melancholy

Today I didn’t do too much but I did a lot. As I was walking home my ankle decided it had enough and I was limping on the way home. The last block and a half was really long!

I still am in a melancholy of spirits. I just can’t believe my city was under attack and then a Federal courthouse today had to be evacuated because of a bomb threat. And the President of the US is coming to tomorrow. I think that is a BIG mistake as we still have not capture the individual(s) responsible for the Marathon explosions. That is what they are calling it, explosions, not bombs. I guess explosions are less scary to think about but not really. It still is terrifying.

Ankle is still killing me and I am going to bed early, not going to watch the Sox game tonight. I don’t think it is on NESN anyways because the Bruins are playing. I don’t think I have NESN+. Shame too because last I heard, the Sox were winning 3-0. But then they don’t have a good match-up. The Indians stink. There were hardly any fans in the stadium last night. Pretty sad. I hope Fenway never gets that way.

I printed off my story that I am writing about my past suicide attempts and also my write up for my next blog post in the AAS. I am confident it will be a good paper. I just need to go over it somewhat to make sure I have the facts straight. It gives me something to do tomorrow that hopefully doesn’t have me going out. I am pretty tired today from my excursions yesterday and today. I only went out because my stupid printer wouldn’t recognize the color cartridge as being full. I have not used my printer for a couple of months now. Even though I just wanted to print black, it would not let me override the stupid color sensor thingy. I was so frustrated. I think paying for printing my stuff at UPS is cheaper than buying ink for this ridiculous printer that uses ink while not in use! Either that, or the ink got dried up because of the heat in the room. It is a small office I have and my mother keeps the door closed most of the time. I have to bring the printer to my room but I am too lazy. Maybe tomorrow I will do that, if my ankle isn’t hurting like it is now.

So I have printed off my writing to edit it. I have my red pen ready. But one thing I know while I edit my paper, I always want to add to it or take something away. I hate editing. I’m good with other people’s paper’s but not my own!

I woke up this morning and wondered what it would be like not to be anymore. I haven’t woken up like that in a long time. I guess the melancholy I am feeling is having suicidal effect on me, not to say that I wasn’t suicidal before. I just had a decrease in thoughts the past couple of weeks and thought I was getting better. Now I think I am heading back towards being a suicidal maniac who thinks of suicide all the time. I don’t know why I do other than I don’t want to feel pain, physical or mental anymore. I am tired of always being in a state of despair, of feeling nothing is going right for me. I just calculated my financial picture for the month and found that if I pay everything, I will have 7 dollars (USD) to my name to last me until my next check. I hate feeling like I am in destitution again. I really do. It’s like why bother getting paid when I don’t see my money. It just goes out the window to pay my bills and to help my mother keep up with the household bills, like gas and electricity, not to mention the mortgage. I just hate not being able to work. It is so frustrating. And yet, if I was working, I’d lose my LTD and have to work out something to pay back the $10K that I supposedly owe them. All these bills that I have make me want to kill myself. I can’t stand the thought of owing people money. I still owe like $5k to my therapist, who without her services I would definitely be dead by now. I seriously doubt that anyone can keep me alive that much longer. I just want to die. Why is that so hard to understand? I am a nobody. No one will miss me. They will just miss my money…

just feeling sad

Been feeling a lot of emotions the past few days. I can’t help wondering if maybe some medication at this point will help as I am crying for the incoming support because I am happy and then cry when I hear about the poor mother whose daughter was misidentified and now has to mourn her daughter. I am crying for the eight year old who just wanted peace in the world and his mother and sister who are still critically injured. I am crying as I write this. I just can’t help it. Nothing like this has ever happened in my city before. I feel like it is 9-11 all over again. But the support from my Boys, The Boston Red Sox, has been tremendous. They will be going on the field tonight with black armbands. The Yankees, our hated rivals, will be holding a moment of silence and then playing our song Sweet Caroline in the middle of the 3rd tonight. I couldn’t believe they did that. But I guess in tragedy we all come together and it is such a powerful feeling.

Today I had to take the T, our public transportation system because I had a doctor’s appt. At every Boston T stop, there were National Guardsmen and T Police everywhere. It was good to have their presence there but I couldn’t help but feel a little freaked out when a State trooper and two police officers swept the trolley car I was on.

My appointment did and didn’t go so well. I wasn’t happy that after all the resting that I have been doing, I still have tendonitis in my ankle, probably nerve related. I also have Complex Regional Pain Syndrome, which basically means I am fucked. My doc gave me some options but I think I am going to stay the course with oral meds. I am considering a lidocaine infusion but I want to read up on them before going through with it. I need the hard facts before I can invest something like that. I don’t want the infusion to numb me out and then when it wears off cause me mega pain. I don’t know how my PCP is going to take this. There is nothing more they can do. I am at my wits end on how to handle this. My first thoughts were to kill myself. I truly think that is going to be an option if I don’t have any pain relief. I just can’t imagine going on and on like this. I can’t work. I can’t walk. WTF am I going to do?

suicide ramblings

Today was not a good day. I got hit with pain early this morning and I couldn’t go anywhere. While I was watching the baseball games I started knuckling my calf muscle to take the knots out of it. It helped the pain along with pain meds. I tried stretching my calf but it still would not get loose. But the pain is gone now so I am glad it is. Now I just got to remember what I did so that the next time pain hits that part of my leg I know what to do.

