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Tag: anxious

Published on Leave a comment on The fine line defined

On my current journey with anxiety and my mental health, I have once again made some interesting discoveries. The first being with the medication. I have felt over the past few weeks that the control I have over my moods is all my own doing, and that the relatively low dose of meds might not be worth while. However after a recent late evening wobble, and the panic setting in that I would dwell on it for weeks and not be able to sleep at all that night, I slept fine. Now I am not saying this was all down to the medication, as I know for a fact I was using techniques to distract myself from the subject. However feeling like I was going to struggle, then discovering I was actually doing OK was just a reminder of the mental numbness the meds provide. Ideal for situations just like this. I am happy to report that I have been OK with it all since too, although a little annoyed when it pops back into my head. 

So between the meds and my new found skills and techniques to deal with unwanted thoughts, I have done well, and am thankful to be on the meds. My plan to try and ease off them any time soon has been put to one side, as it seems that this is a good balance for me, especially as my mental clarity returns, allowing me to be able to write and vent again. 

Recently though, while working with the therapist on goals and what I want to achieve from this round of CBT, my goalposts have moved a little with the realisation of a couple of different factors. 
Firstly with setting goals I am encouraged to push my limits and try things I generally avoid. Tackling social situations which cause me anxiety, in order to experience them and learn from them. The aim here is basically exposure therapy, becoming more familiar and comfortable with certain situations, and trying to chip away at the pre event anxiety by reinforcing my thoughts with positive experiences. 

The second part is about me and my familiarity with certain aspects of my day to day life. When something flares up, you tend to focus on that issue, and put all the other things aside for a while. Attributing everything to that one single issue, and making it the source of all evil which needs to be overcome. In all the noise of CBT and the positive strides I am making, I had forgotten about so many other aspects of day to day life for me, and other issues I deal with. Kidding myself for a moment that if I can overcome the issues addressed in my CBT, I will be a new man... But that is NOT the case. 

As my mind clears, and I start to get back to my normal activities, I am able to ask myself questions about what I want from life, and answer myself honestly, without any sort of perfection pipe dream ideas. 

What got me thinking about all this was working from home. Sorry, but don't panic, it isn't going to turn into a post about that, although I should say I have not heard a word about WFH since returning to work from my sickness a while back. Not even the promised check in calls. Oh well!
No, instead this is about the isolation aspect of WFH, as many have spoken of MH issues arising from spending so much time alone, you may recall I actually said I had seen benefits. 

I took an afternoon to consider if it was actually having any negative impacts on me at all. On days with crappy weather, with no commute to do, I will generally stay indoors 99% of the day. Maybe spending a while in the garden with the dogs a few times a day, but nothing more. But is that a bad thing? To have a restful day, relaxing the mind and body for a bit? Some would argue that it is detrimental to someones wellbeing to be isolated like that, but in reality it is downtime for me, and something I need plenty of. In fact I would go so far as to say, having this level of control over my engagements with others is a wonderful thing. Another example of how I control my interactions, sending packages. I would rather pay more to send something to someone and use an automated drop box, than go into a local store to drop off something. A tiny interaction, but one I would rather not do. Am I afraid, anxious, or just anti-social, that is hard to say, but I will address it later. But in short, after careful consideration, NO, I don't see WFH as a negative for me, in fact I stand by my original feelings about it, and I think it is definitely a positive. 

The next thing to look at is socialising, as it is something that my CBT has focused on over the past eight weeks or so. As the sessions have progressed I have been called on to take a look at my social skills, and how they could improve for me. I think the main reason for this goes back to my first talk with the GP, and mentioning being in an office environment made me feel anxious. As we discussed this, she focused on the social aspect of the anxiety, which is fair enough, but we didn't touch on my more general anxieties, and other bits. This passed over to the MH experts and my CBT became focused on the social part, rather than broader anxiety, and that is how it has stayed. 

As the sessions have gone by, there is no denying I have gained some valuable tools for dealing with social situations I find myself in, however I feel like there are other issues I have, and struggle with that are overlooked by this focus. To this extent the sessions are feeling almost non productive at times now, and dealing with things I would not likely choose to encounter, and avoid for reasons other than anxiety as such. Although it may be generalised as that.

One of the things that I have recently been reminded of is how noise affects me. This is where the divide of anxiety and other starts to show up. For me noise, be it environmental or other sounds such as music, or even just loud conversation, is something that really impacts my state of mind. To be clear, it is not simply loud noises, I love a concert as much as the next person (artist and environment allowing). For me it is more about noise clashes. A few examples maybe

Listening to music, and hearing other sounds, music or conversation over the top of it
Watching TV, and someone speaking at the same time
Busy environments with lots of talking, laughter, screaming. (shopping centres etc)
In short, noise clashes, be they natural or man made. My brain struggles to process them, I get frustrated and then feel almost anxious, and want to escape the area. I have tried many times on focusing on one sound, trying to zone out, but it is very difficult for me to do, especially if I am already in an unfamiliar or uncomfortable environment. 

