Friday, 17 August 2012

It is all about ME

I know it has been a very long time since my last post, however I have been a little tired.

Recently I have been diagnosed with Myalgic Encephalomyletis or M.E. for short. Many years ago this was called the yuppy flu and lazyitis. Not much is understood about M.E. at present. So what is it?

Myalgia means muscle pain and Encephalomyelitis means inflammation of the brain and spinal cord. The cause of  M.E.  is not currently known. There are various theories - but none has been proved. A popular theory is that a viral infection may trigger the condition. It is well-known that fatigue is a symptom that can persist for a short time after having certain viral infections. For example, infection with the glandular fever virus or the influenza virus can cause fatigue for several weeks after other symptoms have gone. However, most people recover within a few weeks from the fatigue that follows known viral infections.

Even if a viral infection is a trigger of M.E., it is not clear why symptoms persist when there is no evidence of persisting infection. Also, the symptoms of many people with 
M.E.  do not start with a viral infection.

It is estimated that  M.E.  affects about 1 in 300 people in the UK, possibly more. It is about three times as common in women as in men. The most common age for it to develop is in the early twenties to mid-forties.. 

There is no test that proves that you have M.E. A doctor will usually diagnose  M.E.  based on your symptoms. Some tests are usually done to rule out other causes of your fatigue or other symptoms. For example, blood tests may be done to rule out anaemia, an underactive thyroid gland, and liver and kidney problems. All these tests are normal in people with  M.E.

The medical definition of M.E. states that symptoms should have lasted for at least four months in adults and three months in children and young adults. 

It may pass after a few months or years, or in many cases may never pass but has periods of remission and relapses, often exasperated by stress, poor sleep and periods of illness. 
What are the symptoms you may well ask. Mine include:

Hypersomnia: This is the need to sleep prolonged periods during a 24 hour cycle, extreme constant exhaustion with unrefreshing sleep. No, not like pulling an all nighter and being tired all day. Since December, no matter how long or deep I sleep I feel just as tired as when I went to sleep. Every day for 9 months I have constantly felt like this.

Memory loss: I used to have a great memory and could recall conversations word-for-word years after they occurred. Now I struggle to remember what I boiled the kettle for, despite there being a mug with a teabag in it right next to it.

Poor concentration and attention span: Films and tv programmes are now out of the question, as is reading paragraphs. This blog will not be proof read, but please don't bother pointing out the mistakes in it.

Joint and muscle pain: This is unlike: I went to the gym for 2 hours but haven't been for 6 months and may have overdone it. This is random with no signs of inflammation or cause. I have had days where even my eyelids ache. Random places ache for no apparent reason, and can be triggered even whilst doing even the simplest of jobs. Often muscle spasms can occur with no release, and some people have found even cortisone injections do not help.

Headaches: Over the last 9 months, I have spent around 6 months with a headache. This is with me when I wake, and until I sleep. Painkillers do not help. Sitting in a dark and quiet room, compresses and massage do not help. 

Reoccurring sore throat: There is no obvious sign of infection or inflammation, however a sore throat is present. For some people, tenderness of nearby lymph nodes may occur without pathological enlargement.

Dizziness (neurally mediated hypotension on tilting): Random bouts of dizziness can occur, the room around me goes back and I can't hear what is going on until it clears.

Nausea: This can be present from waking up all throughout the day, often triggering people to ask me if I am pregnant. This is irritating.

Food intolerance: I now have to be careful eating various foods as I can now get agonising stomach cramps and bloating to foods such as dairy, meat, grains and some fruit and vegetables such as potatoes, tomatoes, peppers and citrus fruits

Alcohol intolerance: I have gone from being able to enjoy several pints and been slightly merry, to one double vodka leaving me drunk for 24 hours at a time. This may sound like a cheap night, but the following day as you are trying to explain to people it is 11am and you haven't had a single drop of alcohol in 12 hours as you are not an alcoholic and they look at you with pity in their eyes as you stagger around trying to just stand up straight, this wears thin quickly.

Chest pain and shortness of breath: I go through phases of the muscles in my chest and around my lungs being fatigued and painful that medical professionals have thought I was having a heart attack. Just breathing becomes a lot of effort and painful. Palpitations are often very common and can be unnerving. 

Anxiety and panic attacks: This was discussed in a previous blog but is also a characteristic of M.E. This often has no obvious trigger.

Depression: This may be because you have spent months exhausted, dizzy and in pain, or a symptom in its own right.

