Most people close to me know that I am very serious about self care. I am quick to prescribe it for all manner of ailments such as depression, anxiety, the flu, various aches and pains, heartbreak, and tiredness. The thing is, I’m not so great at taking my own medicine. I am able to grasp the concept of a bubble bath here and there and some indulgent tv watching, but serious self care is something I just struggle with.
Having CFS/ME means that I need to be serious about self care. I need to relinquish control of everything and just accept that I can’t physically keep up with the rest of the world. I can’t keep up with the demands of traditional friendships and family responsibilities and have to carve my own way of functioning with external parties. I do everything I can just to drag myself to work each day despite the fact that I feel like an alien and I don’t belong in this world of pushing one’s self to the limit. I get paranoid and anxious that people think I don’t deserve my job and that I’m no good at it. Whenever people are meeting behind closed doors I think they are talking about me and how bad I am at my job. I make mistakes when I am not well, and because of that I need to focus on self care and make it part of my routine.
Recently I sent out a post on facebook letting everyone know I am not doing well and to not take offence if I decline any social invitations for an undisclosed period of time. This is part 1 of my strategy in combating my resistance to self care. I’ve put it out there and let people know that I can’t keep up, which hopefully means people are less likely to invite me out (respectfully) and those who do should be unlikely to take offence to me declining their invitation. Unfortunately there are some events and some people who can not be avoided. For example, last weekend I was a wreck. Breaking point was so close and I spent 5 hours crying in bed after a driving lesson. My husband had to carry me to bed because I couldn’t walk on my own and struggle with the fact that I had lost the ability to transfer words from my brain to my mouth (I couldn’t speak). The next day was my niece’s 3rd birthday party and also my MIL’s birthday, and I was asked to bake a cake for my MIL. I used the energy I gained from my 5 hour confinement to bake the cake, and resolved to take the next day as easy as possible. My niece’s birthday party went without a hitch (as far as a 3 year old party can), and off we went to the MIL’s party. We pulled up out the front and I was not doing well, but I pushed it aside. I knew I was in trouble when my husband handed me the birthday cake and I almost crumbled to the ground from the weight. By the time we reached the front door I had also reached breaking point. My FIL noticed I was struggling and said I looked like I had a headache, to which I replied I thought I was about to pass out. All of a sudden I had to race to a couch and burst into tears as I felt myself crumbling like a poorly built wall. I was moved to the spare room to recover, and I have no idea how long I was there. At some point I pulled myself out to the gathering and sat in front of the fire. And that was my weekend. I went home and curled in a ball so depressed at what my life has become.
The following week wasn’t much better. I pretended to be normal through work, but really struggled to keep up. On Thursday I had a freak accident where my neck cracked and I suddenly had intense pressure at the base of my skull and couldn’t talk, see properly, or walk on my own. I was sent home in a taxi and haven’t been to work since. Friday was spent in bed moving as little as possible as my neck was in pain and kept creaking and crackling, even when I was stationary.
So here I am today, Saturday. It’s a long weekend here which means I am left with 3 days of personal time. My husband has gone out on my instruction so he doesn’t feel trapped in my world, and I am under his instruction to do nothing. It is time for self care, and yet this pit of anxiety and guilt is rising from my stomach up to my throat and my heart is pounding. I feel guilty that I am sitting here in my bed again with the world happening outside. My cat is curled up peacefully next to me as if instructing me on how I should be acting. So, what do I do with this time? I can’t do anything physical in case I put my neck out again (It’s only feeling better now after two days of rest), and even if my neck was ok I still have Chronic Fatigue Syndrome. It’s not going away anytime soon. This is my life and I can’t escape the reality. I have to come to terms with the fact that I am going to spend a lot of my time in this bed. I’d like to sit outside in the sunshine, but the air is so crisp now that it is officially winter, and when the air is crisp my skin thinks I am under attack and tells my brain to send pain signals rather than goosebumps. So what am I to do? I could colour in the adult colouring book I was gifted for my birthday, which sounds nice. I could watch more tv, which also sounds good. I could study, which I really should. There are a lot of things I could do and yet they all fill me with guilt at not going out and being a normal 20something married woman. I should clean the house, I should do the groceries, I should hurry up and get my licence, I should visit my family, I should go to the gym, I should talk for hours on the phone to my friends, I should offer to babysit, I should, I should, I should. This society takes no value in self care, and I don’t think it ever did. Those of us who suffer behind a screen, whether through an invisible illness or mental illness, must live dual lives which provides little time to care for ourselves and so when it comes time to actually having this time to ourselves we tend to mismanage our time and blow it all doing something we only half enjoy because we can’t decide what to dedicate ourselves to as, through our time of just getting by, we have an extensive list of things we’d love to do and a multitude of half started projects that are crying to be finished.
