I saw the Psychiatrist. He challenged on my thoughts etc. I found it really hard. I could see what he was doing though. One of the things he said was "you have come and asked for help. But it seems as though you don't actually want it". He meant that I came to appointments and I was asking to be helped but I am not doing anything to help myself. He said the times when I needed help the most I wasn't seeking it out. I think I can deal with things on my own and file the problem away but really I haven't dealt with it. Like on Friday I was feeling bad, aggitated, suicidal etc. I thought I had dealt with it but Saturday went to show I hadn't. He asked me why I wouldn't ring crisis team, I was under their care for a reason and how it looked to him was that I wasn't accepting the help that had been offered.
I explained to him that I thought I could deal with things myself and that I felt pathetic at having to ring them when it is minor things that have got me in to a tizzle. I feel that there are people who are in worse situations who deserve their time and I prefer to try and deal with it on my own. I explained how I found it really hard to speak to people on the phone. Especially people I didn't know. That's why these hotlines don't work for me. If I am talking about something personal I need to see their face to gauge their reactions. I can talk about it on here and my blog as it is anonymous. I said I have a thing of where I get to know someone and then rely on them for support. I said I knew it was unhealthy but I struggle to be open and honest with people I don't know. One of the things that worries me about crisis team is having to explain everything. Having a different person each time and having to tell them everything.
He then went on to say that I couldn't just rely on one or two people. What if they are ill, on annual leave etc. I know what he is saying as I could really do with talking to Sam my counsellor about the weekend but I know she is on annual leave. She said text me if you have any problems but I don't want to disturb her time off. It's not fair on her. I would call Mike at PM but there is nothing they can do as they are assessment only. So that leaves me with no one to call and no one to off load on about what went on at the weekend.
Anyway...plan of action...
Clinical Psychology want to work through the counsellor I already see. The Clinical Psychologist supervises a lot of staff already from that organisation. Dr T said there was a good chance she already knew my case as may have been discussed in supervision...but she wouldn't know me by name. So what they are hoping for is the clinical psychologist to lead Sam in what she does with me. This would work a lot better for me as would mean I didn't have to go to the hospital where I have worked numerous times to go see her and have that risk each time I go and I am limited on when I can see people. I have counselling sessions in the evening after work which works and I only have half a day each week as study leave. So fitting it in around that schedule would be hard and could mean I am waiting weeks if not months for an appointment that would come up when I have that half a day off. He also said it would probably be better for me to work like that as it's obvious I find it hard to trust new people and find it hard to build up that relationship to it means I can continue to work with Sam who I know and don't have the stress of the new person thing. He also said if I was to work with the Clinical Psychologist directly I would have to stop seeing Sam as wouldn't work as approaches may be slightly different.
I am being referred to have a key worker/CPN. I asked him for one quite early on in the appointment and he said that was something he was going to discuss with me as he thought that would be beneficial.
He asked me if I would call crisis team when I am struggling. I find it hard to know when I am struggling and what if any triggers are. He asked me if I thought if they should call me and I said that would be better then I don't have the hurdle of picking up the phone.
He said he could tell I was putting up a lot of barriers and that I wasn't doing myself any favours. I told him about trying to kill myself while I was in hospital. He asked me why. I told him why. He challenged me over that saying I had gone to the hospital for the infection in my leg wanting help. I had gone voluntarliy so it was obs something I was concerned about. Yet while I am there I tried to kill myself. He asked why then. I explained that I was struggling. I told him I did even try crisis team but I couldn't get through. I had told the nurse I was also.
He said I didn't try hard enough to get through as all I needed to do was call local hospital switch board and asked to be put through. I thought if I did that it would page them (as the person I did speak to at psychiatric hospital switch board said I needed to call local hospital switch board and they would page them) and I didn't want them rushing down thinking I was going to top myself I just wanted to talk to someone. I wanted to speak to someone. I was really freaking and couldn't self harm which I had tried.
I explained that I saw it as an opportunity for it to look like an accident. He then went on about consequences. Who would have paid them. I said no one. As it would have been an accident and he went on to tell me how wrong I was saying that the nurses would have been found negligent and the ward staff and others on the ward would have paid the consequences. So that made me feel bad. I am already feeling bad about what happened over the weekend and had a shit result back on one of my essays. So yeah not good really.
He asked me to throw my needles away. I was honest and said I wouldn't. I said I knew I would cut more if I did and I saw that as being worse as meant that I required services. And that this was stopping me from cutting. I knew I couldn't throw them away. Not yet. I am not sure if I ever will be able to. Even if I come out of this episode then I will need to have them there as a just in case.
