Lonely

How It Feels To Be Recalled To Hospital Under A Community Treatment Order

/ bornwithoutmarbles / 16 Comments

If someone had asked me what it feels like to be recalled on a Community Treatment Order (part of the Mental Health Act), before it had ever happened to me, I am not sure what I would have said. Possible guess answers that I might have offered would have probably included things like “scary”, “shocking” or “dramatic”. Probably one of the last answers I would have given, would have been “it feels like having your car stolen by a band of incredibly apologetic thieves who are very sorry for your loss”. However, as it turns out, that is exactly what it feels like…

As you will all know from the fabulous explanation of the Mental Health Act that I posted last year and linked to again last week (hint…it is right here: Demystifying The Mental Health Act…With Penguins), when you have a CTO, you have a list of conditions hovering over your head which must be adhered to if you want to avoid being legally recalled to hospital. Rather than conditions hovering like ominous wasps at a picnic who like a look at your jam sandwiches though, I like to think of them as “things that hold you accountable” or “reasons to do things”.
Every time I was scared to challenge my eating disorder and follow my meal plan I had an argument I could use, that being, “you have to do this because otherwise you will lose weight and go back to hospital”. It was a system that worked but admittedly I felt really trapped by it.
Every day I would wake up and force myself to eat a number of calories that made me feel depressed, knowing that it would keep me at my CTO weight which felt equally depressing.

All I wanted to do was give up, give in and lose weight but I felt I couldn’t because that would only involve being recalled to hospital which was simply not an option. My CTO weight was the border to a war zone and I was not taking a single step into no man’s land.
Then however, the recent hospital surgery medical drama, naturally led me to lose weight and I crossed that barrier without even intending to. Before, that CTO number had held a power over me, every digit had felt significant, like a law from the gods that I would probably find carved into one of those massive rocks at Stonehenge if I visited and looked close enough (a lot of people have theories as to why those mysterious stones are there including “for religious reasons” and “rituals”…My theory is that they were simply put there by some cheeky prankster who wanted to leave a pile of stones lying around so that future generations would ask “why the hell are those stones there?”)

When I went under the weight however, the power of that number and the spell was broken. I had thought that one step over the border would have resulted in guns and tanks sending bullets and bombs flying all over the place…but nothing happened. Of course it would have had the weight loss been “my” fault, but I had an excuse, my appendix did it not me, so it was almost allowed. Obviously the CTO weight still mattered and I had to get back to it, but with this medical “it isn’t my fault” get out of jail free card, I knew that I could take advantage and lose more weight without getting into trouble.

Thus it was that, as you know, I ventured further into no man’s land, and it was a sudden surprise when after all this “oooh this feels quite safe and allowed” turned into the previously expected “guns and tanks and swords and back to hospital for you”. Unsurprisingly, it was pretty distressing and traumatic, so a lot of people have been very sympathetic which has been lovely. I really appreciated comments from people online who were not directly involved in the situation because they felt genuine, but it is when we get to the words of the people closest to me that we get to this whole “I feel like I have had my car stolen”.

To use another analogy, I suppose you could view my body as a car that the garage have been keeping very strict rules on. I may have owned the car but there were restrictions as to what I could do with it, what colour I could paint it and how far I could drive. Then, when the CTO barrier was broken, I suddenly regained control over that car, so I grabbed that wheel, painted it purple and zoomed off into the distance (I suppose if we are combining this with the other analogy I zoomed it off into former no man’s land…just like people did with BMWs in World War Two…I may need to retake GCSE history).
With the car all to myself I set my speed limit, I pumped the tyres to a level that I wanted and I filled every seat with penguins because that is what I wanted to do. I could chose…until I was ambushed by bandits who seized the car and stole it, meaning that it didn’t belong to me anymore. Suddenly they would decide how much petrol went in, how plump the tyres were and how many miles it could run and my opinion was irrelevant (the bandits in this analogy being all the doctors and psychiatrists who recalled me to hospital).
Naturally, having just had my car stolen, I was not best pleased. Thing is, when you ACTUALLY have your car stolen you never tend to see the thieves who are the new owners enjoying a trip around the block in what used to be your very own automobile, and they are unlikely to be very apologetic.

Being in hospital though, I am not only seeing the “thieves” every day, I am living with them, and watching them abuse my car. The doctors and therapists decide what I eat now, when I sit down, where I can go and it is all very hard so I try to talk and work through it with them. I say how scared I am to eat, how scared I am to gain weight, how scared I am of everything and like many people online said last week, they say things like “I am so sorry you are in this position”, “this must be very hard and scary for you” but unlike when people online say it, it makes me angry, and all I can think is “WELL YOU CAN’T BE THAT DAMN SORRY BECAUSE YOU ARE THE ONE DOING ALL THIS. YOU STOLE MY CAR, I AM UPSET ABOUT IT AND CRYING AND NOW YOU ARE SAYING HOW SORRY YOU ARE ABOUT THE SITUATION BUT YOU ARE THE THIEVING, HYPOCRITICAL VAGABOND! VAGABOND I SAY!”

I don’t believe that they can really be sorry because they have what they want, they have the car and are legally allowed to do whatever the hell they want with it. I feel the same way about professionals as I do about close family members like my mum, which I know is terrible and I know I shouldn’t feel that way, yet still as much as I love our visits and I would not be able to get through this place without her, what I get out of them is entertainment, love, company, kindness and knickers (she brings in my clean washing…thanks mum). What I do not want from my mother, is sympathy because in my eyes she is kind of like a thief. Admittedly she did not do the legal act of stealing the car, but she gets something out of it, she now has a say over the car and the thieves will take her views into account. If my mum insists on yellow wheels and the thieves like that idea, those wheels will be the colour of sunshine within 24 hours. She could not have stopped the legal act from taking place but she has more say in it than I think she has used, I am sure if the next of kin kicked up enough of a fuss someone would have to listen, but no fuss has been kicked. On top of that, by me eating and being forced to stay in this hell hole gaining weight, she has benefitted from the thieving.
Again it sounds AWFUL to describe it like that, to compare my mum to someone who is in cahoots with criminals and joyrides around with lemon wheels, when I know she would argue that all she has actually done is not try to stop the people attempting to save the life of her offspring by their actions. She isn’t joyriding (my mum is not a joyful driver…especially if there is a cyclist nearby), she is finally offloading this nightmare she has been living with to professionals who can look after it instead and she can finally sleep rather than stay up into the early hours arguing about sweetcorn. She is benefitting because she gets a break, because as I gain weight she will feel safer and therefore I assume happier yet again, any “I know this is hard and horrible and I am sorry” inspires that same “WELL MAKE THEM GIVE ME THE DAMN CAR BACK AND WHY DID YOU PAINT THE WHEELS YELLOW” rage.

