Thursday, August 29, 2013

Admission # 4543986

Here I am in hospital again; I arrived on Saturday following three days of panicked medical practitioners and a visit from the CAT team (really it should just be CAT, because the T stands for team, but it sounds incomplete without adding team on the end). I am very fortunate to be here, after the incident in my last private admission I should be black-listed, but they agreed to take me on the condition that I have no leave - which I am fine with as I don’t trust myself out and about anyway. Precipitating my admission was an overwhelming sense of hopelessness, which is still present, a very detailed and certain to work suicide plan and severe social phobia. The suicide plan still exists, the only reason I’m not bent on carrying it out is that my mother has already lost her husband this year, and perhaps losing her daughter so soon would be unpleasant. I can’t win with the social phobia, I get extremely lonely, but the idea of being around people is terrifying. One-on-ones are fine, but only my mother has been to visit. The dining room is hard, so many people talking at once, and I can’t always get a table to myself. Unlike Vic Clinic – which I’m now banned from – this hospital is mostly private rooms, and they’re quite nice, so staying in my room is not the grim experience it is at Vic Clinic.

Medication-wise; I’m withdrawing from Zoloft, which sucks; re-introduced to Valium, which takes the edge off the terror of venturing into the dining room and therapy groups. My psychiatrist hasn’t yet decided whether to start me on a new anti-depressant or to see how I go without, since historically they tend to make me worse, but do improve my anxiety. ECT is unlikely because of the damage it has inflicted on my memory, I’m willing to have it though because I figure the damage is done, so why not ruin it some more. (Plus I really like the anesthetic).


That’s all for this update.

Saturday, August 3, 2013

Seroquel = Good

Basically, things really suck at the moment.

Crowds of more than a handful of people = bad
Being awake = bad
Being alone = bad
Being with people = bad
New experiences = bad
Boredom = bad
Lester (cat) = good
Future prospects = bad

Suicide = very attractive, considered more carefully and thoroughly than in the past, date and place in mind. Pity I always forfeit at the last moment.

Saturday, July 6, 2013

Borderline Personality Disorder Explained

I posted this in full rather than just the link because I want you to read it, not just see a link and move on. I've included the authorship details just so it's very clear this is not my work.





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Borderline personality disorder is characterised by problems regulating emotions and thoughts.Image from shutterstock.com

We all possess a unique set of personality traits that make us who we are. These are the usual ways we perceive, think, feel, behave and relate to others, and they tend to be consistent across time and situations.
Personality traits can become “disordered” when they’re extreme and/or inflexible, making it difficult for the person to adjust to their environment. This causes significant distress and disruption to the lives of those with the disorder. And because it’s difficult to form and maintain relationships, it also affects the lives of those around them.
Borderline personality disorder (BPD) is a severe mental disorder characterised by problems regulating emotions and thoughts, unstable interpersonal relationships and self-image, and impulsive and self-damaging behaviour. The disorder exists along a continuum of severity, with symptoms varying from person to person. These might include:


Around 3% of the population – and one fifth of psychiatric patients – have BPD. Image from shutterstock.com

  • emotional volatility
  • excessive anger
  • “black and white thinking” about relationships (being either all good or all bad)
  • a distorted, unstable or unformed sense of self
  • intense fears of abandonment
  • chronic feelings of emptiness
  • recurrent, deliberate self-harm (such as cutting)
  • impulsive behaviours with a high likelihood they will cause damage, such as impulsive alcohol use, repeated unsafe sex, binge eating and so on
  • feelings of unreality and suspicion when under stress.
BPD was officially recognised by the psychiatric community in 1980 and is currently diagnosed when a patient has at least five of the nine criteria listed in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5). While experts generally agree that “borderline personality disorder” is a misnomer, based on the now disbelieved theory that BPD lies on the “border” between “neurosis” and “psychosis”, they have been unable to reach a consensus on a more accurate term.
The disorder affects 1% to 3% of youth and adults and one-fifth of psychiatric patients, usually beginning in adolescence or early adulthood. This, of course, increases the potential for further developmental disruption into adulthood.
People with BPD also have high rates of psychiatric disorders, such as depression, anxiety, and eating disorders and alcohol and other drug use. Sadly, up to 10% of adults with the disorder commit suicide.

Causes and risk factors

Our understanding of developmental pathways leading to BPD has been improved by recent research studies, but there is still much that is unknown. However, we know that people with a personality disorder don’t choose to feel the way they do.
It’s likely that genetics and environment play a role, with genetically “sensitive” individuals at greater risk of BPD if they find themselves in an enabling environment. A number of childhood and parental demographic characteristics, bad childhood experiences, early relational difficulties, and unhelpful parenting styles are risk factors for BPD.
But these risk factors are common to many psychiatric disorders,making it hard to explain why an individual might develop BPD, rather than another disorder.
Preliminary studies also suggest the brain regions involved in the regulation of emotions and behaviour play an important role in BPD.