This combined with crowded spaces with lots of people moving around is an absolute nightmare for me. With regards to places like concerts, getting in and out is horrible, but actually being there in the moment is fine, or at least worth the effort of staying calm for. Like many things, it is all about the cost to me in mental energy. If it is something I want to do badly enough, I will put myself through hell to be in that moment, and worry about the cost later. But to be in a situation I don't like, then suffer the same drain of energy feels like a fail and absolute torture. 

With all the above in mind, I am left back at the same point I was before the latest bout of anxiety, and that is wondering what else there is to it, other than just anxiety. 
A while back I considered some testing for other things like Autism. Not for a diagnosis, or any sort of weird labelling exercise, but to better understand what the strange combinations of symptoms and quirks I have, and what they amount to. Just to understand it for myself and help me make better decisions moving forward. So in the new year, after CBT is all done, and I have a fresher head on my shoulders I may once again look into getting some private testing done. Curiosity not cure is my mantra for this. 

When all is said and done, and coming back to the title of the entry, I am keen to discover a few things, such as what is down to my general anxiety, and what is down to something else. What can I have some control over, and what ultimately has control over me. And most importantly, how do I adjust my life/ behaviours, and educate others around me to my particular needs. I don't want to be the guy who simply dismisses things without trying them, in fear of what might happen. I know that is something I can both control and do better with. But I also know that certain settings are simply not my thing, and regardless of reason or excuse, I wish to avoid them at all costs.

Lots more to say on some of this, but feel I have gone on long enough now and am just rambling, so will call it a day here. I am keen to get a couple of other entries done soon, but going to let the brain rest for a bit, so I don't write absolute trash.

Interesting side note, I have been writing this during quiet moments between work. Which to me is huge, to be able to switch my thought processed so effectively again is a great feeling. 

Thanks as ever for reading. 

Published on Leave a comment on Unexpected wobble!

I have been working from home now for...errm... 33 months thereabouts. In that time, since the initial testing the PC would work remotely, then returning to the office, I have only been back to the office once. That was to collect a few things I needed, just to clear out my desk so to speak. In that time a lot has happened, and as some readers of the blog will know, I have realised that working in the office environment has long been a source of anxiety for me, and was affecting my quality of life. Due to Covid and the whole Work From Home thing, I have literally had a news lease of life handed to me, being able to do my job, while not having to go to the office and be around others. 

Well, that WAS the case....
Yesterday, logging onto the work computer, username, password, enter.... Wait..... ERROR!
Hmmm, try again, ERROR!
Reading the error it said that "signing in on this credential is not possible, as we cannot access the required domain" In other words, the PC would not connect to my work network. Shit!!!

Thinking it might be an internet connection problem, I tried the alternative internet connections I have. I have a total of five available, so went through them one by one. Nope, nope, nope! Checking with people in the team to see if anyone else had problems, it appeared it was just me. Double damnit. Checking my other PC on the same internet connection all was well, so it wasn't that. Then I remembered, when we started working from home, one or two of the PC's got a little homesick and decided they wanted to be plugged back into the mothership, aka the LAN connection in the office. Once this had been done, they worked fine again.

You know what this means... I was going to have to go to the office. As soon as it became apparent, my anxiety went through the roof. I have spent two years battling to stay at home, I am 99% of the way there to be permanent, once work can commit to writing, but because of my poor PC feeling homesick, I would have to go in. Not how I saw my day going. Having told the team what the situation was, I started to get the bits together that I would need to take into the office, to connect, and check the remote access once there. Grabbing a bag, I spiralled into a blind panic, getting tangled in cables, becoming confused about what I needed to take with me, and could feel my heart pounding.

Now I know some will be thinking, "get a grip", but quite frankly, I have been trying to do that for years now, and prefer the way things work currently, without the need for added stress like this. It is the first time in quite a while that my mind has spun up and instantly out of control, and to feel that way again makes me feel physically sick and panicked. Finally getting myself as together as I could I headed out. As soon as I started the car, I could feel myself almost tingling with anxiety. Immediately wondering who will be there, who will see me, what will they think, what will I say, and so much more.

For the next 30 mins, driving to the office in quite heavy traffic, I kept having to bring my thoughts back to the moment, and stop thinking about what would happen next. South London roads are not the place to lose your concentration. Finally arriving in the area, I needed to find somewhere to park. A lot has changed around there in the past few years, and most roads are permit parking. Falling back to an old faithful space I got parked. Lifting the bag from the footwell, it felt 10x heavier than putting it in the car. Like my mind was trying to prevent me from going through with this. Locking the car and walking away, I could feel my heart racing now, sweaty hands, and a million thoughts rushing through my mind. Getting closer and closer, I just continued to feel worse. 

