Rachel – Interview 14
Rachel said she had a happy childhood until she was sexually abused by an elderly uncle. As a direct result she became anorexic and was then in touch with psychiatric services. Rachel’s father died when she was 21, and she was hospitalised for the first time at 27. Now Rachel does voluntary work, does plenty of exercise, and has learned to be kind to herself.
Rachel describes her life before services as fairly fraught’. She said she had a happy childhood’ up until she was sexually abused by an elderly uncle. She said of the incident You walk into a room with a head full of ponies and flowers and a little girl, and you walk out completely different and your life is never the same’. As a direct result of the abuse she was anorexic during her teens, weighing 5 ¬¨¬®≈í¬© stone, and was in touch with psychiatric services.
When she was 21 her father died in circumstances that were incredibly traumatic’ and she was left with an immense amount of anger and sorrow’ that she could not resolve. At 27 had a complete psychotic breakdown’, having received very little help from her then G. P.
She describes the experience of psychosis as the most terrifying thing she has ever dealt with. Her first experience occurred when she was alone at night and she heard voices and started to hallucinate visually. She stabbed herself in the liver because [she] believed the world was going to end, somebody was going to break into [her] house and murder [her] mother and the physical sensations [she] had of just being about to explode, literally [she] could feel [herself] inflating. [She] just did something out of desperation to stop that feeling.
After surgery she was admitted to psychiatric hospital and found the experience fairly traumatic and became catatonic for a short period of time. She would go into and out of psychosis because it [was] a very highly-charged atmosphere. On her first admission she was given a diagnosis of anxiety/depression. She also had a care worker who treated her unprofessionally and she made a complaint against him. Having been in hospital for 3 months Rachel was discharged, and describes having to re-integrate herself into society as really not an easy thing to do because you have this incredible experience that you just can’t discuss with anybody’. Rachel believes there is a great stigma concerning mental illness, but although you have to be incredibly careful who you discuss it with, it’s vitally important that you do. She had a very good psychologist whom she saw weekly, and also took advantage of therapies such as anxiety management and relaxation. Over the next few years she built up her own business which, although successful, was also incredibly stressful. She found herself unable to cope with the workload and had another psychotic episode that required hospitalisation.
She was re-diagnosed by a psychiatrist as having schizo-affective disorder, and she believed that’s the end of [her] useful life. Having discussed her history of an eating disorder with the psychiatrist she was put on Risperidone, and was assured that the drug did not cause weight gain. Subsequently she gained 2 stone, ceased to menstruate and became very restless and anxious. With the help of her psychologist she came off Risperidone, having found that her levels of the hormone prolactin had been affected by the drug. Rachel had difficulty describing psychosis to somebody who had never experienced it, particularly her carer at that time, and got a great deal of help and information from Rethink about severe mental illness which helped her in coping with and understanding her condition. She found that it’s not just what goes on in your mind, it’s how you feel physically, and she coped with her symptoms by using anxiety management and mindfulness techniques the things that are going to help practically to control voice hearing, particularly in public. She describes how voice hearing can make you feel incredibly persecuted and that what is so unnerving about the voices that you hear is that they do seem to know what makes you tick. Rachel finds stress a huge factor in severe mental ill-health and she monitors what she watches, avoiding horror films and the news, as she found the politics of the Cold War in the 80s and the threat of nuclear war just horrifying.
Rachel has found that she would rather be on medications that have few side effects, as some of the psychiatric medications are horrendous, and prefers to deal with her difficulties through a broad spectrum approach.
Rachel describes recovery as such a precious thing and for her it is when [she doesn’t] have overwhelming symptoms and is able to function.
Instrumental in her recovery was attending a therapy group to deal with issues surrounding her sexual abuse which took [her] childhood away. It enabled her to understand the nature of abusers and deal with what happened. She also has a partner with schizophrenia who provides her with an incredibly loving relationship, the support of some very good, understanding friends, and a very good CPN.
Although the impact of the diagnosis of schizo-affective disorder was devastating, the best thing she did was to accept it and move on to what she was going to do about it. She said The more you can find out about the condition you have, the more you understand it and the less frightening it is.
She has joined a gym under a scheme for improving the physical health of people with mental illness, and advises to people to be kind to themselves and not over-critical, to use insight and to take a deep breath, take your courage in both hands, get all the help available to you, have the courage to work at it and give yourself time.