Tag Archives: suicide ideation

What I started writing yesterday and stuff I did today

What I started writing yesterday and stuff I did today

So this is what I wrote yesterday:

I am so flipping enraged. Just came from seeing my pcp. He was interested in how I was doing with the med change. Jerk said he was extremely skeptical about opioids helping me at all. Well take this chickenshit, my pain is reduced 50% aside from flares, which nothing seems to help. He was glad he was wrong. But can you imagine the big “I told you so” if I got no relief? I can’t believe the ignorance. Totally dumbfounded and hurt I would left to deal with excruciating pain and nothing to treat it with when there is something to treat it. So anyone who says opioids don’t work for CRPS, THEY ARE FULL OF CRAP!! So I then tell him my back has been acting up due to weather changes. My lumbar spine and sacrum do not want to move. Asked if taking ibuprofen was ok and he says it has risks of heart problems and hypertension. But mostly stomach issues. I should use it sparingly. Why the fuck is this over the counter if it causes so many problems? And doctors prescribe it like candy or more potent NSAIDs like naproxen or diclofenac?? Idiot. I just rolled my eyes. I cannot believe this idiot is practicing medicine at a world class hospital.

Today I find out that he is worried about my sodium levels as they dropped again since the last time I had them checked. He is going to talk to my psychiatrist and has ordered blood and urine tests to rule out what is causing my blood sodium to drop other than medication. I wrote back to him and asked what the tests were (I am a lab geek, after all) and if the PCOS I have might be affecting my pituitary, thus messing up my blood levels. I don’t think I will get an answer tonight as I thought of this around 1900. He did tell me that if I felt ill to go to the urgent care.

I spent most of the day clearing off my bed so I can change my bed sheets. I had to do it in increments because my back kept flaring if I stood longer than 10-15 minutes. Then I couldn’t find my reacher on my bed so finally cleared off nearly everything except my office essentials like my journal, laptop, and book that I am reading. I made pancakes this morning and then had buffalo wings for dinner. I was so sleepy after dinner that I had to lay down. I was hoping to sleep but I couldn’t.

Tomorrow, I will be able to change my sheets. I plan on washing them and my blanket. I have another set of blankets that I will put on. They won’t be as warm as the Red Sox fleece I am using now. I think I am going to put the hospital blanket on and then the Red Sox. That should keep me warm and if I am too warm, I can always take it off. I have to keep my leg warm because the AC might make my foot cold. Plus I get cold and like to get cozy under the blankets at night.

I was feeling really down last night. Pain was elevated and so was my suicidality. I wrote a blog. When I finished it, I sent it off to a couple of suicidologists, including the president of the American Association of Suicidology because something she posted on Twitter bothered me and I had written about it. She tweeted me in the morning and we had a discussion but I could tell she wasn’t getting what I was trying to say. It amazes me that these people want to prevent suicide yet belittle the thoughts of those who actually live with chronic suicide ideation. She had written a study that had showed more than 132 people are affected per suicide. It was dispel the thoughts that Dr. Shneidman had that at least six people were affected. He said this but never studied it. No one knows where he got this number and he is deceased so we will never know. Her study was important. But what the bereaved suicide loss persons don’t realize is that saying loved ones will be hurt and others will be affected, some how guilt trips them into staying when they do not wish to live anymore. I was trying to explain this and we weren’t getting anywhere. Depression already caused excessive amounts of guilt. Add this information and it is overwhelming, which is what I was trying to get at but obviously wasn’t explaining right. She is a very intelligent person but I really think that lived experienced people and others who think of ending their lives might be too painful for her to deal with and so gets offended. I have seen it happen to me one too many times. Yes, it does make you stop and think of who you are hurting when you are thinking of taking your life. But then you (the suicidal person) have to wonder, is my suffering greater than those I love? And if this was a physical, terminal illness like cancer, would they still feel the same?

