Sunday Musings

Sunday musings

I am still reading Linehan’s memoir. I am learning more about DBT this second go round than I did the first time I read it. I seem to be more accepting of DBT as I am realizing that there is evidence DBT works with highly suicidal individuals. The trouble is, it take a lot of work as there is so much to learn. The two takeaways I am getting from this second reading is the two skills radical acceptance and STOP. STOP stands for stop, take a step back, observe, proceed carefully. I am finding I need to practice this skill as otherwise I get angry and nothing gets accomplished. I also need to radically accept that I have depression and trauma issues.

I woke up late this morning. I didn’t get up till after 12. I kept getting severe headaches, like migraines. They would go away if I just stayed still. It happened three times after my alarm went off to take my morning meds. I thought I would have to take a migraine medication to get rid of it but it seems to have gone away on its own. I had started getting these kinds of headaches while in the hospital. I thought they had gone away but the last two nights they have come back.

My cousin texted me this morning saying that Ohio State has made it to the playoffs and they are playing Georgia. That is going to be a tough matchup. Georgia just won yesterday. They killed LSU by a big number. This is what I love about college football games, they score big numbers.

I am thinking about mailing out a card that I wrote out and then getting pizza for my late lunch/early dinner. Problem is that I have no energy to get moving and I know if I force myself to do it, I will have to take a lot of breaks to go around the block. I found my sunglasses but I still am unable to find my transition glasses. I have no idea where they went to. I know if I find the case, I will find them. I hate when I misplace things. It drives me crazy.

I miss baseball. It doesn’t look like the Sox are going to sign Xander Bogaerts. I just hope he doesn’t end up on the Yankees. I still don’t know if JBJ is still with the team. I watched a baseball game while I was in the hospital and he was playing for the Blue Jays. I don’t know if this is true or not. I will be sad if it is. I have no clue how the season ended because I was so sick in the hospital.

Yesterday, I listened to Taylor Swift’s 1989 album. Today I am listening to Rob Thomas’s Someday on repeat. I love this song so much.

I am feeling suicidal. Nothing really happened in the last half hour or so. I just feel like ending my life. I see no good in it. I have imagined how I would do it two different ways. I won’t act on it, though I do want to. I just don’t want to end up back in the hospital. There is no guarantee I will end up back on the same unit I was in. I could end up somewhere else. That keeps me from going to the ER. I know I spent a few days in the psych ER before I was transferred to the unit I was in. I don’t know how long I was there as I wasn’t myself. I was in a confused state. I don’t remember if I had my phone or not. If I did, I know I wasn’t using it. I was much too paranoid about it. I am working through the feelings of distress I am feeling. I am distracting myself by writing about them. I have therapy tomorrow and will tell my therapist about this. I want to die so bad that it is almost like nothing else matters to me, not even top surgery. I have hit a new low in my life. I try to keep telling myself life will be different when I have the surgery but will it? I thought about going back to college while in the hospital after I recovered from surgery. It seems impossible right now but I want to make an effort in the next couple of years to earning my degree. I want to finish it at UMass Boston. Trying to make goals helps defend against the darkness, least for a little while.

I am feeling worthless right now. My psychache is high. I am a little perturbed and my press is at least a three. I spoke how I wrote the book Darkness Always Wins while I was in the hospital. I was and still am in a dark place. I don’t know if I am going to recover from this episode of depression. Meds have made little improvement to how I feel. I know realistically, it could be a year or more before I recover. It is the way recurrent depression is. I don’t buy that I have bipolar disorder. My depressions are too dark and stay dark for periods that are much more similar to major depression. I really think I am misdiagnosed. Fortunately, the treatment is the same: antidepressant therapy. I need to take an antipsychotic because I am prone to hearing voices otherwise. I have done well with Latuda, though it is causing some dystonia for me.

I just read a blog that I wrote a more than a few years ago about Shneidman’s psychache theory. I was trying to think about it while in the hospital. I remembered the three P’s, press, perturbation, and psychache. A 5-5-5 indicates imminent suicide. I was a 5-5-5 in the hospital at times. I tried to remember the psychache scale by Ronald Holden. I couldn’t remember his name or if I had it on my blog for staff to look up. My memory has been so much affected by what I have been through.

I had dinner with my family tonight. It helped a little being around them but at one point I wanted to tell my sister I needed to go back to the hospital. I just couldn’t bring myself to tell her though so I kept quiet. I will talk more about this with my therapist tomorrow morning. I really feel like shit. It is like the song going down in flames, “Falling into this, again.”

up early

Up early

My day started around 530 because I had to use the bathroom. Little did I know it would turn out to be colon blow day. I must have gone to the bathroom three times already. I think I am done as usually three is the magic number of finishing emptying my bowels. I had coffee afterwards. I still have to brush my teeth. I didn’t do this yesterday. I meant to but never got around to it. I should shower today.

