Month: May 2020

The Road to Recovery: On PTSD, Trauma and the Future… by Eleanor for Mental Health Awareness Week

~ Eleanor Segall ~ 15 Comments

Trigger Warning: sexual assault, details of assault and severe mental illness

Hi everyone,

Its been a while but I thought I would put type to keyboard and write a blog for more mental health awareness.

Since my book was published, I haven’t written many follow up personal blogs, purely because the launch of my life story into the public domain felt overwhelming and scary. 6 months on, I am used to it being out there but I have been working hard in EMDR trauma therapy to help myself.

See, the truth is that right now the Bipolar Disorder for me is stable and under control on my medicines. I still get side effects- weight gain, dry mouth and thirst, but my mind is generally healthy in terms of the Bipolar- no mania or depression. Anxiety and panic yes but Bipolar, not really at the moment.

Yet, almost lurking unseen after I left hospital in 2014 and began my recovery was the fact I was traumatised by my experiences of going into psychosis (losing touch with reality via delusions, false beliefs) and my experiences when being sectioned. I will just give an overview as the rest is in my book- but this included- being restrained, being attacked by other patients and seeing them self harm, being injected with Haloperidol (an anti psychotic) in front of both male and female nurses in a part of the body I didn’t want, being chased round A and E by security men in genuine fear of my life, dealing with lawyers and going to tribunals while ill, thinking I had been abused by family and was locked up by a criminal gang and fearing my family were against me. My bipolar mind could not cope.

Just before this all happened, I was very vulnerable and was sexually assaulted by a man I knew through friends and all of this trauma stayed with me.

I did what most of us with severe mental illness and assault survivors do- I tried to rebuild my life. I tried to work in schools helping children with special educational needs. I tried to work for a mental health charity as a peer support worker for people like me. I began to blog and write and share as therapy- from charities to national newspapers. Bit by bit, as I wrote out what I has been through, I started to slowly heal. But, the symptoms of the extreme panic remained. I lost jobs because of it. I became depressed. I started dating but I often had to cancel dates- (before I met Rob, my husband who listened to me talk about it all and didn’t bat too much of an eyelid.)

I was in a state of flux, a state of transition. I knew I had trauma still living in my brain and body. I had been physically and sexually assaulted, I had been mentally violated- I had been sectioned twice in a few months and now I was sent home to try and rebuild my life as a 25 year old single woman.

I share this important blog, not to share that I am a victim- because I am not. I want to share that I believe for about 5 years, I have been suffering with some of the symptoms of Post Traumatic Stress Disorder (PTSD). My therapist believes the same.

The panic attacks that grip me with fear before work or the day ahead when I have to leave the house. The fear of going out or travelling at night alone. The fear of being taken advantage of and having to trust men again (thank you to my husband for helping ease this pain). The fear of exploitation, of losing my mind, of not trusting mental health professionals any more.

My panic attacks get triggered by certain events- it could be having to speak about my life or book, or seeing people I don’t feel comfortable with, of feeling exposed, of worrying about others judgement. I am still healing from all I have been through and experienced. The PTSD means that I have to take medication (Propranolol) to function sometimes. It means that I experience flashbacks in my body- I feel gripped with fear, I get chest pain and shallow breathing and I start to cry. I had one the other day at 4am….. thank the lord for meds so I could calm down and sleep.

My therapist is incredible and we have been working since October to process the roots of my trauma and panic disorder. We use a combination of rapid eye processing with talking therapy which helps to tackle each and every trauma- and we are still at the tip of the iceberg. It takes time to process the deep rooted experiences in my brain- we are getting there slowly.

For me, in many ways my future is uncertain. My medicines have long term physical side effects. Motherhood will be more of a challenge due to medication and my mental health- I am still processing the choices I will have to make, which I will write in another blog.

I want to end this blog by saying- if you know someone with anxiety, PTSD, another anxiety disorder or something like bipolar or schizophrenia- Be Kind. You never know what someone has gone through.

The NHS waiting lists for help are too long, services are too underfunded- all my treatment has been private provided by my family due to being stuck on a list for years. I am lucky, not everyone is. 

I hope this blog gives some information about my experiences of PTSD since leaving hospital 6 years ago. It is by far the most personal thing I have posted since publishing my book but I hope it helps you feel less alone.

Positivity and Hope are key.  Meeting my husband and my therapist changed my life for the better as I slowly rebuild and find an equilibrium again.

Love,

Eleanor x

Maintaining a Healthy Work Life Balance, Why it Matters: Guest blog for Mental Health Awareness Week by Loveitcoverit

~ Eleanor Segall ~ 3 Comments

loveit2

(image: Unsplash)

 

When establishing and maintaining a healthy work-life balance, the overarching goal is clear; an individual should not feel as though their professional life is intruding on their personal time or vice versa. However, it’s always easier to explain than it is to physically manage – which is why it’s important to fully understand the implications of a poor work-life balance and the proactive steps we can all take to minimise any negative impact – such as poor mental wellbeing.

Although this challenge is known to many, you may not be fully aware of how prevalent it is across the entire nation. In fact, the Mental Health Foundation has commented that work-related stress costs Britain 10.4 million working days per year!