It just bothers me so much that people who are already suffering from huge amounts of pain, physically and mentally, still go on with their lives because they basically feel trapped. I know I do. I feel trapped by not want to cause pain to my family and friends with my death and the pain I already have that I was so desperately to end. It is tearing me apart some days, especially when the dawn approaches and I no longer have such intense feelings of ending my life. One of the suicidologists was glad I had made it through the night. She was the only one that said that. I am sure the others would have thrown my ass in the hospital if they could. I write a lot about my feelings because I don’t have a lot of support. It is also cathartic for me to write. If I lose this, for whatever reason, I know I will die. I think I even emailed my psychiatrist last night about why am I still around? Why am I still here. And will she let me go? I was half expecting a response or a phone call. I got neither. I see her next week so I know I will talk about it, least I hope to if I am not chickenshit. She sometimes scares me because she has this way about her that when she says something, I have to listen and “follow orders”. I have never not done what she said when she says it in that tone she has. She has known me for a long time. I respect her a lot and she respects me a lot. She looks up a lot to me because I have been through so much.

Next week is going to be difficult as I have a lot going on. But right now, all I care about is changing my sheets and reading Harry Potter as well as keeping track of the Sox. Oh, almost forgot, the blog that I wrote early this morning was chosen by some paper and published on their platform. Pretty cool!

Painsomnia and Midnight Demon Friday 22 June 18

I had started a blog on my laptop to publish yesterday but my brain kept getting foggy and couldn’t focus. I knew if I forced myself to write, it would come out crappy.

Now it is after 2 am. I can’t sleep. Midnight Demon is out. Has been since 10 but had no writing urges. I’m just writing now because I felt like it. I feel suicidal. Been planning for months and now it is almost time. I’m wondering where the weeks went. I haven’t done much other than look over my will. My pension is still wherever it is with my employer. I have emailed my psych that my death is inevitable. I asked her to let me go.

Pain has been decreased by 50% since my new longer acting pain med was started last week. But it does nothing for flares. I am not in a flare. Just pain that is left over from the meds. It doesn’t take all the pain away. Nothing will do that. But this pain is what is keeping me up. That and the thoughts of ending my life. It is like a monkey on my back. It goes away for a while and then comes back full force.

It is a familiar feeling. A part of me knows it will pass. Another parts truly believes this will be the end. I am tired of fighting this. I had made my decision 3 months ago. Now the 3 months is almost up. I extended the date due to circumstances beyond my control. Next week I will check out the location. I hope it will be suitable. I am still afraid I won’t go through with it. My psych might intervene. I don’t know if I will end up back in the hospital. I told her it was useless.

My hope level has been fluctuating a lot. My friend reminded me I’ve been in rough patches before and got through them. I didn’t tell her this was it. I feel so stupid. One of the suicidologists I know that is the president of AAS did a study on the effects of a suicide. In the study she found that >132 people are affected. If that holds true, I will have ~400 or more. And that just includes my online/high school/ co workers friends. Doesn’t include my humungous family.

I feel guilty about this. Today she posted saying that it was a reminder to suicidal persons as they often feel no one care or that no one will miss them. Makes me mad. I don’t want to cause pain to others yet why should I go on in torment of my CRPS and depression? I feel it is a guilt trip. A huge one at that. I stuff those feelings when I am deeply suicidal. Then when it lowers or I look at the people I love, I wonder how could I do this to them? I am in agony over this. It is truly hurting me. Call it ambilvalence. Call it selfishness (please don’t as that is NOT what it is but i don’t know another word). I just am so conflicted as to what to do. I can’t stuff them. I want to die. I need to die. My time is coming. Question is, to be or not to be.

day 5 and a flare

Day 5 and a flare (warning, long post)

Last night, I had to go to the bathroom kind of late, around 2300 or so. I was also hungry so went downstairs. I must have went down four steps and my ankle went out on me. It became really painful. I stopped and hung on the bannister to prevent falling. Pain subsided a little and I went down a few more steps only for it to happen again. Shit. I held on again to the bannister and waited for my ankle to calm down a bit. I knew the downward motion of my ankle was causing it to get annoyed. I finally went down the rest of the stairs and did my business.

