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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 🙂

First off, I just wanted to say, publicly, what a pleasure it was to meet you all today, and thank you for your time listening to me rambling on about my experiences with depression, anxiety, and lets not forget gout.
As I said at the time, I am truly passionate about helping people have a greater understanding of what it is like to suffer from depression. Feeling a bit down, or a bit grumpy is really not the same. I really do admire people like yourselves who take the path in life to try and help others, however sometimes feel that the theoretical education somehow lacks enough depth to truly grasp some conditions.

I hope today was helpful for you all, and that in amongst some of my tales and analogies, there was some clarity there too. I am grateful for the feedback you all gave at the end, and hope you took as much away from the session as I did. Thank you to Dr Paul for having the foresight to suggest the session in the first place.

There are of course many other matters we did not get to discuss, compacting a few years of depression, the rises and falls, is of course impossible for a 90 minute session. Hopefully in amongst the rest of this blog (Nov 2015- Mid 2016) there is more information on the subjects which may be of interest. There are also entries from way back too which reflect on the depression. My journey through CBT is also in there somewhere.

If you have any further questions about the issues we discussed today, please feel free to contact me via the blog, or emailing me with any questions on snazy123@gmail.com. Also, feel free to share this blog with anyone you choose to, there are no secrets, especially on the internet.

Getting back to the main part of the blog here. I just wanted to add that physical training, cycling, writing, and believe it or not, being tattooed, all play their part in the maintenance of my well-being, as well of course as having the love and support of my close friends, who keep me grounded.

Today for me was a stepping stone, a step in the right direction for me, with getting involved in something I am very passionate about. The understanding, from a first person perspective, of what depression is, how people cope, and what can be done to help them on their journey.

For many, depression and anxiety is not a life long issue, but a journey taken within our lives, more for some than others. Seeing people convinced that they must live by the pill is quite sad, and also worrying. Not to mention the lifestyle choice that people make when they are convinced this is them for life now.  Talking with people who understand and can genuinely empathise with what you are going through is a massive step, certainly for the people I have had the pleasure in helping in my past.
However not all cases are the same, and the idea of getting involved is in no way a pipe dream of a one size fits all fit.

For me, the idea of being able to play a part in other peoples recovery is huge. I don't expect every encounter to be perfect, and am aware that my personality may not be suitable for all. But nothing ventured, nothing gained and all that.
If actually being involved directly is not a reality, then the next best thing would be to continue to give my time to enable those who will one day be at the frontline of things. Using every day analogies to make sense of how the depressed mind works. I was pleased that my "it's like" approach finally made some sense today.

After speaking with Dr Paul following the session, I am going to try and get my head around how I can get more involved. Organisations such as MIND are a good starting point, my only concern is how to explain my intentions, with absolutely no academic background whatsoever. We shall see how that goes, I will be sure to update the blog with any progress I make, as well as Dr Paul.

Any thoughts on this venture are welcomed.

Today once and for all clarified for me that I am in the right place mentally now, to start reducing my medication, clear the mind fog which sometimes presents itself, and get on with doing something constructive with my time.
If a legacy were possible for someone like myself, it would be wonderful to think that my efforts and words could be carried forward, and make a difference for even a handful of people. Especially those who are not as fortunate as myself, and have no immediate outlet or support network.

I know I said some pretty damning things both on here, and today about the services offered to those suffering mental health issues. I hope I struck the balance of both grateful and understanding of what is deemed possible from an academic level, whilst highlighting the short falling, and no mans land between what is written and understood, and what actually works for people struggling. There is a balance to be found, and hopefully one day, maybe with input from me and others, it will be achieved.

The message to take is quite simply, the input from the NHS and other health services is instrumental in building the foundations for a recovery from such an experience in life. However theoretical empathy only goes so far. Understanding, and experience bridges the gap which is left. There is nothing quite like being on the level with someone who truly gets where you are coming from.
Building baselines for all to understand, and be able to empathise with is key here, so expect to hear "it's like" quite a lot from me.

Now I shall take some time to reflect on today, and formulate a way which I can try and create this baseline. The input from the students today has been key in building my understanding of what is in place, and what is missing from the current structure. Although I would love to build my knowledge on the academic side of things more for my own benefit and understanding.

