fatigue

Trying to care for me

In the five years between these two photos:
I stopped being employed;
I left a two decade toxic relationship;
I was diagnosed with hypothyroidism, diabetes, bipolar disorder, and cPTSD;
My youngest child was identified as experiencing High Functioning Autism Spectrum Disorder;
Two grandchildren were born;
Relationships with my two adult children have been restored and improved; and I’m navigating the ongoing process of co-parenting with the ex.

I guess, my adult daughter could be right about vampire DNA 😂
02/24/2021 – In the four years since the above collage photo, I’ve become grandma to two more grandchildren (4 GRANDKIDS! 😲 🤯); Fought time and time again to stabilize from hypomania & depression; worked my @$$ off to get employment ready; completed two vocational programs simultaneously; and became employed during a pandemic…all in the midst of chronic turmoil and drama.

The smile hides depression and self-loathing…a severe lack of self-esteem and sense of futility. The hair and angle of the pic hide the double chin and side padding of obesity. You can’t see the fibromyalgia, hypothyroidism, type 2 diabetes, PTSD, Bipolar 2 Disorder, and Binge Eating Disorder. Yet, I look healthier and happier than ever before… according to an FB friend.

I wrote about being functionally depressed and nothing has really changed. I still pretty much only venture forth from my dwelling are occasional grocery shopping trips and to to work. My ADLs (Activities of daily living) are sporadic – personal hygiene is taken care of whenever I have to leave the apartment or I feel too disgusted by myself. Nutrition is not a frequent thing…I may or may not eat 2 Baked Lays single serve bags of chips for breakfast or dinner. One thing has improved – I’m not waking up gasping, choking and feeling like I may have had a heart attack because I’m using my C-pap machine to deal with the sleep apnea again.

Despite the depression, I did a thing and I took a risk. I applied for a Full-time position within the organization I am currently employed with. It’s a Peer Support position, which I completed my training, with flying colors, just as the COVID shutdown started last year. I just emailed the department that manages such things to ensure my application has been received. It has been received and submitted to the hiring manager.

I’m also reaching out or responding to opportunities to connect with people I’m connected to through my faith community. I’m participating in a book study of Rich Villodas, The Deeply Formed Life. I participate in our weekly Zoom service. Right now we’re discussing how it might look when we start meeting again, since some of our faith family isn’t able to engage and participate often unless it’s remotely. I submitted some ideas, which were favorably received.

Partially because of the diabetes, I’ve decided to join a couple of my friends on a menu planning journey next month. I’m in no way prepared. The logistics of my life are chaotic and kind of overwhelming. So, I’m pretty sure I won’t be able to make it a complete success. However, I reminded myself “progress not perfection.” That made my inner perfectionist cringe in horror.

To that end, I decided to focus on breakfast. Simple, quick, easy diabetic friendly breakfasts I can prep primarily in the microwave. The first recipe I found was Breakfast Burrito in a Jar on Diabetic Foodie. Since I don’t have jars, I followed the link to the next breakfast, Mexican Microwave Scramble.

Between the Depression, Hypothyroidism, and fibromyalgia, as well as circumstances in my life, I’m really fatigued & low energy. I’m not sure how I’m still functioning at all. I just know that no matter how close I come, giving up isn’t an option.

How are you doing? For real, sometime sharing helps.

Ramble on

A lot’s happened over the past two days and even more is happening today.

On Monday, I attended the orientation session for the Health Careers NW study. It’s a federal research study to determine if providing vocational training in healthcare fields and employment support for low-income people receiving public assistance can help them attain a greater degree of financial self-sufficiency…uhmmm yeah!

In order to move forward with that process and when I, eventually, obtain a job, I’m going to need to show my Social Security Card. I don’t have it. Rather, it’s (hopefully) lost and buried somewhere in the depths of a very large box full of boxes and bags of papers…and by very large, I mean a moving box sized to carry several oversized pillows and lightweight items.

