Last year was tough. Long covid/Pots really did a number on my already subpar health. It was hard to keep on top of even basic daily tasks. All aspects of my life suffered. In an effort to shake that not quite enough feeling I’ve raided the brain for my 2022 highlights.
I contributed to the book Rebel Bodies by Sarah Graham. It’s an incredible piece of work about the gender gap in healthcare. Sarah covers the intersections of gender, weight, age & disability whilst deconstructing the barriers women & non binary people face when trying to access appropriate medical care. I am so proud to share my story of medical weight stigma and be part of this book.
In April we took my Mum on a birthday trip to Salzburg. She had a big birthday at the end of 2021 & we wanted to do something special. Mum loves The Sound of Music & has always talked about going to Salzburg. This year, she finally got there and it was magical. We stayed at Schloss Leopoldskron, where the movie was filmed, took a private Sound of Music tour and had a generally amazing time. Salzburg is incredibly beautiful and taking Mum on her dream holiday was wonderful.
At the very beginning of ‘22 I was a guest on the Anti Diet Club podcast. The pod creators Gillian Wilson and Tamsin Broster are dedicated to helping others divest from diet culture. I love the work they do and was honoured that they considered my voice worth hearing. It is such a pleasure to connect with others who are committed to fighting fat phobia.
This summer I got to revive a love from my youth. I thought festivals were a thing of the past for me, but thank to TRNSMT’s comprehensive accessibility accommodations I was back in the game. Watching bands, whilst sipping cider in the sun with my bestie & sister made me feel 22 again. Screaming along with The Strokes as the the sun went down was such a highlight.
This one might seem small, but felt significant to me. The Guardian journalist Martin Belam recommended me in his Friday Reads. Having a writer I respect enjoy my work enough to share it felt good. Especially in a year when my health has interfered with my creative output.
Last, but never least is of course being an Auntie. It is my biggest joy. I am so excited to watch all of my niblings grow. Last year they continued to surprise & impress. I am endlessly grateful to be part of their lives.
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Christmas is a funny old time. We’re all feeling sentimental and emotions are heightened. I struggled a little this year, but still had a beautiful Christmas Day.
I got all dressed up for Christmas with family & friends. We had lots of food, presents & excited children. I feel loved & grateful for having such wonderful people in my life. Especially that I am blessed with so many niblings to adore. I’m equally thankful that I can spend the post festivity stretch ensconced in jammies & cosy socks.
I know this time of year can be hard for a multitude of reasons. Xmas is all about children and I find myself dwelling on how different my life could be. There are so many reminders of what I have lost. If these past weeks have been arduous, I hope you were able to have as merry a time as possible. If merry is a stretch, then I wish you peace & a better new year.
I was raised Roman Catholic. I went to mass every Sunday, made confessions, took communion. I attended catholic schools. My primary school was flanked by a chapel, a missionary monastery & a convent. By virtue of attending those schools most of my friends were also catholic. We all prayed before lunchtime, sang hymns in assembly and had regular R.E. Classes. What I mean is I understand how organised religion works. I was immersed in dogma throughout my childhood.
That’s not to say I always liked it. Even early on I remember having the distinct feeling that some it was icky. I didn’t like the bullying ways of my school chaplains. Some of the things my teachers hammered home did not fit with the whole peace & love vibe. Mass was never anything other than a thing to be endured. Catholicism always felt too rigid.
It wasn’t until I hit secondary school that I really started to call bullshit. I didn’t believe much of what I was being taught. More importantly I hated the intolerance. Catholic views on sex, sexuality, gender roles, abortion and so much more simply did not align with my own. Neither did they fit with what I had learned at home. I couldn’t bite my tongue in the face of bigotry dressed up as god’s word. Nor could I bring myself to do the cherry picking that many religious folks do. The catholic faith felt like a straight jacket & I would not be restrained.
Thus, I drifted away. I stopped going to mass. I let myself question everything I had absorbed. I dug into the history of the church and its current practices. The more informed I became the less respect I had for any of it. It’s all steeped in atrocities & injustice. Organised religion it seemed was just a way to control the masses. What better way to impose your will than to tell people it was in fact, god’s will. By the time I finished school I no longer considered or described myself catholic at all. I had & have no use for any organised religion. I believe there is a higher power of some description, but not some patriarchal judge in the sky.
Most of my family still belong to the church. I have friends of various faiths & none. I’m very much a live & let live type of person. As long as no one is trying to impose their beliefs upon me or actively do harm in the name of religion; I don’t consider it my business. I do however retain a distrust & distaste for the institutions. I want no part of it.
I tell you all this in order for you to understand how I felt when I received this comment on something I wrote on the anniversary of my baby’s due date.
