Tag: emergency room

Time to pack it in and leave, I think

So the last couple of hours have brought me absolutely beyond all hope.

I’ve been led on a cruel dance by all the so called emergency out of hours lines.

The PD service secretary refused to even phone any of the clinicians. She told me all kind of rubbish and lies, like that she couldn’t put me through to anyone else in the hospital, she didn’t have a telephone number for any of the clinicians or anyone else in the service, she refused to get me help, she pretended the crisis team didn’t exist, she shouted over me. I called 111 the out of hours service, since it was after 5. They refused to get me an appointment face to face or telephone. They said my own gp still needed to see me. They were not responsible til 6.30. They refused to make me an appointment after 6.30 or refer me to the crisis team. My own gp put me through to the duty doctor. She refused to visit me because it was too late in the day. She refused to refer me to the crisis team because they wouldn’t accept a referral without her seeing me which she’d refused to do. She then hung up on me whilst I was speaking.  The so called emergency out of hours mental health line went to answerphone 3 times. I finally got through. They had none of my messages. They talked over me constantly and said nobody world come to see me and just go to a&e. I’m too ill to go out of the house and what’s the point of going to a&e? They just send you back out a few hours later. What was the point of the line then if they don’t offer help? If I wanted to go to a&e I’d have gone. The woman actually agreed yes it’s fairly pointless, she just tells people to go to a&e.

I am desperate. I have done everything I’m told to. I have jumped through every &*$/€(# hoop. I even trusted them. What do I have to do to get help? Every single thing gets taken away. How much sicker do I have to be before they’ll help me? Before they stop talking about building my resilience? They’ve taken every bit of my resilience away and finally pushed me over the edge.

I’ve been thinking for some time about just packing up and going away somewhere else. Going off to the other end of the country. Somewhere else I can live hidden, preferably under a different name, nobody else knowing all this $#@/!&£* inside me, nobody pulling me apart and cutting and cutting deeper, nobody tricking me, and it’ll be numb but it’ll be some pretence of normal, it’ll be numb and fake but I’ve seen what trusting gets you, nobody will come near to me again, the real and the screaming and the desperation and hurt, I’ve been shown what that deserves, I’ve had it. I think I should just choose the numb.

WHY. (This ends tonight.)

I have been wondering for a couple of days whether to post about this or not, considering various thoughts about whether this would be too triggering or disturbing and whether potential dangers would outweigh the benefits.

However, I think this is so personally specific that I hope it isn’t triggering, if you see what I mean. Also I’m bearing in mind the advice that acknowledging and talking and asking about suicidal feelings doesn’t cause people to become suicidal.

Something else prompted me to post this tonight, which I’ll explain momentarily.

This post attempts to describe a tiny bit of what I was feeling on Saturday when I overdosed and why I did.

Someone I know has just essentially described my overdose as drama because of a cancelled coffee date. This is so incredibly far from the truth of what led to my overdose and what I felt. It was massively painful to realise that is what it was for her. She is not by nature a judgemental person. She has herself suffered with mental health problems. She is highly intelligent. She is medically trained.

I’m not posting this to tell her she’s hurt me. I don’t understand how she could possibly think that’s why I overdosed.  Perhaps my “why” is equally incomprehensible to her. I do wonder if anyone wanting to understand more about why people overdose or attempt suicide may be interested to read this. But as I said, it’s only very personal to me. Every person’s story and pain is different.

I want to be very clear I am not glorifying overdose or self harm – I am describing what I felt. I am not describing a solution. At the bottom of this article I’ve listed a couple of details of organisations that I think can help towards getting support.

In italics below I’ve tried to describe some of what happened to me in the days and minutes before I overdosed. Though factors and thoughts had been multiplying over days and weeks and months, the actual “1000th last straw” kind of feeling and the final loss of control and “snap” came very suddenly that night.

I guess this comes against a background of mounting external stresses – numerous cancelled appointments, lost support, lost relationships, lost job, financial hardship, threats from my landlord, debt, endless difficulties with numerous benefits and being stuck in hopeless inextricable messes with error after error on the authorities’ part despite my best efforts, poor physical health and constant pain – as well as the internal stresses of my mental health like hallucinations, flashbacks, reexperiencing, voices in my head, memory gaps and dissociation.

