The September Issues in Marrakech

[When I wrote this] I was supposed to be relaxing in a gite in the Atlas Mountains of Morrocco. The people who I met the previous Sunday and shared an evening meal with will have been doing exactly that after summiting the highest peak in Northern Africa, Mt Toubkal. Instead I am at home in London, having slept for the majority of the last few days.

There are a few times of year that are particularly difficult for me with my mental health: March/April and September in particular. I have a feeling that it is related to the changing seasons, and others have theories that it is a result of my daily stresses and goings on each time. It could even be related to historical events playing with my memory and emotions on a subconscious level. There really is no knowing of the exacts except for that they happen, and they happen at these times of year. After a number of years I have named them the Spring Bounce and the September Issue. I am not the only one to have such a pattern to their moods and well-being, it turns out that a lot of people, particularly those with mood disorders like Bipolar, struggle immensely at the onset of spring and autumn.

It could be a vast number of things but the experience feels familiar: moodiness, snappy encounters and a general grey scaling of everything: colours, smells and tastes. I need a lot of sleep: this means a long night and 1-3 naps during the day. I need a lot of cups of tea for soothing the soul, because is there anything that a cuppa can’t help with? I have a weird relationship with my appetite. I want sugar and comfort foods, yet at the same time everything tastes muted and I desire much less of it. I am slow. Speaking in sentences can at times be difficult because my words get muddled and I certainly don’t seem very capable of speaking and thinking at the same time. I feel like anyone who laughs within earshot of me is laughing at me after saying mean things. This has resulted in some stern stares to try and figure out the truth and if I need to confront them. Sometimes when this happens I turn around and no-one is there. The sun in the day may as well be night time all the time right now because that is exactly how it feels.

So instead of being up a mountain, hanging out and exploring I have been sat in my flat in London trying to minimise the effects of my mood on others as much as possible.

I was unsure about whether I should go to Morrocco or not and I went anyway with the theory being that I would never know unless I tried. Additionally, it could have gone very well or very badly. When I booked it in september, with the prior knowledge that i struggle at this time of year, I naively thought that having something to focus on and look forward to, and essentially distract myself would end a potentially self fulfilling prophecy of The September Issue’s reoccurrence. Of course, just as with the september issue of our favourite fashion magazines, nothing is going to stop the september issue from launching and being ever so extravagently big and jam packed with chaos, whether its mental health chaos or fashion chaos. I have had a brilliant summer, it’s in the top 5.

Even though I got to Morocco I had a break down on the sunday evening and walked home, having excused myself early from the group meal, crying. I decided to sleep and see how I felt in the morning however, after packing and prepping for the day ahead I just broke down crying. It would not stop. I knew at this point that pushing myself further would not reap any good results. When I cry like this, it is usually only going to get worse until I sleep extensively. It happened in Berlin last year, also in september, and at home. Even this morning, although apparently over nothing I cried and cried and cried until I eventually went to bed to sleep it off. No trigger. No cause. No reason. It just is.

Sometimes the right decision is not the one you want to make. There are many lessons yet to be learned. Even with potentially over doing it on the insight and reflection stance I will probably still make mistakes and much to my dismay, may never be fully in control of all of my mental health shenanigans. Sometimes when you live with chronic mental illness you have to make difficult decisions because ultimately, no matter how much I try, my illness will most likely always hinder me in some way. I won’t let it defeat me. I can’t. Instead all is can do is all that I will do, to keep working on getting what I want from life by working with my illness.

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*Trigger Warning* Birthdays, Triggers and “Family”

It was my birthday last week. A number of years ago this time of year became incredibly difficult for me. I’d had a lot of pretty shit things happen at this time of year many times, always involving my parents. You could call it a repetitive pattern of really shit things happening.

Birthday Breakfast of Champions

A few years ago I was so convinced I wouldn’t make my birthday. Many times the reason I held off initially was because of my then girlfriend. She always went way out of town with her celebrations for me, and each birthday we spent together was really special. The formative birthdays however, as with anything in these years of your life, weighed in heavy and hard on me. I remember my not so sweet 16. I was home alone, my parents away with the business. I had been grounded for something I didn’t do over the phone. Some other shit went down and my main memory is right before going to bed the night before, I really wanted to self harm right across my stomach, for some reason on the right side. I didn’t do it but that is the main memory I have of turning 16. I have never told anyone that before. Regardless of the effort made by some of my friends, the main memory is that one of wanting to self harm and really trying hard not to.

