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Tag: anxiety

Published on Leave a comment on Double jeopardy !

That paradoxical moment when you realise how anxious you are getting about seeing your GP about your anxiety! Seeking help about a debilitating condition, but feeling almost incapable of having that conversation with the person who can actually help you. In fear of the reaction and response you will get from that person.  You really couldn't make this up. But thankfully it is not the first time feeling this way.

I know good trumps bad here, and that ultimately the doctor is there to help and guide me through this time. They have done it before and can do it again. Having run through this exact scenario at the RCGP many times in aid of helping students learn, you would think I would be well practised. Well in that regard I am, but it doesn't make doing for real any easier. 

There have been a couple of times over the last decade where I have felt that the GP and I didn't connect in the way necessary to build trust. I didn't feel comfortable enough explaining to the GP what I was honestly feeling, started to feel stupid, so popped the cork back in the bottle of emotions. That can really set me back. But fingers crossed this wont be the case today. 

The second part is when the GP asks you what YOU want them to do and help with. When doing this in scenarios, it almost felt stupid to be asked what you wanted. Especially if this was your first time feeling this way, you would not have a clue what you were going through, and what was wrong, let alone what was available to help you. But I get it... Once you understand that they don't all want to force meds or treatments on you, and are asking how you would like to tackle the issue, it makes more sense. If only there were an easier way of going about it. Maybe running options by you, expressing their preference and then asking if you would rather go a different way?

But here I go, already 3 steps ahead of the whole process, and I am not going for another 2 hours! I just want to relax a bit, and stop running doom scenarios, and stressing myself out more. But, if it were that easy, I would not need to see the doctor in the first place eh. 

What I want from today is to create a safety net, if things slip further, to have options and a plan in place. For when my mind can't quite do these things as well anymore. If I really start to spiral, to have considered that meds are the right way to go. If I need to take a time out, and take time off, so be it, and whatever happens after that be prearranged by me in a state of sound mind, so none of the decisions are knee jerk or irrational.

In my head I have thought through and discussed with myself the worst case scenarios re work. I know if it all goes wrong and gets too much, leaving IS an option, and not an irrational one. There is a plan there of what I would do next, how I would get by etc. More importantly though, there is a bigger more hopeful plan in place to not reach that stage. To find a way to move forwards, and not have any dramatic changes. Compromise can be found if both parties are willing. And seeing the GP today is the beginning, and works fine in either scenario.

So I guess what I am saying is, this is a necessary evil that I have to go through, and a conversation I am dreading, but must happen. The only unknown now, for the next 2 hours at least, is which doctor I will see, and what their attitude to mental health is.

If you are reading this after 14.30 on 27/07/22 then I have seen the GP now.

I am sure there will be another entry a bit later on, maybe today, maybe in a few days, depending what state of mind I leave the doctors in. 

Thanks for reading.

Published on Leave a comment on Lethargic, unfocused and headaches.

It has been a few days, and as the mood continues to dip, so do the energy levels. Earlier in the week I put the lethargy down to the high temperatures, but as the weather has returned to normal, and my sleep periods extended, the tiredness has really taken a hold. Lack of interest in getting up in the mornings, seemingly slipping towards the "just another half hour" of the days of depression. And even once up, unless I am fully engaged doing something, I quickly feel ready to sleep.

Another thing I have noticed is a long background headache. The past couple of days now, its just there nagging away, threatening to get worse. It's not dehydration, caffeine deficiency or anything like that. As usual my fluid levels are sky high, and my caffeine intake has not differed. It is more like a stress/ tension headache, which just doesn't want to give up. 

Speaking of tension, the lower back muscle tightness and pain still doesn't seem to want to ease up in any way, and it spreading into my shoulder and neck. Just feels like I am turning into a big ball of stress right now. Which in some respects is hardly surprising. The discomfort, combined with the tiredness I have been feeling are starting to leave me less and less able to focus on tasks. Instead becoming distracted by either symptoms, or starting to put things together in my head, and worry myself into a deeper state of stress and anxiety. 

I have the doctors in a couple of days time, and already that is starting to worry me too. Going over the consultation in my head over and over. What do I say, how do I explain why I think I am feeling this way. Will I sound bone idle and like I am trying to pull a fast one. What is deemed a "disability"? Dare I even utter those words? It just seems such a crass thing to say, when others around me suffer much more in different ways all the time. 

In reality, I am hoping I will see a decent doctor, who I will feel comfortable explaining my symptoms and situation to. Hopefully I will be able to discuss the past 15 or so years, and how I have slowly learned what I can and can't do. Periods on medication, total periods of depression and anxiety on record. And somehow get across how different the past two years have really been for me, until now anyway. 

In the meantime I am trying to keep up with my exercise, and stay active, to at least get a mental boost that way. But I can't deny being distracted while I exercise now. Morning runs and rides are thwarted with thoughts of "I might not be able to do this soon", which really kills the mood I have to say. Not to mention the back pain too, which kinda makes riding and running that bit more difficult. A 40 odd mile ride yesterday wasn't too bad, and thankfully I managed to lose myself for a bit. But by the end I was truly exhausted. A run this morning, first in a while was uncomfortable to say the least, pressure around the hips and pelvis from the muscle tension made it a bit miserable. 

One thing the ride yesterday helped me with though was reminding myself of the difference between mental and physical exhaustion. Are highlighting that what I am feeling at the moment, during a working day is mental exhaustion. My brain absolutely running at full speed, some on day to day work stuff, and the rest seems to be preoccupied and bunged up with worry and overthinking about what is going on, and what lays ahead. 

Boy oh boy, I am getting tired just thinking about it all to write this, so I am gonna go and write myself a list to take to the doctors with me on Wed. Part of me is hoping they don't suggest meds right now, but the other part realises that at times like this, I am not great at judging my own state of well-being, and have turned to a doctor for a reason. I think I would like to stay off meds at least until any discussion between my line manager, HR, and the seniors has taken place, but who am I to judge. 

