Category Archives: Mental Health

How to Conquer Overwhelming Control Issues in Your Life

Taking control, being in charge, lacking trust…
How do you find freedom and relinquish control?

Picture of a locked castle door for the How to Conquer Overwhelming Control Issues in Your Life - The Last Krystallos blog post
Over the years I’ve struggled greatly with control issues. I was anorexic during my teens. Not excessively, but enough to control my weight and keep it low, bordering on an unhealthy level. I felt food was the only thing I had control over in my childhood, and being a perceived fussy eater or anorexic meant I had control. Once I had children the anorexia faded, there were many other things that my mind forced me to control instead.

Severe anxiety, panic, and depression as a teen fed into feelings of helplessness, which expanded into adulthood. It took a long time to understand my own mind, and I’m not there yet! But I do appreciate where my mind has taken me and I understand much more about overcoming the compulsions my mind feeds me.

Dr Martens boots and the image of a woman with elbows on her knees showing anxiety

© Lisa Shambrook

What are and what causes control issues?
Trauma and/or abuse can trigger them. Anything that causes a lack of trust, any betrayal or fear. These emotions can trigger fear, damaged self-esteem, perfectionism, acute sensitivity, feelings of abandonment, panic, anxiety, and feelings of low self-worth. An addictive personality could result in coping with control issues through alcoholism, drug use, and other self-damaging actions.

Are you a control freak?
Do you seek to control others? Do you try to limit others freedom to ‘keep them safe’? Do you have rituals and rules you need to follow? Do you often offer unsolicited advice? Is it hard to admit that you’re wrong, or relinquish control of a situation? Do you need to ‘take over’ or be ‘in charge’ in a given situation? Do you feel you can’t trust anyone else to arrange events without your help? Does giving up control cause you anxiety or panic? Do you micromanage everything in your life? Do you over analyse?

If you answered yes to several of these, you may have control issues.

Control issues which result in curtailing others’ freedom can lead to bullying, gaslighting and very unhealthy relationships and you should seek help before anyone else is affected. Domestic abuse is often a result of unhealthy levels of control, and if violence – physical or emotional – is present from either partner help must be sought.

If you find you are micromanaging your family, becoming too overprotective, or becoming increasingly critical, it is time to search for answers and help.

a fairy trapped within a cage

© Lisa Shambrook

Many of us have personal level issues and the only people we hurt are ourselves. This can lead to self-harm, addictions, and OCD. I have never been OCD, those that truly suffer Obsessive Compulsive Disorder have a very serious condition that does not lend itself to the societal mocking it’s often given. I used to think I had OCD tendencies, but if people really understand the condition no one would ever joke about it or take it lightly. I have control issues, which can be part of OCD, but is its own problem.

My own control issues have surfaced as harsh levels of personal control. I have self-harmed, felt immense guilt, and judged myself. Like with my anorexia, I put limits on myself, hurt myself, and throttled my own self-esteem. It’s difficult to turn around from self-destructive behaviour, but that’s one thing I’ve been working on for many years. I have seen changes.

closed rusty doors in a brick wall

© Lisa Shambrook

When I was a young mum, I would limit my own happiness, being sure I didn’t feel happy unless the rest of my family were happy and well-looked after first. I refused to replace my own broken shoes until everyone else had new shoes first. I would let my own food get cold while everyone else ate straight away. I wouldn’t allow myself to do fun things while my husband was at work, because I wasn’t out working myself. I permitted myself to feel guilt but not contentment.

At thirty-three years old after a sexual assault I sought help. I’d spent my childhood being the ‘good child’, being ultra-aware of my family’s emotions, feeling responsible for my parents’, especially mum’s, happiness, and putting myself last. I went into my first relationships with the same issues, and didn’t learn how to put myself first until I went into therapy with a sexual health therapist in my thirties. I switched, but it took a good decade before I was able to put my control issues into a box and close the lid.

moss trapped within a glass sphere as a necklace

© Lisa Shambrook

How do you overcome control issues?
I have spent the last few years relinquishing control. It’s been good. As my children reached their teens I learned to step back, to allow them space. It was horrendous in my head, but both revealing and essential to them. My children have a strong sense of self and their worth, and are adults with healthy confidence and lives.

Sometimes my issues seem foolish. For instance my mind often told me that I could choose one thing and once chosen I had to stick to it. Change was something I struggled with. I laughed this week as I spoke to my daughter about the hot chocolate I drank at home. I recently switched from dairy to plant based and embraced almond milk on my cereal and in everything that needed milk. The only thing I wasn’t happy with was my hot chocolate. I make homemade hot chocolate, and almond milk wasn’t working. Bekah told me to switch to soya milk for it. My mind told me I’d chosen almond milk, why on earth did I need a change? Yep, this is my mind… I bit the bullet and bought soya milk. I had a carton of both almond and soya milk in the fridge. It felt decadent – and wrong. Lol. Anyway, I am sticking with both. My hot chocolate tastes so good with soya, but my cereal better with almond! I let go.

the scree and sides of Cader Idris mountain

© Lisa Shambrook

Letting go is the answer.
Buddhists
have learned the art of Surrender. I am learning it. Control is rooted in fear. Surrendering, or letting go, is allowing yourself to release or confront your fear. Don’t worry about what will be – Que sera, sera… Accept what is and what will be, deal with outcomes as they happen, and let yourself relinquish control.

