Sunday, 11 December 2016

Cadence


Could it be that old song of mine, drifting from the speakers?  It could have the simplicity of a folk tune, four square conventional harmony, phrasing as regular as the tick of a clock.

The thin, wavering note could become anything, could swell to a rich, textured sweep of strings from bass to somewhere beyond the stratosphere, endless harmonics layering their vibrations to tether the sky to the earth.  Or it could tease out single notes from round about, a scraping dissonance to lead here, there, towards each dead end in the maze.  Breath held, can it be held as long as the note?  Of course not, the animal must take in oxygen, cannot be exalted to the unwordly frequency of the string.  It has no need, could stay suspended in the air forever, until you remember that the note is attached to the instrument, the arm that plays it.  The arm will weaken and shake - fall – eventually.
A tentative thud of deep percussion, felt more than heard.  It is an unsteady heartbeat of imperceptible tone, still unable to hint at modality.  Waiting.  Wistful.  And still the note, hovering above.  At last, with the imperceptible communication that the listener joins, a wordless understanding that it will move, and the breath is held yet tighter as the heart lifts to tumble over with the change of note and harmony floods through as if via an artery, understood at last, energising the spirit and flowing toward each extremity.

But still there is no major or minor, it is a conference where words tumble over one another, but nothing is said.  The uncertainty is potential, until the point of commitment the music could go anywhere, a rubber band held taught and poised for flight. 

And then the warm resonance of the middle notes.  A certainty at last – the bright third of the major key.  A pulse.  How can the disembodied sound become a part of the physique? And yet it does, it takes possession of the body, a sigh, a lift, a sway – not just heard but absorbed and mirrored. The recognisable, almost jolly tune is an intrusion, its garish predictability at odds with the subtlety of the first note, the melody insufficiently cerebral, no indulging of the fragile drama I had created within, just… life.  In all its ordinariness.

But still the resonance lingers from that first hint at what could be, too late to prevent the hairline fracture which it swiftly pinpointed and into which it immediately headed, like water finding the crack in the glass and imperceptibly leaking through.  Harmony is already challenged, cadence no longer certain. 

Sure enough, interruptions begin to shake the tune, fissures appearing in its implicated pattern of I, IV, V.  It begins to crack, and fragment.  Modulation?  It shudders through the veins, flowing back towards the heart, blue now, heavy and disturbing.  No, I didn’t mean it.  Give it back, that safe, secure and familiar melody.  I did not love it, but it held me in a supported, confined webbing that did not tip and sway and threaten to cast me into unfathomable atonality.  And now I am the melody, and everything around is challenging harmony, nothing underpinning the dogged, focused drive towards the cadence I had planned.  It is not the surrounding harmony that is wrong – it is rich, textured, filled with tugging suspensions that yearn to pull me into the resolution.  Imaginative, unpredictable, but not departed from the tonality of the piece.  It is I, wandering off on a cadenza of my own, refusing to acknowledge the new key, that prevents the dovetailing of the chords. 
Stop.  Abandon the resistance – let it rise to the surface and join with the inexorable shifting of the music around, it will clash, twang and squeeze at the ears but it will set the way, prepare for the cadence.  Pressing on without a change in direction will only result in another interruption, the music has changed key, it is not my old song. 


The crescendo, muffled by hands pressed hard against the ears will reach a climactic height, making clinging to the old piece impossible.  I can let it be overwritten, or I can drift in to join it.  I can reach out to catch the pivot chord, participate in the perfect cadence, and let it go smoothly and softly.  And there will be other music, sewing up this tune does not end the concert, never to be played again.  It will never be played precisely the same, but the series of notes can be picked up again and new instruments can present a myriad of opportunities for different timbres, still more perfect vibrations and harmonics, new tempi and contrasting movements.  There is another to be played, as the dying notes of the last spin away, released into the silent past.  

