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After a bit of a wobbly morning, and a nice long 3 or so mile walk at lunch, it was time for the afternoon session.

I have been trying to drip feed the info a bit more this time around, as the first time I was here, I felt I was giving it all away a little too easily

Morning sessions were all positive, great interaction with each of the students doing their differential. However this afternoon, I have just come out of the first session and am genuinely blown away by the approach  professionalism and thoroughness of the first student.

Her approach was spot on, as if she has done this 100 times already, however it turns out it is just her first  time doing mental health this week. Calm, interactive, patient led and compassionate. You can't teach that sort of persona.

This is not to detract from the other brilliant students I have interacted with already today. Each one of them is fantastic in their own right. Simply for being in the line of education they are in, they get my full respect. Not to mention how each one has been brilliant in diagnosis and patient interaction

But sometimes one person really stands out, and this was the one this time around.

*Edit*

Just come out of the second session, and again, amazing! Empathy in gallons, understanding, and all the right questions and replies. 

Going back to me for a bit. This morning was a little draining. Feeling situational anxiety I think would be the right way to put it. As expected, the slight drain on my energy levels of late has had an impact  However it has also taught me something about myself too.

Situational anxiety, is not the same as general clinical anxiety. They may present the same, but bounce back from situational is instant, where as being clinically anxious and going through a full on episode is completely different  thank heavens! I can understand more now when people say they feel anxious for a moment, and can better relate to what they mean by it. I have felt it many times before  but this is an eye opener for me, and I can now feel the difference.

Similar with depression really, although my feelings of genuine depression are a whole lot lower than when I feel, what I call "down". But I can understand when people call it being depressed about something all the same.

I do love a situation where everyone is coming away with new knowledge, and today is certainly one of those times. Last time I said I thought I felt anxious about talking about anxiety, and presenting with the symptoms again. I can confirm this is the case again. Reliving the visits to the doctors really does bring things to the front of your mind and can start to feel really real. However I won't stress as I know how it passed last time, and will again this time.

Well, here I am. Just got here on a rather wet an woeful day. Thankfully I have slept a little better over the last few nights, after having had a cold and struggled earlier in the week.

Currently sitting on the floor away from the group of actors and other real life patients, partly because I am still full of germs, and partly because its just nice to have some space after spending an hour on public transport

Second time around is a lot easier for sure, far less nerves about what to expect. That said, anxiety is knocking at the door, but in a very calm and gentle way. I got this! I have my rota for the day, and no quick escape this time. Rathe than a free session at the end of the rotation, I am in with a group, so my escape is delayed. Hopefully (and my biggest concern right now) I can get on a train and on the way home before the mad evening rush starts. Last time worked out just right.

Took a different route here today too, a little bit of variety is good for the soul  and keeps me trying new things, rather than sticking to the known all the time. Got to keep on top of things eh. Thankfully the longer section of my journey home starts at the first station  on the route, so the chances of a seat are much higher, especially as its London Overground. Fingers crossed eh. To get there is one stop on the Victoria line, which was rammed this morning, urrgh..

I travelled to London Bridge earlier in the week too, again around peak time, so if I say so myself, I have done well with the whole travelling thing. I think the hardest part has been the whole feeling crappy thing. Sniffles and travelling do not go well together.

Right, better get my head in the game, and think about my scenario for the day. Maybe the same as last time? That seemed to work out OK.

Oh no! I gave myself plenty of room here on the floor, away from the hustle and bustle of everyone else. But just like parking spaces, one person in an open area seems to attract others, so now people are setting up around me. Doh.

Not the end of the world, I am just making it out to be more than it is. Anxious thoughts, creating anxious feelings. Calm down Michael, its all OK. We will hopefully be going in for the briefing soon, then onto the sessions. I am straight in at 9.30 today, so time to calm down, prepare and do my thing.

Here goes...

Have a good day all.

Having recently engaged with a bunch of great medical students, as well as the Royal College of General Practitioners, I gave some thought into a fresh approach to the blog. Separating certain sections of the blog off onto a different platform.

New domain, new interface, and just focus on the personal and mental health aspects of the blog in one place. No mish mash of other entries, just plain and simple "ME"!

Fingers crossed I can get this set up over the weekend, and see about duplicating some of the posts from here onto the other one, and in future keep things separate.

