Showing posts with label agoraphobia. Show all posts
Showing posts with label agoraphobia. Show all posts

Monday, 2 November 2009

Saw my healer!

Hi Everyone. Thank you as ever for some amazing comments in response to the last post. I felt very bad about putting that post up. I knew it would touch on difficult stuff for a lot of people, and I want to thank those who shared their pain and experience through comments and emails.

I also felt bad because I was writing from a position of anger essentially about other people's pain (manifesting as anger), which is an inappropriate response - which is what I was complaining about. So how dumb is that?

But I felt I had to say it because I'm tired of reading this stuff on some people's blogs - that they have a right to look down on someone who is depressed/ suicidal. I will not be told by those people that I am not as good as them because I'm feeling worthless .... Errrr ..... Hmmmm. Maybe I do have some self esteem hidden somewhere after all.

Anyway, today I saw my healer! I was so worried about it over the weekend. But today went much better than I expected.

I had built up my walking time last week - 45 minute walk on my own on Monday evening, walking with the Bear Tue, Wed and Thur - up to 1 1/2 hour walking. On Friday I had an appointment with my CPN and the lady who will be meeting with me once a week to help with the agoraphobia so I didn't do a walk but I walked to the appointment, to the supermarket and back.

On Saturday I really struggled to push myself out, but I did it and ended up walking for about 2 hours 20 mins. I walked through some streets, up a very big hill and then down the other side of it. Normally I would walk back on the flat from that point skirting round the edge of town - 1 1/2 hours in total. But when I got to the bottom of the hill I realised I really couldn't face going anywhere near the centre of town. There were just too many people around - many students wearing fancy dress as well as the usual Saturday night crowds. So I had no choice but to turn around and walk back up the bl**dy hill again! And these are big hills let me tell you.

All the time on Saturday I was huffing and puffing and thinking how much harder it was without the Bear to distract me and reassure me just with his presence and his chuntering. I felt very uncomfortable physically doing that walk. Like I was heaving my stomach around the place - it is huge. I really felt my heaviness. And it was a warm evening so I was sweating like anything.

By the time I got back to the bottom of said hill I was in tears and feeling dreadful.

I have lived in denial through my bad bingeing the last few months of how much weight I've actually put on. It's only when you start trying to climb out of the pit that you realise just how bad things have got. Sitting around at home not seeing anyone for the most part, allowed me not to fully face what I had done to myself.

Boy did I face it on Saturday night!

I thought of how shocked my healer would be to see me looking like this, having put on so much weight since I last saw her. I didn't know if I would be able to see her on Monday. I was looking for ways to possibly cancel it.

This morning I was very stressed, and the stress caused me to feel drowsy. I took 200mg of Modafinil and still struggled to move. Everything I did felt like I was on a go slow. But this did mean that I had no energy to specifically worry about seeing her. I was too taken up with just concentrating on getting there.

At the last moment as I was about to leave I found my flies where undone - so I searched for the zip end - and found nothing. The zip had broken. And these trousers are the only ones I have that fit right now. I had dug them, a couple of weeks ago, out of a suitcase where they had lived for several years. They are my Biggest Ever Trousers (BET). I can't tell you how depressed it made me to have to wear BET. I have occasionally, when looking for other items, run across BET in that suitcase and held them up in amazement that I ever had to wear such large trousers. So you can imagine how bad it felt that I am back in them again.

Anyway, I was in a panic. I could just have pinned them closed but of course I tried to force the zipper down and only succeeded in making the whole zip bulge out. I decided that I hated BET anyway and I would try on Next Biggest Trousers (NBT). Amazingly I could actually get into NBT but I would be on a wing and a prayer with them as they are scarily tight and the belt digs in so much that a very large chunk of me hangs over the top all the way round. But I decided I'd go for it. They looked a lot better on than BET. I thought, if they split at least my coat comes down to my knees. That should cover it.

Happily NBT are still intact!

Anyway, I made it up the hill to her house without too much trouble. And she was so happy to see me! And I was so happy to see her! (I'm in tears now).

It was so lovely. And I felt fine.

We had a hug and she took my coat and we sat down and started chatting. And I felt rather silly that I'd been so worried about seeing her and even thought about cancelling. There was nothing to worry about!

I chatted to her for about an hour about how things had been the last few months.

And then she gave me some healing.

When I was about to leave she gave me a bag with a birthday card and two presents in it. It's my birthday this week. I had told her it was my birthday and that was the main reason I hadn't cancelled, because I knew she would have got me something. And she did! (Tears again!)

I feel so lucky.


Today was a great "normalizing" experience. A wonderful reconnection. And, as a bonus, I walked for 1 1/4 hours afterwards and did OK on the food as well.

Thank you once again for your support and prayers.

PS I've been given two more awards! More on that next time.

Thursday, 15 October 2009

Responses

Hi Guys. Sorry once again for inflicting all that shit on you last time. Strangely more people "tuned in" and read that post than any other ... well, a cheery title like "Toxic brain dump" really pulls in the punters don't y' know! And I want to sincerely thank the people who left a comment. I realise I made it tough for you because I left very little room for hope in there. Very little that people could respond to. Most of those who did said that clearly I am depressed and need meds. Or possibly could I turn to faith to help me through this. Both valid suggestions.

I certainly don't dispute that I am suffering from major depression. But I can tell you that I've tried every anti-dep going and none has been any good, either due to side effects or lack of efficacy. The one I was on the longest, Lofepramine is highly toxic and had little positive effect. It also caused me to reach my highest ever weight due to the fact that it lowers blood sugar, and blood pressure and slows you down so much that life becomes one long grinding exhaustion. The main way it "worked", if at all, was simply to slow down my thinking, thus I would have fewer thoughts per hour, thus fewer depressing thoughts per hour, thus be less depressed. Talk about being sledgehammered! I had to give it up due to the damaging effect on my kidneys. It also made me agoraphobic, a known side effect of this med. I was agoraphobic from the first tablet I took. I carried on taking it for as long as I did because I was desperate and there were really no other choices. I haven't been able to tolerate anything else. My psychiatrist told me some years ago that I was out of meds. Nothing left to try.

