PDA fae

Category: Update

  • Exercise update

    A couple of times now, I’ve had a little tiny urge to try out some gentle yoga. Acted on it tonight, which feels like a little bit of progress.

    Unfortunately, I learnt that my 30 something year old. spinal fused body finds kneeling, laying, and adopting various positions on the floor rather painful, which is utterly motivation killing. It’s a shame, because gentle, slow yoga feels like the ideal not-overly demanding exercise that’d work for me at the moment. I’m not even sure what I could do to make it less painful, I already have an extra thick mat for padding.

    Maybe something like tai chi would be ideal, again nice and slow, but mostly standing. I ought to find time to get back into swimming as well, haven’t been in a long time and I have plenty of free time. Not that ‘ought to’ is the right approach as a PDAer.

  • My demand cup, three months on

    Last time I posted about this, it was still feeling pretty small, and easily filled. I think with time, I’m slowly managing to increase the capacity of my demand cup back to the kind of volume it had pre-hospitalisation. Definitely having more autonomy over my life is helping with that. Wards are awful places for me as an ADHD PDAer… dreadfully understimulating, and total loss of autonomy. They’re necessary when I’m deep in psychosis and have no capacity (in the legal sense) and/or insight, but I hope that in future I will be discharged from them much quicker if I ever need them again. This is the advantage of supported housing, because you’re part of the community and have all the freedoms that come with that, just with some extra support.

    My emotional cup is pretty stable, which also helps. I’m not losing capacity in my demand cup because of overflowing emotion from that cup. I’ve also been taking a little demand free time recently, and it definitely helps me recuperate. The novelty of coping techniques worked well, it’s unsure yet if they only worked because they were novel or if they are long term ways to help myself cope with demands.

    When I was hypomanic, I was learning to tune into my demand anxiety for the first time – pausing to notice, how does this expectation, or requirement, make me actually feel, before undertaking the task. I believe I had learnt to dissociate from this demand anxiety, faced with the unsafety of listening to it and attempting to avoid. I learnt that demands very much do incude demand anxiety, and I had been attempting to learn how to balance this with achieving tasks, for example, I usually found I had more demand capacity in the mornings. Unfortunately, circumstances during this time meant that nearly all the communal household tasks in a shared house ended up falling on me, which overloaded me and likely contributed to my mental health crisis. That disrupted my process of learning to understand how to work with my usual demand capacity and anxiety, and rerouted me into working to regain demand capacity for the past 8.5 months. That might perhaps be a useful exercise to mindfully do again, so I can notice when my demand anxiety is higher and why. See if mornings are still an easier time to achieve tasks, and what if any other discoveries I might make.

    Something that needs work is:

    “PDAers need safe people around them, which means people who fundamentally understand that they are not giving everyone a hard time, they are not just lazy or trying to get out of helping or working, they are struggling and need even more love and support. One person is a necessity but having more than this is the only way a PDAer can really thrive.”

    (Tomlin Wilding)

    I find that as PDA is so little known, there’s very few people who get it at all. Ultimately that can feel like, because no one gets PDA, no one gets ‘me’, and that feels very lonely. Staff at my supported living are definitely a long way from understanding this, in group activities there’s often an air of ‘you’re not getting out of it, join in!’ It’s my hope that training from the PDA society might help them move to a place where they do get this, which would be a massive benefit.

  • Happy 2023!!

    It’s a new year, and for once, I’m excited for it. I’m also really happy with the year I’ve left behind. It didn’t have a great start, being sent back to the acute ward from the rehab ward (that is somewhere I would advise is not the right place for any PDAer.. you will not have enough autonomy on a ward to properly regain functioning. I’d definitely recommend supported housing over that), catching covid on that acute ward. I spent ten days isolating in a very understimulating room in January this year, and three months on an understimulating ward. The other problem with being on a ward for 9 months, was that on the acute ward there was next to no demands and as Isaac explains in this video, the longer you go without meeting demands the harder they become to meet.

    So when I was discharged in April last year, to this supported accommodation, I had a double sided problem. I was vastly understimulated – that degree of bored where it’s painful, but also completely out of demand capacity. I spent most of April and May just watching tv in my bed to recuperate (something that would never have been acceptable on the rehab ward, who wanted me to go from no demands on the acute ward, to cooking for myself, cleaning my bedroom, doing my laundry – basically immediately fully functioning). The tv provided just enough low demand stimulation to address one side of the problem, and over time I added in more and more demands. Eventually, I started spending time outside in the garden, which is where my friendships here blossomed. Over time, I started knitting blanket squares, which I am still working on at a very slow, undemanding rate, with the aim of eventually sewing them up into a massive blanket. I also started volunteering at a local charity shop, which provided me with work experience, socialising and something to do with my time.

