Emerging Into The Light

Finally! I have some happy news to share in a blog post. A few days ago, seemingly out of the blue, I felt a sudden shift in my mood, where almost bodily and sensationally, I experienced a feeling of self-goodwill and positivity. I hadn’t experienced either of these, even in the slightest way, throughout this lengthy depressive episode. As with understanding the triggers for my depression, it’s useful to understand the triggers for a recovery process out of it too. To be honest, I can’t be sure if I can pinpoint specific moments or events which sparked a positive change in my self-perception, but I’m aware of various influencing factors. Before I outline the most notable of these, I want to describe what it feels like for me, right now at the point I’m aware I’ve successfully turned the corner with this particularly bad episode of depression.

I feel punch drunk, or maybe more descriptively, heavily hungover (without the boaking). I’m exhausted but relieved to have come through unscathed. I’m relieved too I did not end up in hospital this time, despite almost continually feeling overwhelmingly suicidal. There is a sense of embarrassment where, like after a riotous drunken party, I remember I was the only one who streaked naked down the high street (I apologise if this’s now an image you cannot shake). When I read back through my earlier blog posts and look at some of my social media contributions, I have this feeling of vulnerability, like I have shared too much - too openly. I don’t feel any shame and it’s important for me to state that, but there is embarrassment. I don’t like the suspicion I have which is; I was only sharing my recent experiences to garner sympathy and possibly more darkly, to gain notoriety. It’s important for me to believe I was sharing so openly as a means of accessing the first rungs of the ladder for my own recovery by outlining to myself more than anyone else, what was happening for me. It’s also important for me when as a spin off to this, I hear what I have written has been helpful to others, either struggling with depression too, or finding some understanding of what may be occurring for a loved one or friend. Knowing from the comments and messages I have received from so many people, what I have shared has been important and informative, is hugely rewarding for me and this leads me to my first important depression beating influencing factor .

Despite many times and for many days sometimes constantly feeling bereft of any hope, there was within me the desire to fight my way through and survive. There were many times when I denied this reality to myself and to others, but it is there within me, and by writing and sharing as I did, I was somehow reminding myself my depression is sadly a permanent part of me and I must have a respectful relationship with it. Not experience it as definitive outside factor where I believe I’m forced towards the inevitability of choosing to end my life. The dreadful beliefs I experience in the midst of my depressive distress; I’m a worthless person, a hateful individual, a fraud, a terrible husband, a useless son, a feckless father, a horrible friend, and so much more, are not the reality. It’s my illness which is leading me to think and believe all of the above. Sharing as I did and will continue to do, challenged the destructive depressive myth I do not deserve to live, or too, I’m exhausted with fighting the illness, fighting the annihilating thinking and simply fighting incapacitating bouts of anxiety and I want out. As I write this (see, it does help me to share), I recognise a growing sense of self-pride - I have successfully reached the other side and I have managed this without serious harm.

All of these positive influencing factors merge with each other and do not stand alone. Despite recognising my enduring sense of self-preservation, I could not have made it through totally on my own. I owe a huge amount of recognition and appreciation to the unconditional love I receive from Karen, my wife. She is a tower of strength in my life and she burdens herself with me for many long periods when I need support the most. Never judgemental, or openly frustrated and angry, or unhelpfully rescuing, she allows me to find my own path through the morass of the depressive episode, always there to offer me guidance when I ask for it and never unsolicited. Her simple acts of love expressed through warm words of affection and all embracing hugs and kisses are particularly powerful for me. There is simplicity in our animal humanness where warm touch and words of devotion carry so much potency.

