After a week or so lay off from walking I am pretty shocked at how difficult it is to get back into. It really is like starting over which is frustrating the life out of me. All year I have been building my walks and surpassed the highest levels set in previous years. It has been a massive positive in the year and yet a one week knock and I am back at square one struggling so badly with fatigue that its causing me a lot of anxiety.
Just today I had a short walk with my son after he finished nursery and was dropped off by another mother. A distance I used to take in my stride. But halfway into the walk I felt very unsteady and my vision was blurry giving me that feeling of unreality I could not snap out of. The legs started turning to lead which started to cause me panic because I really believed I was not going to make it back home with my son. So this kicked off shallow breathing which had me hyperventilating to myself- can't show it. In turn this gave a greater sense of unreality and didn't make my balance any better.
Like the old days about 10-20 minutes after a walk I am experiencing after effects again. I had forgotten all about them as my body adjusted slowly to the longer walks. After a short stint out of the routine they are back with a vengeance. Its like a wave of fatigue flattens me. I get restless. The breathing feels very shallow. I feel grey- images in my head of grey skin and purple bloated lips. I don't know why there is the delay but there is. So its making things very difficult at the moment. I know from experience I must put up with it as only by doing so will I eventually get through. Its not easy. Not easy sitting down with the girls to do their homework with them after being out and then being hit with it and trying to cope and stay sane and not running off to bed to crash out.
At times like these I have to remind myself this is not unusual. And I will say again if you read current anxiety self help book then you would think it was unusual as they make no mention of fatigue. Furthermore if you go on to anxiety forums there is not a lot of mention of it either. Its strange. But then anxiety is such a big umbrella. A person may say they have an anxiety problem yet need a normal life but experience moments of nervousness which are not nice but they put up with. A person may also say they have an anxiety problem and cannot leave their bedroom for fear. I once spoke to a girl who had trouble even getting to her toilet in the house as she was totally bound to the bedroom crippled by agoraphobia. All anxiety problems are not the same. But the lack of mention of fatigue on forums and in self help books would normally lead me to think I have some other problem outwith anxiety.
That is if it were not for Dr Claire Weekes, a pioneer in the field. In 1984 in her book "More help for your nerves" she wrote the following:
"At this moment, while reading this, you may be bewildered by what is happening to you. Perhaps the task of facing today, tomorrow, seems too much for your exhausted body to attempt, too much for your tired mind to think about. And yet it may only be a few months since you could have done that, and much more, so easily.
You may have reached a stage where you feel you would rather close your eyes and never open them again than have to open them tomorrow. All this may be so unlike your old self- indeed may be a reversal of the former self- that your bewilderment may be extreme.
When I explain to some bewildered, nervously ill people that their suffering is based on nervous fatigue, they are at first dubious that such strange, disturbing symptoms as theirs, such as utter exhaustion, could have such an apparently simple cause. However, when convinced, being nervously fatigued seems less frightening that the 'mental' illness they were beginning to suspect was theirs. The picture of mental illness has so many dark, mysterious places."
One thing that should be noted here is the language. It can be a scary read because the terms are so archaic and I know it has frightened a lot of people off reading her books. Once you see the terms for the modern day equivalent it actually makes a lot of sense. Nervously ill for example means a person with an anxiety disorder which is not an illness and not really nerves as such. Sure its to do with the nervous system but the scary tags hide a simple less frightening meaning.
Now she explains fatigue at length. People writing self help books today have taken her ideas and passed them off as their own but also at the same time dropped the fatigue. Why? Well I personally have come to think it then appeals to a wider audience. It appeals to those who have nervous issues but not a disorder and then some of those people that don't actually have a disorder come to believe they do. I know one man in particular makes a great deal of how many people he has "cured" and yet from what I have seen many of these people didn't have anything to "cure" in the first place. Its marketing.
Dr Weekes is the only person I have seen explain the fatigue and the fact that she goes on about it at length must have meant it was an important factor. This is a woman who when she started writing had her own practice where she used to deal with people with anxiety disorders (or breakdowns as they were then known). She then went on to deal with 100s of people world wide and in those discussions still made a great deal of fatigue.
The reason I say this is I have to keep reminding myself of this. If I do not refer back to her and just read the modern writing I then start to think the fatigue is something outwith the anxiety. As she explains it begins with worry- excessive worry. Obsessional worry. Worry over little things. The body reacts to this worry by tensing and depleting resources and over time this has a snowballing effect because the fatigue gives a person more to worry about and a mentally fatigued person finds it harder to see clearer and resolve the worry. And so on. It then seems clear to me how easily the mind can deplete the body and only by dealing with these issues can we over time start to get the fatigue to lift. Also though as I am finding out at the moment I am struggling mentally to deal with the fatigued body when I see old people walking about outside and wondering why I at half their age at least am too fatigued to do the same. I feel 100 years old and mentally cannot get my head around it and because I can't that anxiety will have me feeling 110 this time next week when I should be celebrating a birthday in double figures.

