You know, I had so much to write the other day that I decided not to put all in one post. What the best thing ( did in 2010? Well, on July 27th I quit smoking cold turkey with none of those nicotine patches or gums. I just made up my mind to do it. The first couple of weeks were hard, but by the third week, the cravings lessened

I miss going to therapy, but each therapist I’ve seen (3) just didn’t seem all that interested in what I had to say. Once actually clock-watch during the whole session. I want to return to therapy, but now I am not sure where to go. I think I am going to call the head therapist I worked with during that intensive three-month outpatient therapy. Maybe I can get her to make the appointment for me in case they it to be a referral requirement.

I’ve been fairly balanced bipolar-wise (BP). And what is interesting, when I am feeling balanced, the Borderline Personality Disorder (BPD) doesn’t seem to be as pronounced. However I feel myself slipping into a manic phase. I’ve had all this energy and haven’t been to sleep in 4 days, but I feel fine. My biggest weakness when I am manic is my need to spend money and collecting things I shouldn’t have. Those items always fall in the “want” category!

Well, my psychiatrist was me to have another neuro workup considering the fact that my short-term memory is sporadic at best and I can’t concentrate or focus on tasks. I’ll start working on ten things at the same time, yet make headway on none. So, I am no going to work on one item at a time from start to finish. Not sure what my productivity will be at work.

Speaking of work, I have been staying on top of my projects and my email. My boss hasn’t had to deal with me for the whole month of January so far. I know I am supposed to be getting my performance appraisal this month. I can hardly wait. I rather doubt that it will be as good as last year.

I have perfected the smoothie! I have a 1200-watt blender that will crush ice. I can make gelatos and ice cream and frozen Margaritas. Well, I look at my poor absorption of vitamins and minerals, but instead of taking all these vitamins and minerals in pill form, I am adding leafy green veggies and such (spinach, kale, broccoli, carrots not peeled). I put the veggies in with the blender and all you can taste is all the fruit I usually add to my regular smoothie along with the protein powder and flax seed meal (the actual flax seeds are hard to digest).. Maybe my blood results will look better this time when I go see my regular doctor.

Back to my dysfunctional family. I decided to send everyone framed pictures of Mom following her 90th birthday, evening including K, the niece from hell. I called her out on it and she claimed she didn’t know what I was talking about. Never mind that for the last 10 years I have been patently ignored when the family gets together for the celebration at K’s house. Well, I sent the framed photos to K and today is Jan 17. I actually was expecting a thank you call or card, but nothing has been forthcoming, so I have now washed my hands of her.

You know what else hurt my feelings? Now that I have a dependable car, I have the ability to drive the four hours to her house. WhenI was visiting her back in November, she told me that staying for four days is just too much for her. Three will suffice. Well, that’s hard on me considering it’s practically a quick turn-around trip. And on top of that, she doesn’t want me down there too often (like once per season). Well, she is 90 and has every right to dictate who can and for how long someone can visit. Ah, yes, family. Just warms the cockles of my heart! ©2011

One Long Year Later

For the past year I have wrestled with demons, good times, manic phases…you name it. I have been trying to fly below the radar…keeps things that much easier. I want so much to be anonymous, but in today’s climate, that is virtually impossible. I hate the fact that my fingerprints are in the system (not that I plan on going out and committing a crime, mind you).

This past year was a hard one at my job (let me say this right now…I am blessed with employment!). I was still on a learning curve. But what soon became evident were the issues plaguing me during recovery. I still have short-term memory loss and we don’t know if it will be permanent. Things got so bad that I was put in a sort of probationary 3-month re-evaluation subject to my work performance. I’ve lost four accounts because of the mistakes I have made. However, that period soon passed once they understood it to be the cause of a medical condition.

Ironically, I have had a great month at work so far for January. I’ve shifted my focus. I now get up at the crack of dawn (0400, to log on to the employer’s VPN at 0700). That leaves me with 3 hours before I have to be at work. Now, every morning, I am drinking my hot tea while doing my devotions and Bible reading and praying. I am also starting to record Joyce Meyer so I can pause it here and there while I take notes. I figure that’s about the best way I can start the day.

My beloved little church finally succumbed to lack of attendance, so the Pastor chose to close the church. I have tried a few and I have come across one that I am going to attend a few more times before I commit to anything. This is a much larger church and is not affiliated with a denomination which I like. Their praise & worship is a little different from what I’ve become used to, but that can change in time. What’s nice is that my pastor from the previous church and his wife, one other couple and a single dad have decided that they really like this church as well.

There is so much I want to say and I don’t even know where to start. My mom celebrated her 90th birthday last September and she is feisty as ever. She mall walks everyday, plays bridge twice a week and attends several social butterfly lunches. You’d never know it to see her. I have this picture of my Mom and I with our heads together and we have the same colour hair considering I am 36 years younger than she is. I sure hope I come from her gene pool!

Unfortunately, my niece and all of the “precious” great-grand children came with her. She knows she smells like a rose and can do no harm. That pure bull. While she can smile and laugh with the best of them, she is quite devious underneath. Just remember that she is the one who refuses to invite me to the family holiday festivities. I am the only one not invited. Well, after everyone had eaten their dinner and was just sitting around the table in the restaurant, I pulled K outside to finally end it all and call a truce even though I still don’t know how I ever pissed her off that much (hell, maybe she’s homophobic, I don’t know). I pointedly asked her why had I been excluded all these years and she said, “but I only invite my family.” Heck, I am her Godmother and her Aunt. What part of “her family” does that not fit? So what am I, chopped liver…LOL?

My Mom once told me to rise above the circumstances. So, regardless of what K said, I still decided to send her a 5x7 close-up of Mom already framed and a framed wallet-sized photo of Mom and Santa. I also happened to send it to my nephew (her brother) and my brother (yeah, I know, surprise, surprise). Today is 13 January and I have gotten a thank you from everyone except K. Well, now I can wash my hands of her. The next time I will see her will most likely be at my Mom’s funeral. My intention after my mother dies is to make no overtures towards anyone left in the family. If someone calls me, then that’s a different story. But I am an adult and I don’t have time for such foolishness. The only person I can see having a loose relationship with is my older sister P. We have been on good terms, but she is so much like Dad was. Always offering advice when none is asked, and always reminding me of how I could have done something better. Come to think of it, my brother L has the same rock to stumble over.

And so it begins—a new year filled with possibilities. Last October and the ensuing months were the absolute low point in my life. I don’t wish to be faced with the same set of circumstances that led me to attempt suicide.

I quit seeing the therapist I was first assigned to because her available hours conflicted with my work schedule. So she graciously referred me to another therapist she had good words to say regarding her, but I went to two sessions with her and she was a tad bit over the top. Look, I don’t care what time of day it is, I cannot deal with chirpiness. She was just wa-a-ay to happy a camper. So, I called the office, indicating that the second therapist was not a good fit and could I return to seeing the first therapist. The woman who answered the phone said they would have to check my medical records and have the request referred to the nurse and someone would get back to me. Well, it’s been a month and I haven’t heard anything. Yeah, I know, I should probably call and follow-up; I just haven’t had the energy to accomplish much of anything.

I am still seeing my psychiatrist and now my visits are once every three months—more of a med and status check than anything. Nevertheless, he is quite concerned about my lack of attention, focus and my short-term memory issues that have had a measureable impact on my job. He wants me to go in for neurophysiologic testing to see if we can pinpoint either the cause of the problems or if it’s temporary or not (it’s been over a year now…sounds kinda permanent to me). My psychiatrist is worried that I may have caused some injury to my brain when I attempted suicide (God only knows what flowed through my veins that night). Then, after the results are in (I have no idea what tests they would be performing), I may have to do neurocognitive rehab. I have no idea what that is all about either.

