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.

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.

a crazy day

I know I have not written in a few days. I have been feeling exhausted. Yesterday I planned on writing but somehow the day got away from me and after the Sox game, I just was not in a writing mood.

I woke up this morning in pain, which is unusual as most of my pain is at night. But my foot was cold as it was a bit chilly in my room despite my foot being under the sheets and blanket. Pain woke me up and I took my pain medication. I was going to see my therapist today but my sister had the truck so I nixed it. It was a good thing I did because my mother came home from seeing her sister and collapsed on the floor due to low blood sugar. If I had gone to Framingham and then came home, I hate to think what would have happened. There was no way for her to get up. I couldn’t pull her up so had to call an ambulance. I didn’t realize she was having a hypoglycemic attack until her words were getting slurred. Her sugar was 38 (normal is between 70-100). And this happened just a few minutes before my session with my therapist so I had to cancel on her. I felt bad but I had no choice.

So I was kind of out of my tree from adrenaline and when that wore off the pain meds kicked in making me feel very sleepy. I still am fighting taking a nap but my foot is really hurting so I think I will after I write this. I then get an email saying that my appt with my PCP is in five minutes. I mixed up my dates. I thought it was Thursday and instead it was today. Fuck! Now I won’t get a refill of my pain meds. I still have some because I have been using less of them but I don’t have enough to last me till I see him on June 20th! He has no opening until then. I hope they can process my prescription. If not I am going to really be rationing my last of my pain meds. Which isn’t going to be good as I am in the middle of a pain flare up right now. I know part of it is that the temp keeps fluctuating between 50 to 70 degrees. And my body is sensitive to those dips and highs. Starting Thursday it is going to be in the 90s for a few days. Just lovely.

I had a friend from Australia email me yesterday. He wanted my advice about euthanasia and suicide. He has a cousin that wants to die because like me, he can no longer deal with his chronic illness. He doesn’t want to do the deed himself so has hired a doctor to legally kill him. I don’t know how I feel about this. I know that I wish I had a doc that would take me out of my misery but then my thoughts are because I am “depressed”. But you can be suicidal without feeling depressed so how does that play out? I truly understand what this kid is going through and can empathize with how he feels he has no other choice but to take his life but at the same time I wonder if depression is playing into a part of his decision to die and maybe if that were treated he wouldn’t feel that way. But then I look at my situation and think how can I justify that thinking if I am going to kill myself for that very reason.

I will write more on this later. I just can’t seem to get my thoughts coherent enough to think about this.

Chronic Pain and suicide

researchers have found a link between chronic pain and suicide.

that is something that I have known for sometime now as I am a chronic pain sufferer and have thought of killing myself numerous times to get rid of the pain. it is why sometime this year I plan on killing myself. it is not going to get better. I have a chronic pain condition and I really don’t care anymore. I will go through the motions of getting treatment knowing it is not a cure. just a bandaid and it hurts. But clinicians need to ask the question if they ever want to prevent suicide. I am a hopeless case. I have mental illness on top of chronic pain. it is worse with my condition. I feel like I can’t talk openly with my provider because then he tampers with my pain meds. I will not kill myself with my meds. I have other methods running through my head. but this article is interesting. I hope that people who read my blog that suffer from chronic pain do call the 800 number to talk to someone. I hope that it can work that way but I know that most people will not pick up the phone and call. I don’t know why that is. I know I have called but I am still where I am. I have found it helpful at times but sometimes I feel like they are just pretending to care when they really don’t. Just my experience. but that shouldn’t stop you from calling.