Mar 312011
 

I quit smoking, after about a decade of engaging in it, on 1 January 2007. The smoking ban was coming in here in April that year, and I thought that would give me plenty of time to adjust to being a non-smoker before everyone was (in my view justifiably) forced outside to practice their lung-destroying habit.

It was a success. What worked for me really well was being absolutely decisive and certain that I simply would not smoke after that New Year’s Eve, to the point where I didn’t need any of the traditional aids that are recommended. I had bought some of that nicotine chewing gum, but (a) it was absolutely bloody rancid and (b) I was surprised to find that I almost never craved a cigarette at all. That led me to the conclusion that, in my case at least, smoking was more of a habit than an addiction.

I had had a smoking routine prior to quitting, that depended on whether I was at work or not. If the former, I got up, checked my email with tea and a fag, went to the bus-stop, smoked a fag there, got the bus, went to the coffee shop and smoked a fag there, went to work, went out for a smoke break with the others at 11am, went back to the office, went out for lunch smoking between one and three cigarettes, went back to work, smoked on the way back to the bus-stop, went home, had dinner, smoked a fag, went on computer, smoked a fag, had a cup of tea, smoked a fag. If I was not at work, I got up and sat at the computer for hours, with smoke after smoke on the go. Etc etc etc.

Yet, if I came to stay with A (I lived at Mum’s at the time), I would go for days without even thinking of the things. Mum and I even went to America for a fortnight once, and as we were staying with Aunt of Evil, we didn’t smoke the whole time…well, until we got back to the airport to go home anyway, at which juncture it all started again.

So yeah, it seemed like a habit, and a potentially controllable one at that and furthermore, one that I got very easily out of by determination alone.

Until late last year.

I don’t remember how I got back into smoking precisely. I could sit here and whine that therapy (and, in particular, the end of therapy with C) was difficult, and whilst that’s true, I don’t think it serves as an adequate excuse for lighting up again. I did it because…well, I don’t know why entirely. I think I just felt like it. Which is indubitably bad.

It’s funny; when I quit in 2007, I didn’t notice all those supposed health benefits people wank on about, such as being fitter and whatnot – but now that I’m back on the heinous things, I notice losing fitness. I have regained a smoker’s cough and am not particularly good with hills (which had been something that had been improving since I’ve lost some weight).

The weird thing about my recent re-foray into smoking is that there’s no pattern to it in the rote fashion that there was before. Some days I might smoke a lot, others I may only have one (or even none at all). This may sound more encouraging than sitting here chaining all day, but I don’t think is. I think I’ve developed a sense of complacency that I’d much rather I didn’t have; the unconscious thought process seems to be, “bah, sure you don’t smoke much anyway – why bother quitting again?” I don’t rationally think that, of course, but there’s something blasé at the back of my mind. When I was a frequent and/or heavy smoker, no such pseudo-ambivalence existed.

Of course, I have no money. In fact, I have less than no money – so the finances from the bastarding things come mainly from my ever-expanding overdraft. This, more than the health thing, is my main impetus to stop again – I mean, it’s through no fault of mine that I’m disabled from working at present, but I still think it’s a travesty that public money is going on this grotesque pursuit.

So, in light of this and related concerns, I had determined that I would quit again on 4 April – ie. Monday coming. Rather than celebrate this in the way I had when I had planned on giving up fags before, I’ve been sort of nervous about it. I know that the claim that smoking relieves stress has physiologically been proven to be false, but I think that in certain circles it is accepted that people psychologically gain relief from it, in much the same way that one might do with a placebo drug. And I have been under some stress recently – not much by comparison to times in the past perhaps, but not insignificantly nevertheless. Poor A has been under immense pressure at work lately, and it’s hard not to worry about him. Psychotherapy, whilst productive at present, is fucking hard work. I’ve also been completely obsessed that my mother is about to die, and have now got it into my head that the McFauls will find out the truth (not that they would believe it as the truth, of course), and that Paedo’s life will be ruined. I mean, as stated a million times, if the McFauls never speak to me again, that may be very vaguely unfortunate for me personally, but I’d get over it. I’m not their biggest fans, after all, even if one or two of them are OK. However, I don’t particularly wish to tar him with the brush of paedophilia this late in his life. I don’t like him, but I don’t wish him ill either.

So, I’m led to wonder – is this odd sort of “oh well” about quitting smoking related to my tendency to panic about not very much? When I quit in 2007, life was pretty reasonable. I had just recovered from a major breakdown (not at all as major as this one, but the most significant one to that point) – so much so that I was going back to work. Things were fairly good, insofar as existence can ever be said to be good. Now – life is not abjectly, unspeakably awful in the way it was a few weeks ago, and my mood feels stable-ish – but “what ifs” and a sort of low-level agitation can be quite independent of mood, I’ve found. I’m still on edge a lot, and up to my usual old tricks of perpetual catastrophising.

I went to see Mum, newly tanned from a holiday, yesterday – and was quasi-horrified to find that, instead of buying me some sort of tourist tat as she normally would have done (she and I tend to exchange crappy fridge magnets from our respective foreign trips), she’d brought me a big packet of cigarettes. Enough to do me for the next month, or maybe even more.

My pointless little story gets particularly pathetic here. I don’t want to not smoke them, because that would apparently be insulting to her given that she put the money, time and effort into buying me the bloody things. Rationally, I know that’s preposterous – she’d rather see the fuckers binned and her money lost than me not give up as intended (though apparently my intended date has skipped her memory, but she’s nearly 70 now so we can forgive her that). But I have this nonsense in my head now. It reminds me of certain circumstances that commenced way back before I started this blog: I’d randomly feel sorry for Any Old Thing, and then want not to “reject” it. In this case, it feels like I am vicariously rejecting my mother if I reject her present, which was purchased with every goodwill.

I am glad to be an idiosyncratic person in general, but I often wish I wasn’t in this sort of domain. What possible reason do I have for this stupid sort of – as bourach once put a similar phenomenon – dilemminating? In this specific instance, it’s particularly counter-productive and idiotic.

So will I actually stop smoking on Monday as intended? I hope so, but I’m really angry with myself that my intentions feel so vague, so wholly different from last time. It’s a disgusting, filthy habit – and as discussed in the comments of a recent post I wrote, it’s ultimately a more destructive method of self-harm than that which we traditionally associate with such actions. I am ashamed of it, more so than many things that are generally much less socially accepted. I keep worrying about Paul smelling smoke from me – yet I am quite happy to call myself a dirty whore and talk intimately about sexual issues to him.