Now, as you would expect, the emergence of modern technology – such as smartphones – has drastically transformed our professional lives and, as such, it can be difficult to create concrete boundaries. Many of our devices can now take on the features and responsibilities of a larger computer system and so our working lives are available at just the touch of a button. So, how do we assess whether this detracts from our free-time and if this impacts our mental health?

Well, in recent months, this very topic has been investigated by mobile phone insurers, loveitcoverit.   

Their research found that an astounding 80% of workers identify their smartphones as a tool for their professional responsibilities, clearly demonstrating that they have surpassed the singular, social use that spurred their beginnings. So, whether it’s to communicate with colleagues, access working documents remotely or utilise organisational platforms, our mobiles have become an integrated part of professionalism on a wide scale. As such, it can be difficult to imagine the two in separation – but is this a good thing?

Overusing our mobile devices can be detrimental to our work-life balance as they create an access channel that is available to us at every hour. So, whilst leading mental health organisations emphasise the need for distancing measures – such as short breaks, time off and established social environment outside of work – our smartphones may act as a reminder of our professional responsibilities. In turn, this can lead to individuals feeling pressure to work outside of their agreed working times and intrude on their personal lives. 

Due to the sheer number of smartphone users across the country, this could mean that millions are facing the challenge. In fact, less than half of workers claim to have a ‘healthy’ work-life balance! 

Of course, this isn’t to say you should never complete a professional task in your free time, it simply means that you must actively monitor and manage how often this happens. This might seem a menial task, but it’s vital.

If you often find yourself feeling stressed due to your working life, then you could be at risk of developing illnesses such as anxiety or depression.

However, luckily, there are further actions we can take to ensure our balance does not tip!

 

Setting tangible guidelines

 We’re not saying that you must ignore your phone if a professional emergency arises, but it is important to make sure your working correspondence doesn’t intrude on your personal life. So, start with something simple – like enforcing a rule of no work related phone use after six on any weekday and perhaps not at all on the weekends.

Ultimately, it’s your decision to make, so find out what works within your routines and go with it!

 

Communicate with your employer

No one wants to be seen as a ‘complainer’, but if your work responsibilities are damaging your mental health it is important to speak up. Set up a meeting or informal chat with your manager to discuss how you’re feeling and why you feel that way. From there, you can work in tandem to better the situation and make wider improvements that benefit others too!

 

 Better understand your own situation

There is normally a tangible reason for any feelings of stress or anxiety but it might not be clear at first glance. If you’re feeling overwhelmed, take a break and try to dissect your situation.

If you can understand what is causing your stress, you’re in a wholly better position to try and improve it, whether this is in reorganising your routine and methods or in talking to someone else at work!

 

Creating a healthy and sustainable work-life balance is imperative for our mental wellbeing, so we all must take the time to figure out how to best achieve it. Remember, the working world existed before smartphones did, so it’s a durable environment, and taking the time to figure out positive and progressive ways of moving forward will never be a waste.

 

This guest blog was written by loveitcoverit, mobile phone insurers in the UK at www.loveitcoverit.com 

How to Avoid Burnout during a Pandemic: Guest blog by Jade Mansfield at the Worsley Centre

~ Eleanor Segall ~ 1 Comment

teepublic1

(image: Tee Public)

One of the major causes of burnout happens when we’re in situations with minimal amounts of control over what we can do. Nowadays, it can seem like stress and burnout are a normal part of modern day working life. The World Health Organisation listed burnout as an occupational phenomenon and they define burnout as “a syndrome conceptualised as resulting from chronic workplace stress that has not been successfully managed”.

During the coronavirus pandemic, there has been a lot of pressure to spend our time focused on productivity. These have been seen in the form of achieving full productivity at work or working from home and also being productive by working on self-improvement. The focus on productivity came from the idea that if you focus on driving forwards during the pandemic, this will help get you get through it. While this is true some people, others will need this time to focus on their mental health and simply do less. Getting through a pandemic is not a one size fits all. 

Put simply, you should listen to your body and do what you want to do, instead of what the world says you should be doing. Acknowledging that we are all living in an impossible era is the important first step. There is an adaptation period that needs to happen and this period will be longer for some people than others.

While you should try your best to fulfill your work duties, you are allowed to voice if you are struggling. You do not need to work full time, learn a new language, start baking, take up a new hobby and exercise more if you don’t want to. Take it one step at a time, if you finish work or finish your working from home hours and want to spend your free time on something productive, then do and if you don’t, relax. 

How to avoid burnout

While we have covered a little on current pressures to be productive, this section will dive into the absolute fundamentals.

 

Get enough Sleep

Key workers, those working from home and those who have been furloughed all need sufficient sleep. This can be particularly difficult for key workers who are working long, hard shifts and also for those who are simply stressed out by living through a pandemic. 

Typically, during your normal routine, you need six to eight hours of sleep each night.but if you’re doing more than your usual routine, you will need around eight hours a night, plus one period of relaxation during the day. Relaxation can be just sitting somewhere quiet for 10 minutes.  If you’re approaching burnout you need eight to nine hours of sleep each night, plus two breaks. 

