How To Go About Getting Shit Done

It has been noticed and noted that having a routine is particularly helpful for me in terms of day to day functioning. Within that routine I have techniques that I used to get out of the house on time, to get out of the house at all and to get things done that need to be done, or I want to be done. They are methods and techniques I have quite frankly, made up, over the years. Very little of it is backed by any particular therapy I have completed, or any particular method that I know of being researched. I’ve just made it up via trial and error, and finally, I found some methods that work for me for now.

Since being away for just over a week, and having been away a few times over the summer break, I have fallen out of the routines and habits that have a sole purpose of getting shit done. My sense of routine has slipped, and this could spell the start of a downward spiral. Already I am finding myself not going out when I want to, not getting to places and getting a lot of fuck all done for a stretch of time. I am going to view this as an opportunity to re-install and maybe update my go to methods of made up-ness that get me by. 

It’s nothing major. I wouldn’t call it the begginning of an episode or anything like that. I am just currently out of sync. I just need to re-install these techniques and methods into my daily get go, switch myself off and reboot myself. The grand old ‘have you tried switching it off and on’ is basically me at the moment. 


The main initial hurdle is remembering what my techniques were. This may sound odd, but many of them were starting to become just how I do things and therefore requiring very little in terms of conscious thought. I haven’t even written most of them down, then again we all have our own ways right?

So I’m here, racking my brain for the, ‘how was I doing that before?’ answers, and the, ‘what was I doing and not doing?’. I have missed running crew due to scrolling social media right when I need to be leaving for example. It seems obvious to not do that when you need to leave the house, but it is something I need to constantly be aware of and reign in.

Hacks that involve not doing this kind of stuff are really what the following 10 ideas are about. The 10 methods listed are geared towards achieving a sense of contentment and purpose within my daily activities, and how to get myself to do stuff I want to do really, but maybe want to quit also because I’m tired, or anxious. So here goes:

  1. Don’t browse Facebook or any form of social media when I’m supposed to be doing stuff or getting ready to leave the house. Instead, browse when there really is nothing else to do: whilst travelling from a to b, or waiting for appointments, or avoiding social interactions for example.Keep social media for filler time, rather than I could and would rather be doing stuff time. Or the, I ought to be but I’m not kind of time.
  2. Leave too early for places rather than cutting it fine. You have 10 minutes for the train? Wait it out on the platform rather than from the comfort of your own home. That way, you won’t miss it and the 10 minutes waiting is still 10 minutes waiting. 
  3. Not feeling like doing your training run? Set a final time in your mind of when you will leave for your run. Plan a time and if you need to envision it slightly, do that too. Get out the house and just do it.If it really feels awful and today isn’t a running day you can cut it short. It is better to make this decision having tried rather than before any real effort has been made. That way you know you tried and haven’t given up or let yourself down without an effort.
  4. To Do lists on relatively empty days can fill them up with structure and achieve a sense of purpose from having done something. Include things you ought to do, i.e. chores, washing, dishes, and some things you want to do, i.e. reading, Playstation, Netflix. Really keep it varied between ought to’s and would like to’s.
  5. Check your Filofax in the evening, and plan the next morning if you need to. Also, keep it open and around because this is where you write everything you intended to remember, and you quickly forget when it isn’t open or to hand.It is basically my memory and planning all in one place, it’s a pretty useful tool to keep to hand.
  6. Meal planning.This makes sure you buy food you want to eat as well as making healthier choices. It also cuts the cost of food down, which is quite useful because then you have more pennies for the fun stuff, like the pub, or climbing or buying more stationary because, well… stationary.
  7. Rest when you need to rest. Push on when you need an extra kick to get on with things and learn to tell the difference between the two situations.
  8. Be mindful of your feelings so you can gauge how you are in general. Let emotions happen. Allow your feelings, the good and the bad.When you think your feelings are becoming disproportionate, take some time and space to gather yourself together again.
  9. Nap if you need to, and set an alarm to go off within 30-90 minutes depending on tiredness. Don’t exceed 90 minutes, and preferably keep it under 60 if you can. It is better to rest and refresh than to push on and crash, or risk mood instability due to tiredness.
  10. Be compassionate with yourself. It’s OK to go slowly. It’s OK to stop and rest. Be kind to yourself and others. Don’t quit. Keep on plodding, no matter how slowly, towards spending time doing the things you want to spend time doing, whether that’s studying, reading, learning music, being creative, making crafts, spending time with others.Whatever makes you feel whole and fulfilled is a worthwhile way to spend your time, even if that means watching TV or making art no one else will see. Recharge and be true to yourself.