I shall of course refer to the new platform on here from time to time, as I know some have found a lot of information, which has helped in all sorts of ways, from some of the MH posts I have made, so I will do everything I can to ensure that this remains easy to find, and is available to people.

I had an Instagram project of a picture a day for a year running from Oct 17- Oct 18 which has now ended, obviously. So I thought now was a good a time as any to get a new project running, and hopefully I can spend more time on it in the coming year. Something to sink my teeth into so to speak.

The plan is to get the domain and platform sorted today or over the weekend, just got to do a last little bit of research before committing.

Watch this space 🙂

Today has been a very exciting, educational, and rather exhausting day.

Many months back when climbing back to the top of the mountain from my trip to the depths of depression and anxiety, my GP contacted me and asked if I would be interested in playing a part in the education of some future GP's. In the form of group sit down sessions, and mock GP consults at the Royal College of General Practitioners in London.

The initial group session was a blast, with a GP I knew, and trusted, having been on a long mental health journey with her, however the latter, which started today was a whole different ball game. A new location, new people, and travelling on public transport at peak time, what could go wrong, eh!

I left early, and missed the most of the rush hour, so at least I would arrive quite fresh. That worked well. 30 mins early, a walk to get some fresh air, and all was well. Arriving on Euston Road, I went into the building and soon found my way to the right place. Handed a sheet with my schedule for the day, a voucher (which I was not aware I would receive until recently) and a heads up of what to expect and when.

Settling down in the waiting area, I was immediately in awe of the grandeur of the place, stunning and modern, if not futuristic. Looking for friendly faces to try and make conversation with, I noticed that a large number of people there seemed to know each other already. Awkward, new kid on the block in the house!! Within minutes, the ice was broken with a lovely guy Brian. Making conversation with strangers is really not my forte, but this just seemed to work, super friendly and chatty, putting all my fears about the day at rest, one by one.

What soon became apparent was that the majority of the "role players" were in fact actors, given a brief of their character and symptoms. I however, along with Brian and a few more had no brief. Brian explained that we were presenting as ourselves. This was soon confirmed by the briefing and a quick Q&A at the end.  Take my experience with depression and anxiety, choose an aspect of it to focus on, and work with that. Sounded simple enough, I know my mental health pretty well these days.

As the clock ticked down to the first group going in, I wondered what it would be like to try and role play a real life experience. The first GP came out and introduced himself, and reiterated the original brief, choose a symptom and work with it. I was ready!

Michael Snasdell..... the first student called. It was time.

In I went, to find not only them and the GP but another 3-4 students in there observing too. A group of strangers, excellent! Given anxiety was my planned focus, it wasn't hard to get my head into the role. Anxiety was very much present. Not in a terrible way, but at least in a way I am familiar with. So I guess if nothing else, it was an authentic performance.
As the first session went on, I opened up a bit, and really offered an insight into how I actually presented on the day when I really did go to see my GP for the first time. 20 mins in, the consult was wrapping up, and CUT.... Finally I can just be me again. Time for a debrief. I have to say I was impressed, thoroughly. Given the lack of experience in diagnosing mental health issues that the students apparently had, I was amazed at how comfortable I felt, and how realistic it all was. Certainly brought back some memories for me!

With four sessions before lunch, and four more after, I have to admit I was feeling rather exhausted mentally by the time the break came around. I grabbed a bit of the lunch they had laid on, then went out for some fresh air, space, and distraction from it all. My conversation skills were waning slightly by this point. Off to an exhibition over the road, then a stroll up and down Euston Road, taking some time to stare at the awesome St Pancras Station, before heading back in for the afternoon session.

Come the first PM session I was more prepared for the students, and if I am honest, a little harder on them, partially through not wanting to repeat the same story another four times, and partly as I could tell that I was presenting a little too easily. Sorry PM students, I did it for with your best interests at heart, and you all did an amazing job.

The afternoon was pretty much like the morning, if anything over with a bit quicker. Quick enough in fact for me to get out and away before the evening rush hour took hold, which was a huge bonus given how exhausted I was by the end of it all. After the final session  popped back to the first floor and spoke with Madeleine and Niki about how the day had gone.

As a whole it was a massive thrill to be giving back to a profession that is almost completely responsible for my recovery from various mental health trials I have faced in life. From telling my GP a couple of years back that I wanted to give something, anything, back to the health service, and help as many people as I could along the way, deal with their own mental health issues, here I was. Doing it!!
It doesn't get much better than that! Genuinely.

