Hospitalizations: Fifteen Minutes of Fame

Hospitalizations: Fifteen Minutes of Fame

I had therapy. My therapist read my “Brick Wall” blog. She asked if we could talk about the bricks and we spent most of the session going over them. I also told her about my book problems, that I think it is disorganized. She said that it is her most prized possession, so I think she is biased in my writing abilities. She said my short story was heartbreaking to read. I haven’t gotten too many likes on it. I may have to play with the tags a bit. Anyway, talking about the bricks was difficult because it lead to where I was in my last hospitalization, where I wrote the story. I told her how no one was looking at the bricks, that they were just looking for the cement to dry before sending me home, so to speak. That is all they cared about. Stabilization and discharge were the key focus of what they wanted to do. What brought you in the hospital, they didn’t care about. Or if they did, it was always, “we’ll talk about it tomorrow” but never did. I hated that my needs were ignored and patronized. I flatly told them I was going to kill myself when I left the hospital during my initial few days when they wanted to discharge me. And it was true. I needed help and was going to stay inpatient to get that help. Except the help came back to me looking for help from outside services. The social worker that was working with me didn’t care about my needs. I ended up having to call places to look for outside support. I tried to get it but never had a call back or even an email back, though one place the email came back as undelieverable. It was a trying time. I wanted to kill myself so badly and yet I was supposed to make all these phone calls to show that I wanted to live? To do the work my team was supposed to be doing? I just don’t understand their mentality. Yet it has been nine months since I left the hospital. I am still here because the anti depressant they put me on really help stabilize my depression. Too bad it no longer works. I stopped taking it in December.

My therapist thinks I should write a blog about past hospitalizations and current ones. Thing is, I don’t remember much. I know things are different today than they were back then. For example, there are no longer any outside passes given. If you want outside passes, you are basically discharged. When I was in the hospital in August, they wanted to give me grounds privileges. This meant that I could go out for staff walks. I told them adamantly no because I was scared I was going to run. They gave it to me anyway. Granted that at the time, I was in an AFO so I know I wouldn’t get far, but they still took that chance of letting me go. Stupid, I tell ya. I should have gone away from the group and tried to escape. I don’t know what that would look like but I know it wouldn’t be good on either side. I would most likely get reprimanded like a child, even though I am an adult. But that would be on them. I told them I would run and if I did, it was on them, not me.

I remember a time when I was in the hospital 21 years ago. I was severely depressed and suicidal. I had attempted suicide and was hospitalized against my will, in fact the admitting staff forged my signature on the consent form. I went through my records after discharged. Anyway, back then they had ground privileges, which meant you could leave the unit unaccompanied by a staff person. Just as long as you stayed on hospital grounds. Well, I decided to walk around the block after working hours and got “caught” by off duty staff. My privileges were revoked the next day as I broke the “rules”. I never kept my privileges too long. I always did something to revoke them. One weekend I had to beg for an outside pass just to pay a bill (I was there for more than a month and if I didn’t pay the bill, my phone was going to be turned off). I told them I would be back within an hour and I did. It was the first time they trusted me to do this. It was tough because I was so suicidal and they weren’t going to let me try again, hence why my stay was 2 ½ months. That was my longest time in the hospital. It did help me but the demons were still there. I had major issues that I still don’t talk to anyone about, not even my current therapist. It’s just too scary.

Last night I was looking for former therapists. I came across one, Dr. B. She helped me probably more than all the rest. She was the longest therapist that I have seen till that point, three years. All the rest of the therapists that I have seen were year or less. I am going to send her my book and email address. I wrote about her in my book. It was hard not to include her because the opening introduction has her in it as that was my first serious suicide attempt. I had made other attempts before that one, but this one landed me in the hospital and then I was there for a long time. That is when you had good care and one on one contact with someone. Now they have these “teams” where there are all the staff from the unit meet with you for fifteen minutes or so and then decide what to do with you. Fifteen minutes to decide if you need further stay or discharge. It is nothing like the care I had 21 years ago. You met with your inpatient therapist, then a social worker, and then your contact person who was a staff member for that shift. This no longer happens and it’s sad. No longer do you feel safe in the hospital or cared for. It is the end of the era for hospitals. I will never go back, no matter how suicidal I get. They can just kiss my ass goodbye.

Brick Walls

7-Aug-14 Brick Walls

I am currently on a psychiatric unit in a hospital. I’ve been here for a week now, with no hope of getting out anytime soon. I am here because I am profoundly suicidal. All I see are brick walls surrounding me and they keep on closing in on me. It’s like a prison that only I can see. I am surrounded by these bricks and no one cares how high they get. And they certainly don’t care how they got there.

