Partners

This one is for the partners.

My head doesn’t hurt today, so let’s do this.

Without partners, many of us wouldn’t be here today. So many of us owe our partners our lives and our health, however much of that we have.

Who’s we? Could be anyone. I’m referring to myself as someone with mental illness. But it could be anyone with a physical disability, a handicap of any kind, some issue that needs regular treatment and support.

In the background, often silent, are the pillars that we lean on, often heavily, to stay upright.

I don’t think these amazingly supportive people are known and recognised enough. They deserve all kinds of medals, and recognition, and prizes, and awards.

But that’s not why they do it. They simply love us, even in our un-lovableness, and do their best by us and give us the greatest gift ever; someone who will stand by us through it all. That is amazing!

What’s even more amazing? In a lot of cases, they didn’t sign up for this.

They committed to us long before they knew, or we knew for that matter, that we were going to be a burden on them. They could be excused for feeling “I didn’t ask for this, I shouldn’t have to do this, this isn’t fair!”. But that’s not how they react. At least not outwardly, and who would blame them for thinking this inwardly??

They give us love and kindness and support, and that is a beautiful thing! They have such a capacity for longsuffering, even when we are a real trial to them!

Speaking for me, my husband has had to deal with panic attacks, paranoia, depths of depression including being suicidal, not showering for a week, doing nothing around the house, hypochondria, manic episodes, non-existent romantic life, sleeping all the time, having to come home from work to cook, clean, do the washing etc, me not working for 16 months, my absent memory and recall function…I could go on. But this isn’t about me.

This is about him. Sure he occasionally gets frustrated, angry, fed up, feeling overworked and underpaid. I’m not surprised! This is a thankless job! I’m trying to make it more thank-full. And he gets worked up a lot less often than he could!

But without him, I really do often feel like I would surely fail.

He stood by me in the emergency department arguing my case when I was beyond being able to argue anymore. He sat at home for days on suicide watch. He’s been to countless appointments, suffered through my drug side effects, tried to coax me along when I was cranky as anything because I felt lousy!

I’m trying to stand on my own feet more, and I am, a bit. I’m trying to notice the dishes, the washing, the cooking, the cleaning more and do a bit more. Because it means something to him mostly. Also a bit because it makes me feel a little less worse about my uselessness around the house.

I’m back at work, and it’s going well. So I’m contributing to the household a bit more, and feeling a bit more confident in myself.

All things that I do not think I would have achieved by myself. Maybe I would, who knows? No way to find out.

But I do know this. The support, the encouragement, the listening ear, the pep talks from my husband went a long, LONG way to getting me to where I am today.

My GP, my psychologist, my psychiatrist have all commented about what an amazing support he is. I sometimes think my psychiatrist likes to see my husband more than me! Haha!

But seriously, it’s a hard gig when you suddenly have someone on your hands who’s mood is liable to change before you’ve even got a hang of the last mood! In fact

Who is useless with deep depression, sleeping, eating and not showering; who is bouncing off the roof with boundless energy and babbling at 100 mph with mania; who has weird turns of suspicion and paranoia about how the partner is out to get them! This one gets my hubby the most, and afterwards I can completely understand why! After all he has done for me, which is unable to be actually counted up because it’s so vast, for me to turn and say he’s out to get me? That goes like a knife to the heart. Of course it’s not something I even feel, let alone would say on any normal day, but this paranoia has really shown me again who’s boss in my brain, and it isn’t always me!

I’m sure the same applies to many other situations. The question of ‘what would I do without them’? I have another example. A paraplegic man, twice the size and weight of his mother who has cared for him, to the detriment of her physical health, for 40 years!!

How can you thank them enough? How can you ever repay them? How can you ever begin to even out the balance of power?

They don’t ask for thanks, or repayment, and they don’t even consider the balance of power. They just give, and give, and give. What can we do to make it up to them?

I don’t know the answer, but for me it feels like the repayment is getting better and staying better, and getting back to doing my fair share, and giving him a break. How about that? Let’s give that a go.

