All that I am, all that I ever was…

I am more than my mental health. I am more than my homelessness. I am more than any one aspect of me. I am Addy. And this is…


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The deadly truth about loneliness

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Written by Michelle H Lim, Swinburne University of Technology

Almost all of us have experienced loneliness at some point. It is the pain we have felt following a breakup, perhaps the loss of a loved one, or a move away from home. We are vulnerable to feeling lonely at any point in our lives.

Loneliness is commonly used to describe a negative emotional state experienced when there is a difference between the relationships one wishes to have and those one perceives one has.

The unpleasant feelings of loneliness are subjective; researchers have found loneliness is not about the amount of time one spends with other people or alone. It is related more to quality of relationships, rather than quantity. A lonely person feels that he or she is not understood by others, and may not think they hold meaningful relationships.

For some people, loneliness may be temporary and easily relieved (such as a close friend moving away, or a spouse returning home after a work trip). For others, loneliness cannot be easily resolved (such as the death of a loved one or the breakup of a marriage) and can persist when one does not have access to people to connect with.

From an evolutionary point of view, our reliance on social groups has ensured our survival as a species. Hence loneliness can be seen as a signal to connect with others. This makes it little different to hunger, thirst or physical pain, which signal the need to eat, drink or seek medical attention.

In affluent modern societies, however, turning off the alarm signals for loneliness has become more difficult than satisfying hunger, thirst or the need to see the doctor. For those who are not surrounded by people who care for them, loneliness can persist.

Researchers have found social isolation is a risk factor for disease and premature death. Findings from a recent review of multiple studies indicated that a lack of social connection poses a similar risk of early death to physical indicators such as obesity.

Loneliness is a risk factor for many physical health difficulties, from fragmented sleep and dementia to lower cardiovascular output.

Some individuals may also be biologically vulnerable to feeling lonely. Evidence from twin studies found that loneliness may be partly heritable.

Multiple studies have focused on how loneliness can be a result of certain gene types combined with particular social or environmental factors (such as parental support).

Loneliness has largely been ignored as a condition of concern in mental health. Researchers have yet to fully understand the extent of how loneliness affects mental health. Most studies of loneliness and mental health have focused solely on how loneliness relates to depression.

Although loneliness and depression are partly related, they are different. Loneliness refers specifically to negative feelings about the social world, whereas depression refers to a more general set of negative feelings.

In a study that measured loneliness in older adults over a five-year period, loneliness predicted depression, but the reverse was not true.

Addressing loneliness

Loneliness may be mistaken as a depressive symptom, or perhaps it is assumed that loneliness will go away once depressive symptoms are addressed. Generally, “lonely” people are encouraged to join a group or make a new friend, on the assumption that loneliness will then simply go away.

While creating opportunities to connect with others provides a platform for social interaction, relieving the social pain is not so straightforward. Lonely people can have misgivings about social situations and as a result show rejecting behaviours. These can be misconstrued as unfriendliness, and people around the lonely person respond accordingly. This is how loneliness can become a persistent cycle.

A study examined the effectiveness of different types of treatments aimed at addressing loneliness. The results indicated that treatments that focused on changing negative thinking about others were more effective than those that provided opportunities for social interaction.

Another promising way to tackle loneliness is to improve the quality of our relationships, specifically by building intimacy with those around us. Using a positive psychology approach that focuses on increasing positive emotions within relationships or increasing social behaviours may encourage deeper and more meaningful connections with others.

Indeed, even individuals who have been diagnosed with serious mental illness have reported improvements in their well-being and relationships after sharing positive emotions and doing more positive activities with others. However, research using a positive psychology approach to loneliness remains in its infancy.

We continue to underestimate the lethality of loneliness as a serious public health issue. Contemporary tools such as social media, while seeming to promote social connection, favour brief interactions with many acquaintances over the development of fewer but more meaningful relationships. In this climate, the challenge is to address loneliness and focus on building significant bonds with those around us.

The growing scientific evidence highlighting the negative consequences of loneliness for physical and mental health can no longer be ignored.

The ConversationThis article was originally published on The Conversation. Read the original article.

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Update: Imploding

Yesterday, I had a long, lengthy and languid conversation with Meadhbh. She’s worried about me. She says I’ve lost my faerie sparkle. And she’s right. There is currently no happiness in my life. There is no joy, no contentment, no relaxation and no motivation. There is nothing but stress, depression and a morose malaise that I cannot seem to break. Throughout the conversation she tried to spark my interest; we talked about Samantha, whom I miss more than life itself, we talked about movies and television, we talked about old friends and acquaintances, we talked about Zelda, kink and the importance of believing in the strange, obscure and magical, but none of the conversations even sparked a smile, they just made me feel even more inadequate, even more useless and even more pointless. She was trying to help me, she was trying to break through the depression and remind me of all the things I love in life, all the things that usually make my heart sing, but all her words did was remind me of the mess that I have made of my life. Which hardly helped the vicious, all consuming depression I have found myself in over the last couple of months.

