Sameeha
Age at interview: 22
Age at diagnosis: 21
Brief Outline: Sameeha experienced a single short episode of psychosis in her early 20s during an unusually high period of stress. Although she was hospitalised, the psychotic thoughts stopped after less than two weeks with no sign of a coming back.
Background: Sameeha is 22 years old.
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Sameeha experienced psychosis for the first time when she was 21. She was in her third year of a law degree and was under an unusually ‘high level’ of stress due to problems with her loan, her job and her landlord. She was also rethinking what she wanted to do with her life. She began to lose awareness of time and what was happening around her and one night she just walked out of her student accommodation feeling very paranoid and with delusional thoughts. Her housemate brought her to A&E and she was eventually compulsorily detained in hospital for two weeks under a section of the Mental Health Act.
She clearly remembers the day and moment when she felt better. Someone was fixing the dim lights in her room in hospital and turned them on very bright. Colours looked brighter and “everything just illuminated” and she felt her “consciousness coming in”. Whereas before she hadn’t been aware what time of day it was, she was suddenly aware of the time of day and interested in reading her books. Despite the fact that she felt completely well, it was another 4 or 5 days before she was allowed to go home because staff were not available to assess her and release her from her ‘section’.
Staff in hospital didn’t interact with her, they spoke ‘about her’ as though she wasn’t there. She thinks that staff need to be aware of the environment they are creating. She thinks staff who are not happy and comfortable being with people who experience psychosis shouldn’t be doing that kind of work.
Sameeha says that getting plenty of sleep was very important for her recovery in hospital and suggests that doctors should help people to just sleep for a few days and then slowly bring them back, talking to them, telling them who they are, ‘grounding them’, and explaining why they are there.
After she left hospital, a psychiatrist told Sameeha she had experienced psychosis. She did a lot of research online after that, and what she found most helpful was hearing about other people’s experiences. She found Youtube was a great source of information and decided to record her own story and post it on Youtube too. Talking about what had happened gave her a sense of release.
Friendships and her own spiritual beliefs have helped her to move on from her experience of psychosis and she has become very good at checking in with herself to make sure she is ok. She listens to music and finds meditation helps her to stop ‘buzzy’ thoughts in her head. She says it’s important not to feel ashamed or guilty about what happened and not to judge yourself but to look inside yourself for solutions.
She clearly remembers the day and moment when she felt better. Someone was fixing the dim lights in her room in hospital and turned them on very bright. Colours looked brighter and “everything just illuminated” and she felt her “consciousness coming in”. Whereas before she hadn’t been aware what time of day it was, she was suddenly aware of the time of day and interested in reading her books. Despite the fact that she felt completely well, it was another 4 or 5 days before she was allowed to go home because staff were not available to assess her and release her from her ‘section’.
Staff in hospital didn’t interact with her, they spoke ‘about her’ as though she wasn’t there. She thinks that staff need to be aware of the environment they are creating. She thinks staff who are not happy and comfortable being with people who experience psychosis shouldn’t be doing that kind of work.
Sameeha says that getting plenty of sleep was very important for her recovery in hospital and suggests that doctors should help people to just sleep for a few days and then slowly bring them back, talking to them, telling them who they are, ‘grounding them’, and explaining why they are there.
After she left hospital, a psychiatrist told Sameeha she had experienced psychosis. She did a lot of research online after that, and what she found most helpful was hearing about other people’s experiences. She found Youtube was a great source of information and decided to record her own story and post it on Youtube too. Talking about what had happened gave her a sense of release.
Friendships and her own spiritual beliefs have helped her to move on from her experience of psychosis and she has become very good at checking in with herself to make sure she is ok. She listens to music and finds meditation helps her to stop ‘buzzy’ thoughts in her head. She says it’s important not to feel ashamed or guilty about what happened and not to judge yourself but to look inside yourself for solutions.
Sameeha was in her third year at university and a number of things were making her highly stressed. She lost touch with reality.
Sameeha was in her third year at university and a number of things were making her highly stressed. She lost touch with reality.
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Sameeha was aware “something was coming” and was going through a “transformative period” rethinking what she wanted from her life.
Sameeha was aware “something was coming” and was going through a “transformative period” rethinking what she wanted from her life.
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It must have been quite big then. Because you were in your third year.
