Midnight demons are out tonight

Midnight demons are out tonight

Since Midnight I have been in some serious pain. I got very distress and despondent. I thought about killing myself and was cursing my therapist for allowing me to still exist. A blogger friend was posting blogs so I asked her if she wanted to chat and we chatted for a few hours. She had to go because she had some stuff to do in the morning. Which is fine. I understand.

I still am in pain three hours later despite taking pain meds and using a pain gel. I don’t think I am going to sleep tonight and all I can think about is killing myself. I posted on FB that I wanted to use a chainsaw to chop my leg off. I seriously wonder if that is the better course of action. Just cut out the part that is hurting. I know there will be something called phantom pain afterwards but it can’t be worse than what I am going through right now. At least then, I will know WHY I am in pain. There is NO FUCKING REASON why I should be in pain. I didn’t do a damn thing today to warrant this pain. There is nothing wrong with my damn foot and ankle. Yet it hurts really bad. And it is burning me so bad. Pain is so bad I can’t even describe it. All I know is that I am hurting and want to kill myself. Just everything is dark and gray. I feel so hopeless. I know I am never going to get better.

I was talking with an ex-coworker tonight. I missed talking with her and she answered my text. We chatted for a bit and she asked when I was coming back to work. When I said I didn’t know if I could because of my pain, she chimed in that if I stop complaining maybe I would have my job back. I was dumbfounded. I couldn’t believe she would say something so insensitive. My pain is real and I suffer greatly. I don’t know why I suffer the way I do but I do. I got really upset. But then I thought she is ignorant and doesn’t know what I go through every day. She doesn’t know how hard it is going down the stairs or that I have to limit my standing time or I will pay dearly for it. Sure I can suck it up and not complain. But then it will only fuel the demons. I kept quiet about my internal psychological pain for years and where did that get me? Nothing but psych hospitalizations after psych hospitalizations. Lead to cutting and drinking and more hospitalizations. So when I can finally express myself, why should I keep my physical pain inside? That is one of the reason why people kill themselves because people don’t know just how bad their pain hurts them. That is why people see their doctors only to get turned away because their pain doesn’t show up on any test. My x-rays and MRI shows there is nothing physically wrong with me. Yet my pain is real and it hurts really bad right now. So bad I am thinking of taking my life. So how can that be made up? How can it be held inside? The longer I keep it to myself the deeper it grows. They say that if you swear after stubbing a toe it lessens the pain. Well no matter much I swear, there is no lessening of this pain. I must rely on pain medication to help me deal with my pain. I wish it worked on my psychological pain but it doesn’t. Nothing helps my psychological pain. When both flares up (physical and psych) I am in the deepest waters struggling to stay afloat. Sometimes I am successful and sometimes I am not. When I am not, someone comes by with a dinghy and I stay afloat.

I think my foot hurts just because it wants to. I think that I have been in pain for so long it doesn’t know what else to do but hurt me. And that causes my demons to worse and give me self doubt that this is all in my head. My therapist thinks that because of PTSD I have to be treated for my pain for my own safety. That if I am not treated, my PCP might as well just sign my death certificate. She is partially right. But I have a high pain tolerance and I haven’t been in this much pain in sometime. I know it is because the weather changes and having Hurricane Arthur pass by didn’t help me much. Plus this whole up 90 degrees and then down to 70 degrees really wrecks havoc on me. That’s a 20 degree difference. It hurts!

I keep looking at my pill bottle and wonder what will happen if I empty it. I have never OD’d on Tylenol before so I am kind of scared that it will cause me liver damage that I will regret. I think that is the only thing saving me from taking the rest of the bottle and hoping for the best. If I had a barbiturate or some other powerful sedating drug handy, I would take it. I just need/want some sleep. It’s 0330. I am glad I don’t have to get up early tomorrow. But I know I am only going to get a few hours of sleep and wake up. Probably wake up at 6 or 7. I might as well wait till 0400 to try and get some sleep. I took two pain pills to try and get me to calm down this pain. I just need it to be a 3 so I can sleep. It is a 7 on a scale of 1-10. I am sure that once I get nice and comfy, I will have to use the bathroom. Never fails. UGH how I hate that.

Nervous

Nervous

My idiot therapist wanted me to send my pdoc the blog I wrote yesterday (Dreary Day). Well I sent it to her forgetting that I wasn’t taking my meds. Now I know my pdoc is going to be mad at me because I didn’t tell her first. I am in so much trouble and this was the last thing I needed right now. She is probably going to recommend a psych admission and I am not going to be for it. There is a holiday coming up so there is no way I am going in to do nothing for four days. I can do that at home. Plus I am out of my pain meds. God this sucks. I am running low on my anti psychotic and I am out of my pain meds until Monday when I see my PCP. I feel like I am going crazy.

I took some extra meds to sleep because my toes are on fire and hurt really bad. I took a couple of Neurontin pills and a couple of Ativan. I should be asleep but this nervousness is keeping me awake. I just put some gel on my toes to quiet them down some or I am not getting any sleep until the wee hours of the morning.

