anxiety – The Nourishment Ninja

Growth: The Uncomfortable Comfortable

If I asked you to walk home in the rain, how would you respond? Would you tell me to open my eyes; it’s raining, duh? Or maybe you might feed us both an excuse that you don’t have your umbrella and it’ll ruin your hair? What if I told you that sometimes taking the uncomfortable option can help you grow? Now I know you’re not a thirsty plant, but hear me out! Getting comfortable with being uncomfortable is essential for developing resilience, a “Fuck It” attitude and for finding out what you are really made of. Most of the time, these uncomfortable situations that we frantically avoid aren’t all that bad, such as walking home in the rain. Sometimes they may even be a source of joy, imagine that! Walking home in the piss wet rain could be a highlight of your day? Maybe you think I’m full of shit. Maybe I am, but let’s ignore that for a moment because there is one person who we owe it to to do the things that make us feel uncomfortable – and that is ourselves.

Every day I see people that inspire me to push myself, whether it’s that they have something that I want *ahem a Marathon Majors 6-Star Medal cough* or they’re holding the first copies of their newly published book – I’m jealous, so shoot me! I just want to smell crisp new pages covered in my words! What lies between where I am now, and where I want to be is very simple and very painful: a whole lotta growth.

Make yourself do unpleasant things so as to gain the upper hand of your soul – W.E.B. Du Bois

This is where owing it to yourself to get comfortable being uncomfortable comes into its own. Do you remember any of your teenaged growth spurts? Those HURT! Growth is uncomfortable, and of course, it takes effort to grow, relentlessly unforgiving and continuous effort. You owe it to yourself to challenge yourself and get comfortable being uncomfortable. By becoming comfortable with discomfort we learn how much we can push ourselves, we realize and learn our limits, and that our resilience reaches beyond our own imaginations.

The option to stay exactly where we are is always there. When we have had enough we can always stop and decide if we like it just as it is. Maybe you do, or maybe it’s just easier to stop, for a long time self-harming was more comfortable than facing the rawness of my psychology and mind, learning to eat was more uncomfortable than starving myself and there came a point when being unwell becomes more comfortable than undertaking the journey to becoming well because being unwell was all I knew- I soon learned that growth happens in the most treacherous and uncomfortable of waters, as the adage and many a meme go. It’s true. That shit is scary and itchy ants-in-your-pants uncomfortable. The best teacher and arena I have found in persevering through discomfort has been exercising, without it, I doubt I would have recovered as much as I have.

Sometimes when you’re covering a large distance in one go, hi there marathon, or hiking and climbing up a mountainside (Tryffan, we have unfinished business), it is uncomfortable. It is hard. In each task, by putting one foot in front of another, a very simple yet vastly symbolic act, the finish goal will eventually appear. In continuing to show up for yourself through the challenge and continuing to push on through the burning quads, aching knees, jarring concrete and absolute monotony that can be associated with covering distance, you get there and all of a sudden the intense and immense gratitude, pride, sense of accomplishment that you feel makes it all completely 100% worth it. You don’t forget the pain, this isn’t childbirth, it just all becomes worth it.

So taking this ideology into a bigger playing field is the next step, and they don’t always have to be huge strides of progress that are acquired during an activity for it to be worth it, next time it’s raining, which if you’re in London is probably tomorrow lets be honest, walk for a bit in the rain even though you don’t want to go out in it. Go for that walk in the cold. Take your shoes off, feel the ground and the cold iciness of a wintery puddle submerge your toes. Practice different types of discomfort, physical, emotional, mental: turn the heating down to below comfortable for a day, have a cold shower, go for a run up a hill. This is the reality. Life isn’t always sweet, it’s mostly pretty grim. In practise, you empower yourself to manage situations when you lack control over a situation. Sit in the overwhelm and when exposing yourself to uncomfortable situations, go ahead and nurture yourself as well. Self-soothe yourself through the discomfort, learn how to do this for yourself. Figure out whether it’s a mantra that you repeat in your head, a texture that you feel, a particular way of fidgeting your fingers that is soothing. This is great practice for self-soothing in situations that are uncomfortable where you have no control over being able to escape them, i.e. depression, anxiety, that presentation in front of your colleagues, public speaking, a race, a challenge, commuting on an overpacked tube at rush hour. It doesn’t mean you always succeed, just that you will succeed more than when you couldn’t tolerate any discomfort.

