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??

Why Do I Need Therapy?

Why do I Need Therapy?

I woke up from oblivion and asked myself, why do I need therapy? I think I am doing it more out of obligation than for help. Sure, it’s nice to talk to someone every week. I just don’t know if I should continue or not. I know that I will feel a certain kind of loneliness without therapy. I have been doing this for fifteen years now. I still wonder if me paying her to talk is worth it. I feel really worthless and guilty for some reason. My head is foggy from the medication and I need to take my psych meds before I go loopy again. Withdrawal from oxcarbazepine is not pleasant as I found out on Wednesday.

Sure, therapy has helped me with things and stuff but do I need it? Can I stop therapy and be okay. I have my blog to write my feelings down and vent. Course, it is not the same as venting to someone on the phone or in person. Lately, we have been trying to work on self-care. I have never done that before. I have taken “mental health” days off work, more than I should have. I just couldn’t handle it and my therapist kept pushing me to take some time off of work. But then I was working 50-60 hours a week. I miss being well enough to work that many hours. In the end I was working either 20-32 hours and I was a 40 hour employee. I had to use my earned time to get 40 hours. Within weeks, my bank of time ran out and so did my job. I was deemed disabled and unable to do my job by some committee that I have no idea who was involved in. And I certainly wasn’t invited to share my experience with these people. But there went my job that I have been working in for 14 years. My psychiatrist thinks that there is no way I can work a job anymore with my back situation. That was kind of reassuring for me. And my therapist thinks the same way..

I know mentally I have been up and down and all around. My therapist knew that I was going to oblivion tonight and though she was concerned, didn’t really try to stop me. She didn’t like what I was doing, but she knew I needed an escape. I slept really hard, a good seven hours straight. Now I am foggy as hell and kind of hungry. I don’t know if I should have the yummy red velvet pop tarts or Oreo’s thin golden cookies. I am a sucker for sugar cookies.

I knew my oblivion was not going to be permanent and my therapist knew that. I have texted her what I was doing all weekend. I deleted the messages on my phone in case I really didn’t wake up or tried to go to the bathroom and fell down the stairs. That was my only fear. The password on my phone is easy. It’s my niece’s birthday and my sister knows this. She knows because I told her when my niece wanted to use my phone for games. Unfortunately, I have had to delete the games because my phone is out of fucking memory. I have 16 GB and it’s all used up. I had to also delete the FB app because it was taking up a good chunk of memory. I use my web browser on my phone to check FB now.

I feel like I am obligated to be in therapy because I owe my therapist money. Though, if you think about it, the more I see her, the more I have to pay. Thing is, I don’t think I am being “analyzed” when we talk. I know things are harder on the phone than in person. I get that. But shouldn’t my words be scrutinized? I am just thinking out loud here, throwing my thoughts on this computer screen. Sure, we talked about Hyde and the dealings he is making and we talk about my suicidality but really don’t have a plan. We just go by my word that I won’t kill myself. I am not saying I need a new therapist. I am just wondering if I truly need to talk to someone every week.

I am not saying that I am stable enough to be without therapy. I just wonder if I am just wasting her time and my own by talking. She gets that I have been injured by father’s narcissism and we try to work through that, course it goes in one ear and out the other sometimes. I just can’t retain what she says because it hits me a certain way and I can’t deal with it at that moment. I do a lot of self-reflection after therapy so I write down what we talked about and such. I had started to keep a notebook of what we talked about but this week I didn’t keep notes because of my damn narcissistic father. All we talked about was his medical needs and how stupid he is about understanding what is going on at times. Sometimes he gets things and sometimes he is out to lunch. I don’t understand why I have to tell her the details of my father’s dilemma. It just takes up so much of our time that we don’t talk about anything else.

I feel like the only reason I keep going is because I am obligated some how to talk to her. I don’t know why I feel like this. It’s like I have to humor her to stay in therapy. We talk more like we are friends than a professional relationship. I am not saying this is wrong or anything. Sometimes I like this and other times I feel like we are doing something wrong. Lately we have been talking about self-care, something we have never really talked about in the whole 15 years we have been talking. My taking the Neurontin was part of self-care because I really needed sleep and to zone out. It might have been in excess but the dose that I took I knew it wasn’t lethal. If I had taken say my trileptal at that dose, it might have been a different story.