So I am now going through this unmedicated. But that doesn't really bother me I have to say. Even when I was on tablets the side effects were so bad I couldn't lead any kind of normal life anyway. So I wasn't any further forward.

Ultimately meds, if they worked and if I didn't have side effect problems, would only be covering up the pain, a band aid on the situation. They cannot solve the root cause. The root cause being that when I had my breakdown in 2000 I lost my self. I lost my personality. I lost who I was. No tablet can give me my self back.

That's why psychiatry has been no help to me at all. There is no diagnostic category for "person with no personality". In fact I have never really been able to get a psychiatrist to even understand the position I am in. They just don't seem to "get it". Or maybe they do but simply have no answer.

There is no way I've found of deliberately reforming a personality. Well, you may say what about psychotherapy? Therapy of course is designed to help people explore parts of themselves and make adjustments in personality. It depends on you having a personality in the first place to make the adjustments to.

I've been very lucky (or maybe not so lucky) to have had extensive individual therapy on the NHS: psychodynamic psychotherapy, creative art therapy, cognitive analytic therapy (CAT), psychoanalysis (a lot of which was twice a week). Not to mention groups run by the local health trust - stress, creative art therapy and relationship groups. I've also attended independent self help groups for depression and social anxiety.

I'm not stuck like this for lack of effort! This thing has had everything thrown at it. And I still really feel like no-one who's ever treated me has really "got it" or understood what I needed. But then I have no solution either. One therapist said to me that my previous learning (in psychology) must have been really useful to me when I had my breakdown. Sadly not. You can't study what it feels like to have a breakdown or have no personality.

Mainly therapy has simply increased my instability and pain. The only one which did have a slightly positive effect was the CAT which I actually found quite empowering. But it is a fixed short course of therapy (unlike the others) and I feel I needed much much longer for it to have made any lasting positive impact. I also don't think it was the type of therapy per se which had the effect, but the therapist herself. If I could have had a year with her then maybe the outcome would have been more beneficial. And that's one of the problems on the NHS, you don't really get to chose your therapist. You just get who you're given. Of course you can turn down a therapist, but then you're back on the waiting list 'til who knows when.

My last lot of therapy - the psychoanalysis (which ended summer 2008) - was the most damaging. It plunged me into total chaos again. Which is where I was until spring this year. Now I'm simply back in nowheresville.

And still they keep it coming! They are now offering me a three year package of individual psychotherapy, group therapy plus fortnightly support group meetings to run concurrently (as the judge always says). I jokingly said to the Head of Psychotherapy, "So I get out of jail when I'm 40 then??!!" She didn't really appreciate it.

I've turned it down so far as just being too much to take on at the moment. Given the lack of any progress in the past it just seems ridiculous to carry on doing something that only makes me feel worse. It's still on the table though. Mainly because it's the only thing they have to offer me now.

I'm gutted that therapy was so useless for me. I was a true believer in it. I started studying psychology all those years ago because I actually wanted to be a therapist myself. What a joke! I find it hard to sustain any belief in it at all now. I've never known anybody who was seriously mentally ill actually benefit from it. Obviously I can see it may be of some use for people who merely need to make personality adjustments. But that ain't me.

The other suggestion made by some was about faith. I am an atheist. But at this point I'd like to thank those people who said they'd keep me in their prayers. I do appreciate that. I wish I did believe in god because then when I was awake in the middle of the night I wouldn't feel alone. It's wonderful to feel that there is a being of some sort looking over you, taking care of you etc. But belief is belief and not pretending to believe. It's not something you can fake in my opinion.

Strangely enough I did believe in god for the first 18 months after my breakdown. I mean totally believe. I went from being a complete atheist before to a complete believer. There was no doubt in my mind. But I was able to believe in god for that time because I was completely not myself. It was as though a line had been drawn down on my life and everything I was before was alien to me. I couldn't even begin to understand that person anymore. After those first 18 months I came out of that initial headspace and was then unable to believe anymore.

I do believe however in spirit guides due to my own experiences and the healing I have received. But a spirit guide, to me, is a guide that helps you get where you want to be, if it is possible. They don't show you the way, or answer your wishes/ prayers. They don't have the all encompassing power supposedly had by god. They can't show me the answer to my problems.

I say I believe in guides but I don't claim to understand how this thing works. I have no knowledge about my guide.

Well, that's all got a bit deep hasn't it!

I did feel a sense of relief for having got all that shit out last time - so thank you for reading it. It's weird that it makes a difference to have put it out there in public, rather than just writing it down for myself - which I have done many times previously. I don't know why it makes such a difference though.

I can see for example the extent to which I am hung up on not being able to have a "normal" or "proper" job. Really hung up on that. But now it occurs to me I will just have to hope in the future to find something I can do working on my own/ for myself.

I had reached a stage of feeling that there's no point in trying anything in any sphere anymore. But now I think I'm just going to have to try for the best quality of life I can - which is certainly higher than I have right now ie stopping bingeing and getting back on an even keel with my eating and blood sugar level. This would be beneficial on every level. My behaviour, while not deliberate of course, is only making things much worse. Like Fitcetera says, "stop doing what hurts".

I will have to think for much longer to come up with an answer as to how I can be me again. Any suggestions ....? All thoughts gratefully received.

In the meantime, there was no washing this Tue due to work going on in the basement so I was let off the hook! So no bingeing on Tue or Wed. The bad news is that I binged continuously from the Thursday - Monday before that.

My healer also sent me a card which arrived on Wed. A beautiful card with a lovely message in it. I was able to ring her after that and made an appointment for 2nd Nov to go and see her. Maybe having that goal will help me get myself together a bit.

I think the best thing I can do from here is to a) think how I might go about reforming my headspace into something useful which will enable me to lead a happier more productive life, and b) try (yet again) to improve my physical health by eating healthier and slowly building up my walking time.

So thanks for all your input. I am feeling slightly more positive now. Only slightly mind ...

Sunday, 4 October 2009

Doing OK

Hi Guys. Thank you for all the offers of tea, shopping and laundry. If I'm ever in America (where most of you live) I'll never be short of a cuppa! Seriously, your support means a great deal to me.