The cumulative of these experiences around my birthday, and with the “family business from hell” is that the summer, and in particular my birthday has been really scary for me. The depth of entrenched that feeling hated, unwanted and unloved by your parents goes really far. There was also a particular fall out in 2011 that started in the June of 2011 and didn’t quite finish peaking around September 2011, which led to almost zero contact with either parents for 3-4 years. Triggering isn’t quite the word I’m looking for.

28th Self Portrait

Even last year I went to my Dad’s I had a good 12 hours of breaking down, contemplating killing myself because it basically became trigger central fore the majority of the day. This year felt different though.

On my 19th I remember sacking off my plans in Devon in favour of catching a train to Cheshire to see my then girlfriend ands how she surprised me with the first birthday cake I’d had for years that hadn’t been thrown by one family member at another in a crazy ass fight. I think I cried, or very obviously nearly cried (I’m hard like that). At this point she had no idea… so this is a huge Thank You. Even up until last year for the selfies you sent me telling me to smile and how they broke my tears into a laugh, and this year for not wanting to break tradition and ordering a helium balloon to be delivered in a box because you couldn’t be here in person this year.

Around my 21st

The act of feeling cared about at an otherwise scary time of year, over all the years I’ve known you have really helped finally re-shape how my I view my birthday emotionally. These feelings and associations annoyingly are not voluntary. I often just get really unsettled and wanting to self harm a lot around this time of year. This year I haven’t and even though you’re my ‘then girlfriend’ I just want you to know, and for others who have partners or friends with similar issues, just how much these acts including the small ones such as silly selfies, really do make a difference.

This year I haven’t had the same dread of the past yet. I think gaining distance between the present and those moments of the past has helped. Additionally, the huge effort my then girlfriend put into trying to change this memory and association with my birthday has started to pay off as I put less focus of worth in my life on feeling valued by my parents and more on the people who actually enjoy having me in their life. People always raved about how blood is thicker than water, but when blood is making you cry tears that only your friends and partner help mop up, then blood don’t mean shit. I do love my parents in some weird way that means proceeding with absolute caution and cynicism at the best of times but relying on them in any way to emotionally support and validate me is something I’ve learned to leave in the past in my hopefulness of youth.

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I don’t wish to change them anymore simply because I have accepted that I cannot. What I have learned though, is that the people who value you and appreciate you in their life, they are the ones worth putting in the effort and emphasis for.

How Gratitude Can Help Improve Body Dissatisfaction

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The power of practicing gratitude has the potential to be something quite incredible. Culturally in the West we are conditioned almost to always want for more, or with our bodies ironically we want for less. Less waist, less weight, less is more when it comes to beauty and looking good, or so we are told. We are primed to be perpetually discontented, dissatisfied and looking to others who always seem to have more of whatever it is we want: friends, tech, clothing or, ticking more beauty standard ideals with their appearance.

Like any other skill in our tool box of tricks to get us through our days reasonably content and in one piece, it takes a bit of practice in order to change our thinking patterns. The good news is that it can be done and that it can be an effective tool to develop a healthier relationship with your body and body image.

In a study conducted by Armstrong State University, USA, gratitude and cognitive restructuring were compared for effectiveness in reducing body disatisfaction amongst college age females. The group studied had not sought clinical help for body disatisfaction and eating disordered related issues. The importance of body image and dissatisfaction is that the feelings we have towards ourselves often permeate other areas of our lives: body disatisfaction has been associated with depression (Jurasico, Perone & Timnko, 2011) and social anxiety (Cash, 2011) for example.

Cognitive restructuring is a CBT technique. CBT is an established treatment for many mental health and well-being complaints including: bulimia, anxiety, depression. SOURCE THIS. By comparing a gratitude based intervention to an established intervention such as cognitive restructuring, the effectiveness of each intervention on body dissatisfaction can be compared.

