Category: Anxiety

My time recovering in the Acute Day Treatment Unit

~ Eleanor Segall ~ 9 Comments

adtu3
(my art therapy)

As I have previously written, in 2014, I suffered from a very acute period of mental illness- a manic bipolar episode. I had to stay in hospital for 3 months before I began my recovery process at home. Part of that recovery process was being referred to an Acute Day Treatment Unit (ADTU).

ADTU is effectively a hospital day therapy ward- where groups are run on things like anxiety management, recovery techniques, anger management, assertiveness, relaxation/ meditation to music, arts and crafts and groups such as playing games eg table tennis or quizzes. It is there as a short stay intervention. Some like me had been in hospital already very unwell and some had been referred to ADTU to stop them having to go into hospital and to get them better through therapies.

People are referred there with all kinds of illnesses- depression, bipolar, schizophrenia, eating disorders, drug, alcohol and gambling addictions, psychosis, acute anxiety disorders eg PTSD/ OCD and more.

As well as the therapy groups with occupational therapists, the ADTU has psychiatric nurses, psychiatrist and therapists who support you during your stay. I was there largely because I had been through a very traumatic period of bipolar illness and also because I had decided to change medication to a new mood stabiliser- Lithium.

This meant that as well as the therapy sessions, I had to get used to a new medicine regime and weekly blood tests to determine my Lithium level. When you start Lithium, the level in your blood fluctuates- if it goes too high your body can have a toxic reaction. Luckily this never happened to me but there were times when I was quite low and depressed as the Lithium level was too low. So for about 8 weeks, I had regular blood tests.

In ADTU, you get given a key worker- an occupational therapist or nurse who works with you through your stay and acts a bit like a therapist- they are your support team for when you are there. At ADTU, I lived at home and went in every day 5 days a week. It was challenging as there were constantly new people coming in and out- some very poorly. However I made some incredible friends.

My first important friend I met on my first day! We both began at ADTU at the same time and started our induction. She also has bipolar disorder and we were quite similar- both loving all things girly, glittery and of course- unicorns! We got on well from the beginning, sat with each other in therapy groups, where we both regularly fell asleep in the relaxation to music sessions. She is an amazing and brave woman- who I am honoured to call a friend and we are still in touch today!

I made other friends as well, from sitting in the lounge and chatting in the mornings. One of these was my friend who loves sport and we would chat about what she was doing on her degree. She is also another amazing one who I am still in touch with!

ADTU is meant as a short stay intervention but due to my acute illness and change of medication I was there longer than almost anyone else. This became frustrating as I kept seeing people being discharged and I was still there. In the end after 12 weeks where I became used to all the staff and therapy groups and felt a bit like a veteran (some people are only there for 2 weeks) I emerged still fragile but stronger than I had been.

I owe so much to the wonderful staff- especially my occupational therapist key worker and the therapist running the arts and crafts and recovery groups. The staff were so supportive and kind.

In the UK, there are now only two ADTUs in the whole country as funding has been cut. However, I can honestly say that without the staff there and my new friends- I would have found life so much harder. I owe them so much.

Here are  some of my photos from the therapy folder I kept.

This blog is dedicated to my friends from ADTU who are making amazing strides- my 2 closest friends are now studying for Masters Degrees!

adtu1

Guest post: 5 easy yet effective ways to calm yourself down when feeling anxious

~ Eleanor Segall ~ Leave a comment

By Lystia Putranto and Karina Ramos at www.bookmeditationretreats.com

Anxiety is a thin stream of fear trickling through the mind. If encouraged; it cuts a channel into which all other thoughts are drained.

– Arthur Somers Roche

Sometimes nothing feels quite as awful than anxiety. In this state of mind, we tend to think of only the worst case scenarios. It robs us of our joy, makes us lose focus and leaves us feeling as if we have no control over our own lives.

Fortunately for us, there’s much we can do to reduce anxiety and its effects on our mind, body, and soul. Here are simple and fuss-free tips to apply that I have found to be effective to help me establish and maintain a calmer peace of mind in situations that previously would send me into a tailspin:

  1. Take Deep Breaths

It seems hard to believe that one of the simplest actions that you can take – taking deep breaths – may just be one of the most effective ways to calm ourselves down when we feel an anxiety attack coming on. Breathing deeply differs from our normal breathing (shallow breathing) as it requires your focus to breathe from your diaphragm as opposed to just breathing from your nose. Moreover, shallow breathing may often feel tense and constricted, whereas deep breathing induces relaxation.

