exciting article

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

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!!

issues

The new year started and I think I can finally come out of the closet as being a “girl” and tell my family I’m a guy. Then my menses started and I was really on edge. I told one of my sisters the week after new years and had a meltdown the whole weekend. It was crying from relief, frustration, anger, etc you name it. She was concerned about telling my mother and my other sister so I have decided to put that off for now.

Unfortunately this year has not started right. Week before, the dreaded menses started and have not stopped for the past 6 fucking weeks. I missed a pill because I was sick and that is how this whole thing started. I am so mad at myself because that is the one pill I take above all the others. I have had a mixture of break through bleeding and I just want it to stop so I can go back to being a man and wear my boxers again. I have to wear female underwear and I don’t like it at all. It is messing with my head. Here I was ready to come out as a guy and I am bleeding like a girl. Talk about head spinner. I feel humiliated beyond belief and I want to cut so bad. I’m fantasizing about how it will make me feel but I know that if I start I won’t be able to stop. It’s like a drug. The release is intense. Right now I’m feeling so numb that it might just help me feel something.

I hate not being able to control my menstrual cycle. I have to go back to the reproductive endocrine doc and I know she most likely will want to do the female exam I have been dreading. I feel so demoralized by this, so humiliated because I was a true man, this wouldn’t be happening. I’m so tired of not being a guy on the outside. I’m just about ready to end it all. I have time to write letters, to say I am sorry that I tried but my damn cycle fucked everything up for me. And I have to end it. I tried telling my psychiatrist this but I don’t think I got through.
My therapist has my suicide notes I wrote back in 2009. I just gave them to her to hold for me. They were written right before I was involuntarily hospitalized.

I figure if I cut it might let go some of the suicidal thoughts. I know that sounds stupid but I really think it might help. I can’t stand the pain of living this, this two lives bullshit anymore. I feel I have taken two steps back in this arena when I wanted to move forward. I hear the constant voice that says I will always be a little girl no matter what and I want it to shut up once and for all. I won’t be graphic about what I will do but I just think a little cut is all I need to get the stuff out of my head. Maybe then the pain will stop and I can feel normal again.

Ramblings 26

Today my story about my attempt was posted on another site. I had positive feedback from it but I am kind of worried not everyone will be so positive. I still am nervous about a lifetime commitment somewhere.

For about a month now I have had a cough that won’t go away. I see my PCP on Wednesday for pain issues so I will bring it up then. I just hope that I don’t have to go on antibiotics as this thing isn’t clearing up on its own so I might have to. I hate taking antibiotics. Because I take so many meds, it’s sometimes difficult to pick on that won’t interact with the others. And I am pretty picky about which one I can take versus those that I have problems with. Class called Cephalosporins will do nothing for me. Cipro works ok but a Z-pak won’t do anything. It will just cause the infection to recur a few weeks later.

I took a shower and brushed my teeth today. I was too lazy to go out today. I wanted to but just couldn’t find enough energy to get dressed. I watched some TV but didn’t watch my Bones. I just can’t seem to sit long enough to.

Been thinking about my ex today. My MP3 shuffle played our song or rather the CD that I made her and made me think of her. I often wonder what she is doing and what she is up to but I can’t go back to her. We broke up because I couldn’t stand how she was not taking care of herself anymore. She was being blasé about her medical condition and it bothered me that she refused to seek help or medication to control it. Plus she has a little one at home with disabilities that I was fearful she was going to have a seizure and be out of it with her daughter around. Didn’t sound like I was going to get through her head so I just broke it off with her. Let her find someone else that cares and lives closer (she was also 90 miles away from me so it wasn’t going to work out).

My leg has been bothering me since last night but there is a big snow storm coming this way. Just what I need. I hate the snow and ice. Temps are supposed to drop to single digits after the storm so it’s going to get cold, supposedly. I generally have the believe of I’ll believe it when I see it.

Pain has been minimal so far but I am sure it will get worse as this storm rolls through. I know that much because I wouldn’t be in pain if it was nothing. I’m just a human barometer. What I am debating is taking my pain meds now or waiting closer to bed time. But I think I am going to take my big gun med as this pain has been going on for more than 24 hrs and the small guns haven’t touch it.

Listening to Carrie Underwood. Love her voice. And her song “Wine after Whiskey” is touching me right now. Guess it’s left over ex stuff…