Waking up Depressed

Waking up Depressed

There was no weird dream, or any dream, really, that made me feel depressed when I woke up this morning. I don’t know why I feel depressed at this hour. The day hasn’t even started. I was reading about a friend of mine that killed himself a little over six months ago. A friend had written the most beautiful story about him. It was found out that my friend that died, actually did suffer from depression, something I didn’t know. I was never close to him. Just an acquaintance from long ago when our lives were just starting out. We never hung out while we were adults. I never really hung out with him as a young one either. But he was special. I had suffered my depression, in silence and alone. No one knew the depths of my depression. I always tried to keep it hidden from people. It just was not talked about.

My therapist and psychiatrist are probably the only two people on the planet that have seen my horrible, suicidal depressions. I can’t say that I am suicidal right now as I still am trying to wake up. I need breakfast and coffee. Maybe then my depression that I feel right now will lift some. I just feel really down and like the walls are closing in around me. I haven’t seen my therapist in two weeks because she has been on vacation. I see her Tuesday but that day seems so far away from now. I’m starting to feel hopeless that I will ever get “better”. I don’t even know what that means. People always talk about recovery with mental illness, but I have yet to experience it. My mood always seems to go from one extreme to back to my low level depression and stay there. I don’t experience job or happiness. I don’t know what those are anymore. With my disability check this month, I decided to “spoil” myself and get the Harry Potter book collection. I felt I had earned that since I just came out of yet another suicidal depression. I was to kill myself on the 17th of this month. It got foiled because I told my therapist and my psychiatrist I was suicidal. If I didn’t, I probably wouldn’t be here, writing this blog.

My depressions have gotten worse as I get older. They last longer and are deeper than they were when I was younger. I have been suffering from these depressions since I was 15, but probably longer than that. I didn’t receive the help that I need until I was in my teens. That was when I had enough and wanted to die. I still want to die. I can’t imagine living this life yet I just continue to exist. It is a painful existence. It feels like my heart is breaking into a thousand pieces and I don’t know why that is. I just feel really down. I have no interest in doing anything today, even though I have to go pick up my prescription. I am totally out of this medication that I need. I am also out of my vitamin D, but that should come in tomorrow. If I am able to borrow my sister’s car, I will try and go out today, but I can’t make any promises. It’s just a struggle to get dressed and ready to do things outside the house. It is tiring when you already feel like you have no energy or motivation. But I got to do it, even though I feel lousy. Maybe while I am at the pharmacy, I can go food shopping and get my favorite burgers. I haven’t had a burger in a few weeks. It is my favorite food, aside from pizza. BallPark came out with burger patties that are very good and easy to make. I like food that is easy to make as I can’t really cook. I need specific instructions/recipe to cook. I am not like my mother that just puts the oven on and cooks for a half hour and then say the meal is done. She did that the other night to the French fries and fish she was making. It was soggy. I would have cooked it a little more so it was crispy. But then she doesn’t have teeth so need soft things.

I made my coffee and had some left over Chinese food for “breakfast”. I didn’t feel like making eggs so I just had something that was already cooked. Even making the simplest things are hard when you are depressed. I used to love making an egg for breakfast, usually fried or scrabbled, with cheese on toast. But when you think of all that you have to do to make it, put the bread in the toaster, get the butter for the pan, crack the egg, season the egg, etc., it is tiring when you are feeling low. Even my coffee is hard when I am this depressed. I have to measure out the coffee, boil the water, get my favorite mug that I use, put two sugars in the cup. Pour the water after it boils. Wait 4 long minutes for the grounds to brew. I am ready for a nap and I haven’t even done anything strenuous. Lately, coffee hasn’t been doing its magic. It’s more like taking a sedative. I am up for a little while and then I crash and need a nap desperately. I don’t know why that is. And I am drinking quality coffee, Starbucks! It is the only coffee I will drink because it is the one that I can make using my French press.

I am looking forward to my therapist being back this week. I hope she can do her thing that gives me hope so it drives away the hopelessness away. Until then, I guess I will have to suffer through this horrible depression, again, alone.

