Tag: depression

On the outer edge of coping.

On the outer edge of coping.

It’s been one of those horror weeks. My birthday was Friday just gone, and I am still recovering.

But that was almost a week ago now, wasn’t it? Shouldn’t you be all good now? Yes–and cue that intense sense of shame that I, a grown woman, am still struggling to function so many days later. It isn’t the alcohol that does me in, I wish it was–that would be so simple to fix. Don’t drink, recover fast. My alcohol hangover lasted only into the Sunday afternoon.

The rest of it I’m still wrestling with.

I did an enormous amount of hours at work in the two weeks prior, more than I’ve done in a long time. Organising the party was more stressful than I’d like to admit, they always are. I don’t know if I’ll bother again. I’ve got nine years before I have to start thinking about whether to have a 40th or not, maybe I’ll feel different then. Maybe I’ll be different then.

It’s unlikely. I was always that kid concerned that no one would show up to her birthday party. I get very worried that I’m not enough, not important enough that anyone will want to. Then I make mistakes like inviting the sorts of people that I want to connect with, and get crushed when they decline. I really don’t know how else to communicate with people that I’d like to know them better, outside of work or other social groups. I don’t know how to indicate that I want to be friends, so this is my way. I invite them along and hope they’re also interested in knowing me better.

And I should know better than that by now, but I don’t and all the same mistakes were made. I had a very good night in the end, and the quality of those who turned up for me was fantastic. Still, it’s just as well that I got merry enough before the end of the night to notice the absence of a few people who I’d been very excited to party with.

Because that is my other problem, I never seem to know the difference between someone accepting to be polite, and those who genuinely intend to come. They all make the same sounds and I get equally as excited. Then the moment comes and I’m confused. Why do people do that? Why do they make plans they don’t intend to keep? How is it more polite to leave me hanging, than to decline?

I don’t know, but the whole affair is stressful. I know people have lives well outside of my little party, and the apologies I could understand. None of my attempts to widen my social circle were accepted, though, and every decline there felt like a slap in the face. All of these were people with whom I had discussed socialising with before. Nothing ever came of it. Nothing ever does. I go home after these discussions excited that maybe I’ll be invited out, but it never happens—I see the photos pop up on Facebook and wonder again: why do people talk like they want to make plans, and then leave me out?

The only reasons I can ever come up with is I am forgettable, unimportant or just a burden to have around. Not fun.

So that cycle plagued me, the deep sense of insecurity that almost everyone invited was not my friend by choice, but someone who I had tagged onto through my family. That I wasn’t able to generate my own party crowd, because the people I know here in town aren’t interested in socialising with me. It’s a heavy feeling, and thankfully one that was offset by being surrounded by truly wonderful people on the day.

It’s no wonder that with weeks of that, by the time the excitement died on Sunday I was destroyed. I’ve been clenching my teeth a lot, my whole face aches from it. I had panic attacks more intense than any I’ve had in a long time on Monday, lost my sense of time and became completely convinced that the overnight shift I’d signed up for was next week–and it wasn’t. This I didn’t realise until it was too late, and thus began the next spiral.

How was it that I could still be this confused, overwhelmed, and tired after just a birthday party? Not just the next day, but for two days after? I felt like an absolute failure as an adult, a failure in my menial retail jobs, and any hope I had of returning to full time professional work was now a knife that stabbed into my self esteem. Will I ever be able to do the sort of work I want to do?

I don’t hate retail, but if I’m going to spend my life working then recovering from work, the work should be something that at least satisfies me. I have to devote my energy to work, there’s no choice there–I need to pay rent. It just seems to be the same endless cycle of the same to go home, sleep, collect enough money to pay rent, and repeat. It doesn’t make any sense to me, but my one hope is that I will find a job that is worth that sort of energy. But–if I don’t even feel like I’m managing retail, then how?

I already got fired once this year for not coping with the demand of a professional job. I want so badly to believe I’m capable. That I don’t have to live in this cycle forever. That I can find something that makes me feel like a success, and not a barely-scraping-by pile of shit.

Reality is a bitch.

Right now, everything is too loud. I want to watch TV but the sound screams on the lowest volume. I went to the supermarket and came out shaking, even though I kept my sunglasses on while I was in the store.

My doctor would say I pushed myself too hard, did too much work too suddenly. But what option do I have?

I’m just trying to keep up here. I know it will get better, because everything was fine two weeks ago. Maybe I just got so excited about that feeling of coping that I really did just run myself straight into the ground. Even though I did far less than my sister does in an average week, here I am struggling to function. Feeling somewhere between nauseous and tears, wishing that I could just stop the world for five minutes and catch my breath.

Hating myself because I can’t seem to keep up, no matter how hard I try. I do alright for a while, and then this–I hit the wall. I crash.

I’m on the outer edge of coping. Not drowning, but nor am I swimming confidently. Getting through one minute to the next, building up strength to run headlong into the next wall. That’s how I do.

 

 

Update: From Effexor XR to Zoloft

Update: From Effexor XR to Zoloft

For those of you playing along at home, it’s been a little over two weeks since I began the switch from 225mg/daily Effexor XR to 50mg/daily Zoloft. While it’s too early to claim a victory, the early results since beginning Zoloft have been very promising.

I will reiterate here that this post is not here to discredit or discourage the use of Effexor XR. Nor is it here to promote Zoloft as ‘better’ or ‘more effective’. How you respond to medication will rely entirely on your body’s ability to produce and use chemicals that affect brain function.

I came to Zoloft after a year and a half on Lovan (which worked for around eighteen months, and stopped) and three years on Effexor XR (which had very little or no noticeable effect on my depression). My research told me that others who responded in the same way to Lovan and Effexor XR had good results with Zoloft–which is hardly good medical science but it’s a better start than picking the next one off a list and seeing how that works. Finding the right medication at the right dose is trial and error at best.

Stepping off Effexor XR (especially from that dose) was one of the most uncomfortable, unpleasant, and downright frustrating experiences I’ve had. I knew it wasn’t going to be good, I’d been avoiding making a switch for that exact reason. At the time where I had tapered down to zero, I could barely function without wanting to scream, cry, or  vomit. I watched a lot of Netflix and crawled from lounge to bathroom to avoid the dizziness of being vertical.

And I had meltdowns, but if we’re  being perfectly honest–the withdrawal meltdowns were no different to the meltdowns I was having on a full dose. This was just further proof to me that the Effexor XR had not been assisting me in the way it should have.

I went straight onto Zoloft at 50mg. I was expecting more negative mental side effects, I was expecting more mood swings and unpredictability–but that never happened. The pharmacist warned that it could cause dizziness (he was very right about that!) and along with some nasty headaches from my body screaming for Effexor XR, I was in a pretty rough physical state for a week. The dizziness still comes and goes, I’m still adjusting (it’s very early days yet) but I feel I am presently more stable than I have been in perhaps the last three years.

Take, for example, my day trip to the city on Saturday. I went down to sit a test, and because the train services from town are ridiculous on weekends, I would have to arrive at 9.30am and leave at 6.30pm. The test was at 12.30 and only went for an hour. It’s a lot of time to fill when you’ve got very little money to spend.

I went anyway, and I went at the last minute. I’d originally decided I wouldn’t, and would try to secure some work. I was unsuccessful with that. I was tempted still to cancel the appointment and mope at home, conserve money. Or I could go to the city on strict rules to not overspend and attend the test anyway. So I did that.

I told myself I could go to a couple of cheap shops for homewares that I needed (jugs for the fridge, so I can make myself iced tea) that I suspected I would be able to get at a better price than shops here. So I spent the morning at Daiso, and purchased two solid watertight jugs at $2.80 each. Considering the ones here at home were $9+, I was pretty happy with that. I was only allowed to purchase a food item if it was for immediate consumption, substantial, and less than $3. I ate a lot of good sushi rolls.

On the train, the most bizarre (for me) thing happened. When I boarded, I selected a seat across from a girl who had curled up over three seats and was trying to sleep. I planned on doing the exact same thing. A few moments after I sat down, she asked if I could wake her when other people wanted the seats.

This is normally where I would do a small nod, and hope to goodness for no more talking. Instead, I laughed and told her I intended to sleep as well but if I was awake I would have her back. She laughed and we both dozed off on the train. Halfway to the city, where the train fills up very fast, it was her who woke me up so an elderly couple could take the seats beside me. By the time we got to the city, she was asleep. Again, normally I would scoot out of there as fast as I can and avoid further interaction.

Instead, I tapped her on the knee and woke her up so she could exit the train before the conductors had to do it. She woke, and told me about how she was going to adopt a cat while in the city, and we chatted until the train was stopped.

I’ve been feeling extra social and relaxed like that. When I go into town, I don’t hope the people I know don’t see me, I actively walk up to them and start a conversation.

In fact, I’ve been relaxed about a lot of things. Simple things, like not waiting until every visible car is out of sight before I cross the road, and just walking to the shops when it’s starting to get dark rather than obsessing over whether I should or shouldn’t.

I’ve been more energetic, too. Outside of the physical exhaustion, I’m finding the drive to do things I would normally leave for another time. I’ve been cooking. I love cooking when I don’t have to do dishes, so I’m making the most of the dishwasher I have here. Cooking up some chicken tenders no longer feels like too many steps to get food. I just… do it.

I don’t need quite as much time to prepare for a task, either. That may not make sense most, but when I look at a rack of clothing that needs to be put away, I very rarely have the ability to just do it then. If I try, I feel extremely unsettled about it. The other day I went into the laundry and saw the towels on the rack were dry.

So I put what I was doing on hold (this is also crazy hard most of the time) and got the towels down, folded them and put them all away.

That is an unbelievable level of domestic function for me. This generally only occurs in those intense bursts where I DO ALL THE THINGS at once. Those are useful, but entirely unreliable. I’ve been operating at this level for about a whole week now. A whole week straight.

The best part is that I’ve noticed an increased ability to drop a train of thought if I don’t like it. Where a negative thought would once spawn two more negative thoughts, and I would spiral down to a horrible place–I have literally been able to tell myself ‘Yeah, how about we drop that?’ and move on to the next thought. Without having to forcibly distract myself.

That is unheard of for me. Today I got rejected for a job that I do desperately want–something that two weeks ago would have left me in an inconsolable ball of misery and low self-worth. It still stings and I still feel pretty shitty over it, but it is not the sole thought in my mind. It’s just one of many and I’m able to focus on the better ones. I’m hurt, but not imploding.

I’m beginning to feel a freedom from the detrimental obsessive thinking patterns, and it’s wonderful.

There have been less shiny side-effects, yes. My actions aren’t as heavily regulated as they were–which is good, but I’m more likely to do things without preparation so I don’t get as much of a chance to analyse whether it is a good idea or a bad idea.

Like deciding on Saturday afternoon that I might as well just head out to my football team’s fan day, because it was on. That whim was rewarded with free icecream, a drink bottle, pancakes, and the chance to hold the AFL Premiership Cup! Best day! But not something I would have previously decided to attend just because.

So far it’s all worked out good, but I’m aware that I need to be careful I don’t go to the extreme of blind impulsiveness.

I’m also eating a lot. Food tastes better, I think. I want more and more tastes. I want to cook because cooking is fun, and then I get to eat. I’m slowly switching over from soft drink to iced tea, because it’s cheaper and probably marginally healthier. I’m not picking at things obsessively, the benefits (so far) are worth the journey.

It won’t be this shiny and wonderful forever. I’m looking forward to that too, where basic functions aren’t something to marvel over. I’m looking forward to a new normal built around mundane stability.

I really feel that right now, I’m on the right track to get there. And that’s a pretty good feeling.

Uncomfortably rewarding: why I don’t hide the bad days online.

Uncomfortably rewarding: why I don’t hide the bad days online.

Over the past few months, I’ve come to alter the way that I blog and the way that I utilise my personal social media to show a more ‘balanced’ account of my experiences. We’re all guilty of posting only the best photos, of keeping our darkest moments to ourselves in an effort not to make those who follow us uncomfortable. I made the choice to break away from the ‘good-only’ approach to social media very consciously, but why?

When my experiences are good, I have the ultimate freedom to express them entirely. But when they’re bad? It’s a very public, and at times very uncomfortable, way to suffer.

