Tag Archives: uni course

00:01 – A pharmacy error (and still struggling)

11 Sep

I think it would be fair to say that I’m struggling a lot at the moment. On the outside I’m trying my hardest to appear ‘OK’… maybe even better than OK… I started back my part time home based university course yesterday and it took me the entire day to get through 8 short pages. Nothing seemed to be sinking in even though I knew the information was at a reasonably basic level. So I ended up getting myself super stressed out and wondering how on earth I am going to manage to do double the workload that I did last year. I’m doubting myself massively and I really don’t know if I will cope with it and we’re only two days into the new term.

Anyway, last night things kept building and building inside me, my head was full of urges to self harm. The urges are nothing new but my ability to fight them off feels like it’s lessening day by day. And the thoughts were stronger than just thoughts… there was no voice as such but the urges felt more like commands. No matter how hard I tried to ignore them they just got louder and more and more frequent. So by the time it got to bedtime my anxiety levels were starting to get out of control and I knew it was only a matter of time before I reached for my tools to cut myself with. As a last ditch attempt to get the anxiety under control I reached for my emergency Lorazepam and swallowed one down. About half an hour later I started to feel strange… my thoughts were all muddled and my body felt totally different to how Lorazepam has ever made me feel before. Usually I find it to be really good for anxiety without much sedative effect but my anxiety wasn’t calming down and the overall weird spinning sensation was probably making the anxiety even worse.

At the time of taking the tablet I did notice that it was yellow in colour and the only Lorazepam I’ve ever had have either been little blue tablets or little round white ones. There were only a few in the box though that had been cut from a strip and all I could see printed on the blister was the letters LO and 1mg underneath. So I just thought they were a different generic than what I’ve had before. But I just knew this wasn’t a normal feeling for Lorazepam and something made me go back and look at them again. The label on the outside of the box definitely said Lorazepam 1mg tablets but then I took out the patient information leaflet and it was only then that I saw the leaflet said along the top ‘Loprazolam 1mg tablets’.

So I began to really panic. I didn’t like how it was making me feel. Even though I’ve tried plenty of benzodiazapine drugs this was making me feel really odd like I couldn’t think straight at all. For the first time in ages I consulted some peeps on Twitter and if any of you read this – thank you so much for helping to calm me down! I remember being given one of the Z drugs a while back, I can’t remember if it was Zopiclone or Zolpidem, but it made me feel all disconnected and like my head was spinning and this Loprazolam made me feel pretty similar to that. Thank fuck I didn’t take 2mg like I usually would take of Lorazepam. So I stayed on twitter for a while, then decided to go and lie down to see if the spinny dizzy sensation would calm down a bit, put a relaxation track on my iPod and spent the next 90 mins or so battling a horrible panicky sensation. I don’t know if it was the Loprazolam making me feel like that or just me freaking out because I’d taken something I’d never taken before. Eventually I fell asleep.

After I got up this morning and walked the dogs I went to the pharmacy and took the box, leaflet and remaining couple of tablets with me. The pharmacist took me into a side room and sincerely apologised. The normal pharmacist is off at the moment and they have had a lot of locum’s in over the past few weeks. Somehow someone had made a mistake but the pharmacist said that Boots take this kind of thing very seriously and we had to sit and fill out a form so that they can launch an investigation into who dispensed it, how the error could have happened and report to their head office with what measures they are going to put in place so that it doesn’t happen again. They will also write to my GP to inform her of what happened. The pharmacist said Lorazepam and Loprazolam sit very close to each other on the shelf as it’s all in alphabetical order and that’s the only reason she could see for the error happening but she did make a point of saying that that was no excuse. She asked me if I wanted to be informed of the outcome of their investigation but I said it was fine. I’m just glad that the tablets I was given weren’t anything that could have caused me any major harm, it was lucky it was another benzodiazapine even if the symptoms that particular kind caused weren’t very pleasant. She then gave me the correct tablets and that was it all sorted out.

Then best friend phoned me and asked if I’d like to go to a little birthday party they were having for her new boyfriend’s little boy – it was his 1st birthday and I really didn’t feel like being in a room full of babies and toddlers but equally I didn’t want to be shit and say no when I always go to both her little boys birthdays and I guess if the new man is sticking around for the foreseeable future then I have to see his little boy as part of their family. So I went to the toy shop and got a little present for him and a card, came home and wrapped it up, then went out to the party at 5.30pm. When I got there the house was pretty full, there was at least ten kids under 5 and four mums and dads as well as best friend and her boyfriend. Then one of them had to ask me “don’t you have any kids? don’t you want any?” and I just didn’t know what to say, so I just smiled politely as I felt the anxiety starting to rise and said “not yet”. I hate it when people ask me that because I want to proudly say “yes I have been pregnant, yes I have carried a baby, yes I felt a baby kick inside me, yes I went through a very long and extremely painful labour and yes I gave birth to a beautiful little boy… just way too early and he didn’t survive” – the only reason I don’t say all of that is because of their reaction… the look on their face when they just don’t know what to say. So instead I just smile and say “not yet” even though I feel as though I’m really letting my little angel down by saying that.

Anyway I managed to escape after an hour and took the dogs for a long walk to try and de-stress again.

Tomorrow morning I have an appointment with the gynaecologist at 9am so it’s going to be an early start getting up around 7.30am. This is the first time I’ve asked to see the gynae since shortly after losing my little man in 2007. But I know my PCOS is getting worse, I haven’t had a natural period since I lost him and PCOS also plays havoc with trying to lose weight (admittedly the Quetiapine and Mirtazapine also don’t help the weight issue). So I think I’m going to give the diabetic drug Metformin another shot, I’ve tried it twice over the past ten years and both times couldn’t tolerate the side effects it has on your stomach, apparently this is the most common reason why people stop taking it. I don’t really want to take any more medications but Metformin does have pretty good success rates for controlling your blood sugars and that in turn makes it a little bit easier to lose weight.

I’ve always struggled with my weight since my late teens and couldn’t understand why as I ate relatively healthy and did a reasonable amount of exercise. Then at age 20 or 21 they diagnosed the PCOS which certainly gave me some reason as to why I found it so hard to lose weight. But then when I was about 23 I went on the Atkins diet after lots of research telling me that cutting out carbs and sugars was one of the most effective ways to lose weight when you have PCOS. Over the course of maybe six months I lost four stone (56lbs) so it was pretty rapid weight loss and I got myself down to a slim and healthy 9 and a half stone. Kept the weight off until about 2009 when I split up from my fiance then rapidly gained a crazy amount of weight over the next year as I comfort ate my way through thousands of calories a day. By the time I was sectioned for the first time at the end of 2010 I had gone up to 15 stone! I’ve lost a bit of weight since then, although not much, but I’m now about 13 stone 10lbs and really I want to be around the 10 stone mark so I’ve still got a way to go yet.

So I guess I’ll go to the appointment with the gynae in the morning and see what she suggests and if Metformin is what she recommends then I’m going to ask to start on the lowest dose the tablets are made in and build up from that slowly to see if that helps me to tolerate it a bit better. Then I plan on coming home and spending a few hours studying.

