Alcoholism

My grandmother was an alcoholic.

That sentence might elicit images of tears, tantrums and chaos, but that wasn't the case.

My grandmother was the most important adult in my early childhood. My mother struggled after I was born, and was then in hospital for most of her pregnancy with my sister. My father worked; from what I understand he worked all the hours he could to support his new family. This meant that I spent a lot of my formative years with my grandmother.

Both of my parents will surely have issue with the above, but the fact is that without my maternal grandmother they would have been lost. By lost I mean completely fucked.

I have so many memories with my grandmother that it would take hours to describe them. She was a wonderful human being, who loved my sister and I unconditionally. She had a beautiful garden, full of rose bushes, apple trees and a multitude of berries. I can still picture her stirring a giant pot of fresh raspberries and sugar before transferring it into jam jars. I remember her scolding me for eating all of the ripe gooseberries from the bush, and her threats of stomach ache when I stole fruit from the cooking apple trees.

She collected me from playschool and gave me a 10p bag as I watched Bosco and Mr. Ben, and if I was quiet all the way until tea, there was a glass of cream soda or red lemonade. She waited for us with the lollipop lady and asked about our day; she made me dinner with the butter in a dish straight out of the 20's and tucked me in with an electric blanket. When I was sick, she brought dry toast and 7up and dragged the smaller TV to the bedroom so I could watch cartoons. She let me stay up a little bit later than my sister to watch Prisoner Cell Block H, and then shooed me to bed the second it was over.

My sister likely has a head full of her own happy memories.

But even doting grandmothers have their flaws, although as children they aren't apparent. I don't think children see flaws in those around them, they simply adjust their expectations to match their reality.

My grandmother started to leave the house a lot more in the evenings. My sister probably didn't notice, but our mother worked nights a lot so I was already anxious about being home alone. I felt the need to stay up until I heard the squeak of the gate the signaled her return, until I didn't have to be responsible anymore. I didn't think of it as a problem, minding my sister was my job and I got to watch Unsolved Murders.

She slept in a lot later; there was rarely cereal and milk but we managed; there was more than one near miss with the grill while making toast. After a while there were no Rice Krispies, but we would wake to discover bowls of marshmallows and penney sweets for our breakfast. She tolerated me riffling through the sheds full of old junk, and building forts in the garden. she sent me on pilgrimages to the newsagents to get more cigars, and more importunately, let me spend the change on sweets. She forgot to buy food, but she always brought home a bag of funsize bars. I think we lived on miniature Mars bars and sugar for a large part of our childhood. When one of us caught nits in school, it was my job to administer the treatment and clean the sheets. To this day I have a crippling fear of head lice. When I wasn't tormenting my little sister(sorry Emz), it was my job to make sure she washed, had a clean uniform and that we got to school on time. I had not problem with any of this; it wasn't all of the time and I would have done anything to help my grandmother. She loved me, and I loved her and that feeling of unconditional love was worth a million nights waiting up and doing laundry.

Until the day she used me to try and hide her alcoholism. I have always been a socially awkward person, and the only other 'kids' nearby were two years older, which is significant when you are ten. One summers day I was called into my grandmothers house by my mother. It was in the front room; my grandmother was there, in her chair beside the fire, and she remained silent as my mother demanded to know what I had done with the money. I had no idea what she was talking about so I professed my innocence. I was dismissed, in disgust.

I went outside to the back-garden, where my aunt and uncle were. They ignored me. Then my father arrived; at this point my parents were separated so the fact that my mother called him was significant. He took me to Killiney Hill, a regular walking spot on our weekends together. He sat me down and asked me about the missing money. I had no idea what he was talking about so I professed my innocence. I cried, I begged him to believe me. He told me how disappointed he was, and silently drove me back to my grandmothers. I was branded a thief, looked upon with disgust by the adults in my life and punished.

A few years weeks later(possibly months, childhood timelines are murky), my grandmother was caught trying to double cash a cheque and the extent of her illness was revealed.It turned out the missing cash (approximately €200) had been spent on alcohol, and having no money for her bills she had asked her children for money. When they asked where her alimony had gone she told them that she had cashed the cheque and the money went missing. Then she told them that she had noticed that the kids on the road were being nicer to me, so she suspected I was using the missing money to buy them sweets so they would play with me.

On paper, it's such a little thing. A moment in time that was fleeting and insignificant. But imagine being 10 years old, and finding out that not only did your family believe that you needed to buy friends, but that you were also capable of stealing from your grandmother to fund said transaction. 20 years later and i can still feel the pain in my chest when my dad told me how disappointed he was in me for lying.

The purpose of this post is not to illicit sympathy; but to highlight how impressionable children are. I'm sure my parents and aunt don't even remember that day, but it has haunted me for most of my life. The things you do, and the way you relate to children can have meaningful and long-lasting effects. Be kind to your kids, even when they make mistakes, because there are no do-overs.

I love my grandmother. She was an amazing woman, who loved me and brought light into my life. But her alcoholism has had a huge effect on me; so choose your children over a drink, choose your grandchildren or even better, choose yourself.

Self-Esteem

I haven't blogged in months. I would love to tell you that I was too busy living life to talk to a computer screen but the reality is much more mundane and predictable; my depression and mood instability had improved, and I was too afraid to write as a (mostly) mentally competent person. Poor writing and bad grammar can be excused when you are cognitively impaired, but I discovered I lack the mental fortitude/balls to be judged as a functioning human being.

Luckily, for nobody, I am once again cocooned in the familiar blanket of depression; albeit a milder manifestation than its predecessor. So to the keyboard I return, for better or worse.

Over the last year I have done a lot of work with my therapists to address and, in most cases, move past events in my life that have contributed to my being an emotional equivalent of a broken condom. Yet my core belief system remained unchanged. No matter how many 'Mother hates me' sessions I had, I still couldn't look myself in the eye. And then I realised that I was missing something - self-esteem.

Let me be clear, I absolutely do not think that everyone else is walking around full of pride; dignity oozing from their pores like cheese from a perfectly stuffed pizza crust. I believe most of us have some level of insecurity, and if you don't, you're probably the next Ted Bundy. Or Tom Hardy. But I've come to realise that my self-deprecation is yet another maladaptive coping mechanism I lean on. And I have no idea how to overcome it. I looked through every page of my stupid (and useful, whatever) DBT folder and there is nothing on self-esteem.

So I googled self-esteem, and there was one exercise that appeared on nearly every page - List things you like about yourself. Reader, I laughed. I was first asked to list what I like about myself in 2004, during group therapy. I had nothing, I handed up a blank page. During my last admission, in August/September 2015, I was asked the same question; after 9 weeks I had nothing. Yesterday I tried to think of three things I like about myself, I have nothing.

If I tried to think of three things I don't like about myself? No problem. Although I think that's the case for many of us. Not that we can't think of our positive attributes, but that it is much easier to highlight our flaws. Personally, would much rather you ask me for a list of flaws, I'm comfortable and well-acquainted with those. But listing all of my disparaging beliefs would be rather long and boring, so instead I will consider my thoughts over a one hour period.

The purpose of this isn't to elicit sympathy,but rather to acknowledge the impact of low self-esteem and hopefully garner some much needed advice.

I have picked this hour for several reasons; first, it's the present, so my memory isn't required; second, I'm alone, thus removing the possibility of outside interference. Finally, nothing massively life altering or heart breaking has happened today. Yet. There's always time for life to be a dick.

I am constantly amazed and disgusted by how naturally pessimistic my outlook is.

You're an attention seeking whore for posting this.

Your hands are dry. and masculine.

Stop wondering what will happen next, you stupid whore.

Everyone already hates you, this is just adding fuel to the fire.

your thighs are touching, you fat cow.

You're fat now and you still don't have boobs. lol.

Waste of space.

Useless.

Your dogs hate you.

You're fucking ugly.

They literally hate you, they want Alan.

that sigh means Loki hates you.

You type too slow.

seriously stop rubbing your dry claws together.

Your hair is greasy.

You are the ugly friend.

You are a waste of space and money.

