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Guest Blogger | Yasmin | A person’s progression through a highly misunderstood illness

I am going to do a series called ‘Guest Blogger’, and yes, as the name suggests I am welcoming anyone to feature on my blog; whether you are one of my best friends, an acquaintance, or just  an interested reader of my blog. Today I have a wonderful and honest blog by one of my best friends in the world. We shared the best and worst 3 years of my life: university. We were even neighbours in my 3rd year. She certainly helped keep me on the straight and narrow and always provided a shoulder to cry on. I’m very proud of her, especially with how far she has come with her mental illness. She is going to be an f’ing doctor – how amazing is that? Please get in contact with me on rosiebrown.contact@gmail.com if you want your blog featured on this website. 

 

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You must excuse me but I’m finding it hard to find the words to write this blog. Do I try and be funny? Nah, I’m not that good at that. Do I try and be serious and thought provoking? Well that’s not me either. The thing is, I’ve been writing this blog post inside my head for a long time. Over and over I will think of how witty I might be, how charming this story could turn out. But then I bottle it. No one wants to hear what I say I’ll tell myself. Well I’m so over that self-loathing bullshit (for today anyway), I’m going to hammer on these keys until magic happens, or I give into the temptation of a Muller corner and run downstairs to the kitchen. So hold onto your knickers ladies (and fellas, if you’re so inclined)…

I first realised I didn’t feel quite right when I was 12. I tell my mum in the car on the way to Merry Hill that sometimes I felt sad and I didn’t know why. She correctly points out that I’m going through the shitfest that is puberty and it’s only natural. She is right; I’m 12 for gods sake. I can’t even work out which member of Blue I fancy the most (just kidding- yours forever Duncan).

Puberty rages on, but I begin to notice I really don’t feel ok. I fly off the handle at the most bizarre things, I cry for no reason. I start cutting myself. It’s the only way I can turn this pain into a tangible, comprehendible thing. By this point mum’s clocked on, as all good mothers would, that I’m not coping. She thinks it’s academic stress. I always put myself under the most ridiculous pressure for no reason. A classic example of this would be when I gave myself psychosomatic stomach problems in year 3. Eight year old me couldn’t cope with the stress of mental maths and studying the Tudors, and got myself a free pass to the loo for every wave of sickness. Vomming in the junior school loos on a daily basis was not a highlight of my career it must be said.

I find myself on the waiting list for my local Children and Adolescent Mental Health Services. I lie my way through the interview with the kindly therapist: “Do you ever hurt yourself?” “No”. “Do you ever have suicidal thoughts?” “No.” Lie lie lie. By this point I’m wanting out of this strange world that only seems to want to bring confusing sadness. My attendance at school drops to a dangerous low, which is kindly highlighted on every school report with a big fat “!”from the headmaster. The battle to leave my bed is too much. When I make it to school I end up leaving my classes, accompanied by one of many concerned friends to the sickroom. That little cupboard under the stairs is my private Idaho. I nestle amongst the emergency tampons and antiseptic wipes a blubbing mess waiting for the nurse and my form tutor to arrive and sympathetically stand there, clueless as to how to proceed.

After several ruined family events (I really am sorry about that BBQ mum) and threats by an exhausted mother to have me sectioned, I eventually get to see my CAMHS therapist and psychiatrist. My life begins to change. Simon, my therapist, sees me at school and home and helps me use CBT. Monthly trips to Dr Win keep me in good supply of both fluoxetine and a shoulder to cry my secrets into. It’s still tough; I’m still not in control how I’d like to be. However by age 16 I’m leaving school with more GCSEs than I really need and new focus- I’m going to be a doctor.

I’m not cured, I’m no survivor. Partly because it’s a wank cliché, but also because depression is a spectrum you never leave but merely move around on a day to day basis. I have regrets. I regret the pain I put my parents through, the shit example I set my little sister. I regret having a body covered by scars that leave me embarrassed getting naked in front of anyone new (although I do worry more about the size of my thighs). However, the experiences I’ve had leave me with a unique perspective that I really hope will lead me to be a good doctor.

