Psychosis
Recovery
The people we spoke to had different ideas of what recovery meant, and if recovery was something that was achievable by them in their lives. Traditionally, people with mental health problems - especially serious diagnoses like schizophrenia - were mostly not expected to recover fully. Today, attitudes have begun to change. Many organisations and mental health services now promote a ‘recovery’ approach, regardless of whether or not professionals believe that people can fully get better.
Recovery is a concept that is difficult to pin down. While clinical recovery usually means an absence of psychiatric symptoms (e.g. voices, delusions), individual recovery can be a very personal thing, involving finding hope and meaning in life, despite having gone through traumatic experiences. In this section, people talk about personal recovery, but also what recovery may mean in a wider political context. Recovery can mean anything from establishing a meaningful life, participating more fully in life, taking two steps forward and one step back, or finding a way to thrive despite all the challenges imposed by distress and even the catastrophes along the way. Many of the topics covered in this section are also covered in other sections in more detail' for example ‘Strategies for coping’, ‘Views about causes and traumatic experiences’ and ‘Medication’.
Recovery is a concept that is difficult to pin down. While clinical recovery usually means an absence of psychiatric symptoms (e.g. voices, delusions), individual recovery can be a very personal thing, involving finding hope and meaning in life, despite having gone through traumatic experiences. In this section, people talk about personal recovery, but also what recovery may mean in a wider political context. Recovery can mean anything from establishing a meaningful life, participating more fully in life, taking two steps forward and one step back, or finding a way to thrive despite all the challenges imposed by distress and even the catastrophes along the way. Many of the topics covered in this section are also covered in other sections in more detail' for example ‘Strategies for coping’, ‘Views about causes and traumatic experiences’ and ‘Medication’.
Graham is trying to learn what he wants out of life.
Graham is trying to learn what he wants out of life.
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When talking about recovery, people spoke about developing a whole range of approaches. For example, they described trying to understand better the causes of their distress; using medication; gradual improvement over the passage of time; the support they received from family and friends; changes made to lifestyles (e.g. reducing illicit drug use); acquiring safe housing and a stable income; developing themselves through education, self-development (e.g. meditation) and work; and exploring different aspects of themselves through talking therapies. Several people said that there was no single way to recover, and they had to do what worked for them. People said it was possible to live with ‘symptoms’ such as voices, or still be on psychiatric medication, yet still find ways to recover. Other people said that they should be able to feel sadness, anger, pain and loss, without being told they were suffering from a mental illness.
Personal journeys
Many people said that recovery was a very personal journey but that they still sometimes needed the help of others. Even when people had recovered they still experienced difficult times. Some people were encouraged by early gains but suffered setbacks. Peter went ‘cold turkey’ without any psychiatric medication' a strategy that he now wouldn’t recommend to anyone. Some people started with goals such as going out of the house, or even getting up out of bed in the morning.
Jenni found that it was difficult getting her life back on track, but had support from her parents.
Jenni found that it was difficult getting her life back on track, but had support from her parents.
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And then my, since then my life got better. And I just had to get back on the right track. So my parents put a lot, they’d always put a lot of investment in my career. So they invested a lot of time in me to try and sort out my career. So I think that’s what’s helped. I moved house again. And I moved in with some very nice house mates and that helped. And my Mum also helped me with my appearance. So I had to be taught how to dress well. I had to wash. Stuff like that. I was like a baby again. I had to be parented again. And then the area… So basically I got my career back on track. I lost another job while I was in recovery, because I was adamant I would go straight back to work, because I’d be, because I lost my job I was off work for a year, while I was ill, before I was diagnosed. So I was just running about the place, like trying to bug friends on their lunch breaks, and stuff like that. Just, God knows what I was doing. I did some work experience, I did a course, stuff like that. But I was just bumming about basically. And when I was getting better I lost another job. And then finally I started contracting which really suits me, because you do short term contracts. And also by that time in my career, I learnt enough skills to hold down a job. Because my career, my chosen career I was sort of launched in at the deep end, because I didn’t do a vocational degree. So it was very difficult for me to concentrate. And some of symptoms are difficulty in concentrating, difficulty in following things through, so all the type of things that you need to be a professional in business. It was very difficult.
