My case to remain working from home.

It's been a strange time for the past four or five months. I have been tempted many times to write a blog about my feelings on it all, but that would just turn into a foul mouthed rant, screaming about my frustrations at those who just don't seem to get it. So instead I have saved myself for a more grounded entry, full of deep thoughts and considerations to the Work From Home world that we rapidly morphed into in March 2020.

Since March, I like many many other people in the UK, and indeed around the world, have been working from home. Blessed with an office based job, and a flexible (within reason) company, once the word Covid became common place, a massive effort was made to get everyone who could work from home, set up at home and working as smoothly as possible. I played my little part in the early efforts, getting the machines in our office compliant and set up, spending evenings searching for Wi-Fi dongles for everyone to use, and helping trouble shoot for other teams getting up and running.


From the moment I got set up at home, it was a whole new world for me, for a number of reasons. Setting myself up at home meant I could use other equipment I already had at home, so a two screen set up instead of one, better keyboard and mouse, and dare I say a much better internet connection. But there are other benefits too, some people will already know some of them, so lets get into it, and run through the pros and cons of WFH.

Travel
Firstly, no commuting. For someone who once commuted by train, I know the misery of it. Bad weather, delays, crowded carriages, not to mention interactions with a 1,001 annoying, rude, miserable, arrogant people. And yes, I am sure I fit into some of those categories for some too. In the summer, it's hot and stuffy, not to mention over crowded, and a guaranteed face full of armpit on any busy train. In the winter, it's cold, wet and miserable, not to mention even more crowded, with the increase in numbers due to most not wanting to walk or cycle.
Add to that mix a healthy dose of anxiety, and on some days, it's a simple non starter. The idea of being tightly packed into a train, with people looking at you, some wanting to speak to you, send shivers down my spine just thinking about it to write this, brrrr!!

Of course you can drive! Simple solution, no weather effects, run to your own timetable so long as you plan for delays on the road, sorted! But... There are a few downsides to this too. Parking for starters, not everyone has good parking near their place of work, and the residents near large businesses suffer badly from mass parking on their residential streets. Then there is theft from your vehicle. Parked away from home, out of sight, I have fallen victim to theft from my car twice now. Of course that can happen anywhere, but if it puts your car out of use, you are stuck back with the train or bus.
But lets touch on the real one here, environment! If the lockdown as taught us anything, it is that without commuters on the road, and a heavily reduced school run, the roads are empty, the air is cleaner, and the world is a happier place, well, so to speak!

Having cycled in town for the past few weeks, even with numbers of vehicles on the road starting to climb again, the roads are a much happier place. When walking or cycling, if you take a moment, you notice a serious lack of irritated and stressed people. The sound of a car horn is a rare thing right now, as people are not stuck in long traffic jams, no-one is taking the piss cutting in, and the number of serious carseholes (see what I did there!) is rock bottom. Surely that is a good status quo, and one we want to keep?

I know it isn't practical for everyone who is working from home to stay working from home, but even if those who could, and want to, were able to, that would cut down on the number of people on the move in the rush-hour. That's a good thing, right? Reducing the number of vehicles on the roads, and passenger numbers on public transport, is a massive improvement for those who HAVE to use these methods. There has long been a push to reduce car journeys, increase bicycle usage, make public transport more bearable for those using it. But we never had a way, or should I say there was never a way that most companies would consider.

Six months ago, if most office based employees had approached their companies, either their line manager, or a senior director, the idea of allowing people to work from home would have been sneered at, and written off as too expensive, not viable, and a million and one other stonewall reasons. Yet here we are.
When Covid popped up, it forced the hand of many major companies, as well as a lot of smaller ones, to find ways to continue operating, but also to follow government guidelines on safe work environments, and social distancing. Suddenly, WFH was a reality, and who'd a thunk it, not as bad as most companies and employees had thought it might be. Amazing what can be done when it benefits a business!

Since that time, systems like Teams and Zoom have become common place, acronyms like WFH, VPN have become second nature, and a whole new world has been born. The phrase, "the new normal" gets used a lot now, and for me, personally, WFH is the new norm. Or at least I hope and pray it can be.

But before I carry on pleading to remain working from home, let me continue to delve into the mystical world of working from home, and share some of my reasons it's a positive thing, sometimes on a purely selfish and personal level.

Environment
Imagine for a moment, if we DON'T go back to normal. If say even 25% of the traffic never returns to the rush-hour. If 25% less people are crammed into train carriages and buses during peak times. If some of those, even maybe a larger number choose to use bicycles to get to work, using the less congested, less dangerous roads, and some of the wonderful cycling infrastructure which is appearing. Those who can work from home do so, while those who NEED to go to their place of work, have the space to arrive fresher, calmer, and ready to work. Rather than stressed, and needing 10 mins to compose themselves, before shutting down mentally 30 mins before the end of the day, as they begin to contemplate the nightmare journey home.

Add to this, the environmental impact, and the green credentials for businesses. Lets be honest here, we are becoming more and more environmentally aware these days, and businesses want to be able to proudly boast about how they have reduced their carbon footprint. You don't have to be a transport company, or a heavy industry to be responsible for your carbon footprint. Any business, especially one which requires large volumes of people to travel daily to a common office space to work as an individual. Call centres for example, that requirement, as a business demands hundreds if not thousands of people to travel daily, by all means. Each one, another footprint in the sand.
If your record as a company was recorded as footprints in the sand, would you want your image to be a beach in Marbella in the middle of the school holidays, or a Caribbean paradise, with a few solitary footprints disappearing into the sunset? OK that was a bit weird I know, but you get my gist.
Every movement of employees counts, even if you as a company do not use vehicles for business .

School holidays
The peak time for people to book time off work. Lots of families using almost all their annual leave to make sure there is someone home for the kids during school holidays. With a school year being about 39-40 weeks a year, that means some families struggle to make sure there is care for their children for 12 weeks of the year. Imagine being able to be home, working, but able to be sure the kids are safe. Being able to book a few days off during the school term so you can recharge, and have some time to yourselves while the kids are safely at school. Wouldn't that be nice.
It is something that most families will never have been able to consider, a break from the mad school run, then dash to work, then rush home to make sure you are home when they get back from after school club. Heck, what if they didn't need after school club, and could come straight home. Save another few quid a day right there.

Sickness / Attendance
Next up is attendance, and of course this is something which directly affects and benefits the companies. I don't know about the teams you work in, but the bigger the team, the more frequent it is that there is a sickness, or short notice absence due to home matters. Be it a sickness which just makes travel and being in a social space un-viable, or a burst water pipe, and having to wait home for an emergency plumber. Oh or childcare, mustn't forget childcare emergencies!
Whatever the case, absence of any sort is disruptive on a number of levels. Increased workload on the team, unable to participate in group meetings to name a couple. With work from home, most emergencies or cases of sickness still allow the employee to participate, even at a slightly lesser level, rather than be out of the business.
For me personally, the team I work in, has had ONE sickness since March, and that was the employee who was still choosing to work from a company office and not home. And of course, not to mention timekeeping. No more "the train was late" or "my car broke down", you wake up at work!

Flexibility
Then of course there is flexibility. A good example for me in my role is, the other night, after I had finished work there was a problem. Under normal circumstances I would be at home with no access to company systems, but with the PC at home I was able to log in and help resolve the matter, hours after I would usually have been able to help. I am sure this sort of thing could apply to others too. Also under the banner of flexibility, is being able to change working hours, attend online team meetings, and work later if required. All things I am happy to do now, and continue to keep doing moving forward. If this was an office based environment, my decisions on being able to be this flexible would depend on travel, prior arrangements at home etc.
I for one, if at home out of work hours, and asked to perform a task, help with a matter or do something else work related, would be more than happy to do what I needed to, if the situation permitted it. Which lets face it, if you are home, the chances are you can.

Mental Health
There are two sides to every coin, and mental health is no different. For some like myself, we struggle on a daily basis with issues like anxiety of the environment we work in, being around too many people, interactions with others in a busy work environment. This isn't to say its impossible, but the past few months for me, even with the added uncertainty of everyday life, have been far easier mentally. Once of course I got out of the routine of being housebound. As an avid cyclist, being cooped up indoors for weeks on end finally took its toll on me. However now I am getting out for my fix of air daily, in the form of rides and walks, all is well. In fact, all is amazing!
And again, in a more generalised view, people with mental health conditions are commonly adverse to getting public transport as I mentioned earlier. Enclosed, uncertainty etc. Either way, mental health deserves a look in here for sure, especially as over recent months there has been a sharp inline in people struggling.

It would be ignorant of me at this point not to mention that the other side of the coin is those who have struggled without the social interactions of the work place environment. This group also needs careful consideration, and how both groups can achieve their highest working output, while being taken care of on a mental level. It is all well and good for me to bang the drum of isolation and WFH, but I totally get that some want and need the complete opposite. I am sure with some careful consideration a happy compromise can be reached, while the company benefits also financially from the changes.

Covid-19
It is hard to write a piece on the benefits of WFH and not mention it in its own right. Covid-19 at this point in time is still the enemy, no known treatment or vaccine for it, and still not much known about transmission of it. With that in mind, some people in society, a shrinking number at a worrying rate, as considerate of contracting and passing on the virus. So with this in mind, the responsible among us are still observing social distancing, minimising interactions with others, and keeping a heightened sense of personal hygiene. Of course, companies also have a responsibility to be "Covid compliant" and make adaptations to working environments to protect against transmission, which costs money. The bigger the company, the bigger the outlay, so obviously it would make sense to allow people to remain working in their own bubbles.
In time we will get a handle on Covid I am sure, be it vaccine or a herd immunity, but the road map that it has set out for businesses and how we work will remain deeply embossed in the work environment.

