Sara - Interview 17
Age at interview: 20
Brief Outline: Sara is 20 and fulltime university student. She's been experiencing mental health difficulties over the past eight years but more so after she started university. She sees a counsellor weekly which has helped her, and she also says having a few different coping strategies, like keeping a diary or doing exercise helps her. It's been difficult for Sara to talk about her problems with her family as she says the 'concept of mental health doesn't exist in South Asian culture'. (Pakistani).
Background: See 'Brief outline'
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Sara is 20 and a fulltime university student. Over the past eight years or so Sara’s been experiencing mental health difficulties, mainly depression and low moods. She’s also experienced eating problems and self harming which she says have stemmed from her depression. Sara says her doctors weren’t very helpful and suggested her moods were just to do with being a teenager and hormonal imbalances at that age.
Sara says that for years it was difficult to know what was wrong, or if something was wrong; she just felt that “things weren’t really working” for her. She felt constantly low and useless and she started self harming and also developed an eating problem. For her, not eating used to be a form of self harm. Sara says she got so used to feeling low or depressed that she doesn’t know anymore what life would feel like without.
Sara says she “didn’t have the courage” to address her problems until the first year at university. At that time she felt like it was all getting too much and she’d also gained more independence from her family to be able to access services more freely. Sara went to see a school counsellor and since then she’s had weekly sessions which have helped her a lot. Counselling has particularly focussed on helping her change her negative thought patterns and finding coping strategies that work for her.
Sara is of Pakistani origin and says in South Asian culture there is “no concept of mental health” and that it’s a “quiet taboo”. This has made it really hard for her to be heard and taken seriously at home' “because if it doesn’t exist you can’t talk about it”. She says this played a major part in her not seeking help earlier, and feeling apprehensive about going to see a psychiatrist. Sara says if she’d gotten help with depression earlier on, it might’ve not led to self harm or other problems. She says changing cultural understandings of mental health is very hard, regardless of which culture people come from.
For Sara, having a few different ways of coping with her feelings and thoughts has been the best way; if one strategy stops being efficient, she has something else to try. Keeping a diary, doing exercise and just trying to keep her mind occupied has been helpful for her. Sara says she’s a really independent person and often prefers doing things on her own. She also says she over analyses everything and for her, it’ a big challenge to try to learn to think less.
Sara says she's good at "acting confident" and hiding her real feelings. She says she's "better...
Sara says she's good at "acting confident" and hiding her real feelings. She says she's "better...
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When college started, university, everyone’s just known me to be a confident person, because once I left my old school behind it was just easy to move on and pretend like I’ve always been confident. But obviously it was kind of you know it was, it was actually worse than it was before, I wasn’t just feeling bad, it was I was doing things, to, make you know actually damaging me, so it was, it, yeah I got more confident I suppose in a way, but, I still even now I prefer doing things on my own.
But you know, I know when I was younger as well I was quite quiet, I am naturally a quiet person, I get, I like acting confident but the majority of the time I don’t feel very confident. So, you know I’ve become quite a good liar, it’s just not a great thin, I mean, I mean it’s not a great thing to admit, but I’m good at hiding like my real feelings. ‘Cos you know I can’t lie, really I’m a terrible liar, I couldn’t possibly steal something and then pretend like I hadn’t done it. I definitely, you know I’m definitely better at not being the real me, I can definitely hide the real me more now. So as a child I was probably quite quiet, and I was probably quite, I wore my heart on my sleeve, like if I was upset everyone would know it. And now it never happens like I wouldn’t, you know people, if they catch me on a really bad day I might be sitting there quite quietly going, “Go away, I just want to sit here on my own.” And I might, you know, that might be as far as it gets, but generally I’m not gonna, I don’t want to push my low mood onto everyone else ‘cos I know it’s quite contagious sometimes, if someone’s feeling sad I mean, they’ll make someone else feel sad, and it’s kind of, I don’t want to be the person that sets off a bit of a sob fest like sitting amongst a circle of friends, everyone started crying, and I was going, “No it’s okay.”
Sara's eating disorder started off as a "coping strategy". (Read by an actor).
Sara's eating disorder started off as a "coping strategy". (Read by an actor).
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By not eating you know I, it was to me it was self harm when I started off, by not eating it was self harm and it was, and then by throwing up it was self harm, it was, that was what I was doing but then I got so sucked into the fact, that oh wow I’m losing weight, it just got, suddenly I wanted to lose weight and it was, it was just it just kind of took over so although it was self harm it was, it just became it’s own thing as well. And it became my new kind of coping strategy for everything. And so definitely I think for the last year of sixth form it was, because both of them were going pretty strong it was very intense then. I lost a lot of weight, not too much, but I lost a lot, I mean, I was very big, I did lose a lot of weight and I do still struggle with eating, but not too much.