Yeah, definitely.
There you are, in law, which is sort of fairly, yeah—
Yeah, rigid and structural.
Rigid and structural. And then, you said, it was brought to your attention or somehow—
Yeah. Look at, a month or two I was like travelling back and I was just like, I don't, this isn't what I wanna do for life. I'm aware, I, why did I even choose law. Is it simply because of the money, because it's a good job, 'cause society wants me to work 9-5 every day. And I'm just like oh, I, I don't even know where I stand in life at the moment. I just followed the path that was easier that my parents took pride in for me. And so now, I just, it was, there was a time where I just need to figure out like who I am and it was a shock, because technically I was an adult. Do you know do know what I mean? I was 21. So, I should know everything, technically according to everyone else, I should know how to run my life and what to do things and how to do taxes and council tax and everything like that. But it, it was a time period like that. I am just gonna go see where everything is. And it eventually it led me to that.
And was there something else going on around you that made you have those kind of, you know, where do I wanna be in life kinda thoughts?
It was, it was just like, I think with everyone, everyone just wants to be comfortable, do you know what I mean? So, it was, uni I was like, out, outcast, do you know what I mean. It was like, you could talk to people, you can have a and b conversation, that's fine. But everything seems a little bit trivial, do you know what I mean? Small talk only gets you so places that I rarely had interesting conversations. Everyone just wanted to drink. Everyone just wanted to go clubbing. Everyone just wanted like the trivial things. I was never about that, not even when I was younger. So I just found, I just found myself like yeah, in that period where I was just yeah, I don't know. I mean, I'm in this place where [sniffs] I've not been before, because all I did was just follow the 'Yellow Brick Road' and eventually I found myself lost, so to speak, kind of thing. So, yeah, I did feel that kind of change come in.
A friend of Sameeha’s was “kicked out” of school when she was experiencing mental health difficulties. Sameeha talks about why it’s important to take people seriously when they say they are struggling.
A friend of Sameeha’s was “kicked out” of school when she was experiencing mental health difficulties. Sameeha talks about why it’s important to take people seriously when they say they are struggling.
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You can only be ill if you like write down and go to the doctors and do the right things at the right time. People don't work like that. People, it takes a while for people to figure out what they're going through. To figure out what they're feeling. To figure out, 'cause there's constant stimuli in this world and people constantly trying to stay busy. But, when they actually recognise that they're suffering and then people are telling them, no you're not. It, of course they are gonna go inwards, of course they are not gonna want to talk. Of course they are not gonna wanna connect or whatever resources you have available. They are gonna just wanna stay silent and stay within themselves. And, for example, this is something similar that happened to me. I, I was like, no, no-one's gonna understand and no-one's not going to, everyone is going to call me lazy. Everyone's gonna be like no, you just don't wanna do your work. You just don't wanna do your essays. You just don't wanna do this. And I'm just like, no, it's how I feel at this moment and nothing you can say can change that. Nothing you can even if you want to kick me out or if you want to do this, nothing you can write down or choose or, 'cause the whole precedent with the whole uni thing is, nothing you can say, that, I feel the way I feel. I'm standing by it. I'm no longer feeling shame or anything for it, because that's what a lot of people they feel the shame, they feel the guilt. That contributes to the whole bad feeling. So, it's just allow people. If they're saying and they, they seem genuine and they seem honest about whatever situation they're going through, whether it's mental or abuse or anything. Just take their word for it and don't say they have to go through a certain channel for it to be real for it to be genuine, because it's the worst kind of feeling to go through where you feel, feel like you're not going, not being taken seriously simply because you didn't do it the right way, whereas what is the right way – there is none.
Sameeha describes being very “out of touch” with reality. Her mind seemed to be creating a “storyline” of its own, which she was acting out.
Sameeha describes being very “out of touch” with reality. Her mind seemed to be creating a “storyline” of its own, which she was acting out.
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Yeah. I was putting random things in random bags. I took the key that was in the door and then just walked out and I think I had a huge duffle bag with me, full of random things. Yeah and then I was walking around the place that I was living in at the time.
What was your intention that night, do you remember?