When I came back up to my room, my ankle felt okay. The game was late as it was on the west coast and I couldn’t stay up as I needed to be up at 6. Around midnight, I turned in, or tried to. My body pillow was a mess and was not making me comfortable. I must have flung it off the bed as when I came up to my room today, the whole side of it was on the floor. It collected all the dust that surrounded it. Great. I used a lint roller to get it off. I just decided to use a regular pillow and somehow fell asleep. I woke up about three hours later in pain. It was too early to take the 12 hr pill so I took the immediate release. Two hours later I was still in pain so took the longer acting med. I was early but oh well. I then slept for about an hour until my alarm went off.

I took my morning meds and then went downstairs to brush my teeth and wash my face. I was deciding on what to wear. I thought I could wear shorts but it was too cold and it was kind of rainy. I decided sweatpants and a long sleeve shirt were in order. Except, I couldn’t find the one I wanted to wear. I scrounged my bed and it was nowhere. Oh well, just go with the one I usually sleep in. I left to catch the bus. As I got to the corner, the bus I was to take rolled by. Luckily, another one soon followed so I didn’t have to wait long.

I brought my Dostoevsky book with me. I had 45 minutes before PT. I got coffee at the lower end coffee shop and a coffee roll. When I finished the roll, I got to reading until it was time to leave for PT. PT was not so great. She gave me a few new exercises but I think I am going to have trouble doing it on my left side due to moving my damn ankle/foot. I might have to wear the AFO (ankle foot orthotic) to keep it stable. We just did the right side and she explained what muscles were moving. Then she massaged my hip. She said my muscles were hard as a rock. I said like a tennis ball and she said yes. Some parts of where she was touching was bothersome to my thigh muscle. I had to remind her that my L2/L3 surgery fucked it up. We talked about the PTSD and stuff that surrounded my pain issues and she offered some concrete grounding techniques which I will try as the ones I were using were not working. I chiefly use distraction and music. She had me laying on my back under some kind of box thing. As we were ending, she moved my knee to my chest and my back cramped up badly. It hurt so much. I was able to walk out of there but I was hurting. I came home because my next appointment wasn’t until 1500. I made a fried egg that I kind of overcooked the yolk. Then I went upstairs and was hoping to catch a nap. Well my ankle said no to that soon as I laid down. I left an hour early than I wanted to. I went to Starbucks for espresso and a Danish.

I read my book as I brought that with me. I was going to get some serious reading done. But my god, did Dostoevsky talk and talk and talk. It was about 4 chapters of the prosecutor giving his closing argument. When he was finished, so was I. I have about 8 chapters left in the book and I should be able to finish the book this weekend. Progress. I promised one of my suicidologists that I would read her book so I will. It should be somewhat easy reading once I remember where I put it. HA. Don’t know if it is buried on my bed or I put it somewhere else.

I went to my psychiatrist appt. I gave her the run down of being hypomanic without euphoria and the cycle I seem to be in. She didn’t read anything I sent her but she said she would read it as she always does. I felt kind of deflated because I really wanted to talk about the article I sent her. I couldn’t bring it up if she didn’t read it. I actually was not really present. I just glossed over things and she accepted it. I told her my therapist wanted to meet with me twice a week but I am not sure if I can do it physically, especially with physical therapy sessions going on as well. I had told him I would think about it and get back to him. She thought it was good to be seen twice a week. Then we made an appt for two weeks and I left.

