Tag Archives: social worker

00:12 – Impossible

11 Dec

Why it’s called impossible – I can’t stop listening to the UK X Factor winner James Arthur’s song. Didn’t watch X Factor, Impossible isn’t his song, but something about it makes sense. I guess life feels pretty impossible right now.

‘Tell them I was happy,

And my heart is broken,

All my scars are open….’

Should you wish to listen to it whilst reading my ramblings of today here it is:

I woke up this morning and couldn’t remember if my appointment with new CPN was at 1pm or 2pm so thought I better phone the mental health team and find out. To my (pleasant) surprise it was my the social worker whom I was once very close to who answered the phone. We chatted for ten minutes and it was nice to hear her voice but it also made me feel a little bit sad afterwards.

I try not to think about it so much any more because I have accepted now that I am never going to get to work with her again. If I see or speak to her these days it’s more a case of bumping into her in the mental health place. I feel like I can’t ask her for anything any more, not even a chat and sometimes that feels really shit because she was still is the only professional who I’ve ever felt understood me. She totally understood why I hate Christmas so much, she came with me to my little man’s headstone up at the cemetery one time and put flowers down with me. She probably doesn’t remember that because she’s probably dealt with that many crises’ since then that little memories like that are likely to be long forgotten. But at least I can smile looking back on that, even if it also makes me a little sad to know that’s pretty unlikely to ever happen again.

If I think about it all now it just makes me angry. And sad. I still don’t properly understand why they couldn’t just leave me to work with the person I was comfortable with and trusted. I don’t understand why or when or who decided it should be a CPN I work with instead. I felt like I was making progress working with her and I don’t know who decided I’d make better progress with a CPN but I do feel that their decision was a wrong one. I’ve gone from working with someone who I felt like I could tell anything to and who I trusted enough to do graded exposure work with for my agoraphobia, to two temporary CPN’s and now a third but permanent one and I feel like I have achieved nothing by working with them. Besides starting the university course, the second temporary CPN gave me encouragement to apply for it, but mood-wise things have remained pretty unsettled.

Anyway I vowed the last time I wrote about the whole social worker situation that it would be the last time I wrote about it because reading my posts back made me feel a bit pathetic that I was getting so upset over one member of my care team being changed. But you know what, when you work with someone closely over a long period of time you build some form of relationship, you build a trust and that person feels like someone safe to you that you can confide in and be honest with, even when you’re telling them about the brain crazies you feel OK because you just know that they truly aren’t judging you. And when someone comes along one day and says ‘right you’re going to be working with person X from now onwards and not this nice social worker that you’ve built a relationship with any more’ it kinda does feel like a bit like you’re being rejected of a punch in the gut.

Hmm what was that word I started with again… oh yeah… impossible.

Anyway I’m not talking about this any more, I sound like a fucking broken record!

I went to see new CPN at 2pm. I couldn’t seem to express myself very well at all today. I’d start saying something then totally lose my train of thought. Then be sitting there aware that I was talking but with complete mind-blank about what I was saying. In the end we just talked a bit about the uni course, I told her I’d submitted a final assignment but that I was far from happy with it. I think I will pass but probably just scrape a pass and to be honest I’d rather fail and get to rewrite it completely than get a D.

We also talked a little about my appointment last week with Mr Psychiatrist and I told her about his little speech about my ‘negative thought patterns’ which I guess there is some truth in… and how he is still annoying me by asking at the last few appointments I’ve had with him for reasons why I’m feeling depressed. He is a consultant psychiatrist. He has been a psychiatrist for many years. He makes diagnoses and has the power to take all control away from a person and detain them. My point is he is an experienced and I dare say very intelligent man in his field… so why the fuck does he insist on asking someone with a mood disorder (that he diagnosed) what it is that’s going on in their life to be making them depressed? I don’t have one particular reason. There is not one particular thing in my life making me feel this way. Sometimes it’s just the fucking Bipolar Disorder that makes me this way – surely to God he can understand that?!

Again… Impossible…

New CPN agreed about the negative thought patterns and started saying something about mindfulness and being compassionate and I pretty much said straight out that I just can’t even begin to think about being compassionate to myself right now. I want to cut myself, hurt myself, bleed, drain out the bad blood in me, these little scratches are not helping, it needs to be done properly. But then I look at my arms and my legs where bad wounds and stitches have been before and some of the scars really are a pretty horrendous sight. More than anything the main reason I feel I need to do it is because (a) I deserve it and (b) I need the huge rush of release I get from it. The reason I haven’t acted on it properly yet is because I am terrified that if I do it then I’m going to completely lose control and start slipping down that spiral at a ridiculously fast rate. But the racing thoughts, the whispers and giggles racing around my brain make me want to explode at times… I need things to slow down…

My brain… impossible…

I came out of the session with new CPN actually feeling really quite confused for some reason. Conveniently right across the road from the mental health team is a DIY store and even though I knew I still had half a pack of blades in the house I wanted more. I began to head in that direction when my phone started ringing. It was my Dad wanting to know if I’d like him to come and measure the rooms in my flat and go to look at flooring again. He probably called at just the right time and I agreed to head back home. He came down shortly after that and measured up then we went to the carpet shop and I got a couple of cheaper off-cuts for the hallway and bathroom, a gorgeous carpet for the bedroom, wood effect vinyl flooring for the living room and a big shaggy rug. It came to almost £550 (that includes fitting) and Mum is putting it on her credit card for me to pay off bit by bit. So it looks like it might take two days because I’ll need to move all the furniture out one room and into the other and then vice versa but they are coming to definitely fit the first carpet on the 18th and I’ve been assured it will all be done by Christmas.

(Christmas in my bed… sleeping in my bedroom again… impossible?)

They are trying so hard to make me happy and get me safely through these upcoming tough couple of months and it makes me feel a little bit mixed up. I feel like I’m constantly putting on an act when I see them and when I smile it feels so fake and pretend. I don’t want them to worry about me so I’m keeping this bout of head crazies to myself as much as possible. I also feel a bit pathetic that at 31 years old I can’t finance my own ‘home improvements’. I feel thankful that I have such loving parents who are in a position to be able to help me. I feel emotional and sad that at 31 I haven’t achieved anything that I thought I would have achieved by this age. Well I have achieved some of them… they just tore my heart to pieces didn’t turn out as planned…

I really didn’t mean for this to turn into such a self pitying post. Sorry. Anyway that’s my ramblings over with for tonight, that’s been my day, as for tomorrow I have absolutely nothing planned. There is no studying for me to at least attempt, there are no appointments to attend, maybe it will be a day for lying around in my onesie doing nothing apart from over thinking no doubt.

Writing a happy blog post, that’s what’s fucking impossible…

Goodnight folks

23:08 – My heart hurts

9 Dec

Like the title says really…

Why can’t I just feel normal?

Why have I spent today hiding from the world, ignoring calls and texts and spent a large proportion of the day in tears. I don’t even know what I’m crying about.

I’m having one of those days where you sit on youtube and watch music videos with lyrics that somehow touch your soul and move you to a point where you end up replaying it over and over and over again and just letting the tears roll down your cheeks.

I have an appointment with new CPN tomorrow. As usual, I don’t want to go. I also have to see lovely GP on Wednesday and support worker on Wednesday. I don’t really want to speak to anyone, I’m more in the mindset where I really just want to be left alone to discreetly make my exit.