Wake Me When September Ends

For anyone who knows me well, they know that September/October is a hard time of year and has been throughout the past decade. For a long time the underlying cause was assumed to be situational stress, with something always assumed to have been bothering me: an argument with my other half; studying was difficult; work was stressful; my routine had been disrupted; this had happened and that had happened, historically speaking, like an anniversary of shite; it rained too much or it was too sunny. To be frank there’s always someone in your life that is doing your head in a bit, and in the UK there’s always always the weather, regardless of how good or bad said weather patterns are being, no matter the time of day, week or year, there is always an angle to take from which you can blame the weather for life’s woes.

This ‘something must be going on’ approach is understandable; when things go awry with your mood and mental state it seems that the most logical first step is to try and pinpoint a cause, and from there you can theoretically hatch a plan. The thing is, there is always something external to blame whether or not there is validity or truth in the reason. For ten years we’ve been fine-comb picking my life apart to figure what it is that has set me off this time. After about a decade, a pattern has emerged. I am always looking for an explanation in september and october. The chicken or the egg, the mood or the thoughts, the cognitive or the behavoural?

Now we have pinned it on the changing seasons: autumn saddens, and spring quite literally springs. I have tried to go on as if to not expect the wobble. I have tried to distract myself out of the habitual mood change with hoildays, festivals and exciting events to look forward to, just in case it was a subconscious pattern. I have tried ignoring it just in case I was placebo affecting it into effect, and I have tried to go on as if everything is just as fine and stable as it was mid-August. None of this has worked.

A breakdown in Berlin, a meltdown in Morocco, a face like a slapped arse, and difficulties in not to lashing out ensued from getting into confrontations with mates and strangers alike, particularly on public transport, inextricably blaming everyone but me for being so goddamn unreasonable. I mean sometimes they are but my patience is tissue paper thin right now, so instead of not rising to the occasion or ignoring something annoying, I snap, crackle and pop.

The difference between now and a decade ago is that I have a decades’ worth of experience up my sleeve at managing these episodes, it that CV worthy? I feel like managing this is a transferable skill? At least these episodes are no longer scary for me because they are in fact incredibly familar. I recognise and feel familiar with the feelings and the irrational thoughts of “I should just kill myself” – spoiler alert, I shouldn’t. The intrusive thoughts of just pushing, shoving or tripping people up for having the audacity to be near me in the street street are just that, intrusive thoughts. I can choose to act on them with varying degrees of self control – and if I’m really struggling to control them then I just stay close to home. I take it easy. I grab coffee and reply ever more inconsistently to my phone. I watch shit TV and let myself be. Sometimes I’ll fall into mentally beating myself up for being so useless and lazy, and then I remember that this is in fact why I am studying part-time, this is in fact why I get the financial aid that I do and this is in fact a much better option than pushing on even more so, only to absolutely lose my fucking shit completely. Top tip: prevention is always better than cure, or picking up the pieces.

This is all familiar now. When it happens I have the confidence to manage it and that it will pass. It always passes. It is never like this forever. All I need to do is call my CPN and tell her. She is arranging zopiclone for me at tomorrows meeting from a single phone call today. It’s predictable and routine. I reflect to figure out the root cause and I’m not particularly confused. I’ve got through it for my entire life, and I know that with time it will settle and pass, if I do the right things to help myself. I know what helps and what really realy does not help. So if you’re struggling with the mood shifts that are so frequently triggered at this time of year for anyone with a mood disorder, hear me out. It passes. IT ALWAYS PASSES. Sometimes it takes a really long time, and sometimes it doesn’t. Look after yourself, take your meds, and get them looked at if you can if you’re struggling an unreasonable amount.