I am such an idiot. I don’t know why I sent her that blog. I would have been enough with what I said about thinking of killing myself every day and not caring. I didn’t have to send her the blog. Maybe she didn’t read the blog and I am ok. But my stats show there has been activity on the blog so someone has been reading it. I wish I could track down who reads it, like the location or something but I am not good at that stuff. Gel seems to be working on my toes. Soon as it dries, I am going to sleep. It is going to be a rough few days without taking any pain meds. I hope I can survive. I have never run out before. I do have my really strong meds if I need them. But I don’t want to take it for my “moderate” pain. I will if it gets to be to much. I just hate being in pain and I know this is going to drive up my suicidality.
Bozo, though I have fired her multiple times today, still thinks she is my therapist. She doesn’t want to leave me the hell alone. I would tell my Pdoc off but I am too afraid that she will send the police after me if I do. Bozo has threatened but never has done so. As much as I feel suicidal, I still feel ok to go about my business as usual. No one but my therapist and now my pdoc knows I am suicidal. I like it that way. It gives me freedom to plan my death. I really don’t know what I will do. I thought of OD’g but that is messy. There are so many ways to die but it is so hard to kill the human body. I know, I have tried several times and failed. I am a suicide attempt survivor, what ever that means. It is a relatively new term. I have been using it as a hashtag on twitter when I try and promote my book. I want to die so badly yet I don’t know how and that is frustrating me. I feel like I did when I was a kid and couldn’t figure out how to die. It is so maddening. I have an arsenal of meds at my disposal. Anyone can really do me some harm but I don’t want to do it in my house.

I guess I will talk to the fired therapist tomorrow and see what she has to say about the pdoc knowing about my stupid plan of stretching out my anti-psychotic med. She is not going to be happy with me and I don’t blame her. I just hope she doesn’t section me. Section means that a mental health professional involuntarily hospitalizes you for up to 72 hours at a mental health facility for evaluation. My evaluation would be delayed because of the stupid holiday and I won’t have privileges like to use my headphones or charge my phone. And that will suck. I don’t want to go to the hospital to be babysat. I can be fine at home. I just won’t go out so that I am not tempted to jump in front of moving vehicles or trains. I can be safe with my meds because I don’t want my niece to find me or my mother.

It is so difficult to explain to someone all this. You want the help but at the same time you know that it is useless. It is just so tiring. OMG I don’t believe the baseball game. 16-9. It’s like a football score! Dear holy crist! Thank god I wasn’t watching it. I just kept getting score updates. And I was cursing with every run the Cubs made. Bad time to be a Red Sox fan. They are drowning like I am. But no one sees it. No one sees the struggle I go through every day. Just to take a shower is a hassle. I have to be next to no pain for me to stand 10 mins in the shower. Then quickly dry off and maybe take a nap afterwards because it wore me out. Lately this hasn’t happened but I do get tired and more pain during the day after I push myself. No one understands chronic pain except another person with chronic pain. They know that you have to have rest days in between or you are fucked. That was why I was tied up for three weeks. I couldn’t have a rest day in between and I kept going. I paid for it dearly but not being able to bear weight on my leg for almost three days. It got so bad I thought I would have to go to the ER. But then I remembered I had strong pain pills and that helped greatly. It helped me rest and re-coop.

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Weird dreams again and the SSF

I am having a horrible day. My day literally started at 0100. I slept for a few hours, from 2200 to 0100 and I was up for the night. I went back to sleep around dawn. Was up for a few hours and then tried to get back to sleep around 0800 or 0900. Fail. I finally gave up around 1130. In the times that I did sleep, I had another weird dream about children and elevators. It was winter time and we were going to take the children sledding but the elevator malfunctioned and we ended up at a hospital that was at an airport. I don’t know what that is about. Absolutely makes no sense. Other than me possibly wanting to get away either through an airport or a hospital admission. I don’t know.

I had therapy and we talked about the weird dream and me not sleeping. I told her I am getting to my wits end. The heat is not helping. I still have to clear a path for my bro in law to install the AC. Maybe I will do that after I write this blog. We also talked about my suicidality and the need to attempt suicide. I don’t know why I feel like this. I just feel like everybody will be better off without me. I just feel so low and useless. I know my sister needs me because I have to pick up my niece next week. She doesn’t have the after school program anymore. But I just hope my ankle doesn’t flare up other wise I will be in pain and I am not looking forward to that. I just wish I wasn’t in pain every single day. I have not had a “day off” from pain in weeks.

So because I am thinking of an attempt, my therapist is taking out the old SSF to assess where I am at. She will do this assessment tomorrow. The SSF (Suicide Status Form) is an assessment used to assess and evaluate suicidality. In addition to this assessment, it also lists goals of treatment that both the clinician and client agree upon. The beauty of this assessment is that it allows collaboration in the treatment of suicidality rather than have the clinician be the expert. And the assessment is easier for the clinician as it also lists all the necessary documentation you would need for a session such as Axis diagnosis, progress notes, and date of next appointment.

The SSF was developed by a suicidologist, my idol, Dr. David Jobes. He developed this assessment so that clients that were suicidal did not get “lost” in the system and were treated as equals in their treatment, rather than have treatment as usual. To learn more about this, check out his book on the subject, Managing Suicidal Risk. It is a great book and also teaches you how to score the assessment at the end of the book. There are also classes you can take. His assessment tool follows under his framework, CAMS, Collaborating and Assessing Management of Suicidality. I write a lot about his work on my blog because I can’t stress the importance of suicide prevention. And this is one tool to do that.

So my therapist is pulling out this assessment tool on me tomorrow. I am not happy about it. I know how to “cheat” on it as I am the one to bring it to her attention. She is not proficient in promoting it despite my several attempts for her to go to Jobes’s workshops. She feels, like many therapists, that her training is adequate (it’s not) and she does not want to be a suicidologist. I am not asking her to change her ways, just add to her skill set. Every time she brings it out, I cringe because I know she doesn’t use it all the way through and that pisses me off. I feel like it is a waste of time because it is not used properly.