Anger was my main reaction. I removed the comment & blocked the (blank) account. I hated the thought of someone more vulnerable than myself receiving such a comment. I felt angry that this so called church elder was trawling for people they thought they could manipulate. However, I didn’t want to give it anymore time or energy. They were blocked; end of story.
Unfortunately not. A couple of weeks later, on my birthday, I received an email. This time from a church elder named Liam McIntosh. It was more of the same. Insulting & ignorant comments about my life, offers of ‘support’ and that suspicious claim of referral from a concerned friend. There is not a single person in my life who if concerned would ask the Church of Jesus Christ of Latter Day Saints to help me. This contact enraged me. I have an excellent support system, a sense of purpose and lots of joy in my life. However, I am aware that many people do not. I remember how little it took to overwhelm me when I was in the depths of mental illness & grief. I am also cognisant of how easily some people who feel desperate may be manipulated. Both messages utilised abuse tactics; belittle, claim to be doing so for the victim’s benefit and then purport to have all the answers. A church setting out to prey on vulnerable people in this manner sickens me.
This kind of behaviour is exactly why I do not like organised religion. It is predatory. This organisation is clearly seeking out people they believe to be vulnerable in order to manipulate them. I am not that person. I share my experiences in order to dispel stigma. I find the ‘concerned friend’ tactic particularly disturbing as it purposely exploits the guilt & shame that many people in difficult circumstances already feel.
After receiving that email I felt sufficiently angry & concerned to act. I tried to track down both men who contacted me. I could find no trace of either on official church websites etc nor could I find any record of professional training that would qualify them to offer such advice. The only COFLDS that I could find in Hamilton has disbanded. I called Edinburgh & Glasgow branches, but neither wanted to comment. Nor would they provide details of anyone in a senior role to discuss these communications. Some elders though are obviously reading this blog, perhaps they would like explain themselves?
I’m not finished with this. I am worried about the harm these unethical strategies could cause. As a result I am working on a more in depth piece for publication. If you or someone you know has been contacted in this way, I would like to hear from you.
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We’re all familiar with the reminder letters and campaigns urging us not to miss our cervical smear test. We are rightly told how important they are in detecting cancers early. I’m glad these tests are available. I am also happy that we are educated on why these tests are so necessary. However, I find myself increasingly frustrated with the messaging.
So often when a person or organisation wants to encourage people to attend cervical screenings they focus on how easy it is. We’re told it is silly to be embarrassed and it will be over in a flash. Don’t risk your life over 5 mins of feeling awkward is repeated. Smear tests are confidently declared to be not painful. Just a little discomfort, nothing to worry about. While that might be true for lots, it is not full the picture. The patronising assumption that people miss smear tests because they’re self-conscious is harmful. Many people have valid reasons for their reticence. Addressing those issues would be a more effective way of increasing uptake numbers.
Research from Jo’s Cervical Cancer Trust and Rape crisis revealed that 72% of women who have experienced sexual violence have skipped or delayed a smear test. When you consider that at least 1 in 5 women have been sexually assaulted you can begin to understand the scale of the issue.
Birth trauma & pregnancy loss also impact a significant portion of those who require smear tests. Gynae exams & cervical screening require being in vulnerable positions that can trigger a trauma response. Recent research is finding that baby loss & birth trauma often results in PTSD. So, it’s easy to see why a smear test would be not a easy exam for those who are affected.
There are also medical conditions/physicalitys that can make a smear test very difficult. Conditions like ,vaginisimus, endometriosis, cervical ectropion and more can make smear tests painful or difficult. Cervical position, vaginal dryness, menopausal changes and FGM can also impact how a smear test feels.
Trans men may find smear tests hard for all obvious reason. Dysphoria, stigma, discrimination and more. I’m sure everyone can understand how having to deal with any or all of those things is a frightening prospect. It can also be difficult to access information; trans men may not be invited for cervical screening, there is confusion about who requires the test etc. Of course this may be combined with any of the other issues on this list.
This is by no means an exhaustive list. I just want to be clear that there are many real reason for a person to avoid cervical screening. That being said, how can we make it easier? Well, there are actually a lot of accommodations you can ask for. I don’t see this talked about enough, so I wanted to share that information.
Before I get into the details, I want to be clear that you do not have to disclose anything you are not ready to discuss. You can ask for accommodations without revealing your trauma.
Before the Test
You can ask you GP to take your name off the automatic reminder list if those letters are distressing.
Ask for the test to be performed by a person of your preferred gender.
If you have an established relationship with a Dr/Nurse you can ask to have them do your smear test.
