Friday, 5 February 2010

Leave me alone.

I don't know how much longer I can do this for. It's eating away at me, and I have no answer for it. No drugs or therapies which I think will work, no suggestions or witty remarks left. I cut myself, pathetic scratches on my arms when I want gaping wounds. I restrain myself, but for what? This is a slippery slope, you make tracks, then slip back, ending up lower than where you started. Maybe this is just life, what everyone experiences, but what I want to know if how do they cope, hold down jobs, keep relationships alive.
I go back to work, fail again, go back to work, fail again.
I want to disappear, maybe I could take a coach, hole up in a B&B for a few weeks until these thoughts settle down.
STOP TELLING ME TO KILL MYSELF. I DON'T WANT TO DIE. I just don't want to live. I don't think I do. I don't know anymore. I'm not hearing voices. I'm just having strong, strong compulaions, suicide is all I can think about, I can't escape it. My entire self is taken up resisting it, and I have no answers to this.

EDIT: I saw my GP this evening. I was advised to take my medication, go to work, and come back in a month. I do take my medication. I'm seriously struggling with work. I don't want to be here in a month.

Friday, 22 January 2010

Off Sick Again

Wednesday was extremely stressful at work. There is a bug going round the ward, and we have some patients in isolation. Running between rooms, taking obs, 5 sets of aprons and gloves, I felt like a hesdless chicken. Delayed train on the way home, finally got in, felt a bit sick, went to bed. Woke up at 4am and spent an hour kneeling in front of the toilet bowl. Havn't actually been sick, but have felt it, and couldn't eat all of yesterday. Had some food today, still feel a bit nauseous. Could just be somatic? Me, attention seeking mental and that jazz.

In better news, have got a letter offering me the Honours degree, and will be accepting. Now, I just need to get into good enouh shape to return to work.

Have lost 7 pounds in the two weeks. Not quite sure how.

Want to lose more, always the same, a little bit slips off and you think how much better you looked at under 100 pounds. Ha. Although you kept fainting and getting ill.

I don't like this placement. New mentor is actually a brilliant nurse though. It's just the general running of the ward, money seems to be extremely tight. Havn't really thought much about the money side of things on the ward before, aside from cab fares and expenses for activities or outings.

I suppose ending up sitting across the table from Grandad's consultant didn't help. I was so tense, felt like if I relaxed I'd end up shaking him by the shoulders, why didn't you help him? Why did he have to die? The only one who understood me, the one I am most like. I see his moods in Little Brother, and pray it's just the start of teenage angst. I'd give anything for him not to have to go through this.

Friday, 15 January 2010

Can we ever truely accept the impact of our illnesses?

So, I went back to work on Wednesday. I worked Thursday. Today I slept through my alarm after a difficult night and I am totally exhausted.
I have had to realise that I was quite unwell when I originally started my placement, and that is hard. Will I ever accept it? Or will I keep battling on and being crushed every time I realise that it does have an impact on my abilities, and no matter how much I try, I have periods where I find it extremely difficult to function.
I am so tired. I feel like a huge failure, because I am unable to cope with what everyone around me seems able to do. 37.5 hours a week, that is all. I am exhausted after two days. I was tired after just 4 hours. I don't feel low as such, just negative, but I think that is because I am watching myself fail all over again. I know this placement is not going to last forever, I just need to do the hours and get it finished, but all I want to do is sleep.
I'm always more tired than my friends and my collegues. I don't know if this is the condition or the medication. I really feel quite hopeless. I just want some energy.

Sunday, 3 January 2010

"Insight" isn't all it's cracked up to be

I'm acutely aware that I am not in a good way right now.
I don't think hospitalisation is appropriate, or that it would be beneficial right now. Maybe in a few days if this continues.

It took my boyfriend a lot of prompting to encourage me to shower. Evntually he had to tell me that I smelt. Bad.

New Years Eve was supposed to be a good night of paced drunkeness. Instead, I got stupidly drunk. I still had a good night, overall, but I know that I was a mess. I climbed into a friend's bed to crash out for an hour or so, and I think I really annoyed his girlfriend. Firt time we meet, get on quite well, then they try to go to bed and I'm in it. Well done moi.