Perhaps there are people who read this and think I’m utterly batshit for putting this material on the internet, where it can be found by people in my physical world (I link to each blog through my personal accounts, and there are other snippets of brutal honesty that go only to those accounts). What I post can be found by anyone who chooses to look: friends, family, potential employers, inter-dimensional beings from a future as yet undiscovered…

Am I mad for doing this? Probably. It’s a well certified fact that I am, in fact, delightfully weird. It’s not by chance though, it’s a decision I’ve made and followed through with after deciding the benefits significantly outweigh the potential for my writing to backfire on me.

First and foremost, I do it for me.

I would love to say that it’s based on some selfless desire to help others find their way through their own rough patches, but that would be a lie. The process of writing out and posting the good and bad in equal measure has become a method of self-care and healing.

Just writing out my experiences of the day takes the thoughts out of my head (where they are often whirling around in manic circles and refusing to find resolution) and into logical sentences. Once they’re out, I can begin letting them go.

Writing also forces me to think logically, to step back and analyse what happened and from that perspective I begin to see the alternate paths that weren’t immediately obvious at the time. Recognising those after the fact isn’t a bad thing–those choices are more evident the next time that situation rolls around, and I have avoided repeating situations because I know I have options. Writing also helps me cement information in my long term memory, so the lessons I learn are rarely forgotten.

It also provides an ongoing account of who I am at a given time, allowing me to look back and see the sort of progress that is invisible day-to-day.

The writing alone is only one part of the process. If it was, I could just as easily keep a diary and be done with it.

There’s a unique sense of responsibility that appears when I post something online. I have stated to the world that this is happening, and when the situation is an unpleasant one, it puts increased pressure on me to resolve the situation. Much like a writer might feel the need to resolve a plot point after a cliff hanger, even if no one reads a single word I write–the words are out there. The story must move on, must show progress, and it’s up to me to take actions that move toward a better point in the ‘plot’.

This is why you’ll often see a ‘balancing’ post after my less positive entries. I feel this weird drive to look deeper and find the better side of things, to share that reality alongside whatever self-indulgent misery I’ve put forth. While I do that as a responsibility to the ‘audience’, it balances my brain as well. If this was just a diary, there wouldn’t be that drive. In fact, without the public nature of social media, this would read more like a My Chemical Romance album.

It would be the opposite of the ‘only good’ social media view, it would be the ‘all bad’ private thoughts of depression. Neither is the whole person, and the latter is a mental trap too easy to fall into.

Social media also provides me with a platform through which I can explain myself in the best way I know how: through text.

I don’t give away a lot in my expressions. I especially don’t like to talk about how I’m feeling when how I feel isn’t good. The words don’t like to come together, I don’t like bringing the mood down, and if I’m in someone’s company I’d much rather be distracted and enjoying myself than talking about things I struggle with. I also have this horrible habit of breaking into tears whenever I feel ‘exposed’ in conversation. Text allows some distance and ability to craft explanations that are coherent.

This communicative impairment doesn’t discriminate. If I’m talking openly about these sorts of topics, it’s because I’ve either reached breaking point (with the accompanying emotional explosion), I’m drunk (I talk far too much when I’m drunk. Just ask my brother-in-law!), or I am pushing myself (or being pushed) well beyond my comfort zone. This is just a function of who I am, and finding ways to communicate around it has helped immensely. It’s unlikely I’ll ever be comfortable with direct conversation regarding myself.

But once I have written about something, and posted it publicly, the nature of the information changes. It goes from ‘innermost private thoughts’ (and I am an intensely private person) to ‘information in the public domain’. Everyone I meet theoretically could have read the material, and I should expect to discuss it. I am prepared to discuss it. I have considered it deeply, I have opinions and ideas and further solutions that occurred to me after the time of writing.

Posting publicly effectively releases the privacy of my own thoughts and puts them in reach of open discussion. The more I do it, the more I’ve begun to feel comfortable discussing content that I haven’t posted. That has been amazing.

Being brutally honest about how I feel and why has been an exercise in freedom.

The secondary benefit is in how others respond to my writing.

It may not be what I seek to get out of this process of honesty, but each comment or like  or mention I get from someone who identified with my writing is the best bonus I could ask for. I never set out to inspire people (and I find it ridiculously humbling when I’m told that I have provided inspiration. Who, me? I’m a wreck half the time!).

All I aim to do is provide an account of who and how I am, as I go from good to bad and back again. The idea is to demonstrate to myself that there is no situation so bad that I won’t come back out of it stronger, so if that is reaching others and helping them feel the same? I’m pretty pleased with that.

It is a terrifying thing to do sometimes, to expose the complex and often confused nature of my thoughts. On some level I do feel an obligation to do it. As someone who was given an ability to communicate in written word to not use that ability to describe my experience (especially the features of my Aspergers/Autism) seems like a gross waste of ability.

The rewards of this public honesty have been huge. Even on my worst days, I feel more my ‘authentic self’ than I have in too long. It’s my life and it won’t be sunshine and rainbows all day every day, there will be posts that come that are uncomfortable and miserable. That’s life, regardless of mental state.

What’s important is that a better post will always be coming, and I look forward to sharing those immensely. I never did this in the expectation that my posts would be actually read, either, but I appreciate everyone following along on this quirky journey. You make it extra worth the effort!

On a hard road to a better place.

On a hard road to a better place.

The moral of today’s story is that no one knows your body and brain the way that you do, and it’s extremely important to back yourself if you don’t think a solution is working for you.

In the case of medical and psychological issues, your doctor can advise on the best course of action–but cannot intimately know the response (or lack of) from that action. This goes double for illnesses like depression and anxiety which are not as measurable as other physical conditions.

This doesn’t mean ignore the advice of your doctor. Your responsibility as a patient is to adhere to your treatment plan and keep your doctor informed as your body responds to treatment; the doctor’s responsibility is to evaluate the effectiveness of the treatment and determine if or how it should be changed.

When any part of that process breaks down, the well being of the patient is compromised.

I was first diagnosed with severe anxiety disorders in 2010, but it wasn’t until mid-2011 that I accepted medication as part of my treatment plan. The choice to take medication for a psychological disorder is deeply personal, and my first strategy was to see if counselling alone would work.

It helped to a point, but the reality was that the chemical balance in my brain didn’t allow enough space between a ‘trigger’ event or thought and the panic that trigger produced. Coping with anxiety is almost a sport–you see a ball coming at you, and in a split second you need to decide how to move your body in order to catch that ball successfully. Or be hit in the face with it. For me, medication slowed that process down enough that I was able to look objectively at the triggers and the thoughts that occurred, and deal with them in a rational way–before the panic hit my system.

In other words, I had the time to catch the ball.

My initial refusal was based on the belief that medication only offered the option to ‘numb out’ the feelings of anxiety or depression. I never wanted that. I wanted to learn how to cope with the onslaught of triggers and process them in a healthier way. This was (and still is) the over-arching goal of my mental health plan: to develop mental strength with the assistance of medication in the aim to be able to complete the same processes without it.

That is my goal, and those are my reasons for choosing medication. I don’t seek to judge anyone who chooses against it, nor do I judge those who accept they may never be without it. Those choices are entirely theirs to make, and if it helps them live well, that is what matters.

Initially I was prescribed Lovan (also known as Prozac).

Actually–that’s incorrect. My first script was for Lexapro, but within an hour of my first dose (which was a sub-therapeutic dose) I had an intense adverse reaction. But for the fact I lived at the time with a former ER nurse, I might have gone to the hospital. I was sick for three days. The dizziness was so intense that I couldn’t handle being upright, and had to half-crawl half-slither to the toilet to avoid passing out or vomiting. My very bones felt sore. It was like the world’s worst hangover met man flu.

I spent three days in bed, eating very small plain meals, and watching the Babar movie–a DVD I’d bought some months ago for the nostalgia.

I was terrified to go back to my doctor for another devil treatment. Fortunately, supportive friends dug their heels in and marched me back where I explained to my GP the incredibly bad reaction (which she didn’t seem to think was possible on such a low dose, but I wouldn’t accept any future in which I persisted with the medication). Then I was prescribed Lovan.

Adjusting to Lovan was an odd experience. I suppose it was unpleasant, I was quite nauseous (not to the level I was with that single dose of Lexapro, but enough to feel queasy at the thought of food and my appetite was greatly reduced), shaky, and felt ‘off the planet’ more often than not. Luckily I was on holidays, I don’t know how I would have coped physically in my job at the time. But mentally, the adjustment phase was really no comparison to the hyper intense anxiety that I was experiencing at the time.

Then one day… it was like…

Okay, this metaphor is going to get giggles, but it was like I could finally take my bra off.

Bra-wearers everywhere know there’s a unique sense of relief when you finally get home, put your feet up, and undo the blasted thing. Air rushes into your lungs, you feel free and unrestricted. And comfortable.

For the first time in a long time, I felt comfortable. I could breathe. The shaking in my hands stopped, I no longer felt that I was a split second away from tears or anger. I had the space to process my environment and turn away the thoughts that gave me trouble. With the help of an excellent clinical psychologist, I began cognitive behavioural therapy, where she taught me how to identify what was meaningful and what was not. How to retain control of myself in a situation where I could control nothing else.

My most memorable conversation was after a workplace incident where a senior staff member had upset me to the point where I’d had an intense panic attack. Just an hour into my eight hour shift I went home. I told this story to my psychologist, sure that she would validate my course of action. Instead, she said something I’ll never forget.

“You let that woman steal seven hours pay from you?”

The next week, instead of going home sick again, I spoke with my manager about the incident and with her help resolved to no longer be on the same shift as that staff member. Learning to think logically about the world, about the choices I could make for myself internally and externally, has played a huge part in how I react to depression and anxiety now.

Whether I could have achieved the same without the Lovan is difficult to say. I certainly don’t think I could have done it as fast, or as effectively without it.

The problem with psychological medication, even a very effective one, is that they often cease being effective. This occurred around two years into my taking Lovan. My dose had been increased once when it first became apparent that I was ceasing to function, and as the symptoms persisted my doctor and I made the choice to try a different product.

I was put on Effexor XR, 75mg daily. The process of weaning off Lovan and stepping onto the Effexor XR was horrible. Lovan requires extra time to exit the system, due to how it metabolises in the body. Over a period of three weeks, I changed medications. I remember it keenly, because I was at this time having more difficulties at work (at a new store I’d recently transferred to). I was still seeing my psychologist when I could afford to.

But I didn’t feel any sense of relief from the Effexor XR. There was no ‘bra off’ moment. The side effects of adjusting to the medication ceased, but that was about it. My life hit a smoother patch, and it wasn’t until the next difficult moment that I sought my doctor’s advice again.

I stated in that appointment that I didn’t feel any effect from the medication. My anxiety had remained low, but depressive symptoms were more evident than ever. I’d left my long-time job as a supermarket cashier and was struggling in a job with another company that refused to give me reliable hours. My doctor suggested that the difficulty was coming from there, and not from the medication being ineffective.

This is where I should have first stuck up for myself. Yes, my circumstances were difficult–and absolutely that was having a strong influence on my mental state. However, I knew the difference between how I had felt in rough times on Lovan, and how it felt now. When Lovan had been effective, I had the ability to function in spite of circumstances. At the time of the appointment with my doctor, I was crumbling under them. Mental strategies I had worked on with my psychiatrist weren’t able to help, as I didn’t have the ‘space’ around the problem to process it effectively.

The doctor said persist, so I persisted with the Effexor XR.

Around a year after first being prescribed Effexor XR, I moved interstate and back in with my parents. Not long after that, I sought out a doctor for support in dealing with the same anxiety and depression that had been present since stepping off the Lovan. As with anything, it came in waves and breaks that let me feel like I was okay for a time, but it always returned with great intensity. This was the primary reason that I argued the Effexor XR was ineffective–why was I experiencing such catastrophic recurring depression while on a medication designed specifically to alleviate that?

This new doctor agreed, and looking at my prescription, was confused. The dose I’d been on for over a year was (according to her) a dose only given for a week or so as patients adjusted to the medication. Normally it was doubled once the system began to tolerate it, and what I had been taking all this time was not enough to be therapeutic. She immediately doubled my dose, and once again–I felt no better or worse.

