Upbeat

Well let’s try something a little more upbeat, shall we?

– Amy Adams, Miss Pettigrew Lives For A Day

Time for some good news, don’t you think? The last 2 week’s blogs have been a tad depressing. But then again, that’s what we’re dealing with; depression. And it is depressing!

But, time for some good news. Just as long as you don’t think that’s how it actually works in real life. Good news following bad in a nice little ratio. It doesn’t happen neatly like that. The depressing topics can go on for quite a while without relief!

Thanks to my amazing psychiatrist I actually am feeling quite a bit better this week. My meds have been upped again and within 3 days of increasing the dose I was coming up from the depths and feeling better, and my energy and mood have kept on coming up. Thank goodness!

My belief has been renewed that it is possible to get properly medicated and live a reasonably normal life. I stopped believing over the last little while, thinking I was living a doomed life. I have been reminded how closely the analogy of diabetes fits my disease. When a diabetic’s sugar levels go off, they feel awful but they go to the doctor and the doctor changes the level of medication. I just forgot that I need to go to the doctor and ask for more meds when I start sinking; I tend to think it’s on me to fix myself, as if I could! I’ve been reminded very clearly this time that when I’m struggling, it’s not just that I’m struggling, but that there’s something chemical going on in my brain that needs a doctor to sort out. I need to recognize it, and ask for help. That sounds obvious, but it’s not obvious to me, not when I’m sick. I just blame myself, feel like I’m not doing enough to be better, and I hibernate.  So I’m reminded it’s the level of chemicals in my brain that are dictating how I’m going, and when I need more, I need more and I need to ask for it. I’ll try to remember for next time…

I have faith again now, faith that things can be better, and will get better, and will be better. Something I lost lately.

But if I wasn’t feeling better, I was planning to write something “positive” anyway.

You know, so you wouldn’t worry. So you wouldn’t think it was all bleak and dark. To balance out the last two posts. To alleviate your concerns and to reassure you that everything is okay. Because that’s what we do, or at least that’s what I do. People who are emotionally and mentally unwell.

I want you to know when things aren’t going well because I believe in my friends and family knowing the truth. I want you to know, I really do. I think it’s good for a lot of people to know how these things work; so you understand, and maybe so it’ll help you help someone else.

Until all the condolences roll in and everyone is so worried. Until dear friends get scared, and fret about how I am going. Then I think about you, and how it’s affecting you and it makes me anxious, thinking of more questions and concerns, and I back peddle. So sometimes I tell you its all good so you can relax. And so I can relax, and I’m no longer fielding afraid questions from loved ones. My husband says this is insulting to people. To coddle them, and not let them in on the whole truth. To decide what they can handle and what they can’t. To give them the amount of truth that I believe won’t overload them, and by extension, me.

I’m sorry to do this! I don’t mean to take control of the information stream, or insult you, or lie. But it quickly becomes too much for me. Despite this, I don’t want you to change a thing. Please don’t stop feeling concern, or asking me about what’s going on. I’m just letting you in on my crazy brain!

But I think this is a very common thing in people with mental illness. I read a piece recently about “smiling depression” and so many times it IS easier to smile. I try not to be fake, but it’s still my fall back, the easier option.

It’s not about restricting your access to information about my illness and how I’m going. Like I said, I want you to know; at least theoretically. I have a limited capacity for emotion, including other people’s, when I’m not well. This is why sometimes I still say “fine”, “okay”, “not bad”, “good thanks” to skirt the question of how I’m going. Because when I’m really not well, just a simple “how are you?” is enough to bring me to tears, and have I mentioned how much I hate crying? Especially in front of anyone else! But I’m trying to be honest and open, so bear with me.

Sometimes I want you to think I’m okay, or not so bad so I can slink back to bed without attention.

It’s not that I don’t appreciate your concern.

I want to promote understanding of mental illness, but sometimes the kind concern and loving questions, while so touching, are a lot to deal with when I’m operating at low emotional capacity! When I’m better it’s a lot easier to process and when I’m well it’s easy, just the same as you or anyone, but of course the same thoughts and  questions don’t apply then.

But I am well this week. I’ve got energy, motivation, stamina. I feel good! Everything is easier. I’m doing more, and it’s draining me less, and not exhausting me just to move. My husband is happy, the house is in a little bit shape, things are just good. So none of this is fake. These are the real positives that I can see clearly with my eyes right now. Yay!