Well, I’ve now had my car for one year and I am still happy with it. But get this, I only have 3900 miles on it. I just don’t have long distances to drive around the city. Almost everything I do except for grocery shopping is within walking distance. That’s my effort of getting off my lazy ass and generating some energy burn. I found out yesterday from my Mom that the Honda Fit made Consumers Reports their best value, and Car and Driver put the Fit in their top ten for five years in a row.

OK, shift in focus. Sunday night it began to snow heavily here (I live in the southeast US). We usually don’t get snow, but ice storms instead. At night, it was so serene and picturesque. It was like looking at a huge Ansell Adams mural. When all was said and done, we ended up with 10 inches of snow. I had so much fun. However, I did learn one lesson…don’t attempt to make a snow angel in 10 inches of snow. When you fall back, it’s a longer way down than it looks, and then, once you’ve landed, all the snow falls in and buries you (my most graceful move yet). 4 days later, only the streets are finally cleared, but all of our yards are still covered with the leftover snow. The fact that the temp hasn’t risen above freezing all this time is making it harder for the snow to dissipate. But it sure was peaceful and beautiful. That, most probably, will be our big storm of the season.

I can tell I am losing some of the ground I gained when I was in that outpatient therapy program for 3 hours a day Mon, Wed, and Fri that lasted for three months. I feel the BPD becoming an issue again. I am isolating again and at the same time having a pity party that I don’t have more friends, then I take solace in my aloneness (I prefer that to loneliness). When I really think about it, I love living alone so much that I don’t even entertain the idea of dating much less having a girlfriend move in. I love my privacy. I love not answering my door (unless I know already that someone is on their way…I make them call me when they get in my driveway). I had fun with the Census Bureau. I did not fill out the form and mail it in. I feel it’s an invasion of privacy despite all their protestations that ALL information will be kept confidential. HA! They started coming by the house, first one, then another for a total of five visits. I ignored them completely. They even went to my neighbours twice (they had already been coached to answer in such a way that it did not reveal gender and number of people living in my house). I just don’t want someone knowing my business. While I applaud the medical community and their HIPAA regulations, we could sure use some of that stringent guideline in the private sector. Face it. Too many people know too much information on everyone. All it takes is this wonderful Ethernet world.

I promise, I promise to get back into my blogging on a regular basis. I guess too many of you are sick of listening to Santana. I left it as my playlist for this past year. Today, when I post this entry, I will change the music (I promise). It sure is nice to be back again.©2011

Week in Review 20 February 2010

I apologise for the delay in posting my weekly reviews. I have been so busy at work that time has just flown by. So let me catch you up since my last entry of Week Ending 30 January 2010 (see post below).

Work: My job is slowly piecing itself together. My confidence has risen a little bit and I finally got ahead of my emails. For the past three weeks, I have ended the day with as many as 90-100 unread emails. By Wednesday of this week, I finally tackled them all and now I may only have 6-12 emails I have not gotten to. What an improvement.

I feel as though I am actually accomplishing tasks at work and being able to scratch off items on my to do list. I still have about 20 requests I have not handled—some more complex than others.

My circadian rhythm has settled now. I am going to bed around 1930-2000 each evening because I am awakening on my own around 0345. My job requirements changed while I was out on medical leave. Before, if I was in the middle of something crucial and it went past my eight-hour workday, being salaried but non-exempt, I would be paid overtime. I ended up working 10-hour days frequently, which very easily made me feel burned out. When I came back to work 04 January I was told no more OT would be approved which really lightened my burden. Oh, sure, that always left me with not enough time to get my daily job done, but I was freed from the expectation that I would work the OT if I had to. So, I clock in at 0700 and clock out promptly at 1530. Because I am getting up so early, it gives me a chance to drink my hot tea, eat breakfast and stay on my strict medicine schedule.

Now, here is the bad news. Now they have decided to make us salaried exempt meaning if I have to, I am expected to work additional hours without being paid for it. In my book, I think that is a punch in the gut. That is management trying to cut the bottom line while still expecting superior work effort. Not sure when it goes into effect, but this had the potential to increase my anxiety levels.

My Psychiatrist: I had my appointment back on 03 February. He seems pleased with my progression, but concerned that I am still battling the depression. Overall, since the mood swings have stabilised I can see some improvement. He did not make any changes to the cocktail and now I have graduated to only having to see him once a month for the time being. I am looking forward to reaching the point when I only have to see him once every three months.

We talked about my residual symptoms of incurring Wernicke’s Encephalopathy which is still lingering. I am still having problems with my eyes as I am still experiencing saccadic movement  which slows me down at work. It is very frustrating. Also, I still experience short-term memory loss which is equally as frustrating. I have to take copious notes during integrated phone/data conferences so I do not forget anything. I cannot tell you the number of tablets I go through just collecting facts and action items on my part. My psychiatrist believes that my brain will heal slowly over time.

Individual Therapist: My last appointment with P was 03 February 2010. It was a non-event because I told her I was going to have to switch to a different therapist. P’s last appointment of the day is 1300, right smack in the middle of my workday. I need someone who can meet with me at 1600 or later. She highly recommended one of her peers equally qualified, but when I tried to make an appointment with S for two weeks, she was booked. I now have to wait until 09 March—one month out. I will try her on for size in hopes that we can make a connection. It is going to be a bummer having to start from scratch even though she has P’s notes in my record. I just hope she takes the time to read it before our first appointment.

My Car: Well, I am now the owner of a 2010 Honda Fit Sport. I have had it since 06 January and have only put 78 miles on it! I just do not have any long rides to takes around the city. Almost everything I do is right in my own neighbourhood. There is a small part of me that is excited by the fact that I have a new car. However, what is first and foremost in my mind daily is wondering if I can really afford this car. I did well in negotiating it down from the MSRP, but a car payment is still a car payment. It still has that new car smell. Also, I have made the decision that I will not smoke in this car. Hasn’t been too difficult. I just make sure I do not bring my cigarettes with me.

I will try to be better at really trying to nail down a weekly review on time. It’s hard to remember the small, but important details two and three weeks out.©2009

Week in Review 30 January 2010

Not much to report this week. I had no therapist, psychiatrist or GP appointments for a change

Work: This full-time work week hit me like a ton of bricks. It is as if all my clients all knew I was back in the office all on the same day. I simply cannot keep up with the email, nor respond as quickly as I used to with some of my more high-profile clients. I still have emails unread dating back to this past Monday 25 January.

I had one major escalation that was a forefront priority for me that I had to stay on top of from the start. The problem was presented to me last Friday afternoon and it resulted in a client wanting a particular service on a product we offer. I let the client know that I understood the importance of a speedy reply to see if we could accommodate his request. No one on my team could give me a firm answer, so I was directed to Technical Operations.

Well, that group did not respond back as quickly as I hoped, but I dropped the ball by not keeping the client completely in the loop in just continuing to communicate that we were still looking into it, but so far, we had not heard back from Tech Ops. The client decided to escalate the issue above me that did not put me in the fairest of light (sometimes you learn your lessons best the hard way).

When all was said and done and Tech Ops told me that we could not accommodate the client’s request, my main concern was regarding who should be the one to tell him: someone from Tech Ops or me (I figured Tech Ops could explain better the technical details of why we could not provide the requested service).