This evening I have phoned the Samaritans about four or five times and not even managed to say hello when they answered. I just end the call and start crying again.

If I really must go to these appointments this week then I think when I see GP on Wednesday I’m going to go ahead and ask for my Quetiapine to be increased to 700mg. It can’t make me feel any worse and maybe it will just help enough to keep me from acting upon these thoughts that are getting worse and worse by the day. I’m just really scared that I’ll admit to lovely GP how utterly crap I am feeling. She just has a way of making me feel like it’s OK to tell her the truth and I don’t have that with new CPN (yet?) and to be honest I really wish the social worker I was once really close too was still around because lovely GP tends to panic and mentioned the dreaded H word when I’m too honest with her. At least lovely social worker understood, or so I thought back then.

I feel so miserable. I feel lonely even though I don’t want to be around people and I just want to shut everyone out whilst I nurse my crazy head through these horrible dark and gloomy days. My heart feels as though it’s breaking over something, but I don’t know what. But that is where the pain is when I cry, my heart feels like it aches. I know that sounds a bit dramatical but it’s true. My heart hurts. And I feel very empty and very sad.

Goodnight folks

 

22:15 – Meeting advocacy & other ramblings

2 Oct

I guess you could call today another reasonably productive day. I went to see my social worker and she came with me to my first meeting with advocacy. I explained my situation about the housing transfer application and how I feel like I’m going to be waiting forever to be moved somewhere I can be happy living in. I wasn’t really sure what I wanted from them but we had a chat about things and they said they would write a letter or email on my behalf and try to make the housing association re-read my file, and ask them for a realistic timescale in which I will be re-housed. I know it’s going to end up taking about a year though. I even went into the housing association afterwards and expanded my areas in which I’m willing to be re-housed to, hopefully with more areas then I have more chance of a quicker move.

So it was good to meet the woman who co-ordinates things and the woman who is a volunteer who is going to contact the housing association for me. She said she should hopefully be able to get back to me by the end of the week with some more information.

It was also nice to see and spend some time with my social worker. I know these are going to be the last few times I see her over the next little while and I’m happy that if things have to come to an end that they will do so on a happier note. I still have my moments of wishing things were how they were a couple of years back but I guess time moves on, lives change, situations change and one day I will have to be big enough and strong enough to stand on my own two feet, one day with no professional involvement at all if I manage to establish some form of recovery.

I keep trying to think that recovery, or walking the path of recovery is where I’m at just now, but this is mainly because CPN tells me that. Sometimes I don’t really feel it, I mean lets face it things haven’t exactly been great lately with one pretty severe self harm wound and a second not quite so severe but still requiring medical help. My moods have been very emotional, I have cried a crazy amount over the past few weeks. Sometimes I’m sure I can hear a voice again swirling around in my head telling me I’m not good enough, that I won’t be able to complete my Uni course, that I’m kidding myself that I’m going to complete a degree and have a good career one day, telling me I’m always going to fail, whispering to me that it’s all pointless and my life equally as pointless and I don’t know if it’s all my own thoughts and my own voice I hear repeatedly chanting away to me or if it’s something external… but something external or maybe it’s internal… any type of ‘voice’ is not something I’m willing to consider right now.

In conversation with my social worker today I mentioned that this is always the time of year I seem to start feeling rather unwell. October through to February/March time are like my danger months. And no, I don’t think I have Seasonal Affective Disorder to add to my list of quirks, it’s just the amount of child related things that happen over those months that is what really gets me down.

It’s my birthday at the end of the month, the 28th of October, and it’s not a day I look forward to any more. This year I will be 31 and still single and sleeping on a sofa in a flat I hate, a flat that I just feel so unhappy in. And then a few days later comes Halloween and I have to do the pretend smiling stuff as I help best friend get the kids ready and take them out trick or treating. Then it’s Christmas and like last year, best friend wants me to stay overnight on Christmas Eve at hers so I wake up with her and the kids and watch them open their presents. And somewhere deep within I need to bury all the hurt it makes me feel. Then we get into the new year and the run up to my little one’s anniversary begins and that takes me up to February, then I always have a couple of weeks of feeling really low after the anniversary because it brings back all the memories and also means spending a short period of time acting as civil as I can towards my ex-fiancé.

So yeah… a bit wary of how things are going to be over the next few months.

Changing the topic (because I’m starting to feel sad) my Atkins online planner informed me that I wasn’t eating enough “leafy green vegetables” today. I eat a full bag of iceberg lettuce every day but apparently that’s not enough. So I walked over to the supermarket and picked up a brocolli, a leafy green cabbage, and some green beans. Came home and boiled the lot up in a pot with some sugar and salt free vegetable stock then blasted it with the blender. And poured a lovely big cup of it to have with my dinner. It was properly disgusting, bland, tasteless, every mouthful made me feel sick and I like all of the ingredients but just not blended together in some strange green soup. So I let it cool down, put it in the fridge and tried it as a ‘smoothie’ – it was equally as disgusting but I forced it down.

I have enough for another big glass tomorrow and Thursday. Lucky me eh!

Well it’s that time of night again… 10pm and time to take medication, walk the dogs, and try and wind down with all the lights off. In other words lie awake in the dark for hours, being restless and getting up to have a cigarette, getting water, going to the toilet, flicking the TV on and off, trying to sleep again, watching the clock tick through hour after hour, staying offline because I know it will only keep me from sleeping even longer. Finally somewhere around 4/5am falling asleep out of exhaustion and waking up again when the postman comes at 8.30am and the dogs start barking like mad.

Tomorrow’s plans… pick up weekly prescription, go to a&e for “final” wound check (it better be the final one this time, I’m sure they are as sick of seeing me as I am going there and having my wounds on display for examination). Then at 2pm I am going to have my tattoo shaded and a couple of little lines fixed before the colouring begins. I was going pretty much every few days/every week for a while but it was draining me financially so it’s kinda been put on hold for a while but I’m going to try and get it all finished over the next month or two. I think it should only take maybe 2 x 2 hour sittings to get it all coloured, she said colouring it shouldn’t take as long as all the outlining and shading. I’m sort of glad I’m getting it done tomorrow because I’ve been experiencing a lot of self harm thoughts this evening, completely out of the blue, and I actually get some strange perverse pleasure out of being tattooed, I get the pain without the scars. The pain becomes a creation. It’s a good pain. I know I could grab handfuls of ice cubes (if I had any in my freezer) and get pain without scars but it just doesn’t work for me. Nothing works for me but the real thing. It’s all or nothing with me…

So yeah, tomorrow should be another fairly busy day. Thursday I think will be a quieter one where I focus on some Uni work. Friday I have a session with the other/new social worker which I can’t say I’m looking forward to because I really don’t see what the point is in me seeing yet another new person for a whole 3/4 weeks to then be introduced and start working with yet another new person albeit one who is actually permanent. But current CPN thinks I need someone to talk to each week because of all the self harming and deep down I know she’s right, I know I would panic a little if I was left completely on my own for a month but opening up to new people is always hard. Then later in the afternoon on Friday I have an appointment with rape crisis woman as today’s appointment was cancelled.

Right I think I have rambled on enough for now… time to face the rain and walk these dogs.

Night folks.

22:04 – Phew! Today is almost over!