So now I suppose I have to wait for crisis team to get in contact. For CPN/key worker referral to go through and for the next time I see Dr T which will be towards the end of March. So no change really. I am still in the same position. I still feel crap and suicidal. It was noticed today also that I was quiet at work. I just blamed it on being tired.
So I don't really know what I can do now. Not seeing Sam until a week on Wednesday as of her annual leave.
I explained to him that I thought I could deal with things myself and that I felt pathetic at having to ring them when it is minor things that have got me in to a tizzle. I feel that there are people who are in worse situations who deserve their time and I prefer to try and deal with it on my own. I explained how I found it really hard to speak to people on the phone. Especially people I didn't know. That's why these hotlines don't work for me. If I am talking about something personal I need to see their face to gauge their reactions. I can talk about it on here and my blog as it is anonymous. I said I have a thing of where I get to know someone and then rely on them for support. I said I knew it was unhealthy but I struggle to be open and honest with people I don't know. One of the things that worries me about crisis team is having to explain everything. Having a different person each time and having to tell them everything.
He then went on to say that I couldn't just rely on one or two people. What if they are ill, on annual leave etc. I know what he is saying as I could really do with talking to Sam my counsellor about the weekend but I know she is on annual leave. She said text me if you have any problems but I don't want to disturb her time off. It's not fair on her. I would call Mike at PM but there is nothing they can do as they are assessment only. So that leaves me with no one to call and no one to off load on about what went on at the weekend.
Anyway...plan of action...
Clinical Psychology want to work through the counsellor I already see. The Clinical Psychologist supervises a lot of staff already from that organisation. Dr T said there was a good chance she already knew my case as may have been discussed in supervision...but she wouldn't know me by name. So what they are hoping for is the clinical psychologist to lead Sam in what she does with me. This would work a lot better for me as would mean I didn't have to go to the hospital where I have worked numerous times to go see her and have that risk each time I go and I am limited on when I can see people. I have counselling sessions in the evening after work which works and I only have half a day each week as study leave. So fitting it in around that schedule would be hard and could mean I am waiting weeks if not months for an appointment that would come up when I have that half a day off. He also said it would probably be better for me to work like that as it's obvious I find it hard to trust new people and find it hard to build up that relationship to it means I can continue to work with Sam who I know and don't have the stress of the new person thing. He also said if I was to work with the Clinical Psychologist directly I would have to stop seeing Sam as wouldn't work as approaches may be slightly different.
I am being referred to have a key worker/CPN. I asked him for one quite early on in the appointment and he said that was something he was going to discuss with me as he thought that would be beneficial.
He asked me if I would call crisis team when I am struggling. I find it hard to know when I am struggling and what if any triggers are. He asked me if I thought if they should call me and I said that would be better then I don't have the hurdle of picking up the phone.
He said he could tell I was putting up a lot of barriers and that I wasn't doing myself any favours. I told him about trying to kill myself while I was in hospital. He asked me why. I told him why. He challenged me over that saying I had gone to the hospital for the infection in my leg wanting help. I had gone voluntarliy so it was obs something I was concerned about. Yet while I am there I tried to kill myself. He asked why then. I explained that I was struggling. I told him I did even try crisis team but I couldn't get through. I had told the nurse I was also.
He said I didn't try hard enough to get through as all I needed to do was call local hospital switch board and asked to be put through. I thought if I did that it would page them (as the person I did speak to at psychiatric hospital switch board said I needed to call local hospital switch board and they would page them) and I didn't want them rushing down thinking I was going to top myself I just wanted to talk to someone. I wanted to speak to someone. I was really freaking and couldn't self harm which I had tried.
I explained that I saw it as an opportunity for it to look like an accident. He then went on about consequences. Who would have paid them. I said no one. As it would have been an accident and he went on to tell me how wrong I was saying that the nurses would have been found negligent and the ward staff and others on the ward would have paid the consequences. So that made me feel bad. I am already feeling bad about what happened over the weekend and had a shit result back on one of my essays. So yeah not good really.
He asked me to throw my needles away. I was honest and said I wouldn't. I said I knew I would cut more if I did and I saw that as being worse as meant that I required services. And that this was stopping me from cutting. I knew I couldn't throw them away. Not yet. I am not sure if I ever will be able to. Even if I come out of this episode then I will need to have them there as a just in case.
So now I suppose I have to wait for crisis team to get in contact. For CPN/key worker referral to go through and for the next time I see Dr T which will be towards the end of March. So no change really. I am still in the same position. I still feel crap and suicidal. It was noticed today also that I was quiet at work. I just blamed it on being tired.
So I don't really know what I can do now. Not seeing Sam until a week on Wednesday as of her annual leave.