I need to try and keep myself busy and distracted at the moment because as soon as I let myself just sit and think I end up with a head full of thoughts and urges to self harm. And I really don’t want to because I’ve managed to go for five months now without any severe self harm wounds. Plus every time I look down at my legs I want to recoil in horror at the permanent and extensive scarring that’s all over them. I hate the sight of the scars on my legs they look horrendous even though some of them are quite old, I have very fair skin and they still look awful. The tops of my arms aren’t much better although the ones on my forearms have faded enough that I now feel comfortable to wear 3/4 length sleeves. I think people notice my tattoos on my wrists before they bother to look at the other side where the scars are.  I hate that I’ve permanently damaged my body and I truly do hope that I can find the strength not to act on these intrusive horrible urges but they are eating away at me and it’s starting to feel like it’s going to keep on getting worse and worse until I just give in and do it. But I’m not going to give in without a fight. Little superficial cuts I can deal with but no more huge angry permanent scars 😦

On that note it’s now midnight and I’m up in just over 7 hours so time to try and get some sleep. Hopefully tomorrow will be a better and brighter day.

17:58 – I don’t think I fit in anymore…

7 Sep

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This picture sums up exactly how I’ve been feeling lately. My self isolating world feels black and white. I’ve lost the colour from my world. I look at the lives of my friends and family members and they all seem to have colour and happiness in their life. I feel as though I don’t fit in hence why it’s easier to stay hidden away in my little flat, telling myself that it’s better this way… is it better? I don’t know…

A week ago (last Friday) was the day I wrote about when I was in an absolute mess with the physical symptoms of anxiety. The racing and severe pounding that my heart was doing scared me so much I ran to lovely GP anxious and distressed, not to mention completely convinced that there was something very wrong with my heart. After the ECG tracing showing my heart was OK just beating far too fast I have been trying to tell myself every day since that it’s “just anxiety… get your breathing under control and you’ll be fine”. I don’t know if it was the reassurance from lovely GP or the fact that we dropped my Mirtazapine dose back down to 30mg but I seem to be managing the anxiety symptoms a little better now. The severe chest pounding has finally calmed down a bit although I’m still having the palpitations, the churning feeling in my gut and the panicky thoughts in my mind. In other words, I think I’m now back to my “normal” levels of anxiety.

I saw lovely GP again yesterday (Friday) and she said I was looking very tired. I told her my sleep isn’t great at the moment because I now lie there with the anticipation that the heart pounding could start again at any time. She said I need to get some proper sleep and gave me a few days worth of Nitrazepam which I always find help me get a decent night’s rest. I’d not fallen asleep on Thursday night until almost 4am then was back up at 7am to have a shower and get the dogs walked before my appointment at 8.30am then was up all day as I met my Mum for lunch and a wander round the shops. By 8pm I was completely shattered but wide awake at the same time. By midnight I had been in bed for an hour and was still tossing and turning. By 2am I was so fed up I took 10mg of the Nitrazepam and an hour later I was dead to the world. I didn’t wake up again until noon today so I got a full 9 or 10 hours sleep and feel a bit better for it today. Well better in the sense of not being so exhausted… I still feel pretty shit mood wise.

I also told lovely GP about the self harm urges I keep having at the moment. She said she was really proud of me for not doing it (well, not doing it bad enough to require a visit to A&E) since April. She asked me if I had told anyone else and I said yes, I had told lovely support worker from rape crisis the day before. She asked if I had told anyone from the mental health team, i.e. CPN#2 and I said no. I was supposed to see CPN#2 last Friday when I was in the massive anxious mess but had left them an answer phone message first thing that morning to say I wasn’t well and couldn’t attend. I left my phone number and a message asking CPN#2 to give me a call to arrange another appointment but I still haven’t heard from her a week later. Lovely GP said I didn’t seem very enthusiastic about my appointments with CPN#2 and I told her quite honestly that I’m not. I told her I don’t find the appointments beneficial at all and the only reason I go to them is because I hope I will get back to seeing the psychologist again quicker this way. The only appointments I get any benefit from are those with my support worker.

It’s pretty ridiculous really but sadly not uncommon – the two people connected with the mental health team that I see (new psychiatrist and CPN#2) are useless and I don’t feel supported by either of them. Sometimes they are beyond useless. Yet the two other people that I see who aren’t really connected with the mental health team (lovely GP and my support worker) offer me practical help, a place to unload all of my feelings, medication help if needed and I leave those appointments feeling like my voice has been heard and that I’ve been listened too. And I told all of this to lovely GP and she just gave me a sympathetic smile that sort of said to me that I wasn’t the first person to have said that to her.

The other thing lovely GP was asking about was how the nausea/not being able to eat was now. I told her that I am eating but only my two safe foods – bowls of porridge and bowls of soup. It’s not an intentional thing and I’m not really sure of what it is that I think will happen if I eat other foods, all I know is they seem safe because if they do need to come back up again they will be easy foods to throw up. She reminded me that this was how my agoraphobia started – by avoiding the places that made me feel anxious and panicky until my world finally became so limited there were only a few places that were/still are safe places to go to. I promised her that I would try to start eating some other things but as yet I haven’t managed to do that. So I have another appointment to see her again in two weeks time.

After my appointment I met up with my Mum for a couple of hours. Mum treated me to lunch (I had soup) and over lunch I opened up to her and told her how miserable I’ve been feeling lately. I also was honest and told her I’ve been having a lot of self harm urges but that I haven’t acted on them. Mum was pleased that I’d been honest with her and she tried to encourage me not to drop my part-time uni course as doing it offers me some sort of a distraction. She said she knows this is the time of year my mood usually begins to drop but reminded me that last year I wasn’t hospitalised at all (whereas I was hospitalised in the autumn and winter months of 2010 and 2011 as well as the very start of 2012). I told my Mum that I just didn’t know if I was going to manage doing two modules at once (each require approximately ten hours of study per week) as well as trying to learn this Compassionate Mind therapy with CPN#2 and psychologist and also the work I’m doing with my support worker at rape crisis. That’s like four pretty big things to be doing all at once and I really don’t know if I’ll manage to do it all.

My uni course starts back on Monday and I’ve enrolled on two modules but have also sent my personal tutor an email explaining that I may need to drop out of one of them if I find the workload too much but that I would try for the first few weeks to do both of them and see how I get on. She emailed me back and said that was OK so I guess I just wait and see how things go. Mum has also started a new job recently where she isn’t working such long hours any more and has three days a week off so I’m going to try and spend a few hours each week with her to get me out of the house. To be honest I think I just feel a bit lonely at the moment, even though I did see best friend a couple of times last week that was the first time I’d seen her and the kids in ages. Since she met the new boyfriend in May I’ve pretty much been forgotten about and she no longer texts or calls me. I used to wish she would stop calling and texting when I just wanted to be left alone and now I’ve got what I wanted… but it’s miserable and lonely and I only really have one friend at the moment who I see maybe once a week but he’s forever trying to hint at us being more than friends which is never going to happen. I do care for him as a friend and sometimes we have a giggle but there is no physical attraction towards him, plus, I really don’t want a relationship with anyone anyway.