I've been eating pretty well since Wednesday.
Thursday:
200g diet yoghurt + banana + 2 cups 40 cal choc drink with instant coffee added
Fish in parsley sauce + veg + 1 choc drink + Galaxy chocolate bar (48g?)
Fish pie + veg + salad + 1 choc drink

The chocolate bar was left over from my mega binge on Tuesday - I had two left over from that night and ate one on Wed and one Thurs. A miracle I didn't scoff them both for breakfast on Wed - that's what normally happens with any left over binge food. Eating them after a meal with tons of veg meant that it didn't tip my blood sugar off.

Fri: as Thurs except no chocolate bar and 1 extra cup choc drink. Pissed off I had so much choc drink, but I was really fighting the urge to binge in the afternoon. The only thing which stopped me going to the shop and buying the bag of rubbish was the fact that I couldn't face having to write here that I had another bad binge. So accountability does work!

Walked to a supermarket in town in the evening - easy on the way there but very difficult carrying heavy bags on the way back. All that veg weighs a lot more than cakes and chocolate etc.

Sat:
200g diet yoghurt + banana + 2 choc drink with instant coffee
Fish in parsley sauce + veg + choc drink
Binge: 1 bowl porridge (35g oats) with sultanas and honey + banana + choc drink
Fish pie + veg + salad + Ribena Really Light made with hot water

In the evening, before my last meal, I walked 15 mins to a different supermarket in the out of town direction and walked back the long route round the houses which took about half an hour. I really struggled on the way back even though I only had one bag but managed to only stop once for a few moments. I felt so pissed off that I am so unhealthy. Ridiculous at my age to struggle with such a short walk, especially when I was walking 1 1/2 hours several times a week earlier in the year.

I am also really pissed off about that mini binge. I ate it because I had been fiddling for ages trying to get some software downloaded and it was really difficult and frustrating so in anger and tiredness with it all I binged. I ate the porridge because it was already cooked - I had cooked it Wed morning and then decided against it (a first - normally I can't cook porridge and not eat it) - and made the mistake of putting it in the fridge. I should have chucked it because I wouldn't have eaten any porridge on Sat if I'd had to cook it. That 6 minutes of preparation time would have ensured it didn't happen. I know in terms of calories it was still a good day, but I had intended to go a few days with no cereals at all.

And it could have been a whole load worse. After the supermarket I went to a nearby Tesco Express - ostensibly looking for some fish or fish pie. It was a nightmare in there! This was 9pm at night and they close at 11 but they seemed to have a mass of freshly baked donuts, brownies, muffins, pastries etc. The smell filled the whole shop. Why do that so late at night? But they wouldn't do it unless they were going to sell them so I can only guess that people already well refreshed and going from the pub to the clubs in town probably call in there on the way and buy some carbs to absorb some of the alcohol.

I know from experience that I can't manage more than one food shop in a day - my will power tends to collapse the more food choices I am faced with. I wandered around the shop for about 3 minutes looking at so many possibilities but amazingly I made it out of there without buying anything. The thought of how miserable I'd feel to fail yet again stopped me from doing it.

Today:
I woke up about 9 and felt really "off" and like I needed an alcoholic drink - very unusual for me to have a hankering for alcohol. I decided as I was feeling so ropey to go for it and I had my favourite tipple of Ameretto and white rum - only a very small amount - with 2 pieces of crystallised ginger. Then I went back to bed. When I woke up I found I had a big, gurgling cough - the type which threatens to sit on your chest for quite a while. This explains the need for alcohol - I find I often need a tot when I'm fighting something like that.

200g yoghurt with some sultanas on top + 3/4 banana + 2 choc drinks with coffee
200g yoghurt with sultanas sprinkled on top + another 3/4 banana + 1 choc drink
Eve meal: Fish in parsley sauce (sorry to be boring!) + veg + salad + 1 large Worcester apple + 2 small pieces crystallised ginger. Ribena RL and 1 choc drink

I think I had a lighter food day today because of being a bit unwell so I just didn't feel like eating anything heavy earlier on.

So I've had 5 pretty good days. Cutting out cereals ('cept that one bowl) has really calmed my blood sugar down. I haven't been waking up with the carb monster raging and the usual struggle to even wait for the porridge to cook, so my breakfasts have been very light.

The first few days I was quite stressed out with all the prep and cooking and having to do plenty of shopping because I don't have a large enough fridge to store many days veg in. I've calmed down about it now and feel more on top of it. Hearing about the prep that many other bloggers are doing to make sure they have healthy food at the ready has helped (eg escape from obesity and Losing Waist). And having to get out to the supermarket is very good for me both in terms of agoraphobia (although I'm only managing it in the evenings) and exercise.

Yesterday after my binge and all those dreadful thoughts at the supermarket I really didn't think I would carry on with this way of eating. I felt confused. I've had no desire to eat the usual bowl after bowl of cereal and porridge but I'm still quite uncertain about my eating at this point; as to how sustainable it is - can I really keep this up? I've felt so wobbly in myself about it that I've been unable to set any goals or commit to anything which has been really annoying when everyone else is doing "The Hot 100"!

Earlier this year I successfully dieted for 3 months eating The Hay Way - separating carbs and protein, and I ate that way for most of 2007. It was one of the best years I've had in many years; I lost weight and I felt good about my appearance the whole year. My eating went to pot in December 2007 because I had a breakdown of course - due to a combination of psychoanalysis, which I have heartily regretted doing ever since, and trying to reconnect with my father as a part of that - and being rejected yet again. I've been in chaos in my head and with my eating ever since then and put on a huge amount of weight. Apart from 4 bursts of dieting (the longest of which was the 3 months this year) I have been in no routine with my eating at all. The times when I've been dieting, and therefore eating in a regular pattern are the times when I've felt much better psychologically. But which way round is it? Eating in a restrictive regular pattern makes me feel better or I feel better so I can eat like that? I think it's a mixture of both.

So I may go back to eating The Hay Way again as this has been sustainable in the past, but for the moment strangely enough, cereals just seem like so many unnecessary calories - not to mention blood sugar issues. I'm just going to have to continue feeling my way along, not just one day at a time, but one meal at a time.