Seeing the building in the distance, I focused on the moment, and tried not to give myself time to think, walking quickly, reaching the door and hitting the buzzer before I could blink. After what seemed an eternity, the door clicked and in I walked. Greeted by a colleague I have not seen for maybe a couple of years, I switched on my game face, and instantly became my work persona. I could feel the switch, and can honestly say I really didn't like who I was being, but its the happy go lucky Michael they all expect, so that is the character I needed to play to get through this. Almost like an imposter, I chatted as I moved through the building, ticking off the social politeness requirements, before scurrying off to the old office and getting sorted. 

Walking into the office was a relief. Taking a moment at the door to see that no one was in there, and no other lights were on on the floor, I could breathe for a minute, knowing I was alone. As I stood there in the doorway, I felt a moment of relief, then a wave of familiarity. Not just from being back in the office, a place I have worked for many years, but also familiarity of how draining that whole routine felt every day. Running the gauntlet of the ground floor, walking into the office on the 2nd floor, and wondering which colleagues would be in the office that day, taking a minute between floors to gear myself up, and get my game face on, before becomes fake me for the next six hours. 

One good thing that did come from this whole "adventure" was the confirmation of how I feel about the whole workplace environment. This was not walking into a strange place, not meeting strange people, none of the usual things that we are anxious about. I was feeling this way purely in the expectation of the old "normal". Confirming that I am 100% not an office kinda guy. It was not all in my mind, it was not something I had made up in the early months of WFH, this is real, and it makes me feel mentally and physically ill. 

OK, I am in! Like a hacker from a movie, it was time to do my thing. Putting my backpack on the desk, and starting to unpack leads, peripherals etc I instantly realised I had screwed up when packing. With everything laid out on the desk, I realised that I didn't have my Wi-Fi dongle, therefore would not be able to test the remote login software to check the VPN connection was available. Great! So at best, I would restore my connection to the work network via a LAN connection, go back home and still not be able to access it. Thankfully I had one thing I could check. While at home with the PC not logging in, I was unable to sign into my work email on my phone. Once I had plugged the PC in and managed to sign in, I again tried my phone and to my relief, it signed in this time. Obviously something was blocking my user access to the network, and plugging in had sorted it. 

Seeing all my applications opening without issue, I didn't waste another second. I signed out, powered the PC down, and packed up, opting to leave the building the quiet way this time, bypassing all the other people, and avoiding the need to use my fake face anymore. Stepping out of the building and heading for the car, I felt like I had just pulled off a heist, and almost wanted to break into a sprint. I refrained of course. Getting back to the car, sitting down and taking a moment to settle, I could feel the stress draining from my body, my heart calming down, and felt like I could focus again on the things around me. It felt like an hour long panic attack was finally ending, and I was starting to regain control of my faculties. The drive home seemed so much more relaxed, window down, fresh air (as fresh as it gets around here), and music on. Picturing walking back into my home office and getting settled again. 

That was of course until I started wondering if it WOULD sign back onto the network remotely, would it work on my Wi-Fi, could I plug the LAN back in, or would that throw it all out again? Yup, classic over thinker, how to mess yourself up even when everything is well. 

I got home, grabbed a drink, and set everything back up again, opting not to use the LAN connection just yet, and see how things worked on Wi-Fi. I am happy to report that it all signed in fine, and I was back working again within two hours of it all going wrong. Quicker than most have managed I will add.

For the rest of the day I felt a little wound up, and more stressed than I have for quite some time. Looking at my HR and measured stress levels for the period they were all elevated. That was from briefly walking through a room of people before escaping to the quiet of a familiar office. The strange and sad part is though, that evening it felt like I had just got home from a whole day in the office. In need to unwind and relax before I could get back to being myself. 

It just felt so familiar, and as I said before, confirmed how little I like being in that environment.

Which brings me back to, waiting to hear back from work. Many calls have been missed now, and I still have heard nothing back from HR about the progress of my personal situation. Given that the not knowing caused a spiral and me to be off sick for a period, I was hoping it would be taken more seriously, but alas no.

 

Anyway, better get on.. Thanks as ever for reading. Normal service has now resumed. 

