Every month when we have her medication management appointment with the psychiatrist, the doctor asks if Princess ever has thoughts of hurting herself or other people.  She always says she does not.  She told us that last Thursday, so we refilled the Rx with the same medication at the same dosage, because I thought it was working.  I was wrong.

Today I got a call from the school counselor that Princess was saying that she sometimes thinks about hurting or even killing herself. That she’s been getting messages through her account on one of the online game sites (the independent one with the upper age limit of sixteen, not one of the ones she accesses through Disney or Nickelodeon) with foul language and threats that this person is going to find who she is and where she lives. That after being upset by this person’s messages one time a couple weeks ago, she saw a knife in the kitchen and just wondered what it would be like if she just picked it up and stabbed herself so it would all be over.

I thought I was doing the right things to monitor her online activity. She does not use the chat room on this particular site, and when she is looking for games to play, alone or with her little brothers, I urge her toward the the ones allied with the children’s channels or ones that I know have a fairly strict filtering mechanism for user messages. I thought I had developed an open line of communication with my children about what’s going on in their heads. I was wrong.

The school had a speaker last week to teach the middle school students about cyber safety and cyber bullying. She and I talked about the presentation, and all of the things online that are OK and not OK to say or do, the things that are OK and not OK for someone to do or say to us. I didn’t think we had a problem. I was wrong.

I’ve got a message into the psychiatrist who handles her meds and am trying to get an appointment this week with the LCSW she sees each month for her other counseling.  We are going to review her messages tonight (the ones she has not deleted) so we can report the user sending her the offending messages.  I am going to protect my daughter and she is going to be OK. 

I really hope I’m  not wrong.

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Sure enough, after a week of Cymbalta I felt a lot better physically but mentally I was much worse. I wasn’t sad or even ‘depressed’. It is hard to explain, but something was very wrong. Have you ever gotten a song stuck in your head? You try and try not to think about it but every time you turn around you’re humming the tune or singing the words. The next few weeks went something like that, but instead of songs I would think about hurting myself. They weren’t suicidal thoughts; I didn’t want to kill myself. Washing dishes, I would imagine breaking a glass and cutting myself. Every time I shut the van door I would have to force myself to move my hand out of the way so that I wouldn’t accidently smash it on purpose. If I walked under a tree I would think about a branch breaking and falling on me. It was terrifying. For the most part, I was able to ignore the urges, but not always. Once I was cutting my toenails and kept feeling compelled to take off more and more of the nail until I had torn my entire nail off. I was looking at my bloody toe and I knew that it should hurt but I didn’t feel anything but relief.

I should have asked for help, but I didn’t want to seem crazy. Normal people don’t do things like that. I did talk to a couple of people about the drug but they didn’t mention any side effects like I was experiencing so I thought that it must be in my head.

Last Friday, Mike and I got in a huge fight. We have our little disagreements, but we very rarely argue. Something inside of me broke and I started crying hysterically. I insisted that Mike leave the house because I couldn’t even look at him. I knew I was in trouble. My first reaction was to take one of the other pills the doctor had prescribed. I’d had trouble with it before because it put me to sleep right away. I figured that it would calm me down and I could take a nap before the kids came home. Mike was supposed to be back soon and he could take care of things until I was back to myself.

The bottle said to take one pill three times a day. My brain was running around in circles. I should just take three pills once, right? The worst that could happen was that I would sleep all day and wake up feeling groggy. I took three and waited and cried and waited and cried. Nothing happened. My brain was still racing. What if I took three more? I’d get sick probably, but at least I would go to sleep. I took three more and waited and cried and waited and cried. Nothing happened. I took a shower, with my clothes on, and fell asleep. The water in my face woke me up and I remember thinking that the water had washed away the medicine. I should take some more…

I don’t remember anything after that, but my sister said that the bottle was empty. I woke up in the ICU and stayed there for two days. After that I spent four days in a locked psych ward at the hospital. No tv. No radio. No clock. Just lots and lots of time. They changed my meds and listened to me cry. Then they listened to me cry some more. Then they listened to me talk. And then they let me go home. I feel a million times better now, but ???? Now I feel like I am officially branded: MENTALLY ILL. It seems worse somehow than just getting some meds from the family doctor. Now it’s Major Depression with a side of Invasive Thoughts.