Other symptoms listed that however I do not have personal experience include: difficulty sleeping, insomnia, disturbed sleeping patterns

People with M.E. find that many activities leave them fatigued such as shopping, going to work, even domestic cleaning. One 2 hour shopping trip left me unable to function for 3 days afterwards. I also find that after half hour at work I am physically unable to stay awake, and need to sleep for several hours when I return home. I only work two hours a day. I have often found myself unable to complete tasks as simple as cooking.

In severe cases, simple tasks such as brushing teeth can leave the patient exhausted and needing prolonged time in bed to recover. These cases often leave the patient bedbound.

So what are the treatments? Well, at current these involve taking antidepressants, regular gentle exercise, physiotherapy, cognitive behaviour therapy, improvements to diet and REST!

So please excuse my break from the blogging world recently.... I have been a little tired.... and after reading this, I think I need a nap.


ME Association

7 Apollo Office Court, Radclive Road, Gawcott, Bucks MK18 4DF
Tel: 0844 576 5326 Web: www.meassociation.org.uk

Action for ME

PO Box 2778, Bristol, BS1 9DJ
Tel: 0845 123 2314 Web: www.afme.org.uk

Association of Young People with ME (AYME)

9A Vermont Place, Tongwell, Milton Keynes MK15 8JA
Tel: 08451 232389 Web: www.ayme.org.uk

Tymes Trust (The Young ME Sufferers Trust)

PO Box 4347, Stock, Ingatestone, CM4 9TE
Tel: 0845 003 9002 Web: www.tymestrust.org
A national UK service for children and young people with ME, and for their families.

The 25% ME Group

21 Church Street, Troon, Ayrshire KA10 6HT
Tel: 01292 318611 Web: www.25megroup.org
Support for people who have the severe form of CFS/ME.

Wednesday, 8 February 2012

Being so strong for too long....


This week is mental health awareness week. A cause that is close to my heart.

I have friends who suffer from bi-polar disorder, one with disassociation disorder, numerous friends who have become parents who have struggled with post-natal depression, and then there's me. I too have struggled with mental health problems.

When it is you going through these problems, it feels like you are the only one in the world. This feeling isn't helped by people's perception of mental illness and the taboo nature that encompasses it. People who suffer from mental illness are "mental", "crazy", "tapped in the head" and of course they are "weak-minded".

Some doctor's don't like to diagnose mental health problems, or even believe they exist. Well for a start, it's difficult to see, the patient’s head hasn't fallen off, and they can't see inside their head and see their inner thoughts. So of course people who suffer from these problems are making it up... attention seeking.

After my second formal diagnosis of clinical depression I was told at a review by one doctor "we all have bad days, we get on with it and don't sit about moaning about it". Charming! This is exactly what you want to hear from a professional, when you are asking for their help. Luckily, I do not pay any attention to this woman. One friend's mum had gone to her asking for a breast reduction because her spine was crumbling due to the weight and was told "I have large breasts, you don't see me running off for cosmetic surgery". I don't recall said friend's mum asking if the doctor wanted the surgery....

Research suggests that 1 in 3 of us will suffer from mental health problems at some point in our lives. This means that in some way we may all be affected from mental health issues, whether it is us ourselves going through it or loved one going through it while we sit and feel helpless.

Research also suggests that those with above average intelligence are more prone to mental health issues than those of below average intelligence. I must be a genius then....

From the age of 7 to my early teenage years I struggled with anorexia. I still have some food issues, like I can’t deal with some textures, such as egg white, mushrooms and things with mixed textures such as peas mixed with mashed potatoes; I have to eat food in certain orders (such as veg first, then carbs then protein); some foods are off my list on principle, like butter, lard, most meats; and if I’m harassed to eat something, I won’t eat at all. However, this didn’t prove to be my biggest problem.

 At 19 I was first diagnosed with clinical depression. I was constantly in tears, which is unusual for me, as I don't cry. I'm too strong for things like that!! All I really wanted to do was sleep, I had no energy for anything. I was sleeping for 16 hours solid a day, only awake long enough to go to uni before I would crash out again. Typical student then, yeah?

I was put on some lovely anti-depressants to help level me out. Instead things went quite dark for me. I was emotionless. I couldn't cry, even at the death of the closest person to me. I couldn't laugh in my reasonably new relationship. I couldn't feel happy at romantic gestures, or have an opinion on anything. I felt nothing about anything. I took myself off the anti-depressants and as the effects wore off over time, I gained my opinion back and my sense of reasoning. Instead of going back to the doctors I went for hypnotherapy. This was brilliant for me. I gained some control over my emotions again, however the blow of miscarrying bought it all back for me. With the support of my partner, some herbal and holistic remedies and a close network of friends I learnt to control my depression better.

