Brian Tyrrell - Autism and Burnout - a guest post for Ehlers-Danlos, ME, Fibromyalgia, and Mental Health Awareness Month
All artwork copyright of Brian Tyrrell @dungeonsonadime
Brian is a multi-talented creative living in Edinburgh. He is founder of the inclusive role-playing magazine Dungeons on a Dime and secretary of the Edinburgh Zine Library. He has a portfolio of writing, illustrations and graphic design work. You can find him on all good social media at @dungeonsonadime.
S E Smart - Brace Yourself - a guest post for Ehlers-Danlos, ME, Fibromyalgia, and Mental Health Awareness Month
Thank you to Julie for inviting me to share this story about my life (so far) with chronic illness.
I’ve been chronically ill all my life, with a diagnosis only relieving me of the ‘hypochondriac’ label a few years ago. It was not for want of caring – my mum did take me to the Drs when I complained about painful legs as a child (tests showed it was not juvenile arthritis), and when I blacked out as a teenager (tests showed it was not epilepsy), and when I had unexplained fevers. She’d pick me up from school when I was crying about painful ears, and she took me to casualty when I broke my arm. But when test results found there was nothing wrong, over the years life just went on. I was a bit sickly, accident-prone, broke bones, turned my ankle over, had sore throats and earache, and I fainted, but I wasn’t always at the Drs. I’d complain of an issue, mum would take me, they would investigate and find no cause, so I wouldn’t mention it again. How did I know everyone didn’t feel the same way? Things were explained as growing pains, clumsiness, and as being ‘normal for a teenage girl’. I know now that these are familiar tales - there will be plenty of people nodding along!
When I was 16 my dad died, and I got glandular fever. I went to the GP feeling terrible, with significant weight loss, and was told I was depressed. It took months for anybody to test my blood to find that I had a virus and treat it. This ‘depression’ label stuck, I think, and forever more blinded my GPs.
It took a while, but I eventually recovered from the long-untreated glandular fever, and again life went on. I had an inkling I wasn’t quite like everyone else - I couldn’t keep up when I went bike riding with friends, I seemed to hurt myself a lot (Sarah’s at A&E again!), I often had some limb or other strapped up. But I was energetic, I never stood still, I loved to dance, I had ambition, and I was doing well. I moved in with my first boyfriend, we got married, we worked hard and saved up, bought a house (I found out I was a dab hand at DIY), and eventually we had a beautiful son. Nobody would think for a moment that I was carrying around a hidden illness, trying not to complain about aches and pains.
After my son was born I snapped back into my size 8s, took him on long walks in his pushchair and felt as healthy as I had ever been, now in my mid-30s. I wasn’t bothered by the night-time feeds – he was a good baby and waking up to feed him was a complete pleasure. I loved being a mum, and looking back, I felt quite well – and happy.
Sadly, our long relationship broke down and life turned on its head. Soon afterwards, I started to become unwell again, with constant strep throat, fevers, and exhaustion like I had never known. I didn’t know that the Drs had decided I had post-natal depression (I saw it on my notes years later and refute this wholeheartedly) and while I was returning to my GP trying to explain how unwell I felt, they were so certain I was just sad that I was given antidepressants and asked to complete suicide-risk surveys. The fainting was ‘panic attacks’, they said. But after my 11th bout of strep throat in a year, they decided to take my tonsils out.
I’ll never know whether it was the recurrent strep, or the year of taking antibiotics, or if it was the falls that put me in plaster, or the contrast MRI I was given when a couple of breaks didn’t heal well, or the anaesthetic for the tonsillectomy, or the stress and upset of starting life all over again after my marriage broke down, but the decline in my health that year was significant. I went from having niggling symptoms to being really quite unwell. I was passing out so often that I was eventually sent for tests, having had to surrender my driving licence, and was diagnosed with Postural Tachycardia Syndrome (POTS) – an explanation which came as a relief, rather than a worry, but came with no treatment.
I tried to settle down with that diagnosis, but after a few more years I was sure that there was something else going on – POTs just didn’t seem to explain everything. I was getting nowhere with the GP who had decided I was just sad, so I saw a private Rheumatologist who diagnosed Fibromyalgia. These two diagnoses combined were enough to give me some understanding – that following the perfect storm some years before, life had changed, and I had to change with it.
Some years later, struggling to live anywhere near a normal life, I found myself in front of a new GP, who with fresh eyes came up with a new theory. I was referred to a specialist who diagnosed Ehlers-Danlos Syndrome. It was also discovered that I had a small ADS (hole in the heart).