That is why if you were to ask me “how does it feel to have been recalled on your CTO and sectioned back in hospital” I would tell you that it feels like some very apologetic thieves (some of whom are related me), have stolen my car.
Now I am just watching them all make the changes they want, implementing the modifications they have decided, desperate to run out and stop them but with my hands tied. I am just an observer watching people do things to my car, watching things happen to this body that I have had to disconnect from and pretend isn’t mine anymore for my own sanity. I guess a more accurate explanation/analogy then would be to say it is like having your car stolen and then having the thieves force you to be a mechanic carrying out every wish of theirs or risk being whacked on the head by a spanner, but that isn’t how it feels. It feels like things are being done to me, any movements I make are via the puppet strings that they hold, I have no say. When it comes to living with an eating disorder you don’t have much say or control either, but this feels different, this feels more stripped, more naked. This is not my body, it is just a body that I am trapped in, and I am witnessing it be torn to pieces every day. Every meal. Every bite.

CTORecall

The Mental Health “Spot The Good Things” Challenge

/ bornwithoutmarbles / 7 Comments

This week, when I sat down to write my blog post, I was determined to try and make it about something positive. Over the past few weeks I have gone on about drowning kidneys, an exploding appendix and suicide, and there is nothing fun to read about there. Admittedly, this is a blog about mental health so things aren’t going to be all fun and games (except for on Wednesdays when we play snakes and ladders…I say we…it is just me…talking to the green snake on the board…nobody else ever wants to play…not that I mind…*Sobs in a corner whilst rolling dice pathetically*).
Still, I have lovely people reading my blog, and as much as I want to talk about all that deep important stuff, I would like to think that people enjoy reading it a little bit, and enjoyment is seldom found when one is talking about exploding organs.

Therefore, determined to write a chirpier post, I sat down today, opened my laptop, placed my fingers upon the keyboard…and wrote nothing. I so desperately wanted to say something happy, but when you have depression that is quite the challenge, and suddenly, as the word challenge arose in my marbleless brain, I became even more determined to succeed. If there is one thing I love nearly as much as penguins and Helena Bonham Carter, it is a challenge (as long as I win of course), and so it was that an idea came to me for a challenge that I would like to invite you all to join me in today (it is a team challenge so we can all win don’t worry.)

I think one of the most frustrating things about living with depression isn’t just the suffocating sadness and inability to feel positive emotions, it is the fact that those things feel so infinite and you cannot imagine an alternative.
If we knew our suffering was temporary, depression would be an easier ride, get through the storm to reach the nice happy place kind of thing, but depression doesn’t let you think that, it tells you that it is here forever and that because you cannot feel or appreciate good things, those good things do not exist. This, as recently proved by an intense and vigorous lie detector test on the embodiment of depression itself, is a lie.
Just because you have no apples left in the fruit bowl, it does not mean that all the apple trees in the world have perished, and even if those apples are incredibly difficult to find and maybe you can’t even taste them when you find them, they are growing somewhere.

In Harry Potter, the Dementors that guard Azkaban/suck people’s souls out/generally float around in shapeless black sheets that Gok Wan would surely improve by accessorising with a nice belt, make you feel like you will never be happy again, much like depression, and the only way to get them to go away is to whip your wand out and throw animals at them made of good things (J.K.Rowling explains it better but that is the gist). It was this that gave me the idea for this challenge, the challenge being to write a list every day of at least three good things to look at as a reminder that good things do exist when depression is sucking the life out of you.

Now you may be thinking “Katie, this is not an original idea, I have seen people make lists of things that they are grateful for or things that make them happy and it doesn’t work.” Well no, in my opinion those lists often don’t work, but this is not one of those lists.

I myself used to keep a list of three things I was grateful for every day and it has been an activity suggested to me many times over the years in my battle with depression. However, as great as it is to feel grateful about things (and believe me when I say I really am), I found that writing those things down sometimes made me feel worse. For example if you are having a really bad day and then you write that you are grateful to live in a house with running water, you can be pleased about that yet then become frustrated and angry at yourself for being so lucky as to live in such conditions yet STILL not be happy. It is like when people say things like “I know you are sad but just be grateful that you don’t live in North Korea”, and of course I am grateful that I don’t live in North Korea (I hear the weather is terrible), but reminding someone of another person’s pain doesn’t take their pain away and is more likely to make their pain worse by making them feel guilty about complaining.

Similarly, I have struggled with the “three things that made me happy today lists” because when you have depression, a lot of the time you simply CANNOT feel happy, even if you know you should. Someone can give you a hug and you can mentally register that that person is a lovely person who is showing you kindness and that it should make you happy, but the logical identification of “this is good” never reaches the emotional sensors that are being held captive by depression, so you never FEEL that good. You could watch a film that you know is your favourite and feel totally numb, hear a joke that is funny yet be unable to laugh, and writing down things you should feel happy about but don’t is yet another miserable and fairly disheartening activity.

This list involved in this challenge however, is not a list of things that you should be grateful for or that you should feel happy or any other emotion about. It is not subjective or about feelings at all, so you can do it even when you are as numb as an anaesthetised turnip, because you are writing down the things that are objectively good, not to make you feel better, but just to remind you that they can exist.

After my post about suicide, I received such lovely comments reaching out to me with hope and kindness, and though it didn’t cure my depression, it served as a reassuring and helpful reminder that that hope and kindness is there. People told me how they or friends and family had been in similar situations but had made it through and though I may not be able to see or believe that possibility for myself right now, it shows that that possibility DOES exist, and for me, that was a very good thing. When I went to sleep that night I still had no apples in my tummy, but I knew that somewhere there was an apple tree growing, and right now, knowing that is enough.

Now, as someone who has been doing this challenge for a week now, I will admit that it is incredibly hard (hence the word challenge) because depression is so good at the whole black and white worldview that “EVERYTHING IS TERRIBLE”, and finding good things on some days has taken me hours. Some days I have even written my list and thought screw it I don’t even care about those good things, and a lot of the time you won’t, but again it doesn’t matter if you care or not or even if you hate all those good things, this is not a list about how you feel, this is simply a reminder to the objective factual part of you devoid of any emotions.