Just like they say a war drives the greatest leaps and advancements in technology, so Covid, a global pandemic will go down in history in changing the way some people work, and businesses operate forever. A genuinely momentous time for many I am sure.

So as a quick overview and to add a few more points into the mix, let me summarise my thoughts so far.

So long as those working from home are as productive as they are at work, if not more so, are willing to attend the workplace when requested to do so, for a meeting, a day at the office, or other work related matters, and behave in a way that is fitting with the requirements of their employer, there is initially no immediate reason from a productivity standpoint that WFH should not be viable moving forward.
There is an element of "hands off" for managers, which I would expect is a concern for some places. When the boss is away and all that. However, as grown-ups, we as employees should be respectful of the length of rope we have been given, and not try to take more, but instead appreciate the freedoms it allows us. Not abuse them to a point that it will all be reconsidered and taken away again. For some roles there will never be a spare moment to try and take liberties, for others, they will no doubt find a way to make it work to their advantage.

I would completely expect any company to exercise the right to check up on staff, be it home visits, check calls, or video calls to ensure you are present and correct. Any violation of that, in my opinion should be treated as gross misconduct. I would not expect any permanent WFH scheme to come without terms, and am pretty much onboard with anything I can imagine those terms might be.

I hear from a few friends now that some of the large businesses they work for are taking huge strides towards changing in the long term to WFH. Global companies with large swathes of  their workforce being offered WFH permanently, or simply told there will be no offices to return to when the pandemic subsides, instead their roles are now WFH.

Some people I know have questioned the cost of working from home. Who pays for the electricity, are there insurance implications, what about equipment for use at home. For me, I have the space, an office already set up, and a good broadband connection, so I am good to go. I would happily pay for some of my own equipment for my home office if the role were to change to a work from home role for sure. Standing desk for starters! I don't expect this is the situation for everyone, and would not for a second expect everyone to be of the same mindset as me, but would encourage careful consideration of how life changing working from home is.
Sickness reduced, no commuting, ability to deal with unforeseen circumstances, always home for deliveries, closer to your health care providers for appointments, control of your preferred working environment including temperate, background noise, lighting etc. Whats not to love!

OK for some it is probably the perfect storm, stuck at home with family all day, constant interruptions, no space or alone time. All things that some strive for daily. Something for both employers and employees to consider. Either way, the past four months have been both a trial period, and a snapshot and sneak peek into the future, hopefully!

Can you tell I am pro Work From Home yet?

I will leave it there for now.
I am sure I have left loads out, but having thought about writing this for a long time now, I thought I would at least make a start on it, I am sure there is more to follow soon.

Good for businesses, saves running costs on buildings, reduces the sick leave, improves timekeeping and flexibility to name a few highlights.
Bad for business of course could be not being able to keep an eye on tricky staff members (simple solution for that). Raises questions over work space management, and wellbeing.

Good for workers, no commuting, reduced travel time/costs, ability to work when not feeling great, more free time, own work environment.
Bad for workers, questions over expenses, not everyone has space long term, losing "away" time from home.

So what is YOUR take on work from home? Would you if you were offered it long term (only where applicable to your job), do you have concerns over costs, and long term effect? What percentage of the working week would you want to split between office and home?

Here's to all the companies who can accommodate this new way of working, doing so, and may it work to the advantage of everyone involved, not just a few.


Once I have read this through again, I am sure I will find things I missed, and write another blog to cover that too. Sorry in advance.

Poor sleep.. the penny drops!

For as long as I can remember now I have had trouble sleeping. Getting to the morning and feeling worse than I did before going to bed in the first place on some days. Waking throughout the night at the slightest sound, it has gone on for years.
Since the arrival of my first sleep app, or activity tracker / sleep monitor , I have seen on screen just how bad and disrupted my sleep actually is. As the devices have gotten smarter, so the numbers have become more depressing. If I spend 8 hours in bed, 45 mins will usually be deep sleep, the rest of the time its splatters of REM, or light sleep, complete with some time spent awake. It is as regular as clockwork.

When you look at the breakdown further, a pattern appears. After laying around for a while I will eventually drop off, usually falling into deep sleep quite quickly. 30-40 mins, and it is all over. I am usually awake again, or at very least drifting in and out of light sleep.
It is quite common for me to be awake and sometimes up by 1am, trying to get my mind to settle, and get back off to sleep, even if it is light.

For a long time now I have put this down to anxiety, and my own periods of depression and anxiety. With the disturbed sleep becoming the norm now, even when not in a dip. However... Last night, during one of my waking moments, the penny finally dropped. When I lay there and put two and two together, the answer was finally, without doubt, four!

Thinking back to even 6 months ago when Tuvaaq was still with us, I would wake and hear him walking up and down the hallway. Not making a lot of noise, just the tippy tap of his claws on the flooring would get my attention. Eventually when he settled, I would drift back off to sleep. Even now, the slightest sound wakes me, and gets me focusing on it til I know what it is, and it passes.  But why? When did this start.

Well, as I worked out last night (early hours of this morning), it was about 2008.

Finally, I remembered. After being diagnosed with COPD a good few years before her initial cancer, mum had breathing difficulties. With the onset of the cancer, and the meds affecting her health, her breathing became much worse, and all quite suddenly. If I woke in the middle of the night to go to the loo, I would hear her coughing away, borderline choking. Eventually she would clear her chest, and go back to sleep as quickly as she had woken. Sleep was never an issue for her.

However, on coming home from work one day, and finding her already in bed, curiosity got the better of me, and I went to check on her to see why she had gone to bed so early. It turns out that was a good move, as I found her cold, and non responsive. Barely breathing. Ambulance called, rushed into hospital, and things were sorted. Back home a few days later, and "back to normal". Or so I thought.

Turns out, from that day on, or should I say night, I have never slept properly since. Thinking back, I can now clearly recall waking up each time she was coughing, listening out to hear the right sequence of sounds to know she was OK, and not going back to sleep, or even trying to, until she was safely back asleep. Regularly I would go in to check on her to make sure she was breathing after an episode.

So THAT is where the light sleeping began. Over the few years she was at home, in the different rooms of the house, depending on her needs, the process remained the same. When she finally moved into the lounge with her hospital bed, I think the listening intensified. Now with carers coming in 4 times a day, starting first thing, I had to be on my A game to make sure they made it into the house OK, that she was not being awkward or combative, and that indeed they were doing their job properly. Given some of the interactions with the carers, I was thankful I was home, and sometimes wondered how they would have coped had I not been there to help or refer to.

After a few years of living like that, I guess it is only natural it has become routine for me now. However, given than mum passed over eight years ago now, I would really love to get back into a routine of better sleep. It was kinda handy being that alert as Tuvaaq got to the end of his days, but now, I would really love a good nights sleep.

So what is the next step? The doctor mentioned to me a while back that CBT was one of the things they use when treating sleep issues. Trying to overcome the over thinking of the anxious mind etc. I guess that is one option. In fact, dealing with how my mind works, and perceives the "risks" of falling into deep sleep, is the only way to overcome things. I don't particularly think it is a physical issue, and now that I have recollection of how and when it started, it all makes more sense to me.

Maybe I will book an appointment with the GP anyway, and see what they can come up with, then go from there. Yoga, mindfulness and relaxation certainly play their part in a settled bedtime routine for me.

If there is one positive to take from this, it is that I can officially separate the sleep issues from the anxiety I struggle with at times. I know now that when my mind is behaving, the issue remains because of the long-term routine I established a long time ago.

One less mystery in my life... Phew!

Amazing students!

After a bit of a wobbly morning, and a nice long 3 or so mile walk at lunch, it was time for the afternoon session.
I have been trying to drip feed the info a bit more this time around, as the first time I was here, I felt I was giving it all away a little too easily
Morning sessions were all positive, great interaction with each of the students doing their differential. However this afternoon, I have just come out of the first session and am genuinely blown away by the approach  professionalism and thoroughness of the first student.
Her approach was spot on, as if she has done this 100 times already, however it turns out it is just her first  time doing mental health this week. Calm, interactive, patient led and compassionate. You can't teach that sort of persona.
This is not to detract from the other brilliant students I have interacted with already today. Each one of them is fantastic in their own right. Simply for being in the line of education they are in, they get my full respect. Not to mention how each one has been brilliant in diagnosis and patient interaction
But sometimes one person really stands out, and this was the one this time around.

*Edit*
Just come out of the second session, and again, amazing! Empathy in gallons, understanding, and all the right questions and replies. 


Going back to me for a bit. This morning was a little draining. Feeling situational anxiety I think would be the right way to put it. As expected, the slight drain on my energy levels of late has had an impact  However it has also taught me something about myself too.
Situational anxiety, is not the same as general clinical anxiety. They may present the same, but bounce back from situational is instant, where as being clinically anxious and going through a full on episode is completely different  thank heavens! I can understand more now when people say they feel anxious for a moment, and can better relate to what they mean by it. I have felt it many times before  but this is an eye opener for me, and I can now feel the difference.
Similar with depression really, although my feelings of genuine depression are a whole lot lower than when I feel, what I call "down". But I can understand when people call it being depressed about something all the same.
I do love a situation where everyone is coming away with new knowledge, and today is certainly one of those times. Last time I said I thought I felt anxious about talking about anxiety, and presenting with the symptoms again. I can confirm this is the case again. Reliving the visits to the doctors really does bring things to the front of your mind and can start to feel really real. However I won't stress as I know how it passed last time, and will again this time.

RCGP session two!

The clock is ticking down on my next session at the Royal College of General Practitioners on Friday, and I have to say the suspense and stress is building. It will be my second rush-hour trip to Central London in the week, which never bodes well with me even at the best of times.

