Really steamed 

I posted on Twitter that my mother was mad at me for not helping with the dishes or laundry today. Sorry, I didn’t sleep all night and I was in a lot of pain. I was used to her calling me useless. But what got me distressed was her calling me “daughter”. Someone I don’t know responded saying she was a mother and it wouldn’t hurt for me to help her. WTF. I responded that I was upset because I was a transgendered male and my mother knows this. Plus I have debilitating pain so stop judging me, asshole. I blocked her after I sent the message as she followed me. Loser. 

I hate it when someone I don’t know responds to my tweets. I have no idea how Twitter works and how people who don’t follow you, sees your tweets. What a jerk. I am so mad.

I keep thinking I have nothing to do on Monday but I have therapy.  I might cancel as Tuesday is going to be a long day. I still got to go to my PCP’s office to pick up my meds. I don’t think I can fill them but I’m going to try. 

I took my night meds early and I’m still awake. My damn foot is hurting so bad. Maybe I will see my doc. I’ll call on Monday for an appt. Maybe something more than CRPS is going on. Not sure what as I haven’t done anything to injure my foot. I need to email the Neuro and find out what he plans on doing, if anything. I am going to ask him about ketamine infusions. That might help me. Might help the depression more. 

My psych responded to the email I sent her. She said maybe my mother and I can support each other. I don’t know how. I did help her up the stairs to her room. The couch didn’t help her back last night. My sisters were talking about putting a bed downstairs for her, especially if she gets her other knee replaced in Jan. I am kind of nervous about it as it will be done at a small hospital. I just worry that between her heart and diabetes, there might be unforeseen complications and the hosp might not be able to deal with it.

I am glad I have this blog to vent my worries and frustrations. Writing really helps.

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??

A Tired Ramble

A tired ramble

I should be sleeping but I am fighting sleep right now. All the bad thoughts are coming out. I feel like I am a worthless piece of shit. I need a haircut badly as my head itches. I don’t think cutting my hair is going to solve the problem (it’s dry scalp) but least I will feel human again.

Snow has hit the city where I live pretty hard. We have a travel ban in effect and the governor has stopped public transportation from running. Essentially, I am trapped in my house. I hope that it is all cleaned up by Thursday so I can have lunch with my high school friend. I know we are going to talk about my book. He is taking me to a Thai restaurant in the Back Bay. It must be a new place as it wasn’t there when I went to school. Or maybe it was and I just never went there because I didn’t like Thai back then.

My pain levels are excruciating, too. Which is why I cannot just shut the light off and go to sleep. Pain that was in my leg but now is in my foot. It is dancing around, all over the place, with the same intensity like a hot poker stick. I just took some pain meds so I hope that calms it down. I also took some Ativan to calm the fuck down. I don’t know why I am so damn anxious but I am. I know part of it is because I haven’t talked to my therapist in a week. She had to cancel today’s session because, well, like I said, everything was shut down. I don’t know how she is going to get into her office but whatever. She canceled for tomorrow’s session because school is closed but is going to try and have some evening time. I guess it all depends on if she can get child care for her daughter.

I emailed my pdoc again because I need refills for my meds. I got no answer from the one I sent the other day. I am getting frustrated with her!! This is sucks that she is out of the office and I can’t see her and then when I email her, I get no response. What the fuck kind of patient care is that?? I am so bullshit!!

Then tonight I decide to read Uncle Tom’s cabin and this little girl I fell in with dies. I have been in tears for the past hour. It was so sad that she died. I think she had some kind of heart condition. But then, the author didn’t elaborate on the illness nor was the medicine back in the early 1800s very good at diagnosing difficult ailments. Her father is heartbroken and her mother, who was a basket case to begin with, is playing the part of grieving mother. I just want to slap the mother silly as she just wants sympathy from all her servants and no one else can show sympathy. Beecher-Stowe really is a good writer, better than I could ever be.

I have been up since 0430. It’s now almost 0100. I am dog tired. I should be passed out by now. I spent some time reading today. I read a hundred pages in my civil war book and then I read a “dictionary” called the definition of suicide by Shneidman. Holy hell this man uses big words. I am glad I know the language so I can follow along (I have read his stuff before so I know his terminology), but some of it I am like really?? The word is archaic now and he is using it?? He was a funny person. I wish I got to know him better before he died.

Today is my best friend’s birthday. I wish I was in Chicago to celebrate with him.

I haven’t heard from my problem blogger in a few weeks. I hope that means she is gone. And if she comments to say she is around, I will just delete it. I don’t need her negativity in my life. I hate when people try to push their beliefs on to you and think their way of thinking is right and the ONLY way to get “better”. I don’t need that in my life. Never have and never will.

My Twitter followers is strange. The numbers will go up and then the numbers will go down. I had 343 followers. Now I have 349. I think I will have 345 by the time I look back on it tomorrow. I think it is probably bots that follow, not real people. If they are real people, and I don’t follow back (I won’t follow unless I know them or they meet my criteria for following them, which is basically working in the mental health community, a baseball lover, or something else that attracts me). If they are just authors looking for endorsements or life coaches looking to save my soul, I won’t follow back and if they become problems, I block them. Like there is this one guy that is “cured” of fibromyalgia. I don’t know how anyone can be cured of that ailment as they only just recently been able to treat the condition and give it a name! But whatever works for him, might not work for everyone. HA, speaking of Twitter, I just got a book app that is now following me! I had a book promotion thing following me for a while. But it costs like 9 bucks for just 3 days of pushing my book. I wasn’t going to waste my money on something that might not work. If I get extra money, I might do it to see if it pans out but my writing partner says it is extremely hard to promote a book and sell it. I am lucky that I sold 5 books this month. Next month I probably won’t sell any.

Meds are finally kicking in. Here is hoping I don’t wake up again around 0430.

Twitter Rant 01.10.2015

People seem to think that my writing of suicide is what leads me to think about suicide. It’s quite the opposite. It helps me to think of ways to control my suicidality and work against the dark feelings by expressing myself in a clinical way. By me thinking of this as clinical, it helps me compartmentalize the feelings so they aren’t so powerful that I do impulsive things. But then I am fighting the stigma that talking about suicide, leads to suicide and that is hurtful. By my writing about coping with suicide I not only free myself of the thoughts, but I may also help someone in the process. That is my goal when I share my papers about Edwin Shneidman and David Jobes. Their work about psychache and CAMS (collaborating, assessment, and management of suicidality) really help me focus on not killing myself. If we talk about suicide like we do cancer survival, maybe we might decrease the suicide rate. if suicide wasn’t a taboo topic anymore, there might be some healing and actually lead to more discussion and openness.