Mental Health Awareness Week 2018 – Stressed Out

Mental Health Awareness Week is this week 14^th – 20^th May
This year’s chosen theme via the Mental Health Foundation is
Stress and how we’re coping.

Stress is generally our reaction to being placed under pressure, and how we cope when control is either out of our hands or maybe we are losing control of a situation.

© Caitlin Shambrook

I recently blogged about control issues, so if losing control is what puts you under stress, take a look.

Stress is like fog. You might be watching it looming in the distance, or you might wake up to it, or it might descend without any notice.

If you can see it looming it may be easier to cope with, you may have time to prepare or make plans that could help allay the stressful situation.

If you wake to it, like fog on an autumn morning, you may find yourself having to deal with stress without any warning.

If it suddenly descends it can often feel like you’re drowning and out of control.

© Lisa Shambrook

Everyone suffers stress to some level. Some people deal with stress easily, some relish it and work better under pressure, some struggle hugely and then it can affect their mental health adversely. We’re all different and no reaction is the right or wrong one.

I don’t deal well with stress as it exacerbates and intensifies my anxiety and panic disorder. It will affect my IBS and cause nausea, stomach aches, upsets, and pain. People can suffer other physical symptoms too such as headaches, tiredness, insomnia, chest pain, sweat, clenched jaw, and a higher risk of colds and infections. Symptoms that affect your mental health can include irritability, panic, depression, exhaustion, self-harm, and anxiety.

If stress is affecting your life then take whatever steps you can to reduce it by removing the cause if you can. This isn’t always possible, in which case you need as much support and understanding as you can get, but if it is at all possible then take action.

© Lisa Shambrook

Stress often induces the Fight, Flight or Freeze reaction, and these are physical responses. When you know your response you can learn to deal with your reaction. My instinct is always flight. Stress causes anxiety which leads to panic and finally a panic attack. A panic attack will either lead to flight or self-harm with me.

Just the other day I was at the Dr’s surgery and had to wait, after my GP visit, to see the nurse. I was there early and the waiting room was almost empty, but as I waited for an hour the number of patients grew and the room filled up. The noise level rose, babies, children, coughing, crackling chests, and lots of people. I don’t deal well with crowds, and finally people sat either side of me and I tried to ignore everything. I was prepared with a book, and I kept my head down reading, but it got to the point when my anxiety swelled, panic began to bubble beneath the surface, tingling in my veins. The receptionist assured me I’d be seen within five minutes, and she was lovely, but it was too late. I had no control over the panic attack that had brewed. I sat back down, trying to convince myself that five minutes was nothing, I could make that, but as tears welled there was no stopping the onslaught of full blown panic attack and I ran. With the help of CalmHarm, an app I’ve been using on my phone, I calmed down within a few minutes, enough to return and get called into the nurse. Once with her I dissolved and she talked me through the panic attack.

© Lisa Shambrook

There are many ways to deal with stress and you have to learn what works for you:

Stay positive, do all you can to keep positivity in your life.

Try meditation, breathing exercises (CalmHarm has helped me greatly with using breathing to stop a self-harm urge or panic attack), relaxation techniques, mindfulness and many other CBT cognitive behavioural therapies.

Ecotherapy (that’s a new name for nature!) go on walks and spend time in nature.

Keep a Mood Diary see what triggers or causes your stress.

Develop a strong support network, family and friends can be there for you when you need them.

Be honest, especially with your employer, teachers, friends, and family. In general people will want to help and support you.

Good sleep and exercise can be very beneficial. If stress is causing insomnia see your GP for help.

Accept there are some things you won’t be able to change, but help might still be available. (At the Dr’s surgery I had to wait my turn to see the nurse, but she explained that I could in future ask to wait in a quiet room if I’m feeling too anxious.)

Eat well and stay healthy.

Know your limits. Sometimes you need to say ‘No’.

Try not to rely on drugs if you can, but also know what drugs do work for you. (I am currently taking Propranolol and it’s working wonders for me. I am waiting for counselling, but while I’m not coping drugs are the right thing for me.) Anxiety medication or antidepressants, or sleeping aids can work and help reduce stress.