1 Oct

Well the interview went well, the woman was very lovely and easy to talk to. I spoke about my Bipolar and how I’m trying to overcome the Agoraphobia; how it is getting slightly easier to travel around our county but going to cities etc still isn’t something I’ve managed to conquer. I decided there was no point in hiding that from her as the last thing I’d want to happen is to be matched with a child and then be asked to take them somewhere that I can’t go to. But she was totally fine with it all and said I spoke passionately about becoming a volunteer  and my aims for when I complete my Uni course. She also said that she got the impression from talking to me that if I felt my mental health was heading towards a bad place she was quite reassured that I would tell her so other arrangements could be put in place for any child I was working with; she said as I’m open and honest about my conditions she has no reason to think I wouldn’t express any concerns I had about my own mental health should it ever be an issue, so that was good.

We spent a good hour and a half together before she went off to meet a befriender who lives locally to have a catch up; if I’m approved I will be the 3rd child befriender covering our part of the county. We talked about some example situations of the types of situations children referred to the befrienders service may be living in. I had a good idea of what they might be, for example young carers who need some time to be a kid, children trapped in a drug and/or alcohol addicted household who need some time out away from it all, households where there is domestic violence, or maybe just a case of a child having a sibling with an illness which means the parents have to devote most of their attention to that child so it gives the sibling a chance to have some time devoted to them as well.

So the next step is to wait on her receiving my two references and once she has received them she will put in the application for my PVG/Enhanced Disclosure Certificate. That is basically a certificate to show I have no criminal convictions (which I don’t) and it checks your background to show you are a safe person to work with children or vulnerable people. I have already phoned them to ask if the fact I have been detained under the mental health act will show up and they said they do not check your medical history. However there is one thing I’m slightly worried about and that is that I attended a Vulnerable Adult meeting at the police station after some events happened a couple of years ago and basically anything that they find out about you that is non-criminal they then make the decision on whether or not that information should be passed on to the potential employer/voluntary organisation.

I’m sure it will all be fine, I have never been in any kind of trouble so I’m not too worried. My only involvements with the police have been the Vulnerable Adult Protection meeting and going with the woman from rape crisis a couple of months ago to discuss reporting the sexual assault.

Once they receive my Disclosure Certificate then I can start training and then wait to be matched with a child. She said the full process shouldn’t take more than a couple of months, so I might get started with them by the end of the year.

What else has happened today?… I got my medication sorted out and I got a second copy of my gym application form and handed it in. This evening I have just sat and watched the soaps on TV. I’m just about to take the dogs out for their bed time walk and it is pouringgg with rain…ugh. I hope to get some proper sleep tonight as I am meeting my social worker tomorrow and going to meet the co-ordinator and the volunteer from advocacy who are going to assist with my housing application. I did have an appointment after that to see the woman from rape crisis but she text me this evening asking if we could swap to Friday afternoon.

I am relieved the interview is over with and went well, I’m glad I have now been able to put a face to the lovely woman I’ve spoken to on the phone a few times over the past month and feel much more comfortable with her now. I will be even more relieved when I meet the advocacy girls tomorrow and see what suggestions they come up with for helping push my housing application a bit further.

For now though it is dog walking time (in the rain) then medication time and with any luck a few hours sleep later on.

Glad today is over with – but in a good way!

19:19 – I’m a happier bunny again, a much better day :)

26 Sep

Today has turned out to be a surprisingly good day. I went to my appointment with my CPN at 1pm and she had already received notification that I had attended a&e yesterday evening and knew about the self harming. She asked what triggered it and I said I really didn’t know, it had just been building and building inside me and I needed to let it all out, that I had tried to distract myself by completing all of this coming week’s Uni work and wrote my essay so everything is complete a week in advance. But the thoughts and urges just became so intense I felt like I couldn’t fight them any longer, and so I had a slip up.

I told her I was worried that because of these two recent self harm episodes (and the fact they have been pretty close together) that this may mean she wouldn’t write a reference for me for the child befriending voluntary work that I want to do. I have my interview on Monday, the woman who runs it in my area is coming to my flat and I’m getting quite nervous! My flat isn’t looking it’s best at the moment, well at least it has all been freshly painted, but I still don’t have any proper flooring down as I am still refusing to pay out for flooring when I’m awaiting a housing transfer.

She said to me that she truly believes that doing this voluntary work is something I am already feeling passionate about and that if I was in a situation where, for example, it was a Saturday and I was feeling really down and the self harm urges began to build inside me, but I knew I had to see the child I was befriending the next day or in a few days time that I would throw myself into distracting myself as much as possible because I wouldn’t want to risk not being allowed to befriend any longer. And I think she is right, distractions can work really well, I am finding my Uni course is really helpful; combined with writing my meal plans up in advance so I have a better chance of sticking to this diet and of course looking after my fur-babies (my doggies).

She said that she still believes very much that I am walking the path towards recovery and that these recent self harm wounds have just been slip ups, and providing I haven’t done it again by the next time she sees me on 22nd October (our very final session together when I’m handed over to new CPN) then she will still write a reference for me. I do intend to be honest with the woman from child befrienders, I have already told her on the phone that I suffer with Bipolar Disorder but that I am trying to move my life forward in a positive direction. She is coming quite a long way to see me so I wanted to be open and honest from the start so I don’t waste her time and she has already told me that so long as I’m considered stable then my mental health isn’t an issue, and that a number of befrienders suffer from various illnesses but it doesn’t affect their ability to befriend.

So we had quite a good session together and then she brought in the new social worker who I will be working with for approximately 4 weeks until I start working with the new CPN at the end of October. She seemed OK, I didn’t get an overly positive vibe from her but even though I like to consider myself a good judge of character, I have learned when it comes to mental health professionals to never judge a book by it’s cover, some of the ones you initially think are going to be useless turn out to be really helpful and others that you think are going to be so helpful turn out utterly useless. Anyway, I will see how I get on with her when we have our first appointment together on October 5th.

Next week is going to be a busy one. Monday I have my child befrienders meeting/interview. Tuesday I have my first meeting with advocacy to get extra help with my housing transfer. Then later in the afternoon I have a session with the woman from rape crisis who is currently on holidays. Then on Friday I have the session with the new social worker. And in between times I have all my Uni work to do. So I should be kept pretty busy and distracted from the bad thoughts next week. Or maybe the bad thoughts will actually go away and give me a break for a little while. That would be much more preferable!

Speaking of social workers… she turned up! And we had a really long chat together, I think for about an hour and a half :) I felt really nervous and awkward when she first came in the room, she felt a bit like a stranger as I haven’t seen her in so long but in no time it was back to normal, the way things had been before all of this not seeing her over the past 5 months stuff. I did ask what had happened, where had she been? And she quite honestly told me that it was entirely due to her chaotic caseload, changes in the mental health team, and it was nothing I had done wrong. She isn’t just a social worker, she is a MHO (Mental Health Officer) and she told me that she had been totally caught up in MHO duties that she hadn’t been doing general social worker stuff for ages. I didn’t feel like she was trying to fob me off with any excuses, she sat and talked and explained things to me and I understood.

We sort of talked about where we go from here, whether she discharges me or what to do for the best. We talked about was it really a social worker that I needed or a CPN and the progress I had made with the current temporary CPN I’ve been seeing. I told her all about my Uni course and where I want it to lead me to, what direction I would like my future to go in, in fact we talked about lots of stuff. In the end I said that I was OK with her not being involved in my care in a therapeutic sense, I know that I am getting a new CPN for that, and I also said I was happy for her to discharge me from her caseload but, that I would really appreciate it if she could stick around whilst we get this housing transfer sorted out. So she has even agreed to come with me to the advocacy meeting on Tuesday which made me happy that she was still willing to help me with that.

So hopefully with social worker and advocacy we can think of another approach to try and move my application for new housing along a bit. All I want is a little one bedroom house with a little garden, it’s not like I’m taking a house from someone or anything and the housing association are getting a house (flat) back from me when I move out of here. The council are sticking their heels in and saying there just aren’t any houses to move me into at the moment but I think with a bit more weight behind me and me being a bit more forceful I could at least speed up the process a little bit. You tend to find if you just start annoying the hell out of them and constantly phoning, going in, emailing etc that these people finally get fed up with you and start trying to find you somewhere quicker just to get you off their case! And I would be so much more happier out of this flat, I can’t express how much I hate living here, how scared I am that the horrible paranoia will come back, how bad it is when I’m feeling paranoid and scared and can’t go out my front door because I have to walk past all my neighbours doors and sometimes when I am really not well it’s so hard to let my dogs out for a walk. Having my own front door and a little patch of grass is all I want. And the three areas I have said I’d like to be housed in are all mainly areas with elderly neighbours, so nice and quiet instead of being right in the middle of the town with constant noise and so many drunken idiots at the weekends fighting and shouting and waking me up etc etc.

So I feel as though the awkwardness between me and social worker has finally been repaired and I understand her reasons now and I think she will try and help as best she can with the housing transfer and from there then it will probably be the right time to discharge me but at least it will be on good terms which would be much nicer.

Today has gone much better than expected and I have managed to stick to the low carbing again. A couple of boiled eggs for lunch and grilled chicken breast with brocolli for dinner and I’ve drank at least 1.5 litres of water so far today. I am noticing that this headache has come back again and I’m finding it really quite annoying but I’ve taken a couple of paracetamol and it’s calmed down a little bit. I think I remember this as being normal from the last time I low-carbed.

So I’m going to go and watch some TV and have a quiet relaxing night. Tomorrow I’m going to get started with next week’s Uni work, if I can stay a few days/a week ahead then I’ll be happy, just in case anything ever does come up where I need to take a few days off from studying and I won’t fall behind.

I have nothing much planned for tomorrow other than studying but I have to go to a&e at some point and have them check yesterdays wounds and a guy coming to replace my gas meter on Friday.

And on that note I’ve just noticed a programme I wanted to watch has already started… I am also interested to watch the programme that is on channel 4 tonight at 10pm (for UK people) it’s a live experiment of people taking drugs, tonight it is a live ecstasy/mdma experiment, should make interesting viewing!

I’m a happier bunny today, I’m glad things are finally sorted out with social worker and it was really nice to have the opportunity to chat today. I was so worried about seeing her and left feeling so much calmer. My head feels quieter tonight and I don’t have any bad thoughts swirling round my brain. So, for tonight anyway, all is good :)

22:16 – Seeing Mr Psychiatrist and CPN

20 Sep

I went to my appointments yesterday, one in the morning with Mr Psychiatrist and one at lunch time with CPN.

Let’s start with the one with Mr Psychiatrist. I went in having barely slept, feeling very low, told him about the self harming last week (which he already knew about from GP) and about handing all the stockpiled tablets over. I told him that deep down I know I don’t want to die so am managing not to act on the suicidal thoughts even when I think it would be the best option for everyone. But that I was very much struggling with the self harming, I can’t seem to stop myself. I’m constantly making scratches trying to get the urges out without doing it really badly again. But I feel the next “bad” cut isn’t going to be far away even though I am genuinely battling against it.

Mr Psychiatrist said that last time he saw me I was in a more positive frame of mind and looking forward to my uni course starting. He said the only thing that had happened between then and now was the sexual assault, therefore all these feelings must be related to it. I said yes some of them are, it has certainly triggered a lot of bad feelings, but I’m not sitting thinking about it 24/7 – I just feel so fucking low all the time, thoughts racing around my head again about having bad blood and needing to release some of it. I told him I thought I was bad, that I felt like I had the devil in me, not in a psychotic sense, I don’t mean I think the devil is living inside me, not like when I truly believed Satan had taken over me…nothing like that… I don’t know, it’s hard to explain. He said that what I had to do was recognise the events that had taken place i.e. the assault (and for some reason he brought my little man up to which I angrily responded what did he have to do with anything??) and that I must work through the feelings these events have stirred up inside me with the relevant person/people.

He said I only felt like I was bad because bad things had happened to me. I told him this was not true, it wouldn’t matter if they had happened or not, I know I am bad, there is just this complete badness about me, inside me, controlling me. Again he said I needed to talk it out with the right person. I was just getting annoyed and frustrated with him, I was overtired and pretty much spent the whole appointment staring at the floor. I changed the subject and asked for my mirtazapine to be increased so I’m on 30mg a day now. He said I can increase it to 45mg after a couple of weeks if I’m still not feeling any benefit from it and if I continue to feel no benefit from it at 45mg we would need to try something else.

Then he came out with something which really pissed me off. I told him that I felt really paranoid about telling people I had self harmed and that paranoia was now worse because GP said last Friday if I didn’t hand the tablets over then she would be “looking at putting me in a place of safety”. He said to me what did I expect? Of course she couldn’t leave me with that amount of tablets in my house when I was in an unstable frame of mind. Then he said the thing that pissed me off…. “I don’t say this often MCBL, but, in a sense you are game playing”… I was like wtf?? What are you talking about?? He said he was saying that because I am saying that I don’t know if I should tell people when I self harm any more and yet I had told everyone who ‘mattered’ I guess. I tried to explain it wasn’t like that. GP only knew because a&e sent her the notes, CPN only knew because I was running late for my appointment with her when I was in a&e the day I did the self harming and had to tell her why I was going to be late. Anyway, CPN has already written to a&e and requested they send her the notes of every attendance I make there. So I tried to say to him I didn’t go off saying to everyone oh I’ve cut myself pretty bad, they all found out in their own ways. He said it’s like I am saying “OK it’s safe to tell person a, but I won’t tell person b because I’m not sure how they will react, and I will deny it if person c asks because I don’t want them knowing at all” and this is why he called it game playing because I wasn’t being straight up and honest with everyone, instead picking and choosing how much I tell to each person. Isn’t that a normal thing to do? We tell the people who we trust, we maybe don’t say so much to those we don’t?

By this point Mr Psychiatrist was really just doing my head in. He was telling me it was because of the assault I felt so low and I was game playing with whom I was telling information to. I told him I disagreed with all of that and he continued to talk over me and tell me I just needed to talk it all out with the right people who can help me feel better. By this point I had nothing else to say to him and just sat looking at the door, not responding to him, so he said “I take it you would like the session to end now?” and gave me an appointment for the 16th of October.

I had a very quick lunch with best friend and the kids then went to see CPN. I had totally forgotten that last time I saw her she said we would do a pretend interview for my upcoming interview to start voluntary work with the child befrienders charity. I totally forgot about it though so when I went in to see CPN she had set the room up like an interview with a desk between us and a glass of water each and a big notepad and she started talking to me interview style… At first I was like what the fuck is going on? (in my head) then I remembered and somehow blagged my way through the questions til she said I had done really well and asked me if I’d been preparing my answers and then I admitted I had totally forgotten about it… but she said that was kind of a good thing that I had forgotten about it yet still managed to express all the reasons why I wanted to become a volunteer with them and she said I interviewed really well, so hopefully when I have my proper interview on October 1st it will go just as smoothly!