After getting a few other emails from the account team who was also working with this issue, including my manager, and realized that no one had STILL not communicated anything to the client—now a week later—I decided to be proactive.

I called him and reiterated just how important this issue was for them; I told him I that I was remiss in not keeping the lines of communication more fluid in the intervening time, and offered my apologies for the duration of time it took for me to give him a final answer that we could not technically provide the requested service. He was very understanding. He said that he knew I was working hard behind the scenes. I still took responsibility for my lack of communication, and we parted amicably. He said he would contact me next week about some other information he would be requesting, more notably the specifics of the services offered by the products we were supporting for them.

This whole ordeal probably put a smear in my column in my manager’s eye, but I just have to chalk it up to an experience learned. I have always felt very strongly about providing excellent customer service to my clients; I do not know why I dropped the ball on this.

My other problem, which might have leant itself to the aforementioned issue, was the enormous amounts of email that kept streaming in. At the end of every day, there have been approximately 80-90 emails I still have not read, some stemming back, as I said, from Monday the 25th. I only have eight hours in a day (no overtime allowed) and can only process so much. I quickly scan throughout the day the subject headers to ferret out what might be higher priority items. I catch what I can, but I know there are clients who are still awaiting a response from me. In some cases, the questions I am being asked require me to run reports which take 24 hours to run, so that already puts me behind a day. Then I get emails where I simply do not know how to take care of the problem (my memory is still wreaking havoc). Thankfully I have a 12-member team who I can reach out to, but I fear they will get tired of my questions soon enough. What I fear is that they will not remember that I was only on this new job for two-and-a-half months before being out on a three-month medical leave. Essentially, I am still on my learning curve. There are parts of this job I just have not been exposed to yet which is resulting in me being slow on the uptake.

The bright side of this week was my performance review that my manager held with me on Tuesday. He said he was remarkably pleased at just how far I have come in gaining experience in the position and how fast I was learning everything. He pointed to my desire to provide superior customer service as one of my strengths, and the one thing I needed to develop was my sense of self-confidence in performing my job. If he only knew! I did discover that the company approved raises for everyone and I merited a 3.5% increase. Well, it is better than nothing! I also found out that the company has approved a performance bonus this year payable in early March. I am not sure what mine will be, but I will be happy to receive whatever I get. (business has been good, thankfully).

My Car: Well, ole Betsy (never her real name, just seemed fitting at the moment) has retired. I have been spending the last two weeks searching for another car. I want to stay with a Honda as mine lasted for 16 years with mega-mileage. I looked at several dealerships thinking I would examine their certified used cars that came with a warranty. In each case, all they had were Civics comparable to mine —somewhat new, but with massive mileage. Sure, affordable, but I would be right back where I was in a short time. The other choices were the high-end Accords that were not affordable. I had already examined a new 2010 Honda Fit Sport that, when we got down to negotiating, was a far cry lower than the Accords. At this point, why should I pay more money for a used Accord when I can have a brand new Fit for a few thousand less? Moreover, this one comes with a lifetime power train warranty (the very thing that went out on my old car that never had more that the standard bumper-to-bumper three years or 36,000 miles). I did negotiate a good deal and got rid of the sales person and dealt directly with the manager who ultimately had the final say so. We must have pushed the proverbially piece of paper back and forth about five times. Nuts and bolts, I will be getting the car at $3500 less MSRP plus some of the options I wanted. I have never been afraid to negotiate and walk out the door, and this particular dealership (the last of the three locally, two of which I had already walked out when they didn’t meet my price) started hedging when I said that I was prepared to drive 90 miles or so across the state line to get a better deal. Then they started singing my song. I will be picking up the car next Saturday.


General Info: Aside from the constant anxiety at work, my bipolar appears still to be in balance. In addition, my sleep patterns are almost back to normal. It has been such a long time since I have been able to say that. Currently, I am not depressed or manic. Is this what “normal” is supposed to feel like? I would not know; I have never been here before.

Next week I have my appointment with my therapist and psychiatrist. I did have quite an unexpected expense this week. I had to get my bipolar meds refilled. I already know that I have to stay on them, so I bit the bullet and called my insurance’s 90-day prescription by mail program. I had to fill my Geodon and Provigil (not generic) and my Lamictal. Because I still had $1150 of my $1200 deductible, one or some of those meds were going to have to be a full retail price. I almost fell off my chair when they quoted me the Geodon at roughly $1172 for a 90-day supply. So, that drug alone covered my deductible and I got the other two dugs with the insurance cap. Now, how many people can say that they’ve met their medical insurance deductible by the third week in January…LOL.©2009

Anxious About Returning to Work

Well, tomorrow is my first day back to work after almost 12 weeks of short-term medical disability. I had only been working in my new job for approximately two-and-a-half months. I am afraid that I will not remember how to do my job. This is a high-stress work environment and I have a lot of high-profile clients that I serve. I am not sure I am ready for this.

Last week my psychiatrist faxed in a request so that my first two weeks back be half-days only. The disability group is scheduled to review that and decide today. I sure hope they approve this request. I have also left a voicemail with my manager requesting that my work schedule be shifted a tad earlier in the day so that I will be working 0700-1530 (not that I have ever only worked eight-hour days). In reality, this time around I am not planning to work any overtime. Working all those extra hours before set me up for my eventual downfall (aside from the very important fact that I went off my meds). I have not heard back from him yet; I hope he agrees to my request. Being able to be off the clock by 1530 will give me the chance to accommodate any doctors’ appointments I may have.

I am looking over at my corporate laptop which has been turned off for all of this time. I am even anxious about booting it up. Not that the laptop will not boot, but I wonder if all my access passwords into the network have been changed since I have been out all this time. I have to have access in order to be able to work from home so I can VPN into the network. I remember what all my passwords are, but they all have time limits on them. Some are only good for 90 days.

I am not even sure how to begin my workday. I ordinarily receive anywhere from 150-300 emails a day. I cannot even fathom how many unread emails are in my account. That thought alone has my hands shaking. Just as I was starting my disability time off, my department was being reorganised and eventually was slotted to be under a new management chain. My manager is still my manager, but the food chain on up from there changed above his level. I hope I am not in for any nasty surprises when I return (meaning I hope I still have a job). I know that my job has been protected while out on FMLA, but that doesn’t mean they can’t come back to me as soon as I get back and say to me, “Oh yeah, Alix, while you were gone we eliminated your position. Thanks and have a nice day.”

I have left another voicemail this morning for my manager to call me back at some point today. I hope he is in. Chances are, he may have taken a few vacation days before the New Year during the time I left my previous voicemail; I need to talk to him today before I report back tomorrow. That is the downside to working remotely from home. My team is located all over the country. The only communication we have is via phone calls and email.

Well, I have planned out my day today to reorganise my office space back to the way it was before I took all this time off. I am also planning on reviewing all of my training notes to have everything fresh in my mind before tomorrow. I woke up this morning at 0430 and am already feeling tired. This does not bode well for my sleep patterns the rest of the week. I hope I can sleep a more work amenable schedule tonight.©2009

Outpatient Therapy-Final Session

Yesterday was the last session of my group therapy program. I began this intensive program 21 October and we have met three hours/day on Mondays, Wednesdays and Fridays. Yesterday marked my 30th session.

Initially, I was very phobic to these sessions. Similar to my attitude when I was involuntarily committed , and knowing I was only obligated to attend for two weeks, my original intention was to skate through those six sessions with no effort on my part. I was still pissed off at the world for how I had been treated to date; I did not want to be in therapy and I certainly did not want to get better.