Key words from today, baseline, empathy, analogy and understanding.

Just as a final note, I want to sincerely thank Dr Paul for her time for me since we first met. That first blog entry following the consultation was a pivotal moment for me, as has been the continued support from you. To have been given the opportunity to carry out todays exercise has been very special for me, especially on what turned out to be World Mental Health Day. Imagine that.

Here's to the future. For us all 🙂

Thanks for reading as ever.

It is so frustrating at times to site idle while others suffer. Knowing you have information which could help others, you have the ability and time to talk to people who need someone to speak to. Yet no way or means to get involved at the grass roots level.

Over the past few days I have been looking into jobs in mental health, what qualifications are needed, and how I can help with the basic skill set I have. Apparently there isn't a way. Which while understandable, is also frustrating. Sure you can teach people the basics of mental health, draw up a curriculum which covers all the bases, make sure people understand the fundamentals of depression and anxiety. But you can't teach experience.

Somewhere there should surely be a crossover point, where experience and education meet, and can be combined to provide the services which are needed most by those suffering. It is great seeing big names coming out and admitting they are affected by depression, and explain their struggles. Saying things others can relate to, and feel like someone understands them. But that is where it ends. When you come forward and look for help, the understanding ends, and the empathy of education presents itself for the first time.

Having someone tell you they understand, because they have read about it is NOT the same as having someone share stories, or finish your tale for you, showing they truly know what the moment can do to you. The lack of this actual understanding is crippling for some, I certainly lost all faith for quite some time. Luckily I had the guidance to keep pushing me to keep going to the meetings, and to try and see what I could inject into the meetings to try and make them a little more "real" for others so to speak.

The thing I found was, as soon as I started openly sharing how certain incidents and events had made me feel, the whole group seemed to engage, waiting to share their experience too. A few meetings later and it had become the norm for me to offer a story, a real life example of such a feeling, to get the ball rolling, and by the end of the session we were all much more open about yet another aspect of depression or anxiety.

The difference to the first few weeks, and the attempts by the course tutors you try and get people talking, asking complete strangers to interact was almost troubling rather than helpful. Only being able to teach and discuss what you have learned from a book or lectures, while on paper might sound great, really isn't. I reflect back to when my daughter was being born, and the midwife told her mum to relax and enjoy the beauty of birth. When asked how many children she had, she replied none. That didn't get a great response. How can you tell someone how to feel about an experience you have never had... Quite simple, you can't.
In very few walks of life would you take advice from someone who only has theoretical experience in something. So when it comes to something as personal and unique as depression, the textbooks just don't cut it.

I desperately want to be able to intervene. Play a role in getting people who are hidden away in their heads, suffering in silence, speaking out. Not to the world, but just to a human who can be compassionate and genuinely empathise with them. Someone who can give their thoughts the time of day, and allow them to vent all the negativity that is drowning them.
You see, for me, and in my experience, speaking out is the first and most important key to the whole experience. While I have always been open enough to speak to a lot of people about it, there is a time when you feel you have exhausted them with the same stories, and you need someone else to talk to, a blank canvas. Unbiased, non judgemental, and willing to listen.
For me on my last round of depression, that person was Dr Elizabeth Paul at Wells Park Surgery. As my original entry says, I walked in silent, sat and just gazed. There was no immediate prompt from her, just a simple smile which gave me the courage to start trying to explain myself.

The whole entry is here... http://michaelsnasdell.blogspot.co.uk/2015/11/the-trip-to-doctors.html

My point here is really, that there is no one right person or way for everyone, we each need to find our own. The person or situation we feel comfortable with, to finally take the first meaningful step. When I have spoken to others about their depression, the common thing I find is the almost relief shown by the person, when you can actually, first hand, appreciate the magnitude of what you are saying.
An example being, going to meet with a friend while I was mid way through my fight with depression most recently. I chose a place to have lunch, somewhere I knew would be quiet, no crowds. My anxiety at that stage was very bad, so people were not my favourite things.
All was fine to start with, however when we started eating, more people started coming in, sitting closer and closer to us. Paradise lost! Matt had no idea what was going on inside my head, but mad panic is the only thing I can describe it as.
When we left and were talking afterwards, in the nicest possible way, it was impossible for him to understand the difference 4-6 more people coming in had made. However speaking to other friends who have been through the same, they got it straight away.

