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A phrase we have become accustomed to using over our lives. One we use when something has gone wrong for us. Nothing life changing, nothing actually too serious, but when it occurs it really throws a spanner in the works. Didn't get the concert tickets you wanted, the new game you wanted has sold out, your phone breaks, or you lose some money. All things that really do make you feel a slump in the moment. So when given the chance to express ourselves, we will generally use this phrase, or similar.

The strange thing is, when people truly are depressed, it is the last thing they will say. A person recognising they are dropping into a state of depression is more likely to make excuses, such as tired, un-bothered, or just not in the mood to do something. In the moment they have time to seek support and help, they just shut down and hide from the feeling.

The two kind of go hand in hand, with the first use of the word diminishing the seriousness of the word, and the person in the second example just doesn't want to be mixed in with the slightly over dramatic use of the word. Running the risk of being told "it will be ok" or "get over it"
Neither of which are of any help to someone struggling with their mind.

The over exaggerated use of the term "depressed" has just become fashionable now, just like "I'm so OCD" (no you are just tidy), or comparing your over excited, hyperactive child to someone with  ADHD. These are all serious matters, but the fashionable use of these phrases has really taken the focus away from the true sufferers. Now the services who deal with all these issues are at breaking point, with people being assessed for conditions, and some entering treatment, while in reality there are other issues which are presenting as the real thing.

I know that sounds a bit far fetched, but from experience with depression, just seeing the mix of people who turn up and describe their symptoms, it is clear that some are better suited to community and social projects, which allow them to frequently interact with others, rather than going through a long process of learning to deal with issues they clearly don't have. And I say that not selfishly or blinkered, but with the confidence that when someone cannot relate to a single issue anyone else has, but wants to complain about the health service for half an hour, there is more to it that depression.

This isn't to say that these people don't deserve treatment or attention, of course they do. They are clearly facing issues of their own, which a GP has put down as depression, but need to be assessed in a way that doesn't just say "depression Y/N". The same applies to others with behavioural issues. Easier to put them down as an attention disorder, than challenge the parent on their parenting skills. Not every naughty child has a condition, but sometimes it is easier to just say "I can't control him", than taking the time out to see if it is something you are doing which is promoting this behaviour.

Like I say, I am not for one second sneering at the actual conditions. But on all fronts, there is a fine line (actually a mighty chasm) between feeling down, and being depressed, or misbehaving and ADHD. One remains in your control to a large degree, the other you are just a passenger along for the ride, with no control over the direction it all goes in.

Now I am no expert in child behavior, so I will not say another word on the matter, other than to tip my hat to the parents who have kids with any of these conditions, and don't make excuses. Digging your heels in and getting on with what life has presented you with is an incredibly brave and strong thing to do. In fact I would go so far as to say that you are some of the best parents out there, and side by side with a spoiled brat, your children probably shines brighter than most. And no reason whatsoever that they should not.

As for depression, I can certainly speak on this matter with good authority, at least from my own experiences. I would not for one second wish to even start to belittle someone who has been on a different journey to me, and suffers in other ways. There are many forms of depression, it comes in many shapes and sizes. My experience is just one. But one I want to share as much as possible to ensure that it stops being such a forbidden topic, the social shame is lifted from over the condition, and people suffering can lift their heads and say " I am depressed, and proud to be dealing with it"

Depression is in short the suppression of our ability to engage, think rationally,  interact, and form trust bonds with others. There are many other symptoms, but these four cover a lot of those in an umbrella kind of way. So having our whole existence suppressed, the last thing we need. Without existing, how do we recover. Hidden away in a dark room every spare moment of our lives. Managing to put on an brave face to do the things we need to do. Going to work looking like all is well, head down like we are busy. Daring to speak to no-one in case we give the game away.

Once outside of work, shunning social opportunities, avoiding going shopping in busy places where possible, running from people, decisions, pressure or anything we cannot control the outcome of. Or as it is described in Cognitive Behavioural Therapy (CBT), seeing things through a negative filter.  Assuming anything we choose to do will turn to crap, fearing the worst outcome of doing anything other than hiding ourselves away. Even worrying that our closest friends will reject us if we dare to tell them we are suffering from depression.

Nope, admission of depression is between you and the medical practitioners, and is top secret. Taking your medication in private, even hiding it at home from loved ones. Maybe even just throwing it away, or to the back of a drawer, as the stigma surrounding "anti depressants" is just all too much to be mixed up in. In truth, it is the people who DO actually sneer at people struggling with depression who have the issue. Being so judgmental, pointing the finger and mocking people who are brave enough to face their demons in public. Maybe it is those trying to mock, who actually suppress their own issues the best. Is it they who are most in need of support, trying to deflect their own issues onto someone standing tall at such a tough time?

