(image: Mark Simmonds and Lucy Streule)

What inspired you to write a book about yours and your daughter’s journey with mental health?

It was July 2017 and I was attending a summer party, hosted by the Marketing Society, the organisation that brings together business people working together in the areas of marketing and advertising. Gemma Greaves, the CEO, was delivering a speech, during which she announced that the Society was going to join the mental health crusade. This seemed odd, slightly incongruous. But then it dawned on me that times had changed. Mental health was no longer the taboo topic it was when I suffered my mental breakdown back in 2001.

Everyone was talking about it now. I also had another 16 years’ experience under my belt, including caring for Emily, my daughter, who suffered from anorexia from 2012 until 2018. So, I had no excuse but to come out of the mental health closet and leave a legacy of sorts to the world. And even if that book helped just one person, then it would have been worth the effort.

How did you manage to recover from your stress, anxiety and break down, what helped you?

It was the 19th July 2001. Extreme stress at work had brought on the panic attacks, which were soon followed by a mental breakdown and the onset of severe agitated depression. I was no longer communicating with my wife or my three young children, even though we were all living under the same roof. That morning, I went cycling down a country road. My brain felt like a jumble of spaghetti when I collided with a 10-ton truck. It appears I tried to take my own life.

That’s how I recovered from the breakdown, because when I woke up in the John Radcliffe Hospital in Oxford a few hours later, the dense fog seems to have lifted. From that point onwards, I began to behave like a normal human being. No idea why. The physical impact caused by the accident to my brain? The awful realisation that I had come within a whisper of losing my life, my wife and my kids. There are far more conventional ways of recovering from breakdowns, but that was mine.

How did I recover from stress and anxiety? To be honest, I haven’t! I have simply learned to manage it over the years. I have put banisters in place that help keep me on the straight and narrow: I pick the right working environments, I manage my own expectations and set realistic goals. I satisfy my needs as an introvert. I take medication. I sleep well, eat well, exercise enough. But like all mental illnesses, be aware that it’s always lurking in the bushes, ready to pounce at moments you don’t expect.

(image: Mark Simmonds and Lucy Streule)

Did you find that Emily received good care and how did you help support her?

Yes, Emily received excellent help and support both from the NHS (Buckinghamshire Child and Adolescent Mental Health Services, the Highfield Unit and Cotswold House, Oxford) and from the Cardinal Clinic near Windsor. The dedication and professionalism of all the staff was outstanding and they did their absolute best to help Emily through the illness. But here is the thing. The quality of the support and the hours spent coaxing a patient back to health have little effect or impact until that patient wants to recover.

It took Emily 6 years to decide that she had had enough of anorexia. and it was only then she finally got better. Anorexia (or Ana as we ‘affectionately’ called her) was a brutal enemy, unforgiving and merciless. More than a match for even the most qualified, most experienced doctors, psychiatrists and counsellors.

As a father, what was it like to see Emily struggle with anorexia and to try and save her at the time?

I have suffered from depression at various stages in my life and have experienced living at the bottom of the dark pit where Emily found herself. So, it was painful to watch her suffer because I knew exactly what she was feeling. The upside was that I was able to empathise and sympathise with her. I got it. And the way in which I talked to my daughter and tried to support her was more in line with what she needed. People who are suffering from mental ill health don’t respond very well to rational or logical arguments because their brains are temporarily ‘broken’. The neurotransmitters are not connecting with one another. They need lots of hugging, hand holding, being listened to and loved. An irrational and emotional approach is more effective than a rational one.

Where are you both now in terms of recovery?

As far as my daughter was concerned, it was just 12 months ago when the full-blown Anorexia Wars came to an end. We are all fully aware that war could break out again sometime in the future. As a good friend described it, all we could hope was “that Ana will get incarcerated and gagged in small section deep in Emily’s brain, a high security area from which she can never escape.”

Thankfully, at the moment, our daughter is flying high. She is living and working in London for ITV, eating well, drinking alcohol in moderation (trust me that is a positive thing!), firmly back on track.

As far as I am concerned, life is great. As I mentioned earlier in this piece, I don’t think that you ever escape fully from either stress or anxiety, but I am determined not to let it get in the way of doing great things, trying new stuff, taking risks, saying things that you might regret, taking on people with whom you don’t agree. I want to make sure I end up under the right tombstone.

How has reaction to the book been and how was the writing process?

The writing process was a joy! I loved more or less every minute of it. Working closely with Kasim, my editor at Trigger to agree the overall shape and structure of the book, researching stories and expert perspectives/points of view to add colour, collaborating with the wonderfully talented graphic designer, Lucy Streule, around the illustrations. And spending hour after hour with my wife and family editing, tweaking, improving the book. A wonderful experience.

The reaction has been great, both from friends and from people I have never met.

Alastair Campbell comes into the latter category and he kindly agreed to endorse my book. This is what he said: “I loved this book and devoured it in a single day. Whether on his own illness, his mother’s or his daughter’s struggles, Mark writes clearly and without sentimentality. He is brutally honest about the reality of mental illness across the generations with important insights about how to survive it. Though it is filled with sadness and heartbreak, ultimately his story is a testimony to the power of love and of the human spirit.”

Mark Simmonds published his first book, Breakdown and Repair, with Trigger Publishing, in March 2019 (https://www.amazon.co.uk/Breakdown-Repair-Fathers-Success-Inspirational/dp/1912478994). It provides a full account of his daughter’s struggle against anorexia and is illustrated by Lucy Streule. It also talks candidly about his own experiences with mental ill health.

You can also follow Mark on Instagram (mentalhealthmark).