all at sea

the shiny early morning.

the bustle and butterflies and getting ready. the backpack and its almost broken zip. the going, going, gone out the door. the grey, grey roads. mirror, signal, manoeuvre. the parking up.

the walk, walk, walk.

the slooshy, silver sea and glassy sunlight. the tarmac to beach ombre. the flip-flops flipped off sandy toes. the picking a spot, backwards, forwards, back again. the nerves, nerves, nerves. the trying to forget my body. the quick strip down to my costume. the quick march to the water and the cool, cool, cool of it against feet, calves, knees, thighs, tummy, arms. the deep, deep breaths. the sinking slowly down to shoulders. the unsucking of feet from sand, flip-flapping them. the slip sliding forwards. the rippling waves slapping chin, cheeks, nose. the absurd thought of sharks. the imagining of pointy teeth, fins, death. the less absurd thought of jellyfish. the imagining of tentacles, poison, death. the closing of eyes and the don’t, don’t, don’t think thoughts. the stopping. the treading water. the goggling at blue skies all above. the resting. the bobbing. neck back, head up, hair wet, heart calming. the tippy toes peeping above the water. the tide tugging, pulling, teasing. the splash marks on sunglasses and the gulls crying. the paddle boarders. the serious swimmers, caps and suits and goggles. the runners on the shore. the cruise ships hanging on the horizon, sea cities turned to ghosts. the goosebumps flooding skin. the press of time, time, time. the strokes towards the beach. the soaked soles on shifting sands. the walking. the fear of falling over. the nerves, nerves, nerves again. the trying to forget my body again. the quick steps across the beach. the sand plastered to ankles. the relief of hiding in a gritty towel. the lying back. the gentle hush of waves. the tired lungs, tired arms, tired legs. the tingly skin. the icy breeze. the tangled hair, sticky and messy in a ponytail. the book, its pages snapping in the wind. the shimmering, sea-slicked shells. the wait, wait, wait to be mostly dry. the packing up. the double check. keys, phone. keys, phone. phone, keys. the drive home with a salty smile on my lips and a little weight lifted from my heart. the rest of the day sunny and sea drunk.

the dreams, dreams, dreams.

all at sea.

reading at the beach

Armageddon Tinsel

Last year, I wrote this piece about what living with generalised anxiety disorder felt/feels like, after I was diagnosed with it in the summer of 2018 – but in the end I was, hilariously, too anxious to actually publish it. *facepalm*

It’s been living in my saved drafts, taunting me, ever since.

I’m still anxious about publishing it, but I’ve reached a point where I’m as at peace with that discomfort as I’m ever going to get – and, seeing as this week marks two years since I ended up in floods of tears opposite my GP trying to explain the amount of chaos and confusion and fear my brain was drowning in, it feels like a good time to finally share it. It took an embarrassingly long time to write (and it’s probably going to take a long time to read as well, sorry). I kept having to take breaks away from it because the line between catharsis and relapse turns out to be quite a thin one. I’ve left it how I wrote it last year, so the timeline is all wrong and there’s one word near the end that made me cringe when I reread it (you’ll see why when you get there). Also, as of March this year, I’m back on the SSRIs and back in therapy (yaaaay) to try and address the body stuff I’m still struggling with, so my “therapy free life” comment at the start definitely no longer stands. Aaaaand lastly, I know some parts of this post might sound self-pitying or pity-seeking but that’s really not what I wanted to get out of writing it – I just want to share some of the experiences I’ve had. The more I read, the more I listen, the more people I meet, and the older I get, the more I realise that we’re all struggling with something, we’re all just winging it, and we’re all just trying our best with what we’ve got – and that growing sense of perspective has been invaluable. My only hope for this post is that by sharing these things I can help anyone who’s been through or going through similar experiences to feel a little bit less alone.


Armageddon Tinsel

What Life With Generalised Anxiety Disorder Feels Like

MudTightrope

Back in February, after five months of CBT, I was officially released back into the wilds of therapy free life.

I was treated for generalised anxiety disorder, which – at the time – felt like a rubbishly undramatic and pathetic name for what was happening inside my brain. But, to give the name its due, it means exactly what it says.

everything + anxiety = disordered thinking, disordered behaviours, and a disordered life.

This is what it feels like…

Your brain is wired all. the. time. but it’s not wired for useful things or happy things or things that will improve you and your loved one’s lives – it’s flaring like a nuclear reactor siren for all the things that could go wrong, all the things that have gone wrong, all your failings (recent and ancient), and all the world’s failings (recent and ancient). And that anxious inner monologue is like a dog that just won’t stop barking – painful and mind-numbing to listen to, incredibly annoying, and unbelievably distracting.

