Coping, just about

In the last few days I’ve set some personal records for time spent running (not for time spent walking though) – feeling anxious is a strong motivator to run/walk a lot more than usual.

For me running is a way to forget how I feel. The sense of euphoria after running makes it feel worth it, as how awful I felt beforehand is just gone.

I don’t always get the sense of euphoria though. Often running/walking is just a way to burn time without negative consequences – although while writing this post I’ve come to the conclusion that I need new running trainers – 360 miles of use (mostly walking, as I don’t keep multiple pairs of shoes…) and my legs aching today and yesterday seems to indicate they’re at their limit.

Today running wasn’t enough to escape how I felt. At the end of the day (19:00) I was agitated. I did identify that I was at the limit (distractions were not working) of what safe (not self-harm) coping strategies were working. I used a (prescribed medication, PRN), sedative that calmed me down enough to use distractions to cope. Using medication is something to try when multiple coping strategies have failed, not as a first option.

For me not coping is any of:

  • Wanting to self-harm
  • Melting down in tears
  • Persistent agitation/not settling down on any task

Melting down in tears I usually let happen as I tend to feel better afterwards.

When struggling to cope distraction is the first strategy. Speaking to someone (about something irrelevant) is (for me) the next best option. Using medication works in the rare instances it’s used, but as it doesn’t tend to address whatever is stressing me out it isn’t a silver bullet – it works best when I calm down enough to resolve what is actually bothering me.

For me “only just coping” means I’ve had to use medication to cope, which is what happened today.

Going to sleep now, so looking forward to a better tomorrow 🙂

Meltdown postmortem

Triggers (last day or so)

On the ward:

  • Wrong food supplied by the catering staff yesterday (and I didn’t eat half of it as a result)
  • Wanted to go out first thing in the morning, but had to wait 40 minutes for morning medication.
  • Being told I had to knock on a door to get staff attention (the contamination anxiety induced by that causes me to avoid knocking)
  • Distractions (phone, book, video games) all felt really unpleasant for no good reason.
  • Got forgotten at lunch time (usually I’m served first to avoid “contamination”).
  • I then refused to eat anything, which didn’t help either as I was actually hungry.
  • I was also worried about eating too much which led me to refuse breakfast, in retrospect that was a mistake as it would have meant I’d eaten something today, rather than nothing (so far, 15:20).

Coping strategies used

  • Yesterday: The usual distractions – which didn’t seem to do much
  • This morning: Going out for a walk/run – which helped
  • Had a shower (after running) – only took 30 minutes, which is a pretty good time for me, helped me feel OK.
  • Distractions (phone, laptop, etc.) – they were ineffective
  • Sedative (about 12:30) – limited effect
  • Crying (about 12:15 until about 13:15) – pretty effective, I felt better when I’d finally stopped crying.

The “meltdown” is the unrestrained crying. I felt unable to speak to anyone while it was ongoing; even though there was a nurse trying to speak to me.