Of course I’m a lucky one. Not all people can get better. I don’t know the answer in these cases. Maybe it’s one of those challenging things in life that you somehow have to eventually make peace with. Of course I can’t make myself better for life, it will recur at some point, but I can do as much as I can when I can, I guess.

At this point I remember all of the people going it alone.

I feel for you! I don’t say that because you are alone you can’t do it. I think you can. I think maybe you are stronger because you lean on yourself, not anyone else. But I wish that for a little while I could give you the relief of someone to lean on, someone to do the things you feel you can’t, someone to give you a break.

So partners.

Thank them today.

They are amazing, their role in improving our health is immeasurable, and most of all they do it out of love and don’t begrudge us the effort and time and strength that it costs them.

I can only aspire to be such a selfless, loving, caring, forgiving, understanding, giving and undemanding person towards others! Well that list certainly gives me a lot to work on!

Saturday Shoutout

I have hedged around this and hinted at in and mentioned it obliquely but it’s time for some straight speaking about an important part of my life.

My peeps.

Specifically, my psychologist, my psychiatrist and my GP.

My support crew.

Without them, I don’t know where I would be. Literally and figuratively. Would I be in a psychiatry ward in a hospital? Would I be in rehab? Would I be doing a lot worse than am I now? Would I be a vegetable in bed? They have stood by me, held me up, dealt with me, kick-started me, bucked me up and saved my life.

I don’t say this lightly.

They saved my life! They’re that important.

Everything I say here has what to me is an obvious unwritten addendum: as well as my husband. He is the most important person in my life and has been my most supportive friend through every hill and valley, through every new discovery and every boring pushing-on day, through every heartache and excitement. He is so critical in my life but there are times in life when you need to call in the experts!

And these times have been the last year!

My aim today is to give a shout out to my current team because I truly do owe my life to these people. There are other people who have also been hugely helpful to me and I acknowledge them mentally; they might get a write up another day.

Starting with my local doctor, my general practitioner or GP, Dr Richard Young.

I came to see him accidentally after a false start with the GP that I used to see back when I was at uni. She charged a fortune and didn’t give me any confidence that she knew what she was doing. In fact she said to me, I’ll ask my colleagues and check some textbooks; can you come back next week? Well no I couldn’t wait a week, I needed help now! I complained to a colleague at work that I didn’t know where to start looking for a good GP and that I wanted to find one close to work.and who didn’t cost me so much and she handed me a business card for this doctor. I rate this as the best recommendation I have ever had and am always so thankful to her for this!

I didn’t tell this colleague why I needed to see a doctor and yet she gave me a recommendation for a doctor with a special interest in mental health, and who sees many patients with depression and anxiety. That was lucky number one. Lucky number two was the location of the clinic, within a 5 minute walk from work! Could anything be more perfect? I could easily slip away from work in my lunch break, between discharges, after ward rounds etc for my 15 minute appointment. And lucky amazing number three is bulk billing for mental health patients! That is, no fee to pay for each visit! Thank you infinity for this amazing policy that has benefited me and my husband so much!

Richard is a young enough doctor to have passion for his job in spades, old enough to have experience and knowledge and confidence, and has bedside manner and compassion like you dream of in a doctor!

His knowledge of the health system is unsurpassed. I have attended many different GPs in my old clinic last year as well as here, and have never experienced such thorough care! I have cervical migraines; I get Medicare subsidised visits to a physiotherapist. I’m gaining weight on medication; I get some of those visits changed to see a dietician. I have deficiencies; I get treated. I have risk factors; I see the practice nurse to develop a care plan for how I will reduce my risk factors. I have depression/anxiety and need help managing my symptoms; I get ten Medicare subsidised visits to a psychologist, and when I use them all up, I get more! We need help managing the medications; I get Medicare subsidised visits to the psychiatrist. And most importantly, when I’m suicidal he doesn’t let me go home; he sends me straight to the hospital where I can be cared for and a new plan can be made for my treatment.