© Lisa Shambrook

Life is full of stress – that’s not something we can change, but how we deal with it will define us and help us to cope. Learning coping skills and ways to deal with stress will enhance our lives. Perhaps the best thing we can do to help alleviate stress is to help those around us to feel support and love, and if we are in a position of authority – as an employer for instance – then compassion and understanding will help improve relationships. Respect, compassion, and support will work wonders.

How do you cope with stress?

Focus on ‘small wins’ don’t chase big achievements.
Do the little things and use it as a springboard
whatever you can do be proud of it! – Mind

Anxiety Disorder – the Illness that Inhibits You and How to Beat It

Anxiety is hard to describe to someone who doesn’t suffer with it. The dictionary definition of anxious: feeling or showing worry, nervousness, or unease about uncertainty. While this definition is true, anxiety as a mental health disorder is much more than that.

Imagine being held up against a wall with a knife at your throat, your anxiety would be understood, in fact most people would say the emotions running through your head would far surpass anxiety. Anxiety disorder is the same, but without the intruder and the knife at your throat.

© Lisa Shambrook

16^th – 22^nd May was Mental Health Awareness week in the UK and May is the awareness month in the US. Anxiety and Panic disorders are often glossed over when mental health is discussed, yet these enemies have been the bane of my life since a very early age. I spoke about it with Stigma Fighters and have included it in posts about depression and self-harm, but anxiety has been my constant companion.

Source: http://www.healthyplace.com/anxiety-panic/

Anxiety is common place amongst several different mental health disorders: OCD (Obsessive Compulsive Disorder), Agoraphobia, PTSD (Post Traumatic Stress Disorder), Panic Disorder, Generalised Anxiety Disorder (GAD), Social Anxiety, Separation Anxiety, and other phobias. It often accompanies depression and other mental health conditions.

“Almost one in five people feel anxious a lot or all the time, while nearly half feel more anxious than they used to.” AnxietyUK

In 2013 there were 8.5million cases of anxiety in the UK. Women are twice as likely to suffer as men, and more than 1 in 10 of us are likely to have a ‘disabling anxiety disorder’ at some stage of our life. Many of those suffering from anxiety, up to 70%, will have further anxiety based disorders like the ones mentioned above. I have Generalised Anxiety Disorder complemented by Clinical Depression, Panic Disorder, Social Anxiety and these often result in self-harm, and this is not uncommon.

The most common physical symptoms of anxiety are:  a racing heartbeat, shortness of breath, chest tightness, butterflies (or worse – I have spitting dragons) in the stomach, and nausea. Often these are joined by a dry mouth, the urge to pass urine/empty bowels, trembling or the shakes, and sweating.
These are accompanied by psychological symptoms like: feeling very tense and agitated, a fear of losing control (anxiety sufferers are often control freaks – I am), huge irritation, a feeling of detachment, and/or a feeling of dread – or as I call it ‘that impending sense of doom’.

People suffering big anxiety or panic attacks can often feel like they’re about to or are having a heart attack. The impending sense of doom can fool you into despair and can lead to self-harm and depression, and even psychotic episodes.

© Lisa Shambrook

I wish I’d known I was suffering from an anxiety disorder as a child, it would have made those moments preceded by panic attacks much easier to cope with. I had several occasions at school when I sat in a classroom unable to concentrate, unable to sit, my head filling with fog, my heart beating like it would explode, numbness coursing through me, and fear spreading through my veins for no particular reason. Several times I ran from PE, or after assembly, and locked myself in the bathroom, or ran from the school building and all the way home – my heart thumping like a road drill and feeling like I was being chased by the entire zombie cast from The Walking Dead.
Even as an adult I’ve sprung from my seat or dropped everything in a shop to run like a deer escaping a hunter. These panic attacks have been the companion to my anxiety.
My anxiety has been crippling. It’s prevented me from many social activities. It’s stopped me experiencing things that have made me apprehensive, and halted my progression where I might have soared.

Source: ugly-bread

I have lots of online friends, but I’ve found it terribly difficult to form friendships amongst those I know in my locality. I’ve been a loner and alone. My family have been so supportive and they have encouraged me to do more and rise beyond my anxiety, very often accompanying me until I have scoped out new ground and lost the anxiety. Believe me, it can be conquered, but it’s very much one-step-at-a-time!