My ankle was kind of giving me grief but it wasn’t bad until I got within two blocks of home. Before the Walgreens by my house, there is this dead end street that leads to some houses. The sidewalk has a little handicapped ramp that, to me, is very inclined. I walked down it and it brought me almost to my knees. Pain was so fricken bad. I had to stand in place until it settle down. It was the same as last night when I was going down the stairs but 10 times worse. I didn’t know what to do. My sister was away (or so I thought) and there wasn’t anyone else I could call for a ride. I took my blessed time limping home. The block that lead to the final block to my street was hilly and downward. OMG did it hurt to walk downhill. I had to stop a few times to catch myself. I finally made it home and my sister’s apartment door was wide open as well as my door. I called for my niece but there was no answer. I stuck my head in my sister’s apartment and called for her again. My sister was home making dinner. My other sister was there as well eating some kind of cheese plate. I had some cheese and pepperoni and chatted with my sisters. I then went upstairs. I took my things up the stairs carefully. I took a seat in the kitchen and my ankle just went berserk. I had no idea how I was going to walk down the hallway to my room. I was in a serious flare. I have been on the new med for five fucking days. I have no idea if CRPS doesn’t care if you take meds or not. I posted the question in my support group. I am still waiting for an answer or support. I had to take the med when I finally got to my room. It was two hours early but I didn’t care. After I made dinner with a boot on, my ankle still flared again. I took the breakthrough med. It is going to be a long night and I have been up for 15 hours so far. I cried in pain while I was in the kitchen. My mother was oblivious.

I don’t know what to do to make this pain go the fuck away. I thought the new meds would work and they did for a bit. Until I walked that handicap ramp, which I will never fucking do again. I wish I could say the same of the stupid stairs but I live in a two floor house so that isn’t possible. Even wearing the boot didn’t help. More than a few weeks till my date. I wasn’t going to go through with it. But I change my mind. I could still change it, again. I haven’t told anyone about this because people keep saying they need me and that makes me feel guilty. Someone also reminded me of the ripple effect and I told her to stop talking to me. I don’t want to hear it. I just want to be left alone in my misery that no one understands. I am so done with explaining about how suicidal I am and not getting any understanding about it. Not that I want support for it. That would be ridiculous. But to know at least where I am coming from rather than have supposed opinions. I just have become callous to anyone that thinks they know me.

I did ask my psychiatrist if she thought I was “treatable”. She said yes. But that is all she said without any elaboration. I am in too much pain, both mentally and physically, to tell her what I am thinking. I am also afraid of telling her what I am thinking for fear of another hospitalization. I won’t go this time, not unless I make an attempt. That is the only way I will go back. I just hope to be successful. Things will be really bad if I don’t succeed. I am scared though. I’ve never tried this method before. And if I don’t get it right on the first try, I am kind of screwed. I am just messed up.

About depression that I have to get off my chest

About depression that I have to get off my chest

There has been a LOT of talk lately about depression being treatable. Let me say first, that for some, it is. Therapy has been helpful to some in dealing with it. Medications and therapy still prove to be useful in treatment of depression or actually any mental illness. It was once thought that schizophrenia was a medication only illness. But I learned through one of my suicidologists that isn’t always true, as there was a paper written by him about he helped decrease an individual’s suicide risk by seeing him weekly or more if suicide was more present. It helped the patient feel cared for. If I find the article in my files, I will share it if you care to read it.

I am in no way saying you should NOT get help if you are feeling depressed. But my experiences (which are not the same to the whole depression population) beg to differ. I have yet to find anything that helps the mood shifts. Since my long time therapist stopped seeing me for reasons I have still yet to learn, I have been the most unstable and hopeless I have been in the 16 years I was in “treatment” with her. We had our disagreements about treatment. Transference and countertranferences were helpful at times but were no long lasting. She stuck with the way she was treating me and I stuck to being, well, depressed and suicidal.

