Category: Anxiety

Drawing my sanity: Art during hospitalisation (for Rethink Mental Illness)

~ Eleanor Segall ~ Leave a comment

colouring

 

My latest article for Rethink Mental Illness about how art therapy healed me when in hospital. I hope you like reading:

https://www.rethink.org/news-views/2017/2/art-therapy

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 Rose talks about art therapy and the impact it had on her whilst she was in hospital. 

I am 28, and with diagnosed bipolar and anxiety disorders, I have tried many forms of psychotherapy and creative therapies in my life. These have included various talking therapies, cognitive behavioural therapy, mindfulness, meditation, therapies for anxiety disorders and more. However, today I would like to discuss a therapy that was key to my recovery from bipolar psychosis in hospital, on the ward and on the after care day unit – Art.

It sounds simple right?

In 2014, I was sectioned under the Mental Health Act with a manic bipolar episode, including psychosis. I was very unwell and needed medical treatment to stop the psychosis and racing thoughts/actions. In all, I was in an all-womens psychiatric unit for 3 months. While 3 months doesn’t sound like a long period of time, it felt like it.  Every day was spent on a ward where I was away from friends and family and had to get used to new routines, new nurses and doctors, and new patients being admitted – at times the ward was a very chaotic place. I was also in chaos in my own mind due to my mania and psychosis – at times I couldn’t sit still.

Gradually over time, as the medication prescribed by my psychiatrist kicked in, I was able to be a bit calmer and join in with the activities on the ward. One of these was art therapy. My favourite thing to do, in particular, was to sit by myself colouring and rip out images from magazines brought to me – to make them into collages. These were then backed on sugar paper to decorate the clinical hospital walls of my room. When I realised I would be there for months, I set about making my room as homely as possible. I made collages with celebrities I admired, on themes and calming pictures on my wall. The ward had colouring sheets and I would often colour in pictures and I found sometimes it helped with the boredom and would calm me down.

I sat in on a group art therapy session on this ward, which I did find challenging, due to the fact that the therapist was analysing our pictures in front of other people. I felt more comfortable taking myself off and creating pictures and collages in my room or with my friend on the ward, than having that level of analysis at that point.

Indeed, when I was well enough to leave that hospital ward, I spent a further 3 months on an acute day treatment unit – a hospital  day unit with group therapies and classes. When there I would often take myself off into a quiet room to colour with colouring pencils. I found colouring so soothing.

It was during this point when I had come home (from the trauma of all I had been through), that my anxiety levels rose. At one stage, the only thing that would focus me at home and would bring my anxiety level down was colouring in pictures or patterns, so  I bought colouring books to do it in. The world seemed frightening but I was able to reduce it down to the page and picture I was colouring in – a sort of form of mindfulness art therapy.

I have found that creating positive art or the act of colouring in a serene (non triggering) picture, has been pivotal in my recovery. In combination with a new mood stabiliser and courses of talking therapies, I have found that art has healed and soothed me at times when I have felt overwhelmed, anxious and unable to cope. I am now fully well and looking towards my future – but I will always be grateful to those therapists who left out colouring pictures for me to do, who lent me card, glue and glitter and said – “if you want to do it, create.” That creation helped me heal.

 

My article for Self Harm UK- ‘I don’t want to hide anymore (about stigma)’

~ Eleanor Segall ~ Leave a comment

I am delighted to announce a blog collaboration with the amazing charity Self Harm UK (a part of Youthscape).

I have written a blog for them on my experience of mental health stigma as an ill teenager and what made me speak out further. In the past, I have had self harming thoughts and I myself like reaching out to teens and young people who are suffering out there- so they know they are not alone. I am so pleased to collaborate with Self Harm UK on this and my article can be found here:

Click here to read my article:

https://www.selfharm.co.uk/articles/i-dont-want-to-hide-anymore

Who are Self Harm UK?

From their website selfharm.co.uk:

‘ SelfharmUK (formally selfharm.co.uk) started out of the work of Youthscape, a local charity based in Luton, Bedfordshire, UK. Since it’s beginnings in 1993, the charity has developed a strong and professional reputation for delivering caring, child-centred work, which focuses on the emotional and social needs of all young people. Youthscape works alongside all young people, regardless of race, background, or faith.

By 2004, Youthscapes’s work increasingly involved young people engaging in self-harm. It wasn’t long before a plan began to form to try and reach them them, starting with the provision of informal support groups in local schools. With the help of funding from BBC Children in Need and other grant-making Trusts, the project was able to appoint a specialist staff team in 2005 and develop a more coherent provision that included art projects and therapeutic group programmes. Training and advice for parents and professionals soon followed, in conjunction with the Local Authority and local schools.

