Category Archives: The Crazy

Decade

As the sporadic nature of my blog posts probably indicates, I’m not finding it easy to write about what’s going on in my head this summer. Writing fiction? Not a problem. The things that are going on in fictional people’s heads are just fine. But my own is another matter.

The trouble is the anniversaries. On October 23rd it’ll  be ten years since my Mum died, with the 10th anniversary of my Dad’s death the following July (we’re just coming up on the 9th just now). I don’t know why the tenth anniversary should seem more significant than the 9th, but it does. Probably because it’s a decade and having a word for the amount of time that has passed makes it feel larger and more of a milestone.

Ten years ago I was 20 years old and living with my Mum and Dad. I’d moved back in after my first major depressive episode and was just gearing up to move out again. I had learned a hell of a lot from going through depression. I had been self-employed for the first time. I had arranged my first solo trip abroad. I had booked my first professional singing gig. My relationship with my parents had survived a pretty hellish time and we’d found our way back to solid ground. For the first time, I felt like we were three adults rather than two adults and a child. I felt like I was finally getting the hang of this life malarkey.

That lasted for one summer. Just one. I got back from Austria on the 18th of September. By the 3rd of October my Mum was in hospital. She had been having pains all year which had been dismissed as the menopause. The diagnosis suddenly shifted and became cancer. On the 14th we found out it was pancreatic. On the 23rd she died. I couldn’t believe how much things could change in the space of a month. Honestly, I still can’t.

Of course, the changes didn’t end there. My Dad’s death, the car crash, a good friend’s death, the two and a half years of being unable to move out of my dead parents’ house, all of that followed. It all took its toll and helped to shape my expectations for the future. Without realising it, I internalised the idea that if I love people they die, and if I value things they get taken from me in a painful way.

Being stuck in my parents’ house for so long was incredibly painful and I struggle to explain why, because I don’t know what frame of reference to appeal to when I’m talking to other people. It felt like being checkmated. The situation was completely out of my hands and there were no moves I could make. I couldn’t afford to buy, I had no rental history or guarantors, no-one I could move in with, and no idea how long the situation was going to drag on for. I couldn’t even redecorate and make the place mine, because that would have meant destroying something that was very special to my parents (that house and the way it was decorated were part of the long-term aspiration that got them out of their council estates and into the life they wanted). But more importantly, it would have meant conceding that I was going to be there for a while, and that was not an option. I might have had to tolerate the situation, but I did not have to give in to it.

However, there was another problem with being stuck there. It was completely the opposite of what I had wanted from life. I moved out at 17 because I couldn’t wait to get out and start my own life. Moving back when I was ill was galling, but I was determined that I would get myself back on my feet and start again. What I envisaged was a life of moving around a lot, working in different places, being ready to take off to somewhere new at short notice, underpinned by the security of knowing that I always had a home to go back to if I needed it. It’s the kind of life that I see most of my friends in their early to mid 20s living now. Instead, I found myself with a property to look after and legal issues to deal with. I was faced with the realisation that if I decided to freewheel my way around the world now, I would be doing it without anywhere or anyone to come back to. Perhaps there are people who can handle that kind of isolation, but I’m not one of them. I need a little bit of stability underpinning my chaos, so I had to rethink the kind of life I was going to build.

I began a complicated game of hide and seek with myself. I would let myself care about things, about ideas, about career options, about people – but never too much. I always had to be able to look at the thing in question and say “I would be sad if I lost this, perhaps it would stop me in my tracks for a while – but I would survive it, it wouldn’t break me”. That way I could reassure myself that I was still functioning, that I hadn’t cut myself off or shut my emotions down as a result of the loss I had suffered, but at the same time I wasn’t risking too much. Every new connection with another person took me out of my comfort zone a little bit, but I never set foot beyond my safety zone.

That continued until 2011, when I realised I couldn’t go on like that any longer and completely revamped my attitudes towards pretty much everything. The way I work underwent massive change and I finally found my feet as an artist. I moved back from London. I fell in love. We got together, moved in together, got a cat, got engaged and got married in a very short space of time. I had forgotten that I had it in me to be that impulsive and uncalculating. At this point, I am starting to feel like I’ve got the hang of life again – and that is fucking terrifying, because I remember what happened last time.