Right now I am 99.9% positive it is the news of the return to the office that is the cause of this. Over 15-20 years of mental health issues, there have only been a handful of times I feel I can put my finger on the trigger. It always amused me before when I was asked by doctors, and I had no answer. On this occasion, I am pretty darn sure of it. Now I just have to wait and see what everyones opinions of my thoughts are, and how it is treated.


*sigh* Right, back to the real world. Thanks for reading. 

Published on Leave a comment on How it all begins.

As I start to feel the slipping feeling of my mental state, I thought it would be interesting for me to document, for myself, the things I start to notice as time goes by. It starts out simple and slowly becomes more and more unsettling, until doing the most basic of things starts to become impossible. 

Loss of focus. This one hits hard especially for working. Dealing with numbers and sequences of characters all day, the ability to read and recall is quite important to me. For example, looking at a phone number on a screen, while dialing it on the phone. Sometimes it's two quick sequences of numbers, but as focus slips, it becomes a collection of two digit numbers, so rather than 12345-67890 it becomes 12-34-56-78-90.. When trying to work quickly, that soon becomes very frustrating, and you get behind on things quickly. 

Which brings me onto frustration and franticness (is that even a word). Generally as you start to do something you make little errors along the way, we correct loads of them all the time, without so much as batting an eyelid. But as you start to make more little mistakes, and are more and more aware of them, it soon turns into a frantic spiral of doom. "I can't do this" becomes the mantra, and you begin to give up and doubt yourself.

 Being manic comes next, with self doubt, fear of messing up big time, and the desire to just get the hell outta there. It would be simple to just remove yourself from the situation all together, rather than mess up and make yourself look like an idiot, not to mention let everyone down. Some of these situations are so hard to explain to someone who has never felt that way. And I should point out that just because the person is feeling like they are failing, they could in fact be acing it, but are just unable to see that for themselves. 

Focus is one I notice almost straight away. Did I mention that.. Oh yes, I did. But here is a different example. Let's call it attentiveness. Trying to be in the moment, spend time with people, listen and be attentive, engage in conversation. It's not that you are distracted by something else. Not even caught in your own thoughts for once, you just simply become vacant. It is not for the lack of want to engage, just simply being unable to. It works both ways too. Being mid sentence and simply losing your place. Which reminds me of something else. 

Confusion. Simply trying to make yourself understood, trying to find the right word for a situation, or being able to express yourself properly. Over the past few days I have given up mid sentence while trying to think of the word I wanted. Confusion plus frustration leads to just wanting to run away. 

There is so much more to add to this, and I will try a second part tomorrow, but it's late now and I NEED sleep. Hopefully my back will be less painful tomorrow morning and I can get out on the bike for a few hours to clear my head a bit. Phew, feels good to have gotten that off my chest. 

 

Night! 

Published on Leave a comment on I have news, and had a meltdown.

And just like that, WFH was over!

OK, slightly exaggerating there maybe. However, the outcome of the meeting I blogged about the other day did indeed say that our workgroup is "not in the scope for WFH", and therefore must return to the office full time after a 30 day notice period.

To say my reaction to this news was bad would be a serious understatement to say the least. Sleep has gone out the window, constantly dwelling and over-thinking the decision. Mind filled with worry and genuine fear of the idea of returning to working from an office, and anxiety off the chart. To such an extent in fact, I have made a doctors appointment for next week to discuss it.

So much on my mind right now, I don't even know where to start, but will try at the beginning, to try and get some of this out of my head.

When you suffer with severe anxiety, it is not so much about curing, but learning to cope. Over the years I have removed myself from situations which cause me anxiety, becoming quite anti-social which is fine by me, avoiding unnecessary contact with people. Obviously avoiding work, unless having a serious bout of anxiety was never an option. So each time I recovered, I would make an effort, and learn ways to cope with the office environment. However, Covid changed everything.

With Covid, and the introduction of working from home, my life changed, for the better. Now I have to say, a lot of people saw the benefits such as being home for deliveries or work on the house. Childcare became easier for some, and many others saw a huge improvement in their work/home balance. No commute meaning time and money saved, and so on. But for me there was one other thing, a huge reduction in anxiety, and a massive improvement on my mental health. Seriously, you could measure it on so many metrics!

Better sleep, more relaxed mood, more engaging with others, healthier state of mind, almost no anxiety about issues at all. I have become fitter both mentally and physically. I have a better relationship because of it. I am able to deal with lifes little worries in my stride now, rather than falling apart about how I am going to pay a bill for example. I am a better me! And its all thanks to working from home. Plain and simple.

So to suddenly be told that it is coming to an end has thrown me into a tail spin. Was it ever said it was permanent, well no. But as time passed and there was talk about the new way of working, caring about peoples life balances, learning from having WFH, etc, it started to feel like it for sure. Of course, that is just an assumption, and a big one at that, so shame on me for hoping. But as groups started to find out their fates moving forward, people in groups which function similarly to ours were told they were at least working hybrid, so the assumption continued. Then BANG!

Knowing what lays ahead at least removes the uncertainty. But it also in turn replaces it with dread, fear and so much more. My mind is manic right now, concentration on simple tasks is impossible, to the point for example, cutting chicken for lunch earlier, I had to put the knife down, step away and take some breathes, to stop myself from frantically rushing, and possibly hurting myself. It sucks, and I hate feeling myself drop into this mindset. One which is all too familiar, and I know where it goes from here. The only way is down. 

Desperate to get a grip on things before it gets out of control and messy, I contacted my GP surgery today, to try and get an appointment. Of course they were all gone, but after a minute of speaking to reception, it was obviously clear to her that I was in a bad way, and she managed to get me in to see a doctor next week. This is really a situation I hoped I was over with now. Quite a while without seeing a GP about anxiety. In recent years my coping mechanisms were enabling me to work without too much drama. But WFH showed me just how much of a compromise I was making to do that. A level of compromise I cannot even imagine returning to. So much so, I am almost positive it will lead to an episode for me. 