I still don’t know what is ‘high’ or ‘low’ for Effexor XR. At another appointment, with another doctor (once I finally found a doctor in my hometown that I felt comfortable with), I broached the subject of switching my medication. I was now on 150mg daily, which according to this doctor was ‘quite high’ and she was very cautious of upping it any further. She supplied me with a list of medications that she believed might be worth looking into. As some of them are not eligible for the Pharmaceutical Benefits Scheme (the system that subsidises medications in Australia) she suggested I investigate them and decide which I would like to try next.

This is really when I should have acted, as here was a doctor that believed I was feeling no benefit from Effexor XR and was prepared to assist me through switching to a new medication. The timing, though, was bad–in that same week I got an offer for a full-time dream job. If I switched medication, I would be in the worst stages of withdrawal and adjustment at the exact point I started work. I put it off, and when life got smoother again I forgot about it.

As you do, when things are going well. You assume it isn’t broken.

But the cycle repeats, and repeats–the new job caused additional symptoms to surface, and I obtained a referral to a psychiatrist. I wanted to start from the beginning, to explain everything to an expert in medicine and psychology. I didn’t feel my medication was working, and I hoped that he would be able to help devise a treatment plan that better addressed my areas of concern.

For an exorbitant amount of money, what I got was a diagnosis of depression, a strong implication that it came from some sort of family abuse, and a script for a higher dose of Effexor XR. I left feeling cheated. Not only did I already know I had depression, I knew that of all the possible root causes, my family was not one.

From the beginning of our session he questioned my relationship with my family, and kept returning to that same line of questioning over and over. I could almost see his conclusion in his eyes, this dead-set belief that I had been abused as a child but wouldn’t admit to it. Nothing could be further from the truth. I may have felt disconnected at times, but never unloved or unwanted. Yet he persisted with this idea, and more than that–he pointedly dismissed any concerns I brought up as ‘part of who I am’.

Most of these concerns I now know to be Aspergers/Autism, but this psychiatrist was determined to reach the answer he wanted. I took my new script, and refused to book a second session on the way out. He had nothing of value to offer. I probably should have refused to take more Effexor XR as well. My dose was now 225mg daily.

And it still. Did. Nothing.

The troubling reality is that for over three years now, I have been taking this medication for one reason: to avoid going into withdrawal. It has created its own need. In those three years I’ve not experienced any relief that wasn’t also tied to significantly smoother life circumstances, I have not weathered any storms better than I would have without it, and while I pride myself on being strong (and I have survived and accomplished a lot!) not one bit of it has been due to the medication.

No doubt Effexor XR is a miracle and life saver for others, but it hasn’t been for me. The tendency for doctors to simply up the dosage and hope for the best is typical of psychiatric treatment, and not the fault of doctors themselves. Everyone responds differently to different levels of different medications. Perhaps at 225mg I would have experienced relief, the only way to know what is effective is to see what happens.

Finding the right medication is a little bit of knowledge, a fair amount of trial and error, and an enormous amount of luck.

This time, I’ve tried a different approach. I know that I experience both depression and anxiety, and they feed off each other. They both feed off negative obsessive thoughts, usually to do with low self worth. I have a number of other obsessive traits, and a number of compulsive traits that do make things challenging.

For instance, I currently have it in my head that I’m going to make cookies. I can’t do it right this minute, because I don’t have the necessary resources. But I can’t get the thought and the desire to make cookies out of my head, and this obsessive thought triggers the compulsion to buy anything and everything needed to make cookies. Even if I think I have something already at home, I buy it anyway.

But I may not actually make the cookies for months. I might even know while I’m buying these items that I won’t have the desire or drive to actually bake for quite some time, but I need to get the resources now.

And this happens with everything. I decide I want to have a nice bath, so I purchase all sorts of bath goods. Tools for a new hobby. New sketch books, pencils, clothes for a particular occasion, make up, kitchen items, I become obsessed with completing these arbitrary ‘collections’ that I need to achieve a particular task that my mind won’t let go of.

The cookies are just one example–and I will make them, I am damned determined to now, of how these obsessive thoughts can drive compulsive behaviour. Now imagine that same level of obsession as it focuses on negative factors of the self, as it takes anxiety triggers and refuses to let go of them.

I believe that the key to alleviating both my depression and anxiety is in reducing that obsessive thought pattern. I can effectively refuse the arguments put forward by the obsessive thinking, but I’m not able to stop the thoughts from returning. It is a function of Aspergers/Autism, so it’s unlikely that I will ever completely free myself of it, but I can learn to reduce the severity and the effects.

This is something I will address with my psychologist, but as I am also looking to move away from Effexor XR, I did some investigation into what medications other female aspies found useful.

I found the results… very interesting. I read a lot of accounts from women who had found Lovan/Prozac effective for a limited time, and who had negative experiences on Effexor XR. This validated my belief that from the very start I didn’t feel it was working as intended. Many of these women had come to the same point of taking Effexor XR to avoid going into withdrawal.

I will repeat again, though: Effexor XR is an excellent medication when it works for you. None of this is evidence that it doesn’t work, just that there are people for whom it is less effective. Trust your body! Only you truly know if it is working or not.

I read on to discover what medications these women had switched to, whether they had found anything that was equally or more effective than they had found Lovan to be. Most of them mentioned sertraline, marketed as Zoloft.

Interestingly, Zoloft is especially effective in reducing obsessive and compulsive behaviour, which I have identified as a key factor in how my anxiety and depression develops.

So back to the doctor, this time armed with information and a direct request to be put on Zoloft. After taking everything into account, she agreed that Effexor XR was absolutely not working for me, and that Zoloft was a good logical choice. I feel especially confident with this choice, which may be more effective than any active ingredient. Even if the result is a placebo effect, it will be an effect that benefits my life–and that is worth it.

This is my last week of taken Effexor XR. Withdrawal from Effexor XR is… horrible. I have missed doses, had situations where I was unable to get my script filled in time, and it hits you like a truck within hours. Because I am still taking some, it hasn’t quite hit yet. I’m not looking forward to when it does.

Dizziness, nausea, ‘body zaps’, extreme irritability, elevated anxiety and intense mood swings are just some of the things I can look forward to on my journey this week. But, as I am currently working fewer hours due to circumstances beyond my control, now is the time to do it. The adjustment to Zoloft will be similarly unpleasant. Anyone who thinks that medicating a mental illness is an ‘easy way out’ has no idea what is truly involved.

There is nothing easy about adjusting to psychiatric medicine. It takes weeks of feeling like hell, and only after months do you see any true result. If you see a result.

But the rewards outweigh the risks, in my opinion. If I can reduce the occurrence of obsessive thoughts, so much of my life will be freed up. My wallet will thank me, for one! I will be able to reduce compulsive behaviours that are harmful, or that reduce my ability to function. It may also help me to be more flexible when it comes to making plans and adapting to changes.

I feel good about this. I’m glad I finally pushed for the change, and as much as this change over period is going to suck, it will be worth it.

Medications don’t work the same for everyone. So if you’re truly not feeling any benefit from something, it’s important to really back yourself when talking to your doctor. Only now do I feel ‘validated’ in my belief that the Effexor XR wasn’t effective. I should have believed myself and pushed for change earlier.

Here’s to a hard road to a better place!

 

Tragedy of a cat-lady

Tragedy of a cat-lady

There are moments where I feel like a child for the way I react to things. More often than I like, and also in the way that I hold onto things that should have been long past. It’s embarrassing, and I do feel ashamed for these feelings that I just can’t seem to let go of. It’s dumb. I know it’s dumb. I’m an adult… and I shouldn’t be sad over things that are really pretty minor.

Yet, they’re still devastating to me.

One of these bigger wounds that won’t heal is the loss of my two cats. This is where people usually roll their eyes and go ‘oh no, not this again’ because for most people, they were just a couple of animals I talked too much about. Still talk too much about.

It’s been over two years since they were rehomed.

Yes, rehomed. They’re alive and happy, living in the care of a wonderful couple. I couldn’t wish for more for them. I know they’re adored, as they deserve to be. They’re not gone completely from the world, it should’t hurt this much still, should it?

It always has, though. The reality of living in a country town and only having outdoor cats was that they often came to early ends, be it by car, snake, or otherwise. When they went missing, I scoured papers for a possible ‘found’ notice. When they passed, I cried myself to sleep for months. I feel sick to my stomach when I look at certain small breeds of dog after what two of my family’s dogs did to a litter of kittens.

I mourned all of them intensely. Topsy, Turvy, Jessica, Misty, Belle, Zelda, Gomez. My sister’s cat, Quinn, and Mum’s cat Laser.

I loved them deeply, but even then there was something special about the crew I adopted in Queensland that went beyond even that love.

773728_10151249558029843_2013409078_o

Bond, ‘Rental Bond’, Mr Bond, Mr B… or sometimes just B. My housemate and I adopted him after his initial owner gained a housemate with allergies. He had a habit of sitting like a person, and was very particular about being clean. He slept in my room at night and pretended like he could keep me safe from loud thunder.

Bond’s favourite trick was to get on top of things. He liked climbing up and sitting on your shoulders, even when he became bigger and super heavy. You could bet that if you stood still for half a minute, you’d have Bond trying to find a place to sit on you.

954897_10151486519929843_1300098585_n

When I had bad days, it was always Bond who came to me. He was an absolute sweetheart, and he just seemed to know when I wasn’t okay. He’d cuddle up and start licking my hair down nice and neat.

206232_10151377652344843_1834017825_n

Percival, Percy, Percy-boo, and a lot of the time just Boo.

We adopted Percy as soon as he was ready to leave his mother, a Burmese-cross. He was the dominant little fatty of his litter, and though he bossed his mother around we were worried about introducing him to Bond–who’d got quite big.

So we distracted Mr B with a bowl of his favourite–tuna chunks–so he wouldn’t immediately attack the new kitten as soon as we set Percy down. That was a match-up we got so very wrong.

Soon as his paws were on the floor, Boo marched up to the bowl and pushed away a very surprised Mr B. Bond never got the upper paw over Percy, though they did learn to share.

575325_10151377652489843_1782728186_n

The boys eventually became best friends. Like Bond, Percy didn’t like sitting like a ‘proper’ cat. Both boys had very affectionate homes before us, so they may never have realised that they are not actually people.

526377_10151407913969843_230360889_n

They were smoochy boys. It wasn’t uncommon to wake up to the pair fighting over the best spot next to you.

It was a strange family we had, my housemate and these two rascals–but I loved it. I loved coming home and being greeted by those two (very annoyed, because how dare I go out!) fuzzy faces, and I loved that I could sit on the couch with one or both by my side and never feel quite alone. Percy did love our binge-watching of TV shows, though he got annoyed if I tried to actually use the computer for too long.

1376561_10151728002594843_1883635001_n

And if I happened to sit on the couch with a blanket, you could just bet this would happen.

1459261_10151860386924843_1324352186_n

There was a lot going on in my personal life while I had these boys at my side. My work situation went drastically downhill, and only went from bad to worse as I opted for another job (that didn’t work out). I loved where I lived, but missed my human family in Victoria. Without reliable work I felt worthless, anxious about everything from whether I was developing a tumor (I wasn’t, and I knew that) to fear of the world ending.

There was a lot that I wasn’t coping with. I felt sick just leaving the house–but I did it. I never wanted to eat, but I did it. I spent months unable to sleep properly, but I still kept trying.

Not because I valued myself enough, I didn’t. Not at the time.

But because if I didn’t get the groceries and look after myself, the boys would go hungry. When I fed them, I remembered that I too had to eat. And when I hadn’t managed sleep for a day or so, it was usually Bond who would sit heavy on my chest and bat my face if I tried to move.

My phone is still full of their photos, my head is full of their stories, and woe to anyone who asks because I will speak of them as if they are truly still my boys.

1530336_10151899198949843_905299174_n

Vesper, or V.

Vesper was the third feline addition to our family–somewhat later than Percy and not too long before we moved to Victoria. She’s a lilac point Burmese, and though she came from a home of many cats, she truly did deserve a place on her own. She has this now, living with a disabled woman who relies on her company.