By KristyK

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This is a consequence of emotional pain, I am not present despite the fact that I am physically there.  If you told me that someone else did it while I was sleeping I would be more inclined to believe that.

The trouble with self harm is that sometimes it’s over before you realize what you’ve done.  Looking down at my fingers, all fucking ten of them, I was ashamed of myself for letting it happen.  No reason to be alarmed, mine coping mechanism just happens to be visible.  Many are not.

I wondered how I could go out in public with band aids on all ten of my fingers.

Portions of the shame I feel stems from the fact that I know better.  And by knowing better, I should be able to DO better.  Right?

I know why I do it, I know that it doesn’t solve anything.  I know that I do it to escape feeling emotional pain.  It is a defense mechanism set in place by my brain when my emotions are overwhelmed.  Like a safety on a gun.

This situation I’ve been processing is like a hurricane; it brings things from other places in my psyche, all triggering my latent mental illness and wounds of yore.

There is no cure (that I am aware of) to rid myself of the feelings that I have to feel, and the time that has to pass.   I have hope that I’ll get there when I get there.

Meanwhile, try not to notice the band aids on my fingers because I’m trying hard to pretend they aren’t there too.

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Sometimes I felt that I wasn’t being taken seriously enough.  Other times I accepted what others said.  “She’s throwing a tantrum.  Just ignore her.”  “Oh, she’s crying again?  Never mind, she’ll be fine.”  It was easy for them to minimize what they saw, because they were too busy, or too self-absorbed, or too contemptuous to stop and evaluate how much I was actually suffering.

I started cutting myself.  No one noticed.  I went to my doctor to discuss my mental health.  He had misplaced his Suicide Risk Checklist.  He looked through his files for 2 minutes trying to find it, and then decided it would be good enough to ask me whatever questions he remembered.  He forgot to ask if I had looked into killing myself.  I had, in fact, visited a website that provided techniques for suicide.  But he never asked, and I wasn’t able to summon my voice to volunteer the information.

I did ask him to prescribe me an anti-depressant.  I needed something, anything, to get me through my days.  Every hour, sometimes every minute, was excruciating.

The doctor told me he thought it was “just psychological”.  He wanted to refer me to see a psychologist for counseling, who happened to be his sister.  He said it might be Post Traumatic Stress Disorder because my difficult childhood.  Finally, with reservations, he did write me a prescription for Zoloft.

I took it straight to a bookstore, found a book on the medical effects that are possible when people come off anti-depressants, and became too scared to fill the prescription.  I went back to toughing it out on my own.  I’m aware that I’m lucky to have that choice.

In the end, I diagnosed myself.  Moderate Depression, and Obsessive Compulsive Disorder.  And after years of dealing with my moods I’ve learned how to keep myself on an even keel, most of the time.  It means I live a life that is relatively very limited, but within those safe boundaries I have found a way to be me that works.

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‘And i only wake to the leftovers my mind let my body keep…’

Originally uploaded by pixie_trash

Photo by Natasha Williams. See more at http://www.flickr.com/photos/pixie_trash/

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I think about when I was diagnosed with Bi-polar and wonder if that is me or not. Some of the symptoms fit some of the time and there are many bizarre things I’ve done over the years that could be slotted into that diagnosis, but I don’t know. The meds made me a zombie and I cried a lot. I was once diagnosed with Borderline Personality Disorder, and I have lots of things that could slot in there, as well. But because I’m DID, I could be all those things or none of those things. I think I’m tired of diagnoses and searching for answers and trying new medications and the whole basket of things that come with being mentally ill. The labeling – I’m tired of the labeling.

