Fake it till you make it

Tonight* my brain is spiralling down into doom and failure. It’s convincing me that I’m a fraud just waiting to be caught out, and that I’ve convinced people into believing I’m something I’m not. People will soon realise this and see right through me, that giving me a job, responsibility and letting me run a service is a mistake.

I’ve had the talk about imposter syndrome with someone before, someone I respect, who to most people would never appear to feel this way. I even bought myself a print of the picture used in this blog to try and convince myself that, actually, I’m not the imposter I think I am.

The feelings of responsibility and expectation are once again terrifying me. For a long time, I’ve believed that if I never try, I can’t fail, and I can’t screw things up, but I’m restless, and I wasn’t feeling stretched any more by the things I was doing.

I’ve spent a large amount of this evening crying as my thoughts continue to spiral and snowball, collecting more and more until it becomes an avalanche (sorry for the naff metaphor). Anxiety has been creeping in recently, and I’m trying to tell myself that it’s normal to feel some anxiety about a new job.

It doesn’t really matter what people say because my brain won’t listen. I know I’m not the only one who feels this way, and I also know that I did well in my interview, but facts and emotions don’t mix, and the fear is strong. I wanted this job so much, and I still do, but the loss of security and increased responsibility and the worry of everything going wrong are very much on my mind (and in my dreams).

Today I have my induction with two other new members of staff, and I’m hoping that I’ll just be treated like any other member of staff and not have to hear everyone say I know everything and that I’ve been here forever, because this is still new to me and there’s a lot I’m going to have to learn.

*I started writing this last night

Image credit to People I Loved screenshot from Blurt Foundation on Instagram

The most wonderful time of the year?

IMG_6234
A rather appropriate Christmas card I saw last year

I don’t like Christmas, call me Scrooge or the Grinch, but I really don’t enjoy it. Christmas can be a really difficult time for so many people. There’s a big emphasis on joy and happiness, being around family and friends, but the happy family isn’t a reality for many.

My family diminished over the years, with elderly members moving into nursing homes and dying. Now I have no contact with my immediate family, though the family Christmases I did have were rarely happy ones.

My mental health tends to deteriorate around this time of year, the run-up to Christmas really makes me stressed and anxious, despite knowing rationally that the day itself will most likely be fine and that I’m actually going to spend it with two people (and two cats) that I’m choosing to be with.

One of the struggles I have with Christmas is that most of the things I do to support myself aren’t an option. I’m off work for two weeks, there’s a big reduction in public transport, so as a non-driver, I’m limited on how much I can get out. Health services are reduced, as are most other things like council services and housing association (not that my housing association is any use when they are in). It feels like the world shuts down, and the prospect of over a week with nothing to do doesn’t fill me with joy but anxiety.

I need routine and structure to stay relatively sane (emphasis on relatively), though this structure is mainly external, as left to my own devices, I tend to spend too much time in bed or watching YouTube.

The idea of days with nothing to do and falling back into bad sleep patterns reminds me of when that was all my life consisted of. Endless days of nothing stretching out ahead of me, with little point in knowing what day it was when they were all the same. I’d stay up half the night and sleep half the day (this was mainly a way of reducing the amount of time I had to spend around my mother), although however much I need routine, I’m not missing getting in at 8:30 to prepare for volunteer training.

IMG_6072
My attempts at festivity, fairy lights wrapped around my crutches and stick

Christmas is also shortly followed by New Year, and the thought of change and reflection, I’ve been reflecting a lot recently, especially on relationships. I’m tired of missing people, especially people who don’t miss me, who made promises they didn’t mean. I don’t want to miss them anymore. In January, I’ll be once again going through medication changes in an attempt to finally get off antipsychotic medication, something I’ve been wanting for a while.

Disability, chronic illness and mental health problems don’t go away for the holidays; it just means different challenges and things that can affect pain or fatigue and trying to manage pacing while still enjoying the day.

To anyone struggling this Christmas, with isolation, pain or mental illness, you’re not alone. This dinosaur sends love and solidarity. If you need support during the Christmas period, the Samaritans are always there, and comedian Sarah Millican will once again be doing #joinin on Twitter for the 7th year running. Have as good a Christmas as you can, a big Christmas RAWR from The Perks of Being a Dinosaur.

Cost and sustainability

rant1
A blackboard with “rant of the day” printed at the top and the letters NHS with pound signs drawn in white chalk

I had a list of things I wanted to blog about, so instead I’m going to write about something completely different which came up a few days ago.

I’ve been trying to get more into doing activities outside of volunteering, which uses my lived experience of having mental health problems. Last week, I attended a workshop on Outcomes-Based Commissioning (OBC). I’ve learnt that mental health meetings and groups love acronyms, an alphabet soup of conditions, job roles, legislation and projects.

I’d like to tell you more about exactly what that is, but honestly, I’m not entirely sure myself. I can tell you that 8 organisations, some statutory such as the NHS and some charities are working together to change the delivery of mental health services in the area, and somewhere in all this, they’re looking for contributions and input from service users, carers and people with lived experience of mental distress.

One of the aims of the mental health service is to ensure sustainability and deliver cost-effective treatment. I have a couple of issues with this. 1) you cannot guarantee sustainability, you can do your best the make services sustainable but don’t make false promises especially to vulnerable people, 2) cost, now unless you’ve been living under a rock you’ll know that the NHS is chronically underfunded and overstretched; mental health has always been refereed to as the Cinderella service and when the going gets tough the tough gets cutting and mental health is often one of the first areas to feel these cuts.

So what’s the problem with pointing this out or looking to save money? well mental health already comes with a nice big serving of guilt for many people, guilt for putting pressure on loved ones, guilt for not working, guilt for being unreliable and it’s hard not to feel the need to justify the cost of treatment as I wrote in my last post I’ve been told by doctors in A&E to consider how long it took to treat me compared to the time it took me to cut myself, I’ve been questioned on why I called an ambulance despite feeling faint from blood loss. I didn’t choose to have mental health problems; my actions may be my choice, but having these issues is something beyond my control.

Having the cost of treatment pointed out or hearing the providers talk about services being cost-effective makes people feel guilty for something they can’t help and even puts people off seeking treatment, whether that’s for self-harm (I know people who will suture or glue themselves) or more long-term treatment like psychotherapy or counselling.

The financial situation with the health service is complex, but nobody should be made to feel guilty for needing healthcare or social care or feel they don’t deserve the help they need.

Website Powered by WordPress.com.

Up ↑