Because:

Because everything is utter pain and nothing else exists. All of me is lost outside it. Because nothing, no cutting, no purging, no screaming voices or obedience to their call, is enough to rid the sick evil inside me.

Everyone knows I’m a fake, a liar, foul, ugly, greedy, everyone knows what I’m really like. But I can never stop the evil.

Because the voices do not stop and I so badly need to sleep.

No matter how much more you say, just one more day, one more hour, there really is a limit somewhere, don’t they see? And I know it’s weak but I passed it long ago. It’s true when I say in tired. Let me sleep.

Because I’m screaming, crying, and no one ever came and no one hears today either.

Cruellest – every person has left me when I was most raw. They tricked me to trust, they got at the most bad and vulnerable – then they left. [Like my abuser.] First this hurts with utter fear. Utter loss yet again of all I am. Loss of any hope.

Then rising anger boils and it is just one sick joke or cruel game too many, where they delight in punishing me, I can never win, tricked and tricked again, delighting in hurting me – like HER abuser] – and God delights in my downfall and hurt and he has crushed me to the ground and taken all of me.

No good is visible, no hope exists; no caring is possible, only no more; no more; only sleep.

Then in one moment, comes blinding rage and tears. From numb, dissociated, to intolerable existence to exploding anger, cutting and smashing, no hurt enough. Fears of this exploding monster turning outward now, to someone else, no longer just assuredly to me?

This is all now. ..

In some vague place in another part of my mind, knowing and hoping my heart will stop now I’ve taken the pills.

Running.

Blank.

Slowing.

Tired and the screaming pain is silenced and the voices gone. I can sense my heart, my breathing high and caught and slow but rising. ..

So. This is it now. After that unbearable state consuming – …. the end seems very simple.

 

Of course, it is not at all simple. One most bitter thought in my mind right now, after the comment that it is drama over a minor thing and can’t be dealt with, is that having reached this absolute end point of not being able to go on, even in this I am causing anger and harm and manipulating without wanting to, because to others it’s not real, just drama, trouble, unnecessary, manipulative, can’t be dealt with. I cannot go on and I cannot even stop. Twisted, but definitive, proof ending it isn’t the solution.

FOR HELP, THE FOLLOWING NUMBERS AND SITES COULD BE OF USE:

Samaritans, call for help 24 hours – 08457 90 90 90

http://www.stopsuicidepledge.org

http://www.mind.org.uk

http://www.b-eat.co.uk (eating disorders support)

Ginny xxx

 

How do you keep on trusting?

I’m really struggling at the moment with the fact that whenever I’m really counting on something it gets taken away. When I’m already at breaking point, things that should be simple are made incredibly difficult so I don’t get help I need or have to go through complicated, draining processes I can’t cope with.

I’m not even talking about more “abstract” ideas like complex relationships or values but very basic things like urgent appointments repeatedly being cancelled, having appointments for support booked but being told the wrong time or the booking not being made, completing lengthy forms for Benefits only for the wrong decision to be made with the wrong information, on and on. I suppose the apparent rejection, lack of care, implication I am undeserving and not allowed help, behind all this, makes it worse.

Most recently it was being discharged from 2 days in hospital after I’d overdosed at the weekend, having had a lengthy assessment with the duty psychiatrist, who discharged me on condition I would be seen by the psychiatrist at the personality disorder team the next day and my CPN within 24 hours, a report had been sent straight to them, and that I could hope for more support. So off I went to the PD team at the hospital on Monday. No report had been sent. The psychiatrist would not see me. The report has now been sent this afternoon. There is still no intention for the psychiatrist to see me despite the duty doctor and actually also my GP requesting it. They actually asked why did I think the psychiatrist needed to see me! No more support is forthcoming although I have had telephone support. The duty workers say haven’t I got any friends I could stay with to be safer. My 2 friends who are nearby have made it clear this is not possible.