Tuesday, 1 November 2016

Getting It Right

Yesterday was a Really Bad Day.  Today is...not looking much better so far.  On the other hand, yesterday was also a pretty good day, and the cracks are beginning to show in a way that might just move me in the right direction.  Because while it was a Really Bad Day, I did not do anything harmful to myself.  Sure, I didn't ever manage to drag myself out of one of the lowest of low moods in a while, but I did not binge, purge, starve, self-harm or withdraw.  I cried.  I talked.  I ate a little more than usual to make sure I didn't binge.  I took medication.  I rested.  And most importantly, I asked A for help.  He was amazing - just held me, listened, acknowledged how hard it must be and made some suggestions that might help to ease the pain a little - not fix any situations, just ease it a bit.

So today, while the tears are still there if I allow a hint of curiosity to explore inside of the functional exterior, I also feel loved, heard and supported.  Everything changes, and this is not forever.

Wednesday, 19 October 2016

The Bucket List

It has recently come to my attention that I need a bucket list.  In trying to begin an exercise constructing a timeline for my future, I felt overwhelmed and hopeless over how much plodding on I had to do, and basically just wanted to curl up and die.  Because being sad is really fucking exhausting, and the thought of another 50 years of it is...well, unthinkable.

So when P mentioned a bucket list, I decided this was a better plan - stuff I want to do without time pressure or drawn out commitment - a kind of timelessness which is my safety net, if you will.  So forthwith, and in no particular order:

1. Run a sub 3 hour marathon
2. Run a 50 mile race
3. Walk the Pennine Way
4. Have children
5. Visit Canada
6. Have sex on a mountain
7. Learn to ski
8. Play in a wind quintet
9. Learn the oboe 
10. Catch, cook and eat a fish
11. Visit Peru
13. Gallop on the beach
14. Grow a successful crop of carrots
15. Work in healthcare in some capacity
16. Publish some writing
17. Watch the stars from an observatory
18. See a seahorse in the wild
19. Hug a sheep
20. Swim in a lake
21. Ride in a One Day Event

...probably to be continued...

Capturing the Moment

I usually want to capture a good moment.  It's a technique I learned a long time ago in therapy, and probably on a less formal level a long time before - take a snapshot of something wonderful, hold onto the feelings that come with it, tuck it away and in the darker moments, take yourself back there.  I was always being told off for 'dreaming' as a child - had it been observed by someone more objective than my parents who found it intensely annoying (understandably - I failed to respond to instructions or retain any information which could of course be vital at that point), it probably would have been flagged as dissociation and a sign that things probably weren't quite right.  I've always needed the security of a cherished moment of feeling loved or feeling free, imagining myself back into the arms of someone who cared for me and made me feel safe as I drifted to sleep on my own.  And I've often sat staring out of the window at work or as a passenger in the car or the train, picturing myself galloping around in fields with my horse - real, nowadays, imaginary in the past.  The real thing is a little less romantic, as she tends to be huffing and puffing and grinding to a halt after a field or two, or jumping sideways or coming to an abrupt halt causing me to flop sideways or crack my nose on her neck which has suddenly grown six inches in her panic.  Anyway, not the point.  Being somewhere other than where I am, and noting when I am somewhere, that it's a place I might want to come back to in future is the point.  And as I mention, it's usually somewhere good.

Not so the other day.  I hate purging.  I have always known and always said this in any context where anyone may have asked.  Being sick as a child was accompanied by absolute terror - my mother was terrified of it, and I caught onto her panic.  Vomit was both fear-inducing and guaranteed to make me feel abandoned. as her fear caused her to withdraw, become obviously anxious or occasionally even angry.  So to deliberately seek it out is...odd.  There are probably myriad reasons for doing so, some of which may lurk in the above information, and some of which are simply linked to the fact that I really like and often cannot control eating, but really don't want to be fat.  So purging is punishment and rebellion and freedom and independence and a glorious act of defiance of what is expected and required of me.  It is also bloody miserable.