Trust me when I say there isn’t enough time or physical space for me to go through it and continue doing the job readiness, mental health recovery, and physical health activities I’m doing.

So, the Employment Specialist who has been working with me through the Social Security Administration’s Supported Employment Demonstration (a different federal research study to determine if people who have been denied Social Security Benefits for disabling conditions can successfully be transitioned back to employment with Employment Supports, Mental Health Case Management, and Physical Healthcare Supports…uhmmm yeah, again!) has been helping me get to and from some of these employment readiness activities I’ve been doing. She went to the orientation with me.

We decided to try to get to a Social Security Office afterward. However, she was on a tight schedule and had already agreed to take me to a store where I could exchange my empty 5 gallon water bottles – it’s too hot to go without decent water. The first place we went was out of water. So, we had to go to a different store.

While walking into that store, I tripped on a curb and went down on my left knee, then rolled onto my back. I managed to avoid going down too hard, thankfully.

By the time the water got replaced, it was too late to go to the Social Security Office. So, we agreed to go Tuesday…fully expecting at least an hour wait. Lo and behold, we got there and I had less than a 20 minute wait! 😮

I had tried to sign up for the NCRC, which I talked about here. However, I couldn’t just sign myself up. So, I called and spoke to the gal who’d led the Health Careers NW orientation on Monday. Now, I have four hours of testing to do today.

Not looking forward to it.

I tried to do math prep yesterday. I realized that geometry will kill my math score…which will kill my overall rating, since the lowest score determines the final rating.

The perfectionist in me is quite unhappy with that thought. However, the realist in me knows what’s what and that, ultimately, geometry is not a part of my career path and that my other abilities will speak for themselves when the time comes.

So, I decided not to make myself crazier with the math prep.

Later, I had a Volunteer Orientation at NAMI. NAMI is the National Alliance on Mental Illness. It’s a nationwide, peer driven organization offering support, education, and community engagement for those experiencing mental illnesses and their families. Since I want to get into peer work, this is my next logical step.

There are several opportunities for me here: teaching classes, as long as I’ve already taken them myself; Community engagement – speaking at schools, organizations, and businesses about my lived experiences as both a person living with mental illness and a parent/family member of others who have experienced mental illness; operations support, which will have me exercise my office and writing skills.

I start next week. My first volunteer project will be working on updating the local resource guide. The current one is two years old and things change.

I’m really excited about this next phase.

On my way home, I experienced another knee injury. I’m afraid this one was a bit more severe than the first. I’m really hoping that the pain subsides without me having to make another medical appointment.

What happened?

A slightly out of it man got on the bus, chose not to sit down, and neglected to hold himself steady. So, when the bus started to move, he came toppling down onto my lap like a felled tree, his shoulder gouging into the top, inside of my knee, above and to the side of my kneecap.

That’s the leg with the nerve entrapment in my foot and the same knee I’d fallen on the day before. So, now I have some radiating pain going down into my foot. Yay.

Since I’m hurting, sleep is elusive. Which means, I’ll be going into my tests sleep deprived and in pain.

Wish me luck.

Blocked

I feel like my brain went on vacation and forgot to take me with it. There’s just a hodgepodge of feelings, thoughts, and experiences from the past several weeks, swirling in my psyche. I didn’t really know what or how to write about it. So, I started where I was and followed where it led.


When my mind is blank
and my vision dim;
my heart is heavy
and my soul is grim.

When my words are lost
and my mouth silent;
my lungs are empty
and feelings are violent.

Avoid and evade
the sorrow and pain.
Numb the body
Disconnect the brain.

This half life
I do not want.
Yet, in this moment
my will is daunt.

The tank is empty.
The drive is gone.
It’s time to rest
and wait the dawn.

Open the heart
and clear the mind;
heal the soul
and mend the blind.

Love lives in me,
a spiritual well
I forget to drink,
my thirst to quell.

Reach deep within
Touch the eternal
Connect with love
Fraternal

Grasp the vine
In him abide
Mind, heart, soul
Full life betide.