There is an absolute pattern of this happening over and over, week after week. I can guarantee that if I’m desperate, just trying to hold on, relying on my next therapy appointment – I’ll get a call to say it’s canceled.

How do you cope with this kind of thing?

It feels like a cruel trick or a sick joke and spikes my anger and hurt out of control and I disintegrate and the feelings I was struggling with already explode as well.

I do not think it’s only me it happens to. In fact someone else in another online forum was saying a very similar thing and that it’s as if we’re never allowed to rest, it’s always the next test and the next thing to go wrong.

How do you keep trusting when you feel like this? How do you stop resenting and being consumed with anger? Becoming more and more self centred?

It is really hard to try to keep trusting the hospital and the doctors when I can’t count on anything and repeatedly hope then bang, it gets taken away again.

I shouldn’t put my trust in anything or anyone and I should detach from the need for it and not depend on anyone or anything. But how do we even start to reach that point?

Ginny xxx

Somehow

[TRIGGER WARNING FOR SUICIDAL THOUGHTS AND ACTIONS, SELF HARM AND OVERDOSE This post may be disturbing please read with caution if this may be unhelpful for you. ]

Somehow it’s nearly morning. Well, it is morning. I’m numb and “out of it” like it’s not really me, but everywhere at the same time. I thought I came to the end. That was supposed to be it. But I’m still here.

I’m scared to write this because it makes it real. What I did. And what is. And that I’m still here and that it’s morning. No question.

(“The watchman counts on daybreak and Israel on the Lord” I can’t remember what Psalm that is right now. ..)

I’m scared to write because I don’t want anyone to hurt and it was noone’s fault but mine and no one’s doing but mine and my responsibility. I lost it, I snapped and gave in. I didn’t deserve it but they cared for me.

I know I was so nasty to someone who has only cared for me. I needed too much. I still do. I’m so sorry.

But I have to write this. I have to write this in order to go on. I’m scared and I can’t remember chunks of time.

So…

I got to the end on Saturday. I screamed. I smashed things in the kitchen. I cut. I took an overdose. A lot more this time. This time it was the end.

But it wasn’t because I’m still here. And I have to get up soon. I have to get up and get dressed and go out and get something to eat and then go to the hospital to see the psychiatrist and my therapist. I promised I’d do it.

I’m okay. I don’t want to scare people. I’m okay physically. I got help. I’ve been in the hospital Saturday and Sunday. I came home late last night. They monitored me – blood tests and ECG and blood pressure and everything – so I’m fine physically. They were kind. They looked after me. I ate. I saw the duty psychiatrist. They’ve sent a report to the personality disorder team. I already had an appointment set with my therapist this morning and I’m to go early to see the psychiatrist too. So I’m safe. I don’t want people to worry.

I’m going on. Nearly time I can get up. It’s cold this morning. I have to decide what to do about work and what do I tell them. I’m meant to be in this afternoon.

“The watchman counts on daybreak and Israel on the Lord.” Keep saying that and get up and it’s morning.

Ginny xx

The 1000th last straw

[TRIGGER warning for mention of self harm, overdose and suicidal thoughts, and childhood sexual abuse;  and for anger, i am really angry and hurt writing this.  I am not meaning people to worry about me. When i say I’ve given up i mean on therapy and the doctors and everyone i trusted, not that I’m immediately suicidal.]

I am so far beyond angry. Hurting. They can decide I don’t get help. But it does come to a point I can’t just keep going one day more and being told the bad things are temporary.

In group and after I desperately needed to talk about the abuse and trauma and the decision I’ve now got to make whether to make a full statement to the police. I needed help when I told them I was really high, right on the edge, really unstable, not safe. Nobody heard.