  • I’ve gotten out of bed every day this week, and sometimes before noon! Really!
  • I’ve talked to a potential employer via email and on the phone, and done an in-person job interview
  • I’ve done groceries, dropped off some clothes to be mended, washed and dried sheets, posted some clothes for refund, tidied up my side of the bedroom, even cooked dinner one night! Don’t get your hopes too high though, that’s about all I’ve done!
  • I’ve been to my GP for an appointment, to a doctor for an ultrasound, to a careers counsellor for help getting a job, and to KFC when I couldn’t figure out what to eat for lunch! That’s a lot of outings and socialising for me! On the days I went out, I went to bed when I got home, usually for an hour and a half…but I didn’t nap on the days that I didn’t go out, so that’s something
  • All this out and about meant I got some sunshine on 2 separate days. Actually on the skin sunshine!

So that’s me for this week. It’s not a lot from the viewpoint of my old life, but these days I take whatever I can take, and this is relatively awesome!

How about you? How are you? I’d love to hear from you.

 

A bad day

**Usually I write in a very controlled way. I write on my good days, and although I access sadness and badness and evil, I do it in a way that I can manage easily without things getting out of control. Yesterday things were out of control. I was having a bad day and a bad moment of despair and crying into my pillow and thoughts just exploding all over the room and I thought, you know what? I need to write this down. If I can’t write down the darkness and disorganised-ness what am I really showing you of the “real” diseased me? So this is raw and I apologise if it’s too much of anything. By the time I am writing this, things have been sorted out and we’re back on track. There’s still the diet thing, I’ll get to that another day, but for now here is the thoughts as they spilled out of my head in my crying despair**

Stayingquiet

I’m the Monster. The one under your bed. The one that jumps out and scares small children and large adults alike. The obese monster, morbidly obese by the books. The one who side on, at a glance, could be confused with a large tree trunk or concrete pylon! Who has been asked TWICE this week if she’s too far into her pregnancy to fly! And another two times in that same week if she’s pregnant, once before a massage and once before a dress fitting. Cos that’s relaxing!

I’m the Destroyer. I start with memory foam beds and crush the memory and the foam out of them. I move onto brand new leather couches and triple my husband’s imprint in the first 3 months. Time to change sides! Then I grind the life out of said husband until he doesn’t care, or hurts so much from caring that he leaves. Well that’s my mental image of how this goes, in any case, and I’ve had a couple physical images to assist with the mental image; that’s the extent of his distress.

I break laptops, drop mobile phones, spill anything remotely liquid, trip over power cords ruining plug connections, slip down inclines, fall over pebbles, draw ink on bedspreads, stretch clothes in the wash,  wrench roof racks and bikes off the car roof bending the metal and stripping paint off bikes and car alike!

I’m fat, so fat, so very very fat and it’s ruining everything. I’m told. It’s hard to see from the inside. I’m ruining my marriage by being fat. I lost my job from the consequences of being fat. I’m slow, I’m too slow, I need to lose weight, I need to speed up, I need to change, change, change change, stop being me, be someone else. Someone not fat and not slow who isn’t ruining everything.

My husband is fed up. And why wouldn’t he be? 3 years of me being sick, 16months of being off work before, 9 months in a job and here we are, back at the beginning. And if I just lost weight it would fix everything. I wouldn’t be ruining the couch, wrecking the bed, sitting at home doing nothing. If only I would lose weight. Because it’s difficult for him, me being fat. Every day it’s hard for him, me being fat, he tells me. It’s hard on him. I’m fat and it’s hard. He says we can’t do things, be things because of it. It’s fair for him to ask me to lose weight, because he has to deal with it too. And me not losing weight makes him think I’m not trying, I’m not trying for us. Can’t I do it for him? Can’t I lose weight for him? If I won’t do it for myself. It’s been 6 weeks. 6 weeks since I saw the dietician and starting a food diary. And I haven’t lose any weight. Why? Because I’ve been snacking. Why? Because I eat in emotional situations. So instead I’m meant to be dealing with my emotion. Here you are, here is my emotion. I’m dealing with it.

thunder inside

I hate to cry. Crying is weak. I know, I know; I shouldn’t say that. Especially me, advocating for mental health. But to me it’s weak, I hate it, and I avoid it. But here it comes, crying, because of my diet. If I cry, I don’t store and if I don’t store, I don’t eat because of the store. Apparently. So I’ve cried twice since starting my diet.