I am letting my husband completely organise a trip away for the two of us. Ten years ago I would have needed to be involved in every decision, every booking, every tiny thing. I would have micromanaged the whole thing. Right now, I am for the first time, enjoying going with the flow, throwing in my ideas, my desires, but allowing someone else to make the decisions, plan the trip, and take me away. It’s liberating!

The other week I wrote about letting go It’s the best thing to do!

You must learn to let go. Release the stress. You were never in control anyway  –
Steve Maraboli

How do you deal with control issues? Can you let go?  

Surviving Suicide…

November 18th is International Survivors of Suicide Day, a day when we should celebrate life and talk about mental health. September 10th was World Suicide Prevention Day, but why isn’t this something we talk about every day?
(* Trigger Warning – Suicide is discussed frankly.)

Surviving Suicide - International Survival of Suicide Day 18th Nov - The Last Krystallos

In 2016, 5,668 suicides were recorded in the UK – just under six thousand deaths each year. Male rates of suicide are still the highest at 75% but the rate of women dying by this method is growing significantly. 10 in 100,000 in the UK and roughly 13 in every 100,000 lives in the US are taken by suicide.

The Mental Health Foundation reports that 1 person in 15 have made a suicide attempt at some point in their life. This is sobering and worrying. It’s hard to find official statistics for survivors of suicide, but I believe many people would be shocked to discover they probably know someone who has attempted to take their own life. I know several people.

Light and Dark - Surviving Suicide - The Last Krystallos

© Lisa Shambrook

Survivors of suicide are not just those who attempted to take their lives – they are those who have lost someone to this disease, those who can still hug someone who attempted suicide but lived, and those who tried to kill themselves and survived.

Please watch the film below about Kevin Hines who survived a leap from The Golden Gate Bridge:
‘I ran forward and using my two hands I catapulted myself into freefall. What I’m about to say is the exact same thing that nineteen Golden Gate Bridge jump survivors have also said – the millisecond my hands left the rail it was an instant regret and I remember thinking “No one’s going to know that I didn’t want to die.”

Please check out – Suicide: The Ripple Effect and its accompanying video for more information about Kevin and his work increasing the awareness of suicide attempts.

Mental Health - Surviving Suicide - The Last Krystallos

Original Photo © Caitlin Shambrook

If, in the UK, 1 in 15 have thought about, planned, and attempted suicide, but survived (including those who did die), the first question people often ask themselves is why and what did I miss?

‘Suicide is complex. It usually occurs gradually, progressing from suicidal thoughts, to planning, to attempting suicide and finally dying by suicide.’International Association for Suicide Prevention.
You may never know what drove someone to suicide or an attempt, due to its complexity.

I wrote a post on Understanding Depression a month ago, and explained that even though life can be good, mental health problems can overcome every good intention and persuade the sufferer that they are not worth saving. Mental Health services are getting better and more accessible, but it’s slow, and though the stigma is fading, it still needs more awareness and compassion.

Guilt often accompanies a suicide attempt, both from the person who tries to take their own life and their family who wonders why. Answers are hard, and sometimes impossible, for both parties, and support is vital to recover and move forward.

Tunnel Vision - Surviving Suicide - The Last Krystallos

© Lisa Shambrook

Kevin Hines says: ‘Suicide, mental illness, and addiction are the only diseases that we blame the person for, perpetually, but people die from suicide just like they die from any other organ disease.’

He also talks about surviving, recovery, and creating a network of support.

We have to change the narrative, mental health has to be something we talk about, something we try to understand, something we care about. How we do that has to be across the board, from government, to schools, to parents, teachers, leaders, and all of us need to take responsibility for caring and understanding. Kevin Hines sits on the boards of the International Bipolar Foundation (IBPF), the Bridge Rail Foundation (BRF) the Mental Health Association of San Francisco (MHASF), and the National Suicide Prevention Lifeline’s Consumer Survivors Committee, and tells his story wherever he can. He has touched lives and continues to do so.

I wish I could talk about my experiences with suicide (I touch on my own in the article I mentioned above), and with those I love who have experienced or attempted it, but that’s not my place.

Conflict - Surviving Suicide - The Last Krystallos

© Lisa Shambrook

Just two days ago it was World Kindness DayKindness, compassion, love, understanding, and caring go a long way to help those who live precariously amid mental health conditions. You may know someone with suicidal tendencies, someone who self-harms, someone who can’t see through the fog of depression, someone who doesn’t know that anyone cares.

Be the one that does. Live with kindness and love.

If you are suffering, please find help. I did, and it saved my life. See your GP, find a counsellor, phone The Samaritans on UK 116 123, anytime, anywhere. If you can’t do any of these, please talk to a friend, partner, parent, or someone close to you.

Kindness-has-a-beautiful-way-of-reaching-down-unknown-the-last-krystallos

© Lisa Shambrook

Blades – Mid-Week Flash Challenge

Mid-Week Flash Challenge - Blades - Photograph Sarolta Ban

Photograph: Sarolta Ban

They were my weapon of choice.

