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Nina Childish

~ and various brain kittens

Nina Childish

Category Archives: Mental Health

Left Hanging – a letter of complaint

21 Saturday May 2016

Posted by ninachildish in Blog, Mental Health

≈ 6 Comments

Tags

anxiety, CMHT, complaint, Mental Health, therapy

I have had the same few items languishing on my to-do list for 2 months. I just scored one of them off by emailing in a complaint to the CMHT exec. In a way, I think it might have been easier had it been a phone call. Anyway, I finally did it.

In March I called the home crisis team number I’d been given for emergencies. It didn’t go well….

To  whom it may concern,

I would like to make a complaint regarding the mental health trust.
I had an assessment with [specialist] in early December 2015 about the best options for therapy, how to go forward etc. At the end of our appointment he gave me some resources for self-help while waiting for therapy to begin, including a card for the CRHT (Crisis Resolution and Home Treatment Team) to use in emergencies, with the [local area] number circled on the back. The front of the card clearly states “The team will see you 24/7 in the community”.

Late on Saturday March 12th, I had a dissociative episode, and worrying that it would get worse and I would hurt myself, I called the circled number. Due to my anxiety,and especially compounded when dissociating, I am not great on the phone. The person who answered it (I can’t remember if they gave a name, but they were female) kept mishearing me or misunderstanding me, which made my dissociation worse (at one point she seemed to think I had children, and asked if they were safe). After a frustrating attempt to describe dissociative symptoms while dissociating, during which I was accused of not cooperating because I said I wasn’t feeling anything, I asked to see someone from the crisis team. It was then I learnt, for the first time, that in order to actually see one of the team, a “service user” must be pre-referred for community support, so all I could have was the phone call, which was making me feel worse. (In the end I hung up because I was scared it would push me past being able to recover that night.)

My complaint is that at no time before I needed to use the Home Treatment Team was I told that I needed to be pre-referred before I would qualify for home visits. Since a “service user” is unlikely to call a crisis number unless they are actually in acute crisis, this seems like a very risky policy. In my case, it made my acute mental health crisis worse to find that out after being further agitated by invasive questioning and allegations during the phone call.

I would appreciate it if you could reply to this message, as it is not an easy thing for me to make contact.
Yours faithfully,
Nina [Childish]
I feel rather silly complaining two months after the event, but also feel much better for having sent it. The kicker is, I have another really quite serious complaint to make about the same CMHT which I’m going to address in person at the start of next month. Two complaints already and therapy doesn’t even start until June…
[edit – sorry, no idea what’s happened with the formatting]

Why I Love My Fat Imperfect Body

15 Monday Jun 2015

Posted by ninachildish in Blog, Mental Health

≈ 2 Comments

Tags

anorexia, eating disorder, personal, recovery

[Note: I wrote this a few years ago, reposted here from my old blog. I tried to be careful to leave out weights and details, but if you’re easily triggered with ED stuff be cautious just in case x]