Meadhbh thinks I've lost my faerie sparkle...

Meadhbh thinks I’ve lost my faerie sparkle…

The simple fact of the matter is, I’m imploding. Even simple tasks like getting out of bed or having a shower are becoming impossible for me to achieve, let alone more complicated tasks like housework or grocery shopping. I know this is the depression. I know this is the mental health. But knowing doesn’t make it any easier. You can have all the knowledge in the world but it’s still not going to make life any easier. And I use that word loosely, for what I have at the moment isn’t a ‘life’. It’s an existence. I just go through the motions day after day, watching movies, watching DVDs, doing anything to pass the time until I can crawl into bed and stare at the ceiling for another eight hours. There is no excitement in my life, there is no happiness, there is nothing but pain, stress, misery and death fantasies.

And Vanessa is loving it. For the last two months Vanessa has been in her element because this is exactly the state she loves seeing me in. For years she has been adamant that I deserve nothing but pain in life, so now that my life is only about pain, she is salivating with excitement. Her words – as cruel and cutting as they always are – have complete control over me. Her abuse has been as constant as my unhappiness, gleefully pointing out how what is happening to me is my fault, that I have brought it on myself, that my pain is nothing but my own deserved creation. Meadhbh has taken issue with her, as she always does, and some of their fights over the last couple of months have been deafeningly epic. But I’ve been too tired, too devoid of energy, to do anything about it. So I just let them slug it out. Neither wins, of course, they never do, they just relish bickering with each other over their precious Addy. In the end, it’s just more noise for me to deal with. Between them and my neighbour (who gets noisier with each passing day) it’s a wonder I haven’t gone completely insane yet!

And as my depression deepens, so too does my social anxiety and PTSD. Things have gotten so bad on the social anxiety front that I haven’t been able to go to the supermarket for nearly a week. I’ve barely eaten anything over the last seven days as it’s easier for me to starve myself than deal with the stress and complications of being out in public. In fact, I’ve only been out the house three times in the last seven days; once to see my support worker, once to see my GP and once to return items to the library. The rest of the time I’ve been trapped in my house; being driven to rage by my incessantly noisy neighbour. As for my PTSD? Flashbacks, reliving and nightmares galore! Mostly it’s been about my abusive relationship (no change there) but my neighbour is also triggering my boarding house experiences, which is making me want to return to the safety and seclusion of life on the street.

And there is the crux of the issue. Things are so bad for me at the moment that I am actively considering ditching my apartment and returning to living on the streets. At least if I were to do that I could move back to Melbourne and be somewhere that I wanted to be; somewhere that my faerie sparkle would have a chance to shine, even if it were under a blanket in the middle of a desolate park. And that is something Vanessa would really love; as she has always believed I deserve nothing more than a life on the streets.

But until then I will continue to do the ‘right’ thing; seeking an appointment with a psychiatrist, seeing my support worker, attending my GP appointments, none of whom can do anything to alter my situation, none of whom can do anything to stop my mind from imploding. For, as I pointed out to Meadhbh yesterday, the only thing that can do that is for me to stop existing and start living; something that will never happen in my poverty-ravaged, stress-laden, Wodonga-trapped world.

 


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Celebrating Thirteen Years in Australia

Today marks the thirteenth anniversary of the worst decision I ever made in my life; emigrating to Australia. If I could have my time again I would never (in a million years) have come to this godforsaken, sociopathic country as it has done nothing but destroy my soul and leave me a hollow, empty, disenfranchised shell. But, alas, I cannot. So I can only try to focus on the good that my adopted ‘home’ has given me.

As such, in celebration of this auspicious day, I have decided to share thirteen of my favourite photos that were taken on Australian soil.

Hopefully you will enjoy gazing upon them.

~ Click each image to enlarge ~


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Update: So what am I doing about it?

Yesterday I outlined some of my current stressors; issues that are triggering my mental health into uncontrollable territory. It was a somewhat whiny, somewhat depressing post, but one that needed to be written. Life is hard for me at the moment, there is no joy, no happiness, no relaxation and no pleasure. I have virtually no energy and my loss of hope is making it difficult for me to keep fighting…but, as I have been for twenty-three years, I keep pushing myself.