You just cannot imagine the amount of rage that pulsed through my veins—think Incredible Hulk. However, as the mandatory two weeks came to a close, something was triggered inside of me. Somehow, I came up with the idea that I no longer wanted to go on feeling the way that I did. That level of rage and profound depression was eating away at me and I simply had no more energy left. I voluntarily agreed to stay in the program having no idea that it would take this long.

There was a very detailed daily check-in sheet we each had to fill out. It was basically a way for the therapist to determine and track our progress. The dynamics of the group evolved over time with old patients being discharged and new ones being admitted during my stay. While the overall group was large (in my eyes), averaging around 18-20 folks, once everyone took the 10-15 minutes to fill out the check-in sheet, we always split into two smaller groups. The groups remained split while everyone reviewed their sheets, and we all came back together as one group after the break to start the second half.

I could handle the smaller group in which we each shared what was on our sheets. Based on our input, the therapist would probe further with each of us and ask penetrating questions. The sharing half had a tendency to be somewhat tedious at times. Every so often, there would be patients that liked to hear themselves talk. Repetition is the key word here. They would go on and on about one particular issue and even talk over the therapist as if they had no interest in listening to her feedback. I could see the frustration on the therapist’s face every once and a while. As a result, sometimes the first half of the session would take a long time.

After the break, when we all gathered back together, I had a major problem. I had a rough time being around large groups of people. The noise level would always increase and sometimes everyone would talk at once. That started freaking me out. Therefore, I retreated from the large table in the room (it was actually five conference room-sized tables arranged in a large square) and sat in the chair against the door right by the back emergency exit—it was as far as I could get from the group. The emergency exit was not wired to an alarm, and when it got to be too much for me, I’d walk out the door and take a breather. Being that it was the end of autumn as winter approached, the cool, brisk breezes usually refreshed me.

The second half of the session was psycho-education [I’m sure that Alfred Hitchcock could have had valuable input here :)]. This outpatient therapy program was based on dialectical behaviour therapy (DBT).  When I tried to commit suicide back in 2005, I went through a DBT program after I got out of the hospital. At that time, I thought that DBT was pure bullshit. It all centres on learning tools or coping skills to manage various stressors (depression, anger, rage, anxiety, etc). Being that I had been diagnosed with Bipolar I Disorder (BP) and Borderline Personality Disorder (BPD), everyone thought that this type of therapy would be one from which I would benefit. Back then, I thought all these coping skills were stupid. Sure, it might work for some, but I just could not imagine me taking the time to think through whatever emotion I was feeling at the time and remembering which tool would help me through that situation most effectively.

When I realised that this time around would be centred on DBT, I was quite cynical. However, after about four weeks into it, I discovered some tools that could actually serve me well (see this for a list of tools). Without a doubt, using these skills effectively requires constant practise. You cannot expect to utilise a skill and then have it at your fingertips until you practise it. Once practised, when you face an emotional obstacle, you can more readily adapt effectively.

I also realise that there is a lot of controversy around DBT. Some who have been through the training think that it is bunk as I did. I can say that I do not agree with the entire skill set. I learned what tools I knew I could use and left the others behind (there are some I still think are bullshit). All I can say is that it is up to each individual to determine what works in his or her best interests.

That being said, the first half of my last session was great. Our small group only consisted of seven patients and our small group never had the loud mouths (I am grateful that Mr. Noisy was in the other group!). I knew three of them; the rest were new patients. When I finished sharing my check-in sheet, I received wonderful feedback from the therapist. She basically said that I had done a 180˚ from the time I started the program and was extremely pleased to see the progress I had made. It had taken me all this time to see the huge steps I had made. Don’t get me wrong; I am far from being all fixed up. That is why I am going to continue with an individual therapist. BP and especially BPD can take quite some time to manage. While some professionals banter about the word recovery, I think the best I will be able to muster is to manage my BP and BPD to a tolerable level. Only time will tell.

The second half of my last session was surprisingly smooth. While Mr. Noisy was present and accounted for (as well as the other few loud mouths), the group discussion on the continuing module of assertiveness was quite ordered. It was quite appropriate that my last module would be on this topic. As I have mentioned previously, despite my butch bravado, I really could bolster this skill.

Saying goodbye was harder than I thought. All of the patients who had been around for a while (with the exception of one other patient, I had been there for the longest duration) took their time saying goodbye to me and wishing me luck for my future. As someone laughingly said, “Hope to see you at Wal-Mart should our paths ever cross again.”

Overall, I have to agree with the therapist. I have come a long way since I tried to commit suicide on 10 October. It has been a long road for me, some of it fought tooth and nail against any type of recovery. I know I still have a long way to go, but for now I will just accept the fact that I am in a better space than I was almost 12 weeks ago.©2009

Outpatient Therapy-Day 29 (28 December)

Because of the Christmas holidays, the majority of the folks did not attend on Monday. After that last fiasco the previous Wednesday, I was glad the whole group was not present. In fact, with the exception of two other people, everyone else was from the other small group. I was concerned because Mr. Noisy was there, but when it came time for him to share the information from his daily check-in sheet he took a direct approach and did not go on and on about everything for a change (as he usually does when both groups join back up for the second half of the session).

It was odd sharing among this group; only two other people really knew me. My check-in sheet was pretty much straight forward. This was the second-to-last one I would be filling out and what a comparison to the first one I filled out 11 weeks ago. So much had changed over all this time. I knew that this coming Wednesday was going to be my last day. The input I received from the therapist was very positive. She couldn’t be as insightful as our small group’s regular therapist (ours was out for the holidays), but she still remembered the state I was in when I first joined the group. I at least appreciated that. She saw the tremendous difference in my attitude, but mostly how much I had changed in the anger area.

The second half of the session was spent still going over assertiveness. Much like the anger management module, this was a long one as well. Being more assertive is something I need to get under my belt. Much like the self-esteem module, the two seem to go hand-in-hand. The group discussion was far more controlled than last Wednesday and Mr. Noisy was less dominating throughout the discussion. I didn’t really have much input that day; mostly I listened to what the therapist was saying.

There is one tool I have been taught that has served me well. It’s called Using Your ABCs. “A” is awareness: the acknowledgement that an event has occurred—it is what it is and no value judgement is placed. “B” is your belief of what that event is. “C” is the consequential emotion of that belief. A ≠ C, but B = C. The theory is if you can acknowledge what the event is and form a healthy belief about that event, the consequential emotion will be a healthier emotion rather than a destructive emotion. Here is an example. “A” = my family has refused to invite me to family holiday celebrations. “B” initially was that I felt unwanted. “C” resulted in an emotion of anger and hurt that escalated more than the situation warranted which cascaded over the rest of the day and then some. If you can change the “B” to equal a response more like “Well, they are the ones missing out on my joining them,” then “C’s” consequential emotion will be healthier along the lines of perhaps still being hurt and yes, somewhat angry (there are times when anger is a perfectly rational emotion), but the intensity of the emotion will be far more controlled and not spill over into everything else that will ultimately escalate (or for as long as you repeat the same thought process).

These tools are serving me well, but I acknowledge that it is up to me to practice them so they will be available for use when I need them. Going into this program, I initially thought these tools were just a bunch of bullshit, but over time, I learned that they merited some attention on my part and realised their value to my success. I will be discharging from this group therapy this Wednesday, After doing this non-stop three days a week @ 3 hours each day, I have found the experience to be quite beneficial. While I am looking forward to being finally discharged since joining this program 21 October, I imagine there may be some group therapy withdrawal I may have to go through initially. This program has become part and parcel of my life since being committed on 11 October as an inpatient.