Remember money? It's that thing you don't have. Because you're useless.

Genuinely, everyone hates you.

Yes, even them. Remember they didn't reply to you tagging them on a comment on FB? It's because they hate you.

Ooo you're the pity friend! Familiar role for you, loser.

Seriously, your dogs hate you. They won't even cuddle you.

ooo remember how you got fat? That was hilarious right? No? Because you're disgusting now?

They all laugh at you. You know that, right? You don't really fit it, pity invite for one!

Fuck you are pathetic. Can't even afford a cup of coffee.

Also, fat now. FYI.

how's the new career going? Not great? Figures, right?

And nobody wants you there? Because you're fat and ugly maybe?

Remember when you could skip food all day? Willpower eh? None left no?

Oh hey, and you're fucking boring. Go on, discuss the presidential debate, with specifics... No? Global Warming? Property? EINSTEIN?

Literately nothing.

Just visualise your thighs touching off of each other. And your hips getting padded. And your face being plumper.

Good times right? No? Oh fuck... it happens every time. I remember the truth - I'm stuck with this face and brain.


Okay, I gave up after 24 minutes. Mostly because my mind was racing and I couldn't type fast enough.

So that's 24 minutes of me sitting in a chair in my living room, incident free. Just me being me. Fuck I hate me.

Treatment Part Two

In January 2015 I entered a private residential facility for treatment of my eating disorder. After a lengthy assessment with the consultant, I was diagnosed with EDNOS - eating disorder not otherwise specified. Another ridiculous sounding disorder, bloody psychiatrists. Basically, I engaged in behaviours attributed to bulimia and anorexia nervosa, but didn't tick enough boxes on either side to fit neatly into one box. Boxes are very important to most mental health professionals; once they can give someone a definitive diagnosis they can use the 'one size fits all' treatment plan that has been recommended for that disorder. I have found this to be particularly true of private psychiatrists; you stop being an individual and are completely defined by your diagnosis. You are no longer Lisa, a 30 year old woman with unique life experiences, beliefs or feelings; you are Borderline Personality Disorder and everything you say or do is because of it. You don't hate the taste of mushrooms, you are anorexic(I'm not exaggerating, I had to have 3 meetings in hospital in order to have 'no mushrooms' written on my chart).

When I entered the facility in January I was terrified, but I also knew that I needed help. For me, there is always a conflict between what I want and what the eating disorder wants. It is not as simple as asking for help and embracing it; my eating disorder had become the one thing I could depend on in my life. When everything around me, and inside me, was spiraling out of control, I would use food and weight to anchor myself to the world. So while I voluntarily agreed to treatment, a part of me wanted to cling to my ED, because I was afraid of what would happen if I gave it up. Better the devil you know...

The first priority in any ED programme is to feed the patient, a starved body and mind is not able to engage in the therapies used to treat the psychological side of the disorder. That first day, it took me an hour and a half to eat my half portion of dinner. With every morsel that passed my lips the ED voice grew louder and louder. The rage, disgust and shame were all consuming; I remember nothing else of my first week there. During the day we would have group sessions - Art therapy, craft groups, CBT based groups, nutritional therapy, interpersonal therapy etc; and in the evenings we had weekly individual therapy sessions. Any free time between groups and meals was spent in a communal living room, hiding away in your room was not permitted. Bathrooms were locked for an hour after meals, condiments and spices were restricted, as was liquid intake. We were weighed twice a week, had our bloods checked daily at first and then twice weekly, and we were not allowed to leave unsupervised until the consultant was satisfied that we were committed to the programme.

My referral to the programme had included a detailed history and description of my diagnoses, and I had discussed my BPD during my initial consultation. However after about two weeks the consultant began to question, and eventually dismiss, the BPD diagnosis. The characteristics and behaviours I exhibit that are attributed to my BPD did not fit into the ED mold. So it was simply ignored, and I was now EDNOS. Unsurprisingly, I repeatedly stepped over this new line; and while my actions and thoughts were ignored in terms of my treatment, they had to be dealt with on a practical level. So for the 40 days I was in the facility, I never left the house unaccompanied or ate so much as a biscuit without a nurse present.

Some of the therapies proved quite beneficial to me and none more so than my individual sessions with a CAT therapist, whom I still work with. I met wonderful people, staff and patients alike. I gained some weight and my health improved. I self-harmed and attempted suicide, and on one occasion absconded. I learned about portion sizes, healthy diet and how to make banana bread. But when I was discharged, I returned home and immediately began to restrict again. Suddenly alone for most of the day, I found I didn't have the willpower, and if I'm honest, the desire, to eat without supervision. We had been taught to weigh everything we ate; on my first day home I dutifully weighed out 40g of porridge and cooked it with water. On my second day, I weighed out 35g. My third, I decided the bowl looked too full and threw several spoonfulls into the bin. And so on and so forth until there was no porridge.

My relapse occurred so quickly, and totally, that my depression worsened. I had let my family and friends down, I was a failure and I was weak. Worse, now I was a fat failure. There was nothing I could do, or was willing to do, to make amends with my family but I could do something about my weight.

Just like that, I was back at the beginning. Within a few weeks my weight was back to where it was before treatment, food and numbers were the sole focus of my life, and my depression pulled me lower and lower. I had been discharged at the end of February, and on the 31st of March I turned 30 and tried(poorly) to cut my wrists in a pub toilet. I had given up on myself and given in to the hunger and darkness.

Oh Christmas Tree...

I love Christmas dinner. Turkey, ham, stuffing, potatoes and especially Brussels sprouts(they are little balls of vegetable joy, you're weird if you don't like them). For the last three years I have been in charge of making dessert, and I love pouring over recipes looking for something new and challenging to make. I see the meal as a marathon, not a sprint, and happily languish at the table for two hours, eating more meat as soon as there is room in my stomach. I look forward to Christmas dinner for 364 days; typing this I have visions of roast potatoes dancing in my head.

In four days my favourite meal will be in front of me, in all its festive glory. But this year instead of excitement, I have a growing sense of fear. I'm afraid because I have not kept a Christmas dinner down for nine years. Every December 25th I eat whatever I want, and then immediately excuse myself so I can go to the bathroom. If I eat a second plate, I'll return to the bathroom, dessert too. I think I spend more time throwing up food over Christmas than I do eating it. When I should have been enjoying time with family, laughing at terrible jokes from crackers and savouring the moment, I was instead focused on drinking enough water while I ate. Or worrying about how long food had been in my stomach, because I couldn't leave the table without interrupting a conversation. While everyone relaxed in the living room post meal, I worried that I hadn't fully emptied my stomach. Christmas Day was another thing I gave up in my pursuit of the perfect body and sense of control.

My recovery is still in it's infancy; I throw more toast in the bin than I eat, and that's with a Valium to keep my decrease my anxiety at meals. Food is still the moat important thing in my life, although now the focus is on eating it, not running from it. I'm too ashamed to tell you how often I think of giving up, it would be so much easier. So I take it one day at a time, one meal at a time. But I want Christmas Day to be different; I don't want to think about food at all on the 25th. I want to think about fairy lights, paper hats and Monopoly. I want to eat my Christmas dinner, and then a mince pie and feel no guilt. I am determined to have one day off from being a neurotic mess, and what better day than one I used to adore.

Christmas

When I saw my psychiatrist earlier this week for my last appointment of the year, he asked me if I had an worries about coping during Christmas. I had never been asked it before, or thought about it, so I automatically dismissed his concerns and went on my way. Later that day, while wrapping a pile of gifts, the question popped back into my mind and I realised he might have had good reason for asking.

Christmas has always been my favourite time of the year; I love the decorations, buying presents and then getting buried under mounds of wrapping paper and ribbon. I spend hours baking festive treats, cutting out paper snowflakes and have an advent calendar of Christmas films to ensure everyday is festive. Even my dogs get advent calendars...and stockings...and wrapped gifts. Don't judge me, they are my surrogate children and I shall treat them as such. I left home when I was 18 so I have been free to decorate to my hearts content for the last twelve years, and I have done so with gusto. In summary, Christmas is the best thing ever.