I then told her all about appointment with Mr Psychiatrist and his shit about game playing and she was like ‘I totally disagree with him and don’t know why he is saying that and if you want I will phone him and tell him’ but I was like, no it’s OK, I was in a foul mood and don’t want to fall out with another member of my care team. Which then moved her onto the subject of the lack of contact for the past 5 months with social worker. Next Wednesday when I go to see CPN apparently social worker is going to be there as well so we can have a chance to talk and for me to get stuff off my chest and basically ask her where she has been for the last 5 months and why she hasn’t kept to the monthly contact agreement made at April’s CPA meeting. CPN says she will stay in the room in case it gets “heated” – I’m assuming she means in case *I* get heated, but I have no intention of doing that, I don’t want to argue or fall out with my social worker, I just want to ask her why she hasn’t kept her side of the agreement and hear what she has to say… that’s it really. I have a feeling that for some reason or another she won’t actually be there, something will come up, I just know it will. I think I may just have to accept that I’m never going to get an answer, but I really hope she does turn up, I want to be able to walk past her and say hello and not feel like she is avoiding me or that there is any kind of tension between us any longer, I want that all to go, I know things are never going to go back to the way they were but just to be friendly again is what I’d like to come out of next week’s meeting.

So I will wait and see what happens next Wednesday.

CPN has arranged for me to see another social worker on a weekly basis for 4 weeks whilst she leaves and does the handover to the new CPN that I will be working with. So it’s going to be a bit of a mix of new people over the coming weeks until this new CPN settles in and I start getting regular appointments with her. I really hope she is nice and easy to talk to.

Today I spent the day with best friend and the kids, we went out for the day, went for lunch and stuff. It rained all day long so was pretty miserable but was better than sitting around the house doing nothing I guess. The guys are finally finished with my bathroom and I now have a lovely new shower and shower cubicle fitted that I’m not allowed to use until tomorrow as stuff is still drying out, I can’t wait to try it out tomorrow!

I have an appointment to see lovely GP tomorrow for another catch up. I am going to ask her about taking Melatonin to help me with my sleeping as something I can take on a more long term basis. I asked Mr Psychiatrist and he said straight out it was not what he would consider to be a medication relevant to psychiatry and therefore he could only say he wouldn’t recommend it because I don’t know how it will react with the other drugs I am taking and to give the increased dose of Mirtazapine a chance as it often makes people sleepy but it didn’t do bugger all last night. I can buy melatonin from health shops or I believe you can also get it prescribed – I asked the pharmacist about it when I was picking up my prescription yesterday – she said it was definitely worth discussing with my GP and if I was to take it then it would be much better if I took it prescribed and monitored for any interactions. I don’t even know if it would do anything, but I have such a tolerance to benzodiazapines now that they really don’t do much to help at all.

Tomorrow I don’t need to set my alarm for the workmen coming in so I’m hoping that I might actually sleep through til a decent hour but it’s unlikely going by my recent sleep patterns. Don’t really know if I want to go and see lovely GP tomorrow, I don’t want to admit to her that the bad thoughts are still there and don’t want to say anything that might risk her feeling concerned about me and how I’d cope over the weekend again. Sort of considering cancelling it but she said she wanted to see me so I guess it’s best just to go.

And that big long ramble has pretty much been yesterday and today. It’s now 10.15pm and I think it’s time to take my meds and see if I can settle down for the night and with any luck get some sleep tonight.

21:31 – And I finally lost the plot

12 Sep

Today has been a shit day. This post has talk of self harm just to let you know in advance.

I had a shit night’s sleep, I woke up in a horrible mood, I was crying within half an hour of being awake. Thoughts were just spiralling round and round in my head, I felt so many emotions, I felt so angry and so alone and so messed up. I tried to go back to sleep, it was only 7am but I couldn’t. I tried to distract myself watching TV but I was just blank. So I sat and wrote a letter, to no one in particular, about how I felt regarding my care team at the moment. Basically a lot of what I wrote in my last post – that I felt completely unsupported by them right now. Come 9am I knew that today was going to be the day I lost the plot and did something stupid. By 10.30am I had got a stanley knife blade (yes I went blade shopping again yesterday after getting rid of them all just a couple of weeks ago) and that stanley knife blade resulted in an angry slash right down over my calf muscle. I then put a bandage around it and tried to go back to sleep.

But the sleep didn’t happen. There was blood everywhere despite a tight bandage being on. So I got dressed and walked the dogs. Then around 11.45 I took myself to a&e and sat there depressed, saying very little, just showed them my leg without even looking at it myself and heard her saying it would definitely need stitches. She asked me to go back to the waiting room because the room where the stitches were was being used but by this point it was like 12.35 and I had my CPN at 1pm. So I phone my CPN and tell her I am in a&e waiting for stitches and might be a little bit late. She tells me I have until 1.20pm to get there or she won’t be able to see me until next week. How that is the case when our appointments last an hour I don’t know but anyway I went back to the a&e nurse and told her and she said she didn’t think I’d be stitched up by 1.20pm so she took me back into the room and put a dressing and another tight bandage around my leg and told me to go to my appointment – the mental health team building is in the same grounds as the hospital – and to come back straight after it to get stitched up.

So I went to the appointment with CPN and I read her the letter I had written earlier in the morning. I straight out told her that I thought she had dealt with the situation on Friday really badly, that she hadn’t followed my crisis plan and had just passed the buck to my GP. She said to me if I didn’t feel like she was supporting me properly then she would ask the manager to assign me to work with someone else. I told her I didn’t want that to happen, what I wanted was for her to admit that she didn’t follow my crisis plan correctly. She neither admitted nor denied it, she said she was sorry I felt that way and I carried on with my letter.

The next part of the letter spoke about the amount of time I spent working with the last CPN on composing the crisis plan and how I feel as though I’ve always stuck to my part – i.e. if I have put myself in any medical danger I don’t call the mental health team I take responsibility for what I have done and I go to a&e if the injury/overdose is serious enough. Yet their part of the crisis plan was to recognise that when I was in a crisis situation they would see me and make a plan to keep me safe for the next 24 hours for example. Has that happened when I’ve been expressing all these self harm and suicidal thoughts lately? No.

I then moved on to what the point of the CPA meetings were when the agreements made at them weren’t being kept by certain people. I told CPN I was angry that social worker had agreed to monthly contact and never followed through with it and was in fact, uncontactable in all ways. CPN agreed with me that was not good and she also said it was not good that a&e had been asked to tell them any time I attended there and they didn’t do that after the recent sexual assault, it was me who had to tell CPN then CPN apparently went up to a&e to ask what had gone on although I didn’t know that until today. So she wrote a letter to a&e telling them again that they must inform the mental health team of any of my visits.