I have also attended an NHS course for Stress Management, which gave me facts and help for Generalised Anxiety and Depression. I have taken Cipralex (SSRI Selective Serotonin Reuptake Inhibitor class antidepressant) a commonly prescribed antidepressant which also helps anxiety. I wish I could have had more counselling covering anxiety; I have had private counselling on issues in my life which have helped, but not specifically for anxiety. I would advise anyone suffering Anxiety or Panic Disorders to seek help from your GP. Put yourself on waiting lists if you have to, and get help. It is out there.

© Lisa Shambrook

Check out my blog post on The Battle to Beat Depression, Nature’s Antidepressants, and Coping with Self-harm – How to Fight the Urges and Win you might find something to help you, as I’ve used many of these ideas to fight my anxiety as well at other disorders. Also take a look at Shelley Wilson’s Resolution Challenge blog, her post Using a Dropbox to Release Worry, Fear and Anxiety, offers a great idea about writing down your anxieties, fears and worries, screw them up and drop them in a jar – then when you’re ready, take a look at them, if you wish, and see how you’ve grown in the meantime, or just let them go and take great pleasure in ridding yourself of the notes in the trash, or maybe burn them, watch your anxieties go up in flames!

© Lisa Shambrook

Sometimes your anxiety might be a short-term thing, caused by troubles within your life, like exams, divorce, and illness, things that you can overcome in time or on your own. Sometimes you may be suffering from a more malignant form of anxiety, it might be a mental health disorder or a physical disorder and you need medical help. Whatever kind of anxiety you suffer, know that there are many of us who understand and help is available.

It’s also important to know that anxiety is normal, it’s an emotion that we need and it helps protect us from harm.  

Don’t suffer alone.

What helps you most with your anxiety?

Stigma Fighters – Lisa Shambrook

My #InShadowSelfie for Invisible mental and physical illness Awareness © Lisa Shambrook

It was a privilege to be invited to share my story about living with mental health issues with Stigma Fighters. It’s a fairly raw process with deep reflection, but also very cathartic…

It’s important to me to help fight the stigma of mental and emotional illness.

© Lisa Shambrook

Which is why I regularly blog and write on sensitive subjects that have affected my life, and I am committed to bringing awareness to people to avoid and curtail stereotypes and misinformation.

Please read up on some important Emotional and Mental Health issues when you have some time.

And please follow Stigma Fighters on Facebook and Twitter.

#InShadowSelfie – Mental Health Awareness

Last week I discovered #InShadowSelfie thought up by Louise Gornall.
Go take a shadow selfie and help promote Mental Illness Awareness…

It was about the same time the DWP updated their list of health issues that come without physical impairment intimating that sufferers of mental illness are quite able to work and should not be allowed benefits. Last week figures were also released from the government giving numbers of those who’d died within six weeks after being refused benefits. (These figures are subjective, but in my opinion still damning – you can see the reality here.) This is so serious though, that the UN (United Nations) are sending a team to investigate Iain Duncan Smith’s reforms.

© Lisa Shambrook

This is important to me for many reasons as I know many people who suffer from mental health related illnesses. I have a history of severe anxiety, panic disorder, and clinical depression. In my early twenties I was signed off work due to these factors and the then little known ME (Myalgic Encephalomyelitis – better known as Post Viral Fatigue or Chronic Fatigue Syndrome). I left work and received Invalidity Benefit for a couple of years before John Major’s Tory government saw me fit to work. I suffered huge panic attacks amid years of debilitating depression, combined with self-harm and a variety of other symptoms, plus, I was raising my first child, but I was obviously fit to work as there were no physical symptoms. I vividly remember the government doctor telling me that I had no physical symptoms whilst my heart thumped and cramped so much I thought I was having a heart attack, and my legs became pure jelly. I could barely make it out of the examining room without collapsing. I was shattered, exhausted and lost, and spent the next few days at home a mess of tears, shivering loss and quite unable to think straight due to my antidepressants. Hubby worked part time and helped with my daughter as much as he could but I was a mess for those years.