Words cut deep, words wound, but mix words with blades and you have the perfect weapon.

They say Sticks and stones may break my bones, but words can never hurt me – they’re wrong.

It wasn’t even what others said, lost amid my world, inside my own head, is what brought me down.

There were words, plenty of them, but they were mine. No one else uttered them; no one else spoke them, but me. Words simmered below the surface, whispering and murmuring, digging and muttering, piercing and cutting. They moved through my bloodstream, through my veins, seizing and taking hold inside my brain – until they cut like knives, like blades determined to bury themselves deep within.

Nothing could dislodge them and their commitment to destroy was flawless, and they worked into my wounds like burrowing wasps brandishing scalpels. No parry was enough to deflect and I was soon forced to choose my own weapon.

Mid-Week Flash Challenge - Blades - Photograph Andy Bate

Photograph: Andy Bate

I would dig them out, thrust and plunge, and drive my own blades deep. And I did.

I gouged and lanced and met those words until they flowed like red silk, until they ran and poured like rivers of crimson, until they gushed in cascades of scarlet ribbons, and I could hold them no more.

They say words don’t hurt.

They do.

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Another great picture for Miranda’s Mid-Week Flash Challenge, from Sarolta Ban. This hits home.

The second picture, by Andy Bate, was last week’s prompt and certainly sat alongside this week’s for me.

Write up to 750 words inspired by the prompt photograph.

 

Visual Sensory Aid…

How do we process life? How do we learn and how do we cope?
Are you Visual, Auditory, or Kinaesthetic?

Visual Sensory Aid - The Last Krystallos
I recently discussed this with my daughters, and we found that we each work/cope/learn/love differently according to our Neuro Linguistic Programming, NLP. It is thought that 60% of us are Visual, while 20% are Auditory, and 20% Kinaesthetic.

I posted a piece How to Feel Loved – Discover your Love Strategy back in 2015 helping us to find out how we feel love. My love strategy is Kinaesthetic, but overall my outlook on life is Visual.

Visual Sensory Aid - Tiger - Bubble - The Last Krystallos

© Lisa Shambrook

When completing a VAK Survey, I score a full house in Visual. You can get an idea of your VAK Visual, Auditory or Kinaesthetic learning style/type here.

We were browsing stores when Bekah picked up a sensory toy and thrust it into my hands, proclaiming it should be mine. She was right. I suffer anxiety and panic, and I have Sensory Processing Disorder which means I often need ways to distract myself from the pangs of panic, the tentacles of anxiety, and the sensitivity of SPD.

Eyes Visual - Bekah Shambrook - The Last Krystallos

© Bekah Shambrook

I’ve been trying to meditate, but I struggle to stay focused for long enough. I am such a visual person that my imagination goes into overdrive when I settle to meditate and my thoughts stray too fast for meditation to be much use. Meditation does work in the right place, and I can sometimes use my visualisation skills to take me on a journey, and follow through the exercise, but often I fall short.

I need something that will help give me a time out when I get too restless.

I have a stim that grounds me when I’m out or in company – acorn cups – smoothing them between thumb and forefinger help to keep me focused and grounded, but at home it’s nice to find something different to help.

Visual Sensory Aid - Tiger - The Last Krystallos

© Lisa Shambrook

This toy does just that. It’s similar to a lava lamp, and the little toys with coloured oil slipping through water.

A coloured (oil based?) slime falls like an egg timer, and slips through a hole in the centre of a container. It runs through, creating bubbles that rise and coils of slime as it falls. The whole process in this version (£3 from Tiger) takes about six to seven minutes.

I use it as a grounding tool, a time out, a relaxation moment, a focusing tool, and just time to think. And it works!

The movement stimulates my brain, both calming it and opening it. I can shut out the world and just watch it, or I can focus on the green kinetic movement and allow my brain to clear and alleviate anxiety, or clear my thoughts and let me move forward. It works with my visual programming!

Watch for just one minute…I love how calming this is!

Are you Visual, Auditory, or Kinaesthetic?
Do you have any little tips, toys, stims, which help you remain grounded?

 

Wild Harbour – Mid-Week Flash Challenge

Mid-Week Flash Challenge - Wild HarbourHe waxes and wanes like the moon – bursting with passion and brim-full with deep satisfaction, and then lost in absence and lonely apathy.

I ride the waves of his storm.

The minute his lips touch mine I sink into his depths, drowning in tides of desire and climbing to heights I’ve never known. He and his touch spark fireworks and constellations shimmer through my universe. My night sky lights up with the fullness of an October Hunter’s moon and I relish every moment he stays. He is my sun and my moon and every star in my cosmos.

My heart aches when he leaves, when he shifts from my orbit. He remains, connected with my physical world, but lost to me as the moon is absent to your touch within a puddle. I know it’s not his love that wanes, but his island inhabits a remoteness that even I cannot reach. I cannot sail its waters and I cannot rescue him from his solitary soul.