So I am spending this summer trying to silence the thoughts that tell me that I’m not allowed to feel happy or secure, and that it’s only a matter of time before the other shoe drops. It’s completely irrational to believe that I can bring harm to people just by loving them. I know that. But the little voice in my head that says “Yes, but look what happened last time” isn’t big on listening to reason, and it’s a pretty large dose of fear to live with. This is why I’m going back to therapy. I cannot let my life be governed by an irrational belief. I will not remain paralysed by fear of 2003 – 2005 happening again. I do not appreciate the last vestiges of schizotypal behaviour trying to re-establish their foothold and getting in my way.

It’s not 2003 any more. That’s the important thing. And that’s what I need to get into my head somehow.


Picking up from roughly where we left off…

Hello blog, it’s been a while. May is always a bit of a crazy month. I’m not sure whether this is to do with seasonal shift or whether it’s a pattern I learned at school when it was always exam season, but the anxiety and depression always seem to squeeze a little bit tighter in May. It was also the Month of Many Deadlines, so between one thing and another I didn’t get anywhere near WordPress. But here I am now. Hello again.

There are plenty of things I’ve been meaning to write about, but I’ve been in the grip of depressive thinking recently. I get to the stage where I can’t face writing about anything because I’ve got the Demon in my head telling me that no-one is remotely interested and there’s no point in writing. My energy diminishes, so the act of writing out my thoughts becomes considerably harder (I am eternally grateful that I had solid plans to work from for my freelance gigs). It’s a significant danger sign for me, because I am always in the mood to pick apart my own psyche unless I’m getting depressed, and I have to be quite far gone before I lose the will to write.

Which brings me, by means of a completely seamless and not at all clunky segue, to the subject of a quote I see doing the rounds on Facebook. It’s attributed to Dorothy Parker, but I have no idea whether this is accurate and I am being too lazy to check. It goes like this “I hate writing. I love having written.”

Apparently many of my writer/aspiring writer friends agree with this, at least to the point where they’ll re-post it. I see an extreme version of this sentiment in some of my ghostwriting clients, who want their name on a book without the hassle of actually writing it. For me, it’s the other way round. I love writing. I really enjoy the actual process of stringing words together and typing them into my laptop, watching the word count rack up. Writing longhand is even better. There is something so incredibly beautiful about putting ink on a page. I like the sensation of forming letters, I like watching the ink turn from wet to dry. I never write with cheap ballpoints if I can avoid it,  because it’s a waste of an experience. Gel pens, fountain pens, rollerballs – those are delicious to write with. When I learned that my husband had a favourite type of pen, my heart skipped a beat.

When I write, my brain calms down a bit. My head no longer feels like a browser window with dozens of tabs open. My focus narrows. I never get as far as a single tab, whether literally or metaphorically, unless I’m in hyperfocus, but I get closer than when I’m not writing. I create a playlist for each project or I put on a film or a series with the right voices to help me get absorbed in the task. I don’t answer the phone (any excuse). I feel more settled.

Then I finish whatever I’m writing. That’s when we ditch the calm and move onto the storm. Goodbye enjoyable act of crafting words, hello maelstrom of self-doubt and anxiety. That’s when I have to actually read whatever I’ve written and see all the flaws and clunky bits staring back at me. It’s horrible. It’s so much easier when you just don’t finish things, which is why I have a “Bits and Pieces” folder. All my favourite stuff is in there. The half-formed ideas that live in that folder are the best ideas, because I haven’t got round to destroying them yet.

I get over it, of course. When I’m writing for other people I don’t have the luxury of all this anxiety. When it comes to my own work, I freak out a bit more. Especially when I write plays, because then I have to hear what I’ve written at some point. Then I sit in the audience and second-guess the reactions of everyone around me. I do all the things I tell everyone else not to do, like measuring the reactions my piece gets against anything else I’ve seen recently and trying to work out whether I think audiences are the best people to assess my work or whether I think they’ll enjoy anything that’s dressed up the right way. It’s fun. My demons get some healthy (for them) exercise. I get to question the extent to which the demons really live in my head and to what extent they’re part of the tortured artist persona that I love and loathe in shifting measure. (Some days it feels like actual mental health torment, some days it just feels like I’m a bit of a wanker. Both statements are true. Sometimes concurrently. Like I said, fun.)

