TIVO AND THERAPY

I started the arduous process of transferring my Tivo recordings to the computer. Because my new laptop is new, I have to use my old laptop to transfer the data. I had to download a patch to get it to work. It can be very frustrating.

I had therapy today and did not like it. I had to talk most of the time because my idiot therapist wanted clarification of some things that I wrote on the blog the other day. I had to read it so she could take notes so we could talk about it. I was annoyed because I hate reading what I write. I found that it sucked what I wrote and there were stuff in it that did not make sense so now I have to go over it and fix it. I sent her my suicide attempt blog because she never reads her email, which has my blogs sent to it.

I don’t know if therapy is helping so much as it is just keeping me alive. My therapist and I have a connection that formed in 2005 and since then it has strengthened. though I sometimes wonder if she is a little bit too possessive of me. She was having mini heart attacks when I was going through trying to find another therapist near me. I think she was glad that I never found one and the one that I did was too scared of me to work out. I don’t know what it is that drives me crazy about her. I know she loves me and i love her to some degree and I think that is the problem. We don’t have a sexual love just a very intimate one, least that is what I think we have. I have been burned by so many therapists that even though I have been with this one for 12 yrs I just feel that she will be moving on even though she has not one inclination towards that. We have questioned whether this is right for us, even had a consult about it several times. there is just something I am missing and maybe the help thing was one of it that she picked up on and i am hesitant to ask. I don’t ask for help when I need it. I tried to kill myself at 10 and my mother knew but never got me the help that I needed. I somehow figured that I was left on my own to seek help and then when I got it, i got burned many times. She does help sometimes and sometimes she aggravates the fuck out of me. I have the letters to prove it!!

I know what you mean about the pain. It is when it lingers that it causes problems. I got so much pain, physical and mental, that I just don’t know what to do anymore so have decided that was it but I am still hesitant. My niece is 8 and i dread how my sister is going to tell her I am no longer here and that kind of keeps me going to NOT want to end it but then I get the whole friggen burden thing and think she will be better off without me in her life.

Just wish I knew what my purpose was. Been thinking of what kind of ideas people have when they think of suicide prevention. Yea you can know the warning signs but not everyone will fit into them. What will you say other than you need help? Like if someone unknown to you asks the suicide question or hints around it and you help them out for that day does it really lead to prevention when another person is too guarded to ask for help or even tell someone about it? It drives me crazy thinking about it and then I want to ask these people, like the prez of AAS how can you prevent something you don’t have control of? Even Shniedman said that he would not want to live in a world that is free from suicide. I am rambling…

piece of glass in the heart

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

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

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.