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Life Hiatus – My Mental Health In-Patient Admission and Diagnosis of a ‘Mood Disorder’

By Friends & Family, Happiness & Joy, Health, Life, Money / Finances, Shopping, Thinking2 Comments
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My Nameband.

Recently, I had to take an unexpected what-I-call Life Hiatus. My mental health had gradually deteriorated to the point were I was having severe and erratic mood swings. Everyone’s mood fluctuates throughout the day, but not to the extremes I was experiencing.

People talk about good and bad days with depression. I was having good, bad, okay or mixed mood states lasting between 45 minutes to 4-6 hours. These mood swings were unpredictable with no pattern. They didn’t have triggers and were not related to a critical inner voice.

These mood swings were torturous. See My Mood Swing Table below for details of what these mood swings were like.

I felt desperate for the mood swings to end. To the point of having suicidal ideation and a clear plan of action.

I had thought that I was objective about my mental health. But because the mood swings had gradually got worse I hadn’t realised how unwell I was. I sought help because three people close to me said that I wasn’t well. Luckily I had these people around me and knew that could trust them, even if I couldn’t trust myself.

So I went to my local A&E. I was assessed by a Mental Health Nurse and together we decided that I needed admission. I stayed on the A&E Ward overnight, whilst I waited for an available bed on a mental health ward.

The next evening, I was transferred to a mental health ward. On arrival at the ward, my possessions were searched and Nursing Staff took my shoe laces, belt, hoodie (due to cord in hood), phone charger, lighters and medication. The ward layout was a square shaped main corridor with dormitories, individual rooms and many other rooms that where behind locked doors.

The first night was frightening. Everything about the place was frightening. The environment. The locked doors. The routine. The rules I hadn’t been told. The other patients. The staff. I even found my own mood swings frightening. At one point, I was physically shaking uncontrollably due to the fear and anxiety.

I was assessed by a Psychiatrist and commenced on 10 minute observations. It would be a few days before I was reviewed. At the time, I couldn’t understand why they appeared to be doing very little to help me and my state of mind. But afterwards, I realised that they had wanted to observe me and see my mood swings for themselves.

The Consultant Psychiatrist diagnosed me with a ‘Mood Disorder.’ Here is a definition of a ‘mood disorder:’

mood disorder
noun
a psychological disorder characterized by the elevation or lowering of a person’s mood, such as depression or bipolar disorder.

(From: Google, Last Accessed: Friday 27th November 2015.)

The Consultant Psychiatrist informed me that they were reluctant to give a more specific diagnosis on the first admission to a mental health ward. I told the Consultant Psychiatrist that I didn’t care what they called it, as long as they gave me some medication that worked. I explained that with some stability in mood, I could make further psychological and behavioural changes to help myself to get well and stay well.

I was started on Quetiapine, an antipsychotic and mood stabiliser medication. It was to help to take the edge off my mood swings and give me some stability of mood. I was also started on Mirtazapine, an antidepressant. This was to help to manage the depression/low moods.

Overall, I was an in-patient on the mental health ward for about 12 days. During this time, my Mum and good friend Steve were superb. They took over all my responsibilities and made sure that everything in the outside world was sorted, meaning that I didn’t have to worry about anything – apart from getting better.

I will never be able to thank Mum and Steve enough for what they have done for me, but I have repeatedly thanked them anyway. I will never be able to explain how much I appreciate them for everything that they have done for me, but I have tried to explain anyway.

I feel that I got to this crisis point because I waited so long to get referred to and assessed by Community Mental Health Services. It feels like Community Mental Health Services are designed to keep people out, rather than let people in to get the help and support that they need and in most cases are asking for. This is probably because of a lack of resources in mental health services. But this really doesn’t help and support people with mental health problems to get and stay well.

I have been discharged from the hospital and am and engaged with Community Mental Health Services. Recovery will be a slow and progressive one. I am taking the medication as prescribed, attending appointments with community services and setting myself daily goals that I am currently achieving.