If I were able to skip straight to “having written” without the actual writing bit, I couldn’t do it. All the anguish and none of the good stuff where I spend days in front of the keyboard, wandering the internet to find the music and snippets that keep my brain ticking over, doing stuff with words? Hell no. The angst! I can only imagine.

The next post will be more upbeat. I wrote a play for the Fringe – my first commissioned play, I get paid for it and everything – and now that it’s had a couple of drafts and there are actors involved I’m starting to like it again.  There are things I’d like to say about it, and I should get in practise before August rolls around and I have to start telling people to go and see it.


Being the Squeaky Wheel

I’m not going to assume that everyone knows the expression “the squeaky wheel gets  the grease”, since I actually got through the first 20 years of my life without encountering it. It’s a phrase used to encapsulate the idea that the people who make the most noise are the ones who get what they want.

This idea is completely opposed to what I was taught growing up. Over and over again I was told that you don’t get what you want by shouting or demanding or even just being politely explicit. You get what you want by working for it quietly (and methodically, which was the bit I always struggled with) and if what you do has sufficient merit you will get what you want. You don’t kick up a fuss about why you’re more deserving than anyone who might want the same thing, you just trust that if you’ve done what you need to do, you’ll get out what you put in.

Realising that life is not like that has been an ongoing process for the past 30 years, but it’s such a deeply-held belief of mine that I feel I am constantly locking horns with life because of it. Surely life should be like that? It should be possible? I can’t quite let go of that idea, even though I’ve been shown time and again that life actually favours the squeaky wheels. (Surely when you can see clearly that something you believe is wrong it should be possible to discard or even just adjust that belief? That would be the rational thing to do, and I get very frustrated when I can see the rational path before me and can’t allow myself to take it. I also get frustrated that I can never type the word ‘frustrated’ accurately on the first attempt.)

I see it to a certain extent in my professional life, but it’s a necessary evil there. It really isn’t enough for a writer, director or actor simply to do their work well and honestly and hope their merits will be recognised, because there are countless others out there who are just as meritorious and there aren’t enough opportunities to go round. In addition to having merit, you must also be good at publicising yourself (unless you’re born very well-connected or you get a particularly lucky break, in which case count your blessings). It’s a pretty common frustration, since few of us seem to like doing self-publicity and everyone seems to think that everyone else is better at it than they are.

However, at the moment it’s more of an issue in my domestic life than my professional one. I dread things going wrong around the house, because if it’s anything that necessitates dealing with insurance companies I know I’m going to have to be the squeaky wheel. Yesterday, while I was still in my pyjamas and considering going back to bed with a splitting headache, our downstairs neighbour came to let us know that there was a leak from our flat coming through his ceiling. A bit of searching revealed that the leak was coming from our combi boiler. We have insurance through Shield, so I called them and asked for an engineer.

Getting on for 5pm, I called again to ask where the engineer was. I know they have call-outs until 11pm, but I’ve also been through this often enough to know that if you don’t have the engineer on site before 6pm your chances of getting things fixed that day decrease considerably. I’m also still in a bad mood with Shield since the engineer they sent out to do a routine service last November told us we had a carbon monoxide leak and left us without heat or hot water for three days, only for a second engineer to come out to finish the job and tell us that there hadn’t actually been a leak in the first place and that the first engineer had misread his monitor. At least this time we can see there’s a leak, but I’m still not thrilled by having our heating and hot water cut off in January. I have spinal problems that cause me a lot of muscle tension and I rely on hot water to keep the pain under control, so the cold water thing gets old fast.

So the engineer comes out, does his thing, says that he has to order parts and will be back in the morning. He orders all the parts he could possibly need. His supervisor refuses to authorise the more expensive parts. I make it clear that I am not going to be happy if those turn out to be the parts we needed. This morning comes. No engineer. I phone up to find out what is happening. I’m told that the job isn’t booked in for today but they’ll try and get someone out this evening.

This is the difficult bit. On the one hand, this is completely unacceptable. We pay for this insurance – by the logic I grew up with, we have quietly and regularly fulfilled our end of the bargain. What should happen next is that Shield fulfils theirs, quickly and with minimum fuss, and this should require no more from me than calling the problem in. We certainly shouldn’t be facing another indefinite period without heat a mere two months after the last time, especially as the boiler was fine until we had it serviced and has been nothing but trouble ever since. Since I am obviously going to have to be the squeaky wheel, I would prefer not to do do it by halves. A nuclear loss of temper would be really, really satisfying.