I did get a “help with quitting” kit this time, and will indeed purchase additional aids as required (pricey, but cheaper to me and the British taxpayer in the long-run). I just can’t guarantee it’ll be this week, as planned. And now that I’ve admitted that, of course I feel like the big fat failure of fuckery that I am.

On an unrelated note, there’s very little to report. Monday’s therapy session was not one of those conversational ones that for some reason some of you seem to find enlightening; it was very introspective, but there’s probably something good in that. I’ll write about it in a day or two. Mood-wise, things are alright-ish – in fact A and I have have just been crying with laughter at this…

:D

…but still, as observed above, a bit of anxiety and worry. Part of me is vaguely concerned that my increased dosage of Venlafaxine might be inducing a mild mixed state, but on the other hand, there’s lots of exhaustion – ah, insomnia, how I hast not missed thou. Boring all round, really. Part of me almost regrets getting so up to speed on all those weeks of therapy reviews, because now I only have one thing to write about. So I thought I’d do one of those weird speculative filler posts, ie. this one, that I sometimes write when I have nothing to say ;)

Feb 132011
 

I am almost literally sick of having to write to / email the local Trust about their ongoing – seemingly perpetual – incompetence and utter fuckery. Once again, it has become necessary to do so…

15 December 2010

Dear Ms Serial-Insomniac

Re: Application for access to records/personal information – Data Protection Act 1998

I refer to your requests, which was received on 13 December 2010, requesting copies of your mental health notes and records and copies of correspondence relative to a complain lodged in August 2010 [the stupid, stupid fuckers.  The complaint has been ongoing since December 2009! Get it right, twatbag.]

I would advise you that your request is being processed in accordance with the Data Protection Act (DPA) 1998.  Therefore, a response to your request should be sent to you within 40 calendar days from the date it was received by the Trust.

Should you have any queries regarding the matter do not hesitate to contact me on 9–1-13–1–20-23-1-20 [as if I'm going to phone you, knobhead.]

Please find enclosed a receipt for the cheque for £10.00 that accompanied your request.

I will be in contact in the near future [...!!!].  However, should you have any queries in the interim do not hesitate to contact me on 9–1-13–19-20-9-12-12–1–20-23-1-20.

Yours sincerely

Geezer

Information Governance Support Officer [what the fuck?]

All very reasonable! Yay!

Except…not so much.

13 February 2011 [via email]

Dear Mr Geezer

Re: Application for Access to Records/Personal Information, Ref: FU2KN053ND

I refer to my recent application to access the mental health notes that the Trust has kept on me and your letter dated 15 December 2010 in response to same.

It was noted in your letter that my request was received on 13 December 2010, and would be processed in accordance with the Data Protection Act 1998, the relevant governing statute.

I am disappointed to note that the Trust has not provided the information requested within the 40 calendar day limit set under the afore-mentioned legislation. Taken from the date my application was received by yourselves, I should have in receipt of the requested material on or before Saturday 22 January 2011. As of today’s date (Sunday 13 February 2011), it has been 62 calendar days since my request was received by yourselves.

I am sure you can appreciate that the late delivery of this material is both inconvenient and distressing. An important meeting with senior members of the Trust regarding the many failings of my care within the system has been substantially delayed whilst I have been waiting on the information requested, thus potentially delaying necessary treatment even further.

I should be grateful if you could deal with this matter at your very earliest convenience and look forward to hearing from you in relation to same.

In the event that this issue is not dealt with within seven calendar days, I shall unfortunately feel that I have no choice but to look into furthering this matter under the relevant legislation.

Thank you very much in advance for your time and assistance.

Best regards. [Does it really soften the blow? Probably not...]

Yours sincerely

Pandora Serial-Insomniac

If I don’t hear from Geezer tomorrow, I will break things.

Sep 032010
 

I swear to living fuck that the Trust will not win this fight if I have breath in my body and blood in veins. I will battle them to the very death – literally, if needs be.

This is, of course, in response to yesterday’s received correspondence from Mr Director-Person. Your thoughts and comments on the letter are, of course, most welcome as always.

Dear Messers McGimpsey and [MP]

Re: Access to Mental Health Services

Thank you both very much for your recent kind assistance in communicating with the [my] Trust on my behalf. By now, you will have received the response from Mr Director-Person, the Director of Mental Health Services, dated 24 August 2010. I apologise if this letter crosses in the post with any communication from yourselves to me.

I remain very dissatisfied with the Trust’s response to my concerns for a number of reasons, and would hope that you could therefore kindly continue to assist me in this matter. I have not responded to Mr D-P directly, as such dialogue has, to date, proven to be an utterly fruitless pursuit. As you can appreciate, the Trust’s negligent and frankly dismissive stance on this matter has greatly added to my psychological distress.

I would make the following points in response to Mr D-P’s recent correspondence:

  • It is contended that Mr D-P has been informed that I was advised “early on” about a “therapy end point”. This is factually incorrect. [C] and I first met in late February 2009, at which point we worked on rolling contracts of six to 12 weeks, although there was always an expectation that unless significant progress had been made, these would be extended (which they were). I was not advised of a “therapy end point” until December 2009. Eight months subsequent to the commencement of the process cannot accurately be described as “early on” therein.
  • Mr D-P also alleges that my treatment programme with [C] was of a duration of 18 months. Technically, in a wide sense at least, this is correct – however, the impression given is misleading. I met [C] for exactly 63 weeks, which is obviously one year and 11 weeks – ie. just under 15 months. I point this out because I would not like the Trust to be allowed to overplay the sufficiency of their frankly inadequate service.
  • The cessation of therapy was against the specific clinical opinion of my consultant psychiatrist, NewVCB (of [Relevant Hospital]), as acknowledged by both her and [C] on at least two separate occasions. I am astonished that consultative medical advice counts for so little within the [my] Trust. Furthermore, [C] admitted in our final session on 26 August that I had been significantly “let down” by the Trust.
  • The aforementioned consultant psychiatrist, whilst acknowledging that I have a form of complex post-traumatic stress disorder due to significant childhood abuse, has stated to me on several occasions that she does not want to engage in diagnostic “labelling” of me, and instead wishes to treat my specific symptoms and circumstances in an individually appropriate way. The Trust’s attitude to my case would again appear to be in in opposition to her quite reasonable position; although I have never tried to hide or deny my earlier (ie. prior to NewVCB) diagnosis of borderline personality disorder, it seems clear to me from his letters that Mr D-P and his colleagues have chosen to fixate on this “label” specifically. Borderline personality disorder is probably the most stigmatised of all the psychiatric diagnoses and I must confess that I am coming to believe that I am being discriminated against considerably because this diagnosis has been applied to me.
  • Chief Executive Mr Chief Executive’s acknowledgement letter in response to my original complaint to yourselves suggested that, as well as investigating my complaints with regard to my current situation, an investigation into the Trust’s failings in my mental health care for over a decade prior to same would take place. It is evident that this has not been the case; Mr D-P’s letter of 24 August focuses solely on my present circumstances. Only the most cursory of apologies was offered for the present inadequacies, and none whatsoever proffered for the many errors and misjudgements of the past.
  • Perhaps most tellingly, Mr D-P claims in his letter of 24 August that “further support” would be “in place when [my] sessions with [C] come to a close” and that “…through close working between the psychological therapies service and the [Community Mental Health Team] it is planned that the work done with [C] will be incorporated into the ongoing support from the team.” This is categorically untrue. My sessions with [C] ceased on Thursday 26 August, and apart from my pre-existing relationship with my psychiatric consultant, I have absolutely no “further support” whatsoever, and in my latter sessions with [C] no such references were ever made. The matter of a referral to a community psychiatric nurse or a mental health social worker had previously been discussed; however, my psychiatrist and I were agreed that such a referral would probably be inappropriate in my case, at least as a sole support system. No such referral came to pass and I have not heard anything to suggest that any “further support” will come to fruition. It was certainlynot in place at the end of my psychotherapeutic treatment.

In light of the factually inaccurate statements made by the Trust, I feel that it is appropriate that you be made aware of the above to correct any misapprehensions that may have been created. I understandably feel let down by the Trust and am seeking your assistance to secure appropriate treatment.

I am aware that it is relatively common for the Trust to outsource psychotherapy to private sector third parties; indeed, I know of several individuals who have been treated in this way, and [C] advised me in our final session that it was certainly a possibility for me (we had discussed the possibility of my entering psychoanalysis in the private sector in particular). I am reliably informed by both professionals and other service users alike (within both this Trust and others) that, through your continued advocacy and support, this is something that would be obtainable for me. That being the case, I would ask that, as my political representatives, and in light of the Trust’s continued failings, you help secure assurance of this or an equivalent form of treatment for me.

I feel that I ought to note that I am the author of one of the most popular mental health blogs in the UK (currently written under an anonymous pseudonym and widely supported and read by both service users and mental health professionals) [let's not piss about with false modesty here, people - no arrogance intended, but, y'know - it kind of is], and that as a result of the deficiencies of my experiences within the [my] Trust my case has become something of a cause celebre across the aforesaid blog and various social networking internet sites. More formally, I write occasional freelance articles for a popular online magazine, and am giving very serious thought to specifically addressing this matter therein. I would certainly prefer to keep this issue private and anonymous, but if speaking out publicly about it will help me secure the care and treatment that I clearly need, I will not hesitate to draw wider attention to the matter.

I would like once again to thank you for the interest in my case that you have shown to date and would also wish to thank you in advance for your continued support. Please do not hesitate to contact me should you require any further information.

Kindest regards.

Yours sincerely

Pandora

Sep 022010
 

In response to both my last letter to Mr Director-Person and my MP‘s intervention.

Dear Pandora

Further to my letter of 3 August 2010 [wherein he acknowledged his failure to reply to the letter first linked above, not replicated here], I am now in a position to respond to your detailed letter [ie. the one to my MP and friends] outlining the background to your situation and the treatment received from our Trust.  I am sorry that it has fallen short of your expectations and that you feel that the progress initially made with [C] has not been sustained.

As indicated in my letter of 12 May 2010* the provision of specialist services for people with personality disorder is at an early stage of development in Trusts across Northern Ireland.  The [my] Trust did receive some additional funding last year towards such services and we have appointed a dedicated practitioner**.  The major focus of our approach in using this practitioner is to provide training and support to generic services both in-patient and in the community to improve their capacity to support people with a personality disorder***.

Within the generic mental health services we make every attempt to match individual client need to an appropriate level of intervention within the resources that are available to us.  With regard to your situation, [C] made a clinical judgement that was endorsed by his clinical supervisor to offer a treatment package consisting of weekly appointments and I am advised**** that early on you were given information about session numbers and therapy end point.  This was to establish clear boundaries to treatment facilitate the working through of any concerns that ending therapy might arise, and prepare for any potential transfer to CMHT colleagues.  This has resulted in the delivery of a package of assessment and treatment over an 18 month period******.  During that time it was recognised that you could benefit from further support and this will be in place when your sessions with [C] come to a close*******.

Given these inputs from our services the Trust believes that it is appropriate that this phase of your treatment is brought to a conclusion.  However through close working between the psychological therapies service and the CMHT it is planned that the work done with [C] will be incorporated into, the ongoing support from the team******.

The Trust is continuing to work on developing services for people with personality disorders as resources become available.  Thank you for your offer to provide service user input to this service development, which we will be in contact with you about in the future, and we appreciate your support with this.

Yours sincerely

Mr Director-Person
For Mr Chief Executive

Copy to:  Michael McGimpsey [NI Health Minister] and my MP

I have tried to retain in the above replication the multifarious punctuation and grammatical errors, though I’m sure some have slipped past me.

* Yes, I know: I did receive your letter of 12 May, after all.  Why are you repeating your self?  I am mentally ill, not fucking braindead.

** Wow, a whole practitioner?!!!1!!11!!!!eleven!!!one!!!!three!!!26!!!!  He or she will indubitably serve thousands of people quite eminently fabulously by themselves!

*** Jargon designed to confuse, Mr D-P.  But what you are, in essence, saying is that your appointment of this individual is already failing, because generic mental health services are apparently fucking scared of people with ‘personality disorder’ and thus do not seem to want to bother to treat them.  C admitted to me in one of the sessions about which I have not written that I was at least in part being discharged because of my wanky diagnosis of borderline – “the service cant continue to fund personality disorders,” apparently.  This is clearly a fail.  What a surprise.

**** You were advised incorrectly in that case.  C and I always worked on rolling contracts – until Christmas anyway – so there was no way that I could have been advised “early on” even in a vague sort of way about treatment ending.

