Frightening World

forest night

I wonder how many of you find the world ‘too much’? Just as many of us with eating disorders find ourselves to be ‘too much’. I do.

I have been thinking over this a fair bit recently. With all the violence and fear and pain in this world, I always find myself wanting to remove myself from it. To opt out. Not to be a part of it. I cannot cope with the feelings, cannot cope with other people in pain – wanting them to not be hurting and not being able to do a thing about it – and so I just cannot cope with ‘being’ at all.

It’s a fact of life now that we are completely surrounded by pain and suffering. People get killed, or die from horrible illnesses. Or hurt. Or betrayed. A multitude of things. There are people who suffer from going without. From loneliness, from poverty of both the heart and of things needed. There are people who spend their entire lives scrabbling to just get by and survive. Too much power is in the hands of those who do wrong with it, and too little in the hands of those who would do good. The actions of one person can kill millions of people.

And there is nothing I can really do about it all.

I feel so powerless.

And I feel so frightened and overwhelmed by it all. By the terror and pain everywhere I look.

This is a big part of why I step away from the world and bury myself in my own, in the world either of my own imagination, or I simply dissociate somehow. And the starvation of anorexia helped me to do that. The more I starved my body, the less I found my mind lived in reality – I flew away, I really did. I simply flew away from here and all that hurt. Left it all behind.

let me fly away

Being refed brings me back to reality with a thump. A thump of having a body, and a thump of having to deal with all that goes on around me. And I still don’t know if I can handle it.

But I have to. And so now, I strive to. It seems that a lot of what I’m learning in therapy to help myself tethers me even more strongly to this world that I often find myself HATING. And yet, if I keep ‘flying away’ I cannot live or survive. I have to choose – live or die. Tether myself or fly.

I’m choosing to live. And though that’s the harder of the choices, I guess that it’s important that we always remind ourselves – we are not as powerless as we feel.  So we might not be able to change the world all by ourselves and straight away! But every little bit counts.

Have you ever heard the parable about  how the constantly dripping water wore away the rock, but the bucket of water couldn’t? That is how our own actions work. Little bits over time – adds up to real, powerful change. We can throw all we have at a problem, all the solutions in the world at a problem, but it’s not going to make as much impact as little bits, constantly, over time.

And that’s something every single one of us CAN do.

12_Apostles1024

Conclusion – we are NOT powerless. I am not hopeless or helpless. I can make a difference in this world – and I choose to stay and try. And so can you.

(Image Source: 1, 2, 3, 4)

World Suicide Prevention Day

world suicide prevention day

Today is World Suicide Prevention Day in Australia.

All of us, even if just by that ‘six degrees of separation,’ are at some stage in our lives, affected by suicide. All of us.

I have been.

I’ve had a couple of friends die to suicide.

They are the ones I still lie awake and think about, nights.. that someone was in that much pain and distress and felt that hopeless and alone, that they went through with the most painful, lonely death imaginable.

It bothers me a lot that my friends were so alone when they died, too. Did they change their minds and it was too late, they were too weak or sick to call for help? How alone it is for someone dying by suicide – you cannot even say goodbye or have someone by your side because they might stop you.

And I go over in my mind, could I have prevented it if I’d gone and knocked on their door that day? Been a better friend? I know this sort of thinking doesn’t help anyone – but I want people who read this and have not (YET) been touched by suicide to realise that it deeply affects people. People not even connected to you are affected, and those who care about you – it is HORRIFIC for them.

I don’t think I will ever come to terms with the deaths of my friends who killed themselves. It’s vastly different to the deaths of people close to me who didn’t kill themselves – even though those, too, broke my heart and affected me deeply – I at least was able to think that maybe it was their time to die, that things had been done to make them comfortable, there weren’t so many ‘what if’s’.

Losing my friends, may have saved my own life. I have attempted suicide more times than I can remember, and come close quite a number of times. A couple of times I have been told I would not make it. But it wasn’t my time to die (and I am glad now that it wasn’t – even though at the time, I was completely broken, hopeless, unable to find any reason at all to keep on going, and in so much pain that I could not bear it one moment longer. Back then, I wasn’t able to see that the agony would NOT be forever – even if it felt that it would be.)

