ramble 072

Ramble 072

I had my therapy session today. She was overwhelmed with the amount of letters I had written to her while I was in the hospital. We talked a lot about what transpired in the hospital while she was on vacation. I don’t remember if the letters contain what my stay was about, chances are they will give more detail than I can remember.

After my appointment, like my routine goes, I went to Starbucks and actually did write up the short story I wrote while in the hospital. I was hoping to add to it while typing it out but no such luck. I just have a little over 500 words. I don’t even think you can call it an essay.

I forgot how I wrote the short story piece. It was very personal and yet depressing, leaving me feeling like I was boxing myself in on purpose. But it wasn’t clear why I was doing so. Sure, I gave a few reasons but it still wasn’t clear what it was that was causing the pressure to build up, fueling the suicidal feelings and depression that went with it. I know that if I answer this question, I might be able to write a longer piece to place it in my short story book. I am not going to publish it as a blog because I want some part of my book not to be blog entries. Right now, ALL of my second book are blog entries. I know, real original.

I didn’t walk too much today than my normal route to and from Starbucks. I did have to stand a bit while waiting for the bus that was late. It didn’t come till almost 20 minutes later. That is a long time for me to be standing. Luckily, I bumped into a former co-worker and we chatted while we waited for our respective buses. But I guess standing for that length of time, my leg is hurting me. And I still had the block and half walk home from the bus stop. My foot and ankle are swollen like I have been on them all day and they hurt. I just hope it doesn’t keep me up at night like last night and the night before last. I have been waking up in the wee hours of the morning in pain. Last night I waited out my night time meds and I was still up till three in the morning. Luckily, my niece came to my room around 9 to say her good-bye to me. She is leaving for college today and will be now spending time in her dorm. She is not far, she still will be in Boston just not at home so often. I still haven’t wrapped my head around it. I miss her terribly already and she has only been gone since this morning.

I am feeling depressed today but I have forced myself out of the house today and I felt a little better. I was able to get a seat at Starbucks, one with a table for two rather than the large common table to write. I was sitting on the bench side but had to move to the chair because the cushion was like a water bed. Every time someone moved, you moved with it. It was making me seasick. I am glad I forced myself to get out of the house. I wasn’t sure if I would be able to do it after my therapy appointment because I was down and tired afterwards. Therapy can be draining at times. Though today it wasn’t that bad because I was just getting caught up of what was going on while I was in the hospital. She too frowned at the thought of the case manager (CM) trying to stop me from being a suicidologist. In fact, with me writing another blog for the AAS, I am sure she (the CM) would be having a fit right now. But I am free from her clutches. She just doesn’t understand suicide the way I do. She thinks it is triggering. But really it is not, if you see things in a clinical type of way. And I mostly read professional articles on suicide, not so much people’s blogs about how they attempted to kill themselves or that they are going to kill themselves. I know my blog is about that. But it is my blog and I will write what I WANT. No one is going to tell me what I can or can’t write when it comes to my personal experiences on suicide. I struggle too much with the thoughts to give a damn what people think and if it is too much for them, then go find another blog to read. There are many out there that has nothing to do with suicidal thinking or chronic pain or struggles with being a transgendered person.

In fact, I am struggling right now with the TG issue because I had to stop my birth control pill to have a mense. I was getting too many days of discharge and it had to be done. Supposedly, I am only supposed to go three months on and one week off then continue. I can go for up to four or five months without having to have a break. And I am hating it because I have to wear female clothing and feminine products. Not to mention the bleeding that messes with your mind. But no one understands this except another FTM (female to male) person. I really need to find another transgendered person to talk to about this because it really does a number on me mentally. I know they exist somewhere. So if another blogger knows of one, please comment so I can get to know you, if you are comfortable doing so.

They say not to use the word “demons”

They say not to use the word “demons”

In recent news about suicide, attempt survivors are asking that the word “demons” not be used and that the real “thing” be used. I forgot the term as it was many days ago and I don’t have that much of an attention span that I used to have. It got me thinking about my blog as the word “demons” is used.

I don’t really care what these people say, I am still going to have my blog and though I don’t talk about the “demons” in my blog, I mostly talk about how I feel, which is often suicidal. These suicidal tendencies often come out in the middle of the night, when I can’t sleep, and when I am in pain. I would write some horrible stuff and get a lot of people concerned.

Tonight the “demons” are out. I am hating everyone that has kept me alive the past few weeks. Though I could kill myself now. It doesn’t make a difference with the time frame. I am in excruciating pain and just want to end things. I am so tired of fighting pain. It used to be just psychological that the fight was about. Now, it is both physical and psychological and I am sorry but I can’t keep fighting both. It is too hard. I know that I will feel better in the morning, when I get a few hours of sleep. But right now I could write an email to my psychiatrist and tell her how much I hate her for keeping me alive. I could text my therapist with the same hate. But instead of doing that, I am just going to blog until I fall asleep.