By just taking a minimum of 10 deep breaths whenever you find yourself feeling anxious, you can instantly feel more peaceful and more importantly, it could bring our focus back to the present moment even in moments of panic or extreme anxiety. Through focusing our attention in the present moment, we are able to give our best effort in finding solutions to the issue(s) we worry about. Another great thing about this anxiety-reducing tool is that it is also accessible to you whenever and wherever you need it.

If you’re looking to gain a more lasting effect that you get from deep breathing, I highly recommend that you take up the practice of meditation. Not only will you be able to feel more at ease and calmer, you’re bound to also reap the many other benefits that come with meditation!

 2 Listen to Inspiring Tunes

I’m a true believer in the power of music and great tunes can be a great tool in lifting our spirits whenever we feel anxious or overwhelmed. Create a special playlist of your favorite inspiring (preferably upbeat) tunes and be sure to have them on hand to give you a spirit boost whenever you feel less than stellar. If you’re up for it, why not kick it up a notch and have yourself a dance party of one while you are listening to favorite music! It may sound silly but I personally have found it to be a great and quick way to lift my spirit and shake off those pesky anxieties.

 

  1. Let it Out

When we are plagued with anxiety, one of the best ways to alleviate yourself from that palpable worry is to talk it out with someone you trust. One of the toughest things to deal with when it comes to anxiety is the facade that you are alone and that you are the only one in the world who is going through challenging times. Feeling anxious and feeling like you have to keep it all bottled up is unhealthy and can often feel excruciatingly difficult.

The truth is, all of us have experienced anxiety and worry and this is why it is crucial for us to be able to turn to our spouse, friend, parent or sibling and share our troublesome thoughts. More often than not, you’d find that they too have experienced similar situations and would able to offer solutions to help you or at the very least, lend an emphatic shoulder to lean on.

 

  1. Jot it Down

If for one reason or another you feel uncomfortable sharing your feelings and thoughts to others, an alternative tool you can use is to keep a journal. That way, you can “spill” whatever you are going throughout and/or feeling in private. There’s something soothing and cathartic in writing out your inner most thoughts into paper that often leaves you feeling calmer and more at peace.

As someone who has journaled regularly since her early teen years, it became evident that most of my anxieties were just stories that I created and that my worries were far from being real. In writing our thoughts down consistently, you too may found most things that you have previously felt anxious or worried about in the past never actually end up happening. Our minds like to play tricks on us, making us focus on the worst scenarios of situations as opposed to what’s actually real and this is definitely something worth keeping in mind the next time we find ourselves filled with worry. As Dan Zadra, a renowned author said, “Worry is a misuse of imagination”.

 

  1. Get Physically Active

Science has provided much evidence that physically active people have lower rates of anxiety and depression than sedentary people (those who are not physically active). Exercise may also improve mental health by helping the brain cope better with stress and feelings of worry. In one study, researchers found that those who do regular vigorous exercise were 25 % less likely to develop depression or an anxiety disorder.

Whatever type of exercises you prefer, aside from being extremely beneficial to our health and fitness, making sure that you get your regular dose of exercise is a great way to reduce anxiety. Though it sounds counter-intuitive, exercise actually increases our endorphin levels which are our body’s “feel good” chemicals and this, as a result, helps us burn off excess adrenaline that we produce when we are at a heightened state of anxiety.
About Lystia Putranto

Lystia is a personal & professional development blogger who seeks to inspire and to motivate people to create and to live out their best lives. A proponent of meditation, she actively encourages those who seek to become their best selves to integrate meditation as part of their daily routine.

 

Fighting mental health stigma: a personal journey

~ Eleanor Segall ~ 2 Comments

I have had bipolar disorder for almost 13 years, along side depression, anxiety, psychosis, hypomania and manic symptoms- which ebb and flow and fluctuate. Now that I am on the right medication these bipolar symptoms are kept under control. For most of these 13 years, I didn’t feel I could speak out about my conditions.