The big issue here is, a lot of people just don't have "that person" around them, and most of the help on hand seems to be from people who are well educated in the field, but really can't fully grasp what you mean. This is a big stumbling block for people. Having finally spoken out about how you are feeling, to suddenly be faced with a stranger who wants to help you, but doesn't understand you, is crippling.

From my experience, things didn't go well from the start. From my first face to face with someone, it felt like I was doomed. The full blog of my first impressions is here.... http://michaelsnasdell.blogspot.co.uk/2016/01/touching-base.html

You may be able to tell from the words that it didn't really go too well, and I was left with a rather bitter taste in my mouth. If you read entries further into January, you will see things didn't exactly get much better, not for a while.
Had this interaction been with someone who could understand and properly empathise and assess what I was going through, I think I would have felt much better about the matter. Seeing the speed at which some people dropped out of the subsequent CBT course, I guess for some it didn't get better soon enough. When CBT was explained to me, it was a very rough and vague explanation, reading up on it wasn't much help either. It was only being there, and manipulating it to my own needs, that finally started to make a difference.

After the initial discussion about what CBT was, these were my thoughts.


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?

Here was a person of sound mind, with questionable experience with depression, certainly first hand, telling me in short that I was the issue, and I needed to just forget about the past, and look forwards. Not a great deal of help.

I would dearly love to be able to help people get through this first major step in the program. But it appears academics comes first. To me that feels like teaching someone who can already run, to walk again, because they didn't learn properly. Sometimes, certificates, diplomas and grades count for absolutely nothing at all. Sure, along the process they are without a doubt very important, but for some aspects, you just need to understand, properly. Especially when trying to convince someone to walk out of their door into daylight for the first time in a month.

So here I am, frustrated that due to my lack of qualifications, I am near helpless to play a role in this. Sure some will say, volunteer for Samaritans or similar, but that is just not it. Could I turn my hand to such a thing, probably, would it be as fulfilling as the feeling I felt helping my fellow sufferers through their battle with depression, probably not.

At the end of my CBT course I did consider asking to be the plant in the room, the one who has been through the course, but is there to go through the course again, and try and get things moving. Sure the tutors are doing their best, but from speaking to them, the drop out rate is high, and our group had a "good" retention rate compared to some. That left me thinking that there must be more that can be done.
In the end the course certainly played its part in my recovery, as did a network of friends, and carefully considered distractions. But I honestly feel that I was very close to not bothering with the course, as my blogs show. Had I had some understanding and encouragement from someone who got it, earlier in te process, I might have started feeling a bit more positive sooner.

I applaud anyone who trains to work in mental health. It is a huge problem for our nation, and one which is only getting better. Lack of funding, not enough genuine cases being recognised, but for me, the biggest issue is the lack of understanding in what really helps people in such crisis.

So I am off to scour the internet fr ways I can be more helpful to others. I will also be speaking to my favourite GP about the matter when we meet on Tuesday. I know she won't have the answers, but it is a start, and keeps my mind heading in the right direction.
Any thoughts on how I can get involved are welcomed, so please drop me an email or similar.

Thanks for reading, and here's to getting a better understanding for those suffering.

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.

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.

It's no secret that I am "in the system" as such for therapy to try and deal with whatever it is that is eating away at me. Strangely as things have progressed, so have the feelings and symptoms of it all. Today I made a breakthrough all on my own, realising that anxiety is almost my coping mechanism for depression. As the cycle goes around from deep thinking and low moods, so the anxiety begins while I search for the reasons for the depression. Somehow I trap myself at depression almost subconsciously protecting myself from the lows of depression. Knowing I can still function on some level with anxiety, but very little function when depressed. This I know for a fact. But how I have come to this coping mechanism I have no idea.