In 2008, Youthscape responded to the growing number of enquiries for support and advice coming from outside Luton by beginning to plan for a national project that could support young people from all over the UK. Further planning and fund raising led to the establishment of SelfharmUK later that year and the appointment of a Project Manager

The development of a website was a key part of our initial vision… to have a safe online space available to inform and support young people who self-harm, as well as cater for the needs of their siblings, parents and friends. We also wanted to provide information and training for professionals like youth workers, teachers and social workers.

We wanted to create a safe, pro-recovery site for people to use to communicate with others and express their experiences through the use of blogs, stories, poetry and art. Our next goal was to develop an online group programme – Alumina – which has enabled young people from all over the UK to engage with our staff in real time in order to explore the deeper issues surrounding self-harm. For some it had been the catalyst needed to reduce or stop their harming behaviour, while for others it has proven empowering, enabling them to seek further support in their local area.

We already have a multimedia training programme available to professionals in the UK. Our ongoing vision is to see this rolled out more comprehensively; to serve every part of the UK in supporting and nurturing young people who may be experiencing difficulties with self-harm.

There remains much to be done but we remain committed to improving the lives of anyone impacted by self-harm. Providing effective support for parents and siblings will be a major goal in the near future.

For now, the project remains part of Youthscape as a separate element of this registered charity.’

 

The best way to support a friend or family member through anxiety and depression.

~ Eleanor Segall ~ 1 Comment

I have been asked by my friends to write an article about how best to support someone through a mental health issue. There is not a one sized fits all answer, due to the fact that every illness and person is unique with their own brain chemistry and life experience. However, I am  going to offer a few tips on what you can do if someone is suffering from an anxiety disorder or depression (for this article I am going to leave out other illnesses eg bipolar, schizophrenia, psychosis, addictions but will speak about them at a later date)

So what can you do if your loved one is suffering from  an anxiety disorder/ depression?

Anxiety disorders are a group of multi faceted disorders which can include things like generalised anxiety, social anxiety, health anxiety, OCD, PTSD and more. Your loved one may be suffering from lack of sleep, nightmares, inability to sit still, palpitations, racing or obsessive thoughts, panic attacks and hyperventilation. They may feel more on edge, or in the case of OCD- be checking and analysing everything. Anxiety disorders run in certain patterns and all are unique to the individual- what one person with anxiety may have will be different to another, however there are some general patterns to anxiety.

When a person is suffering from anxiety, they may also have physical health symptoms as above due to the increase in adrenaline and the stress hormone, cortisol.

Depression or depressive disorders are sometimes caused due to a chemical imbalance in the brain (not enough seretonin) and can require medication to return the brain to its usual state. Some are a mixture of chemical imbalance and challenging life experiences or brought on from a period of stress eg divorce, moving house, losing a baby, having a baby, being unemployed etc . Symptoms typically can include loss of motivation, feeling tearful, low and hopeless, not wanting to engage socially or be involved with activities one enjoys.

If your loved one is suffering from anxiety or depression the best way you can help is by speaking and interacting with them calmly- not judging them or accusing them of anything bad, but simply being a laid back, supportive friend or partner. If someone can’t socialise, its best to just text once in a while and check up on how they are doing- or send a hand written note or card. Most importantly, do not pressure the person to see you, talk to you or go out.. but just be there for them calmly as a listening ear and encourage them to do small achievable things for themselves.

It is good to encourage your friend to go out with you but not to pressurise. Similarly, getting a bit of fresh air can help. If your friend or loved one is at crisis point ie threatening to take their own life, feeling suicidal, not eating or sleeping and being involved in self harming or risk taking behaviours, it is very important to do the following:

1) If a friend is suicidal, listen to them but do not promise to keep it a secret. You must tell their nearest relative/ best friend/ someone they trust if you believe they are in danger of a suicide attempt or at harm to themselves . Encourage them to see their GP immediately or speak to a help line and the GP will be able to tell you if a psychiatric referral is needed. A psychiatrist and team known as the Crisis Team will then  step in to help.

2) If a loved one you live with is suicidal, go with them to the Doctor or get a doctor to come out to you. There is stigma around this BUT if your loved one is really ill and their brain is effectively temporarily ‘broken’ much like a broken leg, it needs fixing. Your loved one needs help and support to recover whether its medication, counselling or more support at home. Do not blame yourself. This is an illness- not something you have done.

Ultimately, be loving, caring and supportive and CALM- however angry or frustrated you feel. Being frustrated to someone who is unwell can cause them to have feelings of guilt, low self esteem or worthlessness which the depression/ anxiety may perpetuate.

Be there as a support and listening ear but make sure you have a break and take time for you too.

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.