Unwelcome Guests (in the body)

This has not been a great week, physical (and therefore mental) health-wise.

Basically, despite being Little Miss Healthy, my joints decided that the thing they really, really wanted to do was suddenly stiffen and hurt. All of them. A lot.

Now, sometimes this happens, e.g. hurting like the Devil after dancing for the first time in years, and more often than not I can point at a cause and work away from/ ignore it accordingly:

1. Dancing like a maniac/ standing for ages - the concomitant muscles/ joints hurt as you'd expect.
   
   Solution: Rest, plenty of water, stretching beforehand, bracing properly throughout standing period to prevent if possible.



2. A long period without daily physio exercises - knees in particular suffer from this one
   
   Solution: Ease back into physio (i.e. lower reps until muscles restabilised).



3. Being dehydrated - general achiness (apparently, according to my browser's spellcheck, this isn't a real word - tough) and "tiredness" of joints.
   
   Solution: The Universal one. Sorry. Well, obviously, I drink more water, and wait for recovery (a day or two).



4. Eating too much sugar - as above dehydration.
   
   Solution: again, pretty obviously cutting the sugar down, working out why I'm eating badly (tired? bored? sad? leaving meals too late, so needing a quick fix, etc.?), drinking more water and eating more protein (don't ask me: it seems to work!)

Of course, sometimes I just get the 'flu or something, which again is known and can be accounted for.

Last Thursday I started hurting. And it didn't get better and in fact progressed. It was bits that normally don't hurt this extensively (wrist, knuckles, ankles, hips, jaw) as well as the usual suspects (neck/ shoulder, knees) and some old friends (lower back, upper back). And I've now been through a whole slew of emotions, including the classics of denial, anger, bargaining and depression (with a hearty dose of fear to boot), currently wobbling in and out of acceptance.

Wise people (with much worse versions of this condition than mine) have told me to not stress, and that it's just a flare-up, just a phase; I'll be back to normal in no time. I'm more optimistic in the mornings, when I'm reasonably mobile, but right now, with my hands seizing as I type, my optimism could do with some work.

Other people have told me I should eat this magic leaf, or cut out potatoes, peppers, and tomatoes. Others are counselling NSAIDs. I am honestly struggling to stay focused on anything other than putting one foot in front of the other, and I suspect that I am a massive grump monster in the evenings.

Being me is hard work right now, and with two weeks to go before I drive myself and a big pile of equipment to Edinburgh to start the gruelling marathon of the Fringe, I'm starting to get a little troubled...

Om nom nom

I spent a couple of hours baking last night - a lot of fun (and quite profitable from a “sweetening IT folk” perspective. ;)) The flapjack and the shortbread biscuits were made in celebration of one of my projects (finally) going right, and they seem to have gone down well.

As mentioned previously, I am an idiot for sweetmeats in biscuit/ flapjack/ pastry form. I am trying to stick to a low-refined-sugar approach to food at the moment, saving it for weekends/ dancing/ celebrations. My joints have been thanking me, which is polite of them... Today has been difficult, though, as I make a mean flapjack. It’s not your dry-as-arse, crumbly pre-packaged flapjack - it’s gooey and sticky and filled with fruit and seeds; you know straight away that it’s all about the sugar and fat - it glistens.

So I’m not going to tell you how to make it on this blog because, well - doesn’t really fit with the title, does it...? I’ve been giving the damned stuff away as fast as I can today, otherwise it’s going to sit next to my desk. Beckoning.

I’m currently trying something that helps me sleep better at night and doesn’t challenge my digestion quite so much: big meal for lunch, salady stuff for dinner. I don’t always manage the salad (sometimes it comes with pizza... or in pizza form... what...?), but my seven-a-day is still going pretty well.