You can’t sleep because, although your body is dead to the world, your brain is busy convincing you that you might never wake up; that maybe the hob is still on; that maybe all the doors and windows are unlocked; that maybe you forgot to put your car’s handbrake on (not weird worries); that maybe you said something unforgivably nasty to someone during the day and just can’t remember saying it; that maybe you ran over a cyclist whilst driving home and just didn’t notice (getting weirder worries); that maybe your foot is itchy because you scratched it on a syringe and just didn’t realise and now you have HIV or hepatitis or both; that maybe you’re the ugliest human that has ever lived and should stop leaving the house in case you make people unwell with your disgusting face; that maybe you put bleach in your cup of tea earlier and just can’t remember doing it; that maybe you randomly wrote the c-word in the middle of an e-mail, maybe wrote a whole paragraph’s worth of them, and just didn’t realise (definitely weird worries); that maybe there’s a sinkhole under your house and you’re about to die; that maybe there’s a plane tumbling to earth above your house and you’re about to die; that maybe another world war will break out and you and all your family will die; that maybe you’ll start sleepwalking and accidentally kill your family (triggered by this story in the news – fully fledged weird worries); that maybe someone in your family will start sleepwalking and kill you; that maybe you’re not real and the world isn’t real and that there’s no point to anything.

You struggle to make decisions – big and small – because you’re sure whatever you decide will end in disaster – big and small and all shades of disaster grey. You can’t concentrate and sometimes struggle to even talk because your brain is too busy processing absurd scenarios that it thinks it might need to deal with to focus on the actual task in front of it or to focus on the sentence it was half-way through saying. You stop trying new things and stop practising old things because you’re afraid of failing and afraid of ruining things that you love with your rubbishness. You refuse to put your heart on the line – refuse to put it anywhere near the line, eventually stop noticing/believing other people might be close to the line – because you’re embarrassed by your mental messiness and convinced of your physical ugliness, and you’re sure if anyone gets too close they’ll just hate you like you hate yourself.

Your memory is shot to pieces. You nod along blindly as people reminisce about events you were physically there for but mentally absent from – absent from because you were too busy trying to locate all the emergency exits; too busy wondering if there were glass shards in your drink or in your dinner; too busy imagining all the fat in your body tearing through your clothes; too busy trying to figure out how hideously disgusting you looked from 360 different angles; too busy assessing people’s faces for signs that they were repulsed or sickened by your physical appearance; too busy scrutinising an awkward moment from three minutes/days/months/years before; too busy picturing your house burning down; too busy working out if the ache in your head was actually a headache or if it was a brain haemorrhage in headache disguise; too busy praying that the sirens in the distance weren’t the police coming to arrest you for a crime you couldn’t remember committing; too busy contemplating the likelihood of gunmen appearing, which direction they would most likely appear from, and the chances of everyone’s survival.

You become vulnerable to bad people doing bad things to you because you stop trusting yourself and stop knowing which instincts you should believe in, because you blame yourself for those bad things when* they do happen, because you feel so worthless you assume no-one could be bothered to do anything bad to you anyway, because your default reaction is to shut down and convince yourself that the bad thing can’t have been real, that maybe it was just an anxious thought slipping into your perception of real life and that what you really need to do is just get a fucking grip (THIS issue is the biggest fucking kicker, I swear).

*and, unfortunately, it’s most likely when and not if – bad people know who to pick on.

AnxietyScreenshot
This is the delightful mindfuck my brain decided to treat me to after I was assaulted by a customer at work in May 2019, and this message was sent to one of my best friends as I sat crying on my sofa unable to face going on a night out to a crowded festival. I spent weeks not only worried that I might be assaulted again, but – after I reported it to the police – I became terrified that people would randomly accuse me of the same thing. It was the shitty cherry on top of an already shitty cake.

You startle constantly at the smallest things: a customer walking through the door, a friend’s hand on your shoulder, a cute little butterfly fluttering passed on its cute little way to do cute little butterfly things. You cry and you cry and you cry because you’re exhausted and don’t understand what’s happening to your brain, because you’re frustrated that you can’t just pull yourself together, and because you feel unbelievably pathetic. You hurt yourself because it puts some of the pain in your mind onto your flesh, and flesh can’t think and chitter-chatter and babble away like a mind can; and because you’ve reached a point where you really don’t care about mistreating your body anymore – burning, bleeding, and bruising feels like all it’s good for.

You’re so, so ashamed because you don’t know how one person can be filled with so much negativity and badness and horribleness, and you feel guilty because you don’t know how you’ve wasted so much life – life that could have gone to someone else, to someone who would have done something useful with it.

Round and round in circles you go – minute after minute, hour after hour, day after day. Weeks, months, and years pass. The circles get smaller, but they, somehow, encompass more worries. They, somehow, spin faster. Your centre of balance tries to shift, tries to keep up, but the dizziness balloons and grows and morphs until you’re bursting at all the threadbare seams that are, somehow, still keeping you together; until you’re pitching left, right, forwards, and backwards on an ever shrinking life tightrope; until you’re actually not sure if just giving up and falling off that life tightrope is really such a bad idea anymore.

You realise you maybe, possibly, perhaps (desperately, desperately, desperately) need some help.

You wait months before actually phoning the doctors because you’ve invented a scenario in your head where the receptionist will tell you to stop wasting their time and strike you off the surgery’s list and then that’ll be the sign from the universe that you definitely have to die. They don’t strike you off the list when you eventually ring (funny that), but you do have to wait a month for an appointment. Then you finally, fina-fucking-ly, get to the appointment – the day before your 26th birthday – and break down the second you walk through your GP’s door. You cry, and blubber, and soak the whole lower half of your face in snot and tears (classy).

