Emerging Into The Light

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

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

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

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

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

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

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

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

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

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

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

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

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

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

State of Play

I’m staring down the rabbit hole of my depression and I’m scared shitless. I don’t mind admitting this. I have been in touch with my Community Mental Health Nurse and I have in place the support I need to keep me safe. Within an hour of me texting her this week, she phoned me back and we have been in regular contact since. I cannot express anymore than I have before, how much I appreciate the professional support I receive from our NHS mental health team. However, no matter how caring the folks are, at the end of the day. my keeping well is down to me. This rabbit hole is a familiar one and this time it’s a particularly dark one. I have an urge to express myself and write about what I’m experiencing. I have a sense this may help me work my way back to the bright, colourful sunlight of the summer. Thank you for taking the time to read this and to hear me out.

The warning signs were there a few weeks back. I noticed changes in my thinking and how I perceived myself and how generally my mood was slowly beginning to diminish - I was losing my spark. The contentment I had been enjoying in my life was being eroded to be replaced with increasing thoughts of self-criticism and self-dislike. “It’s a blip” I told myself. “I can expect my mood to dip from time to time.” So I decided to sit things out and wait for the beginnings of this deepening gloom to shift. After all it was early summer, the months of May and June which are my absolute favourite months of any year. It is when the fecundity of Nature and life, which abounds during these weeks inspires in me a sense of joy. Indeed, there was a long period when all my stars were in alignment. I was engaging in what I love most in life, immersing myself in wild nature and in turn I was rewarded with some truly incredible experiences which reinforced my hard won conviction that life was worth being around for - to be lived at its fullest! There was entering Fingal’s Cave in my kayak on a perfectly calm day. Sitting alone with the early summer Puffin arrivals on the island of Lunga, enjoying my human solitude and my companionship with the wild life around me. Then there were the three days of exploring the Small Isles in my kayak when I was privileged to encounter a friendly and exuberant pod of dolphins just below Ardnamurchan Lighthouse, the film footage of which went viral and propelled me into a short period of recognition from around the world. It seemed then that I was reaping the rewards of steadily speaking of my connection to Nature and how this helps my mental health. I met the dolphins again about a month later and again their obvious enjoyment in swimming alongside me in my kayak captivated nearly 200 000 people on Twitter.

In these early weeks of the summer months my life was as joyful and unencumbered with depressive thinking and feeling as I ever remember it being. I truly believed recovery from my depression was within my grasp.

Now, in the space of a few weeks this bonhomie I had been enjoying with myself has evaporated to be replaced with a self-loathing so fierce, it has taken even me aback. To explain this self-loathing a little. It’s literally looking in the bathroom mirror and hating my reflected image. Not how I look (though I do see myself as a complete shaggy disaster), but the face of a man who I dislike immensely. I’m a person who rarely takes against people, in general preferring to see the good in most, but in those rare moments when I do, my dislike is fierce and uncompromising. Right now, I am the person I most hate in the world.

No matter what positive messages I receive from those who love me and who are my friends, I only hear what I believe is unsaid - criticism of who I truly am. The man in the mirror who I hate is a fraud and this man is me. I talk of Nature being healing and yet I do not allow this to be true for myself. I’m good at talking the talk and because of this I hate the sound of my own voice. So much so I choose to speak as little as possible to prevent me hearing the words uttered from my mouth. Most of all though, I hate who I am and who I have been. I look back and see a swathe of errors of judgement, mistakes, wrongs committed on others, hurt, pain, slights, deceptive inauthenticity and general misdeeds. A recent visit to my family down in England served to reinforce many of these thoughts and beliefs, after all, I consider myself to be a total embarrassment to my family who deserved (and continue to deserve) so much more from me.

I think by now I am making my point. I dislike myself intensely.