When he is only a reflection of himself I keep him safe wrapped within the cocoon of my heart. When his light fades I keep a burning coal in my belly. When he weeps and collapses, like a neutron star, I remain at his side to fuel his escape from the black hole, and keep him tethered to life.

Then, as I wait, his dark moon catches a spark, a shooting star, and its tail threads back through our course. And, in time, he returns, hungry and starved and eager. And I greet him with love and shelter, and allow him time to regain his glow.

Our eternal round will never fail, my harbour will encircle, and my heart will embrace, through the good and the bad, the high and the low, the waxing and waning. It will always go on, because that’s what you do when you love someone encased within bipolar extremes.

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Just loved this picture for Miranda’s Mid-Week Flash Challenge, though she couldn’t find anyone to attribute it to, but I had to write for it.

Write up to 750 words inspired by the prompt photograph.

Understanding Depression – The Truths and Myths

Depression does not discriminate. Depression is not a choice.
Depression, anxiety, and other mental health issues are becoming
much better understood, but we still need to be clearer.

Understanding Depression - The Truths and Myths - The Last Krystallos

Depression can hit anyone – it does not discriminate. Depression ignores your gender, race, age, and any other excuse people can throw at it. It doesn’t matter your financial situation, or your degree of education, or your place in this world. It doesn’t care if you’re fulfilled, or happy, or desperate and suicidal. It does not discriminate.

Understanding Depression - The Truths and Myths - The Last Krystallos - Weeping Geranium

© Lisa Shambrook

Types of depression

There are several types of depression including – Clinical DepressionPost-natal DepressionBi-polar Disorder (Manic Depression)SAD (Seasonal Affective Disorder)GriefSituational Depression – and they range from mild, moderate, to severe.

The NHS website explains that ‘There’s no single cause of depression. It can occur for a variety of reasons and it has many different triggers.’ Depression can be caused by circumstance, events, or medical conditions, or family history, or through chemical imbalances.

Understanding Depression - The Truths and Myths - The Last Krystallos - Pensive Raven Cat

© Lisa Shambrook

Situational depression is perhaps the easiest (a misnomer if there ever was one, no depression is easy) to deal with as its root cause trauma, trigger, or event, can often be located and treated or understood, the same could be said for depression triggered by grief. A trauma or loss often brings on acute sadness and depression, which may need treating medically or psychologically, but is a condition that can be worked through and hopefully overcome with time.

Other types of depression are harder and maybe impossible to ‘cure’.

Yet, there are still people who claim you can change your life, become more positive, appreciate your blessings, and then you can beat your depression. Maybe, who knows, for some people with situational depression, maybe they can overcome and ride out the bad times, maybe they can ‘pull themselves together’ (I hate that term), maybe they can recognise and make changes in their life and beat depression. Maybe, but also, maybe not.

I’ll add a caveat here: depression (and mental illness as a whole) is not ‘one size fits all’. My experience will be different from yours, and where some people may find depression a blip in their lives, something to overcome, many don’t and will fight it their entire lives.

We must be non-judgmental, compassionate, and understanding in our dealings with those who live with depression.

Understanding Depression - The Truths and Myths - The Last Krystallos - Within the Ocean Cave

© Bekah Shambrook

How Depression is treated

Depression is treated in many ways. Mild depression can be treated with a ‘wait and see’ approach, exercise helps ease depression – and I can bear witness to that – as can diet, psychotherapy, CBT (Cognitive Behavioural Therapy), and counselling. More serious depression needs a stronger approach. All of the above can help, talking and counselling can be a godsend, but medication can also be necessary. Antidepressants work by increasing neurotransmitter chemicals in your brain, if these chemicals are out of balance they can affect many aspects of your body and mind, including mood. There are several types of antidepressants, and the most popular of these SSRIs (Selective serotonin reuptake inhibitors) increase the levels of the chemical messenger in the brain – serotonin. Serotonin is an amino acid that is found in food, and it helps run much of your body, and deficiency can cause depression.

Understanding Depression - The Truths and Myths - The Last Krystallos - Sertraline-antidepressant

© Lisa Shambrook

I have written about Antidepressants and my history, and about Coping with the Stigma of Antidepressants, but I still get people telling me that I ought to be more positive, or count my blessings, or that I’m lucky to have everything I do, or that others would be happy with a tiny bit of what I have in my life…

There are a multitude of posts and lists out there online that list the things no one should ever say – and what they should say – to someone living with depression – but people still say them! Get over it, they say, choose to be happy, count your blessings, there’s always someone worse off than you, don’t be selfish, it’s all in your mind (actually, yes, it is – but it’s physiological and psychological, not made-up), try to be happy… If it was as easy as that we wouldn’t be suffering with depression.

Depression is not a choice. Being sad can be a choice, making changes that help you get over problems in your life is a choice, being positive is a choice, but being depressed is not a choice.

Understanding Depression - The Truths and Myths - The Last Krystallos - Clifftop

© Lisa Shambrook

I am a happy person, I’m a positive person, but I also have clinical depression and have had it since I was fourteen-years-old. I was diagnosed at eighteen, and have lived with it ever since. I have taken courses of antidepressants, had counselling, had psychiatric help, seen a psychologist, seen a therapist, used exercise, and I still live with depression.

