Category: NHS

What happens during a Manic episode: Bipolar One Disorder Tales by founder Eleanor

~ Eleanor Segall ~ 24 Comments

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When most people think of bipolar disorder, they may think of the two opposing poles that make up the illness. High and low. Manic and depressed. Many also believe that all people with bipolar flit between these moods constantly and that the illness is severe or alike in everyone who has it. This is not the case.

There are two types of bipolar disorder. I have the first one – Bipolar affective One disorder, which means that I have serious manic episodes which include psychosis (loss of touch with reality). This has happened to me twice in my life and both times I have needed hospitalisation. Bipolar two is characterised by lesser manic episodes (hypomania) and more mixed states.

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(image: https://www.34-menopause-symptoms.com/mood-swings.htm)

Being Bipolar One is very challenging. When I get ill, I get really really sick. Loss of insight, loss of reality, needing anti psychotic medicines now- ill. Ill to the point of being sectioned under the mental health act due to lack judgement and insight. Believing that my family are out to get me and people are going to harm me – ill.  Really unwell.

When one of these serious manic episodes strikes for me, my thoughts begin racing and I can’t concentrate. I don’t sleep, I am more creative in the short term but a gibbering wreck in the long term. I start believing I can do things that I can’t rationally. I am super vulnerable and I speak much faster. I may not make much sense and when the delusions begin, I start believing I am going to be harmed.

Luckily, these episodes are kept at bay by a host of excellent medications including Lithium and Quetaipine. I also take anti depressants to keep the low periods at bay in my life.

Full blown psychosis and mania for me are very rare but they do happen. In 10 years, from 2004-2014 I did not have a hospitalisation. I was depressed and anxious but I was able to recover at home.

I had no hypomanic or manic episodes for a decade! No psychosis. One therapist even questioned my diagnosis, before my 2014 hospitalisation.

Mania for me means danger. That danger means I am more vulnerable. I have to be very careful who I surround myself with during those times. I don’t drink alcohol to excess or take drugs, but some with this kind of mania do. Or they spend lots of money or engage in risk taking behaviours such as sexual activity.

I have learnt that as long as I take my medication regularly, get enough sleep, eat well (and don’t engage in long haul travel) that I can keep my symptoms at bay. If my medicines work! (this is always a fear.. that they could stop working).

Mania for me strikes out of the blue sometimes. I also have to be careful that my mood stabiliser medicine is holding me- as with high doses of anti depressants, mania can be triggered without it.

When in psychosis in hospital I have thought the following untrue delusions

– I am being harmed by my family
– There are CCTV cameras watching and filming me in my bedroom/ hospital room
– I have been abused in some way (my mind convinces itself)
– I am being held by a criminal gang (in hospital)

These delusions have always disappeared over time, with excellent care from psychiatrists and psychologists, anti psychotic medicine and good support from family.

I don’t get these when well, and rarely have to go through them. I am learning to accept that my brain chemistry is not the same as other people and having bipolar, a chronic illness, is not my fault. I just do the best I can to manage symptoms and keep myself as well as possible.
If you want to share your story of mania and bipolar, please do write below.

There is hope and recovery after mania. Thank you to all on the Facebook group who voted for this one.  

Love, Eleanor x

 

Dating with a Mental Illness: for Glamourmagazine.co.uk by our founder Eleanor

~ Eleanor Segall ~ 19 Comments

Here is an extract from an article I wrote for Glamour UK Magazine (online) which was a dream come true. It is my true story about what dating with bipolar and social anxiety is like. I hope it helps you. For full article see link at the end:

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(image: from stock and Glamour)

According to the mental health charity, Mind, 1 in 4 people in the UK will experience a mental health problem each year. In England alone, 1 in 6 people report experiencing depression or anxiety every single week. Eleanor Segall is one of those six, having lived with bipolar disorder for 13 years. Here, she shares her candid account of what so many millennials struggle with every single day: finding love while secretly battling a mental health disorder. Eleanor reveals in honest detail the judgement she faced in her quest for “The One” and how she finally learnt to open up about the taboo illness and let herself fall in love.

“I sat on my bed with tears running down my face. ‘I have something to tell you’, I said to my boyfriend, two months into dating.

