Don’t forget to take your meds…

So, I’m few months on now from coming off Citalopram and having a fight with Mindcare and the NHS trust about the time scales for getting new, correct medication. I had a conversation with an NHS manager who, to be fair, admitted that the reason for the delays in getting appointments, not just for me but in general, was down to problems booking rooms – in short, admin trumps clinical care. I was gobsmacked but having worked in the public sector for 15 years I was not at all surprised!

Anyway, I had my consultation brought forward and I was guided toward Quetiapine (I had wanted Lithium but sensed there was an agenda at work?), as this is apparently quite new, on these shores at least, and is well thought of because its side effects are minimal – except for the weight gain!

I started taking it, it made me very drowsy but I slept well for the first time in ages. The drowsiness got less and easier to manage, but I felt myself starting to feel completely flat and emotionless…numb and listless. I wasn’t happy, it isn’t living…it’s barely existing!

In between coming off Citalopram in March and starting Quetiapine in July I had a spell of being med free. I was scared at first, some old insecurities and feelings of self loathing tried to creep back, but because of the counselling I’ve had I had the tools to deal with that and actually coped really well.

So there I was, initially happy to have my new meds sorted but as they settled in my system the less human I began to feel…so I made the decision to come off those too! The decision was based on the fact that I have the belief and confidence that I can manage my life med free with the knowledge, understanding and experience I have gained along the way and also on the example of a friend and fellow warrior, Gemma, who made the decision to go “med free” some time ago and is an inspiration in the way she copes with and drives her own situation and brings up her daughter.

Now I’m not saying that everyone should go this way, just that it’s working for me so far, but if I have to swallow my pride and go back to medication, I will, simple! So think long and hard before you take the plunge, mental illness is hard to cope with at the best of times and we’re all very different, there is no “One size fits all” solution – make the most of everything available and make the most informed decision you can!

To finish I’d like to show a letter that my friend Gemma wrote to the local paper, to highlight her story as a bipolar warrior and explain her reasons for going med free. The paper dissected it and only used a few quotes (with a photo of a suitable celebrity sufferer), but it is a very concise and to the point story of how she arrived where she is today – an inspiration!

“Don’t Call Me Crazy”

I am a 24-year-old single mum who was diagnosed with Bipolar Disorder about 21 months ago. Growing up I always knew something wasn’t right. I suffered greatly with depression and self harm throughout my teens. When my family found out, they booked me in for counselling and appointments with my GP. The doctor put it down to hormones and it wasn’t until I turned 16 that I was put on anti-depressants; the first of many horrific medications to come over the years. At 17 I took an overdose. I don’t remember thinking that I wanted to die, but I knew I didn’t want to live either. Thankfully I didn’t take enough to cause any lasting damage, and I couldn’t help but realise the irony of the situation; the tablets that were supposedly stopping me feeling suicidal, were the very same ones I used to take an attempt on my life. I went back to the doctor screaming out that there’s something else going on besides depression, only to be placed on yet another anti-depressant. I took seven different medications over the space of six years, all of which took my spark away. OK, so some of them did help with the depression, but they left me feeling numb, lethargic and dispirited. I had many ups and downs over the years as I sampled various medications, all the while managing to raise a perfectly healthy happy little girl on my own since the age of 19. It wasn’t until Christmas 2012 that I completely broke down. I have no idea what triggered it as everything was great at the time. I had just finished a Teaching Assistant qualification at college and was well on my way to completing my first year of a Foundation Degree in Disability Studies. It was then that my mum made the decision to pay for me to be privately referred to The Priory, and within twenty minutes of listening to me talk, the doctor straight away diagnosed me as having Bipolar Disorder Type 2. Now what I want to know is why did we have to pay one doctor over £200 to give me a diagnosis within minutes of meeting me that my own doctors hadn’t figured out despite knowing me my entire life? But at least I finally had an explanation that made sense. So now the medication would be different; a mood stabiliser to balance my ups and downs, and an added anti-depressant to boost me up. At first, these medications appeared to work better than any others I’ve tried, though it soon became apparent that I was about to be faced with my biggest side effect yet. I went from a tiny size 8 to a bulky size 12, literally within weeks, and put on over three stone. Despite my healthy eating and regular exercise, the weight just kept piling on. So of course, this lead to me feeling depressed. And that is why, for the first time since the age of 16, at 23, I made the decision to try and live my life med-free. So, against the doctor’s advice, I slowly weaned myself off them, and for the first time in my life, I experienced my first euphoric high. It’s impossible to explain the feeling; contrary to belief, it is so much more than simply feeling happy, as opposed to feeling sad. Over the years, there were many things that made me happy, the biggest one being raising my daughter. However, I had never felt happy within myself until now. My confidence soared as this new-found energy brought me inspirational ideas and determination to succeed in life. And that is when I realised, when it comes to Bipolar, and other mood disorders, the doctors’ priorities seem to lie in calming the mania by silencing our minds. Well I’m sorry but I can’t live like that. I need my highs to inspire me to conquer my dreams; they are the light when I am trapped in the tunnel of depression. I know saying goodbye to medication would have dire effects for some people living with this disorder; however, it was the right choice for me. I can’t stop the dark days entirely, and I don’t think I ever will. But for me, this isn’t something any amount of counselling or tablets can fix. Since being off medication has allowed me to think clearly for the first time, I am finally able to learn how to live with this disorder by recognising and avoiding my ‘triggers’. Though my life is far from perfect; I am finally happy, and able to accept myself just the way I am. Now all I need is for others to do the same, and that is why I’m sharing my story; in hopes that I will inspire my fellow bipolar warriors, to see that although there is no cure, it is possible to learn to live a perfectly normal happy life, and together we can eliminate the stigma once and for all. I’m not crazy, just a little different. And I wouldn’t have it any other way.