Finally, thanks to Leslie and Amy for each giving me an Over The Top Award! I'll answer all the questions in my next post and possibly even think of a few people to pass it on to.

Wednesday, 30 September 2009

Turn around

The good news first: I've had a Good Food Day today. I got up late and instead of reaching for a carby breakfast of porridge or cereal (2 or 3 bowls) I found I just couldn't face it (more on that later). So I had a diet yoghurt followed by a load of veg I cooked the night before with some fish in parsley sauce (135 cal). And I loved it. I followed it with a caramel Wispa bar. Then I had to go out to see my CPN. We had and a good meeting and when I told her about the continuing trouble with agoraphobia she suggested that once a week someone could meet me at the supermarket and go round with me. Strange that I've never been offered help with this before but then it's rarely been as extreme as it is now. Anyway, that will make sure I get out to the supermarket once a week.

After I'd seen her I was able to do some Good Shopping and I was literally dripping with sweat by the time I got home with heavy bags. It is still VERY warm here (on the SW Peninsular). For tea (as we from the north call it) I had fish pie and plenty of veg and a little salad + a diet yoghurt + low cal choc drink (40cals).

So I have managed a day without any starchy carbs and I didn't even feel like any.

But the reason today has been so good is because last night was so bad - although generally after a bad night the carb monster is still raging. I had a major choc/ cake/ biscuit binge. I hadn't had a binge since last Monday.

The reason for last night's binge? Tuesday is always a bad day because I do my laundry and I get stressed over it and I couldn't face the rest of the evening without a "treat" but instead of buying just one or two things I bought a carrier bag full. So even though I'd cooked a load of veg before I went to the shop I wasn't able to eat it because I can't eat good food when I've just eaten a load of rubbish.

I didn't even enjoy it beyond the first two Cadbury Twirls. I was forcing it down but I didn't want it, need it or enjoy it. I did feel guilty afterwards; that I'd made myself eat food I didn't want. I also felt frightened. Frightened of the effect of all that rubbish. I thought about throwing up afterwards but couldn't quite persuade myself to do it.

Great to feel guilty; that what I did was wrong. And strange to be suddenly frightened. It shows I've come to my senses a bit over my crazy eating. I hadn't binged since the previous Monday, so I went over a week without bingeing. And I wasn't massively overeating dry carbs either. In fact my eating the last week has been more normal than it's been in a long time. Why?

A weird thing happened on the Sunday - I binged and it caused me to cry. I felt miserable that I was putting too much food in my body. Really sad. And then when I got up early on Monday morning after very little sleep I ate the rest of the bingeing food I had in. I got back into bed with the last chocolate bar and when I next looked down at it, it was practically gone and I didn't remember eating it. The down side of eating when you're not fully woken up yet. That shocked me and made me feel really terrible. Like it hadn't been worth it. And I was miserable over my silly binge for the rest of the day. And crying over it.

But I recognised that although I felt bad this was actually a good thing. Whereas before I had cried when trying not to binge, now I was crying because I was bingeing. So my bingeing wasn't reinforced anymore by that feeling of relief and the enjoyment of the food; so I haven't wanted to do it anymore. In fact I had a miserable, down feeling whenever I thought of it last week. Last week when I went to the convenience shop and looked at the bingeing foods I felt turned off, rather than pressing the "go" button in my brain, the lets-just-buy-a-load-of-chocolate-cake-biscuits-crisps etc button that results in a basket full of rubbish.

So why did I reach this point? I think it's because it has just gone too far. It's been going on too long. I'd been bingeing badly almost every day for over 2 1/2 months (with just one week when I didn't binge and ate mainly Readybrek).

Not that I haven't done worse and gone on for longer in the past. But I think the difference is I've never done so little for such a long period of time. I've been feeling ill with pains in the chest, aching, agitation, skin problems. A lot of this is due to sitting indoors hardly moving all day long.

The worst time I ever had in my life was 2002 when put on 6 stone (84lbs) in a few months. But I didn't feel as bad physically as I do now. Why? Well I was getting out a lot more. Just walking into town (15 mins), around town and back again. Walking round with The Bear. And maybe I was just younger then - 30 instead of 37. Makes a difference.

And this time I have really given up on everything. No healing, hardly ever going into town at all, no going to the library. I've only seen The Bear about twice and my CPN twice (apart from today) during this mad bingeing phase.

All this time I have chosen food over people. All "normal life" has been suspended. I have been too ashamed to go out and be seen by other people and spend time with other people. But working through all that stuff about shame has really helped me. A couple of days ago I went into town on my own and sat in a cafe and read a book. I was self conscious and worried who might see me, but I was also relieved and happy that I did it. Not having binged for a week helped too of course. Really annoying then that as soon as I got stressed I binged again.

I think the solution to the Tuesday problem is to go to bed for 2 or 3 hours. Sean (DD of a WL) said that when he felt like bingeing he used to go to bed and when he woke up the need to binge was gone. And Nora (Green Stone Woman) often uses the method of going to sleep when she feels bad and when she wakes up her brain is reset. So this is what I'm going to do next Tuesday. Have to wait and see if it works.

BTW My healer really loved the flowers - she texted me to say she was "over the moon" with them. I hope I'll be going to see her again in the next 2 to 3 weeks. I'm really looking forward to it.

PS I accidentally deleted an email entitled something like "Extremely Confidential". So if you sent such an email, please send again (unless it was junk)!

Tuesday, 1 September 2009

A Bad Day

I went out early today to do my shopping - and didn't find it too difficult to get out or be out. When the agoraphobia isn't 100% full on, I can manage very early, before most other people are around, or very late. It's just the 12 hours in between that I have the problem with.

Anyway, I've been so worried recently about not getting out and continually running out of food, that I made sure I wouldn't run out in the near future by buying loads and loads and loads. I think you can probably already imagine the rest before I tell you ...

A lot of bloggers complain that they are good all day and then binge in the evening. But I'd say although it's bad to binge any time of the day or night it's much worse to binge first thing in the morning because then your blood sugar is kaput for the whole day.

