Rachel – Interview 29
Rachel didn’t have contact with mental health services until she was 19. Since then she has been to hospital 7 times but now has a direct payments support worker and is monitored more regularly. She now does voluntary work, looks after her son, lives independently and has done an art course.
Rachel didn’t have any contact with mental health services before her parents split up when she was 19. When she became ill she was working in a psychiatric hospital for the elderly. She felt suicidal but says it is difficult to describe it now as she can’t remember. She got the diagnosis of schizophrenia at this time. Rachel has been in hospital seven times, sometimes voluntarily and sometimes she said they would leave you ill for too long a time period’ so that she was sectioned. She remembers losing the plot’ and being very disturbed’. She went to University to do a BA and MA and had four good years of not being unwell at all’. Her dad suddenly died in an accident, but because of the inheritance she was able to do a lot of travelling. So she felt as a result of something sad, she was able to enjoy university days. After university she got periods of unwellness that didn’t have direct triggers. Sometimes she felt that she was getting high and feeling better’ when she wasn’t as organised with [her] medication’, but now this is brought to her house in blister packs and she is monitored’. A CPN visits her house every three weeks. In previous places where she lived she wasn’t checked up on, but now she has regular visits and a good standard of care, in which a CPN would visit, if she had missed an appointment, in order to say How are you?’.
Rachel now has direct payments and has a direct payments worker who comes Monday to Friday; Rachel then looks after her son or visits her parents at weekends. She says she is better without her own company’ and finds it nice to have someone around. She visits a service user centre in the afternoon and finds that working has been a real tonic’. For three years she’s done an art course. She has had a problem putting on weight’; however now she does exercise on prescription and is going to do a gym induction. She has put on weight because of the medication, and sometimes finds the medication very sedating’ so doesn’t want to take it when she gets too tired’. If she doesn’t take her medication for a few days she can’t sleep, as she has a tendency to be high’ with the mania of bipolar disorder’. Having medication in blister packs, being seen at home, having direct payments and going to a service user centre have all been for Rachel tools of staying well’ after quite a long stint of having periods of ill health’.
Rachel took Stelazine when she was diagnosed with schizophrenia. Now she has been on Lithium for quite a number of years and she’s also taking Epilim Chrono (Sodium valporate) and Risperidone for her psychosis. When she’s unwell she takes Diazepam, Clonazepam, Temazepam and Haloperidol. She felt quite drugged up’ when she was unwell, but didn’t want to go into hospital because of the atmosphere of unwellness, so if she stays at home her recovery is quicker’. Rachel has had three different types of therapy, and had a really connected relationship to an eclectic therapist’. Rachel says the psychosis is amazing’ as you can have good experiences and bad experiences, seeing amazing paintings and having auditory hallucinations of beautiful music. She has also had hallucinations where she felt things crawling up’ her, and in one incident she thought she was being raped as she felt vulnerable’ in a mixed sex ward and it was manifesting in [her] head’. She finds psychosis very powerful’ and the voices can be very negative’.
She says that she lost quite a bit of [her son’s] childhood’ as she was in hospital and moved away. She feels that the relationship that he has had with her has affected him and feels very guilty’.
Rachel always read up about’ her diagnosis and made sure that she got what she was entitled to when it came to support, and recommends others to do the same. She has also always read her notes. She thinks it’s important to be given a diagnosis, and feels that you need to read up a little bit, in order not to take somebody else’s word for it’. She is now diagnosed with schizo-affective disorder and borderline personality disorder. She is currently doing a recovery course and feels that she isn’t 100%’ but about 85%.