Category: Anxiety Disorder

5 Years, Anxiety and Keeping Well (by Eleanor)

~ Eleanor Segall ~ 7 Comments

Thanks to all who voted for this article on Facebook and who have supported me these past 5 years and beyond. I love you all.

I cannot believe that this year (in March) is 5 years since I was hospitalised as a 25 year old for my bipolar disorder. For those of you who know my story, I became unwell with an episode of severe mania within a number of days, which featured psychosis-losing touch with reality and agitation. Its likely that my old medicines stopped working and I started believing delusions that werent real.

When I was hospitalised, I eventually went to the QE2 hospital in Welwyn, Hertfordshire (which has now been knocked down and now based in Radlett!). The support I had from the psychiatrist, nursing team, OTs, ward manager and all the staff was incredible and they   really believed that I would get well again. I cannot have been easy to deal with, due to the mania and the fact I was pacing around all the time, singing and in my own little world. Their kindness and help really helped me recover properly- as did the visits and love from family and friends.

I spent 4 months as an inpatient at Welwyn and then a further 4 months in outpatient treatment at a Day Hospital unit in Watford. The day hospital was very beneficial to me and helped me to start on my new medication and process all that had happened. I had help from a very special care coordinator and support worker once I had been discharged from day hospital. My care coordinator helped me so much and was so kind and caring.

Recovery is never linear and its something I have to work at every single day. There will always be life stresses that can trigger my anxiety and depression (and potentially a lesser manic episode, although the mania hasn’t happened yet thank g-d). I still struggle with my anxiety disorder and panic attacks in the mornings sometimes. I believe this is as a result of all the trauma that is involved with being sectioned, being an inpatient and having to rebuild my life after. I had social anxiety anyway, as part of the depressive part of the bipolar, but I still believe that even though I have had talking therapy, that my brain is still processing the trauma. Mental health wards are not fun places to live, as you can imagine and despite the staff trying to make it as calm as possible.

I will get triggered with my panic by certain things- like social events or job interviews and I may not always know fully why- it could be subconscious, or I realise it after. I am still rebuilding my self esteem and the love for myself. Anyone who goes through a severe episode of mental illness will tell you that its hard to separate the illness from yourself. Bipolar from Eleanor.

I have incredible friends, my fiance and family who can separate it. Yet, there are times where we all don’t feel good enough. Where  we want to hide even though we are capable of more than we know.

So in these 5 years I have been learning to love me, to think and act on hope, recovery and the future. I have learnt to build self care tools and relaxation into my days if I feel overwhelmed or to stop me from getting too stressed. I have been blessed to have found my life partner and developed my career- although my illness has put my career on hold many times and I have had to reinvent myself. However, I am starting slowly to find the light in the dark.

This is where the phrase ‘Be Ur Own Light’ comes from- to find the inner strength to carry on.

There have been many times when I have wanted to give up. Where I have been hurting and have felt inadequate. When I felt no one would want to date me  or that I wasn’t good enough for a career. Because how could I tell people what had happened to me without them thinking I was a ‘fruitloop’? That was my logic.

Thats why I started to write. I write to heal. I write to explain, educate and battle stigma. I write to make sense of my own mind. I write as a job but also to make a difference in the world and I hope I will do that through my book and blogs/ articles.

In the past 5 years, aside from work and my mental health advocacy, I have been travelling again which always brings me joy. I have been to Rome (Italy) , Prague (Czech Republic), Madeira (with Charlotte), Israel (with Rob), Portugal and Romania. I have stayed at my Dads and explored the Cotswolds and gone on holiday to the beach at Broadstairs with Anna and family. I have seen theatre shows, amazing movies and read some fantastic books. I have found a life partner. I have secured a book deal, volunteered for Jami to launch their mental health shabbat, worked with the Judith Trust and my blog is growing. Being published in Glamour, Metro, Happiful, the Telegraph and the Jewish News were major highlights and finding an incredibly supportive community on Twitter too.

Life is not all hard and sad. Yes, there are times when I have found it a nightmare with my anxiety disorder. I am 100% still a work in progress- recovery isnt easy.

I have had to work on my self esteem in therapy. I have had 6 months of psychodynamic therapy. I read self help books. I should exercise and go out more (working on this).

But:

I am not severely depressed or manic. I can hold down part time work, often from home. These 5 years have taught me that I may always have some degree of anxiety- particularly about past events which effect how I react currently. I need to learn how to heal from this and I hope in time I will.

If you had told me 5 years ago I would be writing a book of my life story and been published in national newspapers I would have laughed at you. I am getting married in July and I can’t wait (and also would have probably laughed at you too).

Anxiety is horrible by the way. Your heart races, you get flooded with adrenaline, you fixate on the fear and want it to go away. You feel sweaty and clammy and you may shake. You need to rush to the toilet. It stops you from sleeping. It stops you from living your best life. So I don’t want to trivialise it here. Its a struggle at times and its disruptive to life.