The idea of speaking to the GP now, with the possibility of going back onto medication I have managed to stay off for a number of years now, just to be able to function normally enough to go back to working in my office. All while I have continued to be able to do my job for the last two and a half years, without issue, and in fact with increased productivity, just seems barbaric! If someone said to you "sure, just take this medication, and the job is yours".... Would you?

I know I am asking a lot, I know in a lot of cases people are asking to remain working from home for much more "trivial" reasons. I use that phrase with caution, as I appreciate we are all different, and our reasons are personal to us. Mine just happens to be a well documented mental health issue. Working from home has highlighted to me how much the "toxic" environment of an office was affecting me, even when I thought I was doing well. Only to discover how much better off I was mentally away from that environment. 

I have spent a few days now thinking things over, and trying to work out where my good place is mentally, and have come to the following conclusions.

  • I feel happier and safer working in an isolated environment. Be that a small office, or working in my home office. Preferably the latter. 
  • I am not adverse to being in larger groups to attend meetings, or training.
  • It is not about any person or individual, I simply don't do well around other people. 

This is not about being work shy, trying to have my cake and eat it, or any other head shaking, finger wagging reasons some might like to think up. This is about me being able to do a job I have done for over two decades now, one I enjoy very much. But without having to take medication to do it, and have a "normal" life. 

Without having ever known what it felt like to work from home, the idea of asking to be allowed to, and expecting mountains to be moved to facilitate me would have seemed like a bit of a stretch. But then along came Covid, forced the hand, and made changes no one could have anticipated. For some departments like the one I am in, on the surface it seems to have been a success. Sickness way down, productivity up, engagement up, communication up, and so on. So to upset the apple cart as a whole seems a bit counter intuitive. But on an individual basis, for me, is a cataclysmic blow to my life balance. 

By this point, some are starting to think I am being a bit over dramatic I am sure, and others noticing the repetition in the paragraphs, but it is with reason. Those thinking its dramatic simply do not understand the implications on day to day life living with severe anxiety has. And the repetition, well that is just to get my message across. I cannot even start to comprehend working back in the office with a group of people, without having a complete meltdown, and taking a huge dose of medication to numb my mind a bit.

What a great balance, taking medication, dulling my thought process, but being able to work, before coming home completely mentally drained from work, then starting all over again after a crap nights sleep.  

I have to say of course, that this is a fluid situation, and at this point I have NOT been given 30 days notice to return to the office. If this is to happen, it is estimated we will return for some time in September. In the meantime I have my GP appointment, have begun some online counselling with AXA provided by work, and have spoken to my manager and HR about my concerns. Which are in turn being addressed. 

With the disability act in mind, I have asked for some consideration to be given to my situation, and have been advised I will need to see Occupational Health for an assessment. I will also raise this with my GP. All I can do now is hope that my appeal is considered fairly, and that I can continue in my role, and without medication for the foreseeable future. 

Right, am back to find a cold damp rock to hide under until I hear more. In the meantime, thanks for reading this ramble. 

Published on Leave a comment on Can’t do this right now!

It is amazing how fragile the status quo of the mind can be. One minute you are whistling along, all is fine and dandy, and the next... Well, in a flash you are where I am right now.  Overwhelmed, irritated, stressed, over-thinking etc. You name it, that is what's going on in my head right now. 

I have no idea what is going on, just know that since this morning I have felt incredibly low and stressed, and as the day has drawn on it has just spiraled. To the point, the smallest of things are weighing heavy on me. I am obsessing over trivial things, and having doom filled conversations with myself.

Fresh back from a week away in Svalbard, it is only natural to hit the ground with a bump. That said, Monday and Tuesday felt OK with being back at work. The break was nice, but getting home and back to normality has always been a nice thing too. 

As the years have gone by I have gotten better and better at picking up on the little signs that things are starting to wobble a bit, and right now I think that is where I am at. It's not rock bottom, in fact it is far from it, in general things are good. It is just the amount of anxiety I am feeling over nothings. Out running earlier, and walking just now, the people around me felt like they were getting close for no reason other than to wind me up. The familiar "what are people thinking about me" is back too, although not too badly at the moment.

So many external things out of my control, so many little things that are getting to me for no good reason, and of course my old favourite, the self loathing, and doubting.  All signs that things are not right, and time is of the essence. So it is time to jump off social media for a bit. At least the parts which I engage with others, at least for now. Maybe hang on to Insta to share a few bits for a while. But for now, this is me time. 

Not a cry for help, not a pity me, just a me me me. If I need to talk to anyone, rest assured I will as ever reach out to those I know and trust. In the meantime, enjoy the peace and quiet from me. 

 

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Published on 2 Comments on The question I just can’t shake!

Since around Xmas time, the same question has been on my mind, and as the weeks go by it is frustrating me more and more. 

Without beating around the bush, it's a simple one. Do I continue to do the RCGP sessions? If you don't know, I work with the Royal College of General Practitioners (RCGP) a few times a year, doing sessions with med students who are learning to work in the GP environment. Doing staged consultations, as an expert patient, presenting with symptoms I am familiar with, i.e Depression and Anxiety. I have done this for a few years now, and while I find it pretty bloody stressful, I also take some comfort from the fact that I am helping others to understand the conditions, and maybe help them be in a better position in the future to help future patients. 

I have said time and again, I find the sessions exhausting, more mentally than physically, and sometimes it can trigger a bit of a wobble for me. However, I really love the engagement with the students, being able to talk about bouts of depression, and dealing with day to day life with severe bouts of anxiety. So you can see where I am going with this. There are genuine pros and cons. 