I am not sure why in this day and age, with so many people having suffered a breakdown, or on going depression or anxiety, there is so much stigma attached to the conditions. Given how many well loved and highly acclaimed celebrities have come out openly, talking about their battles through their lives. Facing their demons, while putting on such a strong public face. Hiding it all away for the sake of their image, before saying enough is enough, and speaking out urging people to support those suffering. Even some of the most loved, taking their own lives, only for the world to realise what a terrifying and lonely world their idol lived with .

Quotes like "Despite being surrounded by people, I feel so alone" is a good example of what it can feel like to be in a state of depression. I know Robin Williams was apparently quoted as saying similar. Happiness and sanity is not found in popularity, wealth, or a lavish lifestyle. Being surrounded by so called friends does not make you emotionally rich. If anything it numbs the senses even more, and draws you away from the important things in life. By the time you realise how far you have strayed from the sanctity of your comfort zone, you are out there being preyed on by the wolves of the mind.

I consider myself very wealthy as far as the quality of my life goes. I have the material objects I desire, none of which make me happy, they just help cocoon me in a bubble I share with the richer things in my life. My dogs, my few true friends, my mental strength, and the belief in myself that I can make a positive impact on others lives, using the experiences in my own life. My circle of friends has changed a lot in the past few years. Realisation that knowing someone for a long time does NOT make them a good friend, just an old acquaintance. And now knowing that support and genuine friendships can come at any stage in life, and sometimes from the most unlikely places. Two true friends coming from an internet forum that drove me to the brink last time I was suffering with depression. Sleepers who sat an observed, and helped me back on my feet when the time was right. With no prompting, no pleading, just their own selfless actions. For this I thank them.

But this is the real problem, the support network.
Anyone who knows me, and if you read my blog, you will understand I am far from timid with the written word. I don't hold back, and I rarely paint a pretty picture when underneath life is bleak. If its dark, I say it as it is. Sometimes a strong point, other times a bit of a mood killer, but it's who I am.
After spending many years trying to please others, and meet their expectations, I decided to be me, and I stay true to that every day. Again, it is not always what people want to see, but the days of faking and pleasing are in the past, so please don't ask me to be someone I am not.

For others however, even those with outgoing personalities, dealing with the realisation that you are actually depressed is a tough one. Admitting to it is something huge, possibly only choosing to tell one or two people, and most of the time not your nearest and dearest. The truth be told, some of the outgoing personalities are just what I was doing. The brave face, the loud deflecting voice, desperate to save my dignity, and not let on I was falling apart inside. See that is what depression is all about. Losing control, but desperately fighting to maintain image.

To admit you are depressed, genuinely, is for some like admitting defeat or weakness. It's like backing out of a challenge of any level, before even trying. And even the most grounded person knows that is never a good feeling to do once, let alone over and over. Convinced you will fail, sure you cannot achieve what you need to, and being scared of facing the consequences, and how your peers will react.
Have you ever dreamt that you have left your house with no clothes on, or that you are running away from something, but seem to be running on the spot. The level of helplessness you wake with, the panic and fear of losing all control of your dignity and self control. Well that is how it can feel every minute of every day.
One of the biggest fears in my experience of depression was being judged. I think as a whole, when you breakdown all the different aspects of depression, a lot of them come down to the same thing, how other will perceive us.

Walking down a street, feeling anxious that everyone you make eye contact with is staring at you, and judging you. You look strange, messy hair, cheap clothes, and so on. The list is endless, but you will read far more into their glance than they could possibly have gathered and judged you on. A simple exchange of words with someone, over analysed until it was meant with such hatred and malice. Everything is dark and negative, nothing can possibly be positive for a second. This continues until staying indoors, or going shopping late at night, or in the smallest shop possible is the only way to go on. Now hidden away, safely separated from society.

As I have said though, the only people who would really look at you in such a way are most likely suppressing issues of their own, and just fighting back their own fears of others judging them.

So what does a depressed person need from you? If you think someone is depressed, what can you do to make things better for them. And by better I mean help them on the road to recovery, rather than a patronising "there there there" and a pat on the back, making it all better for them.
I have to say there is no single simple answer to such a question, with all cases presenting differently. You may have noticed a change in their behaviour, withdrawn from group events, or just being quiet for a long period of time. Trouble engaging as they usually would.
For me, I would say I benefited simply from knowing people were there when I was ready for them to play their part. Having already declared my depression made that easier, but I know that isn't every ones approach.
If it is not clear what the issue is, but you suspect things might not be great, don't barrel in full of questions and suggestions. Just tread gently, but be the friend they know and trust. There is no need to smother someone, just indirect reassurances that you are about if they fancy a drink or a chat some time, in their own time.

