Nobody’s Perfect: An Update on life with Anxiety

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I have put off writing for several weeks just because its so hard to make sense of everything going on in my brain, in terms of my anxiety disorder.

I have had so many good things in the past few weeks but I am also battling anxiety around work. I love my job but past events relating to employment have made me afraid subconsciously. I very much need to unpack these fears with a therapist- I have been on the therapy waiting list for a year and a half. In a few weeks, I will be seeing my new psychiatrist (roughly the 12th/13th one in 13 years due to high staff turnaround!)  and I hope that he will escalate my therapy. I desperately need help with this as I get morning panic attacks around these fears. Despite using self help methods like meditation, these fears can be all consuming and stop me from going into work.

It is incredibly difficult for me to write about this because its so personal and because I love what I do. However, I have been struggling and I hope by writing that yes, I do get panic attacks about my fears, I can also make others feel less alone.

I did get some respite from these fears and work have been very supportive of me. I was able to go with my friend for a week on holiday to Madeira, a Portugese island off the main land near North Africa. Its a beautiful island, filled with terracotta roofed houses, turquoise seas, dolphins, whales and  turtles, friendly people, bright sunshine and palm trees. We went on a boat trip and got to see some spotted dolphins and relaxed in and by our hotel swimming pools. Not to mention the love for Cristiano Ronaldo on the island, as he is from there and the airport is named after him! It was a really restful and fun trip. I wasn’t anxious all week- as it seems to get triggered by specific fears and situations.

I just hope to get back to full health again and get some extra support around the fears that are fuelling my panic.

I tend to beat myself up about having an anxiety disorder and feeling ‘incapable’ of doing certain things. I am learning self love and to be calmer and to just see my anxiety as a hurdle to be overcome. I may be a perfectionist who hates letting others down
– but I am learning, like the Jessie J song, that Nobodys Perfect. 

Guest post: 5 Tips to Survive Opiate Withdrawal by Bill Weiss

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Bill Weiss shares his knowledge about drug and opiate addiction and how to recover, talking us through the withdrawal process in a safe way. It must be done under medical supervision.

An addiction to heroin or one of the many prescription opiates, such as Vicodin or Percocet, comes with intense withdrawal symptoms. For many, the withdrawal symptoms are what drive them into an early relapse, in hopes of ending the symptoms rather than enduring them.

 The withdrawal process can be unbearable, but there are ways to make it easier. In order to prevent early relapse, let’s break down the opiate withdrawal timeline and how a person can alleviate some of those symptoms.

The Opiate Withdrawal Timeline

One thing that’s important to keep in mind is that each person’s withdrawal process will be a bit different from the other. Withdrawal symptoms fully depend on the individual, his or her habits while using, and the addict’s brain chemistry. Opiate withdrawal symptoms can range from mildly uncomfortable to severe and debilitating.

 The reason opiates cause such intense withdrawal symptoms is because of the effect they have on the user’s brain. Opiates impact the opioid receptors, which are found in the central nervous system. By targeting the opioid receptors, they adjust the brain’s response to pain while the drug is in the user’s system. This causes both physical and emotional effects, numbing the pain both physically and emotionally. Medically, this is why many doctors prescribe opiates as a pain killer.

 Unfortunately, if a person uses opiates long enough, it alters the chemistry of the brain. Eventually, the brain relies on the drug to control any amount of pain, big and small. When a person abruptly stops providing this supply of opiates to the brain, everything suddenly becomes unbearably painful as the body is no longer able to regulate pain. This sudden onset of pain signals flooding the brain is withdrawal.

 The early stage of withdrawal typically lasts for 24 to 48 hours, and it can start anywhere from a few hours to 30 hours after the last use of the drug. This can include muscle soreness, irritability, trouble sleeping, sweating, a rapid heartbeat and a lack of appetite.

 Fortunately, that earliest stages are the toughest. Later withdrawal symptoms can also be difficult, though, as cramping, shaking, nausea and vomiting may continue. The worst of these later withdrawals usually ends within a few days of sobriety, though for some may continue on for several weeks.

 Most people find that the majority of their withdrawal symptoms are gone after about a week. There may be some lingering anxiety and nausea afterwards, which can lead to a lack of appetite. Cravings for opiates, however, often last much longer.

