3/10/2019. 6 am: I am excited. At the airport, waiting to board my flight to Washington Dulles. Change to another flight to Manchester and then a taxi ride to Concord, New Hampshire. This is the first leg of my travels as a Churchill Fellow. I have checked in and am having a cup of tea. I have just come across this post from a young woman on Facebook:
“According to my local crisis team, I was ‘too articulate’ to be feeling
As a writer, and someone who works in languages, I am a naturally very
articulate person. Because I could speak so clearly about my thoughts and
feelings, I was discharged from the crisis team as I didn’t fit the bill of
someone suicidal, or indeed, of being mentally unwell enough to need their
support despite evidence to the contrary.
The Papyrus text line allowed me to articulate how I felt (you don’t have any choice really when you’re using the text service, you have to ‘say’ it how it is!!), and that was delved into so much deeper with thoughtful questions, suggestions and recommendations that allowed me to get through a real low point and see that there was hope. At no stage did they reply with ‘sorry, you’re too articulate to be feeling the way you claim’.
Non-judgemental, kind, compassionate, a REAL life saver, especially in the
current climate of NHS mental health cuts.”
Judgement. The ultimate wall. Even a positive judgement can be harmful. A missed opportunity. A lost life. Who fills the gaping holes created by ‘unfit for purpose’ services, NHS cuts and ignored carers?
Charities. Families. Friends.
The needs of young people are different. They need an active, positive and creative interaction to make sense of how they feel. They need to be heard and understood. They need to know in their hearts that they are deeply loved and cared for just the way they are. They need to know that things get better. Educating families is crucial.
Today’s gem: Mayo Clinic video for parents. All parents of adolescents should
Recently I have met a Professor of Psychotherapy, a Consultant Psychiatrist and a GP – all parents of children lost to mental illnesses. Here’s what one mum says:
“Whenever I have seen a therapist, they have gone straight to my childhood, my up-bringing, my parents and their parents. All my behaviours and feelings seem to be explained and understood based on their behaviours, however ‘normal’, for their times. I am encouraged to think of all the ways in which they could have directly or indirectly damaged me.
By that principle, all of my child’s behaviours and feelings should be explained and understood based on the behaviours of his parents. Half of them is me. I agree. I must be part of the problem. My profession is perceived as a bigger problem. ‘High achieving Asian’ parents are assumed to put a lot of pressure on their children. So much so, the medics looking after him didn’t even need to meet me or know the quality of our relationship to be certain that my job makes me a bigger problem than most other mums. They could squarely put the blame on me and actively keep me out of the picture. I asked too many questions. I was the biggest problem. They wrote it in their notes.
However, that does not mean that I cannot be part of the solution. NICE guidelines lay out my role beautifully but do the people on ground read any of these guidelines? In my experience, not. If half of all that is written in Policies and guidelines was implemented, families could engage meaningfully in helping their kids recover.”
In between childhood and adulthood.
In between start and finish.
In between finish and start again.
In between seed and sapling.
In between nothing and something.
In between ‘now’ and ‘not yet’.
In between confusion
In between ‘not knowing’ and ‘knowing’.
In between listening and understanding,
Understanding and assimilating,
Assimilating and learning,
Learning and applying,
Applying and having an effect or not.
In between the impact and its height,
Or possible flight.
In between the flash of lightning and the roar of thunder,
In between thought and action,
In between you and me,
There is travel.
An invisible, microscopic stirring
Of this nurturing Universe
Of this mothering Earth
Of this sun-ward bound energy of Spring
Of this Blossoming of everything
(The mean, very mean wife of the inn-keeper. Nativity play 1983. CMC Ludhiana. India.)
Once upon a time I used to be a kid. A bright and happy kid. I nearly forgot that girl. She used to be fun. She loved singing, dancing and play-acting. She had thick black, unusually curly, short hair. She laughed easily and played harmless pranks. She listened to music on the radio with such ardour that her day was planned around the timings of her favourite programmes on the Urdu service of All India Radio. The last few pages of all her notebooks were filled with scribbled lyrics of songs written at speed to keep pace with them as they played on the old Murphy which was a part of her mother’s dowry. Then she neatly transcribed the messy song-words from the back pages of her notebooks onto a special red diary which was her treasure.
A few months back I accepted an invitation from my alma mater, Christian Medical College, Ludhiana, India. This is where I trained to be a doctor and an anaesthetist, nearly 30 years ago. They requested me to run a Mental Health workshop for about 70 medical students and make a Keynote address at the World Junior Medical Congress they were hosting in early April.
While preparing my lecture, I dug up a few old pictures. They flew me back in time. I saw what I looked like when I was Saagar’s age. It was a strange juxtaposition. So much had changed. Oh, that heart-breaking innocence! The stars in my eyes shone so bright, they nearly blinded me. Who was this lovely girl? Where is she now? She has walked a long way and formed a big circle. She is back where she started, working with what she has – her Love, her Grief and her Self.