Thirteen months ago I stood on a bridge at 2am. Life seemed too much. I was overwhelmed. Depression drowned me. I got help and have had counselling and antidepressants since. None of that, or of my history of depression, panic, and anxiety, changes the fact that my life is fulfilling, I adore my husband and children, I love who I am. I have self-harmed since I was twelve-years-old (when I didn’t even know what self-harm was), but that doesn’t change that I know I’m blessed, that I’m happy with my talents, and I love my life.

I know that depression will haunt me throughout my life, but I will manage it. Antidepressants will ‘fix me’ short term, until the chemicals in my brain misalign once more. I will make use of the services available to me, which are getting better.

Understanding Depression - The Truths and Myths - The Last Krystallos - Steel Rainbow Sky

© Lisa Shambrook

But the point of this post is to help understanding and appreciation of what depression truly means.

Depression is not a choice, and it does not discriminate.
It is a condition that those who live with will manage to the best of their ability.
We deserve support and compassion, be the person who seeks to understand.  

Tomorrow, October 5th, is the National Depression Screening Day in the US,
and October 10th is World Mental Health Day… please show your support…

Coping with the Stigma of Antidepressants

Why is it still difficult to remove the stigma of medication
for depression, anxiety, and other mental health struggles,
while so many are experiencing these disorders?

Coping with the Stigma of Antidepressants - The Last Krystallos

When we talk about eradicating stigma we’re trying to normalise or accept something that has been deemed a sign of social unacceptability: the shame or disgrace attached to something regarded as socially unacceptable. In general, society is becoming much more compassionate and educated about mental health, and the stigma is relaxing. However, we still have a long way to go and even those of us fighting to remove the labels can have trouble accepting.

I’ve lived with clinical depression, anxiety, and panic for most of my life, and dealt with it in many ways. I’ve had success overcoming it using natural ways, and I’ve had many times when I’ve needed medication. Accepting medications has always been difficult. Nobody likes to admit they’re not in control of their own bodies, let alone their own minds.

Sertraline-antidepressant-Coping-with-the-Stigma-of-Antidepressanthe-last-krystallos

© Lisa Shambrook

I know many people on antidepressants, and many who refuse meds, so how do you know if medication will help you?

I didn’t want to be on antidepressants for the long term and I believed meds would only offer the placebo effect after so long. I chose to take six month courses, weaning myself off by nine months, believing the serotonin, the meds, and my biological body would work together to rebalance.

tears-Coping-with-the-Stigma-of-Antidepressants-the-last-krystallos

© Lisa Shambrook

So, what happens when your plans don’t work, when your body doesn’t do what you want it to?

Sometimes you have to allow your body to take its time.

Teddy-suicide-Banksy-Coping-with-the-Stigma-of-Antidepressants-the-last-krystallos

© Lisa Shambrook

The last few years have been tough, culminating in a psychotic episode almost exactly ten months ago last week. An episode I wasn’t sure I’d return home from. It scared me and my family. The following week got worse, and eventually my GP prescribed Setraline and got me on a waiting list to see a counsellor.

I was scared of where I was and with a history of self-harm and suicidal tendancies I sought out private counselling. This helped greatly with learning coping skills and discovering how to deal with my demons. However, medication does a funny thing. I saw an initial counsellor who saw me in a terrible state, tears, panic, and reflections of the psychosis, and she referred me to a therapist closer to home. By the time I saw my new counsellor, I was a couple of weeks into my antidepressants and despite the side effects they were working. I was calm, relaxed, intelligent, and totally understanding of my mental health state. We worked hard together for seven months – and I felt fine.

Demon-Coping-with-the-Stigma-of-Antidepressants-the-last-krystallos

© Lisa Shambrook

You know you often hear about people stopping their meds because they’re okay now? Yes, that. You truly believe you’re fine, and sometimes completely forget that medication is what’s at work.

Granted, I had many more tools in my mental health coping strategy tool belt, but I didn’t realise how well the antidepressants were working. I spent my seven months on them and (disliking the side effects) decided to lower my dose (with my GP’s say so). I halved my intake and within days I noticed the difference. My proposed weaning off from seven months didn’t go to plan. I became erratic, anxious, and paranoid. And when I experienced my second psychosis, my GP insisted I upped the dose once again.

I am now in what I call ‘no-man’s land’. I haven’t ever been here before and I don’t like it. I feel reliant on medication and I don’t want to be. I feel like I failed. Why didn’t my mind/body stick to my usual plan, the six month – nine month course that always worked before? I don’t want to be dependent on medication and I am stigmatising my own mental health.

Barbed-wire-Coping-with-the-Stigma-of-Antidepressants-the-last-krystallos

© Lisa Shambrook

Here I am, championing mental health awareness and trying to eradicate the stigma, yet I’m scorning my own need. There’s truth that mental health conditions mess you up – it’s what they do. And accepting that you’re not in control is incredibly hard. I’m a control freak, so there’s that too. I know that I need to be on medication to stabilise, and I don’t know how long it will take for my brain and my biology to do that. I can’t treat it like a broken arm. I can’t time it, or give myself expectations, and I can’t hurry it up.