Give alcohol a miss and sleep is a priority. Solitude in times of feeling short fused is OK and seeing people when you’re feeling alright is a necessity for our sanity. It’s OK to watch shit TV. Doing small things helps, and not having major comitments also helps. Balance. Balance. Balance and perseverence. You’ve got this, I’ve got this, we’ve got this.

N.B. Fuck that ending was cheesy!!!!! Grab a cracker.

Back to Slaying School!

As I sit here in my favourite alcove on campus, watching over the trees as the squirrels dance over the grass at the edge of campus, I realise that I have just two years left at uni. This seems like most of the course to a lot of people but I’ve been studying part time which means my degree will take a total of five years to complete. I’m in no rush.

Going into my first lesson of the year ahead, I walk in without worry and sit in the middle of the lecture theatre. I know what is going on just intermittently as we delve into the complexities of metabolic pathways and that’s ok. I’m more chill about no understanding everything the first time you’re introduced to it. I’m not panicked by not having the end seat on a row. I’m not concerned that people are saying about me, if they’re even saying anything at all. I’m not wishing the world woud swallow me up whole and make everything disappear or that I could immediately teleport home.

The anxiety I used to face at the start of the year, when all the freshers turn up in their hundreds and cram along the corridors to queue for lectures is no longer the major challenge that it was when I started uni in 2016. I’m pretty much at ease with myself and the situation at hand. I’m at ease sitting in a lecture theatre, I’m at ease walking around the corridors and I’m at ease finally with being in the uni environment. My anxiety has downgraded from high octane fright night levels of panic to meh!

No longer do I find myself dodging and flirting my way around campus crevices, hiding in empty rooms because the study room full of students is overwhelming. No longer do I longingly stare at the train tracks as each train that isn’t mine passes me by, wondering if I should just get it over and done with. Still, I experience The September Issues but I’m sure as hell not suicidal in any way nor do I feel paranoid, fearful or desperate to feel nothing instead of the everything that overwhelms me.

I’m a loner on campus but not a loner in life, and this gives me an extra confidence within myself. My confidence has grown so much over the last couple of years that I am very much a different person to when I started here and I still have two years to go. I no longer need weekly welfare meetings, or fitness to study meetings with the Head of College. I’m quite excited to see what I will grow into by the time graduation comes around for me.

Overall, I’ve only had one or two admissions since starting my course and I’ve got stronger and stronger with each successive year. I’ve learned the course content, alongside learning to manage more demanding workloads and how to function despite a shitty ass mood episode. I’ve managed to get myself into my lesson despite how much I’ve hated being awake or going out that day. My resilience has improved and now my life is no longer dictated entirely by my emotional state alone. I imagine that I probably still have a relatively severe case of resting bitch face, and you know what, who cares?! I’m functioning at a higher level than I ever have since the summer of 2011.

Attending uni part time has been absolutely paramount in my getting better at managing life, alongside my therapeutic input and medication alterations. It has taught me to push through when I can, to open up and be honest about needing to rest when I need, and that I can do something with my life outside of the mental health system. I have learned to play a team sport, which has an impact beyond my university life. When my anxiety makes a comeback, instead of isolating and hiding, I’m like a legendary slayer from Final Fantasy, slaying that beast, gain some XP and continue on my way. I’m surpassing levels I never thought I’d get the opportunity to entertain, and as I sit here in my favourite alcove on campus, I am proud, excited for the future and so absolutely fucking grateful for the health care and education system we have here in the UK for helping me get to this place.

Let’s see where this takes me, yeah?

Cycling London to Brighton

Sticking to individual training plans has never been something I am good at. I could spend some time thinking about why this is, I could even spend some time making elaborate excuses that are as convincing as they are imaginative. Another thing I could do is focus on what I have managed to do, how I’ve managed to do it and take the decision to do more of that because that works, whatever “that” may be.

On the 4th August it is The Prudential Ride 100. I was lucky enough to get a ballot place and eager enough to say yes straight away. Getting excited and carried away with thinking it’ll all be amazing and committing financially to paying the fee is the easy bit. It’s the next step that I haven’t mastered, i.e. training.