First and foremost is my attempt to obtain psychiatric support, something I have been trying to obtain for the last six months. You would think this would be simple, that it would just be a case of contacting the local mental health service and – bam – I have a psychiatrist. But, as with everything in my life, nothing is ever that simple. The simple truth of the matter is Wodonga is a small town with only one public mental health service – and they dismissed me as not needing support in 2012, my first year in this town. The psychiatrist I saw back then treated me like crap, just as the psychiatrist I had seen prior to him treated me like crap. He believed (wrongly) that there was nothing wrong with me and that there was nothing the mental health service could do to assist me. He is the only psychiatrist available on the public health system in Wodonga. And I am not putting myself through another abusive psychiatrist appointment. Period. Thus, the only option I have when it comes to psychiatry, is the private sector.

For the last several months my support worker and I have been looking into this option. There are no psychiatrists in the Wodonga region that could help me, which means I have had to look further afield to Albury in order to obtain this support. And we have identified two potential candidates that may be able to help. Both are women (I am unable to see a male psychiatrist due to the misandry and distrust of men I have developed since my rape) and both have lengthy waiting lists. Also, because of the private nature of their service, I am going to have to pay to see them. But this is something I am willing to do (even if it means not eating for the week!)

Hopefully my six-months-and-counting effort in this aspect of my treatment will pay off soon. Whether I will be taken seriously is another matter. I don’t exactly have the best track record when it comes to psychiatrists (because I am a high functioning bipolar sufferer they tend to believe I have too much insight into my illness and, therefore, am not suffering from anything) but I’m willing (and determined) to give it a go. Whatever the emotional and financial cost!

However, I am not naive enough to believe that a psychiatrist will solve all my problems. The simple fact of the matter is (as my post yesterday attested) I am currently navigating a minefield of triggers and stressors, all of which are negatively impacting on my mental health. And the simple fact of the matter is a whole army of psychiatrists and CPNs are not going to change the stressors I am dealing with.

And my neighbour is a major source of this stress.

The noise that my neighbour makes causes me stress twenty-four hours a day. It is incessant. It is continuous. It is mind-numbing. How am I supposed to fight mental illness when I cannot relax for even a millisecond in my own house? When you’re homeless you learn pretty quickly what a home really is. It is not just a roof over your head. It is a sanctuary; a place where you can feel secure, comfortable and safe. And the simple truth is that my neighbour, courtesy of his endless noise, has made my house an unsafe place to live. Two days ago, whilst my house was under attack from his wall shaking video games, I self harmed for the first time in nearly a year. A year of hard work and determination was undone in a matter of seconds because cutting myself was the only thing I could do to deal with the cacophony of noise that batters my conscience on a daily basis. And in the moment that the blade sliced through my flesh I realised once and for all I can no longer live under these conditions: I have to move; for my own sanity – for my own safety – I need to move.

I am not under the innocent belief that moving will solve all my problems (again, I am not that naive) but it will remove a dangerous trigger from my life that will make fighting my mental illness that much easier.

The same can be said for Wodonga as a whole.

My trip to Melbourne proved one thing: I hate Wodonga. It is a town that is bad for me. It is a town that is amplifying my mental illness and making it impossible to live the life that I want to live. There is nothing to do in this town. There are no distractions. No social options. No opportunities to live and breathe. The longer I live in this town, the worse my mental illness will become. Wodonga is a trigger. Pure and simple.

Now, some people may think I’m being over-the-top, that I’m allowing the relaxation of a holiday to control my feelings in this respect. Of course I was calm in Melbourne, I was on holiday, everyone is calm on holiday, yada yada yada. But consider this: my mental health in Wodonga is worse than when I was homeless in Melbourne. I was more stable living on the street than I have been over the last few years living in this town. Why? Because even though I was homeless, I was homeless somewhere I wanted to be.

And, as with my noisy neighbour, no amount of psychiatric support is going to change this. Even if I do manage to obtain a psychiatrist they will be facing a losing battle as their work will be quickly undone by the triggering nature of Wodonga.

They say you only live once, maybe they’re right, maybe they’re not, so why would you live your life in a town/city that amplifies your mental health and makes living a chore devoid of excitement, happiness and social interaction?

As I’ve said twice now, I’m not naive or innocent enough to believe that moving will fix all my problems, I’m not my sister, but it will help in my battle. So, over the last few weeks, I have been looking for new housing options both in Wodonga (to eradicate the problem of my noisy neighbour) and in Melbourne (to eradicate the problem of my pathological hatred of this town)

The simple fact is something must change in my living arrangements. And I am working hard to make that change a reality.

As for my other current triggers, to be honest, there is little I can do about them at this time. My physical health problems are being monitored by doctors so only time will tell how this aspect of my life will play out. The same can be said for my current anhedonia and death fantasies; neither are going away anytime soon and, as both are intrinsically linked to my mental health, I can only combat them as best I can. Perhaps a psychiatrist will assist in this respect. Perhaps not. But even though I’ve lost all hope for a better future, I have yet to stop fighting.

