This is me trying
I have been having a hard day. I hardly slept. I was able to get to sleep okay last night but I woke up around midnight and found it very difficult to get back to sleep. I got a headache around 4 and I finally took something for it around 5. I then slept until my surgeon’s office called and I was cursing the phone. I didn’t answer it. I let it go to voicemail but man I was not happy. I stayed in bed until my bladder said I had to leave. I used the bathroom and then went back to sleep till around 1pm or so. I have been in a grumpy mood and memories of last year at this time have crept back. I had my last psych hospitalization last year, on International Suicide Prevention day. I made an appointment with my therapist on that day. I find it amazing that I am still alive. I was so sure I was going to die last year. I had such a horrible depression that wasn’t helped by anything.
Today’s pain is mostly in my back and ankle. My ankle got so fricken cold that if felt like it was being cut with sheets of ice. I have thermal socks on now and my ankle still hurts. The ankle bone is throbbing up a storm and the area where it is being sliced is still being sliced. It is so painful. I would take a breakthrough med but I need to hold off on it. I wish I could freely take my meds but I can’t or I will be short by the end of the month and that will be a disaster.
I feel really depressed. I hope next week when I see my psychopharm she prescribes me the citalopram. I don’t want to wait another week because my mood is just awful right now. I didn’t nap this afternoon like I wanted to. I probably would have felt better if I did. I have my T shot tomorrow so I might feel a little bit better. My blood numbers were terrible after surgery. I hope the T can stabilize some of the levels. The novelty of taking shots has worn off. I think it is because of the depression I don’t like doing it anymore. But I am going to be on T the rest of my life. I have not had the mental benefits of T. In a way being on it is its own mental relief because I am taking what I should always have. I want to be on a higher dose so that my beard can come in greater but my doc doesn’t want to increase it due to side effects. I think the benefits outweighs the risks. I don’t see her again till April of next year. I can wait till then to talk to her about it. Hopefully I will meet in person with her by then.
Since coming home from the hospital, my right arm has been bothering me. The vein is inflamed from the IV and it hurts. I asked a doctor what to do about it and she said to put heat compresses on it. I will do that later tonight because it is really bothering me today for some reason. I had a hard time getting comfortable last night. I just couldn’t position my arm so it wouldn’t hurt as much. Hope tonight is better after a heat compress.
Trans issues 10
The following is what I wrote on Twitter last night because I was having a hard time with gender dysphoria and being trans. Sometimes I am ok with calling myself trans and then there are times when I think someone is going to call me out and say no, you are not a boy. This will ultimately shake me to my core. I have been petrified that my therapist or some mental health professional will say to me that I should stop thinking I am male that I am a female. No one has done that. In fact, I have been supported throughout my transition. This doesn’t include my family because they are still getting used to calling me male pronouns and my legal name. They will deadname me at times. My cousins will as well. It is a process and I try to be patient with it all as I know it isn’t easy. But the fear of being forced to be something I am not is so strong within me. I don’t know if it is internalized transphobia or what. My therapist is on vacation so I can’t even ask her. My psychopharm is as well and she is trans. She would know what this is called and probably reassure me that no one will call me out on it.
Started journaling about my gender dysphoria & other trans issues I am facing. Stuff that I have been reading by a doc I follow has stirred things up. Worse is the transphobic book he is tweeting about. That really plays to my fears. Then I think about whether my therapist can handle me because I am trans. Not just her being gender affirming but actually have experience working with transgender people. I get scared that I will discuss something and it will disgust her. I also have it in my head that someone will say I am not trans and am a girl and should live that way which totally fucks me up because I’ve done that for so long. I’m just a guy that is struggling with my identity and the dysphoria that goes with it. But my fear is that my therapist will say why do I think that I am a male when clearly I am not. She has nor has anyone else said this but I fear it will be said. It hurts me to think that. I really think my suicidality is 90% because I am trans and in the wrong body.
I didn’t sleep at all last night. I was in pain and insomnia took over. I got 2 hours sleep in the last 24 hours. I am exhausted. Back is spastic and hurting. I just want to go to sleep. I took some melatonin to see if that helps me sleep because nothing else is working.
I had my anesthesia phone call. The nurse was nice and answered my questions. She is going to send me a message of what meds not to take the day of my surgery, which is next week. I plan on shaving downstairs sometime this week so I don’t have to worry about it next week. I wanted to do it yesterday while I was showering but my back kept spazzing up on me. I hate when I want to do something my back has other plans.
Random thoughts 14082020
I’ve had a productive day as I have been up since 4 am. I woke up wicked thirsty and then couldn’t go back to sleep after I drank the Powerade. I’ve been thirsty pretty much all day for some reason. I finished reading the Bell Jar. The book was about suicide and it was pretty graphic at times about it. I am glad I finished another book. I am going to read Dan Rather’s “What Unites Us” next. I started it a little while ago but never went back to it.
After reading the book, I still wasn’t tired so I made an appointment with my barber to get my haircut. I still haven’t showered yet but I think I will as it has cooled off some. I shaved with my electric shaver so I don’t have to again with the razor. There are some spots that aren’t as close as I would like. I will get them tomorrow when I shave again. I want to use a different razor than the one I have been using.
I had therapy yesterday and made some progress in some things. I figured out that she cares about me and wants me to go back on my medication. She was very adamant about this. She said that once I was on a stable dose of my meds I stabilized and she doesn’t want me to destabilize now. The voices are ramping up but are not bothersome. She wants them to be squashed now before they get out of control in a few weeks time. So I told her I would get in touch with my psychopharm and get back on meds. I am taking just 3 mg of paliperidone again. I hope it works to keep the voices in check. I was taking 9 mg before. I just hope I don’t get side effects like I did before. I told the psychopharm I want the smallest dose possible rather than mid to high range dose. I don’t want to experience what I did a few weeks ago. It was awful and I don’t want to feel that way again.
I got cramps this evening and I don’t know why. They just started a few minutes ago. I hate feeling them because I don’t know if it is my uterus or bladder. I am starting to think of getting a hysterectomy so I will know if it is my bladder or not. But I am scared because that means another operation. I am going to talk to my pcp about it when I see him next.
My back has been spazzing all day. I have been taking muscle relaxers but they don’t seem to do anything like they used to. I hope the Ativan works better. I am so fricken tired all of a sudden. I guess my gas has finally run out. I will be going to bed soon and hope I can sleep. I am in pain but it is manageable right now. My foot and ankle are always hurting but lately they have been hurting more. Last night was terrible. I had to take gaba to help quiet things down. Hope I don’t have to take it tonight. But I might as the pain is getting weird. Just hope it doesn’t keep me up like last night.
here is a link to an important article on suicide
Suicide: Say this, not that
what to say to someone that is suicidal. Please learn it and don’t be a dick.