Knowing I will be doing a couple more sessions of this is a great feeling, and I would love to be able to continue to do this, and anything else I can along the way, to help with the battle against depression and anxiety.

I was a little rather touched at being asked for a link to this blog, for them to read, as well as pass on to the students who had asked about it. Any regular and long term readers of the blog will know that I have documented my most testing of times right here, and left it all laid bare for others to read, and maybe benefit from should the need arise. I am pleased that some have already given feedback on it, and found some benefit or comfort in what they have read. It was the aim all along,

A huge thank you to everyone from Dr Elizabeth Paul at my GP surgery for suggesting this, and putting me forward to do these sessions. To Madeleine and Niki the facilitators of the course (I hope that title gives you enough credit for the amazing work you do). Not forgetting of course the amazing students who endured a day of mock consultations, and what I believe were some of your first experiences at dealing with mental health. And of course, had to put up with me!

Going back to the experiences shared with the students, I kept it as near to real life as possible, expressing fears and concerns which the conditions had presented me with at the time. Even referring back to the blog at lunch time to make sure I was staying on track. Open and honest, at times maybe even seeming a little "un-bothered" about things such as death. I won't say it was nice to see some of them struggle a bit with the questioning phase of things. Having been under exam conditions myself in recent years, I know all too well what it is like trying to keep the structure of the scenario, while following the lead of the fluid situation. I am delighted to say that by the end of it all, it was a straight 8 for 8. I would happily have revisited any of them as a GP based on my initial interactions with them. Maybe preference towards one or two over the others, but that is just a personal thing, Professionally, bravo all !!

The debrief at the end of each session gave me the opportunity to feed back to the students in the room, not only the one doing the consult. As well of course as the GP mentoring them. This was my chance to offer them a little guidance on how the session had gone, any pointers for improvements for demeanor, and give any other trinkets of information about anxiety, depression, and dealing with mental health in general. Referencing this blog a few times, I explained that while there are drugs and treatments for certain aspects of mental health, the most important bits for me had been striking up a great rapport with my GP, which enabled me to touch base from time to time,and feel like I was speaking to someone who knew me. And of course the self help side of things, such as a diary and the blog, which I often re-read to remind myself of the journeys I have been on over the years.

I will be returning next month to do another session with some more students, and in the meantime will continue to seek out other opportunities to share my experiences and knowledge with the groups of people who are the future helpers for people like myself.

A massive thank you again to Elizabeth, Madeleine and Niki for this opportunity.

I will leave it there for now, but will sure to revisit this very soon when my mind is a bit more relaxed. I just thought it important to get this blogged asap, while it was all fresh in my mind.

I'm sure some were quite excited by the first part of the title, sorry and all that. There is no let up with me.

As the countdown of days left in 2018 ticks down, and the mileage totals keep climbing, I can honestly say I am looking forward to Dec 31st a lot!
More time to be spent on the trainer in the pain cave, shorter commutes on the dark and damp roads, and hopefully a few more decent rides at the weekend with my bestie before the end of the year.

All primary goals met, secondary and mini goals remain, but as usual, I would love dearly to achieve them none the less.

So right now my attention is drawn to the right set up on the right bike for the commute.
Paolo with his 32c CX tyres and disc brakes is more than capable. 11 gears to choose from, wide tyres with a little tread to deal with the dampness under tyre. But the down side is weight, and rolling resistance.
Then there is Luigi, who has seen me through the start of the year, right up until recently. 25c roadie tyres, reduced contact with the ground, giving less rolling resistance. A bonus in most cases. Slightly deeper wheels, so less fun in cross winds however.

A few weeks back I ordered some lovely Schwable Marathon Plus tyres for Luigi, make him a bit more winter capable. But on trying to seat them, I found there were issues, and decided earlier in the week to ditch them, and get myself a new set of 25c's, nice slick road tyres.
Previously I have had concerns about road tyres and how capable they are at dealing with water and slippery surfaces. A ride in the Cotswolds the other weekend in torrential rain soon changed my mind on that.

So today, the new tyres arrived, so I got to it straight away and got them fitted. A quick once over for Luigi, and set up for the commute, and away we went.
Switching back to a single speed after spending a few weeks on only bikes with gears takes a bit of getting used to. No levers within the brake levers to flick while sitting in traffic, just bars and two brakes, along with a single crank, single rear cog, and a pair of pedals. All very different.