My family and close friends have always been very supportive but I felt ashamed. Ashamed of where my brain could go to when unleashed and its chemistry got confused. Ashamed of why I was either suicidally depressed or hyper and manic to a point of having to be sectioned to a psychiatric ward. Ashamed of my illness, confusing my identity with the illness, which made me worried about others judgement of me.

I was diagnosed at a very vulnerable age- 16 years old and as we know teenagers can be cruel. Although I experienced a lot of kindness and empathy, after a hypomanic episode abroad where I was disinhibited, I experienced a lot of cruel rumours from other teens I knew. Rumours that were stupid but that called me many names and compared me to evil things that I do not want to repeat. What was at the most basic of these insults? In my opinion, fear.

People fear what they cannot see and cannot understand.

People in their teen years do not want to be different- and I was the embodiment of difference.

If people can’t comprehend something and it is threatening- they judge or use name calling to feel better.

At 16, I represented a world of chaos at which many could not understand. Perhaps now they will.

I have spent a long time coming to terms with my illness and what it means, finding the right treatment and medication and the right support networks around me. I have incredibly supportive friends and family.

So what does the above treatment boil down to?

Stigma.

Stigma is according to an online dictionary- ‘ A mark of disgrace associated with a particular circumstance , quality or person’

For so long, I felt this ‘mark of disgrace’ and until I was 25, although close friends and family knew about my illness, I didn’t write blogs the way I do now. This was because I wanted to hide this illness that lodged in my brain chemistry.

I don’t want to hide any more and neither should I.

In 2014, I was hospitalised and sectioned for a severe manic episode encompassing psychosis, delusions and hyperness/ disinhibition.

It was shortly after going through the most traumatic experience of my life that I realised. Life is short. I need to help others. If I can break down the stigma and help others through my writing and other work then I will.

Mental Illness must no longer be a ‘mark of disgrace’ but must be seen as a partly physical illness in the brain, deserving and worthy of good treatment and empathy from others.

This post is dedicated to those friends who asked me to write on this and all my friends for their love and support

As the year draws to a close…a round up

~ Eleanor Segall ~ Leave a comment

I can’t believe its almost 2017 and my blog is 9 months old!

So much has happened this year- there has been a lot of change. Most of it has been good change.

In the last 12 months:

– I worked in 2 new roles in schools working with primary age children with special educational needs.

– I left to become a social media manager and writer and leave teaching- a massive change and hopefully has been for the good. I now have my own website and have written for different charities and publications and this is so exciting.

– I went to Prague with my Dad for his 60th birthday and we had lots of fun visiting the castle. I also went to the sea side with my best friends family and her children and we had lots of lazy summer day fun, including visiting seals off the coast of England!

– I saw several awesome shows at the theatre- my other love:  Motown the Musical, In the Heights, Guys and Dolls with Rebel Wilson (for my birthday with Katie), Wonder.land at the National Theatre, Curious Incident of the Dog in the Night time and Dreamgirls the Musical. All were fab. I am very lucky to live in a country where I can see all of these amazing shows and loved them.

– 2 of my cousins got married this year which has been really amazing celebrating family weddings with those I love.

– I have been blessed with wonderful people in my life-you know who you are 🙂

Of course there have been hard times but writing and experiencing and sharing has been so wonderful. My bipolar and anxiety have at times been difficult in terms of panic attacks but I am generally much better and healthier at the moment.

Wishing you all a happy and healthy year ahead.

Monday Update: Rethink and Thank You

~ Eleanor Segall ~ Leave a comment

This is just a short update post- I just want to thank everyone who visited my blog as a result of my Rethink article and everyone who read the article and found it useful!
It is always a pleasure to write for such an important and caring charity and I love writing and partnering with Rethink.

I have also been receiving some brilliant guest posts to my inbox which will start going up soon.

Thank you for making the Be Ur Own Light community the shining light that it is and is becoming.

Love from a cold, grey London but with warmth 🙂

Surviving Depression and Suicidal thoughts: a blog for Rethink Mental Illness

~ Eleanor Segall ~ Leave a comment

beyourownlight
https://www.rethink.org/news-views/2016/12/surviving-depression-and-suicidal-thoughts

Thank you to Rethink for publishing my blog under a pseudonym, for the graphic and sharing my story of hope over adversity.