To start with in my training as with any big looming challenge in my life, I became too anxious to get on my bike. I didn’t want to train on stationary bikes in the gym (so boring!), and I had finally got my bike serviced after months of meaning to and never quite getting around to it. I still didn’t go on training rides until a particularly bad mood struck and I said “Fuck it!”, the grail more holy than Nike’s “Just Do It” mantra. I enjoyed myself. I felt better. I peddled out my frustrations and upset. I sped down hills as fast as I could, cackling with adrenaline on my way. I pushed myself to push up hills I would’ve thought I couldn’t and it was great. What a result? I couldn’t have asked for anything more perfect at that moment in time.

Having done a longish lap I decided the next step would be to cycle to Brighton. It’s a challenge I’ve wanted to do for a few years now as an event, and instead of paying cray prices to enter an event I decided to solo it. I found a route online (Here) at Cycle.Travel and tapped it into DwMap so my Garmin could act as a sat nav (Best IQ Store app for Garmin by far!). I chilled in the morning and proceeded to tell everyone of my plans. I went for coffee with my mate, I told her of my plans, saw someone from climbing I’ve met once, and told them too. Behind them in the coffee shop queue I saw someone from where I live and I told them as well. The woman sat on the table next to where I was standing couldn’t help but hear of my amazing plans, so I projected my voice a little louder for her to hear my them as well. I may have even told the pharmacist, and the day before I had told my therapist. Midday arrived on the day of my plans and I had not yet set off. #Procrastination #FuckIt #LetsGo and eventually, in the heat of the day, I set off on a 60 mile bike ride with absolutely no idea what I was getting myself into. Ignorance is bliss!

With many pit stops to accompany a major underestimation of difficulty, length and energy requirements I had to stop for supplies along the way. It is in instances like this that the sugar tax pisses me off; the lack of sugar filled drinks that have been replaced with 0 sugar versions – super unhelpful in this instance. I needed energy, I needed sugar for that energy and there I was reading labels already half exhausted and some what overheated. Some might have assumed I was reading labels to choose a “healthy option” *sigh, eye-roll, sigh*, instead I was seeing which drinks had enough energy in it to fuel my adventure. Happy with my choices I scoffed and cycled, scoffed and cycled, scoffed and cycled my way to Brighton.

Highlights include seeing more nature than I usually do beyond the usual squirrels and rats of London: wild rabbits, a pony, a horse and her foal, some goats and baby goats, I’m going to say I even saw a fish. I’m not sure if I did but I feel like I did. I saw ducklings and miniature fluff balls bobbing along a lake. I sang to myself, had in depth conversations with myself, laughed with myself and gave myself many pep talks along the way. (Heads up, if youre cycling Ride 100 and end up near a woman talking and singing to herself on a blue hybrid bike, it’s probably me).

The free feeling of hurtling down a long windy road is something that will never get old. The adrenaline and excitement that rises through my belly as I hurtle beyond the constraints of being in control is super fun. Those hills and breaking my speed record is definitely the best part of the day.

The worst part? There is a fuck off huge hill at the end of the route which I have heard as if it were an urban legend. I can confirm, it was fuck off huge and there was no way I was going to cycle it. Some people cycled past me, clad in lycra, slim, with some negative percent body fat mass and bulging calves to intimidate anyone thinks a slight shape of in and then out equals a defined calf – i.e. me. These muscles were next level, the bikes were probably the kind that float just above the ground they are so light, and the fiends riding them are probably cycling mad. I’m not one of those people so I pushed, pulling over for the build up of traffic behind me to pass from time to time. I was like a miniature tractor on a country lane, holding everyone up and pulling over to allow everyone to pass. The biggest shocker of all though? Drivers waved a ‘thank you” signal at me from the outskirts of London to Brighton when I gave way. Car drivers were unexpectedly not mad at me for even existing and daring to be on the road with my bike. It was here that I learned that lane cycling is much better than city cycling despite the different speed limits. The air is fresh, the drivers are friendly, the roads are clearer and it’s more freeing an experience.

