Tag: psychotherapy

Appts for the day

by Midnight Demon, posted in Bipolar Disorder, blogging, chronic physical pain, depression, mood disorders

Appts for the day

I got about 2.5 hours of sleep. I was up till around 5 because my pain was bad. I made it to starbucks for espresso and then left to go to the registration department at my hospital to change my name. It took about 5 minutes to do as I was the only person there. When I got to my psych’s office, I had them print me an extra label so I could take a pic of it but they cut off my last name when they ripped it from the machine. Oh well. My psych took me early, which was good. She usually runs late. She signed the paperwork for the RMV and we talked about the hospitalization not being helpful. I also told her the Zoloft was making me nauseous. We agreed to decrease it to 25 mg and if it still was making me sick, I could stop it.

While I was meeting with her, my PT called and left a message. I emailed her. She told me that I could go through some pain program and sent me information on it. She said that I needed to be cleared before going back to PT and I am not sure why that is as this was a psych admission not a medical one. Even when I tried to make an appt with my PCP’s office they had no idea what I was talking about. I emailed her again for clarification. I made an appt with her for next week, which I hope I can keep.

After my psych appt, I went into Boston to find the RMV. I am so glad it is around the corner from the train station. I will go there Wed. After finding it, I came home and wanted to rest for a bit before leaving for my therapy appt but my ankle acted up and I was not able to rest. I made some tea and then went to the bus stop to catch the bus.

Therapy went okay, though I need some time processing it. He got shrinky on me as before we ended he said that my “mommy and daddy issues were the real issues not my current ones”. Basically, because I haven’t dealt with my parents’ rejection and neglect, they were causing my problems, not my physical pain and suicidality. Whatever. I’ll write a blog on that once I think more about it. I am too tired.

On the way home, my ex-ex-girlfriend texted me and then “took a nap”. She does this to me all the fucking time and I am sick of it. She asked how I was doing and I didn’t answer her. I told her I was going to bed and then she said that I “ignored her for two days”. Um, text works both ways. I didn’t hear from her either. I was in bed sleeping most of the last two days. Kind of hard to text someone when you are sleeping all day. Then she called me a freak and that I was free to delete her. I blocked her number and then blocked her on Facebook. Fuck her. I don’t need drama in my life.

Went upstairs to my room and my bones in my ankle and foot flared up. I so want to fucking sleep!!!! I was in the boot for most of the day. Hope my night meds knock me out. Day 3 of supplement and haven’t noticed anything except my appetite seems to be low. I am eating but only 1 to 2 meals a day. I made an egg and cheese burrito and then had cereal when I came home from therapy. I was going to make hot dogs but didn’t feel like making them. I haven’t lost anything yet but I am only weighing myself weekly. I really just want to lose the belly fat but don’t know if that is possible. Still have 27 days on the stuff so only time will tell.

Therapist’s choice or fear?

by Midnight Demon, posted in Bipolar Disorder, blogging, depression, mood disorders, suicide, suicide attempt

Therapist’s choice or fear?

My therapist of sixteen years had decided sometime while on our three week break that she couldn’t work with me anymore for what reasons are still not quite clear. We had been arguing over various things the last several months, including my suicidality and it was becoming apparent that she refused to seek the given evidence based practices I was telling her about to deal with my suicidality. I was becoming more and more frustrated and wrote a blog about it that “opened her eyes”. Our engagement ended in February of this year. I was gutted. I had no choice but to end things with her if she had no idea how to work with me any more. So the hunt for a new therapist began, once I could manage it.

It is very difficult to find someone willing to work with a high risk suicidal patient, such as myself. When my therapist moved to her office thirty miles away and I had no means of getting there, I called ten therapists in a five mile radius of my house. I kept getting the run around. I couldn’t be seen by them because I was high risk and so they referred me to someone else. That someone else then referred me to someone else. I became distraught and just stayed with my therapist event though it meant more phone sessions and text messages.

Now I had the same problem, except I had no back up. There was no one. I had asked some therapist friends on Twitter in my area if they knew anyone seeking new clients. One responded and gave me a name. That therapist never returned my calls. After three weeks (one call a week), I gave up and moved to therapist number two. Same deal. It took me until April to find someone that a) took my insurance and b) wasn’t afraid of suicide. I’ve been seeing this guy for about three months now and it is getting obvious to me that we just aren’t clicking. You need a certain chemistry to work with someone is this guy is lacking. I thought I could work with him but he is my back up right now. I am looking for someone else.

The day that I had my first meeting with him back in April, two therapists returned my phone calls. One had taken three weeks to call me back so I was not in a rush to call her back even though her qualifications seemed like it would match what I was looking for. The other organization I didn’t know too much about but knew they offered CBT, a therapy modality known to work with some people but didn’t for me. I kindly told them I was not looking at this time but if that changed (I hadn’t met the guy yet so it could be possible not to work out), I’d be in touch.