The same is true for the incredible professional support I received over the last eight weeks. It is the individual humanity of the various NHS Scotland professionals I interacted with which offered me the greatest assistance when I required it most. I always felt heard and understood and what is hugely important, I realised I was responsible for my own recovery. It was not up to any of them to perform this task for me. Knowing that at the point of crisis, I had the relatively easy ability to turn for their support, enabled me to totally trust my local Community Mental Health Service. Quite simply, if at any time I felt overwhelmed with keeping myself safe (not completing my suicide), all I had to do was present myself (by phone or personally) at our local hospital or GP surgery and steps would be taken to intervene in my crisis. I can’t overstate how important this was for me. Even in those moments when I was sure I was ready to leave the house and enact my carefully devised plan for my death, I held onto the safety net which had been so effectively place within my reach by my CPN. I have a crisis plan which is typed up and I have pinned on my notice board in my creative shed. This has been an incredibly simple but powerful preventer and served many times to slow my thinking down and aid me in making a rational choice.

It goes without saying, allied to the humanity I experienced professionally, I experienced this socially too. I know how so many people; family, friends, friends I have yet to meet and strangers were rooting for me. There is incredible power in our humanness and our (your) capacity for unconditional expressions of love, kindness and support. In those darkest moments when I struggled to access any healthy rationality, I felt held by the wide and diverse community which has built up around me and my persona as ‘LifeAfloat’. Many times thinking of this community (you), helped me ground myself in the reality I am regarded and liked.

I have a good friend who has recently embarked on her personal journey with cancer and like me with my depression, she is choosing to be open about this with the wider world. Her contributions have been powerfully inspirational for me, particularly when she eloquently writes about the importance and pleasure she finds in living her life to the fullest each and every day. Reading her words whenever she shared them, served as a challenge to me - how could I be considering to end my life when she was ardently striving to survive hers in the fullest way she could? As I worked away at my jewellery making, I found myself pondering this a lot.

This leads me on to how remaining steadfast with my creativity was also an important factor in keeping me out of hospital or worse. I had a sense of purpose every day and more than this, I had a sense of accomplishment too. Whenever I’ve been in hospital because of my depression, it has been Occupational Health which so often unlocked within me, my capacity for self-recovery. By allowing my inner creativity to flourish and not be denuded in any way by my depression or depressive thinking, I have managed to hold onto my day to day existence and lose myself without self-rancour in creative reverie. My shed, my dedicated creative space, became a haven of protective solace for me, and in the depths of my anguish, I often found myself aching to lose myself within it. Where before in previous severe depressive episodes, I dreaded the coming day, I now found myself looking forward to unbolting the wooden door and stepping inside what has become a familiar and safe space for me. This is not to say that there were not many times where I lacked creative inspiration or even found pleasure in what I was doing or indeed ruminated on self-critical thoughts. Despite those negative experiences, allowing myself to be creative was akin to a powerful anti-depressant medication. It was slow to take hold, but certainly worked wonders over time.

This leads me onto medication. I’m not certain about this because despite the regime I am on, I found myself in another depression. Needless to say, I kept with what I had been prescribed and benefitted from an extra prescription of Diazepam to help me cope with crippling anxiety.

A new friend of mine and her partner have just completed a paddle board and kayaking expedition respectively around the mainland coastline of Scotland. I was fortunate to meet them early in their adventure and even more lucky to spend a day on the sea with them as they rounded Ardnamurchan. Remaining in touch with her progress and her openness (there it is again - that willingness to share) about her moments of joy as well as her moments of challenge, helped me reconnect with my innate desire for adventure and an understanding of what she was facing. I was reminded of how important my immersion in wild oceanic nature is for me, and how natural physical challenges can lead to many powerful insights and new awareness. The fact that she persisted with her challenge was an inspiration for me to persist with mine.

I think all these I’ve listed above, are the main influencing factors which led to a transformative change in direction in this current bout of depression. There are others which are too personal for even me to share and some which really don’t require writing about.

Finally, I want to acknowledge a residual sadness within me, despite the positive news I’ve been sharing and it is this - I’m sad at having ‘lost’ precious weeks of the wonderful summer we’ve been experiencing. Despite knowing how important nature immersion is for me, my illness overwhelmed my motivation to get out in my kayak or even take the dog for a walk. To be blunt too, I’m not certain I felt safe enough to take myself out to sea on my own. However, there is much of the summer left and I have some wonderful plans in my head with what I can do.