I am planning on going to the square as I have a few errands that need to be done. I want to get my lemonade flavor Gatorade at the store there. It seems to be the only place that sells it. I will also get some meat and chicken. My mother wants chicken wings so I will get a package as long as it isn’t too expensive. Last time it was like 15 bucks for a package. Ridiculous.

I went to BJ’s for food shopping. I used the rest of my food stamps for all the stuff I bought. My sister had to put in $25 more. I bought chicken wings, breast, fish, tuna fish, steak, and then little stuff for quick meals. I also bought my favorite ice cream. We didn’t go to the square so I did when we dropped the stuff off at the house. I took the bus and then I got a macchiato at Starbucks as well as a sandwich.

I am so tired. My back hurts. I just took a BT med and some Tylenol. My calf started cramping up when I was going up the hill to my house. I had just gone to the pharmacy to get my meds and the hill was too much. I was only three houses away from my house, too. Seems I did too much as my leg/ankle/foot just flared up on me. I am in so much pain. I spent $127 on food and I just want to eat ice cream for dinner. I think my mother is making supper. If not I am not eating. I am in too much pain to make something.

I haven’t heard back from my uro. I sent a message the day I got results of my urine culture. It still hurts when I pee. Today I had colon blow. My bowels just erupted. Luckily I had no accidents. I haven’t cathed today. I have been having good urges so been voiding on my own.

My sister made the fish I bought. It was good. I am going to have ice cream later once my pain is lower. It really flared up when I went downstairs and sat in a chair. I had to take an Ativan because my right calf and left foot cramped up at the same time. OMG was it painful! I am depressed that I am in so much pain. I am having suicidal thoughts but that is all that I am having. I sent my therapist a message that hopefully she will read before our appointment. I asked her if there was something that could alter the path of SI àplanning date as my thoughts sometimes have been going that way the last few times my pain has been bad. I just got a workbook by Kathryn Gordon PhD on suicidal thoughts workbook. It will take me a week to work through it to see if it will help me. I really, really need to make the time to go to Starbucks with my bag and journal and this book to read it until closing time. I will write a review blog when I finish it.

High levels of pain and new development

My pain level for most of the day has been a 14 since 4 am when I woke up to pee. Ankle/foot have been either together or alternating with the pain. Either my ankle joint is being hacked with an axe, foot bones are being crushed, or now an “L” shaped pain has started which totally prevents me from moving the damn thing. I just want to die and I am racking my brain on how to do it seeing as how I was going to do it didn’t pan out and didn’t work.

Today I found that I have diminished feeling in my privates. I can get slightly aroused but either have a weak orgasm or none at all, which is frustrating. I know I don’t talk about sex that much on here but the disc that is doing whatever to my bladder nerves also controls the nerves to the other parts of my genitalia. Although I wish to have no relationship with it, I have no choice because nerve damage will make phalloplasty difficult so I’ve choose not to have bottom surgery. However, now that this stupid disc is wreaking havoc on these nerves, I might as well not have a sex life of masturbation or with someone of my choosing. Thanks Cauda Equina Syndrome for really fucking up my life, and not in a good way.

As the compression seems to be causing slow diminished effects it is hard to know what level this injury is coming from. It is making me so damn suicidal. But like I said I need to find a way to do it. I still have the ginger plan. It is just finding the ginger to do the trick. I am going to try ginger beer next. Or a ginger shot that I found on Amazon. Sent a pic to my therapist and she got upset with me. Oh well.

I emailed my psych to let her know what was going on. She wants to know what my neurosurgeon says. I am thinking I probably will have to get a new MRI with contrast. I am going to suggest that an IV be placed so access is there. Otherwise, because I am a hard stick, it might be difficult to administer the contrast. My only worry right now is what effect this is going to have on my bowels. Right now I am backed up so I am kind of grateful for that but I need dynamite to get the shit out. OT has suggested Miralax so I am trying that. I am also wondering if the back pain is being masked because of the pain meds I take. Today while looking for a book my back flared up but sort of settled down. Then I was standing doing something when pain said to sit. I’ve been sitting with pain since then but it isn’t above a 4. If it was higher, then surgery would be next on my mind.

I really like my therapist (ptx) even though she is a hard ass. She pushes me and I like that about her. Also, I really didn’t think I had bullshit but she says I do. She wants to keep me on track of what we talk about and stay on it, not derail because I am feeling emotions about it. I am driving her nuts with the text thing. So I’ve decided to send the worrisome stuff to my alt phone so it is out of my system/head.