On the other hand, I’m on the phone to some poor girl who is not being paid enough to deal with me raging at her. It is also not her fault. She’s just telling me what comes up on her screen. Losing my temper with her would hardly be fair. But what she is telling me is that this problem cannot be resolved quickly and without us spending days huddled round the halogen heater, and as long as I remain calm this is what she continues to tell me. Honey is not working. It is only when I become somewhat vinegary that she agrees to put me through to her manager. When I speak to the manager my tone is emphatic, not impolite but obviously angry. Suddenly it becomes possible to get an engineer out today.

By 16.30 we had heating and hot water again. I’m pleased about that. However, we only have it because I got angry and won an argument. I’m quite good at winning these arguments, but I don’t like myself afterwards. Getting angry is a loss of control and I’m not a fan of those. I’m not sure to what extent my frustration grows from disappointment in myself for letting myself give in to the rage and to what extent it comes from having to do this in order to obtain a service I’ve already paid for. If I hadn’t argued so vehemently we would still be waiting for the initial appointment, never mind having the boiler fixed. The squeaky wheel did indeed get the grease – but damn it, it shouldn’t be this way and I don’t know how to let go of that. Perhaps more on that way of thinking in a future post. Perhaps not. We’ll see. I’m exhausted and drained and not committing myself to anything I might later regret…

At least I can say this much – as miserable as the experience was, it was a hell of a lot easier going through it with my husband than on my own. We raged together, then later we laughed together and rejoiced in being able to have showers and baths again. Now we’re blowing off a bit of steam, in his case killing video game monsters and in my case telling the interwebs all about it. Time for tea, chocolate brownies and then bed, in the hope that tomorrow will be better than the last two days. This particular wheel has done enough squeaking for now.


Noting a Broken Pattern

Today (or yesterday, I suppose) I had a really useful meeting with Sandy Thomson, Artistic Director of Bell Rock (formerly Poorboy), in her role as a Cultural Enterprise advisor.

I had gone seeking advice regarding Tightlaced’s structure and legal status, as well as hoping to pick up some tips from an artist who successfully runs a theatre ensemble herself. She gave me lots of information and food for thought regarding company structure and how a co-operative model might work, and she referred me on to other Cultural Enterprise resources for anything she couldn’t help me with herself. (If you’re an artist who doesn’t already know about the Cultural Enterprise Office, READ THIS NOW. Then come back here and finish reading this.)

But just as important as her advice was her support. I don’t get many chances to talk to other artistic directors of methodology-led ensembles. Sandy and I spoke about the possibilities and pitfalls presented by ensemble work and she reminded me that considering my own needs and wants is not only allowed but actually essential.

We talked about the boom and bust patterns that seem so difficult to avoid in the leaders of groups who work this way, which led me to acknowledge a very important milestone that I had allowed to pass unnoticed – even by me.

I have not experienced physical burnout since April.

I know that probably sounds like nothing, but for me it’s major. For years I’ve run on 12-weekly cycles, working flat out for three months at a time and then collapsing with a monster cold/flu-type thing which seems to be the physical manifestation of my exhaustion. I’d take a day or two off if I could (by which I mean I’d keep working but I’d do it from home) then I’d drag myself back up to full speed as quickly as possible.

It was a ridiculously unhealthy attitude, don’t think I don’t know that. I once fractured my coccyx and destabilised a couple of joints and went straight from the ambulance to rehearsal with no time at all to rest. That’s one of the more extreme examples, but at the time I saw it as the obvious thing to do. I started behaving this way because I felt I had to, because there was never enough time to do everything I felt I should be doing, then I kept doing it because I was trapped in the pattern.

This time last year I figured out exactly how destructive my pattern was and made a promise that I would get better. I had just finished Romeo and Juliet and I was ill, yet again. I had been deteriorating for over a month, starting with the usual cold and culminating in a kidney infection. I’d like to say that was my last physical burnout, but despite my promises to myself there was one more to come. I completely overworked myself in March and had one last cold from hell to see me through April.