The pain of anxiety, depression and bipolar is matched by my hope and my belief that I will still achieve despite it. Yes there will be difficulties and bumps along the way, but today I am choosing to look towards the sun. 

          

How to Manage Bipolar Disorder in the Workplace: Guest blog by Ralph Macey

~ Eleanor Segall ~ Leave a comment

People with bipolar disorder face a major problem in maintaining a good job performance at work due to frequent mood shifts (from high moods to extremely low moods). High moods are characterised by mania and hypomania. On the other hand, low moods are characterised by depression. These mood shifts create several types of challenges in the social, professional, and personal life of the people.

Bipolar disorder can make it very difficult for a person to get or keep a job especially if the symptoms are hampering day-to-day functioning, and if they also have anxiety.

In a recent survey, it has been found that 88% of the individuals with bipolar disorder face problems in maintaining a decent work performance. Around 58% of the people have stopped working altogether.

It’s a fact that bipolar disorder brings many challenges that can hamper work productivity. However, qualified psychiatrists specialising in bipolar disorder say that it’s possible to get and maintain a job while having a bipolar disorder by following a few tips. Let’s talk about them today.

 

How to get and maintain a job with bipolar disorder

1. Don’t volunteer to disclose your medical information to the employer during the interview. Employers have full right to decide if you can do the job properly. But they can’t ask confidential questions to you.

2. As per the Americans with Disabilities Act, (and other disability legislation around the world like her in the UK), employers can’t force you to give a medical exam or check your medical records. They also can’t ask you questions regarding your medical history. Moreover, this Act forbids any kind of discrimination on the basis of perceived or actual disability. So it’s better you read the rules and regulations of this Act before going for a job interview.

3. Try to avoid talking about your past. Instead, talk about your current capability of doing a job properly.

4. Ask about health insurance after getting a job. Just review the benefits information before accepting the job officially.

5. If your mental illness becomes an issue for the employer once in the job, then bring a letter from your psychiatrist that gives a general outline of the treatment you’re undergoing. Request that the psychiatrist issues a letter where it’s clearly written how much you can cope with at work. You can read the letter before giving it to the employer. 

How to keep a job with bipolar disorder

It’s a myth that you can’t be successful at work with a bipolar disorder. There are several things you can do to control your mood swings and manage your work. Let’s talk about them in detail now.

1. Take medicines as instructed: Even if you’re extremely productive during a manic high, don’t skip your medicines. That is not advisable as you can become unwell too with your mania.  Don’t stop taking medicines even when you feel well for several months. Remember, medicines keep all your symptoms under control. When you stop taking medicines, your symptoms can reappear and aggravate your mental illness.

Bipolar disorder medications have some side effects. Some medications cause drowsiness. This makes it quite difficult to focus on work. Speak to a psychiatrist specialising in bipolar disorder about this issue if you feel too sleepy at work. Ask if you can change the time you take the medication. Learn about the various strategies to combat drowsiness so that you can give your 100% at work.

2. Relax a little bit: Take short breaks between work regularly. Take a short walk during the lunch break. Listen to music that uplifts your mood. Take deep breathing. All these things help you to relax, especially if you are low or have anxiety .

3. Lead a healthy lifestyle: Exercise regularly to keep your mind and body fit. Eat healthy and nutritious food. Have adequate sleep at night. If possible, try to sleep for 8-12 hours at home. Try to avoid eating unhealthy food. A healthy lifestyle can help you manage bipolar disorder both at home and work, by making you feel at your best.

4. Organise your tasks:   Bipolar can at times interfere with work functioning.This means your mind may not cooperate with you on a regular basis. Try to organise your tasks. I

Create a ‘to-do’ list on the Google calendar and check if each task has been completed. Whenever you fail to finish a particular task on a specific date, move it to the next date on the calendar. This way you’ll remember about the unfinished task. Divide big projects into small tasks. It will be easier for you to manage them.

If you are struggling, you can speak to your work HR if they are understanding.

 

Should you inform your employer? The eternal dilemma

Let’s accept it. There is a social stigma attached to mental health, however many employers are becoming more understanding and the stigma is lessening. Your medical information is something confidential and private. Obviously, you may not want to share it with everyone. You don’t need to talk about your mental health openly at work if you don’t want.

However, if your boss or line manager is cooperative and a good human being, then you can have a conversation with him or her. When you need to take leave for doctor appointments, your boss will understand and give you a day off without issue.

 

Conclusion

Don’t panic. Don’t feel that you’re less than anyone because of your bipolar. Your mental disorder doesn’t define you. Your work is not the only thing you have in your life. Spend quality time with your friends and family and volunteer to help others.

If you have a good conversation with your employers and/or your doctor/ occupational health, you may be able to manage at work.

