Apologies in advance for the abnormally open and long post.
I am a bubble of stress and anxiety. Mostly anxiety. I have in this learnt that anxiety is one of my biggest triggers for negative coping mechanisms and now I am looking at the past, I can’t see why I didn’t realise this sooner. I think I was in denial of it, because two people had brought up the idea that my negative behaviours are often a reaction to anxiety, and I totally dismissed it and to be honest, quite frankly felt annoyed at the suggestion.
It all just got too much on Friday and I ended up in A&E at 4am which was incredibly stressful, not helped by the A&E department moving to a new building with new procedures. I was a mess, but maybe I needed to be a mess. Maybe it helped as horrible as it was. A&E is usually the place where my meltdowns occur, like I’ve been holding myself together and then I just fall apart. Any way, I got physically sorted and had this lovely doctor who knew me already. He spent absolutely ages with me before I managed to talk but it was helpful, although kindness and people saying nice things about me always makes me upset and he seemed extremely worried. He said normally I seem a bit better after what had happened to end up there, but that this time I seemed a lot worse. I saw the mental health team after treatment for a few minutes, but that was unhelpful or rather, pointless. I was tired and calm, and not bothered about talking. I felt like I did the talking with the doctor and to be honest, considering he wasn’t a mental health professional, he was a lot better at helping me than the mental health team ever have been. I guess I got lucky there. When I first saw him I was thinking ‘oh god not him’ because I knew him, but he was amazing with me. He also said some interesting things about my diagnosis and treatment, and that he has never met someone with my diagnosis who is managing as well as I am, and studying for an MA which made me feel both good but a bit annoyed that being outwardly functional sometimes makes people over estimate how ‘well’ you are doing.
The doctor was discussing admission to the psych ward or crisis team input but as soon as I saw mental health it was clear that was out of the window, which was mostly a relief. The following days were full of feeling anti-treatment and spending pretty much all night every night walking in the dark which on the first couple of nights was very dangerous, but on the last night, was very peaceful and reflective and last night I was sat up till 4am arguing with myself over a decision. I made the healthiest decision, the safest one, and I feel calmer now. I’ve overcome most of the guilt and regret of ending up in A&E because I am a work in progress and that is ok. I pick myself up quicker and better than ever, and that is an improvement. I have time to improve further. This is not a race.
So yeah, I have *picked* myself back up again, which is good, but not exactly fun or pleasant. I’d rather not. I’d rather crumble. Correction, in the short-term I’d rather crumble because it is easier. In the long-term I will be glad I am not crumbling. I know where crumbling ends and I will not like it.
I think a big part of my stress is to do with treatment. Like, I was kicked out of the TC in November and things have felt so unstable since. It is like I am supposed to make myself stable while everything around me is the exact opposite. It doesn’t feel like the easiest of things to do. I’m meant to be starting counselling privately but I’m re-considering doing a group at the PD service (same service as the TC) instead. I don’t know which will be best for me. I think I would prefer to do the counselling, but that perhaps the group would actually be best for me. But I have no idea what day the group is on, or if it is still an option, so I need to find out which means ringing them tomorrow. I don’t want to wait till next Friday because I’m starting my new job on Wednesday and if I am going to have to ask to swap my days around I want to do so in a way that is the least annoying for work so my plan is to find out what day the group is tomorrow, so when I go to work on Wednesday I can ask to change my days to fit the group, just in case I do the group. It feels like the best option rather than messing work around in a months time or whenever.
Now I want to do the group I regret stretching the truth with my responses to the initial questionnaire thing for it. And regret ruling it straight out without thinking. I am scared now that I won’t be able to do it aka more anxiety.
I am also stressed about life post-September aka post-university. I will be unemployed and that makes finding a grad scheme very attractive and I only have a few options that way because of timing. But then there is the idea of going back to the TC, which I had to be honest, ruled out, but I think that is largely a fear of what if it doesn’t work? Which makes me feel like not even trying for fear of ‘failing’, a fear of coping financially and really not wanting to return to a house share because it is SO bad for my mental health and my eating and my anxiety. And then a fear of not being allowed back even if I am “stable”. I don’t know how real that fear is. I’m just scared of rejection and uncertainty.
Also, I don’t know what timescales will be and that is probably quite unpredictable for anyone to say. I mean say I got referred back at the end of November, assessed or whatever by Jan..approved for prep, joined prep in say Feb or March? Like, what do I do between October and March. Financially speaking, and in every other way, it’s a worry.