Since then, though, I’ve been doing well. Even though this has not been an easy year in terms of mental health, where physical health is concerned I’ve been a lot better at maintaining my equilibrium. Even if I’m knocked flat on my back by a cold tomorrow, the fact remains that I have come this far. I paced myself so that I didn’t succumb to Fringe Lurgy. I struggled mentally around the anniversary of my Mum’s death but stayed physically well. I was anticipating burnout after the double bill, but in spite of all the long days, late nights and endless energy being poured into the work, I was still standing afterwards.

As I said, this probably sounds like nothing, but do you know how long it’s been since I went more than twelve weeks without exhausting myself to the point of illness? The last time I can remember was 1995. Seventeen years ago. Something I hadn’t actually stopped and worked out until today. So it’s important to me – the footprint of the first tiny steps in the direction of a healthier approach to work and life.

Sandy talked to me about the importance of reward and recognition, and the fact that recognition is often of equal or greater importance than reward. It felt that was. Something in my mind feels lighter for realising this. Perhaps it’s just the feeling of letting up on myself after many years of berating myself for (ironically enough) being too hard on myself. (I’m sure that sentence could be better constructed and not contain the same word three times, but… welcome to nearly 2am.)

There’s more that came out of the session and I’ll write about that as I work through it. Some will be here, some on the Tightlaced blog. But for tonight, that was the big thing. Thank you Sandy. If nothing else had come out of the session, it would have been worth it for that alone.


A long and frustrated mental health post

Creative Scotland has taken over my blog for far too long. I’m still talking about the latest twists and turns in the saga over on Twitter, but the most recent piece of [headdesk]-worthy action took place while I was caught up with the double bill. Besides, Hannah McGill has been well and truly on the case and I don’t really have anything to say that she hasn’t already covered. I doubt I’ve written my last Creative Scotland post, but there are other things I need to write about just now.

So back to one of my other major topics: The Crazy and how to live with it. It’s that time of year. The dawn simulator has been back on my bedside table for a while. Mornings are just that wee bit harder than in summer (yes, even Scottish summer). And after my last self-sabotaging battle with myself, there’s an alarm set on my phone to remind me to take my antidepressants.

I wish it were as simple as just taking the bloody things, but instead it’s a minor skirmish every time that alarm goes off.

You  see, I hate taking antidepressants. I understand why I have to. My body is physically incapable of producing, transporting and absorbing sufficient serotonin by itself. So I get it. If my body won’t do this by itself and it’s a chemical I can’t do without, medication is necessary. But I hate it.  Logically, I understand that this mental illness is a manifestation of a physical problem and that I can’t overcome it through willpower alone. But to hell with logic – the point is that I hate that this is something I can’t control without relying on drugs.

Having established that, let me make it clear that any comments suggesting that I don’t really need antidepressants and could probably just take St John’s Wort or do more exercise or find god instead will not be met with grace and gratitude. I’ve spent the past 12 years learning the hard way that I have to take these drugs. Believe me, there’s only one possible outcome to my not taking them – my mental state deteriorates to the point where I stop eating or talking and start causing myself physical harm.

Earlier this year I had to increase my dosage. The dose I was on was no longer working for me. I could feel the symptoms of depression kicking in again, so I did the sensible thing and asked my GP for a higher dose. She put me on the next dose up. I’ve been round the block often enough to know that side-effects are to be expected and that the best thing to do is just hold tight for a while and see whether they subside. When the side-effects emerged, that’s what I did.

Within a few days of starting the new dose I noticed nausea, increased anxiety and problems with my short-term memory. I persevered for six weeks to see whether these side-effects were just teething problems, but nothing changed. I can deal with the nausea – it’s not pleasant, but as long as I eat little and often and/or suck sweets or sip water, I can manage it. The memory problems were much more of an issue. I’m used to having a rather good memory, but now I find that I reach for information and what I get is fog, or that tasks and appointments are completely forgotten unless I write them down (and I don’t always have time to write them down before they’re forgotten.) That scares me. It’s really unhelpful, especially as I’m self-employed, and it’s really worrying considering that I will probably have to increase my dosage again in future and don’t know whether that will make things worse.

Knowing that short-term memory is affected by concentration and that my concentration has always been affected by increased anxiety, I went to the GP to ask if there was anything I could do to control the physical manifestations of the anxiety. I was given beta blockers, which made me so dizzy I couldn’t stand and then made me fall asleep.