Each session I do requires me to take a day off work, for the physical sessions which are now returning, I also need to travel to Central London for the day, and pay for transport or parking. In return I get to stretch myself outside comfort zone a little, engage with the next generation of GP's (some of them anyway), and explain from a first person POV what it is like trying to live when things are bad. I don't for one second think this is an unfair balance. I also get an Amazon voucher for my time, so I am very grateful for that.

A couple of months back, I was approached by one of the teams at Kings College London (KCL) about the possibility of doing some sessions for them too. At the time I was in one of my more positive frames of mind, and really keen to get back to doing what I could for the cause, and was happy to talk to more people about living with depression and anxiety. I have to say the first couple of experiences were a little daunting. New people, new procedures, and the likelihood of becoming a lead in a session of my own at some point. For someone with anxiety, that's a big change and ask. But looking back, I went through the same when I started working with the RCGP too. 

Over Xmas and the New Year, I had a bit of a wobble, and my head went a bit funny, and I started doubting myself. Not only taking on work with KCL, but also questioning my continued work with the RCGP too. A technical error on the last KCL session left me unable to participate, and in that moment I panicked a little about what the hell I was doing. I was out of my depth, completely out of my comfort zone, and floundering. I made my apologies and bowed out quickly, then spent the next few weeks contemplating. So, here I am!

To compound things more, I contracted Covid a couple of weeks back, which coincided with the first RCGP session of 2022, so I missed that too. The longer I have been away, the more I have doubted myself. I have always said as soon as you start to have doubts and questions about something, it is time to get out. But it just doesn't sit right with me. 

I am not irreplaceable, I am sure there are plenty more people who could and would do the sessions in my place. I don't think it is about ego and having some sort of bragging rights either. To me, when feeling positive about things, I love the idea that I am able to help people understand what others are going through. Be it blogging to let others struggling know they are not alone, or explaining to someone, whilst in a rational state of mind, what it is like to be in that situation, and how doctors and the medical world can best help those struggling.  

It is ironic that something that I do to help with mental health has caused me sleepless nights, hours and hours of painful contemplation, and yet still it isn't a simple "I'm done" in my head. I need to be sure of what I do next.

  • Pros     Rewarding, enlightening, educational for others
  • Cons   Tiring, uses annual leave, travel stress

I know I have made an impression on some of the students in the time I have been doing this. I know deep down inside I want to continue to help anyone in any way I can. Teaching, counselling, sharing. But I would be lying if I said it doesn't come at a cost. So I am stuck!

I am away in Svalbard for a week mid Feb, so think I will take that time in the arctic to weigh it all up, without any other pressures, and go from there. But am always interested to know what others would do in a similar situation. I'm not a martyr, not a hero or a saint, but I know I make a tiny bit of a difference, and like a dirt devil in the desert, I know from small things, big changes can come. 

So.... WHAT DO I DO ???

Published on Leave a comment on Does not compute!

I guess it's just the time of year more than anything, but my head is getting into a funk, more and more each day. Looking back I can see a pattern, winter, darker, gloomier days, and the mood to suit. Perfectly normal really, many of us are in the same predicament I am sure. Difference for me is, it is the catalyst for spiraling down into the doom and gloom of my mind. 

For years now this time of year has been horrible for me, going right back to losing contact with my daughter, and completely losing the Xmas spirit that goes with parenthood. So I am not sure if it stems from that, or just part of my normal mood swings these days. It was around Xmas of '98 I lost touch, so it seems obvious to me that Xmas would bring feelings of bitterness in general. But as the years have gone by, and I have enjoyed it less and less, there also seem to be parallels to the fakeness of the whole season. 

Commercialised rubbish, people feeling duty bound to say festive things, and be even more fake than usual. Having family, friends and relatives that you spend the whole year avoiding, thrust into your face. I struggle with people at the best of times, but at least when I do engage, it is with genuine people for good wholesome conversation and company. 

So here I am, the 2021 slump is here. The past few weeks, I have slowly lost a lot of my usual drive and motivations. Exercise is still alive and well, but I noticed last week I was pushing maybe a little too hard, so made an effort to back off a bit this week. Distraction is fine, destruction less so. I am at the point at the moment of stalling with the motivation to get going. This morning for example, I was meant to be observing a session with KCL, but the slightest opportunity to back out of it was enough of a temptation to cancel that. Instead opting for a run.

I haven't run as frequently as I have been of late, partially down to aches and pains, a little exhaustion, and mainly the change in the weather and mood. The idea of being out there puts me off. Although as I write this I realise it's not the weather at all. I have been running at about 7.30-8am recently, and that is school run and commute time. This means lots of people, which in my head equates to over thinking and over reacting, much as my last blog said.  So maybe, just maybe I need to get out earlier?

This time last year my sleep was terrible and I was out running at midnight, so I went into winter conscious of this, and keen to avoid disrupted sleep again, which is why I aimed for later. Hmmph, maybe 6am is a better idea? I think I need to experiment a little with timings. 

So that is one part of the issue I guess, the other is my head in general. Little patience, short tempered, easily distracted, lack of focus, the list goes on. Recently I have looked into what other than anxiety and depression could be contributing towards my state of mind. It's not a temporary thing, it is very much all year around, but sometimes exacerbated by external influences, such as time of year. The findings have been interesting to say the least, and the outcome of some of the tests equally interesting. I am not looking for a label, to belong, to fit in, nor an excuse for being the short tempered introvert I sometimes am. Just some understanding of it all, and to see if there are things I can do to try and make life a little easier for myself at times like this. 

Today for example, after avoiding the meeting, and going for a run, I thought I would come home, have a lay down and relax for a bit. So I hopped back in bed for half an hour. However, 5 mins into this half hour of rest, I decided I needed to wash my running gear, so got up and put a wash on. Then went to slump in front of the TV for a bit. But was distracted by dust on the cabinet, so got up and cleaned it. Returning to the sofa I decided the floor needed cleaning too so grabbed the hoover. While I have the hoover I might as well do the rest of the house, so I did. Returning to the sofa, now the dog hair on the throw was bothering me, so I took it to the garden to shake it off a bit. On the way back to the front room I thought, "sod it I might as well give it a wash". So stopped off in the kitchen, put my running gear on to dry, and the throw in for a wash... An hour later, and I managed to finish watching what I was watching, and have now put the 3rd load of washing on for the day.

