Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Wednesday, 21 October 2009

Personality

Hi Guys. I'm sorry I was unable to comment on your blogs yesterday. I slipped into a severe depression and although I read everyone's blogs I didn't feel able to formulate any responses. Hopefully normal service will be resumed as soon as possible. I hope to be able to leave some comments later today.

Thank you for all the long comments you left to the last post. I love long comments! The longer the better - because that is how this thing works. The more feedback I get the more I have to think about and the more I can learn - about myself and about life in general. I really appreciate the time people take to to respond to my issues.

The most striking thing from the last post was the fact that everyone else thinks I have a personality! I have to tell you that whenever I have said to anyone who has been treating me that I feel I have no personality, they have assured me that they don't see me in that way at all.

The difference here is between looking at someone from the outside and feeling how it is to be a person on the inside.

Once, when I was doing a group session with a load of other women a few years ago I said to them that I knew it would sound weird, but that I was not a person to myself. I didn't expect anyone to understand what the hell I was talking about because no-one had ever seemed to up to that point. I was surprised when one of the other women said that she knew what I meant because she felt she was "a nobody" as well; that she had no personality, was no-one.

Had I realised this person felt the same? No.

In my head I had put together a picture of this person based on the way she presented herself, the clothes she wore, everything she said and how she said it - how she had brought up her children, her relationships with men, the way she described her life. To me she was a fully formed being who seemed consistent within herself.

We all formulate a schemata for every person we meet, build up a picture of them based on their interactions with us and how they present themselves generally. Our assumption when doing this is that the person does have a particular personality, that they are consistent in their thinking and behaviour, and that their outward behaviour very much reflects their inner personality.

These are very big assumptions to make, but also of course necessary for us to function effectively and safely in the world - they are cognitive shortcuts for summing up and assessing other people. And generally they are correct.

However, research does show that we view other people as being more consistent than we are ourselves. This is just because we have far more data to go on when considering ourselves. For example, with ourselves, we may see we are extrovert in some situations - ie situations where we are more confident, and introverted in other situations. Whereas we are more likely to view other people as extrovert or introverted.

So, even though you have only my written words to go on, it's not surprising that you have formulated some sort of consistent schemata for me.

I'm talking a lot about consistency here. But I don't feel inconsistent within myself on a day to day basis.

What I mainly feel is that I do not have an integrated personality. My psyche is in pieces, is fragmented, and my brain has to work very hard trying to hold the pieces together. This is why I find it so difficult to do anything very much. Because my brain doesn't have very much energy left over to spare. It takes so much energy to hold together a shattered psyche. It now occurs to me that what other people see (or read) is the result of the pieces being held together - the brain's desperate attempt to present to itself (let alone the rest of the world) a fully functioning being.

The most frustrating thing is that every so often I feel my self becoming "whole" again but it never lasts very long. The status quo always falls apart again. It never "works" somehow. And every time it does fall apart, I'm devastated. And very frightened.

Being in pieces, especially newly fragmented after a period of apparent wholeness, is very frightening. It's like living with no solid ground beneath you. The whole shebang can just fall apart at any moment.

Now, looking back over your comments and the emails I've exchanged with people, I see there is some sort of "backstop" there. In large part this is the body of knowledge I've built up from all my experiences as a mentally ill person. All the pain I've felt, the lack of security, the instability (which no-one else ever seems to perceive annoyingly!), the humiliation and shame of mental illness - a lot of which comes from knowing I can't cope with life as other people can, that my brain can't concentrate on anything else other than trying to hold myself together, all the coping mechanisms I've developed at different times for different problems and scenarios, all the conversations I've had with other mentally ill people on how they view things and how they cope, all the therapy I've been through - may have been useless at solving the problem, but it was interesting to get different perspectives.

I've learnt a lot being ill - through my own illness and other people's. About the dynamics of how people are f*cked up by others. The apparently small interactions with others which can have a huge impact. How psyches are developed and melded, and fall apart. How the mind can travel through endless cycles of rising and falling mood, comprehending and non-comprehending one's life, periods of time where a person is coping alternating with periods where the person is struggling.

Ultimately we are all put together and formed in the same way, by the same means. We all have better and worse times in our lives. So this knowledge can be applied to anyone - because the mentally ill are like everyone else, only more so.


The only instability that other people do perceive of course is my weight going up and down. Some people I know will be able to make the connection between my weight rising and increased depression. But I guess that to most people I am simply a yo-yo dieter or failed dieter. They don't know that I am a binge eater/ compulsive eater with a history of eating disorders - it's not something I would tell very many people. But as Jack Sh*t said to one of Diane's posts, "secret" eating - the world's worst kept secret.