But over the last few years, I have struggled more and more to get into the spirit of the holiday season. I started putting off pulling out the trees, and if I'm honest, mu rapping skills just haven't been up to scratch. This year, I feel about as jolly as a the Grinch before his heart grew three sizes. Sitting on the floor, measuring out paper and sellotape, I wasn't lost in the thrill of neatly folded corners and perfectly curled ribbons - I was irritated. There had been a definite drop in my mood leading up to December, which I was putting down to difficult therapy sessions. But maybe it was more than that; Could Christmas be contributing to my increasingly dark thoughts? Within seconds I was in floods of tears; those awful, ugly sobs that come from some raw place deep inside. Usually bringing a lot of snot up with it. Afterwards, I decided it was possible that this year I was not the happy/irritatingly cheerful Elf in training I usually am. Something about Christmas has changed for me, so in an effort to try and revert to form, I'm going to try and find the reason for my change of heart.

My earliest Christmas memory is a special one, because it is the only one I have before the age of five. I'm not sure exactly what age I was, but it was before my sister was born so between 2 and 4. I was in a car with my parents, still married at that point, and we were driving back home to Greystones(lovely little seaside town in Wicklow). It was dark outside, and the only real light was from the moon and the car's headlights. I was sitting in the middle of the backseat, leaning forward to stick my face into the front, and I was singing along to the radio. It was Driving Home for Christmas, and I remember laughing because we were driving home for Christmas(child's sense of humour remember?). Whenever I hear that song it brings me back to that car, and to the overwhelming feeling of happiness and love I felt at that moment. It's also the only memory I have of being with both of my parents and feeling utterly at peace.

When my parents separated, Christmas was divided in two. We would spend Christmas with my mother and then go to my Dad's until after New Years Eve. My parents had a horrendous separation and eventual divorce, but at Christmas they always called a cease fire - at least as far as we knew. I'm not ashamed to admit that as a kid I could see some benefits to the arrangements; we essentially had two Christmas days, one with each parent, and got twice as many presents. My parents always did everything they could(separately of course) to make sure we had the best Christmas, but for me there was always an undercurrent of sadness. I worried that my dad would be lonely on Christmas day, and then that my mum would be lonely when we left. I worried a lot when I was younger, perhaps as a result of being caught in the crossfire so much, or simply because I was a bit of a sensitive child. And of course, being a child, I had the childish desire to have a real family Christmas, like everyone else.

As I got older, that desire turned into relief that I didn't have to be in a room at the same time as both of my parents. I found my own ways to enjoy Christmas, and embraced it in all its gingerbread infused glory. Besides, I had my annoying but adored younger sister to wake up with on Christmas day. We would sneak into each others rooms and open our stockings together, waiting impatiently for our mum to wake up and take us to the presents. Then we would go to our Dad's house for more presents - we were the one constant in each others lives really. Until my mum and husband number two decided to move to South Africa and took her with them. I went over for the first Christmas, but it wasn't the same. I didn't know it at the time but marriage two was breaking down, creating a less than jovial atmosphere.

So after that I started spending Christmas Day with my boyfriends' families, mostly because their very kind parents didn't want me to spend Christmas Day alone. That only happened once, and if I'm honest, it wasn't that bad. You might be wondering why I didn't spend the day with my Dad; he offered, but my Dad's house has never been my home. I go to visit him, his wife and my brothers; and I have never been able to face the pain of being a visitor in my Dad's house on Christmas Day. Even though I haven't spent Christmas Day with my Dad in about 23 years, the thought of being a 'guest' is too much for me to risk. That's not a judgement of my Dad, it's just how things turned out. My sister eventually came back from South Africa, and like me started spending Christmas with friends and their families, until she moved to Australia. I don't remember the last time I saw her on Christmas Day. Again, not a judgement, it's just the way it is.

My mum moved from South Africa to Spain, and had come home to Ireland over the Christmas period a few times in the last 8 years. But I haven't spent Christmas Day with her since she left when I was 18...just the way it is.

Now I spend Christmas day with Alan and his family. They invited me over when we had only been going out for a few months, because they wouldn't hear of me being on my own. That's just the kind of people they are, kind and loving. Every year we have a great meal, a rousing game of Monopoly and I'm not a guest, I'm part of the family. But with each year I've spent with them, and with all of the lovely families who have had me over over the years, I get a little bit sadder that my family are so far apart that spending Christmas Day together doesn't even come into the equation. I think I miss that feeling I had, driving home all those years ago. Strange how you can miss something that was so fleeting.

Even in a room full of laughter and brussels sprouts, you can feel really lonely at Christmas. But perhaps it is time to let go of the ghost of Christmas past, and focus on the present, as its 'life upon this globe is very brief'.

Insight

Over the last year I've spent a lot of time trying to explain my eating disorder to family and friends. To most people, risking permanent medical problems, and even death, in order to loose weight is incomprehensible. They don't understand when I tell them that I am fat. They assume I am fishing for a compliment, or reassurance. The reality is, you could tell me a million ways that I look fine, and I will never believe you. I can't believe you, because people lie. I know this because I lie, all the time. I lie to therapists, doctors, my family, my friends and to myself. It's much easier to keep quiet, wear a mask, than show people the ugly truth. But I want to help people to understand eating disorders, that's one of the reasons I write this blog. Understanding the problem is the only way to find a solution, or at least do damage control. Today I found myself in a difficult situation, but I am hoping I can use it to bring you inside my head a little bit.

I was discharged from my last hospital admission in July. On my last day I had a final weigh in and this, along with other information, was sent to my GP. I was to attend my GP monthly for physical monitoring, and my GP would then share the results with my psychiatric team. Two weeks after discharge I had my first visit, and in the space of two weeks I had lost 2kgs. As soon as my eyes took in the number on the scales, I felt dizzy with relief. That abusive, hateful voice in my head was blissfully silent for the first time in months. My doctor was less than pleased; a gentle but stern lecture followed and I promised to try harder. The following month, my weight stayed the same. As my GP explained the importance of reaching and maintaining a healthy weight, I was being torn apart on the inside. I was a failure, I was weak, I was fat and ugly. As soon as I left I started sobbing. The noise in my head got louder and louder, until all I wanted to do was rip myself apart, tear flesh from bone and let all the pain bleed away.

So I stopped going to my GP. My psychiatrist warned me that if I didn't go and see her, he would have me weighed in the clinic. I assured him I would go, but every time I picked up the phone I was overcome with fear. I am 30 years old and I am completely and utterly terrified of the scales. I won't even keep them in my house, which is unusual for someone with an eating disorder. Today I had to attend the clinic for a weigh in, after ignoring repeated requests to see my GP.

I woke up at 4 this morning, my appointment was at 9.30. For five and a half hours I sat in my kitchen, staring longingly at a glass of water and the coffee machine. I was thirsty and my mouth felt like it was full of cotton(a side-effect of my medication), but not a drop of liquid passed my lips. I was hungry, and I am supposed to eat within half an hour of waking. I threw my bowl of porridge in the bin. At 5 I took my dogs for an hour long walk, after which my head was throbbing. But I still couldn't drink anything. At seven I had a shower, after debating for an hour how much moisture my skin would absorb and if it would have a significant effect on my weight. I dried my hair until it felt like straw, because wet hair weighs more than dry. Clothes were next. Despite the cold, a string top was a definite and a bra was out of the question - I couldn't risk the 0.05kg. I always wear leggings for weigh ins, no excess fabric to tip the scales. But just in case I pulled out every pair I owned to find the lightest pair. This took about twenty minutes because plain leggings tend to weigh the same amount. But I found an old, worn out pair that are almost see through at this point. Ankle socks, obviously. I ran the hair drier over my hair again, just to be sure.