The Mental Health Benefits of Yoga: Guest post by Manmohan Singh

~ Eleanor Segall ~ 2 Comments

Mental illness is like any other illness in the body. With Yoga, it can be treated and helped to heal. Yoga encourages mental fitness and healing of the mind.

Living in a modernised world, many of us still have conformist ideologies. Mental illness  is misinterpreted. It is often a deep-rooted issue, which, if not helped, can become life-threatening. Day-to-day stresses and heartbreak can lead to depression and other mental illness. If the condition becomes severe, it can lead to self-destructive tendencies, including self harm.

There are many ways (meditation, therapies, etc.) to prevent and help mental illness, with yoga being one of the most natural and safe options. According to many studies, it is confirmed that Yoga has the ability to relieve stress and anxiety and reduce mild depression and other mental illnesses.

So, let’s see the amazing mental health benefits of Yoga:

 

Calms The Nervous System

Yoga has the power to calm the nervous system and reduce anxiety levels. It makes you enter into a more relaxed state, and gradually, you move from flight or fight-to rest and digest mode (or move from the sympathetic nervous system to parasympathetic nervous system). Yoga reduces stress, anxiety, depression, treats insomnia, and other kinds of health issues.

Makes You Self-Aware

Yoga practice helps to ignite the sense of Self. Through yoga, you know yourself better and form a deeper connection from within. Yoga helps build self-trust, increases self-awareness that helps in making healthier choices- like eating healthier, living the right lifestyle. You learn to accept yourself, develop stronger willpower, bring your consciousness back to the present, feel more confident, and gradually realise your self-worth.

Helps Mend  Relationships

Emotions and feelings contribute a lot towards ones mental health. A traumatising incident, heartbreak, death of loved ones, and many other day-to-day relationship struggles, can affect our mind and lead to mental illness.

Yoga ignites awareness and not only helps us improve our relationship with the Self but with others as well. When you form a positive relationship with the Self, you tend to deal with others in the same manner. A healthy relationship helps to maintain the overall mental well-being as well.

Reduces Inflammation Related To Genes

According to a study, it is proven that 15 minutes of yoga practice or relaxation techniques switches off the genes that are responsive to stress and inflammation. With the modern world, stress is something that is often found. This stress leads to various mental health conditions. Our body is designed in a manner that it has the ability to reduce stress and this mechanism is called the ‘relaxation response’. With yoga relaxation techniques, you can easily trigger the stress reduction ability.

Yoga practice is the best way to fire your body’s built-in mechanism that helps mental relaxation. 15-20 minutes of yoga practice triggers the biochemical changes in the brain cells and protects from stress and anxiety.

Yoga Boosts GABA Level

Our brain is filled with receptors and GABA or GABA receptors or gamma-aminobutyric acid is linked with anxiety and mood disorders. When the brain drops the GABA activity, the mood of a person becomes lower and they start feeling more anxious.  

With the help of yoga practice, you can boost the GABA level. Practice yoga for an hour daily to get positive results.

Reduces The Effect Of Traumatic Incidents

Post Traumatic Stress Disorder or PTSD is a serious issue that people face after going through a traumatising or negative situation, shocking or terrifying experiences. People in this condition frequently experience flashbacks and nightmares of the situation they have had come across. With yoga, a person can help himself come out from the situation and help the mind.

Improves Concentration And Boosts Memory

Sometimes, our brain finds it difficult to do or concentrate on the day-to-day tasks. Yoga practice has proven effective in boosting memory and improving concentration and also clears the mind and calms the senses.

Prevents Mental Health Disorders At Every Age

A mental health condition can occur at any age depending on the situation you are in or what you’re going through. According to a study, people of age group 18-35 are at high risk of mental illness and have periods of severe stress.

These issues can also occur during adolescence, due to various reasons, including genetics but also envrionmental- family disputes, fights, peer pressure, body shaming, academics etc. Teenagers also go through many physical, mental and emotional changes.

Yoga practice helps elevate the mood, reduce stress and anxiety, prevent depression, control anger, and ignites mindfulness.

People as they get older can also face these mental health issues due to loneliness, change of the environment, alcohol abuse, dementia, loss of loved one, long-term illness, physical disability, poor diet, etc., Yoga can be beneficial to health.

Yoga Asanas To Practice For Mental Health- Balasana, Viparita Karani Asana, Uttanasana, Adho Mukha Svanasana, Setu Bandha Sarvangasana, Bhujangasana, and Shavasana. Also practice Pranayama like: Kapalbhati, Anulom Vilom and Bhramari.

It is rightly said that a healthy mind breeds a healthy body, and vice-versa. It is important to have good, positive mental health for complete fitness and healthy, happy living.

Practising yoga promotes better health, try it today!

 

 

Author Bio: Manmohan Singh is a passionate Yogi, Yoga Teacher and a Traveller in India. He provides Yoga Teacher Training in Rishikesh, India. He loves writing and reading the books related to yoga, health, nature and the Himalayas.