The odd thing with all this is that there is in within me the knowledge that all the self-hatred I’m experiencing right now is untrue. It is my depression which is causing me to think like this and as I so often tell myself, this period of intense discomfort will pass. I will come through to the light again and begin to realise the good within me and my capacity to positively touch the lives of those around me. Somehow though there is a corruption of my positive synapsis’ and instead any thoughts of hope are diverted and quashed. This is where I wish I could describe this in greater clarity. There is within me a battle for supremacy, my depression over my authentic healthy self. It is not that I see myself as a ‘poor victim’ and need saving by anyone who wants to save me. Far from it, I seek the support I need and accept this is an internal battle I must fight myself. However, this can be exhausting - literally so. It takes considerable effort to remain coherent to the world around me while at the same time internally fighting feelings of alarm, fear, self-hatred and desperation. Quite literally, I ache for the time to go to bed when I can take my dose of Zopiclone and ease myself towards the relative haven of unconscious sleep. Only this respite is fleeting because I normally wake again in the early hours to a rush of disturbing thoughts.

When I started this post, I said I was scared. I am frightened of being really ill again. I do not want to be so ill I end up in hospital again and yet, I crave the release suicide would give me. I am thinking of my suicide and consider seriously the benefits my death would bring for me and those who I affect through my tumultuous way of living. I wrote a blog post in 2018 about my relationship with suicidal ideation which I think expresses with some clarity what I face with this - here. It is sufficient to say I’m fearful where my thinking about suicide is leading me at the moment. Basically, I’m so fucking tired of fighting this illness, I ache for the release my suicide will give me. Death will be so absolutely final, and while this is the reality, it is an incredibly attractive one.

However! And yes there is a however. There is within me a notion of self-preservation which is why I reached out to my CPN and asked for her support. I’m prepared to trust myself to the professional help available to me. Additionally, as much as it may seem so through what I have written so far, I have not given up and I continue to function, even to the point of continuing to make jewellery, one thing I find gives me a sense of purpose and a level of internal peace. Admittedly, I have Transglobal Underground playing loudly on repeat through my headphones to distract me from my thinking, but each day at 5pm I close my work-shed with some sense of accomplishment.

This then is the chink of hope, even if at the moment I cannot see hope or even feel it. After all my desire to do the things I normally enjoy such as walking and kayaking have completely disappeared, replaced with a self-incriminatory lethargy. One thing I know is to work within these chinks as they appear, to appreciate them and to accept every opportunity towards recovery they offer. Right now, creating wearable art is the one thing which is offering me positivity in the midst of the descending blackness within me. I notice as I write these words, there is a recognition that not all is bleak, and despite what I might believe to be true, I am not totally useless. Finding my way into making a small living from my creativity is proving to be more than I could have ever hoped for.

This Week’s Production

So, what now? I am here and I’m not ready to give in. I hate where I am right now (within myself that is) and I am desperate for respite from this. At the moment I am safe and I make assurances to remain safe. I have more than enough cognitive resonance to understand what I am living through at the moment is pretty tough but this purely is due to my depression and will ease over time. My fear of sinking further into my depression is real and exists and this leads me into the tangled web of it all. It’s like untangling a hopeless knot of string - there just seems to be no solution or end to it all.

Please don’t be overly concerned for me. The fact I have written this and shared it so openly is an indication I am positively working to overcome this particular bout of severe low mood. Thank you for reading what I have written and please know I truly appreciate all the generously warm comments I receive here and on my various Social Media platforms.

I sincerely hope what I share is of interest and help to many.

Thank you.

Time To Get Serious

May the 28th, 2020! That was my last entry on my blog. It’s definitely time to get serious.

The prompt for my reengagement with writing my blog has come from my recent heightened exposure on Twitter and Facebook along with my contribution to an event marking Odyssey’s 25th Anniversary, which I was invited to speak at.

I think, like many, the arrival of the pandemic early last year and the subsequent lockdowns and restrictions threw my best made plans into the air and in a bizarre sense, allowed me to wallow, shiftless and shapeless, using Covid as an excuse for my lethargy. Certainly my mental health suffered terribly last year and I was hospitalised yet again in the summer. Thankfully, it was a short stay of just over a month on the ward and I left with a determination to work on my recovery from my depression. Sadly though, I never regained the momentum with regard to my fundraising effort for Odyssey and this fell by the wayside.

(Find out more about Odyssey - here.)