As you can probably imagine, that wasn’t ideal for getting through daily life. I stopped taking the beta blockers and asked to be referred to a psychiatrist to help me find antidepressants that will keep me from being depressed and suicidal but will still leave me in a fit state to live  and work. In the meantime, I was already struggling with self-destructive behaviour patterns. I got married at the beginning of the summer and found myself caught up in a massive internal battle between my newfound happiness with my husband and the depressive part of my brain that tells me I’m not allowed to be happy and that everyone I love dies. (Yes, that is what my brain is like even when I am taking antidepressants.) In my infinite depressed wisdom I decided the drugs weren’t working so I wouldn’t bother taking them.

Well, that worked out predictably badly. My mental state deteriorated, I found myself relying more and more on the façade and increasingly scared of being around lots of people. I did a bit of self-sabotage. Then finally the sensible bit of my brain remembered that I’ve done all this before and that it might be wise to take my tablets. Just for a few days. So I went back on them and voila, the greyness started to retreat… taking my short-term memory with it and leaving anxiety and nausea in its place.

After that I began trying to work out a viable pattern. Halving the dose doesn’t give me enough to keep the depression fully at bay, but more than half lets the side-effects run riot. Taking one tablet every two days is the same as halving the dose. My next move is to re-time the alarms on my phone and try one tablet every 36 hours rather than every 24.

I also went back to the GP for something unrelated, but while I was there I asked how my referral to the psychiatric department was coming along. The GP looked in my notes. Nope, nothing there about a referral to see a psychiatrist – just some stuff about my time with the community psych nurses. Why, did I want to go back for more CBT with them?

No, I damn well didn’t. If I want to do CBT worksheets (which I don’t, because the way I learned to do CBT was much more free-flowing and didn’t rely on worksheets as if I were still in primary school) I can do that by myself. I can certainly do it with a hell of a lot less judgment than I encountered from the two community psych nurses I saw before deciding that this really wasn’t for me – all they seemed to want to do was contradict my existing diagnoses and do those bloody worksheets. (Forgive me if I don’t give much credence to their contradictions, but I’m more likely to trust an actual psychiatrist who gives a diagnosis based on considerable observation and proper assessment techniques than a psych nurse who bases it on a five minute conversation and the infallible logic and clinical analysis that says “you couldn’t possibly have had a personality disorder at 18, that’s far too young”.)

So no, there will be no more psych nurse visits for me. Perhaps there are excellent psych nurses out there, but I got burned twice in quick succession. Also, CBT is not the answer here. CBT helps me with day to day management of my mental health, but it does precisely nothing to cause my body to produce, transport and correctly absorb serotonin. It’s the drugs that do that, and it’s the drugs that are causing me problems so I need to talk to someone who, you know, knows about drugs. GPs are barely trained in psychiatric medicine, hence my request for the referral in the first place.

I explained all this to the GP who told me that she was new to the area and didn’t know what was available, but she’d find out and let me know. To her credit, she did – but her letter was deeply disheartening. Apparently my options are 1) go back to the psych nurses for more CBT worksheets, because somehow that’s going to achieve something and not just waste resources that might actually benefit someone else or 2) go to a private clinic for which details were enclosed.

I checked out the private clinic. All it offers is psychotherapy. I have found psychotherapy useful on many occasions, but this time I do not need a therapist to talk to. I need someone who can advise me about medication. A psychotherapist cannot do that. A psychologist cannot do that. Who can do that? A psychiatrist. I’m not asking to see a psychiatrist because I think they’re higher status than psych nurses or psychotherapists or because I want preferential treatment, I’m asking because they are the people qualified to do the thing I need them to do.

So realistically, my options are 1) continue with the medication and see how long it takes for me to get myself into trouble for forgetting something important or simply being paralysed with anxiety and unable to do things, 2) find a private psychiatrist and hope against hope that I find a good one first time because at their hourly rates there’s not much room for trial and error, or 3) come off the meds and see how long it takes for me to deteriorate to the point where I am hospitalized, because at least there’ll be psychiatrists in the Royal Edinburgh. That last one really scares me. So far I’ve always managed to avoid being put in hospital. Even first time round, when I absolutely couldn’t take care of myself, my parents looked after me at home. Even last time round, when I was breaking my own bones, I only ended up in general medical. It’s unknown and I’m scared of it, and it would be the ultimate confirmation that my mental health is not under my control. And the path to get there is really horrible and involves the risk that I’ll succeed in doing myself permanent or terminal damage before I succeed in finding help.

