Thursday 21 March 2013

Coming to terms with the past …



The 18th of February is not only my younger Sister Beth’s birthday, but also now the anniversary of the day I had my nervous break down. Last year and the year before, the date was a painful reminder and I went back into a semi-decline. This year however I have made some significant bounds along the road to a healthier mental outlook. I did receive a reminder though in the form of a letter from the secretary for the laboratory which I worked in in Switzerland. I had completely forgotten that the day before I ended up in a mental hospital I was trying to organize to go and see my principal supervisor in Besançon in France. 

I had experienced depression before in my life and looking back in hindsight had been psychotic previously. In my teenage years it was at one point thought to be a case of M.E. or to be attributed to the events happening in my life with my Father’s erratic untreated manic phases. Our family doctor, an elderly Scot did not believe there to be anything seriously wrong with me, despite my at times debilitating mood swings. Depression was not afforded the fashion status it receives now and I honestly don’t think it ever occurred to my doctor that this is what was ailing me. Even if it had she was from the school of thought that one just had to pull one’s self together and snap out of it.

So that Friday when I went into the laboratory at EPFL in Switzerland and announced that I was quitting my PhD and entered into a nightmare of mental flailing was the culmination of a struggle I hadn’t really acknowledged I’d had for many years. The ensuing madness and destructive thought patterns had been insidiously encroaching into my mind and then sparked by a series of stressful incidents flamed into a fiery internal hell my mental inferno of self doubt, paranoia and malaise. The convoluted and distorted thinking that clouded my outlook and tortured my internal psyche rapidly unraveled and my grasp of reality disserted and tormented me.

This past Saturday at a dinner party I met an intern working at the local government hospital in the psychiatric ward. I didn’t initially divulge that I have bipolar. She described the type of patients she treats and I realized that some of them suffer from what I myself have experienced. I tried to sound like I was asking purely out of curiosity what the conditions were like and how these patients were treated. She mentioned that some of them had to have handcuffs and in my mind a Victorian asylum sprung to mind. I wonder whether this is the case. In my own experience in a private hospital here in Zimbabwe, I found that most of the nursing staff were uninformed when it came to mental illness and as there are no tangible physical ailments, many of the nurses I encountered could not fathom why I was there or see what was wrong with me. There is no direct translation of the word depression into Shona, the closest phrase being “to think too much” or Kufungisisa

Reflecting back on my thoughts and my interpretation of the events that happened I realize that I had partly lost my mind or my mind had over analysed and misinterpreted what was happening around me. The disintegration of my sanity culminated from a number of things. I returned to Switzerland in January 2010 after what should have been a vacation but which had actually been a stressful time of completing end of year assignments and studying for exams. I therefore was not rested and returned to a pressurized work schedule. I consequently went down sick soon after returning and fell behind in my work. Thinking that I had just had a holiday my supervisor was not impressed. Unguided in my research I was starting to get stuck in a quagmire of details that were not actually that pertinent to my main questions. I realize now I was manic, not settling to anything and my thoughts being all over the place. Outwardly I seemed precocious, highly sociable and rather noisy and brash, to all intents more out going than normal and the life of the party. Inwardly though I was feeling ostracized, isolated and alone and frustrated with my lack of progress on my project. I also felt ultra sensitive to any reproaches from my supervisor or others.

Running circles in my mind


With my therapist today I looked at how my decision making seems to take me around in a circle. I start out wanting to be in the working world and doing development/environmental work but I come back to the ever pressing question of whether I should try tackle a PhD again. There still is a fear that lurks in the corner of failing again and not coping.
I have had a good run for quite a while now, without any major blips. My current cocktail of medication seems to be keeping me on an even keel and I have managed to not have to go on lithium which I am very thankful for. Slight mood swings do scare me slightly I won't lie. There is the fear of losing it again and sinking into another hellish emotional war zone. I wonder how much I over analyse elevations in my moods and fear them to be the first cruscendoes towards a manic pitch or how I am unnerved by dips and wonder how long and how deep they will go. In a way I can no longer take life's natural ups and downs as just that, instead of scrutinizing where they will lead me to. I need to try learn how to master these and not be cowered by them.

Another challenge from today's therapy session was to look at how I can fill up my days more so that I can try to cope with a full day's work and the stresses that go with it. At the moment I am doing bits and pieces and trying to keep myself occupied and employed. Tutoring biology and maths, trying to write a paper on collaborative mapping for indigenous community conservation initiatives, procrastinating on a report on the economic value of Mana Pools and in between doing some work on the Millennium Development Goals, my day is still unstructured and unfulfilled. This takes me back full circle though to my employment connundrum and the indecision regarding braving a PhD once more.