So yeah… my mood isn’t great, my anxiety levels are still high and pretty much constant, my sleep is pretty disrupted, my weird anxiety surrounding foods is still present, I haven’t heard bugger all from CPN#2 and I’m constantly thinking about cutting myself again.

On the upside I’ve managed to be honest with my Mum and lovely GP and my support worker about how crap I’m feeling. I’ve half sorted my new uni modules (but still need to send the form off to apply for my part time tuition fees to be waived), I haven’t self harmed despite constantly thinking about doing so. Oh, one other nice thing was that Mum also treated me to a new purse when we went for a wander round the shops after having lunch. I didn’t desperately need it but I absolutely love Radley bags and purses but they are sooo expensive and we saw some much cheaper but almost as nice ones in a shop window so I have a nice new black leather purse with a pink doggy sewn onto it and some buttons sewn on, it looks just like a Radley one but at a third of the price!

I think that’s pretty much it from me at the moment. I was hoping the new pretty things for my little man’s headstone would have arrived today so I could have spent the afternoon making it all pretty again but they haven’t even been dispatched yet because one item was out of stock. It’s been pouring with rain all day anyway, so it’s a ‘hiding indoors’ in my pj’s day. And it is so cold all of a sudden! I can’t remember the last time I’ve had to have the heating on but it’s been on nearly constantly the past couple of days – typical Scotland!

Don’t have a clue what I’m going to do with myself tonight, I think my exciting Saturday night will be lying in front of the TV watching some of the new series of X Factor – it’s still the auditions which is really the only bit of it I like watching. I saw best friend had posted on facebook about going out with one of her other friends for a night out tonight but surprise surprise I didn’t get an invite. Not that I would have gone anyway but still… it’s nice to be asked. I barely ever go out drinking these days, it’s another environment that I just don’t fit into any more. I feel so different from everyone else… black, white and fifty shades of grey… I think I might need some colour back in my life… but… I just don’t know how to do it :/

22:14 – Another pathetic ramble of self pity

24 Apr

Today has been a bit of a strange one. My sleeping was awful last night, I didn’t even go to bed, just grabbed a couple of hours on the sofa. My head was bouncing all over the place from one destructive idea to the next. Best friend phoned about 10am to ask if we could spend the afternoon together and I so so wanted to make up an excuse but I think I knew this afternoon could be the one where I completely lost it if I stayed in by myself all day just thinking and thinking. So I agreed to meet her at 12.

I have been kind of self medicating with some of my tablets. Not in any extreme kind of way, just adding an extra one here or taking one out at another time, but I do (99%) of the time take the prescribed dosage each day without going over it by much. It’s more like this – as an example – one of the medications I take is Quetiapine and I currently take 750mg a day. I am supposed to take it as a 250mg dose in the morning and 500mg at night. Well if I wake up and my head is fucking bonkers and there are voices present I might take it the other way around – 500mg in the morning and 250mg at bedtime. Or if I’ve had fuck all sleep and am absolutely shattered I’ll skip my morning dose so I have enough energy to keep on going throughout the day and then when it starts getting close to bedtime I’ll take the full 750mg as one dose to try and help with my sleeping.

And to a certain degree I do that with my diazepam as well. At the moment my daily dose is 16mg a day. This is to be taken as 4mg four times a day. But some mornings I feel massively anxious when I wake so I will take 8mg and then later in the day or in the evening another 8mg. Sometimes (although this is very rare) I don’t feel too anxious in the morning and my Quetiapine is enough so somedays I just wait and take the 16mg as one dose at bedtime. Sometimes it’s the opposite and I’ve taken my full 16mg by lunch time. So I don’t self medicate so much as play about a bit with the doses and the times I take them, but I feel that way works for me. Whenever I’m in the psych hospital I have no choice but to take my medication properly at 8am/12.30/6/10pm – and I hate not being able to tweak the doses to suit how I’m feeling at that time. I do understand the importance of taking medication properly and I do try to… it just sometimes is easier to do it ‘my way’.

Anyway… what was I about to say? Oh yes… I agreed to meet best friend today and spend time with her and her kids (my little nephews). But I was incredibly anxious to the point where I couldn’t leave the house so I took a little extra Quetiapine and my full daily dose of Diazepam. I still felt quite anxious when we first met up but the medication did kick in and I went into this weird headspace of ‘I’m hurting so much there is nothing else that can make me feel any worse than this’ so I agreed to attempt to go to one of the places my agoraphobia considers a very scary place. I had three small panic attacks en route but we got there and I bought my first McDonald’s burger for about 7 or 8 years. I have had a McDonald’s meal in that time, I’ve had friends bring them back for me and had them reheated in the microwave but today I actually stepped foot in one and ate a burger that was freshly cooked.

Best friend was so proud of me. She was smiling and cuddling me and saying “well done, well done” but I just felt numb. I didn’t feel hugely anxious, I didn’t feel happy that I’d achieved something new, I just felt like I was in some sort of blur… my head was saying just order some food and then go home. I didn’t particularly enjoy the food, half of it is still sitting in a bag on the table.

So yeah, everything is still a bit blah really.

CPN#2 gave me a quick phone this afternoon to ask how I was as the duty CPN from Monday had left her a note telling her about Sunday night’s self harming. The phone call felt a bit pointless, she sounded pretty uninterested which made me pretty uninterested in telling her about what’s been going on. It was awkward to talk anyway in front of best friend as I still haven’t told her about the self harming.

The only other thing that happened today was that I got a phone call from my personal tutor for my part time university course. She was phoning because she had been notified by the module tutor that I hadn’t logged on to read any course work in weeks nor had I contributed to any of the online discussion postings that make up 20% of the overall module mark. I tried to explain my head was all over the place but that I was going to try and submit some sort of an essay in the next couple of weeks so even if I fail I have something to resit. We could apply for mitigating circumstances but I don’t think there’s much point. I’ll either be able to write something and move on to my next module or I’ll fail and be kicked off the course. Right now I don’t really care which one happens.

So that’s been my day. I wish I could feel happy and like I’d achieved something, I’d challenged the agoraphobia harder than ever before, but I just don’t care. I don’t feel like I care about anything. I still want to hurt/cut/die.

I don’t see CPN#2 until Tuesday. I have no support between now and then other than the duty system through the CMHT which I think I’ve used twice in about 6 years. My support worker through rape crisis is off on holiday next week.

So yeah… I guess I just plod on and see where I end up.

19:09 – A surprise phone call

18 Apr

Today has actually been quite a busy day for me and I’m feeling pretty shattered after yet another crappy night’s sleep. I met my Mum and my Gran at 12.30 and we went for lunch as my Gran was going back home tonight. It was nice to have spent a bit of time with my Gran this time as I haven’t seen her since Christmas and didn’t get much time to talk to her as all the other family members were around and I was also really struggling with anxiety so didn’t really stay for that long.

