coffee and therapists

Went out for coffee today. I didn’t feel like it but I forced myself to. I gave myself an incentive, that if I went I would get something sweet. I usually just get my coffee and maybe a sandwich, if I am hungry. But today I really wanted something sweet so didn’t need that much incentive to get a coffee cake. I like that the baristas are getting my order down pat. I don’t order anything fancy, just my favorite flavor, which is now Kati Kati, grande size but in a venti cup. This is so I have plenty of room for the half and half. I also put in several packets of sugar. I need my coffee sweet, which is why I usually don’t get something sweet.

I did accomplish something today and that was finishing the book why do people die by suicide by Thomas Joiner. I had an autographed copy but lost it on the train the first week I read it. Much to my sadness. The book was good and I learned a few things that I hope I retain. He is a cognitive therapist so he focused on that during the strategies for dealing with suicidality. I really liked the book because it not only dealt with personal experience (his dad died by suicide while in grad school), he also listed empirical data to back up what he was talking about. I am a research geek so I tend to like stuff like that. He also used terms that put people that couldn’t understand the technical stuff into words that people could understand, like how neurotransmitters interact. It was a very interesting book. I also bought another book that he wrote called Myths of Suicide, which I hope to read after I finish reading Lincoln’s Melancholy.

My reading voices are back, thank god. I can’t seem to focus unless they are there. I got a comment from my psychotic while reading blog and this person said that she only hears her voice while reading. I find that so interesting. I never hear my own voice. Unless my voice is male sounding, which I don’t think it is, not yet anyways. But then I do have enlarged ventricles in my brain that cause the voices. Not as large as those found in schizophrenia but enough to have a radiologist comment on it. I had the MRI the first time I was hospitalized when I was sixteen. They ran a bunch of tests on me the whole time I was there, from cortisol suppression studies to psychological tests such as the inkblot. I remember how much paperwork I had to do for the MMPI, the Minnesota Multiple Personality Inventory. I hated that. I did that more than once over my lifetime for various studies I was involved in. It is a LONG inventory. I am glad it is not used in clinical practice, unless you go specifically for psychological testing. It would make for a long afternoon or morning.

I have been feeling self-harm urges the past few days. I don’t know why that is. I just have the urge but usually distracting myself or listening to music helps. I have not cut in years and I like it stay that way, though I still have my “kit”. Even though I don’t use it, I still find it comforting to have it around. I also have been getting urges to overdose but these quickly pass as I just can’t do it in my house. Symptoms of my illness.

The dreaded nerve pain has come again. I really tried not to stand too long while waiting for the bus today to get my coffee. I tried not to jiggle my foot in a way that I know would upset it later. But I did do stretching exercises while I was on the phone with my therapist so maybe that is why it is angry at me. I never know what will make it upset. It’s like an untemperate, abusive person. You just never know what will set it off. The cold. The heat. Wearing socks. Not wearing socks. Moving it this way versus that. It’s a never ending battle. I am so sick of it. I am tired of hurting. And nothing helps curb the pain. My pain meds can only do so much, which is knock me out most of the time so I can sleep. But that is only for a few hours. Once the meds wear off, I am screwed. I wake up and sometimes it take a little but to register that I am awake before the pain starts. Other times it is because I am in pain that I wake up. My sleep has not been good the past week. I keep waking up between 0230-430 in the morning. No matter what time I go to sleep, I always wake up during those hours. If I fall asleep before ten, I am always up four hours later. I can’t stand it. I usually play my games or check twitter. If I am bullshit, I might write another blog or journal if I don’t feel like opening my laptop. Sometimes, I try reading and usually that works to put me back to sleep, unless I am in roaring pain. Then I just stay up until the pain meds kick in to knock me out again while withering in agony.

