Bulimia

Demystifying The Mental Health Act…With Penguins

/ bornwithoutmarbles / 12 Comments

If there is ever a widely reported act of violence on the news orchestrated by a single individual, the majority of the time it will be equally widely reported that said person was mentally ill and most likely “detained under the Mental Health Act”. Understandably then, when people hear of people being detained under the Mental Health Act, they associate the Act with danger. To be fair I can understand why people may jump to this conclusion.
If every time I heard about some violent crime I simultaneously heard that the perpetrator was addicted to coco pops, I may naturally make a connection between violent knife attacks in the street and coco pops. When the coco pops are simply mentioned as a “thing” and there is no explanation to tell me that coco pops are actually little puffs of cocoa sugar covered wheat based cereal with the key ability to turn the milk chocolatey, how am I to know any different?
Therefore, seeing as I am currently “detained” and have recently been given a load of forms explaining the official legal terms of it all, I thought I would do a post to clear up any confusion and to give a purely factual explanation of what the Mental Health Act is, what it does and what it means.
I don’t however want this to turn into some boring school lesson, so to liven it up I am going to provide my explanation via little examples involving “Patricia the penguin”. You know what they say: “When life gives you lemons you make lemonade”, so when life sections you under the Mental Health Act, you use the lump of paperwork dumped on you to make a post explaining what it means, with pictures of penguins to help clear up confusion and reduce mental health stigma. I think that’s the saying anyway…so here goes…

What is the Mental Health Act?: It is a law that enables professionals to admit and detain patients for a compulsory admission to hospital. It doesn’t have to have involved any incidents of violence, much like the consumption of coco pops does not have to be involved with criminal activity. Alas, unlike coco pops, the Mental Health Act does not turn the milk chocolatey, for there is rarely any milk involved.

How does one come to be sectioned under the Mental Health Act?: This is a question that will vary between the sections of the Act and individual circumstances, but as a basic principle a Mental Health Act Assessment will be called by professional people (I am not sure what they are professionally qualified in exactly, but they are usually people holding clipboards, stroking their chins, squinting/looking thoughtful), and they will interview you and ask questions in order to assess your health.

Are there different sections of the Mental Health Act?: What a marvellous question dear reader and one I can respond to with the knowledge that indeed there are several, the differences between which I will explain below with the help of Patricia…

Section Two: Recently, Patricia the penguin has been acting unsafely (skating on thin ice as it were), and is suspected to have a mental illness without the capacity to see that she is putting herself in danger. She is not however diagnosed with one, nor has she been in hospital before, so a group of professional penguin Doctors with specific training may place her under a section two, aka a legal detention to hospital for an assessment of her mental health, in order to establish whether or not she needs treatment. It can last up to 28 days and in that time they aim to discover if she has a mental disorder. Under this law she can be treated against her will if it is deemed in her best interests, and discharge or transfer to another section can happen during, or at the end of the 28 days.

Section Three: A section three is a detention in hospital for treatment, so if Patricia were to be put under this section it would mean that she were well known to hospital services, would have a diagnosis and not require assessment. In the section two admission, the focus would have been more about finding out why Patricia was found skating on thin ice in the middle of nowhere and deciding whether or not her reasons were rational, but for the section three they already know why she was skating in such a reckless way, for she has a diagnosis of “Skating on thin ice syndrome”, a common mental health problem in penguins that requires treatment when severe. On this section Patricia can be held for up to 6 months, but may be discharged sooner, or later if the section is renewed for further treatment. Again under this section it is possible for Patricia to be treated against her will (e.g. in her case, forced to skate on thicker blocks of ice even if she doesn’t want to).

Section Four: Section four is pretty much like a section two in that again it is a detention for a short period of time (72 hours) for an assessment of one’s mental health. This is more commonly used in emergency situations as you only need one special doctor to enact it, unlike a section two which requires two. For example, if Patricia is skating on thin ice at 5am in the middle of the arctic and two doctors with the ability to enact the Mental Health Act have been sent for, but one got lost by turning left at the second igloo (use your imagination kids), the doctor with superior navigation skills could potentially hold Patricia under a section four for 72 hours until the other Doctor hurries up to give his second opinion, which then may result in her being placed on a section two.

Section Five: In this circumstance Patricia has realised she may have skating on thin ice syndrome and has voluntarily admitted herself to hospital. However, twenty minutes into her admission she is overwhelmed with the desire to skate on thin ice and asks to discharge herself. The Doctor does not think this would be a good idea in terms of Patricia’s safety though, so he can put her on a Section 5(2), aka use his “Doctor’s holding power” for up to 72 hours. If there are no doctors available at the time Patricia is asking to leave however, a nurse can enact a section 5(4) which lasts for 6 hours or until a doctor arrives. This section will be used if there aren’t specially qualified doctor/doctors around to enact a section two/four available and can take place in general as well as mental hospitals.

CTO: This isn’t technically another section it is tied up in it all, as a CTO is a community treatment order that it’s possible for someone who has been detained under a section 3 to be discharged on to. Basically, it’s a legally binding order of conditions someone has to meet in order to be allowed to remain in the community (e.g. Patricia must attend weekly appointments/hand in her ice skates, cancel her membership to the local ice rink and take her antifreeze medication.)

And there we have it! Now of course this is a very brief explanation as to what the Mental Health Act is and there are far more details and legal jargon/complexities that go into each section, but hopefully I have demystified The Mental Health Act somewhat, albeit with a very basic, penguin centred outline. Hopefully if you are reading this you will never have to have anything to do with the Mental Health Act personally, but at least you will know what it actually is that is being referred to when an article brings it up in relation to something unpleasant that doesn’t put any effort into explaining the Act itself.

Finally, I just want to let everyone know that if anyone is concerned, I can confirm that Patricia the penguin is merely a fictional character created for the purpose of educating and reducing stigma, so please do not go away and worry about how she is doing after having been through all these sections. As a product of my imagination, I can assure you that Patricia is just fine, and I hope you all are too. Cheerio.