Write soon,

Antony

My Mood Swing Table
Highs
Okays
Lows
Mixed Mood States
Physical Symptoms
  • High energy levels.
  • Very productive.
  • Difficulty in getting/staying asleep.
  • Head aches.
  • Speaking Quickly.
  • Hypersexualised.
  • Relatively symptom free. Considering the extreme High and Low physical symptoms.
  • Exhaustion – despite sleeping for many, many hours.
  • Back pain and stomach pain that doesn’t resolve with appropriate treatments.
  • Head aches.
  • Constipation.
  • Physical anxiety symptoms: raised pulse and blood pressure.
  • A mix of high, low and okay physical symptoms to varying degrees of severity.
Mental / Cognitive Symptoms
  • Racing thoughts – lots of ideas, but struggling to focus on one for long enough.
  • Difficulty in concentrating.
  • A rush of ideas for creative projects.
  • Saying whatever I think without considering the implications of what I’m saying.
  • Grandiose thinking – Thinking I can do anything to a level beyond the level of an expert.
  • Thinking that I understand things on a much deeper level than everyone else.
  • Short-term memory loss.
  • Insomnia and night terrors.
  • Slower mental and cognitive functioning, compared to when I was well.
  • Limited/no concentration span.
  • Short-term memory loss.
  • Critical inner voice.
  • Thoughts about what other people negatively think about me.
  • Insomnia and night terrors.
  • Concern about loosing my mind.
  • A mix of high, low and okay mental / cognitive symptoms to varying degrees of severity.
  • Concern about loosing my mind.
  • Concern about what mood would come next and its severity.
Emotional Symptoms
  • Excessively joyful with no reason for this state of mood.
  • Super confident. Loads of self-esteem.
  • Excessively excited again without reason.
  • Feeling like I can do anything.
  • Feeling frustrated or irritable without a reason.
  • Varying levels of anxiety, from worried to outright panic.
  • Void of any emotion.
  • Zombified. Feeling like what I imagine a zombie feels like.
  • Going through the motions.
  • Despair and hopelessness.
  • No confidence and rockbottom self-esteem.
  • Feeling frustrated or irritable without a reason.
  • Feeling like I am falling down a dark bottomless pit.
  • Feeling guilt, inadequacy and feeling like a failure.
  • Varying levels of anxiety, from worried to outright panic.
  • Desperation – wanting the mental and emotional anguish to end.
  • Feeling like my mind, body and soul are being devoured and destroyed.
  • A mix of high, low and okay emotional symptoms to varying degrees of severity.
Behavioural Examples
  • Being super productive.
  • Being overtly social.
  • Take on too many commitments, thinking that I can do everything.
  • Impulsive behaviours – including excessive shopping, even when I don’t have the money.
  • Unfinished tasks – sometimes being unable to focus for long enough on tasks to complete them.
  • Able to function, but only just.
  • Loss of interest in leisure activities.
  • Unable to watch TV, read or do other leisure activities.
  • Overeating or forcing myself to eat despite having no appetite.
  • Poor personal hygiene.
  • No motivation.
  • Reckless spending of money – mostly through online shopping.
  • Social anxiety – isolating myself and avoiding social situations.
  • A mix of high, low and okay behaviours to varying degrees of severity.

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Book Review: Sane New World – Taming the Mind by Ruby Wax

By Amazon, Books & Authors, Health, ReviewsNo Comments
sane-new-world-ruby-wax-book-cover The self-acclaimed poster girl for mental health Ruby Wax went to Oxford University and completed a Masters in Mindfulness-based Cognitive Therapy. Wax wanted to understand the neuroscience behind her own mental health and maybe find a better way to manage her mental health.

On completion on Wax’s Masters she wanted to share her own mental health story, along with what she’d learned at Oxford. So she embarked on a tour of mental institutions, before widening the tour to the general public.

I went to see Wax’s Sane New World Tour, but for anyone whose not had the opportunity or wants to know what secrets Wax learned at University, they can read her book Sane New World – Taming the Mind.

Sane New World is a funny, informative and captivating book on the subject of mental health. It’s easily the best book I’ve ever read on the topic. So it is a MUST read for anyone interested in or whom has experienced poor mental health.

In Sane New World Wax covers:

  • What Drives Us Crazy.
  • The Critical Inner Voice(s).
  • Emotions.
  • Depression, Anxiety, OCD, Stress, etc.
  • How Our Brain’s Work – Neuroscience.
  • The Functions of Serotonin, Dopamine, Oxytocin, Cortisol and Other Chemicals in the brain and body.
  • How Our Brains Grow and thought/behavioural/emotional patterns can be changed.
  • The basics of Mindfulness.
  • Some good, but brief mindfulness exercises.
  • Alternatives to Mindfulness (if it isn’t your sort of thing or doesn’t work for you).

Throughout the book as I have mentioned Wax tells her story. Sane New World includes some wonderful illustrations that give an insight into how Wax operates and is relatable to all. After all, we are all human beings and all being stretched by life to the point of breaking. If we’re not careful we might actually break. We need to take hold of the reins in our minds and in our life and if necessary make some changes.

Sane New World will improve your understanding of mental health, teach you how to be and remain mentally and emotionally healthy and be an enjoyable read, all at the same time. It will teach you how to be in control of your mind, rather than it being in control of you. Definitely worth the investment in my humble opinion.

Sane New World by Ruby Wax is available to buy on Amazon and at all good bookshops.