I'm glad that I am able to enjoy some things still, at least some of the time. However these rapid changes in mood are becoming problematic, particually as my main means of coping in social situations is to drink heavily. Actually, the only thing I have soberly enjoyed recently was meeting my baby cousin.

I met my mum at the shops today and I really found that hard. I hate feeling this detached from myself. She said maybe it is the new contraceptive, as she won't really acknowledge my mental health problems, and although I agree that could be a contributing factor it doesn't change the fact I'm struggling.

I can't concentrate on TV, even short programmes. I can't concentrate on reading even a page, although I used to read several books a week. I can't listen to music, as I'm finding it all too fast to take in. Blogging is hard, although can be helpful in short stints. Conversations are increasingly difficult, with me unable to finish half my sentances. I used to be articulate, intelligent, ME.

I want myself back. I don't want this, I never asked for this, I hate this.

Mental illness has turned me from a capable teenager with a bright future, into a young woman who struggles to care for herself and has repeatedly failed at life.

That is how I feel right now.
I have failed at life.

I was headed for fucking Cambridge and now I can't even care for myself.

Thursday, 17 December 2009

Goodbye, Friend

RIP Simon "Vampire Chaz" Martin.


A man found hanged in a secluded wooded area did not commit suicide, a coroner has ruled.

Simon Martin, 29, was found hanging in the early hours of Friday, August 21 – hours after he was reported missing by anxious family and friends.

Coroner Edward Thomas, however, ruled there was insufficient evidence to prove the popular call centre manager had intended to end his life.

Hatfield Coroner’s Court heard yesterday how the father-of-one was found, just metres from his Bucknalls Close home, sitting under a tree.

This unusual position, Mr Thomas ruled, meant he may have died accidently when a cry for help went tragically wrong.

Mr Martin, the court learned, had been struggling to cope with financial problems and the breakdown of his relationship.

It was also revealed that, just three days before Mr Martin’s body was discovered, he was assessed by a mental health nurse at Watford General Hospital when he was found by police officers “contemplating suicide” in another wooded area.

GP Dr Kay Mackell told how she had treated Mr Martin the following day, Wednesday, and advised a programme of counselling. Fighting back tears, she remembered how he had left her surgery in a “pleasant and positive” mood, vowing to tackle his problems head-on.

Later that night, however, Mr Martin left the flat he shared with his girlfriend after learning there was no chance of a long-term reunion.

The court heard how, in the early hours of Thursday morning, he left, promising to return in 15 minutes. He was reported missing later that day and his body discovered in the early hours of the following day.

Mr Thomas, after hearing two hours of evidence, said there was insufficient evidence to record a verdict of suicide. It was possible, he said, that Mr Martin had intended only to attract the attention of those he loved.

He added: “Did he know that that action would definitely cause his death? I think he would have known that this was a dangerous act. Whether he knew it would definitely cause his death – I don’t know.

“It doesn’t take very much [pressure around the neck] to cause unconsciousness and asphyxiation.”

Parents Helen and Mark said after the hearing: “He was the best son that anyone could have wished for. He was kind, caring and would do anything for anybody. He was a fantastic guitarist, a great skateboarder and one hell of a good guy. We all miss him terribly and always will.”

Mr Thomas recorded a verdict of self harm.


Also - Goodbye Scott MacNamara.
I miss the old days, me sitting on the sofa, brushing your hair.

Someone once told me by the time I was 30 a third of my friends would be dead by their own hand. I laughed it off but it does seem that way.

Tuesday, 15 December 2009

A Sharp Reminder

I write this with tears in my eyes.
I have just watched the second half of the very moving "Can Gerry Robinson Save Dementia Care Homes?" [BBC iPlayer]. I feel so much for the residents of these homes, having spent most of last year seaching for somewhere suitable for my Nan before she died*.

