Getting “help”

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I’ve all but given up on making this blog useful, apologies if you came here expecting something helpful.

I had another psychiatrist appointment last week. I faced the dilemma that many people with mental illness have to deal with; whether to say the right things, jump through their metaphorical hoops and and take the easy way out, or whether to face up to the hard task of telling it how it is and facing the consequences of that. Last time I took the first approach, she seemed quite pleased with the progress I was making. In the days leading up to my latest appointment though, I’ve been feeling extremely hopeless and suicidal again. It often seems to disappear as soon as I get the chance to talk to someone about it and I feel like I’m being overly dramatic by bringing it up but this time I was determined to speak the truth about it.

I haven’t been feeling the desperation that I did before, I don’t feel the need to go out there this minute and do it, it’s more of a realisation what my life is going to be like. The horrible truth hangs over me every day, reinforced more and more with every failed social interaction, every rejection, every person staring and laughing. I feel crushing jealousy as I see people with friends, even glancing at groups studying together brings out a great sadness in me. I am totally alone here, and everywhere except in my home. I can no longer see how I’m going to get past the fact that I am hopelessly socially retarded, my appearance scares people and I am incredibly boring. There’s too much to overcome before anyone would even be remotely interested in knowing me, never mind the fact that I’ve already established myself as the weirdo loner here. It could be worse, at least I know a couple of people’s names, but I never dare interrupt their groups to talk to them, even if I could think of something to say.

I managed to tell the psychiatrist that I have been having the thoughts again and then of course I had to talk to the terrifying consultant. He’s incredibly intense, always staring and picks apart everything you say. I already over analyse the way I say every single thing to make sure it’s no misinterpreted but he sends me into overdrive. It can take me 30 seconds to answer a simple question, I get scared he’s going to get angry at what I say, especially after he smashed his fist on the table after I deigned to ask about anti-anxiety medication. The end result of it all was that he didn’t seem to think I was serious about it and just upped my venlafaxine to 225mg and said I’d benefit from one to one psychotherapy. I was referred a couple of months ago but still haven’t heard anything.

I don’t know what to do with myself now. I wish it was possible to transfer a confident person into my situation (of course no normal person would be in this position in the first place) and see what they’d do. I simply have no idea. I could carry on going to lectures, sitting alone and speaking to no-one for practically the entire week. I’m scared of the people my flatmates bring around here, I’ve missed several meals because I’ve been too afraid to leave my room and go into the loud, social atmosphere of the kitchen.

I’m so screwed up, laughter scares me now. If I here a group of people (especially men) laughing it just triggers a fear response inside me. I suppose it’s some kind of Pavlovian response after all the years of mocking and torment but I wish I didn’t feel like it. I don’t have a clue how I’m ever going to be normal*.

* Now I know the usual response to this is that “nobody is normal” or normal people aren’t interesting, but that’s not what I mean. I think most people would agree it is pretty normal to have at least one friend. It’s reasonably normal to be capable of going out somewhere without being crippled by fear of being laughed at and humiliated. I’d love to have someone to talk to, who I didn’t feel like I had to put on a show just to seem like less of a freak to.

I was asked some difficult questions by the consultant; “Have you ever had any close friends?” Not since I was a young child. He asked about when I was about 15; “Lads have mates who they go out and do ‘lad’ things with” he said. Not me. I had people I hung around with in school because I was too scared to leave them (they bullied me as much or worse than the other people) but I never had the slightest desire to spend any more time than absolutely necessary with them. I never saw them outside of school. I’ve been a loner for the vast majority of my life, but that isn’t how I want to be. I’d say the problem is probably made worse by two enormous problems. First, I am not the kind of person people like. I’m no fun to be around, I’m far too quiet and I don’t like drunkenness and parties, I look hideous, I’m probably too arrogant and élitist in my own introverted way. Second, I lack the basic skills that seem to come naturally to other people, probably through trial and error when they were younger and social faux-pas weren’t as heavily punished. I find it incredibly hard to explain just how little I know about how to interact with people, a lot of people think they are “shy” or whatever, but I’ve not come across many as socially maladjusted as me. I know nothing about what people do, I know they don’t spend every waking hour reading or on the computer like me but all I have for reference is what I see on TV and in movies (which I do realise aren’t realistic, by the way). I feel completely out of place as a human adult.

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