SPSM and Prezi and being a suicide attempt survivor

SPSM and Prezi and being a suicide attempt survivor

For the first time in a long time, I felt I was useful to the #SPSMChat that goes on every Sunday at 10 pm EST on Twitter. I learned about Prezi, which I am not sure what it is yet. I thought it was a video thingy but I couldn’t figure it out and I am much to tired to try. I did make a couple of layouts but it crashed my Chrome and internet so I think I will stick with IE.

What I was talking about with Prezi was being a suicide attempt survivor. Twenty-five years ago today marks the actual day I got help, or tried to. It was a very confusing time and my mother had a hard time accepting me as being suicidal. She was worried about me, as is understandable. But I had my own world to contend to that she didn’t know about. I will write that in another blog, but for now, just know that I was living between two worlds, one that I created internally to cope with the external world.

It wasn’t easy the first few days after my attempt, if you want to call it that. My wrist hurt from cutting and then I found out that cutting really released emotion better than talking did. So I started having my cutting kit. I had to be very secretive but then, I sort of was as I was living in two worlds. I had two facades, the one that school saw and the one my home life saw. It wasn’t much different except at home I didn’t talk to anyone. I didn’t talk to my sisters and my father was not there after his violent outburst the day before. A week after all this suicide talk and me not getting any better, my sisters felt that he had to know. I had a large decorative knife outside my bedroom door. I swore he was going to tell me to kill myself by stabbing myself with it. I couldn’t have been more wrong. Instead, he told me to jump off the Tobin bridge. He was giving me permission to kill myself essentially. Nice guy, huh?

I was a straight A student at school. I also had perfect attendance until that night. I think I had to skip school one day to meet with a counselor so that ended my perfect attendance record for the year. It didn’t matter, I lost interest in school. Nothing mattered to me except for dying. I was 15 years old. The school nurse helped me a lot for the rest of my years in high school. I don’t think I would have graduated if it wasn’t for her. She gave me hope every time I saw her and I knew that I couldn’t let her down by being depressed. She wanted me better so I saw the school counselor instead of going to a private therapist. Unfortunately, when the school year ended, so did therapy. I was deeply depressed, more so than I already was. The nurse got me in touch with a social worker at the community school. I saw her for about ten months before she got married and left. I had a breakdown. I skipped school for a week and then in April of 1992, I tried to kill myself again. I threw up the pills and thus saved my life. I lost all hope that I ever was going to die. I felt like more of a failure than I ever was. That summer, I had my first hospitalization and thus started the cycle. I was hospitalized every three months because my suicidality reached its peak and I couldn’t cope with life anymore. The third time I went into the hospital, I came out as being gay. I had dissociated while cutting because I felt an attraction toward a woman on the T (public transportation). I thought I was going nuts until I met someone in the hospital who was also gay. I came out with my treatment team and felt a huge burden off my shoulders. It wasn’t until two decades later I would come out as being transgender.

My teenage years were filled with hospitalizations and cutting. It was a vicious cycle that continued into my twenties. After graduation from high school, I had my longest hospitalization because I overdosed again on the antidepressant I was taking at the time. I was determined to die and no one was going to stop me. Except, a Jewish doctor that felt I had some hope. She told me the only way out of the hospital was if I were to see her. The outside therapist I saw didn’t want to see me anymore. She couldn’t handle my suicidality. So I started seeing her but my suicidality increased. I was in and out of the hospital from August of 1994 to Jan 1995. I felt like no one could love me. Until I met a boy from Nebraska. He was gay and he loved me unconditionally. He didn’t care about my past. He wanted to help me. And he did. I felt that if I had him, I could heal. It took a while to trust him and I did. We had long conversations about school and life and being gay. We joined BAGLY and met others like ourselves. I still felt like an outsider because I really felt like I was a man. I was too scared to tell anyone this. So I was called a lesbian or gay woman instead. My self hatred rose to new levels. But I always held it in check.

Amazingly, I graduated a two year school for medical assisting. I was still cutting. I changed therapists, again. This time I was seeing a male therapist. It wasn’t too long before I fired him. I had obtained the medication to overdose again and when I told him, he asked if I was suicidal. It was the most stupidest question I was ever asked. Do people obtain large quantities of medication just for the hell of it? Granted I didn’t tell him I was suicidal, but getting asked point blank was kind of silly.