So, instead, I work on myself, I work on acceptance. I work on loving myself and giving myself time. That’s all we can ask for. For ourselves and those around us also living with what seem like insurmountable health conditions. It doesn’t matter if you have mental health issues, cancer, a broken limb, or any other health condition, nothing should stigmatise what we’re each coping with. Compassion, education, understanding, and love should flow. More so, when governments are assessing and stigmatising conditions and people who need help.

I have no idea how long I will be on medication for, and that’s okay. While I’m on it, I’m fairly stable, and I’m mostly me, and that’s what matters.

Many health conditions are tough to deal with
when all we want are bodies that work the way they’re supposed to.
How do you deal with your health problems when they don’t go to plan?

Mental Health Awareness Week 2017 – Surviving or Thriving?

This week 8th – 14th May is Mental Health Awareness Week,
and this year the Mental Health Foundation have chosen the theme:
Surviving or Thriving?

Mental Health Awareness Week 2017 - Surviving or Thriving - The Last Krystallos

It’s a thin line.

Two thirds of people in the UK say they have experienced a mental health problem, with women, young people, and those who live alone affected most. The survey, completed by The Mental Health Foundation in 2017, also discovered that those over the age of 55 cope best with taking steps to make their lives better, 85% of the unemployed have experienced mental health issues, and that 3 out of 4 low income families suffer compared to 6 in 10 in the highest income positions.

4 in 10 people live with depression and over a quarter of the population experience panic attacks.

Out of 2,290 people surveyed, sadly, only 13% reported a high level of good mental health.

Mental Health Awareness - the last krystallos -happiness-and-melancholy-virginia-woolf

© Lisa Shambrook

With poor mental health in such a vast amount of the population you could ask why?

The reasons are huge and we may not even understand or know some of them. Social, financial, political, familial, religious, and medical reasons abound, let alone the mental and emotional reasons that we are working with or haven’t even discovered yet.  Our modern diet, pollution, smoking, drinking, drugs, lack of exercise – all of these may add to or cause mental health issues.

The survey concludes that ‘the collective mental health of our nation is deteriorating,’ and warns thatthe barometer of success of any nation is the health and wellbeing of its people.’ We have a long way to go, and we need to support each other to become a healthier nation.

Mental Health Awareness - rain - the last krystallos

© Lisa Shambrook

Perhaps the most important thing when asking the question Survive or Thrive? is to discover what we can do to help, to support those who live with mental and emotional health issues. We can help those around us thrive, despite the conditions they live with.

I’ve blogged about many Mental Health Issues, so feel free to browse to find information if you wish. Depression, Anxiety, Self-Harm, Highly Sensitive People, Misophonia, Running Away, and I’ve written a post on How to Keep Calm and Carry On – offering advice on coping with Stress.

Like I’ve mentioned in my This is What Anxiety Feels Like post, some people have circumstantial or situational mental health issues, and thankfully, most of these issues pass in time and as situations change, but others live with constant and life-long conditions.

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© Lisa Shambrook

How do you support those you know with challenging conditions?

Accept – a mental health condition is as legitimate as a broken bone, you wouldn’t ask someone with a broken arm to prove it, or to pull themselves together and get on with it. Be accepting and validate us with compassion and empathy.

Listen – Be there when we need you. Be attentive and intuitive, we may not always be able to tell you when we need you. Many mental health conditions, like anxiety and/or depression, often take away self-confidence and make us very insecure, and we often don’t ask for help when we need it. Offer your ear, sometimes we need to talk. Talking can be very cathartic. If you can help or encourage us to get counselling, you can help us make big steps forward.

Support – even when we shy away, or get prickly, or reject you, we still need you. Your support and love is often what helps us hold it together when things are tough. Your support is imperative because professional help can be very hard to get, and requires long periods on waiting lists for six or ten sessions of counselling. Trying to get help can be demoralising and very often we give up. We are waiting for the government to invest in mental health care and for the stigma to be erased. We need support.

Learn – educate yourself about the mental illness that your loved one is living with. It will benefit everyone. Understanding a condition helps you live with it and offer the right support.

Don’t Judge – never tell someone with a mental illness that it’s all in their head, or that they’re work-shy, or that it doesn’t exist. Don’t ever tell them that they should be glad they haven’t got *insert cancer or other physical disease*. Many mental illnesses have very physical symptoms. Educate yourself. Please, also, don’t tell them that it could be worse. It probably couldn’t to them and we all deal with our problems in different ways and on different levels. This one goes along with acceptance, but is even more important, as sometimes those with metal health issues can be living on a knife edge and your judgement or criticism could push them over the edge.

Be lenient – make allowances (but never be patronising). Like I said many conditions have very debilitating physical symptoms like exhaustion (mental exhaustion creates physical exhaustion), tremors, headaches, racing heart rate and palpitations, physical pain, nausea, inability to breathe, and more. Our medication can also cause many side effects. Emotional responses can be just as hard to cope with for those living with these conditions. When we can do something, we’ll do it, but sometimes we just can’t.