I have a follow-up appt with my individual therapist in early January to segue into a continued therapy module rather than just quit. I still have unresolved issues to deal with, most notably the tremendous stress I am feeling about returning to work. Yes, I am going to feel somewhat disconnected when my group therapy sessions come to an end this Wednesday.©2009

Outpatient Therapy-Days 27 & 28 (December 21 & 23)

Monday was supposed to be my last day of group—the insurance company had only authorised sessions through then. I was not prepared for it to end. Despite my attitude at the beginning, I have gotten a lot out of this therapy and I think that I have made significant strides. I asked my therapist what process I had to go through for discharge and she told me she didn’t think I was ready, especially with the Christmas holidays coming up—she knew I would be alone as, once again, my family enjoyed their celebration with no nod to me. I am beginning to get used to the idea of spending the entire holiday season alone. My son came to visit me two years ago, but he lives out West and, for both of us, it can get rather expensive just to fly in either direction. So, the therapist told me to return on Wednesday as she was going to submit a request to see if the insurance would authorise additional days.

The second half was on self-esteem—something I am sorely lacking. Despite my butch bravado, I saw traits from the description of those who have poor self-esteem and I ranked right up there. That actually pissed me off a bit. Nevertheless, in reality, I do not always stand up for myself and usually take a back seat. I am not exactly a doormat, but I am not as assertive as I could be. It’s odd as at work I can take the lead with regard to directing projects (considering I have taken that blasted Six Sigma training), but when I am relating to others on a personal level it is more apparent.

As the session drew to a close, I wondered if today was going to be my last day. I gathered my stuff and flew out the door as I had another iron infusion directly after group.

I came back Wednesday morning and was pleased to find out that the insurance company had authorised three more sessions, including Wednesday, through December 30th. That would take me through the New Year’s weekend leading right up to when I was supposed to return to work. When our “small” group was sharing, I tried to process the difficulty and anxiety I was feeling about returning to my job. I fear that I do not remember how to do what I have painstakingly spent three months trying to learn. I try to stay in the moment as I still have another week to go, but I cannot help worrying about it. I feel stuck and do not know how to reinsert myself into the routine. I got a lot of good feedback from the therapist and others, but it did not necessarily quell my anxiety.

The second half of the session was on assertiveness—something that I am not very good at as I am more than likely to be either aggressive or passive aggressive. The entire group, as usual, gathered for this part and our entire group is getting way too large for me. It is enough that my little group, when we split for the first half, has too many people. I have discovered that there are a couple of noisy “talkers” in the other small group. As the therapist began her discussion on this topic, those talkers always had something to say about everything and would get into their own discussions if they disagreed with each other. The more they spoke, the louder they got and more people started getting into the action.

It was becoming too much for me. I wanted to listen to what the therapist had to say and ask my questions if any came up. After a while I thought, hell this is a topic on assertiveness, I think I will try it on for size. Rather than just jumping into the fray as everyone else had been doing, I raised my hand (OK, that does not exactly project an assertive position). The therapist piped up (she was pretty good about keeping the group on topic) and nodded to me. I waited for everyone to get quiet, looked around, and gave everyone eye contact. Then I explained that it was hard for me to be around large groups of people, especially when it got loud and everyone was interrupting each other. I told them that when they got carried away, I felt anxious and asked everyone if they could respect my position.

At first, everyone just stared back at me and then the therapist chimed in first. She said she was glad I spoke up and voiced my concerns and told me that it was an assertive position I took and was very appropriate (I thought to myself, “So there, hah!”). Then the noisiest of the bunch jumped in and said to the therapist, “Excuse me, but don’t you control our group?” She said it was a group discussion, but everyone had to be aware of each other. Then Mr. Noisy said, “Well, I’ll respect your position.” I looked at him and wanted to say, “What am I, chopped liver?” What I really wanted to say was, “Fuck you” but I did not (so OK, I was not completely assertive). For a while everyone seemed to settle down, but it did not take him long to go back to his diatribes and, once again, everything exploded. There were ten minutes left to go, so I just decided the statement I would make would be just to pack up my stuff and leave the room. I was not that quiet about it (here is where I was being passive aggressive), pushed back my chair and got up and walked out of the room. I though, “Well, we’ll have Friday off for Christmas, so that will give me a breather.” However, I was glad my insurance had authorised two more sessions.

Two more days until Christmas. To tell you the truth, this year it has almost snuck by me. I do not get out much so I have not been too exposed to the shopping traffic. Moreover, I definitely do not go to the mall. I have forgotten that it was going to be Christmas on Friday. For me, it will just be another day.©2009

Appt With Psychiatrist #10 (Thursday 17 December AM)

Today is going to be the last weekly session I will be attending. From this point forward, I will be seeing my psychiatrist every two weeks for a while, then once a month. I will miss the weekly visits, but he and I both agreed that I have made tremendous strides since I tried to commit suicide. It will also be much easier on my billfold as my insurance does not cover any of his fees (he is out-of-network and that deductible is $5500—it will be quite a stretch to incur that much of a balance any time soon).

He has decided to increase my Lexapro to 40mg/day. We have both been pleased with how effective it has been even though I am currently experiencing a setback in my depression (which is the reason increasing the dosage). It has been the only anti-depressant I have ever taken that has had such a marked difference in my depression without tripping a manic phase.

I learned something new today. I just happened to mention the strange reaction I experienced on Monday after my first iron infusion. He said it sounded like I experienced Cataplexy that would explain the sudden onset of fatigue along with the loss of muscle tone. It is frequently associated with narcolepsy and Provigil just happens to be one of the drugs that combat narcolepsy, which might explain why I did not have that reaction yesterday.

Overall, I am glad that I have made such progress thus far. I have received excellent therapy support from both my group and my psychiatrist. I think I am going to have therapy withdrawal once I go back to work. I have arranged to start seeing an individual therapist once I finish with group. I have already seen her two times and I think we have the chance to build a good rapport.

What was nice about today is that my appointment was at 0700 and I have nothing else scheduled for today. It will be nice to have some down time.©2009

Outpatient Therapy-Day 25 (Wednesday 16 December AM)

My group therapy session today did not go as well as I had hoped. I am feeling more depressed these last few days, since Saturday, but I did not realize how much until it was my turn to share. As I was going through my daily check-in sheet, when I got down to the section marked “current stressors,” I had written that I was facing huge financial burdens due to all the medical bills coming in and that I still had to find the extra money to support buying another car. As I was talking about this, the tears just started rolling down my face. I hate crying, especially in front of other people, but I could not keep up my façade. I was not even sure what the catalyst was of my recent downturn of my mental status, but as I was sharing this, it became apparent to me that my money issues must have been playing a good part of my increased depression. Of course, there was no real tool to deal with these emotions—anything I tried was fruitless. My bills were not going away and there was nothing I could do about it. The latter concept should have given me a clue as how to handle this situation—to accept it at face value and deal with it. But, how can you deal with knowing you have much more outgo that income?