Things on this list don’t have to be big at all, you don’t have to win the lottery or suddenly gain the ability to fly, it can be ANYTHING that is objectively good even if it doesn’t affect you.
For example one day I was out shopping and saw that a popular shower gel was half price. I do not buy that shower gel so the half price offer was going to have no impact on my life, but I knew that objectively that offer was good for someone and I liked to think that someone who used that shower gel would come into the shop later, appreciate that good thing and maybe even make more good things by spending the money they saved on a hot chocolate to take home.

Maybe you were so depressed that you weren’t able to leave the house that day, or week or month, maybe you couldn’t even leave your bed, but still the key is to force yourself to think of something good even if you have to kind of make it up or get really creative. Even if you were under a duvet and didn’t see the outside world, you can be pretty sure that the sun rose that day and objectively that is good because somewhere a nice hedgerow enjoyed an afternoon of photosynthesis (unless it rained and was cloudy…which is also good because then the hedge had a drink…).

One day, one of my positives was the fact that after taking one of my medications that is absolutely vile, I only wretched uncontrollably over a bowl four times. Why is that good? Because the previous day I had wretched at least five times, and today I already know that one of my positives is that I did a big sneeze (I flipping love sneezing).
Admittedly a lot of the time during this challenge you are going to feel like you are sieving for gold and only finding dirt which you are then painting to fool yourself is gold and maybe that is true, but I still think it is important because even little bits of dirt painted like gold are somewhat of an argument and challenge to the overriding emotion that EVERYTHING is dirt.

So that is my challenge to you if you struggle with depression or indeed if you are reading this blog at all. If you can think of three things that actually made you feel happy then do that, but if that is a bit of a stretch right now as it is for me, just write three things that are scientifically objectively good, even if you feel absolutely nothing positive about them whatsoever. Then at the end of the week when you are feeling useless and like you have just wasted another seven days staring into the abyss, you will have 21 tiny examples that things DO exist outside of that abyss. It doesn’t matter if you don’t believe them now, the main thing is that you see them, acknowledge them and simply know that they are out there. Seeing good things isn’t as good as feeling them, but if seeing is believing, then my dears, we are at least a step along the way.

Thank you so much to everyone who has been sending me endless and wonderful support at this really rough time. You are all of my good things and I hope that this week, this hopefully less morbid post/challenge can partly repay you for all of that kindness and be a little support and help for you too.

Take care everyone x

GoodThings

Is Suicide Selfish?

/ bornwithoutmarbles / 26 Comments

Whenever the topic of suicide is discussed, several adjectives will magically appear depending on the speaker’s opinion on the issue. Over the years I have heard it described as “tragic”, an act of “desperation”, something “incomprehensible” to those surrounding the victim, something “unexpected”, and all of these are valid words to use. One of the adjectives that I hear come up that I strongly disagree with however, is the idea that suicide, and thus the people who “commit” suicide, are selfish.

Obviously I cannot speak for everyone who has ever struggled with suicidal thoughts, attempted or committed suicide, but for me, when I am feeling suicidal, it is actually the idea of continuing to live that feels like the selfish option (I am not saying that this idea is right and that therefore people should start killing themselves all over the place…DON’T DO THAT…I am just being honest and saying how it feels.)

Depending on how well you know me, whether you are a casual blog peruser, an online pal or friend/family member in real life, you may or may not be aware that I am currently in what all the professional psychology people around me may call, “in crisis”, although I personally prefer the term “in one hell of a pickle”. “In crisis” might be more professional and accurate a term, but if I am going to be in the state I am currently in, I would at least like the silver lining of naming it something a little less frightening than “in crisis”, and a little more related to the process of preserving some kind of food by anaerobic fermentation in brine or vinegar. As you can see I am all about finding the fun where I can/describing myself in ways that make people think of cheese sandwiches.

I don’t want to freak anyone out or make anyone panic by what I am going to say in this post and I want to reassure everyone that I have a hell of a lot of people on my pickle like case at the moment. Professional people keep phoning me (not that I answer because I am terrified of phones but they try anyway), I am having appointments all over the place, meetings are being held, I am never left alone and my mum has even been sleeping in my bed a lot to keep me safe on the really bad nights where I am really out of control. Therefore whatever I say in this post, please REMAIN CALM AND KEEP YOUR ARMS AND LEGS INSIDE THE VEHICLE AT ALL TIMES.

So, I don’t really know what exactly has sparked off my predicament and has caused things to get worse than they already were (it isn’t just the recent appendix thing…I actually wrote this blog post before all that and am editing this bit in now…hello!), but truth be told, a lot of the time I have been feeling like an outsider watching my own life and my actions in it.

You know when you have been reading a book for a really long time, flicking through the pages without really noticing until you suddenly stop and realise that you only have one chapter left. When you read that last chapter it sort of feels different to all the chapters that came before it because you know that this is the end. It doesn’t matter how many cliffhangers or revelations are being whipped out by the author, you are holding the book and you can see there are only a few pages left. It doesn’t matter if there are still mysteries to solve, if the monster hasn’t been vanquished yet, you know it is the end because you can FEEL it and see it just as you can see the handful of pages that is left.

That is how I feel when I look at my life. I feel like a reader on the outside of my story knowing that of all the mental health crises I have had before, this is the last one, the one the story is going to end on. No matter how hard I look, I cannot see any pages past this, any way around it, this time it is all too much, the pain is just too intense. Sometimes when I have been in difficult situations and have been extremely suicidal in the past I have been able to see it as something that I will eventually get through, I might know that it is impossible to feel that any emotion is forever, yet somehow this time it feels different. I feel different.

I am having a dramatic breakdown practically every day and rely on medication most nights just to keep me safe. Being conscious is currently so unbearable and overwhelming that I have been napping for hours each day just to get through them, the small tasks I set myself for the day have mainly been reduced to “just try to keep breathing” rather than anything productive on top of a task that most people take as fairly mandatory. Even that task however is getting harder by the day, and to be blunt, I physically cannot do “this” much longer.