Pain O’Clock Continues

Pain O’clock Continues

I woke up again in pain so my plans for going to the bank and the Square went out the window. This time, my pain meds knocked me out and when I woke up from my nap, it was too late to go. I really wanted to get a burrito today, too. But my ankle is killing me, still. It’s not as bad as it was on Friday but I am still miserable. I haven’t eaten too much today because it’s wicked hot and humid today. My mother will be making chicken cutlets for supper, which is good because I haven’t had any protein other than the egg I had this morning. And that was some time ago.

I have to leave the house by eight tomorrow morning. I hope I get up. I will have to set my alarm just in case. I can’t rely on getting up before seven because I never know when I will wake up anymore. I went to bed late last night, around 2ish so I slept till eight. Six hours is good enough. I am reading “Game of Thrones” and Harry Potter. Talk about contrast between the books. I am enjoying Harry Potter more because I know what to expect. I am a huge Potter fan and have read each book at least three times. I know JK Rowling, the author, is coming out with a new book, but it will only be available online. It’s too bad because I can’t read from a computer screen for long. I can read Twitter but eventually that bores me and there is no updates. I never read an online book before. I am sure it will be good. Maybe I can print it off.

Since I didn’t leave my house, I didn’t go to the post office like I hoped to. I have an article I am sending to a staff member at the hospital I was in last year. She is interested in CAMS and found an article related to CAMS and inpatient units. I know she won’t have much pull about implementing CAMS as the unit is DBT oriented, but this just gives fruit for thought. I also gave her an update about how things were going. I told her I am trying to stay out of the hospital as things are going so well. I didn’t go into anymore detail.

Marsha Linehan was at the NAMICon2015. I had two friends attend her talk. One was on Facebook and the other was on Twitter. The Twitter friend was more informative about it because he lived tweeted the entire session. It was a good talk. The important lesson was that you can use the skills and it doesn’t have to be a trained person to teach you, i.e., a therapist. There are some self-help DBT skills that you can find online that are useful in the management of suicide ideation and other self-harm behaviors. It was interesting that even substance abuse use was listed as disorder helped by DBT. So if you know someone with a substance abuse disorder, PLEASE tell them about DBT. It might helped them recover better than NA, AA, alone.

I tried to get an appointment with my therapist but she didn’t have an opening today. I really could have used a session. The pain is driving me nuts and I am almost ready to go to the ER because I am doing so poorly. I just don’t know if I should go to the medical ER or psych to talk with someone. Thing is, they wouldn’t understand chronic pain, so I will be stuck and feel more frustrated than I already do. Maybe I should just email my psychiatrist and ask her opinion on what I should do. I could just page her, but I don’t want to worry her. I am just in the throws of another pain flare and it’s wearing me out. I really wanted to go out today. Tomorrow I have to go out whether I like it or not. I have the appointment with the physiatrist. I hope he can help me because if not, I am done. It will be over. I am tired of struggling with pain all the time. Pain O’clock must end!

It’s Pain O’Clock

It’s Pain O’Clock

Pain started around 2015 and has slowly increased. I took a pain pill about an hour ago, just to be able to stand long enough to take my night time meds. Because I didn’t fill my pill box today, it was hodgepodge night. I just take what I want and not the whole kit and caboodle. I will try and fill the box tomorrow morning when hopefully, my pain levels are lower. I hope I have a good night’s sleep. I can never know if I am going to wake up between 4-8 AM. Today I slept till almost 0800, which is highly unusual for me. But pain woke me up, actually, it was more my bladder, but I was still in pain. My right leg has been hurting all day, from hip to toes. I almost never have pain in my right leg. I think because I am a side sleeper and hadn’t moved for more than four hours, I was in pain. I am hoping the pain meds take care of that and my left foot pain. Right now it feels like someone is hammering my metatarsals. Just the last three. I think I would hit the roof if it was all five.

I have noticed that since taking the vitamin D again, my mood has changed, for the better. I still think about suicide, but the depression is not as heavy as it once was. I can breathe a little better, though I have been having awful anxiety with this pain flare up I have been having. I tend to breathe faster than I should and my heart is palpating. I have to take deep breaths to slow things down. I don’t know why I am so anxious with pain. I know it’s not going to kill me, though I am always in danger of attempting, or cutting. I still have it in my head that if I just cut the swelling, maybe I will be in less pain, that if the fluid is released, I will be fine. There is NO proof this will happen. I might just make things worse. And if I cut to the point of stitches, that will be a problem.

