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Failed Treatments

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It’s been a while since I last updated, apologies. I didn’t get around to giving my therapist that letter but I did manage to express most of the thoughts in it.

Quite a lot has happened with him since I last posted. As I expected, after the awkwardness of previous sessions he explained (in a careful and considered way) that he doesn’t think that CBT is right for me at this time and that he felt like the sessions were “tortuous” for me because of the many questions that I have to answer about my thoughts and feelings (which despite how frequently I complain on this site, are hard for me to express verbally). In a way he is right, I do find it hard and I don’t think I really made any progress in the CBT sessions I had. To be completely honest, and this is not depression talking, I think my problems are far more complex and deep seated than the examples I have read about when it comes to treating social anxiety. My chronic depression makes things a hundred times harder because I cannot even answer the basic question “How do you want to be different?” or “What do you want to change?”. I simply cannot visualise myself as any different because I have been this way for so long, and the only memories I have from before I was so bad that it could be considered a mental health problem rather than just extreme shyness and sadness are from when I was a child. I have never experienced being an adult without depression, crippling low self esteem and self loathing. I have been suicidal in varying degrees for the past 6 years, I don’t know if I can ever shake that.

However much I could possibly change, even in this “magic wand” scenario they seem fond of presenting, presumably in order to give them some idea of what I should work towards being/doing, I can’t change the past and how much of a complete mess I have made of it and how much time I have wasted and pain caused to others. There is no part of me that feels like I would be better off alive than dead, it’s only the anguish that my family would suffer and lack of a quick method that is keeping me here and even those things are tenuous.

The result of all this is that he recommended that I would be better off having someone who I could meet with informally to discuss things with but I don’t honestly think that it would be any easier than talking to him in a therapy setting. I probably painted an unfair picture of him in my previous entry, in truth he is the only mental health professional that I have been able to speak to truthfully. I don’t trust any of the others any more. I can’t tell them about my constant suicidal thoughts, I don’t want the stupid useless crisis team on my back again. To be completely honest, seeing anyone for an hour a week (and that is the most frequent as it could get) is never going to change anything for a severely messed up person like me, it’s pretty hopeless.

A couple of weeks ago I went for the assessment (another one, yay!) at the city where I go to university and the people who “interrogated” me were quite unpleasant. I find it very unsettling when they go from acting like your friend one minute and then asking if you hear and see things that aren’t there and baffling questions about whether you think people have taken ideas out of your head the next minute. In addition to this, the fact that I just can’t answer any questions about myself as a person (what do you like to do? what kind of music do you like?) it made for an extremely uncomfortable hour. I left feeling more downhearted and disillusioned than ever about the mental health services. I don’t think this is a failing on their part entirely, I am just too much of a weird case and I don’t think they are equipped to deal with someone who is messed up in such a bizarre way.

Letter to my therapist

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I can never answer honestly when he asks “How are you?” and I assume this is one of the rare occasions where an honest answer would actually be appreciated so I finally decided to write something down. I am tired and can’t really think of everything I want to say but I think this captures the essence of it. It should be a fun hour tomorrow 😦

I feel very depressed every day. I don’t look forward to anything, it seems like there is always something to dread about the future, I’m always worrying about something that’s coming up. Life seems pointless, I can’t even do the most basic things like be in the same room as people. I’m scared of being around most people but I don’t know why. I haven’t made a proper meal at my house for the last two weeks, I’m too afraid that I will be trapped in the kitchen when there are people there and I don’t know what to say or how to act and I’m scared of them thinking I’m weird and saying things about me. It makes me feel even more worthless.

I can’t stop thinking about how I want to die. There is no other reason I can think of other than guilt about causing my family pain why I want to live. It occupies my mind for hours each day, I feel terribly guilty that I feel this way but I wish that I had died when I tried to kill myself.

Frustration

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The last few days have been overwhelmed by frustration. I went for my CBT appointment on Thursday and my therapist seemed much more impatient than usual. I know it must be difficult to deal with me and I have apologised before for being such an awkward patient (which he of course denied I was), it takes me a long time to vocalise my thoughts or explain things which I find embarrassing. A lot of the time I sit in silence and he rattles off suggestions of how I might have felt until he says the right one and  I nod. It’s a slow process indeed.