That is until now. You see, I’m proud to have been nominated as an Ambassador for Odyssey, a role which hadn’t really sunk in until I gave my presentation at their celebratory event earlier this year. Here I met many people whose lives had been substantially altered through their involvement with Odyssey, either as a course participant or as a volunteer or member of staff. I was struck by the genuine passion for the charity and for the first time in many years, I felt the rekindling of the powerful sense of belonging, a feeling I have not felt for many long years. In fact loneliness is an important contributing factor to my depression. I miss the opportunity to spend time with like minded people, speaking of what’s important for us and sharing joy in shared accomplishments. It struck me that despite the disparate nature of the Odyssey community, it is indeed a community with a strong shared philosophy which continues to inspire all of us.

Odyssey grew from the shared vision of former Outward Bound staff, where the Kurt Hahn’s tenets were lived to the full by all who worked for the organisation. These beliefs in living life to the full through challenge and shared adventure, were easily replicated with incredible effect for the Odyssey courses. Personally, when I worked as an instructor on these courses, I couldn’t help but be inspired by the responses of the course participants to the challenges and adventures we offered them. When someone with a life-limiting illness reframes this into an awareness that their longevity may be limited but living their life is certainly not limited, I find myself inspired.

After my presentation to the Odyssey event, which I feel I gabbled and rushed through, I found myself thinking of the inspiration I draw from others and by consequence, the inspiration I may offer in return. In fact, realising I am inspired by the fortitude of Odyssey participants and the selflessness of my colleagues, I understood what it means when people tell me, I inspire them through my approach to my mental illness and recovery from depression. For the first time, I realised what I have to offer.

Many who know me, will know I’m an avid user of Twitter, the social media platform which has as many detractors as supporters. My experience using this method of connecting with friends and strangers has been predominantly positive. In fact I draw considerable support from the thousands of people who offer me words of encouragement when I am facing mental health challenges. It is a platform where I am surrounded by a lively, positive, generous and deeply warm hearted people. I believe I get to see the best of humanity through my Twitter feed and I’m grateful for this.

Recently, after I have posted some wonderful encounters on my sea kayaking trips, a couple of my films and photos have gone ‘viral’. According to the analytics for my Twitter account, over the last 28 days my tweets have been seen by 3.03million people and I increased my followership by 2092 to reach an incredible 18 903 followers! To be quite honest, I have difficulty in fully grasping the enormity of these statistics but I do appreciate them and I’m thankful for all the interactions I have with my followers.

All of this has led me to this particular point - it’s time to get serious.

So, I have reopened my online fundraising page for Odyssey - here - and once more I dedicate my adventurous lifestyle to raising funds for the charity. The fundraising page is open ended. I am now making films about some of my adventures which I post on You Tube. It is my intention to increasingly use these films as a platform to share my views about living adventurously, facing risks and enjoying life to the full. Additionally, I will be open about my recovery from depression and my continuing relationship with the illness. I hope by being open, honest and sometimes frank about how I’m experiencing my adventures, I offer insights and inspiration for folks to draw on. For a short while, I considered building a community of Patrons who would pay various levels of essentially donations for the privilege of supporting my film making. After, I put out my first proper film I quickly knocked this idea on the head - it did not sit well with me at all. However, I do believe what I share holds value and I hope if folks realise this value for themselves, they will choose to make a donation to Odyssey.

I benefit from this arrangement in a positive way. I am actively supporting the charity which I hold close to my heart and which provides me with an essential sense of belonging. This gives me purpose, something I miss a lot in my life. I am encouraged to continue to seek adventures in my life, knowing by doing so, I will share my insights with others. Importantly, I receive positive recognition for what I do. This is one of the basic psychological drives of the human condition - to be positively recognised. (I could go into much more about this but not now.) I will hold a positive view of myself. I am my own critic, a harsh one at that, and knowing I am using my privileged lifestyle to hopefully support Odyssey will enable me to ease up on myself with regard to the constant belief I should be doing something worthwhile. All in all, I know this feels good for me and it is a source of useful motivation for future endeavours.

Thank you for reading my blog, for following me on Twitter or following my LifeAfloat page on Facebook. Thank you for the support so many of you offer me, your words of encouragement and your kind comments about my films and photos. Thank you for being one of the many who have created the wonderful community I am surrounded with on my Social Media platforms.

World Mental Health Awareness Week - Sunday - Always Hope

Sunday 24th May and the last day of Mental Health Awareness Week. I hope my daily blog posts through this week have been of interest and even better, raised crucial awareness about aspects of living with mental illness and the concept of recovering from it. Throughout my writing this week, I have been aware of a reoccurring theme for me, and this is the one of ‘hope’.