Day 2 Blah blah blah

Another day of nothing of import to write about. I have a sick kiddo at home. I’m stressed about family issues that aren’t my problem, I have no control over, and can do nothing about. My thoughts are scattered. The fatigue levels are still bad…barely functioned yesterday.

I rescheduled the meeting with the employment specialist…again and missed my mental health socialization’s group potluck.

I did make it to my first acupuncture appointment in probably eight or nine years. Barely. For some reason I hadn’t set my notifications correctly and didn’t get out of bed until 8:25 and the appointment was for 9:00. I made it by 8:43. It turned out that all systems were down and they didn’t get me in until 20 minutes past appointment time.

I’ve canceled one appointment and rescheduled another that were still on today’s calendar. There’s one thing left and I do need to attend that one. So, I’ll figure that out. Probably have her hang out at home and have the neighbor be available to her.

The worry and stress I’m feeling about the family situation has triggered the binge eating…and I haven’t been fighting it. I’m not usually a sweets person, but, glazed old fashioned donuts aren’t safe.

I’m partly future tripping about what choices my family members will take in reaction to dealing with their toxic circumstances. The fear of losing relationship with these very important people because of someone else’s toxicity has me in near tears when I think about it. It also raises some pretty ugly thoughts about this other person. I don’t like being in either a sad/fearful state or in a bitter/angry state. So, I’m defaulting to the numbness of food and fatigue.

It’s hard on the creative process.

It’s frustrating when you’re chugging along, writing effortlessly (mostly) then, suddenly, someone pulls the switch, redirecting your path, and you wind up in the empty container yard.

What to do?

Yesterday was a brain dump that came out relatively acceptable in form and function. Today is a meandering mishmash of whiny angst. Let’s see if I can do something better for tomorrow.

Maybe I can collaborate with someone else and do an interview. I know it’s short notice, but, maybe something will gel.

How are you doing and how do you handle roadblocks in your creative process?

Health Matters

On Monday, I spent pretty much the entire day in computer classes. As I explained, here, the severity of my sleep deprivation became inescapable. Yesterday was supposed to be a Google (for business application) class. However, when I went to schedule an appointment, expecting a 2-3 week wait, I was offered an appointment during the scheduled class time. I opted to see my doctor.

Where to start?

There’s a laundry list of physical and mental health conditions I experience.

  • Hypothyroidism
  • Diabetes, type 2
  • Fibromyalgia
  • Sleep Apnea
  • PTSD/Anxiety
  • Bipolar II Disorder
  • Depression
  • Binge Eating Disorder

There are also symptoms of other things happening as well. Pretty much all of these things contribute to the sleep disturbances or the fatigue or both…perimenopause probably being chief among them.

And then there’s the chicken or the egg matter of an almost 40 lb weight gain since the beginning of the year. Having the nurse tell me 275 wasn’t a shock, just an unpleasant reality check. The really disheartening thing is that I worked hard, made healthy choices, and lost nearly 30 lbs last fall.

Depression & trauma triggers activated the BED, which I know contributed a lot to the weight gain. However, it’s a scientific fact that sleep deprivation, stress, and hormonal changes all affect metabolism and contribute to weight gain.

At this point, I have to say how profoundly grateful I am for access to healthcare through the ACA, which I know has had a negative impact for many. If I hadn’t had access to diagnosis and treatment for my mental health issues five years ago, there’s a high probability I wouldn’t be here today.

After five years of primarily focusing on my mental health, I made a decision at the end of 2018 to do better in taking care of my physical health. Fortunately, the community mental health agency I’m working with now, has been making changes to integrate mental and physical healthcare in their services. So, my new primary care physician is at the same location as my therapist.

Today, she informed me they are now providing (or will be soon) acupuncture, as well as chiropractic care. Both of these things can help with the fibromyalgia and potentially help improve sleep.

