Category: psychache

a little bit about psych hospitalizations

by Midnight Demon, posted in depression, mental disorders, mood disorders, psychache, suicide

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.

piece of glass in the heart

by Midnight Demon, posted in depression, mood disorders, psychache, suicide

Been in a numb mood most of the day. I tried to explain to my therapist what I was feeling and that I wanted to be left alone and she asked what does that mean. I told her I just wanted to deal with things on my own and she didn’t buy it. She wants me to write but I have no interest in writing. I just write these blogs to have something to say and maybe get something going but it hasn’t been working. I have been hoping my blog would open up what is inside of me but for the past few weeks I don’t feel like it has been doing much good. I know that people from around the world have been reading the stuff I wrote about Cauda Equina. Today Germany read my blog. I feel like I am an international writer.

I just feel like crap inside. I can’t really explain it. Today was the memorial service for Sean Collier, the MIT police officer that was shot to death by the bombers last week. There still has been no motive for killing him. I have been choked up with tears. He was so young and I envy him being death. I would gladly take his place if I could to ease the suffering of his family. I have been crying most of the day, and not little sobs. Just big crying for no reason. The news of his memorial service was the beginning and then I just cried. I couldn’t hold it in. Course this was after my therapy appointment. I don’t know why I am crying so much. My therapist says that I have PTSD, Post-Traumatic Stress Disorder, because of the events of last week. I know I have some symptoms of it but I don’t think it is full blown. I just am scared still. I know the people have been caught but there is no guarantee that there is someone else out there planning to do the same thing, or worse.

In addition to the crying, I also have been numb. I just don’t feel anything. I have been trying to get in touch with my feelings but it is no use. I am out of touch with them. I know I am depressed. I also have been thinking about death again, if anything just as an escape of what I am feeling. I feel numb but it is a hurting kind of numb. It’s hard to explain and I know that doesn’t make sense. How can being numb hurt? I don’t know but I do hurt inside and it is wicked deep. If I stop to think about it I can’t breathe. It’s too overpowering. Like Casey James described in one of his songs, it is like a piece of glass in the heart.

suicide ramblings

by Midnight Demon, posted in chronic physical pain, mood disorders, psychache, suicide, suicide attempt

Today was not a good day. I got hit with pain early this morning and I couldn’t go anywhere. While I was watching the baseball games I started knuckling my calf muscle to take the knots out of it. It helped the pain along with pain meds. I tried stretching my calf but it still would not get loose. But the pain is gone now so I am glad it is. Now I just got to remember what I did so that the next time pain hits that part of my leg I know what to do.

I wrote a paper today, again on the Aeschi model. You will hear me talk about this because it is essential to get the word out for people who are suicidal. I believe in this model because it is so straight forward and humane. I also talk about CAMS but even though I know more about the assessment of CAMs than I do about the actual CAMS model. CAMS is Collaborating And Managing Suicidality.

Yesterday was a big day for me. The blog that I write for, What Happens Now, http://attemptsurvivors.com/ , was put into print for the Associate Press on suicide attempt survivors. It made the news and the sad part is that I cannot share it with my family. I am somewhat saddened by this. I can share this with my friends and the internet world but I can’t share it with those I live with. It is sad. But I chose to not share it because I am afraid it will lead to questions about my own suicidality and I cannot bare the thought of sharing this information with my family. It’s bad enough when my Suicide and Life Threatening Behavior journal comes in, I get the glances of disgust. Suicide is not a topic of interest in my house like it is an interest of mine, if only because I think about it nearly every day.

