18:36 – Seeing new CPN and a visit to Mr Psychiatrist

5 Dec

Yesterday I actually went to my appointment with new CPN. This was the third time we had met but the first proper ‘session’ together. I found myself falling into a very anxious state of mind as I entered the mental health building and spent the first half of our session together pacing around the small room and apologising for it, trying to explain I was just very anxious. My stomach is always one of the first things to start going funny and is usually my first sign that I’m becoming very anxious or panicking about something. So as I pace I tend to rub my stomach to try and somehow settle it down. New CPN asks me what is wrong with my stomach – I say again it’s just the anxiety making me feel half like I’m going to be sick and half like I need to run to a toilet – it’s a horrible feeling especially when it’s combined with a very anxious mental state of just needing to escape, to run home and close the door on the world, the feeling that something awful is going to happen if I stay there. Eventually I did begin to calm down and sit for a little while.

As expected she asked about the house swap and I nervously told her that I wasn’t going ahead with it. I was trying to explain my reasons but the anxiety in me was still high enough that it was mostly irrelevant rambles that came out my mouth. Somehow we got onto the subject of weight and dieting and how I had been doing so well (lost 20lbs… then put it all back on again) and this somehow led onto me telling her about why I choose to low-carb when I diet because cutting sugar out of my body completely works best especially for people like myself who have PCOS which usually messes with your insulin levels, weight, etc. From there I remember her talking about the contraceptive pill and how there were a couple of good ones for women with PCOS and then she asked me if I wanted her to phone my GP and say I’d like to try one of them and I was like “erm, I don’t even know if I do want to try one of them, I’ll just think about it for now thanks”. I told her I’d be going to see my GP next week anyway and we left it at that.

I have total mind-blank going on at the moment and can’t remember what else we filled the hour talking about. I mentioned the stresses of studying at the moment, I mentioned the self harm urges that seem to increase in intensity with every hour that passes. She responded by simply telling me that if I cut myself then I cut myself, that it wasn’t a new behaviour and basically not something that would worry her. I sort of felt a bit like I was trying to ask for a little bit of help, like I was trying to tell her that I haven’t done it in a couple of months now and I would actually really like it to stay that way but the words just didn’t seem to come out so we left it at that. Before I left the building she gave me an appointment for next week and a copy of my latest care plan that she’d typed up. She encouraged me to attend my appointment with Mr Psychiatrist (which was today) and said bye. I don’t know if I’m going to get on with her, I still haven’t warmed to her and when I’m severely lacking in motivation and have pretty much no interest in anything, making a new ‘relationship’ is the last thing I can be bothered with doing.

So I wake up this morning and think I really should shower before going to see Mr Psychiatrist. I seem to be thinking this a lot lately but not actually doing it. Rather like studying, I talk about it, I intend to do it, I think about it a lot, but it just doesn’t seem to happen in the end and another day passes by with nothing much achieved. My appointment was for 10.30am and my alarm went off at 8.30am. I hit snooze every ten minutes until 10am even though I was just lying there wide awake. I couldn’t really see the point in having a shower (I think I’m currently having 1 or 2 a week instead of one every day) so instead I lay here smoking and waiting until the last minute when I knew I only had enough time to walk the dogs then would have to go straight to the appointment. I sat in the waiting room for 15 or 20 minutes and was then called through.

To be honest, even though it was only this morning I can barely recall what we talked about. I told him my mood wasn’t great, that looking back on my blog posts it hasn’t been great for a good six weeks or so now. I told him I’m thinking about hurting myself a lot and even find myself thinking that this is how it’s always going to be and if that is the case then what is the point in trying to complete a University degree or move to a new house or attend appointments or have a fucking shower because I would rather die than continue with this as my life.

He asked me what was going on in my life or what has been going on lately to make me feel that way. I told him that it was nothing – that sometimes I just feel very very low and it has nothing to do with anything external – it’s all internal and just how I feel. He told me this wasn’t very helpful thinking and that if I always follow negative thinking patterns then inevitably I’m going to feel depressed a lot. He said that whilst medication has it’s role, that I need to engage in talking about how I feel and trying to change the ways I think about things, from negative thought processes to positive ones. But then said I should try increasing my Quetiapine (Seroquel) from 600mg to 700mg a day and see if that helps…

He asked how the Uni course was going and I told him that whilst I find the workload hard when I’m having issues with being able to concentrate, I *think* I am glad I’m doing it. Sometimes I feel like I’m doing it for other people, sometimes I think I’m doing it for me. But then that voice/thought/whatever it is tells me I’m ‘stupid’ and that I ‘won’t succeed’ and that I’d be ‘better off dead’. And then it laughs. It laughs a lot. Mr Psychiatrist again said I needed to find a talking therapy that worked for me and try to learn ways to stop thinking in such negative patterns. He says that like I have a choice, when things are dipping this low there is no other option but to think this way.

Anyway he has decided he is happy to leave me for a bit longer this time so instead of seeing him next month I will see him early February instead. The longer between appointments the better in my opinion, I don’t particularly enjoy them.

After leaving the hospital I met my best friend and the kids and we went for a wander round the shops, getting some Christmas presents and I bought little Santa ornaments and Snowmen ones and some silver and gold sprayed flowers and little tiny Christmas tree. After best friend went home I went to the cemetery and made my little angel’s headstone all nice and Christmassy. It was thick with snow up there so it took me ages to clear enough space to put his little things down. I cried a little when I was up there, I miss my little man so much especially at this time of year. And I just can’t help but want to be wherever he is, no matter what it means doing to get there.

For you little man:

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