In 2009 I started suffering panic attacks at exactly 2:30am EVERY morning. I would wake up with tightness across my chest, heart feeling like it was going to explode, breathing so hard trying to catch my breath that wouldn’t come. These would last around 5 minutes until I managed to calm myself back down in the spare bedroom as not to wake my partner. These continued every night for around 8 months. It would take me hours to drop back off to sleep and I had to be up at 7am to go to work. I was constantly exhausted. But finally at the end of September 2009 they stopped after a huge blow and a mental breakdown.

I was at a close friend’s house who was suffering from physical difficulties and I had gone round to clean her kitchen for her when I received a text from the partner saying “I’ve left you Kym, I’ve taken the stuff. All the best.” He then turned off his phone so I couldn’t contact him. 11 words to end a 4 year relationship. It had come completely out of the blue. That morning when I left the flat, he kissed me, told me he loved me and to text when I wanted to be picked up. No arguments, no degrading of the relationship, everything was normal. Then two hours after leaving I received that message. I continued scrubbing the oven.

The friend went and picked the kids up early from school and booked a taxi to take us back to the flat. He had packed up my life in less than two hours and had left his key in the letter box. He had taken not only his things, but items that had been left to me by family members, items from my childhood, the things I had worked hard for. He had taken a lot of random things like pieces of my clothes, the wooden monopoly board, dvds, recipe books (despite he had only cooked one meal in the 4 years we had been together) and even my bubble bath. I didn’t cry, I didn’t scream, I didn’t get angry… or anything.

That night I stayed at my parent’s house. I was lying on the floor in the living room and kept looking at my phone, as on the screen was a score of how strong I was. It was a huge comfort to me as I wasn’t in my own house, or my own bed or have my little comforts around me.

At 2:14am it hit me like a sledge hammer to my face. How stupid was I? I was so exhausted from months of lack of sleep and the stress of the day I had lost my grasp of reality. The numbers on my phone weren’t a score of how strong I was…. It was the time. That was the moment my entire life crashed around my feet.  I had lost everything. I started to panic like never before. Tears were streaming down my face, I could barely breathe and my heart was beat so fast I thought it would give out. That night, I wanted to die. I couldn’t see how I was going to come through this panic attack and just wanted it all to stop. I didn’t want any of this anymore. I didn’t want to have to start my life all over again.

I crept upstairs into the bathroom and climbed into the shower, as I find the sensation of being in the shower soothing. But how selfish was I being? My mum had to be up at 6am to go to work and I was risking waking her by coming upstairs.  She had spent her life working so hard to support us and this is the gratitude I was showing her. I was being selfish and inconsiderate. This thought made the anxiety worse.

At around 5:30 am I climbed back out of the shower, tears still streaming down my face. I got dried and dressed, then held my breath as I crept back down to the living room. By the time my mum had got up, ready for work and had entered the living room I was sat on the sofa, rocking, still trying to breathe, tears pouring silently down my face. My mum just hugged me, told me everything would be OK and she thought I was trying to be too strong for my own good. You will never understand how much I needed this. You see, mental illness doesn’t happen because you are weak, it is caused by being so strong for too long. That was my last panic attack.

The following day I spoke to a friend on the phone who had heard my relationship had ended, and wanted to check I was OK. When I told her what had happened and some of the random things he had taken (namely the bubble bath), she laughed! I don’t know why I reacted the way I did that day, as usually if someone laughs at my downfall I would rant and rave, and quite possibly punch them in the face. But I laughed too. It felt so good. Like a weight had been lifted off my shoulders.

This was the beginning of an amazing few months. I was finally single for the first time in years, I was surrounded with great friends and could do what I wanted, and not have anyone to answer to. I made some mistakes along the way, but they were mine to make. I’m now coming to the end of a long process of discovering who I am, and not who other people have moulded me to become. I’m rediscovering all the things that make me happy, that make me “me”. I finally realise what is important to me, and who is important to me. 

Friday, 3 February 2012

Food for thought....


You know that moment when you sit down to eat your dinner and think to yourself  "I wish someone had defecated on this food"? No...? Oh!

Today's blog is about the fresh fruit and vegetables we buy in our supermarkets, and the many reasons why I think we should be growing our own.