I was freezing in my worn out leggings and string top, but shivering burns calories so I threw on a jacket and headed for the clinic. I don't remember the 5 minute drive, all I was thinking of was numbers. I'm pretty sure I didn't check my mirrors once and my legs were shaking so badly I couldn't change gears properly. Thankfully, or regretfully, I arrived safely. In the waiting room I ran through every 'bad' thing I had eaten in the last 3 months. I ran my hands over my hips, feeling the flesh where there used to be bone. I moved in my chair, noticing how it was no longer painful to sit on a hard surface. I flexed my arms, stretching the muscles that were growing back where they used to be so beautifully wasted away. I pulled at my face, my neck, pinched my thighs. All the while feeling more and more disgusted and ashamed of myself. I had thrown away all that hard work, for nothing. I had given up when I was so close to being the perfect weight. People were laughing at me, the fat girl who says she has an eating disorder.

As much as I pleaded with the universe for the number not to have changed, I knew it had. Logically, I had been eating relatively healthy, high protein diet and combined with long, vigorous walks with my dogs meant I was slowly rebuilding muscle tissue. I knew my weight would be up, that was after all the goal right? But when I stepped on those scales, and saw where the pointer stopped, all reason went out the window. For a split second, everything inside me froze, and then my brain exploded into action. If I just cut myself a little bit, it would help. No, maybe we need to binge and purge? Definitely not fatty. Back to self-harming...no I'll get caught. I couldn't think through all of the screaming in my head. I hung my head as I left the clinic, certain the nurses were thinking I was a time waster. I didn't need weigh ins, I was a heifer. I had to roll down the windows to make it home safely, the rain pelting down was the only thing keeping my mind present enough to steer.

I wanted to crawl into bed when I reached home, curl into a ball and cry. But the eating disorder had other plans. I didn't deserve to lie down, we needed to plan. Check my new BMI...19.3? Ten minutes of staring in horror at the big, green HEALTHY WEIGHT on the screen. Another ten minutes of using online calculators to figure out how I could lose 2kgs in the next two weeks...twenty minutes checking how many calories are in apples, bananas, oatcakes. Then a walk in the rain with the dogs while looking at apps that calculate how many calories you have burned. Off come the leggings and on with my standard uniform of baggy jumper and tracksuit bottoms.

Finally, three hours after my weigh in I stopped. I had hidden my lumpy, hideous body under shapeless clothing, I knew what I needed to do to get back in control of my weight. Now I could sit and replay the moment I looked at the scales over and over in my head. That's about as good as I am going to get today, but the majority of my day will be spent obsessing about food. Ruminating over every morsel I ate recently, or that night I had wine, or how twice last week I only walked for 7 kilometers.

Maybe none of what I just described will make any sense to you, or maybe some of it will. I don't know anyone who enjoys being weighed and I know plenty of people who avoid the scales as much as I do. But I think the main difference lies in the intensity of our reactions to the situation - you might decide to eat less carbohydrates or work out more, I'll figure out how I can starve myself without anyone noticing.

Treatment

I was discharged from hospital at the end of September 2014, after 8 weeks. During my stay, I had discovered the addictive high of starvation, self harmed repeatedly, and attempted suicide. At times my despair reached such devastating levels that I took to hiding in the tiny wardrobe in my room; this happened so often the consultant had to issue a note to the ward staff that I was allowed to use the wardrobe to manage my distress. At one point he suggested I purchase a cape, to offer comfort when I was out of my room; thankfully I had just enough sanity left to decline the recommendation. Sobbing in wardrobes was one thing, creeping around a psychiatric wars in a hooded cape was a bit to Phantom of the Opera for me.

When I was discharged, I was not 'cured'. My depression hadn't lifted and my eating disorder was stronger than ever; but as is often the case with BPD patients, they simply ran out of patience and solutions to my problems. In my experience there are two reasons why this happens. One is that the doctors and nurses begin to suspect you are lying about, or exaggerating your symptoms. The idea that lying is a characteristic of BPD is not universally accepted by professionals, and it is my biggest problem with my diagnosis. I have never exaggerated about my emotional state, thoughts or destructive urges. In fact the only time I have lied about my depression, is when I want to leave A&E and avoid a psychiatry referral. I have lied because I know the nurse sitting opposite me thinks I am a nuisance; or to stay out of hospital. Certainly not to seek attention or acquire a ticket to a mental hospital. Disclaimer: when it comes to my ED, I lie more than a banker at a tribunal. More on that later.

I returned home, back to the very kind and tolerant embrace of my local mental health team. Over the next few months I attended a day hospital as an outpatient, ended up in A&E six times for serious self harm injuries and more suicide attempts. I barely slept, barely ate...time kept moving but I remained rooted in the same painful spot. Large portions of my life during that time are lost to me, perhaps because I didn't have a life to remember, I just existed. Moving reluctantly from one day to the next with no destination. The only thing I had in my life that I could cling to was my new friend, restriction. That's what I remember most from that time, restricting all day until my boyfriend came home, and then throwing up after dinner. I structured my days around what I could eat, what I would purge and perfecting the art of lying so that nobody knew the full extent of the problem. Because it wasn't a problem, it was the only thing that got me through the day. If it wasn't for my eating disorder I would have been dead already. It was the only thing I had that brought me any peace, and I felt fiercely resentful of all attempts to take it from me. As I've said before, it became my best friend.

Sure my new BFF came with some downsides; I was cold all day, everyday. My joints ached, my skin and hair was dry and my gums throbbed from all of the acid. Then my white blood cells started dropping, and dropping and dropping...when it was decided that my immune system was compromised, my doctor took charge. I was once again referred for treatment of my eating disorder, but this time it was to a private residential facility.

I was, I am.

Before I delve into the next part of my story, I wanted to give you more of an insight into the ball of neuroses that is my mind. But I wanted to do so with as much honesty as possible; no re-written sentences and deleted words. During one of my sojourns in a psychiatric facility, I did a stream of consciousness writing exercise. We were asked to write two pieces; the first as the person we were before our current mental health difficulties took hold, and the second as the person we were in that moment. I pulled the two pages out recently for the first time since I wrote them, and my beliefs about who I am have changed very little since that day. So I am going to share them with you, in the hope that you might better understand how I ended up where I did; or that you might see something of yourself in it and know you aren't alone in your thoughts. Bear in mind that I wrote this without thinking, so forgive me for the poor quality.

Then and Gone

I am a quiet, introverted girl who enjoys the simple things in life. I love curling up with a book. I like clean bed sheets and hot showers. I like holding my boyfriends warm hand and his lips on mine. I like talking to my sister and my dad, even though they are far away sometimes. I love crisp Autumn evenings and pumpkin carving. I love cold Winter days and bright Christmas lights. I love deeply and openly and I am not afraid to trust my heart. I educate myself in my spare time to exercise my brain. I like to cook and delight in food; a cold glass of rosé wine with a friend over a trivial joke or a deep conversation. I care about others and can put their needs ahead of my own. I laugh often. I want to see my friends. I listen to music. I love to watch movies for hours and discuss them at length. I make jokes, I work hard and am happy making my house a home. I like walking in the evening and then cosying up on the couch. I am friendly and can talk to others, and even though I'm weird, people like me. I have had some bad times in life but I have fought back and I am winning.

Now

I was born to parents who hated each other for most of my life. My mother tried to leave me when I was one. My father left when I was seven and then I became the hated one; the symbol of all that was wrong in my mothers life. She remarried when I was e;even and he didn't want me either because I wasn't perfect. At school I was the freak, at home I was the unwanted and in my head I became the ugly one. At eighteen my mother and sister left me and I was alone. At eighteen I tried to kill myself for the first time and I was sad when I failed. I have never been enough for my parents, I needed to be replaced with others. I have hated myself for as long as I can remember. I am lost, broken, disgusting. I am damaged goods. I have been beaten by woman and man for my crimes. I hurt people. My life is a series of failures with no end. I cannot remember what love is. I find no pleasure in life. I remain only to not hurt the few who still love me, but I am unworthy of their love. I am a waste of space, I am destined to die and I despise myself. It is all my fault.


When I had to read them out, I cried for the person I had lost. Grieved for her. I no longer mourn who I used to be, I have long since accepted that the old me is gone. Which is probably sadder than anything else I have written.