Suicide has been an interest of mine since I was young. Now at nearly thirty years later and I don’t know how many attempts, I still think it is the only way out of my suffering. I have made a date this year that if things aren’t improved, I will go through with it. I can’t help but think that being dead is the answer to my problems. I know that people say that suicide is the permanent solution to temporary problem, but my leg pain and depression are not temporary. I have to live with this the rest of my life and if I choose not to, isn’t it my choice? Don’t I have the right to die if I so choose? I am not saying that I will commit suicide tomorrow but it is in the distant future that I will die. I am not promised tomorrow, no one is. I just think that I don’t have a purpose with my life. And a lifetime of being in chronic physical pain is not appealing to me. I just can’t go on knowing that every day I will be in some kind of pain that has no end. Or the fact that I have to be on pain medication for the rest of my life. I just can’t fathom that. I worry that one day I will be denied the medication because I have been on them for so long. I just can’t risk that happening. I am scared of that happening. I’m also afraid of people not believing that I am depressed because I joke around so much. I’m sorry that I have a sense of humor. It has helped me with my depression more than anything. If I didn’t have it, I told my psychiatrist, she had permission to commit me somewhere. My heart is so dark at times I can’t stand it. I feel like it should stop beating because I feel so dead inside. And this goes on day after day. There is no relief. I never feel alive and joyful. Just sad and despairing.

Aeschi model and ramblings

by Midnight Demon, posted in depression, mood disorders, psychache, suicide, suicide attempt, writing

Just woke up after a morning of pain. I decided to take my pain meds and go back to sleep. Like I figured, I woke up around 1400, which left me a half hour to shower and get dressed before the bus came. Well I did take a shower but going down the stairs to my sister’s apartment for coffee put a kink in me going out. I still plan on going out with my cane to Walgreens for some soda. I know I shouldn’t as I am trying to diet but I need something to drink other than water. I also need to get another bottle of water as I drank the one I had while watching the Sox game.

I am feeling energized by the coffee. I hope it doesn’t lead to a crash because I don’t want another nap today. I need to work on my writing today. I have been amiss doing so the past few weeks but now I think I know what to write about and I’ll just stick it in. I want to write about the Aeschi model for suicide and also how Dr. Jobes came into my life through his work. I really believe that if more clinicians took this approach to their clients or at least they had this approach in inpatient settings, there might be less suicides.

Aeschi model (pronounced Eshi) is a patient-oriented model, meaning that the patient has a say over treatment more than the clinician does. What has been found is that the provider-oriented model doesn’t work as patients can get frustrated over the “provider knows best” thinking. The Aeschi works toward a collaborative effort with the patient and provider working together to finding out what is at the heart of suicidality of the client.

Today I was at Starbucks taking notes on my Aeschi book. I was writing down what I had highlighted but there is too much information that I didn’t highlight that I needed to share so I gave up on it, for now. This book is so powerful that you really need time and energy not only to read it but to digest its contents.

The gist of it is to have the client be the person in charge of treatment and therapy, a novel idea when so many clinicians think they know it all better than the client and therefore take charge due do their discipline (CT, CBT, DBT, Etc.) I know that if my therapist had been in this category, I probably would not be here, or I would be seeing another therapist. I believe that if there is a collaborative effort of the therapist and client, there will be a higher success rate than if the therapist has the one track mind of he/she knows best. But the nice thing is that the Aeschi model doesn’t have to focus on one discipline. It can work for social workers, psychologists, psychiatrists, mental health workers, etc. It just takes a little courage to step out of the normal boundaries and put the client first. To let the client tell their story without being judgmental or critical.

After the client tells their story, there is an openness that can be trusted. Once the client has a sympathetic and empathic ear that is open to whatever the client is saying, the real journey begins.

This model is the new age of what therapy should be about. I know that if I didn’t develop a relationship with my therapist, I probably wouldn’t be here.

On another note: I did go out today and wasn’t in too much pain. I was able to walk a block with my AFO on. Now I don’t know if the brace is what calmed the pain down or if my ankle is finally calming down. I had a wicked bad night last night. Ice and pain meds were just not working for me. Usually ice helps but this time it didn’t. I am going to try again tonight. I have my foot elevated on a foam block. Best $60 I ever spent for a foam device. It really helps my back and legs.