Anxiety, Medical school, Medicine, Mental Health, Reality, Stress

The Magic of Creativity

Most days, I don’t feel like I have the energy or motivation to do anything but curl up on my sofa, binge-watch trashy TV and mindlessly munch on processed junk until I fall asleep and the cycle repeats itself. So when I went to my first CBT (cognitive behavioural therapy) session a few months ago and the therapist suggested I engage in enjoyable activities and rekindle my hobbies, I honestly thought, “what rubbish”. I felt so drained of energy that even getting to the CBT session in my pyjamas was an achievement for me.

My turning point was definitely in the weeks following my suicide attempt. After seeing the effect that it had on my family and friends, I was determined to get better and get out of the vicious cycle of depression I was stuck in. I decided that even if I felt life was not worth living for me, it was definitely worth living life for those who loved me. And yes, I knew life was not going to be all flowery – in fact, ever since my attempt in November, things have most definitely not been going my way or in my favour – but it was worth going on for the few minutes that I made my baby sister smile, or for the moments I spent cradled in my mother’s arms, or for the times that my friends tried cheering me up with their banter. So I decided that it was time for me to start getting up from that sofa. It was going to be anything but easy, but with the support from friends and family, I could do it.

The first thing I decided to do was to try and rekindle my hobbies as my therapist had suggested long ago. For me, art and singing have always been my favourite activities – they were both hobbies I’d pretty much given up on because I didn’t feel as if I had the willpower or motivation to do them. So I decided to audition for a singing part at a society-run university play (which required much support and encouragement from a good friend of mine) and ended up getting the part. I also decided to get back into sketching and painting which, I have to say, has been INCREDIBLY effective at providing me with a productive form of distraction when I’m feeling low.

On days that I feel extremely depressed, time doesn’t seem to pass. It’s difficult for me to pick up a pencil or to practice my singing, but once I start, it gets easier and easier. It gives me something to focus on, and I don’t even realise how quickly time flies. Sure, right now it doesn’t really help with my procrastination issue, but one step at a time. The logic is that if our daily average enjoyment levels increase to a sustainable degree, then motivation also increases and the possibility of achievement does too.

It’s always difficult to take the first step, and progress is not nearly as quick as we’d like, but I guess every little helps. I’m not back to my extra-motivated, focused, organised, efficient self yet (nowhere near it, in fact), but at least I’m spending a little less time moping on my sofa staring at the TV screen. And maybe one day, I’ll even be able to get back to being productive with my work and feel more of a sense of achievement.

Anxiety, Medical school, Medicine, Mental Health, Reality, Stigma, Stress

First impressions of CBT

A few months ago, I was referred by my GP to the IAPT service which provides talking therapy for patients suffering from depression, anxiety and severe sleeping disturbances (I suffer from all three unfortunately). After telephonic assessment in August, I was deemed suitable to receive Cognitive Behavioural Therapy (CBT) which is aimed at altering the way people think in order to prevent harmful behaviour or distressing physical symptoms. Yesterday was my first appointment, and to be honest, I was quite nervous about the experience, despite having had 8 counselling sessions at my university already. I was also quite cynical of CBT because of some negative feedback I’d heard from people, so it took quite a lot of motivation for me to give it a try. My main rationale for trying CBT was that I couldn’t get any worse than I was now, so there would be no harm in trying, and  even if there was the smallest possibility that my quality of life could improve and I could potentially stop my continual suicidal thoughts, it was worth a try.

Just to give you a bit of background, I was formally diagnosed with severe depression and anxiety in March this year. I also suffer from insomnia and regular nightmares which often wake me up in sweats. I was prescribed Sertraline in March – a form of SSRI anti-depressant – and even after six months on the maximum dose possible, my condition did not improve but worsened*. Recently, I have been started on a different type of antidepressant, an SNRI, called Venlafaxine, but it is too early days to know how efficient it has been. It is only understandable however that despite my efforts, and medication and counselling, I wasn’t getting better. So when I received a phone call last week to arrange an appointment, I was kind of relieved that there were still other things left for me to try.

It took me about an hour to find the right place yesterday for my CBT appointment. It was in the most inconspicuous location with poor accessibility and getting lost in the dark only made me more anxious. I don’t know if it was this hospital in particular or if this applies to all mental health hospitals, but it was really difficult to find (despite my usual poor navigation skills!). I suppose it may be intentional so that patients don’t feel embarrassed walking inside for fear of stigma from the general public who may see them walking in. Once I did go inside the building, I felt like I was inside one of the really old hospitals they show you in horror movies. I took a photo which you can see at the top of this post, but it was terrifying to walk inside. I could not see anyone around, the ‘reception’ was closed off with newspaper coverings all over the window, the lighting was eerily dim, the signboards were out-of-date and I was lost once again. After walking around for ages, often just going around in circles, I managed to find somebody in the hospital who was kind enough to direct me to the right place. However, I have to point out that more needs to be done to improve the aesthetics of mental health departments and hospitals, especially because the patients going in are already in a very anxious state of mind, and as research has shown, environments can influence heavily on the mental health of people. I feel that the poor state of mental health departments is a consequence of the severe lack of funding towards mental health by the government. I strongly feel that this MUST be addressed.

On the other hand, after meeting my therapist, I have to say that I was made to feel extremely comfortable. She had a spark in her which made me feel as if things could get better for me, and she reassured me that she would work through my problems with me throughout the forthcoming sessions. I found her to be extremely helpful and caring and I really do look forward to our sessions in the future. Yesterday was an assessment and summary of how things were going to work, and I will see her again for a formal session in 2 weeks’ time. Maybe things will change for the better, we just have to wait and see.

If you have any comments or suggestions, please feel free to leave a comment as I would love to hear them!

* Please note: Just because an anti-depressant did not work for one individual does not mean it will not work for another. Everyone is different and often it is a ‘trial and improvement’ process. My mother has been on low dose Sertraline for her depression and anxiety and it has worked wonders for her, whereas it has had little effect on me.