Patricia
(I hope the above picture serves as enough evidence that Patricia is safe and sound/not in any danger. As you can see she is merely enjoying a bowl of coco pops in her safe ice igloo and has not been ice skating, nor will she be doing so in the near future.)

The Problem With Eating Disorders And The Desire To Achieve

/ bornwithoutmarbles / 13 Comments

In life I think it is safe to say that most people are born with a desire to achieve, a need for purpose, for something that they feel will make their life worthwhile. If you are an expert in biology as I am, with many qualifications in human body expertise (I did biology GCSE), you will know that this space that craves a sense of achievement comes in the form of a little hole that is located just below the liver, and when humans are born, it is empty. Naturally people want to fill it in order to feel complete, and the way in which to do this is to fill it with achievements, achievements like getting a good grade in an exam or breaking the world record for the number of potatoes you can balance on your head at one time, whilst enthusiastically taking part in a salsa class with a lady who keeps clacking maracas. The difficulty comes in finding what it is that fits in your hole (by which I of course mean your sense of achievement craving space and no other hole in the body), because when that hole is empty it can get awfully draughty, especially if you are wandering around the blustery moors like Cathy searching for Heathcliff in Wuthering Heights.
Unfortunately, a lot of people with eating disorders somehow manage to wedge an almighty bout of anorexia right in their sense of achievement space, and this is in no sense as good an idea as filling it with a world record relating to salsa and potatoes.

When you have an eating disorder, you automatically obtain goals, and purpose (dangerous horrible ones that are no good to achieve, but when you are caught up in the illness they feel as important and legitimate as someone else’s goal to become an astronaut.) There are always rules and things you are striving for or you are trying to beat, a new number of minutes on the treadmill, a lower number of calories than before or a new target weight, and achieving these goals fulfils that need for purpose. Ultimately each goal you set and then achieve can feel like validation that you are doing something with your life, making your existence meaningful and making life worthwhile.

I know that personally I struggle with this a lot, especially as I appear to be friends with a lot of people who all seem to know what they are doing with their lives and are very successful. On countless occasions I have been to parties with these friends and in the general “catch up” chatter I have heard them talk about all of the fantastic universities they have got into to do their masters, all the plans for their PHD dissertations on complicated topics I didn’t know existed, and the fantastic relationships they are all happily involved in, already planning to move out of their family home, elope to New Zealand and get mortgages on houses with their partners.
Meanwhile at these parties I tend to stand there looking a little bewildered and feeling incredibly inferior. I have not been to Oxford university, been to New Zealand (or Old Zealand come to think of it), and the closest I have got to moving into my own house so far is my attempts to build my own pillow fort under my bed, which isn’t going well because planning permission is a nightmare and I am struggling to sort out the plumbing situation. Does anyone have any advice for supplying a pillow fort with running water, when the only materials you have at your disposal are a few cushions, a blankets and giant cuddly penguin who has a surprising lack of DIY skills? Even if that works out, this house is being built under my bed within my parents house, so I wouldn’t really have moved out, even when I do get things up together. I know it is disordered, but in these instances at these parties, my eating disorder is of great comfort to me, because when I am feeling like a hopeless failure, I can comfort myself with all the things I have “achieved” through my anorexia, all the hard work and goals I have reached, even if in the real world things like “only ate X calories for lunch and have a BMI of Y” means very little.

This is but one of the many reasons I find the act of challenging my eating disorder and overall recovery so difficult, because in doing so I am carving out the well crafted plug filling my sense of achievement space and leaving it empty again with the gale whistling through my abdomen.
I know that the key to all of this is simply find another thing to fill that space, but it is a lot harder than I ever anticipated because when it comes to making new goals or setting out on new pursuits that you are not very experienced in, there is a high chance of failure, something that is reassuringly lacking when it comes to the world of having an eating disorder, as I have had it for so long now that I know the rules and I know that when I put my mind to it I can achieve the goals it sets. Setting my hopes and dreams on becoming a lawyer or something is a lot more complicated because it relies on so many outside influences and there are so many places for error. What if I don’t get into law school? What if I fail my exams? What if I manage to make it as a High Court judge and then at the biggest case of my career I lose my big hammer thing that judges use after they have announced their verdict, and the jury and I are left until the end of time unable to put a murderer into prison because I cant bang my hammer on the table? With eating disorder goals, I have to rely on nobody but myself, and I don’t need to be mindful of where I am keeping my hammer.

From speaking to other people with eating disorders I know it is fairly common to use anorexia to serve your sense of achievement, and in a way it is great. The anorexia or whatever else serves the function of filling that sense of achievement and blocking that gale, but it isn’t a particularly healthy filling, because once lodged in there the eating disorder grows bigger, spidering slithery tendrils away from the hole in which is was originally placed to take over and kill the whole body altogether. Therefore when it comes to recovery, it is vital to think about and work on making a new life and set of dreams to pursue and goals to achieve alongside eating a healthy diet and getting to a health body weight.

If you are currently in recovery or contemplating it and are struggling with this issue then I guess my advice is to be brave and rip that eating disorder plug out to feel that abdomen gale for a bit. I know it sucks. It will be chilly, and put you at risk of failing whilst attempting to fill that desire for achievement with things you have never tried before. Maybe things you might be bad at, or heaven forbid, things you may fail in. But maybe that is ok, and nobody can get these kind of things right the first time. Maybe in reality, achieving or failing at anything in life is far better than fooling yourself into thinking you are achieving in an illness that is basically just starving you to death, which is not an achievement at all.