Hope is a word I use a lot when I describe my recovery. It projects me into the future where I attempt to forecast my well being and mental health. Recovery from my depression is a certainty. After a bout of severe ill health, I will recover from this. What is less certain is the enduring nature of the recovery and the achievement of the ultimate aspiration of a lengthy period of stability. Given the truth I will recover despite the illness persisting, there sadly is always the possibility the depression will triumph in the end. The hope then is, it will be me who will prevail and manage to achieve healthy homeostasis for a months and years.

I am pleased to say I do not leave the achievement of a hopeful outcome to chance. I am active within my recovery and as I grow in strength during post depressive bouts, I bring to bear my increasing levels of self-awareness to actuate helpful changes in my life. This is very much a dynamic process and requires determination on my part, each and every day. Sometimes this can be mentally if not physically exhausting. However, I am certain my eventual recovery will not have occurred purely through good fortune. Neither too am I totally alone on this repetitive journey. Karen is by my side as are my wider family and my cohort of friends and supporters. Karen in particular though, is a keystone in my process and without her steadfast tolerance, understanding and love, I would not have the ability to access to my personal resources when I need them most. She is there to hold me still when I feel at my most vulnerable and wobbly.

Alongside my personal supportive network, I am blessed with an excellent collaborative professional relationship with the Community Mental Health team, in particular my Community Psychiatric Nurse. Without this warm person-centred professional support and intervention, I would not have managed to maintain a realistic level of personal safety when edging towards, or immersed in, moments of depressive crisis. My regular appointments with Mairi and knowing she is there at the end of the phone, enable me to ground myself in reality when I have needed this the most. It is extremely helpful too the language used during these interactions is one of hopeful uncertainty rather than unrealistic certainty.

I am eternally grateful for all the support and love I receive.

I am well along my pathway towards what I believe to be an enduring period of robust good health. All the positive indicators are there for me. I am extremely hopeful at the moment (and I wrote this with a smile on my face). However, I am at the moment proceeding with caution because I am aware of my tendency to grasp at every straw floating my way and state these moments indicate a completion of my recovery process.

Thank you for taking the time to read my blog and for interacting with me if you have. I appreciate the interest you show and the comments you make. If you suffer from mental illness then I hope your recovery processes are well under way and you are enjoying a settled equilibrium in your lives.

My very best wishes to you all.

World Mental Health Awareness Week - Thursday - Recovery

I was first diagnosed with clinical depression in 1995 when I was admitted to a mental health respite care home when living in Wales. At the time I had no idea what depression was let alone understanding the concept of mental health recovery. I remember the term used to describe my long period off work at the time was ‘experiencing a breakdown’. My next admission, this time to a hospital psychiatric ward was in 1998 in Kendal. After a further two admissions over the next year, it wasn’t until 2000 when I started working in the Mental Health field I came to hear of mental health recovery as a particular process.

I don’t think it’s true now, but in those early days, my experience of engaging with the concept of mental health recovery was a political one (with a small p). Service users as we were known were gaining voice with regards to our right for our involvement within our mental health treatment. Up until this period in time, as far as I could make out, treatment for mental illness was administered with medical authority where the expert was the psychiatrist. Through a growing movement for change within service user groups and charities, the model for mental illness treatment was shifting from an authoritative top down approach to one where the patient’s personal experience and awareness was increasingly taken into account and validated as shared expertise. In short, it was becoming accepted that mental health sufferers were very much experts in their own suffering.

In 1993, William A. Anthony Ph.D., then the Executive Director of the Center for Psychiatric Rehabilitation at Boston University wrote a paper titled, “Recovery from Mental Illness: The Guiding Vision of the Mental Health Service System in the 1990s.” (link here). Within this article he explored and outlined his understanding and vision for a recovery-oriented mental health system. Essentially, he describes a treatment oriented approach as one where the symptoms of mental illness were managed and alleviated. He describes a recovery incorporated approach as one where recovery can occur even if the illness is not ‘cured’. Recovery from mental illness involves much more than recovery from the illness itself.

It is that last sentence which hugely impacted me when I first read it in 2000 and for the first time, I began to consider my own mental health recovery process.