Losing my friends made me realise how much it does affect others. How much I grieved and the questions I asked. How much pain and distress I saw their families in. And I couldn’t do that to anyone. Even if I didn’t have anyone in the world who cared about me (sometimes in the past, it did feel that way), my actions would still affect people – like the ripples on a pond when a stone breaks the surface. People who would find me. People who would have to break in. People who take my body away. Who prepare my body for the funeral. The people who worked with me – my treatment team would have to go to the coroner’s court enquiry for example. I couldn’t do it. And when I did feel like people cared, I couldn’t cause them the pain that I felt at losing my own friends.

For these reasons, I was finally able to stop harming myself. After years of struggling with severe self harm that necessitated hundreds of stitches, treatment for an infected entire lower arm because I didn’t let anyone know – it turned into a weeping mess that needed skin grafting – and emergency surgery for cut arteries. I will carry the scars for life – and they are pretty awful too. I’m lucky I didn’t cause more lasting damage like friends have – permanent disability and even amputation. But I was finally able to stop, after years of believing it impossible, because I feared my friends would die when they self harmed – a couple did – and I couldn’t put them through that either.

That’s  not to say I’ve not had times of that much distress and pain and hopelessness since – I have, many times. But I’ve realised that my feelings cannot kill me – no matter how awful I feel, I can get through it. I CAN.

This is very relevant to people suffering with eating disorders – suicide is the biggest reason for deaths of those with ED. And deaths from eating disorders, particularly Anorexia – are the highest in number  of any mental illness.

If YOU are struggling and needing help, PLEASE ask for help. It’s definitely NOT weakness to admit you need help – it’s actually courageous. It’s strong – it takes more strength to say “Look, I’m not okay.” than it does to hide it behind a mask and say “I’m fine.”

If you or someone you know is struggling:

Warning signs

Some things to look out for are:

  • major setbacks e.g. failing exams, being made redundant
  • loss of self-esteem
  • isolation and hopelessness
  • sleep problems – particularly waking up early
  • a sense of uselessness and futility – feeling “What’s the point?”
  • taking less care of themselves e.g. eating badly or not caring what they look like
  • suddenly making out a will or taking out life insurance
  • talking about suicide. It’s a myth that people who talk about suicide don’t go through with it. In fact, most people who have taken their own lives have spoken about it to someone
  • a marked change of behaviour. Someone may appear to be calm and at peace for the first time or, more usually, may be withdrawn and have difficulty communicating.

Someone who has thought about suicide in the past, however vaguely or rarely, is more likely to resort to it as a means of coping when life becomes stressful.

What can I do to help?

  • be there for them
  • talk to them
  • look at options for solving their problems
  • be accepting of them.

Don’t dismiss expressions of hopelessness as a ‘cry for help’ or try to ‘jolly them out of it’. Talking openly about the possibility of suicide will not make it more likely to happen. But just being there for the person and listening in an accepting way can help the person feel less isolated and frightened.

Even when someone appears to be absolutely determined to take their own life, it is important to talk to them and examine every possible option and source of support. Encourage the person look at options to see if there are other ways of resolving their problems. (source)

Here’s where to get help right now, for yourself or someone else, in Australia,

taken from the World Suicide Prevention Day site.

Name Availability Operating Hours Phone Number Website
Lifeline Australia National 24 Hours, 7 Days 13 11 14 visit
Kids Help Line (5-25yrs) National 24 Hours, 7 Days 1800 55 1800 visit
Mens Line National 24 Hours, 7 Days 1300 78 99 78 visit
Suicide Call Back Service National 24 Hours, 7 Days 1300 659 467 visit
Salvation Army Crisis Line National 24 Hours, 7 Days 1300 36 36 22 visit
Salvation Army Crisis Line Sydney 24 Hours, 7 Days (02) 8736 3295 visit
Salvation Army Crisis Line Brisbane 24 Hours, 7 Days (07) 3831 9016 visit
Salvation Army Crisis Line NSW/ACT 24 Hours, 7 Days 1300 36 36 22 visit
Salvation Army Crisis Line QLD 24 Hours, 7 Days 1300 651 251 visit
SuicideLine VIC 24 Hours, 7 Days 1300 651 251 visit

In the UK: (more here)

 The Samaritans (UK)   www.samaritans.org 08457 90 90 90 (or Republic of Ireland 1850 60 90 90)