Most of all, an overarching consideration is who are you doing it all for? Do it for yourself. Do it to feel good within yourself and about yourself. Aim to please yourself first and foremost. If you’re doing it entirely for the sake of others and it’s draining or taxing for you, or you’re not getting anything from doing that whatever it is for someone else, then stop. The most important opinion of you that matters is your own.


I realise I have veered from first person but writing to myself from myself in this way will hopefully provide me with a list of instructions to refer to as I build my stamina for doing things effectively again. Fortunately, once I am back from Berlin there are no more trips in the foreseeable future, and I’m going to keep it that way. 

 

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Meeting The Forgotten Me 

I have noticed something new about myself lately. It is something I remember noticing as a teenager during a good patch and had since forgotten about. When at 17 I sat in my sunken sponge chair opposite my therapist I shared my revelation, “I have started thinking?” She was the only constant figure during my teen years that I could rely on to make me feel secure, safe and validated, “what do you mean?””I have thoughts. I have realised I’ve started thinking, having time and having energy to think about stuff other than food, calories, weight, bingeing and purging. I think again. I can think”


It was new territory for me. I had forgotten about this and the significance of it until just the other day when I realised again, that for the first time in a long time I’ve been thinking. This doesn’t mean I haven’t been thinking for the past decade, it means that I have been less pre-occupied with trying to function, trying to organise my self whilst navigating the disarray of my mind, my symptoms and mood swings. Dare I say it but I think my current dosage of medication may be working. I am able to get up each morning, shower, dress, eat and move without it occupying too much thought or energy. I am more able than I have been in a long time. 

No longer am I a puzzle to be solved, a life that needs immense management in order to get anything done or maintenance semblance of control. I am by no means solved, my illness by no means cured. I am just more functional than I have been. With this saved energy from just barely functioning and surviving I have time, energy and room in my mind to actually think on a broader spectrum than before. I am now capable of thinking beyond my anxieties and hinderences. I can think beyond myself and managing myself in my immediate existence. 


I have noticed a curiosity to know beyond me and solving the complex puzzle my mind presents to me. I have lists of goals, activities, questions I want to research the answers to. I am not exhausted by just breathing and existing. I have energy, concentration and an urge to know more than I do. I want to learn the ukelele more and the saxophone. I want to read through a list of books I’ve been meaning to read for years. I want to develop my german beyond my age old GCSE and I want to know about the stars and galaxies. I want to research about nutrition, science and medicine beyond the bare minimum that my degree necessitates: what are the effects of dietary supplements on epilepsy? How does the ketone diet work for epilepsy? How exactly and why do psychiatric medications affect metabolism? How exactly does diet affect mental health? Which components affect what? What are the different star constellations? How is food used as medicine? Does a higher concentration of salt in sea water make me float more? And so on. 

I wonder. The curiosity of my mind has returned and once again, for the first time since I can remember I am thinking, asking questions and have a thirst for knowledge. This is me. I feel like I am becoming more me. Not the crazy long term mental health patient me. Not the bulimic me or the anorexic me. Not the over the top me or the distant dissociated me. Not the emotionally unstable me consumed by moodiness/euphoria or that sadness that people may think of when they think of me, depending on at which stage of mood swing that we met. 

The real me. The striving for something with a purpose me. The passion to know and share what I know me. The sometimes creative and always curious me. The me of ideas to write about for hours at a time and the concentration and thought organisation to do so. This is the real me. This is the me I know, knew before, the me that very few others know. This is the me I lost and forgot to being unwell and at mercy to my symptoms and their toll on my life. 

