Tag: psychosis

A remembrance of the past

by Midnight Demon, posted in depression, mood disorders, suicide, suicide attempt

I read a blog today that really hit home and made me think. It was about a person that wrote about her experience of attempting suicide eight years ago this month. I also have an attempt anniversary this month, actually in a few days time it will be 21 years ago that I first attempted suicide with diphenhydramine, also known as Benedryl. I remember that it was a month after my then therapist told me she was leaving. I thought fine, so will I. I planned my death on a day I knew my family would not be home and took the pills. What I didn’t account for was puking, violently. If I hadn’t, I probably wouldn’t be here today. I still remember my eyes being dilated for almost a week afterwards. I was pretty mad and I felt like a failure, a huge one. Probably the biggest one on the planet at that point. Here I was, a very intelligent teenager who couldn’t kill himself right. I sunk into the worse depression after that. Actually, I had no idea I could sink worse than what I already felt but I did. I began losing weight, lost my appetite almost completely. I was sixteen years old and all I thought about was death. I was not sleeping. I would wake up at four in the morning nearly every day and couldn’t go back to sleep. I would wake up dreading the world, not wanting to go to my summer job but I had to. I couldn’t show that I was depressed. My mother had already freaked out when she found out I had overdosed thanks to the said therapist who told her after I told her what I had done. I didn’t know what to do. I think after several weeks of this and it just getting worse and worse I called Samaritans and talked with them about my situation. The person told me that I should be in the hospital and I contemplated that. I waited a few more days to see if things would get better and when I couldn’t take anymore, I told my mother I needed help. She took me to the hospital and I got diagnosed as major depression with psychotic features. Up until then, I had dreams of joining the navy. Those dreams died in the hospital emergency room when they told me I was psychotic because the voices in my head wouldn’t shut up. I actually felt free to talk with them for the first time in my life. My mother didn’t like that as it appeared that I was crazy. Well I was…

I got to the hospital and got sent to a local psych ward that was NOT for teens. I then got transferred to a better psych hospital the next day. I would have two more admissions there before I had a break. So my cycle of being in and out of the hospital began. I had three admissions all within a year. I blamed my next therapist for this as if she was doing her job, I wouldn’t be so sick. This is the therapist that I saw after the other one had left. I have seen many therapists in my lifetime, too many in fact. Before I turned twenty-five, I would have eleven therapists. Some therapists only saw me for ten months, others were year and a little over. I never had continuity in my care so I always remained unstable. Surprisingly, the only stable therapeutic relationship I have had was with my psychiatrist, whom I have been with since I was seventeen. I wished so badly at times that I could see her for therapy but she only does medication.

And here I am twenty odd years later and I still want to end my life. How sad is that…

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.

Farkle and buses

by Midnight Demon, posted in depression, mental disorders, mental illness, mood disorders, physical pain, psychache, psychosis, writing

Nothing interesting going on today. I went to see my therapist and psychiatrist. My therapist and I talked about my current delusion/paranoia: the 6 die and the crowding on the bus. I play a game called Farkle and it is a dice game that is played on my phone or computer. Don’t really know the object of the game other than to collect as many points without Farkling, which is when you don’t get the one or five die. Lately my delusion has been focused on the 6 die thinking it just wants to kill my game. I become paranoid every time I get a 6 thinking game over. But usually that is not the case. Irrational I know but when you are delusional, you can’t be rational.

The crowding on the bus situation is my true paranoia. I HATE it when people start crowding up the entrance doors and I literally begin to panic and have anxiety. I just get so paranoid that these people that are standing are going to go flying because the bus had to come to a sudden stop or some jerk cuts the bus off. The worse is when strollers get on the bus and take up seating for people. One time there were three strollers and they weren’t the small kind. I am talking about the heavy duty ass big wheelers that take up 3 adults just to fit a small tyke that swallows it whole. DRIVES ME NUTS. It blocks the aisle where people want to get off or on and then I am left usually without a seat at my designated disability seat because these mini cars are now in my way. I will not go out because of this paranoia some days. I just can’t stand to see the aisle clogged up with people or strollers. It just makes me really anxious.