Just to add to my worry and anxiety, today is the last day of my short-term disability. Both my group therapist and my psychiatrist have submitted extension requests, but when I called the third-party vendor that administers disability claims, I was told that the decision would be rendered tomorrow, my first day back to work. I am definitely not ready to face that stress. I left a voicemail for my manager indicating that, while tomorrow is supposed to be my first day back, I was unable to return and that the claim decision would be made tomorrow. I indicated that if the extension is denied, I would like to take my remaining vacation days through the end of the year (I had 14 days still coming to me, and while I was going to be using up 10 of those days, I would end up losing the other four as my company does not allow someone to carry over any vacation days). Then I sent him an email saying the same thing. If they do deny the extension and my manager does not go along with my vacation request I will risk losing my job according to the FMLA rules—I would no longer be protected by the federal guidelines imposed by FMLA. Why can’t the disability group make their decision by the end of today to give me a heads up as to what I should do about tomorrow in case I do not get a reply from my manager? My psychiatrist submitted his request along with the supporting documents on Monday, two days ago. They have previously decided with paperwork only submitted 24 hours ahead of time. Why did they need 72 hours this time?

I also have to go by my GP’s office right after group to get my third round of those iron infusions. I am not looking forward to that considering how many times they had to stick me Monday just to find a vein. I also had that weird reaction when I got home, but when I reported that to the clinical specialist yesterday, she looked up the reported side effects. While feeling tired was one, feeling that extremely tired along with the muscle fatigue and feeling bone-chilled made me think that something did not add up. I do not want to get the same reaction again this afternoon. I am worried in case these side effects start appearing while I am driving home. To be on the safe side, I put a tablet of Provigil in the pill container that I always carry with me. I just hope they can find a vein much easier today. I still have bruises from Monday’s attempts.©2009

Outpatient Therapy-Day 24 (Monday 14 December-AM)

I have been somewhat disappointed these last couple of days. I was doing so well last week. Since my short-term medical disability is only approved through December 16th, so I thought I would be ready for discharge from this group therapy program. The therapist recommended that I return today to wrap everything up, but after this weekend, I could tell that I was more depressed than last week. I do not know what the catalyst was, but I am glad I had the chance to return. My daily check-in sheet showed a marked decrease in my level to function since last week.

One thing that I am disappointed in is that there have been a lot of new admission over the last couple of sessions. I still cannot handle being around many people. When the entire group gathered this morning to fill in the daily sheet I sorta freaked out. I moved from my spot at the table to a chair against the wall in the far corner until everyone finished and the big group split. Unfortunately, that still left a lot of people in my own group. I miss the folks that were part of my original core group when I started, but with the exception of two other people, everyone is fairly new. I have no rapport with them. They do not know my history. When it comes to my turn to share what is on my daily check-in sheet, how can they determine my level of progress (or in this case, the steps I have taken backwards)?

Even though there were still a lot of people, once the group split, I assumed my seat at the table (I always sit in the same chair—the one closest to the back door leading outside if I have to escape for a short period of time). Luckily, the person already sitting there was part of the other group. The therapist asked who wanted to go first and I groaned because we go around the table and it was going to take forever to get to me. As much as I put forth when it is my turn to share, with all these new people I had no idea how long it would take them to get through their sheets. Some people have been known to go on and on about not much at all. Not that I am trivializing their plight, but to repeat the same scenario over and over again from one person can get to be a bit much.

Actually today, it was interesting to hear the new folks share. So many of them were in exactly the same mental space I was in when I first started. It gave me a new appreciation for the strides I have made even though I feel like I have taken a few steps backward these past few days. Then, finally, it got to be my turn. One of the things I processed was my interesting reaction to my first visit back to my church after a nine-week absence since I tried to commit suicide. Here I was anxiety-filled at facing all these people for fear of what they would all ask me about my absence. Sure, some of the folks knew the truth, but there were a bunch that did not. I can still remember how stricken I was standing outside at the front door for fear of what would happen once I went inside (see post below).

Once I described how lonely I ended up feeling after the service was over since no one approached me (I had to keep telling myself it was because they were respecting my privacy), the therapist thought it was quite oxymoronic.©2009

My Return to My Church

Today I am gong to try to go back to my church after nine weeks. I am feeling very anxious about this. The anxiety has been focused just upon opening that door after all this time. I plan to arrive after the service has started to avoid anyone ahead of time. I know people will notice when I come in and I am also anxious about what to do after the service. Do I leave early the same way I came in? With my cane, I am not walking as quickly as I could. What happens if someone comes out to the parking lot after I leave as I walk across the street back to my house? My exposure is greatest at this point. On the other hand, do I stay until after the service and just get it over with and let everyone welcome me back? I have 45 minutes before the service starts and I am trying to use my tools to quell this anxiety—stay in the moment and not try to project—take it 5 minutes at a time if I have to…

(later)… About five minutes before leaving the house, I decided to do some deep breathing exercise to calm me. That seemed to do the trick. I walked across the street and approached the front door having no idea what to expect. I opened the door and the service was late getting started, but everyone was sitting in their seats. When one individual noticed me, she said rather loudly, “Hi Alix,” and that was it. The service started and no one paid any attention to me. The message that the pastor preached was a good one for me to hear. It was all on how a mighty God we have. At the end of the service, I stayed for a few minutes and it was the dénouement. No one came up to me. I think I was a little bit disappointed, but I did not have to deal with anyone. Maybe everyone was just respecting my space. Therefore, I stood, put on my jacket and walked out the door feeling a little lonely. It is odd, while I had such anxiety about dealing with everyone, when everyone had the chance to say hi to me to welcome me back, no one did. Maybe next week will be different. But, I finally crossed that threshold.©2009

Outpatient Therapy, Day 23/Psychiatrist Appt #9

Today’s session went really well. My therapist said I had made such strides over the last seven weeks that she agreed that I could be discharged on the 18th. Today, in fact, we had some new people and some that have been in the group for a little while that had it rock bottom and the therapist used me as an example how things can really get better. I feel good about myself today—something that I did not foresee being able to say even a couple of weeks ago.

I have built up a small coterie of close friends that know me intimately—the ins and outs of my mental illness. This has become my support group, yet another thing I about which I did not even think about. I was isolating so much and vindictively pushing people away to purposely further isolate me. The ironic thing is that the majority of this small group is made up of people with whom I had gone to church. That is my next major hurdle—reinserting myself back into my church. I am feeling less anxious about it, but something is still holding me back. Perhaps it is because not everyone knows my complete story and I certainly do not want to share that with anyone who has not been along for the ride.

I still do not know what “normal” is, but I feel more content than I have for a long while. I have not had any suicide ideation for a while, but the main concern I have, feeling this good, is that I am not ramping up to swing into the manic dark side. I am carefully looking for signs, and my friends know what to look for, so they may see it before I do.

I am going to try to go grocery shopping by myself, cane aside, this weekend. I will see how I deal with being around a large group of people. This should be a good test for me. It has been the one hurdle I have not passed (aside from returning to church). I have gone shopping with a friend that lessened the anxiety, but it is time I try to do it for myself.

I also saw my psychiatrist this morning before group. He also seems pleased at my bipolar improvement. Now that I am getting about six hours of sleep these last two days he has agreed to start reducing my Zyprexa, yet one less pill to take. He is going to submit an extension of my disability (currently ending on the 16th) to return to work on Jan 4th for two weeks at half-time to gradually get accustomed again with full time beginning on the 18th. I hope they approve this extension, as I am simply not ready to return on the 17th. He is not sure if it will fly since I have made such improvement, but he is certainly going to try. He is going to send in the paperwork on Monday.

Well, folks, that’s my story for today and I am sticking by it!©2009

Outpatient Therapy, Day 22

Yesterday was the first day that I have driven anywhere outside of my own neighbourhood area for a couple of weeks, since I sideswiped the 18-wheeler on the interstate. I have not had one of those dissociative episodes when driving in a while, so I thought I would take a chance yesterday and drive myself. The weather was just awful. It was pouring and visibility was cut to almost 500 yards/457 metres. I left an hour early just in case and was quite anxious about driving on the interstate the whole way, but I got there OK.

