Sometimes it's difficult. That’s okay

#TimeToTalk 

Last weekend I had a panic attack. It wasn’t a particularly bad one, putting aside the fact that they’re all, you know, horrible. I mean, no concept with either of those words in it is nice.  Even writing this out has made me super-aware of my heartbeat, the way it fists on my breastbone; my breath, the way those accelerating swells bind me into my clothing. And how, okay, that’s a good thing, but it doesn’t stop. It just doesn’t stop. And the heat’s rising, that very particular sensation at my temples and if I lift my fingers I’ll see them trembling and my skin is tingling and...

Breathe out. Slowly.

Butitsallhappeningitsallmybodyrevoltingallthoughtschiming

Breathe in. Slowly.

CaughtinsomethingthatIcantescapebecauseitsmeandwhywontitstop

It stopped before. You mastered this. You have enjoyed your body’s good reactions to challenge. You will inhabit it happily again.

Nonononononono!

Yes. Yes. Yes.

Before all that, it turns out, is something like a migraine aura. I caught a whiff of it, running late for a gig in what turned out to be an impossible-to-breach venue once everyone else had gone inside.

“I’ll power through it, distracted by the entertainment and my pride in my friends’ achievements...”

Wandering alone around deserted-looking buildings in the dark, in a quiet and imposing part of town is no-one’s favourite. Certainly not mine. Well, sometimes. But not that night. And knowing I was on the verge of panic was a mixed blessing, let me tell you. So I made my way back to my bike in the freezing cold and called everyone I trusted who I thought might be available. Luckily for me, someone finally answered, and I was able to talk to someone who wasn’t going to judge me, tell me what to do, or ask me a ton of unhelpful questions. They said:

“I can do whatever you need - either let you talk or tell you what works for me or blather to distract you.”

Right there, teetering one-footed on the edge of desperation, I chose for me to talk, then them to distract me. Once it was clear to me that I was only rehearsing the panic that had led me there rather than actually purging it, I asked to swap roles. Then I sat down, caressing the icy, fake cobbles of the ground around the bike stands. I imagined the heat of sun-warmed rock beneath my trembling fingers, and I listened to my friend talk, uncondemning and measured, and then they moved onto a topic close to both of our hearts that was also not a burden to me and I felt myself uncoiling, there on pitiless concrete, softening into the circle of a hug from 50 miles away.

Thank you. You know who you are.

I spent the next two days poisoned with adrenalin and its fallout. I treated myself very carefully. I was as assertive as I could be about my needs. I supported people making and performing art. I was lovely. I was tired. I was present. I was fed and watered and wonderful and happy and so, so tired.

So I’ve learned some things from this:

1. You can feel the panic aura as it approaches.  This is useful; very useful to know.

2. These things work:

a) Recognising and putting boundaries on it before it gets going properly.

b) Phoning someone you trust, if you can’t get physically to someone you trust.

c) Sitting down and touching the ground, no matter where you are.

d) Talking yourself down using a kind of loving dissociation.

e) Eating hot chicken soup once the main freak-out is passed.

f) Talking about it so that you can remember all the people saying “that sucks, poor you” rather than “get away from me, freak!”

g) Remembering.

3. My friends are even more awesome than I already thought they were.

4. I can ask for help.

5. If I go for a week of short/ crap sleeps I lose my shit.

I hope this has been useful for any of you. It’s been scary and useful for me – both the writing and the sharing.

Be well, lovely folk.

Some advice about brain weasels

Or: what to do when you’ve started the day with negative emotions...

More of my friends are adopting the “brain weasel” nomenclature than I would have, perhaps, anticipated. This makes for quite efficient conversations:

“My brain weasels are loud today...”
“Tell ’em to sod off, the little buggers.”

“Sorry: I have brain weasels today.”
“No worries - let me know if you’d like to meet up later...”

Today someone was able to use the term to let me know that they were having a difficult morning. Then they asked: did I have any advice?  Turns out that... yes. I rattled off a pretty decent list. Revised version below, because I thought it might be useful to others:

Help! I’m in work and the brain weasels are snapping. What can I do?

Thing is, you can’t exactly go back to bed, can you? So here are some work-compatible things to do:

1. Maslow it - drink more water (go and do that right now), eat well, ensure you feel safe/ physically comfortable in your environment.


2. Adrenalin seems to mute them. Maybe go for a brisk trundle at lunchtime. If something more strenuous is an option, maybe consider that...