I mean I do still struggle, but that is my main issue that I talk to counsellors about because it’s kind of, you know, my self harming coping mechanism was taken away from me, my eating disorder although my Mum found out about it it’s much easier to hide.
Sara's mum got upset and angry about her wanting to see a psychiatrist so Sara decided not to...
Sara's mum got upset and angry about her wanting to see a psychiatrist so Sara decided not to...
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When I was having the anxiety attacks, ‘cos I was blacking out quite a lot, and my Mum took me to the doctor and he just kind of shrugged it off as growing up. And I got very angry in for that ‘cos I was like, “No, no, no blacking out is not part of growing up.” But I just left it and then last year when I started seeing the counsellor she, she said that I should try and see a psychiatrist about it. So I did, I went to the doctor and made an appointment and got an appointment with the psychiatrist but my Mum found the letter and she got very angry with it, so it was quite, I wanted to go on my own but she went with me. And for the whole bus journey there she was saying, you know you don’t need this, why are you being silly blah blah, so when I did have the interview with the psychiatrist, I just, I told them everything and he says, “What do you want from this?” And I said, “You know what, for now just leave it”. So I just left it, and I really regret doing that, and I did wanna go back, but I’m just worried about my Mum finding out about it, so I’m going to leave it until I absolutely have to have it, but I don’t think it’s a great idea to leave it, it’s like if I could take it without my Mum being angry then I would.
Sara says that without a formal diagnosis, she won't be able to get the medication she would want...
Sara says that without a formal diagnosis, she won't be able to get the medication she would want...
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I don’t think having a diagnosis makes a difference because if you’re suffering from something, you’re suffering from something whether or not it’s kind of accepted. But the only thing I’d say with diagnosis is because I think medication does make a difference I think with a formal diagnosis that would’ve been an option.
But because I haven’t had a formal diagnosis and until I see a psychiatrist and get one, it’s, medication is kind of not going to happen. So that’s the only kind, only kind of benefit, but I wouldn’t say medication’s the only way out, you’d have to have like, medication would be just on of the things. So it’s, it doesn’t matter as much. But it, I think it does make a bit of a difference because, just because then your doctors and your family and, because if someone else says you’ve got a problem then other people are more likely to listen. If you say you’ve, you personally have got a problem they’re just gonna, kind of brush it away. If someone else says, “Oh this person has actually got a problem.” Then people are more, it just seems people are more likely to listen.
Going out is sometimes so much effort for Sara that she often just leaves it. (Read by an actor).
Going out is sometimes so much effort for Sara that she often just leaves it. (Read by an actor).
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I like going out with my best friends, I mean, I like going out with even people who I’m not so close with, but I get quite, I don’t, I don’t like it, I don’t know why I don’t like it so much, it’s quite, I know definitely if we went out to a restaurant, I know it’s because of the eating thing just drops in, like just ruins my day for me, but , even if it’s just for example like we’re going bowling or something, you know something’s that’s completely, it doesn’t require much of kind of anything, apart from just lifting the ball and chucking it down, but it’s quite, it’s, when you’re feeling low on the inside it’s really hard to not look it, like it’s really hard to just be happy. And if everyone’s happy you don’t want to ruin the, you don’t want to be like the one person who ruins it by like sitting in, in the corner all like upset.
So I don’t like doing this because as much as I can put up a front I don’t like having to put up such a huge front like, if you’re just talking to a couple of people it’s not too bad, but if you’re going out, if you’re gonna go bowling for example and you’re going with a group of 10 people, and it’s happened to me sometimes, even if you go with a huge group of people and everyone’s really excitable, and everyone’s really like having fun and everything, and it’s kind of, you feel so like limp, you just don’t, you feel quite, you feel physically and mentally drained and you don’t want it to show. And it takes even more out of you, ‘cos you don’t want it to show, so like sometimes you just, you just don’t go because it’s like, you just tell your friends you’re tired, and or you, you’ve got work to do, whatever. But it’s just because you don’t want to be surrounded by so much, you don’t have to make such an effort for just that little amount of time.
And, because the thing is you have to make the effort because if you don’t look happy you just, you’re going to end up ruining everyone’s day. And it’s kind of, you, you don’t want to ruin everyone’s day by being upset, but you don’t want to kind of completely drain yourself by being happy so you just end up leaving it.
It took Sara years to pick up the courage to seek help for her long term mental health problems...
It took Sara years to pick up the courage to seek help for her long term mental health problems...