Thank you again for reading my writing and giving me your time. I truly appreciate the consideration shown for me and what I’m choosing to share. As ever too, thank you for the unconditional support I receive daily from so many of you, most of whom I’m yet to meet and sadly, may never enjoy that opportunity.

It is wonderful to emerge into the light again and to once more engage with the world.

A Dose Of Road Rage Exposes My Fault Lines

After eleven hours on the road, albeit a smooth enough 685km (428m) journey from the lovely Herefordshire market town of Ross-on-Wye, I indicated left and turned off the busy A82 into the short lane which led down to the Corran Ferry slipway. The queue of traffic already waiting for the short ferry crossing was almost to the top of the road and I saw I would have to pull in tightly to the rear of the car in front of me to allow other vehicles following me to join the queue. I noticed I should really make my way into the three overspill queue lanes but my access to these was blocked by the car in front, I could reach them without mounting the rough grass verge. Since the ferry had just arrived and was discharging its load, I surmised the queue would soon move forward as our vehicles were subsequently loaded.

The first vehicles off the small ferry were two huge yellow Highland Council road works vehicles, the front one of these obviously containing molten tar because of the signs to be aware of hot liquid the other loaded with grit. These two trucks pulled up to the junction with the A82 and looking in my mirrors I could see a large queue of traffic had formed because of the ferry queue spilling onto the main trunk road. This is the moment I realised it was up to me to move into the overspill queue lanes to ease this pressure but couldn’t do so without mounting the verge. Suddenly feeling indecisive I faltered and hoped the queue ahead of me would soon begin to move as cars were loaded onto the ferry. Looking in my wing mirror again I saw the driver of the first Highland Council climb out of his cab and walk with purpose towards our car. His face was thunderous and I knew with a sickening swoop in my stomach he was about to confront me.

In a matter of seconds he was on our car, thumping furiously on the roof and slapping my driver’s window, all the while screaming at me to “Move my fucking car into the overspill lane! - You fucking cunt of an idiot!” His rage was uncontrolled and for a brief second I wondered if he were about to wrench my driver’s door open and haul me out of my seat. He didn’t of course but he did move round to the bonnet of our car, continuing to thump on the bodywork and scream abuse at me.

Now, I am no wall flower and I have a temper too. In these split seconds my rage surged with indignation and with our eyes fiercely locking I flashed two fingers at him and shouted back “Fuck off you wanker!” No sooner I had expostulated these unhelpful words, Karen calmly suggested I calm myself and do as he was saying. It all happened so fast. I managed to pull our car up onto the verge and drive into the overspill lane but no other cars followed me so I stopped. As soon as I did this, this bulk of a man bore bore on our car again, his bunched fists readying themselves for more than thumping our body work. I prepared myself to get out of the car and face him, such was my anger too. I knew I wouldn’t have stood a chance in a physical confrontation but I’m not fearful of such things.

Suddenly the traffic queue began to move off smoothly and with a look of surprise (and maybe it was disappointment) the raging Highland Council roads operative turned away as I re-joined the queue. The ragefully angry situation was over and traffic was running again.

We were silent in the car, Karen thoughtfully allowing me to fume in silence as I brought myself down to a relative sense of calm. A few minutes later we spoke and both agreed that the man had been unpleasant and needn’t have been so aggressive in pointing out to us that it was our fault there was a queue of traffic forming. As is my wont, I mull experiences like these over and wonder what I could have done differently. It was obvious I should have not dithered when I saw the need for us to drive into the overspill queue lane and I ought to have forced my way through. Doing so would have set the precedent and the traffic stopping queue would not have formed and the Highland Council employee would not have become enraged, I berated myself for my indecision and concluded I had been at fault and suitably chastised myself.

The journey home continued without incident and after just missing the the ferry from Lochaline to Fishnish on Mull, we were home in Tobermory an hour later than planned. The whole journey had taken twelve hours and I was bushed.

Fast forward a day or so after this event and I find myself in an unhappy state. I’m indecisive and my thinking is overly self-critical. I have little goodwill to show myself and I ferociously berate any silly mistake I make. My general mood is low and I find myself cogitating over recent mistakes and a general sense I am simply not good enough. This self-belief of being a useless individual is pretty much a constant in my life. Recently through wonderfully successful therapeutic support I have come to understand more about this belief and its falsehoods but it is deeply ingrained and it doesn’t take much for it to dominate my sense of being.

