what comes of that. Also mentioned that i’m having mood swings and that my mood is normally a bit flat / nonchalant mood. So have had my medication increased. (6 pills daily now).

Been going regularly to Bolton Hospital since January for the dizzy spells I’ve been having, from when I fell and hit my head. Although they found that i had damaged and lost my some of my hearing, Reason why i know wear a hearing aid, but it seems that the dizzy spells i have been having are a symptom of anxiety, but GP didn’t want to do anything else as that’ll be for the Healthy Minds team and medication to help control.

So fingers crossed, hopefully be able to move forward again.