I am putting all of my effort in and trying so hard, but there is only so much effort, only so much that one person can physically take before they crumble. Every time you drive over a bridge there will be a road sign telling you how much weight that bridge can take to warn you that if your vehicle is over that limit you might want to find an alternative route. It isn’t because the bridge gives up or isn’t trying when something that heavy passes over it, it is because it physically can only withstand so much.
Due to all of this, my family, friends and professionals are putting a LOT of effort in to try and help me through it and I appreciate it more than I can say. I can hand on heart say that I would not be here if it weren’t for the insane amount of support I am getting from the people around me, yet that is what is prompting me to think that actually the unselfish thing would be to just get on with it, end things and stop them having to put in so much of their time.

Even if they love me, even if they want to help, in concrete, factual and unemotional terms, it would be a lot easier for everyone if I wasn’t here anymore, and rather than suicide feeling like the selfish option, it is forcing people to carry on putting all their efforts in to keep me alive that feels selfish. When I am struggling with suicidal thoughts and the feeling that that is the only option as I am now, I am not thinking “screw everyone else I am in pain and I am going to end it whether they like it or not”, I am thinking “I really think this is the only option. The best thing to do for ALL of us.”

Like I said I am so incredibly grateful for all of the love and support I have been receiving lately, but at the same time I can’t help but feel incredibly guilty. My parents are constantly on tenterhooks (I don’t know what a tenterhook actually is but they are certainly on them), they are scared to ever leave me in a room by myself and they are called into my room increasingly frequently by me screaming in my sleep due to some nightmare. My therapy team are having to make extra appointments, extra meetings to make sure everyone is on the same page, texting me, phoning me, and generally suffering under an increased work load simply because I am unable to manage right now.

I have amazing and wonderful friends taking the time to visit me at my house when I do not feel able to leave it, they read my texts at 4am, tell me they love me when all I can see is hatred, they send me letters in the post, cards, even parcels containing amazingly wonderful things like books about penguins who have a tendency to worry a lot (if you have never heard of the “Worried Arthur” books then good God you need to look into them because they are FABULOUS), cuddly penguins and a myriad of other wonderful things that I am so grateful for and touched by, that saying thank you doesn’t do justice to what I think.

Think of how much effort that is for people to be worrying in the middle of the night, reassuring some lunatic who will only worry about the thing they are being reassured about again in half an hour even after great advice, spending money on presents and letters. DO YOU HAVE ANY IDEA HOW EXPENSIVE POSTAGE IS? A FIRST CLASS STAMP IS 65p…AND THAT IS JUST FOR A LETTER. For a parcel you are talking £5.70 and again, that is only if the parcel comes from within England! If it is from another country it is even more than that! You can’t just whack a crown on your head, snap a selfie, print it and stick it to a letter pretending to be a stamp, (trust me that doesn’t work…not that I have tried it myself…ahem…*removes crown and smiles sheepishly*), you have to pay if you want the postman to carry your parcel to someone, and that is then more effort for the postal service! I AM FORCING THE GOOD HONEST WORKERS OF THE ROYAL MAIL TO CARRY PARCELS OF PENGUINS TO MY HOUSE. They could be at home with their families! And £5.70 for a parcel stamp? You could get six two litre tubs of vanilla ice cream for that price and you would have 18p left! You could get 1120g of chocolate buttons and still have 30p left jangling in your purse! I AM DEPRIVING PEOPLE OF ICE CREAM AND CHOCOLATE BUTTONS. DEAR GOD I AM A MONSTER.

As you can see then, rightly or wrongly, when suicide is the only option I can see, the only way out of this utter hell of a brain situation, it is not because I am selfish and don’t care about how that might affect other people. Indeed it is the benefit my disappearance would be to everyone, that is actually one of the arguments my mind throws at me in the middle of the night when everyone else is asleep and I am too afraid to close my eyes incase I see the things that make me scream.

Like I said, I am not saying in any way that I think it is selfish to not kill yourself and I am NOT ADVOCATING SUICIDE IN ANY WAY AND WOULD ADVISE ANYONE WHO IS IN A SIMILAR SITUATION TO REACH OUT FOR HELP. If you do not have a therapy team and family around you I will put a link below to some of the charities out there who can help you, I am just writing this post to try to explain to the people who may think that people who commit suicide are selfish how it feels for some people who really are struggling with suicidal thoughts.

If you are one of the people who is currently supporting me I thank you from the bottom of my heart and I am really sorry that I am putting you through all of this stress, worry and effort. I promise I am trying. I promise I am looking for pages that could make a next chapter. I really hope that I find them. I wish I could be better for all of you. You deserve so much more.

I love you all so very much.

Take care everyone x

SelfishSuicide

Phone Helplines:

Samaritans – National freephone number: 116 123. They are open 24 hours a day, 365 days a year.

SANEline –  National number is 0300 304 7000. They are open 6pm–11pm, 365 days a year.

The Silver Line – If you are over the age of 55, this service is open 24 hours a day 365 days a year and their number that you can call from anywhere in the UK is 0800 4 70 80 90 (freephone).

CALM – Helpline for men experiencing distressing thoughts and emotions. Their national number is 0800 58 58 58. Open from 5pm–midnight, 365 days a year.

 

The Dangers Of Drinking Too Much Water When You Have An Eating Disorder

/ bornwithoutmarbles / 16 Comments

So in last week’s blog, I talked about a recent lesson I had learnt about the importance of familiar surroundings when you struggle with OCD, and funnily enough I have learnt something else in the past week too.
I am learning a lot of things lately. It is like being back in pre-school only Daniel Jones hasn’t stolen my green crayon (if you are reading this Daniel then yes I know it was you and I still want it back), and the topics of these recent lessons have been far more focused on mental health and less on how messy one can get whilst finger painting/what noise a cow makes (hint: it is moo).

In life, we are constantly being told to drink more water. If you have ever sat in a doctors’ waiting room you will have no doubt seen several posters about how drinking a lot of water is very important, how kidneys love the stuff, how dangerous it is to get dehydrated, and from all of these posters and health warnings you may assume that the more water you drink the healthier you are, which…well… isn’t exactly true, especially if you are someone who is struggling with an eating disorder.

Drinking too much fluid is by no means something common to all people with eating disorders however, and in my years of experience getting to know fellow sufferers, there seem to be three camps of people and how their disorders manage fluids.
In one camp we have the people with eating disorders who struggle to drink enough water and end up extremely dehydrated, then there is a second camp of people who could drink a whole swimming pool if they had a big enough straw, and then finally in the third camp there are the people with eating disorders who do not have a problem with maintaining safe fluid levels and would therefore like to leave the camp I have just put them in and go back home to a habitat that is slightly less tent like.