In two days I see my doc. I hope that he can give me something that will help my mental state. I can deal with the physical pain with medication. But I just want to figure out why the hell I have hammers hammering my bones! And why I sometimes feel a crushing sensation all along the edge of my foot. I haven’t been really active the last week and I have been in horrible pain. I see him in the morning and that is not going to be good. I wish I could see him at eight in the evening when the pain starts to flare up all the time, every single night. I am not going to be in horrendous pain at 0930 in the morning. I will have to stop my pain meds entirely the next few days if I want that to happen. I don’t want to go through that because I just got the pain under control again. I might have done the stairs a little bit too much today. I wish I could do a drawing of my foot and show you where it hurts the most. But I am not creative that way and I have no idea what program/app to use to make it. I don’t even know how to make a meme. I just am not a creative person when it comes to stuff like that.

I hope he won’t be mad that I stopped going to PT. I hated going because it just brought me more pain. And I could never remember the damn exercises the PT gave me, even though she gave me sheets on the exercises. I have too many things going on in my brain and so I just couldn’t retain what I was being taught. After my last session with her, my foot exploded and I barely made it home. So if he should tell me I need to go back, I just am not going to. The pain is just too complex at this point. What I would like is an MRI of my ankle and foot to see if there are any changes since my last one.

As far as meds go, I don’t think he will prescribe me another pain med. The NSAID hasn’t worked out as well as I was hoping it to. That would be the only change I could see happening. The baclofen has helped, though it doesn’t help all spasms. It has helped ease the tightness that I had surrounding my ankle and calf area. But it hasn’t helped the back spasms or hip pain that I have been experiencing. I am going to tell him about my hip and see if he can do something about that. My PCP hasn’t been too worried about it but this has been going on for more than eight months now. Today I was sweeping the floor and it caused my hip to flare up. I could barely stand afterwards. And it still is hurting me. It’s odd because it hasn’t bothered me in a few weeks and now with me sleeping on it, it flared up again. I know it is still weak from my surgeries. And I haven’t strengthened it since I pulled it out back in December. I sneezed and my back went out. My hip muscle is what hurts the most and I just can’t seem to stretch it enough to get it loose. It sucks. All the exercises that I have learned to deal with it haven’t helped at all. Course I don’t know what muscle it is that I have pulled so that kind of sucks. Knowing my luck, my hip will be fine come Tuesday morning.

Can’t Die Without Explanations

“One can’t die without explanations”. Fyodor Dostoevsky p 513, the Idiot

This statement struck me tonight, in more ways than one. I think, this is the purpose of Hyde, to explain my death to people so they know of my suffering. I am very tired at the moment. I just woke up from a short nap and now I am in pain because I almost fell while getting up off the toilet. I lost my balance and fortunately, sat back down, but harder than I would have liked. My left knee didn’t like it much. I woke up with it hurting me. But once I started moving, the pain went away. Mysteriously as it came. Until I nearly lost my balance. Weird.

My back is hurting and I don’t like it. I can barely sit up. I keep thinking about death. I don’t want to live anymore. I know I have said these things time and time again, but it’s true. I don’t know what I am going to do when my date comes in the next few weeks and I am left all alone with my thoughts. If I don’t kill myself, it will be a defeat. If I try, at least I can say I tried. I won’t know if I succeed if I don’t try.

The quote is from a character in the Idiot, Ippolit, who has consumption (TB or Tuberculosis) and is in the last stages of the disease before death. He has been given just three weeks to live and keeps on telling people that he must tell his “confessions” before he dies. I feel the same way, though I don’t feel there is anything to confess. I have not done anything wrong. I just feel like a lowly human being that deserves to die. I am tired of the mental anguish I suffer day in and day out. I am tired of my physical pain that prevents me from working and “having a life worth living”. Today I drove and it cost me pain in my ankle. I don’t know why. I always feel this pain while driving/sitting for too long. It is a pain that starts at my ankle bone and goes into my foot. The pain is like a wrap that no one can see but I feel. They say it’s the peroneous tendon that is inflamed causing this pain. If you look at the skeletal structure of this tendon, you can clearly see how it goes from the ankle to the three damn toes of the foot. That is where I have most of my pain. The last three metatarsals in my foot. It haunts me like it does now. And I am in severe pain.