Previously I had thought I preferred city cycling – oh how i was so SO wrong! The difference in hatred directed towards me for even being a cyclist using a road was not experienced once I got further out of London. From this experience I have one message from one road rage prone person to the others in London, calm the fuck down; we can use the road together without hating each other. Politeness and patience don’t cost the earth, and in fact it may make it a more pleasant place for all of us to be together – unless you are a gang of seagulls eating my chips whilst I get ketchup. Then we are definitely not friends and we never will be, and no, I don’t forgive you Mr. Seagull & Co.

I day dreamed about this moment for hours!! It was magical.

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Beat: The UK’s Charity Antidote to Wellness Wankery and Eating Disorders

If you are worried about your relationship with food, who do you turn to? Your mates? Your GP? Or maybe you might turn to many of the numerous blogs, instagram pages and podcasts out there #wellness? Turning to influencers to make sense, I mean afterall, they’re flawless skin, pert tits, perky bum and six pack is the picture of health, right? Surely they must know what they’re talking about when it comes to wellness, diet, and exercise, or maybe not; influencers and #wellness are in a very committed marriage with diet culture. They’re like the grandparents who have been married since forever #adorbs. This marriage though is #toxic needs to get a divorce, but there doesn’t seem to be one on the horizon *sad face*. Wellness industries and diet culture are like salt and pepper to your scrambled eggs, left and right to your Sat Nav and milk and sugar to your coffee.

A recent study by Christina Sabbagh looked into the validity, accuracy and evidenced based quality of weight management and nutrition of nine influencers, defined as having in excess of 80,000 followers on at least one social media platform. By assessing each blog against twelve criteria, including evidence based information, the use of reliable sources, and clearly stating the difference between opinion and fact, only one passed each criteria – and they are a UK registered nutritionist who is degree qualified. Nine is a small smaple size, but the strength of the results cannot be ignored: there seems to be a clear trend. Especially with many of the influencers having had no accredited training or education in the advice they are pushing on their sites. [More info here]

A lot of influencers post before and after wellness photos. Before they were skinny and weak and barely eating coupled with pubishing exercise regimes that proved detrimental to their health. So are the influencers really as #healthy, #wellness, #blessed as they seem? Maybe, but most likely not. Are they really the place to turn to if you have concerns about your own relationship with food? Perhaps you’ve been bingeing in the evening, or skipping breakfast to shed some pounds and the result is that now you are in a somehwat chaotic place with your relationship with food. I don’t have the answers and I’m not going to pretend I do, else I would be falling into the wellness wanker world, no, I’m going to tell you about Beat – a wonderful UK based charity that I have been volunteering for.

Beat is the UK’s leading eating disorder charity. They provide information and services for people experiencing eating disorders, or who may be concerned about their relationship with food – I’m looking at you, the chaotic eaters who feel lost and overwhelmed with food, the fearful who are scared and anxious about eating, and the compulsive overeater who sweats hours in spin class just to try and burn it off. Beat have a lot of helpful information on their website, which can be found here.

What do Beat offer?

A phone line that you can call for advice
Information
Online 1-to-1 chats with a trained advisor (that’s me), like MSN messenger
Online group peer support sessions – also facilitated and moderated by trained advisors (Hi again, also me)
An email service that people use for seeking help and advice for themselves, loved ones and/or in general. (Me again)(This list is starting to look like it’s all about me, ha!)
A service finder application that you can use to find other eating disorder support services in your area using your post code.

So why did I choose to volunteer with Beat? Beat was the first website I was signposted to when I first opened up about my struggles with eating to a teacher way back in 2006. At the time was called EDAUK (Eatign Disorders Association UK): yup, it was that long ago and it was pretty basic. The most useful websites were all American (they get the best of everythign I swear). At the time I was obsessively surfing online between information sites, and other sites where people with eating disorders congregated online at the time (more on that another time). With the majority of sites being USA specific and although they had a lot of information that was useful about eating disorders in general, the support at the time was quite basic and non-interactive.