The first session I did was a real eye opener, and while it was fun, it was quite draining too. That was starting from a nice high spot in my mental cycle. This time around I am somewhat lower than I was before, so it will be interesting to see what impact that has. Whatever the cost to me, the important thing is being able to help the students understand the presentation of anxiety and depression.

On the plus side, the whole day is a known thing now, it is not full of surprises and uncertainty, so that will help enormously I am sure. I will just get there nice and early again, missing the majority of the morning rush, and have a little wind down walk before getting started.

I will have to put some thought into the scenario for this time too. I am quite happy with the original, but it is good to mix things up a bit. As much for my sanity as theirs. Really is quite draining mentally, recalling events from your life, and playing them out in a scenario over and over for a day. By the end of the day you are mentally exhausted. I kind of envy the actors who also participate in these events. Surely it is much easier to pretend to suffer with something you don't already struggle with. Maybe I am wrong, who knows.

Either way, as I say, the main thing is the students come away from it all with a better understanding. I really do want to have more time to answer questions, and help in any way I can. With so much work being done to raise awareness of mental health issues, it is only right to make sure it can be identified and caught nice and early, so help can be given before the issue worsens for the patient.

Which reminds me actually, I have got to read back through my emails, and do a submission to the BMJ as suggested by Niki. It may come to nothing, it may be the beginnings of being able to do something more positive, time will tell. Not like I don't like writing now is it!

Right, better get my head in gear and thinking cap on, ready for the (next) big day.

Thanks for reading.

PS, students, you can now find all my MH writings on my new website www.snazy.co.uk (if you are not already reading this entry there)

Back down the rabbit hole

I guess the time of year doesn't help much with things, and a lot of people are heading in the same direction right now. Back down the rabbit hole in preparation for the short days, more time spent in darkness, and the gloominess of winter. Not to mention the stresses and strains associated with the "festive season".

So at least if nothing else, I don't feel surprised or alone as I pace in circles at the entrance to the rabbit hole.

Lots going on in life as usual for me, some putting a little extra strain on my mind, other self inflicted things weighing heavily on me both physically and mentally. At the start of the year, setting myself a realistic distance goal on the bike was a good idea. However as the year has progressed, the self imposed stresses have started to show through. Passing my preset goal much earlier than expected led me to aim higher, and higher... To the point where although officially I have passed my goals massively, I am still coaxing myself to push harder. Physically it's taken its toll, mentally I am starting to beat myself up a bit to achieve every mini-goal I have set since then.

Mid way through the year I had the energy and get up and go to do some running too, but soon realised I was spreading myself a bit thin. That said, I had avoided injury up until this point, so it made sense to back off from the running, and focus on wellness and the initial goals. Now later in the year, I am missing running, but lacking the energy to run too. So I am really looking forward to the new year, and new beginnings. Less riding, more running, more stretching, and more about looking after myself, rather than beating the hell out of myself day in day out.

Physical battering aside, my mind is starting to feel the strain of day to day life. Getting up later, having less energy or inclination to do anything other than what is officially on my agenda. Things that need doing can wait, non urgent things can just be forgotten about. Even getting out of bed for trainer rides in the morning is becoming a bit of a chore. Sleep is shocking, with about 45 mins a night of deep sleep. Only the first hour of sleep I get nightly seems to be worth it. Once I have woken at 1-2am, I may as well get up, as it is all downhill from there on.

Nothing is on my mind really. Life is busy, has it's challenges, and a few boulders have been thrown in the road recently, but in general, life is good. A far cry to years gone by where I would have struggled to tell you anything positive about my life. But still I find myself loitering at the entrance to the damn rabbit hole.

Focus is needed, a reboot too, and hopefully that is what the time off over Xmas, the trip to Wales, and the start of a new year will give me. Time and space to hit the reset, recharge a little, and get to grips with what I need to do to get the right results for myself for 2019.

A few ideas, some new goals, a new project or two. All sounds good, now I just need to put pen to paper, draw up the proper plans.

One of the key things for me is physical well-being. I know my body has taken a bit of a beating this year, so next year will be different. More running, or should that just be running, given how little I have done this year. A focus on stretching, recovery, and maintenance is also on the cards, with a return to yoga, and getting muscles like my Psoas recovered and back to full flexibility. Pain pain go away!
On top of that, I want to get back to a daily morning routine, be it floor, gym, HIIT or bike trainer. I remember back to the days of my first round of P90X, and remember feeling supercharged every day. Starting out with some physical activity is really a great way to get the body and mind into the right place. And I think that is the balance I am looking for here.

Physical activity equates to a stronger mind. Be it the endorphins released from the buzz of the training, to the positive feelings and state of mind from being active, and feeling good about yourself. For me it works a treat, so as we progress back towards Spring 2019, I want to arrive fresh, and fully charged in both mind and body.

Until then I just need to make sure I check in with myself regularly, and stay on the level. I know I am vulnerable, but I also know I can stay in control, and do what is needed to stay out of that rabbit hole this year.

I know there are others out there circling too, and would urge them to stay positive, keep active, don't lock those feelings away, and make sure you speak to someone (or the internet like me). Bringing all the thoughts to forefront of your mind, and processing them openly is a great way to rationalise what you are feeling, and breaking the cycle of doom and gloom which shows its face so quickly at times like this.

Take care all :)

The pitfalls of social media.

The draw of social media to someone who starves themselves of contact with people is huge. The opportunity to communicate with others, without the need for actual personal interactions is hard to resist at times. But it is not without its risks.

From time to time I find myself withdrawing from face to face interactions with people, as it is just how I feel at the time. At times like this I like to keep in touch with the world, current affairs, and friends from the comfort and security of my own home. As any regular reader of the blog will know, keeping in touch is important to me, even if it is a boring monologue at times. Either way, for those important to me, it is a way of letting them know all is well, I am just having "a moment".

Unfortunately, as I have found over recent months, during various encounters, it can also be a bit of a lions den at times too. Speaking your mind is a tough one, as exercising your freedom to do so, also reminds you that others have the same right to do so. So taking offence simply at someones stance on something is not really on, and it is a case of sucking it up. Pretty much the rules of social media and the WWW really. 

Of course, there is expressing your opinion on something, then there is actively trolling, and trying to cause offence. That is a little bit different. I am no stranger to speaking my mind, and causing upset on my blog, I have been doing it for years, sometimes even to family and loved ones, and I don't see that changing any time soon. Speaking my mind is one thing I feel strongly about, and feel that everyone should express themselves, as long as it is in a factual and fair way.

What I take sincere offence to, is when someone repeatedly targets someone in such a way that it protects their identity, while trying to damage the reputation of the target. Slanderous and unfounded comments, posted in irrelevant and opportunistic places to maximise its audience and effect on the person. 

For me, I will honestly say that recent such attacks have caused me great upset. Not by what has been said, but because of the targeted way it has been carried out, and the justifications given when questioned on their actions. Before any one person gets too carried away, and their ego starts to inflate, this is not about ONE person, nor ONE comment. This is me speaking out against ANYONE who feels they are within their rights to attack someone online with no foundation. Facts are fine. And I mean facts, not opinions. But opinions tainted with spite are not facts, and should not be expressed, and certainly not in a manner in which its only intention is to cause upset, and in my case, instability in mental wellbeing. 

Mental health is not a laughing matter, not a joke, nor an excuse for poor behaviour. I would not, and will not use my condition as an excuse to say anything I say. If I make a comment, write a blog, or express my opinion in the moment, it will be done openly, in my own name, and not forced upon others by spreading it out of context. I like to feel that any comments I have made in the past about ANY person, has been able to be justified, and backed up by hard facts, usually in the form of written comments, messages or other such communications. 

I will wrap this up by saying, I am not against people expressing their opinions about me, god only knows how many people have done just that. All I would ask is that it is done honestly, openly, and not done to simply try and damage my mental state. 

Sitting up all night, running scenarios through your head is not a nice existence. And the less people who have to go through that because of the spiteful and vindictive actions of another, knowing they are having that exact effect, the better. 

New beginnings.

Having recently engaged with a bunch of great medical students, as well as the Royal College of General Practitioners, I gave some thought into a fresh approach to the blog. Separating certain sections of the blog off onto a different platform.

New domain, new interface, and just focus on the personal and mental health aspects of the blog in one place. No mish mash of other entries, just plain and simple "ME"!

Fingers crossed I can get this set up over the weekend, and see about duplicating some of the posts from here onto the other one, and in future keep things separate.

I shall of course refer to the new platform on here from time to time, as I know some have found a lot of information, which has helped in all sorts of ways, from some of the MH posts I have made, so I will do everything I can to ensure that this remains easy to find, and is available to people.

I had an Instagram project of a picture a day for a year running from Oct 17- Oct 18 which has now ended, obviously. So I thought now was a good a time as any to get a new project running, and hopefully I can spend more time on it in the coming year. Something to sink my teeth into so to speak.

The plan is to get the domain and platform sorted today or over the weekend, just got to do a last little bit of research before committing.

Watch this space :)

Costa Coffe vs the local indies.

From the day it was suggested a Costa coffee would open in Forest Hill, there has been a very noticable objection towards it. Over the years the area has built up a good base of independent coffee shops, and businesses from where one can purchase a nice, freshly made coffee of any description. It is indeed fantastic to see that not only are these businesses thriving and even receiving critical acclaim in London directories, but also that they have such a loyal and passionate customer base.

Hopefully this customer base which has served them so well will continue to frequent their establishments, and keep the cash flowing, and customer base growing. For me however, the appeal has just never been there, for reasons which I will get into in a minute.

Meanwhile, the huge brand which is Costa, which lets face it, was once a small indie, but managed to get on the gravy train and boom, globally, has decided the time is right to open in Forest Hill. But why people cry, we have plenty of indies who make amazing coffee. So let's look at why.