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Well I say over the last maybe 10, not 10, 8 years or so, I was having kind of problems which I suppose you cold definitely say were mental health problems. But my parents, especially culturally, they don’t really believe that, it’s kind of a quiet taboo anyway and then just generally they personally don’t believe you could have mental health problems, they thought it’s just someone being a bit silly so it was quite, I didn’t really have the courage to make an effort to do anything about it. But last year during university it kind of hit me that it was, it was kind of, everything seemed to be taking over my life and I wasn’t really studying properly because it was, you know I might have done well in my A-levels and got into a top university, but it wasn’t really… like suddenly I had this huge impact of my life, on my life and just everything was just falling apart of coming together or, however you wanna say it but it wasn’t really working well anymore. So I decided to start like seeing the school counsellor and stuff. And although I’ve never been formally diagnosed by a doctor, I mean I asked my doctor once or twice to se a psychiatrist but my parents didn’t really like that so I didn’t really have a formal diagnosis.
Anxiety is draining and makes Sara feel physically drained as her brain is constantly on ...
Anxiety is draining and makes Sara feel physically drained as her brain is constantly on ...
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The actual kind of feelings, they, physically you just feel so tired all the time. Like it, I think it drains your energy a lot, it might be a mental problem but it definitely physically drains you. Because constantly, well my anxiety level is constantly worrying about things, it just kind of, your brain’s running on, like overdrive all the time. And with depression it’s kind of yeah your brain is running on overdrive, but thinking about what you said like, you know, it’s, you know,“I hate my life, this is so bad, I hate this, I hate everything, I hate,” you know it’s just constantly, “I don’t like this, I’m tired,” it’s just constantly, it’s a bit like endless clockwork it just keeps going.
It does like physically drain you, so if you, if you don’t keep yourself busy and you just sit there, and you just feel so tired. It, it you know you don’t feel like, especially when you’re having a low mood, if you can’t get yourself out of it you can’t do anything that day, it’s just, you know I can’t, yet sometimes I want to sit in the library and study and if I’m having a bad day I’ll just start feeling sleepy, I’ll, you just, you just wanna go to sleep, you don’t feel you want to do anything, you just wanna sleep.
Sara has found it difficult to talk to her parents about her problems because she says in South...
Sara has found it difficult to talk to her parents about her problems because she says in South...
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I think just generally anyway mental health is quite a taboo, a lot of people doesn’t matter what culture they’re from don’t really want to talk about. But it’s definitely within South Asian culture it’s kind of, it doesn’t even exist, there isn’t actually a kind of a concept of mental health, it really doesn’t exist. You’re either actually mad, and like you need to be in a mental home, or you’re just being silly. And it’s kind of, that’s definitely why like when I saw the opportunity to say something I was like good, because I know there’s a lot, it’s quite common apparently amongst so like Asian or like for example Muslim children, and like teenagers and even adults, but no-one talks about it because it’s, it’s quite because if it doesn’t exist you can’t talk about it if it doesn’t exist. And like I know a lot of parents will just kind of brush it aside so you’re just being a teenager, or you’re just being you, you know you’re being silly, everyone feels sad occasionally.
You can’t, because you can’t explain to them what it is, and you can’t get them to see what it, they just, they’re not willing to kind of change their view on it, it’s really hard to, you can’t ever talk about it with your parents because they don’t believe it exists. And it’s kind of, it’s hard to talk about something they don’t believe something exists. And then even if you do manage to convince them that you do have a problem, they will just you know it’s kind of like, “Okay, so you want to see a psychiatrist, what if someone finds out you’re seeing a psychiatrist? It’s going to be a bad, it’s gonna be like, it shows that we’re not great parents.”
And it’s kind of like, “It’s nothing to do you with you not being good parents,” it’s, you know, I have respect for my parents, and I don’t think that they ever did anything wrong in bringing me up, in the way they brought me up, but it’s kind of, it is a personal thing like, some people in my situation might never have been upset about it. My Dad grew up in a very busy household but he’s, I as far as, you know he’s rarely ever sad and it’s not because he’s faking it, he’s actually just, you know he, he loves having people round, he loved coming from a busy household, I didn’t like it because I was a really quiet kid anyway, and they kind of, they don’t really realise that people do have different kind of personalities and one situation will affect different people in different ways, and it, you know even if they don’t accept mental health as a topic, they really don’t understand low moods in general.
Don't give up trying to talk to them. They will talk when they are ready. (Read by an actor).
Don't give up trying to talk to them. They will talk when they are ready. (Read by an actor).
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It depends on what day you catch them. If my Mum will catch me on a day when I just, I just close down, I don’t wanna anything, I don’t wanna say it, so it’s kind of sometimes you have to keep trying. Like you know, like Monday to Saturday they might not want to talk about it, but maybe on Sunday around the dinner table they’ll say something, so it’s, you just have to try and I think parents should try.
And , and it’s not that they don’t care but sometimes I think they don’t know what to do so they get quite, they just leave it, the kid to it and it’s probably not the best option, as much as it might seem like they can cope with it, if you think you can’t cope with it then they probably can’t cope with it, so, it’s probably just, at least offer help and if they don’t take it then try and build up the trust so that the next time you offer it they can take it.