The strength of using gratitude based interventions for body dissatisfaction is that it increases appreciation for non-appearence based aspects of one’s self and life: gratitude interventions have been found to be causally related to improvements in intrapersonal and interpersonal aspects of well-being including: increased happiness, decreased depression, improved pro-social behaviour, decreased aggression, improved sleep and concentration (Watkins, 2014).

There does need to be more studies in order to confirm or dispute similar findings. However, with this in mind gratitude is a promising intervention for people experiencing body dissatisfaction without a clinical diagnosis of an eating disorder.

Gratitude works is by changing perspective on what is important in life and how and what we judge ourselves and ourl ives to be worthwile. This study illustrates the potential effectiveness that can be had from introducing and working on gratitude in order to improve well being and happiness.

With this. Line of thought fresh in my mind, and my own practicing of gratitude lately I will be exploring some personal experiences of gratitude and how practicing gratitude has helped me alter my automatic thought patterns over time. As a disclaimer I am not suggesting gratitude is a cure-all, but more of a handy tool to help contribute to a changing way of relating to the world around us.


References:

Cash, T. F. (2011). Cognitive behavioural perspectives on body image. In T. F. Cash, & L. Smolak (Eds.), Body Image, A Handbook of science, practice and prevention (2nd ed., pp. 39-47). New York, NY: Guilford Press

Juarasico, A. S., Perone, J., & Timko, C. A. (2011) Moderators of the relationship between body image dissatisfaction and disordered eating. Eating Disorders, 19, 346-354. doi: 10.1080/10640266.2011.584811

Watkins, P. C. (2014). Gratitude and the good life: Toward a psychology of appreciation. New York, NY: Springer Science

Wendy, L. Wolfe & Kaitlyn Patterson (2017) Cpmparison of a gratitude-based and cognitive restructuring intervention for body disatissfaction and dysfunctional eating behaviour in college women, Eating Disorders, 25:4, 330-334, DOI: https://doi.org/10.1080.10640266.2017.1279908

Dumping “Body Image” in Return for “Body Love”

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Diet culture is everywhere. It is pretty difficult to avoid, especially when dental adverts are colluding success rates with weight loss rates, and big influencers like Kim Kardashian are partnering with companies like Flat Tummy Co. to promote appetite suppressing products to their hoards of followers. It is difficult to believe that being in a body that doesn’t fit the beauty ideal of slim, toned and strong is OK. It’s hard to believe that you too are an acceptable body or that you can run a marathon.

Bryony Gordon and Jayda Seza ran the marathon this year in their underwear to show that runner’s bodies come in many different shapes and sizes. Being a different size to the bountifully pushed ideal does not mean you can’t enjoy physical activity, that you can’t be strong and most of all that you can’t be healthy. There are so many brilliant body positivity activists now showcasing that you can be “bigger” and healthy. There is a wave of activists fighting back against the body fascism and fat phobia in the name of “health”.

Since recovering from my eating disorder admittedly with a helping push from my meds increasing my weight in a way that was out of my control, I learned to relinquish any form of “control” over my body. I knew this time around on Quetiapine that it worked for me, but for it to keep on working for me I had to stay on it. Without it I relapse, plain and simple. A toss-up occurred between keeping a sense of control over my “recovered” weight and remaining mentally unwell, or relinquishing such control and giving the Quetiapine a real chance to work in the longer term. This was a very scary time for me. I have spent a decade of my life at war with my body, trying to control it and living in the safety confines of my eating disorder. Suddenly, recovery took a whole new turn – I wasn’t only maintaining a “healthy” weight, I was letting this medication cause havoc with my appetite and metabolism. If I had any hope of maintaining some stability with my moods though, this was it. Having tried most other medications suitable for my illness that this was the one that worked if I let it – and by let it I mean staying on it regardless of the weight gain. I made the only decision I could if I wanted to really start building any sort of future for myself. I stayed on the medication.

I learned a lot during this time. I learned that being well in a bigger body was definitely the right decision. My fitness journey into running, climbing and falling in love with movement, in addition to my studies in anatomy and physiology have caused a complete dimensional shift, and ultimately an entirely different view for me, on what body image is.