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© Lisa Shambrook

The stigma attached to mental health is slowly fading and we can all do our bit to fight and eradicate it. We even have Royals, William, Kate, and Harry spearheading the #HeadsTogether campaign to end the stigma around mental health.

Let’s work together to support each other, not only to survive, but to thrive!

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© Lisa Shambrook

This is What Anxiety Feels Like

Many people feel anxious, but what does an Anxiety Disorder feel like?

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I’ve suffered with an anxiety disorder since I was a child, and for many years I just thought I was a worrier, and I always felt there was a derogatory association with being a worrier.

Many people believe you need to have reasons to be anxious.

We all suffer anxiety: going into an exam, taking your driving test, being late for work, when you’re about to give a presentation, travelling, and more. You get that flutter of worry in your belly, nausea, light-headedness, fear of the unknown, fear of failure… but the difference between GAD, Generalised Anxiety Disorder, and situational anxiety is that those symptoms and emotions go away. You know that your exam will be over in a few hours, your driving test will be complete, you’ll get to work, that presentation will be finished, you will have reached your destination and the worry will be over, and you will move on. The reason for your anxiety will be resolved.

Generalised Anxiety Disorder does not give you that luxury.

Imagine those symptoms continuing for the rest of the day, the week, the month…

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© Lisa Shambrook

I’ve learned a lot about my anxiety. I’m on antidepressants and my anxiety has been much lower, but I recently mentioned to my husband that I was feeling anxious again. Now, he’s incredibly supportive and very understanding, but to someone who has never experienced depression or severe anxiety it’s a difficult condition to comprehend. I tried to explain that there were several things on the horizon worrying me, but there’s more to anxiety than that.

There doesn’t have to be a reason.

I tried to explain what anxiety felt like.

It’s like you are treading water with no land in sight. This is what anxiety feels like.

You believe you will drown. This is what anxiety feels like.

Now, common sense tells you that a log might float by and you could grab it, or a boat might sail past and rescue you, or a lifebelt might appear – but as your brain puts those ideas out there, it also brings in a rolling fog. Now you’re treading water in fog and you can’t see anything. This is what anxiety feels like.

That log will float right by, that boat will sail right past, and that lifebelt is out of reach. Pretty quickly, as anxiety heightens, the waves about you grow and you’re treading water in fog and ten foot waves. This is what anxiety feels like.

That log is about to tip off the wave above you and knock you out. The boat is off course and will never find you, and that lifebelt, well, it’s gone. This is what anxiety feels like.

To top it all, beneath you a whirlpool whips up, you can’t breathe, you can’t keep your head above water, you’re getting pulled under, and you will drown. This is what anxiety and a panic attack feels like.

Anxiety removes the common sense option. Anxiety tells you you’re going to drown and your mind cannot get past that.

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© Lisa Shambrook

Depression is often referred to as the Black Dog, and you can’t command the black dog to return to its kennel, instead it jumps at you and hangs about your neck, or it pulls you down and holds you in a half-nelson. Anxiety is a Boa Constrictor. It’s a snake that coils about your legs and works its way up your body, squeezing and coiling tighter – and it doesn’t let go.

If you’ve never experienced long term anxiety it’s very difficult to understand.

Sarah Fader started a hashtag a week or so ago on Twitter @AnxietyHashtag and people began sharing #ThisIsWhatAnxietyFeelsLike Find out more in these articles: Huffpost and Psychcology Today.

Sarah has opened a floodgate of understanding and validation for those with anxiety, and I asked her how she came up with the hashtag:

‘I started the hashtag because I was feeling anxious about not hearing back when I texted a friend. That thought resonated with people on Twitter and I wanted to give them a chance to articulate what anxiety felt like to them.’

-Sarah Fader CEO and Founder Stigma Fighters www.stigmafighters.com

It is liberating. Firstly, we know we’re not alone, and secondly, it offers an insight into what life is like with an anxiety disorder.

understanding-self-harm-the-last-krystallosJust a few examples… Severe anxiety is exhausting to live with, both for the sufferer and their family.

I’m working with my therapist to find ways to deal with my anxiety, and I’m currently using ACT, Acceptance and Commitment Therapy. I’m finding the more I accept and acknowledge my anxiety, the more power I have over it. Learning to recognise and use this will take time and effort, and anxiety is likely to always be part of my life.

Take time to understand the debilitating nature of this condition and use patience and compassion when we need it.  

Validation is the first step to helping someone recognise and cope with their anxiety.

How do you manage and what helps you when you feel overwhelmed and lost?

The Practicalities and Fragilities of Death…

Death is a strange thing and people react to it in many different ways.
This post isn’t about grief it’s about the more practical aspects of death.

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My mother passed away three days before Christmas and though I’ve dealt with bereavement before, I’ve never had to deal with it in such a hands-on way.

I knew my mother was dying – it was expected, yet unexpected. There had been no time frame. She’d survived breast and secondary breast cancer for over twelve years, until pneumonia and Alzheimer’s took her. My father’s devastation was hard to bear, and when it came to dealing with death – he couldn’t.