Blocking the outside out, disengaging from people, and avoiding social situations of all kinds happens with both anxiety and depression for me, but when only anxious, I say "only", I can still manage to get to smaller shops, communicate with a small few people, and of course exercise. With the depression I know that my day consists of dark rooms and staying in bed, and withdrawing from society to the point where even housework and day to day responsibilities suffer.

Anyway, back to therapy, that's what this entry is meant to be about.
Quickly looking back over the timeline.
Mid Nov, GP referred me to IAPT, the therapy section of the local NHS.
Early Dec, I received a letter acknowledging my referral, followed by an hour long phone call to see what therapy I needed.
Mid Dec, I received notice of my first therapy appointment for early Jan
Early Jan, went to first session and later blogged about it. I had been sent for CBT, but didn't feel it was going to work for me, but agreed to stick at it.

Today, I had my second appointment with the therapist. Last week I was given a sheet to fill out for 7 days, every two hours. Logging my activity, mood, mood intensity, sense of achievement, contact level and enjoyment. And also a test sheet to score my anxiety and depression. On arrival at the appointment I handed them over only to be given the log back telling me it was for me. Errm I lived those days, so am pretty sure I know how I felt. Thanks for giving me something pointless to do!
The test score sheet was glanced at then put away.

At the opening of the session I was told that the therapist had spoken to her boss, who had agreed with her that I should probably be referred to a "depression group". Run by 3 people, and considered high intensity, they felt that this would be a better way for me to progress. Or I could stay at one to one therapy and carry on as I am. No pressure.... but choose NOW, you can't do both to see which is best, its one or the other. In reality the sales technique used felt quite bullish, so naturally I went with the easy option and accepted the group sessions.

By all accounts it is more a course than a group, with presentations and education on depression and self esteem, touching on anxiety. Or there was another group dealing with anxiety and stress. But tackling my two issues together seems impossible. In the therapists own words, having a depression and anxiety group would take forever to to get through. Well sorry for being awkward. We can help with one or the other, but not both, choose!
So the course lasts til April, 90 mins a week, in Lewisham. Active participation is not required so I am told. On describing the course to me, she explained it was 90 mins with a break and refreshments in the middle. And that during these breaks people can mingle and interact. My reaction was "oh god, strange people", to which I was told it was good for me to be "forced" into a social situation and to interact with people. Guess you didn't read the section on my test score where I rated interactions with people as stressful and upsetting then.

All that said and done, most of my worry is caused by the anxiety and the unknown, I could get there and feel fine, I know this. But I can't help but feel that so far this whole therapy effort has been a farce, so am really not encouraged to hold out much hope for the next stage.  With having an hour long phone assessment, then my first appointment being an assessment and introduction to CBT. Only for my second appointment to scrap everything that has happened so far, be given a huge pile of hand outs to read and be told, start with someone new again on a different road next week, really undermines my faith in trying any of this. I know these are tried and tested methods, but can't help feel ignored when I have said over and over that conventional counselling has worked for me before. Encouraging interaction, dealing with my past, and digging deep to find the root of this feeling. But hey, what do I know, I'm only the one trapped in my own head.

The outcome of todays session was about as negative as it can get really. I came home, tried to walk the dogs, managed Tuvaaq, got to the top of the road with Aana and turned back giving up. Great, too fed up to even walk! Coming back home with Aana, I ran a bath, had a quick soak, realised I was dropping off, so got out, dried off and went to bed for a couple of hours.
I would have to check back in my mood diary to see the last time I felt so low that I just completely shut down. But it has been a while. So to come from a help session and feel SO damn low, well that just sucks!

Since getting back up I have been for a walk on my own listening to music. I know I am not physically exhausted as my legs had plenty in them, but the motivation to keep moving, even with music in my ears was a struggle to say the least. So I am left feeling alone, withdrawn and misunderstood. Thrown from pillar to post as they make some kind of effort to help me. If I were to see my GP any time soon my feed back would be poor. If I could afford to go private with counselling, I would in a heartbeat.

Right, here is hoping the mood passes by tomorrow, and see if I can get back in the saddle, metaphorically speaking, and depending on the weather, maybe in the actual bike saddle.