Papyrus (UK)    www.papyrus-uk.org

MIND (UK)    www.mind.org.uk

SANE (UK)   www.sane.org.uk

Rethink (UK)   www.rethink.org

Maytree (London, UK)   www.maytree.org.uk

In the USA: (more here)

1-800-SUICIDE
1-800-784-2433

National Hopeline Network

1-800-273-TALK
1-800-273-8255

National Suicide Prevention Lifeline

1-800-799-4TTY • 1-800-799-4889
TTY – Hearing & Speech Impaired

For lesbian, gay, bisexual, transgender, and questioning youth

The Trevor Lifeline Crisis intervention & Suicide prevention

1-866-488-7386

Trevor Chat • Trevor Space

Online Emotional Support CrisisChat.org

Update: Escaping, Spiralling, Opting Out Of Life – And Choosing To Opt Back In Again.

ICanWeatherTheStorm

It’s been a long time since I’ve done a serious update, or a really serious post. There’s a reason for that – I’ve been not out of action, but hunkered down, holding on for dear life. As you do when things get stormy!

(Image Source)

Sometimes, that’s all we can do – hang on tight. And that’s okay.

My biggest ‘storms’,  as usual, have been the PTSD most, and the depression and anxiety. I had my monthly appointment with the consultant psych on Monday (the head of my treatment team) hoping that he could help in some way that would ease the worst period of both anxiety and depression in my life – and that’s including all the years of abuse and bullying. Instead, he complimented me again on how far I’ve come, and how well I’m doing.

I’m still far more functional than I was for over a decade, and for them, that is more important than the level of depression and anxiety I’m feeling. I do worry that these will make me lose function – avoiding doing things and hermiting, being too lethargic and miserable to move most days – doesn’t make functioning very easy! The PTSD, I’m hardly even asking for help with that any more – trying instead to keep using my strategies and wait for the new psych appointment – finally – next week! It seems like I am haunted by the nightmares and the sense of horror  every waking, and not waking minute. There is no easy cure to any this, I wish there was. There is only really bearing it.  But I guess I have to just suck it up and hang on tight.

I’m feeling worse now, because I’m not running away any more. I ran so far, for so many years.  In the past, when the depression was this bad, I used to go out stomping across the city, counting everything I could possibly count – calories, steps, kilos lost, kilos to lose, grams of this and that to two decimal places, to block out everything else. Later, I would cut myself to bits. Or I would take an overdose and hope that this was it, it was all over now. Or I’d  purge until I was sure my stomach itself was going to come up. A lot of the time, I did all of the above, and still hadn’t escaped far enough from myself.

When I became bulimarexic, I would spin out of control – rushing around at top speed, in and out of shops, amassing as much food and other odds and ends (clothing, housewares, bits and bobs, most often gifts for other people) as I could afford and hold.  Stuff them all in the back of a taxi or struggle onto a bus,  and charge on home to binge and purge, binge and purge, collapse for a few hours of exhausted slumber, wake up and survey the mess and the things I’d bought that I neither needed or could afford. Taking them back to the shops was a good excuse to buy more food and repeat the whole thing again. And again, until the money was gone, or more likely, I collapsed in a heap.

Then, came depression so deep that I couldn’t move. I’d spend days in bed, blocking it all out.  Opening my eyes was painful and took too much energy. Life had too many problems to face and I just couldn’t cope with them – so I didn’t. I pretended I wasn’t there instead. I fell deeply into that dream world, the one that I wished dearly I could stay in. This lethargy was heightened because when I came down from whatever frantic phrase, I would always have lost all the weight I’d gained last hospital stay, plus interest, so I’d hit rock bottom like a lead bomb. In later years, I was still too sick on being discharged to even be able to go on that frantic spree, so I went straight home and to bed most times.  This would go on until one or both case managers came round to shovel me out of bed like one might shovel roadkill off a road – and ship me back for hospital admission number whatever.

It wasn’t a life. And I’m not surprised I wasn’t able to function at all. It shocks me how much pain I put myself through in order to avoid pain – even writing this sentence – it’s crazy! It’s like chopping off your whole arm because of a little scratch on your finger. (I know paper cuts can hurt like hell, but really?)