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Although I am no longer a skinny, my stomach has an extra padding of fat as opposed to the almost concave structure of previous years, and my thighs touch for the first time in my life. I have boobs, which are great although still slight, and it is easier to catch myself at an angle wherein which I have a double chin on show. I can shake my arms, and they wibble a little, and I have speckled cellulite over my thighs and bum when I tense. Speaking of which, I still have absolutely no bum. I need a larger size of clothes than I ever have previously yet still, no bum, and you know what? I am the most comfortable I have ever been with my body.

Yes, it looks a certain way in pictures and mirrors – but really, my body is not a picture. My body was not made solely to look a certain way. My body was made to function, to breathe, contract, relax, move, jump, run and skip for joy. My body lets me enjoy the senses of living be they the smell of fresh bread or dog shit on my shoe. My body brings me enjoyment in food, and digests it pretty well as energy in order to continue functioning as the amazing, complex piece of biological machinery that I am. Not only do I function, but my body allows for me to have a mind and a conscience. My body allows for emotions, and it fights diseases so I can still keep on enjoying experiences and living healthily. My body is not a picture. My body is so much more than that.

The sum of all this? I value my body more for what it can do, where it can take me, and the experiences it can give me. I’m no longer so hung up or concerned with looking a particular way, but more in doing particular things. Sure sometimes I have a momentary dip in confidence, sometimes I catch myself iterating diet culture messages of too much, need to lose weight, pain is gain and all that tom fuckery – but my choice in responding is to try to check in with myself when I notice these thoughts cropping up. I remind myself I am more than my mirror image and always will be.

I want to climb walls, and climb them better. I want to gain strength and resilience, and run all these races that I’ve signed up for. I want to dance, and move, and shake and enjoy what my body makes achievable for me every single day. I want to celebrate my strengths, and work on enjoying my body in more ways than I can possibly imagine. I can eat wonderful foods thanks to my body. I can conquer feats I never before thought would be possible for me like The London Marathon. I can have sex and enjoy all the sensations that brings. I can get myself around every day, and my legs do a fucking fantastic job of getting me around London on my bike. My arms do a great job at allowing me to do all the things I enjoy:  writing, reading, playing the ukulele really badly, climbing, eating, drinking, and in a hap hazardous way they contribute to my atrocious list of dance moves that I like to bust out when the party’s right. My eyes, they let me see all these beautiful sights that make me thankful to see everything I can: nature, skylines, sunrises and tropical storms. I can smell the warmth of the rain, and the freshness of cut grass and fresh coffee. The complexity of these joys cannot be captured in a photo or a mirror. Life is richer than that and so am I, and so are you.

My awkward smile may hint at the joys I have been experiencing, and my over excited crazy photos may capture a moment, but how my body looks, fuck that. It’s not important. I am healthy. I am capable, and I am taking advantage of those biological wonders that nature has blessed me with. So it no longer matters that I don’t fit into my skinny jeans, and it no longer matters that my arms aren’t spindly spaghetti features. My face is no longer structured by emaciation and malnourishment, and my waist is no longer so tiny it’s to die for, quite literally. My body is giving me life, and it is up to me to capture and cherish that fact.

So for as far as my body image goes, it’s not about image; it’s about sensations, feelings, experiences and love. Instead I will say that my body image is largely irrelevant but my body love is engaging with a pattern of exponential growth.

So there it is. I fucking love my body – and I bet yours is pretty darn fabulous too regardless of how it looks.

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To The Bone Behind The Mask: Inside Anorexia

*Trigger Warning* – If you are experiencing or have experienced an eating disorder this post may be triggering for you.

The song of the morning birds has just begun, she can see through the crack in the curtain that the morning dawn is about to break. Her partner remains still as the night, unaware of the creeping day ahead. Pushing and kicking the duvet between her legs she rolls over to try and grasp at another few moments of peaceful slumber, “why is it that she can’t stay awake during the day and can’t sleep at night?” Tucking her extra pillow between her jarring knees for padding she twists her body so the least of her jutting angles are bruised from the mattress.

The tranquillity of peace is unbeknownst to her. Her only peace is found when calorie limits are adhered to, when pounds drop or measurements shrink; and despite the constant battle with herself and others, these moments are few. The human body can only lose at such a rate, she can only muster the strength to push herself to such a limit, and below nothing, there is no less to eat. Of course, she does eat, just not every day, but what more can she do to please this need?