I want to see that you’re putting in an effort. But you won’t see it; change is gradual and you don’t see weight loss for a while, a good long while. So what do you want to see? It’s such a lot of pressure, proving something. Proving you did, defending that you didn’t; proof. I’m trying. But I want to see that you’re trying. Well I am trying. Well how can I see that you’re trying? It goes round and round.

And now, one in the bed and the other one said I can’t stand this anymore. Is it cold? How cold? Who cares, I’m storming out. And I’m crying my tears because I have to put in an effort and one can’t bear it and the other can’t wear it, and it’s a mess. Royally a mess. What to a fix? I promise sincerely I will truly really do what I’m told, and I will make the numbers go down, and I will make them keep going down. And then we will live happily ever after because I’ll be able to energetically walk everywhere that I’m asked to walk, and I’ll enjoy physical activity and my fatness won’t slow me down and make me sluggish and I’ll be fixed. And if my condition and cures continue to prevent that from ever being realized? Well at least I’ll be skinny. Life is better when you’re skinny. Time for my daily walk and my diet jelly. Adieu.

Sunday Summary

Dear friends,

It has been a busy week! For me, I mean; probably not what you would call a busy week. I didn’t work at all, I didn’t get many chores done, and the most I did daily was get out of the house for an hour or two. That’s busy, for me.

I’m so happy that it worked out to be that way!

When I finished work three and a half weeks ago I was worried that the naturally “depressed state I was in about finishing work, together with my ongoing lethargy and tiredness, would result in me becoming a bed bound vegetable again.

Well again isn’t fair; I’ve never ever not gotten up at one point or another during the day. But with no definite reason to get up in the morning, my lack of motivation to get up unless there’s someone waiting on me, and the general listlessness of having no set purpose, I thought that there was a fair chance of me lounging around all day.

And it turned out to be that way for a few days. With nothing planned, with accumulated tiredness from keeping up with my shifts at work for six weeks when they consumed about the last ounce of my energy, and no reason why not to get up, I had some pretty massive sleep ins.

Until I missed my tablets one Sunday night! This happened in spite of the careful routine that I have built into my days after I had previous missed doses to prevent the same thing from happening again. Obviously there’s still a loop hole somewhere that I haven’t found but I’m working on it.

My routine is to weekly make up a medicine box with all the medications that I need to take both in the morning and at night. My pharmacist brain cross-checks the directions on the bottles and boxes with the number of tablets I put into each slot and then double check that I haven’t missed anything by comparing what I’ve packed with my complete list of medicines printed on the bottom of the box. My triple check is when I take each group of tablets and I count again to make sure I have it right.

I set this medicine box right next to my bed on my bedside table so that I should see it when I get up and when I go to bed; this should give me a visual prompt to take my tablets. But I don’t trust this system so I have set a morning and evening medication alarm in my phone. This can only be snoozed three times so I also have a medicines app that generates a reminder at 7am and 9pm for me to take my tablets. This can be snoozed to infinity I think, but the fact that I missed a dose makes me wonder if it actually does have a limit to being snoozed. I’m looking into this.

So the missed dose. You wouldn’t think it would make that much difference; it’s only one dose right? But it does make a difference, at least for me at this point while we’re still fine tuning the medications. Most times when I miss my tablets I end up getting upset over some little thing or teary for not much reason or get in a fight with my hubby! Poor hubby, he has to bear the brunt of everything! I think this reaction has been when I’ve missed my morning dose, which means I miss my antidepressant and my morning lithium dose.

This time I missed my evening dose. That means my evening lithium and my other sedating mood stabiliser. I’ve only ever done this once before. It’s never fun, because it means there’s nothing putting me to sleep! This time was terrible! I’m sure I had a maximum of 4 hours sleep but who knows. When you’re tossing and turning and can’t sleep and want to sleep, time loses all meaning! Poor hubby again, every time I tossed or turned he turned! But I physically couldn’t bear the sensation of lying still! It was awful! I just had to move and move and move and move!! I woke at 5am and tried to exist as quietly as possible til hubby was ready to get up. Then, so out of my recent character that it was laughable, I jumped out of bed fresh as a daisy at just after 7am and left the house before hubby! I was in my runners and leggings and I was off!

Compared to my recent sluggish, only-move-if-I-have-to, and even then moving snail’s pace, I was striding off to the park like I haven’t since I don’t know when, and paced out two laps! It was ridiculous to me even as I was doing it! But it was a fabulous feeling! I could move as fast as I physically wanted to for a change, instead of how fast I physically could through mud bearing heavy weights!!