“It isn’t easy and I wanted to tell you sooner but I didn’t want to share it too soon. Three years ago, I was hospitalised for my bipolar disorder. I didn’t want to tell you, in case you saw me differently or thought I was ‘crazy’. I wanted you to get to know me for me and see my personality and who I really am without it.”

He looked at me with genuine care and said, “Eleanor it doesn’t matter. I want to be with you for you, the fact you have an illness doesn’t bother me in the slightest. I want to be educated on it. Tell me more.”

So, for two hours, I told him everything. I told him how I had been diagnosed at 16 with bipolar affective disorder and how it may run in my family. I told him there could be times when I would be unwell with severe depression or mania and would have to stop working, that I had had psychosis in the past – but that I was medicated with Lithium and anti depressants to hold my moods.

I told him I had been hospitalised as a teenager and, at aged 25, my life had been far from easy, but that the love of my family and support from my medical team, had saved my life. He listened, supported and held no stigma towards me or my illness. It was a revelation after many years of dating men that may not have always understood how best to support me or for whom I was not ‘the one’.

With disclosure of a mental health condition and because I was diagnosed so young, there were many years of dating fear for me. I feared others judgement of the fact I had bipolar and at times this turned into anxiety prior to going on dates.

I was worried that people would think I was different or not worthy enough and when I look back, that is because I was struggling to deal with how I saw myself. As a teenager, you don’t want to be different, you want to fit in and as I reached my early 20’s, I began to be very anxious about dating. My self esteem had taken a battering as well as I had had my heart broken in a past relationship, which led to depression and anxiety.

I survived the heartbreak, however, I knew that I wanted to settle down with someone and have a family, but I didn’t know if it would ever be possible. Particularly after I was in hospital, I had no idea whether there would be a man who could deal with my illness and all it can entail.

There were so many times when I cancelled dates (often blind ones set up through well meaning friends or family) because I would get so nervous, my heart would race and I would be terrified that they would see through the well cultivated veneer. On first and second dates particularly I always felt I was hiding something: my mental health past.

But I wasn’t alone. According to the mental health charity, Mind, 1 in 4 people in the UK will experience a mental health problem each year. In England alone, 1 in 6 people report experiencing depression or anxiety each week.

Celebrities including Stephen Fry, Britney Spears, Catherine Zeta Jones, and Demi Lovato have all talked about their struggles with bipolar disorder.

A year and a half after I left hospital and had recovered, I began to date again and signed up to an online dating website to meet new people, set up through acquaintances. The social anxiety was at its height and I often had to cancel dates two or three times before meeting. Some men gave up on me due to this, but some understood.

A year and a half after being fully back on the dating scene, I met my current boyfriend. We clicked from our first date in a coffee shop and our second date (drinks at a lovely local pub).

Read more and full article here: http://www.glamourmagazine.co.uk/article/dating-with-a-mental-illness

We are 2 Years Old! Blog Anniversary of Be Ur Own Light!

~ Eleanor Segall ~ 20 Comments

Cupcake mit Kerze und die Zahl 2
(image: Michelle Leigh writes)

Wow! I can’t believe that Be Ur Own Light has turned 2 years old! We celebrated our second blogiversary on 1st March so I am a few days late but it doesn’t matter.

This blog has provided me with so many amazing opportunities so far. I have met more and more people who are like minded and want to speak about their own mental health to battle stigma. I have met some incredible people online too and such wonderful contributors. I love also finding and telling untold stories.

The blog  has really grown this year into a good mental health resource. We have had lots of contributors which has been fab. I (Eleanor, founder of blog) have also started a new career as a mental health writer and journalist. That is largely down to the success of the blog and I have truly found a niche. Be Ur Own Light is also a shortlisted finalist in the Health and Social care individual category of the UK Blog Awards 2018! Thank you for all your support of the blog and what we do.

I have written this year for Metro.co.uk, Glamour Magazine (online), No Panic, Happiful Magazine and Happiful.com, Counselling Directory, Mind, SANE, Time to Change, STOP Suicide,  Jewish News, Equilibrium Magazine, World Union of Jewish Students,
and been featured in Cosmopolitan UK, Elle UK and Prima.

Thank you to all these amazing people who have provided guest blogs this year. I have been humbled to work with experts and people with lived experience, to provide information and tell others stories to help end the stigma and provide a resource on mental health.

