Archive for the ‘Medication’ Category

Flashbacks, Rubik’s Cube & Replacement Therapy

Tuesday, April 24, 2012

Had a couple of pretty good days this week. A blessed change, let me tell you. Even managed to go into town one day to do a bit of shopping. Can’t even remember the last time I did that. Didn’t stay out for a particularly long time, only a bit over an hour, but it was still good.

I’m flying out to Sweden in a couple of days time. I’m a bit nervous about it, the actual flight. I really hope it will be a good day of fewer flashbacks. That said, I have come up with something that does help me cope with them when I’m out and about; repeatedly solving the Rubik’s cube.

I kind of discovered it by accident. The Rubik’s cube had until January of this year been one of those puzzles I had never been able to solve, but always felt I should be able to solve. Then in late December I came across a video of Justin Bieber solving it. In about a minute and a half. Justin. Bieber. That really was the drop for me. I mean, seriously, if Justin Bieber could do it, then surely so could I? Right? So I set about learning how to do it.

In the very beginning it took me more than ten minutes to do it, start to finish, so I carried on working at it. Slowly I got faster. I learned a few shortcuts and solve-time went down even further. And still I kept at it. Until I felt confident I could out-cube young master Bieber any time of the day. I’m now down to a semi-respectable personal best of 51 seconds. [I say semi-respectable, but of course I'm nowhere near the current world record, set by Feliks Zemdegs, at 5.66 seconds]

In the process of doing this, I realised that I had been having significantly fewer flashbacks, and that those that I did have, were much shorter, because my brain was already kind of half-way out of them, focusing on solving the Rubik’s cube.

So, in the last several months, I’ve brought my cube with me pretty much everywhere, and it really does make things easier. Up until I discovered this I would usually just stay in, because the things I needed to do to come out of a flashback were things that were either self-soothing grounding techniques, which – while very effective and calming – look very odd from the outside, if you don’t know what I’m doing – or they were things that could be done fairly discretely, but were down-right unpleasant for me [like using smelling salts or sharply snapping a rubber band against my wrist].

Yes, I look like the biggest geek ever sitting on a bus or train solving my cube over and over, but at least it is something that both works and isn’t nasty. Also, you’d be surprised at how many people strike up conversations with you, when they see what you’re doing. It’s such an instantly recognisable and iconic toy, most people have something to say about it.

Anyway, I’m hoping that this little trick of mine will make the flight to Sweden a bit less difficult. My sister and nephew will be meeting me at the airport, so once I land, I should be OK.

I’m staying with my sister for a week, and my other sister is also coming over, so I’m really excited about this trip. I’ve not seen them since my birthday last year. Also, I am hoping that spending time with my sisters will help me out of this pretty serious dip I’ve found myself in.

I’m also going to stay at my father’s for a couple of days. Feel a bit nervous about that. I’ve not seen him in about two years. We do keep in touch through occasional phone calls, but I’ve not visited him in the last couple of years. I’m hoping seeing him will be OK. I think going to visit him is a lot less emotionally charged than going to see my mother, who still lives in the house I grew up in, where there are reminders of the abuse I experienced all over the place. My father’s place is very different, in that respect. At the same time, of course it’s not just the place that is the problem with going home; it’s also the inter-personal conflicts this family trauma has caused that I have to deal with. And that, of course, is the same regardless of where I see my family. So, we’ll have to wait and see how it goes.

Really missing therapy at the moment. Actually not just therapy, but A. It’s hard trying to find a good balance; to not switch all emotions off in order to protect myself, and at the same time not allowing myself to go too deep into my feelings and risk getting stuck and acting out. So, a therapy session or fifty would be pretty darn dandy right about now.

I’ve had about a million people asking if there isn’t anyone else I could see while A. is on maternity leave. The truth is, that if I really wanted to, of course I could find someone to see short term. In fact, I considered seeing our newly appointed social worker at shul, for a while. But, the thing is – I do have other people to talk to. I have my sisters, my friends, even the Samaritans. So, it’s not just talking I need. It’s something else, too. It’s that special space that therapy creates, and most importantly, it’s the therapeutic relationship I have formed with A. over the last three years. [Three years today, I just realised – Happy anniversary us!] It’s not something that can be easily emulated. And I think that, as hard-going as it is – not having therapy, not seeing A. – it would frustrate me to no end, trying to create something similar to what I get from therapy. Looking for something different feels much more productive.

Anyway, it’s getting late.

