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So I have just finished watching the Second Chance Podcast interview with Tom Gaymor on YouTube (link below) and can honestly say I am experiencing such a mixture of thoughts and emotions, it's quite strange. It is always amazing to hear other peoples stories in depth, especially when you already have preconceived ideas about them. In Tom's case, I am a long time follower on Twitter, and find a lot of what he says and stands for very relatable. However, on listening to the podcast, my eyes are now open wide with enlightenment and amazement. Life is not a competition, not for a second, however some of the battles Tom has faced put my own into perspective. I am sure Tom would say the same about many other people himself. No two lives are the same, so it is wrong to try and compare, but sometimes you can't help yourself. 

Link to the Podcast here. 
Second Chance, Tom Gaymor

The first part is about Tom's early days in motorsport, an environment which I imagine is character building, and by his own admission sets a high bar for the other parts of life.  Following an accident, Tom begins to struggle with his mental health. Finding things he once considered normal, to know be terrifying challenges. Even the most mundane of situations now creating chaos in his life. I won't go into too much detail, as I would definitely recommend giving it a watch or a listen, but let's just say it is at this point things became very relatable for me. 

Control. This is a word that comes up a lot in the interview, and during my recent CBT I realised played a big role in my day to day life too. To be clear, control in the sense of routine, known outcomes, and forward planning, rather than being a controlling personality who wants everything done their way. 
I think "control" is a good summary of my requirements of situations. I don't like surprises, I like normal.

As I watched I was writing paragraph after paragraph in my head in response to it all, yet as I sit here writing this my head is empty. Usually for me, my thought process is very repetitive, unable to shake a thought or an idea until I do something with it. Either speak to someone or write it down. But for some strange reason, the conversations I was having internally as I watched, seem to have washed away. Almost as if I was speaking with Tom as part of the interview. I don't know, it's a hard one to explain.

I think the most profound part for me was to hear how immediately debilitating the anxiety was. From the instant it took a hold, normal life becomes a thing of the past, and everything you once took for granted disappears in a flash. Everything feels new, scary, and such a big challenge to overcome. Everyone is different, and we will all struggle with different things. I have no idea what part of the brain decides what will suddenly become problematic, but the common theme seems to be social environment. I have never been particularly social or engaging, in Tom's case he was, however we were both somehow left with a feeling of discomfort around people. Regardless of if you are social or more introvert, not being able to mingle with society for even the most simple of things is crippling. The natural instinct is to hide away from it, to avoid it, but in reality this just makes things worse. 

The feeling of not fitting in, isolation or just feeling frantic about what used to be normal should be the alarm bell to get some help and guidance with things, however humans are pretty good at adapting to changes in life. It is not always for the best, but we do it anyway. Once we adapt, we just carry on as normal. And for some this is where the problem can start, not dealing with the underlaying issues can have catastrophic consequences in the long term. For me it was probably a few years before I did anything about my issues. I had just grown familiar with avoidance, and my greatest trick, masking. Masking or acting as Tom put it, is a great defence, building a character front that can appear to be fine. Happy, chatty, engaging, and all the things the world wants you to be. However as soon as you remove yourself from the situation, the exhaustion sets in, and the anxious mind takes over. 

Unable to switch off from all the thoughts going through your mind. Playing situations over and over again. All in the past, but IF ONLY you had said something else. No matter how many times you remind yourself that the past is the past and you cannot change anything, it makes no difference. 
Or on the flip side, preparing for something that has been planned in advance. Catastrophizing it long before it has happened. Thinking through scenarios, how things might (or might not) play out. Before you even get there you have lived the whole event a hundred times, and are ready to go home. 

I was writing notes as the interview went on, highlighting some of the above points that had been discussed, to remind me to include them, when out of the blue Tom mentions writing notes in the same sort of way. OK now it really is getting freakishly relatable. Looking at said notes, it brings me onto the next one I have written down, and the final part I wanted to address. Telling someone. 

