checking in and asking myself if I am okay

Checking in and asking myself if I am okay?

Yesterday I had a meaningful conversation with my therapist about being “okay”. She doesn’t like how I manage myself because it is very slippery. She also said that I am high risk and that is something to be really worried about when I have bad days. She told me that most times I am hanging by a thread and I say I am okay but I really am not. I told her she should call it out more. She said that will piss me off and even though it will, I will try to hear it with an open mind.

So with this information, she wanted me to set a goal for the week. I couldn’t come up with anything so she suggested that I check in with myself and see if I am ok. I am to write this check in every day. Right now that seems impossible because it takes work to do this. I have many platforms to use to write in and I think I am going to do a little old school and new school. I am going to use the app Dario a try and then write in my therapy journal so that I have easy access to it when I see her again on Monday.

I just asked her how long it needs to be and her response was “as long as it needs to be”. That doesn’t fricken help me! I can write just one sentence and be done with it. I can be concise when I want to be and this is sounding like it is going to be concise for me. I might blog one day about it but it isn’t going to be the entire 500 words that I typically write. I don’t think I can write 500 words on if I am okay or not.

My left hamstring is bothering me again. I hate when it flares up as there is nothing I can do about it. I haven’t been successful in stretching the fucker out. I think I need to ask the PT how to stretch it out because I can’t seem to do it on my own. I just went to the bathroom and my back flared up with a spasm. I tripped over a step going back up the stairs and now my bad foot is acting up. I am in great shape today. OMG today has been bad with the back and spasms. I had to take an Ativan.

I got my urodynamic testing next week and I am really nervous about it. I know it will show a change as I am peeing normally again but I am worried it will still show that I need to take a pill to go because I still have retention. I might be able to get off the bladder muscle relaxer as I don’t cath anymore. I will ask. I just hope that I am not retaining urine after I void. If I do, I might need to cath to get it out. I really don’t want to go back to cathing. It isn’t fun.

I hate Mondays

I hate Mondays

I didn’t want to wake up this morning. It was raining and dark out. It wasn’t cold though but hot in the house because it was warm outside. I got a couple of messages from my pcp’s office about my medication. One they approved and one they didn’t. It was the one I really needed that wasn’t approved. I sent them a message to ask why it wasn’t approved. Hopefully it will get resolved today.

I am so tired. I just want to go back to sleep. I have therapy this afternoon. Hope I wake up. I had coffee but I think I will make a cup of tea. It is a perfect day for it. I don’t know why I am so tired. I had a good sleep with the exception of waking up at 5 to pee. I was able to go back to sleep quickly. I then woke up when my med alarm went off. I had to pee again so I got up.

Therapy went okay though I got annoyed at the end. She asked if I was going to be ok and I said yes and then she asked what was I going to do if I wasn’t. Apparently managing it on my own was not the answer she wanted but time ran out so she was stuck with it. WTF. It isn’t like I can text her when I am having a hard time. She might not be available. I wouldn’t text her anyway, unless I was very intent on acting on my feelings. I have been through enough crises to deal on my own to get through the hours until the next day. Then do it again the next day for how many days I need to. She doesn’t understand that. Or maybe she just thinks that calling a hotline will be better. It might be but I have yet for it to be beneficial for me. If anything it annoys me.

She wanted me to talk about what to do on days where I just wanted to stay in bed. Frankly, I couldn’t answer this and still can’t. I know that I should have some self-care on days I don’t feel like it but there are days where the fuck its are so strong, I just want to stay in bed and will do so. I don’t feel bad about doing so. There are days where things are just too much for me to bear and I can’t handle it. There aren’t many days where this will happen. I will get up and brush my teeth, have coffee and something to eat and then stay in my room because I don’t feel like going out. I wish my options were more varied but seeing as I can’t no longer hang at Starbucks, I just stay at home. It does get boring and I haven’t read any of my books for more than two weeks. I was on a roll but the Middle Eastern fantasy book had too many words I didn’t know that I would be spending all my time looking it up in the dictionary if they were real words and the Reagan book is boring as all hell. The writer sucks. But I won’t stop reading either until they are finished. I am the kind that finishes a book when started even if it takes me forever. I won’t be completing my challenge this year.

want to sleep to oblivion

Want to sleep to oblivion

I just took a shower after a long day and I am completely knackered. I hope that I can fall asleep at a decent hour tonight and actually sleep through the night. I have been bad about my fluid intake today but I am not going to do anything about it now. It is too late and then I will be up in the morning hours to pee. I don’t want that. I got a bloody headache because my neck muscles are so fricken tense. I can’t get them to relax. It hurts so bad, not as bad as my foot though. The shower I took really annoyed the crap out of my foot and ankle. Way I feel right now is I want to sleep until oblivion. I have stuff to make it happen. I just am not there yet.