So, I try and sit here, and feel. I try to identify what I’m feeling and to what extent. And that means I have to label everything going on inside me. It’s hard and not fun. It’s not the same kind of introspective afternoon where you get to think about your future and all the possibilities that are out there. No, it’s more like cleaning out the junk drawer and finding dimes and push-pins and keys you have no idea what they go to. Don’t get me wrong, there are days when I love cleaning and organizing. But this internal stuff is HARD and I have to do it so OFTEN. It’s the only way to short-circuit the harmful cycles that come with not paying attention. When I’m no longer making choices, and instead I wander and react purely on my environment.

If I don’t do the work? I end up 3 states away and wonder why I’m there. I forget I’m married to a wonderful man. I go out and buy $700 worth of stuff we don’t need. I drink too much. I don’t eat. I fantasize about self-harming and prepare to do it. I sleep for an entire week straight. I obsess on everything I’ve ever done, ever, that wasn’t ok. I plan and plan and plan for every disaster that could happen. Ever. Anywhere. I dissociate without meaning to and don’t pay attention when I’m ‘not out.’ That one in particular leads to paying the car payment twice in one month when we can’t afford it because of the really large sums of money we sent in the mail to the IRS. I keep a headache going for days and abuse my liver with high doses of acetaminophen for weeks on end. I compulsively begin to straighten everything into sections. I draw lines with my fingers all day, copying words people say or shapes I see or images I have stuck in my head from childhood. I can’t follow a conversation with someone I care about and hurt their feelings with what looks like disinterest. And I get depressed to a level where ways to kill myself pop into my head with no notice. Jumping and dancing around what I feel.

Sit, Leah. Sit.

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I really wish I remembered his name…

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In 1979, when I was 18, my mind had what I colorfully like to call a “come-apart”. I didn’t realize it or even know what it was, but deep clinical depression was growing in me like some toxic black mold. I had no idea what was wrong and I became so sick so fast I lost all ability to even articulate what was happening inside of me. Rapidly I skidded down the slickery slope to psychotic, suicidal hell. Weeeeeeee!!!

My mind soon began to shut down. The simplest tasks took extraordinary effort to complete. Ask me my name and I’d have looked at you as if you’d just said to me, “Tell me what 137 to the 27th power is or I’ll stab you in the neck.” I wouldn’t have been able to answer you. I’d have stared at you with panic and confusion on my face and would have weeped uncontrollably. All because you asked me my name.

I was exhausted constantly. All I ever wanted to do was lie down and sleep, preferably forever and ever. And ever. And ever. But night would come and my brain wouldn’t shut off the internal noise and sleep would elude me. At some point I realized I was going mad. What could possibly be more frightening than being aware you’re losing your mind, losing control of your own self, your own thoughts, and not knowing what to do about it? Relentless suicidal and self-destructive ideas were bombarding and tormenting me. I am, and always have been, a peaceful person yet suddenly my mind was roaring with violent, vicious, grizzly thoughts all directed at me.

I felt as if I had split in two. The old part of me: timid, sweet, funny, generous. The new part of me: dark, powerful, the devil. The thoughts in my head soon became external and loud, and they took on a different voice. A deep, loud, growling voice telling me to “kill yourself” or “worthless piece of crap” or “idiot” or “people hate you”. Then one day the voice said “cut” so I did. I don’t know why I did or why I listened, but I did. I cut in places no one could see, but I cut. I cut my arms, my chest, my stomach, my thighs. I still look at the scars and wonder why I cut myself, but in some way those scars are my friends and I’m fond of them.