Treatment

The treatment of BPD has progressed significantly over the past two decades, with new Australian guidelines outlining interventions for the management of BPD in youth and adults at all levels of the health-care system.
Several structured psychological therapies have been specifically designed for BPD. The best known and most widely practised of these is Dialectical Behaviour Therapy (DBT). This combines individual and group therapy and is directed at teaching skills to regulate intense emotional states and to reduce self-destructive behaviours.


BPD has a reputation as being difficult to treat. Image from shutterstock.com

Some features common to all of the effective therapies include having a clear treatment framework, managing emotions during therapy, the therapist being active with the patient, and using exploratory and change-oriented interventions.
When these are conducted by trained and supervised health professionals, they are effective in improving the lives of those with BPD by reducing self-destructive behaviours and improving emotional control, interpersonal relationships and vocational functioning.
Research shows that medications should not be the main treatment for BPD. Medications can be used for co-occurring problems (such as depression) and might have a very limited role as a specialist treatment for some of the symptoms of BPD, and they can lead to long-term complications.

Treatment hurdles

Many people with BPD have experienced significant adversity in their early lives, which is likely to be both a cause and an effect of BPD – and it often continues into adult life. This requires particular sensitivity among health-care professionals.
But BPD has an undeserved reputation among clinicians of being difficult to treat. Complications arise in part because the interpersonal problems at the heart of BPD also affect relationships with professionals. Consequently, patients can encounter prejudice and discrimination within the health-care system and this often compounds their difficulties.
While BPD is a severe psychiatric disorder, it responds well to treatment. The principal challenge is to strengthen the health-care system so that it can provide timely, high-quality, consistent, respectful and collaborative care for people with BPD.

Tuesday, June 18, 2013

Six Glasses in a Bottle

didn't think it was that much, but apparently livers don’t like it if you drink a double shot of scotch most nights – two on the others... I had some blood tests three weeks ago, one of which - without my knowledge - was liver function. Bad. So since getting the results, and a polite telling off from my GP, I've had a glass of wine on two occasions and that’s it, until tonight. I’m not in a scotch mood, really I’d like a good red wine, but there’s none in the house and I’m in my pyjamas with no intention of getting dressed today. I've had a bottle of MoÑ‘t in the cupboard for a few months, until last night when with great foresight I put it in the fridge. Now to drink the whole bottle before the fizz dies. Sorry liver. 

Saturday, June 15, 2013

Driving Away

It is quite possible that tomorrow (well later today, but after I sleep) my car, a 1997 Ford Falcon which looks something like this
will be replaced with a Honda Jazz. I was grateful to my mother, who recently decided to buy my brother and I replacement cars for the death traps we are currently driving. But now that the reality is looming I’m having second thoughts. My current car is a moving testament to my dad’s impulsiveness; one day he decided that a great replacement for my old, but reliable grandma-mobile was a 6 cylinder family car and went out and bought it without consulting anyone. I must admit it was a blessing at the time, since I was spending 98.9736% of my time in the Dandenongs and quite enjoyed getting up the hill without a struggle. But really, what single woman in her 20s drives a thing like that. The car is definitely not road worthy, and I would like something smaller and newer, but it’s another memory of Dad gone. I don’t know if it’s deliberate or just thoughtless efficiency, but my Mum has purged the house of most things which suggest Dad once walked the earth, and the car is soon to be another one to leave. Also, the Jazz is blue.

Wednesday, June 5, 2013

I Can Fly

Day two not on any antidepressant and I haven't killed myself yet. That pretty much makes me a superhero. I assume it's still in my system though, we'll see how the next week goes.

Just out of boredom and because it helps my memory I was reading through my blog a few nights ago and discovered this gem written May 25th last year:
"My doctor (G) came to see me this evening and he had some interesting news, my genetic medication test finally came back. I think I wrote about it but I'll refresh you; it's a test to see how I metabolise drugs, whether I hyper metabolise, don't at all or if I'm normal. There are several categories the drugs fall into, I metabolise all but one normally, the other category I can't metabolise and lucky me - Cymbalta is in that. G said that explains why I'm having side effects even at a very low dose and that he'd like to take me off it and start me on another one as soon as possible."
Cymbalta is the drug I've just quit - again! He put me back on it a few months ago during my last admission, obviously forgetting about the testing and of course I didn't remember, thanks to ECT I'm lucky I can remember my own name, no no it's not that bad, my name's Maureen, right?