***** This is incorrect.  I had a total of, I think, 63 sessions with C.  That equates to just under 15 months.  One year and 11 weeks.

****** Who?  My sessions with C have already ‘come to a close’ and I am not in receipt of ‘further support’.  None at all.  Admittedly, NewVCB and I agreed that a CPN or mental health social worker was essentially pointless in a case like mine, but the point is that Mr D-P either doesn’t know or doesn’t care (or, in all likelihood, both) about the accuracy of his claims.  So he may say that ‘further support [would] be in place’ when things with C ended, and that ‘through close working between…psychological therapies…and the CMHT it is planned that work done…will be incorporated into ongoing support from the team’, but this would be (and is, obviously) absolutely untrue.  His blatant fallacies (or at least ignorance) are, of course, to my considerable advantage: he has been caught in the throes of an outright lie on paper :)

Other observations:

  • I note with interest his failure to acknowledge that NewVCB, my consultant fucking psychiatrist, railed against the end of therapy at what she (and I) perceived to be such an early state.  C and his ‘clinical supervisor’ apparently therefore actively ignored direct, consultative medical advice, but of course Mr D-P wouldn’t like to admit to this.  Well, that’s OK with me.  His lie-by-omission will be openly highlighted in my response to my MP and Michael McGimpsey.  Mr D-P had better not say this is a borderline manipulation of the truth or something, because let’s just say that I have evidence that NewVCB’s disapproval of C’s actions is absolutely factual.
  • As usual Mr D-P completely ignores my references to complex post-traumatic stress disorder and my retraumatisation at the hands of C.  ’Progress initially made…[having] not been sustained’ merely suggests I’m mildly annoyed – perhaps not much better, but not much worse either – and does not in any way, shape or form grasp the levels of trauma that psychotherapy at the shocking mercy of his Trust has put me through.
  • What is really galling, what is really really fucking galling, is that he has completely ignored everything that I had written about my frankly appalling experiences within the health service prior to my meeting C.  About how I was pushed from pillar to post.  Regarded with open disdain.  Left in the lurch with no support by resigning members of staff.  Referrals not being made.  Referrals that were made then being ignored by those to whom they were made.  Over the course of 12 fucking years.  12 years!  So many of them formative ones at that!  No wonder I’m a complete fuck-up at the age of fucking 27!  He doesn’t care about any of it despite the possibility that (as pointed out to him), if I had received adequate treatment back then, I might have been reasonably well recovered by now, and functioning as a normal member of fucking society – ergo topping up his own bastard of a salary with 11% of my own earnings.  He doesn’t have to be altruistic about it; it would have been in his own best fucking interests.  Regardless, does he actually think that is acceptable?  Remotely acceptable?  Does he think that is an adequate response from the NHS to serious, life-threatening health concerns?
  • There was something else about which I wanted to rant but in the course of the rage of the last point I’ve forgotten what it was.  I will add it in the comments later if I remember.

Now.  Is it time to craft my reply?  Or just relax and work on it with A tonight?  And is it too early for red wine?  Red wine and a Pot Noodle, methinks.  With extra burning hot chillis.  Oh yes.

Cunts.  One and all!

Jul 282010
 

Well…I don’t really hate this blog.  As I’ve said several times, it is in fact my pride and joy – or, at least, what has gone before has made up what I call my pride and joy.  I don’t feel very proud or very joyful at the minute, though it’s not the blog’s fault, obviously; it’s mine.  I keep saying to myself, “you’ve got to write about this,” or “you should say a few words about that,” and then I look at the screen of the laptop, poise my fingers across the keyboard’s home keys – and everything goes blank.

I have two therapy sessions to catch up on and, since I probably won’t write about them before tomorrow morning, a third will probably join them.  I remember the interactions pretty clearly, as I usually do – one pièce de résistance was asking C if therapy was really meant to make you feel worse, which hit a nerve ;) – but I just can’t find any motivation to record them in writing here (or anywhere else for that matter).  I think, letters to MPs notwithstanding, that as things draw to a close I’m increasingly finding our meetings to be utterly futile and to that end, perhaps, I can’t face writing about them.  To do so would maybe be to acknowledge that, this time next month, psychotherapy – my only hope of a recovery of sorts from my perpetual anguish – will in all likelihood be over.  That’s a thought that is both sobering and chilling.  CPN/SW or not, good family and friends or not, I’m not at all convinced that I can keep myself safe from the end of next month onwards.

To go from making what was really rather good progress in therapy to regressing into this barren Purgatory-like wasteland is frustrating to put it mildly.  I don’t know how to articulate my current feelings on the matter beyond that.  Grieving, hurt, depressed, anxious, angry, I suppose – but all of these with a certain degree of measured stoicism; perhaps I am simply resigned to his abandonment of me now.  Overall I feel straightforward but profound sadness and regret.  Sadness for the fact that I will miss him greatly, I suppose, and regret for what could have and should have been – a relationship that had the power, if given the requisite resources, to greatly improve my quality of life.

Even if I had the will to write up the last two sessions – even if I had it right now – I wonder to some extent what the actual point would be, because as I say our sessions are feeling increasingly pointless.  I don’t really blame him, and I don’t really blame me.  It feels inevitable that things would just sort of ‘trail off’ mid-sentence, mid-air, as D-Day approaches.  Just the nature of the beast, methinks.  Pointless, futile, dancing around things and dodging others.  Still, I suppose the reason I started writing such detailed posts on therapy in the first place was for a record…for reasons of mere posterity.  Empty discussion or not, surely it is equally important to discuss the final sessions of this process if that has been my aim.  So I should – and therefore, I have now decided, will – review them, but I can’t say when.

Because the problem is that my current apathy is not just about examining psychotherapeutic matters.  I am finding it excessively difficult to write about anything (perhaps not unlike how I felt two weeks ago and indeed a week before that).  In part (probably in large part) that’s because I have absolutely no life whatsoever.  Yeah, I sometimes go out for a drink with A or to a shop with my mother – but so what?  What’s that got to do with anything?  Who’d be interested in that?  Certainly not me, and since this blog (despite having quite a few lovely followers these days) is primarily my record of these dark times, I’m not going to blather on about stuff that bores me to death (death is more peacefully achieved by other means, thanks very much).