Anorexia

In June 2014 I tried to hang myself; the depression, self harm and constant purging had become too much for me to bear. I have written about that attempt before, so I won't go into it again. Eight weeks later I was admitted to a psychiatric hospital, for treatment of depression and an eating disorder. However as I was a danger to myself and at risk of self harm I could not be placed on the ED ward. Instead I was on a general ward, and other than a handful of meetings with the incompetent nurse who rang the ED programme, left to my own devices with regards to what I ate.

Restricted to the ward, with all sharp objects out of reach, I threw myself at the mercy of my eating disorder. The despair had eaten away at me, I was a shell of a person. I felt like I was walking around with a black hole in my chest, that devoured all the light from the world. MY mind was always racing, from one self-abasing thought to the next, faster than I could blink. I would have done anything to stop the pain, even if it was just for a minute. The part of me that belonged to the ED offered up a solution. If you loose weight, you won't be so worthless. Worthless, and fat and repugnant. If you skip that meal, it will be quiet in your head for five minutes. The hunger pains took the edge off my self harm cravings. Skipping meals and secretly vomiting made me feel like I was taking some control nack from the doctors and nurses.

I started to loose weight, but it wasn't enough for that voice. Every time they weighed me it would whisper, 'So close, just a few more and it will stop'. The truth is, that goal weight will always be just out of reach. Because you can always try harder; because you ate that piece of toast on Tuesday; because you just have to look in the mirror to see that you're still fat.

The more weight you loose, the more behaviours you engage in, the stronger the eating disorder gets. It's like a leech, draining your body to feed itself. While you waste away inside, it thrives. I could no longer look directly at myself in the mirror, or look down in the shower. The sight of my stomach or thighs made me want to tear into my flesh, to punish my weakness. I stopped eating altogether for a few days, because I knew that I could. The less I ate and weighed, the more I hated myself. I think most people have been self-critical, more than once, and for some people it could be a regular occurrence. I don't think I've met anyone who thinks they look perfect all the time; I mean rarely anyone looks good swimming underwater, except that Nirvana baby. But for me, I don't even have to be looking at myself to be critical. I just need to be awake, and even then, I regularly dream about how grotesque I am. Right now, as I'm typing, that little voice is whispering to me about how doughy my thighs feel when my legs are crossed. And how rounded my wrists look, and my pudgy fingers. I'll stop there, but you get the point. It never stops, not even when I get so hungry I can barely stand. But it gets quieter, when I do what it says.

I said before that one of the reasons I started restricting was because it gave me a sense of control when I felt so powerless. In reality, the eating disorder had all of the power. It was stronger than me, that little part of me buried under all that shit and hurt, and if I'm honest, I didn't but up much of a fight. Because there was one other reason to give in, the distant hope that if you push it enough, your body will perish.

Addicted

Shortly after getting my tooth removed, my weight loss plateaued. Purging and laxatives will only get you so far, as neither is very effective in terms of calorie control. The latter has absolutely no affect, by the time the laxative takes effect, what you have eaten has already been digested. There was a treadmill in the house, so I decided it was time to bring exercise into the equation. I was never into sports; I even managed to avoid PE class for most of secondary school. I was incredibly unfit, and a smoker(the more you smoke, the less you eat!) so in the beginning I struggled with a fast paced walk. Logically, I can see that this was to be expected: a smoker who lead a sedentary lifestyle and wouldn't even jog for a bus. But in my head, my laboured breathing and aching thighs were proof that I was still overweight. So I walked, then jogged and finally managed to run for 5 minute intervals.

Nothing happened, other than an increase in my lung capacity. But who really cares about lungs when your thighs touch? I needed to take it up a notch. I joined the gym and started doing weights, in addition to increased cardio exercises. I rowed, crunched, lifted and stepped until I was weak at the knees. I hated every second of it, I cried more than once in the locker room as I sat there heaving and sweating. My sole motivation for going was weight loss; to quiet the voice in my head that constantly remind me how disgusting I was; how weak I was; how pathetic. Unfortunately, my years of exercise avoidance meant that I knew nothing about it. I had assumed working out would equate to weight loss, it was basic physiology as far as I was concerned. I don't think I can really convey the devastation I felt when the number on the scale barely dropped. All of that effort, all of the pain and the early mornings has been for nothing. I was clearly eating far too much, I wasn't being strict enough when I was purging. It never crossed my mind that perhaps there was another reason I hadn't lost much weight. For the first time in my life I had toned and ever so slightly muscular arms. My calves and thighs were like rocks, and I could run at a steady pace without gasping for breath. Looking back, it's possible that the reason I didn't loose weight was because I had converted some of my body mass into muscle. Possible. But I couldn't see that at that time; it was just more proof that I was a failure.

I immediately quit the gym, if it wasn't going to help me loose weight I wasn't interested. Around the same time, I was experiencing some difficulties in work. I won't bore you with the details, but the situation was causing me a great deal of anxiety and stress. I knew of only two ways to cope with distress - self harm or weight loss. I chose the later. Within a few months I was purging up to 15 times a day, mostly in work. The saddest part is, I wasn't even indulging in delectable delights. My idea of a 'binge' was 4 rice cakes. By now my eating disorder had become my primary focus; what to eat and what to purge; what I could eat and when I could eat it; what lies I needed to tell to keep my secret; which pharmacy was next on the laxative rotation. I was like an addict, jonesing for my next fix and using my ED behaviours as a crutch when anything difficult or distressing happened. Focusing all my attention on food and weight also meant I could disconnect from my disintegrating emotional state.

As I have said before, I have struggled with depression for more than half of my life. It should therefore come as no surprise to you that as my ED spun out of control, my BPD characteristics reared their ugly heads again. Mood swings, irritability, depressive episodes, insecurities, impulsivity...not to mention the long list of dysfunctional thinking styles. For good measure, my body decided to join the party and began protesting my treatment of it. I'm not going to sugar-coat anything, so prepare for the ugly truth. My bowels no longer functioned on their own, I was completely reliant on laxatives and enemas. My teeth and gums ached constantly, and part of one of my front teeth broke off. Despite being on the pill, my periods became irregular. The skin on the knuckles of my right hand were so raw from rubbing against my teeth that they developed scar tissue - if I get too hot or cold my knuckles turn red and angry. My concentration waned and I was constantly irritable. My lows dropped even lower and my interest in all other aspects of my life dwindled. The acne I had suffered as a teenager flared up. I was permanently tired, and when I wasn't in work I was lying on the bed.

But what about the rest of my life? My boyfriend, family and friends? They were all secondary to my eating disorder, I no longer hesitated if I needed to lie to them to keep my secret. I had enough experience with mental health problems and knew myself well enough to know I was in trouble. But I couldn't risk losing the ED, it had become more than just a way to change my body, it was my best friend. And I wasn't willing to give it up for anything, or anyone. Even myself.

Food Equals Soothe

As I said previously, I had always believed my problems with food began when I self-induced vomiting for the first time. IT was only during my last hospital stay that I realised my distorted relationship with food started when I was a child.

According to compassion focused therapy (yes that's a real thing, and harder than it sounds), we have three main regulation systems for our emotions and thoughts: Threat, Drive and Soothe. Threat(Anxiety/Anger/Fear) is basically your fight/flight system, when we feel a threatened in some way this system kicks in for protection. Drive(Excitement/Motivation/Achieving) is when you are trying to obtain a resource or incentive, and Soothe(Happy/Safe/Kindness) is when you feel content, protected and cared for. We move between the different systems as we go about our lives, and we can quickly jump from one to the other.

For example, imagine you have to prepare a group presentation in work, and whichever team has the best presentation wins €100 each. You will most likely be fully in drive, focusing on the task at hand and the end goal - the €100 prize money. But what if Larry, who you've never really liked, starts to take over the project, refusing to listen to any ideas but his own. And Larry's ideas are terrible, really terrible. So not only will you not win the cash, your boss will probably think you had something to do with that sorry excise for a presentation. So your brain goes into threat mode, your self-preservation kicks in and you snap at Larry to let other people talk. Assuming Larry concedes, you will flip back into drive and start firing off counter ideas. Although you may keep one toe dipped in threat, just in case that damn Larry doesn't tow the line. So, Drive->Threat->Drive.

