Anne Atkins

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Therapies and treatments

January 11, 2019 by Anne Atkins

Summer 2008.

Bink was to be readmitted to the Bethlem again, in early summer.

She was still following alternative therapies too. Still being treated by Neuro-Developmental Consultant David Mulhall, all those years later, still completely free. She had always sworn that as soon as Rosie turned five (the youngest David will treat anyone) she would take her to him for pre-emptive treatment, against her beloved sister ever going through the pain she has endured. They started going together, that summer, and for several years Bink paid for Rosie’s treatment, using her Disability Benefits.

Also at Easter she tried the Lightning Process, a three day course in Neuro-Linguistic Programming, which Alex and I had both attended a few months earlier. Phil Parker, its originator, teaches psychological exercises for overcoming anger or illness or even simply lack of motivation, and his techniques have proved astonishingly effective in overcoming ME. I had gone, partly to write it up in an article and see if it helped Alex whose place at Cambridge was at risk. But also because, despite my extreme frustration, I still couldn’t write.

It didn’t help my fiction writing, alas. I suppose nothing could have done, given the circumstances we were living in.

But after that week I believed I probably had the tools never to be depressed again. I now felt equipped with skills to overcome the dragging, weeping helplessness of being trapped in such a dismal place: so inadequately housed; and Shaun working for a boss who had made his children homeless.

The week, which I wouldn’t have anticipated could do anything other than good, had a bizarre effect on Bink. Phil’s techniques, which should have been liberating, became a prison of horrifying detail to her: when he suggested so-and-so, she had to perform so-and-so to the very jot and tittle, to the last iota over and over.

Two or three days after completing the course she was going round in ever decreasing circles, becoming more and more stressed.

After several telephone calls Phil advised her to forget his teaching. It wasn’t helping her.

And then in May, just before she was due to go back into the Bethlem, I signed us up for seven days of NLP with Paul McKenna. It was frighteningly expensive, but I managed to procure a commission to write it up in the press, which covered my place. And a very generous friend had asked if there was anything he could do for Bink. He put the details of this course to the trustees of his charity and they agreed...

I look back on Bink, that summer, as being astonishingly well and blooming. So stunning and charismatic was she, that she was offered an amazing advance on a book about her story.

And yet here we still are now, Shaun and I, ten years on, on our way to a meeting at the Priory at ten o’clock to find out whether there is any treatment on God’s earth which can ever help Bink be well...

January 11, 2019 /Anne Atkins
Trying the Lightning Process, Neuro-developmental consultant, Trying Neuro Linguistic Programming, Paul McKenna's treatment
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Battling for Bink's soul

September 20, 2018 by Anne Atkins

Late January 2002, Thursday morning.

Everything we had been praying for, for three months, lost in one idiotic slip-up: letting Bink see Dr Ratched without us. We had no idea how she had persuaded her to go back into the Florence Nightingale Unit (then: we discovered later) but whatever it was, it was damned effective.

Bink looked utterly crushed.

“Your mother will go home and get your things,” Dr Ratched said sweetly, “while you go back to the ward. Now,” she added with an undertone of firmness.

“No,” I smiled helpfully. (But, I like to think, with just a soupçon of slightly impressive steel.) “I won’t know what she’ll need. You come back with us Bink, and we’ll pack together.”

I didn’t for a moment believe this oh-so-obvious tug-o’-war could work.

“Ok,” Bink said, and got up to leave with us.

Phew. Fifteen all.

A long match still ahead of us.

As soon as we got home Bink asked if she should pack.

“No hurry,” I said brightly. “Let’s have lunch first.”

I nipped upstairs to ring a few friends and ask them to pray.

And then a Neuro-Developmental Consultant, David Mulhall, who had treated Alexander. Alex‘s schooling was blighted by repeated and relentless requirements to perform tasks which, with his Asperger’s syndrome, he was completely incapable of. Particularly if they involved time, which Alex doesn’t really relate to. I’m still not sure what effect David’s numerous and tedious exercises had, morning and evening every day for three and a half years. Time seems to have remained a bit of a stranger, to be honest. But Alex credited David with enabling him to relate to neurotypicals, at least. (Being Alex, the exciting breakthrough came when he realised, face shining, that he could communicate with the horse he’d just been allocated for a week’s family trekking in Donegal. Perhaps it was an Aspergic horse and they were on the same wavelength. Which is kind of cool as well as significant, given that he now works in the Equities department of his firm.)

David’s treatment was costly (for a clergy family) and time-consuming. It might not help. But it was harmless. If he treated Bink, the worst he would do would be nothing.

Very much unlike the Florence Nightingale Unit, then.

He offered to see her that afternoon.

“Come on!” I said, with irritating cheeriness. “Let’s see if David can help.”

The thing about OCD is that if I’d asked Bink to go to an appointment tomorrow or next week, it could have taken her three months to get ready. If something is immediate, there’s no time for any of the rituals so you just shrug and do it. Sometimes.

He assessed her and said he might be able to help. In a flowering of kindest generosity, he offered to treat her for nothing. (And did, for the next two years.)

“Do I have to tell you how I feel?” she asked, obviously frightened.

“Absolutely not. You don’t need to tell me anything. I’ll just give you some exercises.”

“You don’t need to know stuff about my childhood? Or my emotions?”

“Not in the slightest. I wouldn’t want to.”

She could scarcely credit this. “Do I have to believe in the treatment?”

“Not at all. My exercises work whether you believe in them or not.”

Her relief was heartbreaking. What had they done to her in there? 

As soon as we got home, I suggested tea.

“Don’t I have to pack and go?”

By supreme good fortune, a friend – of whom Bink was extremely fond and with whom she had played chess every week after church, in happier times – had just rung to say he was nearby. I seized my chance.

“Nick’s coming for supper,” I said. “Roast chicken, your favourite. Why not leave it till tomorrow?”

Fifteen thirty.

I hardly dared breathe.

The next day the spell has loosened sufficiently for Bink to tell me how Dr Ratched had persuaded her.

“She’s promised I’ll see Robin.” My heart sank. We couldn’t compete with this.

In case you missed this, Robin was the therapist who had bombarded Bink with inappropriate verbal and physical affection until, understandably, he became the most important influence in her life. Both he and the Unit had promised he would continue to see her in there, but after the first visit the Unit told him it would be professionally unethical for him to continue treating her while she was their patient. Probably the only sensible thing they ever did.

How the sands of morality had shifted so it could now be either professional or ethical to promise he would see her, as bait to lure her back in, will forever remain more inscrutable than the Bermuda Triangle.

And what if Robin himself hadn’t wanted to play ball? Daft question. For one thing, he was too wet (and presumably too terrified of his previous misconduct) to object. For another, they would simply do what they did first time around. You don’t need to keep promises to loony people, silly. Any more than promises to... I don’t know... spiders or children. And, you know, staff.

Perhaps Bink bore this in mind when she made a decision I never would have thought possible.

“I’ve realised,” she said later that day. “I don’t really want to see Robin that much.”

Shaun has a superb tactic – perhaps many men have – of simply ignoring someone or something unworthy of his attention. I answer my telephone to every cold caller. I explain in meticulously courteous detail why I believe they might be mistaken in thinking I’ve had an accident which wasn’t my fault, or am owed a life-changing fortune in mis-sold PPI. At some stage during the conversation, usually when I’m mid-sentence, my cold caller hangs up without so much as a goodbye or thank you. I’ve decided to stop feeling personally hurt by this.

The trouble is, such appalling behaviour isn’t the fault of the next cold caller, is it?

For once in my life, just once, I managed to employ Shaun’s approach. (Unlike each new cold caller who is an individual in his or her own right, Dr Ratched had form.)

She had been expecting Bink back on the ward since Thursday lunchtime. Heroically, I resisted the impulse to pick up the telephone any number of times all Thursday afternoon, to give her an über-polite update. I even managed not to ring her the next day too.

Last thing on Friday, she rang us. When would Bink would be arriving? Best before the weekend; the nurses would have her room ready by now.

“She won’t,” I said. No explanation. No excuses. No chit-chat. Then I hung up.

(After saying goodbye, of course. And hope you have a nice weekend. And… um… life.)

Shaun should have been proud of me.

I’d like to say, game, set and match. We had won that tournament, at least. Bink never went back into the Florence Nightingale Unit, or saw Dr Ratched again.

But alas: seventeen and a half years on and we are still whacking vicious balls over the net from the effects of those dreadful three months.

Which is why it is now down to the Priory to help Bink win the Grand Slam.

September 20, 2018 /Anne Atkins
Florence Nightingale Hospital, Priory., OCD, Mental illness, David Mulhall, Neuro-developmental consultant
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