I became, as I got to the point of realisation that I was eating more than I could handle as a morning snack, increasingly terrified of what I was about to do.  It was like being an impartial observer as well as a somewhat panic-stricken player in the game.  I noticed my mind beginning to speed up, noticed my heart rate rising, suddenly felt very, very cold even in the warmth of my kitchen and felt the shaking, trembling fear begin to take over.  I knew the next step, as I gulped lukewarm water and took some deep, shaky breaths, turning my stomach over and encouraging the slight nausea.  Leaning over the toilet, breathing in strong gasps, shoving three fingers hard down my throat.  It was part of an inevitable pattern, and yet, after a few moments of the familiar routine, I noticed what I was doing again.  Felt the scratch of nails in my throat, felt the thumping of my heart in its panic and the struggle of my lungs to draw in air.  Felt how hard the muscles in my abdomen were having to work to create this act of violence against myself.  And after a few minutes, I straightened up, went to refill the glass to start again, and found myself sobbing.  What was this for? Why put myself through the horror?

I'd love to say it stopped me in my tracks.  It didn't.  I simply carried on through the pain and the tears, occasionally lifting my head and leaning it on the wall behind the toilet to let the sadness and hopelessness wash through me and possibly away.  But not away enough for me to forget.  I wanted to remember how much this had hurt, how horrible it was.  I needed to tuck away this snapshot too, of the negative experience, so that I could take it out and go back there at a time when I might not be past the point of no return.  When I could put down the slice of toast, the tub of ice cream, put the family sized block of cheese back in the fridge and say a firm, direct NO to bulimia.  It won't work miracles - I know by now there aren't immediate fixes - but there are ways to gather an army of things that might just come together to pull me in a better direction and overcome the moment.  Maybe just once or twice, maybe more, maybe, ultimately and with the right conditions, in the long term.  Little steps.  Being present is a powerful weapon in this.  There it is again. I am here, now.

Tuesday, 20 September 2016

We Are Here, Now

This phrase keeps popping out in my thinking at the moment.  It is a key part of something I am involved in with my church, but it seems to hit what is going on for me in all sorts of areas.  To be honest, my faith has taken a big knock of late - I find a lot of contradictions, currently, between what I believe and what I see, and have recently been very much hurt by some people who are working for God (supposedly?  This isn't meant as a criticism, I just genuinely don't know whether they really are or not - I know their intention is to do so).  So I'm going through the motions, hoping to find some clarity as time goes on - because right now is not the time to be making significant judgements about what I do or don't believe to be true, given how off-kilter my perception and emotional state is.

And yet that phrase still rings out and touches something that I think is significant.  It popped up again yesterday as I was walking along in the warm sun, searching the hedgerows for shiny, jewel-like blackberries.  It sounds idyllic.  It probably was.  I started off kind of enjoying it and it briefly crossed my mind 'I'm happy.', at which moment immediately a million thoughts, worries and reasons why I could not possibly be happy crowded in.  This happens basically all the time.  It happens the other way round too - 'I'm sad' is met with a hundred reasons why there is nothing wrong with my life, I need to pull myself together, 'I'm angry' comes with a chorus of don't be ridiculous no-one has done anything wrong, I'm overreacting.  I guess here is where distinguishing between thoughts and feelings comes in.  In that moment, here and now (well, yesterday, actually) I felt happy. There was no need to take away from that, it didn't make me immediately cured or mean or I couldn't face the reality of tomorrow's challenges, I could have just been here, now.

I also get terribly frustrated with people who are pushing me to think positively.  Feeling overwhelmed, anxious and very sad a lot of the time is where I am, and no amount of urging me to look forward, telling me I need to be kind to myself, and telling me that I can make it through is actually going to help.  I know logically that I can and will - but saying it now is dismissing the depth of what I feel right now, and hearing these kinds of things I end up feeling a bit of a failure for not having already made it through and moved forward.  Last night my husband did the right thing for me - in a typically wordless request for help, I squeezed his arm a little tighter as we said goodnight and hugged each other.  His response was perfect - 'I'm here.  I'm here for you'.  That was all, and all I needed.  My equally simple response - 'Thank you'.  He is here.  I am here.  We were there together at the moment, accepting it as it was.  We are here, now.  We are here, now.  And now is not forever.

Thursday, 25 August 2016

Jumping Through Hoops to Nowhere in Particular

What the actual fuck is the fucking point of making changes when they don't make the damnedest bit of difference?