Twenty years later and I’m still working through the implications for myself of the recovery philosophy W.A. Anthony so wisely espoused. It is his wisdom which continues to inform me about my mental health journey and my pathway towards recovery. Indeed, this is a journey without a destination but always with achievable horizons. There are many other recovery centred models which are variations of a theme. However, I chose to adhere to this one simply because I like the apolitical nature of it. I have never signed up to the political nature of service user emancipation. Although I am antiauthoritarian, I do trust the expertise of the psychiatric professionals involved in my care. I prefer to work with them within the psychiatric system as it is, rather than ‘against’ the system where I determine my rights for recovery set precedence over anything else. This is not to say I do not disagree with those who follow a different path to me and in fact, I support many who have negative experiences of past mental health treatment and seek change as a result. I accept too there are many aspects of our current mental health system of care which could be enhanced, but I hold the view, we are fortunate to have access to what we have here in Scotland and I’m appreciative of this.

This is how I endeavour to live my recovery from my mental illness, the roots of this process set within the words from W.A. Anthony. I understand my recovery is a deeply personal and unique process where I’m developing my attitudes, feelings, goals and skills based on my mental health at any given time. My recovery is about me fostering new meanings and purpose in my life as a I continue to grow beyond the effects of my depression. I am hopeful this will lead me towards living a satisfying life where I believe I contribute even within the limitations set by my illness.

Helping me along my recovery path are these truths.

  • Recovery can occur without professional intervention. This is important for me to accept. I hold the key to my recovery, not anyone else. It is down to me when to seek the interventions and support I require. By accepting this personal responsibility, I become responsible for my eventual recovery from a depressive episode. I do not rely on the mental health system to ‘cure’ me and rather view my relationship with them as a partnership.

  • A common denominator of recovery is the presence of people who believe in and stand by me, the person in need of recovery. Crucial to this statement is the non-judgemental relationship I need with those close enough to be involved in assisting me through my mental illness. Key of course is my marriage with Karen and her unswaying support throughout my distressful episodes and subsequent periods recovery. Without her love I would not be here today. My collaborative relationship with my Community Psychiatric Nurse is another key example of where I am supported in an equitable and empowering manner. Knowing I am not being judged for being depressed is fundamental to my recovery.

  • A recovery vision is not a function of one’s theory about the causes of mental illness. It is extremely helpful to me in my recovery process for an archaeological exploration for the roots my depression to become a key element in my treatment. The fact I suffer from the illness is enough and there is little to be gained by seeking the causes. Understanding a triggering catalyst may help in terms of increasing awareness for the future.

  • Recovery can occur even though the symptoms reoccur. This is hugely important awareness for me to embody. By doing so, I accept the possibility of becoming ill again as a reality. This way I will never hold the expectation I will never suffer from depression again. I may hope this may be the case, but this is different to expecting it to be so.

  • Recovery changes the frequency and duration of symptoms. Essentially, symptom reoccurrence becomes less of a threat to my recovery as I become increasingly accepting of living with depression as an illness.

  • Recovery does not feel like a linear process. As someone who’s professional life has been involved in facilitating personal development awareness for others, I understand my recovery will involve growth and setbacks. There will be periods of change and times of little change, moments when I experience powerful insights, and times when I feel directionless. It is an acceptance that there is nothing gained from planning my recovery and hoping for systematic outcomes.

  • Recovery from the consequences of the illness is sometimes more difficult than recovering from the illness itself. As an example of this, I continue to struggle with the awareness because of my last episode of severe depression, I damaged important relationships in my life at the time. Coming to terms with this is just as difficult for me as it is suffering the symptoms of my illness.

  • Recovery from mental illness does not mean that I was not really mentally ill. Again this is an important truth for me to embody. As I become increasingly lucid after a depressive episode, I have the tendency to become apologetic for ‘being the way I was’. I minimise the illness as a character failing rather than an integral aspect of my overall health.

All of this is of course not the complete story of my recovery process. There are many subtle nuances which contribute, some more helpful than others. The key for me to understand and accept is the fluidity of my recovery and with this to be patient with its developmental path. Key too is trusting the fact I will recover, the truth that periods of depression will pass to be replaced with opportunities for my life to be lived to its fullest extent.