Therefore I want to challenge everyone reading this with an eating disorder to try and find something new or give a random hobby a go to try and replace the one you have that is potentially killing you. Take up chess, or tiddlywinks, collect magnets shaped like penguins in hilarious poses, hell try and beat that world record for dancing the salsa with potatoes on your head. That last one especially is a great one to start with because to let you into a little secret I have learnt from my research, nobody has even set a record for that yet, so you have a pretty good chance of winning (I still cant believe no human has dared to attempt such a feat before.)
Yes it is silly and yes it sounds pointless but I urge you all to give it a go anyway, because in life there is so much more to devote your efforts and attentions to than a silly number on the scales that doesn’t tell you anything anyway. You will never lie on your death bed and reminisce about the greatness you achieved by starving yourself and wasting your life, but by God wouldn’t it be wonderful to lie there in your final moments, and to reminisce about salsa dancing amongst all your trophies and Guinness world book of record certificates, a little pile of winning potatoes gently settled at your feet. That my friends is success. Go and get it.

salsa

Life Lesson: Running Away From Your Problems Is Not A Good Idea

/ bornwithoutmarbles / 18 Comments

Last Wednesday (the 22nd of June if you want to put it in your diaries for next year), was my 24th birthday. I anticipated a day of being at home with my family and playing on my new games console, but things did not go exactly to plan, much like the rest of this week. So, for today I wanted to use this post to provide a brief personal update on my current situation, as I feel it will be necessary for you all to know for the next few weeks of blogging delights, and the whole thing has taught me a little lesson I wish to share with you, the lesson being that you cannot run away from your problems. Actually that is a lie, you can run away from your problems very easily, but they will chase after you, and those little buggers can run fairly fast (so fast that I am convinced that they are on steroids and am hereby requesting that “Problems” are not allowed to race at this years olympics).

But I am getting ahead of myself, spouting lessons before I have explained how I learnt them, so let us go back to the beginning, by which I mean my 24th birthday rather than the dawn of time and the dinosaurs.

So, on the 24th of June at 10:30am my dad picked me up from my house to attend my appointment at the hospital and there I sat in the waiting room until my Psychologist arrived. I was taken to be weighed as per usual (a fairly disappointing experience, as the scales were just as they always were, no balloons/ribbons on the scales to celebrate my birthday or anything), and then we went through to talk. Had barely been chatting for five minutes however, before my psychologist presented me with an unexpected birthday present, this year, the very unwelcome surprise of an inpatient bed in hospital due to recent deterioration in my mental health, the bed being for Friday, less than 48 hours away. Now I know that people say that it is the thought that counts, and if anyone offers you a gift for your birthday you should be grateful and say thank you, but suffice it to say that I was not at all impressed with this suggestion, and couldn’t help thinking that my therapist should do any future present shopping for friends and family on amazon. I would rather she had given me a moustache maintenance kit for a gift, and I don’t even have a moustache…yet.

It was all pretty unwanted and sudden in my eyes, not the birthday party I wanted at all, so I left feeling rather deflated, much like the non existent balloon my therapist had failed to put on the scales to add a bit of merriment to weigh day proceedings. Luckily my mum later cheered me up by taking me to the park I used to frequent as a child to play on the swings, a far jollier birthday activity. I then played my new games console all evening, so I managed to have a nice birthday in the end by generally ignoring all worries about hospitals and anything other than which character I wanted to be in Mario Kart. (Incase you are interested I picked Toad because he looks like a mushroom and if you don’t find pleasure in watching a man who looks like a piece of spotted fungi zoom around a racing track throwing bananas, then quite frankly there is no hope for you). Basically, I ran away from my problems and pursued my dreams of winning the grand prix instead.

The next day however I was rudely awaken by my problems (quite literally, my therapist phoned me whilst I was still in bed dreaming of penguins), and she told me once again that I should go into hospital the next day. Again, I refused and got on with my day, but a little later I got another phone call that suggested the problems I was avoiding were rapidly gaining on me, this time the notification of a Mental Health Act assessment later that afternoon. My parents have since told me many a time, that it would have been the best idea to just remain calm and attend, but as a natural born problem avoider without marbles, I decided to do the next best thing, aka run away on bus and then a train to Exeter. Do I have family or friends in Exeter you ask? No. Did I have a place to stay or plan in Exeter at all you cry? No. I quite simply had no idea what I was doing other than getting away from the situation and possible hospitalisation to be re-fed back in Bristol. Unfortunately things got a little messy around this point, and though I caught the train and found myself hurtling across the English countryside at 65mph, the mess I had got myself in was hurtling right alongside (not even on a train, the mess was literally running alongside the track that fast. Steroids I tell you. STEROIDS). I won’t bore you all with the details, but in summary, my problems burst on the train to seize me no matter how hard I tried to deny any of it was happening, and a few hours later they had rudely dragged me back to Bristol where I was sectioned under section three of the Mental Health Act and admitted to an eating disorders hospital right away with none of the things I would have needed to pack. All I had in my bag was my wallet and my train tickets to Exeter, which I had well and truly learnt were of no use in my current predicament.

So, that pretty much brings me to my present situation, legally detained in hospital, unsure of how long I will be here and frightened in relation to every aspect of my life. Worst of all, the hospital in which I am detained doesn’t even have wifi (I am officially back in the stone age), and I will admit that one of my worries when I woke up the next day was you, my dear little internet blog readers. Though a small crowd I admit, you are in all honesty a key motivation for me to keep kicking ass as much as I can. I have no control of my personal life at the moment, but I still have my blog and writing to escape to so that is what I am focusing on for now to get me through. That said, without wifi posting this is going to be an almighty challenge, so if it is Monday and you are reading this then another lesson we will have learnt from this week is that I am a technological genius who is more educated in the ways of computer than Bill Gates.
Thankfully, as one positive to brighten up this rather bleak post, I do at least have some of my things in my hospital room now, as my mother was kind enough to bring the basics in, and it is always nice to have your own toothbrush and teddies when trapped under stressful circumstances. I guess that is yet another lesson right there: never underestimate the power and importance of clean teeth and something to cuddle.