I see my weight fluctuations as a visible sign of the state of my mind, and as a sign that I am incapable of coping with life. A far greater sign of failure in life than simply a failure of willpower or failure to stick to a diet plan, or failure to make good choices. I see it as a fundamental failure of personality.

This makes my weight a hugely loaded issue for me. I just have to keep reminding myself that most people in the street do not perceive any of this. But in my own head I cannot separate my mental illness from my weight because they are indeed intimately connected.

To a certain extent most people view their personality as being tied up with their appearance. Which is why weight loss can have such a profound effect on a person's view of themselves and consequently on their life. It's no wonder then that issues surrounding a person's weight are so ... er, weighty. It's always about far more than carrying around some excess poundage.

Monday, 12 October 2009

"Toxic brain dump"

Leslie (of Something Brilliant is Brewing), "toxic brain dump"? I'll give you toxic brain dump! It doesn't get more toxic than the stuff here, so if you're feeling bad already, then please DON'T READ IT. I wrote it yesterday as just an outpouring and didn't dare post it because it's just C*R*A*P in the sense of crap going round in my brain. But it's also my life story of the the last decade. It's an example of the thinking and thought processes of a depressed person - hence all the repetition. But this doesn't mean there's tons of distortion there. It is actually the truth. This is me.

The X referred to lower down was a man I met and fell in love with before my breakdown in 2000. The failure of that relationship was a major factor in the breakdown.

I've thought recently that I had reached a place of acceptance of my illness but I see from reading this that that is not really the case. I am just in a terminal quiet despair over it.

I apologise in advance for what you are about to read. SORRY.

***

What is bingeing about? For me it's a stepping out of reality. When I binge the calorie content doesn't matter. I can consume vast amounts and there are no consequences for that. Of course there are consequences - but at the time of buying and consumption in my head there are no consequences.

Why do I need to step out of reality? Because reality is too shit. My reality is horrible. My life is a big nothing. A big stressful nothing. I am nothing. Nothing except a failure. A permanent mental health patient who can't hold it together for any length of time. Stuck in inadequate accommodation. No way of ever earning any money ever again. No marriage or kids. No job. No home of my own. My circumstances are grim indeed and it will only get worse as I get older. Because I am under 40 I still have a sliver of hope that any of these things may yet happen. But get past 40 and none of those things will ever happen. That's why I don't think I will live far beyond 40. Because I'll have no hope then. So time is running out for me on this earth.

And yet I spend my days wasting them away with bingeing and not leaving the house. If you had only a short amount of time left on this earth - less than 5 years I am certain - if you were given less than 5 years to live what would you do with the time? Chuck the diet in that's for sure! What else? Travel the world? Spend the time achieving something you always wanted to do before it's too late? I'm sure you'd have a list. I don't have anything I want to do or achieve before I die. That's how unconnected with life I've become. I am like an amoeba. Brainless and intellectually and emotionally numb. A big blob of nothing.

And bingeing is just reflecting or covering up the pain.

The only things I do in life are binge for a while and then diet for a while. I feel like that is all I've done for the last few years. Trapped in this endless cycle.

Of course, when I'm dieting and improving my health and fitness I feel like I'm on an "up", however painful and miserable it is - and the process does cause me to cry a lot. But at least I'm doing something to improve my situation. At least I have a goal, an aim in life. A reason to exist - even if it is only to lose weight. My life is planned around that - food that I'm eating, when I eat, cooking the food. The exercise - walking takes up a lot of time. It feels virtuous. It feels like I'm doing some good. And of course it's undeniable that it's better to be out walking than sat at home. It's better to eat veg and feel healthy than to be stuffing endless amounts of rubbish down myself and feel terrible.

But basically, overall, what am I achieving with my life? If I cut out the bingeing and subsequent necessary dieting, what then? What would be left then?

I have no other achievable goals. I'd like to get a job, but my levels of anxiety and depression make that impossible. I'd like to have got married and had kids but I've never met anyone and have few opportunities to do that now. And who would have me now? I'm a dead loss. I can't earn any money. And in this country at least, no man wants a woman who can't earn money. I tried internet dating but the only men I met were complete non-starters. If they weren't complete non-starters they'd be able to get a girlfriend. And if I weren't complete non-starter I'd be able to get a boyfriend.

I'd like to live somewhere nice but I can't afford it so I'm trapped here.

I can't see anything else I could achieve or do with my life apart from this horrid cycle.