And yes Chris I do that multiple slices of toast with sugar free jam thing too. So I'm typing with jammy fingers. My laptop will suffer a certain amount of crumb infiltration if I'm not careful now ...

Just searched for "adult education (my town)" and came up with

"Naughty (my town) Wifes [sic]
Husband Out For Work: You In For
Naughty Pleasure. Join For Free"
Is that educational? Sadly I'm not married.
Anyway, why the binge? A certain amount of domestic stress - I won't go into the details. This is really annoying; that any even fairly medium sized stressor can set off the bingeing. I've only had about 3 hours of sleep each of the last two nights which is a very bad sign in retrospect.
The only good I can draw from this is that most of the food I've been eating is not of the fatty and/or sugary variety. The one or two items of fatty food that I did have provided no "hit" for me. I was surprised that I didn't really enjoy them. This is due to breaking the fatty food addiction with orlistat. I ate the fatty and sugary things first of course and then threw about half back up and took orlistat for what was left to ensure that addiction didn't take hold again. But I still have a bad carb thing going on.
For the rest of the day I've been compulsively eating (without any vomiting) low fat carbs - multiple bowls of muesli, bananas, dates, sandwiches, large quantities of crumpets and toast with half fat soft cheese and all fruit spread ... Definitely better than the stuff I was eating in the previous bingeing weeks. But still way way way too much; leading to several hours this afternoon of scary severe stomach pain followed by near diarrhea.
With the physical consequences of this behaviour being so bad - not forgetting of course the obvious weight gain - it just hammers it home yet again that this is a mental illness. My body definitely doesn't want me to do all this to it. Yet at the time it was the only way of dealing with my stress, anxiety and depression. I did consider taking a tranquilizer - I have a few left over from some dental treatment I had last year - but it didn't appeal. Would have probably been the better thing to do though I'm thinking now.
The previous evening I had dealt with the stress by drinking alcohol. Better than eating and don't worry I'm in no danger of being an alcoholic - I can't tolerate very much alcohol at all. I only had about 3 units worth. I did consider - at least I was considering the other options to eating I'm thinking now - I did consider having a drink this morning but couldn't do it. My body just doesn't like alcohol that much. But then it doesn't like vast quantities of food that much either lol!
Hopefully, as the stressor has now receded, I will calm down in the next few days and manage to reduce my food intake to where it was. I had hoped to get back to my diet this week, but as I have to cut down gradually I can't see myself getting there until next week now which is really pissing me off.
All I can do is try to stay calm and keep going....

Sunday, 30 August 2009

Tough weekend

Today my mood is totally different to my jubilation on Friday. It has been a tough weekend. I feel like what happened on Friday was almost supernatural. Like not me at all. That I was very guided to doing what I did. I'm sure I felt so good because I was sent a lot of healing that day. The people who give the healing are so good to me. Someone always send me healing on Friday morning to help me get there. And on the rare occasions when I don't turn up they always send me plenty of healing.

It was a brilliant day, both for eating, being able to ignore my hunger and feel OK about it, and for the fact that I now have a totally useable, ultra clean fridge and freezer!

But obviously eating so eating much less for one day was bound to have a knock on effect. The carb monster has been on me ever since then. I tried to hold off but I couldn't. I was back to the 6 bowls of Readybrek on Saturday.

Friday made me realise how much this thing is in my head. That when I'm in the right place in my head I can control my eating - ignoring my hunger, making good decisions, and using tablets to help control cravings if necessary. Chris said something very insightful in her Thurs comment - that my agoraphobia is probably so bad because I am trying to tackle my eating problems. I think this is true. I'm seeing how much I have been "self medicating" with food; eating to cover my depression and anxiety.

When I'm in bingeing mode, every time I feel bad, I eat to feel better. Feeling bad emotionally is the prompt that tells me it's time to eat. I treat that feeling as though it's hunger. And this pattern is so difficult to get out of. Because when I feel bad I have no response to that if I'm not using food as my way of dealing with it. Hence I have been crying and feeling down and depressed the last couple of days. Grimness.

I have on previous occasions been through this pain when "coming off food", and it involves lots and lots of crying. I suppose, as with all addictions, this is a withdrawal effect. It seems to be especially bad in the first 2 weeks, and up to 4 weeks after "giving up" food. This tells me that it doesn't go on forever. It is only a few weeks. But I don't think I can deal with it at the moment. It's too much.

I've considered if I should try taking anti-depressants (ADs) so that I am dealing with the depression that way. But this would be a difficult path for many reasons. Firstly that ADs take 2-4 weeks to get working so I would have had to start them a while ago. If I had fully cottoned on to what was going on here, I could have looked at that way of dealing with it. But I wasn't so clearly aware as I am now. The awareness has come from writing all this down. I have never written or spoken about this stuff before hardly at all. Let alone just letting it all hang out here!

I could've spoken or written about it before but I've always been scared to do that because when I've attempted it, it's only made the problem worse. Just as adverts for food, recipes or articles in magazines, seeing people eat on TV etc can set me off bingeing, then talking about it always seemed to be an immediate trigger. It brought it to the front of my mind, like full on danger, red light flashing, total terror. So I shutdown that possibility. I couldn't cope with it. It was just too dangerous to talk about.

I'm not saying I could talk about it now - I don't know at the moment. But writing about it and even more importantly, reading other people's experiences, has really started to get all this in perspective for me. Provided a safe way for me to think about it. In fact I've thought about very little else recently.

So this is the power of blogging!!!

It's not just the reading, but also the suggestions make me think about why for example I can't buy my shopping over the internet and get it delivered as Chris suggested. I have, of course, sometimes thought about this. But now I really have to think about it because I want to give a response back when someone has taken time to think about my situation and make suggestions and write a comment. Whereas when it's just in my head, I can let it go. When I am not accountable to anyone else - (and lots of people have written about setting up a weight loss blog to be accountable) - then those thoughts can just be left, can drift away. But now I have to think, "Why can't I allow myself to have some shopping delivered?" Is it because that would be making things too easy for myself? Is it just because I haven't done it before? Is it because the cost of about 5 pounds to have it delivered seems ridiculous when there are shops just round the corner? Or is it because I'm not worth the 5 pounds? I'll let you know when I work it out.

