Body and mind

Shark bag
A picture of a shark rucksack looking anxious wih the caption “my face when people ask what happened to my arms”

*For the purpose of this post i’ll be using the word disabled to mean people with a physical impairment, I do consider mental health problems to be a disability but for clarity i’ll refer to mental health seperatly.

So my brain whirred into action last night thanks to an Instagram post by the amazing feeding of the fox. There’s a type of self harm that’s rarely mentioned; self neglect comes up in the context of depression but even I’ve never seen a discussion around the connection between disability or chronic illness and self harm or disabled people deliberately not taking care physical needs as a way of self harming. There are times when I say yes when I should say no, times when I will push myself because I don’t deserve to rest, times when I don’t take painkillers because it’s an indirect way of inflicting pain on myself, going to places that aren’t accessible or doing things when I’m not well enough.

Any disabled person will also tell you there is a big divide in the treatment of physical and mental health problems the two rarely mix and the mental health services are not always good at recognising the impact that physical disability or chronic illness can have on mental health or that the things that could benefit you mentally aren’t always possible physically (like going for a walk or having a bath), being told I should do more exercise after I’ve explained that I have chronic pain and chronic fatigue can result in me feeling lazy and making myself do things that result in pain or injury and an increase in fatigue and related symptoms. This is where the lack of understanding or knowledge of the connections between mental health and physical impairments is such a problem because for me it can be an increase in symptoms but for others it can be much worse.

Then there’s the other side the health services who treat your body as if your mind isn’t a part of it, although I’ve always been disabled to some extent in the last couple of years my mobility has got worse and I’ve been using mobility aids and dealing with more pain and fatigue.

At the beginning of 2017 I tried to access psychological therapy for long term health problems. I wanted help accepting my chronic illness and dealing with no longer being able to do the things I used to and things people my age can do, I wanted some support in balancing my physical health and mental health. It took several months for them to tell me that they don’t offer support for chronic pain, between that they rejected me because I was under mental health services (I was in the process of being discharged and they were completely different services), they then said my self harm made me too much of a risk and they said they didn’t think I’d be able to manage classroom based psychoeducation (thanks for that).

Last time I checked neither my body or my brain can function without the other yet services treating each are still very separate and mental health services are often not accommodating for people with physical impairments and often aren’t accessible there’s also an assumption that if you’re disabled and have mental health problems then of course you’re depressed because you’re disabled because who wouldn’t be?

Ableism unfortunately is still well rooted within the medical profession and the even within the disability communities there is still too much separation of physical impairment and mental health issues.

New year same old Dino

new year
An illustration of a man with a purple background with the words I can’t believe it’s a year since I didn’t become a better person.

Today the perks of being a dinosaur turns one, my little blog is growing up fast *wipes a tear from my eye* it’s also the first blog post of the new year, I don’t really go in for the whole new year new me thing, sure 2018 will bring new experiences and changes just as every day, week, month does no matter where in the year it is and 2017 also brought some big changes with being discharged from all mental health services for the first time in about 8 years, important people no longer in my life, leaving behind toxic environments that were detrimental to my mental health and not staying because it was the only option of support and probably the biggest of all was having my training recognized as not just good but worthy of actual money and being paid for and getting a job closely followed a second one.

None of these things have been without challenges and people who know me well will know I’ve had times where I’ve felt overwhelmed by the changes, I’m now pulling back a bit and slowing things down I’m recognizing that is all new and that I don’t need to try so hard to prove myself. This blog was another new thing for 2017 and it’s still going and people read it which is still a surprise to me, I find writing helpful often during the writing process of creating a blog post it starts to unravel things in my brain a bit and the connections seem to form better even though people say I’m articulate I still find writing easier than speaking though talking and opening up is less of a struggle than it was, I certainly never thought at the beginning of 2017 that I’d not only get on well with someone I’ve only been working with for 6 months but also disclosing things about really difficult points in my life.

When I was writing training at work I wrote long notes almost scripts to go with the slides, when it came to delivering the training I didn’t use the notes as much as I’d anticipated and on some days not at all however writing those detailed notes really helped to get all the information together in my brain from whatever dark and dusty corner it was hiding in and blogging is like that for me. I’m quite a hands on person and enjoy the interaction with volunteers and service users I tend to write these posts on my phone then email it to myself and upload it from my laptop although my hands would prefer it if I used speech to text my brain finds the physical action of writing (or typing better).

So for 2018 I hope to write more, get better at and feel more confident in promoting the blog and sharing it, I want to work on turning myself into a brand and personal development and utilizing my social media better. So happy first birthday blog and thank you to those who’ve been reading since the start and those who’ve joined along the way I hope there are even more people reading this time next year.

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