With us, Vesper never truly got along with the boys, but she loved to sit on the couch just above my head and watch what I was doing. Initially she was adopted by a housemate we had, who was supposed to be staying longer, but had to return to her home overseas far sooner than expected. I made the choice to rehome Vesper in Brisbane before we left.

Strangely, her new home ended up being in Victoria anyway.

I never felt that she was ‘my’ girl in the way I felt of the boys, but she was a darling all the same. The one and only time she accosted me for a cuddle was one horrible afternoon when I’d been unable to sleep properly for almost three days. She sat on me and purred me to sleep.

13652966_10154062058864843_2989839568387355393_o

Needless to say, I adored them. They gave me so much more than I could ever give them. How do you repay anyone, especially a cat, for giving you hope and purpose and reason when you need it most? Even on the worst of my worst days, my mood responded to their contact.

1094801_10151609277859843_518747504_n

I got very excited at the prospect of moving the boys to Victoria with me. They were such an important part of my life, and I had a chance to finally share that directly with my family! I was proud of them, incredibly so. I couldn’t wait for my family to meet these two furry heroes who made bad days tolerable and good days amazing.

It was a pretty silly thing to get excited over, I guess. But the boys were a part of my world that I was glad I could take with me.

I wish things had worked out better. If I’d been able to find work, or a place to live, or anything in time–perhaps they would have been able to see what I did.

Instead, I found the boys a loving home where Bond now wanders freely around a farm–and Percy (the sook!) prefers to stay inside and away from anything remotely scary. It’s the best solution that was available, but that doesn’t mean it didn’t hurt.

It still hurts. I lived for a while in a shared house, alongside two cats–and that helped a little. Especially when Lily came into my room to kill spiders for me, and Doc would have long conversations about why I hadn’t fed him yet. Even though I wasn’t the one who fed him.

Now, I live in a house on my own and the hurt is amplified so much more.

577748_10151186592684843_1016119153_n

Is it stupid? Is it as childish as it feels to still feel the hurt this fresh after almost two years?

I know they’re happy. That should be enough, right?

1510523_10151899199659843_868803795_n

Why mental illness is not an excuse to be an asshole.

Why mental illness is not an excuse to be an asshole.

This doesn’t apply to 99.99% of those diagosed with a mental illness.

However, the 0.01% that it does apply to are a major contributing factor to the ongoing stigma and misinformation regarding mental health.

It’s as simple as this.

Mental illness is not licence to be an asshole.

tumblr_m8tc7u0j3d1r529ae

Does that sound harsh? Yes, there are conditions where it can become incredibly difficult to maintain proper social conduct with others, but for any person who grasps the concept of good and bad behaviour, let me say it again:

Mental illness is not licence to be an asshole.

For a while, I had a friend by the name of Mia. Mia had some very genuine mental health issues. Those who falsely claim to impaired mental status as a scapegoat—that’s a whole other blog. She suffered from deep anxiety and chronic depression (we both did at the time), struggled to leave the house more often than not, and was a type two diabetic. She had also been diagnosed with aspergers.

At that time I wasn’t aware that my own mental situation was also an autistic one, so I took it for granted that what she told me regarding autism was truth.

She said that occasionally she needed to info-dump on people, ramble on until she’d finished the topic–and that I liked. I wasn’t always wholly interested in the subjects, but I do love listening to people talk about their passions. I do recognise this need to over-explain and tell stories as they happened from beginning to end, and if you do happen to get me started on a subject I love… you may be there a while. This blog (and the length of the blogs!) is testament to my need to just get words out at times. Some of the things she described were perfect examples of aspergers.

Some, I now recognise, were not.

I don’t remember what the disagreement was about. Like many aspies she had considerable difficulty accepting alternative points of view, and would argue her point viciously. More than once she became so aggravated by the intensity of the discussion, she turned the conversation to personal and unnecessary attacks.

There’s nothing particularly wrong with that. Arguments get heated, things get said that aren’t nice. It was what would happen after the situation had cooled and olive branches were being extended that I was never completely okay with.

When one half was apologising for poor conduct, at a point where a return apology was expected, she would give this instead:

‘Well, I have aspergers so you just have to accept that I’m like that.’

natonqm

And for me, at the time, I didn’t know enough about what might be going through her mind to really comment. So I left it at that, and over time she demonstrated repeated disdain for the feelings and general existence of other people. In understanding that aspergers causes social issues that involve missed cues, we did suggest that rather than blaming her brain for being a twit, she accept her behaviour and apologise for it.

Because that is the difference between someone who is an asshole, and someone who is not. Both can screw up, but only assholes will seek to blame their behaviour on factors outside of their control.

Others, including the neurodivergent, will recognise behaviour that is unacceptable. It may have to be explained, the cues may need to be highlighted, but these people are willing to work on their behaviour.

You can probably guess what she said when we suggested that if her behaviour was out of her control, it might be something to talk to her therapist about working on.

You got it.

She saw aspergers as an explanation and excuse for any behaviour that upset or hurt those around her, and expected us to simply tolerate it. I highly suspect some of these incidents weren’t aspergers-related, but greed-related actions for which aspergers was a convenient excuse–and that is another story.

Yes, mental illness can lead us to be less than our better selves. It can explain why something occurred, but should never excuse it. You have the choice as to how you handle what happens next. Whether you take ownership of your actions and work towards bettering them, or expect those around you to absorb the impact of your less-than-okay is what makes you an asshole or not.

Not your mental health.

My diagnosis, and how it makes sense.

My diagnosis, and how it makes sense.

It’s like someone is in my face yelling at me in German. I can kind of grasp if they’re happy or sad, but I don’t speak the language enough to truly understand what is being said.

A few months ago I began a process that would ultimately change the way I view myself, and my place in the world. In many ways, I’m still trying to process what it means to me–and the conflict of whether to disclose this discovery to my wider world.

I have chosen to publicly disclose, and to do so here to anyone with interest in the subject. I do so in the understanding that there is a great deal of misconceptions regarding the topic, and it is my hope that through this disclosure I am able to create better understanding of my experience. This blog contains only what I know to be true of myself. There are as many presentations of the condition as there are people who experience it.

This is my experience as an autistic woman.

 

Say what?

Yes, you read that correctly. I have been assessed as presenting with enough significant traits of Aspergers Syndrome to satisfy a formal diagnosis. I don’t much like the word ‘Aspergers’–not so much for the Sheldon Cooper connotation, more I just don’t like the combination of letters in it.

One of the key misconceptions about those with Aspergers is that they are fundamentally more capable than someone defined as simply ‘Autistic’. In the DSM-5, the leading diagnostic manual for mental conditions, ‘Aspergers’ has been removed as an independent diagnosis. I like that this opens the door to a much broader understanding of ‘Autism’, the capabilities and weaknesses of those who experience it.

 

So–are you ‘high’ or ‘low’ functioning?

This is another reason why removal of the ‘Aspergers’ label is important. The idea that some autistic people are more intelligent, more capable, and more useful to society is dangerous. It leads us to expect that those defined as ‘high’ functioning should be able to adapt to the neurotypical world and survive without any compensatory methods. On the other end, it allows us to believe that ‘low’ functioning persons have diminished value due to their autism.

This is especially true of those who are ‘non-verbal’. That is, someone who is functionally able to speak–but experiences an autism-related block that prevents them from conversing in a ‘normal’ manner. Their inability to speak has no relation to their intelligence or what they can contribute to the world. Many are very talented writers and express themselves through text.

Autism is not fundamentally an intellectual disability, though it can be for some. Therefore, those with autism should be approached and classified according to our unique strengths and weaknesses. Just like anyone else.

I am neither high, nor low functioning. I am a person with an autistic brain.

 

Then… what is autism?

Autism is a different operating system. It’s a way of thinking that is atypical compared to the general population. It is the experience of looking at the world, and knowing you see it differently to everyone else on the same bus.

In practical terms, autism is a profile of intense strengths and crippling weaknesses. What those strengths and weaknesses are varies across individuals. Although everyone on earth has strengths and weaknesses, those with autism experience a much greater gap between what they are good at, and what they’re not so good at.

For example, a ‘neurotypical’ (someone with a brain that functions the same way as most) or ‘allistic’ (someone who is not autistic) person may be ‘good’ at running and ‘bad’ at cooking. An autistic person with those same traits would be ‘amazing’ at running and ‘horrendous’ at cooking. The difference in skill (or lack of) is much more pronounced in someone with autism.

For me, I am excellent at writing. This is my primary method of communication and of untangling my own thoughts. I’m great with music–I have a natural sense of rhythm and ability to play instruments with deep expression. I have mostly untapped artistic talent. I am wonderful at conducting deep analysis, I can research a subject thoroughly and output text that allows others to grasp the concept. I can argue almost any point convincingly–if I can do it in writing. I can teach myself to do things. I find something to get excited about on almost any topic. Don’t believe me? I can even get passionate about cricket. I am loyal, enthusiastic, and I love streamlining processes and finding ways to make things more efficient.

I sound pretty wonderful, huh? Here are some weaknesses.

I am downright shocking at communicating directly with people. I tire out fast and become unreasonably emotional when I’ve gone past my ‘limit’. I need extreme amounts of solitude to recover. I don’t deal with light or noise particularly well. My ‘processing’ speed is much slower than the average person–I often don’t comprehend what you’ve said until a few seconds after you’ve spoken. I can’t deal with too much verbal information. I need time to sit back and make plans for things. I don’t handle plans changing. I don’t like situations that are vague. Often, I take instructions too literally or fail to consider beyond the task that was initially asked. I almost always miss the ‘hidden’ meanings in conversations. I am naive, overly trusting, and very… very easily hurt.

 

How much of that is autism, and how much is just… you?

Some traits are more likely to present in autistic people, but for the most part, these are things that are experienced by most people. It’s the combination and intensity of these traits that defines whether a person is autistic or not. It’s also in the reactions to these traits where the clues to autism lie.

All of the things listed there as strengths are things I am exceptionally good at. All of those weaknesses have the capacity to (and have) interfere with how I relate to others and the world around me.

So let’s look at some of the traits in detail, and I’ll explain what I mean.

 

Obsessions and special interests

When someone says ‘Aspergers’, most people think of an uptight person who is fanatic about one or two topics. Thanks to The Big Bang Theory, they most often think of Sheldon Cooper. This is most often true of persons with autism.

My interests were simple. I love stories. I still love stories. I will go to the ends of the earth for a good story.

This began my obsession with books (and collecting books) and writing. I picked up the ability to read very early in life, well before I started school (thanks to excellent parents!). My obsession with words and letters is a sort of sub-interest to this, and it’s all sort of branched out into a broader love of linguistics, communication, and the history of the English language. It fascinates me. But it all started with stories.

This love of stories has also evolved into a love of TV, movies and video games. The creation of fiction is one of the most beautifully human things we have in our world. Through it we can imagine worlds beyond our immediate reality, glimpse into the future and revel in the past. We can escape where we are, imagine things greater, and even brainstorm solutions for problems that don’t yet exist. Writing is a form of pure magic.

Music was another early obsession. The first ‘favourite song’ I remember was  Lover [You Don’t Treat Me No Good No More] by Sonia Dada. I loved the deep vocal tones and the beat. The child-friendly tunes of Peter Coombe played constantly through early life, and my first favourite movie was Disney’s Fantasia. Music is a language of its own that captures stories both explicitly and imagined in the listener’s mind. On my worst days, music is a soothing force that brings me back down.

My third and most obvious obsession as a child was cats. I used to be able to list breeds and their  characteristics. I had books and toys and a collection of ornaments–if ever I rattled on about something (as ‘Aspergers’ is known for) it was about one of these topics.

These interests evolved and shifted over the years. I’m fascinated by true crime now, with psychology and technology. I like to know what features new gadgets have, how new apps can change the way we do things, and what goes through someone’s mind when they commit a crime.

I am also interested in what interests other people. I have a deep desire to understand what draws people to one topic or another, and thanks to my ability to find something of interest about almost any topic, I’ve discovered love for subjects that are outside of my general ‘sphere’ of interest. Much of this was sport related, AFL and cricket, but also crafting tidbits and politics.

 

Why research something you’re not really interested in?

Good question. That leads back to another trait: I struggle to make general conversation with people around me if I am not adequately prepared to do so.