Finally, now in my mid-40s, I had the truth. That year of sickness had triggered the hidden genetic illness to reveal itself in its newer, more aggressive form.
So, to today. What IS it like to live with chronic illness? You know what – it’s OK. It’s still a life! I’ve had the relief of a diagnosis for a few years now so I know what I am dealing with. There’s not a whole lot you can do about it – I have medication for the POTs now, but other than that there is no cure. I take pain relief, I take things to help with the common comorbidities (digestion issues, deficiencies, anaemia, allergies etc). But I know now that my pain and fatigue are real.
I work part time, term time only in a lovely little job. I work 8:30am until 3pm three days a week, and by 3:45pm I am back in bed. My alarm wakes me at 5:30pm when I get up and make us food - something that I can just pop in the oven with a timer on. On the two days a week that I don’t work, while my son is at school, I go back to bed for the day. My week follows a pacing plan which just about works – it’s a struggle and fatigue is crippling, and pain is debilitating, but I’m still here. I see a physio for back, hip and shoulder pain thanks to subluxating joints, but there isn’t much they can do. I use braces to steady whichever joints are causing the most bother at any particular time.
Not many people at work know – I prefer it that way – so I can just be me, and not sickly Sarah…
I remain single, and that is largely out of choice. It means that I don’t have to apologise for my bad days, and I don’t have to feel ‘cajoled’ into doing things I can’t really manage. I don’t go out-out any more, we stay at home at the weekend. I don’t go shopping, we don’t eat out – many might think we live a bit of a pointless existence because these things are out of reach, but you don’t miss what you don’t enjoy. Fatigue, pain and fear (anxiety after fainting in public and being scooped up by ambulance several times) all take the enjoyment out of what other people do without a thought. Sometimes, in the school holidays, we might manage a gentle walk. Last summer we went out for a stroll around a nearby fishing lake and we talked, and enjoyed the fresh air, but that was in the knowledge that I had recovery time available for the week or so afterwards. There is always pay-back, and I knew I would be overwhelmingly fatigued and that I would be in pain. I can only deviate from my pacing routine a little before it fails me. I don’t qualify for health-related benefits (I didn’t score high enough on my PIP assessment) so I have to maintain enough energy for my job, lurching from school holiday to school holiday when I can up my rest, ready for the next half term.
But there are still many brilliant things in life – my friends, who are always available on messenger if I fancy a chat, and my family, along with my handsome, kind, clever and funny son… and I have found ways to seek pleasure in simple things. Sitting in the garden (albeit in the shade thanks to my sun allergy – Mast-Cell Activation Syndrome is common for EDS patients!) is a lovely way to spend some time. I read a lot, when I can focus, and there is a whole other world in the pages of those books. I like to watch TV, and films – always lying down on my sofa as I only ‘sit’ upright when I am at work.
And last year, over the school summer holidays, I grabbed my laptop and wrote a book! I didn’t know if I could do it, but I wrote in short bursts and self-published a novel about – guess what… a character who is chronically ill.
It was great therapy, having only received my diagnosis a couple of years beforehand it helped me to process my life so far. But I also wrote it for other people who may have similar experiences and who may feel alone with them. I’d noticed on forums how excited people became if EDS, POTs or similar conditions were mentioned on TV, or in a magazine article. It was validation, and community. So, I wanted to write a novel, not so much about chronic illness, but about somebody who happens to have chronic conditions. It is own voice, and this might sound implausible, but it is also (I hope) funny! Because I never lost myself, or my sense of humour, and I wanted readers to see beyond the illness to the character. To know that behind every diagnosis is a normal person, doing their best to live a normal life.
I wanted to shine a light on the often-hidden issues of living with chronic illness by writing them into a rom-com – easy reading for us fatigued folk who often struggle with brain-fog, but relatable, honest, and fun. The title Brace Yourself is a nod to the various braces and supports people with connective tissue disorders rely on, and the cover features a hint of zebra pattern, as people with ‘rare’ conditions are known as medical zebras. It is a ‘call’ to my people, and I have been lucky enough to receive some lovely messages from readers who have been on similar journeys.
Sarah lives with her teenage son in East Devon, where she works part-time as a communications officer, and she recently wrote an indie-published book featuring a character with chronic illness: Brace Yourself: a chronically witty novel.
Matt Haig, best-selling author of How to Stop Time and Reasons to Stay Alive, talks about his latest release, Notes on a Nervous Planet, in this engaging and hopeful discussion about living with mental illness in the modern world. Chaired by Richard Holloway.