1

Published on 1 Comment on Feeling positive

OK, let's not get carried away, but today feels like a good day. Started out by getting up earlier, with the plan being to contact the GP to get a follow up appointment and discuss my med does, with the view to possibly increasing it. The past couple of weeks have been a little testing to put it nicely, so it got me thinking that maybe I needed an increase. However after getting up this morning and waiting for the GP phone lines to open, I had a think, reasoned with myself and decided that with all the upheaval at the moment, maybe now is the wrong time to just up the meds. Maybe let things settle down a bit first and see how it goes. Returning to work (I will come back to that), the change in weather, the sudden decrease in cycling and time outside, all has an impact on my mental state, and is not a direct reflection of my actual state of anxiety.

I had another CBT session this morning, my 8th so far. Prior to the session, especially yesterday I was talking myself out of doing the session, telling myself I didn't feel I needed it anymore, that I was starting to feel better, and any other reason I could come up with. However speaking to Ann about it, I soon realised that I was actually doing this as an avoidance behaviour, and just kidding myself. Of course I need to keep doing the sessions, and should finish the course, who am I kidding! This morning I was dreading getting started with it, but once in the moment, I soon fell into my happy place, and away I went. I mentioned to the therapist that I had considered dropping out or cancelling the session, and she was pleased that I had told her, and that I recognised my reasoning for it. Look at me, I am learning more and more about myself.

One word that has come up again and again is "control". Along with "structure" they are the two words that define my most basic needs. Not to be controlling, but to have an element of control over what I am doing, where I am going, and who I am with. Knowing who I will be with and what is going on makes life a lot easier for me, especially in new situations and surroundings. I only have to look back at certain events to realise how important those two things are to me, and how things can quickly spiral if I am trying to just be a free spirit.  With this knowledge, and the new skills I am learning with CBT I find myself more willing and able to push the boundaries a little, and to try and change my perception of things, especially before even trying or experiencing them.

As an experiment last week, set by my therapist, I tried to find ways to practice pushing my limits a little, and doing things I felt would make me anxious. One of those was speaking to groups of people, or persons I don't know. I had intended on going for a ride, stopping at an unfamiliar cafe and sitting there to eat for lunch, however the weather had other ideas. Instead I decided on something a little more tame, but still something I have avoided repeatedly. On Sundays I take part in a ride on Zwift (online training platform) which is a social event, and has a Discord channel running at the same time, where participants talk, have a laugh, and generally socialise. The idea of being on such a channel, speaking with strangers etc has long scared the hell out of me, but with no other options to try my experiment I downloaded Discord, and when the ride came around, I jumped on. 

For the first 20-30 mins of the ride I just sat back and listened in to what people were talking about, how they interacted, and tried to decide if I could engage with them without feeling stupid, or causing anyone any upset. When the moment presented itself for me to speak, I took my phone off mute, and spoke. Terrified yet vindicated all in the same moment. Moments later someone else responded, and the conversation begun. Careful to mute myself after speaking each time, I felt like I had taken a huge leap, and was now a part of something. Jumping in from time to time to offer some humour, have an opinion or just be a part of the group. Following the session I felt really positive about it all, and know I would not have done it without the CBT sessions and tools I have gained from them so far.

This week, when the ride came around again, I opened the app at the very start, and made a conscious effort to be more involved. Feeling I was getting to know a few of the people on the call, I felt a little braver, and able to be a little more like my natural "cheeky" self. By the end of the session I was more than happy to speak numerous times. After the session I wrote a little message to the group to thank them for the welcome I had received, and explained that I had been doing an experiment for my therapy. I was surprised and delighted with the response I received from that. I wrote the message because I felt like I needed to explain my actions to others, but with a nudge from a friend, and a little retrospective thinking, I realise this was not necessary. However the response had felt good, so no harm done. 

As you might be able to tell from this entry, I am starting to find my flow again with writing and expressing myself, so am hoping to catch up with a few entries over the coming days, and make some notes for myself, while sharing a bit more about my journey so far. I have booked a few days off work soon to give me some time to level out a bit from the sudden rush of going back to work, and also to settle down with the new normal. 

So I shall leave it there for now, and close by saying that I feel pretty good about myself at the moment, and hope to keep up the momentum. 

Thanks for reading as ever. 

Published on Leave a comment on Heigh-ho, heigh-ho…

It's back to work I go...

It has been a while, in fact it feels like an eternity if I am honest, both since working, and writing anything. But lets focus on them one at a time. 

I have been off sick from work since mid-way through September, when the anxiety all got too much for me, and my mind went pop. Signed off by the GP immediately, and put onto meds, and into therapy, the past 6 or so weeks have been one heck of a journey. And it's not over yet, far from it. I was late starting the meds due to reluctance to getting back onto a long course of medication for what felt like a short term glitch. However with no sign of the glitch being sorted any time soon, I decided getting on the meds was the right way to go, and thus far it has been the right decision. CBT has helped too, and I am planning an entry about that too, I just have to get my mind to work right to try and make sense of it all. 