It started as a means of ‘having something to say’. I feel a strong sense of disconnection even around people I’ve known a long time, and particularly those with whom I don’t share a common interest. Talking about my own interests is generally not advised–I find they’re very specific to me and not of great interest to other people. Plus, if you get me started I’m rather hard to stop.

I also don’t see much value in small talk. It was a part of the ‘cashier’ routine that I had to do for work, which I think cheapened it even more. In the job it became reflexive and ingenuine. People talk too much as it is, I don’t see any need to waste words about the weather when I could be making a proper and meaningful connection with the people who matter.

So I began researching tidbits of information that fell into their interests. Facebook makes this incredibly easy! Facebook is literally a feed of things other people are interested in, articles you can read and videos you can share. This is one of my best compensatory methods and is invaluable in helping me to begin and carry conversations.

 

Do you have emotions?

That’s another misunderstood trait. Autistic people often have trouble processing or reading emotions from other people, and also in expressing the emotions they feel. That’s not the same as not having emotions.

I feel the state of others around me keenly. It’s like a thick fog–I can’t avoid it. This ‘empath’ trait is sought after and is linked to emotional intelligence. Except in my case (and in the case of other empathically sensitive autistic people), although I’m getting the information–there’s not much I can do with it. I don’t understand it.

I understand the basics of it. Good emotion, bad emotion. Beyond that, I’m lost. It’s like someone is in my face yelling at me in German. I can kind of grasp if they’re happy or sad, but I don’t speak the language enough to truly understand what is being said. All I know is it’s right in my face and it’s damn uncomfortable. When others around me are stressed or upset, I begin to get stressed and upset because of the tension, and not knowing how to release or break it.

Like many autistic people, I don’t read faces, tone, or situations well. So all of that information is just confusing and makes it hard to cope. There’s a constant analysis going on in the back of my brain, trying to discover the meaning as it unfolds. This is a skill that is acquired over time and experience, and while I’ve got better at it over the years, it’s still exhausting and far less accurate than that ‘intuitive’ understanding that allistic/neurotypical people have.

As for my own emotions? They’re strong. Incredibly so. There are two forces here that make it hard for others to understand my emotive state, and one is simply that I am terrible at making the right face at the right time.

I am a severe sufferer of ‘resting bitch face’. Often I have to consciously change my expression to reflect happiness or sadness, and this I do solely for the sake of not looking ‘weird’. Left to my own devices, my face would rarely shift. The same is true of inflection in my voice, I have to remember to speak in a way that ‘matches’ how I should be feeling.

The second is practice at stillness. This is an unrelated and learned skill. When I was bullied in early school years, the first advice I got was to never let them see me cry. I went far beyond that and taught myself a poker face that (combined with inborn reduced expression) I presented to the entire world.

There are days where I am incredibly expressive. I express myself outside of facial expressions, too–I run and jump and spin and talk a million miles an hour. These are the days when I am most myself, and most comfortable being who I am. When I am being ‘weird’ I don’t have to be ‘still’ and I can let go.

I struggle with letting go a lot. A lot. Experience tells me that if you act outside of what is expected, only bad things will happen.

 

How do you handle conversation?

To be honest? Not well. Unless it’s on a topic that I know a lot about, or have researched, I struggle. My slower processing speed can make it very hard to keep up with the pace of a conversation, and before I say anything, it needs to be formed, checked for appropriateness, and rehearsed in my head before it leaves my lips.

If I don’t go through that process–you never quite know what I’ll say. I can spurt out irrelevant or even offensive things without meaning to. I have to actually think quite hard about what is okay to say in front of the audience I’ve got, and to word it in a way that can’t be misconstrued. When you don’t really understand the extra connotations that others spot in terms of word choice, facial expression and tone of voice (remembering that mine does not flow naturally!) it becomes very important to watch what you say.

There are so many social clues and contexts and hidden meanings that I just… don’t comprehend. It’s only recently that I learned that commenting on how nice someone’s food looks/smells is the same as asking for some. I didn’t know that–and I would often compliment my housemate’s cooking based on the sight and smell. Not in the slightest did I expect that I should be offered some. I just wanted to say something nice based on an observation. That food did smell good!

In short, any of those more subtle aspects of interaction I need to learn the same way as I learned to tie my shoelaces: with practice and experience.

Starting conversations is probably the hardest for me, especially if they’re about myself. Those of you who primarily encounter me through this blog and other online channels might think that’s absurd. All I do here is talk about myself!

In person, it’s a very different story. First, it’s much easier to start a conversation that is light hearted and that you know will be well recieved by your conversation partner. So if I start conversations, it’s more likely going to revolve around their interests.

The second thing you need to understand, is that I’m driven by a deep and unshakeable fear of rejection. I’ve had this constant knowledge all my life that I am somehow different, that I don’t function in the same ways as other people, and for the most part I’ve been deathly afraid of demonstrating that difference. I fear that when people come to know me as I see me, they will see ‘that’ thing that makes me ‘other’ and that will provide enough reason for them to turn away.

I’ve always wanted to be out of the spotlight, away from scrutiny, scared that any minute I will be discovered. It’s felt a lot as if I’m some sort of alien trying to masquerade as a human, trying to learn their ways and fit in but never quite managing it. Fearing every time I slip up and show myself that I’ll be hunted down and outcast once and for all.

That’s a pretty heavy belief to have when you’re seven or eight years old, yet it’s one of the oldest ones I have. I don’t remember ever feeling any other way. I didn’t believe I had a right to be myself, because what I was was obviously ‘wrong’ and didn’t fit here.

The people I struggle to talk to most are the ones in my physical realm. Online is online. Yes–I have amazing friends that I hold in very high esteem and my life would not be the same without them. But even so, if, when I reveal my true self to them, they shun me?

I can turn them off. The internet is full of block and delete buttons. The emotional cost will still be high, but I won’t run the risk of seeing them down the street. They won’t be at family gatherings. I can tell them anything I like with that safety net.

I also get to speak with them using a method that allows me the most clarity: via text. I very rarely speak the more difficult things. When I do, the right words never seem to fit in my mouth, or I sway the conversation to make light of things and change the meaning entirely. Spoken conversations never go the way they should. I always end up saying something I didn’t mean, or not explaining things well enough and the whole exercise ends up being pointless.

This blog allows me a medium. It’s open and visible to people in my physical and online realms alike. These are my words as I wish I could speak them, explaining myself in the way I’ve always wanted to–and far more powerfully now that I have some understanding of why I am the way I am.

 

What do you mean ‘slow processing speed’? You’re smart, right?

For a given value of ‘smart’, yes. I’m great at navigating photoshop, but at this point in my life I can’t drive. People far less switched on than me can drive, so why can’t I? That’s the trouble with the ‘smart’ label. It assumes that smart in one thing is smart in all things. I am definitely not. No one is.

I have definite intellectual strengths. However, it can take me a little longer to get there. How fast or slow you process things has nothing to do with intelligence.

It’s a bit like RAM in a computer. If the average person has 16GB of RAM, I’m probably running on 12GB. Therefore, I am less efficient in how I deal with things around me. My extreme sensitivity also means that a lot of that ‘processing power’ is taken up by interpreting information from external sources. So there’s very little left to deal with the immediate situation.

This is most obvious in conversation. I have particular trouble with ‘verbal information dumping’, or basically when someone gives me a lot of instructions or ideas in a single conversation. In transferring that information from the short term (or RAM) to long term (HDD, haha!) memory, there’s not always enough RAM/short term memory to store the information… and pieces get lost.

Thankfully, there’s also a weird ‘transitional’ memory that I’ve noted, which is kind of like a backup for the RAM/short term. It doesn’t catch everything, but often if it’s been a long day full of information or if I’ve been given a lot of options regarding something, during my next quiet moment I’ll take some time to go through all of the concepts that were presented and process them properly.

This is generally what I’m doing while staring at the TV, playing video games, or scrolling through Facebook. I’m going back through the day and consolidating my memory.

 

What do you mean ‘extreme sensitivity’?

My sensitivity to almost everything is perhaps the least known fact about me. Even to myself, I didn’t realise what the source of discomfort was until it was pointed out.

I don’t tune things out well. That dripping tap? The radio across the road? That bird that hasn’t stopped for the last hour? I hear each instance as keenly as I heard the first. I have exceptional hearing, and the same goes for my sight and smell. But as I lack the ability to subconsciously tune out background sensations, my attention is constantly split between what is immediate and what is not.

I’m sitting at my desk right now and I’m hearing that bird, the fan in my computer, my fingers on the keys, that weird sound of the sky at night, cars move up and doors open, the neighbours in their pool, the saliva in my mouth. All of these have equal sized pieces of my attention.

I can feel my foot pressed against the chair, my hair prickling at the back of my scalp, sweat drying on my forehead and how itchy my nose is (my nose is always so annoyingly itchy!), my chest aching from a breath I was holding, my one roll of fat resting comfortably in my shirt, my bra straps itching across my shoulder blades, my trousers stuck to my leg with the heat. I can feel how heavy I am and how my hands shake when they come to rest. Again, none of these are ever tuned out. I am always this aware.

My vision is even more intense. I’m highly sensitive to bright light, and the fluourescent bulb above is reflecting off the white walls and table and box in front of me, a sharp contrast to the black computer screen, keyboard and tower. The black lines are wiggling and jumping around, creating after images in green and purple. The text on the screen is wiggling about like it does. How I ever learned to read, let alone love doing so, is actually a miracle. The granular colours of visual snow are drifting about, as usual. I’ve never known anything different. I’m now aware of how much it drains me, and how important sunglasses are.

Often it feels to me like my skin has been peeled  away, leaving every nerve raw and exposed. Every sound is a booming cacophony, every touch is a hot knife. It drains and builds, reducing my tolerance to anything more until I literally can’t handle anything more. In those moments I need to escape. I need to drastically reduce the amount of sensory information coming in, or I will go into meltdown.

 

Meltdown? You have meltdowns?

Yes. That is the actual term for what I call ‘episodes’. It’s a release, an expression of being so incredibly overwhelmed that literally nothing more can be tolerated.

Mild meltdowns are shaking and crying, but they go far more extreme. Screaming into pillows and raking my nails up and down my skin, trying to distract myself from a weird feeling that I can only describe as thrashing around inside my skin. As if I can feel my bones shift violently about inside me, trying to get out. I can’t catch my thoughts in a meltdown, they’re fragmented and swirling in a hurricane. There’s lightning snapping at the synapses in my brain, making me think things I don’t want to think.

I am lucky, very lucky, that at the same time I often go into a sort of ‘paralysis’. I freeze and feel myself fighting under my skin, but come to no real physical harm. The desire for violent acts is there, I want to punch walls and kick glass and run out on the road and scream at cars–but I can’t, and I don’t. I don’t move until rational thought comes back to remind me how dumb those thoughts are.

Frustration is the strongest feeling. Frustration that I can’t control it. Frustration that I didn’t know where it came from. Frustration that this is a thing that doesn’t seem to happen to other people, and I must be broken for it to happen to me so frequently.

I experience some form of meltdown roughly once a week. A bad week will have them once or twice a day, some of them being very severe. The experience takes a huge toll on my energy and a long recovery time. Exhaustion also adds to the underlying stress that leaves me prone to meltdowns, so if one severe one occurs, more usually follow.

There’s no cure for this. No way to control it, but to observe how I’m reacting to the situation I’m in, and take steps to minimise overstimulation where I need to. It usually means stepping away in social situations, saying ‘no’ when I want to say ‘yes’, and generally avoiding too much sound and light than I can handle. That reduces the frequency.

They will always happen. That’s simply how it is.

 

Uhh… violent acts? That doesn’t sound fun.

It’s not. It’s really not.

Like many autistic people, I experience emotions at an extreme level. I react to situations in a very intense way that I don’t fully understand. There’s no real language to explain those moments. I know that I’m feeling something highly complex, and often there’s a strong desire to communicate what I’m feeling–but I’m left without the tools to do so.

One method of expressing this frustrating pain is to convert that feeling into a physical object, something that others can see and comprehend. It is in the world, it’s real, it’s not a figment of my imagination. Depending on my state of mind, the impulses range from scratching my skin to the above-mentioned running on the road.