Website: https://www.rishikulyogshala.org/

2018 Round up: The year that has been: New Year by Eleanor

~ Eleanor Segall ~ 6 Comments

When I look back at this year, 2018, I don’t fully know where to start. It has been one of the most meaningful, eventful, and wonderful years of my life so far, but there have also been sad times.

Outside of work, this year was a very special one as back in April, my fiance Robert proposed to me at the Shard, overlooking London. I said yes and 8 months later we are in the middle of wedding planning and planning for our future (and I found my wedding dress!). The proposal was the most amazing thing to happen this year. Also, two of my best friends got engaged and for one we were involved in the proposal and got to see him propose so that was fantastic!  I am looking forward to the weddings 🙂 We also celebrated other friends 30th birthdays, engagements and weddings this year as well as many births of their children which was so wonderful.

Sadly this year, we lost my beloved Grandma in June to Parkinsons disease and I miss her every single day- we were very close.  A month ago, my Grandpa (on the other side of family) passed away after a short battle with cancer, but I was able to fly to Portugal where he lived and see him before he passed and give him a hug, so that was very important. There is also family illness occurring, my father in law to be is very unwell with cancer and mid treatment- and this is very hard for us all but trying to be a positive as possible!

Back in February, My Dad and I went to Romania to the town of Iasi, to explore where our ancestors lived. There was a lot of snow and walking around palaces and churches and finding the synagogues. When we came back, we discovered that my Great grandpas sister and family died in Moldova across the border, at the hands of the Nazis (via the Yad Vashem online database) A very bittersweet trip but we were pleased to see Iasi.

In happier news, after celebrating our engagement with those we love, in July, my fiance Rob and I went on holiday to Israel which was really wonderful. We stayed with close friends and family and also in hotels and had a really special, meaningful, fun and sunshine filled trip! A personal highlight – the swimming pool at the InterContinental hotel in Tel Aviv and of course, walking through the Old City while sipping iced coffee (it was so hot) and visiting the Kotel. When we came back, we spent a weekend in the Cotswolds at my dad with family- a lovely escape. This year too, I also read some great books (like Michelle Obamas autobiography) and watched some fab films/ theatre shows.

In July, I celebrated my 30th birthday with friends and family (thanks Katie for my delicious birthday cake) and then this December, we celebrated Robs 30th birthday at London Zoo light trail.

This year work wise, has been a blessing- I managed (somehow) to secure a book deal which has been a lifelong dream and am working with the fab team at Trigger Publishing and my patient editor Stephanie- thanks to her, Katie and James for their support as I continue to tap away at my keyboard.

Before 2018 began I was in touch with Naomi Greenaway at the Telegraph (Stella Magazine). Thank you Naomi for helping me to tell and share my story in a sensitive way. It was an honour for me to be featured online at the Telegraph and for my story to reach new readers.

Back in January, I met a wonderful editor on Twitter, Yvette Caster, who was looking for new writers for Metro Blogs (as it was then). She looked at this here blog after I sent her a pitch email and commissioned me to write my first ever article for Metro.co.uk on mental health, weight gain and medication. From there, she and her colleagues continued to commission me to write and when she and they left in the summer, I have continued to pitch articles and be published. Thank you to Ellen Scott, Aimee Meade and the current team at Metro too. Being published online by Metro has been an amazing journey and I am proud to write for them on lifestyle topics and mental health, my favourites this year being about the Royal wedding, homelessness and mental health and sharing my Grandpas story.

Thanks also to Bianca London for commissioning my two Glamour articles, this was another amazing bucket list dream ticked. The one on dating and mental illness, bipolar and how I met my fiance (when I wrote the article, he was my boyfriend) was something very close to my heart and it was a genuine honour to be featured in a magazine I had a read as a teenager and one of the biggest womens magazines in the UK. Still can’t believe it.

Thanks to Rebecca Thair, editor of first ever mental health magazine, Happiful magazine for not only being first to publish my story with bipolar back in January (which was so important to me) but also publishing my later articles on social anxiety and a guide to bipolar. I love working with you and the Happiful team and hope to write more for you.  Thanks also to Sonja at UIO Podcast and Sarah Cardwell for interviewing me.

Thanks to Francine Wolficz, Richard Ferrer and Jack Mendel at the Jewish News for all the articles and positive support of my mental health work in and outside of the Jewish community this year.  And to Rabbi Ari Kayser at Aish for including my story in Perspectives Magazine with the Jewish Weekly newspaper.

Thanks to writer Olivia Blair at Cosmopolitan/ Hearst for featuring my thoughts on bipolar in several articles which were also published across Hearst publications like Elle Magazine, Prima Magazine and Netdoctor.co.uk . Thanks also to the team at Refinery 29 for featuring me in an article on Seasonal affective disorder and to the fantastic charity No Panic for publishing my personal story with bipolar disorder.