Today I'm going to tell you how to make one of the healthiest things I cook. Variously known as “Fay's Ratatouille”, “That Tomato Sauce Thing” and - most enduringly - “Red Gunk”, my partner swears that Weight Watchers is missing a trick with this one. So here it is:

Dice one medium onion, put in a saucepan with a handful of shredded mushrooms and half a big courgette (or one small one), chopped into quarter-slices, reasonably finely.

Cover (just) with water, add a little salt (unless you don’t want to) and boil on a high heat until everything is soft and a good part of the water is evaporated (10-15 mins max, generally). (Yes I know: denatured vitamins. It’s a sauce, add some raw veggies later...)

Add a tin of chopped tomatoes, stir and heat further, adding herbs and spices to taste (I recommend: garlic (loads), English mustard, black pepper, paprika, ginger, Italian Herbs (basil and oregano especially) (loads).

Move to a lower heat and add at least half a standard tube of tomato purée, stir, and simmer. It’s pretty much ready to eat now, but the longer it simmers gently, the nicer it’ll be.

Works hot on pasta, rice, or potatoes; works cold in sandwiches and on salad. It loves cheese. You can use it to bulk out bolognese and soup, and one of my favourites is to add it to bacon and freshly-wilted spinach in fresh garlic and butter and serve over pasta, but that’s just my taste.

You can also do variations to the basic recipe (I like adding finely-diced carrots, slices of leek, tiny broccoli florets, and celery at the last minute (so it stays crunchy) to the mix, along with an extra half-tin of tomatoes and more tomato purée - this variation is known as “Vegetable Splat”).

High in fibre (and taste – see herbs and spices above), low in fat and sugar, it’s vegan, and good for most allergies except tomatoes/ citric acid.

Bon appétit!

Mens sana in corpore sano

(Whut? Latin - from a poem by Juvenal - means “healthy mind in a healthy body”...)

While I’ve been more than willing to subject you all (“all” is such a big word for an average of 35 readers per post, back in this blog’s heyday) to various intimate considerations of my physical health, and while the term comes up as a tag in eight posts (nine including this one), I’ve been more reticent about my mental health.

It seems that, in some ways, I’ve suffered in the past from a dichotomous position on mental health care, similar to my approach to dieting: i.e. it’s a great thing for other people to invest time and effort in, but a mark of shame (specifically: failure) in my own self. {sigh}

Exploring why this might be seems to take us perilously quickly into stereotypical realms of family history. So let’s not. Let’s move onto the position I find myself in now, where I’ve come to view psychotherapy as being pretty much identical to physiotherapy: part of you is misaligned in a way that makes you uncomfortable and takes up energy that you could be spending on much more productive activities; discussing things with an expert in the field and following some of their advice to realign things, trusting your own judgement as well as theirs, seems pretty sensible.

Just as with physiotherapy, finding a good psychotherapist whose approach suits you (and, maybe more specifically, has the ability to take the you that you are now and help you on the way to transforming to the you you want/ need to be) is pretty key. And finding ways to keep going with their advice and guidance between sessions will give you a lot more benefit (and save you a bunch more money) than putting all your dependence on them to “fix” you. Ideally, they will help you develop the tools you need to get to the place you want to be in.

We still, as a society, seem to have a prevalent view that physical and mental health are separate things (denoted by separate names!). I’m pretty sure that this is, long-term, an unhelpful notion. It would be great if we could get onto speaking in terms of “health” and leave it at that, moving onto the specifics (knee pain, asthma, eczema, depression, dissomnia, vertigo, migraine, agoraphobia, broken arm, etc.) if necessary.

The thing is, it’s all part of a system. Your mental health affects your physical health, and your physical health affects your mental health. Whether or not you subscribe to an idea of an incorporeal mind and a physical brain, the mind’s direction would still prompt the brain to make changes in the body based on electrical and chemical shifts. It’s an actual, physical thing that your mind does to your body. The same impulses that mean you can direct your hand to pick up a drink and tip, swallow, set down again, etc., can also make more insidious changes.