I’m not particularly keen on any of these options, but most of all I’m frustrated – not just by the lack of care available, but more than anything else by the fact that the GP doesn’t appear to know the difference between psychotherapy and psychiatry. This is one of the biggest and most exhausting obstacles that you face in dealing with the Crazy. The GP is your first port of call, and even if you can get them to believe you (easier with depression than with just about anything else, but still tricky) it’s a real struggle to get access to any help. You might be lucky and win the antidepressant Russian Roulette where the GP prescribes you whatever’s cheapest and it either works for you or it doesn’t, but if you lose, my current situation is about the best you can hope for. I don’t know where this will end and all I can do is hope I don’t lose too much along the way.

The option I choose, unsurprisingly, is to start looking for a private psychiatrist and hope I can find one who isn’t charging £300/session. I have to keep reminding myself that while the illness is forever, psych sessions are not (because, guess what, I don’t like them either – not a fan of anything that suggests I can’t deal with this entirely on my own). All I need is long enough to get advice and a new prescription. I’m very good at monitoring on my own and following up with GPs. All of this is about making that very first step. I wish it didn’t have to be the most difficult and disheartening step of all.


Openness

A friend who reads this blog recently asked me whether I’m concerned about the possible repercussions of writing as candidly as I do. (That might make my friend sound a bit judgemental – that’s not the case, I believe she was asking out of curiosity, not judgement, and she knows me well enough to know I’d take it that way.) The answer is ‘not really’.

Perhaps I should be, since this is a public blog on my personal site and I don’t make the slightest effort to conceal my identity. But to be honest, you won’t read anything here that I wouldn’t tell you in person, and if you asked about it I’d tell you on pretty short acquaintance. If I’m open about it in person, why not online?

There was a time when I worried about what people would think of me if they knew I had mental health problems. I would never actively conceal it, but I wasn’t as relaxed about it as I am now. For a while I stumbled through conversations making vague references to ‘illness’ and ‘being unwell’, trusting that people wouldn’t enquire further. They didn’t, but I found I wasn’t comfortable with keeping the waters muddy on purpose.

It’s difficult not to talk about it when you have these problems. I don’t mean that I spill the whole story to every passing stranger, but I’ve been dealing with it for over a decade and I’ve lost large chunks of time to the Crazy. There are gaps in my CV, my educational history and my life story due to non-functioning headspace, and if I’m getting to know someone it means that sooner or later they’ll start to notice that the chronology of my life doesn’t make much sense without context. My options are 1) redirect the conversation if it goes anywhere near the subject, 2) gloss over it by making the aforementioned vague references, or 3) tell the truth, with or without all the gory details.

I prefer the truth. I spent long enough being uncomfortable with all of this and fearing other people’s judgement. Keeping things vague only keeps people at arm’s length, and feeling that no-one knows or understands me feeds into the low moods during depressive episodes. Yes, it’s a leap of faith every time. No, I’m not always happy with the results. But on balance, it’s worth it. I can deal with the occasional bit of judgement in exchange for having other people open up in response to me.

As for whether this blog will ever hinder me professionally, I don’t know. Once again I find that I don’t really worry about it. I’m a self-employed artist and I choose to work with people who are likely to have experienced these things themselves or seen them at close quarters. The levels of judgement are reasonably low. Perhaps that wouldn’t be the case elsewhere in the industry, on the commercial side where the focus is more on business than art, but the choices I’ve made mean that I’m unlikely to find out first-hand.

More importantly, some of us have to take the chance. Talking openly about something that’s stigmatised will always put you at risk of being subject to that stigma. It’s not for everyone, but these days I’m feeling secure and supported enough to do it. I know how lucky I am to have that – there have been times in my life when I haven’t had that support and I know how much harder it makes things to be dealing with it alone. Every judgement, every bad day seems a hundred times worse. I haven’t forgotten that, and that’s why I feel the need to reach out from where I am now in the hope that it does some good. It helps me more to focus on that than to let myself go down the route of giving too much thought to what people I’ve never met or barely know think of me. If writing this costs me a job, I doubt it’s a job that would have lasted.