Being Unwell And Feeling Cared For

Cure For The Ill

Cure For The Ill

I’ve been unwell. Still am, actually. Pneumonia. It’s a bit of a long-winded story, but in short it involves leaving a psychotherapy session early for the first time ever, thinking I was better when I wasn’t, and ultimately on Friday having to go see the doc urgently.

I had just left a session, and on the train home I suddenly had this terrible pain in my chest. And it was a pain I had felt before; two years ago I had a pneumonia, and this was what it felt like.

Anyway, once I got to the doctor’s, she had a good listen to my chest, took my medical history and told me she felt confident that what I had the previous week was more than likely a flu virus, but that I had milder symptoms than most, since I’d had the flu jab, and that despite this my immune system was compromised enough for me to develop a pneumonia. [Ironically, the reason I have the jab every year in the first place is so as to make sure I don’t come down with secondary complications, such as this..] Since I have a history of pneumonia, starting in exactly the same way [top right lobe a week after having had another illness] and because my asthma was kicking off like crazy, she decided that she’d rather start me on antibiotics straight away, than wait for test results to come through.

So, home I went, antibiotics in hand. Crashed into bed, and this is where I’ve been stuck up until just now. I have to say, antibiotics are a wonderful thing once they kick in. You really do feel so much better, very quickly. Of course there was always a chance that the pneumonia I had was viral rather than bacterial, in which case the antibiotics would have done nothing for me, but ‘thankfully’ it turns out that it must have been bacterial.

While in bed I have been thinking about being unwell. It’s something I have a fair amount of experience with. You see, I have a really poor immune system, and so whenever something’s going ‘round, I tend to catch it. I mean, I had swine flu long before it became fashionable. But, also – as I have mentioned in previous posts – I am prone to what I call psychosomatic fevers. Other people get upset tummies when they are stressed out; I get a temperature. And this is what’s been on my mind, these last few days; the relationship between having a genuinely poor immune system and getting psychosomatic illnesses.

You see, I don’t think it is entirely chance that I get ill very easily, weak immune system aside. When I was little I was always seen as someone who could look after myself, someone who was responsible and dependable and able, far beyond my years. My parents tended to assume I’d be OK on my own, and mostly I was. I’m sure it was sometimes hard for my parents, this fierce independence I had; not so easy parenting a child like that. But, at the same time, they were very busy people; three other kids, one of whom really rinsed them clean of any energy they may have had. So, as confusing as it may have been for them, I’m guessing it was also something of a relief that I didn’t seem to need much looking after, that in fact, I was perfectly able to look after myself as well as anyone else.

But, when I was unwell, it was almost as if my parents’ parenting instincts suddenly kicked in, as if this was the kind of parenting they could understand, could relate to. After all, they are both trained in healthcare professions. This was something they knew what to do with. And so, as a consequence, when I was unwell, those were times when I truly felt like a child, like they were my parents and I was in their care.

At all other times I always felt equal to my parents. I always felt like I was an adult, just like them. And to a large degree, I think that’s how they and other adults around me saw me, too. But when I was sick, well, I could allow myself to be the child I really was.

So, is it so strange that I am prone to getting ill? Even now, as an adult, when I am ill, both of my parents will call me, will want to know how I am, will maybe even worry a little. This in contrast to other times, when I am nearly always the one to call them, nearly always the one to ask what’s going on for them.

Of course, something like pneumonia is a very real illness, it’s not psychosomatic, not imagined, not exaggerated, but in the midst of feeling so terribly poorly, I also do feel cared for, in that very special way.
Just like I did back then.

Psychology..
It’s interesting stuff.

xx

How I’ve kept myself busy. The Square-1 cube puzzle. It’s a fair challenge, getting it back into a cube shape, and then getting all the colours right.

Square-1

Square-1

An Uneasy Dwelling – Delayed Reflections On Living In A Therapeutic Community

It’s been a year now since I moved out of the therapeutic community I used to live in. And I’m still processing it. The ups and the downs, pondering what I took from my time there, what more I could have got from it, what I’m glad to have left behind.

I can say without hesitation that I don’t regret moving in there. I can also say that it is the most stressful living situation I’ve every voluntarily put myself in. With three group meetings a week [on top of my individual therapy sessions outside of the house] it’s a pretty full on experience. Even though I often made the decision to stand on the sidelines, to keep myself at a distance, it was a pretty intense way of living.

Would I have got more out of living there, had I been more invested in it? I don’t know. Maybe. I don’t rule it out. Certainly it made a difference to the sense of community within the house that I chose to not engage as much as I could have, to not push for communal meals, to not easily join in with the household. Yet, at the same time, it just never made sense to me to bring my worries and desperation to the house meetings, to be looked at by people, who – although I liked many of them – didn’t feel particularly safe with. [This, incidentally, is solely a reflection on me, – not on them.] To me, it always seemed like the natural thing to do, to turn to my sisters and the friends I have always been fortunate to have when things got tough, to turn to them for extra support. And for the things I felt I couldn’t necessarily share with them [for whatever reason], well, I had my individual therapy with A. for that. Bringing it to the group sessions, it just seemed a bit odd.