You’re lucky – so, so lucky – and have a doctor who listens through your incoherent sobbing; who politely ignores all the stuff dripping from your eyes and nose, and quietly hands you a box of tissues; who takes you and your misfiring brain seriously; and who – most importantly – comes up with a plan that gives you hope that things can change, a plan that doesn’t involve you dying.

Phew.

Replace all those ‘you’s with ‘i’s and – tadah – there’s messy old me.

*waves awkwardly*

*also makes preparations to go and live in a cave to avoid facing family/friends/colleagues who didn’t already know this story*

There’s no start date for me plus GAD, no stressful epiphany, no big trauma, no pantomime villain. My therapist and I raked through a lot of things, and the words “perfect storm” are the only ones that fit – no matter how clichéd they are.

I love, love, love a cliché.

Lots of little things led me down the anxiety-brick road. I had all the life ingredients and all the personal traits to go right ahead and make myself a big old anxiety disorder cake. And I baked that cake to perfection.

What can I say? I’m a good baker. *flicks hair over shoulder sassily*

Generalised anxiety disorder is addictively habitual. It’s superstitious – if I worry about it every second for twenty four hours then maybe the bad thing won’t happen because I’ll be ready? But maybe I’m making the badness gravitate towards me by thinking about it? Fuck, which one is it supposed to be?’ – and it’s so, so delusional. Painfully delusional. It’s a hall-of-mirrors lense that tricks you into thinking you’ll see the world more clearly – in beautiful, crisp focus – if only you just take a look through it. But once you’ve leaned in to see what’s behind the glass, once you’ve leaned in to take that sneaky peek, it shows you a kaleidoscope of horribleness instead – and you don’t know how to tear your eyes from it, don’t know how to unscramble the picture that’s being painted before you.

Being painted by you.

That lense is all you think you have. It’s all you think you can rely on.

With each day, week, and year that passed GAD became inseparable from my whole sense of the world. I decorated everything I loved, all the things I dreamed of, all the hopes I had for my life with its awfulness – some Armageddon tinsel here, a few epidemic* baubles there, plus a sprinkling of sudden death glitter on top.

*okay, so let’s not talk about this prophetic word choice. 2020 is turning out to be some epic exposure therapy. *laughs awkwardly, breaks down in tears*

Every day, my brain still tries to get out that sudden death glitter and make the world sheeny-shiny with horribleness. Every day, I have to remember to put the GAD goggles down and back away from the black hole of worry lurking in my heart.

I think I’m getting better at it.

Obviously, I worry that I’m not. It’s a hard habit to kick.

But mostly I’m finding it easier to dismiss the anxieties that before would have hijacked – hook, line, and sinker – my mind for hours and days and weeks. Mostly I’m able to get on with doing the things I need and want to do. Mostly.

And for now, mostly feels like winning.

For always, mostly is winning.

*

Some links, tips, and resources that might come in handy:

  • I was helped by Steps 2 Wellbeing (a NHS service based in Dorset and Southampton, UK).
  • The Samaritans – you don’t have to be feeling suicidal to call them (maybe this is stupid of me, but I didn’t know that before I went to my GP), they’re there to help 24 hours a day, 365 days a year if you’re feeling bad and need to talk to someone.
  • Mind have lots of useful information on their website.
  • And so does the NHS.
  • Made of Millions have loads of great information, advice, and resources on their site too.
  • There are useful links for support on the Heads Together website. Heads Together is a charity founded by The Duke and Duchess of Cambridge to tackle the stigma associated with mental health issues.
  • Arm yourself with knowledge. Whether it’s through books, tv documentaries, podcasts, or radio programmes – learn more. It’s comforting to know you’re not alone and gives a sense of perspective that is invaluable. I find authors like Bryony Gordon, Rose Cartwright, and Matt Haig helpful. You might not have the same symptoms or diagnoses as them or me but it’s remarkable how similar the patterns of mental illnesses are, and there’s no harm in learning more about other people’s experiences.

HelpfulBooks

  • If you work for a larger company, they’re likely to have a helpline for their employees to ring (that should probably be anonymous, but double check if you’re unsure). Ditto unions.
  • And please, please, please contact your GP – don’t let make believe scary receptionists put you off.

If anyone has other charities/organisations/books/tips they can suggest, please do!

Let’s Talk About Body Dysmorphic Disorder

… because it sounds super fun and fabulous, doesn’t it?

But I promise (blindly hope) it will be interesting.

Bear with me. Because it’s a long, long post.

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intro

Ah, this subject. *winces*

It’s a sore one.

Writing this post – and admitting this is an issue I struggle daily with – feels a lot like rubbing rock salt all over a wound, rinsing that salt off with neat bleach, and then bandaging it all up in a plaster made of velcro, thistles, wasps, and those big, bitey ants that live in the rainforest.

But hey.

Sometimes talking about things that hurt makes them better in long run.