Can you see the pattern I can? Obsessive behaviour created by the inability to focus and relax for 5 mins, in the fear of being left alone with my thoughts. Finally, I get to sit down, because it is time to work. Paid to be distracted for the afternoon, it almost feels like respite! 

It is this cycle (not the wash cycle) I am trying to learn to avoid, and train myself to spot early on. My anxiety is not always about being around people, but sometimes it's about being alone with my thoughts. My own mind is probably the most damaging thing to my mental state, and its own creations are usually my downfall. Whether it be spiraling out of control with premature anxiety about something that has not even happened yet, or dwelling and over thinking something that has already happened, and no amount of thought can change the outcome, my mind can do it all, and it is crippling.

I still to this day get caught up over thinking a situation that happened in 2016. Something I still to this day do not understand the reasoning for. No idea what I did wrong, but know the outcome and exclusion upset me to such an extent I can't let it go. Worse still is the thought of confronting the situation, and the subsequent discussion being even more damaging, and adding to the distress it already causes. Damned if I do, damned if I don't. There are many more things like this that I can't get my head around, but can't let go of either. 

In a rather cold way, I guess that is one of the reasons I have always been so "at ease" with death. It happens, it's final, you can't change it. Sure you never get to speak to that person again, but you know why, and you know you can't change it, end of. It seems such a crass thing to say I know, and realise it affects people so deeply at times, but maybe it is a blessing in disguise that I process it that way?

Every year I write blog entries like this, desperate to find an escape from myself, and every year I realise it is not going to happen. Am I depressed? By my definition, no. Certainly not to the extent and depths I know I can fall to anyway. So I try to see it from the normal perspective that it is cold out, not a lot of daylight, and normal activities are harder to do. So find other things to do, new things to focus on, and other more productive and healthy things to keep my mind occupied.

I guess what is present is anxiety. Anxious about my inability to cope with the simplest of things. Becoming overwhelmed at the drop of a hat, and at such insignificant things. Routine to me is everything. It is what keeps me functioning day to day. Breaks from that routine, even the slightest change can cause my day to crash and burn in a flash. Positive one moment, then dwelling the next about why I was not able to do what I wanted and had planned. My day off the other day a great example of this. I had planned to do a ride, but the weather said otherwise, therefore I had nothing to do, but sit at home with my thoughts, and from there it cascades like an avalanche. 

What I need to do is plan ahead, know what I am going to do when the seasons change in advance. Have a back up plan for my plans for days off, just in case. With that said, I have been thinking about getting a rowing machine for a while now, to mix up my training plan a bit, and work on the core a bit more. But as usual the world conspires against me (I joke, although it feels that way some times), and the prices have gone up, and availability gone away, so that has upset the balance for me too. My thinking is a rower is something to distract me, lower impact so I won't destroy myself on it, and will be a perfect option for breaking up the fitness routine, especially when the weather isn't playing ball.

Meh, this is dragging on isn't it? But as usual writing and thinking about what to write has answered some of my own questions to myself. Still I am left with many more. One day I will understand myself a little better, and hopefully a few days break over the Xmas period I hate so much will do me a little bit of good. Relax the mind, get some fresh air, and hit the reset button. Here's hoping anyway. 

Thanks for reading as ever, I am going off to think deeply again now, and hopefully get myself out of this funk a little bit. 

Published on Leave a comment on Wobbly Wednesday

Not a great start to the day. Got up with every intention of going for a run, thought about routes last night, and decided on something medium distance and not too taxing. When I woke I felt OK, but as I got ready I could feel my mind starting to play tricks. 

By the time I got to the door to run, I could hear light rain, and was ready to call it. I'm fine getting caught I the rain, but starting a run in the rain has always been hard for me to do. None the less, off I went for my warm up. A few mins in, I can see the rain drops on my clothes and am already starting to put a downer on it... "I'm gonna get soaked", "I will get ill", "what if I slip and hurt myself".... Bollox! 

Time to run. As soon as I got going, the thoughts changed to how short a route I could do, maybe just a few km's, regular 5k loop at best, being flat and simple. A mile in, having taken a different turn to force myself away from escape, and I am wondering am I going too fast, the audio prompt comes and its OK, I'm a little hit faster than planned but ok for this stage. But still I can't get doubt out of my head. 

At this point I decided to give myself no choice, the answer was simple, go a way I am not familiar with, then I have to focus on other things rather than being on a route I know and having time with my thoughts. Next route split time, I need to go somewhere new, I choose left, and its straight towards a busy bus stop. Damnit, I just need to get past.

As I reach the bus stop, people are being phone zombies or plain selfish and standing all across the pavement, don't worry I will run in the road. As I pass I am over thinking and over reacting, I just need to get to the next corner and it's done with. I start thinking further up the route, a distraction from the negative thoughts I am having. Where do I go next, visualise the route, the next mile or two, where will they be? 

OK, mile 3 clicks around, the pace is good, HR is steady and more importantly, my brain is calming down. My thoughts are sensible again now, not hanging on to doubts, I am a few miles in, I'm feeling good, and now I know I'm good for a bit longer. Out towards Beckenham, up what is quite a steep hill for me, pace is good, taking it easy, and into the park for some clean air and a moment of serenity. 

On the back straight, heading back towards home, starting to feel accomplished, and feeling a more familiar sense of achievement now. But a little premature maybe, I'm still 2.5 miles from home, and now the temp is starting to drop and the wind is picking up too, brrrr. Under dressed a little today maybe. 

As I reached Catford, I carried on visualising the rest of the route I was going to take, and looked forward to getting home, back to the warmth. 