I guess I’m writing this for several reasons. Firstly, I’m well jealous of Rosie being so awesome and right on and setting up such a successful blog, something I’ve never had the balls to do. I thank her for giving me a platform and the confidence to write this post. Secondly, I’d like to think I’m an example of someone that went from the lows of suicides notes and daily self-harm to achieving their goals. Fourteen year old me would never believe I could be sat on a Cambridge degree, battling through the final years of a medicine course. But here I am, battling on. I have bad days, bad weeks. But a friendly citalopram every day doesn’t hurt, and I’m learning to talk to those around me more about the way I’m feeling (although this is arguably the hardest part of my illness). I’m hoping that this has been more than self-satisfied drivel, and maybe an insight into a person’s progression through what I still see as a highly misunderstood illness. I’m not the first and won’t be the last (especially if Cambridge exam term has anything to do with it), but hopefully I’m one a growing number of people that have learned to accept their depression and not let it hold them back.

Yasmin.

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My decision to go off-meds for a while.

I posted in January about stopping taking Prozac (fluoxetine). However immediately after stopping I started taking antipsychotic medication (quetiapine). So I haven’t actually been medication free for at least 4 years. (I also started re-taking the fluoxetine a few weeks ago.)

Last weekend however I decided to stop taking everything. Full Stop. No more. The quetiapine was having adverse effects on my health (the side-effects were definitely over-ruling the desired positive effects) and I think I only went back on the fluoxetine because I was scared of taking nothing (not the right reason!)

My psych supported my decision and I am seeing him

in a couple of weeks to discuss new medication. It is difficult to decide what I need as I haven’t been free from meds for so long. These next few weeks might be difficult but they will hopefully illustrate and illuminate what shape my moods/ emotions are in naturally.

We also have here the difficulty of diagnoses. If I do indeed have Borderline Personality Disorder, then meds aren’t really recommended (though they work wonders in some cases).Therapy is the best form of treatment. However if I have cyclothymia/ bipolar (which I have been diagnosed with in the past) then medication would be more useful. The two conditions are very hard to differentiate (hence

I have been diagnosed with them both by different psychiatrists) and therefore currently I am a little difficult to treat.

I thought the best thing to do was to start from scratch. Which, for me, meant being medication free.

So far I seem to be doing ok. I had already suffered withdrawal symptoms from prozac the first time I stopped and I hadn’t been taking it long enough this second time to feel much anyway. As for the quetiapine it has had such negative side-effects that I actually feel better now!

However not taking my meds has had an effect on

me psychologically. I discussed this in therapy today. Taking medication seemed to provide me with a sense of validation. I felt like my depression was ‘real’ because I was taking something for it. Just like a diabetic would take insulin.

Now I am not taking my medication I feel a little bit like my depression is a made-up thing. Obviously it isn’t. And medication isn’t used in a lot of

cases. I know that just because one person takes anti-depressants for their depression and another person doesn’t does not mean the former’s depression is more serious/ real. But there is a tiny voice in my head telling me that I’m not sick like I used to be anymore. In a sense I should celebrate this fact.  Yet,  I feel like a bit of a fraud now – going to therapy to talk about my ‘problems’ and arranging psychiatry appointents. I guess I just need to get used to the way my body works and mind thinks free from medication. It is liberating I suppose. It’s just difficult to adjust to the idea.

Get in touch if you’ve experienced similar thoughts/ dilemmas – would be great to hear your experiences/ opinions.Thanks for reading x

(follow my twitter too @fighting_stigma)

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PROZAC FREE

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This is a celebratory blog post/ a slightly apprehensive one. I have made the decision (with the advice of my doctors) to stop taking my anti-depressants. I have been taking them for 4 years and I have decided that enough is enough. I may need to take them again in the future – I might even find that in a few weeks I will need to start again on a low dose, but for now I want to be free from medication. The little green and yellow tablets have tied me down for so long. The number of trips I have taken and have panicked at the thought of forgetting my medication… Waking up in the night wondering whether or not I remembered to take them. I am then faced with the dilemma of taking the forgotten tablet or assuring myself that I have taken it – don’t want to miss one or take too many (I really should have made use of the pill pot with days of the week on it, but a depressed girl really doesn’t want to do that every week – ha!)

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Beginning to talk about mental illness

Mental Illness is still, in the 21st century, a taboo subject. People just don’t seem to want to talk about it. And they have good reason, on the most part.

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I have been taking anti-depressants for nearly four years and people are usually shocked when they find out. Why is this? Because people who are ‘happy’ on the outside shouldn’t and can’t be depressed on the inside? I myself have been guilty of this reaction. I have been surprised when friends have opened up to me and confessed to having a mental heath diagnosis. This illustrates not only a lack of understanding about the complexities of mental health disorders but also the ability that sufferers have to hide their struggle.

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