My 2018 World Mental Health Day

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How was your World Mental Health Day? Mine happened to be pretty shit.

It doesn’t really matter, because mental illness doesn’t respect particular days, especially those deemed meaningful by human beings. I’ve spent enough birthdays, Christmases, and anniversaries in hospital with a mental illness to lend weight to this theory.

Paying homage to mental health (ours or others) on a designated day seems like a nice idea on the surface, but I’m not convinced it does a lot. I suspect it makes people who don’t suffer a mental illness feel good if they remember it or mark it. But is this just another version of tokenism? Does it really make any difference to the lives of people living with mental illness every day of the year?

A very smart woman who ran the SANE Peer Ambassador training workshops I attended recently made the excellent point that we don’t have World Physical Health Day.

And that is because every single day is World Physical Health Day. It would be far better to reach a point in history where caring for ourselves and being sympathetic towards those around us with mental illness is as matter of fact as caring for our physical health. We shouldn’t need World Mental Health Day.

Here’s what today looked like for me:

10 am

‘You look flat’

There is only one person I trust to make this assessment, and it’s the one who spoke to me. My psychiatrist. He and I have known each other and worked together for just over twelve years now. And I have trusted him with my life many times.

For the last four days I have felt flat. It started with a sluggish Sunday. But everyone has those. Right? I am exhausted. That’s ok, understandable. It’s been a stressful couple of months. However, in the space of those few days ‘I’m exhausted’ morphed into: ‘I am exhausted by life.’

I have been on this runaway train often enough to know that feeling exhausted by life is the last stop before suicidal ideations set in. And that is where it turns into not ok. By yesterday, when I made the appointment with my psychiatrist, I was feeling worthless. Black thoughts crept in and crowded out the positive, the motivated, the real me.

Thankfully I have the insight to recognise these feelings and thoughts as imposters. These are symptoms of depression setting in. They have been waiting in the wings for their moment. My Bipolar Disorder is here to collect, on all the stress and sleep deprivation I had no say over in the last few months.

In the past I went to war against these thoughts and feelings. So naïve to think I could somehow out think or out feel them. Such a rookie error. As is waiting to see how it will all play out. That tends to land me in hospital for months at a time. So, after four sluggish days, feeling flat, off, down, irritable, and with my memory and concentration beginning to fray I walked into my psychiatrist’s consulting room this morning. That’s when he proclaimed, before asking me a single question, that I looked flat. And I felt relieved, because I knew I’d been right to come.

I listed my symptoms. He looked at my chart. Then, reminiscent of a pilot attempting to correct a plane out of a nose dive, he said:

‘Let’s increase the Lexapro by 10mg and halve your Lithium dose until your mood comes back up. As soon as your mood lifts, go straight back onto the full dose of Lithium. And keep your appointment for next Friday.’

‘Good. Let’s try that.’

Then we speak of the heavy truth between us:

‘And if I crash before then….’

‘Then you will call me and come into hospital.’

Neither of us want that. Neither of us want the months in hospital possibly having ECT, because I’ve become catatonic. Yet we both know it’s still a possibility.

So, in honour of World Mental Health Day 2018 – here are my thoughts on what will get me well again:

Insight. Communication. Early intervention with a medication adjustment. Fingers crossed. And luck…so much fucking luck…

Making Sense Of It

Treatment

What Does Someone With A Mental Illness Look Like?

Sick Not Selfish

Wedding Breakfast Spoiled

Lessons For A Control Freak

 

Birthday Conversations

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August is birthday month for me, several family members and friends, and is heralded by jasmine buds pointing their tender, pink noses at the sun all through late July. If I had no devices to track time with, I’d know August is here when those buds burst open into white flowers, suddenly like popcorn, perfuming the air with the anticipation of a fresh year.

Given how excited I get over cake and a party you could be forgiven for thinking I’m six. I’m about to turn forty-five. And I’m finding increasingly that people of my vintage grimace at, rather than celebrate being a year older. This puzzles me for several reasons. Still being alive is one of them. Then of course there’s cake.

I would also hate to be younger.

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Media-Made Monsters

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Day six

(Confronting Content Ahead)

I don’t dwell on what might have happened had I been sent home on day five after my daughter was born. But whenever the news throws up sensational stories reporting murder, infanticide, or suicide, and there is even a slim possibility the perpetrator might have been psychotic – then I think about it. Because that could have been me.

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Muscle Memory

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We went roller blading over the school holidays. It was my first time. We arrived to loud music, children shrieking, the clank of skates hitting each other, and the thump of bodies crashing into the barriers. Roaming skate instructors, gave snippets of advice to the inept among us:

‘Lean forward and put your hands on your knees. Don’t look at the ground.’

With each instruction the tension in my body ramped up.

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Modern Martyrdom

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In our first world society martyrdom is more insidious than the lick of flames on skin, the sizzle as fire catches hair. If you don’t count what can happen on social media, we don’t have public disembowellings. And the causes we sacrifice ourselves for are often not great, necessary, or noble.

Martyrdom today is working until midnight every night doing a job you hate until it breaks you, without investigating your options. It is smugly telling your mothers’ group that you breastfed your baby as your cracked nipples dripped blood, because you were doing what was ‘best for your baby’. It’s going to work even though you’ve got the flu, because you believe you are indispensable. It is having Sunday lunch with your extended family every week even though it drains you emotionally.

Most of us fall into the trap of martyring ourselves for something at some stage. I did so early on in my career.

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The Chosen Ones

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Are you aware something incredibly special happened last weekend? I wouldn’t have believed it if I hadn’t been a participant.

A group of magicians gathered in a non-descript conference room last Thursday evening, Friday, and Saturday. We had all been chosen to be part of this gathering. To begin with this meeting resembled thousands of others. Polite introductions, bottles of water, ring bound folders, pens, name tags, dishes of individually packaged mentos lollies on the table, a white board. The reason for meeting could have been anything.

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Autumn Confessions

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I had an entirely different post planned and almost ready to go this week. I lost momentum, and its tone remained whiny, even with repeated editing. So instead, here are some snapshots of my last couple of weeks:

Brisbane takes it’s sweet time moving into autumn and winter. The hot days and humid nights seem to loiter for longer every year. Then one day you realise that air conditioning is unecessary and sweat is no longer a constant companion to skin. The introduced species of trees begin to glow sunset colours before they shed their summer coats, and brittle leaves scuttle along the footpaths.

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