I tried something new a few days ago.  I asked for what I wanted.

I fought very hard to get what I needed from the NHS (I think the NHS is fabulous, and would defend it tooth and nail - but there are significant failings in mental health services.)  I went to my GP, who referred me to the 'Community Interventions Team'.  Initially things went pretty well - I got an appointment with a CPN, who sent me on to a very good psychiatrist, who decided that therapy would be a good idea and that he would also check in with me every now and again.  I felt supported and listened to.  Towards the end of the allotted therapy (which to be honest just opened old wounds and left me rather frustrated that the main aim was really just to establish what I weigh and attempt to frighten me with a diagnosis I didn't want), it was agreed that I should have a break from it (I agreed with this) and that I could continue to check in with the psychiatrist every few weeks.  I pleaded for this, on being told that I was being kicked off back to the GP (I don't have a regular one - it's a group practice with more turnovers than the pastry counter at Sainsburys), and I thought I had managed to advocate a bit for myself here and get what I needed - a bit of consistency.  My first appointment with him after the end of therapy rolled around, and I had a phone call a couple of days before asking if I'd mind if it was with a nurse practitioner instead, as Dr N was off.  I hesitated, agreed, and made sure I asked if I could see him as well, at a later date.  I turned up for the appointment, was made to feel like a total idiotic waste of time (yes yes, no-one can 'make me feel' anything.  But the outcome, whether my own doing or not, was that I felt like an idiot and a waste of time, so...whatever.).  At the end, I asked very clearly if we could arrange an appointment with Dr N.  Was told I'd get an appointment letter in the post.

A week or two later, someone claiming to be my 'Care Co-ordinator' (CC) who I'd never even heard of phoned and suggested going to see her.  OK, I thought, I'll jump through the hoops.  Met with her, felt it was a total waste of time - having spent half an hour talking about self-esteem issues, how much damage I can do to myself and how I didn't really feel worthy of the space I take up on earth, she looked at me patronisingly and said 'Would you say you're quite hard on yourself?'.  I may have goldfished a bit at this point, and immediately realised this was going nowhere. I made it very clear, once again, that I wanted an appointment with the psychiatrist.  She was non-committal, saying she'd speak to him about it.  I gritted my teeth and explained that this had been agreed  between him and my therapist.  So I waited a few days, expecting to finally get the letter with an appointment.  Nothing.  Phoned his office.  No record of appointments, can't just make one, he has to ask to see you.  'Oh, sorry, I didn't ask him', from above mentioned CC, 'Why did you want to see him?'  I almost gave up at this point, but pushed through and waveringly explained through trying to choke back tears of frustration that I was desperate for some consistency of care.  Finally Dr N phoned me and offered me an appointment.  At last.  It wasn't helpful, but at least it happened.

Fast forward a few weeks.  I'd stopped asking for anything again, until CC rang and said she hadn't seen me for a while and would I come for an appointment.  Turned up, went through the 'no, nothing's changed in terms of mood/behaviours etc - oh except that I've lost my job and am in an even more fragile emotional state' conversation.  CC asks what else I think they can do.  I admit the answer is nothing, really.  She asks me what I would like to do.  I reply that I would like to continue to check in with Dr N every now and again.  She says she will talk to him and see what he suggests.  Phone call this morning (two weeks later, by the way).  'I've spoken to Dr N, and I think the decision is that we are going to discharge you back to the GP.'

What is the point?  Things have changed, admittedly, since I grew a pair and realised that the only way out was to do something a bit radical, and so contacted my former therapist who I had worked so well with, and who, to cut a long story short, offered to help me again in a slightly unorthodox manner.  But what if I didn't have that option, or the sense to notice that I was getting nowhere?  What if the NHS service really was my lifeline?  I shudder to think of how many people have been through something similar and just rolled over and taken it.  I would have done, a few months ago.

I guess the lesson is that asking for what you want doesn't always mean you are listened to - but at least I know I did try to get what I needed, and it was not for want of effort that I didn't.