Make an appointment to talk about the smear test. Discuss anything you need to talk about. Be that how the test is done, why is it done, your fears, worries etc.
Request a double appointment to allow time breaks, extra time.
Plan what you will do after the test. You may not feel up to returning to work or you might not want to be alone.
The Test
Take an emotional support person to the appointment.
Request a chaperone be present for the test.
Ask to talk through the ‘mechanics’ of the test before you start. Have the Dr/Nurse show you the instruments used.
Tell the person performing the test any words or phrases that could be triggering for you. If there are words of comfort that are helpful for you ask them to use those.
Explain how heavy/light a touch you are comfortable. If there are areas you would like them to avoid touching if possible, tell the Dr/Nurse.
Ask to insert the speculum yourself.
If you are concerned about specific trauma/pain response discuss that with the Dr/Nurse. For example tell them this part of the exam is usually painful for me or I might be unable to chat/answer questions.
Agree a plan of action beforehand; what would you like to happen if you are triggered/pain is too much. You can decide on a word or sign to use if you are in distress.
Combatting Pain/Distress
Mindfulness Techniques – Exercises like naming three things you can see, smell, hear can help route you in the now.
Distraction – Play music, make small talk with Dr/Nurse, your support person.
Squared Breathing – This sometimes helps me get through acute pain/the onset of panic. Breath in for 4, hold for 4, breath out for 4, hold for 4. Repeat.
Take a comforting object. Fidget object. Scent that invokes calming feeling. Hold support person’s hand.
Discuss having medication prescribed. Things like benzodiazepines can help with anxiety, allow your body to be less tense. Maybe you need a stronger pain medication to deal with the test/after effects.
Know Your Limits
It is ok to stop at any point. If any part of the process becomes too much, stop. You can reschedule the appointment. It is ok to try as many times as you need. This test is for you. You are not obligated to fit into anyone else’s timeline or expectations.
Smear test are an important part of early cancer detection, but your whole health & well being are equally important. Shaming people or dismissing the reason for their reluctance does not help. If we are to increase the uptake rates we need to acknowledge what is actually preventing people from attending. We also need to facilitate ways to address those concerns.
Several weeks ago I came across a word I’d never previously encountered. I haven’t been able to stop thinking about. It encapsulates a feeling that lives with me, but has eluded succinct definition. The word is Hiraeth.
It’s Welsh and doesn’t directly translate to English, but it means a homesicknesses for a home to which you cannot return or perhaps never was. It was in an article and I didn’t understand. I had to look it up. When I read that definition it felt like I breathed it in and it found a spot inside me where it fitted perfectly. It explained something I already knew.
It is exactly what I feel in those moments that I’m not sure what I am doing or who I am. The thing caught in my throat when I hear children shout for their Mummy. It’s the longing for a world that only ever comes to life in my head. Except I can feel it. I know the intricacies. I have plans for every eventuality (& even strategies for the inevitable unknowables). Pet names, values & handed down treasures thump in my chest. The sensation of heavy sleeping breath and hot ‘it’s not fair’ tears. The music I play, the books I read them. Dancing in the living room for no reason just like I did with my Mum. I close my eyes and conjure how crushing the responsibility can be. Losing my patience, the swamp of guilt that follows. The days I am certain I said absolutely the right thing. The pain of knowing I missed the mark. I’m not imagining it; I can recall the emotions. They’re fizzing under my skin. The flick of hair from a face or a tut of exasperation are as decernable as memories. I long to go home.
Homesick for the home I couldn’t build. That’s the feeling that perpetually lurks. Now I know it’s name.
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I got an email from photobucket. Actually, I got several that I had ignore because I had more pressing issues. I should have continued pressing because opening the 12th email and clicking that link was a mistake.
Amongst page after page of self harm photos I found pictures of a girl I don’t fully remember. I don’t know why I say a girl, I was a woman. I seem more like a lost girl, though. I look like someone who wants to disappear. I was someone in the process of vanishing. Looking at those photos hurt. It’s painful to see how desperately Ill and unhappy I was. Even more agonising to realise how much the world approves of that version of me. A person who hated themselves so much they wouldn’t eat properly & spilling their blood felt reasonable. But hey, look how I thin I was.
I lost ridiculous amounts of weight in a very short time. I started with what I believed to be a very reasonable calorie restriction. A nice round number that I saw in magazines & tv shows. The weight came off quickly. People around me were pleased. I enjoyed the positive reinforcement. Everything else in my life was a disaster, I liked doing something that everyone was happy about. I also liked my discipline; how strict I could be. I began to relish the hunger pangs and how good I was at ignoring them. When the weight loss slowed I reduced the calories. I limited how many each meal could contain. I couldn’t eat before or after certain times. I filled up on Diet Coke. I had ‘fast’ days and just eat veg days. Rules piled up and weight fell off.