Getting back to work has always been at the front of my mind, as with previous episodes, work has always offered me a sense of routine, and helped my structure my days even at the worst of times. So it is quite a relief to reach this point. That said, it is not easy! 
Right now my brain simply refuses to play ball, mostly because of the medication. Describing its effects to my therapist yesterday I think I hit the nail on the head explaining the difference between my current medicated and non medicated states.

Without meds I have what I would describe as a large Las Vegas style neon sign in my head. This lights up with all sorts of worries, both important and unimportant at the most inopportune times. When I am trying to sleep, it will over power my thoughts and make sure it is the only thing I can think about. 
With meds the sign goes out, and we swap the Vegas strip for a casino, and the slot machines. Now, when I try and think about something it is like hitting START or pulling the arm on a fruit machine, the reels start spinning, the icons become and blur and a thousand images / thoughts run through my head every second. Trying to focus on one topic is like trying to pick out the cherrys symbol on all three reels at the same time, impossible!

I hope that makes some sense, as in my head it makes perfect sense.
Usually when in a normal state of mind, without medication, I am able to focus quite well at the job in hand, or stay part of a conversation. However currently I can barely stay focused for one sentence. During my CBT yesterday I kept drifting away during the discussions, and had to ask for things to be repeated as I just could not take in what was being said. 

Last weekend a few small packages arrived for my for my office. Three simple monitor stands, comprising of 4 pieces of wood, and a few fittings. To say I felt a massive sense of achievement from putting a couple of them together is an understatement. Staying in the moment for 5 mins, focused enough to look at the instructions, make sense of them and put it all together was fantastic and a real boost for my confidence. Which was perfect timing as a few days later I was returning to work, so at least I was not worried I could not concentrate at all.

I have managed two days now working, and I have to say it is draining. Not as bad as it would have been a week or more ago, but I am VERY aware of how much energy it is taking to keep my head in the game. Again, it feels like I have accomplished something far more than doing a days work. 

That brings me to the writing side of things. As a coping mechanism it is great for me, so at times when I am less creative and unable to put too much down in writing, it is a bit of a set back for me. Not being able to get rid of the thoughts that weigh heavily on me takes it toll. So sitting here writing this now feels fantastic, and like I am starting to get a little bit of my sparkle back. But I won't get too carried away just yet. There is a big difference between a little clarity, and feeling better over all. 

During the past few weeks, I have so many things I wanted to write, but just not had the thought process to put anything worthwhile together, and after 10 mins of not putting anything in writing, the thoughts are gone again, so a few missed opportunities which will hopefully come back to me at a later date. 

I am now staring blankly at the screen again, so think it is best to leave it there for now. 

Thanks for reading, thank you to everyone who has lent an ear, chatted on IM and even given me a hug. 🙂 

Published on Leave a comment on CBT – Round 2 – FIGHT (or flight)

Today saw the second session of CBT for me, and I have to be perfectly honest, my mind was not in the right place for it today. Since the last session I have had a homework assignment to do, as well as a long questionnaire to complete, but quite frankly my mind has really not been up to the task. In fact it has not been up to doing much of late. Putting off and just leaving some tasks all together, choosing instead to slouch in front of the TV and binge watch TV programs. Although it is not all negative, after all, sometimes it's good just to completely let go. Relax a little, break the routine and just do whatever the mind chooses to do. All that before of course, reinstating a strict regime to follow, to keep the mind busy, and a routine ticking over. 

So back to todays session. It started with getting up in time to get the homework and questionnaire complete in time to send back before the session. That in itself was a challenge, finding myself getting confused and wound up by some of the questions. Not to mention starting to feel anxious while answering some of them, as they required me to put myself in stressful situations to decide on the answers. By the time the session came around I was already tense and my head was spinning a bit. 

At the start of the session I mentioned to the therapist that I was off to a bad start for the day, and we went over the mornings events to try and ease the stress a little. I of course know that had I bothered to get the assignments done before this morning, it would have made for a much easier start to the day. But I have already made my excuses, and I am sticking by them. From there we moved on to the rest of the session, going through the homework, discussing what I had learned about certain aspects of the anxiety structure, and seeing what I could improve on. Then the world turned upside down. The question came, "how would you feel if I asked you to speak to someone you have never spoken to before. Strike up a conversation, and chat for five minutes?". By the time she got to the end of the sentence my heart was already pounding and my mouth had gone dry. 

In a flash, running scenarios of what would we talk about, what would they be like etc. Pausing for a second I said "terrified!" The idea of someone else suddenly becoming involved and being expected to make small talk was horrific. Here I am in my safe little bubble, just me and her chatting about things, and suddenly there would be someone else! She replied, "do you think you could manage it though". Instinct said NOOOOOO!!, my happy space is not getting into these situations in the first place, let alone struggling my way through it. But obviously, for the sake of making some progress on the CBT course I know I have to put myself in awkward and uncomfortable situations, so I said I could do it, but didn't feel good about it.