As it happens, I am in the second aforementioned camp (ours has a lovely log fire and on Saturdays we roast marshmallows), and I struggle with drinking too much water even if I am not at all thirsty.
It is odd because I have always known that drinking too much liquid isn’t good for you, but when it comes down to it, me gulping down glass after glass of water is like some uncontrollable compulsion, a kind of outer body experience.
Many a time I have been pouring myself another litre and in my head have been thinking “NO. STOP! THIS IS DANGEROUS NOW” but my body won’t listen and carries on filling up my glass anyway. It doesn’t matter how ill I feel, drinking the water feels like an urgent and necessary task as if I need to dowse a fireball that is burning somewhere in my stomach, no matter how much water it takes.

Even in the camp of people with eating disorders who struggle with drinking too much water, it is likely that everyone will do so for a variety of reasons and it is rare for two sufferers with the same disordered behaviours to have the same reasons for carrying them out.
When it comes to me though, my compulsion to drink a lot of fluid is partly because of posters I used to see at my local gym telling me that if I didn’t drink enough my body would hold onto water (leading me to fear that the number on the scales would go higher), but mainly it is because no matter how many doctors or dieticians talk to me about the science of the intestine, I am convinced that if I do not drink ridiculous amounts, any food I eat will get stuck in me forever.

Technically I know all about stomach acids and the body’s ability to break down solid foods via various muscle contractions and other clever things that go on behind one’s belly button, but in my head, eating anything solid conjures up an image of that solid thing getting stuck in a tube. Say for example I eat an apple, it doesn’t matter how much I chew it, when it is in my stomach I still picture it as a big red cartoon like shiny apple with the stalk attached, a lump that will stay there unless I am able to create enough waves to erode and wash it away.

For this reason, to try and keep my drinking under some form of control, I have been on a fluid chart for years where I write down everything I drink to try and keep an eye on things so that it doesn’t get out of hand. If I don’t write my fluids down my brain tends to trick me and convince me that I haven’t had a mouthful of water in days (even if I am surrounded by empty bottles of Evian and have been peeing every five seconds), so it is safer for me to keep a record of it so that when the compulsion to drink a lot comes, I can remind myself that I have already drunk more than enough and need to distract myself elsewhere. Last week however, this fluid chart thing went a little bit off plan with the disappearance of my parents on holiday.

I have had several people message me asking what on earth happened after the mass break down described last week, whether my parents ended up cancelling the holiday or whether we gave it a go despite plan A being a rather sizeable fail.

Well, after people had realised that I couldn’t stay at my parents’ friends’ house for the duration of the holiday, the immediate conclusion was that the holiday would be cancelled, but eventually we managed to come up with an alternative plan wherein mum and dad would go off to Malaysia as planned and I would stay at home with my sister and my most legendary friend of all time alternating sleeping over to try and help me stay safe.

It was going rather well for the first few days (or at least better than the disaster that had been plan A), but as time went on I started to get more and more anxious about my parents being away and consequently the urge to drink increased in order to wash all of that anxiety and stress away. I know it sounds pathetic but without my mum there to verify how much I was drinking and suddenly in total control of my fluid intake myself, things started to get out of hand. People who stayed over would be able to support me in the day time but when up late at night I couldn’t help but manically gulp glass after glass of water over the sink. All the people who write those “yay kidneys like water, stay hydrated” posters would probably be thinking that is great but as with most things in life, moderation is key and you can have too much of a “good thing”.
Drinking too much water can cause problems for anyone who has been hitting it hard on the old H20 because your kidneys cannot process it and consequently the water stays in you where it can dilute the salt/sodium level in your blood and cause a condition called hyponatremia, which doesn’t sound particularly exciting but in general language this is known as water intoxication, and I am pretty sure that phrases containing the word “toxic” are never good phrases to hear describe someones physical health.

In healthy adults eating and maintaining a healthy diet, a few extra glasses of water will not cause this kind of thing, but the risks when it comes to people with eating disorders is often greater purely because they may not have been consuming enough salt/sodium in the first place, and essentially there is a risk of drowning your cells on the inside. This then leads to things like heart problems, fainting, water on the brain, seizures, psychotic episodes, death, and basically a lot of things that mean you “aren’t very well” which is exactly what happened to me a few days after my parents flew off to Malaysia and is exactly why my poor sleepy friend had to call an ambulance at 2am on a Saturday morning having been woken by me banging around, generally delirious and spouting nonsense (and a little bit of water. I was like a living water feature. Delightful).

The reason I stayed in hospital for so long however is a slightly more complicated story which I will have to get around to next week, just so that we are all up to date and clear as to why I was so rude as miss a blog post two Mondays ago (Oh the shame. And I was raised in a house with such good manners!), but as an initial explanation, the problem was that I was hospitalised for drinking too much water, and it is now after some severe tellings off from several health professionals that I feel the need to write this post about it so that people realise just how dangerous drinking too much water can be when you have an eating disorder, in case it is something other people struggle with themselves and seriously need to seek support for. If you are one of those people who struggles with drinking too much water I know you are probably doing what I used to do upon hearing these kind of things, the whole “surely it can’t be that bad” and “it would never happen to me” but trust me when I say that water intoxication is extremely dangerous and potentially fatal so if you struggle with it, even if your head tells you “you will be fine”, it is vital you get regular blood tests to check your sodium balance.

Luckily after a few days of being on a water restriction in hospital (good lord was I thirsty), my sodium levels returned to a more acceptable level…it is just that other things started to go wrong after that but again, patience dear friends! All in good time!

Now what I don’t want is for someone who already struggles with drinking enough to read this blog and suddenly panic and start restricting their fluids more than they already were because that is NOT what I am saying you should do and that is dangerous for a different bunch of reasons all on their own. I am just saying it is dangerous to go ridiculously overboard when it comes to fluid consumption even if your eating disorder tries to force you in that direction, and that instead of not drinking anything, just do it all in moderation. Water isn’t dangerous, everyone loves a good paddle or dip in the swimming pool, you just have to keep it at a safe level and be careful not to drown.

Take care everyone x

Kidney

P.s I am sorry if this blog is a little bit all over the place. Physically I am still not in the best place right now and my ability to write is somewhat affected but please bear with me! I am sure recovery will hurry up soon!

