a day of traveling for nothing

A day of traveling for nothing

I got a few hours sleep. Pain kept me up most of the night. There was nothing I could do about it. The more I stressed about not waking up around 7, the worst my sleep got. I couldn’t settle down. I had my mother wake me around 7 but I didn’t want to budge so slept till my alarm went off. I had wanted to make breakfast and coffee but I only made coffee. Around 8, I left the house.

The green line that I had to take was having track diversions so I had to take a bus to get to where I was going. I thought if I took another bus, I would miss it but that didn’t turn out to be the case. It took me around 2 hours to get to my neurologist’s office. It was very humid and hot. I hated it. I mostly slept on the bus and trains. My pain was bad so when I got to the office, I took some pain meds.

My neurologist is never on time. I must have met with her for at least twenty minutes. Even though she said that I had complex regional pain syndrome, she kept on calling it small nerve fiber neuropathy. I was so tired I didn’t get mad until I left the office. She had no new hope for me. I told her to send her notes in triplicate to my PCP so he would stop sending me to new docs. She said I was a trooper and something else. Then she gave me an appt in a year’s time. Appointment was over with. I was stunned. I was too disgusted to think. I had spent two hours to see this doc only for her to basically tell me nothing and see you in a year. She didn’t even exam my injured foot because it was in the AFO. Asshole. I don’t think I will go back to seeing her. But the thing is, my PCP’s office is reluctant to prescribe Neurontin so I need to see her so I can get that script. Fucking ridiculous. I am so fed up. I swear if the new neuro treats me this way as well, I am going to go nuts.

I walked back to the station and waited for the shuttle bus to bring me to the trains. By that point, my foot was berserk. I was in more pain than ever. I thought about going to Starbucks for something to eat but knew I couldn’t walk there. I just waited for the bus home when I got to the Square, 2 hours later.

I had something to eat when I came home. My foot pain was killing me. I just want to eat and then take a nap. I also took more pain meds. I put my phone on do not disturb and slept. I am glad I did because I had two phone calls that I missed. I would have been pissed if they woke me up. Now I just took my night meds and something to move my bowels. I haven’t gone since last week.

no coffee for me!

No coffee for me!

I woke up around 1400. I didn’t get to sleep until 0700. It was a long night. I wanted coffee badly but my half and half went bad. I was too tired to go to the store to buy more and then make another cup. So I am not having coffee and I am very unhappy about it. I’ll go tomorrow to buy more.

I had a sound sleep though for some reason, my head likes to find the space between my two pillows, causing my neck to ache. I probably would still be sleeping if my bladder didn’t wake me up. I am glad I put my phone on “do not disturb” as I had a few messages and one missed phone call. I still am sleepy. I just had lunch and breakfast. I was hungry. I made a turkey, cheese, and cranberry sauce roll up and then had a couple of boiled eggs with toast.

I’ve only been awake for a few hours and already my ankle is killing me from making myself something to eat. FUCK. I took pain meds when I woke up as my mouth was hurting. Now my ankle is exploding. I am going back to bed. Hope I can sleep.

Therapist’s choice or fear?

Therapist’s choice or fear?

My therapist of sixteen years had decided sometime while on our three week break that she couldn’t work with me anymore for what reasons are still not quite clear. We had been arguing over various things the last several months, including my suicidality and it was becoming apparent that she refused to seek the given evidence based practices I was telling her about to deal with my suicidality. I was becoming more and more frustrated and wrote a blog about it that “opened her eyes”. Our engagement ended in February of this year. I was gutted. I had no choice but to end things with her if she had no idea how to work with me any more. So the hunt for a new therapist began, once I could manage it.

It is very difficult to find someone willing to work with a high risk suicidal patient, such as myself. When my therapist moved to her office thirty miles away and I had no means of getting there, I called ten therapists in a five mile radius of my house. I kept getting the run around. I couldn’t be seen by them because I was high risk and so they referred me to someone else. That someone else then referred me to someone else. I became distraught and just stayed with my therapist event though it meant more phone sessions and text messages.

Now I had the same problem, except I had no back up. There was no one. I had asked some therapist friends on Twitter in my area if they knew anyone seeking new clients. One responded and gave me a name. That therapist never returned my calls. After three weeks (one call a week), I gave up and moved to therapist number two. Same deal. It took me until April to find someone that a) took my insurance and b) wasn’t afraid of suicide. I’ve been seeing this guy for about three months now and it is getting obvious to me that we just aren’t clicking. You need a certain chemistry to work with someone is this guy is lacking. I thought I could work with him but he is my back up right now. I am looking for someone else.

The day that I had my first meeting with him back in April, two therapists returned my phone calls. One had taken three weeks to call me back so I was not in a rush to call her back even though her qualifications seemed like it would match what I was looking for. The other organization I didn’t know too much about but knew they offered CBT, a therapy modality known to work with some people but didn’t for me. I kindly told them I was not looking at this time but if that changed (I hadn’t met the guy yet so it could be possible not to work out), I’d be in touch.

So when I was hospitalized a few weeks ago and my current therapist told the social worker that I was there because of “family conflict” instead of a psychotic episode that happened that weekend, I got pissed off and realized I wasn’t going to waste 16 years with this guy to know it was wrong. I called the other therapist and she never called me back. Then I got in touch with the organization. I had a phone interview with them last week. He first went over my insurance as he didn’t take one of them. OK, but he took the other so I was okay with that. Then we talked about clinical stuff. He asked when was the last time I was hospitalized and I truthfully told him a few weeks ago. He ended the conversation saying his group would be unable to help me as I needed “intensive outpatient” treatment after a hospitalization. He basically said I was “too sick” to work with one of his therapists.