1) You could save a fortune!!
    Ever looked in a bag of potatoes you've had in the cupboard to find one has grown roots, then thrown it in the bin? Leave the roots to grow around an inch in length then throw that potato into a hole in the back garden and cover it over. In a few months time you can have new 15-25 potatoes. 

Years ago, 6 strawberry plants were bought. They have split now into around 30 plants, each produce around a punnet of strawberries. Tesco's current online price ranges from £1.35-£2.49 a punnet depending on the quality you want. 30 punnets of their value strawberries would cost me at current prices £40.50 a year.

5 years ago I bought a pack of mixed pepper seeds (4 varieties) for 99p. This included around 20 bell pepper seeds (yes I've realised since I could have just saved the seeds from a pepper now, but at the time it seemed like a good idea). Each pepper plant can grow around 6-10 peppers, so 20 plants could provide a minimum of 120 peppers. Tesco's current online price is 72p a pepper. 120 peppers would cost me £86.40. Save the seeds from a pepper and you can keep growing peppers for free for the rest of your life. I can think of plenty of things I would rather spend money on, and if you grow too much you can sell some on to family and friends!

2) It can be so quick and easy!!
     I find being in the UK has its benefits.... Like lots of rain! Generally means if I plant something outside (which usually isn't a very ceremonious occasion - throw the seeds down, cover with a bit of soil and then water), I can ignore it until its ready to be picked. The 6 strawberry plants that divided into 30 on their own, and a net was thrown across them to keep the birds out. Other than that, they get no attention unless it hasn't rained for a while, then its a quick blast with a hosepipe. Not exactly time consuming.

You want some runner beans, it may take you 2 minutes to pick a few handfuls off the plants. It takes far longer to walk round the supermarket, locate them, weave your way through women with pushchairs, dawdling elderly and children running around (or plough through them with your trolley), then wait to be served by the slowest checkout assistant known to man.

3) Its fresh!!
    You never quite know how long it has taken some supermarket "fresh" produce to go from field to shop shelf, and sometimes it may sit on the shelves for days, and if its a loose product, may have been handled by dozens of other people who probably haven't washed their hands since scratching their ass. Lovely! I witnessed an elderly gentleman in my local supermarket, rub an apple across the crotch of their stained jogging bottoms before looking at it and putting it back again. How many people can honestly say they wash their apples before eating them? Bet you will now though! 

4) You don't need to use pesticides!!
    There are plenty of studies that show that the use of some chemicals cause cancer. You can barely open the paper or watch the news without hearing about it. EPA considers 60 percent of all herbicides, 90 percent of all fungicides and 30 percent of all insecticides carcinogenic.  If you are growing your own food, you have control over what does, or doesn’t, go into it. The bottom line is that pesticides are poisons designed to kill living organisms and can also harm humans. In addition to cancer, pesticides are implicated in birth defects, nerve damage and genetic mutations. Using such methods as "companion gardening" to keep pests away. Such plants as marigolds keep away whitefly, and mint deters aphids. Mint also aids the growth of cabbages and the flowers attract hoverflies which eats many garden pests. Plus, who doesn't like fresh mint with their potatoes?

5) You don't have to eat faeces!!
     You were waiting for why I used THAT opening statement weren't you?! We all know farmers use animal manure on the crops. But did you know they also use human faeces? It is true, often called bio-solid also known as "granulite", it is smeared all over the crop plants, and often the crops themselves rise to the surface and come into direct contact with the manure. Of course it is chemically treated, and who doesn't want to eat bleached pooh?!
 When I was studying for my biology degree at university, I studied Food Safety. Did you know the vast majority of all upset stomachs are caused by food poisoning cases of some degree? And that around 91% of all food poisoning cases are caused by eating food contaminated by faeces? 

Such strands of food poisoning bacterium like Norovirus is the leading cause of gastroenteritis, or what we commonly think of as stomach flu and is the second most common virus after the common cold. 
Norovirus is usually transmitted from the faeces to the mouth, either by drinking contaminated food or water or by passing from person to person. Because noroviruses are easily transmitted, are resistant to common disinfectants, and are hard to contain using normal sanitary measures, they can cause extended outbreaks. 

Campylobacter is found in the faeces of chickens and is often contracted through eating contaminated vegetables.Studies have found that campylobacter is found in 88% of chickens.