Had the weather been fine, having arrived so early, I could have sat outside and smoked until group started, but I was relegated to sitting in our room for a while before some of the others started to file in. I had my daily check in sheet already filled out since I do it from home before I get there (gives me more time to think and try to remember the details).

After the huge group split we started out “sharing” routine. I volunteered to go first as I had to leave early since I had an early appt with my GP yesterday as well. I had a good report to share and even had a smile on my face that everyone made a big deal about. Afterwards, the therapist commented that I was showing marked improvements exponentially. I think it has a lot to do with my psychiatrist putting me on the Lexapro a couple of weeks ago. I asked the therapist if she could mark some time for me after one of our sessions as I want to talk with her about my discharge from the program. While I have made huge strides over the last eight weeks (it was eight weeks ago today that I tried to commit suicide), I knew it was getting to the point that I could no longer afford to be in this program. Yes, my insurance is helping, but 10% of this, that, and the other adds up with all of the appts I have been having. I feel that my seeing my individual therapist now, along with my psychiatrist should be enough to continue with my recovery. I do not necessarily want to leave the group, but I have to make some decisions financially.

I cannot believe it has been eight weeks since I tried to commit suicide. The whole memory seems like such a hazy nightmare to me. On the one hand, I want to forget about everything. Yet, I have to remember it all to keep where I am at now in proper perspective. I have made some huge strides since then and I cannot forget this. So much has changed for me. There are more evenings than not where I can be in my house all alone at night and be safe. I am not sure what “normal” is supposed to feel like, but I do know that I am not as profoundly depressed as I have been. It seems that my bipolar is slowly being reigned in. The positive aspect is that I haven’t swung onto the manic side since starting the Lexapro, a valid concern my psychiatrist has as giving anti-depressants to bipolar patients in a profound depression can kick off a manic episode since the anti-depressant can kick you over to the other side. I have been carefully watching for that. I am getting more sleep now than I have been, and my talking does not seem to be any more excitable than normal. When I am manic, that is the first sign I can spot. I will get on the phone with someone and not shut up the entire time and I talk fast and excitedly. So far, I do not see any evidence to that.

Could it be that my bipolar is finally coming into balance? I am almost afraid to think that one aloud. Once my bipolar is in check, then I can start looking at my borderline personality disorder issues that, for obvious reasons, have been put on the back burner. I can continue that work with my psychiatrist and individual therapist, although I am not sure how to begin that whole scenario. There are some deep-seated issues that I have to work out, and this is going to take some time.

Meanwhile I am socialising more. My friend A called me as she was leaving work last night to check in with me and I asked her if she wanted to stop by my house on her way home. She enthusiastically said yes and I thoroughly enjoyed having her visit for almost 90 minutes. It is so nice to have people with whom I can talk about every day things. This is one area that I have seen positive changes in me. I am not isolating nearly as much. Right now, all my socialising is one-on-one; I have not tried to be in a group of people yet outside of my group therapy sessions, so I am not sure how I am going to handle that. I am going to try to start attending the NAMI meetings (National Alliance on Mental Illness) that take place Monday evenings right around the corner from my house. It is going to be similar to group with a different twist. According to the facilitator I spoke with the other day, there are only about 10-12 people that attend regularly and I will not have to say anything if I do not want to. I imagine I will just sit quietly for the first couple of meetings until I can get the lay of the land.

I am still on full-time short-term FMLA disability, but that runs out January 18th. Right now I am approved through December 16th, but I am now going to have my psychiatrist (instead of the group therapist) put in for the remainder of the time to see if they will approve the extension. My psychiatrist does not think I am ready to return to work anyway, and he wants me to start back only working half-days. I’m thinking, with the deadline coming up (yes, I could always convert to long-term disability, but that’s only at 70% of my pay which I cannot afford) I could put a return to work start date for the 4th of January to work half-days until the 18th. I personally think I need more time than that, but I am financially constrained. To tell you the truth, what I dearly wish I could afford is to go on full time SS disability, but I cannot afford what they would pay out, and Medicaid will not kick in until you’ve been on disability for one full year. I cannot afford to be without insurance. Sure, I could get COBRA from my employer, but since I cannot already afford what disability would pay, there is no way I could also afford the COBRA coverage. Caught between a rock and a hard place.©2009

Outpatient Therapy, Day 19 & My Early Christmas Present

Since I am not allowed to drive myself to group (at some point that will have to come to end and I cannot rely on the good wishes of friends who want to help; I just feel I am being intrusive.) I have to get over my fear of driving and side swiping an 18-wheeler did not add enough to my plate already! Therefore, on Friday I sat and waited for my “limousine.” K called saying she was on her way, so that should take about 20 minutes. Man, I hate winter. You bundle up like crazy for the early morning only to have to strip down by mid-afternoon when the temp gets up to 67˚F/19.45˚C. On those days when the sky is full of sun, I just sit in my comfy camp chair and put on my iPod and bask in the sun. I actually got a sunburn on my face last weekend!

I have made a template in Word to emulate the daily check-in sheet we must spend 15 minutes filling out. This way, the morning before I leave, I can just plug in the answers and be done with it. It buys me time to smoke a cigarette. I have even colour-coded my answers to indicate where my responses are.

I counted the number of pills I take every morning. There are 11: three for blood pressure, plus one for Selenium (those results finally came it and it was abnormally low) and one for the Thiamine. Moreover, I am back to giving myself my B12 injections once a month. That leaves me six daily for my bipolar disorder, not that they are working yet. That does not even count the five I take at night.

(later) There were a lot of fresh faces Friday morning, but I did well; I continued to sit at the table despite the full room. Then, after everyone finished filling out their daily check in sheet, we split back into our two smaller groups. However, out small little group was getting bigger. We did out “sharing” part and I was pleased that the therapist said I was showing marked improvement in certain areas. In the second session, where I usually resign myself to the corner away from the table, I decided to sit at the table and interact with my peers, clearly an improvement for me. We are still working on anger management issues which has been a good one for to listen to.

Well, high noon came and K was out there waiting for me. When we got home, she said she had some food she wanted to put in the fridge. Then, she put her hands on her hips and said, “Why don’t I help you clean up?” My dear friend spent three hours scouring my kitchen and cleaning my living room. In the pit of my depression, I just stopped caring for how the house looked and let it go to seed. I couldn’t believe the amount of work she did while she basically told me to go and sit down. What a caring gift that was to me. It was so nice to walk into a clean kitchen and sit in a clean living room.©2009 

Appt with Psychiatrist #8

We’re still doing psychotherapy for 50 minutes weekly with phone calls interspersed. He’s concerned over my profound depression. I made a half-hearted attempt to commit suicide Sunday night. I say half-hearted because I didn’t drink any alcohol which I know would seal the deal. I think halfway through, once I swallowed the pills, I realized I didn’t want to go through with it. My consequence: well, I did sleep for 4 hours, but felt very groggy. That morning tried to drive my self to group and got sideswiped by an 18-wheeler—my fault, I veered into his lane. Luckily, I self-corrected and stayed in my lane. Unfortunately, my car has the scars to prove it. Moreover, I fell asleep during the whole first session of group (no I didn’t snore, but no one woke me up either). At the break, I guess all of the noise woke me up, but my therapist wouldn’t let me drive home, so I called a friend to pick me up. I guess some of the drugs I had only taken a few hours earlier had not fully metabolized.