Getting Through the Withdrawal Process

Opiate withdrawal is no picnic, but finding the right strategy to get through it can help. These are five of the best ways to get past those withdrawals for a successful detox and recovery.

1. Try Tapering

A popular method for people to stop using opiates is the taper technique. As the name suggests, it involves the person slowly tapering down the amount of opiates he uses. The benefit of this technique is that it causes less severe withdrawal symptoms than if the person simply decided to quit abruptly. However, it requires the mental discipline to keep reducing the amount of opiates used and eventually stopping use entirely.

 Just like a user will develop a tolerance for opiates and keep needing larger doses to get high, that process also works in reverse. If he can cut those doses down gradually, he’ll need less of the drug and his brain chemistry will start getting back to normal. For many, another option is to supplement the detox with Vivitrol. Vivitrol breaks the cycle of opioid addiction by lessening the symptoms of withdrawal.

2. Join a Support Group

One of the hardest parts of withdrawal is going through it alone. They can break a person down mentally and physically. A great way for the person to get support and stay on the right track is finding an addiction support group in his area.

 There are many ways that a support group can help with opiate withdrawal. Other members of the group can provide suggestions on what helped them get through the withdrawal process. Support groups also offer constructive activities, such as boosting self esteem during addiction recovery. These activities are crucial to surviving the withdrawal process and preventing relapse.

 Most importantly, being part of a group lets the person know that he is not alone in his struggle. If he has felt down on himself, a group of people who understand what he’s going through can help him maintain high self esteem.

3. Try Over-the-Counter Medications

Many of the most common symptoms of opiate withdrawal can be reduced by using popular over-the-counter medications. Tylenol and ibuprofen are two options that can help a person deal with the fevers, muscle aches, chills and sweating that come with withdrawal. Keep these medications on hand so that you can take them as needed.

4. Keep Getting Nutrients

Because of the nausea caused by opiate withdrawal, it’s often hard to eat or drink. This can make withdrawal even more difficult due to the lack of nutrients being consumed.

 Stocking up on foods that are easy to eat is a smart move before detoxing. Bananas are one option that tend to go down easy, or the person can purchase meal-replacement shakes. Multivitamins are a great choice for ensuring the person gets all the nutrients he needs even during withdrawals.

5. Set Up a Schedule in Advance

As the withdrawal process is an intense one, it is best to clear your schedule in advance. There are two key points to clearing your schedule during withdrawal.

 First, clear your schedule of any important responsibilities. Besides the fact that the symptoms will prevent you from doing anything at all, anything that you do during withdrawal will likely be of very low quality. If you are working then take time off of work, if possible. Find a safe, quiet, and secluded place in which you can focus on getting through the detox without any added stress.

 Second, is to set up a different daily routine. Routine is a problem when it comes to drug use because people often get used to their drug habits based on their daily routines. Many grow accustomed to using at a specific time of day, such as before bed or after getting home from work. Adjusting that daily routine can help the person avoid specific triggers that make him crave opiates.

 It may not be possible to avoid withdrawal symptoms entirely, but you can at least make them more bearable. With the right approach, you will be able to get and stay clean of opiates, rebuild your life and develop better coping habits to deal with life.

 Bill Weiss is an advocate of long-term sobriety. As a member of the recovery community, he feels it is important to spread awareness of alcohol and drug misuse in America and beyond. Being personally affected and having family members struggling, it is a personal quest of his to get the facts about substance misuse to light, ultimately enlightening people about this epidemic.

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Stand Tall Little Girl: Hope Virgo- Book Review

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I came across this wonderful book and Inspirational Mental Health book series by new publisher Trigger Press, on Twitter and via a friend of mine who knew Hope. The publisher is part of mental health charity the Shaw Mind Foundation and its book series is about reducing mental health stigma and showcasing inspirational people and stories.

Hope Virgo is a British mental health speaker, author and advocate, a survivor of eating disorder Anorexia nervosa, who continues to break stigma and speak about her recovery and on going battle with anorexia.

‘Stand Tall Little Girl’ is the real story of Hopes journey with anorexia and mental health issues. She talks about her childhood and her first diagnosis and hospitalisation. She describes anorexia as tricking her into thinking it was her best friend and coping mechanism, when it almost killed her. Hopes weight dropped so dangerously low that doctors gave her a week to live- her heart couldn’t take the strain.  At this point she was hospitalised to a specialised unit for year and was able to access treatment to start on the process of being well again.