We then went through some pre conversation questions, asking me to gauge how I felt 1-10 about various things like ability to hold a conversation, did I feel safety behaviours would come into play and so on. After this it was explained who the person would be, how we would structure the chat, and what would happen next. Then it was time, the therapist brought the person into the meeting, and made introductions. To my relief it was a lovely softly spoken young lady, so any fear of confrontation or being overwhelmed slipped away. After the introductions we spoke about the chosen subject of exercise and fitness. Throughout I fiddled with a pen on the desk out of shot, and found myself doing what I do best, talking and talking, offering compliments and positive reinforcements to them, while trying to keep the conversation in my control until the time was up. It was not a total monologue, but I was aware of how much I had spoken, and how little I had breathed, based on my heart rate by the end.

She went off, and me and the therapist did a recap, and re-ran the questions again. I had found myself much more confident towards the end of the conversation than I had first thought I would. I am starting to learn things about myself I didn't know. The inital avoidance of the conversation is far more powerful than the anxiety once engaged in the moment. The anxiety then switches to what I can only describe as a sand timer filled with energy inside of me, and I can feel the energy draining away as each moment passes. Almost controlling my fight or flight response, keeping myself in the uncomfortable moment but at great expense to my energy reserves. It is all related, not two separate issues, but it is interesting to see the point at which it switches over from complete avoidance (comfort zone for me) to fight or flight. In my case I choose fight, but thankfully only metaphorically, and fight in this case is to fight my own anxiety, and stay in the situation.

So that was the stranger moment over with.... Or was it. As we finished up the summary of what had just happened, I was asked how I would feel repeating the exercise, this time trying to avoid any physical coping mechanisms. Sit on my hand so to speak, and focus on the conversation and staying engaged. My immediate reaction was almost identical to the first time, became a fidget, and started looking all over the place. But within seconds, I felt myself calming down a bit as this was going to be the same person again, no new introductions, just a new topic, and trying to stay in normal conversation. This time I actually sat on my hands and tried to leave breathing room in the chat for her to speak to. By the end of five mins, despite feeling more comfortable about the conversation, I found myself almost in a tight ball, and hunched up. I had found a different want to use up the excess energy generated by the fight or flight reflex. 

Asked by the therapist if I felt that safety behaviours played a positive role in the conversation, I had a mixed response. From the brief exercise I had learned that when my body switches to fight or flight, like anyone else I get a surge of adrenaline which causes my body to feel full of energy. If I can find a way to expel that energy, while remaining in the situation, things start to become more manageable. For example, the first conversation, while more challenging, felt more relaxed due to playing with the pen. Much like my trusty twisty handkerchief I wrote about before. It has clearly played a much more profound role than I had given it credit for. 
With regards to other safety behaviours, such as complete avoidance of situations, while it certainly makes aspects of life far more comfortable, it is also sadly impractical to avoid people completely. Besides, contrary to belief, I do actually like some people.. Not many, but a few, and I enjoy their company, so being able to do that more would be lovely, hence here I am in therapy.

So my take away from todays session is that I am stronger than I give myself credit for, more capable than I believe I am, but go into hyperdrive when put in a situation which makes me feel uncomfortable. That part I think I knew all along. Maintain control, wrap it up quickly, and get the hell outta Dodge! Flight plays a part in my responses after all, it's just a little bit delayed for politeness. 

Going back to the start for a moment, to address the lateness in getting the assignment done. It all comes back around to the slowing down of my mind at the moment. I am pretty sure it's 90% meds 10% mood, but I just have very little get up and go at the moment. I have recently started having random thoughts just popping up in the middle of other things. For example last night I was thinking about a route I could walk or run, and suddenly roast potatoes and gravy.... What the hell! I mean I love them and all, but what did that have to do with it, But they quite literally dropped straight into the middle of my visualising a route. Just one of many random thoughts. That said, I would take random interruptions to my thought process over the inability to let a thought or worry go for hours on end. Just takes some getting used to. Needless to say, certain tasks which require concentration or focus are rather difficult right now. Next week my med dose increases a little, so it should be interesting to see how that affects things. In the past it has gotten worse before it has got better, so we shall see.

Right, I shall leave it there for now, but to summarise, session 2, shellshocked but feeling positive. 
Back for another blog entry soon, got so much more to write, just lacking the focus to be able to get it out.

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Published on 2 Comments on Urrrgh!

Gonna be one of those days I think. Long but crappy nights sleep (thanks Kallik), starting to feel less run down which is nice, but still very unsettled. Body battery (Garmin thing) is quite low for me, and reflects how I feel, but otherwise things are OK. 

