Eat Your Food, Take Your Meds

Have you ever thought is strange or inconvenient that you need to eat every single day, multiple times a day? Think about it for a moment. Every day we need to eat. What would life be like if we didn’t need to eat every day, multiple times? More convenient? Time saving? Resource saving? Picture this.

You wake up in the morning, pop the kettle on and make your breakfast. You sit to the table as you do every morning, and you stare. You are staring at your food wondering why on earth you need such sustenance to survive, pondering the meaning of this breakfast before you. You flirt with the idea of going without the food. The idea flirts back. You think “fuck it!”, pinch your nose, screw up your face and close your eyes. You jump feet first into the deep waters of curiosity to see whether or not you swim. It doesn’t kill you immediately but you don’t quite glide through the water either. It makes you uncomfortable but still you tread water, keeping your head bobbing beyond the surface. You are surviving. It makes you feel a bit queesy, a bit confused and a bit off. Perhaps you need to just muscle through? Brute use of sheer willpower is definitely what is needed. You knuckle down and do some problem solving, still bobbing. Maybe you just need to learn how to survive and thrive without the food, just as our ancestors adapted, you can too.

Missing one breakfast won’t have a huge effect on your health. It certainly won’t kill you. Perhaps you peruse, eating is a habit that can be changed. Are you addicted to food? The phrase is currently brandished across headlines after all. You continue with your plan to keep missing food at more meals and subsequent breakfasts. It starts to wear you down. You feel rough, you feel edgy, and very much unlike yourself. This is when the going gets tough. This is your time to rise up and adapt as your ancestors did.

With time you begin to realise that thriving this way is absolutely impossible. The next day at breakfast you pop the kettle on and prepare your food. You sit down and feel grateful for having changed your mind about eating your food at breakfast. You are relieved that you can sit down and eat your food, comforted by the knowledge that you have tried and tested the curious alternative. You eat your breakfast. This experience does not make you immune from dabbling your toes into this pool of ponders again because always, what if? Do I really? And is it so? Float around our mind.

I wasn’t talking about food very much at all; this is an experience I have with my daily medications, particularly my main Quarterback, Quetiapine. Quetiapine is an atypical antipsychotic that is pretty nifty medicine. A common occurrence in those living with Bipolar Disorder is that once feeling well and stable for a while, we wonder if we are ready to come off of our medications and manage without them. Sometimes we’d wonder if we were ever unwell at all, is it all a fallacy.

It makes sense that we experience these episodes; when you feel well why would you continue to take medicine every day? The catch really is that we are well because we take the medicine every day – and that can sometimes be a difficult idea to hold on to when you think about how well you are now with your healthy coping mechanisms and social support network, your backlog of lived experience and a well stocked kit bag of coping tools.

Every single time my Quetiapine goes below a certain level I become unwell. I am familiar with the territory because the ways in which I become unwell are ways that I have spent years of my life living – the same symptoms and experiences relapse into the forefront of my life and very very quickly I lose my ability to think, be rational, function, get up, be motivated, tolerate people and annoyances, or stay very much with it at all. I descend into a foggy and slow confusion, much like living in sludge. I stare at walls for hours, if not days, at a time. I watch TV without really watching it. My memory stinks and so does living like this. Essentially, I am very disabled without this medication at the right dosage.

For those living with bipolar, it can take years and years to get an accurate diagnosis. Afterwards, it can take years and years to find the golden snitch of which medication combination and what dose works for each person. I am hopeful that we have finally found mine, alongside my extra nifty and extensive tool box of coping mechanisms. There is no shame in relying on medication to be well and healthy; these tablets save lives.

How To Get Rich and Thin in 2019

Endings and new beginnings can be emotional times, whether it’s excitement for the future or sadness for the end of a really good chapter. There’s no time of year when we communally experience this sensation as a planet more than the turn of a new year. Cue the dieting, resolution-ing and lists of life vows that make wedding vows look like a pinky promise in the playground.

For as easy as it is to be over ambitious the key to success is to be realistic; instead of loading up the 1st of January like a mountain mule to only be disappointed when the mule collapses from exhaustion, go small, regular and achievable. The very edge of your comfort zone is ideal, not the oceanic depths beyond the void.

For the money minded there’s big business to be done, where capitalising on insecurities, steroid jacked hopes for huge lifestyle changes and pipe dreams are a cash flow wonder. Weight loss warriors and life coaching gurus start popping up all over the shop, trying to sell to us an intangible and unrealistic expectations for in which the failure of realisation and execution keeps the profits turning. They’re business counts on you failing. You are a cash cow, who can be guided via raw diets and zen retreats to a whole new sparkling version of you at a price. The price isn’t always monetary though, often times the price paid is sanity, happiness and self worth. The irony is astounding.

Those trying to capitalise and gain from your outlandish goals and their subsequent failure “make 2019 your year”, they’ll say, as if every other year in your life up until this point has been of much less value. Of course next year 2020 can be your year and then 2021 too. You are not limited to having and making the most of any one year over another. Some years are good and some are not so good, we have control over how we perceive these experiences but very little in the way of controlling what happens around us. Some years will just be a series of unfortunate events and a life coach or diet won’t and can’t fix that.

My point here? Don’t let your failure become someone else’s profit to exploit. Especially if your failure is of attaining the unrealistic standards that are sold to us via our subconscious. Shut that shit right down right now; ain’t nobody got time fo’ dat!

Giving up on setting goals though is the least likely avenue to reap any results or success, but a good ~40-something % of us make resolutions at new year and of those roughly 40% see results and effort beyond 12th of January. When we shift the focus from January the 1st as being a deal breaker, and from setting enormous unachievable goals, we can move towards the idea of gentle progression and change with consistency.

This can save ourselves from the emotional rollercoaster that comes with getting our hopes up about exciting new changes and results we are going to see very soon, and then the disappointment of failure softened by the comfort eating everything in sight, which is even more counterintuitive to any dieting and health goals if that’s what you’re after. However, when you skip the restrictive dieting practices and make small sustainable lifestyle changes in any area of your life, the rewards you will get won’t be as drastic but they’ll also not be as temporary.

Push yourself and learn to respect your limit, be kind and comfortable with being uncomfortable. As Alex Honnold says about his feat of conquering a first in climbing history, “No one ever achieved great things being cosy in their comfort zone”.

He is the first person to free solo El Capitan, the biggest and most epic centre of the climbing universe. It was first ascended in the 50s, and when they ascended it they pulleyed up instead of climbing all the way because they just couldn’t do it. We live in an incredible world with a lot of people doing incredible things. We can’t all be Alex Honnold, but we can all push ourselves slightly beyond comfort and apply our energy to reaching our goals.

A good starting point would be to dare to make goals that go beyond attempts to control your body size or appearance. Go climb a mountain, start a project, try a new sport or apply for that promotion. You don’t need to diet, transform your body or only eat “clean” to do this.

“We could die any day so why not spend the time we do have here doing something we love, even if the potential consequence could be death” – Alex Honnold

P.S- I have no useful advice for getting rich and thin in 2019.

Santa Silliness to Festive Frolics: Christmas Running for Everyone

Last year I signed up for Run Up To Christmas and didn’t manage to qualify for a medal. This year I signed up again and I am quite confident that I can achieve what I couldn’t last year. As we approach the final stretch of 2018 it is easy to start thinking as if the year is over. December is still a full month just as any other even if it is especially hard to keep on just as you have all year with all the intention in the world to pick it all up again in January.

Having said that, I can’t help think that with all the stress and extra activities, expectations and awkward social interactions the festive season brings that running and exercising throughout the month might not be the worst idea.

Run Up To Christmas (aka RU2C) is a good challenge and way to find some peace and calm in all the madness. It’s also a good motivation to keep running through one of the darkest grizzliest month of the year. Run Up To Christmas has sold out now but that doesn’t mean you can’t do a similar challenge if you fancy it.

Here’s a list of other festive challenges to get you in the Christmas spirit whilst letting some steam off without necking all the spirits you can get your hands on to deal with in-laws, extended families and people you just don’t feel like dealing with. Some are virtual, some are free, some are social and some are just a bit of silliness.

Christmas Sloth Virtual Race
Entry: £9.99
Link Here

Choose your distance, form 1 mile to a full marathon. As the title suggests it is virtual so just record it via a free app on your phone like Strava, or with your running watch if you have one. This is super accessible to everyone from the seasoned runner to those who struggle to even get out the door. 1 mile is 1 mile, a goal set and a challenge completed is a challenge completed.

25K Advent Challenge December 2018
Entry: £12
Link Here

This is another advent inspired challenge where you cover the distance between 1st – 24th December. The distance is 25 Km, which averages out at a km a day. This is definitely achievable for most people. Pace is irrelevant and you can aim to walk it if that suits you.

Santa Dash 5-10K, Multiple Locations and Dates
Entry: ~£25 (prices vary)
Link Here

You’d be hard pushed to not have noticed the annual swarms of Santas running around parks all around the country. Many are charity events raising money for a variety of causes. The biggest dash in London has already been and gone, but there are plenty more opportunities to don your red suit and run 5-10 Km in a swarm of santas. What could be more festive than pretending to train for christmas eve like the champ himself?

Running in the Name of… CHRISTMAS 10K
Entry: Free
17th December, Threadneedle street, EC2R 8AH
Link Here

This run is not a race as such, but a social 10km festive run. Festive dress is encouraged and there will be plenty of photo opportunities. They do request you are confident running 10km at a 10 minute mile pace.

Yule Jog 10K, Multiple dates
Entry: £20
Link Here

Run a fun filled 10 Km route around London whilst experiencing many of the best lights, christmas markets and trees London has to offer. There are varied paces to sign up to, all of which can be seen on the website. The route starts at Tower Hill Tube.

The September Issues in Marrakech

[When I wrote this] I was supposed to be relaxing in a gite in the Atlas Mountains of Morrocco. The people who I met the previous Sunday and shared an evening meal with will have been doing exactly that after summiting the highest peak in Northern Africa, Mt Toubkal. Instead I am at home in London, having slept for the majority of the last few days.

There are a few times of year that are particularly difficult for me with my mental health: March/April and September in particular. I have a feeling that it is related to the changing seasons, and others have theories that it is a result of my daily stresses and goings on each time. It could even be related to historical events playing with my memory and emotions on a subconscious level. There really is no knowing of the exacts except for that they happen, and they happen at these times of year. After a number of years I have named them the Spring Bounce and the September Issue. I am not the only one to have such a pattern to their moods and well-being, it turns out that a lot of people, particularly those with mood disorders like Bipolar, struggle immensely at the onset of spring and autumn.

It could be a vast number of things but the experience feels familiar: moodiness, snappy encounters and a general grey scaling of everything: colours, smells and tastes. I need a lot of sleep: this means a long night and 1-3 naps during the day. I need a lot of cups of tea for soothing the soul, because is there anything that a cuppa can’t help with? I have a weird relationship with my appetite. I want sugar and comfort foods, yet at the same time everything tastes muted and I desire much less of it. I am slow. Speaking in sentences can at times be difficult because my words get muddled and I certainly don’t seem very capable of speaking and thinking at the same time. I feel like anyone who laughs within earshot of me is laughing at me after saying mean things. This has resulted in some stern stares to try and figure out the truth and if I need to confront them. Sometimes when this happens I turn around and no-one is there. The sun in the day may as well be night time all the time right now because that is exactly how it feels.

So instead of being up a mountain, hanging out and exploring I have been sat in my flat in London trying to minimise the effects of my mood on others as much as possible.

I was unsure about whether I should go to Morrocco or not and I went anyway with the theory being that I would never know unless I tried. Additionally, it could have gone very well or very badly. When I booked it in september, with the prior knowledge that i struggle at this time of year, I naively thought that having something to focus on and look forward to, and essentially distract myself would end a potentially self fulfilling prophecy of The September Issue’s reoccurrence. Of course, just as with the september issue of our favourite fashion magazines, nothing is going to stop the september issue from launching and being ever so extravagently big and jam packed with chaos, whether its mental health chaos or fashion chaos. I have had a brilliant summer, it’s in the top 5.

Even though I got to Morocco I had a break down on the sunday evening and walked home, having excused myself early from the group meal, crying. I decided to sleep and see how I felt in the morning however, after packing and prepping for the day ahead I just broke down crying. It would not stop. I knew at this point that pushing myself further would not reap any good results. When I cry like this, it is usually only going to get worse until I sleep extensively. It happened in Berlin last year, also in september, and at home. Even this morning, although apparently over nothing I cried and cried and cried until I eventually went to bed to sleep it off. No trigger. No cause. No reason. It just is.

Sometimes the right decision is not the one you want to make. There are many lessons yet to be learned. Even with potentially over doing it on the insight and reflection stance I will probably still make mistakes and much to my dismay, may never be fully in control of all of my mental health shenanigans. Sometimes when you live with chronic mental illness you have to make difficult decisions because ultimately, no matter how much I try, my illness will most likely always hinder me in some way. I won’t let it defeat me. I can’t. Instead all is can do is all that I will do, to keep working on getting what I want from life by working with my illness.

How Gratitude Can Help Improve Body Dissatisfaction

7583952000_img_1242

The power of practicing gratitude has the potential to be something quite incredible. Culturally in the West we are conditioned almost to always want for more, or with our bodies ironically we want for less. Less waist, less weight, less is more when it comes to beauty and looking good, or so we are told. We are primed to be perpetually discontented, dissatisfied and looking to others who always seem to have more of whatever it is we want: friends, tech, clothing or, ticking more beauty standard ideals with their appearance.

Like any other skill in our tool box of tricks to get us through our days reasonably content and in one piece, it takes a bit of practice in order to change our thinking patterns. The good news is that it can be done and that it can be an effective tool to develop a healthier relationship with your body and body image.

In a study conducted by Armstrong State University, USA, gratitude and cognitive restructuring were compared for effectiveness in reducing body disatisfaction amongst college age females. The group studied had not sought clinical help for body disatisfaction and eating disordered related issues. The importance of body image and dissatisfaction is that the feelings we have towards ourselves often permeate other areas of our lives: body disatisfaction has been associated with depression (Jurasico, Perone & Timnko, 2011) and social anxiety (Cash, 2011) for example.

Cognitive restructuring is a CBT technique. CBT is an established treatment for many mental health and well-being complaints including: bulimia, anxiety, depression. SOURCE THIS. By comparing a gratitude based intervention to an established intervention such as cognitive restructuring, the effectiveness of each intervention on body dissatisfaction can be compared.

The strength of using gratitude based interventions for body dissatisfaction is that it increases appreciation for non-appearence based aspects of one’s self and life: gratitude interventions have been found to be causally related to improvements in intrapersonal and interpersonal aspects of well-being including: increased happiness, decreased depression, improved pro-social behaviour, decreased aggression, improved sleep and concentration (Watkins, 2014).

There does need to be more studies in order to confirm or dispute similar findings. However, with this in mind gratitude is a promising intervention for people experiencing body dissatisfaction without a clinical diagnosis of an eating disorder.

Gratitude works is by changing perspective on what is important in life and how and what we judge ourselves and ourl ives to be worthwile. This study illustrates the potential effectiveness that can be had from introducing and working on gratitude in order to improve well being and happiness.