There is no right way, go with your instincts. You know the person you know as a friend, so be yourself, if your help is needed, your support wanted, I am sure the time will come when this is obvious, and it can all flow naturally from there. I kept a lot of my friends out of the loop when I was at my lowest. Partially where I didn't want to bother them, and partly because they were the wrong person for the job at the time. It's nothing personal, just how the mind can be at times. You wouldn't turn to an outgoing party animal to be there in silence while you grieve, or an introvert friend to support you in a confrontational situation, so accept it that there is a tool for every job.

The biggest question for me in all this, from a sufferers perspective is why so many people live in a constant state of depression, and either refuse to act on it, or fail to identify their state of mind.
I guess there are logical answers to both, but for me I don't want to see others suffer in silence. Even those who seek help, get meds and go to counselling, will avoid telling friends for some reason. Again speaking from experience of others who have admitted after a long time they too fought with depression.
Identifying you are struggling with depression or anxiety is understandable. It is so easy to assume "everyone feels this way", but the reality is, they're not. It is not normal to dread getting up and facing the world day after day. Holding your tongue at home or at work, just to avoid the confrontation, and instead living in a suppressed state is not normal, contrary to belief. Fear of being judged by people when you are out in public, refusing to make eye contact or even waiting for the automated paying in machine in a bank while 3 cashiers are free just to avoid speaking to someone (like I did) is NOT normal.

Sometimes overcoming these issues can be as simple as taking a look from afar and making changes in the way you look at life, and accept treatment from your peers. Other times some form of help is needed. From counselling to chatting to friends and letting it all go. To entering the system so to speak, and going on record with your GP to seek help. None of these actions in any way make you weak or a failure. A little vulnerable yes, but for the right reasons. Sometimes being laid bare is an enlightening and empowering experience. Throwing caution to the wind, and only caring about yourself for once. Taking the steps to make life better, and trusting others to help you achieve that.

I am determined to keep talking about depression. Hopefully slowly but surely helping as many people as I can realise that being depressed is nothing to be ashamed of. It should not be hidden, and the stigma attached to the condition needs to go away. Over the past few years there are more and more campaigns to raise awareness of depression and mental health. Not a minute too soon I say, in fact maybe a decade too late. But the movement has started. I applaud those spearheading the campaigns, and praise anyone willing to share their stories of how desperate they have felt at times. There is no demographic description for someone who will become depressed. Rich, poor, outgoing, introvert, it takes all types. Even famous people, yup, that's right, even the rich and famous battle with mental health.

It's not a life choice, it is not something we bring upon ourselves. Mental heath issues affect who they want, how they want, and when they want. There is no choice in the matter whatsoever. The only choices we have are how we will cope with an issue if and when it strikes. Standing tall, not hiding, and reaching out are some of the best things you can do. However, when you are able to do that is all a matter of time. The second you realise, or a month after starting medication, that bit is all down to you.

I have rambled on for long enough now, but want to close by saying this.
Mental health is a serious issue in the UK, and one reaching epidemic proportions in some regions. Awareness is poor, understanding is hit and miss. Acceptance of the conditions is growing, and this is a positive step for the sufferers. However treatment varies, funding is seemingly inadequate, and the focus from the top down seems to be somewhat sporadic. The whole matter needs serious reappraisal, and a proper plan needs to be drawn up to deal with the rising number of cases. Not by sidelining people, and leaving them waiting months and months to receive some help, in the hope that they will just get better. And certainly not discharging people for missing a couple of sessions of a course, making it seem that they have successfully recovered. This is what I was told after missing one session due to heightened anxiety one day. Miss another, be discharged. Not dismissed, but discharged as OK.

Initial assessments need to be timely and thorough. Actual issues need to be properly identified, and the correct course of treatment should be made available in a reasonable time frame. Once someone is diagnosed as depressed, the clock is well and truly ticking, so time is of the essence. I don't expect things to change and improve over night, I am realistic. However I also appreciate the importance of the right help at the right time, and understand the implications of drawing things out, and not receiving the help you need in time. I was lucky, my meds were helping and my core of friends were reaching out to keep me afloat. But if I had been alone, I don't know if I would have made it in the right state of mind to the CBT course. I may have been too far gone by that stage.