I can’t really the last time I had a number 2. I was going good for a while now I’ve stopped again. I hate constipation. You might think this is gross or maybe something not to talk about but this is what I deal with and shit I deal with goes on my blog. You don’t like it, find something else to read. I am scared of this development. The whole purpose of not going through phalloplasty was cause I liked my clit a lot. If it is no longer going to work then I am not sure what I am going to do. A sex life isn’t important to me but I’d still like one if it should present itself. If I should find a female I like and we hit it off i don’t want it to end because i can’t function. I never dreamed of having someone long term in my life but i do want someone to cuddle with.

If you are reading this and it cause discomfort due to issues of sexual abuse or something, please let me know and I will place a trigger warning so someone else doesn’t.

Tales of the Midnight Demon

I’ve pretty much have been in a flare the whole week. It has been go go go past few days. I was supposed to rest today but I stupidly ordered my groceries to be delivered today. I had used a different app, which I will not use again because of the 20 items I ordered, 13 were delivered, 1 item was supposed to be refunded but was substituted to another similar product I don’t like. So I have 3 bottles of Starbucks dark roast coffee. I will try it. If I don’t like it, I guess I will dump it. I have no use for it and no one else like Starbucks coffee.

I did an errand after my deliveries were put away. Got annoyed with the bank my mother uses. Every single time I go, there is a problem even though my mother put my name on the account. I hate this bank so much! Then I went to pick up my meds. I had to make two trips because one was ready and the other had to be pre-authorized by my insurance.

I came home from the 2nd trip and immediately in a flare. Both times I did not wear my AFO brace. My leg, which has been acting up lately, got really painful on my walk to the pharmacy and only got worse on the way back. I was in such a flare up I couldn’t bear to listen to sounds. This meant I couldn’t distract by listening to music. I just rested in agony. I took my pain meds and some gaba. I stayed on Twitter for most of the time trying to distract. I was also on Facebook. Nothing was helping the leg pain and I knew it was from walking too much. I must have walked miles in my house, going from my room to the kitchen to the living room and back to kitchen thousands of times in the past few weeks. I am not walking correctly. I overusing my leg muscles as well using muscles to compensate for the overused muscles. Only way to remedy this is to completely stay off my leg. This is hard to do because I cannot stay in bed. If I don’t feel well I can but I need to have coffee and eat so need to go to the kitchen as well use the bathroom. Now I really need to limit going downstairs.

As I was resting and keeping track of the game, the extreme suicidal ankle pain exploded. I so overwhelmed and intense suicidal ideations occured. I wanted to end things tomorrow (today). I was thinking of emailing my psych to tell her I’ve had it but decided to call her instead. I paged her and she called me back right away. We talked and I told her how dire I was feeling. I told her I had two suicidal pains around my ankle, one worse than the other. The worst one was why I was calling. She asked if I was going to act right away. I said no. She asked if I needed to be picked up and I said the ER is not what I need right now. We talked some more about the new med changes and how it will be a few days until I know if it helps or not. One dose isn’t going to help, though it sort of did. I told her I didn’t think I was going to be around for my niece’s graduation party. She said we will take it one day at a time. Then she said I needed to call her when I got up. So before noon, I will call her, if I am up. I said I would but it is almost 3 am so is probably doubtful I will.

My foot has been doing the dystonia thing again. It is part of the reason I am still up. The area where the extreme suicidal pain is still hurts but not as bad. My foot has swelled up pretty good where it feels like it is going to burst. My veins have popped up giving my ankle a bluish hue. The ankle bone is also been hammered by unknown entity. I hate bone pain so much. I’ve taken two doses of gaba. I am contemplating taking a third. If I am still up around 4 am, I will.

Today has been such a shitty day and is not over yet. A friend wanted to give me tickets to the Sox game last night. I was in a major sensory overload flare when I was asked and I had to decline. I really hated doing so because baseball is my love. But I knew walking to the park and finding my seats and staying for a minimum of three hours would really kill me after having a nasty flare up. I made the right decision and my psych agreed with me. She was saying no, no, no which was basically doctor’s orders. I am under her clutches again and I fear I am going to burn her out. I am so suicidal and want to fucking act but like I said in my previous blog, I don’t want to do it in my room. I was thinking of doing it Friday but it is going to fucking rain again. Fucking weather. Being pissed off about this is not helping. My psych asked if I was going to act in the next few days and I told her it was a coin toss.

I honestly have no idea if I am going to survive this year. I got the impression from my psych and I think I heard her say not on her watch or something to that effect. What the fuck is wrong with me? Why can’t I fucking go through with my thoughts?? I feel like such a fucking wimp. I am so annoyed with myself. If I loathed myself before, it is 100x more.

My psych is going to try her damndest to keep me here and I don’t think pushing her away is going to work. I told her I only called her because I knew if I emailed her, she would call me. I really needed to talk to her or someone, well someone that i trusted. Right now she is the only person I do trust. I can’t risk telling someone else my dark thoughts. They will freak out and things will be bad.

I am falling asleep so will end here.