I have also seen care of this sort, as it is often "the norm". People don't realise the capabilites of those with dementia. I had a placement on a ward, which I felt was generally good, but which certainly failed its usual standards in the early morning. Once staff had come on shift, following the handover, there was around 45 minutes for 6 staff to assist the clients to shower, dry and dress. Some where able to do this with little assistance, but normally there were around 18 people to assist. Most needed two or even three staff members to assist, mainly due to mobility issues, or because they could become aggressive**.
Older people have fragile skin, and often need much more care. A quick rub down is not sufficient to dry them, and they will often need to be assisted to apply cream etc. You need to check for pressure sores, bruising, soreness or damaged skin. You need to respect them as a person, assist them to change into their clothing, assist them to chose colours and textures whenever possible. I could easily spend a hour with someone, longer even, enabling them to wash themselves and choose their outfit, do their hair. 18 people, 45 minutes, staff working in pairs. Thats 7.5 minutes per person. It seems quicker to many staff to just do it for their clients to get the task done, because you simply don't have the time to take.
When I worked on a adult ward, I worked with a lovely lady who was very confused. I spent over an hour assisting her with showering, even washing and applying cream my own face to show her what to do, as she found it easier to copy than to follow verbal directions. Just spending time choosing her shower gel, enjoying the smell of it, or the feeling of having her hair done.

We need more staff, particually more regular staff. Bank staff simply do not know the clients and the clients do not know them. Staff need more training, and we need to have the time to spend with clients and families to find out the important things. What is your mother's routine? Does she shower or bath, morning or evening? What products do they use, lots of bubbles or just unscented soap and a soft flannel? Do they like to read books, or the morning paper? Do they take sugar in their tea?

How can we provide personalised, patient centred care, when we don't really know our clients?

I'm tired. I'll continue something along this line another evening, because the guinea pigs need their hutch cleaned out.


*On this note, I read each of the homes' reports in depth, for the past few years. I had whittled a long list down to just four which I planned to pay several visits to with my mum, in order to find somewhere that I was happy with. I forwarded this list to my uncle, to keep him informed, and he replied with the ones he had looked at. It was a list of every home in the area, including the ones I had sent him, with no attention paid to ratings or inspections.

**And why shouldn't they be aggressive? They've awoken in what may seem to them a strange place with people they do not know. They have been assisted half-asleep into a wheelchair, taken to one of several bathrooms, and these strangers are removong their clothing and putting them in water?

Thursday, 10 December 2009

1st Class Honours In Plotting Your Own Demise.

THIS MAY BE TRIGGERING.

We just received our results for the 2nd essay of Branch, Bio-psychosocial Interventions, Unit 2. I got 68%, which should be making me happy. I have more than proved myself capable of completing the degree, in an academic sense at least.

However, the current placement isn't going well. To be frank, it isn't going anywhere. I'm low. I havn't been to placement since the first week, when I managed just 2 days. I can't think, make decisions, concentrate. I'm sleeping 14 hours out of 24, and despite trying to force myself out of bed every morning this week I'm sleeping though the alam, or simply to tired to be of any use.

I'm reconsidering my career, and looking at working part-time if or when I qualify. Maybe I can work for Mind, Rethink, or a similar organisation. I don't think I am going to maintain my health well enough to work on a ward or in a community setting.

That's bullshit. I was reconsidering my career. Right now I'm considering dying. I am still being plagued by suicidal thoughts, and they are becoming increasingly worse. My mind is plotting to kill me, even though I try to smother the thoughts, divert my attention. I find myself thinking of suicide every time my boyfriend leaves the house, wondering if I have enough time. Enough time to make a proper job of it, not get found vomiting or swallowing handfuls of pills. I wonder which to take first, whether I should throw in a bottle of vodka or a few packets of paracetemol to help things along. Maybe I could try and get my hands on some anti-vomiting stuff, to stop me chucking the lot back up.

Maybe I would get half-way through taking them, and have to phone for help, mortified and disgusted at myself. Would I be disgusted at myself for taking them or for not finishing the job? To be honest I am not quite sure.