a useless therapy session

I had a pretty exhausting but good day. I had a little hypomania for most of the day but that seems to have dissipated now. I have not crashed yet but I know it is coming on. I am dreading it. Given that I already have suicidal tendencies in the forefront of my mind, it is going to be hard to get away from this crash, depending on how bad it is. I was euphoric for nearly a day and a half, the longest I have ever been in such a long, long time. But I think a migraine interfered with it since I have taken my migraine med I have been feeling calmer and the racing thoughts have stopped.

I am listening to the ball game because I cannot stand watching the game while Dennis Eckersley is announcing. So I am listening rather than watching. I like listening to Joe Castiglione. He has a calming radio announcers voice.

I gave my therapist the blog that I wrote the other night, before my euphoria. It is so weird that I wrote so darkly and then felt the complete opposite within 12 hours. I met with her today as I had my sister’s car. We did not go into overtime. This week I am meeting with her four times. I know that might seem excessive but given my mood swings, it will be good. My thoughts were all over the place while I was talking. I didn’t know exactly what to talk about as she didn’t do her homework of reading the Managing suicidal risk forward that I told her to. I didn’t even see the book on her desk when I came into her office so I know she didn’t read it. I forget now why I wanted her to read it other the fact Shneidman praises Dr. Jobes work. I was kind of hoping that she would pull out an SSF (suicide status form) but my mind was going a hundred directions at once. I don’t remember half of what we did talk about other than me feeling like superman. She wanted permission to talk to my psychiatrist, which I consented. I don’t know what she will say. She thought that since I was euphoric I would give up my idea of being suicidal but I was too giddy to say yes to that. Maybe I was feeling good because I know there is an end to my pain. Wouldn’t be the first time I felt ok after making the decision to end my life. But I also wonder if I felt good because the pain I have been feeling is finally gone for the time being. I did tweak my ankle today just stepped wrong while looking for something in my room. We talked about my pain meds being a factor but for it to last more than a day, I find that highly unlikely. I know the pain med might still be floating in my system but I doubt it would have lasted till now.

I tried to stay focused with the letter/blog. I know I talked about how I got four more followers to make it 190 right now. I am pretty proud of my blog. I know that I touch people with it. And I do get some bloggers that provide feedback. I got a comment today about what I am writing, whether I am trying to reach out to people and I am not. I am just writing to express my feelings. I am not writing for sympathy.

As I got to see my therapist today, I got to see my big teddy bear, Johnny. I miss him. He is just a HUGE cuddly teddy bear. I love him since the day he entered my life 12 years ago. I got him as a gift when I had my first back surgery. He is so big that he couldn’t fit in the bed with me. I had to put him in a chair next to me. I told him today that he would have to take care of my therapist when I am gone. My therapist didn’t like hearing this but I have been telling her for years this.

We did talk about my writing my book. I told her that I would just put my stuff on dropbox for my friend to publish. I then had to explain what dropbox was as my therapist is technologically inept. I really don’t think my book will ever get published. But from what I gather from writers is that you just have to keep writing in order for that to happen. I still want to get a good publisher like scholar or some kind of press but I am not sure I can ever hit the big leagues. I know there are some self publishing companies but I don’t really have the dough to make that happen. And I doubt I would make the best sellers list. I know my blog is successful but I don’t think my life will make the big leagues in the book world. Most people have gone electronic anyways.

I feel like I need another cup of Java I am so tired but I have been up since six this morning. It is now eight thirty in the evening. I just took my night time meds. But I can’t go to sleep just yet because I am listening to the game.

I am starting to feel like shit mentally. I am wondering if I should go back to the hospital but that just always gives me more problems than it is worth sometimes. I don’t really get the help that I need there, depending where I go. Mostly you are counseled by the nursing staff and they are ultimately make the decision on whether or not you can go, not the attending psychiatrist. You are lucky to see the attending more than 10 minutes. And that is not enough time to do any sort of assessment. They basically just ask you questions, are you safe, are you going to hurt yourself and if they questions are no for three days, they send you free. They don’t care what brought you in the hospital. Soon as you are in, your insurance company wants to set you free.

psychache and therapy

Woke up this morning in pain again. I couldn’t stand it. I tried getting in touch with my therapist to have a session to deal with this pain. But couldn’t get in touch with her till after I took my really strong pain pills. I had to break the cycle as it’s been almost ten days now that I have had this pain and nothing seems to be calming it down. I know once the weather decides to stay at a normal temp I will be happy. My brother in law just put in the A/C so my room should be 50 degrees in another hour or so. I hate being this miserable. I really wanted my Isla Flores today but I couldn’t go out because the really strong pain meds put me out and I would be stupid all day. I slept till about an hour before my therapy appt. My therapist finally texted me a time we could meet.

