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Published on Leave a comment on What can I do to help?

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.

Published on Leave a comment on I’m not you

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.

Published on Leave a comment on Depression comes a knockin.

Before I say another word, I just want to get these few things out there.

Thank you to those who know me best, and understand the strange way my head works at times. And an even bigger thank you to those who go through the same processes and choose to share their thoughts with me. Your company on this journey makes it easier for sure.
Sorry to those who I impose my craziness on at times, who either don't understand what is going on, or would rightfully rather not be a part of it. I try and choose the right people to surround myself with when things start to go tits, up. Sometimes I get it wrong.
And finally sorry to those who don't get it at all. As most people who struggle with their own minds would agree, some things are best left unknown. This is certainly one of them.
Right, enough with the formalities, let's get down and dirty, but more down.... After all, that's what this entry is about.
Over the past week, a week which I have spent off work, some strange things have happened in my head. Totally understandable really, all things considered, but let's take a look all the same.
This week has been the first week I have spent "alone" for about 12-13 years. Not having spent such a long time in almost complete isolation can do strange things to you. Now before anyone jumps down my throat, yes I have kept company with some wonderful people in the past week too, but for the majority of the time, it's been alone. 
Before this week though, towards the end of last week in fact, I had a mini meltdown. Following a conversation with a friend, and some subsequent soul searching, I started to realise things were a little bit wrong upstairs, but skipped over it in the hope that it was just a glitch. However this week, slowly but surely the changes have started and the signs have started to appear that all is not well in paradise.  The last few days being the most telling, getting up later, losing focus on things, lack of motivation to name but a few. The worst of course being the slow demise of quality sleep due to over thinking. Once that part starts, I pretty much know I'm screwed, in the short term at least.
Some self destructive behaviour is the icing on the cake really, and in this case it is starting to consume foods which are usually avoided, and lack of interest in physical effects of them. Just the consumption of a few trigger foods for my gout alone is the sign that things ain't right. Fingers crossed now that I am realising why I'm doing it, I can do what's needed without a flare up of gout. Gout and depression together REALLY suck !
After being all melodramatic on Facebook earlier, I finally managed to speak to someone who gets me, enough to confirm what I was thinking, and get my head on the straight and narrow. We both agreed, I need to see a doctor, and ASAP!
Now before the eyes start rolling, and the tssk's being sounded, let me just say this. If you have not had depression or anxiety before, and I mean clinically recognised rather than just been a bit on edge, and have no idea what it does to your mind and your life, please politely shut the fuck up. 
But he is writing a blog, but he is going out with people, but he made a joke on Twitter.... YES ! Depressed people still live pretty normal lives most of the time, especially when things are just starting to take a downward turn.
Depressed people are humans, and do lots of things that normal people do on a day to day basis. But somewhere under the skin, a part or parts of their life is being shredded by their own mind. There is more than likely nothing wrong with what they are obsessing about, so even from the inside, say for example a work colleague, would not see for a second that something simple and petty is in fact destroying their life right now. 
For me, face to face, with people I know and care about, I am me. Same normal (slightly strange) Michael. Do I want to open up to them and get it all off my chest, of course I do! Will I, of course I won't. My respect for the relationship I have with that person prohibits me from burdening them with all my inner worries, which as I have said already, actually amount to nothing. Have you ever had a conversation with someone who is stressing about something, and it's ended with you both laughing and saying "don't worry about it"? Well, that is pretty much how most conversations would go with someone with anxiety or depression. On this level anyway. There are of course much worse forms, for which I am grateful I do not suffer with.
I know I blog quite a bit about feeling down, and in fairness it is one of the reasons I started blogging anyway, so if you hadn't worked that much out already, no prize for you. Is it attention seeking, another form of the vague status update on Facebook that we have all grown to hate. Hell there are even Meme's about vague status updates floating about, whining on about "attention seekers" etc. Well how about looking at it this way.
A vague status update is indeed attention seeking. But the question is, why?
You see most people who live with depression won't talk about it. And will have either never have spoken to a professional about it, or will just deny it is an issue, even though it has been identified. 