This failure of expression and engagement with life extends to contact with the outside world at large.  I’ve been ignoring Twitter, emails, text messages – everything.  I refuse to return my mother’s unanswered calls, and the only person I speak to is A.    I do go through phases of doing this every so often, but this feels deeper, like it’s likely to go on longer.  I’m in a rut, both in terms of social communication and in terms of the one form of communication I’ve always held so dear – writing.

I thought about taking a brief break from blogging – say a month or something – but as I stated here, my concern, justified or otherwise, is that even the most short-lived of interludes would lead to a situation where I never felt able to once more lift my metaphorical pen.  And ergo you get stupid little filler posts like this one, designed to at least be something, but which are pointless and vacuous in their story-telling and exasperating in what catalysed them.

But that’s not this blog’s fault.  I don’t hate this blog.  I do, however, despise its author.

Jun 202010
 

And so it came to pass that yet another Clinton Cards-induced festival of rampant commercialism took place in the Year of our Lord 2010.

What a pile of utter wank.

On the other hand, what an opportune time to note that…

Or, rather, he was a fucking wanker, as he met his (rather regrettably late) demise in September 2007.  I wish it had been years sooner.

So, V, you raping, attempted-murdering, wife-beating, daughter-hating, piece of rotting worm-food shit, I hope you’re having a really, really crap death :)

See you in hell, cunt!

May 262010
 

I should turn this into a series of posts.  It’s becoming something of a recurring theme, my own little comedy of errors if you will.  It frustrates me endlessly, of course, but if you dig a little deeper there is something pathetically amusing about the whole sorry business, in a sort of wry, dark kind of way.

Anyway, here is the latest letter from Mr Director-Person, in response to my correspondence of 11 March.  I am very impressed with his wonderfully speedy return on this.

Dear Pandora

Re Accessing Mental Health Services

Thank you for your letter of 11 March 2010 and I apologise for the delay in replying.  As we have acknowledged previously you are correct in your interpretation of the NICE Guidelines in relation to personality disorders.  However NICE does not apply automatically in Northern Ireland.  Currently a Regional Personality Disorder Group, brought together by the Department of Health, Social Services and Public Safety is considering the Knowledge and Understanding Framework (KUF) as a way forward to developing better services in Northern Ireland.

Locally, a group run by <Mr Twathead>, Head of Mental Health Nursing in our Trust, is working on a plan to improve services for people with personality disorders.  This service will support the objectives of the Northern Ireland Strategy for Personality Disorder.  The Trust is also in the process of recruiting Personality Disorder Practitioners who will work with community teams to provide a more locally responsive service.

As a Trust we are committed [hahaha!] to user involvement in the planning, delivery and monitoring of our services so we would be grateful if you could get back to us with an expression of interest in helping us develop better services for people with personality disorders – please contact <BitchBrain>, Assistant Director Mental Health Services, <Big Bin>, <phone number blah blah>.

In relation to your own treatment and care, <C> has spoken to <NewVCB> about follow-up sessions.  It was agreed that there would be a seamless [*explodes laughing*] transition at that time [<pedantry>at what time?  What point of your letter are you referring back to?</pedantry>] to the provision of support from either a community psychiatric nurse or a social worker from the community mental health team.  The details of who this will be and the extent of the contact will be negotiated closer to the time of transfer.

Yours sincerely

Mr Asshole Director-Person Cunt.

One thing that really annoyed me that has no relation to that actual content of the letter was that he addressed me as ‘Mrs <my new surname>’, assuming that any female changing their name must be doing so owing to marriage.  My cunting bank did this as well, which send me into a spiralling fury of ranty anti-capitalist rage.  What a pile of outdated, presumptuous, misogynistic crap.

Anyhow, this is my proposed response.

Dear Mr Director-Person

Re: Accessing MH Services

Previous correspondence refers.  Thank you for your eventual response of 12 May 2010.

I note with interest your willingness to point out that NICE guidelines are not always applicable in this jurisdiction, and that a regional team is “considering” the application of the KUF.  I also have taken note of the information that a plan is being “worked on” to develop services in this Trust and that a NI Strategy for PD apparent exists.  However, you will recall that in my letter of 11 March, I specifically requested details on how the treatment of the very real challenges faced by Northern Ireland individuals with mental health difficulties (not just personality disorders) is being adequately governed and protected now.  I am disappointed to note that you have failed to provide this information.

You may be aware that <NewVCB>, whilst reluctant to continue the tradition inherent in the system of providing stigmatic diagnoses, felt that I am afflicted with a form of complex post-traumatic stress disorder.  I would refer you to Trauma and Recovery by Judith Herman and The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization by Onno van der Hart on this subject.  As I am sure you are aware, these sources (and many others) quite definitively feel that whilst psychotherapy is a vehicle to recovery, the inadequate provision of same can lead to re-traumatisation.  Given your apparent familiarity with my case, I believe that I can fairly reasonably conclude that you will be aware that I am thoroughly re-traumatised thanks to recent work with C.

To that end, I should be grateful if you could clarify the mandate of mental health services within your Trust.  Is it your actual goal to discourage healing and indeed bring about psychological damage to ill and traumatised individuals?

In particular, I must question the decision to refer me to a CPN or mental health social worker after my contact with C ceases.  I must confess to being amused at your contention that the transition from C to this person would be “seamless” – aside from the fact that it is impossible for you to predict the level of “seamlessness”, and the fact that I am well acquainted with C without any knowledge of his “successor” (and bearing in mind social anxiety is one of my many diagnoses), as yet no one has been able to tell me exactly what such individuals do other than to attempt to encourage their charges to complete day to day activities.  C-PTSD and BPD, as you know, require significant psychotherapy, not reminders to undertake simple tasks (which, I might add, are often impossible regardless of external encouragement).  Whilst there is arguably a place for such professionals as adjunctive workers involved in a person’s treatment, at present I utterly fail to see how assigning them as the primary contact can be of significant benefit, at least to someone someone such as myself.

On the other hand, I am also aware that certain individuals of these specialisms practice the supposedly panaceatic techniques of cognitive and dialectical behavioural therapy.  After my 12 years of being richocheted around your system – and of being forced into the private sector thanks to its failings – I have experience of these “therapies” and feel strongly that not only are they ineffective and patronising, they are indeed offensive.  Their practice is in keeping with the victim-blaming culture that seems inherent in psychiatry and allied professions in reference to BPD.