I wish I could say that it went well but it just left me feeling depressed and hopeless. We did a psychache scale and it was 50 something, which is high but not as high as she was expecting. The whole thing just bummed me out because I know I am in dire straights and she knows I am going to kill myself in a few months. She is trying to lessen the ache to lessen the suicide/press. But I don’t think you can do that without first dealing with my physical pain which is the cause of all of this. I can’t help but think that if I didn’t have chronic physical pain, I would be somehow ok and might want to live. I might actually use my brain to get a grant to get back to school. I am just eight classes short of my degree. That is two semesters full time. I probably won’t be able to go full time because it will cause major psych issues but I can go at least half time. I will beat doing nothing all day. But I rather just focus on my death.

I want to die because it is my only option right now. I can’t think straight with this pain and I know you shouldn’t kill yourself when you are suicidal but I am not per se suicidal. I am just thinking about ending my life and planning a means towards that ends. I feel rational about this. Nothing about this feels wrong. Sure I can go on living in misery but I am choosing not to. I know my family will not understand. No family would. But I am tired of being in pain. I am tired of the endless, sleepless nights of agony I feel every single night. The burning. The stabbing. The zaps. I can’t take it anymore. Just knowing that I have a plan gives me comfort in that I won’t have to suffer anymore.

I told my therapist today that I will have to hurt her. She refuses to stop treating me. I can’t make her go away. I have tried to give her an out so she doesn’t have to be around me when I do this but she refuses. Today she was talking about some therapist that believes in psychache as resilience. I really have no idea what she was talking about and neither did my therapist. She gave me her name but I don’t remember it. I think it would be interesting to see her but I don’t have time. Then my therapist says that she wants me to see a consultant again. I don’t know what he will want to do other than tell me he doesn’t want me to die. She asked me today if she could talk with my psychiatrist and I said sure. There is nothing you two can do to stop me from my plans. If I don’t do it in a few months I will do it on my original date. I have until then to change my mind. But the way things are going, I don’t think I can change my mind. I just took another strong pain pill, my second of the day. Maybe two will work this time and tomorrow I can get my Isla Flores. I have not been out of the house all weekend. I think tomorrow will be a good time to get out.

A day at Starbucks

I’m at Starbucks drinking my Isla Flores. I don’t know what I am going to do when they get rid of this coffee. I like it more than West Java and it is from the same island (Indonesia). It is really hot today so I am glad they have the A/C cranking in here. It’s going to reach 95 degrees today. I don’t like heat. It drives me crazy. There have been studies done on suicide that state that intolerable heat causes suicide, or makes it more prone to suicidality. I know because there have been times I have thought more about suicide on hot days than I have on cold.

I have an appointment with my psychiatrist today. I don’t know if I am going to tell her about my plans. I don’t want to risk going into the hospital. Though for the first time in a long time, I didn’t wake up with doom on my mind today. I slept pretty good. That is the first time I slept through the night without waking up at some early time. I still have my menses and cramps, that are driving me crazy, especially on this hot day. I want to go into a pool and get wet today but that is not going to happen. I’ll just take a shower when I get home to cool off.

I am glad I brought my laptop to Sbux today. I like writing outside of my room. I might work on my book today. I haven’t worked on it in so long. I added double space and it is now 48 pages. I guess that is a good number to start with. There are some things that I’m editing as I go along.

Despite lowering the dose of my antipsychotic medication, I have not had any delusions or bad voices. The voices will ramp up at night to keep me talking by asking questions of my day or come in when I am resting. I hate that. I try to ignore them but they get so insistent. Sometimes it is just questioning how my day is going; other times they question every decision I am making. Why am I taking this bus over that bus, why am ordering this food over that food. You sure you want to do that rather than this. Or they tell me that I am doing everything wrong, some times including breathing. Like is there a correct way to breathe? Seriously. Half the time you are not even aware of it so WTF. Or they ask me why I am doing something, like just now they asked me why I put my sock in my sock and I reply that I don’t want to lose the other sock. I found this method has worked to keeping my pairs of socks together. Less mismatching.