The first time you connect with someone in the right way, and are able to tell them what you are going through. Your struggles, and how it makes you feel about yourself and sometimes about others. It is such a moment of empowerment, and in some cases it can happen more than once. Depending who you surround yourself with, there will be certain elements which are more relatable, and therefore easier to be open about with different people. I am lucky to have a tight circle of friends, a great support network, and I am proud to say it works both ways. I think that has probably been one of the most important parts of it. 

Talking about things should be a dialogue, not a monologue. If you just talk, there is no structure, it becomes a wild ramble (a bit like my blogs at times), and can just be a little empty. Being able to relate to the person you are talking to, even if from a totally different walk of life is key. That is my finding anyway. Having spoken to a number of professionals from counsellors to CBT therapists, if you don't connect, it feels pointless, and becomes a bit of a chore. I have had times where I have had more benefit from a coffee with a friend, than a few sessions with a "professional". I don't mean any offence when I say it like that, but it is true. I am sure other people connect better with some of the pros I have spoken to than I did. But if its the wrong person, it is counterproductive and can actually make matters worse.

For quite a few years I worked with the Royal College of General Practitioners in London, as an expert patient. The idea was to work with medical students, and do role play scenarios. They would do a consultation, and I as the patient would present myself in a way similar to how I would to my GP. They would then diagnose and offer treatment or advice. The one thing I always tried to drive home in the debriefs after each consultation was engagement. Taking the time to connect and engage with the patient. Try and form trust, and help the person feel they were being listened to, understood, and most of all were not alone. For some people the GP or therapist may be the only person they will ever try to speak to about their feelings, and the outcome can be tragic in some cases. 

It is all very well saying "talk to someone", but when the reply is "chin up" or "you'll get over it", it is pointless. The same way it can be pointless telling people they should ask how you are twice, once "how are you" and then the "and now how are you really". You will only get asked for help if you are the right person, one they feel comfortable talking to.

It's a fickle thing the mind, and it works in the most mysterious of ways, but one thing anyone who has ever had any sort of battle with anxiety would agree on is you have to want help, before you can start to get back on track. 

I will always share my thoughts and experiences, just in the hope that there may be that one person out there who it resonates with, and they can feel less isolated, know they are not the only one who struggles from time to time, and that there is hope. Your new normal may not be the same as what you are used to, but as long as it makes you comfortable within yourself, and content with every day, you are winning. 

Right, I am rambling now, so that's me done with this rushed entry.
Thanks again Tom for being one of those people willing to peel back the layers, and share his experiences. It is really heart warming to see and hear.
Honorary mention to Rob Beckett and Josh Widdicombe and their Parenting Hell podcast, which over the past 12 months or so has really explored mental health and anxiety. I would love it if there was a spin off where mental health was discussed even more. Experiences of the well known, but relatable makes a world of difference. 

As of 8.15 this morning, I officially work from home.... Permanently! With the exception of infrequent meetings at the office, or location based training.

I had a meeting scheduled for 11.30 this morning with HR and my manager already, so was expecting news today at some point. However last night on checking my work email I saw a late email from HR saying they were trying to call me. I emailed an up to date mobile number to them in case they wanted to call then.

This morning I checked my phone and had missed a call from HR. The dread started immediately, and the playing of conversations in my head spun up to speed. Checking my email I saw one from HR saying my manager was off sick, and that HR would try to call me.

The first way my mind played this out was to think that the meeting would be postponed and the decision would not be revealed until all parties were on the call. This is my mind of doom we are talking about here.

Not giving my mind time to run away any further, I called HR back. She said that my manager was off sick at the moment and they had decided to postpone the meeting until he was back in the business.. The voices were loud... "I KNEW IT!" However she went on to add that she did have news and wanted to let me know that I would be working from home, permanently from here on in.

A meeting is still needed to formalise all of this and sort out the finer details. Notice for meeting at location etc. Not to mention any provision the company might make for my arrangement. So I still have a few hoops to jump through, but the main flaming one is done.

I guess at this point I am meant to feel some sort of emotion, however I feel nothing much right now, with exception of course to feeling like my anxiety has packed up and gone away. Most of it anyway. It is a relief, a weight has certainly been lifted, but there is no joy, exhilaration, or anything like that. Not yet anyway.