Sometimes I imagine how useful it would have been to have these online services when I was struggling back then, and as I became increasibly isolated by my bulimia, if I had had somewhere to chat in a safe space about what I was experiencing. Pro-ana sites mainly gave me a space to feel less alone – it would have been nice to have a healthy version as an alternative option; eating disorders are incredibly isolating experiences, particulalry when you have bulimia because a) it takes up a lot of time and b) there is a lot of shame around it when compared to the glorification of anorexia. It is that bit more shameful, that bit infinitely more disgusting and that bit more time consuming, mentally and physically.

So if you’re struggling with any eating difficulties, whether you have an eating disorder diagnosis or not, get in touch with Beat. They offer a good variety of services, and they are all confidential. Finally, if you think you might like to also become a Digital Volunteer, more information can be found here.

What’s quetiapine gave me

Although scientists do not fully understand the ways in which quetiapine works, the trade off is that it is a very versatile drug; it can be used as an add-on treatment for treatment resistant depression, it can be used as an anti-psychotic for those experiencing psychosis such as hearing and seeing things that are not there, it can be used to treat and manage mania or hypomania alone, or with another medication. Ultimately it seems to have the ability to do a bit of everything in regards to managing the symptoms of severe mental illness. Quetiapine is an atypical antipsychotic that also has the properties to effective act as a mood stabiliser. The difference for all of these uses is the dosage, release profile and tolerability to the person taking the drug.

Even if you are convinced that a drug will work in treating mental health, it is not so much selecting the right drug that is the difficulty in prescribing. There is getting the correct dose, and taking those doses at the right times in the right format. Sometimes you need a couple of drugs, at just the right doses, in just the right formats, to be taken every day at just the right times. It is no wonder that finding the correct medication regime for severe mental illness is such a drag. This process can take numerous years, crises and adjustments, often alongside psychological and emotional intervention.

Quetiapine saved me and gave me so much. It saved me from additional lost years to being a non-functional person floating endlessly around Lewisham Shopping Centre. It has saved me from not being able to keep friendships because I am now more than a shell of myself overrun by mental illness. It has saved me from continuing the string of many suicide attempts and ever escalating self harm, all of which arose from an inability to cope with unmedicated bipolar disorder and borderline personality disorder all mashed together into an ugly chaos. It saved me from sleeping my life away because leaving my bed every day isn’t an act of mild torture. It saved me from wasting my working years not tapping into my talents. It saved me from a life void of purpose. It saved me from myself. It saved me from my illness. Yet it was the first drug I was prescribed in 2011 by adult mental health services.

What stopped me from reaping the benefits of the drug back then? I was not ready to accept the weight gain side effects, and learning to overcome this fear took years of hard work and treatment. The dose was not right. I was out of control and without the input of such extensive therapies targeting my behaviour, past traumas and screwed up way of interacting with the world that had developed from trying to raise myself in a chaotic home environment. Without these therapies, schema, DBT, and psychoanalytic therapy the medication would have never worked alone. I needed the input and nurturing obtained from my therapists, social workers and doctors.

All of it together has given me the ability to think. Without quetiapine, I am pretty useless at thinking clearly. I just cannot. With it I have the ability to be creative and coherent. Quetiapine gave me the opportunity to respond appropriately to emotional circumstances. It gave me the assurance and confidence in my own thoughts and feelings that I am not being mad or irrational. It has given me the confidence to socialises because I don’t feel or seem inherently mad. It has given me a drive to make something positive from these experiences. It has given me a sense of where I have come from and what I have gone through to get to where i am. It has given me gratitude, to the small moments in life, the scientists who made the drug and the wee animals who underwent horrible experiences and death so that I could have my life back. It has given me hope and stability.

