How long awaited hEDS diagnosis actually FEELS

So as it turns out, I'm not lazy, not hypochondriac, not a malingerer, not attention seeking, not making it all up, not interfering where I shouldn't, not feeble (far from it), not "over-sensitive" (ditto), not making a hobby or a hyperfocus out of illness, not collecting labels, not depressed nor anxious (except when the circumstances themselves pushed me that way), not trying too little nor doing it all wrong, not lost in self-absorption, not avoiding being a grown-up...or alive. I have been dealing with a complex multi-systemic health condition with as much grace and determination as I could muster on a daily basis. Unpacking some of the emotions of receiving a long awaited diagnosis.

ME/CFS and neurodivergence: a potential overlap?

There are so many overlaps between ME/CFS with common neurodivergent factors such as extreme sensory sensitivity and environmental challenges, increased hypermobility, porosity and laxity, orthostatic challenges such as POTs, increased susceptibility to viruses and adverse medical side-effects, sometimes lifelong energy deficits and frequent burnout events that, surely, the question needs to be asked...is there a credible link between neurodivergence and having an increased propensity to develop the condition? If so, how do you single them out; is it even viable to try and view the one factor in isolation from the other if they now coexist side-by-side, as they clearly do for me, or is the better headway always made once they are viewed as a kind of package of tricky responses to "life" as we know it.

Just because you could doesn’t mean you should

It's all too easy to be guilted into overdoing things; to feel judged and criticised and like we are letting other people down...and why do we always push ourselves, why do we feel we always have to be productive or do at least what we are capable of doing right up to the limit of our energy, using up every last iota of ability that we have? What if we have to learn a a whole other way of being in order to get ourselves out of an ME/CFS crash...what if it's about learning its OK, in fact essential, to hold something back in reserve for ourselves, in fact first and foremost?

Getting out of the boom-bust pattern of post exertional malaise

When we normalise over-exertion (as so many of us tend to do) we fail to even notice it any more and so we litter our lives with excuses for why we can't stop right now or take time out to rest. "Its tough at the moment but next year will be better" or "I just have to get through this or do this one last thing" we tell ourselves. In hindsight, its possible to see how we have been living as though caught up in, not just one boom or bust cycle but, a whole series of them, like overlapping circles lasting, in some cases, for a day, a week or month and, in others, as long as a year or even longer. Cycles where we have failed to factor in the appropriate respite before the next cycle of overdoing it begins, so we don't ever get the chance to fully recover from one exhausting thing before the next thing starts. These overexertions, all butted up against each other with no gaps in between, can start to systemically overwhelm us in time. Its not the whole reason for ME/CFS but it can be a big part of a defunct pattern that feeds into the repeated crashes and post-exertional malaise that so define the condition. So how do we spot our own pattern and learn from it; more importantly, how do we break out of it and stop it in its tracks in order to regain some sort of stability?

Accepting the chronicity of chronic conditions (no mean achievement)

Realising that you have been, at some level, in denial that chronic really means chronic or that you even have a chronic health condition in the first place can be a learning milestone. Denial leads to frequent lack of accommodations such as pacing, leads to miscommunication with other people and, most of all, sets you up for powerful disappointments when that's probably the very last thing that you need...and there can be another kind of power to be gained from acceptance of what you are really dealing with here.

Pacing 101

When was the last time I just sat there and did absolutely nothing for long-ish phases of time? When did I, with hands on knees, just sit and watch the birds out of the window and let my mind become blank for more than just five minutes at a time? In fact, when do I ever allow myself to be still, without my mind flooding with a dozen new and ever-more more jet propelled urges to do half a dozen other things the moment I allow myself to get going again…and then, once I get going, becoming so hyperfocused I forget to get back to my pacing? Every time I allow myself a short period of activity, I risk becoming embroiled again. It’s hard…probably one of the hardest things (if not the hardest) I’ve ever attempted but the few times I managed to really master pacing, last week I began to feel noticeable benefits that I find hard to explain in words but I felt them clearly enough. There were distinct shifts in me that I hadn’t experienced for a long time, some of them for years, which manifested slowly and subtly like ghosts of a new experience stood on the periphery, contrasting starkly with all the stuck-feelings of chronicness. The best I can explain is that my nervous system felt less compressed or jangly, my body felt less hypertonic and my endorphins felt increased, in short bursts, that almost felt like excitement or waves of appreciation and something bordering on joyfulness. I can vaguely recall feeling like that much more often, even perhaps frequently, back in the good old days, back before ME/CFS took hold in such a way that it has become a whole other way of life but I think it had been a very long time since I had been there, even for a moment, until I started properly pacing last week and now I hold out for experiencing even more of this. It turns out pacing is not this passive thing, the "absence of activity" that I feared so much but this incredibly proactive thing that lets other good things happen.

When things go right but your mind is still looking out for things going wrong

Over the course of a lifetime, we can become so very weak at this skillset of taking pause, taking a moment, taking the time to enjoy the view from the top of the mountain before “doing” anything else such as pulling the metaphorical camera from the pocket. Just allowing ourselves to be there in the moment of culmination, to breathe it in, take in the 360° view and allow the cells of our body to drink from the water that will remind us later that things don’t always have to be “going wrong” or dying or destructing. We need to amplify such moments in our awareness…not skip over them. They help us to rebalance all the other moments when things feel like they are always shifting and taking us by surprise and they help us to redress all the hypervigilance and anxiety that seems to want to take us over as we age.

Choosing to become much more grounded in physical reality

Spirituality can be ungrounding to some autistic individuals; a controversial topic that I have intended to write about, from personal experience, for quite some time and which I have seen under discussion in some other quarters lately. Exploring the impact of a hyperfocused approach to spirituality on health, especially when, on top of inbuilt deficits in interoception, this potentially leads a person to become desperately unbalance and ungrounded in their physical body, leading to increased fragility and vulnerability.

Learning to pick your hyperfocus

Hyperfocus run amok, if your neurodovergent brain is prone to it, can lose you a lot the the key moments, a great deal of the colour and richness, of actual life. The need to feel perpetually occupied in your head can be a tyrant when there are no checks in place. Learning to curate what you engage with, and when, as your latest area of hyperfocus can bring some relief and lead to far less mental exhaustion or overwhelm. By picking and choosing lighter topics of engagement, you can feel like you have taken a sort of brain holiday...without actually becoming too bored, which is probably something that you abhor to do.

Driven by positivity: an alternate spin on neurodiversity

Considering a hunger for positive feedback, recognition and praise as a main driver for a lot of people with ADHD, leading to a euphoric state on the rare times we ever receive it. Such positive feedback can turn us into a "whirling dervish" of positive energy and enable us to turn all that apparently erratic energy around and apply it to striving, thriving and making good things happen.