First off, I just want to say that anorexia really fucking sucked. No matter how much I’d have insisted at the time that I liked feeling as if I was on the verge of fainting for most of the day, I really didn’t. I don’t much like the after-effects I still have 10 years on either. It wasn’t pretty, it wasn’t enviable; by the time I hit my lowest weight no one would have wanted to take my photograph for fashion magazines (excess arm hair and terrible skin aren’t much sought after). It started out like many cases do – a simple diet, possibly even a sensible one. I was fat. I’m not going to write numbers in here, because I know that’s not helpful. But I was fat at 16, by anyone’s standards. A lonely, depressed few years around puberty had meant I’d been comfort eating in a big way, occasionally binging and purging but mostly just binging. By cutting out junk food snacks, eschewing school lunches in favour of sandwiches brought from home etc, I was able to lose weight and finally see the benefit of my twice-weekly martial arts class. For a short while I was actually at my physical fitness peak. I got compliments from girls in my class on my appearance for the first time ever. Life, however, went sort of tits up. Family problems and mental health issues spiralled, and my diet was the one thing I felt in some way in control of (I’m using “control” loosely here. At some point I stopped being in control, badly). I stopped being toned, and started being thin. If my dad noticed, he didn’t mention it; he’s very British like that. My boyfriend complained about my ribs. I found it difficult to sleep comfortably because of my hip and pelvic bones. My periods became erratic, then stopped. I learnt how to throw up without using my fingers. If I hadn’t had short hair I would have noticed how much it was falling out. Numbers started being important. I didn’t just want thinner legs any more – I wanted to get down to the next even number on the scale. For an average student, fairly decent at a few things, being exceptionally good at shrinking myself became priority.
When I was 17 I had to move out of home. That’s for another blog that I probably won’t write (some things will never stop being raw). The stress of sleeping on friends’ floors, juggling college with housing applications, and still dealing with deteriorating mental health badly affected things and after 3 months hellbent on self-destruction I found myself hospitalised in an adolescent psychiatric unit (yet another future blog/novel…). While anorexia was not the main reason for this, it was made clear to me that I wasn’t going to get out of hospital without changing my behaviours. It was the first time I’d been forced to accept that I had to stop. I’d long since stopped caring that my boyfriend was upset that I wouldn’t eat. I’d stopped caring that my friend, who’d bravely taken on the role of  foster mum, was emotionally cut up. All I cared about at that point was destroying myself, even if it felt at the time like I was making myself a better (thinner) person. I remember writing a letter to a friend after I’d been in hospital for about 6 weeks, saying that this was the turning point; I’d thought of something funny while washing my face and grinned to myself in the mirror. I looked macabre. Skin stretched over bones, trying to mimic a smile. Something had to change after that. Putting it on paper, a proclamation to someone, that made it real. Six months later, I left hospital having gained about a stone. I’m notoriously stubborn, and had to learn to shift from stubbornly refusing to eat, to refusing to NOT eat, and refusing to let anorexia take over my life any more. Unlearning disordered eating habits sounds simple, but imagine that every time you prepare a meal, there’s a voice in your head telling you how many calories are in each slice of potato, each carrot stick. You get surprisingly good at maths. Before hospital, I didn’t have “safe” foods; no food was safe. In recovery I found a few foods I felt safe eating, and went on from there.

A book that I used to help with my recovery was Anorexia: A Survival Guide For Friends, Families, and Sufferers by Janet Treasure. Recommended by my therapist, this book appealed to me mostly because it wasn’t written by a former sufferer, therefore didn’t contain the details of their starvation regime (tips!) or details of their lowest weight (goals!), and there was no author picture of someone who’d made it out of anorexia while still retaining an enviable waif-like figure, unlike me, for whom recovery would inevitably mean (fat!) getting back to (fat!) where I started (fat!). The book taught me to think of the “anorexic voice” as more of a nuisance, an irritable demon clinging onto my shoulders, in stark contrast to the “saint ana” figure written about in numerous pro-ED blogs.

I’m not going to lie and say things were perfect from then on. I never relapsed badly, but getting back to a healthy weight took literally years. For a while I kept Ipecac in my bathroom in case of binging, but later threw it out in a fit of panic in case I had a black mood and drank it all.  A few years ago things were suddenly, amazingly, good. I had the realisation that I was more comfortable being a little bit overweight. Having curves and not giving a fuck. Obviously this is not an outlook that everyone will agree with, but when I was teetering between thin/okay I always felt pressure on myself to stay on the thin side. I keep a few extra pounds on now, mostly for emergencies, but also to say FUCK YOU to the occasional anorexic voices that come back to jeer at me for having “given up”. (When you’re in recovery they deal with the physical problems. No one warns you that you’ll still have internal monologues when you’re a healthy weight, even when you’ve been weight restored for a decade.) It goes without saying that I don’t own scales. I’ve learnt my body, and I know what’s comfortable. It feels good to write that. IT’S MY BODY. I don’t have to be thin. I can eat if I want to. I can eat WHAT I want to. I am back in control.

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