Tag: psychiatry

May is National Mental Health Awareness Month

by Midnight Demon, posted in suicide attempt

May is National Mental Health Month by Presidential Proclamation. I know I should feel happy that steps are being made to make mental health issues more aware to people but at the same time, I can help but feel resentful that I cannot find a therapist within a five mile radius of my house because of the severity of my illness. When my therapist and I knew that I couldn’t see her anymore because distance was a factor, I tried finding another therapist. I didn’t try once or twice. I tried ten fricken times. The last therapist that I saw locally was at a mental health clinic I used to go to as a teen but he was too scared of me. He was too afraid I might kill myself so that made it difficult for me to trust him. How could I work with some one that was scared of me? I am sure my current therapist gets scared when I tell her I am suicidal. Her anxiety goes up because she like to talk stupid things. I get that me being suicidal is not easy for mental health clinicians. It’s a clinician’s worse nightmare to hear that their client is suicidal or thinking about ending their life. But I know there are going to be a lot of people who have had past attempted suicides that are going to be in the same boat I am. No one wants to deal with this population. It is a crying shame. And no wonder Suicide is a leading killer of the United States.

In addition to me having mental health issues, I also have physical issues that prevent me from walking long distances. It makes me crazy that I have this problem and my mental health team does so much to help me deal with it. I was once working two jobs, but that proved to be too much for me and now I am collecting social security benefits and wondering if I will ever be able to hold down a job again. I don’t know. I really want to go back to school but I cannot afford it financially. I have defaulted on my student loans so there is no hope of me ever going back to school on my income. I know it is my fault and it pains me so severely that I want to kill myself because I know I have wrecked whatever credit I ever had. It physically and emotionally hurts knowing that my credit is fucked. I can never own another credit card for as a long as I live and I cannot begin to think of what lies ahead. I always hear that some jobs require a credit history check. If that is the case for me, I know I will not be able to get back to work.
I hate the idea of not being able to support myself. I know that I have made mistakes in my life and if I could do it over again, I would not make the same one. I would be further along in my degree and I would be on my way of being the kind of therapist I want to be. I know that there will always be risks with working with suicidal clients. I know because I am one of them. But mental health awareness campaigns do help screen for depression. But it doesn’t help those that want to kill themselves. Very rarely do you see the question on questionnaires, do you or have you thought of killing yourself in the past week.

So I wonder now that May is mental health awareness month, will I be able to find a therapist within a five mile radius from my house?

ramblings 35

by Midnight Demon, posted in suicide attempt

It’s a cold day today. Monday was just a tease of spring. Today we have snow like conditions. Tonight’s baseball game has been cancelled due to rain. I am upset because now I have nothing to watch. Maybe I will watch Lincoln again tonight.

I saw my psychiatrist today. I told her I felt bad that I neglected her in my book and wrote a few pages about her today. I wanted to write more but I had to catch the bus. I will work on it more tomorrow. It is important that I try and capture the alliance piece because without it, I doubt that I would be seeing her. And as she said, that would be a lost opportunity.

I had two cups of coffee today and right now I feel like I could take a nap. I have been up since seven this morning so it already has been a long day as it’s almost six in the evening now. I haven’t had supper yet and plan on making grilled cheese as it’s National Grilled Cheese day. Who knew?

I have not had real thoughts of killing myself today. I tossed the idea around like I usually do every day and often wonder what it would be like to be dead but that is as far as I got. I didn’t make any plans. I have been in pain today because of the walking in going to my appointment. But right now it’s a tolerable level. I just have to be careful going up and down the stairs tonight. Because that motion aggravates my foot. It does not like it.

I’m listening to Luke Bryan as I am writing this. I love his voice. I just downloaded (legally) his newest song “crash my party”. I heard it at the ACMs and loved it. I am so glad that he released it. I thought it might be on his summer break album but it’s not. He is just an amazing person. In other news, I was saddened by Sugarland’s extended maternity leave. I miss listening to Sugarland. I LOVE Jennifer Nettles. She also has an amazing voice.