I had lost myself so much that I no longer noticed that I wasn’t me. I have had identity disturbance whacked on my list of symptoms in assessments. Is it really any surprise? I had forgotten that it was possible to think beyond myself in this way. It seems terribly self obsessed but being tyrannized to such violent symptoms of mental illness and mood swings that you’re entirely disabled in living any form of life resembling almost normal even is absorbing. Getting up and doing shit on a daily basis can be overwhelming and for a while you know it’s not normal, it is easy to forget normal. People say there is no ‘normal’ but there definitely is ‘abnormal’. 

Feeling abnormal in every aspect of your life and being incapable as a result leads to either a loss of hope in surrendering to it, or an all absorbing fight to at least stop being quite as abnormal. I’ve made a lot of changes in my life in an attempt to get better and I still haven’t felt ‘right’ for a very long time. I started exercising and returned to studying during this attempt to fit back into society in some way. I wasn’t convinced I could find a place to slot into the world so I started to chisel and carve a way to make myself fit into the world in a space  I made for myself. I achieved a few things during this time but achieving them and managing still felt like a ridiculous amount of mental effort. 

I had even forgotten that my normal was considered abnormal until visitors on the ward I was on last month were looking around wide eyed at this environment they had never witnessed before. I remembered the first time I stepped on to the same ward – it hasn’t changed in 7 years – and realised that my normal was still abnormal, and not in a good way. I’ve been confronted about normalising my illness and experience, of downplaying it as being normal when really some of my experiences are very abnormal and stressful for others. I forget. I haven’t known anything much else for a long time. 

The difference is that I am technically not doing anything different. I havent made any drastic changes to my approach and techniques for getting through the day. The difference I am experiencing feels beyond behaviour change; I think it is the medication increase. I think for as many issues the medication can and does cause – I am willing to pay a hefty price for the ability to think, do and function better than I have done in years, if not ever. 


I am starting to re-realise who and what I am. I am getting to know myself again, the real me: the me who thinks, the me who writes and reads, the curious me. I am not sure exactly how long I’ve been gone for but I know it’s felt like an absolute age and definitely too long. I think I might be back and I like what it feels like to be me again, the real me. 

Rules To Live By In Numbers 

I am on holiday. Some people they may ask, ‘from what?’; I don’t work but I do study, part-time. I have been off from university for 2 months now, surely that counts as a holiday? I’m going to say no, not really. Firstly, I spent  ~a month of that time being unwell with the dysphoric hurricane of hypomania. I went in hospital and had my meds increased. I have since spent time trying to find my feet.

Although I’m not having a holiday from working, I am having a holiday, but what from?  I am having a holiday from being surrounded by mental illness. I live in a specialist supported accommodation which means there is no escaping mental illness at home because someone is always unwell, everyone is on meds and we talk about it amongst ourselves. There are no awkward questions about mental health because we all live there for a similar category of reasons. Also you’re constantly having to answer questions and attend assessments for how well, or not you are doing. Whilst here I have to keep taking my meds twice a day, and I need to use DBT skills to keep my emotional expressions proportional, and I have to take care in the heat because of my meds – there is no holiday from yourself after all – I am kind of taking a holiday from mental illness.

I am taking a holiday from appointments, seeing my social worker, psychiatrist and support workers. Whilst they provide me with a lot of support and access to specialist mental health care, it’s nice to not be talking about symptoms, side effects and how am I really so much of the time. I am taking a holiday away from the bubble I live my life in at home. I am exposing myself to new and unfamiliar territory. At the same time I’m staring anxiety in the face as I gain confidence with new experiences.


I’m taking a holiday from living well within the borderlands of self-imposed restrictions. I am taking a holiday from documenting habit trackers and mood charts. I could stop forever at any time but they are an important tool for my overall well-being, awareness and insight. Taking a week out to just be, live and experience is quite the luxury and a welcome break. This can only be done when I am relatively well and stable: which I am at the moment. This is as much of a break from myself I think it is possible to fathom.

Finally, I am taking a holiday from numbers. Numbers have played a significant role in my life for over a decade: calories in and out, body weight, body fat %, muscle mass, weighing food portions and the numerical data from my FitBit that I try to make perfect: steps, calories burned, hours slept, minutes of restlessness and wakefulness during sleep, heart rate, minutes of activity and exercise. My FitBit data doesn’t just quantify my existence, it quantifies the goals of my existence: calorie goals, BMI goals, body fat % goals, sleep hygiene goals, number of days active goals, heart rate goals, step goals – literally any way of quantifying my life via a watch that you could possibly want for under £200, it does. If I had blood sugar and blood pressure monitors, I would record that too. I shit not, I have previously looked into buying them – all in an effort to feel in control and achieve a way to be perfect.

