Medical appointments . . . trying to hold down a job . . . the symptoms . . . missing out on life while trying to 'pace yourself' . . . fears for the future . . . knowing that being stressed makes the condition worse (cue downward-spiralling circle) . . . running out of prescriptions on a Friday evening . . . knowing you have a relapse coming . . . etc. etc. etc.
I get stressed when I can feel myself falling into another trough of the depression - I know its bad for me in the same way it is bad for even healthy people (all those studies about cancer and heart disease...) but I get stressed because I know it increases my susceptible to relapses (my tolerance of triggers drops). I get stressed because I try to avoid those pits, yet despite all the CBT (cognitive behaviour therapy), counselling and all my other self-management techniques, I still find myself there from time to time.
Stress goes hand-in-hand with (causes and results in) my overall mental health state.
The saying goes "identifying the problem is half way there", and with my Expert Patient Programme tutor hat on, I know that identifying the problem is the first of the problem solving steps. But I am learning that the identification is the easy half and easy step it seems!
Unlike things that have caused my stress before (exams, university, exams, relationships, exams), my long-term health conditions are not (unfortunately) going to go away. This means I actually have to deal with how I react to the cause of the stress - my illnesses. Step 2. The other important things I try and remember are as follows:
- Lots of people get stressed in the land of the healthy too
- It is normal to experience some stress because of my situation, so accept that and allow yourself to be stressed/sad/whatever other emotion you may be feeling. My favourite term for this I heard on Twitter recently is a "pity party" - go on, and throw yourself a little one for an hour or so, then . . .
- I find writing manageable to-do lists really helps, for the next hour or day just to get me doing things
- Autogenics is a relaxation technique I have found to be really helpful, along with the Alexander Technique for calming me down and centring myself.
"Do not pray for an easy life, pray for the strength to endure a difficult one"
For spoonies out there, I think we need it modified to say "the motivation and determination to practice and implement these coping strategies..."
Life is always going to involve some stress - the stressful thing about life with chronic illness is that stress is both greater and has a worse effect on our health. That is a double whammy and a half to get stressed about! I better be off to do some Autogenics then....
This post is for the April edition of the Patients for a Moment (PFAM) blog carnival, which is being curated by Oh My Aches and Pains.