No, there was literally no intention, like I said, nothing has any reason or like any logic to it. It kind of, I think my opinion of it is how it works is, your mind is going through a mental blip and then your body is simply doing the things that the mental blip is giving out. So, it's giving out, I'll go walk around and go do this, go do that. And so you're walking around and the mental blip is still carrying on kind of thing. And it's just, your mind is interpreting all, every single concept that's ever been in your mind. So, your imagination is you think the CIA or whatever is being is following you. That there's loads of cases where people believe that. So, it just takes, it uses whatever storyline it needs for you to be able to comprehend it. For you to be able to like just be like, oh yeah, this is what's going on. Even though, in reality, if you are in the mental state you are now you'd be like well that's obviously a, a story as clearly your imagination, but in that time period, you’re your mind just wants you to feel somewhat grounded even though you're not. So I think, I feel like everything that the person thinks or is saying or even though it's weird and random, it's just them trying to cope with what's going on in their minds. Because the mind, you can't see anything. You can't see any of the lights or the electrons or anything running through it. So, it's simply it’s the reactions that you see. That's my personal opinion on how it works.
Sameeha felt as if she was sitting in her own chest watching herself. It was upsetting to hear afterwards how her actions had affected others.
Sameeha felt as if she was sitting in her own chest watching herself. It was upsetting to hear afterwards how her actions had affected others.
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At its at its worst was awful. It's, you'd, you have no control of it at all. But your, your, how I would describe it 'cause there was a time period where I was in the hospital. It was the A&E and I just wanted to, I just wanted to go, I was surrounded by people. And I think it was a time period where I was acting—I might have been slamming this hinge thing on the wall. I was like slamming it and counting at the same time. And there was loads of people grabbing me and I was like, no, just let me go, just let me go. And it was very overwhelming. But I remember this like especially in that moment. Even I kept blacking out in and out. That I was like sitting, pretty much in the centre of my chest. Yeah, I was sitting in the centre of my chest kind of watching the whole thing go down kind of thing like I was just like this consciousness just, even I was like, oh my god, I'm screaming like from the top of my lungs, but I don't feel anything. I am just watching it go by. So there was definitely this separation from the ego of which I was Sameeha and it was just me watching this horrible thing go, go by, but there was no judgement of it. It, it was simply what it had to be. There was other periods where I couldn't even communicate, like say, if I wanted to say something, I couldn't even say what I wanted to say. There was a time where I've only speak, I was only speaking in numbers and colours. I was getting my, my, my moods were very irritable, like I could switch from being happy to go lucky depending on the person speaking to me. Yeah I remember during that period my friend as well right before I went. Completely kind of disconnected to reality. My friend had told me after that she had felt very scared, very frightened for her life. And I was just like, ah, that's very upsetting to hear, because obviously when you are in that kind of delusional period, you have no intent of anything at all. So, coming back and hearing what you did during those periods is very difficult, because you don't define yourself by that, but at the end of the day, you did it, so you can do nothing else but take responsibility for it. So, yeah, those are the things that are the most bad. Things like completely out of character, 'cause, for me, burdening people would, I would say it's one of the worst things I'd do. And I was constantly just in people's I, I was, I would talk and just mention nonsense and be so sure of the things I was saying and obviously, coming back to that, it's not pleasant 'cause obviously people can full on witness you not being completely there and it makes them uncomfortable and it makes them obviously they don't know what's going on and they don't understand completely what's going on in your head. So they, they're uncomfortable themselves. So that's difficult as well, working with, kinda thing.
Sameeha remembers being referred to EIP after her discharge from hospital. She didn’t feel she needed further support but it was some time before they discharged her.
Sameeha remembers being referred to EIP after her discharge from hospital. She didn’t feel she needed further support but it was some time before they discharged her.
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What was that like?