After this therapist, I really didn’t want to see anyone else again. It was really tough because either they left me or I fired them. Most of them couldn’t deal with my suicidality as an outpatient. They just thought the hospital was the way to go. By the time I was 25, I had about as many hospitalizations in ten years time. I just figured that was the way life was going to be. I was going to be in and out of hospitals for the rest of my life and I didn’t like that option.

It took years for suffering till I was an undergraduate at a university where I was taking psychology classes. My cutting had stopped, least for now. I had met my current therapist and she wanted to help me. I was taking a class for psychometrics testing. I researched stuff about suicide and couldn’t find a damn one that dealt with pain. There was an overview of assessments, twenty-five in all, and not a single one dealt with psychological pain. Then I came across the works of Dr. Edwin Shneidman. He lead me to David Jobes and the world of suicidology was open before me. I still felt like a hypocrite when I became a member in 2007 but I learned so much. My hospitalization started to decrease. I was using Jobes’ work in my therapy. I was also using Holden’s work as well. My pain finally had a name, psychache. And with it I could finally stop the bleeding. I couldn’t control the bleeding because I still bleed to this day, but it’s much less now that it’s acknowledge and talked about.

I still don’t have supportive parents. My sisters try to be supportive around my transgender issues but I can tell they would just like me to be my birth name and gender. They don’t know how much my suicidality surrounds me not being in the correct body. I hope in time they will.

25 years of mental illness: the beginning

25 years of Mental Illness

Twenty-five years ago, I started the world into therapy and madness. It was my aunt’s birthday. I stayed home because I didn’t want to go to the party. My father called me a liar and I lost it. I needed an escape so I started scraping myself with a pair of scissors, hoping to dig into a vein to end my life. The deeper the scrape was, the more it hurt. I barely exposed the adipose tissue but had scraped away most of the dermis. If I had continued, I probably would have reached the fatty layer. I didn’t plan ahead so I didn’t have a bandage to cover up my wound. It was burning as air hit it so I just covered it with my long sleeves. The next day, I went to school and carefully kept the wound concealed. I have no idea how I kept things together and just went on as if nothing had happened. The next night, my cousin had come over the house. He wasn’t supposed to be there. My father had banned talking to him because he lied to him, too. It was scary because I knew there was going to be a fight when my father came home for dinner.

And he came home. All was calm at first. Both men were civil towards one another and then my father’s explosive temper exploded. He wanted my cousin to leave. He refused. My father got really angry, threatening him. All I could think was that this is bad. Then my brilliant father thought of shooting my cousin with his rifle. I dissociated and was hearing bullets being fired. I felt like I was in a war zone but no gun had gone off. My father kept threatening my cousin and my cousin became indignant, refusing to leave. So my father got his gun. He loaded it and then threatened my cousin one last time. I snapped. I got between my father’s aim and my cousin and told my cousin to just fucking leave. I was so terrified that something bad was going to happen that night. My cousin threw me in my room so forcefully that I have a mark on my nose where I hit my heavy bureau and moved with it. He closed my bedroom door so forcefully, that I couldn’t open it. My mother then, I think, told my cousin to leave. He left. My father was still ape shit. Never had I seen him so mad before. My mother was in her bedroom and I think she may have had a hypoglycemic attack, I am not sure. I was in my room. I was fighting the voices who were going ape shit at me. They wanted me to talk to them, to ally with them. I couldn’t think straight. The voices wanted me to kill myself. The leader of the voices ordered me to kill myself. So I got out the pair of scissors from the night before and started over again until I felt no pain.

My father had taken the phone off the hook. My idiot cousin kept calling to see how we were doing. Asshole. He started the whole fiasco. How do you think it was doing?? I was so terrified that his brothers and my uncle were going to come to the house to kill my father it wasn’t funny. I barely slept that night. I was in pain, both physically from what I did to my wrist and mentally. I wanted to die so bad that night and prayed for death that never came. The voices were hounding me left and right. But I kept my mouth shut. Something told me that if I escaped to their world, I was never going to leave it. I had to stay in my century as bad it was. I lost faith in my father that night. He tried to kill a man for no reason except because he was defying him. He made no physical attack toward my father and my father didn’t do it either. But the damage was done that night. I had started cutting to save my life and I liked it. I was hearing voices on a continual basis, telling me what to do and no one knew this at all.