CPN said to me she could see why I was feeling unsupported by them at the moment – well by my CPN and social worker. The woman from rape crisis and a&e and lovely GP have always been helpful and supportive. She said herself if it was her that was me she would probably be feeling quite rejected so she obviously realised that she didn’t follow the crisis plan correctly on Friday. She raised the issue about my social worker again and I said that I personally felt as though because 5 months has now passed where she hasn’t stuck to the monthly contact agreement that she no longer had an excuse and was just avoiding me because she wouldn’t know what to say to me any more if I asked her what was going on. CPN said this was very bad practice and asked me why I still wanted social worker in my care team if I felt this way. I had written down a list of reasons why I had wanted to keep social worker in my care team, like CPN asked me to on the phone yesterday and I gave her the list. She agreed with all my reasons and said they were all valid ones, but she still wondered why I wanted to keep someone in my care team when I felt so let down by them. She suggested it was out of some sort of loyalty and maybe she is right. When I was first going properly bonkers about 3 years ago my social worker was my rock. She was amazing. If I look back on posts way back when I first started writing this blog I talked so much about how lucky I was to have her in my care team and how much incredible support she gave me. And the thing is that despite the past 5 months, I still remember ‘back then’ I still remember her as the lovely social worker, the one who gave a damn about me. And no matter how frustrated and even angry I have felt/am feeling towards her at the moment I will never ever forget how much she made me feel like she cared. And that is something that is hard to let go of, I will still sing her praises even when I’m moaning about her and saying I think she is avoiding and ignoring me and that she no longer cares about me. What can I say? She spent a hell of a lot longer being a good person in my life than what she has spent as a not so good one and for some reason I hang onto that.

CPN then started to tell me that as she is leaving at the end of this month and going to be handing me over to the new permanent CPN that is starting, that there is going to be about a 4 week period where she will be busy with the new CPN and may not be able to see me much over that time while new CPN settles in. So her suggestion was that I work with social worker on a weekly basis for 4 weeks until I start working with new CPN properly and that this would also give the chance for me to feel supported by social worker again, for the bad feelings towards her to go away and then maybe at the end of the 4 weeks I would feel ready to say to social worker to go ahead and discharge me. I said I would like for that to happen but I knew it wouldn’t. I just know social worker will not see me again. CPN said that if she asks social worker to see me over those 4 weeks and thinks for any reason that social worker won’t stick to it then she will arrange for someone else to see me. She promised me she wouldn’t leave me with no contact person or appointments for a month.

Then… the most ‘pathetic?’ thing happens (I don’t want to call it that but that is genuinely how it looked and felt). CPN says she will walk me back to a&e to get my leg stitched up but needed to go to the toilet and put my notes away so she said to go and have a cigarette out the front and she’d be 5 minutes. So I’m standing outside having a smoke and I hear a car and naturally glance round. It is social worker. Now social worker ALWAYS parks right next to the mental health team building, then there is a kinda car park thing as well which only had maybe 4 cars in it. But social worker sees me standing there, we glance at each other for maybe a second, and she carries on driving right the way up to the furthest point she could get to where there are only two tiny little spaces. I turned my back and finished my cigarette. I glanced back round, she was still in her car away up the top. I almost laughed because I could be completely wrong but my head said to me – she has seen you and hopes you haven’t seen her and is actually hiding up there so you don’t speak to her – CPN then appears out the building and I say to her, “guess what social worker has just arrived back” so CPN says lets go and speak to her and see if we can sort this situation out. I say to CPN that she is in for a walk and point to where social worker has parked her car (and was STILL in her car). CPN looked genuinely puzzled and said she now didn’t know whether to agree with me that social worker was actually avoiding me, she said “I don’t understand why she has parked away up there, she always parks down here and there are plenty of spaces”. She said she would try and find an opportunity to speak to social worker and ask her if there was a reason why she wasn’t seeing me, and see if she could get some sort of answers for me. She also said she would give her the list that I wrote about why I wanted to keep her in my care team. And then came the magic moment, CPN says “why do you want to keep someone in your care team when they are ignoring you?” she ADMITTED it! She agreed with me! I’m not going bonkers, social worker really is avoiding me! And I have no idea why…

Gosh this post is getting long.

So we go back to a&e, CPN says she will see me next week and try and talk to social worker in the meantime, I sit in a&e for a while then the doctor came and got me – the same one who had seen me the day after the sexual assault. There was a nurse in the room as well who I have seen a couple of times after self harming and she is really nice. The doctor is nice as well, but was concerned about me. But then he asked to see the wound and there was a moment that was actually kind of amusing and made us all smile for a moment, he realised it was my calf muscle I had cut into and (sorry this is gross) but when I bent my leg you could see all the fat layers pushing right out of the cut, and the doctor’s face kinda went white just for a brief second and he said “I know I’m a doctor but there is something about calf muscles that has always made me feel a bit sick when I see them” and the nurse asked the poor guy if he wanted her to take over. We all giggled just for a second. But it took the horrible-ness of the situation away and relaxed things. The doctor took a breath and said no he would be brave and face his calf muscle fear lol. Between the two of them they got 4 sutures in, glue between all the sutures, steri-strips on top and then a dressing and bandage. I have to go back on Tuesday to have my stitches taken out.

He asked me why I did it and I told him my head has been really messed up since the assault, that I have had hard decisions to make regarding whether to make a formal police statement, that it has brought a lot of my childhood abuse memories back again and I was struggling with it all, but that I was getting good support from rape crisis. I told him we’d had a CPA meeting on Thursday last week and I’d told CPN and Mr Psychiatrist that I was having suicidal thoughts and had been self harming again, but I’d managed to keep the self harming quite shallow so it hadn’t needed medical attention. He said he knew this obviously wasn’t any kind of suicide attempt – after all who would cut their calf open to try and off themselves? But that he was concerned the suicidal thoughts were still there. I reassured him I didn’t want to walk down that path again and although the thoughts were present I had no plan to act on them. I told him I couldn’t put my family through that again and today I had cut out of anger and frustration and just feeling really utterly crappy and alone. He urged me to go back and see them if I thought I was going to act on the suicidal thoughts before I acted upon them and let them help me; but besides medicating me I don’t really know what they can do. I told him I’d been very low on Friday and had seen lovely GP and been given Nitrazepam to get me through the weekend but that I knew I couldn’t rely on medications to get me through all these emotions. Somehow I have to face them all and go through the hurt and the unpleasantness and not medicate my way through it all. He was glad to hear I had started my uni course on Monday and was managing to use that as some sort of a distraction.

And so, other than seeing my best friend and the kids for a little while and having dinner with them, that has been my day. I knew this day was coming, it was creeping up slowly over the past few weeks and I finally lost it and cut real bad, but I feel like something is out of my system now, I feel calmer now I have done it, I do of course have some regrets like that I have scarred myself again but I guess it’s much better I cut than swallowed a shitload of medication and tried to do myself in. I feel some sort of a relief from it, I hope now I have done it that I won’t feel the need to do it again. I will admit I do have a pack of blades back in the house and the doctor asked me if I would at least consider throwing them and all medications that I didn’t need in the bin. I told him I’d think about it.

I was supposed to be meeting with the woman from the charity I want to start doing voluntary work with tomorrow but my head isn’t in the right place for it just now so I phoned her (and she sounds so lovely) and just made up an excuse that I had a lot of uni stuff on this week and didn’t want to not attend when I’d only just started the course and could we postpone. Unfortunately her next available date when she is in my area isn’t until the 1st of October but that should hopefully give me enough time to straighten things out in my head again and be in a much better place to appear as a good person to work with their charity and the young people they work with. I can’t support others if I can’t support myself so I truly hope over the next couple of weeks things might start to feel better. That the suicidal thoughts will pass or at least become manageable and that I won’t self harm again before then.