The ruminations never desist, they merely quieten in a moment of victory, a moment when she has “done well”; she has adhered to the strict regime set by her demon of X calories, less calories, less calories. The congratulatory prize is small, a minor victory – and after a while does not extend to the praise of those around her as it had done when she began losing weight. No longer is she cooed with, “oh you look so beautiful”, “oh don’t you look marvelous, look at her cheek bones and toned stomach” or, “I’m so jealous, how do you do it?” There is a fundamental issue with society here; she was never overweight in the first place and she was never fat despite repetitious hollers. Her stomach isn’t toned, it’s bordering concave; her legs aren’t sculpted; they’re weak, aching and bruised; her arms possess no strength, they’re minute and painfully angular; her face isn’t chiselled like a catwalk model, but gaunt, lifeless and exhausted.

Her complexion pales whilst she walks through town smelling the foods she can’t have, staring in the windows of restaurant chains and eyeing up menus that she can’t even dream of ordering from. The thought fills her with a fantastical excitement at how good it must taste, but the engulfing fear and dread of actually eating it is too much. She had once felt empowered by her ability to say ‘no’, to deny herself and to not need but now she needed, and she wanted so desperately to say ‘yes’. She had become powerless to her disorder.

Wandering into the supermarket she’d stalk the aisles. Picking up foods she felt intrigued by and looking at it closely through the packaging. Turning it over and looking at the calories and fat grams, 90% of what she picked up had been a far cry from what she was now “allowed”, but with each package the fascination grew: if only she could taste, feel and enjoy food: longing to let herself need, to find true enjoyment and to just eat. Each packet was sat back on the shelf for someone else, someone less greedy, and someone who deserved to eat it. Aisle after aisle: dairy, confectionery, foreign food, it all amazed her. To just read the labels and ingredients engaged every morsel of her obsession until the anxiety and pressure to actually buy something began to creep in and ruin her fun. Leaving with nothing, she tried to sneak out without raising suspicion with security. She hadn’t stolen anything, but didn’t want to be pulled over because who spends two hours in a supermarket looking at food to walk out seemingly empty handed? She was painfully aware that her behaviour would be deemed as unusual.

When she got home, her cupboards were filled with foods she could eat. Feigning enjoyment of these choices to herself she was convinced that water on cereal was delicious and how could anyone not like a bowl of lettuce and mustard? Her demon had tricked her, fooled her into thinking in new ways and instilling relentless rules of survival: cutting up food into the smallest pieces possible, chewing x amount of times each time, no eating after 7pm but no eating before 5pm either, always eat alone, measure everything, weigh ten times daily. It went on. It went on and on. She was governed by barking orders from this voice within.

She had to keep it a secret. She had to lie. She had to remember everything she ate for the last fortnight. She had to count how many items she had consumed. She had to count calories or every bite, medications and vitamins included. She had to walk here, there and everywhere that she could. She had to exercise. She had to listen, she had to comply, because if she didn’t she would be berated to a withering heap. “You’re a fat bitch!”, “You greedy cow”, “You’re a failure and disappointment.”

Once immersed within the health services she has only more people to hide from, to lie to, to fight against. She is a slave to her own game. It’s not working out so well now; she has lost her autonomy, her independence, and her freedom. Caged in a cell of constant torture she is a shell of who she used to be: no longer laughing, no longer energetic, sociable, fun or fulfilling her potential.

What started as a diet to save her from “fat” hollers, what had started as a method of ‘self-improvement’ is gradually destroying everything she was. What started as a means to control her inner turmoil and world has grasped at her every molecule and refuses to let go. Entrenched, she is obsessed and caught up in the relentless need to abscond from greed, to not need and to be less. The “oh you look so beautiful”, has turned into, ‘Is she OK?”, “She looks so unwell.”, “I don’t know why anyone would want to be that thin. It looks disgusting” but the truth is, in her eyes for as long as she is alive, she will always be fat. She will never be thin and never has been thin and that really, ‘thin’ has become irrelevant. All she ever wanted was a bit of control, and to feel a bit better.