Staffing for one. Most chains will have more staff in them than a small independent. This means there is a production line in effect, and when a few customers are waiting, generally it is a little quicker to be served. Not a hard fact, but an obvious occasional advantage.
Then of course there is the known quantity of their offerings. Unlike independents, Costa have almost a set menu, and something you can become familiar with. For some people this is important, for others less so. Either way it enables a customer unfamiliar with an area to walk in and order something they are comfortable and confident with.

For me, the big thing is probably the bit that puts the aficionados off. That is the space, and anonymity of the place. One of the most common comments about places like Costa is they lack character and the personal touch. Me, I like that.

Some people like to regularly meet friends, greet regulars and make lots of conversation. Enjoying the surrounding of a buzzing (literally) coffee shop, and all that comes with it. I am the complete opposite.

As I say, I appreciate where people are coming from with their doubts, unfortunately it seems the same graces are not offered the other way.

For me, I like to be able to go to a place where I can separate myself from the buzz, have a bit of space to myself and my mind. While others around me can enjoy their conversations, and mingle with their friends, I like to be able to unwind, out of the way, in a corner. Sometimes get the laptop out and do a bit of writing, while topping up with hot chocolate, the occasional coffee, and of course a slice of cake.

Not everyone is the same, we are all very different creatures, who thrive in different environments. For some that is a very personal experience in a small local coffee shop. Known by name, regular order, and families asked after. For others, and I am 100% sure I am not alone here, it is about being out, gaining confidence, experiencing the buzz of day to day life, while being at arms length from it all, and feeling comfortable.

Hopefully this is where Costa comes into the mix, at least for me. And I sincerely hope that anyone else who goes through the same emotions as me in society can feel the same way too.

For some this will make sense, some will mock, and some simply reject. But whatever the reaction, I just wanted to put my view across as openly and concisely as possible, and take a break from the mockery and jokes I make about the subject the rest of the time.

Here's to all our local independents thriving, and Costa sticking around for those of us who simply feel more comfortable being in a chain coffee shop.

I just want to add, in case I am not being clear enough. Anxiety and depression suck. Being able to get back into society at a gentle pace is key to recovery, and is something I am truly passionate about. Mental health is misunderstood by so many people, but those who do understand anxiety, will hopefully appreciate this a little more.

We are all different, choice is a wonderful thing, and we just got a little more choice in the area.

Education and enlightenment on anxiety.

Today has been a very exciting, educational, and rather exhausting day.

Many months back when climbing back to the top of the mountain from my trip to the depths of depression and anxiety, my GP contacted me and asked if I would be interested in playing a part in the education of some future GP's. In the form of group sit down sessions, and mock GP consults at the Royal College of General Practitioners in London.

The initial group session was a blast, with a GP I knew, and trusted, having been on a long mental health journey with her, however the latter, which started today was a whole different ball game. A new location, new people, and travelling on public transport at peak time, what could go wrong, eh!

I left early, and missed the most of the rush hour, so at least I would arrive quite fresh. That worked well. 30 mins early, a walk to get some fresh air, and all was well. Arriving on Euston Road, I went into the building and soon found my way to the right place. Handed a sheet with my schedule for the day, a voucher (which I was not aware I would receive until recently) and a heads up of what to expect and when.

Settling down in the waiting area, I was immediately in awe of the grandeur of the place, stunning and modern, if not futuristic. Looking for friendly faces to try and make conversation with, I noticed that a large number of people there seemed to know each other already. Awkward, new kid on the block in the house!! Within minutes, the ice was broken with a lovely guy Brian. Making conversation with strangers is really not my forte, but this just seemed to work, super friendly and chatty, putting all my fears about the day at rest, one by one.

What soon became apparent was that the majority of the "role players" were in fact actors, given a brief of their character and symptoms. I however, along with Brian and a few more had no brief. Brian explained that we were presenting as ourselves. This was soon confirmed by the briefing and a quick Q&A at the end.  Take my experience with depression and anxiety, choose an aspect of it to focus on, and work with that. Sounded simple enough, I know my mental health pretty well these days.

As the clock ticked down to the first group going in, I wondered what it would be like to try and role play a real life experience. The first GP came out and introduced himself, and reiterated the original brief, choose a symptom and work with it. I was ready!

Michael Snasdell..... the first student called. It was time.

In I went, to find not only them and the GP but another 3-4 students in there observing too. A group of strangers, excellent! Given anxiety was my planned focus, it wasn't hard to get my head into the role. Anxiety was very much present. Not in a terrible way, but at least in a way I am familiar with. So I guess if nothing else, it was an authentic performance.
As the first session went on, I opened up a bit, and really offered an insight into how I actually presented on the day when I really did go to see my GP for the first time. 20 mins in, the consult was wrapping up, and CUT.... Finally I can just be me again. Time for a debrief. I have to say I was impressed, thoroughly. Given the lack of experience in diagnosing mental health issues that the students apparently had, I was amazed at how comfortable I felt, and how realistic it all was. Certainly brought back some memories for me!

With four sessions before lunch, and four more after, I have to admit I was feeling rather exhausted mentally by the time the break came around. I grabbed a bit of the lunch they had laid on, then went out for some fresh air, space, and distraction from it all. My conversation skills were waning slightly by this point. Off to an exhibition over the road, then a stroll up and down Euston Road, taking some time to stare at the awesome St Pancras Station, before heading back in for the afternoon session.

Come the first PM session I was more prepared for the students, and if I am honest, a little harder on them, partially through not wanting to repeat the same story another four times, and partly as I could tell that I was presenting a little too easily. Sorry PM students, I did it for with your best interests at heart, and you all did an amazing job.

The afternoon was pretty much like the morning, if anything over with a bit quicker. Quick enough in fact for me to get out and away before the evening rush hour took hold, which was a huge bonus given how exhausted I was by the end of it all. After the final session  popped back to the first floor and spoke with Madeleine and Niki about how the day had gone.

As a whole it was a massive thrill to be giving back to a profession that is almost completely responsible for my recovery from various mental health trials I have faced in life. From telling my GP a couple of years back that I wanted to give something, anything, back to the health service, and help as many people as I could along the way, deal with their own mental health issues, here I was. Doing it!!
It doesn't get much better than that! Genuinely.

Knowing I will be doing a couple more sessions of this is a great feeling, and I would love to be able to continue to do this, and anything else I can along the way, to help with the battle against depression and anxiety.

I was a little rather touched at being asked for a link to this blog, for them to read, as well as pass on to the students who had asked about it. Any regular and long term readers of the blog will know that I have documented my most testing of times right here, and left it all laid bare for others to read, and maybe benefit from should the need arise. I am pleased that some have already given feedback on it, and found some benefit or comfort in what they have read. It was the aim all along,


A huge thank you to everyone from Dr Elizabeth Paul at my GP surgery for suggesting this, and putting me forward to do these sessions. To Madeleine and Niki the facilitators of the course (I hope that title gives you enough credit for the amazing work you do). Not forgetting of course the amazing students who endured a day of mock consultations, and what I believe were some of your first experiences at dealing with mental health. And of course, had to put up with me!

Going back to the experiences shared with the students, I kept it as near to real life as possible, expressing fears and concerns which the conditions had presented me with at the time. Even referring back to the blog at lunch time to make sure I was staying on track. Open and honest, at times maybe even seeming a little "un-bothered" about things such as death. I won't say it was nice to see some of them struggle a bit with the questioning phase of things. Having been under exam conditions myself in recent years, I know all too well what it is like trying to keep the structure of the scenario, while following the lead of the fluid situation. I am delighted to say that by the end of it all, it was a straight 8 for 8. I would happily have revisited any of them as a GP based on my initial interactions with them. Maybe preference towards one or two over the others, but that is just a personal thing, Professionally, bravo all !!

The debrief at the end of each session gave me the opportunity to feed back to the students in the room, not only the one doing the consult. As well of course as the GP mentoring them. This was my chance to offer them a little guidance on how the session had gone, any pointers for improvements for demeanor, and give any other trinkets of information about anxiety, depression, and dealing with mental health in general. Referencing this blog a few times, I explained that while there are drugs and treatments for certain aspects of mental health, the most important bits for me had been striking up a great rapport with my GP, which enabled me to touch base from time to time,and feel like I was speaking to someone who knew me. And of course the self help side of things, such as a diary and the blog, which I often re-read to remind myself of the journeys I have been on over the years.

I will be returning next month to do another session with some more students, and in the meantime will continue to seek out other opportunities to share my experiences and knowledge with the groups of people who are the future helpers for people like myself.

A massive thank you again to Elizabeth, Madeleine and Niki for this opportunity.

I will leave it there for now, but will sure to revisit this very soon when my mind is a bit more relaxed. I just thought it important to get this blogged asap, while it was all fresh in my mind.

Dear students... #WorldMentalHealthDay

First off, I just wanted to say, publicly, what a pleasure it was to meet you all today, and thank you for your time listening to me rambling on about my experiences with depression, anxiety, and lets not forget gout.
As I said at the time, I am truly passionate about helping people have a greater understanding of what it is like to suffer from depression. Feeling a bit down, or a bit grumpy is really not the same. I really do admire people like yourselves who take the path in life to try and help others, however sometimes feel that the theoretical education somehow lacks enough depth to truly grasp some conditions.

I hope today was helpful for you all, and that in amongst some of my tales and analogies, there was some clarity there too. I am grateful for the feedback you all gave at the end, and hope you took as much away from the session as I did. Thank you to Dr Paul for having the foresight to suggest the session in the first place.