Talking Suicide

September 10th 2018 was World Suicide Prevention Day. To mark the day from a personal point of view, I put up a post on my Facebook page and Tweeted too. A few weeks ago I was filmed by the RNLI Film and Image Unit for a short film they are making about my voluntary role with Tobermory RNLI Lifeboat and my accompanying mental health struggles. I recently had a long and helpful appointment with ‘my’ Community Psychiatric Nurse after a long period of not seeing her. This blog entry is a description of how I live with my suicidal thoughts. I hope by sharing this incredibly intimate aspect of my self, I will help increase awareness and understanding about deep depression and suicide. This is an account of my personal experience and cannot be read as a generalisation of suicide per se. I am confident though, that there are contextual similarities with others who struggle like me which will be helpful.

Recently, despite the many good aspects of my life and my uniquely privileged lifestyle, I have been fighting familiar intrusive thoughts that my life is worthless, that I am worthless and it follows that the most natural conclusion is to take my life. These are not constant thoughts which continue to eat away at me through the day and night. They intrude at the most inopportune moments, sometimes fleetingly but generally with enough force to stick for a good while. They are private thoughts, triggered by any number of interpersonal interactions, thoughts, memories and moments. An incredibly astute observer might see for a split second, a grimace of pain cross my face when these thoughts of death reach into me. They would also hear me emit a muted cry of pain or a deep, lingering sigh.

Since I’m so used to this happening, I find myself burying these thoughts and feelings, fighting them inwards and hiding them deep within me. I used to be a psychotherapist so ‘internal dialogue’ fits comfortably as a term which describes what’s occurring. The thing is, there is no voice attached to these thoughts. I do not hear myself or anyone else, actual or imagined. They are thoughts accompanied by powerful emotional and physical feelings. Essentially they are beliefs - basically an overarching belief that my life should come to an end because of my ineptitude as a person.

Whether these thoughts are serious enough for me to become worried about my intentions and I consequently reach out for help, depend on how I grade them. Because I recognise them so clearly now, I give them levels of seriousness depending on how they arrive in my psyche, into my being and how durably they ‘stick’. First off I have the fanciful thoughts. The ones which are romantic notions of taking my life. This could be anything from the day being a lovely and sunny one, when I might think, “this would be a nice day to die”. Or, “I could head out in my kayak, capsize and drift off towards the far horizon”. The latter might be a response to recalling a moment of embarrassment when I believe I behaved badly to someone in my past. This kind of fanciful thinking serves to assuage my painful thinking in the moment by being a distraction, where I fantasize about a semi-honourable death, drifting off towards slow oblivion in a suitably restless sea.

A level up from the fanciful ideations are the ‘thought punches’ into my head and the ‘body blows’ into my being. These are powerful enough to stick and set in train semi-serious thoughts of suicide. Unchecked they might build into more enduring beliefs that the most obvious solution is to take myself off to my chosen tree and hang myself. If they occur in the dark hours of the deep night when I ping wide awake, as I often do, I might consider slipping out onto the deck of our yacht and lowering myself into the night-time sea to eventually die of hypothermia. I would be clad only in my underpants because I never want to be found naked. These thoughts and feelings of powerful desperation are promulgated by the more entrenched self-beliefs I hold about myself. Examples of these being; believing I’m a feckless father, a life failure in employment and business, a wasteful daydreamer, an untrustworthy person, a poor friend, I have nothing of worth to offer, I am a burden, and so the seemingly inexhaustive list continues. These thoughts and feelings may present themselves at any time, whether life is going well or I’m struggling with a dose of depression. Generally of course, they are stronger and more present when my mood is low. I have learned to rationalise these thoughts, to attempt to see them for what they are and realise that it’s certainly not logical to act on them. If I think I’m struggling with this process I might express to Karen (my wife), that I’m having a tough time and “I’m feeling suicidal”. This one simple sentence, spoken out loud and knowing I have been heard, is usually enough to dissipate the strength of the feelings and/or the thoughts I’m experiencing.