What makes my life so special that I can’t commit suicide? Robin Williams was special. He did the deed. So do a lot of people, every year. They say that 39,000 people will take their life in a year in the US. And the number of attempts are in the hundreds of thousands. Or maybe it is a hundred thousand. We just won’t know because it is so underreported. Many people survive their attempt and often don’t seek medical attention afterward. It is so hard to kill the human body. It boggles my mind when I hear of homicide, though. Seems like that should be higher than suicide but it is not (and please correct me if I am wrong).

But aside from the global effect of Williams’ death, I still feel like it is my turn to die. I really don’t want to live knowing I am going to be in pain the rest of my life. It’s too much of a burden to think about. But I am lucky that all I need are a few pain pills to ease my pain. It doesn’t get rid of the pain entirely, but just enough that it takes the suicidal feelings away. I just took these meds but it takes a half hour or more to work. Chronic pain is a big risk factor for suicide. I know because I live with it every day. My treaters know that. That is why I am hating them at this moment. My foot is throbbing up a storm. I don’t know if it has to do with the weather change. My body can’t tolerate huge gaps of temperature changes. But I have no control over that and I am not about to move to another state. Yes, moving to California might help my pain but it will be isolating because I have a few friends there and most of my family are here. Isolation and being suicidal do not mix. That is why I stay at home. It is a preventative factor for my suicidal brain.

I don’t know why I am up at 3 in the morning. I woke up in pain and still my pain meds have not kicked in. The “demons” are still around me, wanting me to try and take my life. But that will involve getting out of my cozy bed and I am too tired and in too much pain to do so. I guess you can say I am too lazy to take my life. So I write about it instead. I won’t write about the methods that have been swirling around my brain. But one of them include the method Williams chose. He is a brave person. It takes a lot to kill yourself. I am not giving him praise, the media has already done that. But I am happy for him. People in the hospital didn’t understand that. And maybe you might not either. I am happy for him because HE is no longer suffering. HE succeeded where I am a failure. His suffering has ended while mine is still going on.

He died as a complication of depression. I like that term. “Complications of depression” yes, I like that term very much. But I doubt it will be used for my death. The throbbing has escalated. My foot is now on fire. And there is no extinguisher in the world that can put out the fire. So I take another pill. I hope that I am sleeping soon.

Do I

Do I

“Do I” is a song by Luke Bryan, one of my favorite male artists. Every time I hear the song, I wonder if my therapist and I are still a good fit. I think we are as we have been together for so long, but I often wonder if I am too much for her to bear or that I am a burden to her.

I went to Starbucks for the first time in four weeks. All my baristas were gone from the Davis location. I was so bummed not to see familiar faces. I hope they were off that day or just on vacation. I will be super bummed if I have to deal with new people. I will go there tomorrow and see how they make a clover coffee. I won’t order their reserve, just the Pike. I seem to like that better than their regular iced coffee, probably because it is made fresh.

I am still feeling good. Today on Mental Health chat on Twitter, the discussion was bipolar disorder. I have been diagnosed with bipolar as I have had some hypomanic episodes. I have never been full blown manic. I had one episode while I was in the hospital. I was really jocular and upbeat. I was also really racy and despite taking Ativan regularly, it still didn’t alter my mood. This lasted until I took some pain meds and then I crashed, hard over this past weekend. It was fun while it lasted and I wish I still felt that great. I felt like nothing could touch me. Suicide was furthest from my mind and I felt like I was on top of the world, even though I was in a psych hospital. It was very strange. I was expecting to go down, but I wasn’t expecting to be “that” down. I was really tired and just needed to rest but I was too restless to actually sleep. I took a prn to calm down some and finally was able to get some rest. Everyone was telling me I looked tired and down. With my anticipated discharge on Monday, I was thinking that it was not going to happen. I really didn’t want to leave the hospital feeling the way I did this weekend. It was such a major depressive episode that I didn’t want to chance leaving the hospital and then acting on my thoughts. So I had to practically beg to stay one more day. My case manager asked me why I wanted to die. I told her to end the pain and the indignity that I was feeling with my disability. I really just wanted to say “are you fucking kidding me”? This hospitalization, I experienced everything I do when I am home. I crapped my pants, leaked urine, was suicidal more than a few times, and was overall, severely depressed. The hypomania was a godsend. I just wish it lasted longer than it did. But it never does and the longer it lasts, the worse my depression is. I think I had a total of 12 hours of it. Not long enough to do any financial damage or anything, but enough to let me know I was alive again, that something inside me wants to keep going no matter what the suicidal thoughts might be.