So thank you to these guest bloggers who gave me such wonderful content. There is more to come. This year March 2017-18 thanks to:

Hannah Brown- Recovery from Anorexia
Time With-  Therapy queries
Charlotte Underwood- Recovery from depression/ suicide
Trysh Sutton- Pure Path Essential Oils

Ariel Taylor- Trichotillomania guide
Jon Manning- Mental health in schools
Channel 4 and Lloyds Bank- Get the Inside Out campaign
Stephen Galloway- Inspirational lyrics
Eugene Farell AXA PPP- Loneliness tips
Peter Lang- PTSD and recovery
Kaitlyn W- Light beyond self harm
Jess Harris- Organ donation
Sam- Recovery from bipolar disorder
Ryan Jackson- Reasons for drug and alcohol addiction stigma
Redfin.com- Seasonal Affective disorder
United Mind Laughter Yoga- Job and wellbeing
Christina Hendricks- on PTSD
Reviews Bee- Child Mental Health
Consumer Money Worries- Mental Health and money
Stephen Smith- OCD and nOCD app
Arslan Butt- University students and mental illness
Tony Weekes- Unity MHS
Ellie Miles- Fighting Health Anxiety
Hope Virgo- Anorexia and recovery
Ann Heathcote- Government and mental health
Jasmine Burns- Strategies to help Binge eating
Bill Weiss- Surviving Opiate withdrawal
Jessica Flores- Bipolar 2 – depression
Jay Pigmintiello- Mindfulness and Meditation
David Baum- 365 Challenge for PTSD awareness
Karen- Mental health professional with anxiety
Dr Stacey Leibowitz Levy- CBT
Lucy Boyle- Burnout Syndrome
Diamond G Health Informer- Technology and mental health
Juno Medical- Anxiety Disorders

Thank you to everyone! This year we aim to cover even more mental health issues and disorders in our quest to provide information and be a home for all.

This year I have also written personal posts about my fight with my anxiety disorder, bipolar disorder, mental health and dating, mental health and weight gain, NHS waiting lists and therapy,  book reviews for Trigger Press for Hope Virgo and Karen Mantons books, Workplace and mental health stigma, Reading as therapy and more! Time to Talk Day and Eating Disorder Awareness Week marked and many conversations had eg stigma about psychiatric medication.

We have won various awards from other bloggers- Liebster, Sunshine, Mystery and Top 30 social anxiety blog and Top 100 bipolar blog from Feedspot.com.

I am so excited that we have over 4,000 followers on Twitter, almost 600 on WordPress, over 2000 on Instagram and of course my loyal Facebook followers too.

Thank you friends and supporters! Heres to a great year talking about all things mental health and normalising it to all.

Eleanor x

Extract from my latest Metro.co.uk article: 6 people share their experiences of friendship during Mental Illness

~ Eleanor Segall ~ 5 Comments

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(image: Ella Byworth for Metro.co.uk)

I have bipolar disorder and four years ago I was hospitalised for a severe manic episode.

Without the love, kindness and support of my friends, I definitely would not have recovered as well.

Their support reminds me I am not alone and helps me to feel loved and safe. But mental ill health can be frightening for those who do not understand it, and sometimes friendships can be lost when one person experiences a mental health condition.

Some people may find it hard to cope with symptoms of a friend’s illness and, as such, cut ties or back away.

Jessica Valentine, psychologist at the Brighton Wellness Centre spoke to Metro.co.uk. She says: ‘Sometimes having a friend with a mental health illness can be draining. ‘On the other hand, it’s good to experience the journey of mental health; the ups and the downs, from a personal level. ‘You really get to ‘feel’ your friend come out of the depression. And, it somewhat makes you feel that you are living it too, side by side, helping them.’

The Mental Health Foundation explains that friendship can ‘play a key role in helping someone live with or recover from a mental health problem and overcome the isolation that often comes with it.

It advises that many people who manage to hold onto friendships while experiencing a mental health condition can see those friendships become stronger as a result.

I wanted to see the role of friendships in other peoples’ lives, either when they were coping with a mental health condition, or when they had witnessed a friend in crisis.