Oh one other thing. Last week I expressed to the therapist how much exercise and walking I was doing, telling her distances and durations. Today she mentioned this, and I said yesterday I walked 15 miles and rode 25. She cocked her head and looked and me and said "in one day?" I said yes, I walk that most days. Glad she were listening last time!

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.

How can I go from feeling so positive, to quite frankly, so shit in such a short space of time. I mean, I do get it, it's what the bastard brain is capable of doing, but even though I understand it, it is SO frustrating knowing you can't do a thing about it.

Today I woke feeling sore from lots of walking and activity over the past few weeks. As I have said before, walking and music are my two escapes from the feeling of total madness that I fall into if I don't keep my mind occupied with simple things. Planning to take it easier than recently, I first took a walk to the GP's to get myself a telephone consult with my doctor. Having spoken to the company doctor the other day, and taking his suggestions on board, I thought I would approach my doc with the recommendation of the increase in meds to get things stable. No point taking up a face to face, so a quick call should do the trick. That will be on Wednesday now.

After walking back home again, a few miles round trip in all, I took the dogs out. Now already walking more than I planned but my mind was starting to run away with me, so I did it to maintain control. Getting home I found I had a letter from the Psychological Therapy dept, with an appointment, for January. So in all so far it will have been 6-8 weeks to get to see someone to start the process. Or so you would think. But apparently the hour I spent on the phone a couple of weeks ago, answering questions, explaining myself, and doing the grading questionnaire wasn't enough. So my appointment in a couple of weeks time will in fact be.... An assessment... AGAIN ! So still no sign of actual help yet.

To say that makes me feel helpless is an understatement to say the least. I know the service is under a lot of pressure. But having approached my GP in early Nov, getting an appointment for January to assess me kinda sucks. Given that by assessment they acknowledge they are so far unaware of the extent of the situation.

With that slight hint of negativity I nose dived this afternoon, and by 1pm I was so tired I had to sleep. Brain just not wanting to keep thinking at the time, so back to bed I went. Waking a couple of hours later, feeling crap about myself, and in a worse state than when I went to bed in the first place. On waking my first thought was to go back to sleep. Since then I have tried to watch some TV, tried to do some bit around the house and failed on most counts. Resorting in the end to going for another walk, from which I have just returned. With a angry calf muscles, and very sore feet. I know I am not doing my body any favours doing this, but it's the lesser of two evils, so the body loses every time.

Speaking of the body, my latest thing is self loathing. Angry at myself for falling out of good shape, hating what I have become, and struggling with if I can even do anything about it. I have the equipment, I have the knowhow, but to actually get into the routine of it again seems impossible right now. I want to look good for me, I want to feel good about myself, and lets be honest, I want to be attractive to potential girlfriends. I would love to get into the best shape of my life next year. There is no real reason I can't, I just need the fire in my belly, and the encouragement of  some people around me to spur me on. But right now, all I can do is hate what I have become.

What I have become is over weight, under confident, unmotivated, and inward. Constantly questioning myself, looking back on past events in life, both recent and a long time ago, and wondering if I was a different person back then. Was that me, or is this really me? What changed, and what did I do over and over to get me into the place I am today. I don't think I am a bad person, but I know I have done some mean things over the years, not given people the attention or respect they deserved, and maybe that is coming back to bite me in the arse now? My retraction from interaction speaks volumes about how I feel about myself right now. Choosing only to communicate with a very limited group of people that I feel "safe" to speak with. No complications or awkwardness, no unexpected changes of subject. Just calm conversation.

And that's another thing. How two-faced do I feel at times. I can see someone I am comfortable around, and be happy, laugh and smile. Just opening up to them feels natural and good for me. With the chosen few I feel I am being the real me, the proper 100% actual me, the person I remember I am in times of clarity. Yet with others, and I apologise for this to you all, I am awkward, cold, and silent. Choosing not to even answer messages in case a question turns into a conversation. Avoiding silly things like a call to the Reebok engineer to get my cross trainer serviced, as I don't want to talk to strangers. Stupid as that sounds, I really can't bring myself to do that, or other calls right now. Unfortunate, as having a fully working cross trainer would be quite handy right now. Maybe I will try and call tomorrow ( like I have said for 2 weeks now).