Everyone needs to feel they can achieve something, that there is a reason for them to exist. Many people suffering severe totally incapacitating mental illness which they know is never going to end - like schizophrenia or bi-polar disorder - see the battle for psychological survival in itself as the meaning of their existence. And I did myself for the first year after my first breakdown. Because just to survive that year for me, when I was in such mental chaos and there was no help for me in terms of tablets or a diagnosis that pointed to a specific treatment (my diagnosis has only ever been "depressed after a breakdown"), was an achievement in itself. Every day was an achievement just to get through it. But since then I have got used to this hell. I am not in mental chaos anymore. Just total despair. I exist between this and numbness, because generally it's too upsetting to think about the reality of my situation, all the things I can't have and can't achieve any more. In fact the only good times in the time since my breakdown, almost 9 years ago, are when my eating has been very much under strict control, often (though not always) combined with a rigorous walking regime. And the worst times have been when my eating is completely out of control. They have been desperate despairing suicidal times. BUT in the last two years I'm pretty much desperate, despairing and suicidal all the time. Because I know that time has run out for me.

The only difference now between being fat or not is that when fat I have no confidence at all when I'm out of doors. When thinner it's still a huge struggle to get outdoors, but when there I am more confident. Still stressed, but more confident than when fat. And that's it. Oh yes, I have that sense of achievement when I lose the weight. But it's not real achievement of anything that will actually make a whole load of difference in my life. Yes, being more confident would improve my life a little bit. But how much time do I spend outdoors anyway? At this stage in my life and in my illness, which I believe to be terminal, is it really going to make any difference?

The next important age in my life is going to be 42. I assume this to be the age when I will kill myself. I know what ages are important. I knew since at least the age of 10 or 11 that 28 was a fundamental, important age in my life. I actually thought I would die at that age. And in a way I did - I had a breadown and the me I was before, the competant me that could achieve anything in life if she put her mind to it, died. And I wish I had completely died, because there has certainly has been no reason for me to be alive since then. Since then I have been no more than a shit machine. Next age I knew was important was 36. I thought maybe I was going to have a baby at 36. I really thought that. I didn't know that age was important because I was going to have another breakdown which left me feeling like I would never be intimate with another human being ever again. And also took away any desire for that. And in practical terms I could never have children now because no-one will ever marry me and I would never be able to pay for the support I would need to look after a baby. I mean I can barely look after myself. I wouldn't make someone a good mother. And I feel too old and tired already to do it now. It takes great energy and positivity to do that. I am exhausted from what life has already thrown at me.

But for all I know it could be another breakdown waiting for me at 42. I have no expectation of anything else. Why expect anything else. 28 was certainly a symbolic death. I wish 36 had been a symbolic rebirth. But sadly not. Sadly it has just given rise to endless despair. A sort of emotional flatness borne of trying not to think about things too deeply, or at all, because it just leads to suicidal thoughts. But if you can never address the issues then you can never find a way forward. But I've tried so many times to address them and find a way forward and failed. That is why I've given up. For some people there is no solution.

So what is there left? Making sure I wear a size 8 shroud in my coffin? That feels like the only thing I have left to aim for now.

I am so without hope. But this is not just a lack of hope due to depression and stinking thinking. This is real evidence based lack of hope. I can't see the point in anything anymore.

I've been round that diet trail so many times and it's led nowhere. A feeling of "moving forward" with my life which is actually false. Just another turn of the wheel. Another part of the cycle.

I feel trapped and there's no way out. Not that there's no way out of my weight problems. But that there's no way out of my mental health situation. The weight problem is just a manifestation of that. It has no real importantance at all.

And why am I mentally ill? I can't cope with relationships with other people. It could be argued I don't get to meet many other people to have relationships with. But I had a breakdown in the first place because I was so isolated. I became so isolated because contact with other people seemed too painful. And it still is. Because of the sh*t I feel about myself that I project into other people's minds. Always thinking they think ill of me. And this is not weight dependant. And not dependant on my mental illness. Though neither of these things help of course. They're just things to hang other people's disapproval of me on. I felt that way before the breakdown and when I was thin. I have always felt that way. That I am not worth it. Not worth anything in fact. And there seems no way to change this.

How could I ever become a worthwhile human being? I can't do a job and contribute to the community in that way. I can't be a mother and contribute to society in that way. I know you may say I make a contribution in blogland. But I don't have it in me to write on my blog every day ie to really make it a big thing in my life. To be an inspiration to other people like Diane fit to the finish, or to give people things to think about like Lyn of esccape from obesity. I just don't have it in me.

That's the worst thing of all about having a breakdown. Losing the ability to write. Before it was my raison d'etre. Now I struggle to squeeze a few words out every 3 or 4 days. Really, I find it so difficult. I find I have little of interest to say. I'm bored with myself and my braindeadedness.

Self hatred welling up again.