Review soon,

Antony

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My India Adventure (Part 2) – The Wedding

By Adventures, Friends & Family, Happiness & Joy, Inspiration, Love & Relationships, TravelNo Comments
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Robert & Neha’s Wedding 🙂

Robert and Neha got married on Saturday 25th July 2015. The day before the wedding we’d had henna done followed by great family meal at Neha’s parents apartment.

In this post I shall only write about the Wedding, aka main event and not any pre-marriage customs, rituals or traditions. I will write what I witnessed and my interpretation as a someone who has never attended a Hindu wedding and who doesn’t speak Hindi. So please forgive any misinterpretations or misunderstandings.

The invite had said an 8pm start. But when Robert, Michael and I hadn’t been picked up from the Guest House at 8pm Robert was understandably anxious. He was dressed in his fabulous outfit (see photos below) pacing back and forth.

I explained to Robert the concept of Indian time. Indian time means that for social events Indians are loose with their time keeping, so always arrive after the official start time. I explained to Robert that his and Neha’s Wedding invite had said it was due to start at 8pm, so most of the guests would probably arrive for 9:30-10pm.

But by the time 10pm had come and gone, even I was starting to get worried. Luckily, shortly afterwards one of Neha’s brother-in-law’s turned up. The brother-in-law explained that Hindu’s only get married on certain dates dictated by astrology.

Indian weddings the brother-in-law explained are big affairs, with around 300 guests on each side. Therefore Delhi’s already congested roads were practically grid locked with everyone trying to get to Hindu weddings at the same time. He added that a rain shower had also delayed the start of the wedding as the Hindu ceremony involves a fire outside.

After a short car journey, we arrived at the wedding venue the Marigold Banquet Hall. We were met by a camera man and photographer, who would continue to take video footage and photos throughout the night. Robert with Michael, myself and some of Neha’s borrowed family members behind him were welcomed at the threshold of the Banquet Hall by Neha’s mother and father.

Once over the threshold Robert, Michael and I were directed to a stage. Then Robert received greetings into the family, introduction to family members and envelopes with money in – which apparently is the traditional Hindu wedding gift. While all this is going on Robert was waiting for his bride.

Neha walked into the room and all eyes turned to her. She lit up the room, which you’d have thought impossible to do at a colourful Indian wedding. She looked stunning and incredibly beautiful (see photos below). As she walked towards the stage, music playing in the background, I thought: Robert is a very lucky man.

Once Neha reached the stage, Robert greeted her. They posed for many, many photos. They were photographed together and then with immediate and extended family members. While this was going on, food was available for extended family to get as they wanted. Then there was some dancing. Indian’s know how to party and without the aid of alcohol.

Then the immediate and close family came together around a big centre table for a family meal. The food was truly scrumptious food. The company was great, I met many fascinating family members.

By this point I’d realised two things. Firstly that I get a little anxiety about meeting and interacting with large groups of new people. Hence the cigarette breaks. Secondly that my shoes were more about show and style than comfort. The shoes were already doing a great job of shredding my feet.

Here are some photos from this part of the wedding:

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Robert in his Wedding outfit.

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Me in my Wedding outfit.

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Robert and Michael (his father) at the Banquet Hall.

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Robert & Neha posing for many wedding photos (1).

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Robert & Neha posing for many wedding photos (2).

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Robert & Neha posing for many wedding photos (3).

After food was a traditional Hindu marriage ceremony, which took place outside. Neha had been up at 4am that day, gone to a local template and undertaken some pre-marriage rituals. The ceremony started with the Archaka and Neha’s parents. Then Robert joined them and after a short time Neha joined the trio. I didn’t take any photos of the ceremony, as I would have felt rude to do.

I felt honoured and privileged to be invited to share Robert & Neha’s special evening and for being allowed to witness the beautiful Hindu marriage ceremony. I can’t thank them enough for their friendship and love. It is something I hugely appreciate.

The ceremony was completely in Hindi and Neha’s sisters kindly took it in turns to translate for Robert. The ceremony was approximately an hour and a half (which had been shortened) with family members, Michael and I sitting to watch. During the ceremony Robert made seven vows to Neha, which were:

The Seven Vows made by Indian Grooms to Their Wives

1. In the first vow, the groom makes a vow to his bride that he will, for his part, provide the money and means to run a happy household and family. He also promises to avoid any of the things that were likely to harm his wife and family.

2. The second vow that the groom makes to his bride is to remain committed to her forever. He promises he will love her forever and provide courage and strength.

3. The groom then makes the third vow to his prospective wife, and in this vow he prays to God and asks that the be blessed with prosperity, wealth and the ability and means to take care of their children, educate them and look after all their needs.

4. The fourth vow has the groom thanking his bride. He thanks her for bringing love, happiness, auspiciousness and sacredness in his life. He thanks for all the good things she brings to his life.