Now hopefully I can focus more on my own well-being.

Phew, that's better.

Thank you to everyone who has played a role in this. From advice, to counselling, general support, and of course for those in the business for getting everything done. It hasn't been an easy road at all, but now we are here I can see that every action has its part to play.

I have just penned a draft of a letter to work, making a formal complaint about the way matters relating to my mental health are being handled, and as I read back through it I realised something.

While I was writing it I was trying to find the right words to express my feelings on the matter. Words that carried the right weight, and conveyed the right message. However on reading it back, I could feel the emotion of each word bubbling away inside of me. I was not crafting a strongly worded letter, I was saying how I was feeling.

On the realisation of that, I did a quick assessment of how I am feeling right now, and discovered that I am actually nowhere near as OK as I am trying to show I am. On the surface all is well, the mask is in place, the stuff upper lip holding firm. But below the surface, I can feel myself shrinking away. Becoming more and more affected by being ignored, feeling worthless, and losing all my motivation and energy.

Sure the weather isn't helping much, and not being able to get out and blow off some steam isn't ideal, but as a whole, I feel mentally drained. Something that even shows in my Garmin metrics. Sleep poor, body battery poor, resting HR elevated, stress higher than normal. And all because I can't get my HR to take my seriously and deal with my situation once and for all.

When you think mental health, you should also think urgency. When a situation becomes so dire that the person waiting on a decision needs to start taking medication, alarm bells should start to ring. Once all the facts and reports are in place, it becomes a mere formality to tick some boxes, and make a decision. Such a decision should take a matter of weeks of all parties are available to discuss.

Once that matter spills over into months it becomes out of control, and is either misunderstood, or beyond the remit of the person charged with the responsibility of the decision. That, or a matter of laziness and ignorance to mental health.

When this carries on to a point where it has been almost EIGHT MONTHS since all the details were in place, it becomes something far more serious. Either a calculated attempt to brush the matter aside and hope it goes away. Ignorance is bliss, they will go away if I ignore them long enough. ORa display of complete inability to deal with the matter. Either way it is a complete and utter failure internally by a department to deal with a mental health matter with the urgency and compassion required.

If you are the person on the receiving end of this treatment, depending on the fragility of your state of mind, this could be utterly devastating. For a very vulnerable person to feel ignored, belittled and worthless, this could literally be a matter of life of death. The decision you are waiting on could shape your whole future, will you have a job, can you pay your rent, can you afford to live..... Do you want to live?

Thankfully I am not of the mindset to end my life. However, sadly there have been cases in recent years where colleagues have done just this. Not I might add because of direct failings of HR, but none the less we have had the completely mentally vulnerable working with us, so who is to tell who that next person is, or what will be the straw that pushes them too far?

I am now left gathering myself up, and trying to find some get up and go before I spiral further down into depression and a feeling of self loathing. A feeling I am all to familiar with. This time of year usually sees me flourishing, instead I am curling up, and not even wanting to get out of bed. Hopefully I will hear something soon, but I am growing tired and impatient now, and quite frankly becoming disappointed with myself for being so understanding and patient.

First things first, I feel a lot more relaxed about my situation today. So that's good. Thought it best to start on a positive note before spiralling down and moaning about everything else. 

This morning I am out for another walk. The plans of a ride scuppered again by another night of rain. As its cooling down now, the roads are not drying as quickly, and quite frankly I just don't fancy getting a wet bum. 

So instead I have come out for a little walk, today to Dulwich Park. Like yesterday, taking a break on a bench to offload my thoughts. 

Open park area, with trees and a play area. Blue cloudy skies.

Hopefully I can jump on the trainer this afternoon and burn off some more energy. 

Yesterday was a bit of a funny one, rapid high and low moods, trying to keep myself distracted with anything I could. Worked for the main part, but from time to time the silly thoughts took over. Trying to focus on myself a little bit more for the time being, and letting all the other noise of life disappear. I think sometimes I use that as a distraction from my own issues, which is probably part of my problem. 