It doesn't seem like anything I can do would count in the real world. I could do art classes. But it would only be for me. Not for a career or anything I could sell or make a life for myself from. I could study some more, but I'm unable permanently to do a job so what's the point? Just for the sake of it?

I can't anymore cling to anything that's false. And further study would just be false because it's not leading anywhere.

I have tried so many times to work something out, to sort out my life, to find a way of moving forward. And every time I'm buggered because I can't work. That's what it comes down to in the end. I can't actually take part in real life. Not that I don't value all the contacts and support I've found on line. Of course I do. But I have no possibilities in real life and that is the problem. No solutions. And I've needed a solution for the longest possible period of time.

Desperate and suicidal yet again and feeling in need of a binge. So sad that my life is like this. It's been this way ever since X left. I should have killed myself then and avoided all this pain. My life has indeed been fucked up by falling in love with the wrong man. And there is now no way of undoing the damage. It's been too long. There is no way back from here.

***

I should point out that I am not suicidal at the moment. I'll make a deal with you, dear reader, if I'm going to do it, I'll let you know first. I think that's only fair. And then you won't be worrying about me unnecessarily.

Friday, 4 September 2009

Shattered

Caution: I am aware that we are under a full moon tonight. If you are feeling bad at the moment then please DO NOT READ ON. I am not writing this post with the intention of making anyone else feel bad, but just for myself and to let you know how things really are in my life.

So tired today. Got a migraine trembling on the edge. Thing behind the eyes going on and headache. No doubt carb induced. Been going on for hours now and I don't know if it's going to go full blown or not. About 10 years ago I used to get them regularly and would be in bed for 3-4 days with a bad one. But since then I've had probably no more than a handful and probably only one full blown.

I am feeling wrecked. Total wreckage.

Needless to say I didn't make it to healing as I haven't been out today.

Part of this exhaustion is because I was out for quite a few hours yesterday. And part is a carb hangover. I have just eaten totally to excess the last 3 days. I am aching all over from it. I have eaten so much that the food is coming out the other end only partially digested (no laxatives involved). I will never feel the same way about muesli again ...

I had to go out because I had an appointment with my CPN. She was glad to hear that I haven't been suicidal since our last meeting 2 weeks ago. That meeting was with the head of the psychotherapy department to see what they might be able to offer me. I told them I had been seriously suicidal in the previous few weeks of bingeing hell. I actually contacted Dignitas, the Swiss euthanasia clinic, after reading their website to see if they could help me. They do offer their services for people who are not terminally ill, and have in the past helped people with mental illness to kill themselves. But under Swiss law they need to have it signed off by a psychiatrist and currently they don't have anyone working with them who can do this. The return email said I should keep in touch in case the situation changes.

I thought about Dignitas because it is a safe way to kill yourself ie you are guaranteed to die. The only thing that stops me doing it myself is the high chance of ending up damaged or disabled rather than dead, guns not being readily available in this country.

When I told The Bear about my emailing them he said it was a waste of money and I could save the estimated 7,000 pounds and kill myself for free! I hasten to add that most of the money does not go to Dignitas themselves but is legal, mortuary, post mortem, cremation, etc fees. There's a hell of a lot of paperwork when someone goes through this process.

I really admire the the spirit of Dignitas. To give people the freedom to make their own choice in a safe humane way. Their work is brave indeed and I am very grateful that they are there. They face continual battles to keep the service going and I hope they will keep on with it.

Meanwhile, re the therapy, I have already, over the years, had psychodynamic therapy, cognitive analytic therapy, and psychoanalysis. So now the nice lady is offering me a programme of group therapy plus individual therapy. I can honestly say that therapy has never helped me at all to date and I'm not desperately keen to do anymore. But what else is there? I can't do ADs due to side effects so this is all that's on offer. There is nothing else.

This is why I was suicidal recently. Because I can see no way forward from here.

I suppose since that meeting - which ended simply with a decision to meet again at the therapy department in three months time - I have felt there might be something in the future. But I don't know.

I know some will say this is evidence that I shouldn't take my own life as things may improve. But I have been in this hell for so long already. I can't see that my life will ever be worth living.

I hasten to add that I'm not suicidal right now - which may be due, in part, to the 5-HTP I am taking, as well as the (very) faint possibility that some treatment in the future may make a difference.

Re food: The really frustrating thing is that I know my body wants, indeed is crying out for veg, salad, fish and fruit. Yet I still can't eat it for some reason. I am listening to my body - well I could hardly miss it as it's screaming at me - but I'm unable to respond in the appropriate manner. Why am I so unable to take care of myself?


BTW Sorry my formatting collapsed in the previous post. I pressed a wrong button and couldn't undo it no matter how hard I tried.

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....