I’ve been gone a long time. My life has continued to be a bit of a clusterfuck. Here’s what’s happened.
My son’s visit so far has been beautiful. He swims almost everyday in the huge pool his grandparents got him. Sometimes they swim with him. My depression is so severe that I’ve only gotten in the pool 3 times this summer. Not once have I gone underwater. I only go underwater in my head, heart, and soul.
I was hospitalized and placed on a 72 hour hold. I spent a total of 6 days in the hospital. When I got to the ER (I went voluntarily) and found out it could take up to 3 hours to find out if they’d admit me, I almost walked out. The nurse working with me said she could streamline the process for me if I would just stay. She asked me several times to please stay. So I did. The psych ward upstairs was full at the moment, but they were having discharges the following day. I could stay in the ER for the night and be admitted the next day, or I could let them start making calls to have me placed somewhere else. I opted for the ER. This was the only hospital I’ve ever been hospitzlied in and I felt safe there. The prospect of being taken somewhere else scared me too much. I was already scared. For my life.
The first thing the nurse does once you’ve come in is telling you, with all sincerity in their eyes, that they’re glad you came. They’re truly thankful you’re there trying to save your own life. They do all the usual vital sign taking. Then they run bloodwork on you. After that they set you up with a Teledoc to discuss what’s going on. From there the Teledoc talks to the PA oncall to decide what to do with you. Everyone agreed that I needed to go inpatient. Including myself. That’s the whole reason why I had my husband and son take me to that ER.
My husband and son weren’t allowed to come back with me at any point. Everyone had to wear masks. It wasn’t like this 3 years ago when I came to this ER. At the time my abusive ex wife and son brought me at my request. My son was upset because he didn’t know what was wrong with me and he didn’t want to leave me. He told me this time around that she was mean to him the whole time I was gone, except when they came to visit. Which was every day that I was there. This time I couldn’t have any visitors, only phone calls.
I spent 17 hours in the ER waiting. I slept the entire time except when they brought me food. I’d wake up to eat. I wasn’t kidding when I was telling everyone how tired I was. I’m still tired. All the time, every day.
While I was in the ward I isolated majority of the time in my room. I went to art therapy once, but that was it. I tried to attend a coping skills group, but got annoyed so I walked out before it even began. I went back to my room. The only time I ever came out was to get water, meds, or to eat. Other than that I wanted nothing to do with anyone there. Except the psych PA that was in house. Her I liked. She listened and she listened well. She took me off Lithium and upped my anti anxiety meds. She also put me on Wellbutrin. It’s not doing anything so far. It didn’t help at all the last time I took it. I knew my actual psych would be frustrated by the fact that my anxiety meds had been upped and the quantity increased. She was, but for now she’s sticking to my new perscription.
I had heard of people doing Shadow Work. It’s another type of self-love/self-help. I asked for some stuff to be printed off so I could look into it more. They were nice enough to oblige me. I started working with it, slowly. It made perfect sense and I decided it was something I wanted to work on truly.
I didn’t smoke the whole time I was in there and I didn’t have access to my phone. I talked to my husband every day on the phone. I had intended to quit smoking for good when I got out. Of course I’ve failed at this miserably. I’m disappointed in myself, but I honestly can’t seem to help it. Fuck.
The newest line of defense for this nearly-deadly depression I’m drowning in is to place me in an IRT. It stands for Intensive Residential Treatment. It’s a 30/60/90 day treatment center. I currently have a large professional support system. I have a therapist, a psych, a job coach, an ARMHS worker, and a county case manager. Wtf has happened to me? Jesus Christ, that’s a lot of people working with me to save my life. I also have my husband, son, parents, family, and long distance friends that give support. I’m beyond lucky to have so many people care.
Here’s the secret though. None of it matters when I’m deep in my depression rabbit hole. My suicidal ideations have become extremely loud now. Occasionally I have sincere thoughts about how fast I would need to drive to violently jerk my wheel towards the ditch hoping I die on impact. That’s the only thing close to a suicde plan that I’ve had. It’s strange, though. In all of the suicidal states of mind I’ve ever been in, my thoughts or plans never involved a car. It was always pills. Or my wrists. I didn’t want to shoot myself or hang myself. I’ve always wanted it to be painless and/or quick. The love of my husband and son (and others) is what keeps me alive. That and fear. Fear of the unknown about what happens after. The one time I tried to commit suicide I wasn’t afraid anymore. That was the dangerous part. Having no fear is what kills. For me, anyways. Having no fear stems from absolute depseration.
My other biggest fear, and a large part of what drives the loud suicidal ideations, is that this will never stop. This pain and desolation and near deadly depression. That my state of mind is going to always be unstable and that I’ll never feel good enough; good enough for a good life, good enough as a wife, good enough as a mother, good enough as a daughter, good enough as a sister, or good enough as a friend. I feel like I’m a burden. That’s so cliche. It’s true though. My husband has reassured me several times that I am not a burden and that I’m the glue and love that holds everythig together. Well, I feel liked expired, defective glue that should be thrown out.
I want to enter the IRT program. I gained a county case manager to do this. My psych told me I need one to get into the program. I told them all that there is no way in hell that I’m doing this until after my son leaves to go back to Denver. They get it, so we’re waiting. My son flies back August 9th. I have my next meeting with my case manager on August 10th. She said there could be a waiting list, but it’s not likely that it would be long as there are always people cycling out of the program. My husband thinks I should go now. I absotlutely refuse. I haven’t really been mentally present for my son’s stay so far, but I will not miss the rest no matter what.
So it’s come to a likely semi-long term residential treatment stay. It’s been explained to me that basically every 30 days my whole team (my psych, my case manager, and whoever at the treatment facility) get together with me to determine my progress. Honestly, I think I’ll be there the entire 90 days. I think it’s the only way I’m going to get any of it to truly stick. It’s the only way I’m going to get truly better. One of the things my psych wants to do it titrate me off of all of my medications (she thinks I’m over medicated and I agree). Once everything is out of my system we can see how I do and then start fresh with some new medication. Having all of my disorders, especially the depression, is like having cancer. I have to take medication for the rest of my life to live. If I don’t take the meds, see a therapist, see my psych, go to treament, be hospitalized when needed… I’ll die. I know this. This is why I’m trying to save my own life.
Trying to save my own life is exhausting. But, the point is that I AM TRYING.