5. The couple then prays together in the fifth vow. They pray to Goddess Lakshmi, the Goddess of Wealth, to grant them with prosperity and her blessings for the rest of their lives.

6. The groom makes the sixth vow to his wife, and promises that he will keep her happy forever. He also tells her that he promises to make her joyful and provide her with peace time and time again.

7. Finally, only the seventh vow remains, and the groom now tells the wife that with this last vow and walk around the fire, our relationship is firm and we’re inseparable. He also tells his wife that now you are mine forever and I am yours and may we live happily together.

(From: BollywoodShaddis.com, Last Accessed: Friday 7th August 2015)

The ceremony ended with Neha’s head dress tied to a scarf given to Robert. Probably symbolising this last promise, being inseparable forever.

The ceremony ended in the early hours on the morning, by this point I was exhausted. While we waited for taxis to the final event of the evening Neha’s father explained that Hindu’s worship the sun. That fire is the purest of all the elements as it has the ability to give life through growing of crops, but also the ability to destroy life too. I didn’t realise this at the time, but the sun would become a permanent symbol of my adventure in India.

The final event was at Neha’s parent’s apartment. The women of the family blessed the couple, some gave more envelopes with gifts of money and then waved them off. Here’s some photos of the wave off:

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Neha’s parents apartment lit up to celebrate the marriage.

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Close female relatives wishing the couple well as they leave Neha’s parents home.

Neha, Robert, Michael and I then headed home to the Guest House where I slept exceptionally well.

The Wedding was an exceptionally good time. Everything was about love, kindness and hope for the future. Which is exactly what a wedding should be about. I wish them many happy and healthy years together.

I have deliberately excluded photos of the family and extended family in this blog post, as I haven’t asked their permission to post the photos of them here.

In the next blog post of the series titled My India Adventure (Part 3) – Shopping, it will be all about how I got on shopping in Delhi. Keep checking back for updates as it will be published soon.

Write soon,

Antony



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Ruby Wax Live: Inspirational, Funny and Informative in her Sane New World Tour

By Friends & Family, Gigs & Shows, Happiness & Joy, Health, Inspiration, Life, ThinkingNo Comments
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The Lowry Theatre – Salford Quays

My good friend Jayne had bought us tickets to see Ruby Wax live at The Lowry, Salford Quays for my birthday. But on the day, unfortunately Jayne wasn’t well. My anxiety went into overdrive, but I manage to arrange for Simon to come along instead.

Simon and I just made it on time and took our seats, as Ruby sat on stage about to start. Ruby had split the show into two sections. In the first she delivered a scripted, but still exceptionally funny and informative talk on why we’re screwed.

Ruby explained how she became the Poster Girl for mental illness, shared some of her experiences and schooled us in the functioning of the brain. She covered the chemicals of the brain and their functions including dopamine, serotonin and cortisol. Ruby explained what happens in the brain in the case of dysfunction – such as in the cases of depression and anxiety. Then she briefly explained how mindfulness effects the brain before taking the audience through a short mindful exercise.

After the the interval we returned to our seats for a two way discussion about mental health between Ruby and the audience. I actually reached for the microphone, which I couldn’t imagine doing when I was well let alone in recovery. But I just thought: I’m only get this opportunity once. Plus there was something about Ruby that made me feel at ease. I disclosed about being ill, to Ruby and an audience of about two hundred, no less. I explained that I had been worried about the stigma and only went to get help when I completely lost the ability to function.

I told Ruby that I agreed life getting busier, with too much information to retain and that it often felt unmanageable. I stated that often I feel like I’m not achieving anything, as every time I reach a goal – my mind moves the goal posts further away.

I explained to Ruby and the audience that I am learning to control my negative thought patterns and critical inner voice. I said that I feel that I can control my thoughts, but that I struggle with controlling my feelings. I asked Ruby what she thought the difference was. She said that there was none, that they were both just chemicals in the brain.

Other people asked Ruby questions, shared their experiences or explained projects that they were involved with around mental health. Then Ruby brought the show to a conclusion.

Afterwards, I treated myself to two of Ruby’s books (see below). She thanked me for my question and she was kind enough to sign both of the books for me.

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Treated Myself to Ruby Wax’s two books – both of which she kindly signed.

I did become a little star struck, being so close to this inspirational woman. – Sorry about that Ruby.

Overall the experience including the Sane New World show, discussion and book signing left me feeling less alone and that Ruby is without doubt a inspirational, funny and informative woman. Thank you Ruby. It was a superb experience that I would recommend anyone whose experienced poor mental health, been effected by another’s poor mental health, or is just interested in keeping mentally well.

Oh and if you can’t get to see her, you can buy her book Sane New World on Amazon.

Write soon,

Antony

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