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.

Sleeping Issues

Been having a huge amount of Sleeping problems since the events in November 2013. I used to struggle to function if i didn’t get a good 7 or 8 hours of sleep a night, would wake up grumpy and tired if i didn’t. But for the past 10 Months I’d be lucky to get 6 hours a night. And even then its not full restful sleep. Its unbroken and difficult. Although on the plus side do get to see some lovely Sunrises over Manchester as I’m still awake as the sun comes up (chance for a Twitter or Facebook upload).

Suffering from lack of sleep is horrible. It brings your mood down, you cant concentrate on anything. Everything is so much effort and there is just no motivation at all to do anything.

I’ve been having Counseling through Bury IAPT services for the past 3 or 4 months to help with my flashbacks and nightmares that started after my breakdown.  This has helped to control my nightmares and Flashbacks but they still appear from time to time, Classic symptoms of PTSD. The main flashback that troubles me is one of the memories i had when Greater Manchester Police (GMP), first came to the flat and made me think that my Fiancee and love of my love had died. Its of a police officer that was stood in my the flat. in a certain stance, he was wearing full police uniform including high-vis jacket. And had his arms up holding onto the top of his stab vest. This image haunts me. The Police tell me Officers stand like that cause its more comfortable as the stab vest and equipment they have is uncomfortable. But i saw it as a very aggressive stance. It looks like his fists were up and ready for a fight and he was ready to launch at me any moment.

The Nightmares are truly awful, waking up covered in sweat, heart pounding, jumping up and screaming. The nightmares although were different in scene setting, people in them but there are 3 main themes which keeping troubling me and keep coming up time and time again. The first one is seeing Police in my nightmares, this would start of my anxiety/panic attacks and after waking i wouldn’t have a chance of getting back to sleep. On numerous occasions the Nightmare of the Police raiding the flat or me opening the door to see a policeman there, would require me to get dressed and walk around the block to confirm that there are no Police nearby, this sometimes stops the panic attacks but rarely stops the anxiety attacks. The policeman is always the same, same face, doesn’t matter what I’m dreaming about he’ll walk my nightmares to find me. The second theme again stems from the PTSD and the thought that my other half had died. In the nightmares I’m loosing someone close to me. friends, family the person who dies or goes missing is always different but the emotions and feeling of loss just brings me back to the way GMP left me in November after the first visit they paid me. The emotion and feeling of loss is huge and very dark, Some very dark places and thoughts come after these nightmares. The 3rd theme is quite simply fear. Just being afraid scared of everything and anyone, again down to GMP and me loosing my ‘safety net’, no-one is there to help or protect me and this leaves me feeling very alone, very vulnerable and very scared.

At the moment i have no sleep routine, I sleep when i can and when needed. I still try and go to bed and sleep but normally just lie there for hours in between 20 minute power naps. I’m constantly tired and not through lack of trying to sleep. Back in December the GP put me on medication (Zopiclone), some strong sleeping tablets. I was only allowed that one prescription of it (28 tablets) due to them being addictive. They did allow me to sleep for a good uninterrupted, restful time.

Although the flashbacks and nightmares have improved with the help of counseling. Its not just the sleeping that’s an issue. My Anxiety disorder is next on the list that i need to get help for. I’m actually scared/worried of waking up. As silly as it sounds, but when I’m asleep, no one can hurt me. There is less people about at night and generally less noise so allows me to get things done and completed without jumping at every noise from outside or elsewhere in the building. In November the 2 days the Police arrived at the flat they woke me up and got me out of bed. So I’m extremely anxious in the mornings. This could be why i stay up all night before going to sleep when the sun comes out. Then again when my Partner Mike was having his flashbacks/rough/dark times they generally were at night. So I’m not sleeping as heavily as i was to listen out to keep me eye on him.

So really my Sleeping issues are a mess. And that’s just the mental health side of things troubling me when i try to sleep. Not to mention the back or knee pains.  [whohit]Sleeping-issues[/whohit]

Bucket Lists?

Are bucket lists a good idea?

I’ve been debating to make one or not. I haven’t been well for a while and during the darker times been suicidal.  So is creating a bucket list a reason to live to accomplish the list or a morbid thought of death, and what then happens if i ever get to complete my list?

There are lots of things i would like to do or try and creating a bucket might help me to do this as people may see it and get in touch. It’d give me something to look forward to, something to build myself up for and would help get me out the flat. Since the breakdown I’ve started to realize that real life isn’t as scary as the thoughts in my head. I don’t know if that’s new found confidence or just a ‘What the hell to the risks.’

On searching the internet there are hundreds of thousands of bucket lists out there each person creating there own individual lists. Although somethings that would go on my list I’d doubt I’ll ever be given the opportunity to do and other things may seem simple and easy for some would be a challenge or a personal goal for me. I don’t have the best confidence ever in fact would rather hide away from things, but having a list that others can see and push me to complete or help me, people might even want to join in with some of the antics. So i guess Bucket lists aren’t a bad idea after all. I guess it’s a matter of perception. If only we could please everyone at the same time.  [whohit]Bucket-Lists[/whohit]