The next morning, it was just like the previous morning. Everything went on as if nothing happened. I got dressed for school, wore long sleeved sweatshirt, and left the house like I normally did. I got to the corner of the end of the street and lost it. I started crying. The events of the night before came flooding back. The voices were still trying to get me to talk. I was a bubbling idiot. The more I tried to control my tears, the more I cried. I don’t know how, but I finally got some composure and went for breakfast. Kids always copied my homework because I was the smart one in school. I gave it up and didn’t care if I got it back. I barely said two words for fear of crying again. I made it through my first period ok. But during homeroom, I lost it again. Someone asked me something and when I bubbled an answer, I lost control of the tears I was fighting back. My best friend noticed and asked what was wrong. I said nothing. My wrist was throbbing with pain. Thankfully because I wasn’t alone, the voices were just hiding out, just waiting to attack me when I was alone. I went to my second period and there my best friend told my teacher something was wrong with me. I wasn’t upset with her. I must have looked a mess from crying and keeping my emotions together. The teacher pulled me aside once she started a movie for the class. I thought I would be able to sleep with the movie going but she wanted to talk to me. I told her I was fine. Nothing was wrong. Then she rolled up my sleeves and I was caught. She said to wait for her after class. I felt like I was in trouble and I was never in trouble with a teacher before. I was always the nice one, the goody two shoes.

She took me to the nurse and they talked for a bit and then it was my turn. I think I told her I tried to kill myself last night, that I wanted to die. My father had a big fight. I didn’t tell them about the gun or my father trying to kill someone. I didn’t want the police involved. My father would kill me. My mother knew I had problems. When I was ten I told her I was going to kill myself but she didn’t believe me. Now, five years later, it took the word of the school nurse to believe me. We went to the county mental health center where I was evaluated. I was tired of going over my story again and again. I didn’t tell them about the voices and they didn’t ask. They just wanted to know if I was suicidal and I lied. Told them I was fine.

I kept in contact with the school nurse for the weeks following this traumatic night. Eventually, the nurse convinced me that I needed to see a school counselor and so I agreed to talk to her. I told her about my abuse, all of it. The sexual abuse at the hands of my cousin (same one that instigated my father) and my mother, the physical and emotional abuse of my father, and the neglect of my mother as well.

In my mind, I had killed my parents when I was 12 and had been an orphan since I was 10 when they died. It was the only way I could survive. I was tossed around between family members and no one wanted me because I was unloveable. Eventually, I started talking to the voices again. They didn’t want me to and were still telling me that I had to kill myself so that I could live with them, to start a new life. I never believed them. I must have had at least a half dozen voices in my head and most of the time they were all talking together, among themselves, about what to do with me. They knew I had to die. I knew I had to die. And so my path to the world of psych began and still continues to this day.

Jumping around (a book) and other thoughts

Jumping around (a book) and other thoughts

So my last blog I wrote about how I bought a book about the standard legal and ethical care of the suicidal patient. In the appendix it listed an “Anti-suicide” contract. I was curious about this as I was hoping it had nothing to do with a “no harm” contract. I was correct. It was similar to the “commitment to living” contract that I wrote about here. But the funny thing and I don’t mean the HAHA funny, is that it lists the lethal dose of common drugs in this book. I won’t go into specifics about these tables, but for an anti-suicide book, I find it odd. I have never seen a table like this listed in a preventative book before.

The book is the second edition, not the first like what I thought I ordered. The original book was printed in 1991. The second edition, 2002. I didn’t know this. I have heard of the author before. He is in another book about the legal and ethical treatment of suicidal patients. That book is co-edited with a bunch of other suicidologists. I had bought both books because it was referenced with an article I was reading and I wanted to read the reference. Trouble is, I forgot the article and the reference. I didn’t make note and so now I have these books but I don’t know why I have them. They will be read in the course of the year. I am doing a reading challenge on GoodReads.com. It will come in handy because I don’t have 20 books to read this year. I have about 15, which leaves me 5 short. I have read 6 books so far this year for this challenge. I had put Dostoevsky’s Brothers Karamazov on it but I think I am going to remove it. It’s much too long to read and I have like 6 books on Kindle I downloaded that I want to read. Four of these book are Lawrence Block books. I had started one book but I read “Common Struggle” today and I am wiped out for reading. I still have Harry Potter to read. I don’t know when I will get around to reading that book.