Whilst I accept that the above view is personal and not held by everyone, and that these techniques can have at least temporary usefulness for some sufferers of mental illness, it has been accepted by those involved in my own case that this would not be appropriate for me.  I would therefore hope and expect that it is not suggested.

I would, ergo, again enquire as to the relevance of a CPN or SW as opposed to a qualified psychotherapist as my primary case worker.

I would like to convey my sincere thanks to you for inviting me to express interest in your user involvement scheme.  I shall be writing to your AD, <BitchBrain>, with said expression forthwith, and look forward to hopefully making a worthwhile contribution to personality disorder services within our Trust.

Thank you for your time.

Regards

Pandora (Ms)

I whacked this response out on a secluded beach on the Turkish Mediterranean.  My God, what a sad, pointless life I lead!

I’m seeking advice on this one because, although I feel my letter is fairly good, it doesn’t ask many direct questions, meaning that Mr D-P can cleverly wriggle out of answers yet again.  To this end, I wonder if any of you would like to suggest amendments, additions or direct questions that I could use when writing back to him.  As with the last post, all views are most welcome.

Thanks again lovelies.  x

May 262010
 

Hello once more, all.  I returned on Monday from Turkey having had a lovely time and being in a surprisingly non-shit mood upon arrival back in Norn Iron.  I think the good weather here helped; this country, for all its faults, is stunningly beautiful especially whilst bathed in bright sunlight.

Anyway, I may report on the holiday in due course, but for now I need your advice, my precious lovelies.  I’ve been thinking seriously since I last saw C – and before, for that matter – of just quitting therapy.   I will outline my reasons and the pros and cons of this, but whatever the case I would really value your advice or tales of your experiences of same.   Thanks so much to all of you on Twitter and Facebook that have already provided such counsel.

Basically, I feel that the whole situation with C is completely out of my control, and this is doing my head in.  I’m not exactly a control freak, but I know that if things are in my hands, then at least I am not in as vulnerable a position than I would be in the case where the power is firmly in the hands of others.  The therapy is ending in – what? –  seven or eight weeks anyway, so why not take control of things in one of the few ways I now can?  What are those few weeks going to actually even do, apart from fuck up my life even more?

I’m also at the stage where I believe firmly that therapy is thoroughly re-traumatising me.  I accept that a certain amount of this is inevitable – indeed, I’m sure, necessary – in trauma therapy, but the thing is in most cases the therapist continues working with the client at least until he or she has been able to overcome that re-traumatisation (or, in the worst case scenario, not be quite so hideously haunted by it).  This will not be the case with me, unless C can miraculously process all my traumatic memories – those of systematic, long-term child sexual abuse, abandonment/rejection, bullying and betrayal – in a few pathetic weeks.  He doesn’t even know about it all (not because I have deliberately withheld information, simply as some things have to take priority), so how can he?  Basically, I am completely re-traumatised and it is all but impossible that I am going to leave therapy in a different state.

Useful work is not even being done at this stage, in my view, because I’ve become terribly defensive again.  At least, I assume that it is defensiveness – it never feels exactly like that in session, it’s just that I can’t seem to talk about anything worthwhile anymore.  But of course I can rationalise that behaviour out of session: I know that I’m teetering on the precipice of being hurt with a pain unparalleled in years, so it makes sense for me to clam up in order that I can protect myself from being even more at C’s mercy than I already am.

So, pros and cons of ending therapy of my own accord.

Pros

  • Regaining control of the situation.
  • Earlier transition to a private (and hence more reliable) therapist, and an earlier start at interviewing those on the shortlist.
  • Satisfaction of beating C at his own game.
  • Reduction of further re-traumatisation.
  • Reduction of further wastage of 50 minutes each week on both sides.

Cons

  • The Trust will almost certainly interpret this as typical borderline behaviour and note further stigmatic bullshit all over my medical notes.
  • The Trust will consider the fact that I quit therapy of my own volition in any future referrals and presumably respond with a giant ‘fuck off’.
  • I might miss C and end up regretting finishing interaction with him before the last possible minute that I could have done.
  • W claims that therapy seems to have been working of late, presumably owing to his objective and detailed reading of my material here.  It certainly was doing so, for a while, though I don’t really think it is at present.  But if it is, then I could be ‘blowing it’.

One thing I am going to do – to wind C and the Trust up if nothing else – is demand some material from them.  One, I want copies of the entire files that C and NewVCB hold on me.  They will be requested, respectively, tomorrow and at my psychiatric appointment next Wednesday.  Two, I intend to launch a Freedom of Information request into the minutiae of certain Trust expenditure, so as I can quote the Trust’s almost inevitable wastage in my ongoing dispute with Mr Director-Person (more on that cunt later today).

So.  In conclusion, I would really, really appreciate all your thoughts on this matter.  Any views of any persuasion are most welcome.  Should I quit therapy with C before he quits it for me, or should I ride it out to the end?