Gemma is a talented aspiring writer, poet and photographer who I keep trying to nudge to get set up on WordPress in order to showcase her work; I think it’s about time…

don’t you?

The Captain tries to hide his contempt for corporate red tape in the Health Service…

So…

As I intimated in my earlier post, I went to Mindcare this morning to see what’s happening regarding my medication. A nice lady came out to speak to me and I explained the situation. She said that the guy who I’d seen the week before was off until Monday and that she would leave a message for him to get back to me and that he does clinics, also on Mondays, that he may be able to squeeze me on to to sort out my prescription.

This, apparently, was the best she could do for me at this time. I said it’s nearly 12 weeks since diagnosis, her reply, dismissively “well that’s not long!” I bit my lip as I thought about the other 14 months since referral at which she noticed my irritation as I said very pointedly  “I came off my previous medication at your advice and now I’m taking nothing and getting worse, I’m going backwards, I’m not well!”

Again I got “Sorry, but that’s all we can do…try your GP, it might be quicker?”

Me:  “I thought that’s why I had to come here, because my GP wasn’t supposed to prescribe these drugs?”

Her: “Well as long as the clinical information is on the system they can contact us and do the prescription”

Me: “Is the clinical info on the system?”

Her: “<shrugs> Should be!”

So I went to my GP and explained the situation to the receptionist who took a look at the “system” to find NO clinical information, without which, therefore, the GP can’t prescribe my meds. She gave them a call, the person I’d spoken to ten minutes previously had vanished but the person she spoke to agreed that there was no clinical info on the system, but an appointment had been booked for me on the 17th JULY – she must have forgotten to tell me that while I was at Mindcare. So the receptionist got them to leave a message with the pharmacist to call her about it on Monday with a view to getting this clinical info on the “system” so my GP can sort a prescription for me – so fingers crossed for Monday!!!

So thanks to Alison at Redlam Surgery but to the lovely folk at Mindcare; “Thank you for making Admin more important than my health, you’ve given me such a warm glow inside! It’s a prescription that YOU have agreed on for crying out loud!!!”  I hope I can get a prescription sorted by my GP because I will go postal on the consultant’s ass – mental health doesn’t work around your calendar and I’m getting a bit volcanoish where he’s concerned!

I know people who’ve waited far longer for diagnoses and correct medication and care and they have my total respect and support, I’m just fighting my own little corner – but something needs to be done about it – depression can be as deadly as any other illness out there!

 

The Captain’s Chaosity (real word, honest) levels are rising…

So, it’s 4:50 am and I can’t sleep!

Right now I’m swinging from one extreme to another and I don’t like it much. I’m unmedicated for the first time since my GP diagnosed me with depression nearly three years ago. Although Citalopram is wrong for Bipolar Disorder I can now see the vast effect it had on me. It took away anxiety, fear of failing…fear of any kind really, it gave me confidence and a huge sense of empathy (that’s still me but it’s buried underneath the nonsense that goes with depression and mania) – it generally gave me incredible belief in myself that I could overcome everything in time!

At the moment I feel as if everything is crashing around me and I’m lurching from one disaster to the next…

…It’s irrational of course; nothing has changed in the world but without that helping chemical hand my wonky brain’s perception of the world is quite warped, and it’s not nice.

A couple of weeks ago I had an appointment to see a doctor at Mindcare, Daisyfield Mill, to talk over my options for Bipolar Medication and for him to give me a prescription for my drug of choice, that was on the 15th May. Now, I hold my hand up to this – I got the time wrong, I turned up at 11:30 when it should have been 11:30 – I’m a stickler for punctuality, don’t know how I managed it but I did – even got the letter out the night before with the correct time on and it still didn’t register.

The upshot was, after a little wait they got another practitioner to come and speak to me who asked me the questions she “believed” the doctor would ask me, this took about an hour. She then said that as the consultant’s next open appointment was in July she would arrange for me to see their pharmacist as he was able to prescribe and should be able to sort me out with a prescription. She rang me the day after with an appointment to see the pharmacist the following Tuesday, I turned up at the correct time, had another lengthy conversation, made my choice of drug but left empty handed because he said he couldn’t prescribe without talking to the consultant – but he assured me that he’d try to get me in to see the consultant and would get “someone” to ring me to let me know – that was a week ago! I’m angry because I’m struggling and becoming genuinely unwell when all I need is a prescription while they are messing about with administration (do I really have to wait till July to get one). Call me cynical but maybe the consultant’s private clinic duties are more important…

I was given my diagnosis on the 13th March, eleven weeks ago, and I still haven’t got a prescription for correct medication – the sad fact is mental illness isn’t taken seriously unless, as they always tell you, “you’re feeling suicidal then we’ll get you in urgently” – the trouble with that is; if you’re genuinely suicidal your instinct isn’t to ring them, it’s to end it all! I’m lucky, I’ve never dropped to that point so far but the thought that “It’s all too hard, I’m exhausted and I’ve had enough” is always in the back of my mind and fighting it is genuinely exhausting and functioning properly is getting harder and harder.

Time to pay them a visit this morning methinks and kick some NHS booty…

Cheers folks; take care and be kind, you might change someone’s life!