Tag Archives: substance misuse

17:08 – Another useless CPN session

24 Oct

Firstly I’d just like to say thank you for all the supportive comments you guys left on my post below. I have decided to put it on password protect for a while as it’s so personal that I’m not sure I want it available for public viewing. It’s the same password that I use for all my protected posts… if you want it feel free to dm me on twitter or send me an email.

Today I feel much better physically than I have done over the past few days. I think now that it’s been a full 3 days everything is out of my system now and other than being loaded with the cold I’m OK.

I just wanted to write a short post mainly because I’m feeling quite frustrated at the moment. I went to see CPN#2 a couple of hours ago and had decided in my head that I was going to say something along the lines of: “I’ve been feeling really low, I’ve had a lot of thoughts about self harming and even about ending my life, I spent a few days misusing alcohol (there’s no way I could tell her what I really used) and basically I feel like I’m in a bit of a mess and I think it would be helpful to try and work out what it is that’s making me feel so low”.

So that was the little script I had in my head ready to say to her but when I got to my appointment the first thing she did was sit down with her notepad on her knee and ask me what I wanted to put on today’s “agenda” – ARGHHHHHHHH!!! – Yes, this was the reason I didn’t go and see her for so long, this was what I had politely tried to explain to her a few weeks ago that the ‘setting an agenda’ approach just doesn’t work for me, this is what I thought we had got sorted out and clearly we haven’t! I said to her I didn’t know what I wanted to list on our agenda but I was feeling low and could we just talk for a while? Her reply was that it wasn’t helpful for us to focus on ‘negative thinking’ and that by setting an agenda we were setting goals – positive goals – so that when I left each appointment I could think that I had achieved something good that day. I tried again by asking her who exactly I should be seeing if I need someone just to talk about life with? If I need a rant or to vent? If I’m feeling low and scared? Do I just bottle it up? Isn’t it part of her role to listen to me?

She then said she thought the best way to structure our appointments was to have three things each week to talk about. We could spend 15-20 minutes talking about each one. She would prefer all three things to be ‘positive’ things and us discussing how I’m going to reach individual goals but said that on the ‘rare occasion’ if I was feeling particularly low then I could use one of my 20 minute sets to talk about my moods and feelings.

So as none of this was particularly helpful and I was feeling like I just wanted to get up and leave it became increasingly difficult to even try and tell her how messed up I’ve been feeling. I had decided before I got to the appointment that I would say I had been misusing alcohol – I didn’t want the truth written on my case notes, I didn’t want my parents to find out and break their hearts again over 6 days of complete stupidity and so I figured just saying I had misused any substance was good enough as at the end of the day they are all misused for the same reasons – either to make you feel good or to block all the shit out. I’m sure CPN#2 could tell that I needed to vent but she just kept on talking about how well I was doing. She said she has spoken again to the psychologist and I’m now almost at the top of the list so my sessions with her should start back around the end of November and whilst telling me this she said she had told the psychologist how well I was doing in so many areas of my life like with the part time uni course and the fact I’d had no hospital admissions since January 2012 (the last time I saw the psychologist was Feb 2012 when she went on maternity leave). Apparently the psychologist told CPN#2 that she was really proud of me as I’d been so unstable back then that I just could not do any psychological therapies and that she is looking forward to seeing me again and seeing a much more stable me. Then CPN#2 was telling me that she’d been talking about me with her line manager as part of her supervision – where they briefly discuss each of their service users with their managers – and how the manager had been telling her about the first time she met me (when I was being sectioned) and travelling in the ambulance with me to the psych hospital… the mess I was in… the voices I was hearing… etc etc. So when CPN#2 told her too about how well I was doing now she was apparently “extremely pleased to hear it”. She continued to say how it was strange but nice for her to hear from other people about how bad I’d been at my worst but how much better I seemed now (as CPN#2 never worked with me or knew me when I was ‘at my worst’).