Thanks for staying up with me.

All the very best,

xx

My Life Today

My Life Today

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Posted in Coping Strategies, Defence Mechanisms, Depression, Dissociation, Expressing Emotion, Family, Family Dynamics, Flashbacks, Friends, Home, Medication, Psychology, Psychotherapy, Psychotherapy Breaks, Psychotherapy with A, PTSD/Extreme Emotional Stress Disorder, Studying, The Therapeutic Relationship | 2 Comments »

When You Have No Voice – Making A Decision To Communicate

Sunday, April 8, 2012

It’s been a long time, I know, but I’ll try to put you all back in the picture, as I know you will have all been eagerly awaiting my next update. [What? No?]

In the last few weeks I have been dealing with one of those much dreaded periods of flashbacks, and things have often felt completely and utterly hopeless. The flashbacks have by no means gone, but there have been a few days every once in a while when there have been fewer, and I’ve been able to find at least a little breathing space in between. When things are bad, that’s the time to focus on small blessings.

At the beginning of last week I had to go into hospital for a whole battery of tests and examinations. Part of these was a gynaecological exam, which for me is essentially an equivalent to psychological torture through physical means. I always try to prepare whoever is doing the exam by explaining that I come from a background of having been sexually abused as a child, and that these exams are pretty much garanteed to trigger off flashbacks; in short that they may need to brace themselves for my emotional response. They then usually say something along the lines of “Don’t worry, darling, I’ve seen it all before”, which is of course very kind and much appreciated, but it generally tends to become apparent that this is not really the case. When they’re faced with the sobbing heap these exams turn me into, it’s often clear that I react worse than most people they’ve examined. This then spirals into this odd cycle of them feeling sorry for me, and me feeling sorry for them having to carry out the exam on me..

So, not nice at all.

This particular nurse was absolutely fantastic, though, I have to say. It was very obvious that she was affected by my reaction to what she was doing, but because she was very open about that, I found that somehow reassuring and it in many ways it helped bring me out of the flashbacks and back into the here and now where we both were.

Concurrent with the flashbacks and general depression I have this week come down with some seriously nasty bug. This bug, by the way, is completely unrelated to the hospital thing, unless I have really lucked out and managed to contract MRSA while I was there..

At first I thought it was just hay fever, as this is the season when I usually have to stay indoors with my inhaler close to hand at all times. Had a very painful throat – not sore – painful, something I don’t usually get with my hay fever, but initially I just assumed that my body had decided to take my allergies to the next level. As it turns out this wasn’t it. Came down with a 39C temperature [that's 102F, if you're so inclined] in the middle of the week, and it’s been going ever since. So, what with the painful throat and the fever I’ve essentially had to be on paracetamol non-stop. It’s not great, Ibuprofen tends to be more effective, but for various reasons I am currently banned from taking that particular pain reliever, so there you go.

Feeling miserable on all levels is not a great place to exist and things have been unbelievably difficult. I know my last entry was pretty dire, and from there I suppose you could say things went south. Having no therapy has been really challenging, it feels like years until A. returns from maternity leave. But, I am still around, still fighting – even if the evidence of this has not been posted on my blog.

This Friday I had been invited to two sedarim – the special meal eaten by Jews on the first night of Pesach, but instead I spent the evening in bed, fighting flashbacks and this blasted bug. Last night I had booked a place at the communal 2nd night seder at my shul together with many of my friends. I did make it there, in fact even went for a pre-seder drink with one of my friends, but didn’t make it through the meal. Was feeling incredibly rough and then began having flashbacks, and I had to make the decision that I needed to make sure I could make it home safely before things got even worse. Hated having to leave, but as it turns out it was probably a wise choice.

This morning I woke up having absolutely no voice.

I have lost my voice in the past, but never quite this completely, and it’s kind of an interesting thing; the second you discover you have no voice [in my case when I began recording a voice message for my sister] you realise how much you rely on it.

I don’t usually use my phone or computer on Shabbat or during religious festivals. This is not so much because it’s biblically and/or rabbinically decreed that one should not use iPads or Blackberrys during festivals, as much as – being a modern reform Jew – I’ve made the informed decision that for me stepping away from all my techie gadgets and disconnecting for a bit makes those times different to other times. I am normally contactable at any given moment, day or night, be it through texts, Facebook updates or tweets, and so I like to make Shabbat and festivals different and special to other days, through unplugging in this way. Admittedly, most of my friends think this is completely bonkers, but hey, it’s just the way I roll.

