I woke up this morning feeling very subdued. I had been dreading this day since it had been arranged last week. Today is the day that I ask for help with my mental health.
As I laid in bed, trying to get myself ready for what I was about to do I keep thinking about all the times I have struggled with my mental health. I know I need help but it is still a hard thing to do. Actually admitting that there is and has been an ongoing issue for the last few months is quite sobering.
My wife was cleaning an doing other things around the house while I was in bed. Eventually, as the morning progressed I knew I had to get up. I had been watching videos on youtube and my phone to try and distract myself but it wasnt working. and there affects on my mental health.
I got showered, had a shave and began the journey to the doctors. Luckily my wife had a few errands to run before my appointment so this helped distract me. I was nervous. My wife was coming to this appointment with me because I have nothing to hide. If I hide anything from my wife about how I feel this is never going to work. Time to put the big boy pants on kiddo.
Its time to ask for some help from a medical professional
As we got to the doctors surgery I started to feel very nervous. I kept asking myself if I was doing the right thing. Why don’t I just try and hide these feelings and emotions. I knew I couldn’t. I cant hide how I feel from my wife. This has been going on for too long so this has to be done and done now.
I haven’t spoken to this doctor in person before and didn’t know what to expect. We had spoken on the phone last week when she prescribed me some more medication but otherwise she was only aware of me from my previous medical history and notes.
I sat down in the doctors room, my wife was across from me and the doctor, who I wont identify started asking me about my health. She knew my history of mental health issues, my treatments for anxiety and depression and the medication I had been on previously.
I need help with my mental health
As we started talking about how I am feeling I explained that I was struggling to deal with my everyday life. I told her that I had thought about ending it all a few times recently. Driving my car into a brick wall at speed, swerving off the road into a large tree. This thought was in my head as I returned from dropping my youngest son and his friends at scouts on Monday night.
My wife was upset by this but I had sort of told her this recently and she has agreed to help me however she can. The only reason that I haven’t taken my thoughts about ending things further is due to my wife and sons. Yes I don’t want to live like this everyday but I don’t want to destroy my wife and sons life by being selfish and ending everything. As we talked more about my feelings the doctor stated that it was a great thing that I have this strong a feeling about how this would affect my family’s life.
My doctors initial thoughts as we talked
My initial impression was that the doctor would tell me there was nothing wrong with me. I had experienced this many years ago when I spoke to an NHS psychiatrist after my cognitive behaviour therapy from a local mental health charity.
It was a pleasant surprise to hear that my doctor was fully supportive in getting me the help that I need. We talked about how I felt and my wife also described to the doctor how my mental health has been affecting my physical health and our relationship. I have lost weight, my thought process is not good. My default reaction at present is to catastrophise everything. My mind immediately defaults to the worst case scenario.
I explained to my doctor that I cannot escape the thoughts in my head. The dread, fear and guilt that I have in my mind is so overwhelming that I cant stop shaking. I do get moments or maybe 20-30 minutes of peace in my mind but then my thoughts revert to the catastrophising and I cant think straight. We discussed the medication that was described and if this was helping. Its not but my doctor reminded me and my wife that it will take time to take affect, possibly 2-3 weeks.
How I see myself and how this affects my mental health.
Further into the conversation with my doctor I was asked some hard questions regarding my outlook on life. Its hard to see a positive in my life at the moment. I am just surviving in my daily life.
I love my wife and my children dearly. They mean the world to me and I will continue to hold that thought. That’s all I have right now. I told the doctor that I feel like a failure. Life has not been easy recently. My mental health has been under immense strain for the last 6 months with financial issues and other elements of my life. In fact it has been under a lot of strain for most of my life
I was honest with my doctor and I told her that I don’t like who I am. I need help with my mental health. Everyday my mind wanders and reminds me of my past. I don’t like what I have done in the past, the lies, the hiding things from friends and family and this had all become too much. These types of thoughts and the memories of my abuse have robbed me of so much in my life. I told my doctor that I want to be happy and enjoy the rest of my life that I have before me. At that point I broke down in tears in the consultation room and my wife had to calm me down.
Getting the help I need and how it will work
The doctor explained that she will help me get the help that I need. We discussed my medication and there may be a need to increase the dosage. I have been prescribed mirtazapine. This medication for anxiety and depression should help with getting some sleep. I have been on this medication in the past and it is the best fit for me. We discussed how I had been described a maximum dose all those years ago. This made me feel like a zombie at that level. I showed no emotions.
This can be a side effect of too strong a dose. What it gives in one way it takes with the other. To much is just as bad as not enough. That’s what anti anxiety and depression medications do. We will need to work out the best level for me to be on. I am currently prescribed 15mg.
My doctor is going to get in touch with the mental health team and a psychologist who are linked to the doctors surgery and refer me for help. She explained that this may take a couple of weeks but she will begin the process.
My doctor told me that I have to eat, normally the doctor tells people to stop eating. I have lost a lot of weight and my appetite. I need to start looking after myself and have small snacks during my day. The odd biscuit here or there with a cup of tea should slowly help to regain my appetite.
The next steps in my journey to getting better
My doctor is going to give me a call next week to see if there is any improvement in my sleep from taking the 15mg of mirtazapine. She has advised me that if there is no improvement that I should up my dosage to 30mg. My doctor is concerned that if I am not sleeping the I am not able to relax and manage my mental health.
She explained that trying to stay positive and completing simple tasks during the day will help. Not a shopping list of tasks, just a couple of simple things. This will help with my mental health.
Exercise is also key to helping me maintain some positivity. I have been doing some but again this has slipped as I have become more closed off in my head.
As my wife and I left the doctors room we realised that we had been in there for over 40mins. A normal doctors appointment should be just 10mins or so. As the door closed behind us my wife gave me a big hug and told me that she loved me.
As we stood there for a moment we heard the doctor making a phone call, like she said she would to someone for referral. This made me feel better. My doctor will hepl me get some treatment for my mental health issues.
Hopefully I have started the journey to getting treatment for my enduring struggle with mental health issues caused by the childhood sexual abuse that I suffered.
