I had an appointment with lovely GP this afternoon. She already had the notes from a&e on her screen when I went in about the self harming on Wednesday. A bit of the wound burst yesterday so she had a look at it for me and said it needed cleaned up and a new dressing on and popped next door to the nurse to see if she was free to do it. She was. So I got a quick change of dressing and back into see GP. She asked me if the Nitrazepam she gave me for last weekend helped me sleep and I told her that the first night I kept waking every hour or two feeling like something was wrong and the next couple of nights I did get some sleep but it was all broken up.
I then told her about seeing CPN on Wednesday and having it out with her about not following my crisis plan properly last Friday and how I felt she had just passed the buck to GP. I also had a moan about social worker not sticking to the monthly contact arrangement and told her I felt pretty unsupported at the moment and the only people who were being supportive were GP, rape crisis lady and the doctor at a&e.
She asked what made me self harm so bad on Wednesday and then all the fucking stupid truth had to come tumbling out my mouth. About how the suicidal thoughts were so intense but I knew I couldn’t act on them, about how I’ve been stockpiling painkillers and knew I had around 70g of paracetamol all popped out into a tub ready for the lid just to be lifted and them all to be thrown down my throat. I told her I’d like some Nitrazepam again for this weekend but at the same time I knew I cannot keep on medicating my symptoms and one day I’m just going to have to face up to them somehow.
Then she said to me that if I was telling her I had 70g of paracetamol sitting in my house she was extremely concerned about me getting through the weekend. She asked what support I had and I told her my parents go away on Sunday for a week and on the one hand I have the thought that they are away so it’s the perfect time to take all the pills but something deep down keeps saying no no NO you are NOT putting your parents through all that again. You are NOT ruining their holiday. Don’t be so bloody cruel and selfish. So instead I go back to the self harm thoughts, at least they don’t hurt anyone but me because they only know if I tell them.
So lovely GP says she thinks I’m slipping backwards and I say I feel like I am as well. She asks me what can we do to keep me safe this weekend? I shrug my shoulders and say I don’t know any more, just take it hour by hour, day by day. Try and distract myself, try and sleep, try and read some of my uni stuff, maybe go and visit my parents tonight or tomorrow as it’s their anniversary and it would be good to see them before they go off on holiday. GP said this sounded like a good idea and that she would be happy to give me another 4 days worth of Nitrazepam for this weekend but she wanted me to do a trade with her. She knows my flat is only minutes from the surgery as she has been here the first time I got sectioned, she was the one who filled out the forms. So she said to me to come home, get all of the paracetamol I had stocked up and take them to her. If I handed over the 70g of paracetamol she would give me 8 x 5mg Nitrazepam (4 nights worth @ 10mg a night).
And then she mentioned the dreaded word.
If I didn’t hand over the pills not only would I not get the Nitrazepam to help me get some sleep but she would “realistically have to look at putting me somewhere safe”, she said we had to have a two way trust thing. I had to make her believe that I would not act upon any suicidal thoughts over the weekend and I would also try my hardest not to self harm again over the weekend. Instead I would try and spend time with friends and family and find things to do to keep my mind distracted. I would get rid of all the excess medication and in return she would let me stay at home and give me a few tablets to help me sleep.
At this point I am still saying that there is no way I am ever going back into the psych hospital and saying to her please don’t even mention hospitals but she said she had to be realistic and I was making her very concerned that I couldn’t keep myself safe. So I knew I had no choice but to come home and put every single tablet (besides my prescribed meds) into a bag and take them to her. Otherwise I was looking at a trip to the psych hospital and devastating my parents just as they are about to go off on a nice relaxing holiday.
So I did just that. I came home and put every tablet I had into a little bag. Then I took a box back out just so I had one. Then I took a second box back out so I had two. My head was saying she will never know the difference but something else in my head said I was only cheating myself. Then I started to cry because I just didn’t know what to do. In the end I put them all back in the bag and went back to the surgery. It was actually closed but she had stayed on for an extra half hour for me to go back. I handed the bag over to her and she had a look and could see there was around 140 x 500mg tablets like I’d said I had. She said I’d done the right thing and handed me a prescription for the Nitrazepam.
I have an appointment on Wednesday morning with Mr Psychiatrist and she said it might be an idea to ask for the Mirtazapine to be increased now as that will be about 4 weeks I’ll have been on it and I’m still just on the 15mg starter dose. She said she thinks it would be quite reasonable to go up to 30mg as I’m still so low in mood. I think the maximum you can take is 45mg. During the time I was gone (coming back home getting the tablets) she had a phonecall with Mr Psychiatrist – she said he phoned her regarding another patient and she decided to tell him about me while he was on the phone – but I always wonder when they say things like that if actually she just phoned him to tell him the situation. So when I got back she told me that Mr Psychiatrist was aware of the situation that I’d self harmed and had been stock piling paracetamol. So that will be a fun conversation on Wednesday. I’m now really scared he will mention hospital as well. The psych hospital they send you to here does not make you better (I don’t know if any psych hospitals do) but this one really doesn’t.
So it’s now almost 7pm Friday night. Somehow I have to make it to Monday morning. Lovely GP gave me another appointment to see her next Friday to let her know how I got on with Mr Psychiatrist and if there are to be any medication changes she will have had a letter from him by then.
I don’t know what I’m going to do all weekend. My Mum is off work tomorrow so I may spend some of the day with her. I don’t really want to tell her about the self harming as I don’t want her going away on holiday worried about me but at the same time I don’t want to keep it from her as I know it will get brought up at some meeting or another that she is at and she will find out anyway. So I guess if I mention it I have to say that I feel much better now that it’s out my system even if that is a complete lie.
I have the guys coming to put a new shower and shower cubicle in on Monday morning (at 8am grr) and they will be here til around Wednesday lunch time. That means I’ll have to go up to my parents house or out to best friend’s to have a shower for a couple of days. But it will be nice once it’s all done.
Argh. How the fuck am I going to get through this weekend? I’m tempted to go out and have some drinks tonight but I’m really not in the mood to socialise. Yet at the same time I know when I’m sitting here alone is when my head goes crazy. GP is trusting me to keep myself safe through the weekend, that if I even *feel* like hurting myself that I will go to a&e, and if I need support on Monday to call her and she will find time somewhere in the day to have a chat on the phone with me.
So I do feel a bit more supported now but equally I’m scared of my own thoughts. I’m really not sure how I feel about knowing all those tablets are gone, one part of me says I could go out and stock pile again over the weekend, another part of me feels slightly relieved that they are gone and that I can’t just decide fuck it I’ve had enough and reach for them.
It’s too early yet to take any meds, I still have the evening to get through, but I really hope the Nitrazepam work at least for tonight. I need to wake up feeling a bit more refreshed tomorrow and not let my mood get any lower or it will only be a matter of time before I’m taken back to that hell hole aka the psych hospital.