Today has been a bit of a strange one. My sleeping was awful last night, I didn’t even go to bed, just grabbed a couple of hours on the sofa. My head was bouncing all over the place from one destructive idea to the next. Best friend phoned about 10am to ask if we could spend the afternoon together and I so so wanted to make up an excuse but I think I knew this afternoon could be the one where I completely lost it if I stayed in by myself all day just thinking and thinking. So I agreed to meet her at 12.
I have been kind of self medicating with some of my tablets. Not in any extreme kind of way, just adding an extra one here or taking one out at another time, but I do (99%) of the time take the prescribed dosage each day without going over it by much. It’s more like this – as an example – one of the medications I take is Quetiapine and I currently take 750mg a day. I am supposed to take it as a 250mg dose in the morning and 500mg at night. Well if I wake up and my head is fucking bonkers and there are voices present I might take it the other way around – 500mg in the morning and 250mg at bedtime. Or if I’ve had fuck all sleep and am absolutely shattered I’ll skip my morning dose so I have enough energy to keep on going throughout the day and then when it starts getting close to bedtime I’ll take the full 750mg as one dose to try and help with my sleeping.
And to a certain degree I do that with my diazepam as well. At the moment my daily dose is 16mg a day. This is to be taken as 4mg four times a day. But some mornings I feel massively anxious when I wake so I will take 8mg and then later in the day or in the evening another 8mg. Sometimes (although this is very rare) I don’t feel too anxious in the morning and my Quetiapine is enough so somedays I just wait and take the 16mg as one dose at bedtime. Sometimes it’s the opposite and I’ve taken my full 16mg by lunch time. So I don’t self medicate so much as play about a bit with the doses and the times I take them, but I feel that way works for me. Whenever I’m in the psych hospital I have no choice but to take my medication properly at 8am/12.30/6/10pm – and I hate not being able to tweak the doses to suit how I’m feeling at that time. I do understand the importance of taking medication properly and I do try to… it just sometimes is easier to do it ‘my way’.
Anyway… what was I about to say? Oh yes… I agreed to meet best friend today and spend time with her and her kids (my little nephews). But I was incredibly anxious to the point where I couldn’t leave the house so I took a little extra Quetiapine and my full daily dose of Diazepam. I still felt quite anxious when we first met up but the medication did kick in and I went into this weird headspace of ‘I’m hurting so much there is nothing else that can make me feel any worse than this’ so I agreed to attempt to go to one of the places my agoraphobia considers a very scary place. I had three small panic attacks en route but we got there and I bought my first McDonald’s burger for about 7 or 8 years. I have had a McDonald’s meal in that time, I’ve had friends bring them back for me and had them reheated in the microwave but today I actually stepped foot in one and ate a burger that was freshly cooked.
Best friend was so proud of me. She was smiling and cuddling me and saying “well done, well done” but I just felt numb. I didn’t feel hugely anxious, I didn’t feel happy that I’d achieved something new, I just felt like I was in some sort of blur… my head was saying just order some food and then go home. I didn’t particularly enjoy the food, half of it is still sitting in a bag on the table.
So yeah, everything is still a bit blah really.
CPN#2 gave me a quick phone this afternoon to ask how I was as the duty CPN from Monday had left her a note telling her about Sunday night’s self harming. The phone call felt a bit pointless, she sounded pretty uninterested which made me pretty uninterested in telling her about what’s been going on. It was awkward to talk anyway in front of best friend as I still haven’t told her about the self harming.
The only other thing that happened today was that I got a phone call from my personal tutor for my part time university course. She was phoning because she had been notified by the module tutor that I hadn’t logged on to read any course work in weeks nor had I contributed to any of the online discussion postings that make up 20% of the overall module mark. I tried to explain my head was all over the place but that I was going to try and submit some sort of an essay in the next couple of weeks so even if I fail I have something to resit. We could apply for mitigating circumstances but I don’t think there’s much point. I’ll either be able to write something and move on to my next module or I’ll fail and be kicked off the course. Right now I don’t really care which one happens.
So that’s been my day. I wish I could feel happy and like I’d achieved something, I’d challenged the agoraphobia harder than ever before, but I just don’t care. I don’t feel like I care about anything. I still want to hurt/cut/die.
I don’t see CPN#2 until Tuesday. I have no support between now and then other than the duty system through the CMHT which I think I’ve used twice in about 6 years. My support worker through rape crisis is off on holiday next week.
So yeah… I guess I just plod on and see where I end up.