Thanks for the messages.

Today has got progressively better though I think I'm coming down with a cold thoughtfully provided by my wife who just loves to share her germs and misery with me.

Had a weird confrontation with another patient this morning... Now I'm not a naturally aggressive person and usually with depression and anxiety I'd be useless anyway but I was lucid and calm(ish) at the time.

As I've said I am very hyper sensitive to noise and distraction and it can trigger all kinds of reactions out of me (usually self directed). Well I was talking to one of the junior doctors when this kid (19 - to early 20s) who is very impulsive and no regard for etiquette came up and start talking to my doctor very loudly and right by my ear. I took a deep breath and asked him politely to wait his turn to which he responded aggressively that I couldn't tell him what to do and to piss off... Then carried on.

I repeated a bit more forcefully to back off as his shouting was clanging in my ears and in turn he squared up to me in a manner by which was about to go to blows... And for once I had the energy for it... One of the nurses surged in and pulled me back before I lamped him one. Walked me down to somewhere quiet so that the triggers of noise were reduced and then went off to deal with the kid who was still kicking off.

Once I calmed down I spoke to the staff who had been involved and apologised but unanimously they said it wasn't my fault.

About 20 mins latter the kid came up and apologised which I accepted and he's been fine with me since.

So yeah, been a weird day... Woke up on edge and petrified at all the stimulus around me... Then almost had a fight... And since then it's been a relatively good day.