I have nothing planned for tomorrow other than to do my weekly food shopping if I can face the supermarket. And I hope my textbooks I bought on amazon will start arriving so I can busy myself with doing some reading. On Friday I am seeing lovely GP just for a catch up and will have to tell her about the self harming, she will have the notes about it from a&e anyway. I hope I won’t be in a mess again asking for medication to get me through yet another weekend. I want to face this weekend head on, I just don’t know if I have the strength yet.

Well now that I have been writing for over an hour and almost 3000 words I think it’s time to log off, put my pj’s on and watch some TV, try and stay distracted and hope for a better night’s sleep tonight. Tomorrow can’t be any worse than today and that’s the only positive thought I am hanging onto for now.

12:45 – I let them down, I am shit. They let me down, they are shit.

11 Sep

Yesterday I saw best friend for a while. We made plans to spend the day together today which I was more than happy to do. However then she started saying she wanted to go to a place that my agoraphobia has prevented me from going to for at least five years. I told her yesterday I didn’t think I would be able to get there but that I would think about it and look on google maps to see if there was a way I could go that would be least stressful. Anyway I woke up this morning feeling crappy, with no confidence in myself that I would be able to get there. I phoned her and apologised and explained that I didn’t want to try and fail, that I didn’t want to get half way there and freak out and have to come back and ruin the day. Her 3 year old was in the background crying his eyes out because he wanted to go to McDonalds (I haven’t had one of them in years as there is none anywhere near where I live) and was throwing a tantrum that Aunty E promised him she’d take him today and now he wasn’t getting to go. It made me feel absolutely awful. I didn’t promise, his Mum promised, despite me saying last night that I really didn’t think I would manage to travel that far today (two hour drive there and two hours back). It was just too far and the place is a busy industrial area with lots of cars, busy roads, roundabouts, people, fast roads, everything I’m scared of. So in the end she text me to say her other friend had offered to go with her instead so I told her she was probably best just to do that, then the little one is happy, she is happy and I’ll just have to deal with the fact that my fucking stupid agoraphobia prevented me from having a nice day out.

My CPN phoned me this morning to say she couldn’t make our appointment today. We didn’t even have an appointment today, on the appointment card the next one is for Sept 19th. Anyway she realised she’d made a mistake but said did I want to see her tomorrow at 1pm. So I said yeah OK. Then she asked me to write some sort of list about why my social worker shouldn’t work with me anymore or something. I asked her had my social worker asked for me to do this, she denied it and said she hadn’t even spoken to my social worker, but if that were the case then why would she be asking me in quite a strong and insistent manner to find reasons why my social worker shouldn’t discharge me off her caseload. I know my social worker wants to discharge me and I keep saying no because I want to keep the one person who has been there from day 1 really involved in my care team.

I’m actually pretty pissed off about all of it. At the last CPA I expressed my wishes for my social worker to stay involved in my care team. The psychiatrist asked my social worker what she thought and she agreed to continue to see me but just on a monthly basis. Now that was about five months ago I think and she never stuck to it, and I have never seen her since then, despite trying to make contact with her on several occasions. Then this new CPN appears into the picture and seems determined to break my care team completely apart even though she is leaving at the end of the month, it’s like she wants to get me off as many peoples caseloads as she can before she leaves.

She keeps going on about how I’m not the same person I was a year or two years ago. And to an extent she is right. Yes I can now think of consequences before acting on urges. I do not act impulsively so much any more and just deal with the consequences afterwards. I am not in and out of psychosis any more. However, with regards to recent events, i.e. the sexual assault, it has put me back into a really bad and dark place lately and I have been cutting and self medicating and battling with suicidal thoughts again. And they know this, I haven’t kept it a secret, I’ve told them straight out how I’m feeling and behaving. I feel at the moment like I need more support not less and yet CPN seems to want to leave me with just her as the only person I see on a regular basis. She is excellent when it comes to encouraging me to do positive things in my life, but she is useless when it comes to needing to talk about the bad stuff. Just last week for example on Friday when I told her on the phone I felt so extremely low, she was the CPN on duty that day, but she didn’t seem interested in talking to me about things. Instead she passed the buck to my GP, didn’t even have the decency to phone me back and tell me an appointment had been made for me with GP, she left the receptionist at the surgery to do that.

My CPN is always chopping and changing our appointments and it’s always because “there’s a lot going on today”, “I need to attend an emergency”, “there is something that is a priority for me to deal with”…. But I am never one of those people needing dealt with. My self harming and suicidal thoughts/intentions do not matter in her eyes. Maybe because I have been doing it for so long she thinks I won’t really act on things and that I am well enough now to weigh up the consequences of my actions so she doesn’t need to see me when I feel so low. It just feels like she has come along out of nowhere and when I feel suicidal her words to me are “if you decide to act on those thoughts then that is your decision and only you can make that decision” – what happened to, “use the duty system, see whoever is on duty, go over the crisis plan and make plans to keep me safe over the next 24 hours”???

I actually feel like writing a letter, not of complaint but just to make the manager of the mental health team aware that my social worker has never stuck to her agreement made at the last CPA, my CPN offers me no help when I have recently been through a traumatic event, one which has put me back into suicidal thinking mode and when I asked for help from her she simply told me it was my decision whether or not I acted on my thoughts and to see my GP. She never uses my crisis plan so what the fuck is the point of it? What was the point in spending the entire time with the previous temporary CPN making a crisis plan for it never to be used? What is the point to these CPA meetings when members of my care team don’t stick to what they are supposed to do?

I’m feeling in a horrible place today. I have let my best friend down and her little boy. The 3 year old currently hates me for not taking him to get his bloody McDonalds. My CPN is phoning me asking me to find reasons as to why I shouldn’t be discharged from my social worker’s caseload. My CPN doesn’t give a flying fuck about the fact I’m self harming again or expressing suicidal desires. I have let myself down by not trying to have the day out that best friend wanted. I am sitting here alone and feeling rotten. In tears. With the only thoughts in my head to do something bad. I keep trying to force my head to think no I won’t do anything bad, instead I will see what uni work I can do today, but the bad thoughts are just outweighing all other thoughts.

I am sick of all this crying and cutting but it’s the only thing keeping me going. That and really not wanting to end up in the place I was in a year or 2 years ago. But that also scares me, because I know I don’t want to end up back in that place – psych hospital – so I know that if I do act on the suicidal thoughts I will do my damn best to make sure it actually works. And then that brings me onto the thoughts of how that would affect my lovely parents and then I just end up in tears again.

Why is it that the only person who can see that I am a bloody mess right now is me?

23:57 – I’m back… And not in a good place

6 Sep

After putting my blog on private for a couple of weeks whilst I got my head back together I am now back with bloggy back on public viewing.

The last couple of weeks have been hard. Very hard. I still cannot quite process the information in my head that I was sexually assaulted. However I have had good support from the woman at the rape crisis centre and from my family. I’d be lying if I said I’d had the same from the CMHT.

Today was another CPA meeting however the only people at it were me, my Mum, my CPN and my psychiatrist. My social worker had “a priority to deal with”, don’t know what happened with an a&e member of staff being there, the drugs addiction nurse is on annual leave and woman from rape crisis was out of the area today unfortunately.

I told them the truth. I have been self harming again. I have been experiencing suicidal thoughts. On my way to the CPA meeting I bought blades. I’m pleased to say I haven’t as yet used them.

I have decided not to proceed with my police statement due to lack of evidence and me not being in a good place in my head. I can’t cope with it at the moment. I am struggling, and I mean seriously struggling just to get through each day. I’m extremely emotional and randomly keep bursting into tears. Nothing makes sense at all.