I’d dared to ask a friend for help and to help me talk through some of what I have to decide about the police. She’s cancelled and changed arrangements so many times we’ve had to meet. I doubt she really wants to anymore. She keeps meetings to the most difficult and shortest times. She knows I’m ill, she knows I’m desperate, she surely knows how difficult it is to talk about abuse! She agreed to meet in the middle of the day at her work. Obviously I needed to talk in private but if that was all the time she had then I was thankful for it. I was at my wits end today after group. She changed the time and place back and forth through the morning today. She knows this puts me right on edge if I have no idea what’s happening. She told me she only had 30 minutes, then that she had work to do and hadn’t finished, then couldn’t I wait an hour and a half later, then asking where I was, 2 hours earlier,  when she knew I was still at my hospital appointment. When I finally pinned her down to a time she still came 20 minutes late without even letting me know and we had to meet in a crowded cafe where I obviously couldn’t talk about a thing – what did she expect me to do?! “How’s your cappuccino? Oh yes and by the way, I’m not quite sure how I’m going to cope when I tell the police about my mother sticking things up me when I was 7, any thoughts?” I don’t think so!

Then she told me I ask too much, it would be impossible to do what I ask (really? Is it so very hard to agree to meet a friend, stick to the arrangement and turn up?) And she doesn’t believe i wanted to meet in private because I thanked her for agreeing to meet in the middle of the day (well just because I thanked her and was grateful doesn’t mean I was happy or it was what I needed, I was just grateful for any help – or what I thought was help). She said she didn’t know we needed to meet in private (really? Is she that stupid she doesn’t know if you have to talk about abuse you won’t do it in the middle of a cafe? I don’t think so).

I was in bits and in so much pain as well  – and yet again the last hope of getting help or to talk to anyone was snatched away. It’s not just today. It’s every single time. I’ve had it now after this is just repeated – every one i should be able to trust,  every place i should get help. They don’t hear. They don’t believe me. They don’t help. It’s some sick joke or someone’s plan to find out when I break, to laugh at me, to test if I want help enough. Well I’m screaming and nobody can hear. I can’t scream louder. They can choose to keep up this game. Well I guess they’ve won. I can’t shout louder. I can’t make them believe. I can’t make it so that I deserve or am allowed help. I can stop trying anymore because it does just hurt too much. That one’s down to me. It’s not really a choice because it simply now is too painful. But I can choose not to let anyone near me again so they can’t trick me, so they can’t decide to keep a distance because I’m not allowed help and cut me down again because I’d just started to trust and go forward believing they’d be there, so they can’t disappear and show me how they don’t really want me around and it isn’t a friendship and they won’t be there.

(Funny. She’ll threaten to call an ambulance – and if I do go to a&e I just talk to someone then get bounced back out after a few hours and I’m alone again – but she won’t come to see me when I’m not safe, understand how hard it is, sit with me when I’m terrified, come to see me when I was in hospital – every time I was in I was the only person on the ward who didn’t get a single visitor -or hug me when I’m crying. Why is it so hard to do any of that? The doctors don’t care and don’t help me and the only friend I have nearby doesn’t want me around and says go to the emergency services. So I’m not allowed medical help and not allowed friends.)

I’m not allowed any help. I need a friend and I need someone with me and I need to trust someone but every single thing I trust gets taken. It’s not just today it’s every time and I’ve had enough. Oh, you must keep going to work, they say. You’ll feel worse if you have nothing to do. No, I won’t. All I want is it to stop. I don’t want to go out. I want to sleep. I want drugs to stop me feeling.

Oh it won’t help you if you have anyone with you it won’t help you get better you have to be independent. Why is it for her to decide what I need? She’s not my doctor! She doesn’t know what it’s like! I need help. I need someone with me. I want a friend. I want someone to help me. I want someone to care. I want someone to be there when I can’t cope. Not only when I can say everything is fine. Not only when it suits them. Not only because they’ve decided I have to learn to be independent. I’ve always been independent. Nobody has ever been there when I needed them. Now I Can’t cope anymore. It’s even more cruel that every time I’m most desperate I have to be deceived into thinking someone’s there then left alone.

If you’re friends with someone, if you care for them, you are there when they need help. You don’t decide what they need or that something else is best for them or they have to learn something. You don’t see them sometimes then walk off when they’re ill. You don’t constantly change every arrangement. You don’t only allow them in certain situations and certain parts of your life. If they need you you’re there for them. If they’re sick you help them and care for them. You don’t just disappear because it isn’t convenient. That’s just utterly basic friendship and actually basic morality. I’d do it and do do it for anyone.