However, since that accidental-on-purpose over-dose the other week, I decided that it’s actually a lot more life-embracing to temporarily break that self-imposed rule than to keep it. Which is why you are seeing this update today, during a week I would normally steer clear of modern technology.

To help me through particularly rough patches over these past few weeks I have often sought support over the telephone from my sisters, my friends and the Samaritans, regardless of whether or not this has been on Shabbat. Being able to talk about what’s going on, both physically and psychologically, makes me feel less like I’m on my own in this.

So, as you can imagine, waking up this morning, with no voice at all, has come as a bit of a shock, and has left me feeling very vulnerable. Which is why I’m sitting here now, writing this..

I guess that even when you haven’t got an audible voice, you can still find ways of making yourself heard.

Do be kind to yourselves,

xx

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Posted in Community, Coping Strategies, Depression, Expressing Emotion, Faith, Family, Flashbacks, Friends, Illness, Judaism, Medication, Psychology, PTSD/Extreme Emotional Stress Disorder, Sexual Abuse, Suicidal Ideation | 2 Comments »

Because Tomorrow Might Be Good For Something

Monday, March 12, 2012

*

“..I’m not crazy, I’m just a little unwell
I know, right now you can’t tell
But stay awhile and maybe then you’ll see
A different side of me..”

*

I guess there are no easy ways to talk or write about this, but as this is supposed to be an honesty-focused blog I’ll just tell it to you straight: last week I accidentally on purpose overdosed on my medication. It really wasn’t a bid to end my life, at least I don’t think it was [although I accept that others may disagree]; I didn’t even take all the tablets I had, but it was still a significant enough dose to potentially do some damage. I know my meds pretty well, and I would like to think that I know what would and wouldn’t kill me, but, the truth is – of course – that there is no way to know for sure just how much a of a medication would be lethal for a specific individual; what’s safe for one person may well be fatal for another. In some weird and rather irrational way, it was more like I was testing if it would be possible to swallow enough tablets in one sitting to get to a lethal dose. I think that was my confused logic, anyway, [which, obviously, isn't logic at all].

I did frighteningly well in terms of establishing that it would indeed be possible, had I wanted to take more pills than I did. But, the second I had swallowed the first lot I instantly regretted it, and I decided I should go to A&E, since the meds I’m on [Amitriptyline] are known to be very toxic. In fact, the highest therapeutic dose is not that far off a dose that would be classified as toxic, and that is the precise reason why Amitriptyline is only prescribed as a last resort, when all other types of anti-depressants have failed.

Again, entirely irrationally, I decided that rather than calling for an ambulance I would get on a night bus to my local A&E, so I got myself out, started walking to the bus stop and only just missed the bus, so I carried on walking in the general direction of the hospital. After a while I began to get really unsteady on my feet, but was still clear enough to realise that passing out on the streets of London on a Saturday night would not be a great idea, especially with a lot of drunk people out and about. So I went back home, got on my bed and blacked out before I could call for an ambulance.

When I woke up it was all dark, so I thought that it was still night, but when I looked at the time on my mobile I realised that it was in fact the next evening, and I’d been out cold for nearly 24 hours and had missed several calls and texts from worried friends. This really freaked me out, since I normally wake from even the quietest of noises.

That evening I again attempted to get to A&E, but was simply still too wobbly and I had to give up and go home again. On Thursday I had an appointment with my GP, and I told her honestly what I had done, and that since I don’t even really know why I did it, or at least, the logic in the moment really wasn’t logic at all, I really needed some extra support. She heard me and then asked whether I wanted to call the mental health crisis resolution team myself, or if I wanted her to do it. I opted for the latter, because I know I would most likely have gone home and talked myself out of ringing them.

So, at the moment I am seeing the crisis team every other day. I’m not suicidal, at least not on a conscious level, but I also think that having some extra support over the next few days is a good idea, wherever that support comes from.

The crisis team, being tied to the NHS, have, as they always do, questioned both my therapy and my therapist on the grounds that they are not NHS and must therefore automatically be harmful to me.

That really makes me angry, since I am a big believer in psychotherapy in general, and in my therapy in particular. For me, psychotherapy is the most appropriate way of disentangling my thoughts and emotions, and to ultimately get away from the intrusive flashbacks and nightmares which push me to act out in this rather extreme way.