Hopefully it makes them better in the long run.

cute little ol’ passive-aggressive note

Before I ramble on, I’d like to note that I am very very very painfully painfully painfully aware of how messed up and broken the thinking behind BDD is, how contradictory and illogical it is, and its essential futility. And I’m aware, also, of how ungrateful it is. (For example: I think my legs are super weird and lumpy and enormous and gross and sometimes feel like they’re getting wider every second. But at least I have legs and at least they work. I would miss them if they were gone or I couldn’t use them. I should just love my legs! It’s so simple! *cries*)

If you feel the need to remind me of the lack of logic/the futility/the ungratefulness, please please please don’t.

BDD is complex and I can’t just switch it off.

It’s an ingrained thought process that has to be painstakingly unlearned.

And it’s a twisted personal belief system* that’s basically tattooed to every inch of my soul, and lasering all that shitty BDD religious text off of it has been, is, and will continue to be excrutiatingly difficult.

Right.

Let’s do this.

*head of church: my brain. Congregation size: one (meeeeee *waves enthusiastically from front pew*). Service times: any second/minute/hour the BDD spirit moves me to worship (which is a lot – I’m devout). Holy BDD days: every day *gets out tinsel and fairy lights and bad knitwear*.

what bdd feels like

We all have hang-ups about elements of our appearance.

Hang-ups are annoying but they’re mostly fleeting. They have very little impact on behaviours and only flare up every now and then – maybe in a fitting room, at the beach, or whilst having a photo taken.

BDD thoughts are relentless, time consuming, distracting, and impact behaviours signifcantly.

I’m guessing you’ve experienced that disappointed-at-what-you-see-in-the-mirror feeling? Your stomach sinks. Pieces of your self-esteem crumble away. Maybe, on a bad day, that reflection will make you want to cry. I’m guessing you’ve felt the embarrassment of seeing yourself in a badly angled/timed/lit photograph? You kind of recoil from it and you definitely don’t want other people to see you in it. You untag yourself or hide it at the back of the album. I’m guessing you’ve had the stab of jealousy on seeing a picture of a beautiful, airbrushed model in a magazine? Your chances of ever living up to that standard of perfection seem pretty hopeless. You hate yourself for not looking like they do and also hate yourself for caring. And I’m guessing, too, you’ve had days where you just feel a bit shit for reasons you can’t quite put a finger on and want to hide away? Of course you have. We all have.

We’re all human and all have vulnerable, squishy, softer-on-the-inside human emotions.

BDD feels like all those squishy emotions, all the time. Wave after wave after wave. Every couple of minutes, you suddenly remember how hideous you are and how disgusted you must make other people feel when they look at you. It’s like a rush of adrenaline coursing through your veins; or the buzz from a double espresso shot at 3am; or the burn of a downed whiskey on an empty stomach. It hits you – sledgehammer to chest – over and over.

And sledgehammers to the chest inevitably wear you down.

Sledgehammers to the chest make day-to-day life difficult.

They inform every decision you make.

They put you constantly on edge.

And they make you spend all your time – all your precious life – simply trying to mitigate the next hit.

That’s a rubbish way to live.

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vanity & self esteem

When a lot of people’s ears hear “body dysmorphia” their brains hear “vanity”.

It’s understandable – it is an obsession focussing on appearance, after all.

The vanity element is one of the main reasons I’ve always shied away from talking about BDD. I already hate myself – the last thing I want to do is make other people hate me too by making them think I’m vain and superficial. Especially as I already assume they think I’m hideous on the outside. The inside is all I’ve got. I don’t want people to think I’m hideous there too.

But BDD isn’t vanity. It certainly has habits and compulsions associated with it (frequent mirror-checking, continually asking for feedback on appearance, etc.), but these unhelpful habits stem from a total lack of self-esteem, extreme insecurities, and feelings of worthlessness rather than high self-regard.

Vanity is mostly defined as:

‘excessive pride in or admiration of one’s own abilities, appearance or achievements’ – Wiktionary

‘inflated pride in oneself or one’s appearance’ – Merriam-Webster

There is no pride in BDD.

There’s just shame.

The problem with dismissing BDD as vanity is that not only does it triviliase a complicated mental condition that happens to manifest itself as obsessive thoughts and compulsions relating to perceived physical defects, but it also heightens the shame and guilt already felt by people experiencing it – which makes them less likely to seek help for, and therefore recover from, what is a treatable mental illness. BDD attempted suicide and actual suicide rates are remarkably high. I’m sure (although I’m obviously not a doctor or scientist – this is just my opinion) part of this is down to people’s reluctance to talk about their obsessions with perceived appearance issues out of fear of being labelled as shallow and vain.

‘While the aim in many eating disorders is most commonly to reduce the weight of the body or to enhance the musculature and the aim in BDD is to ‘fix’ a perceived defect or defects, the underlying agony is ultimately the same: the belief that one’s physical appearance is something to be ashamed of, the notion that one is not good enough as one is, and the conviction that by somehow changing the physical body, one can become more ‘beautiful’, more accepted as human being, and more worthy of love.’ – page 33, Reflections, by Nicole Schnackenberg.

BDD thinking is messed up. But it’s not messed up to want to be accepted and loved.

That’s just human.

eating

Ah, food.

I love food. I hate food.

