evening report

Evening Report

After my post this morning, I slept until my damn mother wanted to know my where abouts, like I am a child, not a full grown adult. I asked her what she wanted and she plainly stated she just “wanted to know where I was”. She was going to ask why I was still in bed but I cut her off. I am in still in pain, and have taken another pain med. I only took 1 pill because I am waiting for my psychiatrist to call me back and I don’t want to be drugged up, so to speak. I wish she would get back to me as I really want to lie down and sleep.

There was a huge backlash to writing to my friend this morning. Nearly every close childhood friend came at me. I couldn’t believe it. I just ignored them, for now. Then I found out eight trans kids killed themselves across the country. A friend I follow on Facebook wrote this as she has a transgender son. They supposedly killed themselves because they were afraid of what is to come. Even the transline, a hotline for trans people were overloaded today with questions and concerns. I started crying when I found out about this because it affects me so personally. The whole LGBT community is nervous about what is to come. I am too. I texted my therapist that I was going back to the closet if she needs me.

Last night as election results were gaining support for Trump, the Canadian website for immigration went down. It crashed because so many people were hitting it. My friend in Canada who works with immigration said she had over 300 emails and 59 voicemails to sort through this morning. I am sure it is going to get worse as time goes on.

For the first time, I am depressed over outside influences, aka the election. I try not to internalize these things because they change all the fricken time but this time, I am fearful and really down. I should have tried to end my life last week. That has been all I have been thinking about the past few days. I should be dead or on life support or something. I shouldn’t be here.

Aftermath of the Election

Aftermath of the Election

I woke up early this morning to use the bathroom and then I checked Facebook to see who won the election. To my horror, the bigot won. Then one of my childhood friends was very happy about it. I sent him a message saying that he was basically homophobic and racist and then I deleted him from being my “friend”. I don’t regret having done this.

I am worried what the next four years are going to entail. I wonder how suicide prevention is going to work now that we don’t have a democrat in the office and the whole senate and congress is republican now. More closely, I worry about how the LBGT community is going be over the next four years. I am really hoping that this misogynist gets arrested or impeached within the first six months of office, before he can do real damage to this country. That’s not to say that in six months time damage might already have occurred but it might be fixable.

I fear those that have Obamacare right now because I think that is going to be the first thing to go in this dictatorship. Healthcare will now become a joke. But Colorado now has assisted suicide so maybe there will be an influx of people moving there to end their suffering. My state has passed a law that legalizes the use of recreational MJ. Now I fear that every Zipcar I reserve will be filled with that god awful smell.

These are my thoughts that I have this morning and I am sure there will be others. I’m going back to bed because my ankle is screaming at me and my pain meds are making me tired.

therapy, eye appt and other things

Therapy eye appt and other things

Today is the US election day. I had voted last week so I didn’t have to go near a poll today. I pretty much tried to stay off social media because it was filled with “go vote” or “I voted” followed by selfies with the “I voted” sticker. Who the fuck gives a shit. After the 20th message, I just said I was done, on both Facebook and Twitter. It was difficult because I am on both mediums all the time but I kept myself occupied with trying to sleep and then I had therapy.

I was and am so sleep deprived because I only had about 3.5 hours of sleep consistently last night. I was up till around 0600 because the pain was so damn bad nothing was helping me, not even my trusty Ativan could knock me out. I was so overtired and cranky that I sent messages to both my psychiatrist and therapist saying that I fucking hated them and they sucked for allowing me to live. I didn’t care. It was around 0400 when I sent off these messages. My psychiatrist wanted me to call her to check in, which I did after I took a damn shower when I woke up at 0930 and then made breakfast. She is really worried about me because I never talk like that.

I have no idea what went on in therapy. She said I had the floor but I know I didn’t talk. I just answered questions. She skipped the text message about canceling tomorrow. Not my problem so I got out of it. She wanted to fill it in with a session on Thursday but I wasn’t having it. I am all therapied out. I just want to sleep all day tomorrow, without interruptions by a pesky therapist. After therapy, I tried to nap for 10 minutes before having to catch the bus to the Square so I could get my espresso. I wanted 5 shots today and got it dammit. It helped keep me awake as I had my eye appointment.