That was back in the early nineties. Have things changed much for mental health awareness since then. Yes, and no. Public perception is marginally better, but government compassion? No.

© Emmie Mears

So, when I saw my friend, Emmie, post on Instagram her #InShadowSelfie last week, I knew it was something I wanted to do too, particularly as I am right now in the middle of a bout of clinical depression.

I found Louise’s blog and checked out her posts about the hashtag, which you can find here and here.

© Louise Gornall

Anyway, I wanted to let Louise explain her hashtag…and I want you to go and support it! Find your shadow, take a selfie and post it on your social media! You don’t have to suffer from mental health issues to take part and every picture posted will help to build awareness!      

Louise, what prompted your idea to raise awareness to invisible mental illness with the hashtag and what made it personal to you?

Hi Lisa. Thank you so much for helping me highlight this project. So, I read this article in Welfare Weekly. Beyond the money part, I was really upset by the list of mental health conditions the DWP say come without physical impairment… On what planet is this? At first I assumed they’d made a mistake because I’m a chick with a laundry list of mental health issues, four of which appear on this list, and most days I can’t get beyond my driveway without passing out. Alas, there’s no mistake. It would seem that because you can’t see bruising or bleeding, I’m not considered physically impaired by my petrified brain. I shudder to think how I’d survive without my family taking care of me. Some days, even the smallest task sends me into a spin.

© Louise Gornall

What’s your biggest frustration with insensitive attitudes to mental health conditions?

I have two. Well, I have about fifty, but these are two I keep seeing a lot of lately. It irks me that people measure suffering. Or weigh suffering against suffering. Phrases like, “Get some perspective…” or “It could be worse…” I’m not a violent person, but this stuff sends me into a table-flipping rage. For starters, if it were that easy to get some perspective, I would have bought it by the bucket-load already. And secondly, I’m not about to tell anyone they don’t know real suffering while they’re shedding tears over a deceased family pet. I don’t assume to know that relationship, or how it worked, or what it meant. If the loss of a pet tears you in two, my only job, as a human being, is to be sympathetic. There are awful things going on in the world, but the strength of suffering will always be measured most by the person affected.

And one more, the idea that people use mental health as some sort of “get out of work free” card drives me up the effin wall. Sure, I can’t go out to work… but then, what about the rest of my life that’s also on hold? People are very ready and willing to shout about me using my disability to get out of a day’s graft, but they don’t mention that it’s also the thing stopping me from being a bridesmaid at my best friend’s wedding in Cyprus. Or that it’s the reason I had to give up my horse. They don’t mention that I haven’t seen a film at the cinema in almost two years, that I have no love life, can’t pop to the shop for a bar of chocolate, go out with my friends at the weekend, go and visit my granddad in the hospital before he died. I just wish people would look beyond the little they know about mental illness. I wish they’d worry as much about mental health as they do about money.

© Louise Gornall

What do you hope the #InShadowSelfie will achieve as it grows?

I want people to talk. I want people to feel like they’re not alone. I don’t want suicide to be a person’s only option. I want this thing to grow so big people see it, ask why, and what it’s all about. I don’t want people to feel afraid or isolated. I want mental health to be seen as suffering. I want accusing a self-harmer of attention seeking to become a thing of the past. I want people to stop saying anorexia is all about vanity. I want people to stop telling folks that are being crippled by depression to buck up. I want to join the fight to stamp out stigma.

Thank you for explaining your hashtag to us, Louise, I truly hope it grows and people take it to their hearts.

© Lisa Shambrook

In my opinion, the government need to think twice before condemning so many people and before telling them they have no physical symptoms and are therefore fit to work.

© Lisa Shambrook

Does an illness always need to be physical before it’s debilitating? No.  Mental illnesses can be both visible and invisible, and both are debilitating.

Common physical symptoms of mental illness:  heart palpitations, chest pain, rapid heartbeat, flushing, hyperventilation, shortness of breath, dizziness, headache, sweating, tingling and numbness, choking, dry mouth, nausea, vomiting, diarrhoea, muscle aches, restlessness, tremors/shaking. These can be both minor and major, but should never be dismissed. As always some people can work with these conditions, some cannot and should not, remember the extreme case of the pilot who brought down the Germanwings flight? Each case should be looked at individually, but with understanding, knowledge and most of all compassion.