We talked at length about all the things and she ordered a comprehensive series of bloodwork to check the various thyroid hormone levels, as well as the other hormone levels to determine where I may be in the premenopausal transition.

I was dehydrated and my veins went into hiding. The first stick went all the way through the vein when it moved. The second stick got 4/7 of the vials needed before it collapsed. The third stick had the vein move on it. The fourth stick finally got the job done.

Note: the nurse had a “two stick policy.” I pushed him to do the last two…I didn’t want to either come back another day or go to the hospital for the draw. The nurse is more than competent. My veins are just hard af to get blood from.

I now have an assessment scheduled with a Psychiatric Nurse to evaluate my psych meds, an initial chiropractic appointment, an appointment with my therapist, and a follow up with my doctor all scheduled for July. I start a 13 week Diabetes group starting on the 10th. I attend a weekly group Dialectical Behavior Therapy class and am taking a Peer to Peer Mental Health class on Saturdays.

This is all as much a part of job readiness as the computer classes, job related workshops, and meetings with the employment specialists.

A Day in the Lab…

Computer lab, that is.

Ultimately my employment goal is to not work as an office drone. However, that’s what a majority of my work experience consists of: customer service/billing/collections for a utility company, data-entry, more customer service to monthly parking customers, sales support/data entry/receptionist, and assistant manager for low-income housing. Since I really haven’t had much cause to use my office skills or access to the MS Office suite for seven years, I have a toolbox of rusty office skills.

So, I’m on a mission to knock of the rust, refresh and polish the skills, and collect a bushel of papers proving I know my stuff…on a zero income budget!

Fortunately (?), this isn’t my first go round on the job search carousel and I already knew of a major resource – Worksource Oregon.

It’s a state operated employment resource center for job seekers and employers. Their centers have a crap ton of public access computers, along with printers, phones, and fax machines for job seeker use. They also host job readiness classes and workshops from Resume Workshops to Interpersonal Skills to MS Word & Excel.

As you can see from the above images, Worksource has A LOT to aid those looking to obtain employment or even those already employed who want to increase basic skills or potentially change jobs or careers.

A couple of weeks ago, I took advantage of the opportunity to attend a couple of spreadsheet management classes using Excel – Introduction & Intermediate. It turned out that the Excel and Word classes are actually taught through a community partnership with Goodwill Industries.

Were you aware that Goodwill has a Job Connection program that serves all job seekers?

I knew they aid disabled and difficult to place workers in obtaining employment. I’ve had people tell me I should go to them, in the past. But, to be perfectly honest, pride, vanity, and prejudice kept me from seeking them out. These days though, pride and vanity are beaten down and tarnished. I have “invisible” disabilities and, as I explained in yesterday’s post, I am a difficult to place worker.

Anyway. The point is, Goodwill is another great resource for the job seeker looking to develop office computer skills! Every week they offer three levels of Excel & Word, as well as classes on Google, Outlook, and Power Point – all for the business setting.

Last week I took their Advanced Excel class. I had also signed up for the rest of their classes…three of which happened today: Introduction to Word, Intermediate Word, and Outlook.

The first class started at 9 A.M. The last class ended at 4:30 P.M. three 5-10 minute breaks and a 25 minute break for lunch. It was like being at a job!

I did very well, scoring from 98%-100% on my assessments.

That being said, it showed me, in no uncertain terms, that I’m not anywhere near job ready…I kept nodding off throughout the ENTIRE day.

Chronic insomnia, anxiety, depression, sleep apnea, and fibromyalgia prevent me from sleeping consistently or well. I’ve been severely sleep deprived for 30 years and if I’m sitting in one place, in front of a screen for any length of time, my chin is almost guaranteed to meet my chest while my eyelids turn to lead.

At the end of the day, when the instructor was printing out my achievement certificate for Outlook, he joked about how well I learned through osmosis.

Google class is Wednesday, Advanced Word is Friday, and Power Point is Monday.

Wish me luck.