I mean the best I can hope for is to get myself to this new job without using negative coping mechanisms/sabotaging it completely, ring tomorrow to find out about the day of the group, ask to do the group in my next appointment on the 12th, them agree to let me join, join ASAP, work on “stabilising” further, then when I finish uni look for more part time work in anything though I’d prefer something career related that might be difficult if I want part-time which realistically I do, apply for help financially and find a cheap as possible one bed place (house sharing would be financially better but it feels like such a bad move), finish the group and be re-assessed for the TC, then wait to join the prep group.
I don’t know how realistic the plan is. I’m worried that I won’t be allowed in this group now, but that can be replaced with the counselling and I will just have to work on not letting the issue I am worried with re: counselling, become an issue. I’m also worried that if I do still want to join the TC which at the moment I mostly do, that they will decide I am too well or something. You know, 2016: you are too unstable. 2017/18: you are too stable. That would be a turn of events and not ideal for me. Like stable does not equate well, or happy, or where I want to be at the end of all of this.
Then yeah, going back to work is making me a bit/a lot anxious. And other little things like this walk I am supposed to be doing to fundraise for a charity, some volunteering etc. And then university is a huge stress right now because I’m behind and not sure if I can make up the work, never mind get a decent grade. And then there’s other stuff, like sorting out my routine and sleep, which is a massive issue right now, and exercise and injury and eating.
I just really want some stability around me. I guess the primary things I think I need is a stable once weekly appointment of some kind, either the counselling or the group. To settle back into working. And to be managing a better routine – sleep, exercise, uni work and work being the priorities. Then adding in little things like the volunteering and actually seeing friends at least occasionally without getting so anxious that I cope using negative behaviours.
My psych appointment got cancelled, and while I am bothered, I am less bothered than I was because although I still want medication, that feels suddenly less important to me. Like sure the meds I want to go back on help my mood/anxiety/obsessions and it would definitely help stable me out a bit and ease those things, but there are other methods too. Of course ideally I would have meds plus the other methods but I guess there is no rush and hopefully I will get another psych appointment soon. Pinning my hopes on being allowed back on meds isn’t helpful and is potentially dangerous as I could be disappointed, so I am taking a few steps back from that idea.
I have an interview for a grad scheme and I’ve seen two other things I’d be interested in applying for, but it doesn’t fit in well with my current job which I need to be working in September for. I mean I know a longer-term job should be a priority over the temporary job but I really REALLY want to work there in September because it’s a key part of the campaign and I mean, yeah, I want to badly. And also, starting a grad scheme/job somewhere else in September really does not fit what I want treatment wise and so I am weighing up my options. While I really want to get a proper full time, permanent career job, I’m not sure I am “there” yet. I want to be there and I am trying to work out if I can just y’know, do it and find my way through it as I go…force myself to manage it. Or whether I just need to try and be ok with taking another year or so before getting into that kind of scheme or job and being 27 years old and just starting my career. I do feel a lot of pressure about being 24 and in this position, pressure to be doing what other people my age are doing and to be on the whole career route thing and I hate it. And I know, people say 27 is still young but I wanted to be in a career by 22 and it just really gets to me.
So if I am going to take the treatment route and take time out, I am going to really prioritise therapy and give it everything I have got so that once I am done, I truly am done. Which is very good motivation, it makes me feel very determined. I feel like if I go to the appointment on the 12th and have a clearer plan in my mind, I will probably improve a lot in terms of my mood and negative coping mechanisms and so that feels really important right now. I want to give up and run a few hundred miles from treatment for fear of failure and rejection, but I know what I need more than anything is to feel…I don’t know, contained and safe, and stable.
The sooner the 12th is here the better right now. Going a couple of months between appointments and having no set clear plan is just really unhelpful for me. It’s unsettling and it makes me feel unstable. I struggle to hang onto the plan at the previous appointment for such a long period of time.
I sent them a letter asking to be discharged on the 12th and while I am proud of myself for clearly asserting what I wanted at the time, I think it could have been a wrong decision. I literally woke up that morning with the idea and wrote the letter and sent it all in the space of two hours. It wasn’t exactly the best thing to do so quickly. I’m going to find out about the options with the group and not make a decision right now. I’ll go to my appointment on the 12th and discuss all options openly and without putting a heavy preference on any option, and decide there and then based on the positives and negatives, the options, and just in an appointment where I will be thinking rationally and won’t be making decisions based on feelings or misinterpretations of what other people are thinking.
Plan. My focus between now and then is manning up and going to work on Wednesday, working on my routine and university work. Keeping up the exercise while managing injury, and doing this sponsored walk. I also think I need to stop being so negative about trying mindfulness because a lot of my impulsive behaviour is connected to thinking far too ahead and panicking and the whole being in the moment thing sounds like a very good thing despite my dislike of the idea of mindfulness. Plan. Plan. Plan.