Today is the first day my therapist is away. For the first time in twelve years I am nervous. But my psychiatrist is there in case something should come up. I am don’t know why I am nervous. It’s not like she has never been away before. Usually I welcome her vacations as it gives me a break but this time it just sucks. I have been working on the Aeschi model and it just makes so much sense with the way my alliance is with my therapist. I know I will survive a week without her, and I also know I will text her every other day to give her an update. She is a looney tune for wanting these updates, though she is not going to be in an area that has reception. I’ll send the texts anyways because I fear that if she doesn’t hear from me she might get worried. Part of the agreement we have is to constantly be in touch with her. She always wants to know what is going on with me and sometimes I just want to be left alone. This time I will be left alone as there isn’t a way for her reach me should I need a check in. She doesn’t have anyone covering her while she is away. But I should be ok. I don’t know why I am nervous though. I guess I rely on her so much lately that knowing she is not there troubles me somehow? I just hope that I can continue to write like I have. It would really suck if I stop writing. Then something is really wrong with me…

what it’s like to be in physical pain

by Midnight Demon, posted in cauda equina syndrome, CES, Chronic pain, chronic physical pain, depression, physical pain, suicide, suicide attempt

Last night I was in wicked bad pain. I started to think about ending my life again. The pain was that bad. I don’t know what caused my pain to flair up. I didn’t do anything more than I usually do when I have a day to chill, which is most days. I took a walk to the post office and sub shop to get a sub, then went to the liquor store to get a drink and cash my scratch ticket. Then walked home. I guess I was walking out of sorts as I didn’t wear my AFO. It sucks to use it for short walks but I guess me not wearing it is causing some flare ups.

Today pain is not that bad. I did some reading on a big book that I am reading, Alexander Hamilton. I am making headway slow but sure. I have to read it when I am not too tired as my eyesight will become unfocused now. It really sucks but this week I am going to visual therapy to correct it. My eye muscles just need some adjusting. I should also be taking a multivitamin but it is a pain to remember everything I have to take. Last week I filled my weekly pill holder with everything I have to take with extras such as omega 3, vitamin d, senna, and iron. My night time meds looked like a meal. I normally take at least a half dozen pills a night, not including my pain or anxiety meds so with these pills added, there were a lot. Then I had to eat something to cover it so to coat my stomach. I tried not to eat too much, just a bowl of cereal or a slice of toast. But sometimes I will have a meal, like scrambled eggs and toast. My eating habits are not usual as I don’t eat regularly. I tend to eat every 6 or 7 hours, if that. And usually only have one or two meals a day, even though I am home and it isn’t good. I just don’t have an appetite most days.

I take a lot of meds for my various medical and psychiatric illnesses. I used to only take meds for my psych condition but since CES entered my life, I am on more meds than I can shake a stick at. And that is if I am having a good day. A bad day, I take more, especially to control the pain. Or if I just want to escape I will take some Neurontin. That drugs takes your to another planet for a couple of hours but lately it hasn’t been as effective as it once was. Which is disappointing. The only downside of this med is that it gives you the hungry horrors the next day. I have gained more weight on this med than any other but I try and eat better when I have the horrors because I know I will be eating more. It is the only time that my appetite will increase.

Anyways, last night was a bad night and now I am feeling fine and good, least for now. Pain doesn’t usually start until around 2100. If it is not too bad I will take pain meds and then be able to sleep in an hour or two. If I am up more than that, it’s going to be a night similar to last night where nothing can touch my pain and I am off to thinking bad thoughts again.

Sometimes weather can play a part in it. Right now it’s snowing so I know that the pain last night was more because there was precipitation on its way than anything. I am sensitive to this. I am just grateful it didn’t knock my back out. I have had rain storms do that and soon as it stops, I am fine. It is the weirdest thing to be in excruciating pain, not being able to move any back muscles one minute and then be fine the next.

exciting article

by Midnight Demon, posted in depression, mental disorders, mental illness, mood disorders, psychache, psychosis, suicide, suicide attempt

Just read an interesting article about the Collaborating and Management of Suicidality (CAMS). I can’t believe this theory is 25 years old. It is gaining more acceptance as time goes on as more countries are using it as a treatment modality in suicidal people. It is a clinical intervention that is used as a collaboration between client and therapist in the treatment and care of a suicidal person. I find it one of the best out there and it is the best because it can be used across the disciplines in the mental health field.

I will be writing more about this. I write a lot about Jobes, the creator of CAMS and the SSF (suicide status form). He is the most brilliant person I have ever met. The fact that this is going to electronic way I think will be used across mediums and will be easier to deliver. Most clinicians have gone the electronic way but not all. This makes me want to go back to school and get my degree.