Had my first CBT session this morning, and I have to say, after a little pre meeting trepidation, it all went well, and like before, I feel like I have a grip on it and am starting to have a bit of an understanding. That said, I think I have always understood my anxiety, but just not yet learned how to cope with it. She did say in the session that I had made great progress, understood the structure well and was becoming my own coach, so that's good, right?  We did also discover that I am pretty complex and my favourite word is "control". 

As I expected, the scores from my testing this week show a swing back towards depression, and a relaxation of my social anxiety. That is why the therapies route has always been such a pain for me. While they are connected, and dealing with one assists with the other, it's a "pick one" approach, and a more generalised one at that. But for the speed this therapy has come about, I am NOT complaining, and appreciate the help I am getting. But it does support the pendulum effect I have always spoken about, that as one issue lessens, the other gets worse. The goal here is to stop the damn thing swinging and sit happily in the middle, or at the very least, take the energy out of the pendulum and stop it swinging further and further into the abyss. 

Tomorrow I have my meeting with work to discuss my situation moving forwards, so hopefully some progress can be made there. I am hoping we can separate the two situations, and deal with mine individually rather than with the herd. Worst case, herd is first, and I just have to be patient. If that is the case, I still feel in control, so am not too worried about the outcome, just more frustrated by the delays. 

For the rest of the day now I am at a loose end. I really want to do something, but not sure what. Riding seems a bit of an effort and faff for how I feel right now. But sitting on my arse for the whole day seems pretty frickin dull, so maybe a walk is the answer. I don't want to socialise in any way, partially because of how my head feels and partly because of Ann having Covid and me not wanting to spread it. So a walk in the open sounds like the best plan right now I think. Fresh air, pod cast in my ears and get the HR up a bit. 

Mentally today I feel a bit lethargic, disinterested in doing much. Haven't washed the bike after yesterdays ride, a few odd jobs need doing but I haven't been bothered, and beating myself up a bit about forgetting to put the bins out. I wasn't sure if it was a bank holiday weekend for bin collection or not. Meh! Oh well. (edit, I just checked and seems they are being collected tomorrow, phew!) But yeah, head not in a bad place today, just not too motivated. Thought process seems a little more active today. Noticed I was quite engaged during my CBT session, able to think on my feet, and also writing this I feel 8 have some flow. That may of course be because I have only just taken today's dose of meds, so could go downhill from here yet, but all part of the journey. 

It's nice that people are reading these entries and being kind enough to respond to me via messages and other means. Feels good to know it's a shared journey and a path others have trodden before, so thank you to everyone who has been in touch in anyway, your support means a lot to me. And I hope in turn than by writing and sharing this, others somehow get some help and understanding from my journey. It has always been the goal of this blog to share both ways. 

Right, I better get my day in order before I give up on it all together. 

Til tomorrow... 

Published on Leave a comment on Side effects have arrived!

Almost at the end of the first week of taking the news meds, and the side effects are starting to show their face. Nothing alarming, or that I have not experienced before, but they change the game a little all the same. Sertraline is the drug in question this time around, a change to my usual Citalopram, but early days feel the same. 

Due to feelings really run down at the moment, I am already struggling to have the energy to do much, but combined with the early effects of the meds, it has kinda knocked me for six. Currently feeling physically fatigued, my interest in doing anything is badly affected, so I am spending a lot of time sitting around and not doing much. I noticed yesterday when going for a little ride that my energy levels were pretty low. By last night the mouth ulcers including one on my tongue had reached a point of not just discomfort, but annoyance too. Over salivating, so continually swallowing makes it really hard to get to sleep, making you feel like you are drowning in your own saliva. One of the ways to kerb this is to clench my mouth shut, but that leads to headaches. Lose-lose!

Anyway, this is meant to be about side effects of the meds, not ailements of being run down. So let's get back to those. Now the actual intended effects of the meds generally take 4-6 weeks to have a noticable effect on the condition they are treating. However that does not mean they don't start to have an effect straight away. The idea is to build up a level in the body to impact the anxiety, but with a regular dose, it soon starts to have an impact even before levels build up.

Previously, and indeed currently the main effect is a dulling of the thought process. There is a trade off to be had, and I will give a good example of it shortly, but for now, let me try and explain how I feel right now. I feel mentally lethargic, with a lack of focus on anything. Concentration is very, very low, so even something as simple as following the plot of a program I am watching can be difficult. When speaking I can lose my flow mid sentence, or completely tune out of a conversation I am having without warning. Even if I have listened carefully, recalling what was just said can be difficult. Even recalling what I just said can be tough. We all have this sort of thing for a moment, but for me right now, its all day long.