Incredible! And so friends, this is mania. Or a sub form of it. You won’t see me like it often, unfortunately or fortunately, but you’ll know it when you see it. I’ll be smiling at all and sundry, grinning, laughing, putting out a decent amount of physical effort, having a great day! I’ll be chatting flat out, possibly jumping topics or getting distracted. I’ll be super effective and get many tasks done. I’ll be physically active and able to do a lot more activity than usual.

It’s a feeling that is addictive actually, I never want it to end…to start with! By the end of the day I was pretty sick of it actually because I could hardly sit still or rest, and was just feeling irritable, agitated and like I couldn’t possible tolerate having another night like that. By then the frustration tears were pretty close to the surface, but let me tell you I achieved a great days work! All three loads of washing done, some of it off the line and folded! The kitchen was sparkling clean; I’d cleaned the grout and the stubborn grease on the splash back. Lots of jobs attended to, a family visit where I chatted away like a…like a crazy person! Chat chat chat chat chat chat chat!

But I was glad to put it away. Not glad to go back to lethargy and anergy (absence of energy), but after all it’s a balance. You can’t have everything, so you have to decide on the most important things. Which is not being a whirling dervish, but a calm reasonable person not prone to snap decisions and excess!

My short point at the end of that long explanation was that it broke my bed rest habit and got me out into the sunshine, and the outside world. I watched the ducks paddle, saw the swallows come out to swoop and feed, found a magpie nest without getting swooped and in fact saw the magpie partner watching from on high at a distance. And remembered that I liked the outside and wanted to be out there, not inside all day.

Add to this a pep talk from my psychiatrist AND my GP in the same week about just getting outside, no agenda, no pressure, no panic about how I was feeling, just enjoyment…and the message was clear! Just enjoy it.

So I have enjoyed it! What a glorious week it has been!

Monday started slowly, but a late afternoon trip to Blackburn Lake Sanctuary yielded a fabulous hour of the new Musk Lorikeets ( see earlier post) plus an added hour of delightful favourites. Then a sleepover with our great friends and delightful bubba!

I just love love love this gorgeous Galah eating wattle photo!

I just love love love this gorgeous Galah eating wattle photo!

This is the cutest Noisy Miner sequence I've ever had - mother catches moth, baby screams for it, baby gets moth, mother leaves :) eucalypt

This is the cutest Noisy Miner sequence I’ve ever had – mother catches moth, baby screams for it, baby gets moth, mother leaves 🙂

Tuesday didn’t work out how I had thought it would, but a picnic on the banks of the Yarra river in delightful Warburton with several girlfriends and their cute kids is a pretty fine day if you ask me! In addition I got to see two lots of adorable ducklings and a fun Kookaburra.

Cute cute cute! Discovering the innocent joys of crawling up and down stairs, green grass

Cute cute cute! Discovering the innocent joys of crawling up and down stairs

More cute! Fluffy Wood Duck ducklings huddling on a rock in the Yarra River at Warburton

More cute! Fluffy Wood Duck ducklings huddling on a rock in the Yarra River at Warburton

Wednesday morning was a return to Blackburn Lake Sanctuary, the top end this time for some variety of bushland and birds. What a day it ended up with a Kookabura flinging a metre long snake around and many cute tiny birds that were hard to capture.

The fabulous post and rail fence that completely encircles my favourite Blackburn Lake Sanctuary

The fabulous post and rail fence that completely encircles my favourite Blackburn Lake Sanctuary

I spotted this Laughing Kookaburra and stopped for photos, didn't realise it was in the process of killing a snake!

I spotted this Laughing Kookaburra and stopped for photos, didn’t realise it was in the process of killing a snake!

I just love being in the Sanctuary - so pretty and lovely

I just love being in the Sanctuary – so pretty and lovely

Thursday, oh Thursday! This was a bucket list day with a girlfriend and it was amazing! Glorious day, two brand new birds that I’d never seen before, loads of flowers, a couple of moths and some damsel flies! Some amazing scenery, the awesome Kuranga native nursery, Birdsland reserve and a flash trip through the Dandenongs (see previous post).

Friday was appointment day and catch up with my old work mates day and getting my favourite bacon and egg sandwich and eating it in the gorgeous Fawkner Park. A picnic above Yarra Boulevard with my fabulous hubby and some new photo ops over the city as the sun set…wow! Can you beat that for a way to see out the work week?