I really do hope that there is an improvement to the system over the next few years. Certainly from my perspective, knowing that depression is usually a reoccurring condition, and from both experience and education, each case being worse than the last, I really hope that by the next time I am hit with a bout of depression, the mental health system on the NHS is as prepared as my friends are to hold me up and get me back on my feet as soon as possible.

Please feel free to email me directly with any feedback on this entry, to chat, to discuss etc. No one should suffer alone, so please don't.

Maybe not actually running, but walking as fast as I can, and as far as I can, for as long as I can, each and every day. Covering 12-20 miles a day on foot, and when the weather is right 10-25 miles on the bike, I think it is pretty obvious that in my head I am trying to escape it all, if only for a while. From the moment I wake I am trying to find places to go and reasons to stay active. If all else fails its onto the cross trainer for some stamina training and hill climb. I can change my clothes up to 6-7 times a day, soaked through from walking on my own or with the dogs, riding, or cross training. Some days even all four.

While exercise isn't inherrently dangerous in itself, the pretty rapid weight loss that is coming with it, partly due to the low food intake, isn't the healthy part of it. With a calorie burn of 5-6000 calories a day, and ending with a deficit after food of 3-5000 calories, it is no surprise I am losing a bit of weight at the moment. Not that I am complaining, I know I need to anyway, but not entirely convinced this is the way to go.

I have also dropped my caffeine intake right down, to try and aid sleeping and avoid the mild hyper activity I have right now. One 2 litre bottle now lasts 4-5 days. Two weeks ago the intake could have been 2x2 litre bottles a day. Quite the drop, and no headaches, so that's a bonus. I am drowsy at times, but maybe that is something to do with the activity level. (he said sitting down at the kitchen table yawning while writing this at midday. 10 miles done already this morning.)

The past few days, today especially, I have really struggled with anxiety. While out walking I was taking routes where I would be least likely to encounter anyone I know, cross away from street vendors and sales people, avoid beggers or any environment where I might encounter conversation or any form of contact with people. It's strange that my escape from letting my mind run wild, and the anxiety that causes takes me onto streets where I encounter another kind of anxiety. However being outside I am able to avoid the triggers easier than being at home.

Another problem is the times of loneliness, where I crave company, to chat, and offload to, are fought off by the feeling of anxiety at the thought of being in close proximity with someone. There are very few people I feel comfortable around right now, so considering being in the company of the wrong sort of energy person freaks me out. I have some great friends, and miss some dearly, but where my head is right now, I just can't risk being in their company, in fear of messing things up.

I ache from walking and exercising so much, my back is a mess, and would love a physio session or something soon. But the timing is so wrong. So for now, I shall manage the best I can, and forfeit physical comfort for the sake of mental stability, however slight it may be.  The only other option is sleep more, but I don't want to become a duvet camper. Being out, active, breathing fresh air really feels like the best way.

Thinking while walking has become another thing I am doing now, which is a bummer as I have tried to shut my mind up while walking, the idea is escape. But the thought I can't get out of my head right now, is the was CBT has been presented to me. My interpretation being that I am in control of my thoughts, and therefore if my thoughts are my problem, and I am in control, it is all my fault. That's how my brain takes it right now. Being told you simply CAN'T do or think something is not a cure. Breaking the cycle, which I know is what CBT is really about is the key. But how do do you that when there are so many triggers and issues to over come?

This isn't just about ending a relationship, or having no one to talk to, this is about the bigger picture of how those events have changed my thinking and perception of friendships and relationships. My fear of both now is huge, hence I have become so withdrawn from society as a whole, and even after reactivating my Facebook, have chosen not to engage with anyone. Quite frankly I am fuckin terrified of screwing up any more friendships or losing any more important people from my life. Being hidden away in my little shell, with limited contact with people. Not leaning or depending on any one person too much, so cancellations or let downs don't result in such huge mood bombs. It's all the plan, to keep myself safe..... from myself! If that makes any sense.

Retreating, running scared, shutting as much out as possible really feels like the safest option for me right now, and helps me avoid the feeling of self blame, and block this path of self destruction.

An example of how my mind works. While typing this I have received a message on my phone. I haven't looked at it as already my mind is being negative, and telling me the message is going to be cancelling the only high of the day which has been planned for a while. That would turn into self loathing, and in turn I would start to punish myself again with more physical activity to silence my mind.

Right, I better get on with other things and try and do some shopping, see if I can manage that. Better read the message to eh!

Thanks for reading.