This time however, he just seemed to be out of patience. He set me the task of asking a stranger for the time and asked how that would make me feel. I knew it made me feel scared, but I couldn’t put into words exactly why and what I was afraid of. Having had some time to think about it; I guess what I’d be worried about is the person wondering why I’m talking to them. Why did I choose them to ask? They might think I’m coming on to them or trying to distract them while someone pickpockets them or something. Another more likely thing is that they’d just ignore me and walk past, because nobody wants to be stopped and hassled by a weirdo like me. I don’t know, it’s hard to express these thoughts aloud when they are so embarrassing. Even though I realise that none of these things would be harmful, I’d still be scared to do it anyway.

Assuming the best case scenario, I manage to do this tiny activity and report back next week, I’d probably be given something larger to do and so forth. But how long would it take building from being a functional retard like I am now to becoming something resembling a normal human being? It will be in the order of years even in the best case. I don’t know if I can handle being such a loathsome wreck of a person for that long. I’ve already wasted almost a quarter of a century, some of the times in a persons life when major personal development happens and, by and large people find to be an enjoyable time.

I don’t really know how to end this post. I think I’ve gone past a point of no return regarding suicide. Once you get it into your head that it is not only a viable escape from the pain, but the best and most immediate one, then it’s hard to take your mind off it and stop your thinking from going there automatically. I don’t know if it’s possible to stop doing that. They’ve tried using guilt on me, but there will be a point (in fact there already was a point) when the pain is too much for that to hold me back. What can I do? Become a permanent inpatient and doom myself to a life of being constantly sedated and under lock and key until I die alone? What a great life to look forward to.

Losing Control

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The past few weeks have been pretty unbearable, I haven’t been able to summon the energy even to complain on this blog. I’ve been feeling completely trapped and hopeless, several times a day I’ve been on the edge of breaking down into tears for reasons that I can’t easily explain.

One thing that’s been causing me considerable anxiety and fear is the group project I’m going to have to do at university which involves me working with randomly chosen people on a project that will last most of the year. The lecturers are making this out to be the most important thing ever, and with each dire warning they give about the importance of communication etc I only become more and more hopeless of being able to cope.

I’m terrified that one day I will break down in class and not be able to continue. I already feel so awful that I cannot face anyone, but even at my house I can’t seem to escape being disturbed by my housemates. I’ve tried explaining to one of them about my anxiety and how I get so stressed out but understandably, she obviously doesn’t realise the extent of my idiocy and how even the slightest thing puts me on edge for hours.

I’ve lost so much weight that my family have noticed and my clothes no longer fit properly, I only managed a proper dinner once last week, the other days I was unable to face the shared kitchen. I can’t stand the people who come round to our house. My housemates boyfriend, D, is now at the university and spends a lot of time at our place. He’s the exact opposite kind of person to me; confident, loud, outgoing, self assured and not afraid of offending people. The other night all of his Halls flatmates came round and woke me up after they’d been out drinking. I was so glad to be in bed away from their hideous shouting and insulting. It was a stark reminder of how much of a misfit I am and how I could never ever be accepted by people and nor do I want to spend time with people like that again. I’ve had enough of that in the past, putting up with being a metaphorical punching bag for their constant insults.

I don’t think I can cope with things, I feel like dropping off the face of the planet. There’s literally no hope for a person like me who cannot handle the easiest of lives.

I spoke to my tutor about the problems I’ve been having and he told me that it would be possible to suspend my studies for a year, but I don’t know whether I’d be able to go back after all that time off, I’m not sure I could manage it. Even more pressing is the financial situation, I only have 2 years (including this year) student support left so I’d have to pay the full amount of fees myself for the 3rd year and I’ve already signed a contract for the rent of this house which I wouldn’t be able to do if I wasn’t receiving my student loan.

There’s nothing I can do, I’ve got to try and muddle through until I fall apart at last.

I’ve become obsessed with finding places to jump from again 😦 I read a news story about some girls who jumped from a bridge in Scotland and tried to find out  how to get to it. I don’t know if I will end up doing that, I really don’t want to take any chances being “saved” this time.

Spiralling

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This might not make much sense, sorry in advance. The last few days I have felt like I am spiralling out of control, one day blurs into the next I forget when it started exactly. I have been seriously considering reckless things that I shouldn’t be (not talking about suicide) and I’ve hit 4 of the symptoms of hypomania. Not that I am suggesting that I am bipolar, I’ve never had this before and yesterday I realised I forgot my meds 2 days in a row which probably didn’t help things.