This year I was also a shortlisted finalist for a UK Blog Award for the Health and Social Care Category  in March (thank you Lauren and team)  and invited to come to the Mind Media Awards as a highly commended journalist in my category. (This was incredibly magical).

Going to the Mind Media Awards in November with my Dad at the Queen Elizabeth Hall and hearing peoples stories of mental health across the UK media was just incredible. It was also a fun night of celebrity spotting- Fearne Cotton, Bryony Gordon, Dame Kelly Holmes, Kim-Joy from Bake Off, Stacey Solomon and Loose Women team, Frankie Bridge and many more. Stephen Fry presented the awards and was just remarkable, humble and funny as always. I was so pleased I managed to attend, it was a privilege to meet people. I met Yvette, Ellen and their producer at Mentally Yours podcast and fellow blogger Katie Conibear. My Dad and I were honoured to attend.

This blog has been a joy at times alongside the hard work. Thank you to all my guest bloggers and all sending submissions- you’ll get a proper individual thank you at our 3rd anniversary in March, but I couldn’t run the blog without your articles and careful attention. Thanks To Vuelio and Feedspot for awards too. Heres to a 2019, our third year of Be Ur Own Light! Thanks also to my Twitter followers who make it so easy for me to share thoughts and ideas with them- and for all the online friendships I have made- you know who you are!

This year has been hard at times but there has been SO much beauty and I feel so grateful and thankful for it all. My mental health has taken a hit at times, but I have found a really good therapist for talking therapy- who has helped me so much and I have also spoken to my GP. Its OK to reach out for support. Thankfully I have a good support network.  I have been a little more anxious and battling mild depression but I am slowly getting better again and starting to see the light :).

I just want to wish you all a happy and healthy new year 2019- this will be the year that I please God get married and my best friend Katie (as well as my fiances cousin too!). May it be a year of better health, wellness and joy for us all. And heres to keep fighting stigma!

May the new year be one of dreams coming to fruition and love and laughter.

Love always and thank you for reading,

Eleanor x 

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Top Tips for avoiding a Christmas Relationships Crisis: Guest blog by Brookman

~ Eleanor Segall ~ Leave a comment

 

Christmas is meant to be a joyous time of the year and an opportunity to spend quality time with friends and family, but unfortunately, it can also be one of the most stressful. For some, the biggest worry they will encounter is whether they’ve overcooked the turkey, but for others, far deeper problems are magnified around this time in terms of finances, family tensions and even relationship breakdowns or divorce.

Avoiding the Subject?

For many, the easiest solution at the time is just to put the problem to the back of their mind and focus on the present. In fact, in a survey of 1016 married individuals conducted by Brookman International Divorce Solicitors, 64% of respondents revealed they have put off a major decision because they felt it was ‘not the right time’ to deal with it. One third felt that the New Year was a good time to make a fresh start or major life decision, with ending a relationship or asking for divorce being the most popular major decisions to withhold. Whilst this may seem a temporary solution, avoiding the problem only prolongs the suffering and could lead to a frosty atmosphere over the festive period.

Worrying thoughts at any time of year can cause stress, but they can be particularly troublesome at Christmas, when you’re having to juggle shopping for presents, go to events and balance the interests of lots of different people. The people closest to you will notice the changes in your behaviour, even if they don’t actually know what the underlying cause is.

Left for too long, this build up of stress and tension could reach breaking point and lead to heated arguments and upset. It could even put your mental health at risk. No one wants an explosive argument over the Christmas dinner, so, here’s a few tips to help avoid a Christmas Crisis.

 

  1. Talk to someone – Speaking to someone close to you about your worries is a great place to start, even if you don’t feel ready to address the person causing the stress directly. Be sure it’s someone you can trust and who will be honest with you. When it comes to a big decision, you don’t want someone beating around the bush, or telling the world about it either!
  2. Nip it in the bud – Whatever the problem is, talk to your partner about it as soon as you feel able to. Whilst the discussion might be difficult, you will feel an immense sense of relief once you have got the issue off your chest. It may be that your partner feels the same way, or has a solution which could result in a better outcome for both of you. Until you speak about it, you simply won’t know.
  3. Focus on yourself – it may seem selfish, but ultimately, you have to make decisions based on your own happiness. If you are constantly making compromises to make others happy, then you’ll always be in conflict. A Christmas full of atmosphere, tension and cold shoulders is no fun for anyone, and actually tackling the problem outright, even if it means a major change is on the horizon, can make the transition far easier for everyone to manage.
  4. Forgive yourself – Decisions which are one-sided can often leave the perpetrator feeling an immense sense of guilt, but it is important to be kind and forgiving to yourself. Sometimes people don’t agree, have different perspectives, or reach a different stage of their lives where priorities change. Understanding that life is a journey and that we all have our own paths to take can help to put the current situation into perspective.