It's been a while since I really updated any platform on my progress fighting the evil of the brain, so thought it was time I put fingers to keys again and got writing.
This all comes on what in theory is a breakthrough day for me. Having spent the majority of the past week away from social media, and deleting all my contacts on Facebook, today I flicked the switch to get back online. It is also the day that I saw my first real person face to face about the therapy I have been longing for since November.

Let's start at the beginning shall we. The social media blackout, why and did it help?
First up, why. Well because sometimes the world can become a really noisy place, and to hear yourself think, you need to turn off the distractions of what is for a better word a fake life, and concentrate on the realities surrounding you. Spending hours a day viewing and sharing words of wisdom, cute animals, and crazy peoples rants (yes mine!) is all well and good, but when the time comes to prioritise, it isn't hard to guess which has to go. The silence is amazing, in both a very calming way, and also a very anxious way, especially for me. With FB being a primary point of contact for some people, I feel I might have cut my nose off to spite my face.

So did it help. Obviously not from reading the above paragraph you might think.Well, wrong!
After a couple of days, and getting used to the differences it made in my day today life, things become a little more normal. Being what I would describe as an over active user on FB anyway, it is actually quite empowering to find other things to do, and keep things to yourself, for a while at least. That said, it did make me realise how important a role FB has had in certain elements of my life over the years.

Coming back on to FB I had a number of friend requests waiting for me, thankfully a small number, which allows me to adjust my feed as the number grows (if anyone else adds me). It was nice to see some genuine and friendly names, some who I have missed, right there. But in the new world, it's not about the numbers, but more about the quality. I don't want 5,000 friends to look special, I want everyone on there to want to be in contact with me, rather than add through obligation.
In short, I see a controlled reintroduction to FB to be a positive thing. That said, my interactions will be very limited, as will the content I choose to share on there. Old habits die hard, but that is one that has to go.

Next up, therapy, or should I say Psychological Therapies (PT).
Having first been referred back in mid November, and contacted a month later by phone for an assessment, I eventually received an appointment with a real person face to face, for January (2 months from referral). Today was the day.
With a Midday appointment, I was mindful to get there as close to the time as possible as waiting rooms, eye contact etc isn't good for me right now. I get anxious and twitchy. Imagine my delight when not only is there no receptionist to speak to, and confirm you are in the right place, but also no one to tell you the sessions are running 20 mins late. Suffering from anxiety, in a new place for the first time, with no one to speak to, and just left to wait. Is this some sort of acid test or something? Seriously though, I know it is a department of the NHS which is under huge strain right now, and only once you are in the system can you appreciate how stretched it is.
Eventually I was greeted and taken into a room to have a chat. My notes were flicked through, my documentation checked over, and it was agreed that my anxiety is on the increase right now. Imagine that!

She went on to explain that the type of therapy chosen for me by the phone assessor is CBT, or Cognitive Behavioural Therapy. I am no expert on it, and have some reading to do, but the fundamentals seem sound certainly for some issues. Breaking a situation down into 4 categories, thoughts, emotions, physical feelings and actions. So a situation leads you to think something, triggering an emotion, which in turn may result in physical feelings and / or an action. Simple really, and when you run through scenario's, it is easy to see how it works. Learning to take control of a situation which affects you, and preventing the 4 categories becoming negative. As I say though, for some situations that is easy, for others not so.

The session was 30 mins but over ran, partly being the first session, and secondly I think from the sheer complexity of the situation I was trying to put across. It's not just me getting anxious around people, it is a WHOLE lot more than that. A fact I feel was slightly lost, as each time I tried to introduce another part of the issue, it was somehow tied into something I had already said. They are the pro's, they know best, and if there is an association, fine. But from my perspective certain elements are very stand alone.

Towards the end I was asked to give some examples of goals I want to achieve through these sessions. Keeping in mind that the standard package is 6 x 30 min sessions. I think I will be hard pushed to achieve much in that time, especially as I am in a negative frame of mind about the process already. So I am going to think over the coming week and put together notes of issues and goals, and see how they want to approach the matter. I don't want to be patched up, I want to be fixed. I am a complex old beast, and I know I have issues to overcome, and the more I look, the more I find. The whole situation is like taking an old car that has been sitting for years to a garage and asking them to fix it up. The more you strip away, the more broken and damaged things you will find.

A couple of things I found amusing during the session are below.

On asking what kinds of counselling or therapy I have had before, I explained I had counselling and felt good to open up and offload things that had built up. I was told that that isn't what we will be doing, and to forget about the past, as CBT focuses on the here and now. Which is fine.... If your here and now issues aren't a product of the past! The idea that I will just sweep everything under the carpet and start over is a fantasy.