Hope describes what living on an inpatient ward as a teenager is like and the difficult process of learning to eat and having to eat calorific meals again. She talks about the friends and comrades she made in hospital and the struggle of being in hospital for a year.

She talks about leaving hospital and finding coping mechanisms to live again, about her support network and tentative steps back out into the world, and about going to University and starting to live her life again, whilst still in the shadow of anorexia.

The book is expertly written, with insights from Hopes family about what it was like for them and Hope, when she was unwell and getting better. Each chapter deals with a specific period of time and Hope is very honest about her recovery journey. It is not smooth and she did relapse a few years ago. However, her relapse was better managed as she had developed ways of coping after hospital and most importantly, she asked for help from those around her, recognising she was unwell again.

Hopes story is one of utmost bravery and triumphing against the odds. She is now an advocate, author and speaker for mental health, runs marathons and has a healthy attitude towards food. I loved reading her inspirational, well written and beautiful story.

For more from Hope you can find her on Twitter @HopeVirgo and on the BBC and Good morning Britain on 30th July 2017.   

Bipolar Disorder: Fears and Living with a Chronic Illness

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I have always pledged in my blogs and writing to be as honest as possible- to be authentic- and tell the real story about living with mental health issues.  This blog came about from a Facebook poll and was voted what you wanted to hear about. So, here it is in all its beautiful glory!

Its been a difficult few weeks here with my anxiety disorder (which I will write about another time) and again this just highlights how up and down life with mental health conditions can be.  Recovery is not a smooth process – its always a mix of challenges, happiness, tears, excitement, fear.. mixed with peaks and troughs.

I was diagnosed with Bipolar affective disorder (a mood disorder where you get depressive and manic ‘high’ episodes) as a teenager. The fear at being diagnosed at such a young and delicate age is palpable. You fear everyones reactions and judgement. You fear whether you will be in and out of hospital. You fear whether you will ever be well or whether your medication will hold you. You wonder whether you can pick your life up again or whether you will always be different from your friends and those around you.

I wondered if I would ever go to university, travel, achieve my career dreams, have boyfriends, settle down, live my life again  (I did slowly but it took time and is a constant process). I had no idea what life held in store for me (and at times still don’t!). I am still a work in progress. I had no idea if psychosis would be ever present or if I would carry on feeling suicidal, or if I would spend my life on hospital in patient wards or in countless psychotherapy sessions. Bipolar is chronic because there is no ‘cure’. There are medications to address the chemical imbalance and therapy to help manage life but it cannot be fully eradicated.

I think when you are diagnosed with any chronic illness, you fear with a capital F. You start off by fearing what this means to your life. For me personally, I had to grow up fast. I avoided alcohol and mind altering substances . I made sure I had enough sleep and ate well. I tried to protect myself from negative people- which is hard when you are vulnerable).  I strove for my goals when I was well and relied on my support network when I wasn’t.

I have had to pick myself up countless times. I had years of depression and suicidal thoughts, some at the very time I was completing my Masters Degree. I have had countless anxiety attacks, social anxiety and fears around other people, work anxiety. I have lost my sanity due to a manic episode of illness and had to be medicated, helped and cared for away from home. Even though I am currently well with the Bipolar, the anxiety can take over. I am learning to use Yoga and Meditation to heal my mind and I am doing so much better.

The fear of ending up back in hospital is ever present. The fear of my loved ones having to see me unwell again is palpable. However, my mood stabiliser Lithium Carbonate seems to be holding me well. I no longer feel depressed or manic and my moods are in a ‘normal’ range. I do have certain side effects from medication including weight gain, thirst and having to have heart ECGs or blood tests to check my physical health is ok. This is part of the pay off Bipolar sufferers have for staying mentally well.

There are many uncertain things in my future. Pregnancy could be a difficult time, where I could become ill again and am vulnerable to post natal depression or psychosis. I
will need to be under a consultant specialising in this area.  Life stressors could get too much. However, I prefer to live my life in the NOW, enjoy each day and make the most of each day. I have learnt to be relentlessly positive and with self care and my support network I can get through anything.