I haven’t eaten a proper meal since last thursday, I’ve been getting through work on red bull, had to call in sick one day last week because on top of everything i had a splitting headache and terrible cold and I couldn’t take it.

I’m scared about what I might do. I had tried to convince myself to stop looking towards suicide as the answer, but if I wreck up my life even more I might not have any other option.

Last night I told the person I’m closest too about how I am feeling and what crazy things I had been planning to do and I think she should have been disgusted with me and never wanted to speak to me again but instead she just wanted to reassure me that it’s my illness. I don’t know if I can lay the blame of much more at the feet of depression, I have to take responsibility at some point.

What upset me most is that she said that she felt like she has been talking to a person with a terminal illness for the past few weeks 😦 I hate to think that that is how I am thought of, I don’t deserve any sympathy, everything wrong with me is my own doing and I don’t HAVE to die, it’s all self imposed. I feel guilty as hell.

this is an extract of some things i have written down for my therapist (still got to wait until the 17th to see him)


I am a wreck. I feel like I want to cry but no tears come, there’s nothing there. I’m so sick of being such a worthless excuse for a human and heading down the inevitable path of failure.

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I am so starved of affection and I crave it desperately even if it is not real. I long for someone else’s touch. It is so incredibly hard knowing you are disgusting and repellent to everyone and that closeness and intimacy are unattainable. I plan on killing myself soon, I’d rather my inevitable suicide be seen as a tradgedy and maybe a waste of potential than people wonder “what took him so long?”

I honestly don’t know what to do. What can I do? Call crisis? They can’t help, I’m too entrenched for half an hour with a stranger to make everything A-OK. How could I possibly explain everything that is wrong to yet ANOTHER person I don’t know? I don’t know if there is any help available for the chronically suicidal.

Failure

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I saw the CBT guy again yesterday, we went through the standard stuff that I’ve read a million times about how thoughts and behaviour influence emotions etc and he gave me a mood diary to fill in once an hour for a week. Unfortunately it only has one square for 12pm-6am which is when most of my low mood occurs…  He also informed me that I have a psychiatrist appointment at Lincoln on Friday, I never got a letter about this so had to ask for the day off work on extremely short notice which started the afternoon off with me feeling anxious. Also my therapist is going on leave for 3 weeks so I’m on my own again (with the crisis team to call in case of emergencies, ugh). It seems like I never, ever get any kind of continuity. I hardly even get to see the same person twice. I’ve literally had over 6 GPs in the past 2 years, 5 different psychiatrists, 2 therapists, about 10 million crisis team busybodies. I hate to make excuses but having the condition that I do makes it very hard to explain everything to people. Every single time I have felt like I’ve adequately got my points across I get shunted off to someone else and have to start from the beginning again 😦

My mum and her boyfriend (they both work in schools) have finished for the summer holidays now and they’re going away for a week starting this weekend. I’ve been constantly overcome by thoughts of how this would be the ideal opportunity to get things over with without the chance of being discovered. I am a complete failure. No matter what people say to me, I still can’t find comfort in anything except wanting and planning my own death. I’m worthless even by the standards of mental people. I had to fill in a questionnaire and circle which statements I agreed with most. It said things like “I enjoy spending time with people” “I don’t enjoy spending time with people as much as I used to” well I never spend time with anyone because I don’t know anyone, and I haven’t since I was about 11. There was one about sex 🙄 how can I answer that when the idea of anyone ever finding me attractive is completely ludicrous, I’m 24 and it’s pretty obvious if that has never happened so far then it’s not going to. It asked something about whether you fell worse about your appearance than you used to; I’ve never felt anything but completely ugly. I don’t know how these tests can determine anything about your mental health or level of depression if you actually are a complete failure like me. Sure, I feel like crap and if I’m constantly obsessed with thoughts of suicide then it’s a pretty safe bet to say I am depressed, but this thing was obviously designed for normal people who are affected by depression, not utter fuck ups like me.

The diary thing makes you list your activities each hour and he wants me to rate my mood from 0-10. The handout says that people rarely do “nothing” even though it feels like it and are probably more active than they think which is why it’s important to have a record of it. Well mine makes depressing reading so far, I really do “do nothing” for most of the day. Half my waking hours are spent lying sleepless in bed or mindlessly browsing the internet. I don’t have any friends or anywhere to go, I don’t have any hobbies or activities and there is nothing around where I live except houses and a school. Nothing gives me any pleasure or enjoyment, all that takes away the pain is thinking about how it could soon all be over.