    A highlight of 2022 that occured around this time was seeing Atypical Rainbow at the Turbine Theatre, near Battersea Power Station, for my 32nd birthday. It was a play about a young autistic actor, and his gay coming out, his experiences as a young boy, his families experience. It was deeply moving, and had me in tears by the end. I think it meant a lot to my mum as well, as she also strongly related to the experiences depicted.

    Not long after this I started my first job (finally well enough to work, this is a big new step for me!) at a local SEN school. I loved the kids, and helping them communicate was a big passion of mine. I learnt though, that I think I’d rather work with adult neurodivergents, in peer support, and also possibly in research into neurodivergence, particularly PDA. Unfortunately, this job had to come to an end in late November. For the end of the year, I’ve been rediscovering twitch streams, and having a very christmassy December. It’s been special, having my own place to decorate how I wanted for Christmas for the first time.

    Going into 2023, I have some worries (family medical issues), and some big hopes. I have four big goals for 2023 which I hope I can achieve. I would absolutely love if this year, I could:

    • return to university – planning on studying the open degree at the OU. This degree has a module where you use previous open educational resource courses towards the module, and I’ve been making a start on these.
    • learn to drive – planning on automatic lessons
    • find a new job – have already been applying, and attended one interview at the end of 2022
    • get involved with ‘survivor’ research in mental health and neurodivergence – to that end, I’ve had some mentorship with the Survivor Research Network, and joined some lived experience panels at Healthwatch and found out the details for my local hospital trusts lived experience panels.

    So clearly, in going on 9 months, I’ve regained a lot of capacity. I’ve also found a lot of things that fit within my personal PDA flow, or act as table legs to that table top. I’m excited for 2023, it’s been a good two hours so far lol, and I’m hopeful for some real wins this year.

  • Pretty big success

    For whatever reason, I’ve had a lot more demand capacity recently. Might be something to do with not having work at the moment (transport became untenably expensive), so I have a lot of spare time to get bored in. I’ve been trialling new strategies to help, and they’re making a real difference.

    The first thing that helped was setting a timer for five minutes and giving myself permission to stop after those five minutes if I wanted to. That was a long enough period of time that I could make a real difference in one small area of the flat. It’s a great strategy if I’ve got a middling amount of demand capacity.

    What I didn’t expect to be so effective was roleplaying being a carer. I pretended I was looking at someone else’s flat. Someone else in need of help. Looked, and thought ‘what would help you, pretend person, if I handled it today?’ Then whatever I felt I wanted dealt with was the pretend person’s ‘request’ and that just got me over the hump of demand avoidance. If I’m doing it because ‘I’m helping someone else’ in my head, it’s more like ‘Elliott the Carer’ is tackling the demand, and the threat response lowers.

    So today when I had my support session, especially given that I’d started preparing dinner beforehand, my keyworker was astounded. It was so nice that she was proud of me, but seemed to understand that there may be backwards steps after this rather than a new sustained way of being. I don’t think I’ve reached the stage yet where I will definitely sustain this way of functioning over time. I think it’s a lot more likely that I will have a good time, then a bad, in cycles.

    I think the ‘answer’ will be learning my own ebb and flow. Learning when I just can not, and allowing myself to avoid, learning how to get enough recuperation to rebuild demand capacity, and learning strategies that allow me to make progress when I’m doing a little better in terms of my demand cup.

  • Mania recovery milestone

    During my mania last year, I lost all my saved music on Spotify, because paranoid delusions caused me to delete my account.

    It royally fucking sucked.

    Finally, I’ve started finding music that makes me feel as good as the music I had before. It had been a dreary year listening to music that only half ‘worked’. Trying yet another playlist, saving the best that I could find. Hoping my discover weekly would catch on to my taste.

    My friend recommended that I search for a song and then let it autoplay – so much better results!

    An hour in, and I’m back to my dance stimmy, sensory seeking self!

  • Keeping house while drowning

    If you’re on tiktok, you might have come across K.C. Davis’s account, DomesticBlisters. You might even be aware of her book, ‘How to Keep House While Drowning’. Or this might be the first time you’re hearing of them.

    I’d known of them for a while, but wasn’t sure if they’d be helpful when it comes to PDA style issues with keeping house. I was persuaded to get the book when my therapist endorsed KC’s methods. KC has ADHD, and post-partum depression, and her advice feels to me as thought it’s very, very useful for those reasons to be struggling to keep house. It focuses on self-compassion and seeing care tasks (usually known as chores) as morally neutral, rather than something that defines you as good or bad. Great perspective when you’re struggling with low self-esteem, low motivation and low mood. She also has a lot of simple, clear explanations that help with poor executive functioning, e.g. her five things tidying method. This breaks a messy room into five categories: trash, laundry, dishes, things that have a place and things that do not have a place. She advises dealing with each category in turn in order to resolve a messy room. This is a brilliant antidote to the ADHD experience of looking at a messy room and seeing nowhere to begin, something I have frequently experienced.