We were there during those bitter-sweet moments that she took her last breaths, and as I hugged Dad I knew I’d be dealing with the arrangements. Don’t get me wrong, I was happy to, I would have done anything to make this loss easier for my father, but making arrangements for the death of a loved one is tough.

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© Lisa Shambrook

I didn’t know where to start. Who does? Life is about living, not dying, and death – and what comes with it – is very much avoided in general day-to-day life.

The practicalities put you into an auto-pilot mode, and can sometimes dilute your grief. There are things that have to be done and I was very grateful for the sensitive help and administration from my local hospital. The ambulance crew, nurses and doctors were considerate and caring and kept us informed and looked after. We knew this was a one-way trip, and my father would be leaving without his beloved wife.

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© Lisa Shambrook

Our local Health Authority produced a booklet Bereavement Information for Relatives and Friends (The government have a What To Do After Someone Dies site) and it helped us make sense of what was to come. The following day we contacted the hospital’s Bereavement Officer, no, I didn’t know that was a job, but I am very glad it is. He was wonderful, making sure we knew exactly what needed to be done. It was Christmas, and the holiday season was about to start the next day, but he made sure the medical certificate and coroner’s report were hurried through and he made us an appointment to register her death and get her death certificate before each of the offices closed for Christmas. It was good for us to have these technicalities out of the way so early.

The Registrar was lovely, making sure we were comfortable and informed, and he was gentle and calm despite the raging torrential rain storm outside rattling the windows. Carmarthen also had access to the valuable Tell Us Once service, which informs all the government agencies of the death at once, so you have less people to inform.

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© Lisa Shambrook

We had also called a trusted local Funeral Director and met him that afternoon. So many commercials on television claim you need to spend a small fortune on a funeral, upwards of £7k, but that’s not necessarily true. You can arrange a service to fit your needs and budget, though I won’t lie, it’s still an expense most us will agree is very costly. Council fees for a burial plot are about £1,000, but you can arrange the rest of the funeral to your budget.

You can have a direct burial or cremation without a service for about £1,000 – £1,500 and you can add to that any extra you wish.  There are several sites that can give you advice which you can find with this article from ITV’s Tonight Funerals: A Costly Undertaking?

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© Lisa Shambrook

I, and two lovely friends from church, dressed my mother’s body before my father offered his last respects, and it was a privilege to do so. It’s difficult to see your parent’s empty body, and not everybody will have the chance or choice to do this – we did in accordance to burial rites within my mother’s religion, but it’s a sure testimony to our loved ones having moved on and left this mortality.

My parents wanted simplicity from coffins to flowers, and we had a memorial service at the church we belong to without cost. We made it beautiful with words, simple white flowers and red roses, and love. Our Funeral Director, Peris Rice, was informative and accommodating, and Mum’s service, and then burial in the cold January rain, just before her 74th birthday, was beautiful and poignant.

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© Lisa Shambrook

The whole process has left me with grief, relief, and a deep desire to be sure that I have talked about and thought about what I want in the event of my own demise.

We weren’t sure what Mum actually wanted, and I was floundering with putting together a service, then Dad phoned. He’d been clearing pieces of paper and notes from a box on the coffee table beside where Mum sat, and had come across a piece of paper. On it was a list entitled Hymns for my Funeral, and she had listed about fourteen hymns, numbering four of them. Beneath that list was a poem Death Is Nothing At All by Henry Scott Holland. I gave thanks, because we finally knew what hymns to choose and which poem my sister could read and they were perfect. The hymns we didn’t sing during the service became prelude and closing music, and they all spoke of Mum.

In the end I offered a eulogy inspired by photographs of my mother from her childhood right up to the present, which gave an insight into her life and what she loved, Jules read the poem which spoke exactly what I knew Mum would have said, and a dear friend spoke about Mum and our spiritual beliefs. I hope it was what she would have chosen.

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© Lisa Shambrook

I have moved away from this experience with the need to make any future plans my husband or children might have to put in place as easy as possible. We are all going to die. I don’t fear death, but I do have wishes and desires I would love to accompany my flight from this earth.

Neither of my parents had wills, and Dad now understands the importance of making one. We are now facing looking at Probate, and are discussing Lasting Power of Attorney, and Wills…and I want all these things sorted out, not only for him, but also for myself and my family in my own mind and on paper too. We need to talk about what we want – from services, coffins, wills, music, organ donation, religious rites, finances, do-not-resuscitate forms, living wills, and anything else that might be, for some, uncomfortable to discuss.

I want my views known to my family, not only about decisions made when I die but decisions that will affect my life. I want us to talk about care as I get older, what I want in the event of Alzheimer’s or cancer, or any other life changing/threatening disease. I want them to feel loved and not burdened, and I want to be sure I continue and leave this life with grace and dignity.   

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© Lisa Shambrook

My views on remembering the dead are a little different from the norm. I would very much like to keep it simple and quiet, perhaps even without a church service. I wish for flowers to be gathered from the season and tied simply with string and left wherever my ashes are strewn, and a poem, or reading, or memories are shared, by woods or a river among nature that I love so much, with my family and loved ones.  

How do you feel?

Is death a taboo subject or have you made your wishes known?

What are your thoughts on the fragility of death?