However, once you are moving, and you have remembered moving off takes a bit more effort, no cassette to flick your way through, all is well. Needless to say I did a better average speed to work today than I have for quite a while. I forget very quickly how much I love the simplicity of Luigi.

One thing that has changed is the saddle. Having swapped saddles around on a few of the bikes, Luigi has ended up with a Specialized Body Geometry Riva on there. He came with one, but this is a replacement, and it creaks !! Grrrr. Sadly finding a new replacement is a bit of a chore, but I am trying. Not sure if the Ronin replaced the Riva, but they look pretty similar. I am a believer in sticking with what you know (and were told worked for you in a bike fit). Decision on the replacement to be made soon, can't take that creaking for too long.

I also discovered at the weekend that the set up on Paolo needs some work. Just some small tweaks, but I am working on those, starting at the front with bar set up. It seems to be working.

I am really looking forward to less pressure on myself next year, less obsessing about distance of every ride contributing to goals far beyond anything I ever considered previously. I must NOT set a goal on Strava for next year!
More time on the yoga mat, more time spent doing casual runs, and not driving myself into the ground. All round wellness is the key.
A few decisions need to be made, like what regime to follow, if any, and how to divide my time between commuting, turbo trainer, and running. Not forgetting actual "get out there and ride" rides.
I think first up will be easing up on the commute, however I actually enjoy doing 2-3 times the required distance each way. Weird huh!

Well, lots to think about, lots of decisions to make... Let's see what happens.

Seems my mind is wandering a bit recently, and it is becoming increasingly difficult to motivate myself to do certain things. Not quite sure why that is, but I can tell you it is annoying the hell out of me.

Prime example, this morning. Lovely morning, great forecast, fantastic weather for an early rise ride... But no! For some reason the brain wasn't having it, so that idea was quickly written off. Substituting the opportunity of riding out in the glorious weather, in fresh flowing air, with riding on Zwift on your trainer is a weak choice, but it is the one I went with.

I seem to worry about being too far from home, mechanical breakdown, or coming off. Not things which used to cross my mind so much. Maybe it is experience weighing down on me, maybe just my mind finding excuses I will listen to, to stop me over doing it. 130 mile week again this week, almost 4,000 miles for the year, and probably not enough rest. If I am left to my own devices, I will happily over do it. So maybe this is a good thing?

Either way, I know I am missing out. So if it is my mind trying to stop me over doing it, I need to reel it in elsewhere, to allow myself the chance to make the most of the good weather.

I have Ride London 46 in a couple of weeks time, and should complete my annual mileage goal around the same time. Hopefully after that I will get this demon off my back, stop obsessing quite so much, and relax more with the weekday riding, and have a bit more freedom for the weekends. I also need to start making an effort to get to new places to ride.

Whatever the reason, it is pissing me off now. Not to say I am not trying hard enough, or achieving enough. Trainer miles, road miles, commuter miles, they all take energy, commitment and focus, regardless of what your beliefs are about each discipline. They burn calories and take a toll on you physically. That is one of the reasons I cycle, so goal achieved.

For me, there is an element of willy waving involved, a huge chunk of physical health, saves money, and the big one, mental health.

Speaking of which, it is really disappointing that my employer Fedex, does not participate in a cycle to work scheme. Given that it is a logistics company, with green commitments, a large fleet and employee base, and a vested interest in mental health (apparently), yet is caught up in the fine print of the agreements, so won't get involved.

But back to the mental health bit. For me it has been a god send, however like anything, there IS such a thing as too much of a god thing. For me, goals are a strength, a vice, and a weakness.  Achieving them is like candy for the brain, obsessing over them, and the undying drive to achieve them is bad, VERY bad!

As I stand at the moment, I am on 3,876 for the year, so my immediate mindset is , "I must do 124 miles next week". Not, it would be nice to, but I MUST!! Achievable? Very much so, not a tough ask at all. Sensible to do yet another 100+ week, maybe less so.
Immediately after that is 4,250, my mileage goal for  this year. 16 days of the year left, 124+250, would be nice to finish my annual goal before the end of the month.
Why you ask, I have no idea, it is all just part of this obsession with mini goals, and setting close to unrealistic targets.
We are on Day 196 of the year, there are 166 days left in the year, but for some reason, my mind, my ego, my destructive obsession almost demands it is done in one tenth of that time. Because it would be "good" to.... Where is the logic in that?