Aside from my transgender issues which will never be resolved, I have body image issues that are distorted. I am ugly, yet people have told me I am handsome and sometimes, cute. I don’t feel this way. I feel like I am very ugly that I will break a camera or mirror if I look into it long enough. I have a negative self-image. I can’t stand the way I look or how my body feels. I have a self-loathing so deeply ingrained in me that I doubt my therapist can ever get to the bottom of it. Having breasts is just one of the reasons I self-loathe. I cannot stand myself. I really want to die. I don’t want to breathe anymore. It hurts to breathe. I tell my psychiatrist this and she doesn’t think too much of it, about the hurting to breathe. But then, there is nothing she can really do about it. I am not in distress. My skin color isn’t blue. I am oxygenating very well. There are no obvious signs that there is a weight on my chest, unless you count the things that are there (breast tissue). But every woman has them and they don’t cause interference with breathing. No, I am not saying there is something pathologically wrong with me. I know that this heaviness is this depression that I feel. It makes everything heavier than what it should be. Probably why my knee hurts. It can no longer carry the weight that I have put on since my last hospitalization. I have tried to lose this weight but it is difficult. I eat the wrong things. But I eat the things that make me happy, like cheeseburgers, bacon, and ring dings. Not all the time. Just once a month when I get paid and can afford these things.

These things taste good when I am feeling up to eating them. Lately, my taste buds have failed me and nothing tastes good. I eat only because I need to, though I don’t enjoy it like I once did. Nothing brings me joy or pleasure. Used to be that I have a mocha from Starbucks and that made me happy. Now it just tastes like sugar and I don’t even taste the espresso like I used to. I feel like I am wasting my money on this drink. Maybe it’s time to try espresso by itself, but I am a creature of habit. I order the same thing all the time. It’s hard to break from that.

Today I was thinking about my diagnosis. Used to be that I had recurrent major depression, with psychotic features, NOS. Now I am depressed but it’s not under the same classification. Not that I need to know what it is. I don’t really care, but I would like to know if it is a bipolar depression that I am suffering. I had highs a few months ago, back in February. Those were lovely, though a bit terrifying. I am not used to feeling up. I am used to feeling down all the time. And this time I have hit an all time low. I think about death constantly and when I am not, I am dreaming of funerals and wakes. I often wonder, if I do have a wake, who will show up. I doubt I will get the same sympathy as a friend of mine who died from diabetes. People who die by suicide don’t get the same sympathy as other who die by illnesses. But that is a debate for another day.

My explanation of my death is this, I am tired of hurting, both physically and mentally. Physically, my pain is well controlled, though I still hurt every day causing me to be on medication to control it. Mentally, there is no medication for me. Sure I take my mood stabilizer and anti-psychotic pill to ease those symptoms caused by the bipolar and psychosis that I have. But it doesn’t help the mental pain, the psychache, the deep down to the bone ache that no one can see or feel. I have been struggling with this ache since I was 8 years old. I am tired of fighting it every single day. 32 years is a long time to be fighting something that no one else can feel or see or measure even. There is no test that my pdoc can give to see where it lives, where it abides. Sure, I know there are measures out there but no one uses them. My therapist has stopped using the psychache scale. I have even stopped using the psychache scale, not because it wasn’t effective, but because it just was a number that couldn’t be brought down. It was up and it stayed up, until my crisis was over. This time, I don’t think my crisis is going to be over. Hell, I don’t think I am going to last that long period. What the hell am I waiting for?? Why can’t I go through with it tonight. Fear. And that I don’t want my family to find my body. It will be hard to be dead by suicide. Harder still and more traumatic to find my body. I don’t have a place I can go to end my life. And that is really sad. So I just sit here and complain about why I cannot go on living knowing I can’t take my life because I have no place to end it. And that is the funny thing about my therapist and psychiatrist. They have never asked me how I am going to do it, where, when. I just tell them I am suicidal and they just leave it at that. They never know what my plan truly is.