3. Listen to (powerful, strong, happy, or positively defiant) music. Plug it in, baby!


4. Pick a thing (it can be absolutely tiny) and do it well today. That often shuts them up. If it works, do another one. Rinse, repeat. One step. Then the next. The day is over. You won.


5. Treat them like a belligerent fundamentalist/ troll* - when you answer their snide little accusations, they’ll switch tack. You can choose to ignore them or refute every argument. Both approaches take energy, but ignoring/ refuting also demonstrates control, which giving in and admitting they’re right (they’re not) does not (it also saps energy, but builds no strength).
   
   Think of this like physical health:


1. If you exercise, it’s hard work at first and hurts, but less work long-term, because you have a fitter body to carry you around in.


2. If you either go into to denial or decide that you’re determined to beat an illness, you’re WAY more likely to than if you just meekly give in. Hardiness for the win.

A favourite refutation I came up with recently was when I was trying desperately to find something, brain foggy and starting to hyperventilate, and the weasels said: “Hah! You’ve lost it! You’re rubbish! You don’t know where it is!” and I found myself saying: “Yeah? If you’re so much bloody** better than me, you can tell me where it is then! No? Then shut the hell** up! From now on, you’d better prove you’re actually better than me any time you try this nonsense, or you forfeit all right to bloody** criticise me!”

I won’t deny it - that did feel good...! :)


6. In my experience/ opinion, comfort blankets DO NOT WORK. They will just give the metaphysical rodents more ammunition. So do something challenging you know you do well; don’t resort to sugar/ caffeine/ alcohol/ Facebook/ mobile phone games, etc.


7. Find someone pleasant to talk to who has the time and energy for you. Don’t feel you have to talk about your problems, but do talk about stuff you like as well as stuff you don’t like.


8. Make a plan for the evening that involves healthy behaviour (exercise, good food, early night, helpful social time, etc. - even if all that happens is you go to bed early out of all of those, making a plan and executing it will feel excellent and tell those pernicious, furry idiots off good and proper)

And that’s it, really. Obviously you may not be able to do more than one or two of these in a work day (though 1, 2, 4, and 8 are pretty feasible!), but it’s a start... :D I’m thinking of printing a simple version of this out and putting it somewhere prominent for when I feel like I’m having/ about to have a bad day myself... Any further suggestions?


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*fundamentalists come in all forms - pick your poison, it’s not all religious

**The language was a lot worse than that - swearing is very energising, if you’re me...

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.

Food, Glorious Food

(Dammit, now I have that song stuck in my head.)

The Spreadsheet Plan is working out well. Disappointingly, it told me that I have to work harder on fruit and veg (thank goodness dried fruit counts - I'd struggle to make it up to 7 most days) and that - as suspected - I'd routinely been drinking not enough water.

It also highlighted that, curiously, I am much better at eating and hydrating well during the work week.  I'm guessing this is either to do with the reduced structure during the weekend, or because it's easier to eat vegetables when someone else is cooking them for me.  Possibly both...  Hmm.  The hydration issue, though, is still a little confusing.  But I'll come up with a plan for combating that and then we'll see...! :D

As part of this Back on the Wagon programme, I've been trying to identify my weaknesses and eliminate them.  I have come to the conclusion that there's one thing in my life in particular which can topple all sorts of good intentions and excellent plans in a single bound.

To put it bluntly: I'm a cretin for biscuits*.  They are my Kryptonite.  I don't really eat many sweets; I'm "meh" about savoury fatty food (I definitely know when to stop, and do). I'm virtually teetotal, and am generally pretty straight-edge. I can only put my utter inability to resist biscuits* down to:

1. That thing about foods which combine both sugar and fat (which pretty much never happens in nature, so we have few inborn mechanisms for recognising satiation from processed foods which combine them like this, apparently) being so addictive.
    
2. Me being encouraged to snack on (a strictly limited number of) biscuits* every day at about 4:30pm as a child (i.e. after school but before dinner... possibly because my mother wanted us not to be hungry as she preferred us to all eat together - i.e. so that she only had to cook one meal).
    
3. My allergies meaning that many other sweet treats of choice are not an option (anything containing chocolate, nuts or eggs, which means no cakes, among other things), so biscuits* are pretty much as good as it gets when it comes to convenient processed snackery.

*biscuits, in this context, means a range encompassing cookies and flapjacks. In fact, flapjacks are particularly dangerous as it's easy to fool yourself into thinking that they're "healthy" because they contain oats, and often fruit. They're also ludicrously fatty and sugary.

So what have I been doing about this?

