Hopes

    I hope that the hospitals and I can understand each other better because I know someday, I will get sick and need to go to the hospital. Hopefully not anytime even remotely soon. If I liked chaos and conflict, I would have become a hardened criminal. I don't chaos and conflict. I don't like filing reports or talking to police. I'm an accountant. I don't need that kind of excitement. I didn't expect it to be so difficult to exercise more control over my healthcare. But we're really getting into a groove with outpatient. The only thing that needs to be clear is that SPRAVATO was the reason I was in the hospital. I'm not taking it again. My desire for understanding cutting edge medicine has diminished dramatically. 

Checking all the Boxes

Community Integration Checklist

✔ Maintaining Home

✔ Taking meds as prescribed

✔ Taking care of self

✔ Applying for jobs

✔ Pursuing Business

✔ Writing Online

✔ Maintaining Social Connections

✔ Managing Finances

Maintainance day

 I previously installed new flappers in the toilets. Today i installed a new seat on the downstairs. Shopping for a new seat for the upstairs. Changing the filters and cleaning the floors. Getting rid of some more junk. 

 

Gender Conformance and Non-Binary

    Maybe part of the confusion around me with the whole "is he gay or is he straight" thing is that I am told that in part due to past experiences (from what I understand) I have developed in a non-gender conforming way. This may explain why I picked a female internist beyond just the fact that I was having a bad experience with MDs. Beyond the fact that she reminds me of a childhood friend. I was definitely having trouble with male practitioners. There are risks for a male having a female practitioner. But male-male isn't always the answer. Not to me. To me, it does not make sense, the rigid gender dictation. And I like my internist. She's kind. I do not do well with rigid gender enforcers. We tend to go at each other. That does not make sense to me. 

For Elle

You know that love is meant to be
A gift of grace that lasts forever
And I'm glad you were there by me
To help me keep myself together

You should know, everywhere I go
Always on my mind, in my heart
In my soul

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

Wanna have you hear me
I wanna have you hear me sayin'

You were there when I needed you, it's true
And I know, yes I know that I need it plain to see
How you helped keep me together
And I know that could not be just me
Whom you helped to learn to shine

You should know, everywhere I go
Always on my mind, in my heart
In my soul

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

Wanna have you hear me
I wanna have you hear me sayin'
You were there when I needed you, it's true
And I know, yes I know that I need it plain to see
How you helped keep me together
And I know that could not be just me
Whom you helped to learn to shine

You're a leader in my life
You're the inspiration
You give reasons for my life
You're the inspiration

When you save somebody
Through the weight of time
You kept my spirit alive
When you save somebody through the weight of time
When you save somebody
Always on my mind

Skye

     Skye came to me when I was 17. She was there to help me. When I was alone, I always had Skye. She was quiet. She listened and gave me the words I needed. She was gentle and kind. Wise. Like an angel. I didn't tell anyone about Skye until I was 39, I think. But I put her in my stories. I put her in The Keepers of the Dragon, some stories I wrote when I was a teenager. 

Inspired

    I feel these experiences have inspired me in some way to dig deeper into my compassion. I just hope I have what this world needs. Because you never know what comes next. No one can predict the future. We can only learn from the past. Hopefully, we're learning. 

Understanding

    I feel like I have to remind myself daily to not expect people to understand. Just like some of the things I heard on Crisisline, SH, and JV seemed beyond understanding, there are parts of my life that other people might not understand. I can't expect understanding. What I can do is to keep my business to myself in the real world. The whole "don't spread your trauma" thing that MIP was going on about. I've got to focus on my writing and on getting my business going and finding someone. I can't afford distractions. I trust the outpatient team. That's enough. 

Sarah

Dammit, she's breaking into hospitals again!

 

Zee Hospitals will never look for me here!

Jess

 Please try to understand... He's not normally like this!

 

They're onto me!

 

Garlic!!?!? Volly, how could you?!?!

 

Vhat Rhymes with Phlebotomist??? Agggh... the keys keep sticking!

Spidey keeps di score

MIP 12ish?

SB 2

Ccbh 1

Mcclean 2

Lost and Rigged 1

Spidey ... still heer... !!!

Spidey

SPIDEY DUDENT KNEAD DI UDDERS! Molly look out for Spidey ebbyday. 

Dear Elle

Dear Elle,

I hope you are welle! Life has gotten quieter round here.  Still looking for work. I'm glad you were there. You just had a way. Life is different off clozaril. For sure. But i have a good feeling. I hope I'm right. Life can throw all sorts of twists and turns. We'll have to see!