Thank you all.  x

Apr 292010
 
  1. Monday 19 April, 9pm
    Order prescription via the online EMIS system. Quetiapine (300mg) is due to run out by Wednesday, and even though I am seeing the psychiatrist on Wednesday, I don’t want to take chance that she will not modify the dose and that I will therefore be without the medication. Lose plot by even missing one dose.  Also order Venlafaxine (anti-depressant), Cerazette (contraceptive) and Cetirizine (anti-histamine).  These prescriptions are due to be delivered to my usual pharmacy by Wednesday afternoon at the latest.
  2. Wednesday 21 April, 11.10am
    See psychiatrist. Agrees to temporarily increase dose of Quetiapine from 300mg to 400mg, and gives me a letter for GP asking him to issue a prescription for same. She also includes request for Zopiclone.
  3. Wednesday 21 April, Midday
    Take medication letter to GP’s surgery. Ask receptionist to issue it to my normal pharmacy, the one discussed at (1) above. Receptionist says it would be better to issue it to pharmacy next door to surgery, as they have better communicative practices with them or something. Agree to collect it from there the following afternoon.
  4. Thursday 22 April, 4pm
    Realise with horror how late I have left it to collect prescriptions from both pharmacies. Drive like a maniac the six-ish miles from my mother’s house to pharmacy beside doctor’s surgery.  Bring mother with me.
  5. Thursday 22 April, 4.15pm
    Arrive. Ask for script.
  6. Thursday 22 April, 4.20pm
    Called to desk by 10 year old boy, who is apparently a qualified pharmacist. He must in reality be the same age as me, but I cannot accept how this can be the case. 10 Year Old Boy tells me he has no script for me, and asks what it was for. Tell 10 Year Old Boy in hushed tones that it’s anti-psychotic and sedative medication. 10 Year Old Boy, in similarly hushed tones, agrees to check again.
  7. Thursday 22 April, 4.22pm
    10 Year Old Boy returns empty-handed. Begin to panic. Mother, who accompanied me, points out other script is at other pharmacy and this can cover me. Point out that dosage was increased for a reason. 10 Year Old Boy says he will ring GP…then remembers that GP’s surgery is ‘closed’ – at least to the outside. Thursday afternoon is their admin time.
  8. Thursday 22 April, 4.23pm
    Panic. Have to sit down on pharmacy chairs ordinarily devoted to accommodating the old and infirm. 10 Year Old Boy looks confused and bemused. Agrees to ring GP’s surgery on emergency line.
  9. Thursday 22 April, 4.26pm
    10 Year Old boy returns, having spoken to surgery. Surgery claim prescription was sent to pharmacy detailed in (1). Ask 10 Year Old Boy how this can be. 10 Year Old Boy says that surgery claim prescription was ordered through EMIS on Monday 19 April.
  10. Thursday 22 April, 4.27pm
    Resist overwhelming urge to bang head off counter. Tell 10 Year Old Boy the prescription mentioned in (9) is a different fucking script. 10 Year Old Boy looks more bemused than ever and clearly has no idea what he can do.  Eventually suggests I contact surgery on emergency line.
  11. Thursday 22 April, 4.27pm and 30 seconds
    Have a shit attack at the mere thought of speaking to surgery on the phone.  Mother agrees to call them on my behalf.
  12. Thursday 22 April, 4.32pm
    Mother phones surgery after wasting several minutes trying to work out the idiosyncrasies of iPhone. Surgery agree to write up script detailed at (2) and (3) then and there, and advise mother just to walk in to collect it in about 10 minutes.
  13. Thursday 22 April, 4.45pm
    Head to surgery to collect script after dithering briefly in shop. Cannot face entering surgery and speaking to people, so use mother yet again. Advise mother to make sure Quetipaine 400mg is now on a repeat prescription, as the surgery have failed to note consultant’s repeats in the past.
  14. Thursday 22 April, 4.48pm
    Mother emerges triumphant. Claims that receptionist has told her that both scripts – ie. Quetiapine and Zopiclone – are now on repeat. RESULT! Quite clearly the psychiatrist did not intend for the Zopiclone script to be a repeat, but I am certainly not going to protest.
  15. Thursday 22 April, 4.51pm
    Return to pharmacy next door to surgery and hand them newly written prescription.  Mother looks around shop, buys a few things, then signals to me for us to leave, our quest completed.  Onward we head to pharmacy detailed at (1) for the other prescription.
  16. Thursday 22 April, 5.00pm
    As mother drives home, I check bag from beside-surgery-pharmacy. Quetiapine and Zopiclone are not in it. Protest angrily to mother. Mother says to wait until we get to (1) pharmacy so as we can check under car seats, as tablet boxes must have fallen out of bag.
  17. Thursday 22 April, 5.05pm
    Arrive at (1) pharmacy. Check mother’s handbag, under car seats and boot. Quetiapine and Zopiclone are not there. Resist urge to bang head off dashboard. Mother agrees to collect script (1), then return home and ring beside-surgery-pharmacy to see if prescription was left there.
  18. Thursday 22 April, 5.15pm
    As I am beginning to panic at the inordinately long amount of time mother is in pharmacy, she finally emerges and returns to the car. Reports that, after an altercation with the presiding Fat Pharmacist, she has Venlafaxine, Cetirizine and Cerazette – but not original (ie. 300mg) Quetiapine prescription.  Pharmacy will not have it until Friday 23 April at 1pm, despite having received the request on Tuesday 20 April. Resist urge to walk in front of a lorry and/or bang my head off concrete bollards.
  19. Thursday 22 April, 5.20pm
    Arrive home. Mother immediately phones beside-surgery-pharmacy to see if script of (2) and (3) remains there. 10 Year Old Boy answers, but is not immediately aware of whether or not prescription is in his shop.  Asks my mother to hold the line whist he checks.
  20. Thursday 22 April, 5.22pm
    10 Year Old Boy returns to telephone and reports that Quetiapine/Zopiclone prescription for Pandora is indeed still in his shop’s possession.  Mother breathes audible sigh of relief and asks 10 Year Old Boy if she has time to come and get it. 10 Year Old Boy confirms that pharmacy closes at 6pm, so time does indeed remain.  Mother thanks him, rings off, and heads back to beside-surgery-pharmacy to collect script.
  21. Thursday 22 April, 5.25pm
    In mother’s absence, I once again log on to EMIS to check list of repeat prescriptions. Zopiclone is indeed included (as is 400mg dose of Quetiapine). Score :D
  22. Thursday 22 April, 5.59pm
    Mother returns (again), this time victorious. Zopiclone and Quetiapine 400mg are now in my possession!  Apparently when she purchased other goods, she just left, thinking she had all she needed.  Sales Assistant was calling out my name for ages, subsequently finding herself especially confused  given our earlier determination to obtain script.  Anyway, I am pleased to note that two months’ supply of Quetiapine has been issued.YAY
  23. Friday 23 April, 3pm
    I am back at A’s house, but in my absence, mother returns to collect remaining prescription from (1) (ie. the missing 300mg of Quetiapine, that I now intend to use as a back-up, or for when the dose is again reduced). Fat Pharmacist informs mother that he still does not have it.  Mother phones me to advise of this. We both resist urge to bang head off of steel fences, hard plastic doors, benches and cooker.

Lessons to Be Learned

  1. If you want something done, do it yourself. Do not ask mother because you are anxious/mental/stupid/an idiot/whatever.
  2. Do not trust doctors, their administrators, nor pharmacists. You are better off killing yourself than relying on them to issue treatments to keep you alive.
  3. When seeking prescriptions on the NHS, make sure you have a stress ball to hand.
  4. GAAAHHH.

That is all.

Mar 042010
 

In response to this.  See also this update.  I have corrected a few minors errors in the author’s writing and have, as you will see, provided (italicised) annotated notes of the most rational and considered variety.  *cough*

Dear Pandora

Advocacy in Accessing Mental Health Services

Thank you for your letter dated 17 December 2009 about accessing our mental health services.  I am glad to note that you have developed a good therapeutic relationship with the clinical psychologist involved in your treatment[,] but am sorry that our services have not met your expectations.  [My "expectations"?  My "expec-fucking-tations"?  No, you miserable old bellend, they are not my "expectations".  They are my fucking needs and requirements!]