Why Familiar Surroundings Are Important When You Suffer With OCD

/ bornwithoutmarbles / 2 Comments

The original title of the blog I was planning to write today was “Tips on staying away from home when you have mental health problems”. You see, my parents were jetting off to Malaysia and seeing as I am not well enough to manage by myself at the moment, the plan was for me to go and stay with their friends in this lovely little house out in the countryside.
We have been planning it for months, I had visited the house and felt OK about it seeing how nice my bedroom, personal office AND personal bathroom were going to be. There was even a cat called Pingu. A cat. Named after my favourite childhood penguin. Ideal right?

Well I thought so, but was still worried about managing my mental health with new carers who do not know me as well as my parents, so I came up with a list of coping strategies and ways to manage it. Consequently I decided to write a blog sharing my oh so helpful tips incase anyone else out there was in a similar situation, but then…well…I went to the house where I was due to stay for two weeks, lasted approximately four hours and then was driven home in hysterics at midnight with my parents due to fly the next day despite having still not packed so much as a flip flop, because we have been spending weeks packing for me to go away (if you want to imagine how many things and bags it was, think of the average stuffed car that people often drive off to uni in, double it and chuck a penguin on top for good measure. Oh and a Christmas elf. One must never travel without one’s cuddly Christmas elf. Oh there we go! I did give a travel tip! YAY ME.)

Clearly then, I am in no place to be giving tips about staying away from home right now BUT over the course of this traumatic experience, I have been reminded of a valuable lesson about mental health problems, so I thought I would share that with you today instead.

Having been mentally ill and having been in therapy for over a decade, I would say I understand my conditions and myself rather well, which is why I felt that I could make a plan about an approaching situation in advance without running into any unforeseen issues.
Trying to do my same rituals in a different place however, really reminded me of something a lot of people might not realise: that being that sometimes with OCD, it is not just about carrying out a specific behaviour like a shower routine, it is about carrying out a very specific shower routine in a very specific shower.

I always knew that because of OCD and anorexia, I have a LOT of routines, rituals and specific ways of doing things. I eat out of certain bowls with a certain spoon, I drink tea out of a certain mug at certain times of the day and I wash my hands, shower and get dressed in very specific ways. As rigid as these and a number of different actions in my day are, logically you could assume that I could carry them out in a different place so long as I had the correct equipment. There was a shower where I was going to stay so of course I could do my shower routine, there was a sink so of course I could wash my hands and I was taking all of my cutlery/crockery so obviously I would be able to eat all in my usual ways.

Even I can admit that years ago, though still having OCD, I was able to do these fixed ritual things in other places with other sinks and showers. I have been on holiday since my diagnoses, have stayed in a hospital and went to university (kind of…), always carrying out the same actions just in different locations. Therefore I tried to do that this time going to a strange house but, with things how they are at the moment, as hard as I tried and as good as my intentions were at the time I attempted it, it isn’t possible (at least to a manageable realistic degree that doesn’t involve hysterics 24/7 for a fortnight which is less “a good challenge” and more cruel torture. I am all for accepting challenges and trying things out of my comfort zone but sometimes you need to eat a few mini muffins before you are up to demolishing an entire five tier wedding cake by yourself).

I was truly shocked as I sort of hadn’t realised how bad things have got again.
The descent has been a gradual process, little slips that in the end add up to a sky diver height of a fall. It is like what they say about if you put a frog in boiling hot water it will hop out but if you put it in warm water and gradually turn the heat up it will boil to death before it realises (that is what they say isn’t it? Who are these people? Please dear readers, do not go putting frogs in boiling water. If you really want to see some green bubbling in a pan just whack in a bag of frozen peas, far more humane AND one of your five a day).

When we pulled up at the house I fully intended on staying for the next two weeks (obviously I did, I had my penguin and my cuddly Christmas elf, I was committed to this trip). Even though I was anxious, by using multiple packets of anti bacterial wipes and with support from my parents, I got through the unpacking and after two hours my room, bathroom and office all looked really nice, filled with familiar things, a comfortable home from home.

It was when I tried to shower that things went so horribly wrong. First there was the issue that the shower was a stand in shower cubicle with a door. At my house our shower head is hanging above the bath, so when I am getting all lathered I can stand out of the flow of water to reach the required bubbliness (I know that this is not the most environmentally friendly way to live my life and that I could just turn the shower off but just know that I am unable to do that at the moment and to be honest when you are focusing on just keeping yourself alive your carbon footprint is not a top priority. At least I am not flying across the globe in an aeroplane to Malaysia like SOME people…).
With this stand in shower however, I was unable to reach the desired bubbliness needed to get through all of my thought routines because before I had time to count to the required numbers the suds had all been washed away.
Then there was a problem that I had to put my soaps in a basket so my lemon shower gel for feet was too close to my banana shower gel for body and far too close to a wall that I couldn’t touch, and the way you turned on the shower made my usual vitally important life saving way impossible.

I took so long to shower that all the hot water ran out and after a while of forcing myself to stand under the cold ice like hail pelting me in the face, I got out though I still didn’t feel clean. I was in a bit of a state but I didn’t want to give up so I persevered and tried to get on regardless but it was one thing after another. I couldn’t wash my hands in the sink because the tap distance to the back of the sink meant holding my arm at 135 degrees rather than 90, I couldn’t step off the towel I had laid on the floor because my bare feet couldn’t touch the tiles and I couldn’t put on the socks that I had brought into the bathroom with me without direct access to trousers and slippers. “You should have taken slippers in and trousers too” I hear you cry but I had thought of that already and couldn’t because there was nowhere safe in the bathroom to put those things at an acceptable distance away from each other. I found myself standing stranded on this towel shivering and blue with cold, so I naturally did what any other person would do in that situation. I cried uncontrollably and screamed in terror for my mother.

Luckily my parents were still there because the unpacking had taken such a long time that they had ended up staying for dinner whilst I showered.
Seafood rice was cooked and eaten and a homemade rhubarb crumble was just being served when the screaming happened and mum came running. She tried to help by offering solutions, one being the ideal “I can go and get the trousers and not let them touch anything”, but I didn’t want to do that. Yes it would have been safe, but I wanted to solve the problem by myself somehow with support.
Mum could have easily gotten my trousers and I could have left the bathroom but what the hell would I do the next day when she was on a beach somewhere in Malaysia? Around this point my “in a bit of a state” descended into full on “out of control don’t know what I am doing dangerous risky chaotic hysterics and panic” and from there things are a bit of a blur. All I know is that I cried for several hours (I tried to talk too but was at that hiccuping crying point so “I don’t know how to manage I want to disappear” came out more like “Hic gasp gulp hic scream”), and my parents and friends frantically tried to decide what to do.
When I was able to talk and sob at the same time I made it clear that I felt it was a challenge too many and that rather than tackling the “parents away and totally different location for all rituals for two weeks” I wanted to attempt the “parents aka usual carers away, in a familiar place” challenge. Losing both was like losing both of my homes, a tortoise rudely ripped from his semi detached terrace house and his shell in the same day leaving a cold naked slug unable to survive in its place.

