For over 3 years now I have received my medication on a weekly basis. Every Wednesday I have to go to the chemist and pick up my weekly script. Every four weeks when I get a new prescription I have to sit for ages whilst the pharmacist splits it all up into 4 separate weekly bags. For pretty much all of this time (apart from when I’ve had medication changes) my meds cupboard has looked the same every week:
14 x 25mg Quetiapine
14 x 200mg Quetiapine
7 x 300mg Quetiapine
7 x 30mg Mirtazapine
56 x 2mg Diazepam
All the tablets precisely counted out so I take 750mg of Quetiapine each day, 30mg of Mirtazapine and 16mg of Diazepam (4mg 4xday).
Getting meds weekly is never something I’ve argued about. I understand that when things are quite unstable it is not a good idea to have loads of tablets in the house. And it also helps keep track of what I’ve taken each day when there is only a small amount of medication to start with. However, it has now been quite a long time that I have gone with no hospital admissions and whilst I may still be struggling with the self harm I would choose cutting rather than overdosing 9.9 times out of 10 if I wanted/needed to hurt myself. I’ve said it before and I’ll say it again – that last overdose I took, the one which almost killed me, scared the utter shit out of me. No more overdoses for me – if I ever reach a point of being that suicidal again it will be a quick and definite ending – not shovelling pills down my throat.
Sorry… I’m going off at a bit of a tangent here… Back to the point!
This morning I had an appointment with lovely GP. She asked how things have been going and said she had seen a copy of the letter after my recent trip to A&E. I told her the thoughts and images and urges to do it had just got too bad that day and I’d given in, but that I also regretted it very soon afterwards. She asked what support I was receiving at the moment and I told her I’m on the waiting list to see the psychologist again once she returns to work (hopefully at the end of this month) and I told her I was trying to work on some of my issues surrounding both the childhood and adult sexual abuse/sexual assault I have suffered. She said that sounded like hard work to do and I agreed it is, but it’s something I’ve never properly dealt with and it’s something I need to do before I end up with a genuine phobia of even being in the same street as a man. She asked how my university course is going and I told her the truth – shit – due to my total inability to concentrate or focus on the course work. To be honest I think I’m going to get kicked off the course which is pretty bad given that I’m only being expected to do the absolute minimal level of work this semester… but it would seem that even the minimum is just too much for my mind to process and understand 😦 So overall I was open and honest with lovely GP, I admitted there are some days that are pretty challenging especially when my sleep is crap like at the moment; but also told her that whilst my head might feel a bit bonkers at times I have no thoughts of ending my life at all and still regret cutting.
After we had a chat for ten minutes or so I decided it was time to brave it and ask the question that I’ve been wanting to ask for a while now but kept thinking she would say no so I hadn’t bothered before now. But today I felt like we had a rational chat and identified the good and bad things going on and I felt quite calm so out came the big question…
“Doctor, as I haven’t been in hospital for quite some time and as I don’t have any urges to harm myself, would you consider trusting me to have more than one week’s medication at a time?”
And to my surprise she said she was confident that if I did have any suicidal type thoughts that I would ask for help and not take an overdose. She asked me if we could have a mutual trust agreement that if she gave me a chance to prove I could be responsible with a lot more medication in the house that I would agree that if I did feel particularly low at any time I would contact someone…anyone…and get help. I agreed to this and so she agreed to give me a chance with the medication. I expected her to give me two week’s worth to start with but she gave me all four week’s worth which sort of shocked me a little bit. I know I can be trusted and I want so much not to let lovely GP down but fuck it is a bit scary having so many tablets in the cupboard. It’s probably just because it’s so unfamiliar to be given so much trust, but if it continues to feel weird I will do the right thing and take some of it to my Mum’s house or something.
So I now have in my cupboard:
56 x 25mg Quetiapine
56 x 200mg Quetiapine
28 x 300mg Quetiapine
28 x 30mg Mirtazapine
226 x 2mg Diazepam
Wow. It feels so weird to be trusted again. So weird that my head feels so utterly crazy at moments and yet it’s like I’m determined to see this as some sort of a challenge – a test if you like – that I can have these crazy moments but somehow deal with them in a way that doesn’t involve abusing medication in any way. I am determined in 28 days time that I will have taken my medication properly and at the correct times and the correct dosages every single day. I’m not going to let myself down and I’m not going to let lovely GP down. If that’s the only one thing I manage to do over the next 4 weeks then I will be happy. Happy they can trust me and happy that I can trust myself.
I cancelled my appointment with my support worker today as I got absolutely zero sleep last night then was up early to go see GP and by the time it got to 1pm I was like a total zombie. So we have rearranged for tomorrow.
I also got a new phone today and I’m such a happy bunny! (well besides the guilt trip I’m putting myself on)… I used to have the Samsung Galaxy S2 phone but it broke and for at least six months now I’ve been using this shitty little phone that doesn’t do much more than make calls and send texts. I’m not due a contract upgrade until September and really was trying to make do with the shitty phone until then, but then last night I got chatting to someone on Facebook who was selling their Galaxy S3 at a really good price (but still pretty expensive). I said I was really interested and would love to buy it but there was no way I could afford that much money, it would take me at least a month to save up for… Then about an hour later I got a message which basically said “look I know you pretty well, I’ve known you for years, I know you aren’t going to run off with the phone and disappear, I’m not desperate for the money so if you want to pay me in 4 weekly instalments then you can have the phone”… Of course I couldn’t resist that offer so this morning we met up and I handed over my first weekly instalment and got the phone and I’m so in love with it already! Plus I know that in six months it will still be worth a little bit of money so when I get my upgrade I can sell this one and get a bit of money back again.
In a way I feel a bit guilty for treating myself to something I didn’t actually need. I could have lived without it. But at the same time I very rarely go for nights out any more, I rarely buy myself new clothes or nice things for myself, the most extravagant treats I have are the occasional lunch out with best friend or my mum. At least this treat will last much longer than a bowl of pasta or something! But yeah I still have this niggling voice at the back of my mind telling me I didn’t need or deserve such a big treat and it makes it hard to truly enjoy something when you’re feeling guilty for allowing yourself to have it.
Anyways… after being up all day yesterday and all night during the night and then up all day again today I am starting to get extremely tired so it’s time for a quick dog walk, medication and furry pyjamas on and with any luck get some sleep tonight.
Goodnight folks xx