Thinking about this more – I’m sure this overreaction was because of FEAR of the pain – I find that the fear of things is often far worse than those things I feared.

Anyway – I’m now feeling things. Staying with it. The sky still hasn’t fallen, despite that ever-present feeling of doom approaching. I do still struggle with bingeing and purging, and with restricting – and this makes me feel like I haven’t made progress at all. That my weight maintenance and great bloods (this is a big deal for me) and actual ability to do things, are  flukes.  That at any moment it’s all going to come crashing down around me. I’m not just letting it happen – I’m trying to approach each meal as it comes. Trying to have meals, and then at night, trying  not to binge on anything I didn’t eat during the day that I was meant to. How I hate that word, “trying“. Every time I write it I wince.

It makes me think “not enough” immediately – another of the myriad problems all tangled up in this web of disorder. I’ve never been good enough, I’ve always felt like an imposter. My best efforts always fall short, I’m not trying hard enough, I’m just not enough. Except when it comes to my body and then I’m too much.

I never wanted to be slim, beautiful and vogue. I did want my dancer’s body back at one point – but that was more about my belief that weight gain had ruined my dancing rather than being sick from chaotic eating habits, and was aimed more at function than form. I never understood how people cared about “thinspiration”. I didn’t want to look like anyone else. I didn’t want to look like anyone at all – including myself.

I wanted to be gone. Nothing. Zero. Not size zero. ZERO. Not there. Not taking up ANY space. Not seen, not heard, not felt. GONE.

Because it wasn’t my body I couldn’t cope with. It was LIFE. And I was trying to opt out of life and all that I had to feel to be there, in any way possible.

These days, I am coming round to the fact that I can’t be ‘gone’ and still be alive. Rationally, it’s an easy thing to realise – if you aren’t here, you are dead, right? In my brain, despite the rational knowledge, the irrational ‘can be both’ line of thinking persists. As does most of the ED screwed-up-irrational-thinking. See Missy’s post for a good explanation of how her ED brain screws things up too. We know it ain’t true. It’s like always having to argue with a whinging, stubborn child who knows the rules, but wants his own way regardless. It’s another kind of ‘storm’ we must weather – and then wade through the lies to pick up and keep hold of the truths.

I now have a lot more wisdom and insight than I had back in those days. The dialogue (accusations and threats is more appropriate!) from my ED brain is still the same as the worst years – but now, I am able to tell the difference between ED brain thoughts and rationality. Not just that – but I’m getting closer to being strong enough to change what’s not right. One step at a time.

(Image from Facebook)

When it comes to life – I have to stay here. Take all that comes my way. Accept it. Tolerate it. Hang on tight. And trust that this too, will pass, and I can survive it.  Cause let’s face it, it hasn’t killed me yet, right?

So that’s it. For me, right now, it’s about -

  • Weathering the storms. They will pass.
  • Trusting my team, life, my body, the process.
  • Not backing down when anxiety fights my ability to get out and engage in activities and socialisation.
  • Using my strategies – mindfulness, acceptance, being in the present moment, distracting myself.
  • Not fretting over the small things – keeping in mind the bigger picture, but
  • Not trying to leap huge bounds instead of taking one small step at a time.
  • Refuting lies – hanging on to the truth.
  • Challenging myself constantly, and
  • Remembering there is no failure – only the failure to try. 

In future blogs, I’m thinking of writing about my experiences as a long term patient of the public hospital system in Australia, specifically going through a psych ward ED unit. I’m wondering if there is anything in particular you might like me to write about in this context, or any other subject. Thank you :)

Finally, I just had to share this with you. I was google-image searching for pictures and came across this hilarious thing! Enjoy :)

(Image Source)

(Featured Image Source)

 

Laughter and Vitamins are the Best Medicine

Happy Saturday! As happy as a Saturday can be when you are all rugged up in your winter PJs and it’s pouring outside – for me this is bliss. We are definitely on our way to Winter here in Australia.

I don’t dread Winter as much as I used to.  No matter how many layers I used to wear, I could never get warm. The cold was from within – felt like having ice in my veins instead of blood. Now, I can get warm. I can stay warm. I don’t have to resort to dressing like a walking laundry pile to try and be warm.

