Basket case

Last mental health awareness week I recycled my coming out of the cray cray closet blog but a lot has happened between then and now so I think it’s time for a new one.

One of the drawbacks of writing a book about being a functioning nutbar is that it puts a whole lot of pressure on you to be exactly that.

You’ve just gone and revealed your biggest weakness to a bunch of strangers.You have told people they can get through it because you have gotten through it. You’ve told them you’re okay so you have to be okay. Otherwise you’re a big fat fraud.

The funny thing is I was okay. Everything was going great. I’d had a book published, I’d made my dream come true. I’d been getting all sorts of great feedback, I’d been in the paper and on the radio, I’d done a bit of public speaking. My life was full and busy, but it was full of good things. There was absolutely no excuse for my brain to break.

In hindsight the warning signs were there. Things had been going so well for so long that I had slipped back into bad habits, I was staying up too late, drinking far too much coffee and having energy drinks for breakfast. Then I was wondering why I wasn’t sleeping. I was permanently wired – jumpy, paranoid, clenching my teeth and counting on my fingertips (an old OCD habit). I was getting slack about remembering to take my meds.

It’s exhausting being on edge all the time. Eventually you are going to crack – and I did quite spectacularly.

It had been a great day. I’d caught up with some very dear friends who were visiting from overseas. It was lovely and sunny so we started the day with a boozy brunch and went from there. We ended up back on the boat that evening. We had a brilliant catch up and loads of fun. Then everyone went home – and I kept drinking (I’m not a big drinker so this is quite unusual for me). I had decided I wanted to turn my brain off and that was how I was going to do it. When Paddy tried to get me to stop I shut myself in the bathroom with a bottle of wine (again, this is not normal behavior for me).

The night ended with me lying on the floor of the boat screaming unintelligibly and refusing to move. It have been quite frightening for poor Paddy. Eventually I crawled into bed, freezing cold, and passed out.

No surprises that the next morning I felt awful. But it was a frighteningly familiar kind of awful – the thick, black hole in my stomach told me this was no ordinary hangover.

I spent the day alternating between feeling like my heart was going to pound out of my throat and just feeling leaden. I couldn’t move. I didn’t want to move. I felt empty and numb.

I finally had to admit it to myself – I was not okay.

I talked with Paddy, who had noticed I hadn’t been ‘present’ for a while. Like I was going through the motions but I wasn’t really there. It was such a relief to finally admit it.

It is so important to let people know when you are not okay, but it can be a massively hard thing to do. When I was a teen living with mental illness I didn’t know how to. I have a letter a friend wrote me when I was about 15 that I keep to remind me how important it is to communicate. It says “it’s like you are lying on the floor crying out in pain but not telling anyone where it hurts.” I couldn’t. I didn’t know how. But for the first time my friend got me thinking about how what was going on with me was affecting other people. I thought by bottling it up and keeping it to myself I was protecting my friends from having to deal with the mess in my head, what I didn’t realise was that what I was doing was even more frustrating and confusing. It took a long time and a lot of trial and error before I felt safe and comfortable sharing with people I cared about, but it was definitely the best thing for all of us.

So here I was admitting defeat and calling in the professionals. I called in sick at work the next day (one of the few times I have ever let myself do that for because of my mental illness) and visited my GP. I would have had no qualms taking the day off if I had the flu or a tummy bug but, despite my preaching in print, this was so much different. I couldn’t possibly show that kind of weakness, what if people thought I wasn’t going to be able to do my job?

There was no choice really. I had to go private. I could have gone into the public system but would have ended up on a waiting list – and when you are a sweating, shaking, twitchy mess, a waiting list just isn’t going to cut it. I was lucky,I could afford it. So many people can’t and that’s so wrong. I won’t start ranting about the state of our mental health system or I won’t stop, but I will say everyone needs access to this type of lifeline. There are good public services out there – they just need money and support so they are available to everyone, everywhere in the country.

My nerves about talking with my work about things proved utterly unfounded. They were great, and totally fine with me leaving an hour early once a week to take my brain in for a tuneup.

So I sat down with the head doc to see what we could do. We decided not to mess with the meds because they seemed to be doing their job, it was just me being rubbish about taking them. Instead we tried to unpack some things. We talked about what was going on in my life and every time I went down a new tangent she would gesture towards the carpet and mime putting something down. ‘Okay we’ll put this one in that basket and come back to it later. By the time we were done I was convinced she was going to run out of space on the floor for all the imaginary baskets.

“So basically you’re saying I’m a basket case then,” I dad-joked. This was to set the tone for most of my visits. We would talk about stuff, I would get uncomfortable and start cracking jokes. By session three she worked out we weren’t getting anywhere. Every time we scratched a surface I would throw walls up by trying to make her laugh.

In the end she said to me “you seem to have a real problem with having a mental illness”. I was outraged. “Don’t be ridiculous! I’ve written a book about having a mental illness, I tell people there is nothing to be ashamed of because, there’s nothing to be ashamed of. Of course I don’t have a problem with having a mental illness!”

But I had to be brutally honest with myself – I did. I had to be okay because I had told the world I was okay. I’d told everyone that battling with your own brain does not make you weak – but I wasn’t drinking my own Koolaid. Do as I say don’t do as I do. It’s okay not to be okay, but not for me.

Realising that was a turning point for me. I actually started working on things. We reached a natural conclusion where most of the baskets were empty or at least only part full. I was looking after myself, taking breathers, easing up on the coffee and booze and getting my medication levels up again.

I still get twitchy at times but I am on top of it now. I’m enjoying life and I’m healthy again.

I guess my messsage is- and it really is – it’s okay not to be okay. The busiest, toughest, most outspoken of us are all allowed not to be okay and realising you aren’t okay is the first step towards fixing it – no matter how many invisible baskets you have to use.

PS – this is not a recipe to follow for everyone by any means. Talk therapy works for some people and it doesn’t for others, medication works for some people and doesn’t for others, exercise, getting out in nature, eating and drinking healthy -it’s the same deal. I find a combination of all three – meds, talking and making time to get out and about works for me, but none work on their own. It’s a process of trial and error and whatever works for you is totally legitimate.