Trying to put a blog entry together is hard work, and in a rare moment of clarity, here I am trying to document what is going on before I lose my way again, and lose the chance to create this valuable reference point for myself. The upside of this feeling of course is the almost inability to dwell on anything. My anxiety can find me caught up in a self destructive loop at times, catastrophising the most simple of thoughts. To go back to the example I promised, last night while suffocating in saliva, I wondered why I was suddenly creating so much. My mind trying to be as irrational as possible took me back a few weekends where I saw a runner at the half marathon running in aid of "saliva gland cancer research"... Of course my mind went to cancer. 

Now, if this was just me, not on medication I can guarentee that I would have got up, googled the symptoms, and somehow worked on making them fit to what was going on, for a moment at least. Instead, my mind went there, the thought entered my mind, exited and was not heard of again for the rest of the night. It is almost like a temporary amnesia which makes it impossible for the conscious mind to hold on to a thought long enough to spiral down with it. Handy in those instances, difficult day to day. Needless to say, concentration comes at a price right now, and that cost is irritability. If I am trying to focus on one thing, and anything distracts me, I become very frustrated, very quickly.  Another cost is energy. To focus on a TV program for an hour, leaves me tired and needing to take a break, which is what I am doing right now.

Other effects include feeling a bit light headed from time to time, lack of interest in doing a lot of things which require any focus or physical energy, and general all round tiredness. Yesterday I liked the idea of going for a couple of rides this weekend, by the time I woke this morning, after a crap nights sleep, I had no interest in doing so whatsoever. Thinking about it, I honestly think I would be a liability on a bike today, as I just can't shake the wandering mind and eyes. We did pop to the shops earlier, and while I felt save taking an easy drive there, my ability to shop  was just not there. No idea what I wanted, so just grabbed a few obvious things, and called it a day. For the rest of the day I shall just rest body and mind.

Fingers crossed the mouth starts to feel a bit better soon, as the over production of saliva and constantly swallowing it leaves me feeling quite nauseous, and I could do without any more ailements right now thanks.
I am gonna leave this one here now as I am struggling a bit to write rather than ramble. Apologies for the waffle and any typos, I just don't have the capacity to do much better. From previous experiences with these meds, these effects should ease a little in the coming weeks. Replaced by some other weird and wonderful side effects, which will also hopefully be short lived.  Just to add, by the end of the week I had received no contact from work at all, no acknowledgement of me calling in sick, or my absence. And no updates on the outcome of my appointment with OH, so that is officially a month without so much as a single word being spoken about it. Nice one! Next week, if I can string a sentence together, I will chase this up.

Thanks as ever for reading.

Footnote..
Apologies to anyone I engage with over the coming few weeks. If I stop talking or replying, or just seem distant, it is just the meds making it hard to concentrate. If you are boring me, I will be sure to just say! 

Published on Leave a comment on My history with anxiety. Pt1

Over recent years I have found myself wondering where this all began. What was my trigger to this whole battle with mental health, and when I could first recall the first instances or behaviours. 

I usually have these internal conversations late at night when I am trying to sleep, like now. 11pm on a Wednesday night. So I decided that the best way to deal with it is to document it. Then then next time I have these conversations, I can look back and remind myself and stop the cycle in its tracks. That's the plan anyway. 

So last night I was laying here at about 12.30am, trying to shut my mind up, and events of many years ago kept coming back into my head. 

I am going to try and write this little mini series in a more constructive way, but for now wanted to get this one out of my head. 

My Twisty! Since late in junior school, and definitely through secondary I used to carry cotton hankies. Good old fashioned cotten, washable hankies. None of that tissue nonsense. Gross I know! Anyway, hygiene aside, I always had one with me, much like my trust in inhaler, it was one of the items on the pocket checklist before heading out. 

Now these hankies, originally intended for their main purpose soon became something much more. My twisty. Wherever I was, whatever I was doing, I would always have one hand in my pocket, twisting the corners of the hankie. Tighter and tighter, the more nervous or uncomfortable I felt, the more I would fiddle with them. This habit went way on into my twenties. 

Now I know it's just a fidget thing, loads of people use things like that to pass time, create a distraction, or cope with anxiety. Heck we had a craze for fidget spinners, but for me this is just one little piece of the puzzle which helps me see my road map to where I am today. And also helps me to see this isn't sudden, or sporadic, but more a long term pattern for the way I have always been. 

I'm just going to wrap it all up there, but will add more parts to this series in the coming days as more things come to mind. 

Next up, late bed wetting, and how it shaped my early years... 

Watch this space. 

Published on Leave a comment on Day 2 – Panic attack!

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. 

Published on Leave a comment on And so it begins. – Meds Day 1

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.