Now when someone asks me how I have been, I can answer that I have been well and it’s much less likely to be a lie than ever before in my life. If I’m honest, sometimes things are so stable and well that I can start to feel an inane boredom creep in. It’s not the type that creeps in and I stare at walls because there is no joy to be hard from even my favourite activities. It is the kind of boredom that blesses those who are not living from crisis to crisis. It is the kind of boredom where I look at myself and think, “yeah, I’m ready to take on a little more, bring it on”. The kind of boredom that gets you out of the house in the morning to see the world and be busy. The kind of boredom that lights a little fire in your belly that could well be described as a lust for life. Now there’s something I haven’t felt for very long at a time for years and years. I may even start thinking about my next birthday celebrations because I am convinced I will be here, alive, and well. This is something that could not be said for a long time before. I feel privileged to be feeling bored with stability. What an absolute privilege it is to have a sense of normality.

Eat Your Food, Take Your Meds

Have you ever thought is strange or inconvenient that you need to eat every single day, multiple times a day? Think about it for a moment. Every day we need to eat. What would life be like if we didn’t need to eat every day, multiple times? More convenient? Time saving? Resource saving? Picture this.

You wake up in the morning, pop the kettle on and make your breakfast. You sit to the table as you do every morning, and you stare. You are staring at your food wondering why on earth you need such sustenance to survive, pondering the meaning of this breakfast before you. You flirt with the idea of going without the food. The idea flirts back. You think “fuck it!”, pinch your nose, screw up your face and close your eyes. You jump feet first into the deep waters of curiosity to see whether or not you swim. It doesn’t kill you immediately but you don’t quite glide through the water either. It makes you uncomfortable but still you tread water, keeping your head bobbing beyond the surface. You are surviving. It makes you feel a bit queesy, a bit confused and a bit off. Perhaps you need to just muscle through? Brute use of sheer willpower is definitely what is needed. You knuckle down and do some problem solving, still bobbing. Maybe you just need to learn how to survive and thrive without the food, just as our ancestors adapted, you can too.

Missing one breakfast won’t have a huge effect on your health. It certainly won’t kill you. Perhaps you peruse, eating is a habit that can be changed. Are you addicted to food? The phrase is currently brandished across headlines after all. You continue with your plan to keep missing food at more meals and subsequent breakfasts. It starts to wear you down. You feel rough, you feel edgy, and very much unlike yourself. This is when the going gets tough. This is your time to rise up and adapt as your ancestors did.

With time you begin to realise that thriving this way is absolutely impossible. The next day at breakfast you pop the kettle on and prepare your food. You sit down and feel grateful for having changed your mind about eating your food at breakfast. You are relieved that you can sit down and eat your food, comforted by the knowledge that you have tried and tested the curious alternative. You eat your breakfast. This experience does not make you immune from dabbling your toes into this pool of ponders again because always, what if? Do I really? And is it so? Float around our mind.

I wasn’t talking about food very much at all; this is an experience I have with my daily medications, particularly my main Quarterback, Quetiapine. Quetiapine is an atypical antipsychotic that is pretty nifty medicine. A common occurrence in those living with Bipolar Disorder is that once feeling well and stable for a while, we wonder if we are ready to come off of our medications and manage without them. Sometimes we’d wonder if we were ever unwell at all, is it all a fallacy.

It makes sense that we experience these episodes; when you feel well why would you continue to take medicine every day? The catch really is that we are well because we take the medicine every day – and that can sometimes be a difficult idea to hold on to when you think about how well you are now with your healthy coping mechanisms and social support network, your backlog of lived experience and a well stocked kit bag of coping tools.

Every single time my Quetiapine goes below a certain level I become unwell. I am familiar with the territory because the ways in which I become unwell are ways that I have spent years of my life living – the same symptoms and experiences relapse into the forefront of my life and very very quickly I lose my ability to think, be rational, function, get up, be motivated, tolerate people and annoyances, or stay very much with it at all. I descend into a foggy and slow confusion, much like living in sludge. I stare at walls for hours, if not days, at a time. I watch TV without really watching it. My memory stinks and so does living like this. Essentially, I am very disabled without this medication at the right dosage.

For those living with bipolar, it can take years and years to get an accurate diagnosis. Afterwards, it can take years and years to find the golden snitch of which medication combination and what dose works for each person. I am hopeful that we have finally found mine, alongside my extra nifty and extensive tool box of coping mechanisms. There is no shame in relying on medication to be well and healthy; these tablets save lives.