And yes, the one area that I’m still trying to fix is about relationships, friendships, because when I was ill, I was basically left with no friends. No one wanted to come near me. Everyone either had, I don’t know, thinking about it, may be they had a stigma. I had a stigma because I was concerned about it myself, but I was so worried about being diagnosed and labelled that I didn’t go and get the help that I needed early enough. Because looking back I should have gone to get help, what, ten years before, for depression, but I never did. I never got the help that I needed. And I can’t say that for ten years I was suffering, because I wasn’t. I having the time of my life, but I was being reckless, I was overspending, just things like that. And, people who knew me slowly drifted away, and I was not making new friends. So when I was actually diagnosed, I was, basically had no like [inhales] now, I see myself, I’m back to where I was before, but I’m much more wise, I’m much self reliant, and have confidence in myself, but I think I’ve got this ideology that friends let you down. Because when I needed them most, at my time of, my hour of need, no one was there for me. But my family was there for me, but no one else was, and yeah that was really difficult.
Rachel says that although she doesn't have what some people would describe as a 'full life' she has a happy life.
Rachel says that although she doesn't have what some people would describe as a 'full life' she has a happy life.
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I’m wondering as we are starting to talk a little bit about recovery? What does that mean to you?
Oh it’s so precious. It is such a precious thing. Recovery to me means that I don’t have overwhelming symptoms. That I’m able to function. Recovery to me means that I’m in the community and not in hospital. You know when I am in hospital I am desperately unwell. And anything, that is better than that, is recovery as far as I’m concerned. I don’t have, what some people would regard as a full life. I have a happy life, even though I haven’t got two beans to rub together, but, you know, that’s the way it goes. And that’s it. I mean I can’t work but it doesn’t mean that I don’t have fulfilled or useful life, and that’s taken me a long time to accept and come to terms with and I think since I have done that, you know, I’m not going to change the world on my own. I’m not going to have a high powered job. I’m probably not going to have any job of any description, but what I do have is a wealth of experience. It may not be in an area that is to everybody’s taste, but you know, it, it can be useful. And, and it has been incredibly useful in helping my partner. And I did find, you know, having access to Rethink, just that incredible relief of knowing that you are not on your own, you know, that there are thousands and thousands of people who suffer the same way. Yes. And I think also, I mean recovery means you have to take some practical steps. I mean on the news I will listen to a bulletin any day, rather than reading the newspaper, watching the news, and keeping in current affairs, because basically it’s the same old, same old thing. You know, and as you get older you do kind of realise that. You know, the world turns [laughs]. And we’ve seen it all before. You know. And try not to get too worried about it. Because I think one of the very common things with anxiety in particular, is awfulisation, catastrophisation, where you think that the worst is going to happen. And that just isn’t going to happen, you know, it’s not going… [intake of breath]. Mindfulness has been very, very useful. Because what I find happens to me particularly if I’m stressed is this constant whirring for what’s going round and round and round and round in my head, all the time. Getting worse and worse and worse and worse and it fuels anxiety and to the point where you can begin to feel physically quite uncomfortable, and its learning what the cut off point is, you know, beyond which you are not going to go, and you put a stop on it, and that’s been really, really excellent. Yes. And I think the other thing as well is, realising that as you do get older, you do get stronger. Your resilience against it does grow as time goes on. Particularly if you’re fortunate enough to have periods of time when you are not psychotic. It doesn’t mean that you won’t have the symptoms of anxiety or depression or the huger mood swings that you can get. But that becomes within the bounds of what is normal for you. And it becomes acceptable and I think the more you can find out about the condition you have, the more you understand it, and the less frightening it is. And I would recommend organisations like Rethink. They have some fantastic information. Because sometimes, you know, the medical profession, they don’t know everything. You know, they don’t. And the psychiatrist will be well versed in medication and another nurse will be well versed in talking therapies. So this kind of thing. What you need is a kind of broad spectrum approach, and just grab anything that’s going. Yes.