The last mile now, and I'm in a nice rhythm, not worrying about the pace, in fact from the last audio prompt I'm pretty happy with the pace all things considered. Reaching the finish point, as usual my picky mind perked up and insisted that I finish the run where I started, so that's another half mile to tag on the end of the run. Starting to feel it by this point, having done a 34 mile ride yesterday with hills and efforts, today's run was meant to be short and sweet. But the mind needs taming at times, so let's play along. 

Finally the end, 7.4 miles done, feeling mentally relaxed and physically exhausted. Not to a point of discomfort, but I had definitely burnt off any excess energy I had.

 I have often referred to how beneficial exercise is, especially for some people. Being able to turn off the mind for a bit, or at least distract it enough to calm down and get back to normal. Almost like a small child having a tantrum, distracted for a moment by a toy, et voilà, all is well again. In simple terms, that's how my mind can be at times. It's far from that simple, and some of the time it takes far more than a run or ride to make things well again. 

But days like today remind me how delicate the balance is. And that sometimes I am not even aware of the drama going on inside the grey matter, not unti I feel better again. It was a little way into the run I realised I wasn't in a great place. And I kid you not, I spent about 15 mins thinking what I would name today's run on Strava. Over thinking at its finest.  Eventually I went with "Over thinking, over whelming - overcome", as those were the 3 stages of state of mind during the hour and 15 mins of the run. 

So there, that's my head cleared out of today's fun, hopefully I can sleep tonight now, and not dwell for too long on what has been a mentally tiring day. 

Night all, thanks for reading. 

 

Published on Leave a comment on Phew, need to decompress!

Wow, what a wild week or so it has been. A lot of anxiety with the build up and preparation for returning to the RCGP in person. Booking parking, workout out travel plans, preparing myself mentally to be around so many people again, and running through scenarios. All so much, after a long period of being fully in control of my surroundings and situations. 

After some careful planning, I was lucky enough to find a parking spot, right on Euston Rd, just a few mins walk away from the RCGP, for a very reasonable £19 for the full day. I KNOW !! Bargain or what? Double the price of the train journey, but 1/10th the stress of the journey, and also enabled me to take things with me. In this case, running gear. Deciding to beat the traffic I aimed to arrive for 7am, get parked then head off to Regents Park for a morning run. Then head back to the car, grab a change of clothes, and get changed and freshened up at the RCGP. All went to plan thankfully, a nice 10k run helped me clear my mind of the usual pre session jitters.

Arriving at the RCGP and getting changed with minutes to spare was perfect for my mind. No time to wind myself up, just get my schedule, get my brain into gear, and away we go. Five morning sessions, five afternoon sessions, so quite taxing on the brain, but very little down time in between just keeps things flowing.

The first session or two went OK, the groups interacted well, some nice discussion after the scenario's were finished. A couple after that felt a little less enthusiastic, little engagement after the scenario, so felt a little bit clinical. With the last session of the morning done, I headed off to lunch, refuel, recharge and get my head back in the game. That said, exiting the RCGP onto Euston Rd, at lunch time is hardly the right setting to refocus. So I headed off to Coal Drops Yard. 

What a little sanctuary that place is. In the middle of town, but a couple of streets back from the madness of Euston Rd. Sitting by the canal, taking in the sights, and chowing down on some unhealthy Burger King for lunch, I was at last at one with my thoughts again. Reflecting on the session for a moment, taking time to digest how each group had made me feel, (and writing this now) made me realise how important to me coming out of role at the end of each consult is. If I have sufficient conversation after the scenario, discussing my own mental health, I seem to disengage with the situation a bit better, and it feels a little less "real". 

By that I mean, if you repeatedly go through a scenario, one which is a reflection of a real experience for you, eventually it begins to actually feel real, and current. For example, towards the end of the afternoon session I started to actually feel like I was having a proper consultation, and the answers to the question felt like I was speaking as if I was in a proper consultation regarding my concerns for my mental health. Coming away feeling as if I was about to take the first step of recovery all over again. Not a great place to be I have to say, especially when self induced. 

Obviously, dealing with these things is par for the course, and like any other issue, you first have to identify it. So at least that part is done. Now I guess is how to deal with it. On speaking to a couple of the tutors on Friday, they are open to how the session runs, and I have some input on it. My thinking here is for me to somehow find a way to create an air gap between expert patient me, and roll play me. Just to give my mind a little time to balance itself, and help be keep a clear line of what is real, and what I am role playing. Something to think about for sure. 

As ever, speaking to some of the students, it was nice to see how interested some are in psychology, and mental health in general, and also how naturally some of them dealt with the awkwardness and obstacles of a mental health consultation. I always find it interesting how the level of engagement can differ group to group, and indeed how this seems to be connected to their tutor for the day. Doing two circuits a day, I generally see 10 groups of students, with 5 tutors, so see each tutor twice per day. Within these sessions, I will tend to get similar levels of engagement from each of the groups with the same tutor. I shall explain, tutor 1 through to 5. If the groups with tutors 1, 3 and 4 are positive and engaging in the morning, the next groups with those tutors in the afternoon will be too. While 2 and 5 will be less so, both times. Does that make sense?? I feel like I am trying to explain my symptoms to a student now! 

Hearing how the tutors explain things to their groups is also interesting, and gives an insight into how interactions with GP's in general can differ. Some deeply compassionate, speaking of engagement, and empowering the patient. Others keen to make sure all the safeguarding issues are checked off ASAP, but feeling less involved somehow. None feel terrible, but some certainly feel more empathetic than others, and obviously that in turn rubs off and shapes the up and coming students in a small way. I have grown far more confident these days is disagreeing "as a patient" with things that are said, and making sure I explain how my experiences don't always gel with what is taught as standard. 