There are  still times when I cry and I fear and I live in that fearful place. It is only natural with a condition that flares up at different times- especially in times of hormonal change or life stress. However, I truly believe that by finding positivity and keeping going despite the darkness, I will find the light. My boyfriend, friends and family are wonderful and I couldn’t ask for more support. This is what also gets me through. My belief in God and the Universe, in love and light and good times, will get me there. I will fight to stay well.

We are a Top 100 Bipolar Disorder Blog!

Thank you to Feedspot.com for giving us another Blog award! As well as being a Top 30 social anxiety blog, we are listed as a Top 100 blog for people with Bipolar disorder, at number 49!

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We have been listed amongst some amazing, informative websites! Take a look at the full list here: http://blog.feedspot.com/bipolar_disorder_blogs/

Thanks to Anuj and all at Feedspot for recognising our work!

Anxiety Gremlins: Panic, Exhaustion and everything in between

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This post is probably the most honest one I have written (and as you all know I am pretty open about my mental health struggles).

I am completely and utterly exhausted, tired and fed up. I have been experiencing daily morning panic for 5 days, where leaving the house to go to work feels incredibly overwhelming.

This has happened to me before and I have got through it with exposure therapy and excellent support networks and medical team. I am incredibly lucky also that I work with supportive colleagues/ teams in my job, who go above and beyond to make sure I can be OK.

I am vulnerable to certain life stressors which can trigger my panic attacks and in particular morning anxiety. Due to the adrenaline and cortisol that is triggered during the panic, I feel like I have run a marathon but equally don’t want to sleep too much during the day so I am at home resting, recovering and recuperating. This may mean watching Love Island religiously, but I digress….

I feel like I am constantly on an emotional tread mill. The anxiety gremlins keep rearing their heads. This week has been particularly challenging due to the fact I have had panic attacks every morning. For me, my attacks are more emotional- I don’t tend to get palpitations or hyperventilate, I freeze like in fight or flight and then avoid. The avoidance temporarily stops symptoms but….

Avoidance is the worst thing you can do when you have an anxiety disorder. The worst. And yet we do it to feel ‘safe’ when really the feared event or trigger is not fearful at all.

I know that with support, I can get through this and feel much better. I have been recommended to the charity No Panic by a friend and yesterday I did the Yoga Nidra relxation meditation which calms the mind and body . I will keep trying to conquer the fears triggering my panic disorder- I have tried so much in the past but will have to keep going. I have been on the NHS waiting list for therapy for over a year. So I am having to do a lot of self help methods in the mean time.

Thank you everyone who has offered advice and support. Off to rest but will be back soon.

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Summer Heat Wave and Mental Health Wellbeing

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(painting by Yvonne Coomber)

Here in England, we have been experiencing a heat wave of over 30 degrees (yesterday was 34 and the hottest day in England for decades). Needless to say, we are not really set up for this type of weather and most homes don’t have air conditioning, just fans and open windows!

I have decided to write about this because heat and its effects can very much affect mental health wellbeing.

Heat can make you feel sluggish, tired and overwhelmed. It can make you more vulnerable to pressures and less able to cope. Add to that a mental health or physical health condition or  concern and you will find that many people struggle in this type of weather.

There are also the physical concerns of dehydration, exhaustion, sun stroke, sun burn and the impact this has on wellbeing and mental health. It is so important to keep out the sun and keep hydrated. The intense heat can also affect sleep- and stop one from falling asleep and getting adequate rest. Again this will impact on our overall wellbeing, making one feel low or anxious or extremely tired or in the case of mood disorders, has multiple implications.

I find that when its this hot and there is no air conditioning, I feel less able to cope and more tired. However I am proud of myself for doing my best in this weather.  Luckily, its going to cool off a bit now too.

On the positive side, the sunshine brings much needed Vitamin D and can be a mood booster too! Just make sure you stay safe in the sun, summer is well and truly here 🙂

Guest post: Bipolar 2- Wading through depression and loss of motivation by Jessica Flores

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This article is about Bipolar 2 disorder, a mood disorder where sufferers can cycle between high and low moods. Jessica writes about her experiences: 

If you have been diagnosed with Bipolar II, you know that it differs from Bipolar I disorder in that you still cycle between high and low, but you never experience complete mania (high mood), which is good. Instead, you get hypomania (a lesser form). Yet, more often than not, you are trying to cope with long periods of substantial depression; which can be more severe and long lasting . Roughly six million people in the United States  and millions around the world, suffer from some form of bipolar disorder, so you aren’t alone.