This is because I have something awesome called BODY FAT!! It’s our insulation. I didn’t used to cope in the heat either, now I do, I have body fat to keep me cool as well as warm. Fat gets such a bad rap and yet it’s essential to our health in so many ways. Another good use for fat, is that you need Vitamin D in order for your body to use Calcium. You can get it from sunlight, but if you don’t get enough sun, you need to have fat with your oral Vitamin D – or your body cannot use it. Fat soluble Vitamins are absorbed through your intestine walls with the help of lipids.

There are four fat soluble vitamins – A, D, E and K, meaning that if you cut fat from your diet, your body isn’t going to use any of these from foods or supplements that you consume. This will have a wider reaching effect than we first realise, for example as I said, if your body hasn’t adequate vitamin D, it won’t be able to properly utilise Calcium either. (source)

Vitamin D is also essential for us in terms of our mood. Did you know that lack of Vitamin D can cause depression?

A number of studies report some connection between vitamin D levels and the risk of depression. Low vitamin D levels may be related to depression rather than contributing to the disorder. In addition, an increased risk of depression may be related to several vitamin D–sensitive diseases. For example:

  • Elderly Dutch community residents with minor or major depression had vitamin D blood levels that were 14% lower than residents without depression.
  • Italian women with lower vitamin D levels – less than 20 ng/mL (50 nmol/L) – had twice the risk of developing depression. For Italian men, the risk was increased 60%.
  • Postmenopausal women with one vertebrae fracture had 20% more depressive symptoms than women without a fracture. Women with at least three vertebrae fractures had three-fold the rate of depression compared to women without multiple fractures. Low vitamin D levels are an important risk factor for vertebral fracture.
  • Syrian women with heart disease, high blood pressure, or kidney disease were three times more likely to have depression. Syrian men with rheumatism and respiratory disease had an even greater risk of depression. There is good evidence that low vitamin D levels are a risk factor for all of these diseases.
  • A lifetime history of depression may be a risk factor for later development of Alzheimer’s disease. Depression may increase the risk of mild cognitive impairment that turns into Alzheimer’s. Patients with Alzheimer’s and depression have more pronounced hallmarks of the Alzheimer’s brain than patients with Alzheimer’s who are not depressed. Studies indicate vitamin D deficiency may also be a risk factor in Alzheimer’s.
  • One study showed that, in the United States, vitamin D deficiency occurred more often in certain people. These people were African-Americans, living in cities, obese, and depressed. People with vitamin D levels below 20 ng/mL (50 nmol/L) had an 85% increased risk of depression compared to those with vitamin D levels greater than 30 ng/mL (75 nmol/L). (s0urce)

Both Osteoporosis and Major Depression are huge problems for me, and I am certain that I’ve made both worse though my eating disorder – well I know that the eating disorder HAS caused my osteoporosis, the Depression was first diagnosed when I was nine years old, so it’s been a chicken and egg thing – what came first? Poor nutrition causes depression itself.

Anyway.. please excuse my tangential post on nothing at all. I’ve had nothing to say. I’ve been lax in my commenting on other’s blogs (although I AM reading). And I’ll say it twice because I have THAT much nothing to say – I have NOTHING to say.

I’m depressed, majorly depressed. I fell in a hole and quit taking all my medication – up to thirty pills a day – which in a way has turned out for the best.  I have been begging my treatment team for a couple of years to allow me to try a different antidepressant and they always replied, this one seems fine.  So I’ve used this opportunity to be prescribed Cymbalta which hopefully will help with my neuropathic pain and other chronic pain too. Fingers crossed!

I’m still bothered by the oedema and the bowel issues, but have pretty much accepted that they are here to stay. Acceptance has always been one of my fortes from a childhood of having to accept the way things were or have them destroy me. It doesn’t make things alright, but it makes them survivable. More survivable.

Pain is also here to stay and never goes away. The hard work I’ve done in physio and by myself in the past year has helped a LOT but there is still a long way to go. Also a lot of the pain will be lifelong. As a dancer, I cope with pain. Pain is a constant when you are a serious dancer – and I was. But like with acceptance, that doesn’t make it okay. It just makes it bearable.