Rose is the blogger behind Be Your Own Light blog, which provides great articles about living with mental illness, from both herself and guest bloggers. Below she talks to us about how she has dealt with depression and suicidal thoughts. 

When I was 15 years old, I experienced my first depressive episode. I felt unable to leave the house or see friends as the depression brought about an increase in anxiety . My parents looked after me as best they could and I was taken to see an adolescent psychiatrist who put me on anti depressants coupled with therapy. I gradually got better again with time and managed to do well in my exams.

I was eventually hospitalised voluntarily after more periods of illness and at 16 years old, diagnosed with bipolar affective disorder. Understandably, the diagnosis changed my life. I am now 28 and have been taking medication since then. Not long ago, I survived a suicidal depression that I had in the winter of 2013, 6 months before I went into hospital.

At this time, It was apparent that for several years my medication was not controlling my low moods. I would get really depressed very quickly, feel overly emotional when stressed and felt like I had to hide myself away. I began sleeping too much to escape the inner turmoil and to get respite. Sleep became my balm and escape.

However, it was when I began sleeping from 9-5 pm with a quick break for food, not getting washed and dressed or answering my phone and not being able to get in to work, that the psychiatrist was called to the house to see me.

I remember crying and crying- in such pain in my mind. For me, the depression felt so chemical- I knew I needed to change my medication but I didn’t know why everything felt like ‘wading through treacle’. Why couldn’t I find the joy in life anymore, I asked myself? I just couldn’t cope with the painful negative thoughts and feelings and started thinking irrationally that I would be better off not here in the world.

These suicidal thoughts were extremely challenging to deal with.  I was so scared by them that I would tell my parents constantly how I was feeling. I wanted to get the thoughts out my head and so telling people became my salvation- I believe if I had bottled it up, I may not be here today.

Eventually, over time, my medical team worked together to put me on the right  medication- Lithium. The Lithium has changed and saved my life. My brain chemistry is stable, I no longer feel suicidal or depressed. I get up early in the morning and I want to do things with my day. This took a long time but to anyone feeling suicidal- please reach for help.

You can get better- it is your brain playing tricks on you with an illness. I want to spread a message of hope, recovery and survival- life can be dark but if you hold on there is hope. 

Monday Afternoon Thoughts

~ Eleanor Segall ~ Leave a comment

monologue3

Its strange to think that only two months ago I was working in a completely different career. I love children but teaching brought with it what felt like endless morning panic and panic attacks so I had to give it up.

However, since giving it up I have rekindled my love for writing and blogging and working as a social media manager. I love seeing social media grow and building presence for people and I love writing and sharing my message about mental health to the world.

I am pleased I have found something so fulfilling and I feel like this is what I am meant to be doing.

So, as I look forward to the week ahead, I must also remember to work hard and rest well also. To get enough sleep, eat good food and keep my spirits up.

Thankfully I have been so much better of late too in terms of my bipolar and general health.

Have a wonderful Monday to all my followers and readers! I hope you are all well and I send you love from London.

Surviving mental illness while practising Judaism

~ Eleanor Segall ~ 4 Comments

This post is being dedicated to my friend Helen Brown who wanted to know how being an Orthodox Jewish woman works and is compatible with having a mental illness. How supportive were the Jewish community when I was ill and what does Judaism mean to me?

So:

Let me start by saying that I was born into Judaism and raised Jewish, in a Modern Orthodox, United Synagogue Household- meaning I keep Kosher, rest on the Sabbath and observe all the festivals, learn and pray when I can. I also practise ‘tzniut’- dressing modestly and endeavour to live my life with the positive values of the Torah (Old Testament) bridging modern society .  I have a great love for and appreciation of Judaism and I have found that it has kept me going through many difficult times.

Prayer in particular has had a very important resonance in my story. When I was ill in hospital with a bipolar episode two years ago, my friend brought me a tehillim prayer book- the Book of Psalms. Another friend brought me a book of strengthening hopeful quotes from Rabbi Nachman. Every day, I prayed to God to release me from my illness, to give me strength and to give me a full and complete recovery. I prayed that the Doctors and nurses would support and help me, and they did. I found freedom through my religion, even if I couldn’t always understand why this particular test was in my life. My friends also lit candles on the Sabbath with a prayer that I would get better and prayed for me.