Well, back to my shrink, he has increased my Lexapro to 30mg. I found out that the normal dose is 10-20mg. I sure hope this helps me. I am on so many medications. Maybe once my Thiamine levels get within appropriate range things will start to change.©2009

How I Handled Yesterday

Knowing I was feeling very depressed yesterday (see post below), I was afraid to be alone in my house for fear that my suicide ideation would begin. I decided to be proactive during the day. I already know that my front porch does not offer me much solace as it once did, so I decided to try the backyard. I sat in my camp chair (very comfortable with two cup holders) in the full sun while listening to my iPod for the duration of the day until the sun went down. It was 61˚F/16˚C and absolutely beautiful. I was still very depressed, but not suicidal. When the sun went down, I went inside to bundle up and stayed outside until the stars cam out and watched the moon rise. I was out of my house and safe, and that is all that mattered.©2009

Outpatient Therapy, Day 15

I have skipped posting on these group sessions on a regular basis because there was nothing unique about them, or anything of substance. However, I had some good news to “share” with the group this time that allowed me to rate some good scribbles on my chart for a change. I was able to successfully demonstrate skills that deals with my isolation issues since my past weekend had me actually enjoying time spent with friends outside of my house. The key factor for me isn’t just being able to connect with people, it also has to do with getting me out of the house and exposing myself to conditions that actually force me to isolate (being in situations where there are lots of people). However, it was no small feat for me to have initiated those phone calls that resulted in those plans.

While there are still four more problem areas as outline in my treatment plan, I obviously have much more work to accomplish. My therapist still feels I am not ready to go back to work this coming Tuesday and will be putting in an extension for my FMLA for an additional two weeks. I am frustrated with this because, while my job is incredible stressful, I love what I do. She just firmly believes I am in no shape at this point to handle that level of stress.

The second half of the group was spent on anger management issues, something that directly applies to me. While I have been able to deploy some of the tools to combat my isolation issues, I have so many additional skills that I have been taught that I still cannot use. Therein lies my problem. Anger is a big one for me. When I become rage filled, that last thing to enter my mind is any of the tools.

I wonder how many more of these sessions I will have to attend. What once started out as a two-week requirement for discharge has now stretched into five weeks (the additional three were not under any requirements, but voluntary on my part).©2009

Momentum

This past weekend has been a banner one for me as far as decreasing my isolation and reaching out to my friends. Of course, you’ve read about my coffee date with K on Friday and my grocery trip with A on Saturday. Well, I discovered that I needed to go out once again, and to the mall no less where it was teeming with people. Mind you, I am not a mall rat; in fact, I cannot remember the last time I was there. However, there is one thing I need every year and can only find it when the independent vendors set up their kiosks at Christmas time. I use this huge grid calendar that I hang on the wall right inside my bedroom door. Each square is large enough to accommodate multiple entries and to write them in large letters so I can read them. Therefore, I called K and asked if she would mind taking me to the mall.

We were not sure at which end to park, so we picked one anchor store and went inside. The idea of walking all over the place to find this particular vendor was rather daunting to me. However, we spotted a mall security guard as soon as we got there. He did not know where it was, and upon spying a walking talkie radio, I suggested he call out and find out if anyone of the security guards knew where it was.

Now that we knew where to go, we started negotiating our way among the throngs of people, impatient kids running away from their parents, and a mass of strollers with shrieking babies. I hugged the interior wall for fear that someone would kick out my cane from underneath me. I was not handling the mass of people very well, but stuck to my guns as I looked at this adventure as a mission to complete. Having K there made all the difference as I could focus on her and keep up a running dialogue as we walked.

I espied our target and once acquired we headed directly there. I got my calendar and out we went. That said, I am still fairly sure I don’t want to return, at least by myself as the crowds were somewhat suffocating. However, I did accomplish my stated mission and nothing happened to me. A week ago you couldn’t have paid me to insert myself into that situation. K has been a valuable friend as she knows my boundaries and is more than willing to be there whenever I need her. Lesson learned: I can tolerate what I most fear, even if I have to have a friend walk me through the process. I am still not capable of doing these things alone; having someone with me allows me to concentrate on my continued conversation and ignore the people. I did not have a panic attack.

Afterwards, I invited her back to my house where we talked for about an hour before she had some things she needed to attend to. This is the first time I have let anyone into my home since that fated night. All in all, I feel as though I making progress as far as my isolation goes. Now I have something to talk about when I go to group later this morning.©2009

More Baby Steps

I have to start by saying that Friday afternoon, when I got home from going to Starbucks with K, I had an uneventful evening at home. I was not anywhere close to being suicidal as I sat in my house at home all alone and my depression did not seem to be as severe. I actually felt somewhat content. I am sure it all had to do with the fact that I got out of my house and went somewhere with an understanding friend where we just talked about normal stuff for two hours—what a difference 24 hours can make.

Well, I must be on the good vibrations roll this weekend. Friday, when I got home from coffee with K, I called my other friend A (who provided me with all those safety gadgets for walking late at night). Due to my limited mobility right now, I asked her if I could go grocery shopping with her the next time she went. She mentioned that she was planning to go Saturday around 1100 and she said she would be happy to take me along.

As it approached 1100, I began to feel the anxiety rising. I had not been inside a grocery store since I egged those patrol cars three weeks ago. I was not sure how I was going to deal with all of the people and noise. When A came to pick me up, I was somewhat calmer because I knew I could step outside the store if need be. It was good to see her again. I have never gone grocery shopping with a friend before. In addition, pushing the cart gave me more stability than my cane since I could hold onto it with both hands (no, and that is an emphatic no, I am not got to get a walker!). I was doing pretty well as we traipsed through the aisles until I forgot something and had to go all the way back to the beginning and retrieve it. I was alone, faced a slew of oncoming people, and had a mini-freak out session, sorta like a “deer-in-the-headlamps” experience. I just grabbed the cart, stood still and closed my eyes and took some deep breathes and just concentrating on standing outside in the sunshine. Well, it worked and I did not have to actually leave the store.

I found A and we were ready to check out. I was in a single file at the checkout lane, but I went first and gave some distance to the woman in front of me—talking with A helped keep my mind in the moment. The next thing I knew, we were back in her car riding home where she helped me carry in my groceries. I really enjoyed myself.

Between getting coffee with K on Friday, and spending time with A at the grocery store on Saturday, it represented the first two occasions when I got out of my house to do something with other people that also involved going to places where other people would be. It was not as bad as I thought it could be. Yesterday, after getting home from the grocery store, I felt content yet again. I had set a goal and followed through on it. The rest of the day went smoothly, and when nightfall came, the most fragile time for me when I am in my house all alone, it was not so daunting.

My severe depression seems to be abating somewhat. I don't think it's solely attributable to the Lexapro I just started taking; in fact, I think it has more to do with the decrease in my isolation.  I got 4 hours of uninterrupted sleep last night. I went to sleep at 2300 and rose at 0300, so it still makes for a long day ahead of me, but I felt rested when I awoke. So, today is Sunday, the day I used to go to church. Nevertheless, that is not going to happen today. I am still not ready to go, and I am not sure I want to anymore ever since I got that comment from Sharon on one of my previous posts. I have to ask myself, does everyone there judge me the same way? Do they all think that I am a fraud? I have to keep reminding myself that her comment only represents one opinion from one person and I do not have to accept it, but I cannot help but wonder if others feel the same way. No, I am not ready to face them and all their questions, aside from the fact that it will be a room filled with people (albeit a small number, but people nonetheless). Right now, I’m just please with my baby steps forward.©2009