We had spent the previous week with my parents which was a lovely family event. It was wonderful for us to spend time together after the deprivations of shared contact for over 18 months due to the pandemic and we were royally hosted as is my parents’ wont. I gave up thinking of my waistline and acceded to the offers of platefuls of good food and copious glasses of beer and whisky. The problem with me though, is I find it very difficult to see myself as being someone of worth and most certainly I believe myself to be an inadequate son who has let the family down. I won’t list my litany of perceived failures here, suffice to say, I feel dreadful much of the time when I think of the opportunities for different pathways I let slip by me and deep regret with some of the choices I instead made. I feel deep shame a lot of the time.

Now, you mustn’t imagine I live my life outwardly morose, always opining my sad lot in life. Quite the opposite. These self-critical views I hold on myself are largely masked and I successfully present myself as the cheeky chappie, devil may care, adventurous son, brother, uncle and dad that my family often see me as. Admittedly during this last week, this veneer has been fragilely thin and a few times I let my mask slip and presented myself as an easily injured individual, but on the whole, I think I kept my fragility intact and certainly out of sight.

Now I am home, I find myself fighting off a deepening bout of gloominess where I begin to hate myself and all that I do. I sense depression beginning to loom and I notice I’m thinking of suicide again. I’m certainly not at the level where I fear for my safety, but I realise my thinking is drifting in this direction. I have strategies to combat this deepening low and I have a ‘safe plan’ which I willingly refer to when I find my mood noticeably dipping. Generally a good dose of ‘Nature Cure’ is all that is required to set me back on track again. A few nights away camping and exploring with my kayak works wonders. However, I’m at a point where I find it difficult to allow myself the ‘luxury’ of getting away in my kayak. You see, I’ve been away for a week, I’ve not created any jewellery and I’ve not made any sales. I have to work and work hard! After all, I can see I’m not very good at what I do and I need to get better through hard work and determination. Do you see how easy it is for me to criticise myself?

Writing this has helped me. In doing so I have faced many of the negative beliefs I hold about myself and understand these to be manifestations of both my depression and my unfair self-criticalness. However, I find myself going back to one moment in time and angrily telling myself - “You should have pulled into the overspill lane and then none of these feelings of crapness would be happening!”

“It’s your fault!”

“You are a useless individual!”

So my story continues. My recovery from my depression is not straightforward, no matter how ebulliently I may present myself. I’m in a constant flow of self-query and self-awareness. The general direction is one of happy positivity and as I write those words, I know this to be true. It’s just sometimes my negative self becomes dominant enough to remind me of where I have come from and where I might end up again if I do not take care of myself.

I am determined this will not happen.

"One Flew Over..." Life On a Psychiatric Ward

My Space                               Photo: Nick Ray

I clearly remember the first time I was admitted to a psychiatric ward. It was 1998 and I was in crisis with deep clinical depression, very thin and underweight. Then, as I walked onto the ward with the Community Psychiatric Nurse who had brought me in, I remember two emotions flooding my limbic system. The first was fear - a fear of the unknown, the fear of becoming mad, the fear of "One Flew Over The Cuckoo's Nest". As the loudly alarmed door to the ward closed behind me, the second emotion then enveloped me and this was by far the most useful one. The sensation of safety and the relief of no longer being totally at the mercy of my depression.

Eighteen years later and this is my fifth psychiatric admission. I wouldn't say that I'm now an old hand but I do know what to expect and the fear of the unknown - the fear of entering a world of madness from which I may never escape, has long since disappeared. It's an odd experience for me to feel a sense of normality in an environment where 'normal' is a concept which many folks here are struggling to determine. However being here does seem familiar and comforting. This comfort is largely due to the healthily warm therapeutic atmosphere created and embodied by the staff team. The ward is a safe environment where apart from physical and verbal violence, anything goes. Expressions of human emotion in all its guises are OK here which is a psychological release for many - like myself. In our society we filter how we express our core emotions of Joy, Fear, Anger and Sadness because we may harbour shame and reticence in doing so. Here on the ward, my tears of sadness are unapologetic. My anger is not extinguished but allowed to burn out naturally. My fear is not quashed but encouraged to be faced and somewhere amidst all these, there are increasing moments of pure joy which burst through the vacated chinks in the emotional armour I have created.