There are of course many other matters we did not get to discuss, compacting a few years of depression, the rises and falls, is of course impossible for a 90 minute session. Hopefully in amongst the rest of this blog (Nov 2015- Mid 2016) there is more information on the subjects which may be of interest. There are also entries from way back too which reflect on the depression. My journey through CBT is also in there somewhere.

If you have any further questions about the issues we discussed today, please feel free to contact me via the blog, or emailing me with any questions on snazy123@gmail.com. Also, feel free to share this blog with anyone you choose to, there are no secrets, especially on the internet.

Getting back to the main part of the blog here. I just wanted to add that physical training, cycling, writing, and believe it or not, being tattooed, all play their part in the maintenance of my well-being, as well of course as having the love and support of my close friends, who keep me grounded.

Today for me was a stepping stone, a step in the right direction for me, with getting involved in something I am very passionate about. The understanding, from a first person perspective, of what depression is, how people cope, and what can be done to help them on their journey.

For many, depression and anxiety is not a life long issue, but a journey taken within our lives, more for some than others. Seeing people convinced that they must live by the pill is quite sad, and also worrying. Not to mention the lifestyle choice that people make when they are convinced this is them for life now.  Talking with people who understand and can genuinely empathise with what you are going through is a massive step, certainly for the people I have had the pleasure in helping in my past.
However not all cases are the same, and the idea of getting involved is in no way a pipe dream of a one size fits all fit.

For me, the idea of being able to play a part in other peoples recovery is huge. I don't expect every encounter to be perfect, and am aware that my personality may not be suitable for all. But nothing ventured, nothing gained and all that.
If actually being involved directly is not a reality, then the next best thing would be to continue to give my time to enable those who will one day be at the frontline of things. Using every day analogies to make sense of how the depressed mind works. I was pleased that my "it's like" approach finally made some sense today.

After speaking with Dr Paul following the session, I am going to try and get my head around how I can get more involved. Organisations such as MIND are a good starting point, my only concern is how to explain my intentions, with absolutely no academic background whatsoever. We shall see how that goes, I will be sure to update the blog with any progress I make, as well as Dr Paul.

Any thoughts on this venture are welcomed.

Today once and for all clarified for me that I am in the right place mentally now, to start reducing my medication, clear the mind fog which sometimes presents itself, and get on with doing something constructive with my time.
If a legacy were possible for someone like myself, it would be wonderful to think that my efforts and words could be carried forward, and make a difference for even a handful of people. Especially those who are not as fortunate as myself, and have no immediate outlet or support network.

I know I said some pretty damning things both on here, and today about the services offered to those suffering mental health issues. I hope I struck the balance of both grateful and understanding of what is deemed possible from an academic level, whilst highlighting the short falling, and no mans land between what is written and understood, and what actually works for people struggling. There is a balance to be found, and hopefully one day, maybe with input from me and others, it will be achieved.

The message to take is quite simply, the input from the NHS and other health services is instrumental in building the foundations for a recovery from such an experience in life. However theoretical empathy only goes so far. Understanding, and experience bridges the gap which is left. There is nothing quite like being on the level with someone who truly gets where you are coming from.
Building baselines for all to understand, and be able to empathise with is key here, so expect to hear "it's like" quite a lot from me.

Now I shall take some time to reflect on today, and formulate a way which I can try and create this baseline. The input from the students today has been key in building my understanding of what is in place, and what is missing from the current structure. Although I would love to build my knowledge on the academic side of things more for my own benefit and understanding.

Key words from today, baseline, empathy, analogy and understanding.

Just as a final note, I want to sincerely thank Dr Paul for her time for me since we first met. That first blog entry following the consultation was a pivotal moment for me, as has been the continued support from you. To have been given the opportunity to carry out todays exercise has been very special for me, especially on what turned out to be World Mental Health Day. Imagine that.

Here's to the future. For us all :)

Thanks for reading as ever.

What can I do to help?

It is so frustrating at times to site idle while others suffer. Knowing you have information which could help others, you have the ability and time to talk to people who need someone to speak to. Yet no way or means to get involved at the grass roots level.

Over the past few days I have been looking into jobs in mental health, what qualifications are needed, and how I can help with the basic skill set I have. Apparently there isn't a way. Which while understandable, is also frustrating. Sure you can teach people the basics of mental health, draw up a curriculum which covers all the bases, make sure people understand the fundamentals of depression and anxiety. But you can't teach experience.

Somewhere there should surely be a crossover point, where experience and education meet, and can be combined to provide the services which are needed most by those suffering. It is great seeing big names coming out and admitting they are affected by depression, and explain their struggles. Saying things others can relate to, and feel like someone understands them. But that is where it ends. When you come forward and look for help, the understanding ends, and the empathy of education presents itself for the first time.

Having someone tell you they understand, because they have read about it is NOT the same as having someone share stories, or finish your tale for you, showing they truly know what the moment can do to you. The lack of this actual understanding is crippling for some, I certainly lost all faith for quite some time. Luckily I had the guidance to keep pushing me to keep going to the meetings, and to try and see what I could inject into the meetings to try and make them a little more "real" for others so to speak.

The thing I found was, as soon as I started openly sharing how certain incidents and events had made me feel, the whole group seemed to engage, waiting to share their experience too. A few meetings later and it had become the norm for me to offer a story, a real life example of such a feeling, to get the ball rolling, and by the end of the session we were all much more open about yet another aspect of depression or anxiety.

The difference to the first few weeks, and the attempts by the course tutors you try and get people talking, asking complete strangers to interact was almost troubling rather than helpful. Only being able to teach and discuss what you have learned from a book or lectures, while on paper might sound great, really isn't. I reflect back to when my daughter was being born, and the midwife told her mum to relax and enjoy the beauty of birth. When asked how many children she had, she replied none. That didn't get a great response. How can you tell someone how to feel about an experience you have never had... Quite simple, you can't.
In very few walks of life would you take advice from someone who only has theoretical experience in something. So when it comes to something as personal and unique as depression, the textbooks just don't cut it.

I desperately want to be able to intervene. Play a role in getting people who are hidden away in their heads, suffering in silence, speaking out. Not to the world, but just to a human who can be compassionate and genuinely empathise with them. Someone who can give their thoughts the time of day, and allow them to vent all the negativity that is drowning them.
You see, for me, and in my experience, speaking out is the first and most important key to the whole experience. While I have always been open enough to speak to a lot of people about it, there is a time when you feel you have exhausted them with the same stories, and you need someone else to talk to, a blank canvas. Unbiased, non judgemental, and willing to listen.
For me on my last round of depression, that person was Dr Elizabeth Paul at Wells Park Surgery. As my original entry says, I walked in silent, sat and just gazed. There was no immediate prompt from her, just a simple smile which gave me the courage to start trying to explain myself.

The whole entry is here... http://michaelsnasdell.blogspot.co.uk/2015/11/the-trip-to-doctors.html

My point here is really, that there is no one right person or way for everyone, we each need to find our own. The person or situation we feel comfortable with, to finally take the first meaningful step. When I have spoken to others about their depression, the common thing I find is the almost relief shown by the person, when you can actually, first hand, appreciate the magnitude of what you are saying.
An example being, going to meet with a friend while I was mid way through my fight with depression most recently. I chose a place to have lunch, somewhere I knew would be quiet, no crowds. My anxiety at that stage was very bad, so people were not my favourite things.
All was fine to start with, however when we started eating, more people started coming in, sitting closer and closer to us. Paradise lost! Matt had no idea what was going on inside my head, but mad panic is the only thing I can describe it as.
When we left and were talking afterwards, in the nicest possible way, it was impossible for him to understand the difference 4-6 more people coming in had made. However speaking to other friends who have been through the same, they got it straight away.

The big issue here is, a lot of people just don't have "that person" around them, and most of the help on hand seems to be from people who are well educated in the field, but really can't fully grasp what you mean. This is a big stumbling block for people. Having finally spoken out about how you are feeling, to suddenly be faced with a stranger who wants to help you, but doesn't understand you, is crippling.

From my experience, things didn't go well from the start. From my first face to face with someone, it felt like I was doomed. The full blog of my first impressions is here.... http://michaelsnasdell.blogspot.co.uk/2016/01/touching-base.html

You may be able to tell from the words that it didn't really go too well, and I was left with a rather bitter taste in my mouth. If you read entries further into January, you will see things didn't exactly get much better, not for a while.
Had this interaction been with someone who could understand and properly empathise and assess what I was going through, I think I would have felt much better about the matter. Seeing the speed at which some people dropped out of the subsequent CBT course, I guess for some it didn't get better soon enough. When CBT was explained to me, it was a very rough and vague explanation, reading up on it wasn't much help either. It was only being there, and manipulating it to my own needs, that finally started to make a difference.

After the initial discussion about what CBT was, these were my thoughts.

But the thought I can't get out of my head right now, is the was CBT has been presented to me. My interpretation being that I am in control of my thoughts, and therefore if my thoughts are my problem, and I am in control, it is all my fault. That's how my brain takes it right now. Being told you simply CAN'T do or think something is not a cure. Breaking the cycle, which I know is what CBT is really about is the key. But how do do you that when there are so many triggers and issues to over come?

Here was a person of sound mind, with questionable experience with depression, certainly first hand, telling me in short that I was the issue, and I needed to just forget about the past, and look forwards. Not a great deal of help.

I would dearly love to be able to help people get through this first major step in the program. But it appears academics comes first. To me that feels like teaching someone who can already run, to walk again, because they didn't learn properly. Sometimes, certificates, diplomas and grades count for absolutely nothing at all. Sure, along the process they are without a doubt very important, but for some aspects, you just need to understand, properly. Especially when trying to convince someone to walk out of their door into daylight for the first time in a month.