My writing partner has suggested that I write a book about coping as a suicide attempt survivor. I have been giving it some serious thought and I think I can write it. I don’t know if I am going to write it in blog form or book form yet. Depends on how much I can actually write. But a large part of what works for me is already out there but people don’t utilize it. For example, I gave the crisis response plan (see this blog about it) to one of the patients because it was less confusing than what the hospital was giving out about distress tolerance. The hospital uses DBT type of works, which is fine for some people but may not fit for everyone. And, who the fuck is going to look at a piece of paper when they are in crisis mode?? I know I am not. I have been there too many times. But I have found that the crisis response plan has been helpful to me since David Jobes uses it in his work with suicidal patients.

One of the mental health counselors was interested in my book and the SSF, Suicide Status Form (see my comparisons of psychological pain scales for more information). I wish I could publish it on my blog but it is not available in electronic form and I would be violating copyrights. I use this in my therapy when I am suicidal. It helps because it gives my therapists some way of knowing which areas are causing me to want to die. I think it would be wonderful to use in an inpatient stay but I don’t get to make those types of decisions. Anyway, this MHC and I were talking about it and it was so good to talk about clinical stuff with someone again rather than just stuff about me. It was like being back in academia again where exchanging ideas is so important for learning. I just wish my treatment team was on board with my ideas for my treatment than just saying that I have to stay away from suicide stuff. I told them that I can’t. It is apart of me like breathing. I am always thinking about what is best for me and I am always searching for an answer to end the suicidal thoughts. Just telling me to stop is not going to work. I read clinical stuff as well as blogs because I want to keep abreast of the latest research. Even though I am no longer a member of the AAS, I still keep up with the suicide research. I wish I could afford their membership but I am on such a fixed budget that I can’t. I also would love to have the archives of suicide research journal but again, I can’t afford membership. It totally sucks. I was hoping that the sales of my book would provide me with additional income but it hasn’t taken off the way that I wanted it to. I have not reached my goal of selling 100 books, though I am half way there. While I was in the hospital, I sold two books. Not my personal copies, just through Amazon. I did bring one with me to give away but I never did. I still have it. My book signing has not gone well. It brought extra income just to buy food and the essentials. The struggles of the writer. I just have to find the right audience to get my book sold.

I am planning on getting my book reviewed by the AAS (American Association of Suicidology). It will be sent out next week along with a book for my editor. I have been meaning to send it out but things always seemed to get in the way. I wasn’t planning on being in the hospital for so long. I really thought I was going to stay a few days and that would be it but they had other plans when I told them I was going to kill myself when I got out. Hospitals tend to frown upon that. I put them in a “bind”. Sorry, but that was how I was feeling. I really was in bad shape and all that I was feeling felt normal to me. Looking back, I see that I wasn’t as rational as I thought I was. I guess that small overdose was the wake up call for my outpatient treaters to put me in the hospital.

home

I am home from the hospital. I am feeling less suicidal than when I first came in and the case manager said I did a good job in staying an extra day to sort out my feelings. I was apprehensive about leaving but now I am okay and in my bed, which I missed very much. I am writing this on my laptop so it won’t take me five years to crank out a blog and it will be comprehensible as I won’t be using the touch screen on my tablet. God that was good in a pinch but aggravating to type on as it distracted the flow as I had to correct stuff as I was typing it. Like it would correct “three” with “there” when I really wanted to say Three. I supposed I should have used the number but I didn’t think of it at the time. Silly me.

I have my prescriptions being filled. The bad part is that I won’t be getting them tonight as the pharmacy is backed up. I am going to try and pick them up around 8 before they close as I will need the new blood pressure pill they put me on. My blood pressure has been high and so has been my pulse. I know it’s most likely because I am stressed and overweight, but one thing at a time. I am going to try and lose some more weight but it’s hard. I really am hungry right now and want to munch on things. Worst part is that there are cheese doodles that are calling my name. But I am going to be a good boy and not think about it. I know I gained a few pounds while I was in the hospital because I ate out of boredom. I just hope I didn’t gain too much or my PCP is going to have my head! And it is going to be harder to lose the weight than gaining it. I wish losing it was as easy as gaining. It sucks.

I forgot that I spent my last twenty bucks so I am fucking screwed in paying for my pills. I might have to borrow money from my sister, again. I hate doing so because she has her daughter’s college tuition to pay for. I just feel bad asking her for money. I don’t get paid till next week and I can’t go a week without my meds. That will not be good.

My mother is making stuffed chicken so I will have my first home cooked meal in a month. I can’t believe that I spent almost four weeks in the hospital. But I needed to be there. I really had no idea how sick I was. I just hope it stays this way, least for a while. I really don’t want to go back and I doubt that I will. I just miss my therapist and can’t wait till she is back next week. We have a lot to catch up on.