With this. Line of thought fresh in my mind, and my own practicing of gratitude lately I will be exploring some personal experiences of gratitude and how practicing gratitude has helped me alter my automatic thought patterns over time. As a disclaimer I am not suggesting gratitude is a cure-all, but more of a handy tool to help contribute to a changing way of relating to the world around us.


References:

Cash, T. F. (2011). Cognitive behavioural perspectives on body image. In T. F. Cash, & L. Smolak (Eds.), Body Image, A Handbook of science, practice and prevention (2nd ed., pp. 39-47). New York, NY: Guilford Press

Juarasico, A. S., Perone, J., & Timko, C. A. (2011) Moderators of the relationship between body image dissatisfaction and disordered eating. Eating Disorders, 19, 346-354. doi: 10.1080/10640266.2011.584811

Watkins, P. C. (2014). Gratitude and the good life: Toward a psychology of appreciation. New York, NY: Springer Science

Wendy, L. Wolfe & Kaitlyn Patterson (2017) Cpmparison of a gratitude-based and cognitive restructuring intervention for body disatissfaction and dysfunctional eating behaviour in college women, Eating Disorders, 25:4, 330-334, DOI: https://doi.org/10.1080.10640266.2017.1279908

What Is ‘Health’? And How Do We Define It?

img_5025.png

What is health and how do we define it? It’s a pretty complex topic and our interpretations will vary as much as our personalities. In 1946 the World Health Organisation defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (1) at the International Health Conference. This definition was put in place as of 1948. I don’t know about you but aiming for complete health in each of these areas feels like quite the daunting task, much like asking your crush out face to face in year 8 it isn’t going to happen.

“It is health that is real wealth and not pieces of gold and silver”
– Mahatma Gandhi (2)

Well-being focus and all the buzz around it is booming. Gone are the days when it’s a popular idea to starve yourself to nothingness in order to achieve a fashionable “look”. The greater the engagement from each of us with our health can only be a good thing. With all this focus on healthy living, healthy eating and “living my best life” what happens when the foundations of understanding what health is and is not are poorly understood? In this sense, striving for health can be like navigating the maze in a Triwizard tournament with an extra catch, you’re blindfolded and there is no cup to be found. Bah ha! You’ve been Tango’d. Except when health is concerned, the consequences can be a bit more dire than a double happy slap. 

1a817e160b3d24a2cad95b9e0044395e

Being aware of and taking responsibility for our health can help us in many ways, whether it’s feeling able and capable, happy and content, experiencing sadness in proportionate bouts and even saving us money on health visits and prescription charges. With the age of the internet however, the health messages we receive can be combobulated and skewed – identifying fact from fiction is a bit of a tough cookie to crack.

So how does the evidence for what is and isn’t healthy translate into simpler ideas? Is it being a certain “ideal” weight? Having the “right” body fat percentages? Is it healthy to living in one emotional state? Is avoiding the GP unless you think you might be legitimately dying mean you’re healthier than everyone sat in the waiting room for said GP? The waters become murky very quickly and it’s easy to lose sight elusive Goblet of Health whilst sashaying amongst the currents and tides of fads, shock factor headlines and public health campaigns that are somewhat not accurate anyway – think Weight Watchers in American schools and the Ob_s__y campaign by Cancer Research UK earlier this year. 

The crux in relation to nutrition and our relationship status with food doesn’t boil down to one measurement, or one aspect of health. What we eat and how we do or don’t eat affects countless aspects of our bodies and functioning. Some very real questions in relation to health and nutrition is currently in an antler head bashing contest amongst those in the field, whether accredited and qualified or not. Is it healthy to marginalise a population group because of a pattern of association without identifying causation? Is it healthy to drill diet culture into young minds, and thus setting them up for a lifetime of living “healthily” on diet culture? Is that even possible? I’m not convinced. I’m also not convinced that everything stocked in Whole Foods is automatically healthy – sorry not sorry. I’m also not convinced about the healthiness of many modern day normalities, such as our phones becoming an extra part of the human anatomy, using social media to gain self worth and validation, or extreme approaches to anything much at all. 

