a little bit about psych hospitalizations

Had a frustrating session with my therapist today. She was all in my business on the transgender issues today for some reason. I don’t know why she brings it up and I just get really mad when she does because I feel like she is really getting into my personal business. I just feel like if I want to talk about it, I WILL bring it up, not her. She feels that I should be in a TG group, which I don’t want to be in. Right now I got so many different things going on in my head, the last thing on my mind is my TG. I am really struggling dealing with chronic pain all the time and wanting to escape from it but knowing there is no escape unless I am sleeping 24/7. Today I had a quick shower, less than fifteen minutes, and I still was in pain from standing that length of time. It sucks. I am supposed to have coffee with a friend of mine today. I am still waiting for his phone call to meet up.

The we talked a little about how yesterday fizzled me. I don’t know but I feel like I am going to explode soon with anger toward her. I know that part of the reason is that I brought up the roots of why I am suicidal, though it still isn’t quite clear. All I remember is that I wanted to die when I was eight years old. By the age of ten I was planning my death on my birthday because I didn’t want to make it to eleven. Greed spoiled that plan because I wanted to see what kind of gifts I got and I wasn’t going to kill myself on Christmas. That would be wrong as God would never have forgiven me (this was what I was thinking at the age of ten). I was depressed from then on but always kept it hidden from everyone. I tried to keep it hidden though some days I just didn’t want to be around anyone. I started moving away from my best friend in middle school. We were at different schools and different grade school levels. I didn’t want to burden him with my thoughts of death. He wanted me to see someone but I knew I wasn’t crazy so why talk to a counselor. I just thought that I would get in huge trouble if I spoke to some one outside of the family. Things that went on in the family, stayed in the family. I wasn’t supposed to tell anyone what was going on. And it hurt because I was hurting. I don’t know why. My father was an asshole and still is. He cares more about himself than another person. He is part of the reason I turned out the way I did. My mother didn’t really do anything to stop my father from being abusive. She just let him have the run of the household like wives do. And my sisters dealt with it by turning to their friends. I didn’t have too many friends outside of school until high school. Then there was just this one friend but still I don’t think she knew just how great my suicidality was. We didn’t talk about it. We avoided feelings and just hung out and listened to music or do homework. We were the nerds in school. I didn’t mind it. Schoolwork kept my mind off things. Until everything fell apart during my freshman year. I can’t talk about the details because it will just trigger my PTSD. Even now I am getting anxious about it.

So with all this stuff that my therapist knows, why would my TG (transgender) stuff be at the highlight of my life right now? I know that she thinks that the reason why I planned a date is because if I don’t do something to change me, then I will die. But things have changed now. Yes I could move forward to my transition and be all good with that, but that still isn’t going to change the fact that I have chronic pain every day that isn’t helped with medication. Sometimes the medication does help. Sometimes the cream that my doctor prescribed helps. I didn’t plan or maybe I already knew that things are always going to be the same. I am always going to be in pain in some shape or another. And that is why I feel like I can’t go on anymore. It is my decision. No one has the right to stop me. They can try and prevent it by putting me in the hospital but that is no guarantee that when I get out, I won’t kill myself. More patient die on discharge than anything. And even the hospital knows this. They know that if you are chronically suicidal, they still let you out after a few days in. It’s like they are saying “well, we stopped the immediate threat of you killing yourself but we hope that by keeping you here we took that away. No, you are still suicidal? Well you can go home now”. I have had this happen to me time and time again. No I have not attempted while discharged but it left me feeling like no one cared or maybe they just didn’t believe that suicidality can lasts more than 3-14 days. And you know part of it is dictated by the insurance company that you have. It’s like the insurance company says when you are well and when you are not. Soon as you show some interest in groups and start participating in the hospital program, boom, ready for discharge, even if your life still sucks and you want to die. They don’t have time to deal with you wanting to die. Just want to know if today you are going to kill yourself. Because if you want to kill yourself next week or the day after that is fine. You can do that. And I love when they ask you will you come back if the suicidal feelings return. UM, hello, they never left!!

So in essence, you are better off not going in the hospital. The best course is to stay in outpatient treatment as long as possible. Because either way, you are still going to have the same therapist to deal with when you get out of the hospital unless you quit therapy. Then you truly are on your own.