Got to keep tabs
Last night I was in a rough spot again. Pain had been bad yesterday, so bad that I dissociated on the way home. One minute I was at North Station and the next I am at the pharmacy. I have no recollection of how I got there. Pain was too intense I didn’t even have a number for it. All I know is I felt myself floating above me the whole time since leaving the brace eval to get my AFO adjusted. They adjustment felt good except the figure 8 strap that goes around my ankle to keep my foot in place. It is annoying the sensitivity I have in that area. Pain kept on going higher, I would dissociate, it would go down and I would be suicidal.
I sort of noticed a change with the way the pain happens. Intense pain would hit and I would become suicidal. Next time it hit, I would then plan on my escape because the pain was so unbearable and life was not worth living, at all. With this change, the urge to act is getting stronger. I realized last night it would be only a matter of time before the intense pain would hit and I would act on my urges if I had the means to do so. I had emailed my psych about the dissociation and how I either was going to pass out from pain and instead dissociated. I honestly have no idea how I got home, I wrote to her. Then to make me smile, the zoo I follow for giraffe pics showed the newest giraffe, Azizi, who turned four months old yesterday. She wrote back saying she didn’t know I liked giraffes.
Later that night, I thought I would reply to the email and then tell her the situation with the means and how close I am to acting on it when my pain is out of control. I have no real stop gap measure other than to email my doc like I have always done. Sometimes I will page her if I need to but I am not sure the pager is working and because most of the time this happens at night, I don’t want to call her late. I was hesitant in sending the email and I told her I would be meeting with the therapist today. I had no idea if I would be able to tell her this stuff. I get scared when talking to new therapists about my suicidality because some of them just don’t know how to deal with it and just send you to the ER. Around 2 am, and reading the email a fourth time, I sent it.
I didn’t have a response when I woke up so I figured she had read it but wouldn’t respond to it. I woke up late, like literally have to run out the door to catch the bus late. My bowel can always be counted on to stop the rush, which meant I couldn’t wash my face or brush my teeth. Seeing as yesterday I had somehow had a piece of shit stuck to me for hours I couldn’t fucking feel because of CES, I made sure I wiped good and pushed to make sure all the shit that was going to come out, did. Today turned into shit day as by the time I got to the bus stop, I was needing to go again. I wasn’t going to miss the bus because that would mean missing my appointment. There were no other buses coming for another hour which sucks. My stomach settled down a bit by the time I got my espresso. I didn’t have time to eat something. I got to the train station and had to go when I got to the hosp. I had a half hour before seeing the therapist so plenty of time to hopefully empty my bowels. Was not the case because by the time I got to the building where the therapist was at, I had to go again but there was no time. Luckily I was able to hold off the whole session without having to excuse myself.
The session went ok. We talked more about CBT and I showed her the book I wanted to lend her. She said her reading time was limited so she didn’t want to take the book. She asked what was specific in the book to work on and I said the CBT stuff was over my head as there was very little I knew about it other than the basics, which after 25 years, I barely remembered since psych 101. She explained and we went over things. I told her I needed a stop gap measure between the intense pain leading to suicidal thoughts that lead to planning and is leading up to acting. She had some coping stuff like putting an ice pack on the back of my neck. I could do that. I actually had that during one of my hospitalizations when I was in really bad shape. Somehow we discussed the crisis response plan that I have in nearly all my journals (only exception is the night journal I am currently. I don’t have it there because there is a strap and I am scared some idiot in the hosp, should I bring it, will treat it as a safety issue and take it away from me). She said this was good. I said yes it is but I need to be held accountable to actually using it because I can skip the steps and go right to crisis mode, which is calling my contact or my therapist/psych or even going to the emergency room. Plus, I don’t think I am ready for it as I get too overwhelmed to think about writing alternatives to my suicidal thoughts. I said the “stepping back” might work for me, which I have been trying. It hasn’t been easy but I try. She did say a lot of the stuff is going to be based on how much I do. Hence why I have avoided CBT for the longest time. I sort of want a quick fix and sometimes just talking about things is that fix except when I don’t get validated for what I say.
On my way to my appointment, my psych emailed me. When I was riding on the train, I got to read it. She said she wanted to talk and would call me in the late afternoon. I said that is fine as I should be home by then. She called a little after 1900. I gave her a brief update on things. Told her I have been having a hard time keeping up with my blog. She said that was okay as I didn’t write every day. I told her it is now more than that, like 4 days or so before I write. I told her I haven’t even been writing in my journal. I have stuff to write but nothing is coming out. She seemed kind of worried about this but didn’t say anything. I told her about the means and how I plan to have someone hold it for me. I just need to figure out logistics. She asked if we can talk next week. I said okay. That is when she said she needs to keep tabs on me, in her professional “motherly” voice. I said don’t you always?