The support from the Jewish community during this time was incredible. Rabbis visited me with warm chicken soup, cakes, wisdom, advice and prayers. Friends and family rallied round to visit and bring me food, soft toys, cards and themselves. The kindness was immense and never will be forgotten.

However, there is still a stigma against mental illness in the Jewish community, as there is in most other communities.  When I first became ill at 16, I was ridiculed my many who did not understand the meaning of a bipolar manic episode. To this day, I believe there is a woeful misunderstanding and knowledge of psychosis- delusions or hallucinations. There is also a stigma when looking for a marriage partner, if using a matchmaker. I was taught by many to keep quiet about my illness and I still do not readily give the information unless it will help someone else.

Not everyone understands medication or psychotherapy and I am on a mission to educate everyone so the stigma can fall. I am a Modern Orthodox Jewish woman.  This means I love God and want to live by His laws, whilst enjoying the modern world of theatre, books, cinema and culture too.

I believe that I was ill for a reason, whether its brain chemistry, a test or both. What I do know is that the community now is changing- there is much more support and kindness.

We only have to look at the new Jami (Jewish Association of Mental Illness) Head Room Café (a social enterprise cafe raising money for the charity) to see that. The funding and support Jami is getting and its new prominence.

There is still more to do, but we as Jews (and non Jews) have a duty to support anyone who is ill- whether its in the mind or the body.

Guest Post: Inner Self Talk The 7 Words that hold you back

~ Eleanor Segall ~ Leave a comment

Michael J. Russ- Author and Adversity Coach

Your inner conversation, also known as self-talk, exerts more influence over your attitude, achievement, time, success, happiness, relationships, and overall prosperity than you can imagine. Self-talk is best defined as the thoughts and words you use to describe you and what you are doing.

Regardless of whether your inner dialogue remains in your head or is expressed in conversation, there are seven words that can hold you back. These words are: hard, difficult, tough, impossible, can’t, try and never, and usually make an appearance when referencing current and future actions, especially those related to adversity.

Why should you stop using these seven words? Aside from focusing on the negative, they generate unnecessary additional mental adversity and sow seeds of doubt that prevent you from fully committing.

Do you occasionally find yourself saying, this is going to be hard, it’s tough for me, or I will never finish this? Is there some rule that says something will be hard, tough or difficult, or that you will never get something done?

Have you ever heard a coach tell their team a game will be tough, difficult or impossible to win? Of course, not. A coach would never plant such a thought virus into the heads of their players.

When you approach tasks, goals, and intentions, use self-talk that affirms and supports what you want to happen, instead of what you do not. Thinking and saying, I can do this, is a great example of affirmative self-talk that opens pathways to producing your best effort. The phrase is simple, yet very empowering!

Right about now, you are probably wondering what I suggest you think and say in place of the seven words I recommend you drop from your self-talk vocabulary. In my view, simply referring to a response or future action as a challenge is more appropriate because it does not generate additional mental adversity. Examples of its use would be, cleaning this garage is going to be a real challenge or my health is my greatest challenge. These statements position you for what you must accomplish on the road ahead—igniting strength, will, creativity, and inspiration, as opposed to mountains of negative feelings and emotions that hold you back.

Framing actions as challenges might seem trivial, ridiculous, or even uncomfortable at first. What you will soon experience, however, is a noticeable difference in the way you
think and feel. Viewing actions as challenges sets the stage for mental clarity, optimism, possibility thinking, inspired actions, and miraculous aha moments.

Establishing clear goals and intentions and then crafting an inner conversation that supports them is crucial to making self-talk your most important resource and greatest ally for achievement and designing the life you envision. If you find it too great a challenge to keep the seven words I mentioned unsaid, remember this sage advice, if you can’t say something positive, don’t say anything at all.