I want to take my life because I am stuck, just like these brick walls. The cement has hardened each brick into place so you cannot move it. My thoughts of suicide have also hardened to the point where they don’t budge. I feel very hopeless that this hospitalization will not help detach one of these bricks so that I make break free of the confinement I feel. If enough bricks fall, I may see the light at the end of the tunnel. But I doubt that will happen. I never see the light for long. I am always in a dark place. I am always feeling hopeless. And hopelessness and suicidal thoughts are not a good combination. They seal the cement and lock me in to this confinement that I am in.

The doctor and staff are trying their best to keep hope alive for me, but I just don’t see it. All I see is the brick wall that is impenetrable. Nothing or nobody can get through it or to me. It will take more than a jack hammer or two to get through to me right now. And it seems that no one owns one. The staff is too busy to care about the bricks. They just want the cement to fall to force me to see the light as the bricks become loose. Just so they can discharge me. They don’t care how the bricks were formed. And this hurts because no one takes the time to see how much I am hurting like they used to.

I have been trying to stay in the moment but my moments are just filled with suicidal thoughts and feelings. They are also filled with plans on how to end my life. Each thought makes the brick wall stronger so no one can breakthrough. Each brick has been mounted with feelings of inadequacy, shame, indignity, depression, hopelessness, worthlessness, and unbearable pain. Pain is the biggest brick. It lies in the center surrounded by the other bricks that I just mentioned. It exceeds all others in thickness and size. It is killing me, literally and physically, to be in unbearable pain all the time. The pain stems from just left of the sternum of the chest wall and captivates the entire left side of the chest cavity. It is a pressure felt day in and day out. In essence, it is like a ton of bricks weighing on my heart.

As the cement hardens around the brick, making it so difficult to breathe, the pressure on the chest increases. No medical tests exists to identify this weight. It’s not visibly present. That makes it difficult to explain without the feeling of sounding crazy. Who is going to believe a suicidal person that there is a weight on the chest when no one can see or feel it? It is not measured by tests or electrocardiograms. It is just a heaviness that fills your soul. And the soul cannot be seen or felt. Nor can it be measured. No one’s pain is the same. Each is unique to that individual. And my pain is what is strangling me in this moment of time.

The pain is always present in times of despair. It ruins any hope one might have and increases the weight of the bricks bearing down on you. Nothing alleviates this pain. There are no pills that can ease the pressure or painful despair. It’s ever present and deepens the despair because no one understands it. All the symptoms of depression and suicidal thinking makes it very difficult to treat. And the longer it lasts, the higher the brick wall is built. Will the doctors and social workers have what it takes to help bring down the brick and mortar? Very unlikely. They don’t have the time to really get to know me, much less help me. I have resigned myself to stay within these brick walls until they envelope me so I can no longer breathe. Each day they move closer, causing me to feel more isolated and the feeling of suffocation grows stronger. Love doesn’t have any effect on these walls that have surrounded my heart. My heart has become stone a long time ago. Only negative feelings are allowed to pass through. I have given up on positive feelings ever passing through my little barricade. It took years for the brick wall to be built. It might take years to be torn down. But the suicide demons won’t allow that. This time the brick walls will win. I no longer have the energy to chisel my way out of my own prison. But then, I am in a psych ward where chisels are not allowed. You just expected to go to groups to cope with the demons rather than allow them to fall.

And because no one knows the depth of my prison, I am here for a long time, in solitary confinement. The walls are dark and gray, just the way that I feel inside. I doubt I would ever get parole from this darkness that fills my soul. If I do, it is only for a short time before I am back in solitary. The light barely has a chance to touch me before everything becomes dark again. That is why I don’t trust happiness or feeling good. I much rather be content about things than feel happiness. Happiness, to me, is a fleeting emotion that is hard to hold onto. It is slippery like silk, never lasting more than a few minutes and devastating when it leaves you.

So I sit here in my room, surrounded by darkness so the sunlight won’t come in, staring at the brick wall and it staring back, trapped in my own prison.

coming out as transgender

Coming out as a transgendered male (Female to Male) has not been an easy thing to do. It has been a very confusing road since kindergarten. The hardest part of the journey was puberty. I had a male best friend and I seriously thought that we were of the same genders up until I started developing. When I started developing breasts and he didn’t, I was confused so much that I wanted to die. But when you are eleven, the concept of killing yourself is not completely formulated. You knew you wanted to die, but didn’t know how. You knew that suffocation by a plastic bag would do the trick, but were too scared you would get into trouble with your parents. That fear prevented a lot of suicide attempts, especially during adolescence. The more I developed into something that conflicted with my brain, the more it hurt. But it wasn’t a physical pain like that of a broken limb. The psychological pain was so intense that suicide was all that I thought about. The higher the pain, the deeper the suicidal impulses would emerge. But I had to be a “good girl” and fight what was wrong. I suppressed the feelings of maleness but still acted like a “tomboy” in every fiber of my being. I wore baseball hats whenever I could. My father disliked it so much, he often threatened to cut up my hats when I got “caught” wearing one. To him I was a girl and I should act like one. My sisters did act like their gender roles, but that make up and hairspray were something I was not into nor had an interest in. Boys didn’t wear those things and neither would I.