Here six people explain their experiences:

Read their experiences and rest of article: http://metro.co.uk/2018/03/01/6-people-share-their-experiences-of-friendship-during-mental-illness-7343290/?ito=cbshare

Twitter: https://twitter.com/MetroUK | Facebook: https://www.facebook.com/MetroUK/

4 Things Holding You Back from Therapy and Why They’re Not True: Guest Post by Time With

~ Eleanor Segall ~ 4 Comments

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(image: Feminist Current/ Snoopy)

Taking a leap into the unknown always requires bravery. Now think of that ‘unknown’ as yourself. All those dark, niggly or somewhat strange parts of ourselves we keep buried away in the hope that they might just disappear if we keep pushing them away for long enough. Yup, therapy is totally exposing – and frankly, terrifying. So it’s little wonder we find ourselves coming up with a million and one excuses to explain why it’s not for us. Avoidance runs through our veins – it’s human nature. But it also holds us back, and at its very worst, avoidance can stall us from moving forward and reaching our potential.

 

Sometimes it’s worth digging a little deeper to properly explore our reasoning. That way we can be sure we’re not standing in the way of our own progress. Below we’ve listed some of the most common excuses we hear when it comes to therapy (and why we think they’re mostly rubbish!)

 

“I don’t know where to start”

It’s true, in the past finding a therapist has been anything but easy. Sifting through directories packed full of conflicting approaches and unfamiliar terms… It’s hardly surprising we’re left scratching our head wondering what any of it means. But fortunately, those days are now firmly in the past. Searching for a therapist online is quick and easy. There’s no need to get carried away in lots of research, now you can just work your way through a few simple questions and be connected directly with the right therapists nearby. If you’re interested in finding a therapist best matched to your needs, TimeWith’s online questionnaire matches you with suitable therapists in minutes.

 

“I can’t afford it”

This is valid- there’s no two-ways about it, therapy isn’t cheap. But in reality, it’s a small price to pay when weighed up alongside its many benefits. Good therapy has the potential to completely transform your life. Whether you want to learn how to relate better in your relationships, manage stress and flourish in your career, or you simply want shed light on recurring behaviours or patterns… Therapy has the potential to do all those things (and more).

 

Also, it’s important to remember that therapy isn’t forever. It’s not about making a lifetime commitment. It’s an investment, and there’s a really wonderful feeling that comes with the decision to invest in your own mental and emotional wellbeing. If money’s an issue, never be afraid to ask your therapist about concessions. Lots of therapists offer what’s known as a sliding scale meaning they can offer a discount according to your financial situation.

 

“What can a stranger offer me that my friend’s can’t”

To think of therapy as a friendly heart-to-heart is to misunderstand it completely. There’s no doubt in the value of having a good, solid support system in our friends and family. But your therapist isn’t your friend – in fact, there are very strict rules around that in therapy. Your therapist will always remain neutral allowing them to take a uniquely objective standpoint. It can be easy to get so wrapped up in our own story that we don’t see the broader picture. By extension, friends and family are part of our story. They can be happy or sad for us, but they will always have something at stake in our life. It’s only inevitable that this colours their advice and approach, whether they mean to intentionally or not.

 

Habits, patterns, thoughts… Whether we like to admit it or not, we’re more alike than we think. Whilst our experiences in life will be completely different, the coping mechanisms we adopt to deal with what happens to us in life very often follow similar patterns. Therapists are trained to recognise these signals and guide us towards coming to our own realisations. The best moments in therapy are those a-ha moments – the kind that friends and family struggle to provide us with, no matter how much they love us.

 

“What’s going to change”

Everything, potentially. But of course, what you get out of therapy comes down to what you’re prepared to put into it – as with most things in life. Film depictions of therapy have done us a disservice for the most part. Despite appearances, therapy isn’t about rambling on Woody Allen-style about our neuroses. Don’t get us wrong, the talking part’s great! But what therapy’s really good at is finding solutions.

It’s all too easy to bulldoze our way blindly through life living out the same patterns time and time again. Good therapy is about taking accountability for the way we are. But that can only happen when we dig deeper and understand the whys. Far from self-blame, this process actually allows us to forgive ourselves for thoughts or behaviour we haven’t liked. To understand that it was the only way we knew how. But with this new awareness also comes the responsibility to change… There aren’t any excuses anymore.

This is the heart of therapy – we slowly peel back the layers to see ourselves in the clear light of day, no pretences. It might seem scary at first, but in reality, it’s liberating.