It makes me happy and it makes me sad. I wish I could just play it cool around it (I think I have actually got a lot better at playing it cool over the years) but the first thing food reminds me of is my body and how it might change my body for the (even) worse. And as you’ve probably gathered, being reminded of my body makes me all squirmy and uncomfortable.

I used to binge eat as a teenager and hated leaving the house (because I thought I was too ugly to go outside). Binge eating and rarely leaving the house, unsurprisingly, made me gain a lot of weight. Since my heaviest, I’ve lost 4 1/2 stone (63 pounds, 28.5 kilos).*

I still carry that weight around with me mentally, though.

When I eat in front of people, I worry about a lot of things. I worry about how disgusting I look while I’m eating and worry that my disgustingness will make people feel ill. I worry that people will think I’m greedy. I worry that maybe I won’t be able to control myself and will just eat everything in sight. My main worry is that someone will come over and call me fat.

When I buy clothes, I struggle to understand what size I should get and struggle to trust I’m seeing the right numbers. The label might say UK size 8 or 10 or 12 (it would really help if brands chose the same measurements for sizing) but hell no am I going to believe that. And hell no am I going to believe they actually, really, truly fit. I have to fight back against the idea – pretty much every minute – that all the fat in my body is bursting out of my clothes, breaking the seams of stitches, and oozing through the fabric.

Big baggy jumpers are my favourite item of clothing for a reason.

*although, obviously it shouldn’t matter what weight I am. Health and happiness are what’s important.

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acceptance

Coming to terms with the idea that you have a mental health problem, rather than a physical one, is one of the hardest parts of BDD and has taken me a good couple of years to grapple with.

This is my simplistic (but incredibly long winded, sorry *pulls awkward face*) way of describing it:

Imagine that you think you’re right-handed and you’ve been confidently, if clumsily, using your right-hand as your dominant hand for your whole life. It seems to be hurting you in weird ways that you can’t quite understand, and affecting a ridiculous number of your decisions, but it’s familiar. It’s uncomfortable but habitual. Newsflash: it turns out that you’re actually left-handed and your life would, in the long run, be so much better – and all those weird hurts would be significantly reduced – if you started using your left-hand dominantly. Imagine how weird that would initially feel. Imagine the leap of faith it would require to actually believe that you’re left-handed (look normal), not right-handed (hideously, disgustingly, irredeemably ugly). Imagine how many times you would have to stop yourself halfway through writing sentences (thinking obsessive, dysmorphic thoughts) to put the pen in your left-hand – where you’re told it should be but where it doesn’t seem to fit. Imagine how frustrating it would be and how much you’d inevitably relapse. Imagine the jumble of left-hand written and right-hand written sentences on a page, side by side in odd proportions, and how confusing they would look together (feel in your head). Imagine how much longer all those left-hand sentences would take to write. Imagine how wobbly all their letters would be. Imagine how much time it would take to get the left-hand’s writing up to the right-hand’s standard and how long it would be before you’re consistently reeling off pages of neat left-handed sentences (consistently thinking logical, realistic thoughts).

And then imagine how annoying, unhelpful, and humiliating it would be if, throughout the entire process, you had people telling you from the sidelines how they’ve never had a problem with being left-handed, and how they think you should just pull yourself together RIGHT THIS VERY SECOND and write them an entire manuscript in beautiful handwriting – complete with detailed illustrations – only using your left-hand.

Imagine how much you’d want to take the pen – in either hand – and write TWAT all over their smug face.*

*obvs you should never actually do that, but you can definitely think about doing it.

lucky

I have been lucky in my experience of BDD.

Although it has crippled my confidence and has impacted some aspects of my life severely, it hasn’t taken complete hold of it. I still leave the house. I still socialise. I can still hold down a job. I still try new things. I still have hope that things will get better if I continue to put the effort in and have the right support.

The BDD thoughts follow me wherever I go, but I still (mostly) go.

I think that is down to my weird and wonderful circle of family and friends.

At thirteen, I left school and studied for my GCSEs at home. One of the main reasons I left was that I couldn’t face crowded places anymore. I couldn’t bear being seen with (what I believed to be) my huge, strange body and disgusting face. I wanted to hide away. But I come from a big family and lived in a busy household that was always filled with people coming and going, doing interesting things, and living interesting lives. I was never going to be able to shut myself away in a little cocoon where no-one would ever see me. It was certainly stressful at the time (for everyone), but I guess it worked as a messy form of exposure therapy.

Plus, I get bored easily. Not leaving my room got very boring, very quickly. The fear of boredom overtook the fear of my ugliness and fatness.

So isolation never took root.

I also feel lucky that my early teenage years came just before the explosion of social media. I’m not sure how I would have coped with Instagram at thirteen – especially in the early days of Instagram.

On those fronts, I think I was really lucky.

But BDD does affect some aspects of my life massively and in ways that I have only talked – and will only talk – about with my nearest and dearest, my doctor, and at therapy. *taps nose secretively*

therapy

The last year has been a big one on the mental health front for me. I finally sought help for my anxiety and panic attacks, and was referred for cognitive behavioural therapy. My therapist quickly picked up on the dysmorphia, which I had been nervous to talk about in depth with my GP (because I was anxious she would think I was vain – and also because I was crying so much throughout the entire appointment I don’t think she could actually hear any of the words coming out of my mouth between sobs). Most of my homework activities were based on challenging my thoughts and behaviours relating to my perceived ugliness and fatness. Using the techniques learnt in CBT drastically reduced both my general anxieties and my dysmorphic anxieties.