That said, what with my therapist being on maternity leave, I do feel that as much as the crisis team and I have very different ways of understanding psychotherapy and the effect it has, I am still glad to be seen by them, because it means that, should I act out again, or miss a scheduled appointment [whatever the reason] they would send the police and ambulance round to check on me, as I am in effect an out-patient and they have a duty of care. Also, they are available to talk to 24/7, should I find myself struggling with thoughts of self-harm or suicide. I can’t promise I would definitely call them if that happened – in fact – I’m fairly certain that I wouldn’t, but at least the option is there.

Hopefully things will improve soon, so I can start looking forward rather than backward, because, who knows..

;

“..tomorrow might be good for something..”

;

xx

;

Heading, and quotes at the beginning and end of this entry are from Matchbox 20‘s track Unwell. © Rob Thomas

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Posted in Depression, Flashbacks, Inner Conflict, Medication, Music, Psychotherapy, Psychotherapy Breaks, Psychotherapy with A, Self-Harm, Suicidal Ideation, Video | 3 Comments »

Long-term therapy vs. short-term crisis resolution (..and a little artwork..)

Wednesday, August 24, 2011

I’ve been thinking about how to update my blog the last few days, but I’ve not felt able to do it. Partly because all my energy has been channelled towards fighting my way out of a flashback. Again and again and again. Times a million. It really has been kind of never-ending - and the only way that has worked to give me any kind of longer break has been to either make myself black out or to cut, neither of which is particularly healthy.

To say that it’s been a difficult few weeks would be a severe understatement. It’s been pretty relentless, and at times I’ve really just wanted it all to end, because there is only so much a person can cope with. The crisis team have been quite good (well, the nurses more so than the pill pushing doctors) – but it’s also been hard to find myself back in this system. Also, I’ve felt that the crisis team has been quite critical of the therapy I’m doing with A,, and they have frequently asked me if it’s really helpful to have this kind of therapy when it’s made me have such terrible flashbacks. Also, my relationship with A. has been questioned. More than once have they asked me if I’m not a little bit too attached to my therapist. My answer throughout has been that it’s not the therapy which is causing these flashbacks, it’s a combination of going home and then returning a week before therapy resumed, in conjunction with a number of other factors.

I’ve defend both my choice of therapy and the relationship I’ve worked so hard to form with A. on numerous occasions, but it’s tricky when you’re talking to people who see medication and CBT as the cure for all ills. It’s not so easy to explain that the whole point of therapy is that you form a close relationship with your therapist, and that it allows you to look at other relationships and see how they may be played out as little echoes within the therapeutic relationship. That in my veiw CBT is a bit of a band-aid, masking deep-rooted problems, and wouldn’t be at all appropriate for the kind of issues I’m dealing with. That, yes – this is really hard work, and yes it does bring difficult things up, but that it’s my feeling that the only way for me to be able to find some sort of peace within my past is to dare look at all those difficult things and realise that I can in fact survive the pain. And that’s what the work I do with A. is all about.

Despite this difference of opinion, having the involvement of the crisis team has also been of value  - I’ve felt held by the fact that I’ve been seeing them on the weekends, when I don’t see A., and that they’re available to talk to on the telephone 24/7.  It does help. But, that does in no way mean that I’m any less committed to the work I’m doing with A. I see it more as a crutch between sessions – for the time being – so that I can carry on with what I do in therapy.

Following yesterday’s adventures at A&E when I had my cuts stitched and SteriStripped – with a tetanus shot thrown in for good measure – R. from the crisis team came down to have a chat with me, and she said that she felt that my self-harming behaviour was going in the wrong direction, that it was escalating rather than subsiding, and that she felt I needed more support than what the crisis team can offer, and she suggested she make a referral to Drayton Park Women’s Crisis Centre.

I’ve stayed there in the past – years ago – and it has been helpful, so I agreed to R. making the referral. I think Drayton Park could be a safe option while I’m in the middle of this crisis.  To me it seems like a happy medium – I’ll still be able to see A., but rather than going home to a lonely room battling flashbacks and urges to self-harm, I’d be going back to Drayton Park, where I’d be able to talk to someone about my urges to self-harm. Also, I know that they will be a lot more encouraging in terms of doing the type of work I do with A. han the crisis team has been.
Fair enough, I’ve never actually been at Drayton Park when I’ve been in therapy, but I have several friends who’ve stayed there and have felt that the Drayton Park staff have been very much in favour of them carrying on seeing their therapists while they’re staying at Drayton Park. Essentially what they say is that your therapist is your long-term support and who will help you with long-term goals, and Drayton Park is a place to feel safe while being in the middle of a crisis. It’s a short-term add-on support system, not a replacement for your long-term aims and goals.