On asking about my physical feelings and actions in a stressful situation, and explaining I use exercise, walking and cycling to get away from the situation, and prevent myself from being able to think, I was told this is a good thing.
When I then explained that these walks could be 8-10 miles, and some days I have done far more, resulting in causing physical pain and discomfort to my feet, legs and back. I was quite simply told, don't do that.
Oh OK, I I just told you a coping mechanism I have found, which I know can be negative, especially when walking in pain, but I should just stop. Turn off the desire to run away and escape, simple as that! I'm all fixed now!

If I tell you I went for a 90 minute 6 mile walk immediately after the session, it might give an indication of how I felt leaving there.
Looking back years in my blog I made an entry when I went for my first counselling session, and how positive I felt leaving there. Without even reading back, although I know I was right in the middle of one of the hardest times of my life, I know full well I felt relief and looked forward to the next counselling session. So I am yet to be convinced that CBT is the way to go for me right now.

In other matters, getting back into cycling has been a great thing for me, really remembering why I loved it so much before now. Slowly increasing the mileage.
Things in my head are far from settled yet, especially with today's adventure. Having built myself up to the fact that when therapy starts, the recovery will come with it. Now I am left with dread that this is going to be a long road.
Sleep improving with a change in diet and intake, planning my days a bit better, and trying not to lay in in the mornings, instead being up by 6.30. My mood diary has been of great help to me, I would recommend doing that to anyone. Weight loss has started, and starting out quite rapidly too, so that feels nice. And getting into a routine of training and making sure I challenge myself physically is also a good thing for me. Keeps me busy, distracted, and focused on myself.

Right, I shall end there for now, my back is hurting from over working myself recently, so time to rest, the only way I know how. Walk the dogs.

Final thanks to that small group of special people keeping me on the straight and narrow, even when I am being an arsehole! I wouldn't be making the progress I am without you all.

So I thought coming to Wales,  my place of sanctity,  my true love,  would really do me some good. Knowing how many happy memories I have here,  it was a sure thing that I would feel relief and some relaxation.

But no! Not the case. Arriving here was fine,  but no drive to go to my favourite places,  just headed for the cemetery to pay my respects and lay flowers.

Then off to see Chris and Dyfrig,  the friendly old couple who have given me so much comfort over the years. Plan just to drop a card in,  say hi,  and go. Obviously I had to exchange a few words,  but a minute in and I was shaking,  breathing hard and wanted out. Thankfully I had managed to say I wasn't staying by that time. Dyfrig saw I wasn't comfortable and helped me with my exit.

Wow that felt crappy,  but I promised to return as soon as my head is better.

Now that was a real anticlimax.

2

It's amazing just how fast a mood can bomb when you are of fragile mind and easily influenced. From a dull but positive morning and afternoon,  to a relaxing evening,  all seemed on track for an OK day.

Hoping to end the day on a positive note,  I went to bed earlyish to avoid being over tired. However on my way to bed events started to unravel,  and by the time I made it to bed,  within 5 minutes the day was destined to end on a pretty shitty low.

Don't ask why,  thats just too complicated to explain right now,  and more to the point I don't get it myself. But either way it sucks right now.

Fingers crossed I wake tomorrow in a better mood. I have an increased dose of medication to look forward to tomorrow,  so that's a bonus eh.

Wish I could explain how it feels to have the bottom drop out of your mood in a flash. And once it's gone,  you are left struggling to climb back out of the hole you fall into. For anyone who does actually understand the feeling,  you have my sympathies.

Right,  I better lay back down and stare at the ceiling for a bit,  then be restless for another hour or so.

Night.

The past few days have been strange for me, I know I say that a lot recently, but these have been noticeably stranger to previous.
Today for example, focusing on anything is an effort, tiredness is a big part of the day. Getting up this morning wasn't an easy decision, turning the alarm off that has worked for the past few days. The getting up of course could be due to a really horrible nights sleep last night, waking and having to get up and unwind a couple of times. The wind banging things about again put my mind into overdrive.

Postponing the dog walks for a couple of hours, as after 7am the school run and work commute is underway, and the pavements busy, no place for me right now with the dogs. So I went after 9. Slow relaxed pace for a short while, but as bad weather and drizzle moved in, and the dogs were walking too slowly for my liking, so I soon became short tempered and anxious.

Yesterday I went to see the doctor, which was something that had played on my mind a lot the day prior to the trip. Again trying to work out how to explain where my mind is right now, and what the outcome of the consult would be. Would I need more or different meds, more time off, a different approach. But all went well all things considered, she was again very helpful and understanding about all matters.