Wednesday, 24 August 2016

Taking Some Action

Some things I did to get out of my own way yesterday:


  • Ate lunch (tuna salad)
  • Took prescribed meds immediately after lunch to discourage me from eating more/purging
  • Made dentist appointment to address crumbled back tooth :-/
  • Wrote a few paragraphs of a funding application I had been putting off



Inline image 1 


  • This ^^^  A bit of adrenaline without the damage.  Until I fall off, anyway :p

Monday, 22 August 2016

Up, Down and Looking for the Line

It's been a strange few days.  I complained a few months ago that everything was flat, that I missed the highs and could handle the lows, if I could just shake off this infuriating fog of detachment.  Now the big swings seem to have returned and I'm not sure if I do prefer them.  Which leads me to consider the following question:

What am I looking for?

And the answer, somewhat frustratingly is one of these:
- Perfection
- 'Level-ness' - and accepting just OK
- Acceptance of massive peaks and troughs of mood

Trouble being I really have no idea which one. Obviously I would like perfection.  Perfection tends to be my life plan. This life plan, however, is what has landed me in a mess in the first place.  So I have to accept that, along with abso-bloody-lutely everything else in life, recovery is not going to be perfect.  This isn't easy, but in my adult state, I know that my make-up means that I am unlikely to achieve a state where I am generally content with the occasional rush of pleasantly manageable happiness.  I just don't work like that.

Which means I have two choices, really.  Of course it isn't as black and white as I make it appear, but let's just assume there is a spectrum within each of these options.  In the most basic terms, I have a choice between working towards taking out the soaring and the plummeting of emotion, or aiming to remove myself from a rut of 'OK'.

Right now 'OK' seems like the preferable option.  It is truly exhausting peeling myself off the ceiling one minute only to find that the ceiling was much further from the floor than I thought and I forgot to attach the bungee rope.  I can almost visualise hurtling through space into the chasm below and seeing shapes on the wall blurring on the way down.  I can laugh wildly at the speed of descent, watch it from the viewpoint of an enthralled observer, until I reach the bottom with an almost audible splat.  It's kind of exciting.  Even the splat is kind of exciting, until I realise that my face is mashed into the ground and I can barely look up.  It might be simpler if I could identify when something might cause the rush of air that lifts me onto the wings of incredible joy, spot when I'm about to take off and, while not refusing it, because I can enjoy me, dammit, at least note that there will come a point where I need to control the flight in order to touch down without breakage.  It would also definitely help if I could spot the moment when I am beginning to head downward again and make sure I have some necessary ropes in place for climbing back out, if I can't avoid the hole in the floor.  The advantage to this state is that I stay sharp.  It is fast, interesting and frequently very creative.  I both delight in my quickness of mind, and loathe my self-absorption, I can write, plan, run, come up with brilliant solutions to problems with a neat little side-step from conventional thinking, and I make everyone around me laugh and adore my energy.  The trouble is that underneath that energy is a constant mumble of destructive thoughts, paranoia, fear, self-doubt and the uneasy knowledge that it is unsustainable, and it could take just one slip of concentration to miss the ledge altogether and go to a place where I would never be able to climb out again.  It's wild and dramatic.  It is also exhausting and, on a very normal level of annoyance, it means I am careless, avoid anything that looks boring and forget stuff a lot.

Level, on the other hand comes with much less involvement.  I vaguely explained to someone recently that I felt totally flat and dull, and that I wanted to participate in my life again.  It still doesn't sound much of a tangible goal, but I stick by it when I'm in a detached state of 'just ok-ish'.  I plod along in this state, not really noticing much and becoming a little frustrated by my slowness.  It doesn't inspire any kind of strong feeling at all, really.  It's boring, frankly, and I don't feel like me.
Not feeling like me is all well and good when I have summoned enough energy to hate me, but what would be wrong with actually making the most of me when I am being witty and interesting?
The advantages to level are of course a little more consistency, a lot less distraction, and far fewer thuds and abrasions from hitting the deck on a regular basis.