Yesterday afternoon, my back and shoulders were still really tight, so I decided to have a soak in the bath. The idea was great, but sitting in a hot bath with your thoughts is sometimes a little too much. And on this occasion it certainly was. After about 15 mins I suddenly felt like I was over heating. My heart started racing, I started sweating heavily, and decided I needed to get out. Rolling over onto my knees to get up, I was hit with a huge wave of nausea, and got really light headed, so decided to stay put for a bit. By this point I was feeling the onset of a panic attack. What was wrong with me! 

Running the cold tap to cool myself down slowly helped, and in about 10 mins I was in a fit state to get out of the bath. Immediately my irrational mind went to "it's the new meds". Rationally though, I know when I have a long soak in a hot bath normally, I can get light headed anyway, rise in body temp and BP. So park that idea right there! The nausea was most likely just because of my intake recently and just how I feel in general exasperating the situation. Panic over. But if I didn't set myself baselines, I would be in a world of worry right now. 

The rest of the day passed without drama, and I stayed up late watching some TV, trying to relax enough to sleep. Going to bed around 11pm, thinking I was ready, I found myself restless and unable to get comfortable. The mouth sores I have from being run down at the moment don't help matters. I tried to distract myself with the idea and plans for a ride the next morning, but hearing the rain outside just left me thinking that was never going to happen, and what would I do with my day instead. 

Doing some mindfulness exercises I started to relax a little and let my thoughts flow in and out, until I got caught up on my history of anxiety, and thinking back to where I thought it all began. That in turn started writing a blog entry in my head, and the thoughts got deeper. Agreeing with myself that this would be a good blog entry, I put the idea to one side, promising myself I would tackle it soon. That seemed to do the trick, and I soon fell asleep, for an hour anyway. 

After that I had my usual night of broken sleep, and when I woke, I looked at the clock, went to roll over, then reminded myself I need to keep a routine. I got up, fed the dogs and took my meds. Then got ready for a walk and here I am now. Bum getting wet sitting on a damp bench in the park. Wondering already what people will think when I get up with a damp patch on my arse to finish my walk. 

When I get home, I will have some lunch, then make a start on my "History of Anxiety" blog. Possibly a mini series of blogs, rather than a huge long one that no one will read to the end of. But like this one haha. 

 

Anyway, thanks for reading, I'm off to be judged by the people of Dulwich for having a wet bum. 

Yesterday was a turning point for sure, with the appointment with the GP, the chat about meds, and realisation that I am starting to feel crap both physically and mentally. The past couple of days I have had mouth sores, felt tired, and a sudden loss of structure to my days. Not to mention eating lots of junk food. 

I write this from a bench by the river, as I have come out for a morning walk. Having spent last night calming my mind by thinking about going for a ride today, my first day being signed off sick. But waking to slightly crap weather, and forecasts of rain in a while. 

 

As I have been walking, I have already convinced myself that the idea of going for a ride is silly now, but will check the weather in a bit and see if that's possible at all. 

So many thoughts going through my mind at the moment, flying through at 100mph, without a chance to react. Like walking through a crowded street and just hearing people shouting things, but not having time to digest them. So I thought I would stop mid walk to jot some of them down, so not to forget them later. 

Right now, having just started the new medication, it is hard for me to try and get a grip on myself. Not only does it feel like a giant step back, it also leaves me wondering what's coming next. How will they affect me, will any rise in mood be from them or me. So many questions and concerns right now. 

The only thing I could think of doing was to use this as a benchmark for myself, log how I feel right now, before any medication has any effect, and then go from there to try and get a sense of what's going on. 

Before leaving home I called my boss, as its procedure to speak to a manager. Even though I have sent an email, having received no communication to acknowledge it, I thought it best to make the call. I got voicemail, so left a long message saying I would be off, but really hoped to hear something from them while I am off, and said it might help things if I were to. We shall see on that front eh. 

