My life is not a tragedy

Recently I received an email from an AA friend of mine.   In it she said she really admired me for all that I was doing.   Funny thing is I really admire her.   She’s a full time mom to a large family and runs a busy household.    I feel like all I do is go to therapy, meetings, and Dr’s appointments – keeps me busy yes, and I guess it’s making progress, but do I see it as productive?   Not so much.

And that got me thinking about what I value and how other’s see me.   And I want to flat out declare that my life is not a tragedy.  Challenging yes.  Tragedy no.   I have several well meaning friends, who act like I’m an egg about to crack at any second.   If you’ve been a psych patient you’ll probably no what I mean, the extra soft voice – meant to be soothing and overly solicitous concern for how I’m doing.   If you’re from AA, the promises that I can call anytime, even if I’ve been drinking.    Thank you for your concern but I’m ok.

I’m finishing up 6 weeks of intensive outpatient therapy that has helped a lot.    I’m involved in AA and Double Recovery.   But my life is more than recovery.    It’s knitting – I’m making my first sweater.    It’s playing my harp – I’m playing my first concert June 7.   It’s starting to excercise (Aquafit is hard).   It’s reading – I’ve joined a book club to meet people.   It’s meditating – I’ve joined a meditation group.

Ok so I live in transitional housing, and my income isn’t very high because the gov’t limits what I can take out of my retirement savings, but that’s probably a good thing – it’s enough to live on.   My head’s a little screwy due to some meds adjustments, but I’ll get through them eventually.

My friends who are supportive are engaged in my life.   We talk about weather, knitting, politics, the latest gossip, my ongoing angst about working / not working.    We don’t talk about my illness except in passing.

If I want to talk about recovery, I’ll call someone in AA, and talk about solutions or maybe just bitch for a while.

What I have is a life, a slightly crazy, messed up, transitional for the moment life, where I’m feeling my way along a road I haven’t traveled before.   But honestly I’m having fun – when I’m not obsessing.

Oh yeah, I’m trying to get a book deal too.

Keep laughing.

Elizabeth

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Seeing addiction from the other side

I’m beginning to have a small inkling of what I put my friends and family through when I was active in my addiction & it’s not pretty.

I have a friend, who I met through AA, who is a serious binge eater – to the point where it’s harming her health.    I get addiction, I get the loss of control, but I’ll admit I don’t get binge eating – I want to say “how can you do that to yourself”  but I don’t because I know better, thankfully.

But I also want to fix her.   And I know that’s not possible.  The only person who could fix me, was me.  Sure I had lots of outside help – but that help was only good, when I was ready to ask for it, and accept it.   I’ve provided the names of a few treatment centres that treat eating disorders – but it’s up to her to call them.

My problem is maintaining boundaries so that I don’t get sucked into the drama.   The other week, she left me a very disjointed voice mail with her sister’s phone number saying i should contact the sister, if her husband ever had a breakdown because of her.  Um no.  That’s beyond what I’m comfortable with & I can not be her sole support network.

And then there’s my larger concern.   Her driving.   She’s on massive dose of psych meds – honestly I think she’s overmedicated.   But that’s not my call.   I do know that she’s cognitively impaired, and she’s mentioned motor skill problems – I don’t think she should be on the road.    But I know losing her licence would devestate her.   But I really am torn as to whether I should report her or not.  At a minimum I’m going to talk to her which will be hard, but I feel I have at least a moral obligation.

I think I’m going to add a few more of my friends to my 8′th step list.

Elizabeth

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Reflection on the psych hospital

I’ve now been out of the psych hospital for a week and a half.   I must admit I have mixed feelings of being out.   I miss the security, the structure, and having mental health professionals around 24/7.   At the same time I’m glad to be back in my own bed, with my own pillows, and not to be monitored hourly.   Also when I was in the unit was on lock down the majority of the time, which increases my anxiety as it triggers my PTSD.

The hospital stay itself was interesting.   I was blessed with a relatively smooth admissions process as my psychiatrist had put a note in my file saying that if I ever showed up in the ER I was to be admitted immediately.    I wound up spending about 8 hours in the ER waiting for a bed, which isn’t bad – I’ve spent longer than that in regular ER’s.    And there is a certain entertainment value about being in a psych ER as long as you don’t get freaked out easily.

I wasn’t admitted to the unit I wanted right away – I wound up on general psychiatry for 4 days.    That was a bit of a nightmare.  cramped, lots of delusional people, my bed was a stretcher, and no hot water.   No therapy – it was basically a holding pen for people on forms or for people waiting to be transfered to other units within the hospital.