When I am hypomanic, I find myself excited to go out and have conversations and stay up all night. I want to make friends and craft furniture and redecorate. I end up buying things online for some new life I plan to begin living. It’s why half of my living room has been filled with boxes of mid-century housewares for the last two years. However, I spend most of my time being depressed.

My life often feels like it is happening underwater. Every action I attempt to take exhausts me. Showering daily is impossible. I sleep for half the day and sit in front of the computer to do my job without the energy to move forward or the cognitive wherewithal to make sentences. I don’t have urges to harm myself, but I wonder why I need to keep feeling this way every day. I lose hope for the future- it can be very difficult.

Lately, I have begun to wonder if I am depressed or if I am simply losing motivation.  I feel sluggish. I don’t feel motivated. My house is a wreck. I can’t remember the last time I cleaned the kitchen floor. I thought about getting a maid service last week, but I didn’t want anyone to see my apartment.  Sometimes I have negative self talk and think I am lazy, not depressed.

As it turns out, I am not alone in my thoughts about this. Many people with clinical depression reach a point where they attach negative descriptors to themselves. If people hear they are lazy often enough during depressive episodes, it’s not unusual for them to question whether or not it’s true.

Mute Everyone Out

A depressed person isn’t simply dealing with a lack of motivation, they deal with changes in their sleep patterns, hopelessness, loss of pleasure in things they used to enjoy, changes in weight and/or appetite, and so much more. All of these are potential symptoms of bipolar depression and they can be treated. There are a number of medications that have proven effective in treating Bipolar II and many forms of therapy that are a critical element of a complete treatment plan.

Regardless, that’s a lot to handle all on your own. And what makes it especially difficult is the fact that it’s all being caused in your own mind.

Which is why it’s time to stop thinking of yourself as unmotivated or lazy, and it’s time to stop listening to anyone around you who does. You have a diagnosed medical condition. You are managing as well as you can in the given circumstances. I know it’s hard, but you’re going to need to learn to tell yourself that that’s all there is and you shouldn’t put yourself down for the resulting actions that you choose to take because of your condition. Instead of feeling ashamed, you need to make sure you are getting all of the treatment that you can and learning skills to help you control what you are able to.

Eleanor Roosevelt once said that nobody can make you feel inferior without your consent. This is your battle. To make sure that you yourself don’t make yourself feel bad for how you spend most of your days. By being proud of who you are and accepting your condition, you close yourself off from any hurtful comments any uninformed person could ever tell you. And it’s important for you to be able to do that. Because you’re not any of the negative things you just said. You’re amazing, capable, and strong. Remember that.

 

Jessica Flores is a wife, mother, writer, and woman diagnosed with bipolar II. She knows that her disorder affects her entire family and she works to lessen the impact as best she can. However, she also gives herself permission to experience changes in mood. Her drastic experience motivates her to blog about it and help others who are experiencing trying times.

The Anxiety Wheel: Lifes Voyage

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It has been a while- about a month since I have written about everything going on. This is because between the moments where I feel full of health and happy, I have been experiencing morning panic attacks at times again and I just didn’t have the energy to process it and write about it.

I have had morning anxiety for a long time, where I wake feeling overwhelmed and fearful about the day and I have had lots of therapy to try and help combat it. The only thing that seems to work for me a the moment is resilience and picking myself back up- but its not easy. After the adrenaline stops, I often feel embarrassed that I couldnt do a desired activity and I don’t want to let others down also. Its a catch 22.

I am doing a bit better this week but last week was tough. When I have breakthroughs, moments where I can socialise or go to work- then its excellent because it gives me confidence to continue.

Here is a diary entry I wrote in Starbucks the other day to make sense of the ups and downs of what I term the ‘Anxiety Wheel’:

In the past week and a half, I have been experiencing an increase in my levels of anxiety. It reminds me of a metaphor- that of running around a hamster wheel. Let me explain.

Sometimes it feels like I’m treading, treading, treading, trying to keep the wheel of life turning. Trying with all my might to function at a ‘normal’ pace. There are days when I can enjoy the running and everything feels enjoyable and exciting. There are days when I can take my feet off the hamster wheel and rest.