There are plenty of online resources about CMA, which explain it a lot better and more accurately than I just did. But hopefully you get the basic concept. How is this relevant to my ED? Excellent question Cyberspace, so I'll get back to the matter at hand.

My earliest memory took place when I was three. I was running down my grandmother's garden, being chased by her dog Daisy. I don't remember running headfirst into an apple tree during said chase, and splitting my forehead open. I definitely don't remember being brought to hospital and getting 8 catgut sutures, while bawling my eyes out(understandably). However I do remember being handed a Cadbury Flake bar. So I have fear of the dog(threat) followed by yummy chocolate(soothe). You're probably rolling your eyes at me, its just a dog and a Flake, although Freud could probably have a field day with it. As far reaching as it may seem, that moment was pivotal in my life.

When I was a child my house was a very scary place to be, my parents nasty separation being just one example. At all times I had a certain level of anxiety and fear, just waiting for the next attack, constantly in threat mode. Luckily, I spent a lot of time with my maternal grandmother, Joan. From the moment I was born she looked after me when my parents couldn't, and even as a teenager I stayed in her house regularly. My grandmother was the one person in my life who made me feel safe, her house was my safe haven, it was the one place my soothe system was activated. And like most grandmothers back then, she spoiled me rotten, in the form of sugar. My grandmothers house meant red lemonade and 10p bags of jellies, it meant 20p coins to spend in the newsagents. It was sitting up late with her watching Coronation Street, eating pink wafers. Tiny Mars bars or ice cream between wafers if I was good. Homemade jams, stewed apple and rhubarb with custard...Food meant I was wanted and that I was being rewarded. When she got older, and couldn't get up to make breakfast, she would leave out cereal bowls filled with pink and white marshmallows for me and my sister. Nothing could make a seven year old and ten year old happier than watching cartoons while eating a bowl of marshmallows.

When my dad left home my mother would sometimes bring us with her to the pub at the weekend. In exchange for our good behaviour my sister and I would be gifted with a £5 note to spend in the shop next door. We would sit quietly in the corner, surrounded by inebriated strangers, safe in our little sugar bubble. When I was eight or nine I started stealing money from my house. It started out with 5p from my mum's purse, or if the man she was seeing was over, I would rob every coin from his coat pockets. I also got pocket money from my dad, £1 every second week I think. If something particularly bad happened at home, I would take my money to the sweet shop near my school and buy flying saucers and red licorice whips to cheer myself up. I'd buy 100 cola bottles and eat them until I felt sick, because with every jelly I thought less and less about whatever had happened. Because in my little mind, I subconsciously associated sweets with the one person who made me feel unconditionally loved - my grandmother. So if I couldn't be with her, I would try and replicate that feeling of safety and contentment with food.

When I moved to a new house and school at eleven things got even worse. My shy, bookish and slightly weird personality did not fit in with my new classmates, or my family. Now I was miserable in school and at home, so almost everyday I would spend my bus fare in the nearest shop and walk home. The combination of a long walk and the limited amount of food I could buy with my bus fare meant my weight stayed the same. At home, it was toast. I would sit in the kitchen alone every evening, watching TV and secretly munching away. Food was not just something I needed to live, it was a way to push down any thoughts or feelings that were too intense, or a way to try and fill up the growing emptiness inside of me. At the time I didn't think that there was anything wrong with my relationship with food, but I deliberately used it to comfort myself.

By my mid-teens I had, for the most part replaced food with self harm. A slice of cake had nothing on the sting from a fresh cut, in terms of dealing with distress that is. The cake obviously wins the taste test. Using food as a coping mechanism is not specific to people with eating disorders, or personality disorders. I would go so far as to say that most people have turned to food for comfort at some point in their lives. Whenever there is a break-up scene in a chick flick, ice cream and/or chocolate will inevitably appear. It's perfectly normal to eat Nutella off of a spoon after a really shitty day at work. The problem occurs when you think the only way to feel better after that shitty day is a spoonful of Nutella. It's when you realise you're standing in your kitchen holding an empty jar and panicking, because now you have to feel emotions. It's when you never think of food in terms of nourishment, or family, or celebration, that's when it's a problem.

So while my eating disorder first manifested when I was twenty two, my maladaptive relationship with food started about 19 years earlier. Which makes changing my beliefs around food and eating even more fun. Rather predictably, I now have an overwhelming urge to go and buy cake, in order to block out the memories I recalled for this post. But I'd probably just throw it up, so why waste good cake?

Bulimia

You might be wondering why, after writing so many posts about my mental health between the ages of 12 and 19, I gave brushed over the next 10 years of my life. From 2004 to 2014 I lived the same life over and over again. I would have a period of being well, then the depression and mood swings would return. I would self harm until eventually I ended up in A&E; be referred back to a psychiatrist; take more medication...round and round and round. Some of the characteristics attributed to my personality disorder were always, and will always be, active. There were however, three significant events during that time that I want to talk about. The next few posts will focus on one of them - the beginning of my eating disorder.

Whenever I have been asked when I started engaging in eating disorder behaviours, my answer is always: when I was 22. At the time I was in a stable relationship, working full time and through a combination of therapy and new medication I had been stable for a few months. I was also very overweight, and that is not an exaggeration or my eating disorder talking. The medication I was taking increased my appetite, and I doubled my portion sizes for every meal. Then my moods started fluctuating again, and instead of facing it I tried to pretend it wasn't happening. Then I started eating whenever my mood would dip to cheer myself up. I have always loved food, so in the short term this strategy was effective. I was filling that hole inside my heart with cake...and chocolate, and sausage rolls and...well you get the picture. As a result, I started gaining weight. But again, instead of facing it, I ignored it, and my weight skyrocketed.

I only have one picture of myself at my heaviest; in it I am wearing an outfit I'd had for a number of years but, as I had almost doubled in size, the flowing baby-doll top was now skintight and bursting at the seams. I don't know how I managed to ignore what was quite literally right in front of my face, but until the day I saw that picture, that's what I did. When I saw that photo, I was horrified and repulsed. My mood plummeted. I became depressed, my mood swings worsened and my fingers were itching to pick up something cold and sharp. I made half-hearted attempts to exercise, but after a few days I would always give up. I just didn't see the point in trying.

I was in the toiler in work one day, hiding in a stall trying to get control over a sudden onset of tears. I had just finished lunch, all I could think about was cutting, and out of nowhere I decided to stick my fingers down my throat. After several minutes my throat was burning, my knuckles raw from my front teeth and my stomach ached from the violent retching. It felt wonderful, that addictive combination of a silent mind and pain. So I started throwing up every lunchtime to help me get through the afternoon. All too quickly, once a day wasn't enough to quiet the tirade of abuse I lashed myself with every waking moment. As I ate breakfast at work it was easy to add it to the purge schedule. I quickly learned the tricks of the trade - ways to ensure I emptied more of my stomach. I didn't see the harm in what I was doing; I had plenty of extra fat to keep me going and really, it was just like taking a Xanax. More importantly, I wasn't self harming right?

I couldn't, or wouldn't, see any connection between making myself sick and self harming. They were completely different, the vomiting wasn't doing any harm. In fact, the vomiting was helping me. My clothes slowly started to become looser, I was actually loosing weight. It was just a diet, and like any diet you had to stick with it. So I started throwing up dinner, as much as I could without alerting my boyfriend. I never questioned why my 'diet' had to be so secretive, but it did. I knew I had to keep it to myself, or it might be taken away. By this point I couldn't go one day without throwing up, I was completely addicted to it. Even when my boyfriend discovered what I was doing, I wouldn't stop. I finally had a way to manage my emotions, to block out my thoughts, and nobody was taking it away from me.