C’mon Get Happy

Click image to see the YouTube video

This week’s WW topic is “Happiness.”

Today was the first of seven of these workshops I’ll be attending this week on my “90 meetings in 90 Days” journey. (I owe you a post to explain that. Tomorrow. Maybe.) Today’s discussion was interesting. I’m looking forward to see how it gets addressed in the other workshops.

The weekly handout suggested that being happy makes the healthy activities we do in our lives more possible and increases the experience of those things. It also acknowledged that partaking of those activities increases happiness.

The workshop’s Coach listed a formula that determines one’s happiness level:

50% Genetics
+10% Life Circumstances
+40% Attitude, Thoughts, & Actions

My immediate reaction was to scoff at the Life Circumstances percentage. I mean, although it hasn’t been as painful and difficult as other people’s, it’s been generously peppered with a lot of trauma. Consequently, I have PTSD. Plus, I experience Depression, Bipolar 2 Disorder, fibromyalgia, and am parenting a child with regularly tells me things like she wishes I would kill myself or that I had been born dead.

Yeah. Happiness is HARD. That’s a LOT of genetics and life circumstances.

I spend a lot of time fighting tears, dealing with bureaucracy, and managing conflict. I’m skeptical that Happiness is a state of being that’s more than occasionally possible for me.

I think Acceptance and Contentedness are much more doable. I think there can be moments of happiness. I think we have to be emotionally and mentally healthy and functional to be able to experience even those moments of happiness. I simply don’t believe that Happiness is achievable as a permanent state.

All that being said, I have my own formula:

Psych meds
+Therapy
+A supportive community
+Activity
+Self-Care
+Choosing to be in positive environments


The ability to experience happiness.

What say you?

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Sleep…or lack thereof

Back in September, immediately prior to the rebranding, I joined Weight Watchers (more about that later. Or you can head over to IG @humaninrecovery and see what’s been happening.)

Every week is a new topic of discussion about mindset, behavior changes, and achieving goals. I call it DBT Lite. This week’s topic is sleep.

Sleep doesn’t love me as much as I love it. It seems as if it never has…at least not since adolescence. I mean, I’m writing this at 2:45 A.M. because sleep abandoned me.

Correction: my lovely, not so little, daughter chased it away and it’s eluded me ever since, four+ hours now. Now, she’s sound asleep and I’m wide awake. *sigh*

Supposedly, not having my phone in the bedroom with me would help with getting back to sleep. I’ve tried. Can’t do it. It’s my alarm. It’s my fidget. It’s where I do the brain dump. It’s how I run my brain down until sleep is possible again.

I have horrible sleep hygiene…always have. My room is a cluttered mess. My bedroom & bed are multipurpose locations. My bed is shared with a growing, nearly 10 year old child with sensory issues and needs. So, she’s either burrowing into me, flailing arms in my face, and/or hogging the covers. Occasionally, she snores and breathes through her mouth…Her dad sent me an article yesterday which suggested an exam with an ENT could turn up some medical condition causing sleep disruption which can present like ADHD. More on that later.

In addition to clinging to me like a baby gorilla, she insists on listening to “girl music” when she’s ready to go to sleep. Read: female pop artists. She goes to sleep fairly easy once the music is going. Not me. For someone who has words constantly flowing through her brain, pop music is especially unhelpful when trying to go to sleep. Any music with words is, including what she calls “God music,” my CCM Pandora channel, heavily salted with music by MercyMe.

Then there’s temperature.

I can’t sleep if it’s warm…she freezes and turns into a heat seeking baby gorilla. I like it cool enough to want my feet under the comforter…yeah, I know, weird. The problem with that is the baby gorilla blanket thief.

Let’s see, what else?

Oh, yeah. My body & brain. I’m a premenopausal spoonie with Bipolar 2 Disorder & PTSD. If the nighttime neuropathy doesn’t get me or the busy brain, the night sweats and apparently shrinking bladder will.

