July / August / September … My Teacher Breakdown

Psychosis & Me

Psychosis is a scary world that separates you from reality. You can’t process what’s going on and certainly don’t remember much after. There is an energy, buzz, excitement and voices telling me that I can do anything I want to. It’s very confusing which results in remembering moments and snapshots amidst the flashbacks. It’s like doing a complicated jigsaw puzzle and trying to put the pieces together

So many questions = What happened ? … Why did it happen ? … What was the sequence of events ? What were the stressors and triggers to cause such a catastrophic break from real life ?

Psychosis doesn’t just happen overnight . It builds over time as anxiety increases, sleep gets regularly increasingly disturbed and stress levels reach a high pressure tipping point. It is unique to each individual but the main symptoms are :

  • delusional beliefs
  • believing things that are not real to be true
  • hallucinations
  • thoughts disordered
  • jumbled up thinking
  • difficulty in communicating
  • high energy

I remember being very agitated, pacing around a lot because I had huge amounts of energy. I was manic, excited and totally overstimulated and started to unravel very publicly. I lost touch with reality both in and out of school & was very mentally unstable, not understanding what was happening & was in crisis. I felt detached and felt I was watching things happen without being part of it … I was the observer and the delusions were powerful. I had a sense of feeling that I was making and directing a film , that I was conducting a social educational experiment. I was grandiose, exhausted yet running on adrenaline and felt I was on a mission to complete my work before the end of term which was rapidly looming and would be x6 weeks before I saw my pupils again . School was breaking up and I was breaking down.

Clatterbridge Hospital Psychiatric Unit was where I was looked after, cared for & felt safe. I was on heavy anti psychotic medication including Haloperidol & Olanzapine and sedatives which numbed me and slowed me down both mentally and physically. It was traumatic for my family & close friends to visit me because they were asking questions I didn’t have answers for, conversation was awkward and we didn’t understand what was going on … all we knew was that I was safe there and in no fit shape to go to Switzerland on holiday with my mum !

For 15 years since I have struggled with flashbacks and fragments of painful memories. This is the first time I have been able to understand and finally process what happened, why and in what order. I have had constant flashbacks which start to unsettle me in the summer months and have repeatedly found the timeline and chronology of events very frustratingly difficult to get a grip of. I have repeatedly relived & then tried to bury what happened. It has been very isolating to be in denial, stuck in a mess that I couldn’t sort out by myself. It’s been painful but necessary to look back and manage to piece it all together. I still have gaps in my memory and perhaps I always will. However I now feel I have ownership of it and am not ashamed or guilty anymore. I will continue to piece it together and ask family & friends for their recollections of that turbulent time. Although it can still be a battle to get through some days I endeavour to try to not let the past haunt me. There is a way back no matter how long it takes … from breakdown to breakthrough … because now I have found my voice.

Contributing Factors & Stressors

  • Alternative Curriculum end of term deadline
  • Year 10 tennis GCSE exam pressure
  • 6th form Leisure & Tourism revision powerpoint CD
  • excitement about Wimbledon tennis
  • Looking after Danni & Jo whilst Kim on Duke of Edinburgh camp
  • taking Danni to Cheadle for Cheshire coaching
  • Wirral Show
  • Impending holiday with Mum to Switzerland

Phase 1 … July

Alternative Curriculum Co-ordinator

  • July appointed 1st week july
  • Cohort of Year 9 & Year 10
  • Improve attendance / behaviour / academic achievement / less truancy & exclusions
  • core curriculum delivered by experienced Heads of Department
  • freedom for rest of time by me
  • need to turn these kids back into regular school
  • find a different way

Induction Process

  • rewards based positive / points for achievement & behaviour
  • safe base
  • Powerpoint presentations
  • laptops / computer access
  • mini bus Wirral trips out of school
  • mini breaks

ACE Base

  • my desk
  • pupils desks
  • caretaker help
  • lunchtime access
  • social area
  • tv
  • laptop
  • walls

Pupils / Parents / Senior Management Meeting

  • powerpoint presentation

The Last Week of Summer Term

  • Base stayed round the ACE base … not in the staff room
  • Year 9 access
  • Year 9 Borders trip Ellesmere Port
  • Year 10 Alton Towers trip

Psychosis

  • Year 9 £ borders trip
  • film director
  • social educational experiment
  • sunglasses
  • my £ money
  • my family / Kim’s family / ACE pupils families
  • Danni Cheadle tennis county coaching

Wirral Show

  • looking after Danni & Jo / Kim away on Duke of Edinburgh
  • meet pupils at show
  • stayed at Kim’s / manic all night / walked to Caldy Hill
  • walked to village £ magazines for ACE base
  • couldn’t rest or sleep
  • very irritable
  • loads of ideas

GP @ Devaney Medical Centre

  • Kim & her mum
  • GP assessment
  • voluntary hospital
  • letter of referral
  • psych assessment
  • admission to psych ward

Phase 2

Clatterbridge Hospital / Psychiatric Unit

  • heavy anti psychotic medication / sedated
  • patients smoke room = stressful / noisy
  • general social area = calm / quieter / friendly staff
  • canteen
  • cafe
  • shop
  • pool table
  • tv
  • fire alarm
  • Kim visit
  • Martin & Mum visit
  • Pat visit
  • mum Switzerland train holiday cancelled = guilt

Phase 3

  • discharged from hospital
  • went straight on holiday to Butlin’s with Kim, Danni & Jo and her mum
  • back to school for new September term
  • 1st day = Inset Day @ Leasowe Castle / very disorientated
  • 2nd day = year 10 / very anxious / couldn’t focus = panic attack
  • 3rd day = Year 11 / scared & confused = panic attack
  • Couldn’t face school = panic attack
  • signed off by GP = stress & depression
  • referred to Education Occupational Health = Psych Dr Green & Sean Orford
  • not AC co-ordinator / phased return to work / protected timetable

Burnout … Breakdown … Broken