I did this more than once. The weight loss was never maintainable. Each time I started again I believed I would just follow a ‘healthy’ diet. Every attempt at lifestyle change descended into extreme behaviour. The only people who questioned this were the few who’d had their own food issues. I assured them I was ok. This weight loss was good for me. I wasn’t doing anything crazy, in fact I felt so much healthier. I’m sure the believed (or almost did) me because I didn’t think I was lying. I honestly thought the means justified the ends. Being fat was horrible. I was disgusting, I ate too much and it was terrible for me. Having some restraint was improving my body inside and out. I knew I was fudging the details a little, but I really didn’t think I was doing anything dangerous. I did eat. I very rarely threw up. The things left in my diet were all ‘good’ foods. The congratulations rolled in. Besides, I wasn’t even very thin.
I don’t even blame the people who did all the high fiving. They knew I had been unhappy with my bigger body. Those close to me knew how appalling my mental health was. It looked to the outside world like I was doing something good for myself. I seemed more confident, more at peace with my body. Of course we all live in diet culture. Thinner bodies are better. I understand why my weight loss was something to celebrate.
The professionals are another story. They should have known better. I was so very Ill. I was in regular contact with all manner of Drs. My self harm was out of control. I was getting stitched up multiple times a week. The blood loss was wreaking havoc. I had angina attacks, constantly passed out. No sooner was a blood transfusion in than I was working on getting it back out. I had already started to experience the problems that led to pancreatitis. They watched my weight rapidly drop. Climb back up. Then fall off again. Not a single medical professional ever thought to question that. They were the opposite of worried. I was praised. They loved seeing the change on the scale. I was explicitly told how good this shrinking was for me. I didn’t even lie about how I was doing it. I’d joke with nurses about ‘just not eating’. I explained my calorie restrictions and the extent of my diet to Drs. It was all excellent. Keep up the good work. Well, done you!
Even the mental health teams I was working with didn’t raise any alarms. We only ever talked about my weight loss in positive terms. They were glad it was helping my self esteem. There was never any in depth conversation about how I really felt, what I was doing or why. There should have been. They knew my history and my problems. There are so many links between self harm & disordered eating. Control being the most obvious. The triggers for the behaviours can be the same; shame, self hatred, feeling a failure, punishment. They can achieve similar results like a feeling of release or a sense of achievement. My self harm was compulsive and so was the weight loss. I was atoning and deleting the parts of me I despised. The only real difference between the two was how acceptable it was to want to be thin.
As I write this I recognise all the signs of an eating disorder. Yet I cannot accept that diagnosis fits. I can admit I had an unhealthy relationship with food. I know I used extreme methods to lose weight, but disordered eating is as far as I can allow myself to go. Intellectually I know why. I was never dangerously thin. In the midst of it I didn’t ever believe I was thin at all. Those old pictures were shocking because I have no recollection of being as slim as that person. I began my diets fat. Eventually I always returned to fat. That’s why no one ever considered an ED a possibility. It remains why I could never accept the label. For all my learning and activism there is an internalised fat phobia that I’m not sure I will ever shake.
I have compassion for my former self. I am angry at the people who should have helped me. I am happier in my fat body than I ever could have dreamed of in my dieting days. I don’t want to go back. Nor do I want to be smaller. I do however still hold this feeling that I have no right to talk about myself in certain ways. I feel fake. Despite knowing all that I know, I still can’t change the feeling that it wasn’t bad enough for an official title.
That realisation is painful. It hurts to know that nothing has really changed. There are people in the same situation right now. The medical community is still exceptionally fat phobic. If you are fat, disordered eating is encouraged. Prescribed, even. We’re still insisting people fall below a certain BMI before they can be referred for treatment. The fact that Drs are even using BMI is in itself horrendous. People are hurting themselves and the world loves it.
This is why body liberation is essential. It is so much deeper than loving one’s body. Weight stigma is systemic. Built right into the places we are supposed to turn to for help. Fat phobia is in us all. It is insidious and deadly. We all deserve better.
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I planned a really lovely weekend. I was going to visit a friend I haven’t seen since pre pandemic. She lives by sea and always makes me giggle like a maniac. I was so looking forward to it, but my body had other ideas.
On Friday evening my chest pain got really bad. Then I had a fainting spell. As soon as I managed to get on my feet I would faint again. Sitting on my hall floor with my head spinning and heart pounding I felt scared.