And, so, I guess it isn’t that sleep doesn’t love me. It just doesn’t feel welcomed or wanted. *sigh*

The kicker is that I don’t even drink coffee or other caffeinated beverages to get and stay functional. Apparently, I’m a deceptively alive and youthful looking zombie vampire.

Yes. I’m 49.

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Ten Day Check-in

Yesterday I decided I would take pics every ten days to document my journey. It’s not really evident in the pictures yet, but changes are happening. I can feel them. Others are seeing them.

My stomach is slightly less round…a smaller “apple” than it was. 😉 My clothes are a little looser. As a matter of fact I pulled down a pair of jeans I got about ten years ago, before I got pregnant with my third, youngest, and LAST child. I was between 225-240. I can’t remember exactly. What I do know is that I squeezed into them and got them buttoned while standing upright.

WINNING!

More importantly, I’ve exercised 8/10 of the days a minimum of 30 minutes. I kind of overdid it the first few days – my intensity was good, but the amount of time each session was a bit much.

During my walk on Sunday, I had a burst of pain in the front of my right hip. Turns out I now have bursitis in that hip. I’ve shortened the time per session to 30 minutes and taken it to the water.

The doctor I saw (who appeared younger than my 31 year old son) was very encouraging and gung ho about me exercising. He said exercising in the water was good and referred me to physical therapy. My first appointment is the 30th.

The biggest challenge, for me, is the fibro-fatigue. I’m really tired, not I worked hard and pushed my limits tired, but, my get up and go, got up and went. Some of that is parenting stress.

My nine year old experiences the world through the Autism Spectrum. I also suspect she’s got some preadolescent hormone changes happening. She struggles with emotional self-regulation and is easily frustrated and angered. She’s been having increasingly violent responses and I’ve borne the brunt of it.

I’m also tired from lack of sleep. Some of which is also attributable to the issues between me and my daughter. However, I’ve had poor sleep my entire adult life. It’s a trauma thing, apparently.

So, I’m tired and pretty much the exercise and, maybe, the dishes, are the only things I’m accomplishing on a regular basis.

I’m trusting this will not last and that my energy levels will improve by the end of the month.

Overall, it’s been a great start to 2018.<<<<<<<<
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When life goes awry: It’s ok to not be ok

Last Friday was one of those days where the first domino got knocked down and the remainder of the day’s plans and goals crashed one by one.

I’m sure you’ve experienced something like that at one time or another. If you haven’t, best be prepared because you will.

My daughter had a MAJOR meltdown that morning – it got physically violent (she’s on the Autism Spectrum) and she wound up not going to school.

That meant I couldn’t go to the gym or pool. There’s no space or place in my tiny, overcrowded apartment for me to do anything, including stretching. It’s THAT crowded and cluttered.

I was frustrated and irritable at this disruption in the new routine of self-care by exercise. I didn’t take it out on my daughter, but I was experiencing a significant amount of resentment.

Parenting a child with special needs is HARD and I NEED the stress release of the exercise.

When there is a spike in stress hormones coursing through my body, especially in combination with other hormonal changes, a fibroflare is likely to occur.

“What’s that?” you may be asking.

I was diagnosed with Fibromyalgia 28 years ago. Symptoms include persistent, fatigue and increased pain response to anything and everything. During my most intense episodes, just running a finger across my skin feels like a razor blade.

So, I’m struggling against the fatigue to still make exercise a priority. Each day I exercise, the fatigue makes me feel like I’m moving through molasses once the exercise is done. I feel completely drained. It doesn’t help that I also happen to be an insomniac.

There are days when I fight to get the kid to school and to bed, go to the gym or pool, and, maybe, wash dishes. The rest of the time I’m sitting and dozing off.

I’m trading the energy from other things so I can exercise. But, the exercise is what helps me mentally get through the day.

In the past, I criticized myself for not getting more done, or anything done for that matter. I couldn’t let myself be okay with not being okay.

This process is showing me that I can be.