This isn't the first time I have called myself out on this bullshit, and probably won't be the last. Issue I have is finding the balance between realistic, and achievable goals, and pushing too hard to somehow please others in my mind. Looking back over the last month, I have done much better with rest days, easier weeks etc, so I need to keep up that trend. While at the same time, getting my head out of my arse, and focusing on the positives, and finding the time to enjoy myself , while at the same time achieving sensible goals.

Add to this all, the running training too, and it is becoming a delicate balance right now.
I have put a stop to my cycling training for the time being, as it was becoming a little too much for my body. My priority right now, when thinking straight is to get up to my 10km run goals, then work from there. Trying not to start setting too many running goals, as it will just start the whole destructive mindset all over again. But I know the 10km non stop runs are within reach now. Add to this, I have been accepted for a half marathon for next year, I know I need to work on extended range for running. Pace is key!

For both running an riding, I have managed to realise now that pace is everything. Not so much speed, speed, speed, but more cadence, HR, and pace relative to those. Push too hard, endurance is gone. It's not a race, it's a journey, as they say.

So, long may the journey continue.

Thanks for reading 🙂

2

Yes, I know I write a lot about depression. Strange really, but it does consume quite a large chunk of my life in fairness. But this time it is a different perspective.
In the past I have recorded the lows of my days, expressing the loss of control, the uncontrollable feeling of nothingness, and the pointless battle of trying to get out from the slump. Then there have been the fight backs, the recovery, and the jubilation of once again rising from the pit of despair.
Not forgetting my attempts to explain the inexplicable to those who want to, or think they do understand the true depth of depression.

But like I say, this is different. A recent consultation offered me a unique new perspective on the whole matter, and made me realise there is more I could do, should the opportunities arise. To date, I have not sought such a thing. Although have recently set out on a vlogging mission, thanks to another chance encounter with another medical professional.

Back when I did my CBT course, I became aware that I grew in strength and self understanding, while talking to others about my journey. Not counsellors, but a group who were too suffering from anxiety and depression. As the course went on, so I realised that telling your stories, as you understand them, to others, helps them see patterns, and routines in their own lives. Once aware, you are slightly more able to take control. Spurred on by the confidence gained from realising you are not alone, and you are indeed understood by someone at least.
By the end of the course, I was overwhelmed by the number of people from the group who felt I had played a positive part in their improvements, and that my openness was key to that.

On speaking to my GP yesterday, I was very surprised when she expressed an interest in me helping educate a group of medical students. As we discussed it, the idea grew. On agreeing to the the seminar , I realised it is something that really interests me. When my mind is clear, I love trying to put things together and help others understand depression, from my perspective at least. Both medical professionals, and sufferers have something to gain from such discussions.
I am not saying I am the Messiah, and the key to depression. I am not for one second suggesting I understand depression in all its guises, I really don't. However I do believe I have built an understanding of what you might call standard depression and anxiety can drive you to.

Seeing others speaking out on a larger platform about how they have battled with mental health makes me almost feel like I could do more. Be it making myself available to speak to others, getting going on the vlogging, or writing more, I'm not sure. But I do know one thing without a modicum of doubt, I feel compelled to make a difference, and I am truly passionate about helping with depression and anxiety. Maybe sharing my stories with medical students is just the beginning. Maybe I can do this more often?Who knows, but I will be sure to speak to the GP about this.

When I am low, I don't look for help, but occasionally will reach out to someone I know I can trust. I am truly blessed to have a small group of friends who understand this, and are amazing at what they offer at these times. However I am so very aware of how long it takes to build the trust to speak to someone you know about it, or even find someone in your circles who you can talk to. Believe me when I say, that alone is one of the toughest parts of recovery.
For some people, they will either never gain such confidence in their friends, or simply not have the network there to embrace them. This is where it becomes problematic.

When you finally reach out for help, you speak to a GP. The standard assessment will be made, the score will be taken, and if necessary, medication will be prescribed. Sadly for some this is the start of the end. With a health service under pressure, and quite frankly such little understanding of depression from the majority of GP's , you take the pills, feel a bit more balanced, and on you continue. No big attempt to solve the cause of the issue. Being such a vast condition, to a degree I totally understand why this happens.