Yet, sometimes in my rest times, I can be overwhelmed by the anxious thoughts of lifes spinning wheel. It all feels too much and then I freeze, I hide, I go into fight or flight. I metaphorically hide and sleep in my safe cage, before I pick up the courage to turn lifes wheel again.

Today I am taking back control of my life and spinning the wheel slowly and cautiously before I get back into the full groove again. Picking myself up after panic attacks is not at all easy,. However, with support, resilience and inner strength, I can do this. I will feel safe and comfortable.’

Shame and Psychosis article for Time to Change

My latest article for Time to Change, a campaign in the UK aiming to end mental health discrimination. (name has been changed)

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Three years ago last month, my mind lost touch with reality in a very rapid turn of events that culminated in an acute manic episode of bipolar affective disorder. Having been diagnosed with bipolar in 2004, I had not experienced any mania or hypomania (a lesser manic state) in ten years, although I had fallen into a suicidal depression just six months earlier. So when my brain fell into full blown psychosis – with delusions and grandiose thoughts, fearful thoughts about loved ones and being in danger and a complete change in rational perception – it ripped apart the fabric of my life and all I knew. I am writing this to explain what psychosis is really like.

I was just 25 and although I had experienced a mixed state which left me hospitalised at 16 (and had experienced some psychosis then), this was by far the most challenging, lengthy and painful bout of mania and psychosis that I had experienced. I began to believe that my step father was behind why I was in hospital and wouldn‘t let him see me, I thought that the doctors and nurses were a gang holding me hostage. I was fearful of everything, talking and singing to myself, unable to sit still and became quite agitated at times with the staff and patients, which is completely out of character for me. I simply didn’t know what was real or unreal and I was so frightened of the staff and others while my brain was in this state. Eventually, I recovered after about two months of being given anti-psychotic medication and tranquilisers to help me rest (often I was pacing around due to agitation/ mania), in combination with individual and group therapies. I left hospital after three months.

I rarely talk about my psychotic state, which led me to be sectioned under the Mental Health Act. This is due to shame: I was ashamed of myself even though it wasn’t my fault – rather down to faulty brain chemistry and my medication that had stopped working. There is still a huge amount of stigma about psychosis and anything that makes you lose your sanity. My psychosis is part of my bipolar illness and happened completely out of the blue. My mood stabiliser hadn’t been holding me for some time but no one could have predicted quite how rapid my descent into psychosis and illness could have been (it took only a number of days and escalated at a weekend, leaving me to be admitted via A&E, which proved traumatising).

The shame of losing your mind is great and also acting out of character shatters your self-esteem. When I left hospital, I sunk into a depression due to the shame of how I acted in hospital and how my brain and its chemistry could go so catastrophically wrong. Kindness goes a long way when you are feeling ashamed. If you have a friend or family member struggling with this – be calm, show kindness, and show up for them. They need your support at what is an incredibly painful time. Let the person with feelings of shame about their illness know that they are human, that they are an important friend to you, and stand by them.

What truly helped me in those dark days was the attitude of my psychiatrist in hospital and in the day recovery unit I attended after. Despite being psychotic and unwell in hospital and quite agitated at times, my doctor persevered to get me on the right medication and put up with my changing moods. She knew that if I took anti-psychotics and then agreed to go on lithium carbonate (the main mood stabilising medication for bipolar disorder) that I would recover – even if it took me months to get there. It was a slow recovery but I got there in time. Her patience, perseverance and kindness saved me from a very acute episode of illness. Similarly, the psychiatrist and all the staff at the Day Recovery Unit helped me in my down days starting on lithium and having regular blood tests, recovering from being very unwell and they treated me like a human being, when I had felt so ashamed.

If it wasn’t for the Doctors, nurses, occupational therapists and other staff who looked after me  and helped build me back up, I wouldn’t be here today.

There is no need to feel ashamed, although you may do.

Although I still find it hard to talk about my descent into a psychotic state – I am so grateful to the NHS for all the help I was given and have been well for some time. I hope this article helps others in a similar position – you are not alone and don’t let anyone make you feel ashamed.

https://www.time-to-change.org.uk/blog/there-should-be-no-shame-experiencing-psychosis