Mental Health Update (May 2021)

Trigger Warning: This post contains mentions of self harm, but it’s simply a statement that it happened and there are no descriptions, graphic or otherwise. If this could upset or trigger you, please don’t read any further. Please always put your mental health and emotional state first.

So we’ve reached the last semester of the Master’s, with the big, final project that we’ve ultimately been working towards throughout this whole course. It’s a big deal, exciting and scary because – obviously – I want to do well and create a project that I’m proud of. But I am worried about my health, mental and physical, getting in the way and making it a difficult to both work hard and enjoy the process. So I thought, with all of this in mind, I’d write down where my head’s at and how I’m doing – I guess, so that I have a record of how I’m feeling right now, at the very beginning of the project.


At the moment, my biggest difficulties seem to be chronic fatigue and pain that are a result of my recently diagnosed Hypermobile Ehlers-Danlos Syndrome. I’m tired and sleepy all the time; some days, I can barely keep my eyes open during the day. While the physical tiredness is likely due to the hEDS, at least in part, we suspect the sleepiness is due to my antidepressant, Phenelzine. I want to switch to something else as soon as I can but mid-Master’s is not exactly a great time, given how long it generally takes for antidepressants to take effect and my track record of reacting badly to all but Phenelzine (so far, at least). So I’m having to just put up with that, with the dwindling help of Red Bull.

The pain has been really bad, particularly in my legs, arms, and back. For months, I’ve been taking painkillers daily but I feel like, over the last few weeks or so, it’s started to get slightly better. I’ve been doing the Occupational Therapy exercises for my wrists and hands and I’ve been able to start swimming again (yay!), both of which do cause pain of their own but it’s a very different pain and actually wears off pretty quickly while the hEDS pain tends to just get worse and worse unless I take painkillers. I’m getting better at figuring out where my limits are and stopping before I overdo it – most of the time. It’s hard but I do feel like I’m seeing progress.

My depression has been okay recently, much less of a problem than it has been in the past (she says while still on the ‘end’ of one, but I’ll get to that in a minute). I had one awful episode at the beginning of April, which did result in self harming. And then I had another episode last week, which I’m still feeling even if I’m not drowning in it anymore (it was kind of forced to the back burner by the worst migraine I’ve ever had). Both episodes were triggered by really upsetting news; they didn’t come out of nowhere like they sometimes do.

My anxiety has been a lot to deal with, but then there have been a lot of things to be anxious about: keeping up during the semester, the assessment and doing well in the module, all things COVID related (I’ve developed this weird house-separation-anxiety-like-thing whenever I’m out of the house too long, which is horrible), all of my health stuff, preparing for the new module and final project, trying to balance everything in my life, and so on. It’s exhausting and has a knock on effect; the rest of my mental health issues are all affected by my anxiety.

The two areas that are most tightly linked with my anxiety, I think, are my Trichotillomania and my OCD. My Trich hasn’t been too bad of late – not great but not unmanageable. But my OCD has been much more of a struggle lately than it sometimes is. I wrote about it in general here (so if you need a refresher on what my OCD is like, this is probably a useful read) but with everything going on recently, it seems to have kicked up a gear. I just can’t seem to do everything and then write all of it down; there aren’t enough hours in the day, which just leads me to getting more and more behind with everything, which just makes it worse and worse. Again, it’s just exhausting. I feel suffocated by it but I don’t know what to do about it; it feels like the walls are closing in around me and there’s nothing I can do to stop them.

As for autistic meltdowns, I haven’t had many of late. I think that’s because, despite my anxiety, I’ve had a really good few months. As I said in my previous post, this last university module and all the writing that came part and parcel with it was really good for me and I felt really good in myself so, in general, things didn’t build up to the point of meltdown. There were a number of occasions where something took me by surprise (for example, an unexpectedly triggering advert – I hadn’t even known that it was something that would trigger me so that was unfortunate for everyone) and I had a meltdown but as things go, it’s been better than it has been.