The great outline of Melbourne city backlit by a cloud sunset, blue sky,

The great outline of Melbourne city backlit by a cloud sunset

The brilliant sunshine, the silhouette of a pretty tree and Melbourne - I love you

The brilliant sunshine, the silhouette of a pretty tree and Melbourne – I love you

Saturday was another girlfriend catch up and was great fun finding plover babies and getting swooped relentlessly by their parents! Then we went on a Loch Ness Monster hunt all around the Blackburn Lake and still aren’t sure exactly what was doing so much flashing and splashing and swimming…tbc, duln duln duulllln! We got a fabulous shot of a Spotted Pardalote by the path and had a great lunch at Gourmet Girl – what an awesome catch up! Over tea cooked by sensational hubby we heard and saw two Striated Thornbills in our minimal garden! I think they’re building a nest! Excitement!!

Mummy Masked Lapwing with tiny weeny baby - these must be very new because the plovers have been docile until this week; now they are savage!

Mummy Masked Lapwing with tiny weeny baby – these must be very new because the plovers have been docile until this week; now they are savage!

Not a clear shot but the beautiful front of a Spotted Pardalote

Not a clear shot but the beautiful front of a Spotted Pardalote

Sunday is rest day and I’m glad for that, but boy I am so glad for every bit of excitement and interest that has sprinkled my week and made it actually fun! And thanks to all my wonderful people who are there every day giving me a hand along, and making my life more amazing!

Funny side story. After looking back at the week in the detail above, it made me remember all the good things and I mentioned to hubby that I’d had an amazing week. His response was fascinating: “Really? Maybe the last couple of days have been okay but I thought you had a bad week.”

To which I, in the mood of putting all the good bits together and seeing them in clear focus and forgetting the rest, replied: “Really? But I’ve done all these amazing things.” So we had a chat and here’s another perspective moment – what’s in focus is really clear and the rest in lost in fog.

My hubby was remembering coming home to me still lost in my afternoon nap, to me not able to get my thoughts together enough for our weeknight Bible study, to him making dinner from scratch every single night of the week, to me as a blob instead of an enthusiastic lover, to me struggling to get enthusiastic about any physical activity; basically to him carrying the load of the relationship, the housework, being the bread winner and the carer for this weighty gal.

So yes, if you look at all the cool bits it was a great week. If you look at all the failures it would bring you to tears. If you see all that hubby did to get us both through the week, you like me would have overwhelming admiration for this great fella without whom I don’t know what awful state I would be in!

So my motivation for this new week is trying to even out the load for my good man, and continuing to have great days!

So tell me…?

Something that I’ve found out along this journey with me, my head and I is that questions are really important.

It was that question that has become an advocate for helping others with mental health concerns that first triggered my understanding of the need for questions; R U OK?

I’ve always been interested in mental health and I saw this group pushing people to understand and use the question R U Ok? to start talking to others about what’s going on, what’s wrong, what’s troubling you, what’re your concerns? I thought it was a great idea and I bookmarked it in my head to use someday if I saw someone having a hard time.

I wasn’t sure that it would be effective but I planned to give it a go anyway; nothing ventured, nothing gained, right?

But then, before I had a chance to use it to help another person, someone asked me, and I burst into tears!! Just like that! That is how powerful the question is and how right on target it is to really hit the spot when someone is down, anxious, fearful, despairing etc.

I didn’t think it would work. But I walked into a doctor’s room to get some routine results, she asked ‘are you okay?’ and it turns out I wasn’t, to a severe degree which I had not even realised up until that moment.

When she said, ‘how are you?’, as I walked in the door I said fine. That question is just too automatic and we are too programmed into a standard response that doesn’t really give an answer. We know when we ask it that it’s more for form than for really enquiring into someone’s health. It has become a greeting more than a query. Not to say that it can’t be used as a question; some people can inject that something extra that shows that they genuinely are enquiring about your health, but usually that’s not the case.

But there is something unique, direct and unusual about the question ‘are you okay?’ that hits a nerve, that registers with a person as an actual question and that demonstrates some extra kind of care and interest on behalf of the asker.

Questions are so important in mental health.

We can’t lay open a wound, or show an obvious dislocation, or contusion, or register a positive blood culture, or low blood level as evidence of our condition.

We may not look ill, or sick, or injured to other people.

All the evidence of our ailment is locked inside our heads.