During that time, the early 1980s, I was in and out of hospitals. Diagnosed as manic/depressive, then with borderline personality disorder, then borderline paranoid schizophrenic, then this and then that. Ah, the inexact science of psychiatric medicine in the 1980s. Tell me, is it any more exact today? Eventually someone hung the label “acute psychotic major depressive disorder” on me and it stuck. But with differing diagnoses comes differing pharmaceuticals. Artane, Navane, Elavil, Mellaril, Thorazine, Stellazine, Ritalin, lithium, Nardil, and probably a dozen others I can’t recall. You think the dry mouth or limp noodle side effects from Paxil is bad? You take Thorazine and then come talk to me. All the while, though, the voice kept talking to me, telling me to “cut”, “kill”, telling me I’m “worthless”.

Many doses of ECT offered no relief either. ECT kills one’s short term memories and yet I still vividly remember the zombie-like feeling following a round of having an electrical current fired through my noggin. Feeling neither happy nor sad. Quite literally devoid of any feeling. An electrically induced temporary lobotomy.

Yet still the voice screamed at me. “Cut yourself.” “You’re worthless, shoot yourself. Now!” Nothing could make the voice stop. Oftentimes the voice was crude and quite vivid in the gruesome plans it wanted me to carry out on myself, but due to decorum I’ll omit those here. If a voice you hear, but nobody else does, telling you awful things to do to yourself doesn’t drive you over the edge then probably nothing will.

After the 7,112,976th time of the voice telling me to “kill yourself” I decided to listen to it. I worked at a hospital and had access to all sorts of festively colored pills and capsules, just ripe for the picking. I swallowed several bottles of anything I could get my grubby hands on. Heart medication, blood pressure medication, migraine pills, tranquilizers, the prescriptions I was currently taking, even a huge bottle of Tylenol. Obviously I was discovered, I’m not writing this from the grave, and they pumped my tummy clean and revived me and then, as punishment for my crime, I was sent for a stay at the lovely and oh so inviting “Timberlawn Sanitarium”, it actually had that name etched in stone over one of the old original buildings that is used as administrative/admissions offices now, in Dallas, Texas for a period of approximately 11 months.

The Timberlawn Psychiatric Hospital facility was incredibly secure. With heavy metal screens over all windows, plexiglass on all the bay windows, doors that lock automatically when shut, etc. You’ll pardon me, I hope, if when I speak of Timberlawn Psychiatric Hospital I speak of it as a prison and of my stay there as a prison sentence. I will refer to the nurses and staff as guards and my psychiatrist as the warden.

Upon induction into Timberlawn, thankfully there was no full body cavity search and no delousing, I was swiftly removed of my shoelaces, my belt, my razor, my nail clippers, and anything else I had which was shiny or sharp. Meals would be served to me by the guards on my cell block until such time as I had earned the trust from the guards and the warden that I wouldn’t try to escape or hurt myself. Then, and only then, would I be allowed to take my meals across campus, the prison yard, and eat in in the dining hall proper. Welcome to your new home, inmate.

When asked to “please release me, let me go” I was told if I didn’t stay voluntarily I would be committed. The frustration of that was immense so I shut down. Refused to talk or take my meds or participate in anything. I wasn’t totally lacking in rational thought, and it quickly dawned on me, after being threatened with restraints and IVs and suppositories, that if I wanted to get out of there any time soon I needed to play the game, follow the rules, and go with the flow. Having my meds forced up my backside just didn’t sound like much of a bargain to me, then or now.

So I settled down and got with the program and within a couple of months I was allowed to go to the gym and go do crafts and walk, under escort by a couple of the guards, to the dining hall for my meals. I also got just crazy good at ping-pong. Every evening after supper it was ping-pong-a-palooza for those of us on the unit who had high enough privileges to walk down the hall to the ping-pong room. And then if you really behave and contribute to group therapy and show you’re serious about your treatment, maybe in six months if you’re lucky, they might let you out, with a guard of course, to go see a movie. Well I hated it. Can you tell? Every blessed moment of it, I hated it. Finally I was discharged, paroled, my illness cured. Yeah right.