With health food shops donning more supplements than we can possibly afford or swallow, and health influencers donning skimpy clothing to show off abs, glutes that can crush walnuts and who can do more chin ups than an excitable dog can tail wags, does being healthy have to be so extreme? I’m going to go out on a whim here and speculate that there’s no extremes in being healthy. It’s actually more about a balance and happy medium as boring and unexciting as that may sound.

Screen Shot 2018-05-15 at 22.00.32

A little secret not pushed by those cashing in on the trend, you don’t need an extreme diet to eat healthily. You don’t need an extreme exercise regimen to be healthy. You don’t need to always be happy and content to be healthy. Nor do you need to spend crazy dollar on fancy ingredients and farfetched meal plans. Health isn’t even a number on a scale. The BMI is a tool for guidance and definitely not definitive – many athletes have a BMI considered obese and I’ve never seen someone typically considered to be ‘obese’ competing at the Olympics.

Each of us will define health differently drawn from our lived experiences. The most important point to be made though is that health is not a destination but a tool for living. It isn’t the be all and end all, merely a snazzy individualised car for scooting through your days with. Yeah, you want to keep the gear box in check but you don’t want to be obsessing over whether your gears are always sliding perfectly. You also need to keep your oil and waters tanks topped up, but you don’t want to be watching them furtively whilst missing out on the enjoyment of your drive. It would be a shame to not enjoy and take in the views.

Sources:
1. http://www.who.int/about/mission/en/
2. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705649/

Hey! London Marathon, I’m Coming For Ya!!

Earlier this week, which day precisely escapes me, I had a sudden change of heart. I tried to defer my London Marathon entry until 2019. I had it in my head until this week that I was definitely going to cheer and not run this year. What I do remember about this decision making process is that it was at some odd hour of the night and I woke up friends and family to inform them of my sudden change in life choices.

IMG_4501.JPG

The next day, I honestly have no idea what day these events occured on, I decided to start pushing on the fundraising. I also dug around in my e-mails and realised my place hadn’t been officialy deferred. This seemed to be somewhat of a message from the nuiverse guiding me towards realising my personal legend (more about this later). It is my part in realising my personal legend to heed the signs laid before me – and so with confidence that the universe is colluding to guide me on the right path I decided to grab me confirmation email with my number on it and head over to the ExCel centre to collect my race pack and bib.

It’s been somewhat of a hectic week since. The excitment since going to the expo hasn’t really left me. I went back to my crew last week, another guiding message from the universe, and have been really welcomed back into the crew. (Honestly, there’s no love like crew love!). Everything was pointing me towards getting to that start line and that’s where I’m at right now. I have my race pack, bought a few essentials (read: high SPF bodyglide!!!) and everything is working out nicely. So what do I hope for on Sunday?

I hope I see more messages in the language of the universe because since embarking on my personal legend and listening to the language of the universe I feel more powerful than ever. I hope to enjoy the day and that it becomes the second day of 2018 to make the Top 10 of the year. I hope I am aligned with my feelings and let myself cry when i need to, laugh when i want to and generally have a bloody brilliant day. I hope I don’t cry so much that I can’t control my snot emissions. I hope I don’t get heat stroke and over heat. I hope I find the balance of hydration. I hope I can walk to the pub across from my home for the free Sunday Lunch they’re offering up.

Of course there are fears roaming around my brain’s white matter but right now I firmly believe that naivity is my friend. Let’s keep it that way until I hit the docklands part of the route notorious for breakdowns and seriously questioning life choices.

To sponsor me either follow this link;

virginmoneygiving.com/Monandthemarathon

Or text MVLM69 followed by the amount in £ to 70070

Example “MVLM69 £5” to 70070 to give £5

Thanks so much to everyone supporting me on this venture.