In the follow-up to Reasons to Stay Alive, Haig once again talks about living with anxiety and depression; this time speculating in the wider context of our technologically advanced, fast-paced world. He believes that technology impacts every facet of our daily lives and is responsible for the exponential rise in the number of people suffering with anxiety and depression, explaining that we’re ”old hardware trying to function in a world with new software.”
Haig feels that it’s empowering for a sufferer to understand where their feelings are coming from, and he skilfully relates his own experience of living with anxiety and depression to the audience, his self-deprecating humour provoking appreciative laughter from the audience. He believes that modern technology deliberately creates a disconnect between people, largely cultivated by companies who serve to drive the population towards addiction to their devices. Whether through our phones, games, computers, e-readers, or fit-bits; we’re constantly provided with more and more opportunity to ‘connect’ through screens; rather than face-to-face. And in doing so, we become increasingly dependent on these technologies to show us our value and so we continue to exist in ever-shrinking worlds. If we’re constantly being measured, compared and told we can be doing better; we’re always going to be looking for the next thing that can help us improve – and tech companies know it.
It’s this disconnect which nurtures a state of anxiety and depression, according to Haig. He pointed out that the Aborigines have the worst record of mental illness in the world; correlating this with the colonialism, racism, and horrific loss of identity and sense of purpose they endure. When asked what he fears most in our ever-advancing world, Haig admits his concern that “we are in danger of losing our empathy”. He continued on this thread, raising the issue of online trolling, which he believes is incredibly damaging to our mental health and needs to be recognised as a health issue. He called for action from the public to raise awareness; as only then will our government take action against companies who aren’t regulating their tech and protecting their consumers.
In keeping with the tone of his new title, Haig was authentic and optimistic when asked about labels and mental illness, identifying that relief that can come with a diagnosis – relating that it can make you feel like you belong, and also make it easier to explain how your illness affects you. However he was quick to caution over-use, or familiarity with any label, given that the connotations can be heavy. After his years of self-taught mindfulness, he wisely advised that “diagnosis isn’t a life-sentence: you aren’t in a permanent state.” Reminding and perhaps galvanising the audience, to believe in the power of the self, and not of the machine.
Comedian and best-selling author, Ruby Wax brings her sharp-witted humour and a degree in mindfulness-based cognitive behavioural therapy (CBT) together to the Book Festival via her latest book, How To Be Human: The Manual, chaired by Jackie McGlone.
True to form, Wax heavily relies on the self-depreciating humour we’ve come to expect, in order to share her message with the audience in this hugely engaging discussion. Introducing the idea of mindfulness and what it means to her personally, Wax was quick to point out that she is a prime example of the very neuroplasticity she speaks so highly of, saying “I have literally changed my brain by thinking differently.” As a follow-up to her last book, A Mindfulness Guide for the Frazzled, her latest title serves to reinforce the positive message of the first book, using the latest evidence.
This is largely provided by Wax herself, who in pursuit of truth, found herself sharing her home with a monk and a neuroscientist. She wanted to find out, if practising daily mindfulness, could actually change her brain, which she argues is still stuck in the cave-man era, whilst the surrounding world is racing ahead. “It’s like you have a Ferrari for a brain but nobody gave you the keys.” She aims to suss out how to make your ancient brain work for you without dragging you into madness. She has condensed their experiences into this book.
Calling herself a “late-bloomer”, Wax told the audience how trauma had “locked her brain” and that brains and genes can change. More than that, they can be passed down generations, something she strongly believes we should be shouting from the rooftops. In a world that exacerbates the biological feedback loop; she stresses it’s important to exercise our thoughts in order to protect ourselves from an over-stimulating world and the resulting heightened cortisol levels – which lead to many diseases. The mind is a muscle, described by Wax as a “pile of sand; shifting in whichever direction you look.”
She tells us that self-awareness and understanding are the keys to mindfulness. “I looked at my rage, my fight, my shame, and I saw that it all came from my parents, my aunt.” It was this understanding which eventually led her to compassion, then forgiveness – and finally the point where she could gain distance from those behaviours.
She believes the need to medicate for mental illness has risen so drastically because our brains can’t keep up with our over-developed world, and told the audience that the next evolution would come from the realisation that our thoughts change our brains. In a bid to promote mindfulness and provide a safe-space for frazzled folks, Wax has set up a Frazzled Café initiative across the UK, in partnership with Marks and Spencer. You can find out where your nearest café is here.
Publications, thoughts and reviews
On themes of mental illness, disability and YA.