 

I realise now that I treat myself more like a machine, rejecting how anything feels in order to try to obtain numerical perfection. It’s a great watch and that is what I bought it for but it can be tiring and distracting from the bigger picture. It seems this focus on numbers has become a replacement for my eating disorder behaviour. It is healthier and less destructive but that doesn’t mean it is healthy and not destructive. More numbers can be obtained to quantify my existence further with a premium subscription to FitBit. I have so far managed to resist.

When I left for the airport I saw my analogue watch, ticking away in it’s box from having been rooting for something else in the same drawer. I spontaneously, (get me being spontaneous) decided to switch it up. My analogue watch, get this, doesn’t even have any numbers on it. Not a single one. I need to have access to the time, I don’t like not knowing and can become disoriented with myself without a watch. I don’t think this is mental health related, I’ve been like this since I first got a watch and learned the time as a nipper. With this analogue watch I don’t know the time to the exact minute – which is why I haven’t worn it for the last 3 years it’s been sat in it’s box for. How could I possibly tell the time without knowing the exact minute of the hour? In answer, based on this week, just fine. Vaguely knowing the time of day and hour it turns out is enough.

My holiday from numbers includes not stressing about getting enough steps, enough sleep and enough activity to hit goals that equate to perfection. I have been able to let go a little this week. In my world, this small freedom equivelates letting my hair down, wild child I know.  On the way back from the hiking day to the Gorropu Canyon I wondered how many steps I had done that day, as if I needed to know the number as it would validate my experience and tiredness. Then I answered myself in my mind, it doesn’t matter; that day wasn’t about steps or minutes of activity. The day was about the experience, the memories and the nature I saw in numerous various forms. The number of steps wasn’t important to the experience in any way – and I recited this in a forced way in my mind, as if repeating fake it til you make it to myself.  The amount of calories burned was not important. The amount of time spent at fat burn, resting and cardio heart rates was not important. What was important was that my heart is strong enough to adapt to demand and by doing so allowing me to have days such as that one hiking through the mountains.

I feel quite liberated since cutting back on the permanent numbers game I’ve ben playing. I do find numbers calming, it is a form of coping mechanism for me which crops up more, naturally, during times of stress. Having said that, I feel like I do not need so many numbers in my life. They have evolved from a calming coping mechanism that allures a sense of control, to a controlling cage that traps me in trying to achieve the perfect set of figures across all platforms of my life: diet, weight, sleeping habits, heart rate, blood pressure…the lists goes on. Sounds familiar huh?

It is in this way that I have been giving numbers too much power over my life, letting them govern how I feel I ought to live my life and what I think is the right amount of everything. It initially manifested in an eating disorder, morphed into another eating disorder and now this. I’m a walking project of equations and sums. My experience is invalid without numbers in my opinion. I also know this to not be true.

 

I have had a desire to be clockwork and machine like for a long time, again, this was initially achieved by having an eating disorder. More recently it has been achieved by wearing my FitBit. The purpose is to not feel and to function impeccably. I want to do and power through life and for the whole while that my digits remain imperfect i have work to do. It hasn’t always been a helpful approach and has held me back in many ways in addition to always having work to do because I am human. I am an animal not a computer. Ironically, for want of a lack of feeling and human nature, this makes me upset sometimes. Most of us are familiar with not being what we want to be: a marathon runner, a CEO, rich, living in paradise but I have turned one impossible goal for another: being weightless for being numerically perfect in other ways. By doing so I have been choosing numbers over intuition and listening to my body or mind for what it really is.

Using numbers to control and restrict my life is not healthy. I don’t feel like I can preach balance when I am living my life so purposefully out of balance. Balance is not achieving perfection in any way be it weight, hours slept or heart rate. Perfection is not possible and life needn’t be constantly quantified in order to be living well – I am human. I am not a machine of equally spaced cogs designed to work like clockwork. Balance is less balance in the numbers of life and more adapting to the essence of change found in living. Evidently I have some way to go.