Anyway, I’m meeting with one of the workers at Drayton Park tomorrow for an assessment, and it still remains to be seen if they’ll deem it appropriate to offer me a place for the week.

Think it’s time to hit the hay now – hopefully I’ll be able to sleep a little more than I have been in the last few nights..

In the meantime I leave you with another drawing from the Little Sissi collection. This one is based on the first photo taken of me, post adoption, when I was about six months old.

Be good to yourselves.

xx

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Posted in Attachment, Depression, Drawing, Expressing Emotion, Expression Through Art, Flashbacks, Illness, Medication, Painting, Psychotherapy with A, PTSD/Extreme Emotional Stress Disorder, Self-Harm, The Therapeutic Relationship | 12 Comments »

Survival – Knowing When You Need Help

Wednesday, August 10, 2011

Things aren’t going so well.
Downward spiral at breakneck speed, I feel frightened at how quickly I’ve gone from doing really well to finding myself stuck in a pattern of inward turned anger and self-harm. A few weeks and I’ve managed to undo all the hard work I’ve put in these last four years.

Realising that I’ve lost control of things I have been forced to accept that I need someone to help me, and so on Monday I called my GP to make an appointment. Couldn’t get one until Wednesday, and let me tell you, that felt like a very long way away.

These last few days have really have been rollercoaster like, oscillating between trying to stem flashbacks by using cords and scalpels and later on feeling very very angry with myself for not having been able to stop myself from going back to this very destructive behaviour. And it’s becoming increasingly erratic. This morning I woke up and immediately reached for a fresh scalpel to punish myself for having, the previous night, used a cord coiled around my neck to make myself pass out. – There’s no logic to it, and I can see that. Yet, I don’t seem able to stop myself from acting out in this way.

I’ve been trying to do things in the last few days to try to prove to myself that I’m not quite such a bad person as I sometimes think I am. To show myself that I’m not a waste of space, that I am of some sort of value to the community. But it’s hard to hold on to those thoughts when it has to come through external actions rather than from some internal place..

Saw my GP this morning. I say my GP, but really, I saw a GP. I saw Dr H., a newbie doctor, in her own words. This turned out to be a pretty good thing; she listened to me and seemed to really take in what I was telling her, in contrast to some GPs who’ll whack out the ever-so-patronising “How Depressed Are You?” multiple choice questionnaire at the earliest possible opportunity in a bid to avoid having to actually listen to the patient. Given this opportunity to be heard I tried to be as honest as I could with Dr H. It’s hard, when you’re a bit of a people-pleaser like me, and you don’t want to make the other person feel bad, but I think I did OK.

Dr H. made the decision that she didn’t just want to start me on some meds, but that I needed to be seen by the mental health crisis team. She asked me to wait in the waiting room while she sorted it all out, as she didn’t want me to leave the clinic before she knew for sure that I’d definitely be seen by the crisis team. A reassuring touch, I have to say. I’ve certainly come across doctors who say they’re going to make a referral and send you off with a “Don’t call us, we’ll call you” style parting phrase.

As it turned out the crisis team wanted to see me at noon, so I essentially ended up going straight from the GP practice to the Highgate Mental Health Hospital. Felt quite anxious about going there, as I was still experiencing flashbacks and I was worried that I’d become too confused and disoriented on my way there. Also, I didn’t know what to expect. It’s been several years since I’ve been in touch with any form of NHS run mental health service. A lot of my work has been aimed at getting away from this system.

Then I was thinking of the advice I would give – and have given – friends who have found themselves struggling in the way I am right now: accept any help you can get, whatever that may be. This is not a time for pride, it’s a time for survival.

Talking to two members of the crisis team I did feel a lot better. They reassured me that their aim is to support people struggling with self-harm and suicidal ideation in their homes, rather than pushing people into wards, which may not at all be the best for a person. They did – of course – make it clear that if they felt I became more destructive and posed a serious danger to myself they would have to put me on a section order, but that their aim was to find alternative ways of supporting me. They made the decision – based on my previous history – that they’ll want to see me every day for now, and also asked if I would give them permission to liaise with A. regarding what would be the best way to go about things. Initially I didn’t feel comfortable with that, but in the end I decided that maybe it could be helpful to not try to keep different parts of my life separate. As I was a little unsure of A.’s number I told them I would ask A. to call them instead.

