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.
Friday, December 7, 2018
Monday, December 3, 2018
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)
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 :)
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 :)
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