I am just trying to do the best I can with the little I’ve got.

What else can I reasonably expect to do?


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Update: A wound up ball of stress and negative energy

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Sorry I’ve been absent lately. Life has become something quite unbearable and has not, in any way, lent itself to heartwarming, inspirational blog posts. Ever since I returned from Melbourne back in August I’ve been a wound up ball of stress and negative energy, triggered by so many things that I have no idea how to calm myself down and relax again.

First, there’s my neighbour and his daily cacophony of sound. If it’s not metal music blasting the cobwebs from my walls it’s his incessant video game playing that makes it sound like my unit is under attack twenty-four hours a day. The only peace I receive from his wall of sound is the twenty minutes he’s out of the house each morning, the rest of the time, it’s just noise, noise, noise! I’ve tried talking to him, I’ve reported the problem to my landlord, but neither has brought any relief. He just seems to have no idea (or rather, doesn’t care) how noisy he is being. And it’s been driving me insane.

Secondly, is the ongoing frustration of living in abject poverty. I can’t afford to clothe myself properly. I can’t afford to feed myself properly. I am regularly having to choose between medication and food; so much so, that a few weeks ago I went eight days without any medication so I could have a proper meal or two. Whereas the following week, I re-stocked on medication, only to find myself unable to eat for five days. It’s difficult for people to understand just how stressful it is to live having to make such decisions. When your entire life revolves around the paucity of your bank balance. There is no money for fun, no money for entertainment, no money for anything other than the barest, most essential of items. Truth be told this has been getting to me for years, but as with all the other stressors in my life at the moment, there is little I can do about it. I am too mentally (and physically) unwell to work so I just have to make do. And I’m tired of just making do.

Thirdly, is my physical health. When I was in Melbourne I felt on top of the world. Full of energy. Full of vibrancy. But since returning, since the stress took complete control of my life, my physical health has dwindled. For the past two weeks I’ve been battling through a particularly uncomfortable period of constipation, which has now rotated into a particularly uncomfortable period of diarrhea (I know, TMI!) but that’s not the worst of it. Last week I experienced another bout of abdominal pain which has my GP worried that acute pancreatitis is making a comeback. Over the last week I’ve had blood tests, X-Rays and ultrasounds, all of which has revealed no problem, but my GP is so adamant in his diagnosis that I am paranoid he’s going to put me in hospital; and that’s something I can’t deal with at the moment. Although (aside from the diarrhea) I feel fine at the moment I am stressed to high heaven over the possibility of operations and another grueling hospital stay. Yet more to stress about.

Fourthly, is the nastiness that is anhedonia. Nothing – and I mean nothing – is bringing me pleasure at the moment. Not DVD marathons, not reading, not kinky fantasies, not sleeping, not blogging, not food, not even Doctor Who. Nothing that usually brings me pleasure is working. Nothing is making me laugh. Nothing is bringing a smile to my face. It is just a constant stream of unhappiness, boredom and displeasure. And it’s stressing me out. How can you exist in life when nothing brings you happiness? How can you exist in life when all your life is just an endless array of misery?

Finally, are the ongoing death fantasies that have been assaulting my mind. Ever since reaching my conclusion a few weeks ago I have been plagued with haunting vignettes of my death; hanging, overdoses, slashed wrists, drowning. You name it, I’ve fantasized about it. They are in equal parts frightening and calming; frightening because, deep down, I want to live; calming because, on the surface, death is the only release I can see from my current stress. I have no intention in the immediate future to end my life, but the longer this stress continues, the more suicidal I find myself becoming.

The simple fact of the matter is life has become meaningless. It has become an endless stream of stress, unhappiness and tension. I want to feel happy again. I want to smile and laugh and joke and play and feel like my old self again. But how can I do that when nothing counteracts the high stress I find myself in day after day? Sometimes I just want to sit in my house and enjoy the quiet; but I can’t, because of my neighbour. Sometimes I just want to be able to walk down the road without running to a public lavatory; but I can’t, because of the diarrhea. Sometimes I just want to treat myself to beautiful food; but I can’t, because of the abject poverty.

Everything in my life feels wrong at the moment. Where I live. What I do. How I survive. And I can’t see any end to it. That’s ultimately where the stress is coming from. Every day from today until the day I die is going to be the same; noise, stress and death fantasies. I can’t see an end to it. I can’t see a way out. In life, we need hope to survive. It’s what keeps us going. It’s what powers us to achieve our dreams day in, day out. And the simple fact of the matter is, I’ve lost mine. It’s gone. And I don’t know how to get it back.