Your devoted fan

Ashes

Addiction and abuse

    If I meet the definition of addiction, then I've been addicted since I was a teenager. Antipsychotics, benzos, off labels, all kinds. Well, not pain pills, or illegals. When I say off label, I refer more to things like Namenda, Aricept, amantadine, Mirapex, gabapentin, minipress. Stuff like that. And I used to go to support groups for mood disorders, but that only helps so much. And it turns out I don't function without these pills. I struggle to see the difference to taking pills for almost anything and addiction.  Some people simply can't function without meds and its sad but true. Most of the people I know take medication for something. 

    I've also seen abuse. If you work at Crisis Line, SafeHarbor, Julie Valentine, OF COURSE YOU KNOW. HELLO!?!? Duh. Three and a half years??? Abuse can take several forms. There's emotional abuse, substance abuse, sexual abuse and physical abuse. Emotional abuse includes things like guilt or shame loading, yelling, threatening, manipulating, lying, and gaslighting. Poor boundaries. 

    What I don't understand about addiction is singling people out like was done at MIP. As if that is helpful. But like I said at MIP, if I consider myself addicted, it's definitely the pills. So many kinds. Extremely rarely have I taken them outside of guidelines, but with three ODs to date, of course I have. That's on record. It's what they call High Risk Medication Use. My concern is the prescription pills. I have to be careful with them. But the doctors have known that for years, and they have removed Spravato. 

    Anyways, the counseling helps me understand these things in ways that support groups, sponsors, and programs do not. Otherwise, I'm sure the hospitals would have figured it out by now. 

Ryter

     I've tried playing around with Ryter a bit, but so far I'm not thrilled. I feel that it dilutes my voice and makes me sound bland. I think it will be more helpful for when I have a passage that I know only very basics of what I want. In that case it can give me something to work with and fine tune into what I'm really trying to say. But as far as refining or editing what I already have or completely coming up with something from scratch, that's not what it does for me. 

Clozaril

    The thing about Clozapine is that it numbed me out really good. Which had both positive and negative effects. It desensitized me so that I wasn't as aware. Which is bad. But made me numb to so many negative emotions. Long term, it was not working. I wasn't processing and developing the keenness of insight that I needed to be effective. 

Why i think processing is important

    I think processing is important because it helps me to be more deliberate about decisions. To look before I leap. Looking back, what I should have done before calling 911 was to take the Ativan. Or if I could have managed the er triggers better, I could have peed and gone home. Either way, stopping Spravato was necessary. Definitely. That stuff surprised me. I definitely feel more cautious about medication. But I'm glad to have more of a say in it then I used to. That sense of control is a relief. 

Hydroxzine

    Hydroxzine is an antihistamine used for anxiety, sedation, and allergies. The doctor said that I can take as little as 25 and as much as 100mg for anxiety. I find that 100 puts me to sleep but 25 barely touches it. For me, the sweet spot is right between 50 and 75. When I'm overwhelmed, that amount helps bring me back into flow. I like it because unlike the benzos, to my knowledge there is no notable addictive quality, no cognitive decline, and it doesn't disinhibit behavior the same way. 

Traffic Control

    I'm not sure where the intersection is between mainstream and DID therapy, but I'm thinking that part of it lies in cuing. If 3 does the guitar and I want to practice, then I block off an hour for 3. Switching is important, so I should make sure I'm scheduling some time for each. I get so overwhelmed with planning tasks. I freeze from the get-go. I sit and stare. Starts and stops. What's worse is when someone tries to take over. Then I move towards panic or fight flight. 

    In the hospital I just shut down. I could see people weren't listening, so I didn't engage. No point. I didn't have the energy or strength to fight them. I don't know what Gullet thought. We barely spoke. McClinton was frantic, but I was dissociative. Not totally there. I know she tried. There wasn't much they could do. Not in that environment. Quetiapine reduced the symptoms, but I had too many adverse effects. So now aripiprazole. And counseling to think through the rest. 

Trouble focusing

    In the mornings, while I have ritalin, i do more, but still more slowly then I used to. More thinking about what I'm doing. Then as the time goes by I slow down. At times i have trouble starting and maintaining tasks. Other times its like my mind is spinning in circles. Getting up to do something, forgetting what I was doing or not finding what i needed to do it. Start. Stop. Start. Stop. Spinnnnnnnnn.

    Other times I get stuck on the same activity. The abilify helps with anger and extreme thoughts. The ritalin helps with shifting and maintaining focus. Mirtazapine helps sleep. Buproprion and desenfaxaline depression and anxiety. Propranolol helps abilify side effects. 

    I applied to several part time positions back they came back no. Theres one more then previously expressed interest that im going to apply to. Im waiting to hear back from a marketing firm. I'm continuing to expand social media presence and work on writing. I have more laundry and organizing lined up. I need to find my label maker. 

    I have to get some laundry done and straighten up before tomorrow. Then I have to go to the store and get some gin for the chicken wing recipe. Lots to do. I have more social anxiety then I used to. But the depression is doing very well. Very well. It's more the cognitive issues.