 

Following these key steps will help you to deal with difficult decisions quickly, effectively and with the best intentions.

In the Brookman survey, 74% of people said they felt instant relief once they had made a decision, be that dealing with the core issue, or simply booking an appointment to get some advice. The important part is taking steps to address the situation so that you don’t feel like it is spiralling out of control.

Whether you decide to end a relationship or not, make sure you make informed decisions that are right for you.

This guest post was written by Brookman International Divorce Solicitors.

 

We are a Vuelio Top 10 UK Mental Health Blog! 2018 Award

~ Eleanor Segall ~ 4 Comments

Today I got an email from the lovely people at Vuelio to say they have listed us as Top 10 UK Mental Health Blog.

We are number 8, alongside some incredible blogs and organisations such as the Mental Elf and Mental Health Foundation as well as blogger friends of mine- check them all out .

Thanks so much Vuelio! This award is important as it is about being influential in our industry so am so happy to recieve it.

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See the list here: https://www.vuelio.com/uk/social-media-index/mental-health-blogs-uk-top-10/

Womens Health Awareness and Taking Action: Guest post by Sarah Cardwell

~ Eleanor Segall ~ 1 Comment

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(image: Sarah Cardwell)

I remember wanting to start my periods when I began secondary school. I had no idea what to expect, but it just felt like it would be the first step in growing older, becoming an adult. Within 6 months of starting I hated it. I had horrifically heavy & painful periods since the age of 13 and my mum always suspected I had endometriosis, the same condition she had been diagnosed with.

I never struggled to get pregnant with either of my two children, but with a heavy first natural baby of 10lb 7oz, it was decided after many scans that I would have a planned caesarean with my second daughter. She was only 7lb 11oz. When my periods returned after my second baby, I knew I had to do something.

After months of pursuing issues, and aged just 30, I eventually took my mum along to my appointment  and was referred for a laparoscopy. It was then that my mums suspicions were confirmed & they found signs of endometriosis.

On average it takes 7.5 years from onset of symptoms to get a diagnosis, according to Endometriosis UK (https://www.endometriosis-uk.org/endometriosis-facts-and-figures). It has taken almost 17 years for my diagnosis. The cause of endometriosis is unknown and there is no definite cure.

It was then I asked for a hysterectomy (removal of the womb) & was rejected.

Hysterectomies are known to treat endometriosis well:

• With mild endometriosis, the chance of needing further treatment is 4 out of 100 women

• For severe endometriosis, the chance of needing further treatment is 13 out of 100 women within three years and 40 out of 100 women within five years.

https://www.endometriosis-uk.org/sites/default/files/files/Information/

And I’m in good company, with many celebrities having hysterectomies for many reasons, Angelina Jolie and Michelle Heaton to be two of them. Lena Dunham too had her hysterectomy due to endometriosis. 

I was told I was too young and was offered a range of treatments from the coil to the pill, I even was treated with hormones to replicate the feelings of the menopause to see how my body would react, gonadotrophin-releasing hormone (GnRH) analogues.

After six months it reacted brilliantly, no periods, no pain. I thought I was cured, but they said I couldn’t continue on the treatment due to risks of osteoporosis . I was in pieces and soon back to having periods spending days of my month in bed unable to move.

It was another 2 years of trialling medications & eventually changing my gynaecologist, before I was finally booked to have a hysterectomy operation. I was ecstatic. It was booked in February for the June of 2015 following my family holiday, I couldn’t wait.

However, things were about to take a turn for the worse. In March (the following month), my mum was informed that they had found a tumour where her ovaries had previously been, and within six short weeks she had passed away. It was the most awful time of all our lives, although thankfully she was surrounded by her family as she passed away. She had made me promise to go through with the hysterectomy, but to request and ensure they removed both my ovaries, even though they were healthy. So I did. In June 2015 I had a Bilateral total hysterectomy.

I knew I was very young at 32 to lose everything that made me a woman, but this was more than pain relief now, it was about survival and securing my future with my children.

The procedure went well and I recovered quickly, I was back at work part-time within 2 weeks, probably due to being a younger patient, but it didn’t have the same impact on my menopause symptoms. I suffered and still do, with every possible symptom, night sweats, hot flushes, weight gain, moodiness, although I think those closest to me would say that had always been there it just worsened.

Whether it was connected, it was then that the rest of my health deteriorated. I was never super fit or thin since my teens, but over the next year I gained almost 3 stone, started with severe anxiety and following an asthma attack after a serious lower chest infection, I was finally diagnosed with adult onset asthma. These of all could also have contributed to my recent spiral in mental health illnesses, but I still believe it was the right decision.

At 35 years old, I am on HRT and more medication than most pensioners, but I’m still here. I’ll be on most of my medication for life, but my HRT for a minimum of 20 years until I’m the average age for a natural menopause.

I wish my mum was here, as she too went through early menopause after her hysterectomy and I’m sure she’d have some tips that beat ice cubes down my top and lining my bed with ice packs to keep me cool in the night.