I had pizza for supper. My mother made it and it was good but my stomach didn’t like it. I think I ate too much as I haven’t been eating good the past three weeks or so. I think I am going to have to have some Alka-Seltzer to settle my stomach. Tomorrow I will buy the generic version of Mylanta. The PPI that I have been using for my reflux just hasn’t been cutting it for indigestion.

I had to bust out laughing when I saw the weather report for Friday. We are supposed to get 0.1 inch of snow. That is nothing! Why even bother reporting it??!! And they are calling it a fucking storm! Are you serious?? The weathermen have nothing better to do these days then to call snow that is 0.1 inch a storm. RIDICULOUS!

For the past half hour, my leg/ankle/foot has been having a weird pain. It’s starting from my calf muscle and is wrapping its way around my leg to down my ankle and foot. I have never felt this before and it’s not my usual pain that I have. My toes are singing to me. That is my usual pain. But that is also because I got zaps in my toes a little while ago before this weird pain started.

My father is still mad at me. He is paranoid. He thinks my sister and I are conspiring to kill him. I had the “pleasant” task of talking to his doctor’s staff today about his refusal to take his medication. Apparently, he told my father he doesn’t want him taking it. Well, don’t you think I should know that?? I am so pissed. Here I am telling the guy to take his meds or bad things will happen and the doc told him not to. I am livid. As the “keeper” of this medication, I should have been told this information. And getting him back on this medication is going to be a hassle. I am not going to be the one to tell my father this because I am “trying to kill him”. He better be put on some other blood thinner. Or I will have him go back to his cardiologist and have him explain to him that he needs to be on it. I am done with coordinating with a PCP that has no regard for the family members who deal with my father’s medication and then leave out pertinent information regarding it.

In other news, there was a “trespasser” on one of the commuter rail lines today and he/she got hit by a train. This is the second person to get hit and now they are closing the station temporarily. I seriously doubt they will say it is a suicide attempt or not. The T doesn’t report “jumpers”. But I am wondering if someone was crossing the tracks and they got hit by the train because it was easier than going around the world to get to the other side. I have seen that happen before. No one got hurt but it is still risky.

Twitter Rant: CAMS and Suicide

I wrote this at 0400 today. excuse the hashtags

Twitter rant CAMS and Suicide

I wonder if there will ever come a day when there isn’t a hierarchical relationship between client and clinician in the matters of #suicide. That clinician and client work together to deal with #suicide and all that it portends, without judgement, stigma, or fear. These are the musings I have at this hour. Anyone can be trained for suicide prevention but do they go with that training or own prejudices. I have seen that changing clinicians’ minds about how they deal with #suicide training doesn’t change their perception of it. The old stigma of “they’re going to do it anyways” so why bother helping them is prevalent. If it doesn’t change their perception of #suicide, why then bother spending hundreds of dollars for training if you aren’t going to use it?? Case in point, at the Menninger clinic, they had a CAMS study where the authors noted the clinicians resistance to this easy framework. Again, it was hierarchical, the clinician knows best, the client knows nothing, This truly needs to change if we are to prevent #suicides. CAMS was designed to work with all disciplines (SW, PhD, PsyD, MD, etc.) Yet these clinicians had their biases & stigma preventing an open mind. CAMS is unlike any other theory, is quick to learn, and has less paperwork. Along with the SSF, it really help deal with #suicidal clients. I might be biased for CAMS only because it saved my life and I think it is the most superior #suicide assessment out there. Here is my blog about #CAMS. #CAMS is also NOT a replacement or new treatment but a theory that working collaboratively helps someone who is #suicidal. my musings started when a therapist was complaining about the use of the CBT paperwork and stayed away from it in her practice. As a patient, I can totally understand why the CBT paperwork is so daunting. I never liked it and don’t think it is helpful but others have found it helpful. And you have the CBT nuts that swear by it. I just wonder if it is because that is all that they were trained to be like DBT therapists. You don’t have to change disciplines to work with #CAMS, after the assessments, the client will need that discipline for treatment. I still would love to replicate the study in the Boston area about therapists and their attitudes toward suicide and training. Final thoughts are that #suicide training is under utilized in this country and not mandated. when is that going to change??