There were then more hours of discussion before we realised that this really was not a feasible option and then after two hours of packing all of my things back into the bags we had unpacked them from (we didn’t have to pack my elf. He went and got himself back in the car the second he heard the first bout of screaming. He knows me well), we were back in the car driving home in the dark, leaving the abandoned now cold homemade crumble on the dining table. It is a big shame. My parents love rhubarb crumble.

So it was that I ended up back home after my much shorter than planned and somewhat failed “stay away from home with mental health problems”. On the plus side I did manage to get to the house and unpack…I just left two weeks too early.

Clearly then, I think I have proved my point and raised awareness to all the people who might not understand OCD, that when it comes to OCD and other mental health problems with ritualistic behaviours, it isn’t just the rituals that are important to a sufferer but the specific location and circumstances under which those rituals are carried out.

Take care everyone x

Bubbly

Being Afraid Of Your Own Brain When You Have Mental Health Problems

/ bornwithoutmarbles / 19 Comments

I feel like there is someone in my brain who is trying to kill me. It feels like I am being stalked by something, like a lion stalks a gazelle, but I can’t see how close or far away they are because when I turn around there is nobody there. Nobody else can see them either, they are in my head and unfortunately my eyes are positioned in a way that I can only see the outside world rather than what is going on internally (sort it out evolution for goodness sake, you gave us opposable thumbs now can you please work on swivelling eyes…And whilst you are at it can you please take this appendix away because it is taking up valuable storage room).
I am scared that this thing in my head is going to succeed in trying to kill me and I am also scared that it will fail. I don’t like being chased and sometimes I just want the thing to catch up and get whatever it is planning over with.

You might be wondering how on earth it is possible for someone to be afraid of their own brain because surely if the brain belongs to me, I am in control of it and what it decides to do. You don’t go round worrying that your own fist is going to punch you in the face because if your fist were to ever get such an idea it is likely you would tell it that you would rather not be punched in the face and could it maybe do something more helpful like make you a cup of tea.
That’s the thing though. I don’t feel in control of my brain and I don’t feel like I know what it is going to do at any given moment anymore. I always thought that if I owned my brain and my brain was me, then I would know my way around it. I would know every lobe, every memory, every thought and every desire because…well…they are supposed to be mine. If I have a secret that I keep from other people I tuck it away in my secret brain cupboard so they won’t be able to find it, but lately it has felt like my brain has a whole separate section where it is keeping its own secrets in its own secret cupboard that I cannot access.

“Maybe it is a nice secret” I hear you cry, “maybe your brain is preparing you a surprise party” but I don’t think that is the case, partly because it doesn’t feel like a nice secret and partly because I know for a fact that my brain hasn’t been balloon shopping recently and as I have said many a time on this blog, one cannot have a party unless there is at least one balloon present. If there is something magical in this secret cupboard, I know that it is not Narnia and is more likely to be a direct doorway to the White Witch.

I am worried that I am not making any sense and that I am being confusing in this post but if I am I guess that would be an accurate representation as to how things feel with my mental health right now, confusing and making little sense.

The Depression and BPD are still there, the OCD, and anorexia still have their claws in and dictate every one of my actions, yet still it feels like there is something different, something weird going on. I am more out of control than ever and half the time I don’t know who I am or what is going on.
I keep seeing things and I can’t tell if they are real or if I am imagining them. It started off as spiders, not the most pleasant things to imagine crawling around you and I would far rather imagine waddles of penguins approaching if I have to imagine anything, but I don’t think I have much of a choice in the matter. I started seeing spiders out of the corner of my eyes yet I was able to turn to face the place I thought I saw a spider and I could see that there was nothing there. Now though the spiders are bigger and they have tails. They also have fur and have lost four of their legs. They are rats now. Even when I know I am alone in a room I can feel people standing behind the curtains or crouching just outside beyond the window sill. I don’t know what they are doing there and it must be incredibly stuffy wrapped up in a curtain for hours every day (I can confirm this after years of playing hide and seek as a child), but they stand there anyway.

I am scared that I am actually “going mad”. More often than not I have been having to wake my mum up in the middle of the night to come in and sleep in my room because I don’t feel safe from my brain. It is as though, if I close my eyes and go to sleep for a minute, I am leaving myself unguarded and it will be able to sneak an attack in whilst I am busy being unconscious. I don’t understand the logic behind this fear as surely if I am asleep, my brain is asleep too, yet still I feel so disconnected from it these days that I can’t be sure what it is up to when I am not looking. It is clearly doing something underhand during my snoozing of late because I keep waking up screaming and often have no idea why.

I stay awake all night to keep myself safe and I also have stay awake all night to guard the house, because if I go to sleep ,not only will my brain start wreaking havoc but the people outside below the window sill will also find a way in somehow. It is ridiculous, if there ever was an intruder in reality I highly doubt my presence would be the thing to deter them (a point my psychologist pointed out last week…I think she was trying to be helpful but to be honest I took it as rather rude because clearly rather than assuring me of my safety she is actually implying that I don’t look as terrifyingly strong and powerful as I clearly am and I take the insinuation that I could not intimidate a burglar very offensively.) Still, logical or not, sense or nonsense aside, the feeling that I must guard the house is always there.

It is just a difficult situation to be in because I know that I should be responsible for my own mental health and therefore should be responsible and keep myself safe. I am 25 years old, certainly old enough by society’s standards to look after myself but I don’t feel responsible or in control and consequently I don’t feel certain I can keep myself safe. I have been disassociating for days on end (I will do a post soon explaining exactly what that is because it is an important mental health topic I somehow haven’t discussed yet…FOR SHAME!), but basically it means that there are a lot of days where I am not really “present” and therefore I have a lot of blank spots in my memory. It is all so frustrating I could scream, yet I don’t think that would make any difference. All that would mean was I was scared and could hear myself screaming and I would rather have the former without the latter if I have to have the former at all.