I was floored this happens in 2017. I have been studying suicidology since 2007, reading countless articles about how clinicians, particularly psychiatrists, are more prone to have a suicide during their career than any other profession. Psychologists are second to that. Yet despite the advancements in evidence based practices (EBP), there is still the fear of losing someone to suicide. I can’t make that go away and if I ever become a therapist, I too will have that fear. But there are measures you can take to decrease that risk in the high risk client, if there is a willingness to work with one. That opportunity is lost if you slam the door like countless therapists have done to me. Suicide is inherent in any psychotherapy, regardless of risk factors. It can “appear out of the blue” or not noticed until an attempt is made or a death occurs. The suicide rate keeps climbing. And one of these days, I will become part of that yearly statistic.

I look for help and get denied because of my risk factors, which are history of previous attempts, history of abuse, history of hospitalizations, and history of self harm. These factors I deem “high risk” can also be viewed as severe mental illness or “being too sick”. It was the director of the organization’s choice not to take me on as a client. Pissed me off but his choice regardless. But was it also his fear that I would take on a certain liability because I was chronically suicidal and mentally ill? I will never know but my gut says fear altered his choice. I understand that therapist want to have the kind of practice where things go smoothly and stuff like suicide is dusted under the rug. Suicide is a dirty word. I get that. I have lived it since I was eight, when I first thought of ending my life. No one wants to touch it with a ten foot pole. But excluding these people from these practices, what the hell did you enter the field for?? I have to wonder.

The therapist I work with now doesn’t follow a lick of EBP. I still don’t know what kind of therapist he is. Frankly, he just lets me ramble for 45 mins then it’s see you next week. He has explained what he does but he has yet to actually do it, which is why I want to see someone else, if I can find that person. I live in the hub of academia where there are thousands of therapists. The biggest problem I come across, other than their fear of suicide, is not taking new clients. OK. I get it but can you refer me to someone who IS taking them? No answer or try Susie Q who isn’t within my area of accessibility.

Anyways, these are my thoughts on the matter. Getting screwed by those that are supposed to help mental health patients but don’t want to deal with mental health patients that fit a certain criteria. I think that sums it up nicely.

busy Monday morning

Busy Monday morning

I had a shitty sleep. I fell asleep sometime after 0200 only to wake up around 6 because my foot was in severe pain. I took my pain meds and slept until my alarm went off. I didn’t want to get up but I had to be at the dentist office by 0800. I dragged myself out of bed, got dressed, brushed my teeth, and headed out. I had to wait until the dentist was available to see me. He said that I had severe inflammation of the gums but wasn’t too sure what was causing it. He wanted it to go down and for me to finish my antibiotics before taking x-rays.

I left in time to catch the bus to the Square. While I was waiting, I called my PCP’s office to see if my prescription was ready to be picked up. It was. I had breakfast at Starbucks. I ordered a snickers latte rather than espresso. I felt like treating myself to something good. I had 6 espresso shots. It was stronger than I thought it would be but still good. I went to my PCP’s office after I finished and then went to the pharmacy. My foot was in severe pain by the time I came home. I hadn’t taken any pain meds with me and the last time I had taken them was around 6 this morning. I was overdue. My foot was also on fire so when I came home, I took my pain meds and Neurontin. I also rinse my mouth out with the antibacterial rinse. It doesn’t go well with powerade but I can’t take the Neurontin with water because it is gross. Guess it was the lesser evil.

I wanted to get my meat sauce for supper but my mother is making lazy man lasagna. I will save it for another day. It’s not going anywhere. I have been wanting to have it with penne pasta for a while now. I haven’t had lunch yet. I will finish off the White Castle burgers. That should tie me over until supper time.

I am going to try and stay up but I have a feeling I am going to take a nap. I am really tired from all that I did this morning. I was out for 4 hours. I am glad I don’t have therapy this afternoon. It would suck. My mood sucks right now. I am just exhausted from hurting and not sleeping. I am so tired of waking up in severe pain. It’s really mentally exhausting. The hard part is that I have absolutely no control over it. It flares up whenever it wants to whether I am sleeping, trying to sleep, or just plain resting.

My fricken bowels are going nuts. Whenever I have Starbucks milk, it seems I am intolerant to it. I don’t fricken care because I have been backed up the last few days but the cramps are horrible. I just hope I don’t have an accident because that will kill me. I also hate having to go up and down the stairs a lot because of it. I so wish there was a half bath where the bedrooms are.

I’m trying to make plans with a friend that I met while in the hospital. Every time I ask when to meet up, she is vague or doesn’t answer. I really don’t want to go out tomorrow, except to Walgreens because idiot me forgot my strong pain pill script to get filled today. I had it on the edge of my bed so I wouldn’t forget it but I did. I also need to mail a birthday card for a friend of mine. Maybe I will get some pizza when I drop off the card to the mailbox, though I have been thinking of getting a pastrami sub lately. I love pastrami.

One of my blog readers suggested I get input for the blog about therapists who shaft clients for the suicidality or hospitalization history. If you would like to contribute, please email me at Collerone at Yahoo dot com or use my contact page to send me a message. I’m still mulling over ideas for it so you have time to also contribute if you would like. Please get it in by this week though. I’d like to write it up by the weekend. I think it’s important to get the word out that there are therapists and organizations out there that just don’t want to deal with severe mental illnesses.