I’m not entirely sure how my ADHD manifests yet, having only received the diagnosis recently. If only it were as simple as getting the diagnosis and everything making sense… So I still have work to do in that regard. But I’m fairly certain – as certain as I can be at this point – that my issues concentrating and the feeling of my brain working against me are part of this picture. For the moment though, I’m in the dark about all of this. I’m in an impossible position medication-wise (I’m going to write about this in more detail at some point – it’s just that I’m still processing it all) so I’m stuck and unsure how to manage these problems. It’s frustrating and tiring and I wish there was an easy answer. Or even an easier one than I’m currently faced with. But there doesn’t seem to be. So I’m not sure where to go from here.

And the newest problem – because I really needed more problems… – are these migraines that I’ve been having over the last month. In the past, I’d have a migraine every few months or so but recently they’ve been different. They’ve been completely debilitating, painful to the point that I’ve ended up in A&E and had to have an ambulance called to the house because they’ve been so bad. They’ve also gone on for days when previously I could sleep them off and they’d be gone in twenty four hours. I’ve yet to find pain relief that does a decent job and I find that very scary. Calling 111 and them sending an ambulance because I was in so much pain but so light sensitive that even a darkened room felt too bright is a big deal and I’m scared of what’s next, of how it could get worse. I don’t know what’s causing them and no one else seems to either.

And finally… I’ve been the most consistent with therapy I’ve been since the pandemic began, even if I still find it hard and less productive when doing it over Zoom. But it’s looking like we’ll be back to face-to-face soon, which is exciting if scary – as I said, I’m finding it quite stressful to be out of my house. But hopefully, therapy will go back to being as helpful as it was pre-COVID, when it was face-to-face all the time. I don’t know exactly why it doesn’t feel the same over Zoom – maybe I find it harder to connect and talk about the hard stuff when I’m not in the same room as my therapist – but it just doesn’t, so I’m looking forward to getting back to the room.


So that’s it, I guess. This is my mental health (and I suppose, physical health update) before I start the final module of my Master’s, The Major Repertoire Project. Everything feels very messy and complicated right now, which isn’t exactly reassuring. I want to do well in the module, of course, but I also want to really enjoy it and really get the best out of it. The module doesn’t officially start until tomorrow but I’ve already started working on my project. I’m so excited. I just hope I can manage it with all of this other stuff going on.

Everything Changed For Me This Year (Autism Awareness Day)

Autism Awareness Day always has a theme. Officially, the UN sets the theme but different organisations also choose their own themes; for example, I know that autistica has chosen the theme of anxiety. The official theme (the one set by the UN) is ‘Inclusion in the Workplace: Challenges and Opportunities in a Post-Pandemic World.’ I don’t feel that there’s really anything useful I can add to that conversation, given that I’ve never been well enough to have what society would consider a proper job and that the career path I’m following doesn’t really involve traditional workplaces. So, instead, I thought I’d write about something different, something that has been a really big deal for me this year.

For so long, I just felt like I was broken. And I felt like I was broken in so many places. I couldn’t understand it. Getting the Autism Spectrum Disorder diagnosis helped but there were still all these cracks, all of these problems that no one could make sense of. I had mental health problems, I had chronic fatigue, I had chronic pain, and so on. Nobody could figure out the whole picture and at worst, I was just abandoned by medical professionals, told that my case was just too complicated. That was the most painful part, I think; these people, many of whom it was their job to help with situations like this, were willing to let me continue to struggle rather than put in the effort and help me. It made me feel like I wasn’t worth helping, the toxic best friend of feeling like I was broken.

But in the last few months, with the help of several new medical professionals and some more diagnostic work, the pieces have all slotted into place and, I think, we might finally have the whole picture. So this is the timeline, beginning in 2016 (I might add dates later but I don’t have them all to hand right now).

(I’ve covered some of this before but I think it’s necessary if we’re talking about said whole picture.)