So here I am, frustrated that due to my lack of qualifications, I am near helpless to play a role in this. Sure some will say, volunteer for Samaritans or similar, but that is just not it. Could I turn my hand to such a thing, probably, would it be as fulfilling as the feeling I felt helping my fellow sufferers through their battle with depression, probably not.

At the end of my CBT course I did consider asking to be the plant in the room, the one who has been through the course, but is there to go through the course again, and try and get things moving. Sure the tutors are doing their best, but from speaking to them, the drop out rate is high, and our group had a "good" retention rate compared to some. That left me thinking that there must be more that can be done.
In the end the course certainly played its part in my recovery, as did a network of friends, and carefully considered distractions. But I honestly feel that I was very close to not bothering with the course, as my blogs show. Had I had some understanding and encouragement from someone who got it, earlier in te process, I might have started feeling a bit more positive sooner.

I applaud anyone who trains to work in mental health. It is a huge problem for our nation, and one which is only getting better. Lack of funding, not enough genuine cases being recognised, but for me, the biggest issue is the lack of understanding in what really helps people in such crisis.


So I am off to scour the internet fr ways I can be more helpful to others. I will also be speaking to my favourite GP about the matter when we meet on Tuesday. I know she won't have the answers, but it is a start, and keeps my mind heading in the right direction.
Any thoughts on how I can get involved are welcomed, so please drop me an email or similar.

Thanks for reading, and here's to getting a better understanding for those suffering.

"I am so depressed"

A phrase we have become accustomed to using over our lives. One we use when something has gone wrong for us. Nothing life changing, nothing actually too serious, but when it occurs it really throws a spanner in the works. Didn't get the concert tickets you wanted, the new game you wanted has sold out, your phone breaks, or you lose some money. All things that really do make you feel a slump in the moment. So when given the chance to express ourselves, we will generally use this phrase, or similar.

The strange thing is, when people truly are depressed, it is the last thing they will say. A person recognising they are dropping into a state of depression is more likely to make excuses, such as tired, un-bothered, or just not in the mood to do something. In the moment they have time to seek support and help, they just shut down and hide from the feeling.

The two kind of go hand in hand, with the first use of the word diminishing the seriousness of the word, and the person in the second example just doesn't want to be mixed in with the slightly over dramatic use of the word. Running the risk of being told "it will be ok" or "get over it"
Neither of which are of any help to someone struggling with their mind.

The over exaggerated use of the term "depressed" has just become fashionable now, just like "I'm so OCD" (no you are just tidy), or comparing your over excited, hyperactive child to someone with  ADHD. These are all serious matters, but the fashionable use of these phrases has really taken the focus away from the true sufferers. Now the services who deal with all these issues are at breaking point, with people being assessed for conditions, and some entering treatment, while in reality there are other issues which are presenting as the real thing.

I know that sounds a bit far fetched, but from experience with depression, just seeing the mix of people who turn up and describe their symptoms, it is clear that some are better suited to community and social projects, which allow them to frequently interact with others, rather than going through a long process of learning to deal with issues they clearly don't have. And I say that not selfishly or blinkered, but with the confidence that when someone cannot relate to a single issue anyone else has, but wants to complain about the health service for half an hour, there is more to it that depression.

This isn't to say that these people don't deserve treatment or attention, of course they do. They are clearly facing issues of their own, which a GP has put down as depression, but need to be assessed in a way that doesn't just say "depression Y/N". The same applies to others with behavioural issues. Easier to put them down as an attention disorder, than challenge the parent on their parenting skills. Not every naughty child has a condition, but sometimes it is easier to just say "I can't control him", than taking the time out to see if it is something you are doing which is promoting this behaviour.

Like I say, I am not for one second sneering at the actual conditions. But on all fronts, there is a fine line (actually a mighty chasm) between feeling down, and being depressed, or misbehaving and ADHD. One remains in your control to a large degree, the other you are just a passenger along for the ride, with no control over the direction it all goes in.

Now I am no expert in child behavior, so I will not say another word on the matter, other than to tip my hat to the parents who have kids with any of these conditions, and don't make excuses. Digging your heels in and getting on with what life has presented you with is an incredibly brave and strong thing to do. In fact I would go so far as to say that you are some of the best parents out there, and side by side with a spoiled brat, your children probably shines brighter than most. And no reason whatsoever that they should not.

As for depression, I can certainly speak on this matter with good authority, at least from my own experiences. I would not for one second wish to even start to belittle someone who has been on a different journey to me, and suffers in other ways. There are many forms of depression, it comes in many shapes and sizes. My experience is just one. But one I want to share as much as possible to ensure that it stops being such a forbidden topic, the social shame is lifted from over the condition, and people suffering can lift their heads and say " I am depressed, and proud to be dealing with it"

Depression is in short the suppression of our ability to engage, think rationally,  interact, and form trust bonds with others. There are many other symptoms, but these four cover a lot of those in an umbrella kind of way. So having our whole existence suppressed, the last thing we need. Without existing, how do we recover. Hidden away in a dark room every spare moment of our lives. Managing to put on an brave face to do the things we need to do. Going to work looking like all is well, head down like we are busy. Daring to speak to no-one in case we give the game away.

Once outside of work, shunning social opportunities, avoiding going shopping in busy places where possible, running from people, decisions, pressure or anything we cannot control the outcome of. Or as it is described in Cognitive Behavioural Therapy (CBT), seeing things through a negative filter.  Assuming anything we choose to do will turn to crap, fearing the worst outcome of doing anything other than hiding ourselves away. Even worrying that our closest friends will reject us if we dare to tell them we are suffering from depression.

Nope, admission of depression is between you and the medical practitioners, and is top secret. Taking your medication in private, even hiding it at home from loved ones. Maybe even just throwing it away, or to the back of a drawer, as the stigma surrounding "anti depressants" is just all too much to be mixed up in. In truth, it is the people who DO actually sneer at people struggling with depression who have the issue. Being so judgmental, pointing the finger and mocking people who are brave enough to face their demons in public. Maybe it is those trying to mock, who actually suppress their own issues the best. Is it they who are most in need of support, trying to deflect their own issues onto someone standing tall at such a tough time?

I am not sure why in this day and age, with so many people having suffered a breakdown, or on going depression or anxiety, there is so much stigma attached to the conditions. Given how many well loved and highly acclaimed celebrities have come out openly, talking about their battles through their lives. Facing their demons, while putting on such a strong public face. Hiding it all away for the sake of their image, before saying enough is enough, and speaking out urging people to support those suffering. Even some of the most loved, taking their own lives, only for the world to realise what a terrifying and lonely world their idol lived with .

Quotes like "Despite being surrounded by people, I feel so alone" is a good example of what it can feel like to be in a state of depression. I know Robin Williams was apparently quoted as saying similar. Happiness and sanity is not found in popularity, wealth, or a lavish lifestyle. Being surrounded by so called friends does not make you emotionally rich. If anything it numbs the senses even more, and draws you away from the important things in life. By the time you realise how far you have strayed from the sanctity of your comfort zone, you are out there being preyed on by the wolves of the mind.

I consider myself very wealthy as far as the quality of my life goes. I have the material objects I desire, none of which make me happy, they just help cocoon me in a bubble I share with the richer things in my life. My dogs, my few true friends, my mental strength, and the belief in myself that I can make a positive impact on others lives, using the experiences in my own life. My circle of friends has changed a lot in the past few years. Realisation that knowing someone for a long time does NOT make them a good friend, just an old acquaintance. And now knowing that support and genuine friendships can come at any stage in life, and sometimes from the most unlikely places. Two true friends coming from an internet forum that drove me to the brink last time I was suffering with depression. Sleepers who sat an observed, and helped me back on my feet when the time was right. With no prompting, no pleading, just their own selfless actions. For this I thank them.

But this is the real problem, the support network.
Anyone who knows me, and if you read my blog, you will understand I am far from timid with the written word. I don't hold back, and I rarely paint a pretty picture when underneath life is bleak. If its dark, I say it as it is. Sometimes a strong point, other times a bit of a mood killer, but it's who I am.
After spending many years trying to please others, and meet their expectations, I decided to be me, and I stay true to that every day. Again, it is not always what people want to see, but the days of faking and pleasing are in the past, so please don't ask me to be someone I am not.

For others however, even those with outgoing personalities, dealing with the realisation that you are actually depressed is a tough one. Admitting to it is something huge, possibly only choosing to tell one or two people, and most of the time not your nearest and dearest. The truth be told, some of the outgoing personalities are just what I was doing. The brave face, the loud deflecting voice, desperate to save my dignity, and not let on I was falling apart inside. See that is what depression is all about. Losing control, but desperately fighting to maintain image.

To admit you are depressed, genuinely, is for some like admitting defeat or weakness. It's like backing out of a challenge of any level, before even trying. And even the most grounded person knows that is never a good feeling to do once, let alone over and over. Convinced you will fail, sure you cannot achieve what you need to, and being scared of facing the consequences, and how your peers will react.
Have you ever dreamt that you have left your house with no clothes on, or that you are running away from something, but seem to be running on the spot. The level of helplessness you wake with, the panic and fear of losing all control of your dignity and self control. Well that is how it can feel every minute of every day.
One of the biggest fears in my experience of depression was being judged. I think as a whole, when you breakdown all the different aspects of depression, a lot of them come down to the same thing, how other will perceive us.

Walking down a street, feeling anxious that everyone you make eye contact with is staring at you, and judging you. You look strange, messy hair, cheap clothes, and so on. The list is endless, but you will read far more into their glance than they could possibly have gathered and judged you on. A simple exchange of words with someone, over analysed until it was meant with such hatred and malice. Everything is dark and negative, nothing can possibly be positive for a second. This continues until staying indoors, or going shopping late at night, or in the smallest shop possible is the only way to go on. Now hidden away, safely separated from society.