However, there are times when these body blow suicidal thoughts stick like a ball of mud thrown against a brick wall. With sun, the mud might set rock hard and become insoluble. (It reminds me of when I was a boy in Africa, my friends and I used to have battles with clay lakkies - hand squeezed balls of mud on the tips of whippy sticks, which when flicked like a tennis serve, sent the mud screaming through the air. Brutally powerful and accurate. Great fun as well to plaster house walls with nasty splats of mud!) What happens is, I find myself unable to now rationalise my thinking with any certainty. The thoughts metamorphose into beliefs and these then set deep within me. The primary belief being that the time has come to end my life and there is no point in lingering any longer. It could be that I might be berating myself for being a horribly curmudgeonly husband or as with 2017, a useless sea kayak guide. The belief that I am eternally useless, worthless and a burden to others, takes root and instead of distracting myself from this belief, I find myself arguing, “why not kill myself?”

This is a dangerous time for me. This is when the thought of death has become realistically pragmatic. It has shifted from being an attractive desire, to one where it is now the most reasonable solution. When I am at this depth, I begin to make my plans. I have already chosen my tree. It is local, within ten minutes walk and hidden from public view. I know the type of rope I will use and its length. Being an outdoor instructor, I know the specific knots I will tie. The only unknown is whether to leap off the branch in the hope I break my neck, or lower myself off and hang until strangulation has done its work. More recently I have been considering immersion in the sea and dying of hypothermia but here, I find myself pulling up short, because I don’t want my Tobermory RNLI colleagues to be the ones who find me. In terms of being found, I have in the past prepared letters for the local police and coastguard with GPS coordinates of my suicide location. I have also written letters to individual family members.

When this is occurring for me, I am now in the grip of deep depression with a very strong desire for suicide.

Even in this state, with every fibre of my being now craving my obliteration, I find within myself a desire to hang on to life and I make my thoughts and intentions known, not only to my wife but my community mental health support network too. This may be the psychiatrist, the community psychiatric nurse or the local GP. I will do so knowing that I may be admitted to hospital and in some respects, this is what I desire for hospital is a safe haven for me. What I fear most, is that the final decision to take my life will be made beyond my conscious awareness. I know within myself from my adventure activities, that before a risky undertaking I have a propensity to weigh up all the factors, and once done, if they are in my favour, to suddenly act without a conscious decision to do so. It’s almost as if my body moves into action before a cognitive process has taken place. I believe that if (when) I take my life, this is how it will be. I will be in the firm grip of a belief that death is the only course of action to take, I will have negated the consequences and I will act on this - suddenly. I use the word courage to describe the motivating emotion which will literally see me release myself from the tree branch I will hang from..

Equally, it is courage which drives me to struggle against the forces raging within me. The belief that I must die is real - in that it appears very real. Any amount of dissuasion by concerned others does not seem to work. I hear their words but do not take them in. In a vain act of self-aggrandisement, I argue the reasons why I believe I have the right to choose my own path and it’s far better for me to end the pain I am struggling with - for pain it is! It’s a palpable emotional, cognitive and physical pain, gripping my thinking and emotions along with a agonised chest. My mind is a continuous maelstrom of self-destructive thinking and the dreadful reasons why this should be the case.

In these moments despite my firm belief that I must die, I do find myself making agreements to keep safe and to make contact with the health professionals if I’m feeling close to acting. In this regard, I’m thankful that I’m a person of some honour because I feel duty bound to keep my word. When I’m considering taking myself off to my death, I find myself agonising with the fact that I would be breaking my word if I went through with the act. However, even then, I have moments when the desire for death is more powerful than my reasoning and this is when I will choose to be admitted to a psychiatric ward. Here, cocooned in the warmth of the ward, I believe myself to be safe.

Recovery happens. Inevitably it takes root within the process of my struggles and inexorably I begin my long climb back to normal reality. Slowly and surely the light and colour returns to my world and to my thinking. Through dialogue and peaceful ‘time out’, I readily grasp onto nuggets of hope and my beliefs of the inevitability of my death are replaced with aspirations and plans for the future. Needless to say this process of recovery is not linear and there will be times when it seems as if I slip backwards. These moments or relegation become sparser as time goes by until at long last, I’m feeling like my happier adventurous self again.