TimeWith is a service dedicated to helping people reach the right therapist. Run through a quick online questionnaire and connect with suitable therapists in your area.

Dispelling the Online stigma: Twitter, Antidepressants and #MedsWorkedforMe

~ Eleanor Segall ~ 31 Comments

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(image: amyransom.com)

I wasnt going to write a blog on this because it might feed the Twitter trolls. But I have decided that its really important that I speak out about whats been going on this week on there, in realm of mental health on social media. Theres been a lot of stigma against medication as well as much support for it.

This week, a study by Oxford University and published in the psychology medical journal the Lancet, found that anti depressants work and are effective in a large number of cases. It was hailed as the first major study to prove this. Some medications were found to be more effective than others, but it provided a fantastic proof- that anti depressant medications do help relieve depression in many cases. They are not just a placebo pill.

However, of course, there are a large number of people who have had bad experiences with anti depressants and want to make their voices heard- yet often at the expense of those of us who it works for.

On Twitter, using the trending hasthtag #antidepressants and #medsworkedforme, I shared that anti depressants coupled with my mood stabilisers, have very much helped my bipolar disorder. My brain chemistry and illness is such that unmedicated I can have episodes of suicidal depression, psychosis and mania. My medication keeps my moods balanced and well, so I can function and live a normal life. I have been on anti depressants for almost 15 years now. I have been on fluoxetine, duloxetine and now sertraline.

The only bad experience I ever had with them is when my previous mood stabiliser stopped working and due to an increased dose of duloxetine to relieve my depression (which it did), I tipped over into a fast and unpredictable manic episode. This is the risk that those of us with bipolar run.

Yet, by and large my experiences with meds have been hugely positive. They keep me stable and well.

Unfortunately, on Twitter, I got trolled for the first time by people sharing the following ‘helpful’ opinions (they were not helpful and highly stigmatised):

1) You should reduce your sugar intake as sugar causes highs and lows and is addictive as cocaine. If you reduce your sugar, your bipolar will improve.

(To this I had to reiterate that no medication and less sugar will make my illness worse… and that excess sugar does not cause bipolar 1 disorder.. i.e. it does not have that impact on my mood swings.. bipolar is a real illness in the brain. Reducing sugar may help with overall health but seriously you are going to tell me this?)

2) Others asked what alternative therapies I had tried- eg exercise instead of medication. I reiterated the above re psychosis and suicidal ideation. Which unfortunately cant be treated with exercise alone.

3) People shared their own stories eg the man who had multiple severe illnesses and takes no medication because ‘it shortens life span’ and its a medical fact apparently that these medications cause psychosis. (Some psychiatric meds cause side effects but psychosis- really? Also why would you tell me it will shorten my life?)

There was a lot of what I would call militant stigma against medication, either by people who fear it or have experienced negative effects.

While medication is not for everyone, we shouldn’t be shaming people for taking it. I shouldn’t be shamed for keeping my brain healthy and well through taking meds. And neither should any of you.

Make sure you fight this stigma (and the block button is always useful).

Love,

Eleanor

Guest Post: Charlotte Underwoods Story: How I lost my loved one to Suicide and Recovery from my own Mental Health Issues.

~ Eleanor Segall ~ 2 Comments

Charlotte Underwood, writer and mental health campaigner, shares her courageous story with us. Trigger warning: discussions of suicide and substance abuse.

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(image: Pinterest)

Life has not been especially easy for me. I’ve got more layers than an onion due to this, though my mental health really took a turn for the worst when my father went missing for over a month. He was found, suicide was confirmed.

It was hard to process, suicide was supposed to be for movies, not for real life, right? I went through a lot of things after that, blaming others, blaming myself, creating conspiracy theories, just so I didn’t have to accept that my best friend, my daddy, was gone.

Losing a loved one to suicide is so hard because it’s often sudden and leaves a lot of questions and nuclear damage that domino effects into every single person who knew and loved the victim. I’m all reality, it is no ones fault for a suicide, not even the victims.

There are so many possible causes and things that can trigger a suicidal episode that it is impossible to always know that someone is at risk, we often miss signs even when they are right in front of us.

