On Uncertainty

Written for QLD Mental Health Week 2020

How does uncertainty make you feel?

I ask because uncertainty is having a moment right now. It galloped in with the Covid-19 pandemic, and the further we get into it the more it seems to be digging itself into our awareness.

I used to be deeply uncomfortable with the pebble of uncertainty in the shoe of my life. I liked to know what was ahead. It gave me a (false) sense of control and the misguided belief that just because I couldn’t see uncertainty in my life, it didn’t exist. I deluded myself for decades that when there were no clouds on the horizon, the course of my life was somehow more certain than if I could see trouble ahead.

Then all the certainty in my life was put through a paper shredder within five days of my first baby’s birth.

I got my new baby experience with a side of florid postnatal psychosis severe enough to warrant admission to the locked Special Care Unit of a psychiatric hospital. My sense of certainty and control over my life went down the toilet.

After I’d recovered from this psychotic episode I felt entitled to some certainty. I wanted to know this nightmare was over. And I wanted a guarantee it would never happen again.

So when my psychiatrist mentioned ‘a possible underlying Bipolar Disorder’ and that it would ‘take three to five years to know for sure’, the inside of my head threw a combination of a tantrum and a pity party.

When I got sick again after three years, after seven years, and after nine years and my diagnosis of Bipolar 1 Disorder was confirmed, I still felt entitled. Entitled because: ‘hadn’t I suffered enough yet?’ Entitled to not have to tiptoe through my life with everything clenched, waiting for the next time this thing pounced.

I have only recently acquired some degree of acceptance of the uncertainty this illness introduced into my life. I didn’t enjoy the last two episodes in 2018 and early 2020, but I also didn’t waste energy resisting them. In the same way I no longer spend any of my resources anxiously wondering when it will happen next and how bad it will be, because without wanting to sound nauseatingly Zen, the truth is: It will be what it will be when it will be.

Uncertainty exists in everyone’s life every day. But instead of it floating along in the background, right now it is constantly being rammed down our throats. It’s like having a nasty little gremlin on your shoulder whispering over and over again:

‘You do realise bad things could happen to you at any minute’, when the true risk of something bad happening to you is probably not that different to pre-Covid times.

For our mental health to survive this pandemic we have to learn to live with uncertainty, because the end of it is nowhere in sight. And just like my psychiatrist couldn’t give me any certainty when I first got sick, the smartest scientists in the world aren’t able to accurately answer this question about Covid-19: Will it ever be over, and if so when?

Uncertainty is an uninvited, kicking, snoring bedfellow. So how do we get comfortable with it?

First we tease out what about this situation we can control and what we can’t. For example, we can’t control the flow of information that feeds our uncertainties rushing over us every day, but we can control how much of it we absorb.

And once we’ve done what is in our control to help ourselves, we have to try and unclench from the need to know what is going to happen next. We need to stop trying to know and plan for a future that is like a spiderweb in a storm. Here’s what I mean:

During one of my admissions to hospital I sat staring out of the window of my room feeling as though there was no point in doing the work to rebuild myself because my future was too uncertain, my illness could tear me apart again anytime.

Over a couple of days of intermittent staring I noticed a spider in its web just outside my window. Every night it stormed. Rain, wind, a couple of times hail tore chunks out of the web, at times almost destroying it.

That spider showed me the way out of my tangled thoughts, by not only rebuilding every time after its pristine web was wrecked, but doing so in the face of the risk of the same thing happening again, whether the next day or in a year.

The sword of an uncertain future has hung over every single one of us since the day we were born. Nothing has changed there. It is just up to us whether we choose to battle with uncertainty and lose, or whether we accept that being alive will always mean living with uncertainty, pandemic or no pandemic.

You may also like to check out:

Lessons For A Control Freak

The Other Curve Being Flattened

When Covid-19 And Bipolar Recovery Collide With Unexpected Results

Tokenism In Mental Health Awareness

Bruised

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In the beginning I struggled to accurately identify the source of my discomfort. First, I felt cranky. Then defensive. Sentences coiled through my head, arguing my case to non-existent judges.

And then the fantasy started:

The sanctity of an operating theatre. Me doing surgery. A space where competence is nonnegotiable and where logic rules supreme. A space where superfluous emotion is rinsed off in the scrub sink. The flat mineral smell of iodine, hands held up, so drips go down. The linearity of actions. Being handed packets – the hand towel, the gown and gloves, instruments. All sterile. A clean slate for this one patient, this one surgery. The fantasy is not about wanting to re-enter veterinary practice. It is about control. The thought of having that degree of control over a situation makes me shiver with longing right now.

Continue reading “Bruised”

Lessons For A Control Freak

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Image courtesy of Flow Magazine

I have a somewhat unhealthy relationship with control. I rely on having it a little too much. Throw me an unexpected traffic jam, and I’ll feel no more or less anxious than the next person. However, when control goes AWOL from the bigger areas of my life my stress levels sky rocket.

I have been seeing my psychologist for years now. Some visits neither of us have to work hard to tweak things. But whenever there’s a larger life issue I’m struggling with, my distress almost always comes down to my lack of control over an undesirable situation. For me one of the worst-case scenarios are sleep deprivation  combined with the stress of a sick child. The reason this combination is so triggering is that it is kryptonite to my defences against a bipolar episode. (Sleep deprivation especially accompanied by stress is a major risk factor for developing manic and psychotic episodes)

This said, I firmly believe the universe sometimes sits back stroking its chin and assesses where I’m at. And then as though giving me a cosmic performance review, it points out areas for improvement, and gives me the opportunities to practice the life skills I lack. Clearly, I still need a lot of practice accepting a lack of control, because I have been sent the following homework:

Continue reading “Lessons For A Control Freak”