I really hope you can all forgive me for this slightly indulgent post that is all about my personal mental health and situation, rather than stigma reducing information or any advice I can offer, but to be fair this is my birthday week, and if you can’t be a bit indulgent and have a ramble about yourself on your birthday then when can you? I promise normal/more interesting blogging will resume next week when I have settled in and know what is going on in my life, but for now I hope you can all at least take away the main lesson I have learnt and point of this post that in some ways we can all benefit from it, that being that when it comes to mental health issues and things generally in life, you cannot run away from your problems as they will always catch up with you eventually, (even if you are on a train to Exeter).

Orange.jpg

(For the purpose of this picture I have envisaged my problems as a giant orange with a satsuma for a nose. This is not because of any symbolic significance related to oranges or their complex segmented form, it is simply because I really do not like oranges and never miss an opportunity to draw them in a bad light).

 

 

Why We Need To Rename The “Loony bin”

/ bornwithoutmarbles / 4 Comments

In terms of mental health, there are many slang terms used to refer to a psychiatric hospital, (“nuthouse/funny farm etc), but while these terms are still offensive, there is a particular slang term that I think is particularly dangerous. I understand that slang is useful in society and I am not demanding the removal of all slang from now on, but issues can arise with slang when the term becomes more notorious than the correct phrase and actually alters the perception people have of whatever is being referred to. That is the unfortunately the case with the term “loony bin”.
I realise calling a psychiatric unit a “nut house” isn’t accurate either, for example I have never encountered a “nut” when in hospital (other than the odd almond or macadamia in my fruit and fibre…I once heard someone claim they found a pecan in their bowl but I think that was just a myth so don’t take my word on it), but the “loony bin” slang term is particularly damaging as it conjures up ideas of a place into which the rubbish is tipped, a place that people don’t come back from and if anything is utter trash, it is that image.

I myself have had several admissions to various different “loony bins” and I can state with the utmost conviction that none of them bore any similarities to a bin, neither appearance wise or in terms of function. Firstly, on the whole they were all very clean (one had the bathrooms cleaned after practically every use so sometimes I was unable to shower BECAUSE they were being made extra clean), but more importantly none of the patients were anything like waste needing to be dumped.

The problem with the phrase isn’t even just damaging to the self worth of current or ex-patients. Potential inpatients may be scared of, and thus refuse admissions for treatment that they desperately need, because this whole “loony bin” perception has made people fear they will go in and never come out, that they are a lost cause who needs to be locked away from society for good. Admissions to a psychiatric hospital however, are not final destination. Instead they are more of a holiday. Ok, I will admit they are not exactly like a holiday, I know I would prefer a beach in the Caribbean over a stark white bathroom with a staff member watching me pee, but what I mean by this comparison is that they are a place that people come back from (albeit without the much revered tan or photo album). Going into hospital doesn’t have to be a terrifying endgame, define people or morph them into the branded mental patient to be impersonated at Halloween parties.

There is of course also the issue of this “bin” (a name of a place usually reserved for objects not people), being used as a place for “loons”. “Loons” sound like magical creatures, inhuman half breeds who are fundamentally different to “normal people”. The whole idea just emphasises the false distinction between “mental people” and “sane” ones when really they are both exactly the same. People in mental hospitals are not a different species, they are human just like you (unless dear reader, you are in fact a penguin in which case may I congratulate you on finding my blog without opposable thumbs).
I think it is comforting to label people with mental health problems as loons to be kept in a separate lidded inhuman/object bin world of restraints and locked doors, because by separating the sane and the insane, making a “them” and “us” situation, it perpetuates the idea that those crazy people are different and therefore you are not at risk of being contaminated. To think that a person screaming and being held down to be injected with anti anxiety medication is just like you is frightening and prompts all kinds of questions like “what if that happens to me”? It is nicer to think of all of that stuff as things that happen to “other” people, that the person cradling a wooden spoon and singing nursery rhymes is different, no possible image of you in the future. It is nice to put the lid on the idea and leave it outside the house for the rubbish collectors to remove so you don’t have to deal with it in your home.

The derogatory slang of “loony bin” and resulting “loon/human”, “them/us” dumping ground view of psychiatric units really is a use of language that has the ability make patients feel hopeless and forgotten, doomed waste discarded for good, and it creates judgement in people without mental health issues that just continue the stigma and fear that surrounds it all. I urge people to know that none of this is true.

For patients who have been admitted I want to say that life is not over, and being in hospital doesn’t mean that you are rubbish or damaged beyond repair and the landfill is not your future and final destination.
If anything I would say the slang for a psychiatric hospital should be “the temporarily out of order and in need of repair tray”, just like “normal” hospitals that treat only physical illnesses. It is not a place to be thrown in when you don’t have a place in the real world anymore, it is just a place in which you remain as human and as worthy of life as anyone else on the planet, you just have a few cracks in your porcelain skin that needs a little glue to help them stick back together.
We need to stop seeing psychiatric hospitals as bins or end games for the weird wastes of failed humanity, but as places for ordinary people who are just struggling in life and need a little support to get back into full working order, simply time and space to patch things up and get them well enough to leave that repair tray so they can go back home.