My session with A. today was quite difficult. I was just feeling so low, so defeated at finding myself back in this very dark place. I’m finding it very hard to motivate myself to not give up, keep falling into thinking that no matter how hard I try, no matter how hard I work, I will always come crashing down..

A. said a few things that made me feel a bit better, made me feel like I’m not entirely on my own. But it’s still very very hard. She also added an extra session for me this week – first thing tomorrow morning – which felt comforting. Also I have been given the number for the crisis team, which is a 24 hour care service, so I can call and talk to someone on the crisis team at any time between seeing them in person.

I hope this will help stop me falling any further. Because last time I felt the way I feel right now I drank half a litre of anti-freeze and ended up in ICU..

So, if you have any to spare, thoughts and prayers are much appreciated.

xx

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Posted in Acceptance, Depression, Flashbacks, Illness, Inner Conflict, Medication, Psychotherapy with A, PTSD/Extreme Emotional Stress Disorder, Self-Harm, Suicidal Ideation, The Therapeutic Relationship | 6 Comments »

Kill It. Cut It. Use It. – Making Ethical Choices

Thursday, July 7, 2011

Sitting here, thinking I really ought to update my blog, yet at the same time not really knowing what I want to write about. I’ve got that feeling where you know there is a lot of stuff buzzing around your brain, yet you can’t quite be still enough to figure out what it is. Thoughts and emotions doing this strange little dance, a bit too quick to really figure it out. So I think I’ll just write whatever comes to mind, and we’ll see where that gets us. [If anywhere!]

Have settled into my new place reasonably well by now. Still hate the shared space, I mean, there’s no getting away from the fact that the bathroom and kitchen are both minging. But I feel OK in my room, don’t actually mind the small size of it much at all.

Bought myself a small fridge the other week, because the ones in the kitchen are kind of icky and way too small for five people. And if my landlord won’t supply us with adequate fridges, I’m just gonna get my own. [It's rated A for energy efficiency, so I don't feel too bad about the extra electricity, since it's about as 'green' as they come]. Also, being fully vegetarian, I just really don’t like the idea of my stuff sharing a shelf with meat based food. Having been vegetarian for quite a few years by now I’m a bit funny about keeping my food separate from meaty stuff. I also have my own pots, pans and crockery which have never been used for meat. This isn’t a bid to keep kosher; I just prefer things this way. I’ve no problem going to people’s house and eating from dishes that have been used for meat, I regularly get vegetarian food from places where they also do non-vegetarian food, but at home I prefer to keep things separate. There’s no logic to it, I’m the first to admit that, but it’s how I like it, so why not?

Been watching “Kill It, Cut It, Use It” on BBC iPlayer this week. For those of you who haven’t seen it it’s a series about how animal by-products are used in things we use every day. I personally think that to a large degree it’s better to use waste products from the meat industry, rather than to just chuck it, and have found it really interesting to learn about how there are animal products in just about everything. I was never a vegetarian because I felt that it’s wrong to kill animals [although I'm all for treating animals with respect] so I’ve no real problem using washing powders, cosmetics etc which contain ingredients derived from animal by-products. That said, if I have one hand cream which states “suitable for vegetarians” and one which doesn’t say either way, I’m much more likely to go for the former. Again, no logic – but it works for me.

What I do take issue with are products made from things where the primary reason for killing the animal was to get the “by-product”. Think ivory and fur etc. Or cosmetics which have been tested on animals. [Still undecided on how I feel about medicines which have been animal tested]. And although my knowledge and understanding of these processes is undeniably limited I do try to make ethical choices when shopping.

There are lots and lots of things that I don’t know about, and reading ingredient listings often feels like trying to read a foreign language – especially with the industry being very very good at masking ingredients – but I try. I try to educate myself, try to do what I can to make good choices, and I guess that’s all I can really do.

At J-Prep someone crowned me “eco-warrior princess” because I would always carry my empty bottles and cans back home with me, to make sure they went in the recycling bin in my borough [it's a very good borough for recycling compared to the one where my shul is], and although my classmates would give me a bit of friendly stick about it, I wouldn’t have it any other way.

I know that what I do won’t change the world, but maybe, just maybe it makes a tiny little bit of difference, just the same.

