Xanthe

Age at interview: 26
Brief Outline:

Xanthe lives with her parents and works part-time as a specialist psychotherapist for children and young people. She has recently completed her Master’s degree.
Ethnic background: Greek Cypriot
 
When Xanthe had Covid in early 2021, it felt like very bad flu. For the first three months after her Covid infection, Xanthe had fatigue, burning pain in her legs, persistent headache, dizziness, weight loss and brain fog. She had a few months in the summer where she felt much better and applied for a new job which she began in October but her post-exertional malaise worsened and she was spending the whole weekend in bed. By January she reduced her hours to one day a week and has now had to completely resign from work. She now needs support from her family for day to day living and uses an electric car to get around. She has been attending the Long Covid clinic which has been very positive but she wishes it had more joined up, holistic care and saw people more frequently.

Xanthe was interviewed in May 2022.

More about me...

Xanthe tested positive for Covid in late December 2020. For ten days she felt like she had very bad flu which she was able to treat at home. Other members of her family also had Covid and recovered. After ten days, Xanthe decided to go for her usual walk in the woods which normally takes about an hour. About half an hour into her walk she suddenly felt “like I’d been hit by a bus.” She managed to get home and into bed. 
 
In the months that followed Xanthe had severe fatigue, muscle pain and burning pain in her legs which she describes like “fire going up my legs.” She also had persistent headache, dizziness, continued weight loss and brain fog. The fatigue led to her delay finishing her Master’s degree for several months. Between June and July her symptoms plateaued where she wasn’t getting any worse or any better. She feels the adrenalin of finishing her Master’s helped her along although she still had the burning feeling in her legs.
 
At five months post Covid, Xanthe developed joint pain and her wrists and ankles started to feel inflamed. She went on holiday to Cyprus and said she “felt completely fine” apart from the occasional burning feeling in her legs. By October she was working four and a half days a week in a new job as a psychotherapist for children and young people. But at the weekends she was “crashing badly,” and she needed to spend the entire weekend in bed. 
 
Around December, Xanthe had the third booster vaccine which coincided with a “huge decline” in her health. In January she reduced her work to one day a week as the fatigue and post-exertional malaise, and brain fog were becoming much worse. Xanthe says as time went on “the crashes become horrendously traumatic because you go from sort of functioning, to not functioning.” She needed to ask her family for help with day to day living, like cooking, laundry, hair washing and she now does a lot of the things she needs to do online, like banking and shopping. 
 
In April she spent a month doing hyperbaric oxygen therapy as a daily outpatient which cost £4,000. She no longer has the burning pain in her legs and the muscle pain has been reduced but the post-exertional fatigue remains and she feels disheartened “that [it] promised so much and delivered very little, and spent so much money on it.”
 
Xanthe has been attending the Long Covid clinic and seeing the GP, psychotherapist and nutritionist occasionally. Her experience of the Long Covid clinic has been very positive; clinicians believe her and she has been offered lung function and 24 hour monitor heart tests. She would like to see Long Covid clinics provide a holistic approach to care provided by a multidisciplinary team. 
 
She is waiting to see a physiotherapist and has been doing a brain training programme which focuses on understanding the relationship between the brain and the nervous system and helping it to rebalance which she thinks is helping.
 
Mentally, Xanthe says, “it is horrendous, living like this is absolutely horrendous.” She has had weeks recently where she cried every day. She is terrified of getting Covid again. She says, “I just have to take every minute at a time sometimes.” She tries to focus on happy memories, like the time before Covid when her whole family of six went on holiday to Canada together which she thinks about “when I’m feeling really terrible.”  She’s also been seeing a private therapist because it’s really important for her to stay well mentally.
 
Socially, she can only manage to see people for two hours a week or less and afterwards she crashes. She has started a relationship with another person with Long Covid; they meet up at each other’s homes but on one occasion they were able to go to a classical concert together.
 
She thinks there is limited understanding of Long Covid amongst people. When people see her she looks well so they assume she’s recovered and they find it difficult to understand how she can be doing something one week and then not the next. She feels the attitude of “push through, be positive, be strong, you’ll get through it’ is “really harmful for someone with Long Covid” because she has pushed through for a whole year and made herself worse. 
 
Before having Covid, Xanthe was very fit and active doing several sports including 30-60 mile cycle rides with her cycling club each weekend. She was finishing her Master’s degree in psychotherapy and planning on moving out from living with her parents when she got a job. She feels stuck right now and “sometimes completely terrified” of the future but being in her mid-twenties she tries to think “I can’t possibly be like this forever.” 

 

Trigger warning; Suicide: Xanthe has felt suicidal at times.

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Trigger warning; Suicide: Xanthe has felt suicidal at times.

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And psychologically, where are you at the moment?
 
I have to laugh, otherwise I’ll cry, and that makes you really tired by the way from experience [chuckles] [laughs]. I’m not doing well. Today I’ve... I’ve... is the first day in probably two weeks that I have woken up and not felt like I wanted to burst into tears. I think because I just finished that treatment that promised so much and delivered very little, and spent so much money on it, and money is so, so tight at the moment that I... I think I’m processing that. Do you want me to be really honest?
 
If you want to.
 
OK, I have felt suicidal many, many, many times, and my family know that, and I don’t intend to kill myself because I can see past what I know I’m going through, and maybe from my background in my job or just because I know what’s happening. I’ve also thought about going to Switzerland and just dying peacefully because it will end the pain and suffering in a nicer way. But no, I don’t really want to do both of those things because I love life way too much. I love... I love who I am at... at the deepest core, and I know that one day I’ll be able to offer that again. So, I’m not doing well, but I just have to take every minute at a time sometimes.
 