Escherichia coli (or E. coli) are bacteria that live in human and animal intestines. The bacteria do not make animals such as livestock and deer, which harbour the bacteria in their intestines, ill.
Toxoplasmosis is caused by animal faeces which can contaminated food and water, and is thought that 22.5% of the population will have suffered from this by the age of 12. In some areas this may be as high as 95%. 

Cryptosporidium is caused by both human and animal faeces and is resistant to chlorine rendering "just giving it a quick rinse under the tap useless". 

Shigella bacteria (also called bacillary dysenteryare generally transmitted through a fecal-oral route.  Foods that come into contact with human or animal waste can transmit Shigella. Thus, handling toddlers’ diapers, eating vegetables from a field contaminated with sewage, or drinking pool water are all activities that can lead to shigellosis. It is highly contagious. Salmonella bacterium are commonly found in the faecal canal of poultry.

Hepatitis A is a contagious, and usually foodbourne disease, however is the only one you can currently be vaccinated against. It travels in faeces, and can spread from person to person, or can be contracted from food or water. 

Now honestly speaking, I don't exactly fancy these kinds of illnesses, and growing my own produce means I can decide what form of fertilisation I want my crops to receive. I keep a compost bin that I throw waste fruit and vegetables scraps and garden waste into. It's not difficult, means my dustbin doesn't smell of rotting food and provides a more safer way to grow my food crops.... and it is free!
So why do so many people choose shop-bought produce over homegrown? Sometimes its not having a garden. When I lived in a second-story flat I had window boxes, and there were allotments nearby. So perhaps its either laziness or ignorance to the overwhelming benefits of home-grown food.
     

Wednesday, 1 February 2012

My biggest fear realised...


Last night I watched "confessions of a nurse". What a lovely programme it was and showed what it really is like being a nurse. Its about time everyone stopped pretending that nursing is glamorous, sexy and full of air-heads who follow doctors round like puppies. Nurses do the real grafting. However, this isn't the focus for the day. 

People who know me know that I  hate birthdays due to having a fear of getting old, and  I have a fear of the elderly. It seems rather silly really. Every second I am getting older, and in mere weeks, I will turn 25. There will be those of you thinking "25? That's nothing!! Still a young un!" However, you don't see what I see. The average age expectancy is reported to be around 80 in the UK. In my family, 75 is the magic number. 75....? But I'm going to be 25!!! That means I have lived a third of my life already!! By my "calculations" I should be exactly where I want to be right now... Married, big family, house, the career I want... And then for the following 25 years I should be expanding on this. Developing my home, watching my family grow, getting to the top of my career ladder. Then for the final 25 years it should be my resting years, I'll have done the hard work already and this is the time I appreciate the finer things in life and watch all my children have their own children... 

But I'm not where I want to be!!! I don't have a boyfriend, let alone husband! I don't have the 7 children I dream of, I don't have my house by the beach... I don't even think I'm on the right career path.

I know, I know. You are wondering how all this relates to "confessions of a nurse" and why do old people scare me.... 

Growing up I didn't really know my grand parents. My paternal grandfather died when I was 1, so I don't remember him at all. My paternal grandmother died when I was 4. Don't really remember her either. My maternal grandfather died when I was 7, he was quite nice. My maternal grandmother didn't die until I was about 19. She died after a long battle with cancer. A battle I couldn't fight with her. It scared me. Not dying or the fact cancer runs in the family. Of what the cancer was doing to her, and did I want my last memories of her being ravaged by the disease. So I distanced myself from it. I didn't even attend her funeral, however, I don't really think that is the best place to say goodbye. But that's a story for another day. So dear reader.... so far you may have realised that I haven't had much to do with the elderly, but why do I fear them?

This wasn't realised by me until last night whilst watching the programme. The young nurses were working with the elderly and those with dementia. Watching how compassionate these nurses were, and how much care these people actually need and BAM! I realised what it was and why I fear getting old so much!!

I fear losing my independence. That is it in a nutshell. 


I love my independence, I don't like to rely on anyone for anything. I don't like men paying for my dinner, or not being able to create my own furnishings. Why do I want other people having to do things for me?

But seeing these people, having to be washed, spoon-fed and being unable to do anything for myself TERRIFIES me! However, I don't know which I hate the thought of most. Being compos mentis and the humiliation of needing intimate care (after all it seems a bit like regressing back into a baby), or losing my marbles. Some may say I lost my marbles a long time ago, and you may too dear reader. But either way, the fact is still there. Having to be dependent on someone else scares me. And every birthday I am getting a little bit closer to having my fear materialise.....