1

Veganism Vs Eating Disorders

/ bornwithoutmarbles / 11 Comments

I first became vegan in 2012, and at that time I didn’t know anyone else who was a vegan. From my viewpoint, they were pretty rare and sparse, much like some herbivorous creature David Attenborough would have to spend weeks stalking before he could actually get one on film. Recently however, I seem to be seeing a lot of vegans springing up all over the place. As a vegan myself, obviously I think this is great, as it strengthens a movement and cause that I agree with and am passionate about, but the concerning thing is that a lot of people I have seen suddenly start milking almonds are people in the eating disorder community (both online and in real life).
Obviously “veganism” and “anorexia” are two very different things, one is an ethical movement, the other a mental illness, so naturally being vegan does not mean that someone has an eating disorder, just as someone having an eating disorder doesn’t mean they are vegan. Nevertheless there can unfortunately be times when they cross over, and the lines between the two normally very separate labels become a bit blurred, much like the colours of a carrot and a stalk of broccoli do when you put them in a blender and switch it on high speed. It is here that the problems start, problems people need to be more aware of and open to discussing, as it is here people can start using veganism as a mask to cover what is really an eating disorder, a dangerous trick that can leave many people unaware that they have a problem or mean that others do not pick up on what is a potentially fatal illness.
In other words it is hard to work out which bit is broccoli and which bit is carrot, so I feel it is important for people with eating disorders who are vegan to question their lifestyle decision, not because it is wrong, but to make sure it is for the right reasons. Therefore in order to try and help people who are unsure about either themselves or a friends dietary choices, below I am going to list several things to look out for as signs that your veganism is actually something a lot more dangerous…

1. Why are you vegan? What was the initial cause or reason and how did you come to the decision? – When you or your friend became vegan, what was the drive behind it? Was it to benefit the environment? To fight animal cruelty? Or was it to use as an excuse to mask why you are taking things out of your diet? With eating disorders, veganism can sometimes unfortunately be used as a get out of jail free card. If you start refusing all standard cakes or ice cream, family may be concerned or question whether or not there is a problem. Wave the vegan flag however, and you have given yourself a more socially acceptable disguise for your refusal, as I think we can all agree that “I am not eating that because I am vegan” tends to go down a lot better than “I am not eating that because I have an eating disorder that is slowly killing me”.

2. Restriction or alternatives? – An important thing to bare in mind when considering someone’s veganism is how they go about it. For example, veganism is NOT about cutting things out, it is about swapping them. Used to get protein from meat and eggs? You can swap that for chickpeas and beans. Had your fat requirements from full fat dairy? Introduce yourself to Mr avocado and his civil partner Señor peanut butter. Veganism is about still getting all of your daily needs but from plant based sources, it is not about emptying all the cupboards and then living off a bag of lettuce.

3. The “Imagine you accidentally” game – Imagine you (as a vegan), ate something that was not vegan by complete accident and without having any way of knowing about the non-veganness before hand. What do you think? Is it all “oh my God I just ate something with cream in it I am going to get fat! My thighs will be wider than the widest wide thing in the Museum of very wide things”, or is it more along the lines of “Oh Damn! That is annoying, I feel guilty about the animals but I guess it was human error, not my fault and I will just have to check ingredients more thoroughly from now on”?

4. How has veganism impacted your lifestyle overall? – Obviously being vegan involves dietary changes, but changes are not limited to food alone. By deciding not to contribute to the exploitation of animals, you are deciding not to use animals for your own gain, not just deciding to avoid eating them and their produce. For example when I became vegan, my entire make up collection, shampoos, shower gels and toothpaste all changed to animal friendly versions. If the only aspect of veganism you care about is the food side of it then maybe examine why this is, to make sure it isn’t because the food changes are actually about something other than animal ethics. After all it makes little sense to avoid eating a cow whilst wearing a leather jacket, so finding out and questioning your stance and opinions on the non food related parts of veganism can be handy in giving you a clue as to where your head is at.

5. The Vegan bakery test – Imagine a friend wants to support your decision to be vegan and takes you to a vegan bakery. There are vegan brownies, cakes, muffins, the lot. When you look at the display what do you think? Is it a case of “Oh no my excuse to get out of cake is gone! What do I do? I must reach behind the counter, grab a wooden spoon and whack my friend on the head to distract them whilst I run away”, or is it more similar to “Oh my goodness I want that chocolate peanut butter muffin in my face immediately”. This test is a fairly good guide in my opinion as to how much your veganism is impacted by possible animal or disordered eating factors. It is also a good test as a guide to find out how much you like your friends, because if you are that eager to hit them in the face with a wooden spoon you may want to consider socialising with other people.

In an ideal world obviously I would love for everyone to be vegan, so I don’t want this post to be seen as telling people with eating disorders to run off and bite the nearest sheep immediately.
What I am saying is that if you are vegan or have a friend who has recently turned vegan, be sure to question it (especially if they have a history of eating disorders), and be fully aware of why that choice has been made. In my opinion a vegan diet is one of the healthiest diets around, so if you have an eating disorder and your veganism is a separate entity to it, then go ahead and carry on loving your lentils. Hell, have a shower in chickpeas and build a house out of a giant cabbage, just be sure to distinguish whether or not you are dealing with real veganism or a potentially fatal eating disorder wearing a vegan mask. After all, no cow is going to be particularly grateful that you stopped drinking its milk because of a voice in your head that is trying to kill you.

Stay safe all vegans and non vegans and people reading this in general. Cheerio for now.

Vegan

An Important Reminder For People Struggling With Mental Health Problems During Exam Season

/ bornwithoutmarbles / 4 Comments

Ah summer, a wonderful time of sunshine, drinks with umbrellas (as we all know if anyone needs a device to keep something dry it is a glass of liquid), and, less wonderfully, exams. No matter what kind of exam is being thrown at you, whether it be a GCSE, A-level, university finals or your N.E.W.T’s at Hogwarts, I think we can all agree that exams suck and are a very stressful part of the year for everyone involved, especially people with mental health problems who are pretty stocked up on stress and need no exam boards adding to it. If you have exams coming up I can guarantee you have been told how important they are by teachers and lecturers and if you are anything like me you will feel that they are the most important things in the world, but I want to provide an alternative voice to all that stress and pressure and let you know that in the grand scheme of things, exams and other education related worries are not important. Now I know what you are thinking, “why should I listen to a weirdo on the internet when I have educated officials telling me that these exams are vital to my future happiness?”. Well dear reader, because I am going to prove my point with an analogy using the absolute best thing about summer, ice-cream, and if that doesn’t get me credibility then I don’t know what will.