I finished CBT in February of this year and was beginning to feel like I was a properly functioning, kinda normal(ish) human being who could start to make big decisions – decisions which I have spent a long time trying to avoid because I felt so useless and incapable.

Something happened recently, though, which caused a massive spike in my dysmorphic thoughts.

The CBT techniques have helped me from spiralling into anxiety-wonderland. Talking about it openly with people, rather than internalising it, has helped too. I’ve started yoga and restarted (for the gazillionth time) running – trying to take control of and use my body rather than negatively obsess about it.

But still the BDD thoughts have kept creeping in and setting up camp in my head.

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reading

Okay, now we’re back to a subject that makes me feel comfortable and confident and happy.

Is it weird that I had never considered reading about body dysmorphia?

I spend a lot of time reading. I spend a lot of time worrying about my body. And it never ocurred to me that it might be a good idea to pick up a book on the subject and learn more about it.

I think I avoided BDD books because reading is a form of escapism.

And why would I want to escape to a subject which simmers away in my brain every day?

But I was missing an important point. Knowledge is power. Problems shared are problems halved. Realising that loads of other people have been through similar experiences to you, seeing the thoughts that have swamped your mind every day for twenty years written down by someone else who has had them too, gives you a sense of perspective that is invaluable.

Reflections on Body Dysmorphic Disorder by Nicole Schnackenberg.
I wish I could have read the first-hand accounts of BDD featured in ‘Reflections’ ten years ago – I just assumed I felt so shit because I was a teenager and all teenagers hate themselves, right? *facepalm*

moving on

Phew.

If you’re still with me *scans the horizon* then thank you for battling through. You deserve a medal. If I had one to hand, I would give it to you.

I’ve been writing this post for so long now (please send help! And biscuits. And alcohol.), I don’t really know if it makes sense anymore (or how many typos there might be hiding in it). I’ve probably not described some things very well and I’ve probably forgotten to describe some things at all.

But I’m going full Pontius Pilate and washing my hands of this draft now.

It is what it is.

I’ll continue to dip into books about body dysmorphia, continue to read articles, continue to watch programmes, continue to learn and to listen to other people’s experiences of it – and would encourage others to do the same. As with everything in life, it is so helpful to gain perspective. It lessens the severity, and therefore the impact, of dysmorphic thoughts.

But I’m definitely going to be doing those things in smaller doses than the doses I’ve been having in the last few days. *rocks backwards and forwards in a corner*

I don’t want to dwell and ruminate on it anymore – I’ve spent a lifetime doing that.

Slow and steady, little by little, I’m moving on.

And for now, all I want to think about are rainbows, unicorns, sunshine, kittens, and puppies.

Some links that might help explain BDD more clearly and succinctly than this post (I should probably have put them at the start and saved you from all my waffling, woops):

https://bddfoundation.org/helping-you/about-bdd/#when-does-a-concern-with-appearance-become-bdd

https://www.mind.org.uk/information-support/types-of-mental-health-problems/body-dysmorphic-disorder-bdd/#.XTYaCXt7k2w

http://www.dorsetmentalhealthforum.org.uk/body-dysmorphic-disorder.html

Ten Lessons From Travelling Alone In Dublin

Wednesday 6th February, Southampton Airport.

I was sat in Costa with a cup of tea clamped between my shaky hands, staring out at 6am darkness, and one word flooding my sleep deprived brain.

Alone.

I had never done it before. Never travelled solo, never left the UK without family or friends. Without safety in numbers. Without backup. Without someone to talk to, to confide in, to hold my hand during turbulence, to take the piss out of my imminent-death-fearing tears. (Defying gravity is just asking for trouble, right?)

But there I was. All alone.

And I was about to learn some things.

*

My first lesson: I can fly without crying. There and back my stomach was filled with butterflies, but my eyes were empty of death-fearing tears. Which is a positive development. (Side note: I did almost have a panic attack in the toilets after arriving at Dublin Airport, but I managed to rein it in. Which I guess is positive?)

Second lesson: the Irish are super friendly. I was never far from a conversation, whether it was about rugby, the right way to make a cup of tea, books, Irish history, Dorset, doughnut unicorns, the new Mary Poppins film, Brexit *sobs*, or even just the weather. It was very rare that I actually felt alone alone.

TheSpireDublin
The Spire in Dublin

Third lesson: if in doubt, go on a guided walking tour. There was a part of me that really didn’t want to look like a tourist – despite absolutely, definitely, completely-and-utterly being a tourist – but the walking tour was one of the best things I did. Not only did I learn a lot about Dublin, I also met another solo traveller and we spent the afternoon charity shopping, chatting, and photographing our way around the city. I went on this tour and can highly recommend it if you’re ever in Dublin.

Fourth lesson: I don’t like Guinness. I was pretty sure I wouldn’t, but I just wanted to make sure. (I did finish the whole pint though.)