My dads death led me to substance abuse and my own suicide attempt, I didn’t want to live without him, I was a daddy’s girl and he was the only one who helped me with my own mental health. For three years I refused to grieve and my life was looking to be pretty similar to my fathers demise, a life of hiding my feelings because I didn’t want to upset anyone or cause a problem.

It wasn’t until I met my husband and learnt to think about myself that I realised through it all, I had lost track of who I was. I decided then and there to start being selfish (without being mean) and to love myself and fight back and work with my own mind.

It’s been a rollercoaster since, recovery isn’t linear, my mood changes in seconds and each day is a battle, I may look fine but there’s always so much going on inside my head and body (mental health has physical effects too!).

What I have learnt though is to not be ashamed of who I am, to demand the help and support I need and to not let my mental health limit me because it does not define me, I am Charlotte, plain and simple.

It’s important to remember that all your feelings are valid, it’s ok to hurt and be angry and to have all this going on because it’s your body responding to trauma or something in your environment eg stressors.

That’s why it’s so important to talk and to be reminded that it’s ok not to be ok and that you are not alone!

Charlotte is an author, is on Twitter and can be found at https://charlotteunderwoodauthor.wordpress.com/

Extract from my article for Metro UK: How to Improve on-screen depictions of Mental Illness

~ Eleanor Segall ~ 9 Comments

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This is an extract from an  article our founder Eleanor Segall wrote for Metro.co.uk. To read the full article click here:

http://metro.co.uk/2018/02/21/how-to-improve-on-screen-depictions-of-mental-illness-7315828/

As someone with bipolar disorder, I am often intrigued by depictions of mental illness on TV and film. For many years, mental illness has been stigmatised, and this has been reflected on screen. Thankfully, this stigma is beginning to be broken down, but it is still present.

In her award-winning article, Mental Illness in the Media, for the International Bipolar Foundation, Hosana Tagomori, who was a high school student when she worked on the piece, wrote: ‘The media often portrays characters with mental illness as incomprehensible, tortured and convoluted… the entertainment value often gets in the way of an accurate portrayal. ‘Patients are perceived as dangerous or insane, due to the inaccurate portrayals in media, where the character is almost always hopeless, deranged, and dangerous.’ ‘It is quite easy to subconsciously absorb these misconceptions.’

Indeed, this is a challenge that those of us with mental health issues face. We want our illnesses to be portrayed correctly and accurately on screen, without having to watch stereotypes. Depictions of mental health can be disappointing

Tagomori wrote: ‘In the television series Homeland, the bipolar character always seems to be the pop-eyed, insane mess who is constantly going ballistic: ranting, drinking and screaming’. While this can be true for some people with bipolar in the middle of a manic episode, it is not a balanced approach to the illness. We know that people with bipolar disorder can often be stable and well on medication and that a long time can elapse between episodes.

Portrayals of those with mental illness as ‘insane messes’ raises dangerous misconceptions, including that people with mental health problems will never get well. For me, a brilliant representation of bipolar disorder and postpartum psychosis appeared on EastEnders in 2015.

This centered around a story line for pregnant character Stacey Fowler (played by Lacey Turner), who has the disorder and experiences a psychotic episode after giving birth. Before watching the scenes in which Stacey has psychosis, I was concerned how it would be shown on screen, but I needn’t have worried. Sensitive, accurate portrayals of mental illness on screen can help to educate viewers EastEnders worked directly with the charities Mind and Bipolar UK to create the story line, so the script and performance were as accurate as possible.

In 2015, Dominic Treadwell Jones, producer of the story line spoke to the Radio Times, he said: ‘EastEnders have worked closely with Mind, Bipolar UK, other experts in the field and women with personal experience to show a story that is true and painful, while also filled with the usual twists and turns viewers have come to expect from EastEnders. Lacey is one of the most raw and intuitive actresses on TV.’

Also speaking to the Radio Times about the EastEnders story line, Clare Dolman, vice chair of Bipolar UK, said : ‘As the national charity supporting people with bipolar, we’ve been glad to work closely with the BBC on Stacey’s storyline. ‘There is a very high risk that women with bipolar will become ill when they have a child and 20-25% of them will have a postpartum psychosis, so it’s fantastic that EastEnders are raising awareness of this devastating condition.’