For the purpose of this post I would like you to imagine an ice cream cone. That empty cone represents your physical health, no emotions whatever, just the heart beating oxygen to carbon dioxide basics of being alive. Now add a scoop of ice cream to that cone (one involving chocolate or peanut butter preferably but I suppose you could use any flavour for your metaphorical ice cream…just not rum and raisin because that is nasty). That scoop of ice cream is your mental health, stress levels, emotional stability, any brain activity that involves quality of life, pain or pleasure, and makes you different from the empty ice cream cone of the amoeba. Now add a cherry to that ice cream cone. That cherry is exams/good results/fantastic education stuff in general.

If you went to an ice cream van in the real world and asked for an ice cream, you would expect at least a cone with a scoop of ice cream in. A cone is fine but it is worth nothing without the ice cream and without the cone the ice cream would have no “body” to chill in (literally). To be worth having, you need both the cone and the ice cream. Having a cherry added on the top would be nice, but without the ice cream and the cone it is pointless. Without those key components you just have a random cherry floating in the air and that is useless in terms of the ice cream experience (otherwise known as “life”). Exams alone are that useless floating cherry.

The most important things to focus on and look after throughout life, exams and education in whatever form, are your physical and mental health, because if you don’t have either of those things then exams have nothing to sit on.
When I was doing my A-levels I was absolutely terrified and my exams literally became a life or death situation. My head was compressed under so much pressure and my brain had made some kind of OCD rigid deal that I had to get straight A*’s or kill myself. No other grade would give me “permission to live”, not even an A which is an incredible grade to get as it is. My anxiety and OCD drive made a life or death situation out of “a star” and you know what that star is? IT IS JUST AN ASTERISK. IT IS PUNCTUATION. It is not the be all and end all goal of life, this mystical magical holy relic to be chased to the end of time. Nope. Look here is one now *. And another one *. Is “*” and therefore any grade worth the pressure and insanity placed upon exams?

The stress of exams, grades and dedicating all of your energy to revision is like chasing a floating cherry without the cone and ice cream needed to support it. If education is causing so much stress that your anxiety is out of control, if you are revising so much that you are “not having time to eat”, then that is not OK. At university I spent my entire time chasing that illusive floating cherry (otherwise known as “a first”). I read books obsessively, didn’t sleep, took notes on things with unnecessary detail and precision. Revision sheets were awash with bubble letters that I took hours colouring in using the order of colours in the rainbow. I had to get a first so everything had to be perfect, but I was so busy colour co-ordinating titles that I didn’t look after the cone or the ice cream and eventually everything fell down with nothing there to support it. I never took my final exams at university, I never wrote my dissertation or got the resulting “dissertation picture”, because I was in hospital. Thankfully I had the most amazing tutor and team at university so I was still able to graduate. Did I get a first? No. Has having a “2:1” rather than a first changed my life in any way? No. Do you know how often I get asked about my degree or A-level grades? How often someone asks to admire my colour co-ordinated revision notes with obsessively neat handwriting and bubble letters? Never, because in the real world none of it matters, what really matters is keeping yourself alive and able to function.
When you are in school I know that education feels like the world and grades are the tip of the mountain in importance, but when you leave school you realise that that mountain was just a mole hill and the real important mountains in life are actually living your life both physically and, hopefully, with some mental stability or quality that make it worth it. Getting an education or a dissertation picture are things in life, but they are not the ONLY things.

Obviously I am not telling you not to bother with revision, if you can handle it then that is great and of course you should do your best in exams, but you shouldn’t sacrifice your emotional or physical wellbeing to achieve, catch a cherry that is useless without the cone and ice cream to balance it on. An earlier hospitalisation during sixth form meant I had to go back a year in school so I did my A-levels a year late. Again it seemed like the biggest deal in the world, but I needed that time in hospital and that time out and eventually I got my exams, Ok they were a little late, but the only difference between my certificates and the ones my initial year received was the date. Also, I actually made loads of new friends in my new year, so in retrospect going back a year was not only vital but actually gave me some positive experiences with people I wouldn’t have met had I forced myself through exams the first time. Especially if I had died in the attempt.

In short, education can wait. Education can be done any time if needs be, but what cannot wait or be done at any time is keeping yourself alive and looking after your health. If you need to take time out, do it. Lower the pressure and expectations for grades. In short, give yourself a break, give yourself time to breathe. If you have exams and revision this summer then I wish you the best of luck and hope they go brilliantly, just please remember to look after that cone and scoop of ice cream first, and don’t kill yourself over a floating cherry that in the grand scheme of things matters nowhere near as much as the ice cream.

Ice cream

“Crazy Is The New Black” – Why Mental Illnesses Are Not A Fashion Trend

/ bornwithoutmarbles / 7 Comments

On Saturday night I went to a bar with two friends to watch the Eurovision Song Contest. I anticipated an evening of ridiculous dresses, flags being waved violently in my face, maybe even the odd dancer dressed as a potato. My hopes of such merriment were dashed when one of the presenters made a derogatory joke about mental health that did nothing but boost the stigma that my blog aims to destroy. AND there was no dancing potato. The joke? The “advertising” of a Eurovision Song Contest straitjacket to wear in celebration of the event because, as the presenter stated, “crazy is the new black”. Now I am not one to follow fashion trends so I don’t want to pass myself off as a fashion blogger, but in my opinion, that kind of statement and jokey interpretation of mental health problems went out of style around the 18th century and the fact that it was paraded on TV in 2016 is quite frankly something that has left my “flabber” well and truly “gasted”.

At first, after the comment had been made, I simply hated the presenter who had said it. I was ready to fly to Sweden to pull her off the air, but then I realised (around the time I was trying to hitch a ride to Sweden on the back of a pigeon who, alas, was no help in my mission whatsoever), that this joke was scripted and had therefore been approved by multiple people. Hell someone had even made a prop strait jacket, so this isn’t a little blip or misjudgement, this is a carefully considered statement that makes mental illness out to be a “cool trend”, that was viewed as acceptable for two hundred million viewers across the world.