Twenty years pass and I’ve fought this nightmare countless times off and on ever since, but for the most part keeping it to myself. I feared if I told anyone I’m hearing the voice again or that I’m incessantly thinking of suicide I’ll be locked away again. Within the past year the voice and my dreadful thoughts have become overwhelming. Over the years it seemed that if I just weathered the storm, waited it out and not acted on the self-destructive thoughts, it would ease up on it’s own and I’d come out of this hellish pit on my own. But this time, for nearly a year, I can’t get out. I can’t control my own thoughts and everyday I wake up contemplating suicide. It’s devouring me. I’m losing the battle. I want to walk into a field and sit down in the cold rain and just let it dissolve me into a puddle.

Once again I find myself frightened of myself. “I hate myself”. “I don’t belong here”. “I am a misfit”. “A freak”. “I want to die”. “My core is rotting”. These are the thoughts that consume me again, each and every day. My brain is being destroyed by the horrible thoughts which I can’t control.

I recently sought help. I am now on the second week of medication consisting of Paxil and Trazodone, but will they work? The best meds of the 70s and 80s did no good. Multiple rounds of shock treatments bought little lasting relief. Long term hospitalization made me angry at and scared of the psychiatric profession. Some may say, “But Dave, you’re alive.” Yes I’m alive, but that’s a small victory if you ask me. A very hollow victory indeed. Almost 30 years since this nightmare began and I can’t wake up from it to escape it.

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Why do I always have to carry along liquids everywhere I go? Especially liquids that I know do not fit into the cup holders in the car.

Most likely, the same reason that I forget to take medications and make stupid mistakes that I regret two seconds after making them. I told him tonight as I was getting ready for the meeting that all of these “ailments” I am having are directly related to my center not being centered.

Basically, the things that “get to me” are things that are not going to change. It is up to me to accept these things for what they are.

Still, I manage to find ways to pay penance for my being a mere human that fucks up.

Speaking with her on the phone, she suggested that I try and keep the focus on myself. I shoot back pretty quickly, “but I think that is why I’m loony now”. I fear I’ve been focusing on myself entirely too much. She’s quiet and patient with me. She sees no reason to argue this point, knowing that I will come around when I am ready to come around.

Towards the end of the call she tells me that I sound much better than I did at the beginning of the call.

Her voice is always so calm, so loving, and her words have a way of pulling me back into reality. She asks me, “what have you done for yourself lately?”

I think to myself, “I don’t deserve to do anything nice for me”. I make mistakes, I say stupid things. She isn’t buying it. She’s not taking the “please beat me” bait. She never takes that bait.

I want so much for someone to just tell me how incredibly stupid and thoughtless I am. I tell her that if she won’t do it, I’ll call someone who can. This is meant as a joke, but reminds me of all the times I wanted to be punished for making a mistake and I had folks I could call that were more than happy to tear me down. And I did it all on auto-pilot.

That doesn’t work anymore. It hasn’t worked for a very long time, but old habits die hard. The knee-jerk reaction is to seek it out.

It finally dawns on me what I’ve been doing. Creating situations to disrupt my life in such a manner to make me “pay” for my bad behavior. I can know this all day long, and you can even remind me of it but it won’t guarantee my immunity from it.

There is a permanent path in my brain for a few things. When things get crazy, run. When feelings start to rise up, run. If anything uncomfortable, or not nice comes up I am supposed to run.

Now that the cat is out of the bag, so to speak I can’t run anymore. It’s like my running legs have been sawed off at the knees. My mind wants to, but my body cannot comply.

I was able to accept what she was giving me, even though it boils down to the truth of me not being able to run. I growled at her for doing such a thing to me. She didn’t do it at all, she was just the voice of reason during a mental breakdown. It is why I have asked her to help me along this journey.

I usually refer to this part of the process as “stop, drop, and roll”.

Reaching our for help pertains to the stop. Releasing what is no longer serving me is the drop. Lastly, the roll part is giving myself a break and moving on. Hopefully that moving on part won’t be as hard as I have a tendency to think it is.

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