Fifth lesson: things are expensive in Dublin. A teeny tiny hot chocolate will set you back over €3; a packet of Cadbury mini eggs is €1.99 *throws hands into the air in disgusted disbelief*; or you can buy two creme eggs for the bargain price of €1.70. (All the important things, obviously.) I suffered severe Dairy Milk withdrawal symptoms over the three days I was there.

Sixth lesson: the middle of a superking bed is the bestest, cosiest, snug-as-a-bug-in-a-ruggliest place ever to read a book. It’s just a shame I ended up hating the book I read (The Queen of Bloody Everything by Joanna Nadin. I was more than happy to leave it behind at the hotel).

Seventh lesson: keeping track of key cards/passports/tickets/money is stressful. I can’t even count the number of times I thought I’d lost my bus pass and all the mini heart attacks that followed that thought.

Hotel mirror selfie, Dublin, February 2019.
Now you see me, now you don’t

Eighth lesson: when you’re travelling alone, there’s no-one to judge your questionable dietary choices. My breakfast on Thursday was a hazelnut praline doughnut and my breakfast on Friday was a massive chocolate muffin, just because I could. You can judge me all you want, but I’ve eaten them now. So there. *sticks out tongue*

Ninth lesson: (seeing as we’re on the subject of unhealthy food) ice cream in February is totally a good idea. A friend recommended a visit to Murphys Ice Cream, so I stopped off there on Friday afternoon, even though my core body temperature was roughly -40°C. The ice cream was amazing and all the staff were so lovely (see lesson number two).

Tenth and most important lesson: 99.99% of people are inherently kind and awesome. My flight home got cancelled because of Storm Erik. After having a little cry at the Flybe desk and trying to figure out where the hell Southend was in relation to Dorset (I used to think I was good at geography, but I officially take that thought back), I joined a painfully long and completely stationary queue to rearrange my flight and ended up chatting to a few of my fellow flight cancellees. It turned out that one of them – an amazing lady/guardian angel called Sue – lived near my home town, and after figuring out we could catch a flight to Exeter, she offered me a lift home with her. I know the general consensus is that you should never get in a car with strangers, but not only was I 100% sure Sue wouldn’t kidnap me, I’d reached a point of tiredness where I was 100% willing to be kidnapped so long as I was vaguely near my house. Sue didn’t kidnap me, and I will always be grateful to her for keeping me calm and looking after me (and the non-kidnapping). Thank you, Sue!

ViewThroughDublinAirportWindow
Storm Erik through an airport window

I can’t wait to go back and explore more of the city, and more of Ireland too.

Just maybe when there’s less stormy flying weather.

31/10/18

So, Halloween last year was an interesting one for me and my family.

It wasn’t spooky and it wasn’t ghostly, but it was scary.

This post explains why.

I started it as a submission idea for a magazine and decided I didn’t want to let it go. So here it is in all its messy glory. It’s basically a stream-of-consciousness letter to my Mum, right from the bottom of my topsy-turvy heart and brain. It may also shine a bit more light on my Moomin Medicine post from November.

And I’m happy to report that, although there are ups and downs, she is very much on the mend.

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Mama Pippin

It’s not right. You. Here.

I sit on the bed and stare at my purple-blue feet that are too cold and too hot all at the same time.

I want to look at you, but you scare me with your smallness and your illness. I want to look at you, but I don’t want you to know that I’m afraid. You know my face too well for it to lie to you. It’s half your face, after all.

I lean back on the hard mattress and scrunch the thin blue sheets between my fingers. In my head a nurse comes over – a Miss Trunchbull style nurse – all stern and angry. The imaginary nurse tells me to get off the bed, tells me to leave the hospital, tells me never to come back.

But outside my head, nothing happens. No-one tells me off, no-one asks me to leave.

I stay on the bed that’s yours but not yours.

The side of the not-yours bed cuts deep into the backs of my thighs and it cuts deep into my heart. I shuffle, wriggle, squirm from both pains.

I talk about work and how it’s been busy. I look at Dad. I talk about the kittens, how they miss you. I look at Dad. I talk about the chickens, about breakfasts and dinners, about the Great British Bake Off and how Rahul has won, about the weather and how it’s cold today. I look at Dad.

I do steal glances at you with my half-yours eyes. I try to make them lie to you, but the look on your face lets me know I’ve failed. You’re not fooled – never have been – by my lying, half-yours eyes.

Dad talks. He’s so much better at this than I am. He knows what to say, knows how to be. I drum my fingers against the sparkly white edge of your bed and I stare at the clipboard hanging from the end of it. Note after note after note.

I wish I had my notebook.

You know the one – it’s the one filled with all the inane and absurd worries that my brain spits out and clings to so desperately, so hopelessly. The one my therapist has told me to keep. The one I chitter-chattered to you about for weeks and weeks, joking – hurting – about all the ridiculous and horrible scenarios my mind invents, all the while not knowing the ridiculous, horrible scenario real life had invented for you. I could fill all the pages of that notebook now. But where do I even start, Mum?

I’m worried about everything.