Some people talked about a ‘turning point’ or a catalyst for their recovery - such as meeting a particular therapist or understanding more about what led to their psychosis. Others did not mention a key event, but noticed things changing slowly over time.
Dolly found that her recovery was a slow process involving many things over time.
Dolly found that her recovery was a slow process involving many things over time.
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And for example, you know the Hearing Voices Movement has been going on for quite a while. You know, it started off in Holland. And basically when... they did… one of the things they say is, it’s your voices are always telling... are always, are always messengers basically about your, the state of your mind, your state of your life, your state of your soul. And you should listen to them really. See what are they, what are they saying to you. And why are they saying this to you. And it was only like, because I remember one of the exercises was write down [3 sec pause] what the voices are saying to you. So I did write them down, and you know, funnily enough, just a couple of days lat… later, I had my Dad to say those exact same things to me. And I sort put of two, you know, kind of put two and two together, and thought, you know. And once I kind of understood that, it was, it had some kind of link to my past. I felt I had more control over it. But it wasn’t, it wasn’t kind of a, you know, an ambiguous, you know, mess that I couldn’t hold on to. I could see that, basically I could see the logic in it.
So it works?
Yes. So... no as I say, it’s stuff like just saying my Dad isn’t a happy man. He’s very, very unhappy. So, you know, he’s telling himself these things as well. And look what it’s done to him. Do I, and basically I said to myself, do I have to listen to that. Why am I listening to that? Why am I taking it as truth. So... it was kind of understanding that, what the, just to see. How I could change my thinking and how I could control the emotion, the emotions that were, that were quite negative at the time. And basically not in a kind of critical way, because I unders… I also understand, you know, if you’re critical about yourself. That’s actually counter productive. Just to see that you’re, to have kind of compassion for yourself and realise you’re doing the best you can. And as long as you do one thing positive in your life, you’re doing the right thing basically. Not to be kind of hard on yourself. So that, it was, like many, many kind of strands just coming together, and just, you know, over the space of a few years. Just having that self belief you know to write, and then submitting it to publishers and getting it published, gave me more confidence, so I would, I would because I was also writing poetry and said well may be I can perform my poetry. And people said, “Don’t be so stupid Dolly. You know, you’ve got social phobia remember?” And I said, “Well I won’t know until I try.” So and it’s funny always, it’s, you know, I don’t know if it’s true of everyone, but when I need a certain person in my life, they arrive on the scene. So I met this Dutc.. well British poet, but he lived in Holland. And he got, he said, “Come to Holland and perform some poetry.” I said, “I haven’t done it before.” And he said, “So?” So I went over there, you know, and before I performed my poetry I was really scared. I wanted to come home. But he literally, he’s a big guy, he lifted me up and threw me on the stage and said, “Perform.” And I did perform and I loved it actually.
Oh fantastic.
Yes. So, there’s the having a bit more confidence. That really helps and actually forgiving my Dad was the biggest, I think the biggest positive impact that had on my kind of life. Because I realised he owned my life, I didn’t forgive him... Because I remember somebody saying this to me, and it’s always stuck in my head, is, “If you’re bitter about something, you’re poisoning yourself and hoping the other person is going to get ill from it. But you’re doing the poisoning to yourself.” So understanding you know, being bitter about things is actually poisonous to the soul. Hating somebody is you’re not, you know, you’ve given the power to that person you hate. Not that you don’t own it. Yes, it’s a very kind of slow process of lots of things. Actually what I think it is, it’s just a slow process of learning how to be human. But as kind of really helps, helps me. Not seeing that, you know, the psychosis as you know, a kind of symptom or illness that can only be medicated. But to see that it’s actually part of being human.
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