I had therapy today and it was a good session though I ended up having to do three goals by Monday. I have to do a DBT skill, write about it and stuff, and drink an Ensure because I am not eating. She was serious about this. I told her I was having only one meal a day. That is when she brought up the Ensure. She said that my depression is the severest she has seen it. She is really concerned about me. There is nothing I can do to make her less concerned. I agreed to the three goals because it was a compromise. She was open to me writing to her as long as it was a few hours before session. She said I could make a google doc and copy and paste it in the website patient thingy. Only problem is that the website thing doesn’t accept pasting from other programs. I tried it with word and it didn’t happen. I would have to make the document while writing in the website.

I am extremely tired. I just took my night meds, all eight of them. I also take eight in the morning. I take a lot of meds. Once my psychiatrist calls in the increased dose for the Latuda, I will be just taking seven pills at night. I am having to take two Latuda pills because I still had half a bottle of the 40 mg dose and I didn’t want to waste them. These pills are expensive. I just hope I can afford them in January when I have to pay for my meds again until I meet my deductible. The psychiatrist is hoping that this medication helps my mood but it hasn’t done shit so far and I seem to be more depressed than not. I really think my celexa needs to be increased. I am only on the lowest dose right now. But the psychiatrist wanted to play with the Latuda first. Thankfully, I am not having any side effects other than changes in my bowels. I have been having softer stool since starting this medication, sometimes to the point of diarrhea. I never have a happy medium with my bowels. It is either hard or extremely soft. There is no in between.

a gallon of milk

A gallon of milk

We were out of milk today so I decided to go out to get it rather than have my nephew get it. I had to put some money on my T pass so I needed to go out anyway. The only sad part is that I couldn’t have Starbucks because they were renovating the store. I had to stop twice on the way and back to the grocery store because my back was cramping up on me. I came home tired but feeling accomplished. My mother was not happy that I bought the milk. She wanted my nephew to do it. I don’t understand why. My therapist when I told her said it was because I have been feeling tired lately and it was too much for me to do. I still felt good because I didn’t nap after the time out and I was tired but not exhausted like I had been in the past.

Therapy was difficult today. I told her of the feelings of suicidality I had last night. I wish I didn’t say anything because now I have a second appointment this week with her. She said I am withdrawing from sessions and she is worried about me. She is going to consult with my psychiatrist about what to do from here on in. She just feels she can’t be the only one helping me right now. I feel bad about this. I just want to run away from her. I might cancel the appointment for Wed. She wants to check in but I don’t want to. I had a hard time talking to her today and just know Wed is going to be just as hard.

I’m having a hard time with my gender identity right now. I want the things on my chest off. But in order for me to even see the surgeon, I have to be a certain BMI and lose like 25 lbs. I am slowly losing weight but it isn’t fast enough for me. I also have no idea if I will be able to keep the weight off but it is driving me crazy that I have this hinderance. If I was to have breast cancer I doubt they would impose this weight restriction for surgery. So stupid. I am so upset and I know part of the reason I am so suicidal right now is because of the things on my chest. It is bothering me so damn much.

I’ve been thinking about writing, in general and as therapy. I did a lot of that with my therapist of 16 years. I don’t do so much with my current therapist. Maybe that is what is missing that needs to happen. I don’t know how to implement it as I don’t see her face to face. I used to write in a notebook and bring it with me for our sessions. But now that we have teletherapy, I obviously can’t share what I write anymore. The few messages I have been able to write to her have not been responded to outside of therapy. I don’t think it will be worthwhile to send messages if they are going to be ignored until session. I feel like I should apologize to my therapist about today but I didn’t do anything wrong, I don’t think. I just am feeling guilty about it.