I wasn’t scared of one particular thing; the fear was in the uncertainty. Not knowing how bad this is. Not even knowing what exactly this is or if it will ever go away. I have felt so fragile and vulnerable in these last few months. I haven’t been able to trust my body at all.
I have gotten used to my body failing me, but this has been on a whole new level. Every time I stand up my head spins and my whole body tingles. I can’t catch my breath, I don’t know if I will be able to stay on my feet. I have always prized my self sufficiency and it feels as though it has been slipping away.
My weekend in hospital hasn’t changed anything. Drs gathered some more information, but they couldn’t solve the problem. I await appointments with specialist consultants. Hopefully they can get to root of my long covid complications. The truth is I don’t even want to consider living like this permanently. It’s just too terrifying to think about.
For the moment I am happy to be home with my furry little nurse. I’m trying to rest and not stress about all the things that I am not getting done.
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Of late I have been bothered by much of the therapy speak I see cropping up everywhere. I’ve always been slightly irritated by the therapy buzz words, but it used be reserved to certain arenas. Now it feels impossible to get away from it. Some are impenetrable, some misapplied and some a little stupid. So, come with me in a little therapy rant.
Sit with it.
The ‘it’ being emotions. I doubt there is anyone who has ever sought mental health treatment who is unfamiliar with this phrase. I have been advised to ‘sit with’ all manner of feelings. I’ve never been entirely sure what this means. Nor has any explanation ever satisfied me. Let yourself feel it makes sense if you are actively avoiding emotions. I used self harm, disordered eating and occasionally alcohol to block emotions that I wasn’t able to deal with. However, when I moved past avoidance it was still the guidance I was given. When I was ready to acknowledge and tackle those feelings I needed more. ‘Let yourself feel it’ is redundant. I am feeling it; that is the problem.
Don’t Judgeit.
Once you are sitting in all that emotion you will often be advised ‘not to judge it’. Just feel it, they’ll say. Well, I’m sorry, that’s impossible. I have already judged it. Judging is a prerequisite for finding something problematic. The judgement is automatic. More than that, it’s involuntary. The minute I find the emotion unpalatable it has been judged. I came to the (sometimes correct) conclusion that perhaps what these therapist meant was don’t judge yourself for having that emotion. That makes sense, I can work on not attaching negative connotation to what I feel or how uncomfortable that makes me. I can even get on board with attempting not to label specific emotions intrinsically negative. I’m not convinced, but I do see how in some cases that could be fruitful. However, removing the intuitive I DO NOT LIKE THIS just doesn’t strike me as a realistic goal. If I were able to control my brain in that way, I wouldn’t have a problem.
Let it go.
Feel it and then let it go is definitely the aim. I’m not sure it actually counts as advice though. I know that getting stuck in difficult emotions is not good for me. What I need is help learning the way out if that. Restating what I should do is not helpful. I know the problem, I am here because I am looking for answers.
Inner Child
Many years ago when I first experienced therapy the inner child thing was kind of a joke. It never came up. Of course therapists talked about childhood experiences & being compassionate to past versions of yourself. However, a psychologist would never say the words ‘inner child’. Now it is everywhere; from woo woo spiritual healers to actual trained therapists. I’m sure it applies to some people, but it’s just not relevant to me. My inner child is a ok. I had a remarkably lovely childhood. I was loved, appreciated, supported, safe and very well taken care of. My ‘inner child’ is probably the healthiest part of me. I’m not carrying any painful scars from childhood. So, I have found it incredibly frustrating that everyone and their granny wants me to get in touch with my inner child and heal her. Even when I proffer my history and explain that my upbringing is not a problem area, I am still pressed to explore it. I don’t know how or why this happened, but I really don’t love it.
Be vulnerable
This is another one that totally has merit in the right situation. There have been times when I have been scared of touching memories and emotions that made me feel vulnerable. I did need to work through that. Being vulnerable can be frightening, but it is also necessary. I would argue that engaging in therapy is already submitting to vulnerability in many ways. The showing up is a great first step. However, the canonisation of vulnerability has gone too far. There is definitely a time and a place for vulnerability. We can’t and shouldn’t always expose weak spots. We live in a fairly brutal capitalist society and being completely honest about your vulnerabilities will not serve you in many situations. People will take advantage, they will bypass you based on their perception of that vulnerability and many folk will judge you. Still I hear professionals who really should know better urge everyone to embrace their vulnerability throughout their life. It drives me crazy; we need to protect ourselves. Let yourself be vulnerable in safe spaces only.
Am I just jaded? Or do you feel frustrated by these therapy catchphrases? Maybe you have your own therapy pet hates. I would love to know your takes.
Adorable Bronan for rant tax.
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Something in the way she moves... 
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