I wrote a paper today, again on the Aeschi model. You will hear me talk about this because it is essential to get the word out for people who are suicidal. I believe in this model because it is so straight forward and humane. I also talk about CAMS but even though I know more about the assessment of CAMs than I do about the actual CAMS model. CAMS is Collaborating And Managing Suicidality.

Yesterday was a big day for me. The blog that I write for, What Happens Now, http://attemptsurvivors.com/ , was put into print for the Associate Press on suicide attempt survivors. It made the news and the sad part is that I cannot share it with my family. I am somewhat saddened by this. I can share this with my friends and the internet world but I can’t share it with those I live with. It is sad. But I chose to not share it because I am afraid it will lead to questions about my own suicidality and I cannot bare the thought of sharing this information with my family. It’s bad enough when my Suicide and Life Threatening Behavior journal comes in, I get the glances of disgust. Suicide is not a topic of interest in my house like it is an interest of mine, if only because I think about it nearly every day.

Suicide has been an interest of mine since I was young. Now at nearly thirty years later and I don’t know how many attempts, I still think it is the only way out of my suffering. I have made a date this year that if things aren’t improved, I will go through with it. I can’t help but think that being dead is the answer to my problems. I know that people say that suicide is the permanent solution to temporary problem, but my leg pain and depression are not temporary. I have to live with this the rest of my life and if I choose not to, isn’t it my choice? Don’t I have the right to die if I so choose? I am not saying that I will commit suicide tomorrow but it is in the distant future that I will die. I am not promised tomorrow, no one is. I just think that I don’t have a purpose with my life. And a lifetime of being in chronic physical pain is not appealing to me. I just can’t go on knowing that every day I will be in some kind of pain that has no end. Or the fact that I have to be on pain medication for the rest of my life. I just can’t fathom that. I worry that one day I will be denied the medication because I have been on them for so long. I just can’t risk that happening. I am scared of that happening. I’m also afraid of people not believing that I am depressed because I joke around so much. I’m sorry that I have a sense of humor. It has helped me with my depression more than anything. If I didn’t have it, I told my psychiatrist, she had permission to commit me somewhere. My heart is so dark at times I can’t stand it. I feel like it should stop beating because I feel so dead inside. And this goes on day after day. There is no relief. I never feel alive and joyful. Just sad and despairing.

Aeschi model and ramblings

Just woke up after a morning of pain. I decided to take my pain meds and go back to sleep. Like I figured, I woke up around 1400, which left me a half hour to shower and get dressed before the bus came. Well I did take a shower but going down the stairs to my sister’s apartment for coffee put a kink in me going out. I still plan on going out with my cane to Walgreens for some soda. I know I shouldn’t as I am trying to diet but I need something to drink other than water. I also need to get another bottle of water as I drank the one I had while watching the Sox game.

I am feeling energized by the coffee. I hope it doesn’t lead to a crash because I don’t want another nap today. I need to work on my writing today. I have been amiss doing so the past few weeks but now I think I know what to write about and I’ll just stick it in. I want to write about the Aeschi model for suicide and also how Dr. Jobes came into my life through his work. I really believe that if more clinicians took this approach to their clients or at least they had this approach in inpatient settings, there might be less suicides.

Aeschi model (pronounced Eshi) is a patient-oriented model, meaning that the patient has a say over treatment more than the clinician does. What has been found is that the provider-oriented model doesn’t work as patients can get frustrated over the “provider knows best” thinking. The Aeschi works toward a collaborative effort with the patient and provider working together to finding out what is at the heart of suicidality of the client.

Today I was at Starbucks taking notes on my Aeschi book. I was writing down what I had highlighted but there is too much information that I didn’t highlight that I needed to share so I gave up on it, for now. This book is so powerful that you really need time and energy not only to read it but to digest its contents.

The gist of it is to have the client be the person in charge of treatment and therapy, a novel idea when so many clinicians think they know it all better than the client and therefore take charge due do their discipline (CT, CBT, DBT, Etc.) I know that if my therapist had been in this category, I probably would not be here, or I would be seeing another therapist. I believe that if there is a collaborative effort of the therapist and client, there will be a higher success rate than if the therapist has the one track mind of he/she knows best. But the nice thing is that the Aeschi model doesn’t have to focus on one discipline. It can work for social workers, psychologists, psychiatrists, mental health workers, etc. It just takes a little courage to step out of the normal boundaries and put the client first. To let the client tell their story without being judgmental or critical.

After the client tells their story, there is an openness that can be trusted. Once the client has a sympathetic and empathic ear that is open to whatever the client is saying, the real journey begins.

This model is the new age of what therapy should be about. I know that if I didn’t develop a relationship with my therapist, I probably wouldn’t be here.

On another note: I did go out today and wasn’t in too much pain. I was able to walk a block with my AFO on. Now I don’t know if the brace is what calmed the pain down or if my ankle is finally calming down. I had a wicked bad night last night. Ice and pain meds were just not working for me. Usually ice helps but this time it didn’t. I am going to try again tonight. I have my foot elevated on a foam block. Best $60 I ever spent for a foam device. It really helps my back and legs.