Because I spent a good time out today, my ankle is really sore. I am finding that even the smallest of activities have flared it up. The pain is bone crushing. This is the lateral malleolus or the bone that sticks out at your ankle. The pain is so intense, especially when I stand. I know all the more reason that I should lose weight but when you can’t fricken walk right, all you can do is restrict your caloric intake and that is difficult to do. I have been trying for weeks to stick to a diet but I have been failing completely. I just can’t help it. I like to eat. I have been trying to control the cravings but it is so difficult. If I want Chinese, I’ll have it. If I want pizza, I order it (I like plain cheese so it’s not too bad). Today I thought about Thai food but decided against it as after my appt with my psychiatrist I just wanted to go home. I thought about making manwich. I haven’t had that in sooo long. So tomorrow I will make that. I bought the lean meat. Only problem is that I am the only one that likes it. I usually end up eating it all. Another item of food I cannot resist. It is just sooo good!!

stigma and suicide

by Midnight Demon, posted in depression, mood disorders, psychache, suicide, suicide attempt, writing

Stigma and suicidality
“Among the 10 leading causes of death in the U.S. most are claiming fewer lives each year but sadly suicide is on of the few that continues to rise. Depression and other diseases of the mind that contribute to suicide are real illnesses, not weaknesses. Not character flaws. People battling these illnesses deserve understanding and treatment afforded people with any other llness.” Robert Gabbia AFSP Executive Director.

There is a stigma out there that mental illnesses are not real. That if you just pull your boot straps up you will be ok and not suffer from depression. I have a friend in Canada, a place where the suicide rate is higher than the US because they are still in the dark about treating depression and other mental illnesses. Like Mr. Gabbhia states this is not a character flaw or a weakness. This is real. It takes character and strength to admit there is something wrong and to see help for it. And if you don’t succeed the first time try again until you do.

If I didn’t try and try again, I probably wouldn’t be here today. I probably would have taken my life. I have seen over 10 therapists over the course of my treatment for my mental illness. My current therapist I have been with for the past twelve years and it has been the a huge difference. With the stability of treatment providers I don’t go to the hospital as much and with the value of trust between us, I can state my suicidal feelings without being held against my will in some treatment facility. I am open about how I feel with my therapist but it took a long time to get to where I was. It took about 3-4 years to really trust her and for her to trust me.

I say that it takes trust between us because most therapist are under the believe that all people that have suicidal thoughts should be hospitalized immediately if they cannot be held to safety contracts, which are worthless. Therapist think this is the way to go but it is not. It just takes the legality of it all away from the therapist and really does not put trust in the relationship. Nor does it build an alliance with the therapist because the client is always in fear of being put into the hospital for fear of stating their true feelings. Is that how therapy is supposed to go? Again you have the stigma that if you talk about suicide, you will cause suicide. That is a common myth that everyone still believes is true except for those that actually deal with it. Like me and other suicidologists around the country. Those that deal with suicide are afraid of being sued but there are measures that can be taken so that it is not as frightening as it is. I am not saying that the person with a loaded gun or is in eminent danger and threatening suicide should not be hospitalized and that that gun or other means NOT be taken away. I am saying for those that are chronically suicidal be given a chance that doesn’t include the hospital all the time. In the course of my therapy over the past twelve years I have been hospitalized 4-6 times, compared to twice a year for the previous ten years.

For resources on dealing with suicide:
http://www.suicidology.org the American Association of Suicidology.

Jobes, D. A. (2006). Managing suicidal risk: A collaborative approach. New York, NY: Guilford Press.
Michel, K., & Jobes, D. A. (2011). Building a therapeutic alliance with the suicidal patient. Washington, DC: American Psychological Association; US.