I need to underline here that never in the almost-thirty years of having these types of thoughts have I acted on them any further than to scratch my arms and legs. Nor will I ever go beyond that. So much meaning is lost in the conversion from emotional to physical that it literally makes no sense to do so, and above all else, I am a highly logical being.

I have a ‘voice’ (not a real voice, but I often consider it a separate entity) that pipes up when intrusive thoughts jump their way into my brain. My more rational self poking holes into the violent suggestions that flash up like annoying pop-up advertisements.

The best example of this rational voice is from the day that the most bizarre intrusive thought suggested that I should take the office scissors and cut both my hands off at the wrists. I was having a bad day and feeling under a lot of pressure, things kept changing every other minute, and I was well beyond my limit.

Rational voice says: ‘Okay, so you very painfully cut through the bone of one hand with blunt office scissors… exactly how do you plan to cut the other hand off? You can’t use scissors with a bloodied stump, dickhead.’

I laughed. That’s often the case. Either rational voice points out how illogical/messy/plain dumb an idea is, or the gaps in the impulse’s logic are too hilarious. Either way, there has never been a chance of action on any of these more extreme thoughts. Nor will there ever be.

 

I bet you don’t like things changing around. Sheldon Cooper doesn’t!

I sure don’t. Some of Sheldon Cooper’s autism characteristics are ones that I do share. Rigid thinking and an inflexible sense of order are one.

I start my day with a sort of mental plan, a sequence of activities that will get me from waking and to the end of the day. I tell myself every morning that although I have this road map for the day, things will come up and I will need to adjust as necessary.

Haaaaaahahhaa. If only it worked that simply!

I get very frustrated with late changes to my plan. I’m quite okay with someone texting me 4-5 hours out from doing something that they’re now unable to, as that gives me enough time to process this information and adjust the plan accordingly. Texting me ten minutes before leaves me with a sudden gap in my mental schedule, and a sense of loss at how to fill it.

The same happens with being given activities to do. I need time to process that something must be added to my mental schedule, and time to figure out how I will best approach the task. Starting something the minute I’ve found out I need to do it is incredibly uncomfortable. It fills me with that unprepared sense of anxiety, not unlike the worry that you left the hair straightener on while you went shopping. I can do the task through it, but at the cost of that anxiety pushing me closer toward a meltdown. At the same time, the distraction caused by that unsettled feeling means I may not do the task as well as I normally might. I wasn’t prepared for this, I didn’t go in with a plan, and this is the result.

You might think it doesn’t matter, that not all tasks need a plan and approach–that I should just relax and do things regardless. In that case, you’re missing the point. Taking the time to mentally slot the task into my sense of order is how I am able to relax. I have a very defined system for how I go about the world, and the majority of it involves a period of consideration prior to action.

I even think for several minutes about what path I will take through the house before getting up to go to the toilet.

I don’t think there’s a single person I haven’t frustrated with this particular aspect of myself. Just ask my poor English teachers, who watched me sit in front of a blank page for hours before beginning to write!

 

So what is your ‘sense of order’?

Everything and everyone has a place and a way of being that I have come to expect. Changes to that can unsettle me very fast. One of my first major breakdowns spiralled from my family moving home–and I didn’t even live there at the time.

I get very attached to places and objects. Mum had the same microwave for so many years that their current one still looks wrong to me. I get upset when my favourite foods are discontinued. I hate when people change cars. Our local radio stations changed their names just the other week and I am not okay with it.

I love the idea of holidays, but the reality actually sucks. Everything is out of place at once. Christmas is a chaotic rollercoaster of visitors and nothing being the way it usually is. As much as I love the season and having people around, it’s not the norm and it becomes unreasonably stressful. During special events and holidays, I need far more time to recover than in an average week–purely because I have to keep re-creating my mental schedule around the chaos.

 

Do you understand sarcasm?

Another stereotype, and one that has a good real basis. I understand sarcasm from people I know exceptionally well. Sometimes. Not all the time. I understand sarcasm when it is hyperbolic and accompanied by a distiguishable ‘sarcasm’ tone of voice.

Our family is one that likes to tease each other in that good natured way that families do. I do it as much as anyone else, but even with family I have to second guess whether what they say to me is truth or joke. Or perhaps if it is a truth cloaked in humour. I never really know. I just laugh and try to think of something witty to say back. At least, now I do. I know that’s what is expected now.

Before I really understood that, I would shrink back or into a book and try to vanish. I would get offended or upset and retreat. What was fun for others was confusing and confronting for me, but I never knew how to express that feeling.

With people I don’t know, the confusion is a thousand times worse. Ask anyone who’s ever flirted with me–most of them get shut down so fast because I’m convinced that they’re playing some sort of joke on me. I get very defensive because I don’t fully understand what’s going on, and defensive is all I’ve got to protect myself with.

 

Do you hate social things?

Quite the opposite, if you’d believe that. I love having people around, even if it does get highly uncomfortable for me. There are certain environments that I hate, such as clubs and music festivals, but for the most part I’m extremely happy when surrounded by the people who matter to me.

There are ways I can push through, and the key one is alcohol. Alcohol dulls my senses and disables most of my filters, so I have a lot more processing power available to enjoy social situations. I refuse to lean on it as a social tool, but in situations where it is acceptable to drink and be merry, I do indeed drink and be merry.

The bonus of alcohol is that in disabling those filters, I’m generally more my authentic self and I don’t give a shit. It’s good training for being able to do that sober!

 

Why did you seek diagnosis?

I changed jobs, from a part time retail gig to a fulltime position as a marketing coordinator. Now, I have a long adjustment cycle for any type of change, but even when I normally should have been settled, I wasn’t.

I was experiencing difficulties I’d only encountered once before–when I was working full time as a network technician. I was tired and unfocused, unreasonably emotional all of the time, and I was struggling to get work done. When I got home, I would collapse on my bed and go straight to sleep. Most nights I was too exhausted to eat.

My productivity suffered for it, and I was beginning to think I was incapable of doing this wonderful new job. In spite of how much I loved it, I couldn’t seem to keep up with the changing priorities and multiple tasks that I was expected to have going at any given time. My brief foray into telemarketing was a complete bust, as I talked over people or said the wrong things, or worse–froze up when the conversation took an unexpected turn.

I had no idea what was wrong. I reached some very low points where my sense of worth was less than nothing. I contemplated returning to the job that provided me very little satisfaction and cried myself to sleep. How could I be so bad at something that I loved so much?

Many things happened in my fight to understand what was happening, but the key moment was an article shared on Facebook. It was on the ‘lost girls’ of autism, girls who were overlooked or misdiagnosed under the belief that autism isn’t something that occurs in females.

When I found a list of behaviours and symptoms, I just stared at the screen–and cried. I’d never read such an accurate description of my experience.

From there I went on a fact-finding mission, reading books and blogs and matching those experiences to mine. The result was almost always tears: of relief, because finally I wasn’t as weird as I thought. There were women out there just like me.

I wasn’t failing at my job because I was dumb. It was structured in a very different way to my previous job. I didn’t have the long gaps between short shifts to recover mentally. I was also working three times as many hours in a week, which is a lot for an autistic person. I shifted from being crippled by self-doubt to proud of what I had managed.

I am an autistic woman who is successfully holding down a full time job. Statistically, that’s quite an achievement! Many other autistic women are not able to manage full time work.

The choice to be properly assessed and formally diagnosed was a personal one. Because these autistic traits were causing issues at work, I felt I needed more than a Google search worth of answers. I needed solid strategies to help improve my productivity and create more balance in my life.

I did some research and located a psychologist who specialised in female autism. My experience with being allocated a local therapist was very hit-and-miss, so this way I was able to choose someone that I felt had the understanding I needed to give me useful answers. I read both Aspiengirl and Aspienwoman by Tania Marshall, and from there I felt reasonably confident that she could help me.

Tania Marshall does more than just diagnose, and as an adult, I needed more than just a label. Her view of Autism/Aspergers as a different wiring of the brain, and an opportunity to leverage super talents was one that I could get behind. Working with her I was able to understand both how I process things, and to begin building a road map toward better self management.

 

Are you glad you discovered your illness finally?

The process has been hard, and very confronting. The first thing I had to adjust on diagnosis was shifting the way I saw myself from having an ‘illness’ and ‘disorder’ with anxiety and depression, to being a person with a ‘condition’—a person with autism.

It may not sound like much, but the difference is huge. Autism isn’t something you cure. It isn’t something you can cure. I’m not sure I’d want to even if I could–it’s the source of my strengths as much as it is the source of my weaknesses. Like any other person, I need to manage those weaknesses and optimise my strengths. Unlike any other person, failure to take care of myself and to manage those weaknesses will result in a meltdown.

I’m very glad to have found this answer. So many things in my life make more sense through the lens of Autism. I struggle to let go of things before I fully understand how they occurred, so now that I have a better understanding of some of the more shameful events in my life, I can finally forgive myself for them. I finally know how and why they occured.

I can finally stop thinking of myself as broken, stupid, and a failure. Instead, I have been someone trying to survive in an alien world, living under the incorrect assumption that I should be able to survive the same way as everyone else.

I can’t. I need my own way, and that’s perfectly okay.

Importantly, I am not ill. I am just different.

Diagnosis for me meant that I was able to see more clearly the experience I have. It gave me the language to describe it to others. It gave meaning and hope that I could not just eventually be free of the more damaging effects–but manipulate my strengths into superpowers.

I always was and always will be autistic.

 

Isn’t everyone a ‘little bit autistic’?

Yes… and no. Everyone has traits that are commonly found in autistic people. But to say that everyone experiences them in the same intensity and with the same consequences as an autistic person is to completely disregard how painful and frightening a meltdown can be.

You might not like that itchy tag at the back of your shirt. For me, it will itch and itch and itch until I either escape it, or I break down.

 

Were you vaccinated?

Sigh. Yes. As you’ll notice, I also didn’t die of measles, mumps, or rubella.

The vaccination-causes-autism myth is completely bogus. There was never a time in my life where I was not autistic. The rise in autism diagnoses is due to the greater understanding of autism and its traits, not the increase in vaccinations.

Autism is primarily genetic. For any autistic person, there are family members who display fragments of autistic traits. Those traits are passed on, creating a profile that carries enough autistic traits for the individual to be deemed diagnosably autistic. The chance of my own children, should I have any, being autistic is incredibly high.

I will never understand the argument against vaccination on the grounds it causes autism. I would much rather this, than a preventable illness.

 

If you’re autistic, shouldn’t it have been caught in school?

For boys, this is most often the case. Girls are diagnosed on average two years later–and more and more women are discovering themselves at the age of thirty or higher. These older women (myself included) were in school at a time where the idea of girls being autistic was still a foreign one.

What happens in a lot of undiagnosed women is a cycle of not coping, where the woman is fine for a time–and then everything falls in a heap. There’s time for recovery, and then it begins again. It goes on until the woman goes into what is known as ‘autistic burnout’ or ‘autistic regression’.

 

Autistic regression?

Basically, a surge in autism symptoms. The individual is too run down or burned out to tolerate the things she did before, in the way she did before. Compensatory strategies that used to work are no longer as effective, and meltdowns become more frequent and more intense.

This is what drives most women to seek more answers. For me, changing my job was what drove me into a state of autistic regression, and I’m still trying to dig my way out of it.

 

Why can’t you just shrug it off and keep going?

Well-meaning advice suggests I should be able to tough things out, and push through. Some days, yes, that’s possible and productive. It’s not a strategy for the long-term, though.

Constantly pushing past my limits, not listening to my body when it demands rest, continues the cycle of not coping. It results in recurring burnout, each episode worse than the one before. In women who were not fortunate enough to be diagnosed, who continued trying to achieve things in the same way as their allistic peers, that burnout became permanent.

Nervous breakdowns, permanent fatigue, and critically reduced tolerance to sensory input? That’s definitely not a life I want to lead. So taking care of myself now, tolerating what I can and taking the time to recharge when I need to is highly important.

I need to accept myself as an autistic person, and make decisions accordingly.

 

How else do you cope?

I do a lot of things to cope on a daily basis. Wearing sunglasses (including inside at work), taking breaks during social activities, and having something I can hyperfocus on to ‘recharge’ if I can’t step away–those are some of the basics.