– If you want more information or are affected by this story, something-fishy.org and B-eat are good organisations for help, support and more information.

Flushed: Inside Bulimia

 

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*Trigger Warning* – If you are experiencing or have experienced an eating disorder this post may be triggering for you.

To the buzz of 7am she hits ‘snooze’. 7.10am. Snooze. 7.20am. Snooze. Each day is dreaded and deferred for as long as can be; it is a school day. Another day of skulking along in the shadows of school walls, of silently answering the register and trying to climb the stairs to classes without collapsing into the dizzy embrace of starvation. Running her hands over her body she smoothes over her stomach, ‘how fat am I today?’ feeling the angular jut of her hip bones, ‘are they more than yesterday?’ Conveniently she doesn’t have time for anything more than her morning coffee, the warmth of which gives her a hazy buzz of faint energy to push her on the school bus where she sits by the window trapped behind her own panes of glass that suffocate her with self-hatred, anger and despair.

The noise of chaos has wound to at the full throttled pace at which it will be all day, “Fat bitch. Don’t eat. You don’t deserve to eat. You’re a fat pig. You’re a fucking ugly mess. Exercise. Burn the calories. You can survive off the fat you’re carrying you greedy bitch” and on it goes, tallying calories upon calories, adding, subtracting and goal setting.

If she could just avoid all food completely, if she could just get past those dinner time hours she would be fine, if she could just lose 40lb, she would be calmer, happier, and loved maybe? Instead of heaving into the porcelain whirlpool each and every night, homework would be done, extra study like she used to maybe. She could pull that grade up that’s been slipping so stealthily through her grasped hands. She’s not a D Grade student; predicted A’s the doubt is setting in with teachers. Her future is slipping into disappointed prospects and being flushed away just like every other part of herself, her life, her everything.

In class she answers ‘yes miss’, ‘yes sir’ so barely there, a shell of her former self. No longer is she told ‘quieten down please girls’, ‘stop the chatting’ or ‘I’m separating you three’– now, ‘I can’t hear you’, ‘can you speak up?’ ‘Oh there she is’ on resignation that speaking up is no longer an option.

Lunch is a compulsory routine in the gym alone whilst the echoes of everyone else having fun and hanging out bounce between the corridors and through open windows from the field. Being with people is exhausting. Cracks are showing. “I’m really tired too” – they retort to her passing sighs, “no, you don’t understand” fatigued, she’s unable to muster the strength to say anything; this is a whole new type of tiredness. Speaking, thinking, just existing is a task so soul destroying that she wishes for nothing more than to disappear. Unable to concentrate in class, her head meets the desk discretely and she drifts off unable to stay awake until finally that last bell of the day rings.

The kettle simmers and the taste of her hot chocolate is so soothing, the sugar rush so gratifying: shakes subside and weakness eases. Ready for bed she naps. She hears of her friends talking about hanging out after school, those days are gone. The thought of being around people for any longer than absolutely necessary rises an intolerable frustration. Loneliness is much easier; there’s no pretending to be OK, forcing smiles or hiding behind breaking defences.

Frantically grasping at and pulling boxes of cereal from the cupboard, pouring bowl after bowl she eats so fast she cannot even taste or chew before she even realises that she is in the kitchen. Frenzied with hunger and despair she has mastered the art of eating cereal and toasting slice after slice, smothering it a centimetre thick in butter and marmalade. In between toasting she lathers up pieces of bread and whilst raiding the outside freezer taking solace in knowing no one will notice. Grabbing frozen bread rolls that are too many to be counted, grabbing at frozen meals she piles a heap of chips in the oven whilst defrosting the bread in the microwave, stuffing it all in whether it is fully defrosted or not, whilst another defrosts into a soggy mass of starch in the microwave. Peeking into the food caddy, are there any leftovers from their dinner last night? How about the bin?

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She slows down, bent over nearly double, unable to stand fully for the pain of her distended stomach. Pounding the stairs fearing that she might explode in agony she heaves on 3 time after time, again and again. Saliva, snot and tears stream down her face and arm, her red raw knuckles and puddle of urine on the floor from heaving so hard are the mess she finds herself in every day. This is her secret life, this is what she is becoming, and this is her world of lies, shame and hidden torment. She hates it, but hates to be without it more. It is an addiction.