However, if you fall and bend your leg awkwardly, you are not given painkillers and crutches and sent on your way. Investigations are possible to see the cause of the pain, and treatment given accordingly. Unfortunately the physical body is far easier to make sense of than the brain. And we are full circle on why most cases of depression or anxiety are left unexplained.

If you are lucky like me, and you get an amazing and passionate GP, like Dr Paul, your hopes are better. Along with Dr Mason (my work doctor) they supported me to the point where I could carry on without support. Like the leg injury, they were my crutches which carried me until I could manage alone. From simple sit downs to express where I was mentally, to dosing changes. And of course shoving me in the right direction to get CBT, and stick at it.

Of the tens of thousands of people in the UK on Citalopram and other such medications, I would be curious to know what percentage have ever had any further interventions than being medicated.
I am not saying medication is a bad thing, or evil and addictive. Far from it in fact. But as in my early blog, for me the medication is only there for me to rise back up from the depths of depression, and regain control over the matters which influence my mental state.

Debts, relationships, work and so much more can influence our state of mind.We can get down about it for a while, or we can fall further, lose control and begin to curl up to hide away from it all. That is the point where intervention is needed, and not always just in the medication way. Meds are not the solution for all. In fact I would bet most could be back off them, and balanced of their own accord within a year or so. Depending of course on the changes in their lives, and the root causes of their initial downward spiral.

Sitting here tapping away, I would love to learn more about the subject, and write something meaningful about it, something helpful. A first hand account of what some are going through, and a look through window into the future of hope. I am not the solution, I am not the cure, but I am experienced, and open enough to discuss it with others. Knowing my blog has been read by strangers and impacted them positively just increases my drive to help more.
Speaking to the students could just be the beginning. For the rest of the journey, I need to find my way.

As I sit at the kitchen table, starting to write this blog, for which I have taken 24 hours to think of a name for, I am starting to understand my mindset on the whole matter.

The past year has been very different for me. Meeting Ann, moving in together, making huge physical and mental progress, as well as having many hiccups along the way. Roughly two years ago I was just starting to get caught in the whirlpool of depression. Starting to feel myself losing control, realising I was getting down, and fighting to keep my head above water. After a year long fight, I was in a position where I could say I finally felt back in control of things.

However being in a new relationship, and facing a very different living dynamic than the one I was used to, I wanted to tread carefully, and not rush myself off medication, or into to many changes at once. Almost another year later and I am finally in a position where I feel comfortable in considering a reduction in medication, and taking full control back.

Having been on Citalopram for 2 years now, I am more than aware that being off them will feel rather different to what I have grown used to. Since the first time on them, I am aware of the slight lethargic feeling they cause, which you just grow to accept in your day to day life. My recollection from coming off them last time is clear, and I remember how much more energised I felt, for the first few weeks at least. After that, well that is up to the individual.

And this is where the blog starts really.
There is an inherent fear of losing control early on, when there is no medication to "save you" from what life throws at you. When something unforeseen happens, you have no safety net to catch you. Truth be known, there never was. There is a placebo effect that is common when on such medication, and you feel safe, cocooned if you may. Such faith in the meds, that you feel stronger, and more resistant to outside influences. In reality, your mind is more chemically balanced, the right signals are being sent, and you take strength from this feeling. Almost a sense of enhanced confidence.

This confidence is something a lot of people lack, and it is what starts the downward spiral in the first place for some. Simple matters defeat you, worries begin to control you, and soon you are just along for the ride. The ability to remain in control is what gives this heightened sense of confidence.

Realising this is key for me, especially right now, as I approach the first drop in my Citalopram dose for about 18 months now. Knowing that the sense of control I feel I have now is all me, and not the medication is a sobering thought. It shows me that this person is me, I am not the product of the medication. I am however aware of the balance that the medication has restored in me, and am in no rush to immediately come completely off it. There may be a balance to be found between me and the meds, then again, I may be free of it entirely in the coming months.

The title of the blog is a mantra I need to keep in mind at all times. From home life to work life. Flat out training, to resting in the evening. There are always moments where we need to pause for thought, compose ourselves, and react rationally.  I found myself practising it yesterday in fact, which is what spawned this blog, realising I was actually in control.

A spanner thrown into the works of the day, churning up my thoughts, whilst in mid flow of writing another blog. My initial reaction, rage, anger, and fire straight back. Closing the laptop and walking away for 10 mins was a good start. Deep breath.