In the scenes where Stacey is experiencing psychosis, the character believes she is the Virgin Mary and that her baby is Jesus. She experiences delusions and auditory hallucinations. I was concerned about how I would feel watching it, but what I most felt was a sense of pride that British television was portraying bipolar correctly, sensitively and appropriately.

Read more: http://metro.co.uk/2018/02/21/how-to-improve-on-screen-depictions-of-mental-illness-7315828/?ito=cbshare

Twitter: https://twitter.com/MetroUK | Facebook: https://www.facebook.com/MetroUK/

What to do if you think you have Depression: a Guide.

~ Eleanor Segall ~ 2 Comments

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(image: Christy Ann Martine)

This blog was voted for in my  Facebook group online poll and so I have decided to write it, with my advice from personal experience and more.

So firstly- what is Depression? Depression is more than just low mood. It can affect your entire ability to function. Depression symptoms include your mind slowing down, poor concentration, lack of sleep or too much sleep (when depressed I sleep too much), more tearful than normal/ prolonged low mood, loss of motivation and ability to go to work/ socialise, not wanting to do activities you enjoy, feeling lost and/or hopeless about life.

Some people who are depressed will self medicate with alcohol, drugs, food, gambling, spending money- anything to make them feel a bit better. Some may start expressing suicidal thinking and ideation or make plans to end their own lives. For others, depression can be part of a wider mental health disorder. I have bipolar disorder for example and depressive episodes are part of my illness. So its a big topic and one which is different for each person (due to brain chemistry and environment).  Anxiety and self harm can also be part of depression.

So what to do if you think you are depressed?

1) Make an appointment to see your GP/ Doctor immediately. If you can get an urgent appointment, do. Tell them how you are feeling and they may suggest medication such as anti depressants which help lift mood and get you back to normal functioning and/or recommend you to a therapist. NHS waiting lists in the UK are ridiculously long for therapy, but just speaking to a doctor and taking medicine should help. Note that anti depressants do have a side effect- and can make you more anxious/ depressed within the first two weeks so talk about this with your doctor. If you have a psychiatrist and medical team (like I do), go and see them and discuss how they can help your care.

Getting better can take months and is a combination of factors. If your depression was triggered by an event, it may be good to go and see a counsellor to discuss any trauma.

2) If you are feeling suicidal and feel like self harming, disclose this to someone you trust. You may not need to be in hospital if you have a good support network, but if you are really really ill, you may need to be. However, do not be afraid for asking for help from medical professionals- especially your GP and/or psychiatrist. They are there to help you get well.

3) If you get a first time psychiatry referral- this is what will happen. You will get asked lots of questions so the doctor can ascertain what is going on. I found that being as honest as I could was more helpful. Take a loved one with you to the appointment. They may ask you to complete questionnaires on your health too and/or refer you to psychology.

4) Use your support network- friends, family, partner. If you have a loving person who understands depression in your life- lean on them. Support from others is very helpful. Depression can be stressful for all involved and some may not understand or may tell you to ‘pull yourself together’. This is just stigma and remember depression is an illness that needs treatment.

If you feel able, see friends you love and trust. When I am depressed, I find it hard to leave the house.. but love and support from others is vital- even if theyre just bringing you chocolate and magazines. Acts of kindness really help.

5) Other holistic methods can really help depression. Whether its:

*Gentle exercise
*Meditation
*Prayer if you want to pray
*Journalling and writing down your achievements however small (eg I washed the dishes)
*Colouring a picture and making something beautiful
* Good sleep regime (when depressed this can be harder)
*Eating healthy food/ foods you love
* Taking care of yourself
*Watching a funny film
* Texting a friend
This can be hard when you are depressed but I would recommend Yoga Nidra meditation for anxiety as well as Headspace meditations….

6) Be Kind to Yourself

Depression is not your fault. Its an illness and a natural part of life. You don’t have to deal with it alone and you don’t have to beat yourself up because you are feeling lower than normal.

Reach out for help but ultimately be kind to yourself. 

Eleanor Segall is the blogger and editor behind this blog Be Ur Own Light.

Guest Post: An Introduction to Trichotillomania- Hair Pulling Disorder by Ariel Taylor at trichstop.com

~ Eleanor Segall ~ 4 Comments

trichot
(image: eleMINT)

Trichotillomania is a hair pulling disorder that affects millions, though many are not even aware of the fact that they suffer from this condition. It’s a well-known emotional illness and if you punch in the keyword Trichotillomania on the Internet, you’ll be bombarded with blogs, journals, and, essays discussing this hair-pulling habit.