It is literally all in our minds, but not in the way that that saying is usually used, to suggest that it’s a figment of our imagination!

There is nothing imagined or exaggerated or fictitious about any mental illness.

However there is a level of difficulty for anyone treating a mental illness, be it doctors, nurses, psychiatrists, psycholgists, counsellors or any other health professionals.

To diagnose a mental illness, as with any other condition, a set of diagnostic criteria must be met. But none of those criteria are obvious when a patient walks in the door.

The diagnoser (doctor or psychiatrist) must be able to draw out the information that they need to make a diagnosis by asking questions. They need to ask a lot of questions. Questions designed to gather information, to confirm suspicions, to determine signs and symptoms of the condition.

They have to be very skilled in asking questions AND in listening to the answers for clues about what is going on with the patient.

It takes time! Sometimes a lot of time. Sometimes questions are asked over and over. There is a purpose to that; it is to gather the right information so that the right diagnosis is made and the right treatment given. It might seem repetitive but every question fills a useful part of the overall picture. It’s not a sign of incompetence on the part of the person asking the questions; its a part of their professional skill.

Patients most often don’t know what is going on with them. I’m a health professional with a clinical understanding of mental illness but I still didn’t recognise mental illness in myself. I just thought I was stressed at work. The fact that I was constantly obsessing over work all day and night, that I couldn’t sleep, that I was being clingy and petty and being a huge strain on my husband with my concerns and fears and anxiety didn’t occur to me to be an excessive reaction. So I can’t even imagine how patients with no prior knowledge of mental illness feel when they start to suffer from symptoms.

They might be scared, afraid, stressed, anxious, overwhelmed, confused, in denial or fearful of what the diagnosis will mean and what treatment will be prescribed. So the doctor also has to tread carefully around the person’s soft or sore spots but still trod and poke enough to get what they need to do their job.

In any emotional state a person has more difficulty remembering and recalling, trouble giving an accurate history, limited ability in listening and responding, and struggles with taking in information. This is one of the reasons why questions need to be repeated; to be sure that the right answer has been given. It’s also why seeing multiple doctors on different occasions can be useful in building a clearer picture of what is going on.

Often a patient may not be diagnosed immediately, because of these factors. It may be considered in the patient’s best interests to allow them time to go away and calm down, to give more thought to the history of symptoms that they have experienced, and then to bring them back and ask further questions. Of course it isn’t safe for all patients to be sent away; some need to be kept for their own safety, some need to have treatment started immediately. For those who are sent home to return late, maybe the same questions will be asked all over again, and although it seems tedious to the patient, it is all for the purpose of gathering as much information as possible so that the best outcome can be achieved for every patient.

So, questions.

Tell me what’s been going on?

How have you been feeling?

When did this start?

Who have you already seen about this?

What treatments have you tried?

Has anyone in your family experienced any mental illness?

How long have these symptoms been going on for?

How severe are your symptoms?

What symptom is the most difficult for you?

What has brought you here today?

How are you today?

Compared to then, how are you now?

What do you think has triggered these symptoms?

What has happened that might have caused this?

What do you know about your condition?

What do you know about the treatment for this condition?

What’s the worst symptom that you are experiencing?

How are you coping?

Are you experiencing any side effects?

Give me a run down on how the last week has been for you?

How often do you shower?

How often have you been getting out of the house?

Are you finding enjoyment in life?

How has your motivation been?

What have you been getting up to?

Have you been hearing or seeing things that don’t exist?

Has anyone been speaking to you through other objects?

Are you suicidal?

Have you had thoughts of harming yourself or others?

Do you have a plan to harm yourself?

Have you had suicidal thoughts?

Have you had thoughts that are frightening to you?

How has your sleep been?

Tell me what you are afraid of?

Do you ever have periods of great energy when you can achieve a lot? Or when you don’t need sleep?

When are you not anxious? Are there any places where you feel comfortable?

What things make you anxious? What things trigger a panic attack?

There sure are a lot of questions that can be asked!! And this is probably the tip of the iceberg really, these are just the questions that I can remember from the health professionals that I saw. I’m sure there are many others for other mental health disorders.

And yet, the most important question is whichever one you ask to the person that you see struggling. It really doesn’t matter what it is. It can be r u ok?, how ya doing?, what’s up with you?, how are things?, how have you been going lately?.

As long as you take the courageous step of asking and listening, you will be doing the right thing. Go you!!