So that vague status update that you are posting Meme's about, or sniping about with other friends on private messages, could well be the subliminal cry for help from someone desperate for someone to speak to, but too afraid or embarrassed to ask. 
Have you ever been told no, or ignored about something trivial? I bet it pissed you off, or at least upset you a bit. Now imagine you are ready to lay it all down, share your innermost worries or fears. You think you know the person you can talk to about it, you build yourself up, and..... nothing! They either give you the "you will be ok" line, ignore you, or ask if you can talk about it another time.
Trust me when I say this, you really only get one shot at opening up about something as deep as this, and a single knockback can send you spiralling into what feels like an eternal pit of doom. 
So as corny as it sounds, next time someone, who doesn't post something vague and cryptic every day, posts a bit of a strange status, if you have the time, and actually care at all, please just drop them a one liner asking if they are ok, or wanted to vent to someone. For someone like me, venting goes a long way. Hell you don't even have to read half the stuff I'm saying, just check for question marks, so questions don't go unanswered. If of course their punctuation is abysmal, tough shit I say, no time for poorly educated depressed people! .... That's a joke by the way, even depressed people can make jokes, especially at the cost of other depressed people! 
Anyway, for me, I have spent the whole evening going back and forth in my mind, do I need to see a doctor, am I just being stupid, is there another reason etc. But the simple fact is, if I am thinking it, I already know the answer. It is just my over thinking, over complex mind trying to, yup you guessed it, over think  the reasons why I would need to. Unfortunately, once that thought process starts, everything gets a little blurry. Bringing in other unrelated issues, trying to see if they play a part in the situation, and before you know it the world is a shitty place, and EVERYTHING is screwed up. 
I know I am just feeling like this, because I am! Not because of breaking up, not because work is a pretty shitty place sometimes recently. And not because of anniversaries, Xmas, lack of diving, missing my mum, wanting more money or any of the other crazy considerations that have entered my mind over recent hours and days. 
To be honest, as usual, just writing most of this stuff down, and knowing I am about to press publish, and throw all my inner most thoughts out there into cyber space for anyone and everyone to read, is helping. But of course it is far from the end of the matter. Medication is something I do NOT desire right not, avoiding as much as I can these days, inc pain killers, so I really don't want to be starting a new daily regiment of pills. Besides, they are only a quick fix, the real fix happens up in my strange little head, and only when I have a clear enough mind to make things right. 
The long and the short of it is, I have been dropping down for over a week now, I have another week off work to come, and somewhere in that time, I am going to be seeing a GP. Sooner rather than later if I can help it.
In the meantime I will be trying to maintain my routine of dog walks, training and other things to keep my mind occupied, and giving me reasons to get out of bed early, leave the house, and take in daylight and fresh air. All key things for me to ensure I do, just to make sure the downward trend at least levels out for now. Fingers crossed as ever, this is me catching myself from falling, and not going to end with me picking myself up from the bottom. It's been about five years since I had any serious issues with depression, and I am hoping that by writing this, I am facing my demons head on, and refusing to bow to their demands. 
Depression sucks, but fighting back at it makes me a stronger person each and every time. Here's to beating it once again, and getting back to being the same annoying idiot people have grown to know and despise.
Thanks for reading.
PS, if you suffer from depression, know this. You are not alone, but each of our journeys are different. I cannot swear to understand your thoughts, nor expect you to understand mine. But we share a common ground of confusion, despair, and lack of hope. On his level we are united, and can support one another. Providing someone to hear our cries, give us strength, and show one another that we can overcome these feelings.
Stand tall, do not be ashamed of saying you can't cope or need help. 
There will always be those who do not, and cannot understand how mentally crippling depression and anxiety can really be. Their ignorance or lack of knowledge should not be seen as lack of compassion or caring, but instead just an inability to truly empathise with you at this time in your life. 
If you have made it this far, but still have no idea what you just read. Thank you, for bothering to carry on reading. I hope that one day, should the need arise, and you experience either the symptoms, or identify someone who is, that this makes sense at last, and helps in some way. 
PPS... To those people who have been around me and made things normal over the past few days, thank you once more. I appreciate it more than I can ever express.