Mini E wrote:So I have my first NHS counselling session in eight minutes
. I wrote a long post in here quite a while ago detailing a few things going on and the situation has got slightly worse. One of the things a few of my close friends have tried to get me to do over the past few years has been to do this and I've always stalled it. I research mental health as part of my living and from time to time I look at the forms I'm using with participants (PHQ9/GAD7/Beck Depression Inventory etc.) and occasionally realise how I would be utterly tanking it if I was filling it out as a participant. Wish me luck and all that
I've been answering a bunch of them during online CBT via NHS (no counselling, actually barely any form of psychotherapy at all if even once for at least 14 years in the system, most of that time on anti-depressants and anti-psychotics) where I have 1 left out of 2 clinical reviews. I've seen a mild improvement but this got drowned yesterday speaking with my father who's a massive trigger point for me as I got confused speaking to him almost like I might with my counsellor (paying for that privately at the moment). It's pretty depressing on it's own looking at long sustained periods without getting the help & support I need and thinking, I can't even honestly answer the question "lol what is joy do you feel it" the vast majority of the time, I'm just "OK" which really means "coping with symptoms". This is a side affect of SSRIs, they level you out but they don't make it any easier to feel content or happy even when you are doing things that would normally make you very happy. That's why for some people they make things worse as you just get fed up of feeling numb all the time and never really experiencing the highs as well as the lows, this has big implications for creative people too as work can just slow to a crawl and you can't be bothered with it anymore.
The thing is the moment an improvement is seen via those questionnaires, even if it's slight, you start getting earmarked for an end date to your therapy to move onto someone else who's constantly trying to kill themselves, so I'd bare that in mind if I were you, unfortunately this is just the state of our mental health treatment in the NHS which is severely limited, please think very carefully and soul search regarding your feelings and in relation to perhaps some (possibly rare) moments you were truly happy just speaking from experience. There are much more subtle forms of self harm like neglect, not eating or sleeping properly, not washing or bathing or shaving, self care etc or just generally not giving a strawberry float about how you present or perform (i.e. what some people perhaps more vain might say giving up). Myself when I was younger I used to not eat or sleep and I also simulated drowning and suffocating myself. I still remember doing this but not really being able to explain to myself why I was doing it. Truth was I was deeply unhappy about my family, suffering from bullying at home and at school, stress with work at school getting no help despite having significant learning difficulties (I didn't know about them until I was 20) and constantly worrying about my mum's deteriorating health (she's physically disabled via car/horse accident) and alcoholism and smoking 40 a day. Some people have terrible gooseberry fool going on in their lives and they STILL feel happy or they say, "I've never been depressed, I can't relate to you". Try not to focus on those people but, yeah, being OK and being "content" are quite different things. Unfortunately if you are "content" and depressive there's a good chance you will feel pretty awful again at some point down the line, could be a few weeks, months, a year, or even 1 day, it's horribly unpredictable and that's the main reason most people can't understand that it is so debilitating. It's like one day your brain just snaps and is like, nope, I'll strawberry float up this basic task like making tea, getting the result I need from a productive phone conversation that should have lasted 5 minutes but ended up being my life story, dropping gooseberry fool, tripping up, falling down the stairs etc etc (I fractured my spine feeling dizzy one day, that was fun).