2018 a (brief) review of the year

Some naughty elves decorated the office
A collage of pictures of Christmas decorations in the office

Before the earth makes that turn moving the UK into 2019 I thought I’d do a 2018 roundup post because it’s been a pretty intense year. At Christmas 2017 I said my goal for 2018 was to become permanent staff even if it was still on reduced hours but to have the security of a proper contract not a zero hours one.

The year didn’t get off the best start with my first trip to a&e of the year on the 2nd of January this was also the only visit to a&e all year, just over two weeks after this I started a new medication Lamotragine a mood stabiliser. I’m sure that lamotragine has been the biggest reason that I haven’t self harmed its almost like it’s turned something off in my brain that’s made me not want to self harm anymore.

My main goal for the year came true in May when I became permanent staff and took over running the youth service, in November I passed my 6 month probation so now I’m officially permanent staff running a service, managing volunteers a year after I said I wanted to be permanent.

A picture of a letter confirming that I passed my 6 month probation

I’ve been under the mental health service again this year slowly adjusting my medication and I’ve now come off the antipsychotics, reduced one of the medications I was taking for anxiety and only taking the bets blockers as needed. I’ve gone from taking 5 different medications for my mental health to 3.

For someone who often struggles with change there have been so many this year, changes with my job, and the people I work with, two of the people I was closest with at work both left within a few weeks of each other which has been hard and still hasn’t fully sunk in. The office is definitely quieter and I’m missing my verbal sparring partner, I’ll also the person who will always find something positive in everything who took me outside to the carpark to cry because she knew I wouldn’t want anyone in the office to overhear me.

I’ve also become closer to other people at work including two who started at the same time as me, I’ve been out for various drinks and social events (enough to maybe get a reputation) and I’ve had some lovely feedback and support from my volunteers.

As an incredibly indecisive person who struggles to make a choice when there are too many desserts on the menu I bought myself an early Christmas present and got my first tattoo covering some of my self harm scars something very permanent but positive and I love it so much.

A collage of pictures of my new tattoo a caduceus with the words omnes te moriturum amant above it

So 2019 will be off to a busy start with work but also starting with a huge milestone of a year since the last time I self harmed. Of course my love for a certain tv show about a certain grumpy dr has been in full force in 2018 (is a tattoo taking the fandom too far?) and I’ve spent my time off over Christmas working my way through Sherlock, 2019 is looking like a busy year for my fandoms.

Happy new year or happy January or happy Tuesday whichever suits you

Georgiesaurus ☺️🦖

 

A paper collage of an open mouth screaming

I know I’ve talked about cost before and I do understand the pressures placed on the NHS however this isn’t just about the actual finances but the attitudes towards money being spent on mental health care. Last year when the mental health trust that covers my area was considering putting in a crisis café I went to a consultation which was for service users, mental health professionals, third sector workers and generally anyone that might be interested or might consider bidding on to run the service.

Someone else attending the event worked out how much it would cost per person per night to attend a crisis café based on the figures from the model that the trust were basing it on and asked whether this was good value for money. This frustrated me for so many reasons one of them being why are we looking whether someone’s life is a cost effective use of funds and another was that the alternative to me is self harm and a&e.

It costs the NHS money to treat me – stitches and anaesthetic, dressings, bandages, Doctors and nurses time and psych liaison, if I get an ambulance to take me there because of blood loss or not feeling physically able to get there alone it costs the health service money and although I don’t know the exact figures (and I’m not sure I’d want to as it increases the guilt) but I’m sure it’s a lot more than the cost of attending a crisis café. I’ve seen people say that if you do it to yourself you shouldn’t expect the NHS to pay to fix it and while I can think of a few things I’d like to these people I also think once you start going down the route of denying people treatment if they’re responsible for the cause I think it’s a slippery slope towards finding blame for almost anything (didn’t notice your laces were undone sorry your fault, broke your leg skiing should have stayed at home).

Prevention is almost always better then cure and while I’m under no illusion that crisis cafés or any other crisis support would mean that no one went to a&e; I know it wouldn’t mean I never self harm but it would be an alternative. There’s a lot of talk at the moment especially with an election coming up about mental health and in particular the mental health of young people. I volunteer on a Youth wellbeing project and highly encourage mental health education and advice in schools but it doesn’t help the adults or children already experiencing mental health difficulties, it looks good on paper and even a liberal cynic like me can almost believe that’s not the only motive but it’s almost as if they want to write off those already in need of help and start again.
If we want people to thrive rather than just survive there needs to be more support, more money and more collaboration between the NHS and the third sector (actually collaboration not just expecting the third sector to pick up the pieces), the crisis concordat I’m part of has been cancelled twice in a row, it only meets every three months and the last one was in October there now won’t be another one until August. People with mental health problems deserve better and deserve more, too many people are left with nothing or sent home from a&e at 3 am with no way to get home, at this rate we cannot survive let alone thrive.

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