However, when it comes to analyzing this disorder, it’s more than just a case of perpetual hair-pulling. This urge to tug or pluck hair defines Trichotillomania but one needs to know the warning signs and instances that could lead to this emotional upheaval.

Trichotillomania comes under the obsessive-compulsive spectrum and is akin to Obsessive Compulsive Disorders – OCD. When it comes to OCD, Trichotillomania too is defined by compulsions i.e. the sudden need to pull or pluck out hair. Nonetheless, Trichotillomania stems more from an impulsive side while OCD is a repetition of a particular habit – more along the lines of obsession.  The main area that’s most affected is the scalp however, people don’t shy away from tearing out their eyelashes, eyebrows or other hair for that matter. A person feels at ease after hair is uprooted or successfully pulled from the skin. Chronic Trichotillomania can lead to hair loss resulting in bald patches. It’s a source of great concern to people who have family members dealing with this condition especially if they have never encountered or been familiar with an issue before.

 

Early Signs Of Trichotillomania

 

Sense Of Comfort

In times of stress and agony, individuals pull their hair inadvertently which is followed by a feeling of relief and comfort. For instance, Sally, a fifteen-year-old, starts pulling her hair when she hears her parents get into a verbal altercation with each other. For some kids, parents who quarrel often can be a reason of great discomfort. Many aren’t aware of ways to deal with such situations and resort to things or activities that give them temporary solutions. Trichotillomania happens to be one of them. The intense tugging and twisting of hair is a sign of silent suffering and pain. Somehow, that very pain turns into relief until the awkward moment of distress has passed.

Perpetual Pulling

The urge gets the better of an individual and they pull away not realizing the pain it would cause. There’s a lot of embarrassment and shame that comes with Trichotillomania. Initially, there’s denial and quite a few take a while to come to terms with accepting the fact that yes, there’s a problem. They resort to covering their bald patches by donning a hat or wearing scarves. Any unevenness on legs or hands is covered with extra layers of clothes or tattoos. People dealing with this problem either pull their hair for brief or long periods of time.  The impulsive behavior cannot be controlled and hair is pulled, no matter what.

Comparatively more than men, women are prone to get diagnosed with Trichotillomania. It brings with itself other emotional problems such as bipolar mood disorders and depression. Uneven patches of hair on the body makes many wary of social interaction since the fear of being bullied or ridiculed tends to seep in.

 

What Causes Trichotillomania?

There isn’t a specific reason that leads to Trichotillomania but there are several biological, psychoanalytical and behavioural theories associated with this disorder. For instance, neurochemical imbalance, as well as trauma connected with childhood or stressful events. Trichotillomania that occurs under psychoanalytic model denotes an unconscious unsettled past – an unfortunate incident of abuse by an acquaintance or a complete stranger.

The behavioural model for Trichotillomania stresses on painful events. For example, loss of a parent, or constant family skirmishes precedes the onset of hair pulling. An attempt to release tension is caused by such distressing instances and moments. This behavior becomes perpetual and later turns into a habit. The person may not even be aware of any initial triggers. However, it only has to be one event in response to what someone may perceive as the urge for pulling hair. The biological model for Trichotillomania purports neuro-chemical imbalance, mostly with serotonin. Levels of altered dopamine too play a vital role in aggravating Trichotillomania. It still isn’t sure if genetics need to be taken into consideration. Although some studies do suggest a rise in the percentage of Trichotillomania in people whose relatives suffer from different psychiatric disorders.

 

Plan Of Action

Continuous tugging of hair needs to be reported medically and if Trichotillomania seems an underlying cause then psychiatric as well as a medical treatment has to be initiated. Not many are aware that the earlier the intervention, the better the probability of the behavior being in control. However, it is essential to note that a person – child or an adult, sometimes do not present for treatment for Trichotillomania until two years since hair-pulling takes place. Psychological behaviour therapy and medication help with treatment for this condition. Habit reversal training as well has done wonders to people who have been suffering from this emotional ordeal.

Lastly, acceptance and patience are key factors in addressing this psychological disorder. With time along with medical help and the support and love of family and friends, Trichotillomania can surely be managed.

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