When I get home, I change into comfortable clothes that don’t cause excess sensory input. I spend my lunch breaks in a dark room, and you can usually find me resting with my eyes closed. Not asleep, but processing and blocking out the light for a while.

I get my nails done professionally, partly because it feels good and I like the uniqueness of it. It makes me feel like I stand out for the oddball that I am. But also because it flattens the tips and allows me to release pressure by scratching, without doing any damage. I get glitter polishes because watching the light sparkle is soothing to me, and can help stabilise me when I don’t have the ability to retreat.

I try to walk a line between avoiding things that induce meltdowns, and maintaining an active life. That’s a balance I’m still learning.

 

How are you still rambling?

I honestly don’t know. I hope this gave you a bit more insight into my world of Autism. I would love to answer any questions you have, or hear your own experiences.

Inverse

Inverse

So far this week has been horrible. I tried to look after myself over the weekend, finding quiet spaces and times out to breathe and reduce the rising sense of tension that frays the edges of my mind. I couldn’t get drunk enough on Saturday to overcome the sense of crowding and noise, only for the couple of hours that the AFL grand final had me entirely transfixed on the screen could I block it out. At least that meant no hangover on Sunday, even though I wanted to stand up in the middle of the restaurant we went to for breakfast-lunch and scream.

Roaring air vents, a hundred conversations, cutlery tapping and plates clinking all around me. I couldn’t think of a good enough excuse to leave the restaurant, so I stayed. Some of it I spent with my hands over my ears, trying to block the bulk of it out.

I hate doing that. I hate it. First, it’s weird. I look like a freak. And it’s rude. We’re supposed to be having a family thing and stupid me is bitching about the noise level. The restaurant is full of other people coping with it just fine. I have to suck it up. By the time we leave, my head is thumping and I feel nauseous.

Monday was wrong from the start. I was exhausted. Not from lack of sleep–I caught most of that up–but so drained that my eyelids kept fluttering shut during the marketing meeting. It was an early start day for the first work day of the month, and I was good and organised. Awake and ready in time, a huge bowl of breakfast to keep me sustained (it didn’t work) and a taxi booked to take me there with enough time to gather my notes from my desk and start.

Taxi was across town, and on the way to getting me, encountered road closures due to minor flooding. Instead of having time to settle and get my things together properly, I rushed in exactly on time. I spent the rest of the day battling with myself, trying to keep myself focused on the tasks I needed to do.

Monday night was the worst, though. My brain loves to strike when I’m weakest. Asleep. I have extremely vivid dreams, so much that I often can’t tell the difference between them and reality. Only going through the events and identifying those that couldn’t possibly have taken place sorts out what happened and what didn’t. They sit in my mind like memories, complete with smells and sounds and tastes. And the feelings that went with them. I’ve found myself in trouble before where I believe something, a conversation or an action, has taken place–only to realise later that what I’m recalling is a memory.

I spent months… maybe years? Petrified my parents would discover this one terrible, horrible, awful thing I did. I felt sick every time I thought of it. I told myself every day it couldn’t have happened, it wasn’t possible, but every moment it felt like I was going to be discovered and punished. I think I was around eight at the time.

Monday night’s dream involved a former friend, who in the dream I believed to be my best and closest ally, telling everyone around me that I was crazy. Don’t date me. Don’t let your children around me. Don’t put anything fragile or precious into my hands, don’t risk yourself being near me. I was cursed, and the curse I carried could be passed on.

The crushing betrayal of discovering she was the one behind it is still with me. I can’t shake it, no matter what I do. And as for her message in the dream? It’s an insecurity that occupies a dark corner of my mind. Who on this planet would trust the care of a child to a woman who needs an alarm to tell her to eat regularly? How purely selfish and cruel would I have to be, to create a child knowing it had a high chance of inheriting the same faults that I have? How can I ask anyone else to live beside me when I would run if I could?

Stupid things set me off. Simple tasks. Things a monkey could do, and yet I fuck them up. So much that just being asked to alphabetise and file paperwork now makes me feel ill. I don’t know how I’m making these mistakes, it’s not hard. I think I’m putting things in the right place, only to discover later that I haven’t. I hum my way through the alphabet to work out what goes where, I utilise space to form piles by first letter and sort those piles, I break down the task to the easiest to manage microlevel–and I still fuck it up.

I can disprove the existence of God in a philosophy essay, I can research something to death and find a way to present what is unique about it to a potential buyer, but… I can’t alphabetise fucking paperwork. It comes back to one of those questions that has stalked me my whole life: How can I be so smart, and still so stupid?

Not that I ever feel smart. What I have is a head  full of mostly irrelevant information. Usually things no one wants to hear about and that are only of interest to me. It’s reality that is more telling, and in reality, I seem to get everything wrong. I say the wrong thing, I don’t think things through (or at least, I think I have–but didn’t come to the right conclusion). I don’t think to do things that I’m told are common sense.

Whatever I do, it comes with the same jarring sense of having fucked up. Again. Being the weird one. Saying the dumb thing. What’s the point of knowing about contemporary Australian serial killers when you can’t interact with people? There’s always a rule I seem to be missing, something that makes it glaringly obvious that I’m faking my way along. I try to remember the rules to all the different occasions, but it’s a lot to try and manage.

Maybe everyone feels stupid like that. It’s not just how I feel though, it’s what I do as well. I was the girl who put three hundred dollars worth of frozen items into the fridge, because a manager told me over the phone to ‘put it in the fridge’ and I was too stupid to think around those exact words.

And you’re not allowed to have those sort of mistakes if people think you’re smart. You’re too clever to do something that foolish, so it has to have been deliberate. Or that you didn’t care. Or you were selfish, inconsiderate, more concerned with other things than the task at hand. It can’t ever be that you’re actually just stupid.

Most days I would give up every bit of my alleged intelligence just to have a conversation and not be ticking off ‘appropriate’ behaviours in the back of my mind. Not be questioning every word out of my mouth. Not be distracted and annoyed by cacophonous background noise. To talk about the weather and bounce from one mundane topic to the next without relying on a set of answers that I know are expected by the other person.

To be able to articulate the things I want to express during a conversation without the words being misconstrued! To know what is useful to tell other people and when to tell it. To just… be able to have a conversation that is less comfortable without ending up in tears. I don’t even know why it happens. It just does. Sometimes because I’m frustrated, there are things I want to say… but they’re not in words. They’re not available to me. They’re snippets of feelings and colours and a twisting in my gut.

It annoys people. It’s not the right reaction. Once again, I get it wrong–only I don’t know how to stop it from happening. It just starts and then the only option I have to avoid it bothering others is to remove myself from the situation. People keep telling me I need to be less sensitive, but I don’t know how. How do you turn that off? How do you stop every feeling from being a rush of happiness, or a crushing heaviness? I try to mute it where I can, but that’s just turning down the external volume.

I still feel it. I still have to deal with it. Along with the noise and the light, the constant questioning of my own behaviour, learning rules and remembering to say the right words and do the right actions. Managing deadlines at work, coming up with new and interesting copy, the constant interruption that is the stupid phone, getting more things wrong and making more dumb mistakes, emails, and trying not to freak out at all the headlights when I cross roads. Then weekends with people that I dearly love and feeling horrible when I have to find a quiet space because surely…

Surely.

Fucking surely I should be able to manage this.

But the days just cycle through, one overwhelming and exhausting day after another. It’s not like I’m doing anything special or hard. Plenty of people manage far more and do it fine. Why can’t I? What’s so wrong with me that I can’t manage these regular things? Why does it always end in me breaking down?

I don’t know.

I really just… don’t fucking know.

Good days happen!

Good days happen!

Today I’m having a good day. I’m not entirely sure why, there’s nothing amazing or stand-out about today that makes it much different to yesterday (which was less good). Sometimes the days just are and I have to roll with it.

tumblr_nokanma04g1rxpsuuo1_500

Maybe it’s because it’s Friday, or it’s just one day until the Bulldogs play the Giants for a place in the AFL Grand Final (I am so excited about this game!), or because the social media page I manage for my company reached 75 followers (they were at 51 when I took over in March), or it could even be because this morning I handled a work situation extremely well and delivered a hot lead to one of our salespeople.

It could be any of those things, or it could be none. Those sorts of things happen on bad days too, but today these little achievements feel extra good. Especially the work ones. I’m still in that stage where half the time I don’t feel like I know what I’m doing at all!

tina-fey-020113wh-18

Analysing good days takes some of the fun out of it, so I’ll try not to do that so much. What I do have to avoid is convincing myself that this is the beginning of everything being super shiny happy. That’s a trap I’ve fallen into so many times, and trust me, it doesn’t get easier.

Relapsing when you honestly and truly believe you’re getting better? It’s heartbreaking.

No one want to be sick like this. Some degree of positivity and hope is crucial to coming out of it, but it’s not the sole factor and telling yourself at the first sign of fog lifting that this time you’re going to charge your way back to full function and take on the world? It shatters in the face of reality. Expecting yourself to come back like that is unrealistic, even for the strongest of us.

This is the reality of depression:

  • It is a recurring condition. You will feel better, and you will get worse, and you will feel better again.
  • You will be stronger after every relapse, even if you don’t feel it.
  • Good days aren’t always a sign of recovery, but they should definitely be enjoyed!
  • No one recovers instantly. Unfortunately, that includes you. No one is a special depression snowflake. Recovery is an ongoing process of managing yourself, your thought processes, and your environment.
  • Recovery doesn’t mean you’ll never be depressed again. It means you’re competent enough at managing it that it no longer interferes with your life the way it used to.
  • Hiding it, faking happiness, forcing positivity, all of those ‘fake it until you make it’ strategies might make it look like you’re okay, but nothing is better for recovery than being honest and open when you’re struggling. Tell someone. You’re not a burden, you’re human.

Most importantly, if you’re trying to ‘pass’ as okay, do it for you and not for others. Don’t mislead yourself with the idea that you should hide what you feel to make other people comfortable. It’s not healthy. If they’re not okay with the conversation, they’ll say so.

632abb1e939a2f593e652900da367118

If you feel you need help, or just want to vent to someone: do it.

If you honestly feel better when you’re faking it, or if you want to pass for a reason that is important to you, do that. Basing who you are and what you do around others is a nice thought, but if it becomes the sole motivator in how you present yourself, it’s not healthy. Be yourself, unashamed. And still, talk to someone you trust.

Heck, even if you’re not depressed: talk to someone about how shitty you felt when you stubbed your toe.

But, back on some more fun topics, here’s some of the things that happen when I’m having a Good Day (capitalised because of the obvious importance).

  • I dance. And I do this in good moments on bad days. It’s not real dancing, more of a… half-skip walk with legs kicking out. Because body movement is fun!
  • I swing on things. Like my office chair. Or I spin in circles.
  • I feel like me. Without the crushing self-doubt and heavy emptiness, I’m free to do those weird and wonderful things that I love myself for.
  • I jump down the stairs. Holding the hand rails, of course, because I don’t want to die. I also jump up the stairs this way.
  • I sing and bop to anything that’s on. Sometimes I sing to calm my breathing too, and sometimes I can’t help it because there’s music on and I have to–but it’s more obvious and louder when things are good.
  • I talk. You’ve probably noticed that I have a lot to say, and a good day usually means that I’m likely to talk endlessly about the things that others don’t care about so much.
  • I laugh. Randomly. At things you can’t see or hear, because I just thought them up. Will I explain what’s so funny? Maybe not.
  • My imagination explodes. Yes, it’s always exploding–and occasionally depression leads down dark what-ifs that are actually super fascinating–on Good Days this imagination can get downright bizarre. Like a Simpsons dream sequence.
  • I love everything and everyone. Which I do anyway, but I feel it much much more on a Good Day.

Basically, Good Days are days of freedom. Days where I can be the person I want to be because I have the energy to do it, and the confidence to not care what people think.

636029410408940037-1741634431_giphy2039

It’s quite similar to me being drunk. Enough alcohol and I can enter a state where all the self-imposed inhibitions lift, where I can talk to people without worrying about conversation protocols and whether this is really the right audience to be talking philosophy with.

When I’m having a Good Day? Everyone is the right audience to be talking philosophy with.