However, I painted on the fake smile last night and went for dinner with them and done the same today for lunch. As I was saying my goodbyes my phone started ringing – private number – usually they get ignored… But something made me answer it and I was surprised to hear temporary CPN #2 from last year on the phone. She said she was back working in my area again (probably temporary again but I don’t know for sure yet) and asked me if I would like to meet up with her tomorrow. I’m not sure where the call came from – maybe lovely social worker who hasn’t been able to support me asked her, maybe Mr Psychiatrist contacted the CMHT to find out what was going on, maybe A&E contacted the CMHT, maybe it was just sheer coincidence… but yeah she called to offer me an appointment tomorrow which I agreed to go along to.

After lunch I had to head off to my appointment with lovely support worker from rape crisis and we had a good long session today. We talked about everything we possibly could regarding the self harming on Wednesday… I told her that I had no regrets this time and felt like I could potentially do it again quite easily. We spoke about my appointment with Mr Psychiatrist, about my trip to A&E and then about CPN #2 getting in touch. I have decided that whilst I will go to the appointment at the CMHT tomorrow I will also tell her the truth which is that I haven’t found working with any of the 3 cpn’s I’ve worked with over the past year helpful or beneficial. They don’t have the time to try and help me with graded exposure for the agoraphobia. They don’t care or get in touch if I’ve self harmed and gone to A&E as according to cpn #3 they know it’s a coping mechanism so they don’t need to get involved. They only ever seem to want to talk about “positive” things I could do with my life, they never seem to want to hear about the shit. And there is a lot of shit. And there is not much “positive” so it ends up just frustrating me.

I will ask her tomorrow what involvement she is going to have with me and will tell her that I would rather try and do structured work with the psychologist once she is back. I think that would be more beneficial in the long term if I could really properly learn coping skills for moments of intense anxiety or horrible flashbacks or evil voices. So maybe cpn #2 will just be someone to touch base with once a week or something to let them know I’m still alive. CPN #2 was the nicest out of the 3 cpn’s by far but she was also the one who kept trying to push all the positive things on me like starting the college course so that’s going to be fun tomorrow telling her I’ve fucked that up now. Part of me doesn’t even want to go to the appointment with her, I don’t think she can say anything I haven’t heard before, I don’t think she can offer me help in the times of crisis which is when I need help and well… I don’t want to start “working” with her and bringing up painful emotions if I’m only going to be seeing her for like a month or something. Anyway, I guess I wait and see what she says tomorrow. I must remember to go into A&E at some point whilst I’m at the hospital and have my wound check done.

So overall it was a good and productive session with support worker today but I felt pretty tired by the end of it, I’ve been feeling pretty drained all day from lack of sleep but we also did lots of talking. Then after that appointment I had to take Charlie dog to the vets for a vaccination and a little check up. Everything is fine with him, he is doing well and has put a bit of weight back on as well, he’s now 9.1kg and should be around 10kg so he’s getting there 🙂

After the vets I took the dogs a walk and then had to go to the supermarket. It seemed really noisy and everything sounded weird, like as though it was distorted somehow. I couldn’t concentrate and there were too many people and I started getting all anxious so I just grabbed dog food and then came home.

Mood wise I’m not entirely sure how I feel tonight. My head is noisy, male voice keeps offering “helpful” suggestions on how to next hurt myself. I’m trying to ignore it but quite simply I can’t. I don’t know if I’ll cut again tonight or not, if I do I will have to keep it superficial and not on my legs, I don’t want the A&E nurse tomorrow to see any fresh wounds. I find myself flicking my lighter a lot today…. heating the metal around the top of it then pressing it against my arms. It hurts a lot and yeah it leaves a sore mark for a while but it won’t lead to me needing more stitches and I can hide it easier. I have so many suggestions from male voice and ideas of my own on things I can do that will hurt but not require A&E and I feel as though I’m on a bit of a mission now to tick them all off the list one by one (and to see what other methods apart from cutting and burning give me that feeling of a release).

Before I start getting in to all that shit again I’m going to go and watch some TV. My head is properly pickled at the moment… just bursting full of ideas, thoughts and voices… all bad ones of course. But they seem like good ideas at the time, I guess that’s why we do them… we know we’ll regret it in the long term but when you’re in “that moment” you would pretty much do anything to make all those head crazies just leave you alone. I’m sad in a way that I don’t have any regrets over self harming yesterday but I also know that male voice is right, I haven’t done enough damage yet, I deserve much more pain and head fuckery before I’ll have done enough to make him happy. He’s right, I do deserve to hurt… I just wish he would fuck off with all these violent ideas and images… I am 99% sure I would never act on them if they involved hurting another person but there is that 1% of me that can’t help but wonder if this is all a build up to me totally losing the plot again. This little saying (below) very much reflects how I feel about everything right now… And I hope everything doesn’t keep going downhill but right now I have no idea what way I’m heading and I’m not even sure if I care… 😦

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13:40 – Quetiapine at max dose, praying it works

9 Jan

This morning I got up early and decided to make an appointment to see lovely GP rather than just handing in a prescription request form. Now that I no longer see lovely social worker, the only person apart from Mr Psychiatrist who has been there consistently over the past few years is lovely GP. I was feeling really anxious when I went in to see her and told her that I don’t know if it’s just because I don’t really know new CPN yet, but that I’m not finding the appointments helpful because new CPN always wants to talk about the positives and whether she likes it or not I need to talk about the negatives as well. I need to talk about them to make sense of them and I need to talk about them because they are likely to affect my mood and destabilise me.

So lovely GP sat down her pen, turned her chair round and asked me what was making me feel so anxious. I rambled about the self harm urges being very very much at the forefront of my mind and I rambled about the persistent giggle and mocking comments I hear in my head. I told her how scared I was that this may not be my thoughts that I was hearing but that I was hearing a voice again. She said that Mr Psychiatrist had written in his last letter that my Quetiapine (Seroquel) could be increased from 600mg to 750mg a day if needed. Four weeks ago I jumped from 600 to 700 and today she said she is increasing it to 750mg. So that is me back on the maximum dosage. She also arranged for me to have routine bloods done on Monday morning.

I have been on the maximum dose before but whilst I’d had fairly good results from Quetiapine at around the 500mg mark it stopped working and so we increased and increased but it would only work for a very short amount of time and then the voices would come back. The voices got stronger and 750mg still wasn’t enough to stop them so we tried three other anti-psychotics: olanzapine (zyprexa) then haloperidol (haldol) and then amisulpride. None of them worked. And all of them apart from Quetiapine gave me horrible side effects.

So here I am back on the max dose and I have to go back and see her in 4 weeks time on the 6th of Feb which also happens to be the day of my next appointment with Mr Psychiatrist so I guess that will work out quite well if any medication changes are needed. I know the mocking voice and giggle are contributing to me feeling anxious and a bit paranoid. This in turn makes me distressed. So if I go and see Mr Psychiatrist and tell him I’m still feeling anxious and distressed but am now on the maximum dosage then he is likely to say he wants to try something else. I am hoping and praying that this extra 50mg is enough to quieten my head back down to a bearable level.