Is it really so terribly much to ask? Every other person in therapy has family, a carer or a spouse with them. I’m the only person who doesn’t, who lives totally alone. Is it really so terribly awful to want someone to be with me when I’m in crisis, to hug me when I’ve been crying for hours, someone to stick to a commitment, someone to be a friend, someone to help me when I’m cutting as soon as I’m alone, when I’m terrified of the hallucinations?

And the doctors know and they don’t care. They don’t help me. My friend says call them if I’m not safe. She says persist. I’ve been persisting for years. I’ve been accepting nobody wants me. I’ve told them in not safe. I’ve told them I’m cutting and overdosing and when I was planning to end it. They didn’t help me. I don’t want some stupid phone number for a few minutes of so called support. That doesn’t keep me safe or get me help or a friend or anyone with me. I’m on my own again. Left to just go back to the same cutting and overdosing. There’s no other way to cope. They tell me just keep going is temporary. I don’t care if it’s temporary. I can’t right now.

After years of making sure never to say what I needed and always to do weekday I’m meant to, I’ve had it. I’m a disgusting selfish b*tch and a baby and I’m screaming and I need help now and nobody can hear me. I’m not allowed help and I know I’m not but every time it’s proved the kick hurts even harder. I know it’s selfish and disgusting but actually the need and the hurt has taken over. Nobody wants me. Nobody wants me really, not what’s really me.

 

 

What do you do “out of hours”?

I really needed crisis support on Friday but didn’t get it. After therapy group I was spiraling down and out of control, then a number of bad events came snowballing, knocking me further down. I had a brief conversation with the duty line at the hospital and was supposed to get to speak to them again later in the afternoon but they didn’t have time. I was in pieces, cut and was on the edge of the very dangerous place I cannot take a single step more and decide to end it. Thanks be to God I didn’t but I took a higher dose of my tablets than I should to knock me out and stop the hurt (not really an overdose as it wasn’t over the maximum dose of anything, but I took more than I’m prescribed and everything together).

I’ve been fighting through this weekend as I’m working. What I want is numb, stay at home, stay under a blanket, no more feeling, no more thinking, no more hallucinations, no more noise in my head, never have to speak again, never do more harm, someone to hold me, to go to the dissociated place, forget everything I have to fight through and just stop and be allowed to need it to be no more, stop, sleep.

What do you do when you feel this and you can’t get help? It’s the weekend and/or evening. I couldn’t get help from the hospital on Friday. There will be nobody available until Monday and who knows if they will have time then to see or call me.

I could go to A&E but I wasn’t sure what they’d do, and it’s not really an emergency and there isn’t an instant solution. I need more help day to day. I could call 111 the NHS out of hours line, but they tend to tell you to go to A&E if you admit to self harming or being suicidal. They’d probably take my tablets away too. When I’ve been put in touch with a community crisis team before I’ve actually found it really unhelpful. They did not (in my uneducated opinion) understand BPD. What they said piled on the guilt and made me closer to ending my life and they were determined to show me I didn’t need (or deserve,  I feel) any help and Iwasn’t genuine. If i got that right now I would go through with ending it.

Part of the problem needing help out of hours is having to try to explain your whole story – trauma, abuse,  flashbacks, hallucinations, voices, BPD, hurt, fear, desperation and needing to end it – to someone who doesn’t know you or the therapy you’re having. It’s too frightening to do and the cost of being misunderstood too great.

I promised a friend that if it got to the worst I’d go to A&E before I did anything. I would,  I’d keep that promise.  I made it only because she would be more worried about me and stressed if she thought I wouldn’t. I would go at that point, out of honesty to her. Even though having reached that point I’d not want to be stopped.

What do you do when you need support out of hours and can’t see your GP or your usual clinic / hospital team? I’d be interested to know what others do.

I know a lot of it may involve other coping strategies not going to someone else for help. But what about when it’s bad enough they don’t work?

Ginny xx