We are a transient, sometimes ragged band here on the ward. Each of us carries our own wounds and we require healing in individual ways. There are unwritten and unsaid laws of existence here. We do not delve into each others lives apart from asking where we live and what family we may have. Any other information which is offered up by a person is warmly received but even then we do not unpick at any loose threads of information for fear of unravelling more than either party has bargained for. We accept each other for who we are no matter what behavioural traits we exhibit. In a way, we are a model social community where each person is met with openness and trust and where no unfair judgement is meted out. Nevertheless tensions do arise and we can choose to interact less with folks we have little in common with.

There's an awareness too of the intimacy in how we live and share our lives on the ward. Sleeping space is shared four to a room, meal times are shared, there are two television rooms and a quiet room and the seating in the entrance hall is a favourite place for folks to hang out. Many on the ward are not allowed off the premises either at all, or unaccompanied. This means that for many of us we are living together 24/7. We learn the valuable lesson of tolerance very quickly and in doing so we accept we each have our personal foibles.

Routine is key to our happy existence here. Very quickly I slipped into being governed by the times for breakfast, lunch and dinner. In between these are set times for tea and coffee breaks. I soon identified what is important for me and I established a routine to meet my needs. I rise at six for my first coffee of the day and to watch the morning news. Often I will be the only person up (apart from the night staff) and I enjoy the calm and solitude. I enjoy the time between getting up and breakfast at eight because of the relative serenity around me. Our time on the ward is very much our own - we are not compelled into any activity though we are encouraged to participate in what is on offer. I enjoy the pottery sessions on a Thursday and the art and craft sessions on a Tuesday. Other than these two I entertain myself with reading (avidly) and teaching myself watercolour painting through the university of YouTube. Very rarely I will allow myself to sleep during the day and when I do it is a delicious luxury. Even more rarely I will sit and watch daytime television knowing how alluring "Homes Under the Hammer" can become after a while. You'll pleased to hear, I hope, that I avoid watching "Jeremy Kyle" at all costs! Dinner is at five in the evening. I find the time after this drags a little where I drift in and out of the television room or sit and read. I sometimes watch a film or programme on BBC iPlayer. After the tea break at eight I then begin to count the minutes to 10pm when I get my medication and a sleeping pill. I need this fast acting sleeper (as we call them) to knock me out before the snoring commences in the room I'm in. My three erstwhile companions are pretty loud and it's impossible for me to fall asleep if they tune up before I have dropped off.

So the routine of life here marches on. Days blend into each other and the weeks slide by just as effortlessly. It's certainly not an uncomfortable existence but neither is it one that I hope to continue indefinitely. It is serving its purpose. I feel safe, I feel cared for and importantly, I feel acknowledged. There is power to be gained from living in the moment - the power of now. I am healing - there is no doubt about this.

I think that in general society is far more aware and more accepting of mental health distress than it was when I first encountered the service nineteen years ago. The view of mental health hospital provision has moved way beyond the one portrayed by Jack Nicholson and his cohorts in the renowned 1975 film. I am confident of openly sharing my mental health experiences and not hiding them away for fear of judgement or shame. However I am less confident about making an admission of my mental health history when it comes to seeking employment and I find this very sad.

I am ready to leave hospital now. The routine has begun to grind and I am missing home terribly but I have to accept that I'm going to be here for a good few weeks more. My ECT treatment is due this Friday and so begins a new phase of treatment for my depression. I can put up with my life on the ward in the knowledge that I am tackling this weight I have carried with me. However I look out of the windows at the budding plants and trees longing for the freedom of the open seas and the cry of the Gulls above. It won't be long now.