To start off, in my own, fumbling, amateur way, I've been following my "good" instincts (i.e. listening to my body, rather than following "damaging" cravings).  I'm pretty sure that I know fine well when I'm doing things wrong through indolence/ a desire to passively hurt myself (yay depression and a fragile body - why self-harm when you can self-neglect?!), so I'm having to come up with ways around these thanatopic tendencies.

One thing I'd worked out was that if I allow myself to become too hungry (to the point where even waiting to cook/ the actual act of doing cooking seems like a massive drain on perceived low resources) I will snack like a mofo.  If I structure my eating a little better, I can resist snacking.

Well... resist snacking crap, anyway.  I'm allowing myself dried fruit mid-morning and mid-afternoon at work, eating a carby lunch, and trying for a light meal in the evening which is strong on vegetables and protein, but low on carbs.

My lifestyle is problematic, and some of it can't really be switched up without throwing the baby out with the bathwater.  I perform, using my voice.  There appears to need to be quite a gap of time between eating satisfying (fatty, carby, proteiny) foods and singing/ speaking well.  As most performances tend to be in the evening, around the time you'd be wanting to eat sensibly, juggling all these things can be an arse. Also: the satisfying food that's available when the show has finished and you're on your way home tends to the unhealthy (to say the least). And see above - by the time I'm in a position to eat I'm pretty hungry and tired, and also starting an adrenalin come-down, so prone to seeking something that feels like an energy (or mood) -boost.

So what are biscuits substituting for?  They're not exactly something that our bodies have adapted to draw nutritional substance from.  They're eaten because they're nice, a treat.  They're eaten because a sugar-rush can be a compelling high; because they remind us of childhood (with the extra benefit of no-one telling us we can't eat too many now we're grown-up); because we associate sugary foods with the end of the meal when we're relaxed and happy after a good time with family/ friends; because biscuitry is a reliable standby of feeling good and filling us, unlike people or job or creativity; because we're tired and have overridden the command to sleep, so need something else to fill the energy void; because we're not great at working out what it is we're missing and we know we like biscuits; because they're convenient and they keep for ages in desk drawers and vending machines and bags and cupboards and pockets; because it's just an ickle biccie...

So I need to get better at working out what "I want a biscuit" means in each context and then acting on that, rather than ignoring or repressing that urge.  Sleep, water, attention, stimulation, sex, affirmation, nostalgia, low blood sugar... these needs can all be dealt with in other ways.

In other words: I need to make new habits, tread new patterns into my brain (like "walk rather than wait" or "bus rather than taxi" or "bike rather than bus" or sleep rather than social media") as I replace "biscuit" with better sources of satisfaction.

No short order. But I've done it before - let's see if I can do it this time so it sticks better.

The Secret of the Pyramids

We have a shorthand in my household when people are emotionally up against it: "Maslow?"  It's even become a verb: "What should I do?" "Well, to start off, Maslow it."

What are we talking about?  I used to teach this as part of my A Level Psychology course, and I figure (despite its limitations), that it's a good tool:

Here's the thing - it's really hard to do that brain stuff that you need to do when you're hungry, tired, thirsty, or scared of basic stuff.  So if you're suffering from low brainwidth, deal with a couple of the lower rungs of Maslow first.

In a brain-flap? Drink some water.  Right now.  Get some water in you. Okay, now you've dealt with that, how do you feel about carbohydrates?  That's good news - here's a cookie^*.  Right, now we've dealt with that, what do you need to do next?  Is this an emergency, or can it wait until you've had a nap?  Okay, well, have another cookie^* and let's work out the rest of this.

In other words, you need all the resources you can actually get hold of (instead of punishing yourself for feeling bad, coz that works excellently well as both a long- and short-term strategy...) in order to deal with brain stuff.

I am crabbit at the moment, partly because my sleep is off and I've been in an amount of pain (though better today due to yesterday's interventions), partly because Everything Happens At Once seems to be one of those things.  I'm feeling overwhelmed, in short, and I'm going to write a poem about it full of emotive symbolism and all but, in the meantime, I'm going to deal with what's in front of me so that I can deal with things a few steps away.  And this may also mean telling Everything Else to back off a couple of steps, thanks.

I will eat lunch shortly, and go to the gym tonight. I will then eat well and early and I will sleep, by all the gods, because the world's a more dangerous place when I haven't.

And now, just to cheer you up, a picture of a crabbit (alternate definition):

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^* substitute dried fruit/ banana/ boiled egg/ whatever works for you at this point.