What if I could raise the level of 'level' a bit?  What if there is a place where the line is a bit higher and I can send a little more current along it, resulting in occasional dips and lifts, but generally being tethered to the circuit? I can live without excitement, I think.  I've never enjoyed adventure, particularly.  But I don't want to grovel around in a ditch for the rest of forever, the flat line needs to be at a point where I can see a bit ahead rather than muffling everything to the point where I am just trundling along in the groove that someone else has dug for me.  So my goal is just to raise level a little.  In the meantime, I seem to be overshooting somewhat, but that's practice, right?  A darts player doesn't hit the bullseye every time (heck, I don't even hit the board half the time), they practise and learn to judge their aim.  So I need to keep practising and trying to find the level I need.  I might fall off a few times, or zip a bit higher than planned, but I can always keep coming to look for the line.

Friday, 19 August 2016

Making Contact

Stay.
A shiver of electricity wakes something deeper than I can identify.
A longing for closeness, sheer terror in the face of need.
It is only a hand.  Just a contact.
Stay.
It will not choke, will not entice, will not go beyond.
Just as it supports the physical structure, so it can help to hold the tide of emotion.
It is not demand.  Just acceptance.
Stay.
Do I fear the holding or the letting go?
Because there is no tomorrow, maybe I will be here forever.
And if that is so, I would like to feel the warmth of contact.

Let go.
Not of the hand, not of the body, not even of the mind.
Just loosen the grip, allow another to hold.
If there is no tomorrow, there is no consequence.
So let it go.
It can spill over, washed away by tears.
It is only a feeling. A transitory, fluid state which is not forever.
And it can be gone if I let it go.
Let go.
Do I fear forever or just the now?
There will be a tomorrow, I could choose to be there.
And if that is so, I would like to be a part of it.

Stand.
First with the prop of something stronger than what I believe is there.
And then with just a light contact, tethering me to the ground.
It is OK to be here.  OK to just be.
Stand.
Choke doubt, entice possibility, go beyond requirement.
It is not necessary to stand alone or bend to carry expectation.
I am allowed to ask.  I could accept.
Stand.
Is it wrong to fear the view from above?
To see just tomorrow and all its possibility as a choice for now, not forever.
And if that is so, would I like to stand and have a look?


Sunday, 7 August 2016

Fine

A lot of time and a lot of water has gone under the bridge since my last post.  It has been interesting, reading back over the old posts - posts from a time when recovery was my sole focus, where I was learning to be well.  I was expecting to find my writing childish, inexperienced, the way I always have when I reach a new stage of life and look back at old patterns.  I didn't.  I actually think it is more level, adult and honest than I am being now.

Having had a long stretch of pretty good mental health, things started to slide a bit a year or so back.  I fell back into old habits of keeping quiet, being controlled and eventually lost myself again in a confusing tangle of obsession, blank obedience, and eating, purging and exercising away my emotions.  I went back to therapy.  I had some boxes ticked by the NHS, and I came away exactly the same.  This is possibly unsurprising, given my extremely developed ability to appear absolutely fine, and refusal to show any sign of anything being otherwise.  It's part of what kept me going as a child and a teenager, and I have rarely shaken it off - fine is really the only option most of the time.

Until I started to pull 'fine' apart last time.  Then I discovered that 'fine' actually meant locked and suppressed, and the only real way to be fine was to be not fine for a while when I just wasn't.  In truth, I was a lot more fine when I was managing to say that I wasn't, because that helped me to identify the feeling, the source of it, and either do something about it, or simply remind myself that it was not forever.  I appear to have lost that perspective a little, somehow, though logically I still know it.

So I'm back at a crossroads, having eagerly followed one path down a dead end where some monsters awaited, and where I got stuck for quite a while.  With a little encouragement and a few risky moves, I think I have managed to make it back to the middle to begin to set off down the rather lumpier road that leads somewhere better.  Currently I can say with confidence that I am not fine, and I don't know how to be so.  But that in itself is the first few hand-holds on the side of the rock, so I shall just dangle here for a while as I work out where next to reach for a crack to put my toe in.  It might take a while, but I would like to see the view from the top again.  Patience, persistence, and some risk-taking will get me there in the end.  Then maybe I will be mostly 'fine' for this point in my life.