This week’s AAS blog is about finding a therapist that won’t run away or panic at the mention of suicidal thoughts. I want to laugh and say, have you read my therapist blog? I have had ten therapists run away from me soon as I mention that I have had suicidal thoughts in the past or been hospitalized because of them. Course I am hospitalized frequently so that doesn’t help my case. I have been hospitalized at least eight times since 2008. My last hospitalization was last June. So it has been a year but if these damn voices don’t stop, I might have to go back in. The voices and being suicidal doesn’t mix too well. But getting back to therapists, they can be tricky. I kept on being referred to another therapist, who would then refer me to yet another therapist. Before I knew it, I had ten within a month’s time. I finally gave up and stuck it out with my current therapist, even though I don’t see her in person frequently. I think I will see her next week. I will try and get my sister’s car.

I know why therapists don’t want to take on suicidal clients. They don’t want to be liable. They fear malpractice. They even fear losing the client. But I believe that despite this, with the right treatment, therapists can see suicidal clients. It just takes a little bit of courage and trust, a lot of it. Not only on the therapist’s part, but also the client. The client also needs to have a trust in the therapist that they aren’t going to be dumped in the hospital every single fricken time they get suicidal. The therapies out there that help are by David Jobes, CAMS and by using his suicide status form. Also using the Aeschi model helps. Knowing why the client wants to kill themselves says a lot. By not allowing the client to share his story, he gives his therapist a reason to distrust him. I do hope that there comes a day when graduate schools are mandated to have some kind of suicide preventions/treatment protocols in their curriculums. It shouldn’t be up to the therapist’s own style of interviewing that should be dependent on their suicide knowledge. That and the use of no-suicide contracts should be discontinued as long as something like CAMS is in place or the QPR by Paul Quinnett. I forget what QPR stands for but it is a useful resource.

football and coffee

I decided to take a break from writing yesterday. I was hyped up on watching football all days so couldn’t really think about what I wanted to say.

My mood has been slightly better over the last few days. I am not thinking constantly of suicide but still have the depressed mood. Last night my leg was acting up and I thought I was going to have a long and painful night but soon as I took my sock off, the pain and pressure dissipated. Leg is still a little sore this morning but nothing compared to last night.

Yes, I was watching the Pats against the Ravens last night. Though after halftime it was more like the Ravens against nobody. The Pats just could not get to the Ravens’s Quarterback and so he was making all kinds of first downs leading to touchdowns, which made me very unhappy. After the fumble in the 4th quarter and the Ravens got the ball, I knew the game was done. Cooked, over. Patriots didn’t want to win and showed no sign they wanted this game. Despite Brady making all kind of NFL records, he lost. I just can’t believe it. The game truly sucked and I am at a loss for words…

On another note yesterday my niece brought me coffee. She was supposed to get me Blue Java but I think the barista gave her Blue Mountain instead as it tasted stronger and heavier than my Java. I can’t drink strong coffee. I like a mild to medium coffee. I will make my Java today and see if it comes out the same but I doubt it. I know my coffees!

The kids have the day off today because of Martin Luther King, Jr.’s birthday. I like it when they are off because I get to see them more. Keeps reinforcing my reasons for living.

My other blog goes live today. I am really nervous about it because it is a national organization for suicide prevention and training. It is a new newsletter blog that started last week and my story is going up today. It is at http://www.suicidology.org/AAS-blog. The blog is for suicide attempt survivors and the intention is to provide support and a voice to those that have tried, so hopefully they won’t try again. I feel like a hypocrite with this because of my varying levels of suicidality at times. Most people attempt and they forget about it in time. I have not and still want to take my life but I like I said in an earlier paper, I lost my lethality. Right now unless the wish fairies or a genie comes out of the bottle, I doubt I would get my wish to die to come true.

grumpy today

Still in a grumpy mood. My Pdoc has not called back yet and I don’t think she will. Today is Taylor’s birthday, which means in ten days, it will be mine. I am depressed and don’t know why. I restarted the trileptal, taking 300 mg at night and tomorrow I’ll start taking it in the morning and night. I hate doing this on my own but my doc trusts me and like I said she hasn’t called back yet or returned my email.

Got out of the house today to get some coffee. I am worried that if I didn’t I’d get a blood clot in my leg from inactivity. I’m drinking a Panama. It’s stronger than the Hawaiian and Blue Java I usually have. If I complete this writing project, I think I will buy the Hawaiian Ka’u rather than get my ring fixed.