She’d hopefully have some advice on last summers rare heatwave in the UK, but sadly she was only 54 when she passed away and she inevitably saved my life and helped preserve my life so I can live beyond that she and be there for my children. And this hysterectomy added another layer of protection!

For more information please check out the resources above.

This article was written by writer Sarah Cardwell- who also experiences anxiety alongside her other health conditions. Check out her blog here: www.sarahsthinkingagain.blog

Do I need Outpatient or Inpatient Treatment for Addiction? Guest post by Alek Sabin

~ Eleanor Segall ~ 2 Comments

If you are struggling with addiction, or have a loved who deals with substance abuse, making the decision to seek treatment can be the most empowering decision you make in your life or theirs. Failing to do so can lead to lives and families being torn apart, and even runs the risk of an overdose. Of course, there are a variety of treatment options available, and many who are considering seeking treatment wonder whether outpatient or inpatient treatment is better suited for them. Here is a look at the key differences between outpatient and inpatient treatment.

Outpatient Treatment

This article here does a very good job at describing how well outpatient addiction recovery treatment works. Basically, outpatient treatment is an option that allows individuals to receive treatment that is less intensive than inpatient treatment. It is well suited for individuals who are seeking comprehensive treatment for alcohol or drug addiction, who need more support than weekly counseling but less support than inpatient treatment, and/or who have completed an inpatient programme and need continued support in recovery.

 

How Outpatient Works

Outpatient treatment typically draws on a variety of approaches in order to offer recovering addicts the healing they need. A comprehensive outpatient treatment might involve individual therapy, group therapy, education, and relapse prevention training. Recovering addicts will also explore a variety of therapy approaches, including cognitive behavioral therapy, motivational interviewing, and recreational therapy.

 

Benefits of Outpatient Treatment

Outpatient treatment can offer several benefits. For starters, individuals can receive treatment while protecting certain aspects of their current lifestyle, such as a job, education, or family responsibilities. Outpatient treatment also tends to be more affordable than inpatient treatment since you are not paying for room and board. It can also grant you more access to your family and friends, who might serve as a valuable source of support as you navigate recovery.

 

Different Levels of Treatment

Every outpatient program is different, and there are various types of outpatient programs, each offering a specific level of support. Three of the most common types of outpatient treatment are partial hospitalisation (day treatment), intensive outpatient treatment, and general outpatient treatment.

Partial hospitalisation, or day treatment, is a more intensive form of outpatient treatment that allows individuals to meet for to five days a week for several hours each day in order to receive intensive treatment. Intensive outpatient treatment is somewhat less intensive, and it is primarily for individuals who need an organized treatment program but who can navigate recovery in the course of their everyday activities. General outpatient treatment, meanwhile, is for individuals who require moderate support in order to achieve sobriety.

 

Inpatient treatment

Inpatient treatment, also known as residential treatment, involves the same treatment techniques as outpatient treatment, but it is more intensive because you typically check into a facility and live there throughout the duration of your program.

 

How Inpatient Works

Inpatient treatment draws on the same individual therapy, group therapy, and educational approaches as outpatient treatment, but it can include some more intensive techniques as well. Many recovering addicts seeking inpatient treatment, for example, will first undergo a medically assisted detoxification process in order to manage withdrawal symptoms. Inpatient treatment also involves around-the-clock care, which may be necessary for individuals who are recovering from abuse, trauma, or a co-existing mental disorder.

 

Benefits of Inpatient Treatment

Inpatient treatment can also offer several unique benefits. First, it gives recovering addicts the opportunity to focus on their recovery, without the distractions of everyday life. In addition, since individuals live within the care facility, there is no access to drugs or alcohol, reducing the chances of relapse significantly. Because it is a live-in facility, there may also be more specialized services available, such as a gym facility, yoga classes, acupuncture, or nutritional education.

 

One potential drawback to inpatient care is that it can limit your access to support from family and friends. For this reason, many inpatient programs include a specialized family program where family members can participate in the recovery of their loved ones—all while receiving the healing they need as well.

 

So What Is Right for You?

If you are seeking treatment for an alcohol or drug addiction, it’s important to consider not only the level of care that you need, but also those factors that might try to draw you away from your recovery. If you are living in an environment that is not conducive to a successful recovery, for example, then inpatient treatment may be the option for you, even if you think you may not require that level of care. When in doubt, you should always consult an addiction recovery facility. Many offer free assessments to help match you with the precise level of care that you need.

Please note: each country will have its own differing treatments and care. 

Coping with the lows and Celebrating the highs by Eleanor

~ Eleanor Segall ~ 4 Comments

I have been wanting to write about everything for the past week but felt like I have been swept up into a hurricane. There has been a lot going on- some good, but a lot of bad in my life and I have been trying to process it all.