We still have Stone Age bodies connecting with rapidly-adapting brains, technology, environments, and social structures. The responses that were designed to get us out of life-threatening, physical danger quickly are being applied to much less urgent, but much longer-term stressors. Stress chemicals hang around in our bodies much longer than they were ever designed to do, to the detriment of our immune systems, hearts, lungs, blood pressure, digestion, adrenal glands, skin, hair, eyesight... pretty much you name it, actually...  In other words, our life-saving response to stress is now killing us (those of us who live in a mechanised society/ have non-physical jobs).

So it’s important to look after your mental health, because it’s you, isn’t it? And if you’re all over looking after your physical health, you need to be looking after your mental health, because it’s all the same thing. In order to get started on (and maintain!) a decent physical health regime, your motivation and discipline need to be right - and this includes not overdoing it and harming yourself with it too.

Look, I’m not one of those people who’s going to tell you that you can cure your own cancer by thinking right, and that colds are happening because you’re mentally lazy, but I am someone who’s read the research that indicates that recovery from any illness or injury is massively affected by mental attitude (for interest: you’re better off either being in strenuous denial or full-on determination to beat it than apathetic acceptance that there’s nothing you can do), and that, since cancer can be fought off by the immune system (we’re apparently all exposed to it multiple times during our lifetime - we only notice when we haven’t fought it off), and stress affects the immune system, good mental health can only help when it comes to preventing/ fighting off cancer.

And, let’s face it, your physical health affects your mental health - long-term pain is a git for wearing you down; illness makes you feel groggy and unlike your usual self; revelling in the fitness and strength of your body can help your sense of mental resilience, etc.

This is all a round-about way of saying that, for the last couple of months, I’ve been seeing a psychotherapist, and will continue to do so until I’m in a position where I feel like I’ve realigned what I’m capable of realigning for the moment. Unlike in previous goes over the years (the first one was great, but the second one was far too insecure, and the third one was an old-school Freudian overly-concerned about whether I was breastfed...), the current therapist appears to be a good fit for my world views, and visiting her appears to have given me the stable base from which I can ask difficult questions of myself in the meantime, and answer them too. There’s something curiously empowering about the thought that, as regularly/ frequently as I need it, there’s a safe space where I can go to express being as angry/ unhappy/ jubilant/ proud/ messed-up as I am without fearing social punishment, and from there move onto working out ways of realigning what’s causing me to be less than I could be, because misaligned stuff needs to be brought into the light before you can start tinkering with it.

Go metaphors.

See, this blog is about my quest to become closer to what I can be. (Remember Maslow and self-actualisation?) And that includes emotional and other mental function. I was born with certain physical issues that make fitness harder (hypermobility, asthma, etc.), and given others by the misguided actions of others (food allergies, generally crappy immune system), and wrought some of them myself (the gimpy RTA-shoulder, for example) and these are things that can be managed, overcome, worked around, etc., with some extra support and persistence, and with imagination and the right research and information. The same goes for my mental/ emotional issues - presumably some of it I was born with, some I achieved, and others I had thrust upon me. If they were different, or more profound, likely I’d need medication, like I do for other long-term conditions that no amount of exercise will change (asthma, for example), but that doesn’t seem to be the case.

My emotional resilience is already improved, and my assertiveness has increased. It’s like watching the way that persisting in physical exercise has seen my stamina, strength, and confidence improve, and for approximately the same reasons. Also in common: the mental/ emotional challenges outside of my comfort zone hurt like blazes the first time or two (see: dancing, cycling, weight machines), but that pain fades into strength if I keep going, especially if I give myself space either side of the early/ quantum-change challenges (and recognise which pain is useful and which potentially damaging... and then stop the latter).

This brand of psychotherapy isn’t forever, but it’s right for where I want to get to now, and that’s the best I can ask for! :) I'm going to continue to feel proud of the work I've done already, and the achievements yet to come - both physically and mentally.