Stress can make it difficult to sleep, so be mindful that to get a good night’s sleep, you’ll need to combat your stress levels. 

 

Exercise More or Exercise Less

Exercise helps alleviate stress which is great for creating a good sense of well being. Those who exercise regularly can experience increased energy and productivity. Regular exercise will help you get a good night’s sleep, which will go a really long way for your mental health. 

The most important thing when exercising during a stressful time is that you only exercise when you’ve had enough rest. Otherwise, you may plummet yourself further into burnout, especially if you don’t usually exercise. You need to listen to your body, nobody seems to tell you to exercise less, but if you’re burned out, you should. 

 

Don’t Ignore Stress

Short-term stress that is manageable could easily turn into burnout over time. You should voice your stress to employers if you’re still working and reach out for any available help. You can also practise deep breathing, meditation, and other relaxation techniques that can help calm you.

Keeping your mind on track and continuing practicing positive thinking. Small techniques like these can work surprisingly well. It can be extremely difficult to remove ourselves from high stress and demanding roles, but just by taking five minutes out where you can really make a difference in terms of mental health. This will positively impact on your ability to do your role as well as everyday tasks. 

Outside of work, try and not put yourself in situations that may cause you unnecessary amounts of stress. Your brain can only take so much psychological stress at one time.  

If productivity is really what you want to improve on during the pandemic, remember that productivity is not the start, it is the end product of other positive actions you’ve taken to get there. Productivity without burnout will happen when you look after your mental health.
This blog was written by  writer and psychologist Jade Mansfield – The Worsley Centre, a centre for Psychotherapy and Counselling.

Alzheimers: How to help a loved one after their diagnosis: Guest blog by Hannah Boothe

~ Eleanor Segall ~ 1 Comment

Alone elderly man sitting on the wheelchair and holding a walking stick

(image: H Boothe)

The onset of Alzheimer’s symptoms in a loved one can bring one of the most challenging times of your life to you, as well as the one you love. How you handle this period will set the precedence for how your relationship with each other will continue as the symptoms get worse over time. Don’t let their diagnosis mean the end of your relationship. Find ways of helping along the way so you can draw closer to each other instead.

 

Help with Early Detection

Early diagnosis of Alzheimer’s can make all the difference when it comes to how severe it gets over time. If your loved one has not yet been diagnosed, you can urge them to have detection tests performed to catch the development of Alzheimer’s early. Some tests monitor the development of certain proteins, called prions, that are directly involved with the onset of Alzheimer’s.

These are proteins found in the brain that force other proteins to fold or bend abnormally. When this happens, this equates to varying degrees of brain damage, since the brain can no longer function as it once did. The higher the number of prions in the brain, the worse the damage to the brain is.

To measure the presence of prions in the brain, one of two kinds of tests can be conducted. The first is the B-Panel test. This is for patients who don’t show any signs of developing Alzheimer’s but are at risk of developing it. Those at risk include people with a family history of Alzheimer’s and those who have had multiple head injuries, among other risk factors.

C-Panel tests are for those individuals who already exhibit the symptoms of Alzheimer’s. This is the test that provides the most accurate readings of the levels of prions present in the brain, and it’s the most trusted diagnostic tool for Alzheimer’s.

 

Educate Yourself About Alzheimer’s Symptoms

One of the best things you can do for your loved one is to learn about the signs and symptoms of Alzheimer’s that are not so commonly known. For instance, hiding other’s things or being suspicious of others hiding their things is a symptom most people are not aware of until it happens and causes a great deal of strain to the relationship. They may also imagine things that are not there and insist they are, no matter how much you might try to convince them otherwise.

They may become violent when frustrated as well. This frustration is caused by their realisation that they are not in control of their minds and bodies the way they once were. They need your support and companionship now more than ever.

 

Avoiding Upsetting and Unsettling Situations

People with Alzheimer’s tend to be upset very easily, and this can range from mild to extreme depending on the individual and situation. For example, loud noises from the television or radio might upset them. You want to create an atmosphere of support and comfort around them to keep them from experiencing sadness, depression, and anxiety that overwhelms them. Having a daily routine can be crucial for those with Alzheimer’s. If you live with them, you should encourage this and support it. When there is a set routine, they are less likely to feel confused and helpless.

Do and say things to let them know that you are close by and are there to support them during this time. Never argue with them or try to convince them of anything they don’t want to believe. Remember that you are no longer dealing with a rational person at all times.

Remember this in your daily interactions with them. Only ask them one question at a time, and wait until they answer successfully before saying anything else. Don’t be afraid to use humor if you think they will respond positively. You can also use music, singing and dancing to improve their mood or distract them from themselves.

Above all, try not to let your anger or frustration show. The closer you were to them before the onset of Alzheimer’s, the more upsetting this will be to them. Instead of getting frustrated, walk away from them for a while and take some deep breaths before engaging again. Never forget that you might need this kind of help and companionship yourself one day.

 

This post is by freelance writer Hannah Boothe.