Back to the issue of ADs. I have tried them before but the side effects were always really bad. I couldn't tolerate any SSRIs - like prozac or citalopram. I was on the tricyclic AD Lofepramine for 3 1/2 yrs but gave it up end 2005 as the side effects became too overwhelming. Tricyclic ADs are very toxic. The strain on my kidneys (which took 6 months to return to normal after stopping them), the low blood pressure coupled with low blood sugar totally ground me down the whole time. My hair went prematurely grey because of those tablets (kidney function problems). So in the end I didn't have much choice. Also tricylclics cause weight gain. I was my highest ever weight on Lofepramine. So not what I want in that respect either.

I am taking 5-HTP tablets at the moment - one a day last week and now I've started taking 2 a day. It's a nutritional supplement which is converted by the body into serotonin - the neurotransmitter that ADs seek to potentialise. Works much quicker than ADs - you feel the effects from the second day. When I stop taking it I will cry for a day or two. But the withdrawal is no longer than that, so much better than ADs. And there are no physical side effects. It's gently supportive and makes you care a lot less about things. But it doesn't of course make you feel happy. I'm going to keep on with it even though it doesn't offer anything near total protection from the overwhelming crushing pain of food withdrawal. But I have only stepped up the dose on Friday evening and maybe it would be worse than it has been without it. I've known days in this situation that were much much much worse than yesterday or today. This, in comparison, is low level pain, like an ache that's always there with regular but fairly brief periods of crying and piercing pain. Not full on curled up in an armchair with my head in my hands crying and crying and crying all day every day. So maybe it is working as much as it can. Maybe I should step up to 3 tablets a day? I am worried about the withdrawal from that of taking so much, but I would have to reduce one tablet at a time. Just as if I was coming off ADs. More important to stamp on this eating thing now than worry about that.

I am also taking rhodiola, a herbal supplement. Said to help make serotonin and dopamine (neurotransmitters) more available in the brain so making you feel better. I thought it would go well with the 5-HTP. It is also said to help with recovery from physical exertion - I've been taking it for the last couple of weeks now and maybe this is the reason why I have suffered no physical problems when I have had a sudden, unusual level of exercise ie comparatively long period of time walking. Problems like swelling of knees, aching of muscles in legs and bottom, aching knees or joints anywhere. I found this really surprising.

The above is what I knew when I started taking it. But I've just read how this herb also has an effect on opioid peptides. I mentioned in my first ever post how eating fatty/ sugary foods creates opioids in areas of the brain linked to this behaviour (see link to research in that post). So maybe this might offer some support there too. Rhodiola is an "adaptogen" which helps both mind and body deal with stress and return to normal functioning. It has also been implicated in helping prevent weight gain due to stress - but the experiments involve rats not humans! Still, I'm hoping it will help.

Jonathan Cainer says for Monday, "Better a little bearable pain today than a lot of regret tomorrow". Sadly the pain isn't little or bearable. But in taking these tablets I suppose I'm trying to make it less painful than it otherwise might be.

I still don't know if I can put myself through all this... But I don't think there's an alternative.

Friday, 28 August 2009

Hurrah! I went out and it was OK!

Thank you to everyone who left a comment on Thur post. It really helps to know there are other people out there rooting for me like that.

Today was an amazing and quite strange day. I inadvertently, and possibly only for one day, broke my reliance on carbs. This is amazing. I've tried in the past to do it and failed. But today I had no choice and actually enjoyed it! This is the weirdest thing ever. Yes. I enjoyed today. With only one bowl of Readybrek. Normally this would be unthinkable.

But really I can very little credit for this. It's down to the fact that I only had one bowl left in the packet and just enough milk for a meaningful splash of it on top. I did have sugar on it. But when that bowl was done, that was that. I couldn't have any more because there wasn't any more.

But I was OK. I had an L-glutamine tablet (1g) before breakfast because it really does stop hunger. Of course I don't take them when I'm in bingeing mode because I just want to eat and don't want to be stopped (which shows how much it is all in the head). But I thought I'd better take one today as a precaution against having no food and not being able to get any until the evening. And it worked. I also had another in the afternoon. Just to make sure.

And for lunch I ate what I had which was a little tinned salmon with a tin of green beans, some mushrooms and a few baked beans with some fat free dressing on top and a bit of pepper. And I really enjoyed that little meal for some reason. I was just so grateful I had something to eat.

The entire contents of my fridge were now: jar of mint sauce, jar of pickled green peppers, some red chillies - completely dried out, and a tube of tomato puree. So I decided to take advantage of this to defrost the fridge. It had needed doing for a long time. I just couldn't be bothered before, but today I decided "I will get that damn freezer section door to open again!" and after about 3 hours with a hairdryer and water getting all over the floor I did finally get it done.

Then I had another little meal identical to the earlier one except no green beans.

Then I read blogs for quite a while.

I had been hungry all the time I was doing the fridge, and having the freezer section operable again gave me thoughts of Carte d'Or ice cream. And I was genuinely hungry. Real hunger. Not just blood sugar all over the place type of hunger. And I started to get really really worried that when I got out in the evening I would buy all the wrong food. I started to get bingey thoughts.

I knew if I bought a load of rubbish, all the stuff I've been through over the last almost 2 weeks in weening myself off the sugary/fatty food would have been for nothing and I'd either carry on bingeing for a few more weeks or have to start the process of getting myself off it again. Either way bingeing today would have been a huge set back.

But reading all the blogs really helped. Knowing that there are so many other people out there trying so hard not to binge - that helped. And when I read Sean's Thurs post just before I went out that helped too - that what you want to achieve has to be more important than the bingeing.

And when I put my black trousers on to go out they were a little bit loose on the leg - I mean there was room to actually walk in them without feeling totally trussed up! Whereas in the last couple of weeks I have really worried that they were going to tear apart while I was outside. Of course, they're not looser because I lost some weight. It's just that the weather has turned and is much fresher and cooler the last couple of days than it has been. I retain a huge amount of water on my legs in warm weather - they really balloon up. But now it's cooler the water has come off. Wat-er relief! Even though I know it's only the hotweatherwater going it still made me feel that I can't turn my back on this. I want this feeling - of going down, of getting smaller - to carry on.