So when I was hospitalized a few weeks ago and my current therapist told the social worker that I was there because of “family conflict” instead of a psychotic episode that happened that weekend, I got pissed off and realized I wasn’t going to waste 16 years with this guy to know it was wrong. I called the other therapist and she never called me back. Then I got in touch with the organization. I had a phone interview with them last week. He first went over my insurance as he didn’t take one of them. OK, but he took the other so I was okay with that. Then we talked about clinical stuff. He asked when was the last time I was hospitalized and I truthfully told him a few weeks ago. He ended the conversation saying his group would be unable to help me as I needed “intensive outpatient” treatment after a hospitalization. He basically said I was “too sick” to work with one of his therapists.

I was floored this happens in 2017. I have been studying suicidology since 2007, reading countless articles about how clinicians, particularly psychiatrists, are more prone to have a suicide during their career than any other profession. Psychologists are second to that. Yet despite the advancements in evidence based practices (EBP), there is still the fear of losing someone to suicide. I can’t make that go away and if I ever become a therapist, I too will have that fear. But there are measures you can take to decrease that risk in the high risk client, if there is a willingness to work with one. That opportunity is lost if you slam the door like countless therapists have done to me. Suicide is inherent in any psychotherapy, regardless of risk factors. It can “appear out of the blue” or not noticed until an attempt is made or a death occurs. The suicide rate keeps climbing. And one of these days, I will become part of that yearly statistic.

I look for help and get denied because of my risk factors, which are history of previous attempts, history of abuse, history of hospitalizations, and history of self harm. These factors I deem “high risk” can also be viewed as severe mental illness or “being too sick”. It was the director of the organization’s choice not to take me on as a client. Pissed me off but his choice regardless. But was it also his fear that I would take on a certain liability because I was chronically suicidal and mentally ill? I will never know but my gut says fear altered his choice. I understand that therapist want to have the kind of practice where things go smoothly and stuff like suicide is dusted under the rug. Suicide is a dirty word. I get that. I have lived it since I was eight, when I first thought of ending my life. No one wants to touch it with a ten foot pole. But excluding these people from these practices, what the hell did you enter the field for?? I have to wonder.

The therapist I work with now doesn’t follow a lick of EBP. I still don’t know what kind of therapist he is. Frankly, he just lets me ramble for 45 mins then it’s see you next week. He has explained what he does but he has yet to actually do it, which is why I want to see someone else, if I can find that person. I live in the hub of academia where there are thousands of therapists. The biggest problem I come across, other than their fear of suicide, is not taking new clients. OK. I get it but can you refer me to someone who IS taking them? No answer or try Susie Q who isn’t within my area of accessibility.

Anyways, these are my thoughts on the matter. Getting screwed by those that are supposed to help mental health patients but don’t want to deal with mental health patients that fit a certain criteria. I think that sums it up nicely.

busy Monday morning

by Midnight Demon, posted in Bipolar Disorder, blogging, chronic physical pain, depression, mood disorders

Busy Monday morning

I had a shitty sleep. I fell asleep sometime after 0200 only to wake up around 6 because my foot was in severe pain. I took my pain meds and slept until my alarm went off. I didn’t want to get up but I had to be at the dentist office by 0800. I dragged myself out of bed, got dressed, brushed my teeth, and headed out. I had to wait until the dentist was available to see me. He said that I had severe inflammation of the gums but wasn’t too sure what was causing it. He wanted it to go down and for me to finish my antibiotics before taking x-rays.

I left in time to catch the bus to the Square. While I was waiting, I called my PCP’s office to see if my prescription was ready to be picked up. It was. I had breakfast at Starbucks. I ordered a snickers latte rather than espresso. I felt like treating myself to something good. I had 6 espresso shots. It was stronger than I thought it would be but still good. I went to my PCP’s office after I finished and then went to the pharmacy. My foot was in severe pain by the time I came home. I hadn’t taken any pain meds with me and the last time I had taken them was around 6 this morning. I was overdue. My foot was also on fire so when I came home, I took my pain meds and Neurontin. I also rinse my mouth out with the antibacterial rinse. It doesn’t go well with powerade but I can’t take the Neurontin with water because it is gross. Guess it was the lesser evil.

I wanted to get my meat sauce for supper but my mother is making lazy man lasagna. I will save it for another day. It’s not going anywhere. I have been wanting to have it with penne pasta for a while now. I haven’t had lunch yet. I will finish off the White Castle burgers. That should tie me over until supper time.

I am going to try and stay up but I have a feeling I am going to take a nap. I am really tired from all that I did this morning. I was out for 4 hours. I am glad I don’t have therapy this afternoon. It would suck. My mood sucks right now. I am just exhausted from hurting and not sleeping. I am so tired of waking up in severe pain. It’s really mentally exhausting. The hard part is that I have absolutely no control over it. It flares up whenever it wants to whether I am sleeping, trying to sleep, or just plain resting.

My fricken bowels are going nuts. Whenever I have Starbucks milk, it seems I am intolerant to it. I don’t fricken care because I have been backed up the last few days but the cramps are horrible. I just hope I don’t have an accident because that will kill me. I also hate having to go up and down the stairs a lot because of it. I so wish there was a half bath where the bedrooms are.