I was eventually transfered to the women’s inpatient unit.   That’s the cadillac of psych wards.   Only 18 patients on a full floor.   Lots of therapy, met with my inpatient psychiatrist 3x weekly, and my primary nurse daily.   I got a lot of help.    What continued to baffle me however was the discrepancy between how sick i perceive myself, and how sick I am perceived.   The unit’s social worker was literally throwing services at me.   We filled out an application for assisted mental health housing, a case worker, and the WRAP program.    When I expressed to one of my nurses that I didn’t think I was that sick, her very blunt comment was yes you are.   But all in all it was a very positive experience.

I’m going back now twice a week for groups, as part of the transitional care program, which is a bridging outpatient program.   That’s good as it helps add structure to my day.

We agreed that I’d start trying to taper off one of my meds, that I don’t like the long term side effect profile of being on, and that’s going slowly – I’m having horrible withdrawal effects.   We’re talking about switching one of my antidepressants for another, but can’t do that until I’m through with the meds withdrawal.   My psyhiatrist also wants to be absolutely certain I can stay sober as there’s a real seizure risk with this med.   Need to convince myself and him.

I don’t generally enjoy being in the hospital, but I’m glad I went in, and it was mostly a good experience.     What I don’t like is being part of a world where sucess is judged on your ability to stay out of the hospital.

Elizabeth

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One year sober

March 4, was one year sober for me.   It was sort of a bittersweet occasion.   On the one hand I felt happy, on the other I was acutely aware that the last time I had one year was in 08-09, so it’s taken me 4 years to get one year.

It’s been an interesting year – It started with a not completely voluntary IOP mental health program at North York General Hospital, followed by a stint in rehab, declaring bankruptcy, having to give up my apartment and downsize, move into transitional housing, go back to school, request a deferal from school, and now find myself in a psych hospital again.    I sometimes wish my life was more boring.

The ladies at my Big Book study group threw  a nice little party for me, complete with carrot cake (yum) and since I’ve known most of them for years, they were all genuinely happy for me, which made me feel as loved as I ever feel.

I’ve had phenomenal support from the ladies at Women for Sobriety, AA, my friends, and my rehab – this is a collective victory.

My recovery feels really fragile right now, which is why I’m taking a year out to do nothing but focus on recovery – which in itself is scary.   But I feel like it’s my best option.

On my medallion I had the words, Trust and Ask for Help engraved.   Because those are both very hard concepts for me.   I’m learning to trust people and to ask for help because when I do, things generally go better.

Elizabeth

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Moving Sideways – Going Inpatient on a psychward

I’ve been in an extremely dark and negative headspace for about the last 6 weeks.   I haven’t been coping at all which is hard for me to admit.    About the only positive is I’ve managed to stay sober.   But otherwise lots of usafe behavior.

I’ve had to withdraw from school, although I hope to go back next January, and I got fired from my teaching job for screwing up so badly.

I finally managed to scare my psychiatrist.   Now you have to understand my psychiatrist – he’s an amazing Dr., but his primary goal is keeping people out of hospital, so when he suggested I think about hospitalization at my appointment on Tues. my thought was great – I must be really messed up.    He talked to a couple of other people on my care team and then phoned me last night, saying he wanted me in the hospital.   ok.

This is my third psychiatric hospitalization since 2007.   It scares me.   Psych hospitals scare me.    Now don’t get me wrong – my psych hospital is a great hospital that offers phenomenal care, the last two times I’ve been in were good experiences that helped me get healthy.

It’s just that I don’t want to admit that I’m sick enough to require intensive care and my life is sufficiently messed up to need it.    I want to believe I can get better.   I need to believe it.    I need to believe I can get back to work, although possibly not in a finance role.

Part of me feels like this is a step backwards – but it’s not really if it helps me get better.   So I’m choosing to view it as a step sideways, to help me ultimately move forward.

I’m just scared.

Elizabeth

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Anger – no make that rage

My last two Seeking Safety groups have been devoted to the subject of anger, healthy and unhealthy ways of dealing with it, and turning anger inwards or outwards.    These were not easy sessions for me, and I found myself badly triggered and wanting to hurt myself.   I didn’t.   I’m proud of that.

I have a serious problem with anger.   I don’t like anger, don’t like conflict, will do just do about anything to escape the feeling.    Apparently I’m not alone.   According to the therapists, and this was backed up by other people in the group people with PTSD and substance abuse are a pretty angry bunch.   Well that’s me – sort of the energizer bunny of rage.   But you’d never know it, because I keep it very tightly suppressed and turn all my anger inward and whenever it gets overwhelming enough I do something self destructive to replace the emotional pain with physical pain.    This is not the healthiest coping mechanism on the planet.

My anger scares me.  Directed outwards it can be unpleasant – I have the ability to verbally rip your head off, and I’ve done so many times, only to have to apologize the day after.   And I know I am capable of physical violence, although it’s been years since I’ve been in a fight.   It’s the potential that scares me – that if I unleash the rage that’s inside me, it will overwhelm me like a black wave hurting others or myself.

But I can’t keep it in.   It’s in my way of moving forward.

For those of you who follow AA philosophy, I’m starting my 4′th step which I hope will help me safely deal with some of my anger.    For those of you who follow the medical model, I’ve been referred to an anger management program at NYGH.   I hope that I’m able to do it.

I’m not really sure what’s going to help me at this point – I just know it’s time to let it go.

Elizabeth

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Christmas in Transitional Housing

It’s taken me a while to gather my thoughts about Christmas in transitional housing.    Some of it’s happy, some of it’s sad, some of it’s downright funny.

Out of the 30 of us living here, there were maybe 15 of us here over Christmas – the really hard core loners who don’t have family or friends to invite us for the holidays.

The atmosphere was frankly kind of depressing although staff did do their best to make it cheerful and pleasant.

Christmas was actually spread out over a month, during which time, I got to experience the quirks of charity gifts.

We had our “official” Christmas dinner Dec. 3 when volunteer chefs who come in once a month came in and made an amazing meal – that was nice.   Afterwards we all got to pick gifts from a pile of gift bags.    I got a set of espresso cups that someone had clearly donated. Erm ok.   Can’t use them here, and not really sure how useful espresso cups will be in setting up a new apartment.   But they are nice cups and it’s the thought that counts right?

Mid Dec. we were all invited to a ladies luncheon at a nearby Church which apparently has strong ties to the house.   I couldn’t go due to exams, but they sent back gift bags for everyone.    Think heavy on the toiletries.

Dec. 23 a nice Italian family came in to serve lunch (I missed it as I thought they were coming for dinner – my bad) At any rate on the 23′rd we were supposed to get one of the gifts we’d requested from this particular charity that was sponsoring us.    I’d requested a book or a pair of earrings (complete with URL as to where they could be bought).  These were apparently too esoteric to track down, so I got a gift card to Indigo.   Fair enough – I can buy my own book.   It was just a bit of a let down watching all the other women open their gifts.   But did get a nice warm set of Ski gloves.

Dec. 24, was really nice.   We had a supper of leftovers from the 23′rd, and staff asked us to gather in the common room.   The common room, was really nicely decorated and we had eggnog, and cookies, and chocolates.   Then one of the counselors asked us to go around and say what we were thankful for.   Most of us said housing, I said I was glad to have the opportunity to be back in school and retraining.   But it really was a lesson in being grateful for the little things.      We all got gift bags again, and these were the most fun, as some thought had gone into them.   I got a large selection of black socks, the only colour I wear, a scarf, gloves, a fun stuffed toy, and some stuff that really will be useful in setting up my own place once I’m out of here.

Dec. 25 was low key – they made a really nice Turkey dinner for us, that was super yummy and we sat around after dinner talking.

The funniest bit about the whole season however had to have been the saga of the Gingerbread houses.   An elementary school, that’s loosely affiliated with the same Catholic charity decorated and sent over 4 absolutely gorgeous gingerbread houses.    None of us wanted to eat the houses because they were too pretty.   But staff insisted we eat them.   This actually led to an argument and a bit of a stalemate until one of the more assertive staff members attacked a house with a large knife and smashed the roof, after which we were all more than happy to eat it.

As a result of the gift bags I’m now more than well stocked with toiletries – last count it was 4 toothbrushes and 5 tubes of toothpaste, plus multiple soaps, shampoos, and moisturizes – I’m not going to have to go shopping for a long time.    All sensible practical gifts that women living in a shelter would need.

Just never imagined me needing them.