It is like a sauna in my room right now. The ceiling fan is just moving hot air around. While I was at my psychiatrist appointment, I wanted to do a psychache scale. I no longer write the graphs in my journal as right now it just wastes paper as I don’t use it. So I look on my phone. I don’t have it in my files. I check my dropbox files and my google drive, NA-DA. I am pissed. I hate not having my files when I want them!! So now I have to place these documents and the SSF on my drives because I don’t have them. It would be nice to have them in an emergency. Like when I was in the hospital and they needed a safety plan for me to be discharged. I didn’t have my crisis response plan (CRP; see this blog for what it looks like) in my journal because it was a new journal. I didn’t have it written out in a word doc so I had to rummage through my PDF’s looking for it on my phone/tablet. Then I had to write it all out, substituting what my therapist and I came up with the generics of it. That was fun because I had to rush. But what truly pissed me off was that they didn’t even want a copy of the damn thing. They just wanted to make sure that I had one. So sometimes the CRP is useful in hospitalizations and sometimes it is not.

Hot and muggy

Hot and muggy

It’s a very warm day in Boston today. I am sweating and not liking this heat very much. I have not done anything except edit my book and talk to my therapist. She wants me to do a SSF, suicide status form as “the situation calls for it.” I could care less at this point. I am just so pissed off. I didn’t want to talk to her today. I should have canceled but I know she would have called me anyways.

Since finding out my date, she has been acting like a total psycho. I guess the date has some significance for her and it’s not like I knew that. I didn’t. I know her birthday is in Aug but it is NOT the day I picked to end my life. So I don’t know what her problem is. People die every day. We have put the date off for now but I don’t think I can. I want to end my life because I am tired of being in pain all the time. I can’t stand living like this anymore. I feel like a useless piece of shit. I told her I wrote to my psychiatrist a letter that I will probably send the day of the deed. I just can’t send it to her now because she probably will hospitalize me against my will again. I don’t want to be in the hospital and it will do no good being in the hospital because they just want to change your meds and if they can’t do that than within three days you are released. What are you going to accomplish in three days? NOTHING.

Why am I against the SSF? I don’t know, maybe because I am the one that introduced it to her and I feel like it is a slap in the face. I don’t think this will work because she never follows through with the whole thing anyways. We never resolve my suicidality. Soon as I don’t feel like doing one, it gets dropped and the whole thing fails. I guess I feel like why should I fill out a piece of paper that is going to tell me how I already feel? It’s not like I don’t hate myself, have psychache, am stressed to the maxed, am hopeless beyond belief, and am going to kill myself in a few months. I have no reason for living, and plenty of reasons for dying. Having my menses still is one of them.

I have had my menses for more than a month now. I am tired of it and my skin is irritated by the feminine products I have to wear and by my underwear. I am not used to wearing elastic fitting underwear that women wear. I rather wear boxer shorts but you can’t hold a feminine product in them. It makes me so uncomfortable and angry. More angry than I know what to do with and I have no one to take it out on. It’s not anybody’s fault really. I have the xx chromosome and not the xy so I guess I can blame my father as he is the one responsible for the Y chromosome! Another reason to hate him!

I know a shower might do me some good, washing off the stink of things and maybe cool me down some from this heat but I just can’t be bothered right now. I will later today. I have to as I really reek. I can no longer use deodorants because I have a rash under my armpit. It is going to be an interesting summer. I also have not shaved in a while because I have an open scratch where the rash is. I can’t help it. It is itchy!! So far the only thing helping is hydrocortisone cream. I hope it goes away soon.

Another thing about the SSF, it is not that I don’t like it. I actually praise it because it is a good tool to use. But the draw back like I said before is that I don’t think it can help me because I know how to “cheat” on it, per se. I know what the answers should be and that does not help me in the long run.

Another thing she asked me today was what was my psychache. I have not filled out a Holden psychache scale in so long. I don’t know what it would be. And again, it doesn’t matter. All it will prove is that I have psychological pain. I just feel very hopeless about this. I can’t help it. I am trying to get her to see that she will be losing me and to get away from me as far as she can and she just won’t do it. I just don’t care.