As I have said though, the only people who would really look at you in such a way are most likely suppressing issues of their own, and just fighting back their own fears of others judging them.

So what does a depressed person need from you? If you think someone is depressed, what can you do to make things better for them. And by better I mean help them on the road to recovery, rather than a patronising "there there there" and a pat on the back, making it all better for them.
I have to say there is no single simple answer to such a question, with all cases presenting differently. You may have noticed a change in their behaviour, withdrawn from group events, or just being quiet for a long period of time. Trouble engaging as they usually would.
For me, I would say I benefited simply from knowing people were there when I was ready for them to play their part. Having already declared my depression made that easier, but I know that isn't every ones approach.
If it is not clear what the issue is, but you suspect things might not be great, don't barrel in full of questions and suggestions. Just tread gently, but be the friend they know and trust. There is no need to smother someone, just indirect reassurances that you are about if they fancy a drink or a chat some time, in their own time.

There is no right way, go with your instincts. You know the person you know as a friend, so be yourself, if your help is needed, your support wanted, I am sure the time will come when this is obvious, and it can all flow naturally from there. I kept a lot of my friends out of the loop when I was at my lowest. Partially where I didn't want to bother them, and partly because they were the wrong person for the job at the time. It's nothing personal, just how the mind can be at times. You wouldn't turn to an outgoing party animal to be there in silence while you grieve, or an introvert friend to support you in a confrontational situation, so accept it that there is a tool for every job.

The biggest question for me in all this, from a sufferers perspective is why so many people live in a constant state of depression, and either refuse to act on it, or fail to identify their state of mind.
I guess there are logical answers to both, but for me I don't want to see others suffer in silence. Even those who seek help, get meds and go to counselling, will avoid telling friends for some reason. Again speaking from experience of others who have admitted after a long time they too fought with depression.
Identifying you are struggling with depression or anxiety is understandable. It is so easy to assume "everyone feels this way", but the reality is, they're not. It is not normal to dread getting up and facing the world day after day. Holding your tongue at home or at work, just to avoid the confrontation, and instead living in a suppressed state is not normal, contrary to belief. Fear of being judged by people when you are out in public, refusing to make eye contact or even waiting for the automated paying in machine in a bank while 3 cashiers are free just to avoid speaking to someone (like I did) is NOT normal.

Sometimes overcoming these issues can be as simple as taking a look from afar and making changes in the way you look at life, and accept treatment from your peers. Other times some form of help is needed. From counselling to chatting to friends and letting it all go. To entering the system so to speak, and going on record with your GP to seek help. None of these actions in any way make you weak or a failure. A little vulnerable yes, but for the right reasons. Sometimes being laid bare is an enlightening and empowering experience. Throwing caution to the wind, and only caring about yourself for once. Taking the steps to make life better, and trusting others to help you achieve that.

I am determined to keep talking about depression. Hopefully slowly but surely helping as many people as I can realise that being depressed is nothing to be ashamed of. It should not be hidden, and the stigma attached to the condition needs to go away. Over the past few years there are more and more campaigns to raise awareness of depression and mental health. Not a minute too soon I say, in fact maybe a decade too late. But the movement has started. I applaud those spearheading the campaigns, and praise anyone willing to share their stories of how desperate they have felt at times. There is no demographic description for someone who will become depressed. Rich, poor, outgoing, introvert, it takes all types. Even famous people, yup, that's right, even the rich and famous battle with mental health.

It's not a life choice, it is not something we bring upon ourselves. Mental heath issues affect who they want, how they want, and when they want. There is no choice in the matter whatsoever. The only choices we have are how we will cope with an issue if and when it strikes. Standing tall, not hiding, and reaching out are some of the best things you can do. However, when you are able to do that is all a matter of time. The second you realise, or a month after starting medication, that bit is all down to you.

I have rambled on for long enough now, but want to close by saying this.
Mental health is a serious issue in the UK, and one reaching epidemic proportions in some regions. Awareness is poor, understanding is hit and miss. Acceptance of the conditions is growing, and this is a positive step for the sufferers. However treatment varies, funding is seemingly inadequate, and the focus from the top down seems to be somewhat sporadic. The whole matter needs serious reappraisal, and a proper plan needs to be drawn up to deal with the rising number of cases. Not by sidelining people, and leaving them waiting months and months to receive some help, in the hope that they will just get better. And certainly not discharging people for missing a couple of sessions of a course, making it seem that they have successfully recovered. This is what I was told after missing one session due to heightened anxiety one day. Miss another, be discharged. Not dismissed, but discharged as OK.

Initial assessments need to be timely and thorough. Actual issues need to be properly identified, and the correct course of treatment should be made available in a reasonable time frame. Once someone is diagnosed as depressed, the clock is well and truly ticking, so time is of the essence. I don't expect things to change and improve over night, I am realistic. However I also appreciate the importance of the right help at the right time, and understand the implications of drawing things out, and not receiving the help you need in time. I was lucky, my meds were helping and my core of friends were reaching out to keep me afloat. But if I had been alone, I don't know if I would have made it in the right state of mind to the CBT course. I may have been too far gone by that stage.

I really do hope that there is an improvement to the system over the next few years. Certainly from my perspective, knowing that depression is usually a reoccurring condition, and from both experience and education, each case being worse than the last, I really hope that by the next time I am hit with a bout of depression, the mental health system on the NHS is as prepared as my friends are to hold me up and get me back on my feet as soon as possible.

Please feel free to email me directly with any feedback on this entry, to chat, to discuss etc. No one should suffer alone, so please don't.

Mental Health and the NHS

Before I even get started I want to make something perfectly clear.. I am NOT having a dig at the NHS. I know plenty of people out there have their issues with the service, some quite rightly so, others just over expectational of what the service exist for, and what medical science is actually capable of.
Contrary to believe, not all lives can be saved, no all conditions resolved. Of course it is sad to lose a loved one, but blaming a service as mighty as the NHS is not always the right way to vent that feeling.
Mistakes have been made, lives lost for sure, and no that is not right. But on the grand scale, if we frown on the bad, then we should also celebrate the huge achievements of the NHS every day. But as usual, we are quick to complain, but slow to commend.

Right, now to what  I started writing this whole entry about. Not sure about its direction just yet, so lets see how it pans out. In short, I want to address the mental health service offered by the NHS. Obviously this is something I am quite familiar with, having been treated for depression and anxiety a number of times now, so I am not just grasping at straws here, and want to use some of my own experiences, and stories of others I know to try and put across a balanced opinion, so lets try this.

The first time I  suffered from a bout of depression was long before I was ever treated for depression. In the late 90's, losing touch with my daughter drove my to the brink. And thinking back about that now, reminds me very much of my most recent experience. Both dealt with by me with irrational amounts of physical activity, training twice a day 6 days a week at the gym. Good for the body, terrible for the mind.

Back then I was a lost soul, still in my 20's seeing my daughter torn away from me, and worst still, seeing my child move forwards in her life without her father, just like I had. Something I had vowed no child of mine would EVER go through. And there is was. One afternoon I found myself in casualty with a large gash on my hand, as a result of punching through a laminated screen in frustration. A scar I still carry today, and a reminder that physical reactions to feeling unstable mentally need to be limited and controlled. I didn't intend harm to myself, but ended up doing so. I never recognised what I was going through as being a mental health issue, so plugged on for the next year, finally slowly returning to my old self.

It would be another 10 years before I would see depression again, properly at least. As the condition of my mother worsened, and her need for a carer grew, I took on a new lifestyle. Combined with the recovery of a recent operation and a bad time at work, my mental condition dropped, and I soon realised I was in a very dark and desperate place, struggling to sleep, socialise, or even care about my own well being. On seeing a doctor I was prescribed Citalopram 20mh, soon rising to 40mg. Thankfully work provided some one to one counselling for me, and with the help of Peter my brilliant counsellor, I made a strong recovery, again, after about a year or so. Meds were reduced and phased out.

Move on another 5 years or so, and there we were again. A huge slump in mood drove me to possibly the deepest and most desperate point I have ever been in, long term. I have had huge lows, but never stayed this low. Seeing a new GP, I was back on Citalopram, and referred for counselling. This is where it really begun.

I was phone assessed by what felt like a very robotic and uncaring person, who decided my condition was mild and I should go to Cognitive Behavioural Therapy (CBT) For those not familiar with it, the only way I can summarise it is like this. You are taught to  identify points from early life which may have shaped your behaviour today, then to concentrate on what triggers your depression, and the cycles you go through which perpetuate the depression. Learning coping mechanisms, how to isolate each component, and on ways to avoid the spiral of depression. It sounds a bit hopeless and complex, but I must confess by the end I was understanding myself a lot better. In short, CBT isn't as bad as I first thought it was, but still don't believe it is for everyone.

As I was first introduced to the CBT service, I started to understand why some people were so frustrated with the NHS for their MH provisions, or at least the way they manage it. A few weeks after my somewhat uncaring phone assessment I received a letter to go to the Jenner Health centre for a one to one, with some vague information about this CBT thing. Having looked it up on the internet I was curious but not convinced.
On my arrival there I realised that not only was there no reception for the CBT dept (as noted in the letter) but there was barely a sign that I was even in the right place. Bad start for anxious people. My appointment was for about 12.00, but by about 12.30 I hadn't seen a single person on the floor or in the waiting room. Finally someone did come in, and was swiftly collected by a post natal class person. Now I am wondering if I am in the right place, anxiety levels rising.  Eventually someone came out to get me, apologising as we walked down the hallway. Little comfort for the way I was now feeling.