But when I was walking to the shop I was still thinking I might binge. I might buy all those foods again and end up back in it again.

When I got to the shop I made the right choices and it wasn't that difficult. The reduced section almost got me - but I managed to buy only healthy non-bingeing foods.

For my evening meal I had an all veg curry with a piece of haddock. And really enjoyed it.

So I'm ending today on a high. So happy that I enjoyed the healthy food. I wish I could eat like this every day - small meals consisting mainly of fish and veg. It would be a dream come true.

So for the moment not being able to go out has worked in my favour.

Chris suggested that perhaps I could exercise indoors but unfortunately I don't have room for an exercise machine. Not that my flat is too small per se but that I already have far too much other stuff in it. But I have started doing one or two toning exercises again. These involve press ups and an exercise I know as "the plank" which is the only way I know of tightening and toning that lower tummy area that sit ups don't seem to touch. You get into position as for a press up - arms can be straight or bent if you are able. Then lift one leg off the floor (or bed as that's where I do it) and move it out to the side as far as will go and then back 20 times keeping it at the same height all the time. Then 20 with the other leg. Sounds easy? Non my friend! It is very difficult. But a miracle worker. If you have a saggy lower tummy you will notice the difference in days just doing this once a day. If you can bear the pain, do it morning and night. Earlier this year I was also doing 80 stomach crunches - 50 straight and 30 twisting to opposite knee - twice a day (I built up slowly to that obviously) and also various leg exercises. I do all these lying on my bed. It's the comfiest way!

Thursday, 27 August 2009

Frightened

Hi everyone. Well there would have been a post last night but when I had all but completed it I managed to press a button and lost the whole lot. Couldn't get it back. And I really wanted to type it all out again immediately while I still had it all in my mind, but I was just too tired at 1am to do it.


I did manage my walk on Mon night and it was wonderful! I didn't manage to get out until 5 to 10 but when I got outside the gate it was so delightful ... lovely and cool and dark and very few people around. I started walking through the streets not knowing how far I would be going. I was listening to George Michael - Patience. There's been a love affair there since I was 11 and heard Careless Whisper! I was almost happy enough to be dancing down the street, but sadly it was nearer waddling ...


I managed quite a decent walk up a hill and then back again. Totally chilled out with George crooning in my ears. Bliss! When I got back I had fish, veg and salad. I was really pleased with myself! Bed at 4am.


Tue I didn't manage to get out but had a bit of exercise doing my laundry going up and down stairs as the washer is in the basement and my flat is in the attic. I had a proper evening meal again. Bed at 3am.

Wed was more difficult. I was too scared to go out during the day but badly need to as I had nothing in for a healthy eve meal. Later on as I was just psyching myself up for the dreaded trip outdoors I heard noise downstairs - they were having a bit of a party. I just couldn't face walking past, being seen by so many people (potentially).


I was so upset. I realised I was quite agitated from not having had any exercise.


All the time I was bingeing I was very hot and very agitated. I was putting so much energy into myself and there was nowhere for it to go - except in heat and agitation of the mind. I was unable to walk any of it off due to agoraphobia, embarrassment over my size and just a complete disinclination to do anything or go anywhere.


I often slept very little - only 3 hours a night - and never wanted to get into bed. My mind never wanted to shut off. The toddler inside never wanted to go to bed - why is it that kids hate having to go to bed? I don't know. But when the toddler has the upper hand making myself get into bed is a real struggle.


My target bedtime for wed had been 2am but I only made it into bed at 3am. At least it's a lot better than 6 or 7am. I am going to try for 2am tonight. And the last couple of nights I have wanted to get into bed.


My title for yesterday was "Normalizing?" My eating is certainly a lot better. I haven't binged now for over a week. It has been in my mind at times. Many times.


Last week I was concentrating on readjusting my body to come off high fat/ high sugar foods. And to stop bingeing. And I was successful in both those aims. I ate a lot of carbs (rice cakes, corn cakes, rivita, Readybrek) sugar free jam, a little honey, ham and turkey, plenty of fruit and sugar free yoghurt. But I didn't restrict the amount I ate and it doesn't take a genius to work out that 4 meals a day each coming in at over 1000 calories (minimum) is still going to put on weight. But it was about re-educating my taste buds and stomach without feeling deprived of calories.


So this week I am concentrating on cutting down on the amount of carbs and having my eve meal of fish, veg and salad. I am on 6 bowls of Readybrek or ground rice porridge a day + some fruit + eve meal. Still too much. I hope soon to be down to three bowls a day.


Despite still eating quite large amounts the puffiness in my face has gone down a little bit which does make me feel a little more confident in facing the world. And because I am no longer eating wheat the swelling of my bowel has gone down some too. I can't tolerate wheat and it always makes my whole bowel swell up. But that doesn't stop me eating it when I binge of course.

And my skin has started to look dramatically better as well - despite only having taken one antihistamine a day the last few days. This tells me my body needs veg and salad and it needs regular exercise. Although I still have psoriasis on my hands and feet whatever I do. It's PPP psoriasis which is incredibly treatment resistant.

So all this looks like good progress .... But can I keep going?


Well today hasn't been so good so far. I am too frightened to go out yet again. I am thinking I'll have to self harm to be able to get myself out the door - and I won't even attempt it for a couple of hours yet. I get to the stage where I'm so angry at myself, so pissed off and frustrated that I just have to let all that anger out. And no, thumping a pillow doesn't do anything for me!

This morning I had 4 bowls of Readybrek made only with water as I am virtually out of milk. And then because I was frightened about not being able to get out and get anymore food - I have pretty well nothing in to eat at all - I started thinking of what I did have - a tin of salmon, a tin of baked beans and a packet of new potatoes in herb butter. And I was so frightened over the prospect of not getting out today that I ate all all the potatoes (I don't even like potatoes) and 1/2 the baked beans and 1/2 the salmon. It doesn't sound like that much looking at it now. But I was in a state and upset that I'd eaten stuff I didn't need and didn't want to eat and I'd already had too much Readybrek ... so I threw it back up ... worrying all the time that not enough was coming back up... And then of course that just made me feel like crying...