On a Good Day, I’m me with 100% extra authentic me, and you can either like it or walk away. These Good Days are what my first psychiatrist diagnosed as ‘hypomania’, but I think it’s far simpler than that. I don’t feel invincible by any stretch of the imagination, I just recognise a chance to let myself out of the cage and I go for it.

Because, in order to avoid the trap of hoping that a Good Day is the beginning of Complete Recovery, I take every day for what it is: Unknown.

Yesterday was not a Good Day. Today is. Tomorrow? I’ll find out when I get there.

Right now, I’m making the most of the Good Day I’m having.

11 coping mechanisms that help me through each day.

1015439_10151706674724843_1332951876_o
Animals can provide an amazing source of company that doesn’t demand resources you don’t have. Just make sure you can give them the love and care they need on your worst days, as well as your best!

Coping mechanisms are dime-a-dozen on the internet, but there’s no one-size-fits-all solution to the mystery of the brain. I don’t know what underlying processes are tripping me up, and I know that I still need better techniques and more direction in managing myself.

That said, I’ve collected a toolbox of strategies and work-arounds that get me through most days. They don’t work all the time every time, but I’ve found that regardless of actual progress, the feeling of attempting to combat something (taking it into my own control) gives me a much more stable feeling than surrender.

In short, I’d rather fight than be a victim of my own mind. These are my weapons.

  1. Toilet time
    This came from a psychologist who pointed out that ‘no one actually knows what you’re doing in the bathroom’. Once we established that the bathroom could be used for more than human necessities, she opened my eyes to the concept of a ‘five minute break room’ where I could unwind and gather my thoughts.

    I was working in a hectic retail environment at the time, somewhere very difficult to find any semblance of quiet. Ducking to the loo was something I could do when I felt that I was getting edgy or anxious, a place where I could refocus and stabilise myself before going back to work.

    And funnily enough, once I accepted it as an option and knew I could do that–the less I actually needed to.

  2. Let it happen
    When you’re beginning to spiral into a full-blown panic attack (especially the ones that don’t seem to be triggered by anything, they just hit like a truck on the freeway), ‘letting it happen’ seems like the stupidest idea in the world.

    You feel like if you let it have its way, the panic attack will leave you broken and battered and you won’t recover. It’s not hyperbole to say you think you might die–because sometimes you find yourself very concerned that if you don’t force yourself under control you literally won’t survive.

    Counter-intuitive as it is, accepting the panic attack and letting it happen without a fight actually helps to restore calm. Panic attacks feed on fear. Your fear of the panic attack causing harm to you is what makes it last longer. Your fear of the horrible heart-racing, mind-dizzying, body-shaking, nausea-inducing symptoms–and your subsequent fight to stop it all from happening–is you engaging with the panic and making it stronger.

    Don’t let me kid you, it’s hard. The first few times it feels impossible. And yes, I still fail at this frequently–but where you can, take one deep breath. Accept that you’re having a panic attack, and you’re going to let it do whatever it has to.

    Then, without trying to fight or stop what’s happening in your body, observe how you feel. Gosh–that’s a fast heart rate. Ah, I’m sweating in a cold environment.

    If you feel dizzy, lie down and do the same. After a few incidents, you’ll learn by experience that the symptoms won’t cause lasting harm. You’ll become more comfortable with the way your body responds, and you’ll have a lot less fear feeding the panic attack. And if you’re not feeding the panic attack, guess what?

    It doesn’t last anywhere near as long.

  3. Vitamin D
    This comes with the standard disclaimer: before taking on supplements of any kind, consult with your doctor and/or therapist. I am not a doctor. I don’t pretend to be a doctor. However, I was advised by a doctor that my Vitamin D levels were low and that this could be making depressive episodes even worse.

    Vitamin D is the one you can get naturally by soaking up the sun, so it’s no surprise that I was deficient. Once your levels are low to the point mine was, it’s hard to boost them back up without some significant help. A few hours outside wasn’t going to cut it, so I began taking supplements.

    The difference was more drastic than I could have imagined, and it’s now part of my daily routine (when I remember. I suck at routines). If you think this may help you, speak with a health professional.

  4. Silly Tap Games
    When I’m feeling edgy or scattered, I find I can bring myself in line a little by forcing myself to focus on a single thing. In school it was drawing or writing stories that had zero to do with classwork, but as an adult I don’t always have pen and paper handy. Even if I did, it’s not always convenient to whip out a notepad in the middle of a supermarket.

    This is where touch-screen smartphones came to my rescue: a narrow point of focus that I can hone in on and tune everything out while I put myself back together. Games like Candy Crush Saga, 2048 and even Pokemon GO have minimal real-world value, but for me they provided the perfect two-minute reset I need to keep moving forward.

  5. Keeping it simple
    There is absolutely no reason you should make life hard for yourself, even if you don’t have a rebellious mind. But if you do, it becomes doubly important to think about the way you do things and whether you can do them when you’re at your lowest.

    Could you cook a full meal in your worst state? No? Keep a stash of microwave-ready meals.

    Could you complete a full wash-tone-cleanse beauty routine? No? Get the all-in-one wipes off the supermarket shelf.

    Could you shampoo and condition your hair? There’s no shame in having a children’s 2-in-1 on your shower rack for those days. Or weeks. Or months.

    Other strategies include wearing dresses to avoid the choice-burden of selecting a shirt and trousers (it sounds dumb but it’s a thing. Dresses + black tights provide an instant outfit with minimal thought), finding a hairstyle that doesn’t require precise preening (the messy bun is a blessing); and hanging your shirts and other hanging items on a hanger as they come out of the wash (I often peg these hangers to the line… or hang them on the curtain rail) will take the pegs on/pegs off element out of laundry and as a bonus… you can carry it straight to the wardrobe for hanging!

    I’d love to hear other strategies to simplify tasks that feel overwhelming on a bad day!

  6. Don’t assume. Ask.
    If you’re like me, you spend way too much time wondering what someone really meant when they said something. Did that half-sideways look mean they are upset with me? Were they joking with that insult, or sincere? Did I say something offensive and not know it?

    Those thoughts are toxic and they get really ugly really quickly.

    So I try not to engage them. In fact, I openly challenge them. Nothing defeats a malicious lie your head tells you like the honest truth.

    More than a few of my friends have been confronted with my ‘I’m not sure if this is a thing, but I think you might be upset with me and I just wanted to make sure that I hadn’t done anything wrong because I want you to like me and if I did something dumb please tell me’ conversation. Almost every time, it’s my head lying.

    Yes, there’s the fear of having that horrible whisper in your head confirmed as truth. But I no longer have time for these sorts of misunderstandings. If someone doesn’t like me or want me around, I’d rather hear it from them–however hurtful it is–than wonder about it indefinitely. It’s the uncertainty that makes it harder.

    Once you know something, and it becomes real, you’re in a position to make a new plan and move forward. You can’t do that while you’re unsure. So ask.

  7. Do what you can, when you can
    Sounds like advice so simple it’s obvious, and yet it’s not. It took a counsellor to point out that I was expecting myself to retain eight hours of constant focus when my body was not wired to work that way.

    I was getting unreasonably frustrated, constantly throwing myself into tasks when I didn’t have the mental resources to complete them, and beating myself up every time I failed. Now, I have the capability to get a lot of work done in a very short time–providing I don’t spiral into bleak and paralysing self-loathing.

    There are times where, yes, I have to fight it and force myself to be productive when I honestly and truly have very little left. And I never, ever bank on having a ‘productivity boost’ to get something done. But being productive is more than just getting the task done.

    Consider this scenario where you have an essay to write:

    Low energy and just want to be in bed? Switch Netflix for a documentary or youtube lecture on the subject.

    Can’t focus fully? Scribble out any thoughts pertaining to the essay topic as they come. However messy and unformed.

    Visual stimuli (screens, books etc) causing issues? Find a podcast related to the topic, or use your time in a dark room to meditate on what points you may cover.

    When you do feel productive, capitalise on those times. Have a list of things you want to accomplish, know what you want to achieve when you have the resources–and leave yourself enough time to still get things done if you have to fight through it.

    Don’t expect miracles of yourself. Work with your mind, rather than against it.

  8. Know what you need to be comfortable
    I get laughed at sometimes for the heavy bag I lug around with me, even if I’m only going somewhere for a few hours. But that bag contains everything I need to be comfortable if plans change. Chief among them, a spare set of clothes and my laptop.

    I always worry that I’m going to be ‘caught out’ somewhere. I want to be flexible enough to go with the flow. As someone who doesn’t drive, being prepared to stay  somewhere I didn’t expect to stay is important. I can’t always be mentally prepared for changing plans, but I can make an effort to have things on hand that will make it easier.

    There’s a lot of ‘in case I’ scenarios and items that fill my bag that I may never bring out. I have my Nintendo DS in there in case I want to play a proper video game. I have a sketch pad and full set of mechanical pencils, in case I feel the overwhelming desire to draw.

    Mostly I just need spare clothes (logical) and my laptop, which allows me the comfort of being able to do what I usually do at home. Check Facebook, skim my emails, research whatever weird thing has popped into my head today. Some times I need it more, other days I don’t even get it out. But like the pencils and the Snickers bar hidden at the bottom of the bag for emergencies, I know it’s there.

    Nothing upsets me more than something not being an option. My bag of options allows me to be flexible in ways that my mind often doesn’t.

  9. Know what soothes you
    For me, it’s water. Showers and baths especially, which has the bonus effect of being personal care as well as self care. It’s more than just getting physically clean for me. It’s like the water can soak out all the shakes and regulate the storm inside my head. I lose time in the shower as a result, and what feels like only a few minutes can end up being hours and a lot of angry knocks on the door.

    Still, I know that most of the time it works. And if there’s something non-harmful that soothes you, you shouldn’t feel ashamed about indulging in it.

    Accept it, and turn it into a defense against bad days. Only when the frequency of your soothing methods disrupts your ability to function is it ever a problem.

  10. I’m armed with alarms
    I forget really, really dumb things. I also lose time very easily. I’m the classic ‘opened Google to look up something and suddenly it was 3am’, ‘one more chapter’, and the TV binger that Netflix was made for. Mostly it’s fine. When I stay up late, I cop the tiredness the next day–but it was worth it.

    What isn’t worth it? Forgetting to eat.

    For whatever reason, my body just doesn’t poke me and say HEY. HEY YOU. WE NEED FOOD. So it’s not uncommon for me to get to some post-9pm hour and realise that I should probably deal with that. I am similarly bad with medication, or basically anything that involves a routine.

    Solution? My phone is full of alarms. Now that I’m in a more regular 8-5 job I don’t need them as much, but working supermarket shifts across the schedule I used them to remind me of basic things that would otherwise slip my mind. I still have one that prompts me to take my medication.

  11. Cats
    Although I no longer have cats of my own, I enjoy the presence of my housemate’s cats. I had three before I moved interstate, which was probably too many if we’re perfectly honest, but the rewards far outweighed the responsibility.

    Animals can provide an amazing source of company that doesn’t demand resources you don’t have. I miss quietly sitting with my boys curled up on my lap, watching trashy TV. I didn’t feel alone.

    It can be extremely isolating when you feel like interacting with another human being is going to take the last of your resources away, like you’re going to snap if you are forced to make conversation one more time. I feel like that a lot after work, and the quiet snuggly company of a cat allows me the breathing space I need to recharge and calm down without feeling entirely disconnected from the rest of the world.

    But–cats, and other animals of course, are not just for therapy. They are beings with their own needs and wants, and they will be dependent on you as a human to help meet those needs. If you’re considering animal company, ask yourself what you’d be capable of on your worst day.

    Don’t get a dog you won’t be able to walk. Don’t get a cat if tending a litter tray will be a struggle. Don’t get a bird if noise makes you uncomfortable.

    It might be that you have to accept some hard truths about yourself. That doesn’t mean you have to go without, though.

    Find a shelter that wants volunteers to play with their occupants. Walk their dogs on a good day, or have coffee with a friend to snuggle their cat. There are ways and means for the people who look for them. Me? I have housemates with two gorgeous cats.

 

There’s no shame in using strategies like these to make your life easier. I like to prepare for myself as I am on a bad day, which allows me the freedom of seriously easy-breezy good days to make up for the struggle.

Whether they were advised by doctors and therapists, or things we discovered in ourselves, we all have our own coping strategies. I’d love to hear yours!