I was briefly asked about what brought me there that day, then pummelled with piles of papers about CBT. Being told that the things I was talking about were not of consequence, and that CBT only looks forwards. The past can't be changed. Tell that to someone traumatised by their past!
The following week, after finding peace with myself and realising this was the help I was getting and to go with it, I arrived at my appointment to be told I had been referred elsewhere, and was now to join a group therapy class. Anxious and depressed, great, lets go sit in a circle and talk about it. I was told this was NOT the case, but on arrival it was just like that. A circle of chairs and two counsellors.

At this point I was feeling hopeless. Speaking to the counsellors about how I felt, I was told nicely just to stick with it, but with no real foundation to it.

So I guess this is where my concerns first start. As humans we are capable of compassion and empathy, to a degree at least. But the line "I know how you feel" is used all too freely. If you have never been bound by the ropes of depression, or had your thoughts suppressed by the worry and voices in your head. If you have never just wanted to spend the next week in bed, and not wanted to see ANYONE face to face for weeks on end.... Then you certainly should not tell a depressed person "I know how you feel", you really don't.

I applaud anyone choosing a career in mental health. As far as the NHS goes it is hardly financially rewarding, and to some degree it isn't an easy role to fill either. It takes a strong mind to deal with such matters day in, day out. However I do sometimes wonder what the criteria really is for getting such a role, and how many sufferers of depression actually work in the service. Maybe it is counter productive to have sufferers working in the field, but from my perspective, I am in my element working with people suffering, as I feel I have more ability to understand what they mean when thy express how helpless they feel. Rather than replying with the "hmmm, hmmm, yes" I seemed to get a lot of the time.

So before I go on anymore, thank you to anyone who seriously takes on a role to help sufferers of mental health issues, not just depression and anxiety. You DO make a difference for sure. But I wonder would more funding, training, or better selection of staff, and a better understanding of the conditions make a bigger difference.

Do I think I could do better? Well that is a very good question indeed, and a fair one. I don't have any qualifications in anything, let alone psychology, I have no further education either. So academically I am useless. But is that what counts? Who can lead you through a forest at night the best, an expert map reader who has never been to this forest, or a local who lives there, but can't read or write? I think the answer is obvious. Sometimes qualifications and certificates are not the be all and end all. Sometimes its more about understanding and empathy to the situation.

Obviously there is some information required. Not every experience is the same, and not all people react the same way. Understanding the mechanism of the mind is pretty darn important too of course. So there is a balance to be found for sure. The right level of input from sufferers, the correct level of understanding of the situation from a psychological perspective, and carefully planned academic coursework and structured action plans. Question is, is this being achieved?

From my experience, possibly, in fact probably not. Counsellors arriving late to groups, not understanding the impact that has on the recovering mind. Mixed up piles of photocopied coursework sheets, sometimes not enough to go around. Depending too much on patient participation to get the course moving. Without solid contribution of stories from those attending, sessions sometimes stalled. In my instance I was happy to share deep and past experiences, but it was quite clear to me that many others were less comfortable (rightly so). Counsellors unable to directly answer questions on the subject matter at times, with others in the group having to fumble for answers til it was decided one of them was right.

It is not all negative of course, I came out the other end feeling better for it. My question is, who did what for me. Did I get back on my feet myself, did my sharing and helping others inspire me to fight back, or did CBT save the day? Honestly, I think it is a combination, but not a very balanced one. CBT put me in a room with people, something I was uncomfortable with, but willing to try. It also gave me the opportunity to tell my story. However the coursework was mainly thinks I have been through on my own free will. Identifying triggers, identifying drops in mood, coping mechanisms, understanding how society makes me feel.  So the actual learning side was lost on me.

That said, helping others in the group identify with their own demons, and give my own examples to help them better understand their own, that was something. By half way through I was looking forwards to each week, to see what impact I could have, and getting people smiling or sharing was a powerful drug for me.
This in turn enabled me to help myself. Both understand myself a bit more, give me a purpose and some self worth back. All in all the right combination was found, for me at least.

As the course went on, and people showed up from time to time, it became obvious that some people were back for the second or third time. That part was lost on me. Learning about yourself, understanding the functions of the mind, and the cruel tricks it plays is one thing. But re-learning over and over.... I don't get it. If you need help after completing the first course, surely you need a different approach. In this respect the MH system is a bit lost and misguided. I wonder what it feels like to be re-sent on a 12 week course just because you have become depressed again. While the lessons learned are powerful and enlightening, they simply cannot stop the body and mind from throwing your life into turmoil, it's just not that simple.

Now the elephant in the room. Medication!
Having grown up watching programs with mental health patience receiving mind numbing sedation drugs to keep their minds rested, I have long thought that all anti depressants are of the same nature, making you sleepy and non functional, and silencing the issues, rather than helping tackle them.
However it turns out they are not. They all do different things, some indeed are sedative style, but others help the body produce more of what is needed to balance your moods. Apart from some strange side effects during early days, life after that, once on the right dose becomes pretty darn normal. Apart from remembering to take a tablet each day, you are just you again, certainly with Citalopram.

I know quite a few others who feel exactly the same way about the meds.
Being serious for a second, look at it this way. In most cases you can come off them when the depression and risk of it reoccurring has passed, reducing the dose, until none is needed. I have done that successfully myself after my last bout of depression 5 years ago.
Think of it this way, if you have something important to do which requires your full attention, and have a headache, you grab some ibuprofen, wait 45 mins, and you are fit to do the task at hand. There is no stigma attached to ibuprofen, so it is socially acceptable. With mental health, it is the same, but sadly its going to be 45 days or more rather than minutes. Once the levels in your body start to level out, and you are able to think straight again, you can help yourself understand what the issue is, and how best to overcome it. Sometimes without clearing the fog, you won't be able to see the path out of the forest.

So I don't see them as a negative thing at all. And I really wish society would see this too. Alcohol alters the mind, so does tobacco, but somehow they are both social and acceptable drugs to use. "Overdosing" on them is common place, and abuse of them is an epidemic. But society seems to say that is ok. And yet at the same time frowns on simple, controlled, monitored medication taken by those needing that little tweak of the mind. I don't get it, not for one second. But then I don't drink or smoke, so how would I. Just as those who frown on medication for mental health don't get it, but still judge.

The drug side of the mental health treatment on the NHS seems to be aplenty. Churning out prescriptions many times a day, no scheduled reviews once prescribed. The face to face part, which in some cases is critical however seems very hit and miss. I felt that the whole process took far too long for me to get facetime with anyone. However it seems that this waiting time varies radically from borough to borough, just in London alone, so nationally, I dread to think what the variations are.
One example. I was referred in November 2015, and finally got face time in Jan 2016. To me, that was an eternity, and waiting for it was both scary and painful. Thankfully by that time I had started to find my own circle of support from a great group of friends.

For someone else I have gotten to know, they were referred at the same time as me, and here we are in August, coming on for a year later, and they are STILL waiting. Same are, different borough council, so different MH team and ethics it would seem. This is fundamentally where it all starts to fall apart.
I have all too often heard the term "NHS postcode lottery" and again wondered what the hell people are on about. But it would seem this is one example of this phenomena.

I just don't get how there can be differences in urgency, treatment, assessment, and over all ethics towards mental health from postcode to postcode. Surely the NHS as a whole, all the trusts combined have agreed a strategy for treating mental health. Moral codes of conduct, tiers of urgency and treatment nationwide. I don't understand how one body, overseen by one government, can be so fragmented, first into trusts, then into boroughs, and each fragment having its own ideals on treatment for a condition.
It also leaves me wondering if the same is true for others branches of the NHS, other fields of medicine. Should I move house to get considered more important by another boroughs health team?

Thankfully for me, in South London, under Lewisham, I cannot complain about any of the medical attention I have received over the years. Ultimately it has all worked out for me, and I am here writing annoyingly long blogs like this. But I has me now wondering about how different things are, and what can be done to make a change to the whole system.
I have read news reports for years which say the mental health section of the NHS is desperately under-funded, and spiralling out of control. I have also read reports of how people have been let down by the service, resulting in vulnerable people committing suicide, or harming others.

Somewhere in amongst that all is the answer. The right direction to take.
So my questions.

Why are counsellors photocopying literature for a course with a fixed program of learning. Buying paper,making thousands of copies on a photocopier, making a mess of things, and fumbling by. Is it not easier to have these put into booklets and handed out by every borough, every trust. Ensuring that everyone is receiving the same education on their condition. No missing pages, no topics accidentally overlooked. Surely it is cheaper to put it out to tender once, and print them all and distribute throughout the UK. Procurement for such things should be centralised. One of the faults maybe of the NHS being so top heavy and fragmented?

How many people working in the field actually have first hand experience of depression and anxiety. Statistically it is likely that most people working with cancer in the NHS no someone who has experienced cancer, so empathy is far easier to give.
However while depression and anxiety is at epidemic levels now, firstly it is in the shadows. Not discussed, never admitted, and sometimes denied by those diagnosed. So getting people to speak about it, let alone help in the field is really tough, I get that. But I am still curious to know how many are in the field, helping others understand. After my CBT course was done, I was hungry to help others, and as it turns out when I look back over my life, I have been doing this for ages.
I was shocked by the number of my friends who have suffered or still do, and touched by the positivity I received about my honest and open blog entries about the matter. I really didn't realise how wide spread it was, nor how secret it was.

I really wish I had the know how to start digging for information and understanding how things could be done differently, not only from my experiences, but from others too. If I had the time, I would dig deeper, and push harder to get heard, but for now I will carry on doing what I feel is right, and keep reaching out to others who are fighting their demons. Struggling every day against the voices in their heads, and the lack of understanding from the world around them.

I have more to say on this matter, watch this space. But in the meantime, if there is any official organisation I can lend my mind to, just call :)