Over the next few years, until about 2012, I would go a week or two without throwing up, but I always went back to it. I had lost a lot of the weight I had gained, and as often happens with bulimia, I hit a certain number on the scales and stayed there. It didn't matter though, the weight loss had always been a bonus. The purging gave me control; it was the only thing in my life I felt like I had any control over. But more on control later.

So that's how it started. Or at least that's what I thought. The thing about eating disorders is, they don't normally spring up out of nowhere in your twenties. The behaviour, the purging, started in my twenties. But I have come to realise that my relationship with food had been distorted long before that.

Don't Leave Me

I attended the day hospital for six weeks in 2004, attending the same groups and covering the same topics as before. While the day hospital gave structure and routine, I came out feeling just as lost and directionless. I returned to work, took a room with a family my dad knew and attended saw my psychiatrist monthly. The appointments were just 15 minutes long and served only to review my medication, and check the box next to 'No suicidal intent'. Still, I took my pills and tried my best to get on with daily life, fake it 'till you make it. Over the years I have spent long periods pretended to be happy; smiled when I wanted to cry; laughed when I was picturing razors and rivers of blood; kissed when I felt dead inside. I worked so hard at faking it that sometimes I can't take the mask off, sliding it into place is as natural to me as breathing. Not once has faking it improved my mood(despite what countless therapists have said), but it makes other people feel better. If you know me, you've probably only seen my real expression because I've had way too much to drink, or you've had the joy of bringing me to or from A&E. Other than that, what you're seeing is probably an act.

Between 2004 and 2014 I continued to battle depression and self harm. I have no idea how many times I had to go to hospital for stitches over the course of those ten years; how many psychiatrists I saw; how many therapists I spoke to; how many suicide attempts I made. If someone else told me that they couldn't count all the times they tried to end their life, my heart would break for them. But the rules are different for me. On my good days, if I think about it, I chastise myself for being such a nuisance. On my bad days, I berate myself for being so utterly useless, for failing so many times.

I had periods of being 'well', months where I was not self harming or in need of medication. But self harm wasn't the only aspect of my personality that was problematic. I frequently drank until I passed out; I racked up mountains of debt through impulse spending; I hurt people I loved and I allowed others to hurt me. I had no control over my emotions, I could go from one extreme to the other in minutes. Nothing was ever bad, it was terrible; I wasn't just happy, I was delirious. Everything I felt, I felt it with an intensity that never matched the situation. I didn't just love you, I loved you and would die if you left me. And I mean that literally. I don't remember ever saying 'If you go I will kill myself', although it's possible I did, but I know that it was definitely implied on multiple occasions. I know how awful that sounds, and there is no justification for such blatant emotional blackmail. My fear of losing the one person who I couldn't live without far outweighed my morals. That would be yet another characteristic of BPD - tendency to form intense and unstable interpersonal relationships.

If you grow up in an environment where love is not always given, or is expressed in negative ways, the one thing you want most in the world is to be loved unconditionally. All you want is for someone to choose to love you, to fill that need inside to be accepted and wanted. As a child I often felt there was something wrong with me, that when bad things happened it was my fault, always. I remember being 7 or 8, sitting at the top of the stairs one night listening to the noise below, and feeling so very cold and unwanted. Once that feeling takes hold, that shard of icy doubt in your heart, it won't let go. We learn to love by being loved, and if your own parents don't love you, there is no way you can love yourself. To this day, age 30, I still can't name one thing I like about myself, let alone love.

So when someone comes along and loves you, not because they have to, but because they want to, it's terrifying. Yes, terrifying. Imagine yourself balanced on a tight rope, arms outstretched, high above the ground. You're halfway across and the air is still, the only sound is your own heartbeat. You're smiling, you know this is your moment to dazzle the world below. You slowly lift your right leg up and forward, and as you lower it back down there is a sudden gust of wind. You wobble, desperately trying to right yourself. Your arms are stiff, moving up and down to counter the motion of the rope. The rope stills, your arms once again stretched out straight on either side, the terror subsides. You mentally shake it off, maybe laugh at yourself to dispel any lingering fear. You refocus on the rope, on that right leg still poised in the air. Then you notice it. Somehow, during the commotion, you arched your left foot upwards. You are now balancing solely on your toes, your right foot is in the air. If you put the right foot down first you risk pitching forward. Equally, if you put down your left heel first you could fall back. You look down at the ground, down, down, down. The fall will most likely kill you, and if not the pain will make you wish you were dead. You freeze right there in the middle, one false move and it's all over.

Being loved when you don't think you deserve it is like being on that wire. One false move and it will be taken away, the one thing you want more than anything else is the one thing that can destroy you. Everyday you are afraid, of loosing your balance, of loosing love. You let the fear have control, you torment your partner with your insecurities. With baseless accusations. With your insatiable need for reassurance. The more they try to reason with you, to affirm their feelings, the worse it gets. You get smaller and smaller, as the relationship consumes you. You can no longer see yourself outside of the pair; you just want to make them love you every second of the day, even if you drive them crazy in the process.

It took me a long time to figure out who I was on my own, including a small relapse into the land of promiscuity. I still don't like who I am, but I know that I'll still be the same person alone. I know I can be alone, I don't need someone else to survive. Depression does not care what your relationship status is on Facebook, but neither does happiness.

Snickers

Forgive me for the lack of posts recently, I have been struggling over the last two weeks and the keyboard was too daunting to face. Ironically, blogging is one of the coping strategies that help me stay on track when I'm struggling. Keep up the good work brain, god forbid you made sense for even a minute.

I'll stop the self-flagellation there lest I scare you away. If you are even there, perhaps I am just sending my thoughts out into cyber space, to drift unseen as 1s and 0s. Maybe I should throw in some flagged words so some analyst in a bunker somewhere in Idaho has to read my blog... Anthrax are a band I like; I also like to watch The Strain, which is about a scientist from the CDC caught up in an outbreak of an unknown virus which causes strange mutations. Heroin is a narcotic, according to the news it is regularly smuggled out of Mexico by drug cartels. Tijuana is a city in Mexico, I don't think they get much snow or ice there.

Okay I'm done annoying Tim from Homeland Security, sorry Tim.

North Korea.

Sorry, last one, I promise.

But seriously, a ridiculous number of those words are allegedly flagged. I mean have there been viable threats involving ice? Angry Eskimos? Hoards of ice cube wielding Yetis? *Gasp* Is Winter coming?

Back to the matter at hand, me being nuttier than a Snickers. After being kicked out of my college dorm I stayed in a hotel until I ran out of money. Then I slept on a friends couch for a while, trying to make it to the end of the semester before facing my parents. I had no hope of passing any exams so I didn't even bother opening a book. Instead I continued to self medicate with drugs and alcohol and slice my arms and thighs open whenever I could. As you can imagine my memories of that time are hazy, but there is one moment that stands out among all the chaos.

I was outside with a group of 1st year students I knew. If I'm honest, part of the reason I had initially befriended them was because most of my existing friends had come to a point where coursework was given priority over the more hedonistic aspects of college life. This approach did not fit in with my self-destructive lifestyle, so I needed new playmates. As a happy coincidence they were all interesting, smart and funny people.

So we were outside one day, sitting under a tree on campus. Everyone was laughing, joking, making plans for the weekend and I was sitting slightly back from them, enjoying the speed I had just sucked up my nostrils. As I looked at them I was struck by this overwhelming sense of loss, there was a sudden wrenching in the pit of my stomach and I had to close my eyes to hold back the tears. I realised that I was looking at something I would never have. This group in front of me represented everything that was lost to me - the future, possibilities, happiness. That was the first time I really believed that my suicide was a foregone conclusion. That it wasn't something that might happen, something to dream about when my thoughts grew to heavy. It was my destiny, the only mystery was when. It's a strange thing to accept your own death as fact, terrifying and liberating at the same time. After that day I no longer needed others to give me an excuse to misbehave, I threw myself head first into being as stupid as possible. It was a wonder I had any friends left, so many of them had to carry me, hold my hair or patch me up. Or just generally be in my obnoxious presence.