To be honest, I was, I was so over everything. I was like, I don't wanna do any of that. I just wanna sit down and chill for a bit. But, no, 'cause eventually I, first of all, I started like ignoring the meetings. I was like, [whispers] I'm not gonna go. I can't be bothered. I just don't wanna deal with it. And eventually one lady, she chased me out, she like came to the door and she was like, ''I get the impression you don't wanna come, but you know, it's just, it's just about talking and making sure you are all right.'' And I was like, uh, I feel bad, all right, let me go. So I went and she, to be honest, I think it's because it was her that I, I, I went to go see her. Because she was very down to earth, she was like now I get it, you don't, you want to be treated like a human being and everyone's proved you otherwise. So I get why you don't wanna do it. And then, eventually, I met I met her a couple of times for coffee and she was like, ''Are you sure you don't wanna be involved?'' I'm like, ''I'm 100% sure.'' And like she helped me kind of just be signed off from the whole thing. But that period was quite long and I had to like explain myself so many times, kind of thing to several different doctors, told them and they had to confirm whether they felt it was alright for me to be off the list like stop being watched kind of thing, 'cause, I guess with mental illness, it's like you don't whether someone is gonna be violent or anything or whether someone has just kind of behaviours that affect other people. So they asked me whether I was, whether they whether I had any problems. Whether I kind of acted out like that. So whether I was a danger to society. It's like, no, nothing like that happened. So eventually they came to the conclusion that's fine and I could be written off and that I could just go to my GP if there was a problem.
Sameeha’s flat mate was concerned when Sameeha left the house during the night and she was taken to A&E. She describes still being delusional and running away and feeling “imprisoned”.
Sameeha’s flat mate was concerned when Sameeha left the house during the night and she was taken to A&E. She describes still being delusional and running away and feeling “imprisoned”.
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So you just were left there in A&E on your own?
Yeah.
It was during the night still?
No, that was, it was like morning time by then. So it was like 7, 8 probably. And when I was they had left me there. I had, I was there for a little bit. One of the nurses had asked me to take a urine test. But because I was feeling so imprisoned, I just went into the toilet and I was like, kind, kind of run, gonna run out, gonna get out, gonna escape. And so, eventually I got out and went to the house and just stayed there. And eventually and at that time period the police came. 'Cause my mum, there was obviously some dealings in the background. The police came, took me to the hospital and from then on it was just a long, long- I feel I was at three different hospitals overall, kind of thing. A long transition. But there was never once any a case was made, this is what’s happening. Your, your, you're going through a psychosis right now. We don't know what medication you need. We are just trying to find out what's going on. When I was in A&E the second time and the police took me there, I remember like a lot of people trying to talk to me and a lot of people trying to ask me questions and a lot of people trying to like get, understand what's going on. But, for me, it I, I found it extremely, I couldn't answer. I didn't I myself didn't know what was going on, because I thought whatever delusional crazy thoughts were going on at the moment of time.
Sameeha remembers a member of staff being “off handish” and “rude”. She says you can tell when staff don’t want to be there and don’t have any sympathy.
Sameeha remembers a member of staff being “off handish” and “rude”. She says you can tell when staff don’t want to be there and don’t have any sympathy.
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So was he a member of staff?
Yeah, he was a nurse, yeah.
He was a nurse, yeah. Did you have much more dealings with him then or?
[clears throat] No, like occasionally. But I, in that time period as well [clears throat].
Are you okay?
Oh, no, no I've just got a cough. In that time period yeah, a lot of them were like that to be fair. It was like you know you can tell when someone, someone's intent isn't right or someone's intent isn't coming from the right place. I didn't really have much dealings with him, apart from that, but he was always very off handish, very kind of rude, kind of he didn't wanna be there kinda thing. So I always got that kind of atmosphere from him. But I, in that hospital I was only there for a week and then I got moved to another one. So, yeah, that was fine with him.
Sameeha describes desperately wanting to leave hospital and having to wait because doctors were on leave or too busy.
Sameeha describes desperately wanting to leave hospital and having to wait because doctors were on leave or too busy.
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Do you remember how many sort of days it was that you were in that position where you knew you were ready to go.
I think it was four or five days I'd say, yeah.
Sameeha had posted a video on YouTube about her experience of psychosis because she felt she needed to “speak about it” and “move on”.
Sameeha had posted a video on YouTube about her experience of psychosis because she felt she needed to “speak about it” and “move on”.
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Cool. Yeah, no, I'd just started making, it was just after the, the time it happened and I'd come back and I'd just finished telling everyone like the people who I trusted. And I'd got great, great feedback regarding that. And I felt comfortable again. But no, I just felt I felt like I didn't, there was still something I needed to do. I felt still like I, I needed to speak about it even just to the air in front of me and then put it up. And I knew like looking it up, I knew that not a lot of people spoke about it. So I was just like, I'm just gonna, I'm just gonna put on my camera [laughs] just rant about it. Just so if when I need to say that things like even if I felt bad like kind of like a confession for like if I felt bad for doing it like affecting people during that period, I'm just gonna say it. And then, just get it off and then just forget about it, kind of thing. Just move on. Because once you just get everything out, speak it all out, speak all your worries, you can just move on from things and like just not worry about it. You've addressed it. You've taken responsibility now I could just move on with my life, kind of thing.