I had my uni course induction day on Tuesday. It went well. The course officially starts on Monday 10th. I am just doing it part time and have got all my online logins set up so I’m ready to roll. I do want to do the course but part of me can’t help but feel my CPN pushed me into it and now I keep feeling like I’m doing it for everyone else not myself. I was so happy when I got accepted onto the course but what with everything that’s happened my excitement and enthusiasm for it has gone rapidly downhill. But I will do it, I need something to do to that engages my brain for a few hours each day or I’m going to end up going mad – as in crazy bad – again.

I was pretty gutted my social worker didn’t come to the CPA. When I sat and thought about it I realised I have only seen her once, for ten minutes, in five months. Back when we had the last CPA meeting it was agreed I’d see her on a monthly basis for a catch up on how things were going on. I no longer feel like she cares, she’s not made any contact me even though she knows about the assault. That never used to be the way things were, she was a huge part of my care team and now it’s all just fizzled out to nothing. And it makes me sad because she still remains the person I am closest to out of everyone. My CPN is leaving soon although a permanent CPN has finally been recruited so I will be working with her instead. But I was so close to my social worker and now she’s just gone. I have tried so many ways of contacting her but I get no reply. I’m beginning to feel like she is deliberately ignoring me. Perhaps I shall go and stand by her car tomorrow at CMHT closing time and stand there until she appears and ask her straight out what’s going on. I’m confused and upset by it all. All I want is what was agreed, monthly contact, and the person I trust and have always been able to confide in. I don’t have that with current CPN. I don’t really have it with anyone.

I am beginning to open up more to rape crisis woman, she has been a good source of support lately. I see her on Monday but then she is off on holidays for two weeks. My parents are also going away on holiday for a week on the 17th. I wasn’t due to see psychiatrist again until November but after today he has arranged for me to see him again on the 19th and I see CPN again on the 19th as well. Therefore, from the 10th-19th I have no support at all. I am still keeping my fingers crossed that my social worker might actually get in touch and see me at some point between those dates.

I worry I am sliding back downhill again. And yet I am trying to force myself to keep on going. I’ve got the uni course, I’m meeting a woman next week about voluntary work but it’s going to take a few months to get set up as I need to have my PVG Disclosure Check done and it can take up to about 12 weeks. But I need to be in the right head space to see her and convince her I’d be a good volunteer, how can I support others if my own head is fucked? I can’t so somehow I need to sort it out. If I don’t sort it out and let things continue as they are I am going to end up back in hospital, plain and simple. I have stocked up a cupboard full of medication and am getting closer and closer to just swallowing the lot. I have bought more blades, I want to hurt myself badly again.

Yet I don’t want to go back to square one. My Mum phoned me tonight as she had been worried sick all afternoon when back at work that I would do something to harm myself. She said she was proud of me for not doing anything. She is trying her hardest to get me to look at the positives in my life but the whole phone call (90 mins of it) all I did was cry off and on.

I may be back but I am not in a good place. The weekend is going to be very long. The nine days of no appointments is going to be even longer. I don’t even know right now if I will still be here (in my flat) by then or if I will be lying in a hospital bed or mortuary by then.

I’ve been on the Mirtazapine for a couple of weeks now. I don’t even notice that I’m taking anything, so no side effects and no increase in appetite. I don’t know if it’s because my head is so screwed up from the assault that I just feel nothing. Blank, empty, alone, lost, and not wanting to be here for much longer.

This time I really don’t know if I can fight it out. All CPN says is to go to a&e if I am going to/have hurt myself. Maybe this time I just want to hurt myself and not get any help and just go wherever it is that we end up when we don’t wake up again.

17:33 – Seeing the psych and changing meds

8 Aug

This morning I saw Mr Psychiatrist and had written a little list of things I wanted to discuss with him as the appointments are time limited to an hour and I wanted to make sure I covered everything. I told him I have been feeling a bit like I’ve been on an emotional rollercoaster these past few weeks, with a lot of mood swings although things have for the most part been better. I told him about the severe anxiety on Saturday and the resulting hospital visit, I also told him about the good things in my life like the uni course starting next month. We talked about how recovery had become important to me but at the same time a little bit of me feels like I’m sort of putting on an act to keep other people happy/proud of me.

One thing I also wanted to talk to him about was the possibility of changing medications. The anti-depressant I take, Citalopram (Celexa) well I have been taking it for about five years and to be honest I haven’t noticed a great deal of help from it. As anxiety continues to be an ongoing issue with me to the point where it can easily affect my life, I have been doing some reading on what other anti-depressants there are out there which people have found helpful for anxiety and depression. So we have decided I am going to give Mirtazapine (Remeron) a try. So this week I have to cut my Citalopram down to 30mg a day, next week 20mg a day, the following week 10mg a day and then start the Mirtazapine. I am slightly concerned about the weight gain side effect of Mirtazapine but then Quetiapine (Seroquel) says it can cause weight gain as well and I haven’t noticed a massive increase.

So I also saw lovely GP this afternoon and we got my meds sorted so that I can cut down the Citalopram myself over the next few weeks then I have to go back and see her when I’m ready to start the Mirtazapine. She warned me I might start to feel a bit shitty over the next few weeks as the Citalopram dose is cut down especially as my body has been used to it for so long. I told her I was a little bit concerned I would be feeling crappy because of this at the same time as my Uni course is starting and I don’t want to go to the induction day feeling anxious and depressed. Then of course the Mirtazapine will take about 4 weeks to start working properly so the next few weeks/couple of months might be a bit rocky.

But at least I am prepared for it and lovely GP said to go and see her if this does happen and she will see what she can do to help with those side effects. She has also now got the form to refer me to a local service that combines nutrition information and gym membership (for free I think) so I can start taking regular exercise. My diet isn’t actually that bad. I don’t eat massive amounts of junk food, I just eat the wrong foods and eat big portions. But I am about 4 stone (56lbs) overweight and of course that affects my self esteem and adds to my depression as well.

The good things are that the voices are under control, I feel like at 500mg a day I am on a good dose of Quetiapine right now. The Uni course is a positive to look forward to starting. I have freed my body of all drugs apart from the prescribed ones. I am socialising a lot more and seeing my family more. Even if some of it does feel like a bit of an act sometimes, at least I’m doing them, and when a day like Saturday happens, I know there is help there for me and I don’t need to harm myself to get it.

I sent my social worker an email this afternoon to try and get another CPA meeting arranged as I’m not seeing Mr Psychiatrist again until November. That is a really good thing because it shows that he thinks I am doing well right now to leave me with a 3 month break. But in the mean time we should have a CPA meeting, also my CPN leaves in a month or so and it would be good to get one with everyone there so everyone can have some input before she leaves and before Mr Psychiatrist retires, which is now going to be in January instead of September.

I also took a little trip to the beach with the dogs this afternoon for an hour and saw best friend for an hour or so after the appointment with Mr Psychiatrist. She is spending a lot of time with her other friend and I’m sort of feeling a bit left out, but I have the big date with the guy I’ve been talking to tomorrow so I have my own things going on as well.

And on that note my stomach is rumbling so it is time to go and find something to make for dinner.

So excited/nervous/scared about tomorrow but something tells me it is all going to be OK. I get on so well with this guy via webcam and on the phone that even if we don’t hit it off in any romantic sense I think I will at least have made a new friend.

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