SPSM and Prezi and being a suicide attempt survivor

SPSM and Prezi and being a suicide attempt survivor

For the first time in a long time, I felt I was useful to the #SPSMChat that goes on every Sunday at 10 pm EST on Twitter. I learned about Prezi, which I am not sure what it is yet. I thought it was a video thingy but I couldn’t figure it out and I am much to tired to try. I did make a couple of layouts but it crashed my Chrome and internet so I think I will stick with IE.

What I was talking about with Prezi was being a suicide attempt survivor. Twenty-five years ago today marks the actual day I got help, or tried to. It was a very confusing time and my mother had a hard time accepting me as being suicidal. She was worried about me, as is understandable. But I had my own world to contend to that she didn’t know about. I will write that in another blog, but for now, just know that I was living between two worlds, one that I created internally to cope with the external world.

It wasn’t easy the first few days after my attempt, if you want to call it that. My wrist hurt from cutting and then I found out that cutting really released emotion better than talking did. So I started having my cutting kit. I had to be very secretive but then, I sort of was as I was living in two worlds. I had two facades, the one that school saw and the one my home life saw. It wasn’t much different except at home I didn’t talk to anyone. I didn’t talk to my sisters and my father was not there after his violent outburst the day before. A week after all this suicide talk and me not getting any better, my sisters felt that he had to know. I had a large decorative knife outside my bedroom door. I swore he was going to tell me to kill myself by stabbing myself with it. I couldn’t have been more wrong. Instead, he told me to jump off the Tobin bridge. He was giving me permission to kill myself essentially. Nice guy, huh?

I was a straight A student at school. I also had perfect attendance until that night. I think I had to skip school one day to meet with a counselor so that ended my perfect attendance record for the year. It didn’t matter, I lost interest in school. Nothing mattered to me except for dying. I was 15 years old. The school nurse helped me a lot for the rest of my years in high school. I don’t think I would have graduated if it wasn’t for her. She gave me hope every time I saw her and I knew that I couldn’t let her down by being depressed. She wanted me better so I saw the school counselor instead of going to a private therapist. Unfortunately, when the school year ended, so did therapy. I was deeply depressed, more so than I already was. The nurse got me in touch with a social worker at the community school. I saw her for about ten months before she got married and left. I had a breakdown. I skipped school for a week and then in April of 1992, I tried to kill myself again. I threw up the pills and thus saved my life. I lost all hope that I ever was going to die. I felt like more of a failure than I ever was. That summer, I had my first hospitalization and thus started the cycle. I was hospitalized every three months because my suicidality reached its peak and I couldn’t cope with life anymore. The third time I went into the hospital, I came out as being gay. I had dissociated while cutting because I felt an attraction toward a woman on the T (public transportation). I thought I was going nuts until I met someone in the hospital who was also gay. I came out with my treatment team and felt a huge burden off my shoulders. It wasn’t until two decades later I would come out as being transgender.

My teenage years were filled with hospitalizations and cutting. It was a vicious cycle that continued into my twenties. After graduation from high school, I had my longest hospitalization because I overdosed again on the antidepressant I was taking at the time. I was determined to die and no one was going to stop me. Except, a Jewish doctor that felt I had some hope. She told me the only way out of the hospital was if I were to see her. The outside therapist I saw didn’t want to see me anymore. She couldn’t handle my suicidality. So I started seeing her but my suicidality increased. I was in and out of the hospital from August of 1994 to Jan 1995. I felt like no one could love me. Until I met a boy from Nebraska. He was gay and he loved me unconditionally. He didn’t care about my past. He wanted to help me. And he did. I felt that if I had him, I could heal. It took a while to trust him and I did. We had long conversations about school and life and being gay. We joined BAGLY and met others like ourselves. I still felt like an outsider because I really felt like I was a man. I was too scared to tell anyone this. So I was called a lesbian or gay woman instead. My self hatred rose to new levels. But I always held it in check.

Amazingly, I graduated a two year school for medical assisting. I was still cutting. I changed therapists, again. This time I was seeing a male therapist. It wasn’t too long before I fired him. I had obtained the medication to overdose again and when I told him, he asked if I was suicidal. It was the most stupidest question I was ever asked. Do people obtain large quantities of medication just for the hell of it? Granted I didn’t tell him I was suicidal, but getting asked point blank was kind of silly.

After this therapist, I really didn’t want to see anyone else again. It was really tough because either they left me or I fired them. Most of them couldn’t deal with my suicidality as an outpatient. They just thought the hospital was the way to go. By the time I was 25, I had about as many hospitalizations in ten years time. I just figured that was the way life was going to be. I was going to be in and out of hospitals for the rest of my life and I didn’t like that option.

It took years for suffering till I was an undergraduate at a university where I was taking psychology classes. My cutting had stopped, least for now. I had met my current therapist and she wanted to help me. I was taking a class for psychometrics testing. I researched stuff about suicide and couldn’t find a damn one that dealt with pain. There was an overview of assessments, twenty-five in all, and not a single one dealt with psychological pain. Then I came across the works of Dr. Edwin Shneidman. He lead me to David Jobes and the world of suicidology was open before me. I still felt like a hypocrite when I became a member in 2007 but I learned so much. My hospitalization started to decrease. I was using Jobes’ work in my therapy. I was also using Holden’s work as well. My pain finally had a name, psychache. And with it I could finally stop the bleeding. I couldn’t control the bleeding because I still bleed to this day, but it’s much less now that it’s acknowledge and talked about.