Moving On From Hypomania

As with every episode, as it comes to an end and I regain the ability to think I start making plans to try to stay well. I reflect on what has been helpful for me in the past or in general. I look at the advice given by others with similar difficulties. I try to do what my CMHT tell me is helpful and not helpful.

It’s a lot. It’s a lot of studying yourself and others. It’s a lot of analysing what perhaps didn’t work so well, and what did.

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I’ve made a plan, which focuses mainly around reinstating a form of routine to my days. Prior to this episode I had routine due to uni and studying for my exams. I’ve lost that and feel it needs to be established in some form over the summer months until September.

My Stay Well List:

  1. Keep engaging with the Headspace app for daily mindfulness practice as well as practicing mindfulness in general such as whilst brushing my teeth, whilst travelling and checking in throughout the day with myself.
  2. Eat well. Whole nourishing food. Start with eliminating added sugar to my hot drinks. Aim for an 80/20 distribution of micronutrient rich food and food just for fun.
  3. Sleep. Try to keep to a routine of waking up at a decent time. Currently aiming for 7:30am – with the view to push it to 6:30am.
  4. Make a routine out of nothing. Busy myself enough so that there is no abundance of unfilled time.
  5. Talk to and work with my care coordinator: even if I don’t particularly want to.
  6. Exercise – follow an outline training plan, which gives routine and predictability to each week.
  7. Create purpose by signing up to volunteering roles to help with routine as well.
  8. Take vitamin supplement with particular focus on magnesium and zinc in chosen supplement. Take it every other day. Also keep taking meds.
  9. Don’t get drunk. Just the occasional 1-2 drinks.
  10. Read for pleasure to keep the mind occupied. Recognise when to reduce stimulus and do it, even as caution if unsure.

That’s a lot! Unfortunately it all feels necessary. Mood swings seem to be accompanied by a lapse in my self-care regime and routine of activities. It can be hard to get the balance of busy enough but not too busy. Engaged enough but not in excess.

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Balance is something that I’ve been working on trying to achieve more of since the beginning of the year. I’m still working on it. I suppose this is going to be quite the journey.

 

The ‘Restless and Repetitive Motions’ Phase

:The Phases and Faces of Hypomania

The restlessness can become very intense. You want to sit down and chill out but you need to keep moving. It feels slightly compulsive, like if you stop moving you’ll die. However, there is less logic than that painted scenario, and less purpose. There seems no purpose to this need to move other than to channel the excessive energy.
Your heart rate pounds. Your breathing is struggling to keep up. Your GI system seems on fast forward too with the little you’ve been able to eat because food doesn’t even come into the picture. It is like being slightly mutant, you don’t need food or sleep. You are super human in a very human world.
Music can both help and worsen this situation. Having a rhythm to move to helps with the repetitive dance moves that are more of a motion than any dance move. The body feels kind of rigid but unable to stop moving at the same time. After a while, the motions become soothing in some way. They bring a sense of calm amongst the chaos. They bring something that will eventually calm down when I do – a helpful indicator of where I’m at.
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Can I stop? Sometimes I can but it is more comfortable not to. Sometimes I can’t despite my wanting to. Sometimes I can stop and I do stop. This is the most favourable outcome.
Going out can help and walking. I just walk and walk until I’m done. 20,000 steps in the day isn’t even scratching the surface as to how much I can walk. This helps burn and channel the energy in a more purposeful movement. My distracted mind can become occupied with all the distractions there are outside: birds, shops, people.
I try to keep myself to myself if I can. It’s a form of containment. The thing with hypomania is that you don’t always lose insight: which means I know I’m a flight risk of just going on an adventure on a whim, which could include regretful activities. In a certain mind frame, some street drugs seem like the magical answer to unlocking my super powers: that sort of temptation and thinking can get me into a lot of trouble. With this insight, I try to keep myself to myself. It’s a tricky one to call.
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When I’m 100% in control of myself: or I feel that way, odd movements at awkward angles isn’t a problem. My head can stay still and music can travel through my ears without physically jolting my head in a number of different directions.Eventually the restlessness subsides despite how uncomfortable it can be at the time.