A quick google search brings up a multitude of articles about self care, how valuable it is, and offer suggestions on things that will help the individual to practice self care. Some of us are in jobs that can lead to burn out which require us to take self care seriously. Some people are extroverts who thrive on the energy of others which makes the traditional list of self care suggestions counter productive, while the rest of us are introverts who revel in the silence of our sacred spaces and benefit from the lists of meditation, aromatherapy, and yoga sessions. What we need to understand is that self care is all about tapping into a personal reservoir of energy and inner peace and as such is a personal journey. There is no finite list of activities that classify an event of self care has taken place, it’s all about knowing what the individual needs. This being said, there is nothing wrong with sharing ideas with each other to learn what works and what doesn’t. Self care for my husband is creating music, loudly. Self care for me is creating something quietly, or observing the world quietly. My method gives me energy and inspiration, while his saps me of energy and vice versa. Occasionally we find something we can both share, but it completely ok that often we do these things independently.
Interestingly, as I reach this point in the page I realise writing is part of my self care. I suddenly have no anxiety and have gained some energy, yet a conversation on this subject matter surely would have drained me. So, as I mull things over I realise there are certain levels of self care activities dependant on where I am on the scale of fatigue, both emotionally and physically.
When my energy is on 5% or lower:
Stop everything, curl up in a ball and rest
Bubble bath, epsom salts (especially if in pain)
Cuddle someone close to me (husband, friend, family member, pet) and cry (let it out, it feels gooood)
When I feel the familiar hum and buzz of my energy being sapped due to overstimulation:
Put my headphones on and block everything out with music that I know well (because it is familiar to me it is calming)
If able, find a quiet place to retreat to for 10 minutes of absolute nothingness
Choose a piece of fruit and slowly chop it up into pieces, removing any parts I can’t/don’t eat. This is surprisingly therapeutic.
Find a menial task such as laminating, scanning, collating documents, filing emails etc.
Find a place in nature, preferably in the sun, sit and be peaceful
When I have low mental and physical energy:
Lay in bed observing the outdoors, maybe texting a friend who gives energy through their love and care, or listen to some of my favourite music
Watch something on TV (easier to do on grim weather days)
Watch my husband play video games or have him show me amusing things on the internet while cuddled up to him
When my body is gone, but my mind is awake:
Watch a documentary to feed the brain
Listen to music and hum along to it. Even if my mouth can’t keep up with the words I can learn the music and humming has this amazing power of waking a little fire inside.
Sit on my perch in the kitchen and instruct my husband how to cook dinner (It helps feeling like I can contribute)
Have my husband take me on a drive somewhere in nature, maybe having lunch somewhere peaceful
Light my oil burner with some aromatherapy oils (rose geranium is my favourite)
Colour in/draw/be creative in some way
Cook a meal, maybe something new if I am mentally ok
Join in with my husband playing childish video games
Go for a little walk somewhere (moving feels good, even if I can’t keep up with healthy people)
When my body is stronger but my mind is gone:
Yoga or any other exercise I think I can maintain
Simple housework tasks (again, feeling like I can contribute really helps)
When I’m actually doing ok, but know I need to take time out to maintain this:
One on one catch ups with close, understanding friends
Little dates with my husband
Exercise, but not pushing my luck. Swimming is a favourite for me.
Things I need to do on a daily basis, no matter what level I’m at:
Take all my vitamins/supplements at the right time
Drink loads of water, paced throughout the day
Acknowledge and express how I am feeling, even if it is only to one person
Little personal routines, such as doing my makeup and hair. I know it sounds shallow, but often this ritual is all that gets me motivated and feeling human. I know it is a mask of health, but sometimes I just need it to stop myself despairing.
So, here I am sitting in bed having gone over my plan for self care and realising I am alone (aside from the pets), and I think it is time to colour in. I feel OK physically and mentally, but also know this is from almost 48 hours of bed rest (with some short bursts of physical activity in between). This is my life, and I have to learn to work with it.