Distracting myself with something else, watching a YouTube video, gave me time to consider the matter, and contemplate my response. Was one even needed. Count to ten, think about it.

With a few minutes taken to consider the outcomes of all scenarios (classic trait of an over thinker, but that is another story) I relaxed. Realising that any response would simply perpetuate the situation, and each cycle would simply trouble me more, and not resolve anything. Sometimes the cause is just not worth the battle.

That however is just one example. Somehow my mind finds itself in these situations too often, and that is my next battle. There is only so much one can do when it comes to change and influence. Speak your mind if there is hope of a constructive outcome. If the outcome is pretty clear from the offset, why even bother involving and upsetting yourself? A mantra I can recite, but not one I am familiar with following, yet!

To support this change in medication, and what will no doubt be a bit of a strange time for me, to say the least, I have also decided to take control of matters in other ways too.

Having been sat at home bored senseless for weeks on end this year, with foot issue after foot issue, the time has come to stand up to it, pun intended. Having now been through the medical mill, tested, scanned, xrayed, medicated, reviewed, and currently going through physio, the one message I have taken from it is, it's not going to get better any time soon. However, gently pushing on should cause minimal harm.

Now a long way away from my 3,000 mile cycling goal this year, this is one of the things which stresses me out, after all cycling is my great escape. And my very own body has denied my mind this escape. Failure is NOT an option, I must succeed.

Whilst in with the doctor yesterday, which I will return to shortly, I discovered my weight has skyrocketed while I have been laid up, and I am now a HUGE 117kg or 257lbs (18.3 stone). A month ago I was 245lbs! This is not good, neither mentally nor physically. Extra strain on my body is unwanted, and is just going to cause me more issues, especially as it is my feet which have to bear the brunt of it all.

So, medication change is tied first place with weight loss. They go hand in hand, and support one another. Health = movement, movement = freedom, freedom = happiness, happiness = good mental health. I am not unfamiliar with losing weight or increasing fitness, in fact I love the challenge of it, but the timing has to be right.
Knowing I have almost 1,000 more miles to cycle this year is a kick in the backside for sure. With my experience of low calorie diets, HIIT (high intensity interval training) and getting stuck into long rides, I reckon the bar should be set high for my improvements for myself this year. Targets yet to be set, but rest assured they wont be easy ones.

So the plan, as with the medication is to get started with it all next week. One big start line for the whole lot. This coincides with my return to work also, so that alone will help with the routine side of things. It also gives me the remainder of this week to work on the advice from the physio, to regain more movement in my right ankle before working it. There are 87 days left in this year or just over 12 weeks, so plenty of time to get back where I want to be.  Watch this space.

In the meantime, I will carry my mantra, Breath, count, control, and apply it to any challenge which presents itself. It is simple really, the hardest part for me will be preventing the initial knee jerk reaction, to let the rest of the cycle play out. But I know I can do it, if I put my mind to it.

It's a common sign of the first stages of depression or stress,  but right now I have no reason to have either. That said,  I have noticed over the past week, I have struggled to switch off at night and stop thinking.

Anything and everything is game,  thoughts flying through my mind at a thousand miles an hour. From friends to current affairs. Flitting from one subject to the next in the beast of my heart.

I am hoping to resume training in the morning,  and hopefully that will serve as the energy draining mechanism I need. As will the yoga I have planned. Maybe that is best saved for the evening rather than mornings.

It is hard not to get caught in the momentum of this,  and start worrying about stress and depression again. I know I have to get money sorted,  but that isn't a huge pressure right now,  or doesn't feel that way anyway. It could be what's causing it.

Either way,  I will be keeping a close eye on myself over the coming weeks to see how things are. In a sense it is nice to have my complete free mind back,  on the other hand,  while still on meds it is a small concern that I am able to do so.

Before anyone suggests, yup I am familiar with relaxation techniques,  and practice them. It's not the end of the world,  when I do drop off,  I sleep well,  other than some strange dreams.

Another contributing factor is  physical well being. Hip is 90% better but still uncomfortable at night. Knee is almost totally fine now. But my body being the funny bastard that it is dealt me a bout of gout in my ankle this weekend. Thanks body,  you really do spoil me. Or is that ruin me?

Anyway,  wide awake so wrote this to pass some time. New week starts in an hour. Here's to next week and training again.

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.