As most of you know, my article on bipolar was published in the Telegraph with thanks to an amazing editor who believed in my story. The Telegraph is a high profile newspaper here in the UK and this was a big platform for my story to be given. So I am grateful. I will put the link to it in the articles tab soon.

I received many positive messages from people with bipolar and psychosis- who could see themselves in my experience and were pleased and appreciative that I shared it. Also those who are carers for people with it got in touch too. I had a lot of support from friends and family, which was important because I started to feel quite vulnerable in revealing so much of what had happened back in 2014 when I was hospitalised. It isn’t easy- even though I want to share it to help people.

As well as the positives, I did receive a few unwanted and negative messages- mainly from ignorant people who don’t know me. I don’t want to give the Trolls any air time here, except to say that the Telegraph were fantastic and stepped in. The comments that were sent weren’t nice but it is a risk when  revealing such a complex mental illness to the world- its an emotive topic and some people can be cruel too. However, the positives outweighed the negatives.

My article was published when I was in Portugal visiting my grandparents with my Dad, Aunt and Uncle so having them  around to process it all was really helpful. Portugal was lovely to have the family time but hard to see my Grandpa unwell, though I was so pleased I got to see him. We also went to a very beautiful beach at Sesimbra, near Lisbon which was good to get some sun in November!

I have two close family members who are unwell at the moment with serious illnesses. As such with all the pressure of it all, I am finding that my mood is dipping and I have to practise a lot of self care- sleeping, reading, pacing myself. It could be that its approaching winter and less light, but I am feeling mildly depressed at times and sleeping more in the mornings, so I am watching my mood and trying to cope as best I can.

If it continues for a long period, I may see the doctor or my counsellor but I think its a reaction to everything happening.

Yesterday I received some really good news– which I will share in a few weeks time. I am so grateful for all the good happening and still planning for my wedding which is something positive to focus on too. Thank you to everyone who has been and continues to be there.

If you are feeling like me right now, a bit low/ depressed, tell people you trust. Don’t keep it in. Remember it can pass. And get support and help if you need it. My fiance, friends and family are helpful to me- confide in someone you can talk too.

I am trying to focus on the positives and celebrate the highs, while dealing with the lows. Thats life I think. Its not always easy but I will get there and so will you if you feel the same.

Eleanor x 

 

My story of recovery from Alcoholism and Mental illness: Guest blog by Allen

~ Eleanor Segall ~ 10 Comments

My name is Allen and this is my recovery journey from alcoholism and mental illness.

On 12th October 2005 I had my last drink of alcohol and the following morning I was admitted to a psychiatric unit.  On reflection I didn’t know what was happening and had no clue what was happening emotionally, physically or mentally just that I was going into hospital for a short stay to get better.

Better from what? Whats happening to me? When can I go home? It was like a constant conversation in my head and I couldn’t turn it off.  Little did I know that I had been admitted because I was a risk to myself and others and I was going to be detoxed from alcohol and drugs.

I was never the world’s greatest drinker but I loved everything about alcohol and now know that since my teenage years,  alcohol was a constant in my life at home, in pubs, on the train to work, in the park, in the toilet, in secret or in the open and it had been that way since teenage life.

So I stayed in that psychiatric unit for 6 ½ months and I was diagnosed with Bipolar 2 (a mood disorder) and prescribed medication to deal with that.  Since that time, I have experienced two courses of electro convulsive therapy, Cognitive behavioural therapy, one to one counselling, 12 step programmes for drugs and alcohol,  taken anti-depressants and anti-psychotics and  read numerous self help books.

This week I will reach 13 years of sobriety- a great achievement considering I couldn’t go a day without alcohol. However,  2018 has seen me admitted into another psychiatric unit, following numerous suicide attempts and thoughts.

I received an additional diagnosis of Emotionally Unstable Personality Disorder and a dawning realisation that I need to go way back to my early years to start to really understand me. Childhood / teenage trauma, bullying, substance and alcohol misuse, relationship problems, low self-esteem and lack of confidence, financial woes and debts mounted up.

The past 13 years have enabled me with the help of a twelve step programme to manage life, be as good a father as possible, to be a son, brother and uncle, and a friend.

I have been able to hold down a job and  study a degree in Psychology and Counselling,. I became a Mental health first aider and I suppose now I need to look at me and listen to others as to how I can manage my mental health and addiction. I can learn to be the best father I can be to my son and daughter, and focus on what I need to do to alter the cycle of mental illness that has plagued me for so long.  

Long term therapy seems to be the best option and I hopefully begin this process with an assessment very soon. I am so proud to be miles away from where I was in early 2018. Then, I asked a member of the Home Treatment Team (for crisis care) if I could go into hospital. I also shared for the first time that I have heard a voice for most of my life and the voice has made me harm myself.

I am now doing so much better and hope that therapy helps me to heal even more.

Allen is a writer, mental health first aider and mental health worker.