In the meantime, my mood is pretty low, a sense of self loathing creeping in, but I feel in control. Practising my CBT to ward away the crap thoughts. While walking I have noticed I am definitely feeling a lot more anxious about the people around me. Walking along slightly busy streets, trying to make space for myself, but feeling people are magnetically attracted to me, which ever way I go, they go too, walk along a wide pavement and somehow they seem to brush right by me. Sunglasses on on an overcast day, headphones in (listening to Parenting Hell) to block out as much as I can to try and be alone with my thoughts. 

Tension in my neck and shoulders has me feeling uncomfortable, and has been a theme of my sleep for the past couple of days. Walking makes my lower back hurt too, so the combo of both is not ideal. But that's another good excuse to stop and write this. 

Physically within myself I feel balanced, but have to make a point of not over doing it for the next couple of weeks. Walking, running and cycling are my escapes from my mind, which can sometimes becomes a bit self destructive.

I guess that's its for now, I better carry this walk on. Just feels good to jot all that down, and download it from my head. On to over thinking other things now. 

Heres hoping I hear from work, but not holding my breath. 

Another entry coming soon for sure. Be patient, there is gonna be a lot of these types of entries for a while. 

Not my first rodeo with anti anxiety, anti depressant meds, so that is not an issue as such for me. When the time is right, needs must, and I have no issue with taking such medications to help. But is that time now?

I am getting ahead of myself here, the last thing I said was I was going to speak to the doctors. Well, that appointment has come and gone. Much to my delight the conversation was relaxed and open, and I felt I was able to express myself clearly. More importantly I felt I was listened to throughout, and the doctor understood where I was coming from. Ironically 2 hours before the appointment I received a call from the surgery informing me that the appointment would now be on the phone as the doctor was working from home! Alright for some eh. 

I discussed how I have been anxiety "free" for a long while now, and how Covid times have shown me there is a way to do my job, and be in a good place mentally too. And that even starting to process returning to an office environment has thrown me into a tailspin, and it is affecting me. I said I have always been bad in public spaces, or crowded environments, and do much better alone or in controllable spaces. From there we moved onto the more general aspect of the issue, and the social anxiety.

Her feelings on the matter were two fold. Firstly recognising that this new episode is triggered by the fear of being back in a space I can't control, and that this has until now been avoidable with no impact to my ability to do my job, or work for a living in general. And that secondly she would like to try and improve my general wellbeing in all walks of life, by getting me help for my "anxiety disorder". Her suggestions being using medication to control the anxiety, and counselling to address the social aspect of it, and help me find ways of improving my state of mind in such settings.

We also discussed moving forward with matters at work, and how I can go about addressing my anxiousness about being in an office again. Going back over how things were before Covid, and how I have over the years learned ways to "cope" with the anxiety it caused me, rather than overcome it and feel normal at the end of a working day. Touching on how mentally exhausted I get when in uncomfortable situations. Using all my mental energy to appear and function as "normal", and when the curtain falls, just crashing and being left exhausted, and totally drained. Not to mention feeling edgy and in a foul mood. Repeat that on a daily basis, and the cycle is, wake up OK, interact with partner and friends, go to work, be drained of all your will to live, come home and be an utter arsehole until you go to sleep....Repeat...

Some would say I am not that bad, or too cranky etc, but even that alone takes all my reserves to maintain. Being aware that you are behaving like a bit of an arse is really upsetting. So you are then left with two options. Hide away, or draw on your final reserve of mental strength to at least be likable. It is a really hard one to explain, everything feels so fake. Oh look, its people, slap that smile on, crack a joke or two and reply to "how are you" with a very plastic "yeah yeah good thanks". Rather than, "well to be honest dying inside right now, this is exhausting the shit out of me".

Having spent so many years with multiple personas (not split personality), switching at will to suit the audience, I have become very self aware, and know the second I am starting to be "fake" . And let me tell you, being fake has an energy burn 10x higher than just ticking along being me. To put it in physical terms, as some people only understand those, think of the difference you feel between walking at a nice sedate pace, and running flat out as fast as you can. Heart rate rises, body temp sky rockets, muscles tense, and energy rapidly drains from your body. Now imagine feeling like that, while still just walking along. It would be alarming right? Welcome to my anxiety mind!