The whole time I was just sitting there thinking why are you telling these people how well I am doing when just last week I was suicidal? Why do you never want to listen to the truth? Yeah, I’m all for turning a negative into a positive if possible but fucking hell she was making it sound like I was well and truly on my road to recovery when right now that couldn’t be further from the truth. So I finally butted in and said to her that whilst I accepted there have been some areas of my life that are slowly improving there are other areas that are bad. I told her I’d gone through a misusing alcohol binge last week to block out my emotions. I told her I’d had suicidal feelings. I told her I’d wanted to self harm and instead of cutting I drank myself into a stupor. (OK so I didn’t drink but again, I wasn’t about to tell her what I really did). All she said was “well you must have realised that it was doing you no good as you’ve now stopped” and then tried to move along to the next subject of ‘setting goals’.

She just doesn’t seem to get that I cannot think about what three things I want to think about a week in advance. I can’t even plan for the day I’m on let alone plan three very specific things for a week’s time. She was very clear that she wants us to use our time to set goals and discuss how to achieve them, and then achieve them… and very clear that whilst we could talk about my moods if it was like some sort of emergency situation it would not be the focus of our sessions.

I understand that working with the psychologist has to be very structured especially when you are doing a specific therapy programme with them, but I hate how these CPN sessions have to be so structured as well. Well they don’t have to be because I’ve worked with plenty of staff members at some time or another who do just let you talk but this is obviously the way CPN#2 works and she isn’t going to work in any other way. I wonder if I’m the only one of her service users who finds her so unhelpful or if they all benefit from her agenda setting, goal setting, super positive approach where if we just don’t talk about any of the bad things then we can pretend that they just don’t fucking exist.

So I’m sorry to say but I am annoyed. I wish I hadn’t bothered going to the appointment. I have another one for next Thursday and already I am thinking that I might just cancel it. Also, I got a text from best friend whilst I was en-route to my appointment which said “hi, i’m really sorry but i have no money at all to even go for lunch on saturday”. It’s my birthday on Monday and originally I’d suggested just the two of us going for a couple of quiet drinks or for dinner but she said she didn’t have much money so I suggested we went for lunch instead. It didn’t need to be anywhere fancy, it was more just to spend a couple of hours with her and have a chat. She said yes she could afford to do that but now for whatever reason she can’t. Why am I pissed off? Because it is another one of her friend’s 40th birthday night out the following weekend and I know she is going to that! So she can’t meet up with me, can’t go for a cheap quiet lunch, can’t even manage to go for a coffee and have a chat yet she can go out the following weekend with her other mate. I’ve not missed any of best friend’s birthdays since she has been living back here, nor any of her kids birthdays/christmas/etc. Even when I’ve mentally been feeling like shit I’ve dragged myself along and always bought nice gifts. All I wanted was to spend some time with her, the money is irrelevant, there are plenty of things we could do that didn’t involve money but there was something in her tone in her text messages that said to me she just doesn’t want to do anything with me at all right now. So yeah, truth be known I’m feeling slightly rejected at the moment and pretty lonely as well.

So it looks like it’s going to be a quiet weekend. Maybe I will see if anyone else is going out that I could tag along with. The last thing I want is to sit in the house alone all weekend because I’m scared I’d be tempted to let the emotions get to me and act on them in some way or another that I’d end up regretting. On my birthday on Monday I’m going out for a nice lunch with the parents – we were going to go for dinner but my Mum is working night shift so lunch it is. Looks like it’s going to be a super quiet one this year… as if I wasn’t already feeling crappy at the thought of another birthday being single and alone and having all of those “this wasn’t how I thought my life would be at the age of 32” type thoughts.

Sorry… I believe I said at the start of this post it was going to be a short one… it didn’t really turn out that way… I’m going to try and do some studying for a couple of hours then vegetate in front of the TV for the rest of the evening. Oh what an exciting life I lead.

Protected: 02:38 – A bit of an explanation

24 Oct

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20:36 – Fucked up shit and a sigh of relief

5 Jan

I mentioned a while ago that I’d been (mis)using a variety of substances to try and block out the intrusive voices that keep plaguing my brain. On New Year’s Day I did something extremely stupid and repeated that stupidity on Monday, Tuesday and Wednesday.