Time and time again we cover the stigma of certain topics, and I share my take on them, which of course is not the same for everyone. Mental health in itself has the biggest stigma attached to it, or at least it did have. Now it has another issue, but I will come back to that in a moment. The other stigma seems to be around asking patients certain questions, and how they are tip toed around. The main two being "do you use any recreational drugs" and "have you considered harming yourself or others". In the given situation, neither question should really be an issue these days. 

Recreational drugs are more prevalent in todays society than ever before. People openly use certain drugs, talk about them and ever seem to promote them in certain situations. Cannabis for example being popular to help with depression as well as other things. So being asked in a confidential environment if you have used anything like that really doesn't cause much embarrassment for many these days I would not have thought.

As for self harm, well.... Suicide is no longer something people are not aware of, or believe only affects a few people. It is common knowledge now that certain groups of vulnerable people in society are at much greater risk from thoughts of suicide. The word is used on TV, billboards, magazine and online advertising etc. It is not a forbidden word anymore, and should not be treated as one. I asked a number of the groups in post scenario conversation, could they ask their friends in general conversation if they had ever considered self harm. Most said they didn't see why not... To which I replied, "what's the difference then". Sure, you have a mentally vulnerable person in front of you, and you are trying to help them, but mentioning suicide is not going to encourage them to consider it, put ideas in their mind, or make it any more likely. If the thought is there, they may or may not tell you. I would think some would be relieved to tell someone that they are thinking that way. Someone who is finally listening and asking those questions.

Coming back around full circle, mental health has another issue these days, and it's not stigma anymore, it's "popularity". Once upon a time people didn't like to talk about anxiety and depression. Mothers coped with it in silence, fathers drank themselves under the table, and any other stereotypical coping mechanism story you can think of. Then of course there were the Prozac mums, around the 90's (guessing here) it seemed that it was the done thing to pop some pills, forget about your worries, and life in some cases. But now we have moved on a bit, and people actually identify having mental struggles, and seek help over it. In more recent times A-list celebs have also started to talk about their battles, and I think that is almost where the problem starts. 

At times, I really do believe that certain conditions, especially mental health and brain related, can be fashionable. Of course a rise in awareness will help some identify with certain conditions, however I get the feeling that some identify with the sense of belonging, more than the actual condition. Now I am in no position to tell anyone they are not struggling in any way. I have only my own experiences to guide me on my understanding of anxiety and depression. A couple of weeks ago I was privy to a session hearing about other conditions, and have to say I was somewhat humbled at hearing what others go through. So I am no expert on mental health at all. 

That said, sometimes when speaking to people, you get the "I know how you feel" line, or the "oh me too", followed by a story of a very basic negative experience, which somehow left them feeling a little bit let down. Nothing much more, and the conclusion of the story will probably confirm that later that evening, all was well again. A far cry from a simple experience triggering a few weeks of isolation, self loathing, and feeling of complete and utter rejection and failure. 

Of course, we are all individuals, and experience things differently, so one persons bump in the road is a catastrophic car crash of the mind for others. So I try not to judge. But sometimes, you just can't help but feel that there is SO much of a certain condition, just a short while after it became popular. Which in turn puts a massive load on the system, and drains resources away from those who need it the most. 

Every time I speak to a friend who has experienced the true lows of life and the mind first hand, I have a little more of a feeling of normality, and it is always nice to reflect with someone in the know, and compare experiences, to learn a little more, and gain a greater understanding of the whole situation. Being able to understand, and then take that back to groups such as the RCGP, and help others understand, just feels like some sort of validation for me. 

So.... as you can see, a quick 8 hour session at the RCGP gave me a lot to think about, and truly mentally exhausted me. Thankfully I had the foresight to book Monday off work also, so I would have a little more time and space to reset. Heading to the coast on Saturday, to let the wind howl in the hollow between my ears, and a long bike ride on Sunday just to get back into the rhythm of things. For my day off on Monday I decided to go for a nice half marathon distance run along the Thames Path. Switch off for a bit, and exhaust myself physically. It certainly seems to have done the trick. 

After a short bike ride with a friend yesterday I was all but spent, and decided today was a good day to do nothing. No training, no running, no cycling, just popped to the shops, and then did some work.  The rest of the week is a bit full on, but that is probably a good thing. Days like today remind me that I need to keep my mind occupied, as time alone with my thoughts is not always a good thing. In fact, writing this reminds me that regular blogging is also great exercise for me too. Something I need to do more of for sure.

 

Right, I will leave it there, I have already started rambling! 

Thanks for reading, and as ever, look after yourself, and look out for others.  

Published on Leave a comment on Self destruction in 3…..2……

I have noticed over the past couple of weeks I have been a bit less enthusiastic about things, exercise and healthy eating in particular. Other things still spike my interest from time to time, but it's dwindling by the day. Having taken a week or so off from exercise etc following my trip to Wales recently, I thought it might be a little slump due to inactivity, and I would swing back into it in no time. However a couple of weeks later, and nope, it's just getting worse. 

Over the past week I have done a half hearted run, body in it, mind disinterested. I did a nice bike ride through town the other day, I enjoyed that a lot, fresh air, open spaces, and things to keep my mind busy. Then the past 2 days I have done a ramp test (ftp power test on the indoor bike trainer) and an indoor effort on AdZ (virtual version of the Alpe du Huez). Both times I pushed hard, but at a certain point my brain just said "that's enough" and turned off the power supply to my legs.

It is almost as if my brain is allowing me to do these things, just til it gets the distraction and satisfaction it needs from the excessive physical exertion, then just says, "ok, that's me done", and suddenly my body says WTF are you doing to me, and cuts me off. 

Now I can say the above with quite good confidence, as I know I have been here before. Running and cycling myself into the ground, to mask what is really going on, and distract myself from it all. It is my coping mechanism for when things are not going right in my head. So I guess it is time to check in with my brain and see what is going on to cause this behaviour.