    I do wish there was a book on keeping house for PDAers. Perhaps it would be the ‘small book of housekeeping demands’ and we’d all avoid even reading it? I feel I’d find it useful to have a resource which included strategies tailored to the PDA experience. It’s tempting to consider a goal of working towards creating that resource, as I find myself wanting to work in adult ND peer support and this would constitute a form of it.

    That sets me to thinking what would be included in such a book. I think Harry Thompson’s concept of table tops and table legs would have to be part of it. I’m not sure a PDAer would manage care tasks on a regular basis if they didn’t form a table leg towards a driving, autonomous PDA current. They are, after all, the very definition of a demand. Something you really should do, something you have to do in life. Something a PDAer is going to therefore avoid like the plague, because having to threatens our personal sense of control.

    I suppose something else I’d put a strong focus on would be outsourcing the care tasks. I would try and encourage people to be self-compassionate about needing to live in supported living, needing a carer or a house-keeper. PDAers need support in life (we all do), and perhaps drafting someone in better suited to meet those demands is the best solution. It might even be so for me, after I move out of supported living, though I’m not sure yet if I’d be allocated the funding for a carer after living here. Maybe over time that will have to be explored, because it would probably be deeply useful for me to have access to that support long term.

    Rest is something I would strongly emphasise. To be fair, KC already includes this in her book, which is good. Everyone needs and deserves rest. PDAers often have a strong need for downtime to recuperate after meeting demands, or to prepare for meeting demands. In particular, demand free time is useful. I would also talk about Tomlin Wilding’s concept of the demand cup, and the corresponding emotion cup. I would want to find some methods in which we can look after the state of both, in order to free up some demand capacity for keeping house.

    But alongside the goal of creating demand capacity for keeping house, I would echo KCs ethos that our space exists to serve us, not us our space. As a PDAer, we’re not going to want to focus all our demand capacity on housekeeping in order to keep up standards (unless, that’s where our PDA current lies, I suppose.) I would place my focus on how we can keep our space functional enough, and how we can accept ourselves and offer ourselves compassion when we just do not have the demand capacity to cope, That’s my favourite thing about KC’s approach: we’re worthy of love, support, and compassion where we are now. We don’t need to meet societal standards of tidy, hygienic, clean, perfect to be worthy. Care tasks are neutral.

  • My demand cup

    ‘What is a demand cup?’ I hear you ask. If you’ll tolerate a link, the best explanation is here: https://tomlinwilding.com/the-demand-cup/. Tomlin’s website is an excellent resource for learning about PDA, I highly recommend checking out more than just that page.

    Right now my demand cup is recuperating from my time in hospital. It’s capacity is slowly expanding, but is still somewhat restricted. I’m finding it hard to have faith that it will expand large enough for me to be able to handle more everyday demands than I can at the moment.

    I have a lot more autonomy here at the supported living than I did at a mental health rehab ward I got referred to late last year. That experience made very clear that autonomy empties my demand cup, and lack of it fills it right up. The autonomy of doing work (SEN TA) that interests me really helps me meet the demands of that work.

    I’m also doing a lot better emotionally, which really helps as well. I could probably benefit from taking more defined demand free time; I remember the first time I purposefully took some, it was complete bliss.

  • Where I’m at now

    I was officially diagnosed as PDA a month ago today, by Dr Gloria Dura Vila. In the last two months, I’ve started an teaching assistant apprenticeship at a local special needs school. In the last 6 months, I moved into mental health supported accommodation.

    This time last year, I was in the midst of a psychotic manic episode.

    Evidently I’ve come a long way in the space of one year.

    I had been living in a shared house, which did not work. Not after new people moved in, another flatmate suffered a bereavement and all the communal housework fell on me, newly realising I fit the PDA profile. The stress was a huge contributing factor in my becoming manic, and resulted in my being evicted in order that the council would have to help me find new housing as I did not have a guarantor for a new private rent.

    My CPN (community psychiatric nurse) found me my supported housing. It’s specifically for mental health needs, not autism though, which means the staff have absolutely no experience with PDA. I’m still awaiting my report from my assessment, and I’m hoping that once I have that I can push for staff to receive PDA society training. Also, there’ll be recommendations which should help.

    For now, I’m doing a lot better than I was before – work, safe place to live, new meds, diagnosis. On the the other hand, I haven’t yet figured out how to manage my demand energy to cope with household tasks and my flat is a complete tip. I’ll go into this in more detail later but because of childhood abuse, I fawn. That is, I comply with demands people place on me for safety. As a result of this, I avoid demands that are implicit: you should keep a flat tidy. you should clean. you should brush your teeth.

    I haven’t yet found the strategies that go beyond using my support sessions to get a support worker to expect me to do those things, and induce fawning. This doesn’t feel healthy, and yet I don’t know what else to do.