  • I was diagnosed with Depression and Anxiety by one psychiatrist.
  • I was diagnosed with Depression, Anxiety, Social Anxiety, Obsessive Compulsive Disorder (OCD), and Borderline Personality Disorder (BPD) by my long term psychiatrist.
  • I was diagnosed with Autism Spectrum Disorder and had the BPD diagnosis confirmed at the local Neurobehavioral Unit.
  • My therapist explained that my mental health issues, particularly my BPD, may have stemmed from the continued invalidation of my ASD.
  • A few years passed.
  • After a discussion with my psychiatrist, my mental health related diagnoses were updated, changing to Treatment Resistant Depression (TRD), Generalised Anxiety Disorder (GAD), and BPD.
  • I was (re-)diagnosed with OCD after further sessions with my psychiatrist.
  • My GP diagnosed me with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) when we could find no obvious cause for Chronic Fatigue I’ve been dealing with since I was twelve.
  • A couple of years passed.
  • I started to develop Chronic Pain that got dramatically worse over a period of several months.
  • I was referred to a specialist who diagnosed me with Hypermobility (apparently individuals with Hypermobility are seven times more likely to be autistic), which led to a diagnosis of Hypermobile Ehlers Danlos Syndrome (hEDS), explaining my Chronic Fatigue and Chronic Pain as well as a number of other ‘smaller’ symptoms that, due to the bigger problems, had been ignored. This, as far as I can tell, makes the ME/CFS diagnosis void.
  • I was also diagnosed with Attention Deficit Hyperactivity Disorder (ADHD), many of the symptoms overlapping with my ASD, during the same period.

And suddenly all of the pieces started to click together:

THE MENTAL HEALTH ISSUES (TRD, GAD, OCD, AND BPD) AND ADHD ARE, AT LEAST IN PART, CONNECTED TO MY ASD.

MY ASD AND HYPERMOBILITY ARE LINKED.

THE HYPERMOBILITY LED TO A DIAGNOSIS OF hEDS, WHICH EXPLAINS MY CHRONIC FATIGUE, CHRONIC PAIN, AND OTHER PHYSICAL SYMPTOMS.

Discovering that it’s all connected has been a really helpful and comforting revelation. I’m starting to see each condition as a star in one big constellation and that’s a hell of a lot better than feeling inexplicably broken in multiple places. I still have to deal with everything that comes with each of these conditions, of course, but knowing that they’re all part of the same picture does make my health less draining to think about and manage. It all makes more sense. And I am a person that needs things to make sense. So this is all a really big deal.

Goals for 2021

I think it’s safe to say that we have no idea what this year is going to look like so making resolutions or goals could seem a bit pointless. But considering everything last year, I did make some recognisable progress with my 2020 goals, something I’m really proud of considering how much I was struggling. Yes, it’s a bit of a shot in the dark to make any sort of long term plans this year but I find that having goals like these give me some direction, some structure, which is especially helpful when I currently have so little external structure in my life. (As I said in my previous post, I prefer goals to resolutions: I find that resolutions create unnecessary pressure whereas goals help me to focus on particular areas. That works better for me but then I’m sure that that pressure is helpful for others.)

Since we don’t know what this year will hold, I’m still going to make goals. If I have to abandon them, then so be it but otherwise, they’ll hopefully be a helpful tool in moving through the year, creating some internal stability if nothing else. I’m hopeful that I can make progress in all of these areas: in my physical health, in my mental health, and in my work.


FIND A RHYTHM IN THERAPY AGAIN – The pandemic and lockdown have really thrown a wrench in my therapy sessions. Not only have they been physically disrupted, in the sense that they’ve moved from in person to online, but the pandemic has done such a number on my mental health that I couldn’t even cope with going to therapy for a while. And now that I’m going again, I feel like I don’t know how to do it anymore. I have a really good relationship with my therapist so I don’t know why I’m finding it so hard to talk about stuff; we just end up catching up about what’s happened between sessions. I really want to find a way back to the place where we really dug into things, the big things that affect me and my mental health. I’m not sure how to do it but my therapy sessions are so vital that it needs to be done so we’ll have to figure it out.

PROGRESS WITH MY INVISIBLE BRACES – Given how up and down last year was, I’m surprised I managed to wear it at all but this year I really want to build and embed the habit in what daily routine I have. The main problem is that, often, I’ll need to take a break and suddenly I haven’t worn it in months. So I also want to work out how to take a break without completely breaking the habit.

WORK ON MY CORE – For hypermobile people, the core muscles are particularly weak, which can cause referred fatigue and pain throughout the body. When I was diagnosed, the specialist asked what exercise I did and I talked about how much I loved swimming, how good it feels to exercise without having to bear the weight of my body. She said that swimming is the best possible exercise for a hypermobile person, especially someone actively dealing with pain and fatigue. I certainly didn’t need the encouragement to swim more. Where possible (in the context of the pandemic and lockdowns), I want to keep swimming as much as I can, as well as practicing the basic hydrotherapy exercises I’ve been given. I don’t know when my referral for hydrotherapy will actually go through, when I’ll actually get sessions, but hopefully it won’t be too long and hopefully that will help with the fatigue and pain.