When my menses started, that really started the hardest part of the conflict to deal with. I was bleeding and I didn’t understand why. I was welcomed into “womanhood” and I wanted nothing to do with it. I didn’t understand why I wasn’t growing a penis. It was a very confusing time and month after month, I hated myself more and more. Even the use of feminine products was abhorrent to me. The more I grew into a freaking woman, the more I hated myself. I prayed for death every night. But no one knew of this struggle. Not even my best friend. With him, we were buddies. I was “Mike” and we played pretend male gendered games such as me being a mechanic or cable repairman. When T-ball season came around, I asked my father if I could play. But he stuffed my dreams of playing saying that is only for “boys” not for girls. I was beyond hurt.

During middle school, my sisters would have boyfriends. I never had an interest in boys. I was a boy so why would I be interested in my own gender. I didn’t have feelings for girls either. For the longest time, I thought I was asexual. It wasn’t until I was in therapy after my family fell apart that my therapist asked if I was gay. I felt really uncomfortable with the question. I just was saying I hadn’t found the right “boy” for me. She didn’t have to know that I was a boy inside just waiting to come out. I had suppressed it so much that I really didn’t think about it at this time.

When I first became suicidal, it was when I was fifteen. My family had fallen apart and I fell apart with it. My father called me a liar and my world ended. I was no longer a good “girl” in his eyes so there was nothing to live for. I started self-harm by cutting, thinking it would bring me to the verge of death, but all it did was bring my internal pain to the outside. After that therapist asked the “gay” question, I started thinking about it, but it was on a subconscious level. I remember being on the train and these really good looking women were on it. And I don’t know what possessed me, but I wanted to kiss them and it didn’t phase me that it was wrong. When I got hold of my senses (I made no such act toward them for fear of being called a freak), I was shocked. I grew up as an Italian Catholic and I knew homosexuality was forbidden. I knew I couldn’t bring it up in therapy. I was too proud to do so. Yet I continued to feel like I was crazy. Then things started to make sense to me. The voices that I was hearing, all were female except for one or two of them. I have been hearing voices since I was five, but that is another issue.

When I was sixteen, a therapist that I was seeing was leaving. I was very hurt. I felt I had nothing to live for with her leaving me. So in April 1993, I overdosed. The pain of living my life as what I was, was too great to bear. Subconsciously, I always wanted to die because I was in the wrong body. And I finally made an attempt to kill myself because of it. Though when I was asked the reasons, I just said I was depressed. No one figured out why I was so depressed. People never talked about being transgendered or being gay. Yet here I was, in the mix of being a confused teenager and had no one to turn to for help. Because I had suppressed so much of myself, I couldn’t even bring it to the surface. I had other issues to contend with, such as the break up of my parents.

Then suddenly women were attractive to me, something that has not happened before and I liked it. I thought I was crazy and that no one would understand. I felt isolated and despondent. There wasn’t a gay person that I knew and this was before the age of the internet so it wasn’t like I could ask Google what to do. Instead I internalized and compartmentalized. Then one day in January when I was 17, I started cutting myself and I didn’t stop until I was satisfied. But I didn’t know I did it. I knew I did it as I was holding a razor but I didn’t cut myself. I dissociated. That landed me in the hospital. I met a homosexual male and asked him about being gay. He told me that it was natural and that I wasn’t crazy. I took a chance and told the staff I was gay. I didn’t get a lifetime commitment in the psych ward. I felt a huge burden was lifted off my chest. But my Best friend that I had known since I was in diapers, didn’t like me being gay. He felt if we had sex, that would change me. But we already tried that and every time we were intimate, things turned off. I just wasn’t attracted sexually to males.

Fast forward to now. Around the time I was thirty-three, I started realizing that I wasn’t going to magically become a male. I came out in my therapist office and started crying like a baby because it was the source of my suicidality. I had been really suicidal and for the life of me, I couldn’t figure out why. Then when my menses came, I immediately became suicidal. Since I put two and two together, I realized that I was a male and it was time that I stop repressing myself. I wear male clothing all the time, except for that time of the month that I am forced to endure. Trying to stop the female reproductive system has been the hardest task for me to endure.