Sadly the same can't really be said at this stage about the Psychological Therapy people. After getting a text and a letter, both of which I replied to, I got another letter saying they couldn't contact me. I called them up, concerned and frustrated, only to find out they were responsible for a couple of calls from a private number, which had left no message. Not very helpful.

I finally got a call back and a telephone appointment / consultation at 2pm yesterday. Having been through the initial screening call before I knew what to expect, or thought I did.  All started normally, but after I started to open up a bit more, the guy started making weird associations of my issues, and suggesting causes and connections I just can't see. I know he is the pro, but I still have some wits about me, just about.

Towards the end of the call I was asked what I would like the therapy dept to do..... Well, I am not right, and have explained my problems. I would like you to take that all on board and decide professionally how best to approach the process of recovery from this. Being told you sound perfectly articulate, and seem to be communicating well with a stranger is all well and good, but compared to how I normally feel and think, something isn't right.
That's a bit like telling a sprinter they are running fine, because they can beat you in a race, when they are 2 seconds off their PB.

I was then told there are a number of options and therapies available, and that he wants some time to consider them, so will contact me tomorrow (today) or on Monday.

The funniest part was the closing lines. Being told the call will come in the next 1 to 4 days, and "not to worry" because the call will come at some point. So not to stress or get worked up or feel forgotten about, its ok.
Right I suffering from anxiety, I have explained my triggers for the past hour, and you finish by telling me in the vaguest way possible that you will "be in touch". Well that puts my mind at rest, I shall relax for the whole weekend with the vague reassurances of a complete stranger. Thanks!

Other than that, there have been highs and lows in the mix this week. Finally discharged from physio for my achillies, we both believe that I am on the right road to recovery, and now know now to manage the issue, which has made me feel better about all the walking I have been doing. Which in turn now has my feet sore as hell. But in a good way if there is such a thing.

I also found out I have broken 2 back teeth in one of the latest changes to my condition. Jaw clenching from anxiety. Which I believe is also the cause of my headaches too, clenched jaw, stiff neck muscles, and all knocks on from there.
The doc feels that me finding music and walking as good escapes from the feelings I have is a positive step, and has subsequently further signed me off for another period to allow me more time and space (opportunity) to administer self help without the reliance on more medication. The only down side to that is, on days like today I have no motivation or intention on going out much, so its going to be a touch one. Cue the cross trainer.

So that is me up to date really, other than to say I started a mood diary today. To note down how I slept, my AM and PM feelings , and general notes on the day. Like the blog, it is good to have something to refer back to to try and understand myself and thoughts a little better.

Thanks for reading, and as ever, thanks to the special few out there.

OK I love the NHS, and think that all areas I have encountered do a fantastic job, but there is a glitch.. And it is one that is reported about all the time, but I have always assumed was just bad press. Maybe I am just unlucky and they are usually great, I don't know. Time will tell I guess.

A few weeks ago my GP referred me for what is nicely named "Psychological Therapy". She filled out her referral, I filled out a questionnaire which included personal info and contact preferences, such as can a message be left.

A week or so later I got a text asking me to call and leave a message to confirm I wanted to go ahead with the service, I replied immediately. On Monday I got a letter asking me to contact them t confirm I wanted to go ahead, so I emailed straight back. Today I have received a letter saying they haven't been able to contact me, and if I don't within 10 days I will be referred back to my GP.

Over the past few days I have received a few calls from withheld or private numbers, no messages left. With the first being a cold call about upgrading my phone, I have ignored the rest. The last thing I need right now is cold calls etc. So it is possible that one or more of these calls has been from the PT department about the counselling. If that IS the case, why the hell don't they at least leave a message. I'm off work as my brain is melting, I can't be the only person that screens calls. Why ask if they can leave messages, if they won't bother anyway, then will just send you kick to the kerb letters.

When your brain is mush like mine at the moment, you really don't need this kind of stupidity.

Rant over!

Well that was easier than expected....NOT!
Arriving in the area a little earlier than expected, I decided to go for an extended walk around the block. Having walked to the surgery, I was already nice and warm, but not ready to sit and wait, so wanted to make the waiting time as short as possible.

Rocking up at the surgery a few mins before the appointment (OK 5 mins), I went inside, registered my arrival and sat down. As soon as I did, the thoughts started all over again, along with fiddling hands and a bouncing knee, borderline uncontrollable. Wondering who this doctor was, and what they would be like. A few minutes later all was answered.

In the hallway appeared a lovely gentle looking lady, calling my name. As I got up and walked over, she introduced herself as the doctor. We sped down the hall to the consult room, and I sat down. Right, I thought, I have this all sorted out, so here goes. This is what I said.

I don't know how to explain myself, errm, depression, stress anxiety.... *I looked up to see if she was following. She was smiling and patiently waiting. *
I have been like this before, years ago, deeper, darker, I don't want to go back there. *My hands start gesturing and waving, my eyes searching around the room*
I can't ..... I don't ....... errrm. THIS! This is it.....

On looking back up, she was smiling back at me, a reassuring look on her face, she replied simply "ok".

Taking another deep breath and trying to calm my nerves, I start over again, this time a bit more composed, explaining that I had even written out what I wanted to say, but the stress of even having this conversation is just too much to think straight. Stopping for a moment, I just breathe, and can feel my heart pounding in my chest, light headed and slightly confused. I tell her this is how I am feeling right now, and how hard this consultation is for me.

We take a break for a moment while she looks through my notes, seeing how far back it is since such an episode occurred. I tell her its been 4-5 years, the notes confirm this.
Getting back to the present she enquires into what I feel might have triggered this, anything happened recently, or that I have been dwelling on for some time. We discuss possible triggers, and how I feel about aspects of day to day life. The obvious question of consideration of self harm comes up, and it is batted back with strong reassurances that I have never felt that way, and I confirm I would seek immediate help if it ever crossed my mind.

Now onto the sticky bit, how do I want to proceed. Knowing the options of meds, counselling or both, she decides that given how things are right now, starting on medication immediately would be wise, and as I like to speak openly, she also decided that a referral for counselling should also be made. Knowing of course that it could take some time. Another reason the meds should begin straight away. The decision is made to remain off work for the time being, and to allow things to normalise without provocation. No added stresses or changes, just me, daily life and the meds, and see how we all get along, and if the dose is right.

As this conversation went on, during breaks in speaking, I could feel my heart slowing, and started to feel more relaxed about things. Expressing this to the doctor, she was pleased by this, and said as hard as it had been it was most definitely the right thing to be doing now, and catching it before it gets any worse. Apparently recurrences of anxiety and depression can happen much faster, and strike much harder at times too. Good to know, and explains how fast I went down the pan in a week.

A referral form for the counselling form, a prescription for the medication, and a sick note for work are all printed and presented to me. She then says she would like to see me in two weeks time for a reassessment of the situation. Going through her diary it appears that the week she was aiming for is booked out with medical students in the surgery, and she is worried this might not be fair on me. I reply expressing my happiness for students to be present, and anything they can learn from this is fine by me. Looking back in slight shock and delight she says that if I am OK with it, it would be a great opportunity for them. Then it is agreed, that week is fine.

So here I sit now, after necking my first pill of many, after saying how strongly against the idea I was, given that they were the doctors decision, and me not asking for them, I am happier with them. The down sides of course are.. I'm officially on medication again now, so needs declaring when asked, and I didn't really want to be on them but hey. Then there are the hallucinations in the early days, at least that is what I had last time. Not so much full on hallucinations, but a blurred line between awake and asleep, conscious and subconscious. You know when you wake up in your dream, then wake up for real? Well try doing that about 4 times before you actually wake up. Quite strange. We shall see if that happens.

Then there is the one thing I hate the most. Mind numbness. At the moment I over think everything, even more than normal. Taking meds helps with that, but last time it swung me the complete opposite way. Lack of attention. You know when you think you need to do something, then you plan out how and when, then you drop the matter until the said time arrives? Well my thought process goes to "I must pay that bill.............Ah well!" And nothing in between.
Obviously a numb mind also could mean shorter blogs, I'm sorry! lol Lets see if the change is shorter, less, or just more rational and better structured entries.

One last thing before I go, and I know most won't have got this far, so am not expecting a huge group watching over me. But this is the first time I have ever been on these meds and been living alone, so actually have no one to tell me if I am acting differently, being stranger than normal, or anything like that. So going back to blog entries and social media etc, if you do see a change, please let me know. You don't have to come banging my door down, just mention it, so I am at least aware. Being off work, I am going to try and keep as much company as I can where possible, so again, if I see you, let me know how I'm doing.

Thanks for reading, thanks for the messages and support I have received in this short space of time. I know I say " I appreciate it" a lot, but it's not hollow, it's sincere, and the only way I know to express my gratitude.
One final thing. Sorry for being dull, depressing or just a little off with you if I have been. The fact I am even engaging with you shows my true intentions, but right now I tend to make a mess of them from time to time. So if you can, please look past this.