Monday, June 3, 2013

Next Time You're in a Womb Don't Try to be Different - Just Grow Normally

PAIN! Do you think if euthanasia was legal in Australia hip dysplasia would be a qualifying condition? Oh fuck it hurts right now. My kind physiotherapist and GP have both blessed me with the news that this is only going to get slowly worse over many years, eventuating in a hip replacement, and if I’m lucky it will only be the left side. Today I got to experience two other types of pain also. I had my breasts squeezed in a torturous instrument commonly known as a mammography unit, but I think it should be re-named mammary pancake maker. That was followed by a very long ultrasound, which kind of made up for the pain, as it was sort of like a massage, only sticky. To accompany the hip and boob pain I’ve also been enjoying the normal every day emotional pain, the knowledge that I am merely a hollow pile of skin bone blood and fat. On the fat front, I’m trying a new tactic, only mandarins after 4pm – since I get up at 12, that should work.

I sung at church last night for the first time since fish decided to walk. I also beed nice to people.

I’m going to find somewhere warm and soft where I can sob in pain now. Maybe I could have it cut off...

Thursday, May 23, 2013

Yes

I can bake whilst drunk, just spilling quarter of a bowl of melted butter on the tiles and improvising some parts of a recipe I've never used before. I think it turned out pretty well, just had to mop the floor.

Wednesday, May 22, 2013

I Have to Bake a Cake Tonight - I Wonder if I Can do it Drunk?


Language warning for my more sensitive readers.

11:02 – Phone call from mum: Wake up your brother, he has a driving lesson soon. Roll over.

11:04 – Call brother from mobile phone lying conveniently next to head to wake brother up. No answer. Shit. The heating isn’t on and it’s nice and warm in bed.

11:12 – After debating pros and cons of leaving him there and hoping that as a 19 year-old he’s responsible enough to get himself up for a 12pm driving lesson choosing to get out of bed to wake brother up.

11:12:20 – Turn heating on so house is warm when I eventually decide to make my second exit from bed.

11:20:40 – Back in bed with sheet over my head because my eyes and ears are cold.

Dream about being a passenger on a bus heading up a high mountain with no trees whilst trying to escape a tornado. I scream at the bus driver to go faster so we’re not eaten up by the swiftly approaching tornado. There’s an explosion to our left outside a farmhouse. Me and my two fellow passengers command the bus driver to go back to offer assistance to whoever was involved. We find an upside-down truck with the driver lying unconscious a few meters away. He has a hole in his chest and something is wrong with his hands. We call 000 and try to help him to the best of our ability, he’s still alive. I find a yellow hand gun in the truck, it seems he shot himself in the chest. I move it further away from the man incase he wakes up and wants to shoot himself again because he didn’t die the first time. The paramedics arrive, look at him and decide that before taking him to the hospital they’ve got time for a coffee from the café which has just emerged from nowhere with lots of customers and a long queue. I show one of the paramedics the gun and we find a rifle in the back of the truck. I don’t know what happened to the tornado.

01:34 – Second emergence from the land of warm and soft.

01:34:40 - Mouthful of water followed by a rather large antidepressant capsule and more water.

01:36 - First ever attempt at using mum’s Nespresso machine – “Why the hell are you flashing that red circle at me, just do your job. Fine I’ll turn you off and start again” Machine off, disassembled and reassembled. Take two. “Stop that fucking flashing and froth my damn milk you piece of shit lazy person’s excuse for a coffee machine.” Milk down the drain and find that the froth-maker-bit-of-magnetic-metal-cone isn’t exactly where it should be. Take 8000. Coffee!

01:I don’t know what – The Age, The Guardian, The Conversation and Facebook catch up. Nothing really exciting. New X-Box revealed overnight, brother stayed up to watch it live.

3:55 – Clean the kitchen so it looks like I’ve done something when mum gets home.

4:10 – Get dressed and groomed, hair up for the first time since cut, it’s still long enough for a pony-tale, thankfully.

4:30 – Start reading “The End of Your Life Book Club” – I like it.

5:20 – Mother comes home and tells me off for leaving her coffee machine on all day. Continue reading.

7:10 – Trip to supermarket to buy the butter I forgot yesterday along with several impulse purchases

7:35 – Eat dinner and drink scotch

8: something – Write a stupid list of day’s lack of activities to bore people in the over-share world we live in with.

Thanks for reading, I’ll write interesting things when they next happen to me. In the meantime I just feel like writing sometimes so I’m writing this shit. Sorry.

Monday, May 20, 2013

A Bit of DIY


I’ve been meaning to get a haircut for a while – like maybe 18 months… A friend is going to dye it for me soon (I hope) and I didn’t want to subject her to my wiry, falling out hair that’s so thinned out at the ends that there’s only about 20 strands left. That means haircut time!

It is cold and rainy today so I didn’t want to leave the house and I was bored. So I did it myself. Plus it gave me much needed motivation to get in the shower. I’m pretty sure the left side is slightly longer and I have no idea what the back looks like. Curly hair is great in this situation it hides all manner of evil.