What I have to get off my chest is that sometimes, depression is untreatable in a small percentage of people. There is such a thing as treatment resistant depression. Despite ECT (“shock” therapy), medication, and therapy, one can still feel depressed. There are a trillion reasons for this. Sometimes it has to do with the trauma one experienced. Some has to do with biology itself, that the genetic predisposition of a person makes them depressed. Other times it has nothing to do with a trauma or situation. It just happens that you start withdrawing from life, slowly at first and before you know it, you can’t go back to things you loved because, frankly, you are too depressed. Sometimes you maybe too depressed to seek help and a friend or family member needs to push you to get it. The thing is, depression still exists despite treatment. Some people have suffered depression for years and have never told a single soul. They are the small percentage that still go on with their episodes after they pass. They are less likely to die by suicide. Hell you don’t NEED depression to end your life. It has happened. Look at the Shawshank Redemption movie. The warden was “well” mentally and rather than be arrested and humiliated, he killed himself. Would anyone have thought he would do such a thing? No. And that is what my point is. Although we know what the risks are for suicide, depression and mental illness is only a small window into those risks. There are some people who die that have no history of mental illness yet die by suicide. I won’t go into more discussion about it because this is a loaded issue. I suggest reading the Myths and Facts of Suicide by Thomas Joiner. It is a really good book about what I am talking about.

I can only talk about my experience, no one else’s. I have been depressed since I was 8, maybe younger. I only know this because I started thinking suicide was a good idea at that age. I was 10 when I tried to end my life for the first time. I suffered from depression and after taking Prozac, became bipolar because the medication caused mania like symptoms. Not once during my years of being on medication AND therapy did my thoughts of suicide leave me fully. Neither did depression. There were brief times where I felt contentment. I honestly don’t believe in happiness. Like anger, it is a fleeting emotion and doesn’t last. But feeling contentment does happen for me and I sometimes feel comfortable in it. I know it isn’t going to last long. It never does. The depression always finds a way back, maybe not right away but it does come back. Despite some of my successes in life, graduating from high school, getting my Associate’s degree, publishing two books, I still was depressed. I was elated for a little while but it was fleeing. Just like when I wrote the article for the New York Times. I couldn’t believe and still don’t, that it happened. I still have the check that one day I will frame along with the article. But soon after all the paperwork was filed and I was waiting for it to be published, I was intensely depressed. The New York fucking Times was publishing something I wrote and instead of being happy as a pig in shit, I was depressed. I learned that no matter what my success in life was, no matter how much money I made, good job that I had, I was going to always be depressed. I could do one of two things. I could accept that this was the way it was always going to be or fight it. I chose to accept it.

I knew I had been fighting it since I was 16 that I would always have to take medication for my mental illness. It wasn’t easy but I knew if I was to avoid a lifetime of hospitalizations, I would need to take medicine to hold off the demons. Yet despite this theory, I was still hospitalized. Many times. Some times it was like a revolving door during my worst episodes. In 1994, I suffered a huge major depressive episode. I was hospitalized almost every two weeks and then for two months because I tried to end my life. It was one of the lowest periods of my life. I couldn’t bring myself to do anything. Showering didn’t matter. I gained a ton of weight from the meds I was put on. I started living an almost double life. The life the psychiatrists wanted to see and who I really was at home, when I was by myself. Hopelessness was rampant and totally lost on me. I can’t say that I got better. I just got better at hiding from myself, to keep the darkness at a minimum so I wouldn’t be committed at the age of 19 to a state hospital. Even then the façade I built was hard to put down. I just did what I was told to do and when I felt like acting on my feelings of suicide, I told my therapist or psychiatrist, which inevitably led to another hospitalization. But the hospitals in the 1990s were different than they are today. Today they are nothing but holding pens. Two maybe three days you are in and then you are out. If you need more help and have an outpatient therapist, you see them. You don’t need to be in. Maybe you stay for a week or two. But never more than that. Insurance won’t pay for it. And you don’t really get “treated”. You are watched 24/7 to make sure you don’t harm yourself. You might find a “treatment team” that listens but that is ALL THEY DO. They don’t help you in what you came in for. That is for you and your outpatient therapist to work out. If you don’t have one, you might get referred to someone. I’ve never been in that situation so not sure how that works.