Tuesday, 31 January 2012

If you want to perform a miracle....

On Thursday I will be donating blood. Big deal, right? Where is the miracle in that? 

Let me ask you this.... Your nearest love one is involved in an accident of suffer a serious illness. You are watching them dying in front of your very eyes. Would you do anything you could to save them? Or perhaps its you who needs saving? For instance, you've just gone through a difficult labour, but you are losing a lot of blood. You want nothing more than to hold your new born baby in your arms.... Would you accept a blood transfusion to save your own life or the life of someone you love? If you've answered yes.... read on.

In the UK only around 5% of the population are registered donors. Of course there are restrictions to who can donate blood, such as those who have HIV or Hepatitis, those who have had a tattoo or piercing within the last 6 months, have received a blood transfusion themselves since 1980, aged between 17-65 at your first donation and weigh more than 50 kilos. There are a few more, but this covers the basics.


Did you know there are benefits to giving blood too?!?!  Medical researchers believe that the loss of iron associated with blood donation could lead to a lower chance of cardiac arrests, artery damage and some other heart related illnesses... Oh and lets not forget the free biscuits!!

So what actually happens when you go to donate? Firstly... make sure you have drank something (not alcohol though please) and have something to eat. Then turn up at your local blood donation session!! 

The first time you have to fill in a form with your lovely particulars to make sure you are elligible to give blood, and so that they can contact you. Then every other time you have to fill in a quick questionnaire with questions like "have you been on holiday recently?" "have you received any vaccines since your last donation?" etc etc. It's not particuarly taxing on the brain. 

Then a nurse will take you off to have a quick nose at your questionnaire to make sure everything is in order, and then they prick your finger and take a drop of blood to test in a solution to see if you have enough iron in your blood  to ensure you are well enough to give blood for your own safety on that day. If you pass this test you will be handed a pint of water to drink and you will be elligible to give one whole unit of blood!! Its not much - 450mls... thats under a pint!! Less than the water you have to drink... drink it up! You are watering down your blood a bit ;)

When a bed becomes free you will be called to take your bed and lie down. They then check you know your own name and date of birth, to make sure you aren't a complete idiot. They then poke the inside of your elbow a bit while you clench your fist to feel where your veins are, and whether you have a tendon in the way. Then once they know where everything is (you don't want to be a pin cushion now do you?), they insert the needle into your arm. A tiny scratch. Then lie back and wiggle your fingers (these people are a bit demanding, aren't they?)  while your blood flows into the bag .This helps speed up the process. 

When you are done, the machine beeps to let the blood nurse know, they remove the needle and ask you to hold a pad to your arm, and after a few minutes, to sit up. You can then go and have a drink and some biscuits. 

Not too dramatic for a miracle.... but what you've just read is a miracle... it is the miracle of life. To save a life with such an easy process that takes around 15 minutes, you have the chance to meet some amazing people, and you never know - one day it could be your life or someone you know who needs that miracle. If you want to see a miracle... be the miracle!

For more information or to register please go to: www.blood.co.uk

Monday, 30 January 2012

Be mindful with your thoughts


I have recently retaken up hatha yoga after a long break, not only had I lost flexibility, stamina and muscle tone, I had also forgotten some of the philosophies yoga teaches. Like "be mindful with your thoughts". Yoga teaches that the basic components of the world is energy, matter is composed of dense energy and that thoughts are composed of finer energy. Essentially whatever we want to create, we must think it first. "The thought creates an image, a form, which magnetises energy to flow into the image and eventually manifest itself on the physical plane". If you live in fear, you will attract more fear in your life, if you think more positively we attract that into our lives. 

Paul McKenna is a world renown for his work in self-improvement, and he too uses tools such as positive affirmations to reprogramme the subconscious. Starting with thinking very carefully about the qualities you are wanting to acquire in yourself and state them very clearly in the present tense, and the subconscious mind will respond in an appropriate manner. For instance, "I am going to be fit and healthy" is in future tense, so the mind responds to "going to be", and you can do that later, right? However "I am fit and healthy" tells the mind that you are being that NOW and you have the power in your hands. 

So I am forgetting all this psychoanalysis malarchy, yoga is known as the "ancient science of life" and that's where my life is going now. To the more natural sciences. I don't need prescription drugs for everything when nature provides some most wonderful treatments. I don't need some shrink analysing my mind to tell me why I am failing, I already have all the tools I need. Go out today.... and be mindful with your thoughts.