Recovery does not mean an absence of my depression. This will always be there in my life and very recently, I have come to accept that it is an illness I will have to live with, rather than constantly seek a cure. Not having acted on my suicidal desires and thoughts does not mean that I do not have them or that they are not serious. These are not prosaic cries of help which I have often heard suicide referred to in the past. They are real for me and it is only through fighting hard for myself, that I manage to keep myself from acting on my desires.

Being open about my mental health struggles is becoming increasingly helpful for me. Each time I share my struggle (as I am doing here), I gain confidence in sharing more often because of the warmth and the love I receive when I do. My online community of friends and acquaintances are instrumental in this process. Twitter for me is a power for good! I hope that by being open I may normalising the dialogue around the subject of suicide. This is my hope, that increasingly, our society will become less offended or frightened by the subject and becomes willing to really listen to those who need to talk about their suicidal thinking. It is my experience that it is not helpful when I express my suicidal desires some people either change the subject away from the issue, or attempt to make it better by telling me of all the reasons I have to live. I term the latter a sticking plaster approach. Both responses are undoubtedly well meaning and I am grateful for any time I am given by those who have a desire to see my internal pain healthily diminished.

To bring this blog entry to conclusion, I want to say, at the moment of writing this I am safe. I am currently experiencing suicidal thoughts and feelings but I have these in check. There is enough firm reality in my life for me to focus on and I have exciting plans to fulfil. Additionally, there are the powerful metaphoric insights I gained from my 3 Peaks by Kayak journey earlier this year to remind me that suicide is a permanent solution to an impermanent situation. The simplest and most enduring of the metaphoric insights being “live life” when I saw a tragically injured Gannet on the island of Ailsa Craig and “this discomfort will pass” when I was struggling across the eighteen long miles of Luce Bay against a strong ebb tide.

Finally, thank you for reading what I have shared and I welcome any responses you may have. If you have been touched by what I have written and my words resonate and have a personal impact on you, please don’t dwell and find someone you are able to chat to about what you are experiencing. Please take good care of yourself.

Thank you.

This Thing Called Depression

Yesterday I had my monthly appointment with the Psychiatrist who is responsible for my care. I like him and more importantly, I trust him. He is personable with an easy yet professional manner. He is a yacht owner too so we share yachting stories and he likes to tell me of his recent trips.  Amongst these short conversations we also speak of my clinical depression, how I'm doing with this, and checking how safe I am with myself. He is thorough in his assessment of my current situation and willingly offers suggestions for new approaches. This certainly was the case yesterday.

At the moment I'm locked in to a severe bout of depression which is not shifting in anyway shape or form. The medication I have been taking is simply not making a dent on my low mood or even imprinting any form of colour into my life. The upshot is a diagnosis that I'm struggling with 'treatment resistant' depression and if this cannot be overcome with medication alone, then other treatment courses will have to be attempted. 

My Psychiatrist has prescribed one last medication which he hopes will provide me with increased energy and thus motivation to turn my current lethargy around. However, there are risks attached to this medication (see my previous blog post) and it may not suit me. Hopefully this will not be the case and it will work the magic he thinks is possible. It's not a medication for depression per se but there is evidence that it works for people like me, who have been fighting a deeply stuck low mood. 

If this new medication does not work then I will be admitted to hospital for further assessment and possibly a referral to a specialist NHS unit for people with severe and enduring clinical depression. Apparently there are non-medication approaches which can be explored, some of these almost experimental. Thankfully it seems that I'll not be put through ECT again because this clearly did not work for me.

Bringing my session with him to a close yesterday, my Psychiatrist implored me not to give up hope, assuring me that we were nowhere near the end of the road and I was not going to be given up on. One of the struggles I'm dealing with at the moment is a strong sense of hopelessness, sometimes to the point where I believe there is no reason to continue fighting for my recovery. Associated with this, is the gnawing belief that I'm nothing but a burden to my family. I'm not sure if I was entirely mollified by his assurances that I will recover but I did leave the Health Centre with a little more hope than I had before.

I have started to take the new medication which is an adjunct to my current pill regimen. Time will tell if this will work or not. Sadly I will not be able to celebrate their success or deal with their failure with my Psychiatrist because he is moving on to new pastures. I will miss him for his professional and affable care, and the ease with which I'm able to communicate with him. 

Here's to HOPE.

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

My Space                               Photo: Nick Ray

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

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

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

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

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

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

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

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