The result of my stupidity?

  • A drug dealer who lets me run up a bill with him.
  • My head being so fucked I thought I got money today but it’s not for another week yet
  • I’ve been violently sick all night last night and felt like shit all day today
  • If I didn’t have the rest of the bill I owe the drug dealer by tomorrow I was going to get (and I quote) my ‘c**t kicked in’. Charming, I know.
  • Due to the fear of not having the money on time I slashed my arm, tried to stab an artery and have spent all day swallowing Diazepam and Codeine.

So yes, you could say life has been pretty fucked up over the past five days. Everything has been experimental, I wanted to try everything and anything until I found some magic cure that wrapped me up all cosy and warm and protected from the bad things in the world. But I’ve learned that this isn’t the way forward. Drugs really are for mugs. I’m not saying I’m never going to smoke the odd spliff here and there again but nothing stronger than that. I’ve had a massive wake up call and realise 100% that the guy selling things to me isn’t a friend; he’s someone who saw me as an easy target for trying to get me hooked on stuff and someone who would shit herself if she couldn’t pay up in time.

And that’s very nearly what happened. I have until tomorrow afternoon to pay up or I’m not sure what the consequences would be. I decided tonight I had to speak to someone in confidence about it all and as it turned out I now have been very lucky and now have a solution to pay off my bill tomorrow. I will never go near that man/dealer again, he very nearly and very quickly could have got me addicted to any kind of gear possible, he is scum, but then again I am the fucking idiot for associating with him. But I can’t explain it, when you just need to block something out and have tried every other way then you get desperate and desperate times call for desperate measures, as they say.

So thankfully I am going to get the guy off my back tomorrow and that will be a definite goodbye to him. I can’t believe the kind generosity of some people, it actually made me cry. Crying in relief, crying from my own stupidity.

My aim is to make it through the weekend with nothing at all, not even a glass of wine. I need to know I can face life without substances to blur things out and I need to know if my Olanzapine is actually doing anything at all. I phoned to speak to my psychiatrist today but he is on holiday for another week so the other psych is going to phone me on Monday. I think the Olanzapine needs increasing so I’m going to speak to him about that. I will be honest about the substance misuse as I have been with all of the professionals so far, I just haven’t named and shamed everything I’ve been using.

And now with a sigh of relief that everything will be OK tomorrow I am going to take the dogs a quick walk then think about getting some sleep.

23:08 – CPN and some honesty

22 Dec

I saw my CPN today and decided it was time to be honest with her. I’d already told my psychologist about the “substance misuse” but today I just reeled out the list of all the substances I have consumed in the past couple of weeks. She said she was glad that I had been honest with her and asked me if I wanted to be referred to the addictions team. I said no. I don’t have an addiction, I’m just going through a ‘blanking everything out’ phase.

We talked about starting graded exposure work again in the New Year as I really need to do something about it. I was in the car today and there were all these adverts for things like ice skating and a big carnival through in the city about an hour away from me and I would love to go (cos I’m a big kid really!) and I hate that agoraphobia has taken away at least the last six years of going to things like that. I can’t remember the last time I went to a shopping centre or anything, I think it was 2006 and that was during graded exposure work so god knows how long it’s been a part of my mentalness.

CPN asked how I was feeling about Christmas and I told her the truth – that I hate it. Christmas is really for kids and the excitement in their little faces and watching them laugh all day long (then puke from too much chocolate) – and it fucking hurts every single year that I don’t have that. I should have a little boy almost five years old opening presents under a packed tree. I should be leaving a carrot and glass of milk out for Santa. And it hurts to the deepest part of my heart that I don’t have that.

So she said maybe it would be an idea to go straight from my friend’s house on Christmas morning to my parents so I’m constantly in company and don’t have as much time to sit and think and upset myself and no doubt end up in some sort of crisis. Maybe she is right, I’ll see how I feel on the day.