I love my eye doctor. I have been seeing him since I was like 18. He is a very cool guy and very caring. I told him I needed an eye exam and to check the growth that was at the corner of my right eye. And also to figure out why my eyelids were so dry. I have some kind of virus thing that is causing the growth and it’s both eyes. The ones on my left eye (7) are small and the one on my right is slightly bigger. It’s a cosmetic thing so there is nothing to be done about it. Not that I care as long as it doesn’t interfere with my vision. The thing with my eyelids is eczema. I have to get a cream to put on it. Just great. I have eczema in my ears and now my eyelids. Fucking lucky me. Two places that make it hard to put stuff on. UGH.

I had to email my doc because I noticed a change in the prescription from the previous one to the one he gave me tonight. I just want to make sure it isn’t a typo when I get my new glasses. I won’t be going to one online. It will be more money to go to an optical place but I don’t care. The ones I bought were good but even my doc said they needed to be adjusted and I never got them adjusted to fit right. Live and learn

I haven’t had anything to eat since this morning and I am too lazy to make something. Actually, I am not really lazy, just too tired. I’d order something but I don’t have cash on me. My choices are either a tuna sandwich or pizza. I am opting for tuna because it’ll be a lot quicker than pizza. Our oven takes at least 20-30 minutes to preheat and then it’s another 25 minutes to cook. I’ll be digesting my tuna sandwich by the time the pizza is done. I don’t know what happened with the celery I bought. It might have gone bad or my mother froze it. She loves to freeze things. I wanted to make pasta with my sauce but making a sandwich will be easier. I will make the pasta tomorrow for lunch.

I better have no problems sleeping tonight or I might get myself admitted. I am going insane with no sleep. Last night was so horrible. I really don’t want another night like that. It’s getting late and I am getting tired. I think I am just going to take my meds and call it a night. Screw eating. My meds will be my meal.

ASAD: Acute Suicidal Affective Disturbance

ASAD: Acute Suicidal Affective Disturbance

http://www.mdedge.com/clinicalpsychiatrynews/article/100017/depression/aas-acute-suicidal-affective-disturbance-proposed

I read the above article with interest. One of my Twitter buddies shared it with me and wanted my opinion on it. I think that it is right on queue and I hope that Dr. Joiner eventually sees this as a diagnosis. But I worry that if the stigma of suicide is not dealt with, it might just be an admitting diagnosis and thus cause more harm than good.

According to the criteria lined out, I meet this diagnosis, though at this time, I am unable to rule out whether a medical condition or conditions exclude the diagnosis. There have been many a times that while I am in excruciating pain, this condition is activated and I am acutely suicidal. The only thing that has saved me from actually making an attempt on my life is that I physically cannot walk and have refused to kill myself in my own home. Then in the morning (most of these attacks have occurred in the midnight hours), I no longer feel so suicidal.

It used to be that what I would call a “switch” would be activated and I would be suicidal until I fell asleep. Now I know that it’s this disturbance that occurs and it makes sense to me. But in every suicidal occurrence that has happened over the past two years, it has been because of physical pain or some kind of dissociative state brought on by physical pain. Very rarely has it occurred solely with psychache or psychological pain. Granted not every episode is psychache free and physical pain free. I will have what Shneidman calls the three Ps, Psychache, Perturbation, and Press as well as physical pain that causes me to be severely suicidal. These nights, I swear to myself I will end my life the next day when I can walk again. Fortunately, I don’t feel as suicidal the next day because I had a few hours or more of respite from these kinds of pain and perturbation. That isn’t to say that I won’t be activated the next night or come up with a suicidal plan to end my life the following day. These plans are usually a few weeks away to give me time to think things over and essentially put off today what can be done tomorrow. These plans have also given me time to work through my feelings and usually by the time that date comes, I no longer feel suicidal enough to go ahead with the plan.

Suicidality is a tricky business and not everyone’s suicidality is the same. What triggers my suicidality might not trigger someone else’s. There are mitigating factors that might be similar in nature like the criteria states but I would love to see the data in the context of ruling this a diagnosis. Just because I find this disturbance fits my suicidality, doesn’t mean that it will someone else’s and that is the difficulty with the nomenclature I think Joiner talks about in his article.