So, please share your #InShadowSelfie and show your support and help awareness of mental illness. Let’s spread our shadows across Instagram, Facebook and Twitter and show that we are not invisible!

Running Away and Coming Back Again…

People deal with stress, anxiety and panic in different ways.
I’ve always been a runner
and not in the sense of pounding the streets in Nikes with a stopwatch.
I run. That’s what I do. When it all gets too much I run.

The two main responses are Fight or Flight. I fly. I don’t do confrontation – I avoid it all costs. So much so, that I barely ever answer my own telephone. My initial reaction to anything that makes my heart pound is to run. Even love caused me to run a mile, which hubby discovered after only two weeks. As soon as real emotion got involved, my poor heart fluttered and panicked and I was gone. I hid, refusing to answer the door, or the phone, remaining cowered inside my heart until I pulled myself together and accepted that I felt the same. Thankfully he hadn’t given up. Now twenty-three years later, he is, and always has been, my rock.

Drapetomania © Lisa Shambrook

My default setting is to escape, and it’s been that way since I was young. I avoided people, lost in books, writing and drawing as a child. The necessity of school meant I had to run the gauntlet of social activities. I was the quiet one, the shy one, the one in the corner. I didn’t stand out surrounded by myriad friends, but the friends I made at school loved me for who I was.

I ran from school several times. Right out of PE – I ran. After assembly – I ran. I ran with a pounding heart and the desperate urge to flee. I ran with blind panic, with anxiety bubbling inside my chest and with no thought of consequence except escape.

From fourteen I suffered depression, and it reared its ugly head with a breakdown at eighteen. My coping mechanisms crashed and after running for so long, I simply stopped. Getting diagnosed with Post-viral Fatigue/ME (Chronic Fatigue Syndrome – CFS) masked the depression, and allowed me to stop running.

Then I met Vince, my rock. I married young and moved to Wales. If that’s not running, I don’t know what is… Three small children kept me busy and finally gave my life reason. I escaped the CFS after a decade, but my depression and anxiety remained. It took ‘til my thirties, an assault and another breakdown before I faced my demons.

Rain in the Summertime – The Alarm – Meme and Photo © Lisa Shambrook

The reasons behind my running emerged and got confronted. The first time I’d confronted my demon, the person I confided in wept, and I comforted them. Then I continued running.

I’ve run from home – just upped and left. I’ve driven away, miles and miles, with no intent to return.

I’ve dreamed, and planned, and run.

I always wanted to escape.

But there was never anywhere to go – so I always came back.

Coming back taught me things. I learned that running doesn’t get you anywhere. It takes you away, it provides emotional distance, but it doesn’t fix a thing. I learned that antidepressants have their place, but they don’t offer solutions. I learned that talking was the only way to move ahead, but the NHS denied me that option. I learned that trust was earned and that the only people who offered me that were already close. I learned that I had value, that I was someone worth loving. I learned to rely on and trust my husband and my children.

They saved me. 

I learned that support is much more than a network, it’s real friends, real people who offer tangible love. I learned that one friend noticing and recognising a self-harm scar can ultimately save your life. I learned that to value yourself, you must love yourself. I learned that when you can’t trust or lean on society, then lean on those who love you. I learned to value myself enough to accept help.

Wishes in Bluebell Woods © Lisa Shambrook

When you feel that life is too much, don’t suffer in silence, talk. Talk to anyone who’ll listen. If you can get professional help, do. If antidepressants help, take them. Try not to run, but if you do, always remember those you can trust, those who love you, those who need you. 

Thank goodness for those you can come back to.

For help with Generalized Anxiety Disorder and Depression see your GP or Health Provider.

Read more of running away in ‘Beneath the Old Oak’ available in paperback and eBook on Amazon and Etsy.

‘Turn those dreams of escape into hope…’ Meg thinks her mother is broken. Is she broken too? Meg’s life spirals out of control, and when she mirrors her Mum’s erratic behaviour, she’s terrified she’ll inherit her mother’s sins. Seeking refuge and escape, she finds solace beneath a huge, old oak. A storm descends, and Meg needs to survive devastating losses.