Because I had no history of a mental illness, physicians were unable to diagnosis a variety of unexplained medical symptoms. As I came to understand the mental health aspect of my illness, I was able to direct my own recovery. I would like to see more understanding of the intricate balance of physical and mental health. Discussion of functional motor disorders should focus more on the very real connection between the physical and mental. Terms such as “psychosomatic” imply the symptoms are made up—making the person feel inferior. This furthers negative impressions of mental health and hinders recovery.
For me, difficulty with swallowing was the first symptom. I regularly ran six miles before I had a medical test to determine the cause of the sensation of food feeling “stuck”. After the test, I struggled to get off the couch. Despite further medical testing, there was no explanation for stomach muscle spasms after eating ½ cup of puree food. Also, walking was reduced to a slow, deliberate shuffle. For nine months, I struggled with walking and eating, then I was able to eat solid food with no difficulty. In the next five years, there would be months when I could maintain physical activity. Then physical symptoms such as weakness, shortness of breath, rapid heart rate would develop. There was no pattern for the appearance of symptoms. In time, symptoms would resolve spontaneously only to return. Symptoms progressed to depression and panic attacks.
After years of medical testing and sporadic counseling, I decided to ignore all physical symptoms. I joined a gym and told class instructors as well as my personal trainer about my medical history. They advised me in what should be a reasonable amount of physical activity. I adhered to a schedule and kept moving through a one hour fitness class. The instructor may do 20 repetitions and I did 5. In time, determined effort became fluid movement. Five months into an exercise routine, I ran a 5K. Two months later, I ran a 10K.
Recovery came as I faced the stigma. I was not “less than” because this happened to me. It was not possible for me to “just get over it” and move on. I had to address the physical, mental, spiritual and social aspects of my life. When I accepted the mental component as opposed to believing it was merely physical, I discovered what worked. I returned to my previous level of activity. The “runner’s high” is back.
In this six year journey, I was told many times, “It’s just the way it’s going to be. You have to learn to live with it.” But, I believed it was possible to return to work, to clean my house, to return to activities I enjoyed. More was possible if only I would keep trying, keep searching.
Mental illness can be masked behind very real physical symptoms. On the flip side, physical symptoms which defy medical diagnosis are often dismissed as being psychologically based. I believe individuals should pursue a physical diagnosis, seek counseling, and attend to spiritual and social matters. If physical symptoms persist, a decision should be made. Is it possible that paying attention to physical symptoms hinders recovery? If a person feels safe in assuming symptoms are not physiologically based, a course of recovery should be pursued. Make a plan and stick with it. Results will not happen quickly. But full recovery is possible.