I really didn't realise I was going to write so much right now. I know there is a lot in my head, that I have been unable to blog recently because of the lack of enthusiasm to sit at the desk and type, a lot of things building up and making matters worse for me. It is a really horrible feeling to know there are things I can do to make life easier, but not have the get up and go to do them. Almost trapped in my own head, by my malfunctioning brain. So much energy of varying sorts, all building up waiting to explode out of my mind.

With Xmas fast approaching, and the seasonal road trip to Wales, I am hoping I can get some fresh air, and relax my mind a little once the duties are taken care of. I feel bad though because in my head right now I don't want to see Chris and Dyfrig who I make a point of seeing every year. As much as I love our conversations, and how welcome I am made to feel, right now I can't bare the thought of sitting in the house and looking back over what has been quite a challenging year. I am sure I will do something to make amends for the lack of visit in person, but still feels wrong at the moment.

Right, I am going to leave it there as my concentration is waning a little and I may start to ramble more than I already am.

Just a quick thank you to those who continue to offer support and friendship, regardless of if I have accepted it or passed on it, I appreciate it all. My choices of who I am turning to right now in no way reflects how I feel about people in general, so please don't take what might appear as ignorance or shunning as a negative, it isn't something I feel I have control over right now.

On another note, and quite a macabre one, while I am struggling right now, and really fighting to stay active and in communication with the outside world, I can say thing with confidence, as I have said in person to a few people. I have no ill intent towards myself, no wish to no longer be around, or to harm myself. Strange as it sounds I know depression and anxiety affects people differently, and because of that it is a natural concern for some to have when they know a person they know is struggling a bit.
I promise that should that feeling ever change, phones would start ringing, doorbells would be rung, and I would reach out as soon as the first thought ever entered my mind.  So please don't worry about that, especially if I am not talking to you much right now.

OK, done, thanks and well done if you read this far.  Til next time.

Just something I have to get off my chest, and mean no offence by it. But I really need to speak my mind about it.

Over the past days and weeks, and even during the last period I was like this, people have been pretty good about speaking to me. Some bravely sharing their own experiences, some with great pick me up conversations, and others with the right intentions, but missing the mark. OK and a few who just really don't get it at all.

A few pointers.. Chin up, cheer up, don't stress, it's gonna be ok... All things you say to someone when they have just punctured a tyre, dropped a glass, or deleted a file they wanted. NOT things you say to people who are suffering with depression, anxiety or stress etc. I know it seems the right thing to say or do. I know it works when your mate just got brushed off by the girl they like, but this ISN'T the normal thought process here, and it is really not that simple.

Now I know we all have lows in our lives, some are listed above. There are things in day to day life that can make us feel pretty shitty for a while. Simple things, missed opportunities, rejections, or accidents. They all give us a sense of doom and gloom. But seeing the right person, hearing the right thing, or going to the right place makes it all seem like its OK again, and in no time you get over it.
The same when you are up against the clock, need to get so many things done at work or at home before time runs out, that feeling of stress, and momentary loss of ability to think straight. But it passes once the tasks are done, and is followed by relief and jubilation.

What you feel at that moment is certainly not nice. And when you are asked by someone what is up it is common to day how depressed you feel. Which is a fair comment, as you emotions are under pressure, you feel down, depressed fits.
When you work colleague asks you why you are so flustered, and you tell them "I'm so stressed, I have so much to get done" , again it's a fair assessment, and you are indeed feeling the effects of stress.

What I want to explain though it, as much as you know how it feels to experience those pressures, and emotions, and you can empathise with others who are under the cosh, there is a difference.
When you merely feel the pressure, but know why, can rationalise it, and understand the external pressures which are affecting you right now, be it a rejection for a job, or the workload of a current job, you can not only understand why you feel how you do, you also know that when that moment has passed, normality will return.

The difference for someone suffering with long term stress, depression, anxiety is quite simply, its irrational. Sure the initial trigger might make sense. Losing someone close to you, relationship break-up or something smaller and less significant like trouble at work, or just a lot to get done. So pretty much the same as the above. The real difference starts when simple, mundane tasks that you carry out daily without even thinking about, start to become problematic. You start over thinking , making easy things complicated or even impossible. Shy away from things you have done for years, and you mind reaches such a point of confusion, that it starts to shut down. Block things out, ignore important aspects of life like communication and personal care. Until it reaches a point where you cannot function properly.