Why did your surgery take so much longer than expected? What happened? I’m worried that the surgeons might have left something in you – a scalpel, a glove, a piece of cotton wool. It happens sometimes, so why not this time? And I’m worried – so, so worried – about what they might not have taken out. What happens if they didn’t get some of the cancer? What if they couldn’t reach it all? Or, worse, what if they just forgot a bit? I haven’t read about that happening, but I’m sure it’s something that could happen – and if it can happen maybe it has happened.

I’m worried about germs hiding everywhere and I’m worried about all the germs on me. I’m worried that I kissed you on the cheek with all my germs; that I’m sitting on your bed with all my germs; that I should never have come here with all my germs.

Most of all – and this one eats me up alive – I’m worried that I won’t be able to look after you, that I won’t be able to repay all your years of looking after me. How can I be strong like you? How can I cope like you would when it feels like all my insides are going to bubble up and burn out of my chest?

The list goes on and on and on.

Dad’s still talking but now he’s talking to me, looking at me. I come around.

It’s time to leave.

Mum, why don’t you to come with us too? You shouldn’t be here and none of this should be happening, so why don’t we just pretend that it’s not? That will work, won’t it? That will make it go away.

Maybe not.

I stand. I lie badly with my eyes. I kiss you with my germs. I’m desperate to go and I’m desperate to stay. This not-yours bed has stolen all of earth’s gravity and I don’t want to go back to falling through the empty space of home without you.

Time. To. Leave.

Dad and I walk away. A thousand gravity-cords stretch and pop and snap at my all-yours heart, ready to pull me back, ready to stop my hot-cold feet in their tracks. But away we carry on walking.

It’s not right, Mum. You. There.

Come home.

Salty Bones

Man O' War bay by Durdle Door, Dorset, July 2018.
Man O’ War cove by Durdle Door.

The sun is burning hot and the sea shimmers a thousand beautiful blues.

We pick our way down a washed-away jumble of steps and baked mud, beyond a sign that says not to go further. The beach is toasty under my soles and tingly around my toes.

We set up camp half way round the bay and I strip quickly down to my bikini, head straight to the water because if I don’t get in now I never will.

The water is sharp and cold, a shock, a relief, icy as it slicks across my goose-bumpled skin. It cloaks me, hides me. I float, I swim, paddle, sit, stand, wriggle till I’m soaked through to my blood, salty down to my bones.

And I stay longer and longer, a fear bubbling under my skin until the cold forces me to ignore the fear.

Getting out is the worst part because my head hates my body, even though my body doesn’t really deserve to be hated.

Somewhere lost – very lost – inside me, I know that. I know it but still I don’t believe it.

The short walk back to our spot makes me, ridiculously, want to cry.

The towel is my saviour, a shroud, a thin paisley-strewn defence against eyes that will surely hate my body too if they glimpse it.

A book is my saviour too, releases me from my self.

Butterflies dance over pebbles, brush across my knees. They save me as well.

And the skylarks, they save me. They sing and sing, cheep and cheep, and they lull me away from the thoughts that circle round like vultures desperate to pick apart, literally, my flesh.

As we head back, back up those jumbly stairs, back up a very hilly hill, I try to love my legs, love every sinew, every muscle, every bit of cellulite – the real bits and the (apparently) imagined bits – as every one of them helps me back to the car, but I struggle to undo over half-a-life’s worth of muddled thinking. Of being and knowing and believing.

How can going for a swim be so hard?

Unrosy

Unrosy. That’s the only word that seems to fit the last few months.

I’ve had plenty of sparkly happy shiny moments with my friends and family – so so many, and I couldn’t count them if I tried. Moments I have loved and will never forget. But I’ve also had plenty of moments with myself that have scared me. Moments where I’ve felt my whole life slipping away and been unsure if I can even catch it, unsure if I even want it. I’ve had panic attacks in public toilets, in my car, sat at the kitchen table, whilst folding the washing – the list could go on and on and on. I’ve had whole evenings of crying for no reason, just sat stupidly, pathetically, snottily trying to figure out what the hell is wrong with me and why I can’t pull myself together. I’ve felt my whole body turn to lead, like it’s been switched off at the mains and my mind with it. I(‘ve) hate(d) myself through and through – more than I can find a way to say – then hate(d) myself for hating myself because isn’t that just the most stupid thing to do? Isn’t it illogical and embarrassingly self-centred? Isn’t it a ridiculous, pointless waste of time to obsess about how ugly and disgusting and hideous (I believe) I am? Only an idiot would waste that much time. *facepalm*

It’s basically felt like being run over by a ginormous and really rather emotional lorry. And now I’m at the side of the road, a little (lottle) bit dazed and confused, trying to keep myself in a vaguely normalesque shape, with some pieces of me feeling a little (lottle) bit mushier than before.

I know the pieces will get less mushy. I know things will feel more rosy. Quickly would be nice, but I have a feeling it’s going to be a little more complicated than that because this has all been a long time in the making.

Friends and family are the answer; reading and writing and creating are the answer. Talking sometimes, listening sometimes, silence sometimes – all of them are the answer.

And even, sometimes, just taking a blurry photo of roses is the answer.

Roses in the garden
Rosy roses