COMPLETE MY MAJOR REPERTOIRE PROJECT – The final module of the Masters is dedicated to researching, writing songs, and creating a body of work around a particular subject. I’ve been really looking forward to this module, and hearing about the subject matter investigated by my course mates from last year (familial connections, identity, and gender transition, for example) and the work they created has only inspired me more. I have multiple ideas that I’d love to work on, although there are two that stand out more than the others. So I’ll have to choose at some point but we’re encouraged to remain open until just before the module starts. I’m so looking forward to really diving into a project and hopefully I can use my enthusiasm to help me get the best grade possible.

FINISH MY MASTERS DEGREE – By the end of September, I will have finished all of the modules and assessments of the Masters, all being well. With everything that’s happened since the start of the Masters, just finishing it will be an achievement in its own right but I really, really, really want to do well. It would be incredible to get a Distinction (that would be my ideal scenario) but, as I said, with everything that’s happened and how much I’ve had to deal with, that may not be on the cards. It might be initially disappointing to end up with a Merit but I know that, given some processing time, I could get my head around it and be proud of it.

MAKE SIGNIFICANT PROGRESS IN CATCHING UP WITH MY DIARY – Due to my university work and the ups and downs of my mental health, I’m majorly behind with my diary (although I do keep rough notes) and while I’m not sure how I’m going to manage this, I want to get the situation more under control. Being behind just causes me so much anxiety. The university work isn’t going anywhere though and I want to do my best there so I obviously need to find a solution to this problem before I can start implementing it. I’m hoping therapy can be useful here.

WORK ON NOT COMPARING MYSELF TO OTHERS, ESPECIALLY WHEN IT COMES TO MUSIC – This was a goal last year but between the pandemic disrupting the entire music industry and my sporadic therapy attendance (in which I’d planned to work on this issue), I didn’t make nearly as much progress as I would’ve liked. This is what I wrote last year and I think it’s still fairly accurate:

This is probably the hardest one and a lot of the time, it feels unbearable to even think about. While I need to work on not comparing myself to others in general – in all situations – I figure that’s too big a task for such a difficult feeling so I just picked one area. Music has always been my happy place and I want it to stay (or go back to being or something) my happy place and it’s not, when I look at other artists and feel lost and sad and lonely and angry and bitter. So I want to work out – probably with therapy – how to focus on me and not worry about other artists beyond a practical, objective sense. This feels really, really hard so I don’t know if I’ll manage it in a year or whether I’ll even manage to start but I want to so I’m trying to think about it and figure out a place to start because I don’t want to feel all of these things. I want my happy place back.

Having released more music and received good feedback over the last twelve months, I think my self-esteem and confidence is a bit higher but it doesn’t take much to tip me into that black hole. I really, really want that to stop happening so whatever it takes to avoid those feelings (for the majority of the time, at least), I’m willing to do it and do it for as long as necessary. I want music to be a positive part of my life, not something that’s draining.

FIND MY NEXT PROJECT – As I’ve previously said, there is more content coming that’s part of the Honest project but now that all of the tracks and music videos have been released, I want to work out what my next project is going to be, what the next creative goal I want to work towards is. I may find it during my last two Masters module, I might find it after, or it might find me. I’ve got a lot of ideas I want to explore so I guess it’s just about figuring out which one is the best fit for me in this particular period of time. Whatever it turns out to be, I’m excited. The Honest EP has been such a gift, such a wide and wonderful experience, that I can’t wait to see what the next project has in store for me.


As I said, we have no idea how this year is going to unfold so I don’t know what I will or won’t be able to achieve (in terms of what’s possible with the pandemic and my personal health – physical and mental – in the mix) but these are the areas of my life that I want to work at. If nothing else, last year showed us how strong and adaptable we can be, so who knows: maybe I’ll make progress in all of them or maybe I’ll make progress in entirely different things. I guess we’ll just have to wait and see…