As I was leaving the mental’s building I bumped into my psychologist. Her bump is so big and obvious now I didn’t know where to look. I felt like I was going to be sick as a wave of anxiety went right through me. We had a brief chat and talked about having my next CPA meeting in January. Then I asked to see my social worker for a moment to wish her a happy Christmas.

About half an hour after I got home my buzzer started beeping. I didn’t answer it as I thought it would be my male friend and wasn’t in the mood for company as I still have some sort of stomach bug and am running to the loo every five minutes. Sorry, too much information I know. Anyway, I then hear a walkie-talkie and a person saying “there’s no answer” and look out the window to see two police officers standing outside. So I go into complete panic mode and think that CPN has phoned the police and told them I’ve been misusing substances and sent them to my flat but as it turned out they had the wrong address and were looking for my neighbour.

I have heard people say before that you only feel paranoid if you have something to hide (which is bullshit) but today it definitely applied. I felt panic and guilt and quickly got rid of the tiny bit of cannabis I had at home. I think if I’m completely honest with myself I am developing a bit of a problem; not a physical addiction but a psychological association with smoking a spliff to feel semi-normal. It blanks things out, it makes me feel a little dissociated, it makes my emotions seem less intense and the voices a little quieter.

My moods have been particularly low the past week or so, I’ve had a lot of suicidal thoughts and urges to self harm but have managed to resist them all. Instead I actually listened to what CPN had to say and have decided that my New Year’s resolution is going to be learning helpful behaviours. Getting high isn’t helpful in the long run, I’m intelligent enough to realise that, and I also know that I can’t tell how helpful the Olanzapine actually is whilst I’m smoking it, so maybe it’s time to quit playing about with drugs and make 2012 a turning point.

I want my life back and most importantly my freedom. I want to be able to drive anywhere I desire, go to festivals and concerts again, go through to the city for the day and do some shopping, live a normal-ish life. I have the volunteer support worker training starting in February and I am determined I will get to the location a couple of hours away each weekend and complete the course.

Next year can’t be any worse than this year or last, they say third time lucky so maybe next year is going to be my year of luck. Where they find a good dose of medication for me, where I can stay out of hospital for the year, where I learn to get my life back a bit.

I so want to be positive, I’m trying my hardest but I know it’s going to be a long and scary journey. But it will be worth it in the end, won’t it?

14:46 – Escapism or something like that

20 Dec

I haven’t written anything lately not because I have nothing to say, but because I have been doing a lot of things I’m not very proud of. I don’t really want to get into it all on here, but I will say that I’ve been going through a period of some sort of escapism. I can’t seem to tolerate my emotions, I can’t tolerate the voices, I can’t handle the commands being dished out to me. So I keep on trying to escape using whatever method is necessary to blank it all out.

I know blanking it out isn’t making it go away but at the moment it’s the only thing that’s working. Surely it’s better than self harming – or is it just another form of self harm? It doesn’t feel like I’m harming myself when I’m floating and warm, so content curled in a duvet where nothing in the world can hurt me. But that’s only temporary, then I end up in a mess again.

Thoughts of ending my life have been fleeting back and forth as they usually do at this time of year. I will not act on the thoughts though. I have presents to give and family time to be had. I will see Christmas Day and I will make myself act like a normal. I told the psychologist about having used things to blank everything out but wouldn’t tell her what I’d been using. I was supposed to see the new CPN this morning but I have been up and down all night with an upset stomach so its been rearranged for tomorrow afternoon. I won’t tell her about using things cos a-it’s none of her business b-she is the type who will lecture me and c-I don’t like her and won’t give her any ammunition to use against me.

The only bad thing is the paranoia that people are looking at me and knowing that I’ve used something. The feeling like eyes are always watching, what people are thinking, how they are judging me for it inside their heads. But they aren’t me and they have no idea how useful substances are proving to be in my life. They soothe me and wrap me in a warm blanket of safety. Yet I try not to hide for too long so people don’t become suspicious. That’s why I’ve gone out and about a few times this past week, so everyone thinks that I’m doing OK. What do I mean ‘thinks’? I am OK… aren’t I?….

Protected: 14:06 – Yesterday’s psychiatrist appointment

4 Aug

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