The Up Down Down Down UP Phase

:The Phases and Faces of Hypomania

Hypomania isn’t always fun and games. It doesn’t necessarily mean that you are super happy over nothing for too long. Sometimes it can become dysphoric. Hypomania is like being revved up on overdrive, therefore if something upsetting happens it can turn to rage extremely quickly. In a flick of the light rage and aggression, verbal assaults with a vicious tongue, throwing objects in fits of rage in every direction and crying so much the physical upheaval should be exhausting.

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These outbursts are often filled with regretful actions and words. Actions and words that can’t be forgotten. Actions and words that can’t be undone. They are harsh and require very strong apologies, promises to seek help and a generous dose of understanding from those afflicted to such attacks.

All of a sudden the world, which was beautiful, glorious and fucking fantastic comes crashing down in an energised depression. Thinking remains fast, emotions on full volume and at this point going from a decision to try to kill yourself to action happens very quickly. All the sorrow of a deep hopeless depression is combined with an abundance of energy in an emotional upheaval, a resilience to tiredness from crying which usually acts as a buffer between thoughts, decisions and consequent actions.

People, at this stage, are unwelcome. conversations to rationalise are also unwelcome. Eventually you fall asleep for the few hours per 24 that you get – which is essentially a nap and ping! you’re back to it with little rest for the wicked. The happy, energetic and too fast to handle mood is back.

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Quicker than defying gravity your mood has up cycled itself into a continuing flash of a flame thrower – and you’re off. This can happen all in the space of 48 hours. It should be tiring. It is tiring, eventually. At the time however, it’s a whirlwind that you can’t slow down or keep up with at the same time. It’s confusing.

I decide that actually I can’t be hypomanic because hypomania is extreme happiness. I’m was so painfully sad and so intensely angry that I’m not sure what it is that is happening: could it be a mixed episode? Or just dysphoria? It happens so fast and furiously that there are no minutes to reflect until afterwards.

The Definitive Phase

:The Phases and Faces of Hypomania

Some people will be quite forward with me, “you’re doing my head in. Go away.” My partner, and nurses on a ward mainly who refuse to talk to me unless I stop pacing around them in circles as fast as my feet will carry me. Other people try to be more discreet, “I’m just going to go downstairs”, “I’m just going to go and get a drink.” and “I’m tired. I’m going to bed now” are all hints I’ve received under the suspicion that actually, I’m just doing their head in.

I know it. I can sense it. Do I care? Not really. I will want you to stay because for that moment you are my entertainment source to spout all my nonsense onto, to force to dance with me and to dance around in circles like I’m a witch dancing a hokey pokey to some form of witch craft ritual of absurd movements, expressive jumps and jaunts of the body.

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Tactless as ever, I’m not a very tactful person at best, I will say, “I’m doing your head in aren’t I?” That won’t stop me though, even if you answer ‘yes’.  I will observe that I am annoying everyone around me and continue regardless. I will ask and say things that make people feel uncomfortable and keep on about it, like how you should get a girlfriend and lets set up an online dating profile for you, about how you guys make a cute couple and I bet you have really great sex, and observing out loud that complete strangers are ‘fit’ or that ‘I’d bang them’. This isn’t how I would normally talk. Banging in this context doesn’t usually enter my vocabulary because not only do I have the guts to say anything and everything, I go that mile extra with a whole bag of zero fucks to give about saying it.

This is a sign of the definitive period. This is when I start to realise I may be hypomanic. I am aware that not everyone around me is enjoying the walking talking party that i have become. People hold back, people leave the room, they go home and I have to find someone else to essentially be my toy to play with until they fuck off and I need to find someone else to annoy.

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Everyone is my friend and I will talk and talk at anyone who even feigns to listen whilst I crack offensive joke after offensive joke – and find each and every one far too hilarious to keep standing up straight. Everyone is my friend, but I’m not everyone’s friend at this stage. Even with the realisation that I may be hypomanic it is usually a bit late to do all the ‘keep calm’ techniques because I’m far too wound up, far too fast and I find sitting still far too agitating by this point.