Anyway, lovely GP gave me prescriptions and then made a point of telling me that things will get better, things can get better and that it’s important to be aware that I have taken on something positive – my university course – and even though it’s part time and it’s from home it’s a good start. She encouraged me to try and remember the positives when I was feel low, but then she also looked at things from the other angle and acknowledged that I have been self harming for a very long time and it’s been my coping mechanism for so long that it’s such a hard thing to stop doing. But most importantly (to me) she didn’t sit and offer me praise for going 3-4 months without doing it, instead she said she could see why the urges to do it would be strong at the moment, 3 months is a long time to go without doing something that was (at times) a daily habit.

She told me to think of it a bit like quitting smoking. I’ve smoked daily for years. I smoke more when I’m stressed and less when I’m calmer. Just like self harming. When I’m not smoking I can be sure it won’t be long before the bells start ringing in my head telling me I need another cigarette. If I was quitting the first few days would be very hard. The first few weeks I would probably have the worst cravings and even though I had gone a few weeks without a cigarette I would be thinking about having one a lot of the time. I’d battle back and forth with myself and try to convince myself if I just had one cigarette then it would satisfy the cravings but it would make the battle to quit even harder for myself. However if I managed to get through it, deal with the cravings but not give in to them, then I would get to a place where six months down the line the cravings would be a lot less intense. And a year down the line they would be even less. The cravings would probably last for a very long time and may never go away completely, but I would have learned and developed the skills to cope with them and let them pass without acting on them.

So it remains to be seen whether I can carry on battling against them or whether the urges end up winning. But as new CPN continually reminds me, it is only me who can stop it from happening again… If only it were that easy…

I only had about 10 or 15 minutes with lovely GP but I felt like I had got a lot off my chest. She let me talk, calmed me down, looked for a solution and just generally made me feel like I’d been listened too. After leaving the doctors surgery I went to the pharmacy and sat for the usual half an hour that it takes them to make up my 4 weekly prescriptions (I only get a week at a time, I guess they still don’t see me as being stable enough to get a month’s worth of tablets at a time).

I also remembered I have an appointment with my support worker from Rape Crisis today. I get on with her a lot better than new CPN and although when I’m there it’s to talk about both childhood abuse and the assault back in August, topics such as self harm come up quite a lot and she is very knowledgeable about it and completely non-judgemental which is nice. Self harm and abuse seem to go hand in hand quite a lot, probably because the abuse memories make you feel so vile and disgusting and confused and messed up and then the self harm is like this magic wand that just seems to release all of those feelings and offer a temporary break from it all.

So I hope that tonight I will feel a little calmer, the mix of the increased dose of Quetiapine and having a good appointment with lovely GP and (hopefully) a proper good chat with support worker should all leave me feeling like I’ve got a lot off my chest today.

I might write another little update later if anything comes up at my appointment with support worker that I need to have a ramble about.

18:48 – Meeting new CPN & how everything has gone to fuck

1 Nov

Everything is fucked up right now. My head being the main part of ‘everything’. I am struggling so hard to find any concentration, motivation or focus on anything. I had a tutorial for my uni course yesterday afternoon and I felt like I didn’t have a clue about what to say so just sat there quietly reading it all. I am contemplating emailing my student advisor and just making her aware that things aren’t good right now, but I’d rather just see if I can push on with some of my reading and see if I can narrow the gap a bit.

Yesterday I also had a support session with the woman from rape crisis and we are starting to talk more in detail now about how I am still affected from my childhood abuse and the assault in August has just kinda catapulted back a load of old hidden away memories. She frequently asks why I don’t feel deserving of things or why I play down achievements when I should be letting myself be excited or proud of myself or whatever.

I met my new permanent CPN today. I’m not entirely sure yet what I make of her. She was doing my head in at times because she kept saying all this shit about how I was “articulate and intelligent” and then making me feel like I couldn’t tell her how I was feeling because it was all going to sound crazy. And she’s telling me I’m this “intelligent young woman”… At times it felt almost patronising like at one point she asked me to explain how my anxiety makes me feel and when I said the word “paranoid” she then made me explain what paranoia meant and kept saying things like it was a “huge word” and a word used to describe “people who are very unwell” and all this shit and I just completely lost interest in whatever she was going on about. She then dragged up my old crisis plan and gave me a copy of it with a blank crisis plan and she wants me to fill it in for when I see her next Friday. I cannot be fucked even looking at it.

I have been eating takeaways. I’m 1-2 weeks behind on my uni course. My thoughts race too fast. I’m constantly thinking about self harming. I’m also constantly thinking that I can’t cope in this world, it’s all overwhelming me and I just want to run away and hide for a while. It feels like everything has gone to fuck, the weight loss is currently weight gain…. the uni course has gone from a great distraction to a massive worry… the housing transfer application has gone from me feeling hopeful to completely hopeless… Christmas is just around the corner so the TV adverts are starting up, the shop windows will soon be full of Santa’s and the little Elves and Reindeer and toys and it will be another ‘festive’ season to get through both single and childless (but with a very bright shining star in the sky).

Ugh I just completely and utterly feel like who am I kidding? I’ll never get the career I want, I can’t stay stable enough for more than a month before everything in my life starts to go tits up again. Or everything in my head does. And I know it’s too soon to say but I just got a first impression from her that I am going to find her very annoying with all her “you can do anything…” – “you’re so articulate…” – “you are doing so well with your recovery…” Just like shut up. Seriously. I don’t want to hear those things, it makes me uncomfortable, I don’t like any type of praise, I don’t deserve it, please STOP saying it!!!

I so want to do something bad. I’m not entirely sure what, but my brain is squirming with ideas from the ‘little-bit-bad’ end of the scale to the ‘see-you-in-the-next-lifetime’ scale. I don’t feel safe. I don’t feel like I want to be here. I don’t feel like any of the craziness in my head is ever going to go away permanently… I truly believe that this is it for me now… A future of dipping in and out of craziness, a life time of anti-psychotic medication, a head that goes so fast I can’t keep up or so slow I feel like I have been set to operate in slow motion. Things are spiralling… I’m just not sure in which direction.

 

10:51 – Feeling a bit mixed up

28 Sep

Yesterday I had to go to a&e for a wound check on both my leg that got infected after self harming and to check Tuesday’s self harm wounds on my arm. As I arrived at a&e the nurse I come face to face with is someone that I knew from school, she was in my ex’s year and when I was with my ex we were all regularly in the same crowd in the pub at the weekends. Then she fell pregnant and about six months later I fell pregnant. So straight away I felt major anxiety starting to stir up as she was all like “Hi! how are you? I haven’t seen you in ages! How are you doing?!” in a really friendly way and I really really wanted to make up some excuse about why I was there but the department was empty and with my best fake smile I said I was “doing OK thanks” and asked her how her two kids were getting on.

So we stand talking general shit for 5 or 10 minutes and then of course she asks what she can do for me. And I then notice another nurse, one I hadn’t seen before, and for a brief moment thought maybe it would be OK and this girl would get the other nurse to see me. So I mumble that I was there for a wound check and she’s all like “oh no! what happened?” like self harm was the last thing on her mind and I just kinda said something like “you should have a card that I’d to come back today” so she said she would go and check and for me to take a seat.