That is not to say that I never shared anything in the meetings. I did. But not on a regular basis. It tended to be only when things were really really bad and I just couldn’t hold my tears back.

So, what was it that I found stressful? Well, in part what I have just written about; the expectation to involve myself, to engage and to share, and the feelings brought up by the fact that it was an expectation which I always felt I would never be able to live up to. Part of that was, as I said before, down to the fact that it didn’t quite make sense to me to share difficult things in a group of people I didn’t really know that well. But, of course, there were more deep rooted trust issues at work, holding me back. Other people, who may also have had friends and family they were close to, didn’t feel the same level of reluctance to take the plunge in the group meetings, and were much better able to let others see their vulnerability.

Another thing that was probably more stressful than I even realised at the time, was the constant stream of visitors to the house. Visitors who came to our meetings with a view to possibly join our household. This was a part of life in the house that I never got used to and always felt distinctly uncomfortable with. It was one of those things that made the place feel a lot less like it was my home as opposed to only being the place where I happened to be living.

People would come, share their story, share of themselves, [or in some cases not share] and we were, I suppose, meant to get a feel for whether or not this was a person who could fit into our house, who might benefit from moving in. It probably doesn’t sound particularly stressful, but it really was. Especially the decision making process, where – in theory – residents were said to have a big say in whether or not someone was invited to join, but which in reality often felt like a humongous and never-ending pressure to get new people in. Often at a time when all you really wanted was to find some headspace for yourself, to settle in the group you were already living with. I remember more than one meeting where one of the house therapists would say something along the lines of the process being about all of us reaching some sort of consensus about whether or not a person was suitable for our house, and in the next breath would not-so-casually mention how we needed to be X number of people living in the house for it to be financially viable. No pressure, right. :þ Also, I always took issue with the fact that the question “Is this someone I can live with?” seemed to be second priority to “Could this person gain something from moving in?”, which, it could be argued, sent the message that the gain of a person joining far outweighed the potential rise in stress level of those already in the house.

Clearly, there were times when the reluctance to accept new housemates were motivated less by worries about how a new person might impact the household negatively, and more about a strong wish to hold on to what was familiar. But, then, is that so strange? For a person to build a home, there arguably needs to be a level of familiarity and stability. A stream of new introductions allows little space for that.

Stressful was also the particular mix of people in the house at any given time. Without going into detail about any one individual, the people staying in the house – at least for most of my stay there – could be broadly grouped into either dealing with depressive and/or anxiety related issues, or difficulties which fell somewhere along the more psychotic end of the mental health spectrum. And, as housemates were supposed to support one another [rather than relying on the house therapists – who only come to the house for the meetings – to sort things out] it at points felt very much like the first group was responsible for the latter group.

It isn’t easy walking through the door, never knowing what you might be walking in to. I’m not going to say that I was in any way the person who most often ended up keeping track of others – I wasn’t – but, there were absolutely times when I had to drop what I was doing in order to help settle a very agitated housemate or, once or twice, call the police because someone had taken off, stating they were going to kill themselves. And I think this way of always being on the ready to put fires out, to some degree stopped me from being able to explore my own issues more. [Not the only reason for this, of course, but one of them.]

One of the really invaluable, yet hard bought, lessons from my time in the house, was having to seriously think and feel through what boundaries meant to me. Which ones were important to me, which ones did I feel able to be more flexible about? I had to work at asserting myself, when I felt the boundaries were being stretched beyond what was OK for me. Regular readers will remember that my decisions to ultimately leave the community came down to – in part – feeling that I needed to make a stand for myself, to not just go along with boundaries being pushed, but to recognise that what I feel OK with, or not, is important and worth holding on to. But of course, this was an ongoing battle, this getting a feel for when it was important to hold on to my way of living my life, yet at the same time question my reasons and motivations for doing so. When was there a valid reason, and when was I simply being stubborn and resisting change? When was it a case of me being the rebellious teenager I never got to be in my own family, when was it the adult me refusing to see things from another person’s perspective?

While I was staying at the house, one of the house therapists published a book about the community houses run by the Philadelphia Association. I made the conscious decision at the time not to read it while I was still living there.

Having now lived away from the house for nearly a year, I have read it, and I have to say that it’s a book well worth reading. I found it very interesting to read about the history of the houses [which I had some idea of, even before moving in, but, again had chosen to not explore too extensively], and how the philosophy behind the houses has altered and varied at different points.

I think it’s an honest book, even though I at times found myself smiling at the discrepancy between the idea of the community houses and the reality of them. At least from my point of view.

Anyway, if you are interested in reading the book for yourself, click the link or picture below.

If you would like to read about my time in The House: entries written between January 2009 and July 2011 were written while I was staying in The House. The first post I wrote having moved in is called “On My Own – An Entry About Finding New Ways To Cope“.

xx

An Uneasy Dwelling by Paul Gordon

An Uneasy Dwelling
by Paul Gordon

When You Have No Voice – Making A Decision To Communicate

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

Powerlessness, Asthma & Echoes From The Past

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.