Shutting out external forces is usually the first thing to happen. After all that is where most of the unwanted pressure is coming from, so eliminate that ASAP.
Then the differences between individuals start to appear. Functioning or non-functioning are the options. Some people struggling with life can go on like nothing has happened, go to work, coexist, and try to socialise. Others go the opposite way and become non functioning, shutting themselves away from everything, refusing help, and denying that anything is wrong.

Acknowledgement is key in both cases, and both realising and admitting that something is wrong is one of the hardest parts to come to terms with, let alone admitting to others. Partially because of the way people interpret what you mean when you say you are suffering with depression. As I said above, a lot of people don't have a clue what is going on in your mind, but try, sometimes too hard, to reassure and empathise. Sadly the effect of this misunderstanding is you will more than likely block this person out from any future attempts at help.

Where we go from here is very much an individual thing. It is nice and also reassuring that friends have shared their stories with me recently, and similarities clearly exist between our situations. That said, I do not and would not expect them to believe that I fully understand, nor that they fully understand my feelings. Anyone who has been to a true low point knows that it is a very individual feeling.

One thing I do have to say though is, I am NOT brave, bold, or stronger than others for speaking out so openly about this situation. I know people mean well when they say it, and I appreciate the sentiment, it means a lot. But I am no braver than anyone else living an coping with depression. It takes far more strength to fight your inner most thoughts and fear, than it does to write a blog and share some of the less emotive matters in the situation. All I am trying to do by writing this is show others suffering in silence that it is OK to admit how you feel, and you are not alone in the darkness. No one can take the pain from your mind, but sometimes just getting some of it out there and engaging in dialogue, is enough to make the pieces of the puzzle start to fall into place for you. A 5 min conversation can lead to days of clearer thoughts, and less weight on your shoulders.

My advise to anyone who has a friend, or even thinks a friend might be suffering with mental health issues. IF you have the time and the mindset, IF you care about their wellbeing, IF you can commit to them... Just let them know you are there. A quick "if you ever need a chat" and a reassuring smile, then leaving it alone, can do more than you can imagine. And when the time is right for that friend, and they feel you are the right person to speak to, they will come knocking. If they don't, please don't take offence to it. It's not them snubbing you, it is them making a brave decision, and starting a journey. Just not with you. But please be happy for them, and occasionally, with no pressure implied, remind them you are there. A quick text to say "heya, how's you" goes a long way.

PS, "mental health" merely relates to the wellbeing of the mind, and is a huge umbrella for a whole host of conditions. Someone diagnosed with a mental health issue is not immediately schizophrenic, bi-polar or a self harmer. So please don't be ignorant about it. People should be able to discuss their mental health issues without the above stigma being associated, and it is the ignorant people out there who immediately pigeon hole people like this who compound the issue for those suffering, and in turn prevent them from seeking help.

Right, that's me done. Said more than I intended to, but a brief moment of clarity got me caught up.

Just remember, whether self diagnosed, or clinically diagnosed and medicated for it, mental health issues are different for everyone. You are not me, I am not you. Empathy is fine, complete understanding, and advice like "cheer up" does NOT help.

2

As some of you may recall, a few years back I lost my mum to cancer after a long battle. In the wake of that, I started writing another blog called The Diaries of a Cancer Carer. The aim of this blog was mixed. Self help for myself, as an outlet of all the emotions and experiences , but also some kind of reference to others going through the same.

A short while into the writing, I kind of lost my way for a bit, so the writing ground to a halt. But recently I have been inspired to maybe give it another shot.
I did buy a nice shiny new PC  while back so I could carry on writing another old project, but I don't seem to have found my way back to it yet. Who knows, maybe this is what I need.

One thing I DO need is a proper keyboard. The one on the Dell, this one on my Chromebook, and the one on the laptop just are not up to the job of a proper keyboard pounding session.

SO...... Shall I knuckle down and get back on with it?