Now the little office where the nurses sit is right in the waiting room and she obviously came across my card and had a read of it. Then all I can hear is whispering, her whispering that she “knows me” and then one of them saying something along the lines of “she’s been here a lot for this, look at her file” and I felt sick with anxiety, I just wanted to run straight out the door, but before I got a chance the nurse (the one I know) comes and asks me if I want to come through to the treatment room.

I totally clammed up and just couldn’t say anything as I saw her reading the notes from Tuesday. The senior charge nurse who saw me on Tuesday said she would be on yesterday so I thought I’d see her again, but it turned out she had been working an early shift and I arrived late afternoon when the next shift had started. Anyway, this girl/nurse that I know must have been able to see I had gone totally quiet, and before she started looking at any of my wounds she pulled her chair over and sat next to me and said, “look I know that we know each other and I know this might be feeling really awkward for you, but remember this is confidential and even though I know you outside of work I’m never allowed to tell anyone that you attended here” – I managed a sort of smile but still couldn’t seem to get words out my mouth – so she carried on, “we live in a really small town and it’s inevitable that one day a person will come to a&e for whatever reason and happen to know the nurse on a personal basis, so please please be reassured that I am not going to judge you, I’m treating you as I would any other patient.”

But still the anxiety has taken over my ability to speak and all I seem able to do is nod my head and put these “thank you for being understanding” type smiles on. So she then asks me if I would prefer for the other nurse to treat me because I’m clearly finding this really uncomfortable, and finally I managed to find my voice again and said that it was OK, she knew now and it just felt a bit awkward but it was OK I was happy for her to treat me.

Firstly she checked my arm wound and as I took my arm out of my sleeve I couldn’t look at her face as all the scars, one by one, started to appear. Scars running from my wrist area all the way up to my shoulder. Evidence that this hadn’t been a “one off” and I’d clearly been doing it for years. But she didn’t say anything, she just took the dressing off and said it looked like it was healing well, she cleaned it and put a fresh dressing on. Then she said “right let’s have a look at how this leg is healing” and as it was down my calf muscle area that I cut she had me lie on my stomach so she could see it better. And that’s when she started asking me if I’d been given a diagnosis, how long had all this been going on for me, did I feel better after I’d self harmed… and because I was lying facing a wall and she was behind me I managed to open up a little bit and tell her some things about my mental health. Then I told her about the Uni course and how I was trying to find positive things in life and she said that sounded really good and she hoped that I would stick at it. I said I hoped so too. She then asked me to go back up on Sunday morning when she would be on and so would senior charge nurse so I’d know in advance who would be seeing me.

In the end I left feeling a lot calmer than when I went in, but still really awkward knowing now that someone “in real life” knows what I’ve done to my body. I didn’t feel judged by her at all, she was really nice about everything, I guess the time had to come living in such a small town and with it being a small hospital that one day I would come across a professional who I knew outside of their work. Well… at least she knows now I guess.

I then went to the supermarket to stock up on another few days of fresh meat and green leafy vegetables and lettuce and prawns and water. I think this is day 5 of the low carbing, I’m sure it was Monday I started, and it’s really testing me a lot. I have this big part of me screaming that I cannot stick to this much longer, it is too restrictive, why don’t I do a low calorie diet instead and lose weight slower but feel a lot better. The thought of just eating this extremely restricted number of foods for another week or two just makes me feel blah. The headaches every night are no fun at all. The constant taste of meat in my mouth makes me feel sick. But I hate giving up on things and I’m almost through my first week. One more week after that and then I can introduce tiny amounts of carbs into my diet, I just need to get through the first two weeks with pretty much zero carbs to jumpstart my body into burning fat rather than sugars for energy. Energy that is totally non-existent at the moment.

My Dad phoned yesterday to say he is off work today and was going to come down about 1pm and do some more painting. It’s just the bathroom that needs finished off then all the skirting boards. I asked him could he come on Saturday instead, I don’t know why but I just knew I didn’t want anyone in my space today. But he was insistent that he was coming down today because all the woodwork/skirting was going to take him a couple of days and the bathroom would take a little while as well and he knows I have the woman coming on Monday from Child Befrienders and was all like “don’t you want to have everything nice, have all the painting done for her coming?” and I do… and I’m really really grateful and appreciative of all the help my Dad has given me, but I just feel like I need an alone day and everything looks messy, I have Uni stuff lying around everywhere and I know I need to tidy before he gets here but first I need to eat some more fucking meat and yeah…

I just feel like my emotions are a bit all over the place at the moment. Last night I was doing a lot of random emotional outbursts and crying a lot again for no reason.

I’m thinking I might just make up some excuse when he gets here as to why I need to go out and just go and take the dogs a walk for as long as I can manage to walk for.

But I need to stick around until the gas meter guy comes which is supposed to be anywhere between noon and 4pm.

Everything just feels a bit blah, I could really do with trying to get another couple of hours sleep as my sleep was really broken again last night but it’s almost 11am now and I have 2 hours in which to cook some food, have a shower, tidy the place up and be ready for my Dad appearing, in fact the gas guy may appear in an hour so I have even less time.

Blah…

I just want this day to end and it’s not even begun.

14:00 – Yo-yo moods and trying to stay safe [Edited to add…]

16 Sep

Today I feel neither up nor down. I decided not to go out last night with my friends. It just felt too risky to take the chance of coming home filled with alcohol and not act on any bad thoughts. So I tried to do the sensible thing that would keep me safe and stayed in, watched the X Factor on TV, took my medication and finally drifted off to sleep.

Oh, I know I’m going to talk about self harming somewhere in this post and I have a feeling it may be quite graphic so just to warn you in advance that you might not want to read any further.

There was a lot of commotion going on outside last night as I was trying to get to sleep. My flat is fairly town central in the little town I live in and I could hear a whole load of arguing and screaming so went for a look out the window. I swear there was around 20+ guys maybe aged between 18 and 25 all throwing punches at each other and fighting pretty bad. I tried to take a photo of it from my window because I couldn’t believe what I was seeing… they were all right in the middle of the road and no cars could get by or anything so all the cars were just sitting in a big queue waiting to get by. It only lasted for about 20 minutes and then 3 police cars appeared, I watched six officers breaking it all up and sending them all on their way. I didn’t see anyone getting arrested, I think it was all football related as there was a game on yesterday and unfortunately in the UK football can just send people into such violent outbursts, especially when they’re drunk. I can’t stand football for that very reason.

Anyway, back to yesterday afternoon. I met with my Mum around 3pm and we went for a cuppa in a little cake shop. I managed to resist the cakes though as I was being bad enough by having a hot chocolate with cream and marshmallows. Bad… but very tasty! So I ended up telling Mum everything that’s been happening over the past week. I told her about the self harming on Wednesday, about my frustrations with my CPN and social worker, about seeing my GP on Friday and having to hand over all the tablets. I told her I didn’t want her to worry about me and wanted her to go and have a nice relaxing holiday and that I felt as though all of the bad urges were out of my system. That was a slight lie but it made her feel more at ease. She told me she knew I wasn’t in a good place from last Thursday’s CPA meeting and had already asked my brother and his girlfriend to keep an eye on me whilst they were on holiday. It feels a bit weird having my little (well not so little he is 27!) brother having to look out for me, but he works with people with both mental health problems and learning difficulties and his girlfriend’s brother suffers from pretty bad depression so they are both pretty understanding.