Luckily (or unluckily depending on how I'm feeling) I hit a speed bump on my way out of life. I had taken to smashing pint glasses and self harming in toilets on nights out. One night, unsatisfied with my attempts to cut my wrist, I decided to stab myself in the stomach. I won't go into the gory details, but it was pretty disgusting. At this point I was self harming nearly every day, I knew what I was doing. But every so often, you make a mistake. You press too deep, or whatever you're using was too sharp or you just got a bit too enthusiastic. Whatever the cause, there's a split second where you realise you've messed up and time actually stops. Everything freezes. And then it happens, before you can even blink its like the elevator doors opening in The Shining. If anyone reading this has ever self harmed, you'll most likely know exactly what I'm talking about. Well this was one of those times, I knew immediately I had gone too far. I was drunk, in a dingy pub on a night out and there were at least two hours of drinking left. So I did what any rational person would do, i wrapped toilet roll around myself and pulled back down my top and wandered off into the night. I lasted about 5 minutes before the toilet paper failed and I was rumbled.

I eventually allowed myself to be brought to A&E the next morning, where I was stitched up and referred for a psych evaluation. My mother was called, and after she spoke to the psychiatrist she told me that if I didn't sign myself into the nearest psychiatric hospital I would be sectioned. This was a lie, but one told with good intentions (I've only come to terms with that lie in the last year, it was a serious point of contention for many years. When we arrived at the hospital I was put on the closed ward, intended for acutely ill patients, including those who are a danger to themselves or others. As I was considered a suicide risk I stayed on the ward for five nights for assessment. My first time as an inpatient was both frightening, and enlightening. Fortunately my doctor decided to release me and refer me back to the day hospital programme I had attended the previous summer. It felt like I had come full circle and was back at the beginning, or the end.

The Idiots Guide to Making Things Worse

From the moment I started my second year in college, I knew I was in trouble. From the outside it appeared that I was back on track after my 'difficulties' the previous year. I had passed my repeat exams and made it into second year; I was living on campus, which gave the illusion of being more suitable for academic success than rented accommodation; I had a part time job at a pharmacy to pay for day to day living expenses and I was medicated and seeing a psychiatrist monthly. I was now ready to move forward with the next stage of my life, a healthier and happier person.

If only life was so straight forward.

Six weeks of group therapy and some pills were never going to undo six years of using self harm to cope with emotional turmoil and distress. More importantly, they weren't going to erase the childhood problems that had led me to start self harming in the first place. Your past experiences are an integral part of who you are, and when I returned to college I was the same person. My fear of abandonment was now a reality. I had, in my mind, been banished by my family. I felt unwanted and this feeling fueled the cacophony of self-abusing thoughts in my head. Coward, damaged, disgusting, disappointment, failure, freak, lazy, liar, obnoxious, stupid, selfish, ugly, useless, unkind, uncaring, unlovable...unwanted. The self-loathing I felt was so intense that at times I felt it would burn me up from the inside. I knew that there was something fundamentally wrong with me, and no amount of medication would fix it. I was trapped in a loop; on one hand I understood that I was a bad person, and therefore couldn't to be loved or accepted. Yet I craved validation and love from others so much, that I hid how broken I still was, because people knew the truth they would rightly reject me. Please love me, even though I know you can't.

The mental pain I felt only intensified when I began living on my own. Almost immediately I began self harming again. Despite my six weeks in group therapy, I didn't know any other way to quiet the war in my head. Cutting myself became a way to survive my own thoughts, while also punishing myself for my imperfection. The problem with self harm, and most maladaptive coping strategies, is that over time they become less effective. You have to up your game, so to speak. Cut more often, cut deeper... eventually you need some other way to numb the pain. So I went looking for new ways to self destruct.

Let me be clear, the choices I made at that time were entirely mine. I in no way believe that my depression or personality disorder excuse my behaviour. BPD doesn't rob you of your ability to see right from wrong, and more often that not it will cause you to see things as good or bad in the extreme, there is no grey area.

As discussed in a previous post, I used casual sex to try and feel like I was wanted. Looking back I can see that one night stands, by their very definition, would probably make me feel unwanted. But I persevered, not linking my diminishing self esteem to what I was doing. And then there was the drugs. I started out smoking hash, although I rather quickly lost interest in it. It didn't stop the din between my ears and tended to make me nauseous. Ecstasy on nights out was a frequent indulgence, changing me from self conscious and melancholy to a happy, dancing twat. The drawback was the come down the next day, I always seemed to fall down much further than I had climbed. But speed, oh how I loved speed. I would snort a line anytime of the day. It made my head spin, gave me energy, made me forget why I was sad five minutes ago. I was in love with a narcotic, it blocked out all the pain and fear. It blocked out most feelings, other than the feeling that I needed more speed.

The problem with using drugs as an emotional crutch (other than the fact that they can kill you) is that they aren't actually fixing the core issue. In the short term they were the answer to my problems, but it was like putting a plaster over a gaping wound. It stemmed the flow temporarily, but eventually everything would start seeping out. You keep sticking more and more plasters over it, but eventually the whole thing is going to fall away, revealing the festering hole underneath.

I became more and more reckless, acting on any impulse without pause. I self medicated with drugs and alcohol, I abused my body through self harm and empty encounters, I tore away at the last vestiges of self respect I had and became a hollow, parody of myself. I was so busy self-destructing there was no time for academic endeavors, I attended three lectures over the entire year - the first one for each subject. I fumbled my way through the mandatory practicals, relying heavily on my lab partner to pull me through them.

Then, somehow, I managed to make things even worse. There are many versions of this story, several from my own mouth, but what follows is the truth. I was lying on the couch in the living room one night, smoking and watching television when I was supposed to be studying a years worth of printed lecture slides on the floor beside me. I wasn't completely sober, having stopped off at the student bar after printing said notes. As I lay there, alone, I looked down at the reams of paper and knew that I had no hope of passing my exams. It simply wasn't possible to cram a years worth of information into ones head in a week, and even if it was, I didn't understand half of them. I was going to fail second year, I would have to endure my parents disappointment again, and I had no-one to blame but myself. I pushed back the wave of panic that hit me, what was the point in panicking? This was just one more bit of evidence to back up what I already knew, that I was a failure. I felt nothing then, empty, but I was comfortable with empty. I stretched my hand out and very slowly pressed my lit cigarette onto the top of the pile. I didn't need the pages, they were better suited as an ashtray. I felt the last threads holding me to the world, pulling me toward a future life, slip away. I wish that was how the movie ended, a dark and foreboding final scene, the camera slowly closing in on my lifeless eyes before fading to black....

But a crazy thing happened, the pile of paper started to smoulder. I know, flammable paper, who could have foreseen such a thing? Interesting fact, a large block of printing paper won't burst into flames, but it will create a lot of smoke in a very short space of time. Queue me jumping up to grab the fire blanket(Don't ask, lets just blame the alcohol, flinging it dramatically over the paper, which just created even more smoke. My brain finally decided to join the party, I replaced the blanket with a pint of water, crisis averted. Or at least it would have been, if my flat mates hadn't come home at that exact moment to a hallway full of smoke. They were strangely not at all reassured by my attempts to explain the situation, and swiftly fled the scene screaming about carbon monoxide. And possibly something about me trying to burn the building down. Stranger still, when the accommodation manager arrived he refused to accept the explanations of the drunk, weird girl in the dog collar over the well mannered, pleasant girls from the country, and also decided I had tried to burn the building down. Should you ever find yourself in a similar situation, I don't recommend trying to defend yourself by starting any sentence with 'If I really wanted to burn the building down, I would have...'.

So, in less than a year I went from being 'back on track' to being evicted from my dorm under suspicion of arson, a guaranteed failing grade in every subject and my mental health was worse than ever, thanks to my brilliant attempts to escape life with mood altering substances. In short, I had destroyed what was left of my life in spectacular fashion. Looking back, I try and find some humour in what occurred back then. It does me no good to lambaste myself for something long since passed. But if you read this, and are struggling, numbing the pain will only work in the short term. Eventually whatever method you are using will stop working, and the sorrow and desolation will still remain, darker and hungrier than before.