8f0e7d8485e36888d3d9faf48f0cd15eAlways home alone, there is comfort to be found here from the tip toeing around afraid of making a wrong move and listening to the screams, tears and punching of walls. Bingeing is a whirlwind of turmoil that she so desperately wants to stop but by comparison the retching is peaceful for her, a tranquil haven from reality. It is never enough until she hits exhaustion, until she is collapsing on the floor from violent heaving, and resting in the haze of the aftermath.

Climbing into bed entirely unaware if her parents even came home that night she writes a diet plan for the next month. Her goal weights are beyond emaciation yet she remains a ‘healthy weight’. Diet plans, diet pills and fad diets consume every other waking moment. Tomorrow she vows to not eat. Tomorrow is a new start. Tomorrow will be different, until it pans out exactly the same and with each grinding day, the obsessions entrench, the self-hatred deepens and the original conflict hides beneath another surface, another layer, another mask to wear.

– If you want more information or are affected by this story, something-fishy.org and B-eat are good organisations for help, support and more information.

The Importance of Talking About Mental Health

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Heavy with lead through every morsel of torso and limb she tries to carry herself tall. Heaving an impossible weight and pushing on she gets by, dragging what may fall behind along the way. A fog has descended and thickened, clouding her vision, judgement and perception. A thick rain cloud of anger hangs over her head, a relentless thrashing of her senses persists. Hearing anything clearly becomes impossible and coping with daily life is an overwhelming task. Her thoughts are foreign to her previous self, morbid, dark and terrifying. Through her diminishing abilities she becomes frustrated and deflated, hopeless and surrendering. She is vulnerable, but not weak. This is no personal flaw and through no personal fault of her own; she is experiencing an invisible illness, a mental illness.

“Mental health problems affect the way you think, feel and behave. They are problems that can be diagnosed by a doctor, not personal weaknesses” – The Mental Health Foundation.

Those around her, loved ones, colleagues and friends may notice a change. Maybe she’s withdrawn, quiet, short-tempered or tearful and they may not understand, or perhaps they fear the unknown. Frustrations can rise, “she’s just not making an effort”, “she’s no fun anymore” and “you just have to get on with it” are all too easy a response, but ask yourself, is it the right response?

As tempers turn into turmoil, frustrations grate and ties wear thin she may start erupting into sky-high emotions, hearing voices or facing difficulties with food. What do you say then? Is she a psycho? Does she need to go to the loony bin and get out of your hair? Or is it just all in her fucked up head and she just needs to sort it the fuck out and stop it, this instant, right now? Believe it or not, these are the nature of responses I have received throughout my own journey and experiences with mental health difficulties. Dare I ask it, would this have happened had my illness’ been physical? I doubt it.

It is an abhorrent suggestion of absurdity to march into a cancer ward and demand that this has to stop, they have to stop their tumours and bodies from being affected by the illness, they must stop making a fuss of it, and they must stop dying from it – and that if they really must continue with this being ill from cancer thing they’ve got going on, could they please do it quietly, out of sight and act as if nothing is happening?

It is a despicable suggestion; cancer and mental illness alike need care, support and treatment yet mental health remains subject to negative attitudes of stigma, discrimination and invalidation yet the remarkable fact is that we all have mental health just like we all have physical health. Every year 1 in 4 of us will be affected, that’s 25% of the population, a whole quarter. Yet the experience of a mental health illness is often one of isolation and shame. The effects of which can be worse than the illness itself.

The invisibility of the illness does not equate to a lack of debilitating effects such illnesses can have on a person’s life: mental illness costs lives, it can diminish lives to a mere state of existence and make every day functioning a seemingly impossible feat. It can be overcome for many, and many people do recover or learn to manage their conditions whilst living fulfilling lives that are worth living again. There is hope, but in order to achieve that people need support, to be listened to, and acceptance.

This is why it is important that we talk about mental health; it affects every aspect of our lives: in how we function, enjoy and cope from day-to-day, and that instead of meeting these conditions with hatred and hostility, they are met with the care, compassion and support that these individuals need.