I’m trying to make plans with a friend that I met while in the hospital. Every time I ask when to meet up, she is vague or doesn’t answer. I really don’t want to go out tomorrow, except to Walgreens because idiot me forgot my strong pain pill script to get filled today. I had it on the edge of my bed so I wouldn’t forget it but I did. I also need to mail a birthday card for a friend of mine. Maybe I will get some pizza when I drop off the card to the mailbox, though I have been thinking of getting a pastrami sub lately. I love pastrami.

One of my blog readers suggested I get input for the blog about therapists who shaft clients for the suicidality or hospitalization history. If you would like to contribute, please email me at Collerone at Yahoo dot com or use my contact page to send me a message. I’m still mulling over ideas for it so you have time to also contribute if you would like. Please get it in by this week though. I’d like to write it up by the weekend. I think it’s important to get the word out that there are therapists and organizations out there that just don’t want to deal with severe mental illnesses.

therapy and food shopping

by Midnight Demon, posted in Bipolar Disorder, blogging, chronic physical pain, depression, mood disorders

Therapy and food shopping

I woke up before my alarm went off. I brushed my teeth and used the bathroom. I thought about a shower but opted against it. I called my psych and spoke to her for a bit. She wanted to know how I was doing. I told her it varies. Right then, I was okay and kind of looking forward to therapy as I needed someone to talk to. She welcomed the idea. She then said see you Friday and I agreed to meet with her then.

My niece came by to collect her phone. My crazy cousin came with her. She was spewing the latest health bullshit. Swimming helped her friend get off all her psych meds so she is going to try it. She then listed all of the benefits. Nothing I hadn’t heard or read before. Then she started yapping away about anything and everything. All that kept going in my mind was, when are you going to fucking leave???!!! She said she had to go to the cemetery to visit her grandmother as it was her birthday. She left, my niece leaving with her. I went back upstairs to my room. I was tired but didn’t want to sleep. I got dressed and caught the next bus.

I spent most of the afternoon at Starbucks before my therapy appointment. About three minutes before he was to call me in, I wanted to bolt. I don’t know why I get that way. I didn’t leave and met with him. I didn’t know what to talk about with him. I know we talked about the hospital and then he said I was angry. I was like yea, I am because I went to get help and didn’t get it. Then he said you get that a lot don’t you. I nearly flipped on him at that point but kept my mouth shut. I didn’t say anything. Actually, I don’t think I spoke for the rest of the session. Before leaving he said we’ll be meeting next week and then he will be on vacation. Fine with me. Take the rest of the month off. I don’t care. He is so useless to me. I just see him to waste money, like I do everything else in my life. I honestly don’t know why I see him.

After therapy, I got to the square and caught the bus to a Stop and Shop that was closer to my house. It was really warm today and my back was hurting me. I had to get deli meat and of course there was a line. You couldn’t put in an order and continue shopping. The number was 137 and I had 142 so I didn’t have to wait too long. Unfortunately, things that I wanted were on the other side of the store. My foot got a spasm and I knew I had to hurry up or I was going to pay for it. My back didn’t like standing for twenty minutes. I was dragging by the time I got everything I needed and left. I then went to Walgreens to get my scripts and my order. I was sweating really bad, so bad that my sunglasses kept sliding down on my face. I basically crawled home because my foot felt like I was walking on rocks. I need to get cushions for my AFO (ankle foot orthotic).

I came home and collapsed into a chair. I asked my mother to get me some water but she didn’t know how to operate the 2.5 gallon jug so I had to get up and get myself the water. I then had the dinner she made before putting the groceries away. Tomorrow I will have a nice turkey and cranberry wrap. I bought flaxseed lavish bread. I usually don’t buy it because I am the only one that likes it and I usually end up eating just one or two in the pack. Maybe I will make some scrambled eggs and roll them up in the bread. It’s not a flour tortilla but close enough.

I was drenched so decided to shower. I had peed myself anyway as my underwear was really wet with pee and sweat. My foot did not like it and cramped on me while I was washing my hair. I didn’t care. I was going to use the new bath gel that I bought but I needed a quick shower so just used my regular soap, rinsed, and dried. I went up to my hot room and quickly turned on the AC. Before I went on my bed, I took my meds and grabbed my phone so I didn’t have to get up again. As my laptop booted up, I took my pain meds. I hadn’t taken any since this morning. I didn’t bring them with me while I was out.

Needless to say, I am exhausted. Next week I hope to catch a later bus because the 1200 is too early and I get bored by 1400. There is only so much journal writing I can do before my mind wanders. I hope I sleep tonight but I am in a lot of pain so I might now. I got my Ka’u coffee grounded so I will have that tomorrow. I am not planning on going out tomorrow unless espresso calls me. I got to call the dentist and verify that my appointment with him is on this Thursday. I think she said the 3rd but I want to make sure.