The workshop was four and a half hours long. The sharing was powerful, the enthusiasm infectious. The learning for all of us was invaluable. It was fun! We sang and we danced. We worked and we played. It was just like the old times. Saagar was there. He was smiling his crooked smile.
“There is nothing in the world, I venture to say, that would so effectively help one to survive even the worst conditions as the knowledge that there is a meaning in one’s life.” – Victor Frankl.
Must’ve been confusing for him, for he was a happy kid.
He had enough joy in him to fill many lives and lifetimes.
His light was enough to illuminate the entire Universe.
He was my sweet child.
He was born to me.
He was mine.
That’s where the pain sits.
In the ‘me’ and the ‘mine’.
There is suffering.
This is my suffering.
I miss himlike hell.
He is greatly missed.
I could’ve, should’ve …
Things could’ve been different.
Only if I had been aware enough.
If we all are aware, we can stop this unnecessary heartache.
The prison of ‘me’ keeps me glued on one blood-splattered spot. My feet forever red. What if I was’nt a woman or a man, grand-father or Aunt, a janitor or a bus-driver, a traveller or a house-holder, urban or rural, a pop-singer or a vagabond, black, brown or beige, middle aged or infant? What if I had no labels. Then who would I be?
Would the pain be as deep as ‘mine’?
Can I break these shackles of conditioning and be pure consciousness? Can I escape this convenient web of fiction and dive into the deepest layers of pristine Beinghood?
Yes. Sometimes. When I allow the magic of the rhythm of the breath to work. To be anchored in this ecstatic moment.
When I stood in front of all those people, my arms were branches of an old oak flailing in a wild wind, my throat was shouting out commands like a drill sargeant at the top of his voice, my eyes were wide open and desperate to get through to everyone in the room. My chest was an erupting volcano and my feet had thrown deep roots into the ground. I invited Saagar and all my angels to help me as I felt exposed. The ‘normal’ part of me wanted to protect Saagar and me from people’s judgements. I am sure some were being made as I spoke. That is ‘normal’ too. But the mother in me stood like a warrior, absolutely disregarding any consequence, complete in the conviction that this was the right thing to do. It was difficult but it was worth doing.
Three times this week. Three times I got to show Saagar off to a bunch of doctors – 250 and 18 and 9. So, 277. They saw the light in his eyes. They now know that many suicides are preventable. They know the stigma and silence of mental illness and suicide. They know that every mention of suicidal thoughts should be taken seriously. That if they notice a colleague, a friend or a family member behaving strangely, they can ask them ‘Are you ok?’ And whatever the answer, they can deal with it. They know that it’s ok to go as far as asking, “Are you thinking of ending your life?” It’s difficult but worth doing. It might save a life. That no one is immune. That everybody can make a difference. That many doctors are lay people when it comes to suicide and believe in popular myths. That doctors, dentists and vets are very high risk groups and need to take good care of themselves and each other. That the medical curriculum is all about physical illnesses. That Mental Health services are broken in this country and we all need to educate ourselves and strongly advocate for our near and dear ones if, God forbid, the need arises. That charities like Papyrus do a great job of helping young people. That when it comes to suicide, there is only prevention. No cure. They now know when, where and how to find help.
Later on, a young lady chatted with me about how useful she found the content of my presentation and how it helped that it was delivered in such a calm and composed manner. Really? Was she talking about me?
He came to us as a little girl in 2004, from Antrim Animal Sactuary. We called him ‘Bella’ for a week before the vet told us he was a little boy. One of his ears had a wedge missing, a sign of having lived rough. That didn’t take his sweetness away. He jumped to the top of kitchen cabinets and mewed in protest for being locked up indoors. He loved being outside in the sun, watching the world go by and making friends with it. He played with anything – hair, wool, food, the mint plant, newspapers, laptops. He brought a light and joyful energy into our house.
He slept under my bed and some mornings I woke up, looking straight into his eyes. We had long conversations where each of us listened and allowed a gap after the other finished their sentence before starting to speak. Saagar was endlessly amused by this intimate interaction beyond language, where everything was being expressed and understood. In the evening, while I sat watching TV, Mr Bronx sat watching me.
Stroking him saved my life. He received love generously. That alone was enough.
He happily adopted the neighbours by pretending he wasn’t being fed at home. One day I found a note through my door. ‘Please feed your cat’ it said. Later I also found out that one of my lovely neighbours had set up a Facebook page to find support for this poor black and white cat on his street! Thank you, Bronx!!!
A few months ago the vet said that his thyroid and kidneys were not working very well. She put him on a special diet and some meds. We ran some blood tests, which indicated that he was slowly approaching the end of his life. So, we made the most of our time together, playing and eating and a lot of loving. Si found out Mr Bronx loved organic chicken. He treated him and himself to it often.
Last Friday Mr Bronx got a bit wobbly on his feet. On Saturday, all he wanted was to lie down. We spent the whole day together in the sun, listening to music and Radio 4, saying hello to passers-by and talking. That night he peacefully slipped away in his sleep. He now rests in his favourite place, our garden. Love you, Mr Bronx. Thank you.