Also, another reason to jump on sorting it out ASAP is the other side effect. Eating comfort food! Horrible habit, one likely to undo all the good work I have done over the past year, so something I am keen to get control of quickly. Some of the food it to replenish the shed loads of energy I have expelled while flogging myself for my brains entertainment. The rest is just excess, and needs to be sorted out. *he said eating a chocolate pastry twist while writing this.

So, what is wrong? Well, to be honest, I think the whole Work From Home thing is really getting to me right now. Before there is any confusion, by that I mean, the uncertainty of knowing if we will be allowed to continue working from home. I love my own space, the peace and quiet to work in, my own environment, my own equipment choices to work with. In fact there is nothing I dislike about working from home at all! So the thought that it might all end soon is bringing my world crashing down right now. We are due to hear by the start of Sept what is happening next, but there are no clues whatsoever what that plan may be.

I know certain work groups are being called back in to the offices, I know the word "flexible" is being banded around a lot, but I have no idea what that all means for me and my group. I was hoping we were going to hear something this week, but alas, at the time of writing this on Thurs 26th Aug 2021, there is no word.

I have run through the possibilities in my head a thousand times, and continue to do so. True to the definition of madness, doing the same thing over and over, and expecting a different result. It feels like I am going insane, but the truth is, I am just exhausting my mind with pointless thoughts. It is what it is, and ultimately, I can't really control what the next step is. All I can do is influence any flexibility I may be given, by staying positive, and being a team player. Showing I can do what I do, from where I am now, with no issues. Not that it really needs proving, given its been about 18 months now. 

Previously I have said that whatever the decision, whatever the company decides, I will just knuckle down and get on with it. But if the truth be told, I am not sure I can! The way my mind is right now, I am on the edge, and ready to really start to fall apart. I am far from sitting in the corner of a dark room, rocking back and forth. However my brain is going flat out, 110% and starting to wobble a bit now. My fear here is things getting too out of control, and ending up in the hell hole I have been in before, taking a long time to get my head straight again. To be perfectly frank, if I am told that we are going back to the office in anything like a full time capacity, I am not sure I can now!

I know that sounds a bit arrogant, and might even make me sound like I am trying to control things, but it's just how I feel. If I ask myself honestly if I could work 5 days a week in my old office environment, and function at the level I do currently, my honest answer right now would be no. Not a chance! It feels empowering just saying this out loud, so I am glad I am writing this to share. The only problem is, what difference does it make? Honestly, probably none at all. 

I am not trying to set ultimatums, nor trying to be in full control of what comes next. Instead I am simply recognising my limitations, and setting out a line in the sand for myself, to protect my own sanity and mental health. Simple fact here, I don't like working in my old office environment. I could not put my finger on one single thing that is the problem. The commute is fine, it's not far and I enjoy cycling in. The idea of having to travel, whilst a bit of a bummer is the harsh reality of life. Being away from home, and losing the convenience of being home for contractors or deliveries is a sucker punch, but such is life.

The main thing it comes down to is the office environment. People, personalities, noise, hygiene (that's a huge one !!), and the ability to create an environment that I thrive in. So, pretty much everything that comes from being in a shared office! Not a good start I know. Of course, there are variables to consider, such as capacity.

Depending on the plan of return (if at all) there has been some talk of reduced capacity, and only spending X% of the week in the office. This sadly requires an investment in equipment, which makes it a little less likely in my opinion. However I would add that I would happily put large chunks of my own money in to procure said equipment, if a split office/WFH was decided on. Just thought I would get that in there. I have done so already to make WFH more comfortable, so why stop now. Although I would rather spend the money on making my home office even more comfortable to be honest.

But for now, I wait. We wait! We are all in the same boat, all hoping for what works best for us. And my brain continues to burn itself out, filling itself with negative thoughts, worries of being told to go back to the office, and panicking over what I would do if that happens. Could I cope, would I be better finding another job? Could I ask that I work in my own environment in the office? Is my mental health relevant enough to allow me to have an open discussion about remaining at home? Of course there would be compromises, which I would expect, but is it even valid and relevant? Is it going to be one rule for all. Will other peoples actions affect what happens to me next.... Jeeez I need a lay down here!

So, as you can see, my brain is not having a good time recently. These thoughts are just a 30 second snap shot of what is happening in my head over and over for every waking moment. Of which there seem to be more and more each day, as my ability to sleep dwindles away. Urrgh, mentally exhausted. But unlike when I am punishing myself physically, my brain doesn't cut itself off. Instead it just keeps going until its not functioning properly. Trouble finding the right words in a conversation, struggling to maintain focus on things, drifting away into my own little world mid conversation. Forgetting what I am doing, so many signs that all is not well. But what do I do?

That is my quandary right now, what do I do? 

I guess this is my plan of action for now...

  • Wait and see what happens next, at least until the road ahead is a known thing.
  • Keep a limit on the amount of physical exertion, it's not fixing anything.
  • Watch what I am eating.
  • Get into a healthier routine of sleep and rest
  • Speak to the doctor if things persist
  • Consider my own road ahead, once the company announce theirs. 

The main thing here is recognition of what is happening in my head, and this is it. I know I am struggling a bit right now, and have to be mindful of how I proceed. Not wind myself up with unknowns and things I can't control, but instead focus on what I can control. Consider and plan conversations I can have with people who can play a part in alleviating my struggles. I know what I want to say, just not how to say it. Something along the lines of quite simply "if we are going back to the office, I don't know if I can stay in this role". Sounds SO dramatic when I put it like that, and see it in writing, but the truth is, it's how I feel right now. As I say, what difference that makes, I don't know, but I have to say it, and put it out there for my own sanity. No point bottling it up, or pretending that isn't how I feel.

Oh well, I think I will leave it there for now. Step 1 done, recognising and taking action. Now to see how well I can keep a leash on myself, and resist the calling for more self destruction. 

Thanks for reading 🙂 

PS, I just realised I managed the whole blog entry without saying "anxiety" once. All whilst being full of it!