Elizabeth

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Reflections

A little over 2 weeks ago, I hit the 9 months sobriety mark.   I didn’t want to write about it right away, because I wanted to think about it.   It’s the longest I’ve gone in 18 months, so I’m happy about that.   But mainly I’m just tired of struggling not to drink, of making that choice every morning to take the Antabuse.   And I’m tired of the grief I get from people in AA that I get for taking Antabuse.   It helps me.   It got me through exams and the post exam crash.   I think I’m feeling a little out of sorts too, because I’ve had to miss a bunch of my aftercare meetings, due to conflicting psychiatrist appointments and needing the time to study.   I went to my first one in a while yesterday and I felt better.

I had something unpleasant happen at the residence I’m living in.   They accused me of drinking and searched my room.   Part of me was like “whatever” I have nothing to hide, but it felt like a huge invasion of privacy, and it really bothered me that they didn’t just flat out ask me if I’d been drinking.   Makes me want to get out of here all that much more.   Hopefully I’ll find a job quickly after graduation and be able to get my own place again.

And now it’s Christmas.   I find living here depressing enough when I’m not supposed to feel all cheerful and happy, add in forced seasonal goodwill and I’m writing suicide notes in my head.   A family is coming in this Sun. to cook and serve us a special dinner.   This is very nice of them.   We are also apparently getting our gifts that we requested some time ago, that are being paid for by a Bay St. charity.  This is also nice.   But it’s all charity, and I hate taking charity.   Until last summer I prided myself on my self sufficiency until poof I ran out of options.

I don’t know – I’m just tired and sad.   I didn’t do as well on my finals as I had hoped, partly as a result of missing classes as a result of the OD, which just further made me feel like an idiot.

Sorry this has been rambling – just some of what’s on my mind these days.

 

Elizabeth

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Do Not Tell Anyone

If you’ve been reading along, most of you will know that I recently went through a depressive episode and OD’d.   Well, between depression, and physically recovering from the OD,  and adjusting to a higher dose of one of my meds, I missed a lot of classes, after the midterms.    I finally realized that I couldn’t get out of the academic hole I’d dug myself without soliciting help from my prof’s.   So I emailed them and was honest.   I said I’d been suffering a major depressive episode and had OD’d.   In hindsight it probably was too much information, it didn’t occur to me to just say I’d been sick.

At any rate, one of my profs sat me down for a talk after class last night.   It was  a wide ranging discussion that got into many areas of my life, the details of which I won’t bore you with beyond saying he feels I need more exercise and a cat, and these things may help me get off meds. erm ok.

But the point he pushed the strongest and he was quite vehement on this point, was DO NOT TELL ANYONE.    He further advised me to call all my other profs and ask them to delete my email and confirm that they’d deleted it by return phone call, so as he put it, there’d be no fingerprints.   He also told me to make sure I deleted the outbound emails from my sent items folder.     Now I’m not paranoid enough to think anyone is going to deliberately hack my college e-mail account searching for evidence of depression but clearly that’s what he was thinking.

And it really bothered me.

Yes I know there’s stigma around mental illness, but how in hell are we going to get past it if nobody is willing to talk about it.

And yes I’m being hypocritical as I write this blog under a pseudonym so that when I’m job hunting, employers who google me, won’t find this site.   Because while I may hate the stigma and prejudice, I’m not stupid enough to advertise that I deal with mental illness.

And I hate that that’s the way it has to be.

Elizabeth

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My magic little white pill

After my last OD, my psychiatrist was understandably concerned, so we once again tried the remedy that’s worked in the past to blast me out of a sever depressive episode.   We raised my risperidone from 3 to 4 mg.    Now I’m not advocating meds as the solution to everything, but talk about night and day,    I’ve gone from being actively suicidal to some semblance of my normal charming pessimistic self.   Happy is asking for too much.

My motivation is up, my concentration is better, I’m able to get things done.   Most significantly I don’t want to off myself, which really is reassuring.   Yeah, there’s still a lot of negative self talk floating away in the back of my head, but it’s like there’s a fuzzy blanked between me and it.   I can hear it, and I can see it, but I don’t have to believe it.

In some ways it freaks me out that my brain is so sensitive to one little chemical, albeit at a moderately high dose.   But it definitely shows me that at least part of my depression is biochemical.   I can’t decide if that makes me feel better or not.

We’ll see how long I’m able to tolerate being on the higher dose.   Historically I’m only ok on it for 3-4 months and then I start getting side effects that I can’t tolerate.    And I really don’t want to add Cogentin to the mix – I’m on enough drugs.

So for now, I’m starting to feel better – I’ve still got a long way to go, but at least I’m able to function at school, and in the course I’m teaching.    I’ll settle for that.

Elizabeth

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