And if you think I’m a bit OTT – well, you should see my sister!

xx

Clip from “Kill It, Cut It, Use It”

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Posted in Being Alive, Faith, Family, Medication, Television | 3 Comments »

Powerlessness, Asthma & Echoes From The Past

Friday, April 22, 2011

Feel like I ought to be given some sort of medal or badge today. It’s been one week since my last therapy session, and so far it’s been manageable. Moments of feeling somewhat lower than usual, but absolutely within the range of what I can cope with without freaking out.

That aside, today I feel like a prisoner in my own home.

The last few Fridays I’ve not been attending our Friday meetings, because B. – a former therapist of mine, whom I chose to terminate therapy with – is doing a student placement as part of her training at those meetings. I have been trying to explain both to others and to myself why I feel so strongly about her coming here, but it’s really hard to put it into words, aside from stating the obvious, that I chose to end therapy with her for a reason, and to not want to have to see her again, even in a group setting, seems – at least to me – a not unreasonable request. I would have thought that most people would not be particularly keen on having to see an ex-therapist once they have terminated therapy with that person. No?

But, of course, it goes deeper than that. It’s not just having to see her; at a stretch I could possibly, maaaayyyybeee, cope with that. No, I think this is tied in to the fact that I’d not just be seeing her anywhere, but actually in my home. And I have a feeling that this is a large part of what is getting to me; that living in this therapeutic community I ultimately have no choice in who to let in or not into my own home.

Now, let’s put this into context of my own background.
I grew up in a house where I was put through some pretty severe abuse by people living in my home; my oldest brother and also, for a time, by a foster child placed in my family. At the time I didn’t feel able to stop it, didn’t know how to speak up [lots of complex issues, as anyone having experienced abuse will know]. In the end, the only way out I could find – and not before having already suffered through twelve long years of abuse – was to kill myself. It was the only control I felt I had over the situation; the option to live or to not live. So, at the age of 17, I opted to take a cocktail of painkillers and my mother’s various medications.

Needless to say, I didn’t succeed, and – in fairness – looking back, I can see that this was probably a cry for help, for someone to see that something wasn’t right.

To an extent it worked; the abuse came to light and it stopped. Would I call this a happy ending? No. Absolutely not. While the abuse stopped and things came to light; even went to court, I couldn’t call it a happy ending.

You see, even after all of this came to light, after by brother was convicted for what he had done, and despite the fact that everyone believed what I said had happened, I was still expected to carry on seeing him at family dinners and holidays, essentially giving the message that what happened to me didn’t really matter, and his place in the family was still more important than mine.

Me being me, having spent my whole life acting as if everything was fine, of course reverted back to that old habit of acting as if I was OK, as if these messages did me no harm. Not good.

Going back to the present situation, with B. coming into my home [even though this time I have expressly stated that I don't want her here] it evokes in me the same feelings of being helpless, of having no power over who is let into my life; that what I want doesn’t matter.

Realising that the situation wasn’t going to change, that whether I felt OK with it or not, D. would be doing her placement with us, I was faced with a choice. A) To go to the meetings, reverting to the old pattern of pretending that things are fine, putting a brave face on it. Or, B) Not go to the meetings, feeling somewhat driven out of my home, as I don’t want to be around when she’s there, even if I don’t actually attend the meeting.

So far I’ve chosen option B. I say so far, because, of course, there is an option C) Going to the meeting, and not pretend that things are OK, but to speak up with her in the room.

Now, I can certainly see that there would be some value in option C), but – and this is a big but – I honestly don’t feel I am at a place yet where I would be able to do that. And as long as I feel that way, as long as I feel that going to the meeting would make me go back to acting OK, I simply don’t see how that would be a healthy choice. And so, for now, I do the second best; I preserve the boundaries I have set up by choosing not to attend the meeting. I accept that I can’t change B. coming to my house, but I don’t need to be around when that happens.

Except today.

Today is a beautiful, hot, sunny day here in London. Gorgeous, really. It is also the perfect weather for death-by-asthma. The government has even gone so far as to issue a smog alert for this bank holiday weekend.

Despite this, not wanting to be in the house when B. is here, I still tried to brave it this morning and went out. Unfortunately, I had to turn around and head back to the house, because I just couldn’t get enough air in my lunges; the weather and the pollution was simply too much.

So at the moment, I’m in my room, using my inhaler, feeling more than ever as a prisoner in my own home.

Oh well, at least I have the internet here, and I can spend my time exploring where my feelings stem from, and then plague the world with my findings in the form of a blog entry!

Happy Easter, Passover or Spring – whatever floats your boat!