I hate to whip out the “if this was a physical illness” card here, but seriously, think about it. Imagine if the woman had been advertising a Eurovision themed chemotherapy pump with feathers on it and claimed that “cancer is the new skinny jean”. People would have been up in arms, it would have been in newspapers, the demand for the removal of the presenter and script writer would have been widely documented, and Facebook would have been awash with furious people voicing their opinions. However, being mental health related, it was just swept under the carpet, nobody batted an eyelid other than a few distressed tweeters and bloggers online. Forgive me, but I have to ask what on earth is the difference between stating mental illnesses are “the new black” and saying cancer is “the new skinny jean” or whatever fashion trend is “in” these days? Cancer kills thousands of people a year? So do mental illnesses.
Maybe I am deluded to think that crazy isn’t a fashion trend and maybe I should pick up a copy of vogue ASAP, but in my eyes that joke is nothing like what “crazy” is to me.

Crazy is spending an hour putting on make up to go out with a group of friends and then crying it all off because you were so scared of tying your shoelaces incase the germs on them were to cause the end of the world. Crazy is being watched 24/7 for months, in the shower, on the loo, all of it because you are not trusted to keep yourself safe without constant supervision. Crazy is yelling at your mother because she cut a bagel incorrectly. Crazy is having to sleep with your hands on the pillow so the nurse watching you sleep all night can be sure you aren’t clawing your skin off under the duvet. Crazy is having to ask your friend to come into the bathroom with you to turn a tap on because you are scared to touch it yourself. Crazy is failed relationships because your partner cannot handle your mental illnesses anymore. Crazy is initially refusing to take an aspirin from a paramedic in the back of an ambulance who thinks you have had a heart attack, because he mentioned it was “lemon flavoured” and you fear that that may mean the tablet has calories. Crazy is having a separate room for exams at university so that you can cry and have panic attacks without disturbing other people. Crazy is being locked inside for months on end because the last time you were allowed out you tried to climb over a fence to escape the hospital you were detained in and had to be rescued by the fire brigade. Crazy is having to shower until the top layer of skin comes off and you are bleeding all over because only then can you be sure that the dirt is gone. Crazy is being the only person in your friend group who doesn’t have a job because you are mentally too unwell to work. Crazy is waking your mother up at 4am for a hug because you are too anxious to go to sleep. Crazy is taking menopause oestrogen supplements at 23 because you can’t eat enough to produce the hormone yourself and as a result your spine is riddled with Osteoporosis. Crazy is not being able to go to the toilet because your OCD says that it isn’t time yet. Crazy is going back a year in school because you missed yet another chunk of education being stuck in a psychiatric unit. Crazy is having nothing to say when family members ask what you have been up to, because they don’t count “I haven’t killed myself and have got out of bed every morning”, as an achievement. Crazy is being unwell for so long that you honestly can’t remember what normal is. Crazy is all of these things plus a hundred others that nobody can ever put into words. “Crazy” is the hell experienced by the millions of people across the globe who are struggling right now, but are too embarrassed and scared to speak out incase their worries are belittled, brushed aside or used as fodder for the next stigma supporting “joke”.

You can describe crazy in an infinite number of ways, but as the “new black?”. That is not what the word means to me.
If anything, crazy is the new “crisis in humanity”, and it is killing more people every day than your average fashion trend.

Crazy is the new black

“Who Am I?” – Anorexia And Identity

/ bornwithoutmarbles / 12 Comments

Have you ever wondered how people refer to you when you are not in the room and they don’t know or have forgotten your name? People refer to others using general but somehow specific terms all the time (my mum and I do this with contestants on Masterchef for example, this series we had “beardy man” and “Jam sandwich lady”), and it makes me think about how people refer to me. Rightly or wrongly I have always assumed that people call me “the anorexic one”, “the one who never went to school dinners”, “the one who disappeared into hospital for 10 months and then came back to sixth form 2 stone heavier” or words to similar effect, and it is one of the reasons that I find the concept of recovery so frightening and difficult to achieve. I feel that the label of being “anorexic” serves as a sort of identity both to me personally and for other people. In my head “anorexia” is my thoughts, it is all I think, it is what I do and who I am, so in my eyes if it disappeared, I would disappear too. I also feel this way about OCD sometimes, as that is also what I do and how I live/what I am, but the identity tie is mainly to the label of “anorexic”. After all, OCD is rarely used as an adjective to describe a person, you never hear the words “they are an OCDic.”

When anorexia first appears in someone’s life, it is sort of viewed as a separate thing, an added extra, an invader that is not part of the real person, or, in metaphorical terms, purple hair. People say that someone “has” anorexia much like they would say someone “has” purple hair due to some dye they have just bought, it is a temporary alteration to their being that will gradually wash out over time, it is not an integral part of who they are. If someone has it for a month, they will perhaps be known for that month as “the one with the purple hair” and then the label will change again as they themselves change style and perhaps career (e.g the brunette professional penguin tamer).
The problem is that the longer someone has purple hair, the more the purple hair becomes tied up with who they are as a person, they stop being a person with purple hair, the purple hair almost becomes them. When I was first diagnosed with anorexia it was an addition to who I was, a bit of purple colouring in my ponytail, but now after all these years I feel it has leaked all over me. The dye as it were hasn’t stayed in my hair, it has dribbled down into my skin so that my entire body is as violet as that girl who turns into that blueberry in Charlie and the Chocolate Factory when she eats the piece of gum Willy Wonka told her wasn’t finished. I no longer have anorexia as one has purple hair, I am anorexic, I am entirely purple from head to toe. If you scrub at my hair or my skin, the colour doesn’t just wash out anymore, it has been too long, it is embedded and to get rid of it you would have to peel away all of my skin completely which would in turn get rid of me too. That is how anorexia feels in terms of my identity, it is a thing that has become me and that now I am so entirely that it is impossible to remove. Without that label who would I be? My therapist is always correcting me when I say things like “I am scared of eating X” by saying “the anorexia is scared of eating X, Katie isn’t” but I don’t feel like that is true. I don’t have a voice telling me to avoid going over a certain number of calories, it is just my thoughts, it is just me.