So, here we are, post appointment. Diagnosis "Anxiety disorder", treatment, counselling and medication, prognosis hopeful but too soon to tell. I have sent off my referral to the Mental Health service providers locally, and await to hear back with any sort of waiting time, and suggestion of treatment. I have informed my work of the outcome, and await hearing if there is any intervention at this stage, and I have collected my medication from the pharmacy.

The last two are the important factors here. Work, I am sure there is no need for any intervention at this point for a number of reasons. Firstly there is no official 30 day notice period given to return to the office yet. Just the pre-notice notice, if that makes sense. In the meantime we all await to hear if there is a chance of overturning the decision to end WFH. And secondly, at this point the anxiety has not affected my work. While working from home I am still able to function OK, but can honestly say that my focus and concentration has taken a huge hit, as I have touched on before.  If and when work are to do anything, it will be a referral to the Occupational Health service, to assess my ability to carry out my job, and see if they agree with the GP. The GP has said they are more than happy to work with the OH to make sure the best and most suitable arrangements are made, to allow me to work, while managing my well-being. 

The second factor being the medication, and the point of this blog entry. So the deciding factors here are a bit of a mess, hence blogging to try and make sense of it. Bear with me here. 

My need to go down this whole road, to me at least, has been the anxiety triggered by the knowledge of the request to return to the office coming. Until that point I have felt better than I have ever been before. Sure there have been moments of avoidance and struggling with socialising away from work. That is something I have always lived with, and chosen my battles carefully. Risk vs reward so to speak. Is the end goal worth the use of all my mental energy, feeling exhausted and edgy for the next day or two? As you can imagine there are not too many scenarios which warrant that result. The GP wants to tackle this aspect too, so the medication and counselling is to help with all walks of anxious life. OK, great.

Or is it? In general, I don't like being around a lot of people, fake people, talking shit, all in the name of looking good. No thanks, I will stick with the genuine people I actually like, people who know ME and not one of my personas, and that I can actually communicate with, without becoming exhausted. There is no denying that there is social anxiety for me in both settings, but one is far more manageable than the other. Do I feel the anxiety in the calmer setting needs addressing? Maybe! It would be nice to spend more time with people I like in a wider range of settings and environments, but do I want to medicate to do that? THAT is the question here.

The other half of the question, am I happy to medicate, and have to attend counselling to learn coping mechanisms to return to an office, to do a job I have done without fault for the past two and a half years from home? Well............... errm, no, not really! I appreciate I did it from an office before, but that was before WFH was even accepted as possible for my team, and before it necessitated us being at home to do our jobs, to enable the company to keep functioning through Covid. A change I was willing to make for my employer, at very short notice. A change which proved itself to be beneficial to the company on a number of fronts, and one which showed me that my mental health was SO much better away from an office environment. All very accidental. But when you discover a better method by accident, or through circumstances, do you change back because the old normal is the only right way?

If you commute to work by car and the main road you use is closed, and a diversion is set up. If the diversion it turns out it's a quicker route. When the main road opens again, do you go back to your old route? See where I am going with this? There is a new, proven route / work method, why deviate from it for the same of going back to the "good old ways"?

So now, while I wait to hear about the official line on WFH, if any appeal has been successful, or if indeed we will get our 30 days notice to return. Do I start the medication now, to primarily treat the anxiety caused by the news. Tolerate the side effects as the levels build up in my body, and possibly trigger worse anxiety in the short term, and maybe the need to take time off work anyway. Or do I wait for the outcome, and if it us unfavourable, and the notice is given, THEN start the process of taking the medication, at which point I feel it would be more than needed, as my anxiety will blow up? Feel free to share your thoughts.

I know the idea of the meds is to help with my social anxiety too, but right now, I don't want to take meds, and feel like I have been forced into this by matters at work. Which are the primary reason I am in this situation, and had this conversation with my GP in the first place.

Phew, that was a lot to get out of my little head. Thanks for reading.