Mum asked me if I would think about throwing away the blades I have. She said if I could throw away the tablets I could manage the blades as well but I said to her that I only had to walk two minutes out of my front door and could just pick up another packet. But I guess that is true for the tablets as well, I know that if I wanted to I could easily get around 8 boxes in the space of half an hour just going round all the local chemists and the couple of supermarkets. But I guess it’s a case of telling myself that I don’t want them or need them and doing my best to not get any more. As for the blades, I know I will hang onto them, I’m not sure if all the self harm urges/needs/desires are out of my system. The problem with the type of blades I have is that you really don’t need to press down very hard to do some really bad damage to yourself, it’s not like the razor blades you use to shave your legs with where you cut and it bleeds a lot but the cuts stay shallow, you end up cutting right down til your pretty much exposing a muscle with these ones. Mum was like, if you have to do it could you not do it with blades that will just leave shallow cuts so they will heal and not scar and again I said I’d think about it.

My thing with self harming is that sometimes I want to feel the pain and actually the razor blades that make shallow cuts are what I use in that situation, anyone who has ever accidentally made a little shaving cut or even had a paper cut knows how much it stings. So when I want to feel actual physical pain I will cover my arms in those kind of cuts until all the bad feelings are out and then I can stop.

However I also have another type of self harm that I do when I am angry, frustrated, not coping, etc and that is when I use the stanley knife blades. I know they will do a lot of damage and I know that I will almost certainly end up needing to go to a&e and get stitches but it’s about seeing the damage, seeing the pain externally, getting some relief from the craziness in my head.

One thing I don’t do, which I know a lot of self harmers do, is wound pick. Once I’ve cut and got that feeling of relief I want the wound closed as neatly as possible. I hate scars despite being covered in them and I want them to heal as neatly as possible. So I keep the dressings on and I generally don’t look at the damage again until I’m having the stitches removed, and even then I never seem to get the feelings to cut it back open or anything. If I need to cut again I move onto another part of my body, which I know makes no sense because that’s creating yet another scar, but it’s just the way I am.

Moving on from self harm talk, my parents leave later this afternoon for their holiday. I said I would go up and see them for an hour before they leave as Mum is giving me money for one of my textbooks I need for my uni course. I managed to buy all the other ones second hand on amazon but this one I can only find in the “new” section and it’s quite expensive so Mum said she would get that one for me. So I’ll pay the money into my bank tomorrow and order it then.

I just ordered myself some vitamins called Soy Isoflavones as I have been reading a lot of things about them being good for hormonal imbalances. I have a condition called PCOS (Polycystic Ovarian Syndrome) and I don’t have periods by myself or ovulate (produce eggs). I have to take tablets every couple of months called Provera which brings on a bleed, similar to the bleed you get if you are taking the contraceptive pill. But these vitamins get really good reviews for helping your body start to have a menstrual cycle again, they are also used a lot by women going through the menopause, so I’m going to give them a try for a few months and see if I notice any difference and if it makes me have a period by myself again. When I conceived my little man who went to Heaven I conceived him naturally, but I had lost about 4 stone in weight beforehand and I think that helped jumpstart my body a bit. I have since put all of that weight back on and I really do need to start trying to do something about it. I don’t feel healthy at this weight, I hate never being able to buy the pretty tops and dresses and things that my slim friends can all buy. I am not massive but I should be around 9 stone for my height (that’s what I was when I conceived little man) and I’m now somewhere around the 13 stone mark which isn’t so good. So I’m hoping with the combination of some proper exercise, cutting back on the junk food and trying these vitamins that my body might start working again.

I have the joiner and plumber coming tomorrow morning at 8am to start ripping my old shower and shower cubicle out and put the new ones in. So I am going to have to get up about 7am and have a shower before they get here. I will have week two of my uni course to keep me occupied for a while and will maybe go out to see best friend in the afternoon (and so I can go for a pee!)

So that’s all from me for just now. Mood is up and down, up and down, like a yo-yo. Trying to continue to distract myself from the bad thoughts and replace them with positive ones, trying to think about the future every time I feel like I want to cut, trying to remind myself of all the consequences that could happen if I cut badly again so soon after the last time.

This mental illness stuff really is no fun at all. Sometimes I get quite upset that it happened to me when nobody else in my immediate or external family has any mental health issues. But then I get upset about a lot of things that have happened to me in my life that haven’t happened to anyone else close to me. Sometimes I just think I’ve been incredibly unlucky in life so far. But I want that to change and I know there are some things that are out of my control, but I can change the things that I can control and hopefully map out a decent future for myself.

Right now I really don’t know what direction I am heading in. It seems to change hour by hour, day by day. I’m using every bit of strength I have to keep myself from slipping backwards and it’s been bloody hard work this weekend. I’ve been listening to some of my mindfulness tracks on iTunes when things are starting to slip and trying that approach to bring me back “into the moment”. It does help but when the bad thoughts get really bad, sometimes there is just no stopping them.

Like yesterday, I will carry on today taking it hour by hour, minute by minute, and try to get through another day safely.

[EDITED to add]

I was just looking at some site stats and came across this on today’s stats. Not only are they a sick cunt (excuse my language) but they have now just thrown my mind back to thinking about the assault. So thanks for that you sick bastard.

22:22 – Got some sleep at last

8 Sep

Last night I really didn’t feel in a good or safe place. Thankfully I got support on Twitter and thankfully the Nitrazepam did eventually make me feel sleepy. It was strange, I fell asleep but woke up an hour later, was awake for maybe 45 mins then asleep again but only for another hour then awake again and it pretty much continued like that through to about 4am. Then I finally got to sleep and stayed asleep until 8.30am when I heard the postman putting letters through the door and the dog barking at him (my usual morning alarm clock!) However I still felt quite tired and got back to sleep about 9.30am for another hour and then that was me up.

I met my Mum for lunch at 1pm (her treat!) and then I went for a 2 minute sunbed. I’m not using them to try and get a tan, it’s to try and help my psoriasis because the agoraphobia is preventing me from getting to the big hospital to see the dermatologist and get UV treatment there. But I am very sensitive to the sun and burn very easily, I had a 5 minute sunbed a couple of years ago and a few hours after it I began to burn very badly and was in pain for days. So I said to the woman I only wanted to be in it for 2 minutes and in a few days if I have no redness then I will have another 2 minute one, maybe on Tuesday. And just build it up really slowly, 2 minutes twice a week until my skin gets used to it then I might try a 3 minute one but I don’t think I’ll ever be able to have a full 5 minutes at one time. I’m going to go and buy some sun lotion and put it all over my body where I don’t have psoriasis patches, the last thing I want is to give myself skin cancer even if I am only using the sunbed for 2 minutes at a time, I just want my psoriasis to fade.

Then Mum bought me a big notebook, some highlighter pens and some normal pens for my uni course so I can take notes when I start my first bit of reading on Monday. I am going to the parents for dinner tomorrow night and Mum is also going to buy me my first textbook that I need for my course which is almost £30! There are quite a few books I need but only one that I am going to need throughout the module, the rest I can borrow from the uni library for the chapters I need and just photocopy them or something.