My sisters have been asking me what I want for my birthday and Christmas. Every year for the past several, I have no idea. I had wanted the Nebraska and Ohio State hoodies but it doesn’t look like they will be getting me those. Other than that I really don’t know what I want except for my key lime cake, that I will be making.

I don’t know why I am so grumpy. I just woke up the other day like that and it has continued. I think it is because I haven’t been sleeping the past week. I woke up today with blurry vision in my left eye. It has now resolved. I can’t wait to see the neuro-opt guy next week. Next week is going to be busy because I see my pdoc Monday, therapist Tues and Wednesday, PCP Wednesday, and then the neuro-opt Thursday.

I changed all the ringtones for the different email accounts that I have. Now when one of them goes off I don’t know which account it is. Brilliant isn’t it? I am sure I will get used to the tone once more of them come in. I was tired of it all being the same ringtone. I never knew which account it was.

MG wants to renew tis writing project of ours. I am not sure I want to do it. Don’t get me wrong it has been fun and all but I just don’t know if I can write something every single day. I know I journal and all, but my blogging is different. I like that to have some meaning and lately I feel that it is just a picture of what my daily life is like than a specific topic or something else. I haven’t responded to her email yet; I just need time to think about it.

I just go dressed today, didn’t shower or brush my teeth. I just couldn’t be bothered. I have been meaning to at least brush my teeth but I just can’t muster enough energy to. I hate that everything I do takes so much out of me. I just want to die because there is no way I can handle being “old”.

I’m never getting a Panama again unless it’s iced. It tastes different hot. It’s making me nauseous but I don’t want another drink because the bus is on its way soon.

I had a bagel and candy bar for breakfast. That is all I have had the mood for eating today.

addmendum: Pdoc never called me back because she never got my page. I just got an email from her now.

Coffee Commentary

I started writing again which is good for me. I have been compiling a paper that will incorporate psychological pain assessments (paper to be published soon!) and compare them with one another. It started off as a paper for a friend that needed to do research and has blossomed into something more now that she no longer needs my help.
I am excited about writing a paper again. I will try and not make it a novel but there are no promises. Sometimes I can get really wordy as most academicians do. I miss being in school and think that I will be able to get back to school maybe by next fall, as long as I don’t have another psychotic break between now and then. I can’t handle being psychotic and delusional thinking on top of my depression. I know lately I have been more psychotic than usual because songs have been playing in my head. I also know many people hear songs in their head but have you ever had the music stop playing and wonder why your headphones stopped working?? The music sounds like there are headphones in my ears but there isn’t! It is especially prominent when a song is stuck in my head. It plays for the entire day over and over and over like a broken radio. The only way to drown it out is to tune in to the radio or actually play my headphones. I guess you can say that the radio is talking to me even if it isn’t. Another symptom of being insane!
I have tried to get out of the house the past few days but I have been unsuccessful. Today was the first time in three days that I left the house. I have been becoming a hermit lately. I just don’t find the motivation to get my one cup of coffee. My mood has been so bleak that I just can’t be bothered to leave the house for an hour for the simple pleasure of coffee/espresso. But today I wanted a macchiato and because my drink is now a few years old, they gave me a black and white mocha instead of a macchiato. Two different tastes as the espresso is poured on the top with a macchiato and with a mocha, the espresso is on the bottom mixed with the syrup. It was still good just not what I expected. Tomorrow when I go out I will probably get an iced Hawaii Ka’u. This coffee is excellent. It takes some getting used to because it does have a weird aftertaste to it but other than that it is a very well bodied coffee with earthy tones to it.
My other favorite iced coffee is the Blue Java from Indonesia. It is by far my favorite and tomorrow I will be picking up an expensive 8 oz. I have to make this coffee at home as my Galapagos is dwindling. I still have my tribute that I have frozen and it will remain frozen as it is such an awesome coffee and they don’t make it anymore, like my Galapagos. These coffees are the Starbucks Reserve that are made specifically for the clover. I have been thinking about getting their new machine, Verissimo but then I really will not leave my house for coffee, or for anything other than doctor’s appointments or when I have to deal with my father.