So now I have been blogging rather than crying ...

I still have to face the outdoors but it is very overcast now so I feel confident that I will make it out there - whether self harming or no. But now I am worried that I will buy binge foods and undo all the good work over the last week or so.

The bingeing has been hovering in my mind all the time of course. I have been able to resist. But right now I don't know ...

Reading this back just now it probably seems strange that someone with agoraphobia can enjoy a walk, but my problem is mainly the terror of going outside. Once I get out there sometimes I don't feel too bad. But the fear of crossing the threshold is incredible, like a stone wall in front of me stopping me getting out. And this fear of going over the threshold is not linked to my weight at all. It's like that whatever size I am. The stress I experience when I get out there though, that is more linked to how I look. If I am bigger then I am worried about people looking at me, at seeing people I know, upset that I look such a mess etc.

It's 6pm now and time to face the dreaded outdoors. Wish me luck ...

Friday, 21 August 2009

Post Orlistat

Well I managed to break the fatty food habit for this week. I used the Orlistat method over the weekend and I've been suitably turned off fatty food. Of course it helped that the morning after the first 2 doses I woke up to an unfortunate accident with horrid orange gloop all over a sheet and the duvet I sleep on (mattress is so lumpy I sleep on top of 2 duvets). I was very glad it didn't go onto the mattress itself - at least I was able to wash away the damage - but it was a scary and disgusting way to start the day.

Luckily I only had to take it for 3 days to have the desired effect in my head. But that was traumatic enough. How people take it for months on end I have no idea. Presumably someone will (or maybe has?) invented a suitably shaped anal sanitary towel to deal with this problem. Sorry for the disgustingness of that idea!! Just being practical .... and there is a market out there for such a product ...

In my last post I talked about being unable to take the Orlistat. So what changed? Well, I reached the point where I was so distressed about the situation, about not being able to leave the house because I am so embarrassed about how much weight I have put on, about my fatness being on view to the whole world because it has been too hot here to go out without my mac on; the idea of my shame being exposed to the whole world just got too overwhelming.

And then there's my psoriasis. Every time I binge the areas of psoriasis literally burn afterwards. 6 weeks ago before I started this bingeing episode it was only on my hands and feet. Now it is all over my body and very very itchy. This is due entirely to eating rubbish. It will probably take quite a long time to calm down. And that's only if I can keep myself on the straight and narrow.

Yesterday I had an appointment and so had to go out. As I've barely been out in the last few weeks this was quite a big deal. It took me at least an hour to put together something to wear - some turned up Topshop cargo pants which I had bought the last time I was big and thought I'd never wear again (I had thought what a waste of money they were ... I wish) and a loose Monsoon silk shirt over ribbed vest top. I did the lower buttons of the shirt up to cover my large stomach but as it was thin silk I don't know how effective the disguise was!

I amazed myself by doing quite OK while I was out. I even went and did some shopping afterwards at a centre near the hospital which I usually never visit - which might sound really brave given my agoraphobia, but that was easier than using shops where I am known because at least strangers won't be looking at me and thinking how much weight I've suddenly put on.

Because I felt OK at the time I was able to do Good Shopping - rice cakes, sugar free jam, dried fruit, raspberries and strawberries, ham and turkey, fat free cottage cheese, a little salad, fat free yoghurt. And because I was calm I wasn't tempted by anything I shouldn't be buying. As I've said before, it's all in the shopping.

Wednesday, 12 August 2009

Bingeing hell; time to return to normal life

Just seen some research which explains why bingeing is so addictive - it creates opioids in areas of the brain linked to that behaviour (see http://www.medicalnewstoday.com/articles/159011.php . I have noticed that I literally get a hit from eating fatty sugary food. And that I can cut out this hit by using orlistat. It takes two to three days for this to happen but then I don't crave it anymore.

I take two or three capsules per binge or sometimes more (this is an overdose but it is only for 2 to 3 days). I break the capsules open and tap the powder out onto a spoon to take because the colouring in the capsules (bright blue) makes me feel quite ill. Also this enables the stuff to get to work straight away which means the maximum amount of fat is absorbed, which is important for this method to work.

So, knowing this, why don't I just take the orlistat? I almost did this evening after consuming a magnum double caramel, a galaxy bar, a box of Milk Tray, a box of cherry and chocolate biscuits and a packet of Party Rings. But I just couldn't do it.

Why?

I have been massively overeating, bingeing and literally eating all day long for the past 5 weeks. It's feeling really awful now. So many times I have desperate to stop. I have begged myself to stop, but just been unable.

It's like being led through life like a beast with a ring through it's nose; dragged along by my blood sugar levels, and the need for a fat hit in my brain.

But now I feel like a complete mess. I've put on loads of weight and I'm covered in horrible itchy psoriasis. So I am a wobbly blotchy itchy mess.

Everything has been subserviant to the out of control toddler (the uncontrollable Id). I've only been cleaning my teeth twice a week. I've been eating in the night, going to bed in the middle of the night, only washed my hair three times in the last five weeks. The toddler complains everytime I even have to get up out of the chair or go to the loo. Doing anything at all becomes very difficult. Apart from eating of course.

JC (Jonathan Cainer) is always right of course - my horoscope says that it's no good eating 2 meals now just because you were hungry earlier and had nothing to eat. He suggests I now move on from the recent trauma. He is so right! I need to move on from here.

I am at the stage now where it's all in the shopping. If I don't buy the food I can't eat it. Simple as that. It's just a case of being strong while I go round the supermarket and not popping out to the convenience store late a night to stock up on rubbish.

I say 'popping out' as though it's the easiest thing in the world but as a sufferer from agoraphobia it is only a very strong desire for food that would drive me out in the first place! But if I have enough good or 'safe' food in then I won't step over the threshold in any hurry.

It's definitely time to move on from here and return to normal life, rather than just sitting around eating.