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Monday 15 September 2014

Internal dialogue for a fast day

Wake up in the morning, bleary, not really awake, have to get up, don't want to get up, what shall I have for breakfast, oh damn not having breakfast today...

Give kids breakfast. Try not to think about what they are eating. Oh look there's the cake that was made yesterday, I'll have a bit of that later, oh no I won't. Damn. 

Put pot of coffee on. Take kids to school. Mums in the playground ask me to join them for coffee at Starbucks. Lovely. Meet them there later. They are eating bacon sandwiches. Damn. Black coffee......

Work work work emails phone calls work what shall I have for lunch, oh damn not having lunch today... More coffee...

If I eat the inside of my own mouth do I have to count the calories?

It's lunchtime, half the day gone, don't think about lunch, don't think about food...

OK. Think about food. Think about it properly. I'm not actually that hungry. My tummy is not feeling hollow, I'm not dizzy or nauseous, I'm perfectly fine to not eat anything. I just WANT to eat, I want the sensation of food in my mouth, I want the flavour, the chewing, the swallowing...

Oh look there's the box of chocolates I was given last week no No NO NOOOO!!!!!

Quick trip out to physiotherapy, oh look there's that lovely deli with all the delicious food - WALK. AWAY. NOW.

Back home more work, emails, conference calls. Nope, can't stand it any longer, I have to eat. Microwave an instant meal. Tastes like food of the gods. Take half an hour to eat it, making every mouthful last as long as humanly possible.

A respite of an hour or so when I don't think about food every minute. Fetch kids from after-school club. Feed them. Feed boyfriend. Don't inhale, don't smell the food, there are probably calories in the vapours. Don't look at the bottle of wine chilling in the fridge. Don't even think about the slice of pizza the kids didn't eat. Oh look another utterly delicious ready meal. I really ought to plan some better food. 

Wrestle kids to bed. Watch TV. Ignore tummy rumbling. NOW it rumbles. I've eaten already, dammit! Don't think about cheese. Crap I just thought about cheese. How many calories in one slice? Walk away from the fridge. Is it bed time yet? Is it tomorrow yet?

Thursday 11 September 2014

A note on depression

There have been a lot of articles on the web about depression recently, in the aftermath of Robin Williams’ tragic death. I hope that some people have gained some understanding and empathy as a result. Depression is a difficult disease to understand even if you are living with it; almost impossible if you have no experience of it. I have lived with it for most of my life, and I still learned new things from reading the many comments and notes.

The timeliest reminder for me from all the information is that there is no cure. Some people do recover from depressive episodes, but for the vast majority of sufferers it is a chronic illness. The symptoms can be relieved, and it is very possible to learn to cope and live a joyful life despite it, but it never actually goes away. It has to be vigilantly managed.

I am one of the lucky ones. My depression is well controlled with medication. This hasn't always been the case. I've tried various drugs over the last 20 odd years, some more effective than others. Some made me very sleepy, others had little to no effect. One had addictive properties that meant if I missed a dose I would get dizzy spells and hand tremors. That was fun to come off. I've also had various courses of talking therapies, most successfully with Cognitive Behavioural Therapy. I have avoided deep psycho-analysis as I honestly believe that this is a chemical problem; analysing my childhood won’t make it go away. I need practical coping strategies to deal with a biological defect in my brain.

As with so many chronic illnesses, when you have a period of remission, when the symptoms recede, there is a strong temptation to believe that recovery is permanent, and treatment is no longer required. I've repeated this damaging behaviour on many occasions, most recently earlier this year. I had not had any significant symptoms for over a year, I felt happy and content. More importantly, I felt in control. So I stopped taking my meds, truly believing that this time I had actually got better.

I hadn't. I lasted a couple of months before tearfully admitting defeat and starting back on the meds, and mentally kicking myself. There have been so many times when I have explained to both others and myself that I need to take these drugs for the rest of my life, and that this is ok, and that I have accepted it. Why do I put myself through it? I’m writing this down partly in the hope that next time I have this urge to quit, I remember more clearly why I shouldn't.

I am not yet back to the happy place I was earlier this year. I’m not nearly as bad as I have been in the past, but I've definitely been better. It’s not possible to tell whether this decline in my mood and energy levels would have happened anyway. I've had surgery and I've quit smoking, both of which are big causes of stress. Maybe I would have felt like this anyway, even if I hadn't had the break from medication. What I do know is that it is possible for me to feel better, to feel normal and to take joy in every day. So I will keep taking the pills and doing all the other things that I know help me feel better, and wait.



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