I have had really nice days in the last 18 months. I’ve still got some nice memories to look back on, and I think memories are really important when you're dealing with something so terrible, and I have thankfully lots of them; lots of good ones.

 

Xanthe was sometimes “completely terrified” when she thought about the future. She talked about how Long Covid affected young and older people in different ways.

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Xanthe was sometimes “completely terrified” when she thought about the future. She talked about how Long Covid affected young and older people in different ways.

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If you look forward, like if you're looking at the future, how does that look, or how do you feel about that at the moment?
 
Sometimes completely terrified. I don’t know where I’ll be health-wise, financially, career-wise. Most of the time I feel terrified, and at the same time I think I am 26 and I’m lucky I’ve been able to get my qualification, so I’m not sort of a child suffering trying to even get through school, so I’ve got that. I’m sort of stuck, and I think actually maybe being stuck is okay because I’ve got a huge amount of qualifications behind me, experience behind me, skills, and that I have so many years ahead of me, I can’t possibly be like this forever, but that’s what I try to remember. At the same time, I’ve met many middle-aged people with Long Covid, I would never minimise anyone’s experience, but the people I’ve spoken to, I don’t know if I’m making an assumption, but the middle-aged people with Covid have seemed to be managing much better? Because I mean I can’t imagine having to take care of kids, that must be awful, but you know you've had your career and I know that you know you think that there’s more life ahead of you, but you've had some...you know, I don’t know, so I think it really is a unique position being in mid-20s and you know you're just ready to leave the nest and you're stuck. So. I think at the same time there are so, so many years ahead of me that something’ll...hopefully I’ve had my life’s worth of bad luck [laughs].

 

Xanthe said her third vaccine injection “coincided with a huge decline” in her Long Covid symptoms. Her fatigue and feeling unwell after exercise got much worse and she needed much more help from her family.

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Xanthe said her third vaccine injection “coincided with a huge decline” in her Long Covid symptoms. Her fatigue and feeling unwell after exercise got much worse and she needed much more help from her family.

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And at the same time sort of around December time, I had the third vaccine which I know now, looking back, coincided with the huge decline. So, since December, say January actually, so from December I had quite... a few days off sick from my job, it was coming up to Christmas as well and I knew I didn’t feel right again. Bear in mind I never really back to what I was; I just thought I was getting there. So, from January I said to my work “I think I need to leave, but I don’t think I can do this job,” and they... so they were really, really great and tried to support me and said, “How about we reduce...” I think I even suggested maybe we could try one day a week, so I went from four days a week to one. And I don’t know, since December I’ve just been, I would say, worse than the beginning maybe?
 
I didn’t have so many symptoms, so I had a whole list of symptoms in the...the first part of the illness, but this time I think from about December the fatigue was much worse, the post-exertional malaise, which is when you overexert yourself and you crash, was much worse, and I didn’t have joint pain, and I had joint pain. So, we tried that, I was doing one day a week I was still crashing though and as time went on, and continues to go on, the crashes become horrendously traumatic because you go from sort of functioning, to not functioning. So, since January I’ve needed my family 100% to take care of me, and...and looking back, to be honest, I probably needed them to take care of me more before, but I didn’t know that that’s what I needed, so I didn’t ask for it; it’s not that they didn’t offer or anything.

 

Xanthe had withdrawn from friends because she didn’t want to have to explain what she could cope with. She felt that as “the person who is sick” she was constantly having to communicate what she could manage to be with people.

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Xanthe had withdrawn from friends because she didn’t want to have to explain what she could cope with. She felt that as “the person who is sick” she was constantly having to communicate what she could manage to be with people.

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How have your parents and siblings...how are they coping now?
 
I don’t think they're coping well at all actually. Because now they know it’s really serious and this is really real, and they don’t dispute that at all, and it... it... it sort of flows between a... I can see that they're heartbroken, and they do... practically they do things to help me, like make me food and things like that, but the sort of...and this is where we’ve had a lot of tension and friction and we’ve spoken openly about that, is the culture of sickness where I’m from: my cultural background, my...where we’re from sort of class-wise I suppose, is just ‘push through, be positive, be strong, you’ll get through it’ and unfortunately that attitude is really, really harmful for someone with Long Covid, because I have pushed through for a whole year and made myself worse.
 
I have been strong, because I’m still here, I’m still alive, you know? And I’ve made myself worse being strong and toxically positive. So, I mean only yesterday we had a really great conversation just me saying this is this, I need...I need you to be there for me in a different way because the whole pushing through thing, and this being positive thing... because I mean I’m...I’m very positive as much as I can be, but when your body is in such shock and trauma...
 
So, I love my parents to bits, and they love me so much, but their approach at times has been harmful, and I told them that, and I’m sure we will go back to the same argument in another few weeks. Because I try and be strong, if they see me smile or something like that, instead of going... instead of maybe not commenting on it, they’ll be like, “Oh, you're smiling, you're good, you're better.” So as the person who’s sick, I’m constantly having to advocate for myself and try and communicate how I need people to interact with me, which is awful, and with my friends now, I’ve just withdrawn because I don’t want to say to them, ‘can you not say this, can you not say that, I can see you but only for this long, can you come to my house because I can’t go...?’ I just can’t be bothered, so I just don’t see friends at the moment, and some friends have been amazing and just know that I’m there and I’ll be back when...when I’m better, and...and some friends have stopped talking to me and...But I know I’m very loved, and I sort of just have to hang on and take each day as it comes, so...