I’m turning outwards and keeping myself as busy as possible, and that has helped a lot. Every time I look at the sky, dig in my garden, feel the rain or the breeze, cuddle Shalimar, I’m reminded of WHY I’m here and WHY I’m fighting, because there is so much pain and sadness and fear and hurt and trauma caught up in my body, but my body is NOT the world. My body is a teeny tiny thing existing IN this world, and as long as I allow myself to be trapped inside it my world will be a world of pain. But when I reach out and allow myself to exist outside of it and take in and appreciate my surroundings.. the pain is small compared to the rest of it!

If only I could be okay with my body – if only I could handle all this weight. I’ve still maintained, and I’ve gotten bigger – my clothes are tighter – and I am NOT COPING still. I know this is a matter of time and further weight gain. I KNOW this. But it’s horrible. I feel like a failed anorexic – which further saddens me because I don’t WANT to be an anorexic and never did! So to feel like a failed one sort of assumes I tried hard to be one in the first place!

But these things… these things ARE. I cannot make any of them go away by sticking my fingers in my ears and lalalalalala. Sure I can spit the dummy and say I’m NOT coping so I’m NOT going to keep this weight on any more and I’m going to let myself go to hell in a handbasket. Sure I could. And would anything be better? Truth – NO. Not at all. Things would be worse – and then I would have to turn around and start at the beginning of every fight I’ve fought over the last few years. Start again with my body and physio. Start again with a lot of therapy ground I’ve covered. Start again with social anxiety conquering. Start again with hobbies and interests and just being more out there and human instead of a bedridden nothing. Start over with the lot. And I do NOT have the energy or the time to do all that again. I’m still so behind in life!! I’m 34 and many teenagers are streets ahead of me in terms of having lived life.

I have no choice, if I really truly ever want to LIVE, except for to continue onwards.

So I turn as usual to laughter. And here are some things that cheered me up recently.

This Tumblr page is a crack up – and true! If you have ever been in treatment for an eating disorder (or many things) you will most likely laugh at this. http://edtreatmentproblems.tumblr.com/

And this video was passed on to me last night – an amazing idea and all in the name of advertising a new TV station! Would you be brave enough to push the button? I don’t know if I would be, but I would want to push it again straight afterwards to see if they could do it all again!

Enjoy ;)

Progress

ballet-backbend

A quick brag – I couldn’t not share my excitement. Today was another physiotherapy review.

Two years ago I was so unwell that I’d been through periods of not being able to walk, stand, or even sit up by myself.

Six months ago, a lot stronger, but wracked by pain and fatigue, and still so weak that I was unable to sustain a good posture leading to a lot of the pain I was in. Literally sleeping my life away, I spent all my time in bed, in pain.

Today – graduated from six months of hydrotherapy where I worked up to 35 laps of the pool deep water running. Posture is heaps better, as well as general appearance (from the physio’s view) and tone  and better core strength! Walking a minimum of four days a week briskly, for at least an hour. Gardening, enjoying the outdoors, enjoying window shopping, painting, sewing..

I will miss hydrotherapy so much – after all, it’s in a pool! But now I have the skills and the strength to safely take it away and do it myself at a public pool. Instead, I’ve now been placed in the physiotherapy back exercise class. It looks to be composed mainly of floor exercises (from what I saw today) and the expressions on my soon-to-be classmate’s faces were rather grim! But I cannot wait.

It’s another step on the way to my ultimate goal. After a few months of back class, I will hopefully be cleared for pilates. Pilates will help me toward my goal of ballet – yes, back to ballet!!! For the first time it actually seems achievable!

*happy dance*

Progress and hard won triumphs constantly remind me why I must never slip back again, must never allow myself to become so unwell again. It was devastating for me to have my body reach such a state of ruin. To lose this hard-fought-for strength and growth again.. I can’t see myself being able to pull this out of the hat another time. 

I should not be alive today – I’ve been told that again and again by pretty much every professional on my treatment team over the last so many years. My body is not bouncing back easily, but it IS responding. If I ever  go back to how things were again – it will be lost to me. I can kiss any hopes of having a functional body goodbye for life.

It’s not worth it.

Life is so precious and we only get one chance. We only get one body, and all it asks is that we treat it well – fuel it, nourish it, keep it active and not push it too hard. And yet so many of us take it for granted, until it’s too late and something backfires in a painful and debilitating way. 

We are not our bodies… but our bodies are pretty damn amazing. 

image credit