All the very best and much much more,

xx

PS. The trick is to keep breathing.

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Posted in Acceptance, Being Alive, Boundaries, Community, Family Dynamics, Home, Illness, Medication, Music, Psychotherapy Breaks, Psychotherapy with A, Psychotherapy with B, Sexual Abuse, Suicide, Video | 3 Comments »

Standing tall at a hundred-and-fifty centimetres

Monday, July 7, 2008

I’m not into drugs. Never have been.
Then again, since I’ve never actually tried any drugs, maybe that’s a bit like saying that I don’t like base-jumping or storm-chasing; I’ve never felt the rush it’s meant to give you, and maybe if I had I would think differently? What do I know?

As a child I was on a lot of prescribed but experimental drugs, however.
I was very short and begun showing signs of entering puberty when I was only about seven or eight, so my parents decided that they’d try to find out if there was anything to do about this. I’m not entirely sure how, but eventually they were put in touch with a Germany born specialist; Dr Westphal, and I was started on the first of many treatments in order to help me carry on growing.

This was in the early 80′s and very much cutting edge. At first I was given testosterone tablets, which I assume were meant to stop me entering puberty. One pill taken three times daily. A few years down the line, when I was around eleven, this was switched for a nasal spray called Buserelin, also on a thrice-daily cycle. Buserelin is a man-made form of the hormone gonadorelin, which initially sets off an increase in both testosterone and oestrogen, but will in the long run solely cause testosterone production and stops oestrogen production altogether. I was kept on this medication until I turned fifteen and in the last two years it was combined with daily injections of a synthetic growth hormone; Genotropine.

What does this have to do with depression and dysfunctional families you might ask. Well, “I don’t know”, is the honest answer. And, I fear, this is the answer I would get myself, were I to ask anyone else.

To the best of my knowledge Buserelin is (these days) mainly used to treat certain forms of infertility and advance stage prostate cancer, and you are advised to talk to your doctor before starting this treatment if you are suffering from depression. I haven’t been able to find an answer what the reason for this is. Is it that it may not work well with anti-depressive medication? Does it tend to heighten the risk to enter depression? I don’t know.

But, it worries me somewhat that I have been on a medication for such a long period of time, and at such a critical developmental stage, not knowing what the long-term effects may be. I was one of the very first in Sweden, and possibly the world, to be given this medication – especially at such a young age – and I can’t help but to wonder what this may have done to me. Has it made a difference to the way I behave? The way I think? The way my body works? I just don’t know.

Surely being put on a medicine which will increase testosterone production and cease oestrogen production must cause some sort of chemical imbalance in a person? Especially if you are a very young girl. And how do I know that I’m not still suffering from the effects? I’ve never been a girly girl, I’m equally attracted to both men and women and I am generally hopeless at traditionally female chores. Is the medication to blame for this? That is not to say that any of the above traits are at all things I dislike, I am only asking from an intellectual point of view. Has the medicine made me more prone to depression? Has it veered me towards more radical suicide methods which are more commonly used by men? Or is this all a psychological side-effect of the sexual abuse I experienced as a child? Maybe the answer is that both have had a profound effect on me, maybe it is neither. It’s impossible to say. But wouldn’t it be interesting to know? To have a black and white nature vs nurture chart, where you could see exactly what has made you who you are.

The medication issue also poses another important question. How do you as a parent decide that you’ll take a gamble on your child’s present and future health? A shot in the dark that you will hit the target?

I’d say that I’m about 98% happy that my parents made the decision to put me on these drugs. It has been estimated that I would have been around thirty centimetres shorter, had I not undergone the treatment, and while thirty centimetres may not sound like much, the difference between being only 120 cm tall and being 150 cm is enormous. It’s the difference between being viewed as very short and being seen as a midget. Those thirty centimetres have made it possible to live a normal life. Yes, I have to ask Dev to reach for me, but there’s no need for custom made lowered worktops and although I sometimes struggle it is possible to walk into a shop and buy a pair of trousers that fit without being taken up. So, they have definitely made my life easier in many ways.

Still, there are those 2% of me which can’t help but to wonder – was it the right choice? Would I have made the same one, had it been mine and not my parents’ choice? Would I give up those thirty magic centimetres if I knew they were definitely the cause for my recurring depressions?

Again, the answer has to be that I don’t know.

But it’s food for thought.

xx

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Posted in Being Alive, Family, Medication | Leave a Comment »

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