I was recently hospitalized and am just a little over a week since I have been discharged. The reason I was in the hospital was because I had overdosed on some pills. I couldn’t take the self-hate anymore about being a transgender. There were other reasons too, but being in the wrong body took precedence over the others. I hate feeling like this. I know there are treatments out there but there is a lot of stigma that prevents it from coming to people like me. I am not sure I want the sex organs either but I do know I want a double mastectomy. There are days when I am okay with having breasts and then there are other days, I can’t stand them. I hope one day I can take the next step forward. But I got to first like myself because if I don’t have that, I won’t have anything to like or live for.

how can I keep myself away from me

How can I keep myself away from me

I tried the not talking approach to my therapist today. I think it works better in person than it does on the phone. I just did not want to talk today at all. She tried to get me to engage with questions and I just shot her down. I kept telling her this is all pointless. Then she went off about how much I mean to her, and on and on with things like that. I just couldn’t hear her. I tuned her out, like I have most of my friends and family lately.

She wanted me to list the reasons why I want to kill myself. I thought about sending her the blog I wrote the other day but I can’t remember which blog it was. Once I write something, I forget it. It’s like mental eraser once I put it in a blog or on paper. So I will make a new list and please don’t think this is a whine list. I am already close to the edge and it won’t take much to push me off.

I don’t want to live anymore because I am not a full human, I am not a man. I will never be accepted by the society I live in, even if I were to get hormones. The people close to me, my family, will never call me a him or he. I will never be an Uncle, though I can’t imagine after almost 21 years, I can be called that. I have gotten so used to “aunty” that it just suits me, even though it isn’t the right gender preference.

I want to end my life because CES sucks. I am tired of being in pain every single day of my life, in some way, shape, or form. I can’t even have a bowel movement without pain, even if the shit is soft, I hurt. It’s all nerve pain so I doubt anything can be done about it. Luckily it goes away but I suffer for at least 15 minutes to a half hour after every movement. I never thought my life would come to this. And peeing myself every day is no help. I thought that shaving my pubic hairs would help but it doesn’t. I still smell if I don’t shower every other day. The worse part is that I don’t even know I am wet. I don’t have normal sensation down there since my second CES diagnosis. I know people can laugh it off but it really sucks for me because unless I use a pad (which is difficult with boxers), I leak. I just don’t realize I am full until afterwards. My urge to go is not that strong.

Dealing with depression and all that comes with it. The mental pain of living every day when you hurt physically and mentally yet you can’t take a narcotic pain med to ease that ache. I have tried. I once took a handful to ease the mental pain and it did nothing, NOTHING, for me. How can you continue to see a psychiatrist or a therapist knowing they cannot ease your pain. I have tried, desperately and in vain, to find something, anything, to ease this psychache. But all I get is talk therapy to address it. I am tired of talking about it. Nothing helps. Writing used to but now I just think I am a whine bag, going on and on about my little complaints on why I want to take my life.

I never will go back to school again. I will never embrace the academia again and that hurts me more than I say. I will never earn enough or save enough to go back to school, unless I hit the lottery but you have to play to win. I don’t even have the extra buck to play. I never will get my degree that I long for. And I feel like I have let my family down because of this. If I never got sick with mental illness, things would have been different. But this damn illness always gets the best of me. I have to go into the hospital at least once a year, sometimes twice because I just can’t handle “life” and need a “vacation”. If I didn’t have yet another breakdown in 2008, I probably would have got my degree by now and I wouldn’t be fucked with my loans. I don’t blame anyone for this. I blame myself for being sick. Living on SSD is not always as it is cracked up to be.

Then we have the employment issue. Will I ever be able to hold a job again? The past two months I have been plagued with hypomanias and psychosis which if I was working, would have been worse and I would be in the hospital again. And this is without a job! How am I supposed to handle work responsibilities when I can’t even handle no responsibilities? With the Long Term Disability still hanging over me, I still cannot get a job even if I wanted to. I really would like to go back to my old job part time. I just want to feel useful again. I don’t feel like I deserve to live because I feel so worthless. And being an author didn’t exactly give me the fame I thought it would. I still fight for every sale, every month. But self-promoting is hard work, harder than I thought it would be. I thought that when my book went on Amazon, it would fly off the shelves, so to speak. Hardly that. I never thought it would reach a best 100 status, that would be impossible and an unreachable goal. But to be in the millionth rank, well, that was not what I was expecting. And then you had to create an author page. I hate the way I look so I neglected for almost a year to put a pic up. I still don’t know what to say in bio so left that blank. All these things you need to do and yet no one tells you. You just learn as you go.

I hate my body image. I hate the way I look. I always have. I really don’t think that is ever going to change. I avoid mirrors like the plague. And no matter what pic or selfie I take, I always look like a moron. I am just not photogenic, but that isn’t what drives me to kill myself. I just hate me, everything about me sucks.

I think I have listed enough reasons why I want to take my life. These are the top ones.