A few years ago I went to hang out at a friend’s house with various people I had not met before (some may have called it a “party” but there were no balloons and in my eyes a party is not a party without rubber sacks of the host’s breath floating about, so I would call it a “jovial social gathering”). At some point in the evening some cake was brought out and handed around. The plate and thus the cake was offered to every guest individually, except me. Don’t get me wrong, I really appreciated it and was relieved. I hate the awkward moments when people offer me things that I then have to make up excuses to avoid, and knowing this my friend the host (lets call her Bertha for the purpose of this conversation), did not put me in that position. She knew I wasn’t going to have any cake so she didn’t insist on the whole “Cake?”, “Oh, no thank you” palaver that is often so embarrassing. However, this act of what was consideration for me and kindness of a friend aware of my difficulties, really got me thinking. When Bertha went round the circle she saw everyone as a person with the potential to eat cake, but when she got to me she saw someone or something different, she saw one of the “anorexic species”, a creature notorious for avoiding sweet treats. It felt like Bertha saw me as “the anorexic one”, I was different, and I had to wonder what on earth would it have been like if in the five minutes before the offering of the cake, I had been struck by the most wonderful bolt of lightening in the history of weather, and instantly cured of all mental health problems ever. What if I hadn’t had the illness that made me “the anorexic one”, what would be left, if anything, or would there just be a an empty space where the former anorexic had been?

I guess the point I am trying to make here and the point of this post/what I want more people to understand, is that there is a reason that anorexia is so hard to recover from. It is such a complex illness that both destroys and provides in ways that people may not think.
When sufferers are trying to fight but are struggling, it isn’t simply a case of being “scared of food” or ”scared of gaining weight”, often it is also a fear of what they will lose, of throwing away everything that they think they are, the removal of their core identity, leaving a hole they have no idea how else to fill.

Identity

(Apologies for the crease at the top of this image…I actually drew this picture for an appointment with one of my psychologists and the paper got creased on the way to the hospital. It was a good day for therapy but a bad day for my attempts at art.)

Why it is physically impossible to “look anorexic”.

/ bornwithoutmarbles / 9 Comments

A few weeks ago, the woman whose womb I once inhabited for 9 months (otherwise known as my mother), was chatting to a fellow human, and during the conversation my mother mentioned the fact that her offspring, aka me, has anorexia. The first response to be uttered (after the obligatory “Oh dear that is sad”), was the question “what size is she?”.

Has a more irrelevant question ever been asked? The answer is no. It is a question equivalent to asking someone with a broken leg “what colour is your cast?”, as if that will tell you about whatever funny business the bones are doing inside. Honestly I do not know what size I was before I heard of this incident, but right now I can assure you I am well and truly FURIOUS sized (like fun size chocolate bars only less fun, more rage.)
Unfortunately, this ridiculousness is a common response or question when someone hears that another person has an eating disorder, so I want to clarify one vital piece of information that everyone needs to know:

The weight or size of a person will never tell you how ill or how well someone is with an eating disorder.

Eating disorders (though obviously having implications in the “real world” in terms of behaviour around food/affect on physical composition of the body), are mental illnesses, the severity of which will never be judged by a number on the scales or a size on a pair of jeans. People with eating disorders can be underweight, a healthy weight or they can be overweight, but no matter what size, you will not be able to tell from their appearance what is going on inside their heads. Not only can you not tell the mental strain from appearance, you cannot tell the physical strain and the effect the illness is having on the body either. People with eating disorders die with bones popping out all over the place at a BMI of 2, but they also die whilst looking healthy or overweight because the physical complications caused by these illnesses are so much deeper and more complex than “weight loss”. Heart attacks caused by the body eating heart muscle for energy, electrolyte imbalances caused by purging and insufficient nutrition, and multiple organ failure caused by the general strain of eating disorders on the body are but three of the many ways people lose their lives in the fight and all of these things are invisible on surface level.

It isn’t even as if this misconception that eating disorders can be seen benefits anyone, as it is a dangerous belief for all involved. Sufferers may feel they aren’t really ill because they don’t look like the stereotypical skeletal pictures of people with eating disorders in the media, parents may not take their child’s issues to food seriously because they “look alright”, and medical professionals might deny input or treatment because the weight of the patient isn’t “too low” so they “can’t be that bad”. It is also an idea that even damages people who are trying to recover from an eating disorder, as sometimes help is withdrawn once weight is no longer “low” which is exactly the time that people need to be supported most.

Many people have even been refused treatment at all until the number on the scales is seen as corresponding to being “anorexic”, and until May 2013, there was actually a BMI criteria that had to be met in order to officially be diagnosed. Thankfully, the new DSM (basically a massive book that gives the lists of symptoms one needs to be diagnosed with any mental disorder) has revised this issue and anorexia can now be diagnosed in people of any weight, but despite this, the misconception still remains. It isn’t exactly unusual to hear the word “anorexic” used as an adjective to describe someone’s frail appearance, a casual turn of phase that further perpetuates the issue. Unless you have insanely magical x-ray vision and can see the thoughts and fears someone is harbouring about food (and if you do have such vision please go to a doctor as you are a medical marvel and could potentially help a lot of people with unseen medical conditions…or find buried treasure…but more importantly help people), you will never see a person “looking anorexic”.

The myth that eating disorders can be seen or measured is a dangerous, stigma inducing and potentially fatal story that needs to stop being told. If you really like myths, maybe give Theseus and the minotaur a go (it’s actually rather good, there is a maze with string, monsters and everything), but whatever you do please don’t believe the one I have attempted to debunk in this post.

12903879_10207275967351339_21790916_o