Like I said before, I am worried that this post won’t make any sense as I am not sure I understand it either, but still I wanted to write about how this feels. To try and explain or raise awareness of this side of mental health problems, the side where your brain is so mixed up all over the place that you are frightened of it, just incase there is anyone else out there experiencing the same thing and feeling as scared and alone as I do right now. Sometimes my mental health problems involve being depressed, being suicidal, or self harming. A lot of the time they focus on being afraid of germs, being afraid of food, and now, apparently they involve being afraid of myself.

Take care everyone x

ScaryBrain

The Numbness Of Depression

/ bornwithoutmarbles / 12 Comments

Trigger warning: This blog post does include a reference to self harm (a very casual one with no details), but if that would trigger you please go and read something more relaxing like a manual telling you how to grow vegetables. I hear it is the perfect time to plant courgettes…

Depression is, technically, one illness named after one emotion. For me however, what depression feels like is different every day. Sometimes having depression is the experience I imagine most people picture depression to feel like, aka some days I am depressed/agonisingly sad. Over the course of any average week though, it is likely that depression will throw up some different negative emotions picked out of its sinister collection. One day the main emotion might be guilt, the next hopelessness, anxiety, anger or even intense pain to the point that I go a bit delirious and start laughing for no reason because I don’t know what else to do. For me, depression is not simply about being depressed, it is about being and feeling many different things and sometimes, in my experience, living with depression is about feeling nothing at all. Today is one of those days.

I think trying to explain what it feels like to be numb is one of the harder aspects of depression to express because…well…it doesn’t FEEL like anything…that is the point…
If I had to try to describe it I would say it’s like you turn into a robot or someone who is sleepwalking. I can walk, talk and carry out mechanical actions when instructed, but I am not really there, sort of the classic the lights are on but no-one’s home because the occupants have decided to go on a Mediterranean cruise for a few weeks (they went waterskiing and had ice-cream on the beach. It really was a wonderful holiday).

When I feel numb I am technically alive in that I am breathing, but there is no real life there, it is just a body on autopilot, a tin man who hasn’t yet been given a heart.
There is no passion, no want or desires. There aren’t even preferences, because when you don’t feel anything, everything in this world is the same so there isn’t anything to choose from.
For example, if you have taste buds, buying a tub of ice cream involves making a choice because all the flavours taste different and will therefore be experienced differently. The tub of vanilla will taste of vanilla, the chocolate of chocolate and the strawberry ice cream will taste of pistachios (there was a mix up at the factory).
If however, all the ice creams were to taste the same, there would be no choice to make, you cannot choose one thing over another when everything tastes of cardboard.
On these numb days, days like today, you could honestly walk up to me and give me the options of either a hug or a punch in the face and I would be indifferent to both of them. Logically I can see that it is nicer to have a hug than a punch in the face, so rationally I can understand that the hug should be my choice, but that choice has no feeling. I don’t want the hug nor do I dread the punch in the face, I just know the one to go for through the same logical process you might use to tick a box in an exam paper of non-verbal comprehension.

On the one hand you would think it might be nice to not feel anything, and you could say that it is better to feel nothing than to feel heart aching sadness. I do not agree.
When you are angry or sad, you get through that emotion by feeling it and living out the experience.
When you are angry you can ride that wave by shouting into a pillow to get the frustration out (be sure to apologise to the pillow later), and when you are sad you can cry until you run out of tears. I actually think that the feeling you get after a really good cry is almost worth all the crying it takes to get there.
When you are numb however, you can’t scream or cry it out because there is nothing there to get out. You can’t whip out some techniques you have used in therapy to calm down, there is no proactive action you can take, you just have to stand there staring into space (you can stare at a TV screen or a tree instead but it won’t make any difference because everything looks the same, like all of the ice cream tasted of cardboard). You just have to sit with it.

If I am feeling numb I often try to motivate some kind of feeling or life back into myself by looking at one of my lists of reasons to stay alive. Sounds a bit dramatic but these days suicidal thoughts are so frequent and loud that I have to have at least one list on me at all times to provide an answer to the question of “Why not just end it now?”.
I have lists on my phone, lists in my diary, on my wardrobe, lists of the people that I love and any possible goals or aspirations for the future.
For example I know that one day I want to be a writer, I want to go to Disneyland, I want to have a cat and a dog, I want to read all of the books I can get my hands on and I want to have a house with one of those bookshelves that has a ladder attached so that I can swing between F.Scott Fitzgerald, Harry Potter and the Bronte sisters like Belle from Beauty and the Beast.

When I am numb however, the lack of desires, want or interest in anything makes these reasons that I hold as fundamental to my survival, redundant. They don’t mean anything. They are just empty words. It makes me sound like a terrible person and there are probably people out there who think I am a terrible person for what I am about to say but the truth is that on days like today, I even look at reasons like “You need to keep fighting for your Mum and Dad” and I feel nothing towards it or my parents.
I know logically that I love them more than anything and I know they are the most wonderful, caring and supportive parents in the world, but I don’t feel that love, I don’t feel that “I love you”, it is merely a factual statement. I can read the words “You need to keep fighting for your mum and dad who you love very much” but that’s all they are. Letters. Words. A variety of marks and symbols made out of ink on a page, words with no more weight, depth, significance or profound importance than a casual offhand comment someone might make about how much milk they like in their tea. “I love my family” should have far more passion in it than “just a splash of milk please” but again, I am numb, the feelings are on mute, everything is the same. Everything is cardboard.

Similarly, there are many reasons as to why I struggle with self harm. Sometimes I do it because I feel that I need to be punished, need to release some built up anxiety rushing through my veins, need to make an invisible pain visible so that I can understand it, and sometimes on numb days, I do it to try and get myself to feel something. ANYTHING, even if that feeling is unpleasant.
Today I self harmed to try and inspire the life back into me, shock the system from robot mode to human just as you might pinch someone to wake them from a dream. I thought that if I caused the body pain, my mind would come back to feel it and then maybe I could cry and feel better, but even though I could see the damage on my body I couldn’t feel a thing. It was like harming a very lifelike mannequin.

Today then, that is what depression feels like for me. It feels like nothing. I feel numb. Everything is cardboard. Today, I have no passion. All I have are these words, so that is what I am giving to you. I hope you find some meaning in them.

Take care everyone x

RobotKatie