I still don’t have supportive parents. My sisters try to be supportive around my transgender issues but I can tell they would just like me to be my birth name and gender. They don’t know how much my suicidality surrounds me not being in the correct body. I hope in time they will.

Twitter Rant: CAMS and Suicide

I wrote this at 0400 today. excuse the hashtags

Twitter rant CAMS and Suicide

I wonder if there will ever come a day when there isn’t a hierarchical relationship between client and clinician in the matters of #suicide. That clinician and client work together to deal with #suicide and all that it portends, without judgement, stigma, or fear. These are the musings I have at this hour. Anyone can be trained for suicide prevention but do they go with that training or own prejudices. I have seen that changing clinicians’ minds about how they deal with #suicide training doesn’t change their perception of it. The old stigma of “they’re going to do it anyways” so why bother helping them is prevalent. If it doesn’t change their perception of #suicide, why then bother spending hundreds of dollars for training if you aren’t going to use it?? Case in point, at the Menninger clinic, they had a CAMS study where the authors noted the clinicians resistance to this easy framework. Again, it was hierarchical, the clinician knows best, the client knows nothing, This truly needs to change if we are to prevent #suicides. CAMS was designed to work with all disciplines (SW, PhD, PsyD, MD, etc.) Yet these clinicians had their biases & stigma preventing an open mind. CAMS is unlike any other theory, is quick to learn, and has less paperwork. Along with the SSF, it really help deal with #suicidal clients. I might be biased for CAMS only because it saved my life and I think it is the most superior #suicide assessment out there. Here is my blog about #CAMS. #CAMS is also NOT a replacement or new treatment but a theory that working collaboratively helps someone who is #suicidal. my musings started when a therapist was complaining about the use of the CBT paperwork and stayed away from it in her practice. As a patient, I can totally understand why the CBT paperwork is so daunting. I never liked it and don’t think it is helpful but others have found it helpful. And you have the CBT nuts that swear by it. I just wonder if it is because that is all that they were trained to be like DBT therapists. You don’t have to change disciplines to work with #CAMS, after the assessments, the client will need that discipline for treatment. I still would love to replicate the study in the Boston area about therapists and their attitudes toward suicide and training. Final thoughts are that #suicide training is under utilized in this country and not mandated. when is that going to change??

Really Struggling

Really Struggling

I got mail today that just put fuel to the fire of the voices. They have increased ten-fold since I got more paperwork for my disability claim. I am scared that I might lose my SSD because I am “fit to work”. I will fight it as my therapist and psychiatrist knows that I am not. The voices have been telling me that I am a lazy ass and other criticizing stuff. They all just say that I should just end it all by taking all my meds. I am freaking out. I took some trilafon finally because I thought I could handle them without medication. Not today. Today I am too vulnerable because I am stressing about my MRI results. The neurosurgeon still hasn’t called me with results and I am getting worried that either something is wrong or no new is good news. I know he might be too busy to call and if he doesn’t call today, I will call his office again tomorrow. Or I might just go to the hospital and request my damn records.

I am sort of scared for my sanity right now more than my safety. If I didn’t have things to do next week, I would be in the ER right now. This new paperwork has thrown me over the edge. I haven’t done anything today. I was supposed to go to the store to get my PowerBall tickets but I haven’t. I am scared that I will have to talk to someone. I really don’t feel like getting dressed and the money isn’t even motivating me to get dressed so I can play. I have a get well card that I bought last week that I still haven’t mailed. My friend is probably well now but want to let him know I am thinking about him.

I had a good friend call me today as I was so upset. It didn’t do anything for the voices but helped to talk about my stresses. I had therapy today and my therapist was encouraging me to take my PRN meds. I sent her the blog I wrote so she knows I have been having the voices for a while now. I have asked her to call me but she hasn’t yet. I am wicked scared that she will suggest going to the ER. I really don’t want to be hospitalized only because I need to get my pain meds refilled next week and if I am in the hospital, I won’t get it. It will be a pain in the ass to figure out how to get it because I am in flux with new providers. And if I have to wait to be seen, I will run out. Last thing I need is to be out of my pain meds when I have been having so much more pain lately because of the weather.

The new paperwork that I got said that I need to call if things have changed. I called because things have changed. I am psychotic, I am awaiting my MRI results for new pain that I have, and I have seen a new doctor (well one that is new to them, not me). I wish my phone would fucking ring. I emailed my psychiatrist about all the stressors that I have, well that I have stressors, I didn’t specify which ones are triggering me right now. I think that she will find them silly or not important. Voices have confirmed this. Course they are also telling not to trust my psychiatrist of 20+ years. I just feel really out of it and my head hurts. The voices are so damn loud and they are murmuring to one another. I find this annoying because I rather know what they are saying. When they do talk to me, they are telling me to do stuff. I feel really anxious but I don’t think an Ativan will do anything for me.

Quote of the Day 28 Nov 2015

“No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. It is an odd thing, owing life to pills, one’s own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy”