Could you tell me a time you took a step back?
Around 2 years ago, at the age of 27, on a holiday with some friends in Sète my mental health reached a melting point. Looking back, I realise now that it was mostly likely years of escaping my negative self-beliefs through various avoidance strategies that led to this event where my complications with mental health became self evident. At that moment in time, and for the weeks that followed, I experienced a complete loss of self esteem and confidence. I felt embarrassed, confused, stupid, useless and ashamed of myself. I found it impossible to concentrate from having severe brain fog and had a deep rooted un- comfort and stress around my friends. As a result, I chose to isolate myself which led to me then slipping in to a dark depression.
I remember the exact moment when I reached breaking point. I was assisting my friend making breakfast one morning. Usually what would be a simple task became an overwhelming experience. Finding it difficult to concentrate, I needed him to guide me through the process as I feared making a mistake and embarrassing myself over the most basic task. Once we had finished preparing food, I felt severely stressed from how difficult I found this everyday routine. My friend, unaware of my negative thoughts at the time, made a passing joke about me only having half a brain that morning. Unfortunately this solidified the negative thoughts I was having about myself and my worries that my insecurities would become noticed by friends was confirmed. I felt completely embarrassed and useless. As a result, I couldn’t even stay to eat the breakfast we had prepared - I sat down and started to profusely sweat in the sun. My friends conversed and I focused on trying not to embarrass myself further so I sat there in silence trying to persevere over the negative thoughts I was ruminating over. My situation did not improve and I eventually started to feel like I was going to have a panic attack so I said I needed to go for a walk. I rushed out of the house and sat by the canal worrying about what was happening to me and fearful of returning to the house. All I could do was ruminate over what had happened and catastrophize what was going to happen in the future. At this moment in time, I thought that I would never be the same again. I began to identify with these new feelings and believed that the happier less anxious me of the past was actually an imposter that had had his day and that circumstances had finally exposed the real me that would remain for the rest of my years.
At this time, I was very unfamiliar with the complexities of Anxiety and Depression. Even though I had probably been experiencing such symptoms for years I never felt like they were severe enough to warrant much attention. I was told by one friend that I could be suffering from Post Traumatic Stress Disorder (PTSD) as result from traumatic life experiences. At the time, I couldn’t believe that my symptoms were solely caused from this and convinced myself that it must have stemmed from a biological failure in my body or a physical accident. Despite experiencing these symptoms in the past they had never been so crippling so I thought that they must have been worsened by some recent development. I then started my own research and became obsessed with getting to the route cause of my psychological complications. My first diagnoses was that I had an Over-Active Thyroid and I was experiencing Hyperthyroidism.
Once I returned to the UK from Sète, I became obsessed with trying to discover what was causing my condition. As a result of ruminating over my negative thoughts, my symptoms remained and I began avoiding social situations and not answering phone calls from friends. I continued to diagnose myself with all sorts of illnesses online that continued to make me feel even more hopeless about the future. I began to believe that there was no chance of improvement. My condition got so severe that I even contemplated suicide. After visiting the doctor and having various blood checks, it was clear that it wasn’t a overactive thyroid that was causing my symptoms. Through diagnosing myself online (the worst thing a hypochondriac can do in this situation), I then developed a new theory that I had experienced Brain Damage caused by a Traumatic Brain Injury (TBI) which had triggered my anxiety and depression. Besides various minor knocks to the head, something which is probably common for skateboarders, I’ve only ever had one major knock that resulted in a concussion. Despite having scans at the time of the accident and being given the all clear from doctors without much sign of concern, I continued to worry about this long after the injury. My worries were not necessarily unjustified as I have seen the affects of Major Brain Damage in my father who had accident when I was in University and now requires 24/7 continuous care. After revisiting the doctor with this proposal, I was told that it was unlikely that my psychological state was the result of a previous bang on the head. This scepticism from the doctor was due to the nature of my symptoms, as they quite often come and go. I was then given a prescription of Selective Serotonin Reuptake Inhibitors (SSRI’s) called Citalopram to see if this would improve my condition. I started the course of SSRI’s and simultaneously began Cognitive Behavioural Therapy (CBT) to satisfy the notion that my condition could be improved and was not irreversible.
Once I started CBT I learnt a lot more about my mental health. I was told that to improve my mental hygiene I would have to retrain my brain through various mental exercises to transform my negative thoughts cycles about myself in to more positive ones. After a few sessions with my therapist I stopped taking antidepressants and began to believe that my symptoms were not the result of Brain Damage, but were the result of a form of mild Social Anxiety Disorder (SAD) and could be resolved through therapy. My therapist reaffirmed that my hypochondria had got the better of me and through self diagnoses I had found something to explain my condition that would only allow my negative thought cycles to continue. I began to understand I was suffering from very low-self esteem that most likely resulted from negative core beliefs about myself that I had developed throughout my entire life. I began to understand that some of the traumatic events surrounding my upbringing were most likely the cause of my negative thought patterns. I could see the patterns of my thoughts that had been developing for years and the ways I would ruminate over negative thoughts and begin to identify with them. I began setting my self challenges to break my negative thought cycles. Most of the exercises I worked on came from a book by Dr Melanie Fennell called ‘Overcoming Low Self-Esteem and Overcoming Low Self-Esteem Self-Help Course’ and the website www.getselfhelp.co.uk. After about a month of starting CBT I slowly started to feel a return of my old self. My symptoms began to dissipate and I was able to carry on with things with a new sense of empowerment over my thoughts. Although there are times when my symptoms have returned, I have stopped obsessing about what is causing them and instead focus on things I can do that can make me better in those moments. Overtime I have noticed many other triggers that have an impact on my mental hygiene. I’ve seen that my symptoms sometimes worsened during;
- Periods when I am idle and don’t have much to concentrate on.
- Times when I have been travelling a lot and not sleeping properly.
- Mornings after drinking alcohol.
- Weeks when I have been eating a lot of sugar and drinking a lot of coffee.
This has led to me avoiding these triggers at times when I can feel my anxieties returning which definitely benefits my mental hygiene. I have began to accept that there is not necessarily a singular reason to explain my condition and understand the fact that I can only hypothesize what brought on my break down in Sète and that obsessing about previous injuries only allows my symptoms to persist. There are most likely various environmental and biological causes for my symptoms. Fortunately, I now have the tools to help prevent me from ruminating over them so they persist and instead I can carry on with life as normal.