Sameeha encourages everyone to “follow the source of your own happiness”.
Sameeha encourages everyone to “follow the source of your own happiness”.
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Sameeha explains how meditation helps her and what she does.
Sameeha explains how meditation helps her and what she does.
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Yeah, yeah, sure. For me I just make sure I meditate every day I think try not to judge it. It's just about being mindful of your breathing. Sitting in a comfortable position. Quieting the mind. Making sure there's no outward thoughts that you're judging. Just, just sitting there and observing everything. So, that you are able to just…not take in everything and just being able to just take a step back and be the, not be the perspective, being the observer of it all. So, yeah, I just sit down breathe. If you need to count your breaths, that helps or there's mantras for people. Yeah, no, I just started learning about the chakras and all that a long time ago and the whole energy and because for me, the whole meditation it's like science and the whole faith and religion thing put into one. So—
So when you say energy that's energy moving through the chakra that belief system.
Yeah, yeah, definitely.
Flowing energy.
Yeah and like everyone has their own auric field. Everyone has like the, like for example, if I walk into a room, someone's angry, I could definitely tell. I don't need my eyes or kind of, kind of any sort of outward thing to confirm that. It's like when I'm sitting in a room, I can tell like you're fine. You're comfortable. You're open whereas another person. For example, actually during that time period my mum told me I didn't know, I can't remember. But my mum told me this doctor he was, he was horrible. He was really mean about things. And he had just come up to me to try and speak to me. I was like, no, I'm not speaking to you. I'm not speaking to you or so it's that kind of that whole vibe thing.
Feeling. That's how you interact in the world [overlap] that strong sense for you.
Definitely. Yeah, definitely. It's like keeping those [inhales] that, that intuition open and keeping that constant open mind that constant like I don't know whether, it's kind of like, not instinct, but it's like being able to just, just feel everything, making sure there's no blockages in, in that kind of field, that kind of test and feel where you're just constantly looking out into the world. So I just constantly make sure I'm just free of any kind of prejudice or free of any judgement. Free of, free of any like things like would just pull me down and that don't help me in life, 'cause it's just you can put your time into anything, any sort of emotion you can be constantly angry, constantly sad. I was just like, I just don't have time for that. So, it's the whole numb thing I was talking about before where I, I didn't really have any emotion. I was either happy or angry kind of thing. It's just like keeping your space in the right space and you don't fall into silly things, because it's easy to be angry or overcome by many things that are going on in the world. But if you take care of yourself, then you can take care of anything else that comes within, within you and without of you. So whether it's people or situations or circumstances, you can just feel it as it comes and not be stressed of the future or the past of it.
Sameeha feels there is “no one cause and effect for psychosis”. She thinks her experience of psychosis came from a “bottling up of emotions”.
Sameeha feels there is “no one cause and effect for psychosis”. She thinks her experience of psychosis came from a “bottling up of emotions”.
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Posting a YouTube video where she talked about her experience of psychosis helped Sameeha’s recovery.
Posting a YouTube video where she talked about her experience of psychosis helped Sameeha’s recovery.
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And in terms of sort of looking forward to the future now, plans for the future, do you think that that experience of psychosis has had an impact or what about your plan, what are your plans now?
Yeah, definitely, because I even like, like I said, I, I was, I was already not leaning towards law regarding my education. So when this happened, I was like, oh okay [laughs] like I, obviously I wanted to assist which is why I made the video. So it kind of, it, it, it turned my attention towards mental health, most definitely, it definitely this experience, it changed me, without a doubt.
Sameeha suggests when people first come into hospital they need to just sleep for a few days and then have someone chat to them about what’s happened to bring them back to reality.
Sameeha suggests when people first come into hospital they need to just sleep for a few days and then have someone chat to them about what’s happened to bring them back to reality.
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Sameeha says family always do things out of love but they have to be careful not to overdo it.
Sameeha says family always do things out of love but they have to be careful not to overdo it.
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