I have received feedback from Dr C J confirming that he saw you for the first [time] on the 19 February 2009 and [that] after three assessment interviews an agreed treatment plan was drawn up that offered weekly treatment appointments and also an assurance that an end to therapy would be identified well in advance of a contracted completion.  Dr J [he is not Dr fucking J!  He is C!  I don't care if this is an official fucking letter.  He is fucking C!] agreed with your view that some modest gains had been made during your contact with psychological services [aren't I the fucking lucky one].  He also recognised the complexity of your difficulties and so sought additional input in the form of a referral in May 2009 to [Old]VCB, Consultant Psychiatrist [that should have gone through months beforehand, after a referral from my fucking GP.  Useless twats].  I understand that you continue to be seen by the psychiatric team [yes, after more upheaval, and when they can be bothered, which is really rather infrequently].

At the time of your letter Dr J [FUCK] had made the offer of 24 additional appointments, which would bring your contact with him to an end at about the first week in June 2010, a treatment duration of about 16 months [actually, that is incorrect.  There will be 59 sessions, three of which were assessments, and four of which will be to end the process.  This gives an exact total of 52 therapy-specific sessions, which surely even in your clearly deficient brain equals a total of 12 months.  Fuck you.]. Dr J [fuck fuck fuck] expressed the hope that within these sessions, which would span approximately six months [my God, I would never have realised], [that] further work could be done that would help towards resolving, dealing with or managing your ongoing mental health difficulties.

It is clear that you have a good knowledge of the NICE guideline[s] on the treatment and management of borderline personality disorder [Hmm.  You are telling me that I know something that I know.  That was a productive use of your secretary's typing time].  Overall as the guidance states, the evidence base for individual psychological therapies in the treatment of borderline personality disorder is “relatively poor”.  Specifically, however[,] it recommends that brief therapies (under three months) should not be used.  Much of the guidance relates to provision within a specialist Personality Disorder Service.  The availability of twice weekly sessions, group psychotherapies and integrated team treatments [what the fuck?] are [sic] largely to be found within those highly specialist services [oh really, I had no idea Mr Director Important Person, thanks for clarifying].

The <Trust in question> does not have such a service [aha, and that's clearly the fault of the patient.  Nevermind the NICE guidelines saying in the absence of such a "service" that adequate generic therapy should be used.  Fuck you again], although we, along with all other local Trusts, are involved in the development of a regional approach to Personality Disorder services across Northern Ireland [wowee, I'm so profoundly impressed] and have recently interviewed for two specialist workers [two?  A whole TWO?  That's extraordinary!  Congratulations sir!].  Therefore we are planning to develop our services to people with personality disorders [I therefore assume that I can take this letter as confirmation that these "services" will be fully accessible by me...?].

As you state it is important that clients have access to a full range of mental health services appropriate to their needs.  We try [and fail] to ensure that needs are assessed in a collaborative way [hahahahahahahahahaha!!!!!] that involves both clients and mental health professionals [well, then.  That has been an epic fail!].  I would encourage you [who the fuck do you think you are, my father?  Fuck you in triplicate] to discuss these matters with the two professionals that you currently attend [yeah, because I haven't done that already.  Fuck you x4].  The Crisis Team provides mental health assessment and support outside 9am to 5pm hours in the working week, and can be accessed if appropriate through the out of hours primary care service [well, fuck me sideways with a broomstick.  I had no idea what the Crisis Team did, thanks for providing me with a lit pathway to therapeutic enlightenment.  Fuck you mark five].

Dr J [FUUUUUCK!!!] has confirmed that you have continued to attend his sessions following the writing of your letter [what was I meant to do?  Fuck a goat?  Oh wait, that's exactly what I was meant to do, right?  "The bitch is borderline, so she must be non-compliant with treatment and will instead go out and fuck anything to temporarily fulfill her emotional voids"]. I would hope [oh would you really?] that despite their finite nature you could still use the upcoming sessions to make progress.

Yours sincerely

Abject Twatfeatured Spetum-Faced Tosspot
Director of Mental Health and Disability Services

So.  He has succeeded in providing me with:

  1. A chronology of events.  Woohoo.  Obviously the stupid mental couldn’t possibly know that she saw these individuals, nevermind know in which order she saw them, even less what they said!  Particularly when she’s an immature, manipulative borderline freak. So thank you, Mr Important Director Person, you have made my life and mental health treatment complete!
  2. A commentary on the fact that I know what I know.  A tremendously useful and productive use of his time and mine; after all, I couldn’t know what I already know unless he told me, could I?
  3. Um…that’s about it.

Altogether an epic success, I’m sure you’ll agree.

The letter is dated 17 February (how it took him two months to compose the above I’ll never know) and it actually arrived at Mum’s house a good while ago.  I made her read it down the phone to me, so I was aware of its content, but I only collected it the other day, and had (until now) refused to look at it.  I thought that due to its high degree of pointlessness and its utter failure to assuage my concerns, that it would upset me considerably.  After all, this is about the cessation of my relationship with C, which is an incredibly traumatic thing to contemplate.

However, when C asked about it this morning (blog to follow – big update on the beard!), I somewhat surprisingly found myself wryly amused as I reported a redacted version of its contents to him.  Therefore I’ve come home and written it up and am pleased to say that I still find it amusing rather than upsetting, probably because it doesn’t actually say anything.  OK, there’s maybe six or seven hundred words there, but it doesn’t actually – at any juncture – make any salient points at all.  It is a vacuum of a letter.  It is a nothing.  Empty space seems full relative to this page of black and white nonsense.  I’m glad it was printed on both sides of the sheet as I would have hated to see any more wood senselessly wasted on something so fruitless and silly.

Given the amount of money this moron is paid, I should really be rather angry, as well as disappointed and lost as to what to do next.  Instead, fair play to him, as he’s given me a laugh…and, in fact, some hope.  If someone with such poor (written) oratorical skills and an intellect clearly directly comparable to that of an earthworm can rise to such a lofty position within a large organisation, then my dream job is surely still within my reach.

In conclusion…FUCK YOU ONCE MORE, Mr Director Wankface Important Daft Person!