I have lost faith that my illness is “treatable”. Seems no matter what I do, I end up depressed or just stay depressed. I am okay with that. I’ve known for a while that there is no longer an antidepressant out there for me. I am grateful my mood stabilizer still works. I just hope that it does fuck up my sodium levels and I need to some off it. Then I will be really screwed. In that sense, I still take my meds because they help. I no longer have commanding voices every day and the accompanying paranoia and delusions. I have to take a med for that every day. But therapy is still elusive. I honestly don’t know if it helps. Talking with someone honestly, like writing this blog, has been useful. Sometimes it feels good to talk to my therapist and leave knowing that someone understands, even if he thinks I am crazy. He said that he is “taking my lead”, which I am not sure about but it is a learning curve like anything else. And I will stress again, that if you aren’t comfortable with the person you are talking to, if they make you uncomfortable or just not getting it, find someone else. There are a lot of different therapists out there. A lot of different degrees as well (but all should be licensed by the state you are in, if they aren’t, I wouldn’t see them). It will take some time to know if they fit with you. The average is about 3 or 4 sessions. Any more than that might be a waste of time if there is no connection.

Bigger

Bigger

This song is by Sugarland and I have to say, it speaks to me. Not in a psychotic way like some music can do, but the lyrics touch me because it is hopeful and I feel like Jennifer Nettles, who I adore, is speaking directly to me as she sings it. (I know that isn’t it but you kind of feel it with the tone of voice she uses.) It is a beautiful song and as my last few days have been rocky and filled with suicide, it is slowly sifting in my brain that maybe I can put off my plan a little longer.

I emailed my psychiatrist as I have had another day where my mood is a fricken rollercoaster. I have felt slightly above normal (not really euphoric) and then crash. Last night I swear I was having mixed states as the perturbation was so bad I couldn’t sleep. I was so on edge. But I woke up depressed but not so much that I stayed in bed like I wanted. I forced myself to catch the bus. I didn’t change out of my PJs. They could pass as sweatpants so I just went out with them. Fuck it, people go out in the PJs all the time, why should I be different? I did the few errands and had the intent of making zucchini pie today.

I was exhausted when I came home. The fluidity that I was able to walk with yesterday was gone. Every step was painful and slow as molasses. Not sure if that was due to pain or depression. I just felt like I was going uphill with every step I took, even on level ground. I saw my mother had taken out some meat for dinner. I was grateful I didn’t have to cook. I will make the zucchini pie tomorrow after I go to the pharmacy to get my breakthrough med as there doesn’t seem to be one close to me. I called the one I go to all the time and they are out of stock and think it might come in Friday. That is just unacceptable. I’d go tonight if I had a car, though I might get lost as I am not too sure of the way. I know the bus route so will take it tomorrow. I hate going there two days in a row but I need my meds and I really don’t want to wait till Thursday when I see my PT.

One of the suicidologists on Twitter liked my blog that I wrote yesterday or rather this morning. I was kind of in the mixed state so was hyper/depressed and needed to write. It was nearly 1700 words. She asked my permission to use a section of it for her class that she teaches. I said sure as long as you credit Midnight Demon. That was all I ask. Give credit where credit is due. I haven’t read what I wrote. I usually just write and then publish. Then someone comments and I wonder what the fuck did I write. Happens all the damn time, even in my journal writing. There was a time where I was in the hospital for a lengthy stay. I wrote in notebooks (didn’t have fancy journals like I do now) and I went back to read what I wrote. My handwriting changed so many times I thought it was a different person writing. The think that always struck me, even to this day, my feelings always stayed the same. It was just a different day. Talk about feeling hopeless. I literally had proof that I was a severely depressed hopeless person.