About the author:
Michael J. Russ is an international bestselling author, inspiring speaker/trainer, and the founder of Zero AdversityTM Coaching & Training. This article was adapted from his international bestselling book, Zero Adversity: 3 Practical Steps to Freedom, Fulfillment, and Creating an Authentic Life, where he outlines a practical 3-step method everyone can use to experience balance, freedom, and prosperity in their life. Michael can be reached via email at inquiry@michaeljruss.com. http://www.michaeljruss.com

Guest Post by Richie: Dealing with anxiety, Live Your Now

~ Eleanor Segall ~ 4 Comments

everyday
(image:weheartit.com)

I was honoured to be asked to write a piece on anxiety for this wonderful blog.  I’m Richie, and I’m a mindfulness coach – one who happens to have had anxiety for as long as I can remember.  The thing is, I didn’t always know I had it.  I’ve been researching positive psychology methods etc for many years, but I wasn’t coping so headed to see a counsellor who referred me for a course of CBT after having pointed out – Sir, you have bad anxiety.

Me?

Yes I’d had panic attacks, people would describe me as quite reactive, amongst other things – and after all these years, to discover it was my “fight or flight” mechanism going into overdrive & attaching to situations in had no business being in, well, I was not impressed to say the least! How did I miss this? I felt initially extremely put out by this, I saw myself as a “fighter” – I got on with things, my panic attacks were just “stage fright” (I was in radio/music performance etc), my OCD a quirk of creativity and all that jazz! Right?

Wrong.

This is when I began to understand more fully the stigma associated to “mental health”. A somewhat wishy-washy term to people not familiar, or plain ignorant of the facts (as I myself was), as it’s often attributed to needing to just “chill out” or, “stop being so depressed” etc. At some point in life, many people will experience bouts of some kind of mental illness – after traumas, disappointments, or for some no seeming reason at all! But then, even the most healthy people can catch a cold.  And that’s the issue. Mental Health is a physical issue, that cannot be seen, and therefore for some is like trying to see oxygen.

My advice is simple on this matter; for brevity.

Acceptance & ownership

Firstly, accept it’s a physical thing, and take ownership and understand the physical things in the mind that are taking place. This helps separate you from the thought that you ARE your anxiety/depression etc. This is simply not the case.

If you catch a cold, you don’t say you ARE your cold. CBT helped me understand the mechanics of it, and have useful approaches, but for me (and we’re all different), I find mindfulness to have been the most helpful because it teaches to not identify as “being” depression/anxiety etc. This begins a process of dissociation of identifying as “being” depressed/anxious, and instead acceptance of what it is, how it functions, learning how it feels, and gradually gaining a level of understanding and feeling of when it’s occurring – and how it can shape/affect our feelings/emotions and therefore behaviours/reactions.

Experiment with techniques

Secondly, experiment with ways that can help you day to day – of course, seek professional help, but there’s also much that you can do independently. Breathing exercises (massively effective!), reminding yourself that the depression/anxiety doesn’t make you who you are, try things like mindfulness which teach us to detach from thought.

I also personally use meditations, guided or technological, hypnosis, even things like “EFT” (emotional freedom technique – or tapping), reading positive books, listening to uplifting music, and actively managing thought processes as and when I can.  Using mindfulness to compliment allows for being more in touch then, with which techniques are being more effective for you in the moment.

Is anxiety still there? Oh yes! But the more I practice these techniques (and you will find what works for you) and indeed, share them with others, the more aware I become of “anxiety”.

Reframing

Lastly; I have also reframed my anxiety, because without that fight or flight mechanism, our species would not likely still be here! So it’s important! It’s evolved in our species to protect us – and there are times that flood of adrenaline etc is critical. We certainly would not wish to be without it, but the chances a tiger is going to jump out and eat us are hopefully not too prevalent in your neighbourhood…

My experiences prompted me to begin @LiveYourNow & @Rmindrs on Twitter where I post daily mindfulness reminders, engage, and encourage others to talk – and hopefully create a few laughs too! (Laughter releases great neuro-chemicals!)

Be forgiving of yourself, understand you’re on a journey, and when you find things that help you, share them with others. The more we speak openly, the less stigma is attached, and the more others who may be suffering in silence may feel comforted and confident to speak out and seek assistance.  I have been witness to that now multiple times, and it’s truly a wonderful thing when we accompany each other, in compassion, on our healing journeys.

Thank you for reading! I hope it brings even just one person comfort/hope.

To your greatest life,

Richie – @LiveYourNow