I then went out to see best friend and the kids for a couple of hours and came back home about 6pm. Haven’t done much this evening, watched the X Factor on TV and messed about online. I was a bit naughty and treated myself to a glass of rosy wine – I have been good it’s been in the fridge for weeks and that’s me only just opened it. I’m hoping one little glass combined with my medication and tonight’s Nitrazepam will just make me that little bit sleepier so I stay asleep and don’t keep waking up like last night. It was a strange waking up, every time I did I felt like there was something wrong and couldn’t get back to sleep until I was sure there actually was nothing wrong.

So it’s now around medication time. I am going to take the dogs for their last walk of the night and then get into my pj’s. A night of rest and keeping distracted all day today has definitely helped my mood. Well I haven’t had time to dwell on things or think about hurting myself, I’ve been too busy so I guess that’s a good thing. I will try and make sure I do the same tomorrow and then on Monday I see the woman from rape crisis and can get things off my chest again.

Let’s hope I get another reasonably decent night’s sleep tonight and as it’s Sunday tomorrow and no post I won’t have my doggy alarm clock waking me at 8.30am. The only thing I feel a bit disappointed about today is that I still haven’t had a reply to the email I was talking about the other day, deep down I don’t think I will get one at all but it would mean a lot if I was proved wrong even if it was just to say – “I don’t know what to say but I read it”.

Hmmz… we’ll see what happens. I thought the person may still care enough to take five mins to send me a reply but maybe I’m wrong.

20:02 – Saw my GP and…

7 Sep

I went to my appointment at 4pm. I was a mess in the waiting room, I just wanted to cry and cry but couldn’t in front of all those people. So I sat and rocked myself back and forth. Usually I only wait maybe 10 or 15 minutes to be called through but today I didn’t get called for 45 long minutes.

When I went in I said to her that I didn’t know why I was there. I told her basically everything I wrote in my last post. I told her I was self harming, I told her I was having suicidal thoughts, I told her I wasn’t sleeping and she agreed I looked very tired. I also told her about not wanting to fuck up my uni course and how I feel I need to get a grip on things again but that my head was just a complete mess. She asked if I wanted something to help me sleep over the weekend and I said I did but that the usual things just don’t seem to help. She asked if anything I’d been prescribed had ever helped. I told her from what I remember the time I was prescribed Nitrazepam they helped. She looked up my records and saw it was a long time since I had been given them, like almost two years ago or something and said she was happy to give me a few to get me through the weekend. So I have 8 of them but I have to take 2 at night (10mg) so I have 4 days worth. I really hope they work and I get some sleep tonight because I am a freaking mess.

I decided to go and see best friend, no matter how utterly crap I was feeling I just couldn’t come back to this house. It was far too risky, the urges to do something bad were far too strong and I needed a distraction for a while. So I stayed and had dinner with her and the kids and opened up a bit about how low I have been feeling. She told me that one of our mutual friends took an overdose last night, I’ve seen it coming for quite a while, she has been in a bad place and been cutting and stuff, but I did have a long chat to her not so long ago – even showed her a little bit of my permanent scarring and tried my best to encourage her to go and ask for help rather than end up letting the self harm get worse and hating herself even more for doing it. The difference between me and her is I am a fairly quiet person and she is very loud and (recently) has been very violent towards her partner, her sister, her brother, she just lashes out and was recently in trouble with the police after self harming then refusing to go to hospital, refusing to let the police or ambulance in her house when her partner called them, whereas I’ve never really had any involvement with the police over my mental health issues. But when it comes to self harm, I’ve been doing it that long that I know when medical attention is needed and when I can just care for the wounds at home, like I am doing at the moment.

By the sounds of things it was a pretty serious overdose. It wasn’t just a couple of boxes of paracetamol or anything, she went and took all of her Dad’s heart medication and other medication belonging to other family members and just swallowed the lot. I hope for her sake she isn’t assessed over at the big hospital and put up in the looney bin, I know she would hate it there and when we did last have that long chat I told her what a horrible place it is, how the staff really don’t give a fuck and what she really needed was to try and get herself set up with a CPN or psychologist or something and talk out all the things going on inside her head. I want to send her a little text and see how she is but I don’t know how she’d react to knowing that people know what she’s done, so I think I might just leave it for a day or two until I speak to her sister and see if she’s been allowed home or has been put in hospital.

Best friend kind of annoyed me by saying the girl was so selfish to have taken all her Dad’s heart medication. He had a heart attack only a couple of weeks ago and yes, he needed his medication to be there. But I tried to stick up for her and say when your head is so convinced you just want to die you don’t think of the consequences, you don’t think in the heat of the moment about the impact your actions are going to have on others, you just want the pain, the craziness, to stop. And you do what you have to do in that moment to make it stop. I’m sure she feels quite regretful of using his medication today but we all learn from our mistakes and maybe after taking the overdose she will get the help she needs.

Although that too could be quite doubtful as I have been involved with the Community Mental Health Team here for about 8 years now and the majority of the time they are pretty shit. As soon as I finally got a care team together and felt supported in all aspects of my life it all fell apart again. They tell you if you have an emergency Mon-Fri 9-5 to phone and use the duty system. Whoever is on duty that day is supposed to talk to you, make a plan to keep you safe, come and visit you or make an appointment for you to go in and see them. Today it was my CPN who was on duty and she was pretty shit, she did bugger all apart from say it was my choice as to whether or not I hurt myself and that she would make me an appointment with my GP. The issues are no closer to being resolved, even though lovely GP was lovely and sat and listened to everything and half the time I was making no sense but she just sat and seemed like she cared. Then offered me medication to try and take the edge off things over the weekend. Then I told her I was worried that after my appointment I have on Monday with rape crisis woman I have no other appointments until the 19th of September and my parents were going away on holiday as well and I was scared and unsure if I could get through 9 days on my own with no support. So she made an appointment for me to see her on the 14th just for a chat and to see how things are. Little things like that make me feel like she cares. CPN seems happy to just pass the buck onto someone else, it was like she really didn’t know what to do for me today and instead of even offering me a space to come in and talk to her she just passed me on to someone else. I do like CPN in a way, but I don’t think I’ll miss her much when she leaves at the end of the month. I hope the new replacement CPN will be a bit better.

So it is now 8.15pm and I am thinking of going and putting my pj’s on and curling up on the sofa to watch some TV for a while. Take my medication and a couple of the Nitrazepam about 9pm and hopefully they will work and I’ll be asleep for 10pm. If I sleep right through the full night it would be so nice to wake up feeling a little refreshed in the morning.

The thoughts/urges/etc are still there, still at the forefront of my mind, but I must fight them and not let them win. They have won far too many times before and even though I feel as though I am rapidly running out of fight maybe a good night’s sleep will help recharge my batteries and give me a bit more fight back tomorrow. If I can’t sleep tonight even after taking the Nitrazepam I can’t lie, I will more than likely do something stupid out of frustration. I don’t want that to happen. Let’s hope the Nitrazepam work.