You get the picture: this doctor is amazing! There is nothing I have that he can’t fix me up with the appropriate health professional or service!

After 8 months of seeing Richard once a week every week I have no complaints! I have had to wait on occasion, I have had to be rushed through on occasion but I have proved abundantly that when I have acute and severe needs, I will be given as much time and attention as I need and be cared for exactly how I need. How I want not always; but always how I need. I think you do need to give credit where it is due and understand the limitations of the medical system and within those limits I have been wonderfully and carefully looked after!

I would absolutely recommend Richard to anyone!

It is due to Richard’s amazing insight and care that I was first given a referral to see a psychologist. Unfortunately the first lady I saw did not connect with me at all, and in fact I left worse than I arrived!! Crying going down the steps is not the right way to go. So Richard promptly organised for me to be assigned another psychologist and I have loved her since the first meeting!

Patty Sabbagh from the Nexus Psychology group is her name and place.

She has seen me through all kinds of scenarios. Happy, sad, suicidal, excited about life, demotivated, purposeful and everything in between are the ways that I have turned up at her door and she has adapted and given me real help and hope and a new way on from every problem! She has helped me to deal with all kinds of issues, she is so resourceful and like a good friend. Sometimes I have gone and its just been a good chat with an understanding fellow human that I needed, and she has been a listening ear, a shoulder to cry on and a clever therapist able to give me a better way to fight on. A mother, a friend, a support; all labels I could give her and more!

She listens and considers and recommends the best approach. Sometimes talking about it really does solve the problem, sometimes a new way of looking or thinking about an issue is needed, sometimes there is need for meditation, or mindfulness, or cognitive behavioural therapy. Whatever is needed, this talented psychologist and counselor has the remedy!

Anyone in trouble needing someone to help would be well advised to seek the help of Patty from Nexus Psychology or one of her colleagues.

Lastly my newest support crew member, and one who has changed my life. Another big statement but well deserved! My psychiatrist, Dr Ian Katz.

He entered later in the picture because I initially saw a psychiatrist as part of my outpatient follow up from being in the emergency department of the local hospital. He was the one who suggested cautiously that bipolar was indeed a possibility and who first started me on a mood stabiliser. However his role is to see patients in the short term then send them back to their GP to be managed. Which is what happened.

My GP and I went along with the plan for Seroquel and for a while we seemed to be winning. Then that started to fall apart and my GP gave me the referral for Dr Katz. He picked up the pieces, made a sensible picture out of it all and gave me a ‘wait and watch’ directive and asked me to come back in a few weeks. I returned with a history of the most manic-like state that had happened to me so far coupled with a long period of depression and the diagnosis of bipolar was complete. He prescribed lithium, one of the best things that has happened to me in a long time, and things have been improving ever since! He calls it “the game changer”; I call it a life changer!!

I have been so impressed with Dr Katz because of his huge capacity to listen, and hear all the information then process it in a logical and helpful manner. He will then set out a considered, clinically sound plan and make everything clear and easy for me, the patient. That takes a huge lot of knowledge, skill, patience, kindness and clinical experience to attain and I think there are very few other clinicians like him. In addition, his commitment to his work amazes me. I have had appointments at 6.45pm, 8pm and 9pm!! Thank you for that!

I have a very high respect for his opinion and his directions and am just so grateful to him for being the one to really turn my life around!

So there you have it. The three most important people in my life just now, besides my husband. Three people who have left a permanent impression on my mind, and my heart really. Conditions like bipolar absolutely need to have this three pronged approach, which in the past was not such a priority but I would not give up either one of these three for anything! Each has a separate but vital role, and each one contributes in a different way to my overall mental and physical health.

I don’t think I could step into any of their shoes, even assuming I had the appropriate training. They each have some strength of character to do what they do that is beyond my understanding but its so important to me that they continue to do what they do.

I don’t know when they take holidays, I don’t know how their families cope with their dedication to their jobs but I know that without them I wouldn’t know where to go or who to turn to and I am forever grateful to them, and everyone like them who works for us, the patients.